CN111643131A

CN111643131A - Disposable adjustable intestinal canal injury prevention device

Info

Publication number: CN111643131A
Application number: CN202010360790.XA
Authority: CN
Inventors: 蒋斌; 朱姝娟; 胡庆元; 张�尘; 薛敏; 徐大宝
Original assignee: Third Xiangya Hospital of Central South University
Current assignee: Third Xiangya Hospital of Central South University
Priority date: 2020-04-30
Filing date: 2020-04-30
Publication date: 2020-09-11
Anticipated expiration: 2040-04-30
Also published as: CN111643131B

Abstract

The invention relates to a medical appliance, in particular to a disposable adjustable intestinal canal injury prevention device, which comprises a spacer capable of separating uterine double attachments, an intestinal canal and a omentum, wherein the spacer is connected with an adjustable baffle which can prevent the intestinal canal from sliding into the operation visual field after being vertically opened relative to the spacer. The invention adopts the spacer to separate the uterine double-attachment from the intestinal canal and the omentum, and blocks the sliding of the intestinal canal through the spread retaining pad, thereby completely exposing the operation visual field. This process need not extra medical staff, only need the assistant operation can, not only safe, practical, can guarantee that the operation field of vision is more clear according to patient's abdominal cavity size adjusting device's size moreover, has reduced the complication, has reduced medical staff's work load.

Description

Disposable adjustable intestinal canal injury prevention device

Technical Field

The invention relates to a medical apparatus, in particular to a formula intestinal canal injury prevention device.

Background

In the traditional gynecological laparotomy, organs are positioned in the pelvic cavity and are symmetrical, a straight incision is usually made in the center, and the periphery of the uterus and the double attachments is covered by a large amount of intestinal canals and omentum due to the fact that the uterus and the double attachments are positioned in the deep position of the pelvic cavity, so that in the operation, one to two assistant drag hooks are needed to pull the intestinal canals and the omentum apart to expose the visual field. Currently, the conventional procedure is to separate the intestinal canal and the omentum from the double attachments of the uterus with several large moist saline pads, and then to pull the separated saline pads away by an assistant to expose the surgical field, but this procedure has several drawbacks: 1. several saline cushions are often used in cooperation during operation and sometimes need to be replaced, so that the saline cushions can be left in the abdominal cavity of a patient after the operation, and safety hazards are caused. 2. The saline pad does not completely isolate the bowel from the uterine appendages, and since bowel is slippery and tends to creep frequently, the bowel may slip out of the gap between the two saline pads during the pulling of the uterus or appendages during surgery, obscuring the view and increasing the risk of injury. 3. Usually 1 to 2 medical staff draw hooks are needed in the operation, the labor intensity is high after a long time, but the operation assistance is limited, and the medical resources are greatly wasted.

Disclosure of Invention

In order to solve the technical problems, the invention provides a safe and practical disposable adjustable intestinal canal injury prevention device.

The technical scheme adopted by the invention for solving the technical problems is as follows: disposable adjustable intestinal canal injury prevention device, including the shock insulator that can separate uterus double-attachment and intestinal canal, omentum, be connected with adjustable fender pad on this shock insulator, should keep off the pad relatively can block intestinal canal slip in the operation field of vision after the shock insulator is strutted perpendicularly.

Preferably, the blocking pad comprises a blocking piece flexibly connected with the separation pad and a balloon arranged on the blocking piece, and the balloon can block the intestinal canal from sliding into the operation visual field after being expanded.

Preferably, the sacculus adopts a plurality of gasbags side by side, a baffle is arranged at the lower side of each gasbag, the baffle close to the inner side is flexibly connected with the spacer, two adjacent baffles are flexibly connected, and each gasbag expands after being inflated.

Preferably, each air bag is connected with an external air source through an air conveying pipe.

Preferably, the spacer and the baffle are in an integrally formed structure.

Preferably, the isolation pad and the baffle are made of disposable flexible materials.

Preferably, the thickness of the connecting part between the spacer and the baffle plate and between two adjacent baffle plates is smaller than that of the spacer or the baffle plate.

Preferably, the spacer is U-shaped.

Preferably, the two sides of the U-shaped spacer are respectively provided with one baffle pad.

Preferably, the two sides of the spacer which are similar to U-shaped are elastically connected together.

According to the technical scheme, the uterine double-attachment is separated from the intestinal canal and the omentum by the aid of the spacer, and the sliding of the intestinal canal is blocked by the aid of the expanded blocking pad, so that the surgical field is completely exposed. This process need not extra medical staff, only need the assistant operation can, not only safe, practical, can guarantee that the operation field of vision is more clear according to patient's abdominal cavity size adjusting device's size moreover, has reduced the complication, has reduced medical staff's work load.

Drawings

Fig. 1 is a schematic structural view of the present invention.

Detailed Description

The invention will now be described in detail with reference to fig. 1, wherein exemplary embodiments and descriptions of the invention are provided to explain the invention, but not to limit the invention.

Referring to fig. 1, the invention provides a disposable adjustable intestinal canal injury prevention device, which comprises a spacer 1 capable of separating uterine double attachments, intestinal canals and omentum, wherein an adjustable baffle pad 2 is connected to the spacer, and the baffle pad can block the intestinal canal from sliding into an operation visual field after being vertically opened relative to the spacer, so that an obstacle can be formed on the upper side of the spacer to block the intestinal canal from sliding into the operation visual field, and the operation visual field is ensured to be clearer. The adjustable baffle pad adjusts the size through the opening degree of the baffle pad, so that the opening degree of the baffle pad can be adjusted according to the size of the abdominal cavity of a patient, different individual patients can be adapted, and the adaptability of the device is greatly improved.

Specifically, the blocking pad 2 comprises a blocking piece 21 in flexible connection with the separation pad and a balloon 22 arranged on the blocking piece, and the flexible connection mode can ensure that the blocking piece is perpendicular to the separation pad when being folded, so that the expanded balloon is positioned on the upper side of the separation pad, and further the intestinal canal is prevented from sliding into the operation visual field. Preferably, the sacculus adopts a plurality of gasbags side by side, a baffle is arranged at the lower side of each gasbag, the baffle close to the inner side is flexibly connected with the spacer, two adjacent baffles are flexibly connected, and each gasbag expands after being inflated. In the implementation process, when the abdominal cavity of a patient is small, the baffle plate close to the inner side can be folded to be perpendicular to the spacer, the air bag on the folded baffle plate is inflated, the area of the spacer is small at the moment, the spacer is suitable for the small abdominal cavity, the air bag on the baffle plate close to the outer side is not inflated, and the air bag can be attached to the inflated and expanded air bag close to the inner side along with the baffle plate. When the abdominal cavity of the patient is larger, the air bag on the baffle plate close to the inner side is not inflated, and the air bag and the spacer pad are kept in a plane state, so that the area of the spacer pad is increased, the spacer pad is suitable for the larger abdominal cavity, and at the moment, the baffle plate close to the outer side is only folded up and inflated to the air bag on the baffle plate to realize blocking.

As shown in figure 1, three baffles are adopted in the figure, and are not necessarily arranged actually, each baffle is provided with an air bag, and the air bags of the middle baffles are inflated. In the implementation process, the baffle plate needs to be folded to be vertical to the shock insulator, and then the air bag is inflated. Therefore, the size of the whole device is adjusted through the plurality of independent air bags, the size of the blocking area is adjusted through the inflation degree of the air bags, double adjustment of the size of the spacer area and the size of the blocking area is achieved, and the device is simple in structure and operation and convenient to use.

Each air bag of the invention is connected with an external air source through an air conveying pipe (not shown in the figure), and each air bag can be individually inflated and controlled to realize adjustment. The external air source can adopt a simple inflatable ball or an inflator commonly used in hospitals. Preferably, the spacer and the baffle are of an integrally formed structure, and the spacer and the baffle are convenient to process and manufacture. The spacer and the baffle are made of disposable flexible materials, such as medical silica gel, medical rubber and the like, and are disposable, so that cross infection is avoided. The thickness of the connecting part between the spacer and the blocking piece and between the two adjacent blocking pieces is smaller than that of the spacer or the blocking piece, so that the tension of the connecting part is reduced, and the blocking piece can be easily folded.

The U-shaped isolation pad exposes the operation visual field in the U-shaped cladding space, thereby forming the obstruction in three directions and greatly facilitating the operation. The two sides of the U-shaped spacer are respectively provided with the baffle pad, so that barriers are formed on the two sides by inflating and expanding the saccule. In the implementation process, the balloons inflated and expanded at the two sides are extruded together at the bottom of the U shape, so that the bottom also forms an obstacle, thereby realizing the blocking in three directions and further preventing the intestinal canal from sliding into the operation visual field. Preferably, the two sides of the U-shaped spacer are elastically connected together, so that the angles of the two sides can be conveniently adjusted. And the shock insulator made of medical silica gel, medical rubber and the like has certain elasticity, is suitable for angle adjustment of two sides, and does not need to be provided with an additional elastic device. In the implementation process, the bottom of the U-shaped part can be set to be thinner properly, so that the elasticity can be increased to a certain degree. Therefore, the U-shaped spacer is of an integral structure, the phenomenon that a plurality of pieces of wet saline cushions are adopted in the prior art is avoided, a plurality of assistants are not needed, and medical resources are greatly saved.

Claims

1. Prevent intestines tube damage device with adjustable it is disposable, its characterized in that: the uterine double-accessory barrier comprises a spacer capable of separating a uterine double-accessory from an intestinal canal and a omentum, wherein an adjustable blocking pad is connected onto the spacer, and the blocking pad is opposite to the spacer and can block the intestinal canal from sliding into an operation visual field after being vertically stretched.

2. The disposable adjustable bowel injury prevention device as recited in claim 1, further comprising: the blocking cushion comprises a blocking piece in flexible connection with the spacer and a balloon arranged on the blocking piece, and the balloon can block the intestinal canal from sliding into the operation visual field after being expanded.

3. The disposable adjustable bowel injury prevention device as recited in claim 2, further comprising: the sacculus adopts several gasbag side by side, and each gasbag downside is provided with a separation blade, lean on inboard separation blade with spacer flexonics, two adjacent separation blade flexonics, each gasbag aerifys the back inflation.

4. The disposable adjustable bowel injury prevention device of claim 3, wherein: each air bag is connected with an external air source through an air conveying pipe.

5. The disposable adjustable bowel injury prevention device of claim 3, wherein: the spacer and the baffle are of an integrally formed structure.

6. The disposable adjustable bowel injury prevention device as recited in claim 5, wherein: the spacer and the baffle are made of disposable flexible materials.

7. The disposable adjustable bowel injury prevention device of claim 6, wherein: the thickness of the connecting parts between the spacer and the baffle plates and between the two adjacent baffle plates is smaller than that of the spacer or the baffle plates.

8. The disposable adjustable bowel injury prevention device as recited in any one of claims 1 to 7, wherein: the shock insulator is U-shaped.

9. The disposable adjustable bowel injury prevention device of claim 8, wherein: the two sides of the U-shaped spacer are respectively provided with the blocking cushions.

10. The disposable adjustable bowel injury prevention device of claim 9, wherein: the two sides of the spacer similar to the U shape are elastically connected together.