CN109621040B - Abdominal cavity drainage device - Google Patents

Abdominal cavity drainage device Download PDF

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Publication number
CN109621040B
CN109621040B CN201910129991.6A CN201910129991A CN109621040B CN 109621040 B CN109621040 B CN 109621040B CN 201910129991 A CN201910129991 A CN 201910129991A CN 109621040 B CN109621040 B CN 109621040B
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Prior art keywords
water inlet
suction
tube
pipe
outer tube
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CN201910129991.6A
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CN109621040A (en
Inventor
李刚
柯路
叶博
周晶
张敬柱
杨洁
童智慧
薛阳阳
叶向红
李维勤
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • A61M1/85Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pulmonology (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention relates to an abdominal cavity drainage device, which comprises a water inlet pipe and a suction pipe, wherein the water inlet pipe comprises a water inlet outer pipe and a water inlet inner pipe; the water inlet inner pipe is arranged in the water inlet outer pipe; the suction tube comprises a suction outer tube and a suction inner tube, and the suction inner tube is arranged in the suction outer tube; the proximal end of the water inlet outer tube is connected with the proximal end of the suction outer tube and is separated from the suction outer tube; the outer wall of the water inlet inner pipe is provided with an annular first convex ring which is connected with the inner wall of the water inlet outer pipe through threads; the outer wall of the suction inner tube is provided with an annular second convex ring which is connected with the inner wall of the suction outer tube through threads; the side walls of the proximal ends of the inner water inlet pipe and the outer water inlet pipe are respectively provided with a plurality of water inlet holes; a plurality of suction outer holes are formed in the side wall of the proximal end part of the suction outer tube, and suction inner holes are formed or not formed in the side wall of the proximal end part of the suction inner tube; the invention can effectively ensure the smoothness of the pipeline, promote the lavage and drainage of the whole drainage area in the maximum range and improve the drainage effect.

Description

Abdominal cavity drainage device
Technical Field
The invention relates to a medical instrument, in particular to a device suitable for abdominal drainage, and specifically relates to an abdominal drainage device.
Background
In abdominal pollution surgery, such as severe pancreatitis necrosis infection drainage, intestinal fistula drainage, intestinal resection intestinal anastomosis, etc., it is often necessary to place a drainage tube after the surgery. At present, the drainage tube placed in the operation is mainly a straight single-hole or porous latex drainage tube, and a silica gel negative pressure flushing tube is placed, but the problems of drainage area and effect limitation, drainage tube displacement, physical damage to local tissues by the inner end of the drainage tube and the like generally exist, the treatment effect is affected, and damage is easily caused. Accordingly, there is a need for improved drainage devices to better meet therapeutic needs.
Disclosure of Invention
Aiming at the problems existing in the aspect of abdominal surgery at present, the invention provides an abdominal drainage device which can ensure the smoothness of a pipeline and promote the lavage and drainage of the maximum range of the whole drainage area, thereby improving the drainage effect and reducing the related damage of drainage treatment.
The technical scheme of the invention is as follows:
An abdominal cavity drainage device comprises a water inlet pipe and a suction pipe, wherein the water inlet pipe comprises a water inlet outer pipe and a water inlet inner pipe; the water inlet inner pipe is arranged in the water inlet outer pipe and can rotate freely; the suction tube comprises a suction outer tube and a suction inner tube, and the suction inner tube is arranged in the suction outer tube and can rotate freely; the proximal end of the water inlet outer tube is connected with the proximal end of the suction outer tube and is separated from the suction outer tube; the proximal end of the water inlet inner tube and the proximal end of the suction inner tube are both open; the outer wall of the water inlet inner pipe is provided with an annular first convex ring, and the first convex ring is connected with the inner wall of the water inlet outer pipe through threads; the outer wall of the suction inner tube is provided with an annular second convex ring which is connected with the inner wall of the suction outer tube through threads; a plurality of water inlet inner holes are formed in the side wall at the proximal end of the water inlet inner pipe, and a plurality of water inlet outer holes are formed in the side wall at the proximal end of the water inlet outer pipe; a plurality of suction outer holes are formed in the side wall of the proximal end part of the suction outer tube, and suction inner holes are formed or not formed in the side wall of the proximal end part of the suction inner tube; the far end of the water inlet inner pipe is connected with a water injection device; the distal end of the suction inner tube is connected with a negative pressure device.
Further, the outer diameter of the water inlet outer tube is smaller than the outer diameter of the suction outer tube; a connecting part is arranged between the water inlet outer tube and the suction outer tube, is in a truncated cone shape and is made of soft silica gel.
Further, the first convex ring is positioned in the middle of the water inlet inner pipe, and threads are arranged on the outer edge of the first convex ring; the inner wall of the middle part of the water inlet outer pipe is provided with a first thread section corresponding to the first convex ring; the length of the first thread section is greater than the thickness of the first convex ring, so that the first convex ring can move back and forth along the first thread section, and the inner water inlet pipe is prevented from being separated from the outer water inlet pipe.
Further, the second convex ring is positioned at the distal end part of the suction inner tube; the inner wall of the distal end of the suction outer tube is provided with a second thread section corresponding to the second convex ring; the second thread section has a length greater than the thickness of the second bead and extends to the distal end of the outer suction tube, so that the second bead can move along the second thread section until the second bead is separated from the second thread section, and the inner suction tube can be separated from the outer suction tube.
Further, the water inlet outer holes and the water inlet inner holes are axially arranged in a plurality of rows; the number of rows of the water inlet outer holes is more than that of the water inlet inner holes.
Further, the gap between the water inlet inner pipe and the water inlet outer pipe and the gap between the suction inner pipe and the suction outer pipe are both 1-2mm.
The invention has the beneficial effects that:
the invention has reasonable design, simple structure and convenient use, can effectively ensure the smoothness of the pipeline and promote the lavage and drainage of the whole drainage area in the maximum range, thereby improving the drainage effect. Simultaneously, can also form the sinus passageway, very big make things convenient for drainage device's change, improve medical quality and efficiency.
Drawings
Fig. 1 is a schematic cross-sectional view of the present invention.
Wherein: 1-a water inlet inner pipe; 2-a water inlet outer tube; 3-a first convex ring; 4-water inlet outer holes; 5-a water inlet inner hole; a 6-connection; 7-sucking the outer hole; 8-sucking the inner hole; 9-sucking the outer tube; 10-a second convex ring; 11-suction inner tube.
Detailed Description
The invention is further described below with reference to the drawings and examples.
As shown in fig. 1.
An abdominal cavity drainage device comprises a water inlet pipe and a suction pipe, wherein the water inlet pipe comprises a water inlet outer pipe 1 and a water inlet inner pipe 2; the water inlet inner pipe 1 is arranged in the water inlet outer pipe 2 and can rotate freely. The suction tube comprises a suction outer tube 9 and a suction inner tube 11, and the suction inner tube 11 is arranged in the suction outer tube 9 and can rotate freely. Preferably, the gap between the water inlet inner pipe 1 and the water inlet outer pipe 2 and the gap between the suction inner pipe 11 and the suction outer pipe 9 are both 1-2mm. Meanwhile, the invention can be designed into different specifications, and the gap is correspondingly adjusted so as to meet the use requirement.
The outer diameter of the water inlet outer tube 2 is smaller than the outer diameter of the suction outer tube 9. Typically, the inlet outer tube 2 has a thickness of 12-16F and the suction outer tube 9 has a thickness of 28-30F, wherein 1F represents a diameter of about 0.33mm. A connecting part 6 is arranged between the water inlet outer tube 2 and the suction outer tube 9. The connecting part 6 is in a truncated cone shape and is made of soft silica gel, so that the water inlet outer tube 2 and the suction outer tube 9 are connected smoothly and are separated from each other. Meanwhile, the water inlet outer tube 2 and the suction outer tube 9 can be properly twisted, so that the operation is convenient. The proximal end of the water inlet inner tube 1 and the proximal end of the suction inner tube 11 are both open.
The middle part of the water inlet inner pipe 1 is provided with a first convex ring 3 which surrounds the outer wall of the water inlet inner pipe, and the outer edge of the water inlet inner pipe is provided with threads; the inner wall of the middle part of the water inlet outer tube 2 is provided with a first thread section corresponding to the first convex ring 3; the length of the first thread section is greater than the thickness of the first convex ring 3, so that the first convex ring 3 can move back and forth along the first thread section, further drive the water inlet inner pipe 1 to move back and forth, and prevent the water inlet inner pipe 1 from separating from the water inlet outer pipe 2. Preferably, the length of the water inlet outer tube 2 is about 20cm, and the proximal end of the water inlet inner tube 1 is 2-3cm from the proximal end of the water inlet outer tube 2.
Meanwhile, a plurality of water inlet inner holes 5 are formed in the side wall of the proximal end of the water inlet inner tube 1, a plurality of water inlet outer holes 4 are formed in the side wall of the proximal end of the water inlet outer tube 2, and flushing fluid flowing in through the water inlet inner tube 1 can flow out of the water inlet tube through the water inlet inner holes 5 and the water inlet outer holes 4 and enter a patient body, so that flushing is achieved. Preferably, the water inlet outer holes 4 and the water inlet inner holes 5 are axially arranged in a plurality of rows, and the number of the holes in each row is the same or different. Preferably, the number of the water inlet outer holes 4 is 6, the number of the water inlet inner holes 5 is 3, and the arrangement space between the two holes is matched with the pitch of the first thread section, namely, when the first convex ring moves by 1.5 or 0.5 pitch, the water inlet inner holes 5 and the water inlet outer holes 4 are staggered with each other, so that the water inlet range and the water inlet amount are changed. The number of the water inlet outer holes 4 and the water inlet inner holes 5 is 4-8 per row. The aperture of the water inlet outer hole 4 is 1/16-1/8 of the circumference of the water inlet outer pipe 2. The aperture of the water inlet inner hole 5 is 1/16-1/8 of the circumference of the water inlet inner pipe 1.
The distal end part of the suction inner tube 11 is provided with a second convex ring 10 encircling the outer wall, and the inner wall of the distal end of the suction outer tube 11 is provided with a second thread section corresponding to the second convex ring 10; the length of the second thread section is greater than the thickness of the second flange 10 and extends to the distal end of the suction outer tube 9, so that the second flange 10 can move along the second thread section until being separated from the second thread section, and therefore, the suction inner tube 11 can move back and forth in the suction outer tube 9 and can be separated from the suction outer tube 9, and drainage operation is more convenient. The suction outer tube 9 has a suction outer hole 7 on the proximal side wall, and the suction inner tube 11 has a suction inner hole 8 on the proximal side wall, so that the suction inner hole and the suction inner hole can be correspondingly communicated with each other to realize drainage. When the inner suction pipe 11 moves back and forth, the position between the inner suction pipe 8 and the outer suction pipe 7 can be changed, the suction range can be adjusted, and the occurrence of the events such as poor drainage and the like caused by the mutual adhesion and blockage of the inner suction pipe 11 and the outer suction pipe 9 can be prevented. The suction outer holes 7 and the suction inner holes 8 may be uniformly provided along the circumference of the tube so as to secure the suction effect. Preferably, the outer suction holes 7 are arranged in 8-10 rows of 4-6 holes, and the aperture of the outer suction holes is about 1/8 of the circumference of the outer suction pipe 9. The suction inner holes 8 are arranged in 6-8 rows of 4-6 holes, and the aperture of each row is about 1/8 of the circumference of the suction inner tube 11. Alternatively, the proximal end of the suction inner tube 11 may be filled with a medical sponge material without providing the suction inner hole 8, and suction may be performed by the sponge material.
The distal end of the water inlet inner pipe 1 extends out of the water inlet outer pipe 2 and is connected with a water injection device so as to inject medicines such as flushing liquid; the distal end of the suction inner tube 11 also extends out of the suction outer tube 9 and can be connected with a negative pressure device for drainage by negative pressure. The scale marks are arranged at the distal end parts of the water inlet inner pipe 1 and the suction inner pipe 11, and the degree of the water inlet outer pipe 2 or the suction outer pipe 9 respectively extending into the distal end port of the water inlet outer pipe 2 or the suction outer pipe 9 is displayed, so that the operation is more convenient.
The application method of the invention comprises the following steps: in operation, the device is put into a patient, so that the distal end of the water inlet outer tube and the distal end of the suction outer tube are respectively pulled out through skin and then fixed in different areas of the abdomen of the patient. Then, the distal end of the water inlet tube is connected to a water injection device, and a flushing fluid or the like is injected into the patient, and the injection amount is adjusted by rotating the water inlet tube. When drainage is needed, the distal end of the suction inner tube is connected with a negative pressure device, dirt in the body is led out through the negative pressure effect, and the positions of the proximal end opening of the suction inner tube and the proximal end of the suction outer tube can be changed by rotating the suction inner tube, so that the suction force and the drainage area can be adjusted. Therefore, the invention can penetrate through the whole focus area, form opposite flushing and unobstructed drainage, avoid the inner end of the body to become a blind end, reduce the tissue damage caused by physical factors of the previous inner blind end, and can stop the drainage tube from shifting and falling off. Simultaneously, can also form the sinus passageway, make things convenient for drainage device's change, namely install the guide wire on former drainage device's the outer tube that intakes, then, pull out original suction outer tube from its distal end department, until the inner tube that intakes and guide wire all move out of the body, install this guide wire to new drainage device's inner tube distal end that intakes again to under the traction of this guide wire, put back home position or target position according to the sinus passageway, very big convenience is changed the operation.
The invention is not related in part to the same as or can be practiced with the prior art.

Claims (3)

1. The abdominal cavity drainage device comprises a water inlet pipe and a suction pipe, and is characterized in that the water inlet pipe comprises a water inlet outer pipe and a water inlet inner pipe; the water inlet inner pipe is arranged in the water inlet outer pipe and can rotate freely; the suction tube comprises a suction outer tube and a suction inner tube, and the suction inner tube is arranged in the suction outer tube and can rotate freely; the proximal end of the water inlet outer tube is connected with the proximal end of the suction outer tube and is separated from the suction outer tube; the proximal end of the water inlet inner tube and the proximal end of the suction inner tube are both open; the outer wall of the water inlet inner pipe is provided with an annular first convex ring, and the first convex ring is connected with the inner wall of the water inlet outer pipe through threads; the outer wall of the suction inner tube is provided with an annular second convex ring which is connected with the inner wall of the suction outer tube through threads; a plurality of water inlet inner holes are formed in the side wall at the proximal end of the water inlet inner pipe, and a plurality of water inlet outer holes are formed in the side wall at the proximal end of the water inlet outer pipe; a plurality of suction outer holes are formed in the side wall of the proximal end part of the suction outer tube, and suction inner holes are formed or not formed in the side wall of the proximal end part of the suction inner tube; the far end of the water inlet inner pipe is connected with a water injection device; the distal end of the suction inner tube is connected with a negative pressure device; the outer diameter of the water inlet outer tube is smaller than that of the suction outer tube; a connecting part is arranged between the water inlet outer tube and the suction outer tube, is in a truncated cone shape and is made of soft silica gel; the first convex ring is positioned in the middle of the water inlet inner pipe, and threads are arranged on the outer edge of the first convex ring; the inner wall of the middle part of the water inlet outer pipe is provided with a first thread section corresponding to the first convex ring; the length of the first thread section is larger than the thickness of the first convex ring, so that the first convex ring can move back and forth along the first thread section, and the inner water inlet pipe is prevented from being separated from the outer water inlet pipe; the second convex ring is positioned at the distal end part of the suction inner tube; the inner wall of the distal end of the suction outer tube is provided with a second thread section corresponding to the second convex ring; the second thread section has a length greater than the thickness of the second bead and extends to the distal end of the outer suction tube, so that the second bead can move along the second thread section until the second bead is separated from the second thread section, and the inner suction tube can be separated from the outer suction tube.
2. The peritoneal drainage device of claim 1, wherein the outer water inlet and the inner water inlet are axially aligned in a plurality of rows; the number of rows of the water inlet outer holes is more than that of the water inlet inner holes.
3. The peritoneal drainage device of claim 1, wherein the gap between the water inlet inner tube and the water inlet outer tube and the gap between the suction inner tube and the suction outer tube are each 1-2mm.
CN201910129991.6A 2019-02-21 2019-02-21 Abdominal cavity drainage device Active CN109621040B (en)

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Application Number Priority Date Filing Date Title
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CN109621040A CN109621040A (en) 2019-04-16
CN109621040B true CN109621040B (en) 2024-06-21

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Families Citing this family (1)

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Publication number Priority date Publication date Assignee Title
CN112972786A (en) * 2021-02-05 2021-06-18 重庆尚业医疗器械有限公司 Connecting piece and anti-blocking drainage device

Citations (1)

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US6299593B1 (en) * 2000-03-03 2001-10-09 Akio Wakabayashi Double and multiple lumen chest drainage tube
US20150367106A1 (en) * 2013-02-07 2015-12-24 Jet Prep Ltd. Body passage device
CN203196124U (en) * 2013-04-23 2013-09-18 同济大学附属上海市肺科医院 Multifunctional operation negative pressure aspirator
CN205964685U (en) * 2016-07-09 2017-02-22 杨奕夫 Outwash systematic formula peritoneal cavity drainage tube
EP3615124A4 (en) * 2017-04-25 2021-01-06 Strataca Systems Limited Catheter and method for inducing negative pressure in a patient's bladder
CN207949809U (en) * 2017-09-12 2018-10-12 北京旌准医疗科技有限公司 A kind of vacuum blood collection tube

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