CN110680593A - Intestinal fistulization plugging device - Google Patents
Intestinal fistulization plugging device Download PDFInfo
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- CN110680593A CN110680593A CN201911053098.6A CN201911053098A CN110680593A CN 110680593 A CN110680593 A CN 110680593A CN 201911053098 A CN201911053098 A CN 201911053098A CN 110680593 A CN110680593 A CN 110680593A
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- Prior art keywords
- plug
- base
- intestinal
- fistulization
- base body
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- 230000000968 intestinal effect Effects 0.000 title claims abstract description 47
- 239000000463 material Substances 0.000 claims description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 2
- 239000000741 silica gel Substances 0.000 claims description 2
- 229910002027 silica gel Inorganic materials 0.000 claims description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 abstract description 3
- 239000000843 powder Substances 0.000 description 8
- 239000000416 hydrocolloid Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000005507 spraying Methods 0.000 description 5
- 210000000936 intestine Anatomy 0.000 description 4
- 208000012287 Prolapse Diseases 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 3
- 210000001124 body fluid Anatomy 0.000 description 3
- 239000010839 body fluid Substances 0.000 description 3
- 238000004140 cleaning Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 208000003243 intestinal obstruction Diseases 0.000 description 3
- 230000002265 prevention Effects 0.000 description 3
- 206010016717 Fistula Diseases 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000004308 accommodation Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000003886 intestinal anastomosis Effects 0.000 description 1
- 208000037817 intestinal injury Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/4404—Details or parts
- A61F5/4408—Means for securing receptacles or bags to the body otherwise than by adhesives, e.g. belts, straps or harnesses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
- A61F5/449—Body securing means, e.g. belts, garments
Landscapes
- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention provides an intestinal fistulization plugging device which comprises a base plug and a central plug, wherein the upper end part of the base plug is a base body, the middle part of the upper end surface of the base body is downwards provided with a cylinder plug integrally formed on the base body, and a through hole is formed in the cylinder plug; the upper end part of the central plug is a plug base, and the middle part of the plug base is downwards provided with an inner core integrally formed on the plug base; the inner core is detachably sleeved in the through hole; the cylinder plug is axially wavy, and the through hole is axially wavy; the base body is circular, and an annular flange is formed downwards on the circumferential edge of the base body; the intestinal fistulization device is simple in structure, convenient to operate and high in practicability, and can effectively plug an intestinal fistulization opening and avoid damaging intestinal tracts.
Description
Technical Field
The invention relates to the field of medical equipment, in particular to a limiting device for preventing and treating stomal prolapse after enterostomy.
Background
The enterostomy is an important operation mode for treating various intestinal obstructions caused by congenital malformation or secondary factors and the like. For various intestinal obstruction diseases which cannot be radically treated by first-stage operation, intestinal fistulization operation is often the first-stage operation mode, so that the intestinal fistulization operation is widely applied to intestinal obstruction patients. The operation modes of the intestinal fistulization are various, and the intestinal fistulization operations in different modes are selected mainly according to the age of a patient, the types of diseases, the requirements of subsequent operation treatment and the like. Bishop-Koop and Santelli fistulization are two commonly used T-type fistulization procedures. Different from other fistulization modes, the proximal end is inosculated with the running end side of a far-end intestinal canal below the fistulization opening and forms a T-shaped structure with the fistulization opening, namely, the continuity of the intestinal fistulization opening and the intestinal canal exists simultaneously. The structure ensures that the content of the near-end intestinal canal can enter the far-end intestinal canal through the anastomotic stoma at the far end of the fistulization and be discharged from the anal orifice besides being discharged out of the body through the fistulization orifice, thereby avoiding the loss of a large amount of intestinal juice caused by other intestinal fistulization modes and further causing the complications such as the imbalance of water electrolyte and acid-base balance of a patient, infection and the like. Therefore, the special-purpose enterostomy device is particularly suitable for patients who have no organic lesions in high-position enterostomy or distal enterostomy but cannot perform complete first-stage enterostomy temporarily for some other reasons. Meanwhile, when the stoma closing operation is carried out by the fistulization mode, the intestinal anastomosis is not needed, only the intestinal fistulization opening is needed to be closed, and the method is simple and easy to implement and has few postoperative complications. But is different from other intestinal fistulation, before Bishop-Koop and Santuli fistulation are closed, a fistulation opening needs to be blocked experimentally to verify the tolerance of a patient after the fistulation closing operation, and the occurrence of unintended re-operation of the patient due to other conditions such as intolerance and the like after the intestinal fistulation closing operation is avoided. At present, no special fistula-making plugging device exists at home and abroad, and generally medical gauze and a balloon catheter are selected for plugging, but the risks of incomplete plugging, intestinal injury, easy detachment of medical gauze and balloon catheter cloth and the like exist, so that a special plugging device for Bishop-Koop and Santelli fistula making needs to be designed.
Disclosure of Invention
The invention aims to overcome the defects of the prior art, provides the intestinal fistulization plugging device which can effectively solve the problems that the intestinal fistulization plugging is incomplete, the intestinal tract is easily damaged, the plugging object is easy to fall off and the like, effectively protects the intestinal stoma, and has the advantages of simple structure, convenience in operation and strong practicability.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention provides an intestinal fistulization plugging device which comprises a base plug and a central plug, wherein the upper end part of the base plug is a base body, the middle part of the upper end surface of the base body is downwards provided with a cylinder plug integrally formed on the base body, and a through hole is formed in the cylinder plug; the upper end part of the central plug is a plug base, and the middle part of the plug base is downwards provided with an inner core integrally formed on the plug base; the inner core is detachably sleeved in the through hole.
Preferably, the cylinder plug is axially wavy, and the through hole is axially wavy.
Preferably, the base body is circular, and an annular flange is formed downwards on the peripheral edge of the base body.
Preferably, the cylinder plug is radially circular, the perforation is radially circular, the outer diameter of the cylinder plug is 9.5mm-15mm, the inner diameter of the perforation is 6mm-9mm, and the height of the cylinder plug is 15mm-25 mm; too long a plug height will cause blockage of the distal end of the bowel and too short a plug will have a reduced plugging effect.
Preferably, the outer diameter of the base body is 40mm-50mm, the radial thickness of the flange is 4mm-6mm, the thickness of the base body between the flange and the column plug is 1.5mm-3mm, and the axial thickness of the flange is 6mm-8 mm; the accommodation space is formed downwards between the base body, the flange and the cylinder plug, so that the compression of the intestinal fistulization plugging device on an intestinal canal with a protruded fistulization opening is reduced during use, and the fistulization opening can be better plugged.
Preferably, the plug base of the center plug is circular, the upper part of the inner core is in an inverted cone shape, and the lower end of the inner core is in an arc shape.
Preferably, the outer diameter of the plug base is 20mm-30mm, the radial diameter of the junction of the arc of the inner core and the upper part of the inner core is 6mm-8mm, and the inner diameter of the inverted cone of the inner core is 6mm-10 mm; the inner core is in clearance fit with the through hole.
Preferably, the base plug and the center plug are made of flexible materials.
Preferably, the flexible material is medium-hardness silica gel; not only has certain softness, but also has certain hardness, and can not cause damage to the stoma when in use.
The invention has the beneficial effects that:
the intestinal fistulization plugging agent has good plugging effect and is not easy to damage the intestinal tract; the wave shape of the cylinder plug and the length design of the cylinder plug enhance the friction between the cylinder plug and the inner wall of the intestine to prevent the base plug from sliding out of the stoma; the central plug is matched with the wave-shaped through holes for use, so that the friction between the inner core of the central plug and the through holes is enhanced, and the plugging effect is enhanced; the circumferential edge of the base body downwards forms an annular flange, and an accommodating space is formed downwards among the base body, the flange and the cylinder plug, so that the compression of the intestinal fistulization plugging device on an externally convex intestinal tube at a fistulization opening is relieved during use, and the fistulization opening can be better plugged; the central plug and the base plug can be matched with a stoma for use, and can also be independently used for directly plugging the stoma as required; the design of the body plug and the center plug can also play a role in limiting enterostomy prolapse.
Drawings
FIG. 1 is a schematic cross-sectional view of a base plug according to an embodiment of the present invention;
fig. 2 is a schematic cross-sectional view of a plug according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention will be described in further detail with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Referring to fig. 1-2, an intestinal fistulization occluder comprises a base plug 1 and a central plug 2 of the intestinal fistulization occluder, wherein the upper end of the base plug 1 is a base body 11, a flexible cylindrical plug 112 integrally formed on the base body 11 is arranged downwards in the middle of the upper end surface of the base body 11, and a through hole 112A is formed inside the flexible cylindrical plug 112; the upper end part of the central plug 2 is a plug base 21, and the middle part of the plug base 21 is downwards provided with an inner core 22 integrally formed on the plug base 21; the inner core 22 is detachably sleeved in the through hole 112A; the circumferential edge of the base body 11 is formed downward with an annular flange 113.
Example (the following examples, one, two and three, are all T-shaped fistulization)
The outer diameter of the cylinder plug 112 is 14mm, the minimum inner diameter of the through hole 112A is 7mm, the maximum inner diameter is 8mm, and the height of the cylinder plug 112 (the distance from the lower end surface of the base body 11 to the lowest end of the main body plug 112) is 20 mm; the outer diameter of the base body 11 is 44mm, the radial thickness of the flange 113 is 5mm, the thickness h of the base body 11 between the flange 113 and the cylinder plug 112 is 2mm, and the axial thickness of the flange is 7 mm; the external diameter of stopper base 21 is 24mm, and the radial diameter of inner core circular arc and inner core upper portion juncture is 7mm for the radial maximum diameter of circular arc, and inner core 22 back taper top internal diameter is 9mm, and inner core 22 back taper bottom is 7mm with the circular arc junction diameter.
In the first embodiment, the central plug 2 is matched with the base plug 1 for use;
the use principle and the method are as follows: firstly, cleaning skin around a stoma, patting dry the skin, smearing stoma powder, uniformly smearing and removing redundant floating powder, and then spraying a skin protection film; a medical leakage-proof paste is used around the stoma to make a leakage-proof measure, and a hydrocolloid dressing is used, and is cut according to the range larger than the stoma chassis and then is attached to the stoma to protect the skin around the stoma; then the flexible cylinder plug 112 is put into the intestine tube of the stoma, the inner core 22 is plugged into the perforation 112A, and a medical leakage-proof paste can be used between the flange 113 and the hydrocolloid to make a leakage-proof measure so as to prevent body fluid and excrement from leaking outside; the stoma abdominal belt is used for fixing, so that the intestinal fistulization plugging device is prevented from slipping out of an intestinal tube, the stoma is plugged experimentally to verify the tolerance of a patient after the fistulization closing operation, and the occurrence of unintended re-operation of the patient due to other conditions such as intolerance and the like after the intestinal fistulization closing operation is avoided; the intestinal fistulization plugging device can be repeatedly used, is environment-friendly and reduces the use cost.
In the second embodiment, the center plug 2 is used alone.
The use principle and the method are as follows: when the intestinal canal of the infant patient is thin, the cylinder plug 112 can not be placed into the stoma intestinal canal; firstly, cleaning skin around a stoma, patting dry the skin, spraying stoma powder, uniformly coating the stoma powder and removing redundant floating powder, and then spraying a skin protection film; a medical leakage-proof paste is used around the stoma to make a leakage-proof measure, and a hydrocolloid dressing is used, and is cut according to the range larger than the stoma chassis and then is attached to the stoma to protect the skin around the stoma; then the inner core 22 of the central plug 2 is plugged into the intestine of the stoma, and a leakage prevention measure is made between the circumferential edge of the plug base 21 and hydrocolloid by using medical leakage prevention paste to prevent body fluid and excrement from leaking outside; the stoma abdominal belt is used for fixing to prevent the intestinal fistulization plugging device from sliding out of the intestinal canal; the experimental plugging stoma verifies the tolerance of the patient after the stoma closing operation, and avoids the occurrence of the unplanned reoperation caused by other conditions such as intolerance after the stoma closing operation.
In the third embodiment, the base plug 1 is used in conjunction with an ostomy bag and a belly band, and is used as a sagging prevention device without using the center plug 2.
The use principle and the method are as follows: firstly, cleaning skin around a stoma, patting dry the skin, spraying stoma powder, uniformly coating the stoma powder and removing redundant floating powder, and then spraying a skin protection film; a medical leakage-proof paste is used around the stoma to make a leakage-proof measure, and a hydrocolloid dressing is used, and is cut according to the range larger than the stoma chassis and then is attached to the stoma to protect the skin around the stoma; then the flexible column plug 112 is placed in an intestine tube of the stoma, the flexible column plug is matched with a child ostomy bag for collecting excrement, the chassis of the ostomy bag is cut according to the size of the base plug 1 and is sleeved around the base plug 1, and a leakage-proof measure is made around the flange 113 by using medical leakage-proof paste to prevent body fluid and excrement from leaking outside; the body of the ostomy bag is connected with the chassis of the ostomy bag and is fixed by using an ostomy abdominal belt, so that the displacement of the base plug of the enterostomy is prevented, and the occurrence of enterostomy prolapse is limited; the base plug can be used repeatedly, is environment-friendly and reduces the use cost.
The above-mentioned embodiments only express the embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.
Claims (9)
1. An intestinal fistulization plugging device which is characterized in that: the base comprises a base plug and a central plug, wherein the upper end part of the base plug is a base body, a cylinder plug integrally formed on the base body is downwards arranged in the middle of the upper end surface of the base body, and a through hole is formed in the cylinder plug; the upper end part of the central plug is a plug base, and the middle part of the plug base is downwards provided with an inner core integrally formed on the plug base; the inner core is detachably sleeved in the through hole.
2. An intestinal fistulization occluder according to claim 1, wherein: the cylinder plug is axially wavy, and the through hole is axially wavy.
3. An intestinal fistulization occluder according to claim 1, wherein: the base body is circular, base body circumference edge forms annular flange downwards.
4. An intestinal fistulization occluder according to claim 2, wherein: the cylinder stopper radially is circular, the perforation radially is circular, cylinder stopper external diameter is 9.5mm-15mm, the perforation internal diameter is 6mm-9mm, the height of cylinder stopper is 15mm-25 mm.
5. An intestinal fistulization occluder according to claim 3, wherein: the outer diameter of the base body is 40mm-50mm, the radial thickness of the flange is 4mm-6mm, the thickness of the base body between the flange and the column plug is 1.5mm-3mm, and the axial thickness of the flange is 6mm-8 mm.
6. An intestinal fistulization occluder according to claim 1, wherein: the plug base of the center plug is circular, the upper portion of the inner core is in an inverted cone shape, and the lower end of the inner core is in an arc shape.
7. An intestinal fistulization occluder according to claim 6, wherein: the outer diameter of the plug base is 20mm-30mm, the radial diameter of the junction of the inner core arc and the upper part of the inner core is 6mm-8mm, and the inner diameter of the inverted cone of the inner core is 6mm-10 mm.
8. The intestinal fistulization stopper of claim 1 wherein the base plug and the center plug are made of flexible materials.
9. An intestinal fistulization occluder according to claim 8, wherein: the flexible material is medium-hardness silica gel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911053098.6A CN110680593A (en) | 2019-10-31 | 2019-10-31 | Intestinal fistulization plugging device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911053098.6A CN110680593A (en) | 2019-10-31 | 2019-10-31 | Intestinal fistulization plugging device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110680593A true CN110680593A (en) | 2020-01-14 |
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ID=69115115
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911053098.6A Pending CN110680593A (en) | 2019-10-31 | 2019-10-31 | Intestinal fistulization plugging device |
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| Country | Link |
|---|---|
| CN (1) | CN110680593A (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0003671A1 (en) * | 1978-02-07 | 1979-08-22 | Johnson & Johnson | Stoma adaptor |
| DE3637355A1 (en) * | 1986-11-03 | 1988-05-11 | Kalwa Artur Dr Med | Colostomy closure |
| CN201755261U (en) * | 2010-07-07 | 2011-03-09 | 南方医科大学 | Artificial anus plugger |
| CN203468828U (en) * | 2013-08-15 | 2014-03-12 | 中国人民解放军第四军医大学 | Colostomy occlusion device |
| CN105662688A (en) * | 2016-03-07 | 2016-06-15 | 钟微 | Colostomy bag capable of preventing intestinal canal prolapse |
| CN208756755U (en) * | 2017-10-18 | 2019-04-19 | 四川省肿瘤医院 | A kind of fixable enteron aisle fistulization pipe device |
| CN211704981U (en) * | 2019-10-31 | 2020-10-20 | 复旦大学附属儿科医院 | Intestinal fistulization plugging device |
-
2019
- 2019-10-31 CN CN201911053098.6A patent/CN110680593A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0003671A1 (en) * | 1978-02-07 | 1979-08-22 | Johnson & Johnson | Stoma adaptor |
| DE3637355A1 (en) * | 1986-11-03 | 1988-05-11 | Kalwa Artur Dr Med | Colostomy closure |
| CN201755261U (en) * | 2010-07-07 | 2011-03-09 | 南方医科大学 | Artificial anus plugger |
| CN203468828U (en) * | 2013-08-15 | 2014-03-12 | 中国人民解放军第四军医大学 | Colostomy occlusion device |
| CN105662688A (en) * | 2016-03-07 | 2016-06-15 | 钟微 | Colostomy bag capable of preventing intestinal canal prolapse |
| CN208756755U (en) * | 2017-10-18 | 2019-04-19 | 四川省肿瘤医院 | A kind of fixable enteron aisle fistulization pipe device |
| CN211704981U (en) * | 2019-10-31 | 2020-10-20 | 复旦大学附属儿科医院 | Intestinal fistulization plugging device |
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