CN111569163B - Rectum anastomosis stoma protection drainage device - Google Patents

Rectum anastomosis stoma protection drainage device Download PDF

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Publication number
CN111569163B
CN111569163B CN202010270840.5A CN202010270840A CN111569163B CN 111569163 B CN111569163 B CN 111569163B CN 202010270840 A CN202010270840 A CN 202010270840A CN 111569163 B CN111569163 B CN 111569163B
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drainage
reaction
intestinal
chamber
cavity
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CN111569163A (en
Inventor
李平昂
袁丹凤
王晓松
张帆
石彦
龙渡
温燕
余佩武
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First Affiliated Hospital of Army Medical University
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First Affiliated Hospital of Army Medical University
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    • A61M1/0023
    • 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

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Surgery (AREA)
  • Hematology (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)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a rectum anastomosis protection drainage device, which relates to the field and comprises the following components: connecting portion, stifled portion and drainage portion, connecting portion are equipped with connector and lower connector, go up the connector with all be equipped with the intestines mouth in the connector down and place the chamber and adsorb blind chamber, stifled portion installs in the connector down, drainage portion installs go up the connector. In actual use, earlier open the wound department of intestines pipe through the operation, connect the device respectively at the intestinal department of cutting, through connecting portion for the device is connected and is adsorbed in the intestinal department of cutting, through jam portion and drainage portion, exports the inside mixture of intestinal, the drainage. To sum up, the device is simple and practical, can promote the growth of intestinal incision department, makes its natural shaping coincide, has reduced the dependence that can sew up the needle, can disintegrate naturally simultaneously, and the trouble when having avoided the dismouting has reduced postoperative recovery time in the intestinal naturally dissolves, has improved operation efficiency, is applicable to the popularization.

Description

Rectum anastomosis protection drainage device
Technical Field
The invention relates to the field of medical auxiliary equipment, in particular to a rectum anastomosis stoma protection drainage device.
Background
The rectal anastomosis is an operation for reconstructing a digestive tract by anastomosing a broken end of a transverse colon or a descending colon with a broken end of a rectum after excising a left colon of a lesion.
When the rectum anastomosis operation is performed, an anastomosis nail type combination mode is often adopted for the rectum anastomosis part, two broken rectum nails are nailed together, the effect is obvious in the mode similar to a nail needle in a stapler, and the stitch removing is complex. Meanwhile, after the stitches are removed, a certain time is needed for healing of the wound of the patient, and in the time period, if the patient pays attention to diet or other strenuous exercise, the wound is often cracked and infected.
The anal tube drainage tube placed in the past can not isolate intestinal fluid and excrement, so that the occurrence probability of anastomotic stomatitis can be increased, anastomotic leakage can be caused, serious patients can endanger life, and secondary operation is needed.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a rectal anastomotic stoma protection drainage device which can fully isolate intestinal fluid and excrement, protect an anastomotic stoma and reduce the occurrence probability of anastomotic leakage.
In order to achieve the purpose, the invention is realized by the following technical scheme: a rectal anastomosis protection drainage device comprising: the connecting part is provided with an upper connecting port and a lower connecting port, and an intestine opening placing cavity and an adsorption blind cavity are arranged in the upper connecting port and the lower connecting port; a blocking portion installed in the lower connection port; and the drainage part is arranged on the upper connecting port.
Still include the reaction bolt, the intestines mouth is placed the chamber both sides and is equipped with a plurality ofly adsorb blind chamber, the reaction bolt is isolated to be installed adsorb blind chamber with place the chamber and communicate with each other the department, it is less than to adsorb chamber cavity pressure place the chamber, the reaction bolt can be dissolved in intestinal juice. When the intestinal tract anastomosis device is actually used, intestines needing to be anastomosed are respectively placed in the placing cavities in the upper connector and the lower connector, so that a stapler type anastomosis mode is avoided, and the harm to the intestinal tract of a patient is reduced.
The solid anastomosis block is embedded in the anastomosis part and used for anastomosis of the wounds of the intestinal canal orifices. The anastomosis block is made of alpha-methyl cyanoacrylate, and the wound is seamlessly bonded through the material, so that secondary wound injury caused by suturing of suturing nails is reduced.
Furthermore, the blocking part comprises a main block and a reaction strip, the main block is fixedly arranged inside the lower connecting port, the reaction strip is arranged in the main block, and the reaction strip is dissolved in intestinal fluid. During the actual use, through the design that the reaction strip is dissolved in intestinal juice for the main block is also decomposed gradually under the washing of intestinal juice, disperses into the polylith, need not the convenient discharge of external force.
Further, the drainage part includes drainage tube, negative pressure drainage bag and drainage buried pipe, the drainage buried pipe run through to be installed go up the connector, drainage buried pipe one end with go up the connector and communicate with each other, the drainage buried pipe other end with the drainage tube communicates with each other, the drainage tube with negative pressure drainage bag communicates with each other. In the practical application, the intestinal thing after blockking up by the jam portion can be through drainage pipe laying, the drainage tube, flow direction negative pressure drainage bag is collected, through this mode, can avoid intestinal mixture to enter into the wound portion that the wound is waited to sew up, has reduced wound infection.
Further, the connecting portion still include the reaction strip post, the reaction strip post runs through to be installed in the connecting portion, the reaction strip post is dissolved in intestinal juice. In the actual application, the reaction bar column is dissolved in intestinal juice, so that the reaction bar column is continuously reduced, and when the reaction bar column is completely dissolved, the reaction bar column is particularly arranged in the connecting part in a penetrating manner, so that the connecting part is convenient to decompose easily in the intestinal tract, and is convenient to discharge without external force.
Further, still include closed piece and closed bolt, connecting portion still are equipped with the spout, connecting portion still are equipped with logical chamber, closed piece is in slidable mounting in the spout, closed bolt is installed lead to the chamber with the crossing department of connecting portion, lead to the chamber other end with closed piece adsorption connection, closed bolt can be dissolved in intestinal juice. In the practical application, the cavity is communicated through the decomposition of the closed bolt, the adsorption connection is further made to slide off the closed block on the cavity, the drainage embedded pipe is finally sealed through the sliding groove, after the medical staff takes out the drainage embedded pipe, the anastomat is placed at the drainage embedded pipe, and the drainage embedded pipe is convenient to coincide.
The rectum anastomosis stoma protection drainage device has the beneficial effects that:
(1) through being equipped with the intestines mouth that connecting portion all were equipped with connector and lower connector place the chamber and adsorb the blind chamber for the intestines tube of wound department easily adsorbs to be placed and places the chamber at the intestines mouth.
(2) The blocking part is arranged in the lower connecting port, and the drainage part is arranged on the upper connecting port, so that the drainage of the wound at the anastomotic position is realized.
Drawings
In order to more clearly illustrate the technical solution of the embodiments of the present invention, the drawings used in the embodiments will be briefly described below. In the drawings, the parts are not necessarily drawn to scale.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the placement of the bowel in use according to the present invention;
FIG. 3 is an enlarged view of the point A in FIG. 1;
fig. 4 is an enlarged view of B in fig. 1.
Reference numerals: a connecting part 1; an upper connection port 11; a lower connection port 12; an intestine mouth placing cavity 13; an adsorption blind cavity 14; a plugging portion 2; a drainage part 3; a reaction plug 15; a sugar-coated tear-off strip 16; a reaction bar 17; an anastomosis portion 4; a solid anastomosis block 41; a main block 21; a reaction strip 22; a drain tube 31; a negative pressure drainage bag 32; a drainage burying pipe 33; a closing die 34; a closing pin 35; a chute 18; through the lumen 19.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein, but rather should be construed as broadly as the present invention is capable of modification in various respects, all without departing from the spirit and scope of the present invention.
It will be understood that when an element is referred to as being "secured to" another element, it can be directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only and do not represent the only embodiments.
The utility model provides a rectum anastomosis protection drainage device, the device simple structure, convenient to use specifically includes: the device comprises a connecting part 1, wherein the connecting part 1 is provided with an upper connecting port 11 and a lower connecting port 12, and an intestinal orifice placing cavity 13 and an adsorption blind cavity 14 are respectively arranged in the upper connecting port 11 and the lower connecting port 12; a blocking part 2, wherein the blocking part 2 is arranged in the lower connecting port 12; and a drainage part 3, wherein the drainage part 3 is arranged on the upper connecting port 11.
In this example, fig. 1, fig. 2 and fig. 3 specifically include a reaction plug 15, a plurality of adsorption blind cavities 14 are disposed on two sides of the intestine opening placing cavity 13, the reaction plug 15 is installed at a communication position between the adsorption blind cavity 14 and the intestine opening placing cavity 13 in an isolated manner, and the pressure of the adsorption cavity is smaller than that of the intestine opening placing cavity 13. In the embodiment, the utility model also comprises a sugar-coated tear-off strip 16, and the sugar-coated tear-off strip 16 is adhesively installed in the end face of the reaction plug 15 in the intestine mouth placing cavity 13. When the device is actually used, the sugar-coating tear strip 16 is torn off from the reaction plug 15, so that the reaction plug 15 can be contacted with intestinal juice, and then the intestines to be anastomosed are respectively placed in the intestine opening placing cavities 13 in the upper connecting opening 11 and the lower connecting opening 12. This reaction bolt 15 is material polymer film coating material HPMCP, through the setting of reaction bolt 15 for the chamber 13 is placed to absorption chamber and intestines mouth isolated each other, makes absorption chamber pressure be less than the intestines mouth and places chamber 13 when the design is processed man-hour, treats that reaction bolt 15 is dissolved the back, and the device passes through the absorption chamber and adsorbs the installation in the intestines tube. Furthermore, the connecting part 1 further comprises a reaction rod column 17, the reaction rod column 17 is penetratingly arranged in the connecting part 1, and the reaction rod column 17 is dissolved in intestinal fluid. In practical application, the reaction bar column 17 is dissolved in intestinal juice, so that the reaction bar column 17 is continuously reduced, and when the reaction bar column is completely dissolved, the reaction bar column is particularly arranged in the connecting part 1 in a penetrating manner, so that the connecting part 1 is easy to decompose in the intestinal tract and convenient to discharge without external force, and certainly, the casing material is peptization protein.
In this example, referring to fig. 1 and 2 in detail, the anastomosis portion 4 is further included, the anastomosis portion 4 is installed at the connection position of the upper connection port 11 and the lower connection port 12, a solid anastomosis block 41 is embedded in the anastomosis portion 4, and the solid anastomosis block 41 is used for anastomosis of the wound of the orifice of the intestine. The anastomosis block is made of alpha-methyl cyanoacrylate, and the wound is seamlessly bonded through the material, so that secondary wound injury caused by suturing of suturing nails is reduced. In the practical application, the operation of placing the intestines mouth in the intestines mouth placing cavity 13 in the connecting part 1 at the anastomotic block makes the adhesion of the wound realization of this department, is similar to the paper that will originally need to be connected through the stapler, realizes the connection through glue, the realization of this mode has no wound healing of metallization, has prevented wound secondary damage, has avoided because the harm that the intestines mouth pressure leads to the wound to enlarge greatly.
In this example, referring to fig. 1, 3 and 4 for details, the blocking portion 2 includes a main block 21 and a reaction strip 22, the main block 21 is fixedly installed inside the lower connection port 12, the reaction strip 22 is installed in the main block 21, and the reaction strip 22 is dissolved in intestinal fluid. In practical use, the main block 21 is gradually decomposed and dispersed into a plurality of blocks under the flushing of the intestinal juice through the design that the reaction strip 22 is dissolved in the intestinal juice, and the intestinal juice can be conveniently discharged without external force. In this way, the reaction strip 22 is installed in the main block 21 through the manufacturing stage, the main block 21 is actually divided into a plurality of assemblies, the main block 21 can be easily discharged after the reaction strip 22 is dissolved by reaction, and the reaction strip 22 is made of cellulose acetate phthalate.
In this example, referring to fig. 1, 3 and 4 for details, the drainage part 3 specifically includes a drainage tube 31, a negative pressure drainage bag 32 and a drainage buried tube 33, the drainage buried tube 33 is penetratingly installed at the upper connection port 11, one end of the drainage buried tube 33 is communicated with the upper connection port 11, the other end of the drainage buried tube 33 is communicated with the drainage tube 31, and the drainage tube 31 is communicated with the negative pressure drainage bag 32. In practical application, intestinal contents blocked by the blocking part 2 can be collected through the drainage buried tube 33, the drainage tube 31 and the negative pressure drainage bag 32, so that intestinal mixture can be prevented from entering a wound part to be sutured of the wound, and wound infection is reduced. Wherein the pressure in the negative pressure drainage bag 32 is negative pressure, when communicating with the drainage tube 31 and the drainage buried tube 33, the pressure therein enables the mixture in the intestine to be actively sucked into the negative pressure drainage bag 32 by the negative pressure suction principle.
In the embodiment, please refer to fig. 1, fig. 3 and fig. 4 in detail, the intestinal juice collector further comprises a closing block 34 and a closing plug 35, the connecting part 1 is further provided with a sliding groove 18, the connecting part 1 is further provided with a through cavity 19, the closing block 34 is slidably mounted in the sliding groove 18, the closing plug 35 is mounted at the intersection of the through cavity 19 and the connecting part 1, the other end of the through cavity 19 is in adsorptive connection with the closing block 34, and the closing plug 35 is soluble in intestinal juice. In practical application, the through cavity 19 is communicated through the decomposition of the closing bolt 35, so that the closing block 34 connected to the through cavity 19 in an adsorption manner slides down, and the drainage buried pipe 33 is finally closed through the chute 18. This mode, simple and practical, after main piece 21 decomposes, through this kind of scheme, need not external force and realized closed drainage tube 31, guaranteed that mixture discharges through the intestinal in the intestinal, no longer gets into negative pressure drainage bag 32 in, this design can guarantee that the wound of this department is convenient coincide. The scheme is similar to that the branch pipes outside the main pipe are closed, so that liquid flows out of the main pipe completely, and the branch pipes can be conveniently maintained, disassembled and assembled.
In practical use, firstly, the wound of the intestinal canal is cut through an operation, the device is respectively connected to the intestinal incision, meanwhile, the negative pressure drainage bag 32 is connected into the device, the sugar-coated tear strip 16 in the device is torn off, and after 2 minutes, the device is sewn inside a patient after being completely adsorbed at the intestinal incision. After one week most of the device gradually dissolved in the intestine; fourteen days later, the suturing position of the patient is opened again, the negative pressure drainage bag 32 is taken out, and finally the part where the negative pressure drainage bag 32 is taken out is completely sutured, so that the device completes the series of operations.
The rectum anastomosis stoma protection drainage device has the beneficial effects that:
(2) through the intestines mouth that connecting portion 1 was equipped with connector 11 and lower connector 12 and all is equipped with place chamber 13 and adsorb blind chamber 14 for the intestines tube in wound is easily adsorbed and is placed in intestines mouth places chamber 13.
(3) The blocking part 2 is arranged in the lower connecting port 12, and the drainage part 3 is arranged in the upper connecting port 11, so that the drainage protection of the wound at the anastomotic position is realized.
To sum up, this rectum anastomosis mouthful protection drainage device can promote the growth at intestinal incision department, makes its nature take shape anastomoses, has reduced the dependence that can sew up the needle, can disintegrate naturally simultaneously, and the trouble when having avoided the dismouting has reduced the operation time, has improved operation efficiency in the nature dissolved in the intestinal.
While there have been shown and described what are at present considered to be the basic principles and essential features of the invention and advantages thereof, it will be apparent to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, but is capable of other specific forms without departing from the spirit or essential characteristics thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.

Claims (6)

1. A rectal anastomosis protection drainage device, comprising:
the connecting part is provided with an upper connecting port and a lower connecting port, and an intestine opening placing cavity and an adsorption blind cavity are arranged in the upper connecting port and the lower connecting port;
a blocking portion installed in the lower connection port; and
the drainage part is arranged on the upper connecting port;
still include the reaction bolt, the intestines mouth is placed the chamber both sides and is equipped with a plurality ofly adsorb blind chamber, the reaction bolt is isolated to be installed adsorb blind chamber with place the chamber and communicate with each other the department, adsorb blind chamber cavity pressure and be less than place the chamber, the reaction bolt can be dissolved in intestinal juice.
2. The rectum anastomotic stoma protection drainage device according to claim 1, further comprising an anastomotic part, wherein the anastomotic part is arranged at the joint of the upper connecting port and the lower connecting port, and a solid anastomotic block is embedded in the anastomotic part and used for anastomosing the wound of the orifice of the intestine.
3. The rectum anastomosis stoma protection drainage device according to claim 1, wherein the occlusion part comprises a main block and a reaction strip, the main block is fixedly arranged inside the lower connection opening, the reaction strip is arranged in the main block, and the reaction strip is dissolved in intestinal fluid.
4. The rectum anastomosis stoma protection drainage device according to claim 1, wherein the drainage part comprises a drainage tube, a negative pressure drainage bag and a drainage buried tube, the drainage buried tube is installed on the upper connection port in a penetrating manner, one end of the drainage buried tube is communicated with the upper connection port, the other end of the drainage buried tube is communicated with the drainage tube, and the drainage tube is communicated with the negative pressure drainage bag.
5. The rectum anastomosis stoma protection drainage device according to claim 1, wherein the connection portion further comprises a reaction bar column, the reaction bar column is installed in the connection portion, and the reaction bar column is dissolved in intestinal fluid.
6. The rectum anastomosis stoma protection drainage device according to claim 1, further comprising a closing block and a closing bolt, wherein the connecting portion is further provided with a sliding groove, the connecting portion is further provided with a through cavity, the closing block is slidably mounted in the sliding groove, the closing bolt is mounted at the intersection of the through cavity and the connecting portion, the other end of the through cavity is in adsorptive connection with the closing block, and the closing bolt is soluble in intestinal fluid.
CN202010270840.5A 2020-04-08 2020-04-08 Rectum anastomosis stoma protection drainage device Active CN111569163B (en)

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