CN106563181B - rectum anastomotic leakage drainage device - Google Patents
rectum anastomotic leakage drainage device Download PDFInfo
- Publication number
- CN106563181B CN106563181B CN201611033033.1A CN201611033033A CN106563181B CN 106563181 B CN106563181 B CN 106563181B CN 201611033033 A CN201611033033 A CN 201611033033A CN 106563181 B CN106563181 B CN 106563181B
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- China
- Prior art keywords
- capsule
- enteron aisle
- resilient
- flow diverter
- driving
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- A61M1/0023—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses rectum anastomotic leakage drainage devices, belong to the field of medical instrument technology, the drainage procedure bar that flow diverter is clamped including enteron aisle and is rotatably connected with enteron aisle clamping flow diverter, the enteron aisle clamping flow diverter refers to and drives capsule including two resilient clamps, two resilient clamps refer to as elastic sack body, permeable membrane is provided on the inside of elastic sack body, the resilient clamp refers to be connected to negative pressure device, driving capsule is connected to positive pressure devices, when unaerated, it is in integrally strip that resilient clamp, which refers to driving capsule, after inflation, drive capsule expansion cyclic annular in large semicircle, and it drives two elastic sack bodies to be formed to rectum in large semicircle ring-type and holds shape.Under the driving of driving capsule, the madial wall that resilient clamp refers to can be made to form fitting clamping to human body intestinal canal outer wall, prevent it from so that excreta is oozed out with respect to sliding between enteron aisle, be used in combination the permeable membrane on the inside of it to fully absorb and penetrate into utricule to be siphoned away by negative pressure device, compared with the existing technology its drainage effect be improved significantly.
Description
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of drainage for postoperative rectal cancer anastomotic leakage fills
It sets.
Background technology
The carcinoma of the rectum is common alimentary system malignant tumour, and incidence increases, become after lung cancer, gastric cancer year by year
Third position high incidence tumour.Complex treatment presently mainly based on operation.In recent years not with surgery operating technology
It is disconnected to improve, it is put forward higher requirements with safety the effect of to operative treatment, in carcinoma of the rectum surgical field, how in implementation " root
The property controlled excision " on the basis of ensureing clinical efficacy, improves the safety of operation, reduces complication, reduce " second operation "
Incidence is the important topic of carcinoma of the rectum surgery.The most common complication of rectal cancer surgery is " anastomotic leakage ", and incidence is
10-20%, there are two types of the processing modes that anastomotic leakage occurs, and one is small for previous anastomotic leak, and leakage quantity is few, drains, can be by drawing
The expectant treatments such as stream, anti-inflammatory are cured；Another is that leak is big, leakage quantity is more, drainage effect is poor, and the excrement sample enteral containing a large amount of bacteriums is held
Object leaks into abdominal cavity, and infection occurs infectious shock, jeopardize trouble quickly in the rapid disperse in abdominal cavity, secondary acute peritonitis, severe patient
Person's life, therefore this some patients has to promptly receive " the fistulization operation " for the purpose of saving life, in time holds enteral
Object turn of tidal stream receives third time " closing fistula " operation, huge injury is brought to patient's body and mind again after mouth to be anastomosed leakage healing after the several months.Cause
How this improves the treatment rate of anastomotic leakage, avoids " secondary to close fistula operation " and because the third time that row " fistulization " is brought " is closed
Fistula " is performed the operation, and is the intractable technical barrier that current carcinoma of the rectum surgery faces.
The method that prevention and treatment anastomotic leakage mainly uses placing peritoneal cavity drainage at present, diameter about 5-8mm is common
Several side openings are cut in latex or silicone tube one end, are placed near previous anastomotic, outside other end lead body, occur in anastomotic leakage hindgut
It is tolerant by peritoneal cavity drainage tube lead body outside, play the role of early warning and treatment.But in actual use, because drainage tube is placed on
Side, the homonymy anastomotic leakage for adjoining drainage tube is easy drainage, and is not easy to draw if the leakage such as offside far from drainage tube, and drains
Tube capacity easily gives a discount in vivo, side opening is easy blocking, drainage tube coverage area is small, and drainage effect is poor.Therefore patient is often because coincideing
Mouth leakage drainage effect is bad and has to receive to perform the operation again, and greatly psychology and financial burden are brought to patient.
But if anastomotic leakage can guarantee adequate drainage, outside the timely lead body of excrement sample intestinal contents, secondary acute abdomen is avoided
Film is scorching, then anastomotic leakage overwhelming majority energy self-heal, to avoid " secondary fistulization operation ", and then avoids third time " closing fistula "
Operation, reduces the additional increased two operations brought by anastomotic leakage complication, and what thus reduction was brought makes patient's body and mind
At huge injury.But the drainage device of rectal cancer surgery does not have essential change, clinic to continue to use more over nearly more than 100 years
Year is still general drainage pipe, and it is the important technology bottleneck for restricting drainage effect to lack effective drainage device.
It would therefore be highly desirable to research and develop novel, efficient drainage device, it is difficult that the bad technology of anastomotic leakage drainage effect is solved conscientiously
Topic, to benefit vast rectal cancer patient.
Invention content
In view of this, the purpose of the present invention is to provide a kind of drainage device for postoperative rectal cancer anastomotic leakage, it can
Effectively solve the problems, such as that prior art drainage effect is bad.
In order to achieve the above objectives, the present invention provides the following technical solutions：
Rectum anastomotic leakage drainage device, including enteron aisle are clamped flow diverter and are clamped what flow diverter was rotatably connected with enteron aisle
Drainage procedure bar, the enteron aisle clamping flow diverter includes that two resilient clamps being rotatably connected refer to and be fixed on two elastic clips
The outside of holding finger, the driving capsule for driving two resilient clamp fingering row clipping operations, two resilient clamps refer to
For elastic sack body, the permeable membrane that slop can be penetrated into utricule, the elastic clip are provided on the inside of elastic sack body
It holds finger to be connected to negative pressure device, driving capsule be connected to positive pressure devices, and when unaerated, resilient clamp refers to and drives capsule integrally in strip
Shape, after inflation, driving capsule expansion is cyclic annular in large semicircle, and drives two elastic sack bodies to be formed to rectum in large semicircle ring-type and hold
Shape, the pipeline that resilient clamp refers to the pipeline being connected to negative pressure device and capsule is driven to be connected to positive pressure devices are arranged at described draw
It flows in operating lever.
Further, orientation adjustment ball, the orientation tune are provided between the enteron aisle clamping flow diverter and drainage procedure bar
Positive pressure passageway and negative pressure channel are provided in whole ball, the positive pressure passageway is connected to driving capsule and positive pressure devices, and the negative pressure is logical
Road refers to two resilient clamps and negative pressure device is connected to.
Further, two resilient clamps are provided with screw between referring to, and are provided in the screw by two institutes
State the channel that resilient clamp refers to connection.
Further, the positive pressure devices are manual aerating capsule.
Further, the enteron aisle clamping flow diverter is that degradation material is made.
The beneficial effects of the present invention are：
The present invention can make the madial wall that resilient clamp refers to form fitting folder to human body intestinal canal outer wall under the driving of driving capsule
It holds, prevents it from so that excreta is oozed out with respect to sliding between enteron aisle, be used in combination the permeable membrane on the inside of it to fully absorb and permeate
Siphoned away by negative pressure device in into utricule, compared with the existing technology its drainage effect be improved significantly.In addition, by the bullet of unaerated
Property clamping refer to driving capsule whole installation be in strip, facilitate the present apparatus that can directly enter by surgical hole, to keep patient's
It is minimally invasive, and the driving capsule setting after inflation is cyclic annular in large semicircle, and drive two elastic sack bodies cyclic annular in large semicircle, it can enhance
To the grip state of rectum, horizontal to improve fitting, seepage capability is further enhanced.
Other advantages, target and the feature of the present invention will be illustrated in the following description to a certain extent, and
And to a certain extent, based on will be apparent to those skilled in the art to investigating hereafter, Huo Zheke
To be instructed from the practice of the present invention.The target and other advantages of the present invention can by following specification realizing and
It obtains.
Description of the drawings
In order to keep the purpose of the present invention, technical solution and advantageous effect clearer, the present invention provides following attached drawing and carries out
Explanation：
Structural schematic diagram when Fig. 1 is unaerated of the present invention；
Fig. 2 is the structural schematic diagram after present invention inflation.
Specific implementation mode
Below in conjunction with attached drawing, the preferred embodiment of the present invention is described in detail.
As shown in Figure 1, 2, the rectum anastomotic leakage drainage device of the present embodiment, including enteron aisle clamping flow diverter 1 and drainage
Operating lever 2 is provided with orientation adjustment ball 3 between enteron aisle clamping flow diverter and drainage procedure bar, and making between the two can relative rotation
Connection, to realize that enteron aisle clamping flow diverter is adjusted in endoceliac orientation, the enteron aisle clamping flow diverter 1 of the present embodiment includes two
A resilient clamp refers to 5 and driving capsule 4, and two resilient clamps are provided with screw 6 between referring to, both make can relative rotation, driving
Capsule is fixed on the outside that two resilient clamps refer to, and drives two resilient clamp fingering row clipping operations, meanwhile, two resilient clamps
It is elastic sack body to refer to, and permeable membrane 7 is provided on the inside of elastic sack body, can be penetrated into slop in utricule, due to elasticity
Clamping refers to be connected to negative pressure device, and periodically excreta can be discharged；In addition, since driving capsule is connected to positive pressure devices, this implementation
The positive pressure devices of example are manual aerating capsule 8, and when non-aerating, it is in integrally strip that resilient clamp, which refers to driving capsule, as shown in Figure 1,
Facilitating the present apparatus directly to enter by surgical hole, is not required to increase or expand wound, patient's is minimally invasive to keep, and after inflating, it drives
Dynamic capsule expansion is cyclic annular in large semicircle, as shown in Fig. 2, this can be realized by the way that capsule will be driven to be designed as large semicircle cyclic structure,
It is in that large semicircle is cyclic annular to drive two elastic sack bodies also, rectum is formed and holds shape, raising is bonded level with rectal surface,
The pipeline that resilient clamp refers to the pipeline being connected to negative pressure device and capsule is driven to be connected to positive pressure devices is also all provided with by the present embodiment
It sets in drainage procedure bar, keeps device more succinct, avoid the influence of line or pipe, further increase the operability and safety of device
Property.
The present embodiment can make the madial wall that resilient clamp refers to form human body intestinal canal outer wall and be bonded under the driving of driving capsule
Clamping, prevents it from so that excreta is oozed out with respect to sliding between enteron aisle, is used in combination the permeable membrane on the inside of it to fully absorb and oozes
Penetrate into utricule and siphoned away by negative pressure device, compared with the existing technology its drainage effect be improved significantly.In addition, by unaerated
It is in strip that resilient clamp, which refers to driving capsule whole installation, facilitates the present apparatus that can directly enter by surgical hole, to keep patient
It is minimally invasive, it is and the driving capsule setting after inflation is cyclic annular in large semicircle, and drive two elastic sack bodies cyclic annular in large semicircle, can increase
By force to the grip state of rectum, horizontal to improve fitting, seepage capability is further enhanced.
As the improvement of the present embodiment, positive pressure passageway and negative pressure channel, positive pressure passageway and drive are provided in orientation adjustment ball
Dynamic capsule and positive pressure devices connection, negative pressure channel refers to two resilient clamps and negative pressure device is connected to, by orientation adjustment ball
Channel is set, can avoid the area of section of the exposed aggrandizement apparatus of pipeline, influence its passability.
As the improvement of the present embodiment, the channel that two resilient clamps are referred to connection is provided in screw.
As the improvement of the present embodiment, enteron aisle clamping flow diverter is that degradation material is made, meanwhile, it can be by degradable material
The degradation time of material is matched with the usage time of the present apparatus, to make it after the completion of operation, degradation namely completion, this
When, draw out operation bar is only needed, the grieved of patient is reduced and torments.
Finally illustrate, preferred embodiment above is merely illustrative of the technical solution of the present invention and unrestricted, although logical
It crosses above preferred embodiment the present invention is described in detail, however, those skilled in the art should understand that, can be
Various changes are made to it in form and in details, without departing from claims of the present invention limited range.
Claims (5)
1. rectum anastomotic leakage drainage device, it is characterised in that：And it can with enteron aisle clamping flow diverter including enteron aisle clamping flow diverter
The drainage procedure bar of rotatable connection, the enteron aisle clamping flow diverter includes that two resilient clamps being rotatably connected refer to and are fixed on
Outside that two resilient clamps refer to, the driving capsule for driving two resilient clamp fingering row clipping operations, described in two
Resilient clamp refers to the permeable membrane that is provided on the inside of elastic sack body for elastic sack body and can be penetrated into slop in utricule,
The resilient clamp refers to be connected to negative pressure device, and driving capsule be connected to positive pressure devices, and when unaerated, resilient clamp refers to and drive capsule
Whole is in strip, and after inflation, driving capsule expansion is cyclic annular in large semicircle, and drives two elastic sack bodies in large semicircle ring-type to straight
Intestines, which are formed, holds shape, and the pipeline that resilient clamp refers to the pipeline being connected to negative pressure device and capsule is driven to be connected to positive pressure devices is all provided with
It sets in the drainage procedure bar.
2. rectum anastomotic leakage drainage device according to claim 1, it is characterised in that：Enteron aisle clamping flow diverter with
It is provided with orientation adjustment ball between drainage procedure bar, positive pressure passageway and negative pressure channel are provided in the orientation adjustment ball, it is described
Positive pressure passageway is connected to driving capsule and positive pressure devices, the negative pressure channel and two resilient clamps refer to and negative pressure device company
It is logical.
3. rectum anastomotic leakage drainage device according to claim 1, it is characterised in that：Two resilient clamps refer to it
Between be provided with screw, the channel that two resilient clamps are referred to connection is provided in the screw.
4. rectum anastomotic leakage drainage device according to claim 1, it is characterised in that：The positive pressure devices are to add manually
Air bag.
5. rectum anastomotic leakage drainage device according to claim 1, it is characterised in that：The enteron aisle clamping flow diverter is equal
It is made of degradation material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611033033.1A CN106563181B (en) | 2016-11-22 | 2016-11-22 | rectum anastomotic leakage drainage device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611033033.1A CN106563181B (en) | 2016-11-22 | 2016-11-22 | rectum anastomotic leakage drainage device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106563181A CN106563181A (en) | 2017-04-19 |
| CN106563181B true CN106563181B (en) | 2018-09-18 |
Family
ID=58543016
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611033033.1A Expired - Fee Related CN106563181B (en) | 2016-11-22 | 2016-11-22 | rectum anastomotic leakage drainage device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106563181B (en) |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100010519A1 (en) * | 2008-07-09 | 2010-01-14 | Joshua Stopek | Anastomosis Sheath And Method Of Use |
| US20100010518A1 (en) * | 2008-07-09 | 2010-01-14 | Joshua Stopek | Anastomosis Sheath And Method Of Use |
| US9119606B2 (en) * | 2013-01-21 | 2015-09-01 | Ethicon, Inc. | Sealant delivery device for anastomotic stapler |
| US9826965B2 (en) * | 2014-06-10 | 2017-11-28 | Ethicon Llc | Devices for sealing a body lumen |
| CN204319489U (en) * | 2014-11-28 | 2015-05-13 | 哈尔滨医科大学 | Anastomotic stoma conduit after operation on rectum |
| CN204684426U (en) * | 2015-05-13 | 2015-10-07 | 兰州大学第一医院 | Cover the irrigation drainage tube of anastomotic stoma front and rear wall |
| CN105832372B (en) * | 2016-05-23 | 2018-06-15 | 上海逸思医疗科技有限公司 | A kind of surgical stapling |
-
2016
- 2016-11-22 CN CN201611033033.1A patent/CN106563181B/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| CN106563181A (en) | 2017-04-19 |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180918 Termination date: 20201122 |