CN108261577B - Anastomotic stoma protection flusher - Google Patents
Anastomotic stoma protection flusher Download PDFInfo
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- CN108261577B CN108261577B CN201810100872.3A CN201810100872A CN108261577B CN 108261577 B CN108261577 B CN 108261577B CN 201810100872 A CN201810100872 A CN 201810100872A CN 108261577 B CN108261577 B CN 108261577B
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- Prior art keywords
- drainage
- flushing
- protection
- cavity
- plug
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- 238000011010 flushing procedure Methods 0.000 claims abstract description 99
- 238000002347 injection Methods 0.000 claims abstract description 32
- 239000007924 injection Substances 0.000 claims abstract description 32
- 239000007788 liquid Substances 0.000 claims abstract description 31
- 230000008602 contraction Effects 0.000 claims abstract description 7
- 230000001681 protective effect Effects 0.000 claims description 21
- 238000000576 coating method Methods 0.000 claims description 9
- 239000011248 coating agent Substances 0.000 claims description 8
- 239000007921 spray Substances 0.000 claims description 6
- 230000002262 irrigation Effects 0.000 claims description 5
- 238000003973 irrigation Methods 0.000 claims description 5
- 238000010992 reflux Methods 0.000 claims description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 3
- -1 polytetrafluoroethylene Polymers 0.000 claims description 3
- 229920001343 polytetrafluoroethylene Polymers 0.000 claims description 3
- 239000004810 polytetrafluoroethylene Substances 0.000 claims description 3
- 239000000741 silica gel Substances 0.000 claims description 3
- 229910002027 silica gel Inorganic materials 0.000 claims description 3
- 210000000664 rectum Anatomy 0.000 abstract description 19
- 206010016717 Fistula Diseases 0.000 abstract description 17
- 230000003890 fistula Effects 0.000 abstract description 17
- 238000000034 method Methods 0.000 abstract description 7
- 208000034656 Contusions Diseases 0.000 abstract description 6
- 230000009519 contusion Effects 0.000 abstract description 6
- 210000003608 fece Anatomy 0.000 abstract description 6
- 230000009286 beneficial effect Effects 0.000 abstract description 5
- 230000035876 healing Effects 0.000 abstract description 4
- 230000000474 nursing effect Effects 0.000 abstract description 3
- 238000007599 discharging Methods 0.000 abstract description 2
- 230000000968 intestinal effect Effects 0.000 description 25
- 238000007789 sealing Methods 0.000 description 20
- 238000004659 sterilization and disinfection Methods 0.000 description 13
- 210000000436 anus Anatomy 0.000 description 12
- 230000003872 anastomosis Effects 0.000 description 8
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 8
- 230000000694 effects Effects 0.000 description 6
- 230000002550 fecal effect Effects 0.000 description 6
- 230000001954 sterilising effect Effects 0.000 description 6
- 210000002255 anal canal Anatomy 0.000 description 4
- 238000004140 cleaning Methods 0.000 description 4
- 239000000645 desinfectant Substances 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 4
- 208000002193 Pain Diseases 0.000 description 3
- 230000036407 pain Effects 0.000 description 3
- 239000007779 soft material Substances 0.000 description 3
- 238000005406 washing Methods 0.000 description 3
- 206010068797 Anastomotic fistula Diseases 0.000 description 2
- 230000013872 defecation Effects 0.000 description 2
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 2
- 210000002011 intestinal secretion Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000005239 tubule Anatomy 0.000 description 2
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000002421 anti-septic effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 210000002640 perineum Anatomy 0.000 description 1
- 238000011470 radical surgery Methods 0.000 description 1
- 206010038038 rectal cancer Diseases 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
Classifications
-
- 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
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
-
- 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
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
- A61M3/0283—Cannula; Nozzles; Tips; their connection means with at least two inner passageways, a first one for irrigating and a second for evacuating
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1067—Anus
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The utility model provides an anastomotic stoma protection flusher, solves the patient that current anastomotic stoma treatment method and utensil exist and need go through the secondary operation, and medical cost is high, easily causes the rectum contusion, wears the comfort level poor, problem that the operation is inconvenient. Including having the protection that cavity formula structure washes stopper, its characterized in that: a middle contraction part is arranged between the upper arc body and the lower discharge end of the protection flushing plug, and a drainage inlet and a flushing part are respectively arranged above the upper arc body; the drainage connector is arranged at the drainage outlet of the lower discharge end and is connected with the drainage liquid collecting bag through a drainage hose; the injection interface of the lower discharge end is connected with the liquid inlet of the flushing part through an injection inflow pipe; the air charging interface of the lower discharging end is connected with the closed air bag through an air pipe. The novel fistula nursing device is reasonable in design and compact in structure, can avoid secondary operation, is easy to transfer faeces, can reduce tension of the anastomotic stoma, is beneficial to healing of the fistula, and can sterilize the anastomotic stoma after operation.
Description
Technical Field
The invention belongs to the technical field of postoperative auxiliary medical appliances, and particularly relates to an anastomotic stoma protection flusher which can prevent a patient from undergoing secondary operation, is easy for fecal diversion, can reduce anastomotic stoma tension, can disinfect an anastomotic stoma after operation and is beneficial to self-healing of the fistula.
Background
Proctostomy is one of the main surgical modes for treating patients with rectal cancer, because it retains the anus of the patient on the basis of radical surgery, but anastomotic fistula is a serious complication of this surgery, with a probability of occurrence of 7-9%. Treatment of anastomotic fistulae is usually performed by a transverted operation (e.g., enterostomy), and then after 3-6 months, the stoma is left to heal by itself, and then the enterostomy of the abdominal wall is returned to the original intestinal structure; the principle is that the stoma at the proximal end of the intestine turns over the faeces, so that the faeces no longer pass through the stoma, and the stoma gradually heals. The traditional treatment method generally leads the patient with the anastomotic fistula to bear secondary operation striking, thus not only increasing the double pains of the body and spirit of the patient, but also increasing the medical cost, even endangering the life of the patient when serious, and having certain medical hidden trouble.
According to the report of related patent literature, the utility model is a rectum anal canal drainage flusher with the bulletin number of CN201186101Y, which is provided with an annular air bag, a straight pipe, an outer disk, an inflation pipe, a water inlet pipe and a water outlet pipe, wherein the annular air bag is connected with the upper part of the straight pipe, the lower part of the straight pipe is connected with the outer disk, and the straight pipe is provided with a water outlet hole and a water suction hole. However, as the rectum is not in a straight tubular structure, but two large curves of perineum curve and sacrum curve exist, the structure of the 'a rectum anal canal drainage flusher' which can not adjust the radian of the anal end is easy to cause the contusion of the rectum; in addition, the positions of the water outlet hole and the water suction hole are fixed, and the positions of the water outlet hole and the water suction hole cannot be flexibly adjusted according to the positions of the anastomotic stoma, so that the flusher cannot effectively disinfect and flush the rectal anastomotic stoma, and the due functions are lost. In addition, the straight cylindrical structure adopted by the drainage flusher is poor in wearing comfort of a patient, and the flusher can fall off at any time after flushing is finished, so that the flusher is difficult to be placed in an anus; therefore, the flusher is required to be inserted into each flushing and disinfection, so that the operation difficulty is increased, and the discomfort of a patient is increased. More importantly, once the flusher is out, the anus cannot be expanded for a long time, the rectum cannot be depressurized, and the treatment effect is affected.
Therefore, there is a need for a non-surgical method and apparatus for resolving diverting fecal matter that not only avoids the patient from double-hit by secondary surgery, but also greatly saves medical costs.
Disclosure of Invention
The invention aims at the problems, and provides the anastomotic stoma protection flusher which can prevent a patient from undergoing secondary operation, is easy to transfer faeces, can reduce the tension of an anastomotic stoma, can disinfect the anastomotic stoma and the stoma after operation and is beneficial to self-healing of the stoma.
The technical scheme adopted by the invention is as follows: the anastomotic stoma protection irrigator comprises a protection irrigation plug with a hollow structure, and is characterized in that: the protection flushing plug consists of an upper arc body and a lower discharge end, a middle contraction part is arranged between the upper arc body and the lower discharge end, and a drainage inlet and a flushing part are respectively arranged above the upper arc body; the inside of the protective flushing plug is a drainage cavity which is penetrated up and down; a drainage connector is arranged at a drainage outlet of the lower discharge end and is connected with a drainage liquid collecting bag through a drainage hose; the side part of the lower discharge end is provided with an injection interface, and the transfusion end of the injection interface is connected with the liquid inlet of the flushing part through an injection inflow pipe arranged on the inner wall of the drainage cavity; the liquid inlet end of the injection interface is connected with the injector through an injection hose.
The flushing part is arranged above the upper arc body of the protection flushing piston and is formed by an annular diversion cavity; the annular flow distribution cavity is positioned at the drainage inlet, and a plurality of flushing liquid spray nozzles which are arranged at equal intervals along the circumferential direction are arranged on the lower side wall of the annular flow distribution cavity; the injection flow inlet pipe arranged on the inner wall of the drainage cavity of the protection flushing plug is connected with the liquid inlet of the annular flow distribution cavity. So that the disinfectant in the injector is evenly injected into the rectum intestinal cavity through the injection inflow pipe, and then the anastomotic stoma and the fistula are flushed, and the postoperative disinfection is implemented.
A closed air bag is arranged at the outer side of the annular shunt cavity arranged at the drainage inlet; the air inlet of the closed air bag is connected with an inflation interface arranged at the side part of the lower discharge end through an air pipe arranged on the inner wall of the drainage cavity of the protection flushing plug; the air charging interface is connected with an air source through an air charging hose. The air source is used for inflating the sealing air bag, and the inflated sealing air bag is used for sealing the intestinal canal above the anastomotic stoma, so that the fecal diversion is easy, the tension of the anastomotic stoma is reduced, and the healing of the fistula is facilitated.
A flexible telescopic adjusting part is arranged between the upper arc body of the protection flushing piston and the annular shunt cavity of the upper flushing part. So that the whole protection flushing plug can be freely adjusted in the intestinal cavity along with different rectal curvature of each patient, thereby avoiding contusion caused to the rectum and ensuring the sealing effect of the sealing air bag on the intestinal canal; meanwhile, the length of the flusher is adjusted through expansion and contraction, so that the positions of the annular shunt cavity and the outside closed air bag in the intestinal cavity are flexibly adjusted, effective flushing is carried out according to the positions of different anastomotic stoma and fistula of a patient, and the sterilization range of the rectum is adjusted.
The upper end of the flexible telescopic adjusting part is detachably connected with the lower part of the annular shunt cavity through a connecting sleeve. So as to facilitate the cleaning and replacement of the annular shunt cavity and promote the connection reliability.
The side wall of the upper end of the upper arc body of the protection flushing plug is provided with a plurality of flushing reflux ports which are arranged at equal intervals along the circumferential direction. When the protective flushing plug is placed in the rectum, the flushing reflux port is positioned at the position of the tail end of the rectum near the anus so as to facilitate the disinfection flushing fluid sprayed by the flushing liquid nozzle at the lower side of the annular shunt cavity to drain and discharge the disinfection flushing fluid through the port after the whole rectum is disinfected.
The drainage connector arranged at the lower end of the protection flushing plug is detachably connected to a drainage outlet of the lower discharge end. So as to be beneficial to protecting the cleaning of the drainage cavity of the flushing plug and bring convenience for the daily walking wearing of patients.
The hollow structure is characterized in that the protective flushing plug is made of silica gel or medical rubber. The protective flushing plug of the soft material is contracted and then inserted into the anus, so that the intestinal canal is ensured not to be bruised in the using process; and improves the comfort level of use.
The inner surface and the outer surface of the protective flushing plug are respectively provided with a non-stick coating. So as to reduce the friction coefficient when the protective flushing plug is inserted, reduce the pain of patients and facilitate the discharge of intestinal secretion and excrement after operation.
The non-stick coating arranged on the inner surface and the outer surface of the protective flushing plug is a polytetrafluoroethylene coating.
The invention has the beneficial effects that: because the invention adopts the protective flushing plug with a hollow structure, a middle contraction part is arranged between the upper arc body and the lower discharge end of the protective flushing plug, and a drainage inlet and a flushing part are respectively arranged above the upper arc body; the inside of the protective flushing plug is a drainage cavity which is penetrated up and down; the drainage connector is arranged at the drainage outlet of the lower discharge end and is connected with the drainage liquid collecting bag through a drainage hose; the injection port arranged at the side part of the lower discharge end is connected with the liquid inlet of the flushing part through an injection inflow pipe arranged on the inner wall of the drainage cavity, and the liquid inlet end of the injection port is connected with the injector through an injection hose; the inflation interface of the lower discharge end is connected with the closed air bag arranged above the protection flushing plug through the air pipe arranged on the inner wall of the drainage cavity, so that the inflation interface has the following advantages: 1. the intestinal canal above the anastomotic stoma is effectively sealed by using the inflated sealing air bag, so that the fecal diversion is easy, the fecal pollution to the anastomotic stoma is reduced, and the healing of the stoma is facilitated; thereby avoiding the patient from undergoing the secondary operation and saving the medical cost. 2. Effectively implementing postoperative disinfection; extracting disinfectant such as iodophor and the like through an injector, injecting disinfectant into the rectum intestinal cavity through a flushing liquid spray nozzle of an injection inflow pipe and an annular shunt cavity, and flushing and sterilizing the anastomotic stoma, the fistula and the anal canal; solves the problem that the anastomotic stoma and the fistula can not be disinfected after operation. 3. The use is convenient and reliable; the drainage liquid collecting bag connected with the discharge end at the lower part of the protection flushing plug is used for collecting the disinfectant for flushing the anastomotic stoma and the fistula, and can also collect intestinal juice and excrement of a patient, so that medical staff can observe the defecation condition of the patient, and meanwhile, the frequency for perianal nursing is reduced. 4. The whole protection flushing plug can be freely adjusted in the intestinal cavity along with the curvature of the rectum, so that the contusion caused to the rectum is avoided, and the sealing effect of the sealing air bag on the intestinal canal is ensured; the positions of the annular shunt cavity and the outside closed air bag in the intestinal cavity can be flexibly adjusted along with the positions of anastomoses of different patients, so that the anastomoses and fistulae can be effectively flushed.
Drawings
Fig. 1 is a schematic view of a structure of the present invention.
Fig. 2 is a schematic view of a structure of the protection flushing plug in fig. 1.
Fig. 3 is a sectional view of the internal structure of fig. 2 in the vertical direction.
Fig. 4 is a schematic view of the structure of the closure balloon of the protection flush plug of fig. 2, with the drainage connector removed, and with the inflation hose and injection hose removed.
Fig. 5 is a schematic view of the use state of the present invention.
The serial numbers in the figures illustrate: the device comprises a protection flushing plug, a2 stop valve, a 3 inflation hose, a 4 drainage joint, a5 drainage hose, a 6 drainage liquid collecting bag, a 7 injection interface, a 8 injection hose, a 9 injector, a10 upper arc body, a 11 middle contraction part, a 12 lower discharge end, a 13 inflation interface, a 14 flushing reflux port, a 15 flexible telescopic adjusting part, a 16 closed air bag, a 17 annular shunt cavity, a 18 drainage inlet, a 19 connecting sleeve, a 20 drainage outlet, a 21 gas pipe, a 22 injection inflow pipe, a 23 flushing spray nozzle, a 24 drainage cavity, a 25 rectal intestinal tract, a 26 anastomosis port, a 27 fistula port and a 28 anus.
Detailed Description
The specific structure of the present invention will be described in detail with reference to fig. 1 to 5. The anastomotic stoma protection irrigator comprises a protection irrigator plug 1 made of soft material and having a hollow structure. The protective irrigation plug 1 comprises an upper arc 10 for placement in the rectal canal 25, an irrigation part being provided above the upper arc 10, and a drainage inlet 18 for entry of intestinal secretions and faeces. The flushing part comprises an annular shunt cavity 17 formed by the end-to-end closure of the bent tubules; the annular shunt cavity 17 is located drainage inlet 18 department, and is provided with a plurality of, along the equidistant washing hydrojet mouth 23 of tubule bending circumferencial direction arrangement on the lower lateral wall of annular shunt cavity 17, and the export of washing hydrojet mouth 23 is arranged down. In order to facilitate the disinfection flushing fluid sprayed out by the flushing liquid spray nozzle 23 at the lower side of the annular diversion cavity 17 to be discharged through the drainage outlet 20 at the lower end of the drainage cavity 24 of the protection flushing plug 1, a plurality of flushing reflux ports 14 which are arranged at equal intervals along the circumferential direction of the section are arranged on the side wall of the upper end of the upper arc-shaped body 10 of the protection flushing plug 1. According to specific use requirements, the number of the flushing liquid spray nozzles 23 arranged at the lower side of the annular diversion cavity 17 at the upper end drainage inlet 18 of the flushing plug 1 can be six; so that the sterilizing liquid in the syringe 9 is uniformly injected into the rectal cavity through the injection inflow tube 22, and then the stoma and the fistula are flushed, thereby performing post-operation sterilization.
Below the upper arc 10 of the protection irrigation plug 1, a lower discharge end 12 is provided for discharging the intestinal drainage. Between the upper part of the lower discharge end 12 and the lower part of the upper arc 10, a central constriction 11 is provided for contact with the anus of the patient. The inside of the whole protection flushing plug 1 is provided with a drainage cavity 24 which is penetrated up and down; in addition, in order to reduce the friction coefficient when the protective flushing plug 1 is inserted, the inner surface and the outer surface of the protective flushing plug 1 are provided with non-stick coatings so as to reduce pain of patients and facilitate the discharge of secretion and excrement. According to the use requirement, the non-stick coating arranged on the inner surface and the outer surface of the flushing plug 1 can be protected, and polytetrafluoroethylene coating can be adopted. It can be understood that the hollow-structure protective flushing plug 1 can be made of soft materials such as silica gel or medical rubber, so that the softer protective flushing plug 1 is contracted and inserted into anus, thereby ensuring that the intestinal canal is not bruised in the use process; and improves the comfort level of use.
An elastic annular sealing balloon 16 is arranged outside the annular shunt cavity 17 arranged at the drainage inlet 18 for the purpose of sealing the intestinal canal above the anastomosis. The air inlet of the closed air bag 16 is connected with an inflation interface 13 arranged at the side part of the lower discharge end 12 through an air pipe 21 closely attached to the inner wall of a drainage cavity 24 of the protection flushing plug 1; the air charging interface 13 is connected with an air source through an air charging hose 3, and a stop valve 2 is arranged on the air charging hose 3; after the air source is used for inflating the sealing air bag 16, the stop valve 2 is closed, and then the inflated sealing air bag 16 is used for effectively sealing the intestinal canal above the anastomotic stoma, so that the fecal diversion is easy, the fecal pollution to the anastomotic stoma can be avoided, and the fistula healing is facilitated. In order to facilitate the use of the patient for daily walking and wearing, the side wall of the inflation interface 13 is provided with a movable blocking block; before the inflatable hose 3 and the stop valve 2 are pulled out, the inflatable connector 13 is temporarily plugged by the movable plug, so that the air leakage of the sealing air bag is prevented, and the sealing effect on the intestinal canal is ensured.
In order to avoid contusion of rectum caused by the protective flushing plug 1, a flexible telescopic adjusting part 15 is arranged between the upper end of the upper arc-shaped body 10 of the protective flushing plug 1 and the lower part of the upper flushing part annular shunt cavity 17; so that the whole protective flushing plug 1 can be freely adjusted in the intestinal cavity along with different rectal curvature of each patient, and further the sealing effect of the sealing air bag 16 on the intestinal canal can be ensured; meanwhile, the positions of the annular shunt cavity 17 and the outside closed air bag 16 in the intestinal cavity can be flexibly adjusted along with the anastomotic stoma positions of different patients, so that the anastomotic stoma and the fistula can be effectively flushed. For the purpose of facilitating cleaning and replacement of the annular shunt cavity 17 of the flushing part, the upper end of the flexible telescopic adjusting part 15 is detachably connected with the lower part of the annular shunt cavity 17 through the connecting sleeve 19, and connection reliability is improved.
The drainage outlet 20 of the lower discharge end 12 of the protection flushing plug 1 is provided with a detachable drainage connector 4, so that the cleaning of the drainage cavity 24 of the protection flushing plug 1 is facilitated, and the daily wearing of a patient is facilitated. The lower end of the drainage joint 4 is connected with a drainage liquid collecting bag 6 through a drainage hose 5. And, the side of the lower discharge end 12 is provided with an injection port 7 for injecting sterilizing fluid. The infusion end of the injection interface 7 is connected with the liquid inlet of the annular shunt cavity 17 at the drainage inlet 18 of the protection flushing plug 1 through an injection flow inlet pipe 22 closely attached to the inner wall of the drainage cavity 24 of the protection flushing plug 1; the liquid inlet end of the injection interface 7 is connected with the liquid outlet of the injector 9 through an injection hose 8.
When the anastomotic stoma protection irrigator is used, firstly, the length of the flexible telescopic adjusting part 15 is adjusted according to the specific depth position of the anastomotic stoma 26 in the rectal canal 25. Then, the upper arc 10 of the protection flushing plug 1, the annular shunt 17 and the closing balloon 16 above it (not yet inflated) are inserted into the rectal canal 25 via the anus 28; in the insertion process, the flexible telescopic adjusting part 15 arranged between the upper arc-shaped body 10 and the annular shunt cavity 17 can enable the whole protection flushing plug 1 to be freely adjusted in the intestinal cavity along with the curvature of the rectum of a patient, so that contusion caused to the rectum is avoided. Simultaneously, the annular shunt cavity 17 and the sealing air bag 16 are positioned at proper positions above the anastomosis port 26 and the fistula 27, so that the sealing effect of the sealing air bag 16 on the intestinal canal after inflation is ensured, the effective flushing of the anastomosis port and the fistula is realized, and the sterilization range of the rectum is increased. The middle contraction part 11 of the protection flushing plug 1 is clamped at the anus 28, and the lower discharge end 12 of the protection flushing plug 1 is positioned outside the anus 28, so that continuous anus expansion is realized, and the tension of an anastomotic stoma is reduced.
In the use, link to each other with drainage joint 4 and drainage liquid collection bag 6 that the protection was washed stopper 1 lower extreme through drainage hose 5 to when will washing the antiseptic solution of anastomotic stoma and fistulae and collecting patient's intestinal juice and excrement and urine, the medical personnel of being convenient for observe patient's defecation condition, reduce the frequency to perianal nursing simultaneously. In addition, when the postoperative disinfection is needed to be carried out on the rectal anastomosis and the fistula, the syringe 9 is used for extracting disinfection liquid such as iodophor, and the disinfection liquid is injected into the rectal intestinal cavity below the closed air bag 16 through the injection flow inlet pipe 22 and the flushing liquid nozzle 23 of the annular shunt cavity 17, so that the anastomosis, the fistula and the anal canal are disinfected and flushed; and the disinfection flushing liquid is discharged through the flushing return port 14 on the side wall of the upper end of the arc body 10 at the upper part of the protection flushing plug 1 and the drainage outlet 20 at the lower end of the drainage cavity 24 of the protection flushing plug 1. It can be understood that in the daily use process of a patient, the drainage connector 4 at the lower end of the protection flushing plug 1 can be detached, the inflation connector 13 is plugged by the movable plugging block to prevent the air leakage of the closed air bag, and the inflation hose 3 and the injection hose 8 are respectively pulled out to facilitate the daily walking of the patient for wearing.
Claims (6)
1. An anastomotic stoma protection irrigator, comprising a protection irrigation plug (1) with a hollow structure, characterized in that: the protection flushing plug (1) consists of an upper arc body (10) and a lower discharge end (12), a middle contraction part (11) is arranged between the upper arc body (10) and the lower discharge end (12), and a drainage inlet (18) and a flushing part are respectively arranged above the upper arc body (10); the inside of the protective flushing plug (1) is provided with a drainage cavity (24) which is penetrated up and down; a drainage joint (4) is arranged at a drainage outlet (20) of the lower discharge end (12), and the drainage joint (4) is connected with a drainage liquid collecting bag (6) through a drainage hose (5); the side part of the lower discharge end (12) is provided with an injection interface (7), and the transfusion end of the injection interface (7) is connected with the liquid inlet of the flushing part through an injection inflow pipe (22) arranged on the inner wall of the drainage cavity (24); the liquid inlet end of the injection interface (7) is connected with the injector (9) through the injection hose (8);
The flushing part arranged above the arc body (10) at the upper part of the protection flushing plug (1) is composed of an annular diversion cavity (17); the annular diversion cavity (17) is positioned at the drainage inlet (18), and a plurality of flushing liquid spray nozzles (23) which are arranged at equal intervals along the circumferential direction are arranged on the lower side wall of the annular diversion cavity (17); the injection flow inlet pipe (22) arranged on the inner wall of the drainage cavity (24) of the protection flushing plug (1) is connected with the liquid inlet of the annular flow distribution cavity (17);
A closed air bag (16) is arranged at the outer side of an annular shunt cavity (17) arranged at the drainage inlet (18); the air inlet of the closed air bag (16) is connected with an air inflation interface (13) arranged at the side part of the lower discharge end (12) through an air pipe (21) arranged on the inner wall of a drainage cavity (24) of the protection flushing plug (1); the air charging interface (13) is connected with an air source through an air charging hose (3);
A flexible telescopic adjusting part (15) is arranged between the upper arc body (10) of the protection flushing plug (1) and the annular shunt cavity (17) of the upper flushing part;
The side wall of the upper end of the upper arc body (10) of the protection flushing plug (1) is provided with a plurality of flushing reflux ports (14) which are arranged at equal intervals along the circumferential direction.
2. The anastomotic stoma protection irrigator of claim 1, wherein: the upper end of the flexible telescopic adjusting part (15) is detachably connected with the lower part of the annular shunt cavity (17) through a connecting sleeve (19).
3. The anastomotic stoma protection irrigator of claim 1, wherein: the drainage connector (4) arranged at the lower end of the protection flushing plug (1) is detachably connected to the drainage outlet (20) of the lower discharge end (12).
4. The anastomotic stoma protection irrigator of claim 1, wherein: the hollow-type structure protection flushing plug (1) is made of silica gel or medical rubber.
5. The anastomotic stoma protection irrigator of claim 1, wherein: the inner surface and the outer surface of the protective flushing plug (1) are respectively provided with a non-stick coating.
6. The anastomotic stoma protection irrigator of claim 5, wherein: the non-stick coating arranged on the inner surface and the outer surface of the protective flushing plug (1) is a polytetrafluoroethylene coating.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810100872.3A CN108261577B (en) | 2018-02-01 | 2018-02-01 | Anastomotic stoma protection flusher |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810100872.3A CN108261577B (en) | 2018-02-01 | 2018-02-01 | Anastomotic stoma protection flusher |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108261577A CN108261577A (en) | 2018-07-10 |
| CN108261577B true CN108261577B (en) | 2024-06-11 |
Family
ID=62777210
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810100872.3A Active CN108261577B (en) | 2018-02-01 | 2018-02-01 | Anastomotic stoma protection flusher |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| FR2978345B1 (en) | 2011-07-25 | 2013-08-30 | Charam Khosrovaninejad | SURGICAL DEVICE FOR ANCHOR CONTROL IN INTESTINES. |
| FR3072557B1 (en) | 2017-10-19 | 2019-11-08 | Safeheal | COMPLEX SURGICAL DEVICE FOR THE PRODUCTION AND PROTECTION OF ANASTOMOSIS |
| FR3097421A1 (en) * | 2019-06-24 | 2020-12-25 | Safeheal | Device for the enema of an intestinal anastomosis in situ |
| CN110251297A (en) * | 2019-07-10 | 2019-09-20 | 辽宁省肿瘤医院 | Exempt to go back fistula small intestine Fistulation apparatus |
| CN111298273A (en) * | 2020-04-16 | 2020-06-19 | 上海市东方医院（同济大学附属东方医院） | Ileum stoma dilator |
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| CN108261577A (en) | 2018-07-10 |
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