CN113101427A - Double-tube drainage preset tube for abdominal cavity perfusion - Google Patents

Double-tube drainage preset tube for abdominal cavity perfusion Download PDF

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Publication number
CN113101427A
CN113101427A CN202110368671.3A CN202110368671A CN113101427A CN 113101427 A CN113101427 A CN 113101427A CN 202110368671 A CN202110368671 A CN 202110368671A CN 113101427 A CN113101427 A CN 113101427A
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tube
perfusate
perfusion
silica gel
pipe
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CN202110368671.3A
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CN113101427B (en
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曲瑞莉
董春苹
张琪琪
王林甲
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First Affiliated Hospital of Henan University of Science and Technology
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First Affiliated Hospital of Henan University of Science and Technology
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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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • 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
    • 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
    • A61M3/0295Cannula; Nozzles; Tips; their connection means with inflatable balloon
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1021Abdominal cavity

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
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Abstract

A double-tube drainage preset tube for abdominal cavity perfusion comprises a reserved tube fixed on the abdominal cavity of a patient and a perfusion connecting tube inserted in the reserved tube, wherein the bottom of the reserved tube is provided with a perfusate discharge cavity; the bottom of the perfusate discharge cavity is provided with an elastic rubber sleeve for sealing the perfusate discharge cavity, the elastic rubber sleeve is formed by splicing two symmetrical semi-conical silica gel turnover sheets and is driven to be opened and closed by a driving structure, so that the blocked reserved pipe is dredged. The elastic rubber sleeve controlled to be closed and opened by the driving structure is arranged at the bottom of the reserved pipe, so that the blockage of the reserved pipe is dredged in the closing and opening processes, the operation is simple and convenient, the wound of a patient cannot be damaged, and the discomfort of the patient cannot be caused.

Description

Double-tube drainage preset tube for abdominal cavity perfusion
Technical Field
The invention relates to an abdominal cavity perfusion treatment in a cancer treatment method, in particular to a double-tube drainage preset tube for abdominal cavity perfusion.
Background
The abdominal cavity perfusion chemotherapy is called abdominal cavity perfusion for short, is one of common chemotherapy methods for treating late-stage tumors of viscera in pots and abdominal cavities, and is generally divided into hot perfusion and conventional perfusion, wherein the principle is simple, the method is that a drainage tube is punctured in the abdominal cavity of a patient and then a chemotherapy medicament or a medicament for eliminating hydrops in the abdominal cavity is perfused into the abdominal cavity through the drainage tube; different from the thermal perfusion, the conventional perfusion is to inject the medicine into the abdominal cavity, and then bind and fix the drainage tube, so that the medicine is remained in the abdominal cavity of the patient for a period of time, generally about 24 hours, so that the patient can fully absorb the medicine, and in order to promote the absorption of the medicine, the patient needs to frequently turn over and change the body position during the period, or the patient needs to do a specific action under the guidance of medical staff to promote the movement and the absorption of the medicine in the body.
However, because the drainage tube is generally thin, and the effusion in the abdominal cavity of the tumor patient is turbid, the preset drainage tube is easy to block, so that the next perfusion is caused, or the effusion in the abdominal cavity is drained out by dredging, which is time-consuming and labor-consuming, and is easy to cause discomfort to the patient when the effusion in the abdominal cavity is dredged.
Disclosure of Invention
In order to solve the problem that the existing drainage tube for abdominal cavity perfusion is difficult to dredge after being blocked by the effusion in the abdominal cavity, the invention provides a double-tube type drainage preset tube for abdominal cavity perfusion, which comprises a reserved tube fixed in the abdominal cavity of a patient and a perfusion connecting tube inserted in the reserved tube, wherein the bottom of the reserved tube is provided with an elastic rubber sleeve controlled to be folded and opened by a driving structure, in the folding and opening processes, the blockage of the preset tube is dredged, the operation is simple and convenient, the wound of the patient cannot be damaged, and the discomfort of the patient cannot be caused.
The technical scheme adopted by the invention for solving the technical problems is as follows: a double-tube drainage preset tube for abdominal cavity perfusion comprises a reserved tube fixed in the abdominal cavity of a patient and a perfusion connecting tube inserted in the reserved tube, wherein the upper end of the perfusion connecting tube penetrates out of the top of the reserved tube to be connected with perfusion equipment; be provided with its confined elastic rubber cover in perfusate discharge chamber bottom, this elastic rubber cover is formed by the concatenation of the semicircle toper silica gel upset piece of two symmetries, and the bottom of pipe is reserved in the toper end protrusion of silica gel upset piece, be provided with the drive structure that two silica gel upset pieces of control elastic rubber cover opened and shut in perfusate discharge chamber, this drive structure promotes two silica gel upset pieces and moves mutually away from each other when aerifing, form the filling channel of intercommunication perfusate discharge chamber and abdominal cavity, when taking out the gas in the drive structure, drive two silica gel upset pieces and fold and seal perfusate discharge chamber, at the gassing in-process, the mediation of filling the pipe mouth of pipe jam is filled in the toper most advanced realization of two silica gel upset pieces.
As an optimization scheme of above-mentioned double-barrelled drainage preset pipe, be provided with the silica gel shutoff piece on the inside wall of silica gel upset piece, the quantity of silica gel shutoff piece and the quantity one-to-one of perfusate discharge pore, and each silica gel shutoff piece all slides and sets up in the spout of perfusate discharge intracavity wall, when two silica gel upset pieces fold, each silica gel shutoff piece will close rather than the perfusate discharge pore that corresponds, when two silica gel upset pieces remove mutually and form the filling channel, the silica gel shutoff piece moves down along the spout, make perfusate discharge pore and perfusate discharge cavity intercommunication.
As another optimized scheme of the double-tube drainage preset tube, the top of the silica gel plugging piece is obliquely provided with a flow deflector facing the perfusion channel, and when the silica gel plugging piece moves downwards to the lowest position along the sliding groove, the flow deflector is in butt joint with the perfusion liquid discharge channel to guide the perfusion liquid discharged from the perfusion liquid discharge channel to directly flow into the perfusion channel.
As another optimized scheme of the double-tube drainage preset tube, the driving structure comprises a supporting shaft fixed in the perfusate discharge cavity, two poking rods are rotatably arranged on the supporting shaft, the parts of the two poking rods above the supporting shaft form a driving part, the parts below the supporting shaft form a driven part, the outer side of the driven part is connected with the inner side walls of the two silica gel turnover pieces, a strip-shaped inflatable bag is arranged in the driving part, when quantitative gas is filled into the strip-shaped inflatable bag, the strip-shaped inflatable bag expands to drive the upper ends of the two poking rods to deviate, so that the lower ends of the two poking rods also move back and forth, and the two silica gel turnover pieces are driven to move back and forth, thereby forming a perfusion channel communicating the perfusate discharge cavity and the abdominal cavity; when the gas in the strip-shaped inflatable bag is pumped out to restore the original state, the distance between the upper ends of the two poking rods is reduced, and further the distance between the lower ends of the two poking rods is synchronously reduced, so that the two silica gel turnover pieces are driven to fold, and the bottom of the reserved pipe is sealed.
As another optimization scheme of the double-tube drainage preset tube, the strip-shaped inflatable bag is communicated with a gas channel formed in the inner wall of the preset tube, and the upper end of the gas channel is detachably connected with external inflation equipment through an inflation inlet.
As another kind of optimization scheme of above-mentioned double-tube drainage preset pipe, reserve the pipe and form for inserting the inner tube of abdominal cavity and being in the outer union coupling of abdominal cavity, and inner tube and outer union coupling department form around the interior ka tai of outer tube inner wall and around the outer ka tai of outer tube outer wall, fill and take over and have with interior ka tai assorted ka tai to inject and fill the grafting cooperation position of taking over and reservation pipe, it is provided with the fixed knot who is used for fixed reservation pipe to encircle the outer tube on the outer ka tai, fixed knot constructs including surrounding at least three arc connection fin that the outer tube set up, and these arc connection fin are the silica gel material and are in on same drum, have the interval each other, through turning over outward and make its back adhesion fix on the abdominal surface, accomplish the fixed of reservation pipe.
As another optimized scheme of the double-tube drainage preset tube, the height of the arc-shaped connecting fins is higher than that of the outer tube, so that the outer tube is wrapped when the outer tube is not turned over, the back of each arc-shaped connecting fin is provided with the inflatable fins, and the inflatable fins fill the intervals between the arc-shaped connecting fins after inflation, so that the sealing of the outer wall of the preset tube and the abdominal puncture hole is completed.
As another optimized scheme of the double-tube drainage preset tube, a perfusate shunt cavity is arranged in the inner tube, the at least two perfusate discharge channels are communicated with the bottom of the perfusate shunt cavity, at least one lower perfusate channel is arranged at the top of the perfusate shunt cavity, and the lower perfusate channel is communicated with the upper perfusate channel when the perfusion connecting tube is in splicing fit with the preset tube.
As another optimized scheme of the double-tube drainage preset tube, the outer end of the perfusion connecting tube is provided with a connector connected with perfusion equipment, an upper perfusion liquid channel for guiding perfusion liquid is arranged in the perfusion connecting tube, and the perfusion liquid connected into the connector enters the abdominal cavity through the upper perfusion liquid channel to complete abdominal perfusion; the pouring connecting pipe is internally provided with at least one pouring fluid buffer cavity, and the at least one pouring fluid buffer cavity is connected in series by utilizing an upper pouring fluid channel.
As another optimization scheme of the double-tube drainage preset tube, the middle part of the preset tube is provided with a sealing boss matched with the bottom end of the filling connecting tube, and the bottom end of the filling connecting tube is matched with the sealing boss through a sealing gasket to realize sealing of the insertion part of the filling connecting tube and the sealing boss.
Compared with the prior art, the invention has the following beneficial effects:
1) the invention is fixed on the reserved pipe of the abdominal cavity of a patient and the perfusion connecting pipe inserted in the reserved pipe, the bottom of the reserved pipe is provided with the elastic rubber sleeve controlled by the driving structure to fold and open, in the folding and opening processes, the blockage of the reserved pipe is dredged, the operation is simple and convenient, the wound of the patient cannot be damaged, and the discomfort of the patient cannot be caused; the elastic rubber sleeve is formed by splicing two semicircular conical silica gel turnover pieces, so that the elastic rubber sleeve can be opened and closed under the driving of a driving structure, and the conical tip of the elastic rubber sleeve protrudes out of the bottom end of the reserved pipe, so that the silica gel turnover pieces can be driven to open and close by the driving structure before the next perfusion even if abdominal cavity liquid is condensed on the elastic rubber sleeve, and the dredging is realized in the process;
2) the bottom of the reserved pipe is provided with a perfusate discharge cavity, perfusate discharge channels are distributed on the side wall of the perfusate discharge cavity and are blocked by a silica gel blocking piece, so that the infiltration of the peritoneal fluid into the perfusate discharge cavity is prevented from blocking the perfusate discharge cavity, the bottom end of the silica gel blocking piece is connected with a silica gel turnover piece, the silica gel turnover piece drives the silica gel turnover piece to move, when the silica gel turnover piece is opened to form a perfusion channel, the silica gel blocking piece moves downwards to expose the perfusate discharge channels for perfusion, and after the perfusion is finished, the silica gel turnover piece is folded to push the silica gel blocking piece to move upwards to block the perfusate discharge channels; in order to enable the perfusate flowing out of the perfusate discharge pore channel to better pass through the perfusion channel, the upper end of the silica gel plugging sheet is provided with a flow deflector which is directly butted with the perfusate discharge pore channel after the silica gel plugging sheet exposes the perfusate discharge pore channel so as to guide the perfusate to directly flow into the perfusion channel;
3) the core of the driving structure of the invention is two poke rods which are rotatably arranged on a supporting shaft, the two poke rods form a lever mechanism by taking the supporting shaft as a rotating center, one end of each poke rod is a driving part, the other end of each poke rod is a driven part, a strip-shaped inflatable bag is arranged between the driving parts, the driving parts are driven to open and close by utilizing the expansion of the inflated strip-shaped inflatable bag, the driven parts at the other ends correspondingly open and close to drive each silica gel turnover piece of the elastic rubber sleeve to open and close, and when the elastic rubber sleeve is used, a specific amount of air is quantitatively filled or pumped out each time, so that the opening amplitude of;
4) the reserved pipe adopts the connection design of the inner pipe and the outer pipe, an inner clamping table surrounding the inner wall of the outer pipe and an outer clamping table surrounding the outer wall of the outer pipe are formed at the connection part, the inner clamping table can be matched with the clamping table on the perfusion connecting pipe to realize the positioning and fixing functions, and the outer clamping table is designed to be provided with arc-shaped connecting fins which can be folded outwards to be adhered and fixed with the epidermis of the abdominal cavity after the reserved pipe is inserted into the puncture hole, so that the operation of fixing the reserved pipe by sewing the existing skin is avoided; the height of the arc-shaped connecting wing piece is longer than that of the outer pipe, so that a proper fixed length can be selected according to needs, and the insertion depth of the inner pipe can be observed according to the scale marks on the arc-shaped connecting wing piece, and whether the depth of the reserved pipe changes or not is determined; the inflatable wing panel designed on the back of the arc-shaped connecting wing panel can be attached to the skin, and most importantly, the sealing between the outer side wall of the reserved pipe and the puncture hole can be realized after the inflatable wing panel is inflated;
5) the perfusion liquid buffer cavity designed in the perfusion connecting pipe can realize stable perfusion; the perfusate shunting cavity in the reserved pipe can play a role in converging and shunting the perfusate so that the perfusate can be uniformly discharged through a plurality of perfusate discharging pore channels.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a general schematic view of the present invention during perfusion over a fixed abdominal cavity;
FIG. 3 is a schematic structural view of the driving structure driving the elastic rubber sleeve to close;
FIG. 4 is a schematic structural view of the elastic rubber sleeve driven by the driving structure to open;
FIG. 5 is a schematic top view of a horizontal cross section of the perfusate drain chamber when the elastic rubber sleeve is closed;
FIG. 6 is a schematic top view of a horizontal cross section of the perfusate drain chamber with the elastomeric boot open;
FIG. 7 is a bottom view of the elastic rubber cover when it is closed;
FIG. 8 is a schematic bottom view of the elastic rubber cover when opened;
FIG. 9 is a schematic structural view of a reserve tube;
FIG. 10 is a schematic view of the upper portion of the reserve tube;
FIG. 11 is a schematic view of the fixing structure on the reserve tube being fixed;
FIG. 12 is a schematic view of the lower portion of the reserve tube;
FIG. 13 is a schematic view of a pour spout;
reference numerals: 1. the device comprises a reserved pipe, 101, a perfusate discharging cavity, 102, a perfusate distributing cavity, 103, a sealing boss, 104, an inner clamping table, 105, an outer pipe, 106, an inner pipe, 107, an outer clamping table, 108, a perfusate discharging pore channel, 109, a lower perfusate channel, 2, a perfusing connecting pipe, 201, an upper perfusate channel, 202, a connector, 203, a perfusate buffer cavity, 3, an elastic rubber sleeve, 301, a silica gel turning sheet, 302, a silica gel plugging sheet, 303, a flow deflector, 304, a perfusing channel, 4, a driving structure, 401, an inflation inlet, 402, a gas channel, 403, a strip-shaped inflatable bag, 404, a driving part, 405, a supporting shaft, 406, a driven part, 5, a fixing structure, 501, an arc-shaped connecting wing, 502, an inflation wing, 503 and intervals.
Detailed Description
The technical solutions of the present invention are further described in detail with reference to specific embodiments, and those not described in the following embodiments of the present invention can be implemented by using known technologies by those skilled in the art.
Example 1
As shown in fig. 1-8, a double-tube drainage preset tube for abdominal perfusion includes a reserved tube 1 fixed in the abdominal cavity of a patient and a perfusion connection tube 2 inserted in the reserved tube 1, wherein the upper end of the perfusion connection tube 2 penetrates out of the top of the reserved tube 1 and is connected with perfusion equipment, the bottom of the reserved tube 1 is provided with a cylindrical perfusate discharge cavity 101, the side wall of the perfusate discharge cavity 101 is provided with at least two perfusate discharge channels 108, and the perfusate discharge channels 108 are communicated with an upper perfusate channel 201 in the perfusion connection tube 2, so as to send perfusate in the perfusion equipment into the perfusate discharge cavity 101; be provided with its confined elastic rubber cover 3 bottom perfusate discharge chamber 101, this elastic rubber cover 3 is formed by the concatenation of the semicircle toper silica gel upset piece 301 of two symmetries, and the bottom of pipe 1 is reserved in the toper end protrusion of silica gel upset piece 301, be provided with the drive structure 4 that two silica gel upset pieces 301 of control elastic rubber cover 3 opened and shut in perfusate discharge chamber 101, this drive structure 4 promotes two silica gel upset pieces 301 and removes mutually in the back of the body when aerifing, form the perfusion passageway 304 of intercommunication perfusate discharge chamber 101 and abdominal cavity, when taking out the gas in the drive structure 4, drive two silica gel upset pieces 301 and fold and seal perfusate discharge chamber 101, in the process of inflating and deflating, the mediation of reserving the pipe 1 mouth of pipe jam is realized to the toper pointed end of two silica gel upset pieces 301.
In this embodiment, the diameter of the elastic rubber sleeve 3 is gradually reduced from the bottom to the top of the silica gel turnover sheet 301, and the formed side is an inward concave arc.
When the device is used, the reserved pipe 1 of the embodiment is inserted into and fixed in the abdominal cavity of a patient, when the abdominal cavity perfusion is needed, quantitative gas is filled into the driving structure 4 of the reserved pipe 1, the two silica gel turnover pieces 301 move back to back (namely, are opened) by using the pressure of the gas, then the gas is discharged, the two silica gel turnover pieces 301 move towards each other (namely, are folded), the gas filling and discharging process is repeated for 3-5 times, namely, the dredging work is completed, after the dredging is completed, the quantitative gas is continuously filled, the two silica gel turnover pieces 301 are opened to form a perfusion channel 304, and the perfusion treatment is performed according to a treatment flow; after the pouring is finished, gas is discharged, and the two silica gel turnover pieces 301 are folded to seal the bottom end of the reserved pipe 1.
The foregoing is a basic embodiment of the present invention, and further modifications, optimizations and limitations can be made on the foregoing, so as to obtain the following examples:
example 2
This embodiment is an improved scheme based on embodiment 1, and the main structure thereof is the same as embodiment 1, and the improvement point is that: as shown in fig. 3-8, the inner side wall of the silica gel turnover piece 301 is provided with silica gel plugging pieces 302, the number of the silica gel plugging pieces 302 corresponds to the number of the perfusate discharging holes 108 one by one, and each silica gel plugging piece 302 is slidably disposed in a chute on the inner wall of the perfusate discharging cavity 101, when the two silica gel turnover pieces 301 are closed, each silica gel plugging piece 302 seals the perfusate discharging hole 108 corresponding thereto, and when the two silica gel turnover pieces 301 move back to form the perfusion channel 304, the silica gel plugging pieces 302 move downward along the chute to communicate the perfusate discharging holes 108 with the perfusate discharging cavity 101.
In this embodiment, each perfusate discharge pore 108 is in a spout, and a silica gel plugging sheet 302 is slidably disposed in this spout, and the lower end of the silica gel plugging sheet 302 is fixed on the silica gel turnover sheet 301, and the upper end free end can drive the silica gel plugging sheet 302 to move up and down in the spout when the silica gel turnover sheet 301 moves, so as to realize plugging and opening of the perfusate discharge pore 108.
Example 3
The present embodiment is an improved scheme based on embodiment 2, and the main structure of the present embodiment is the same as that of embodiment 2, and the improvement point is that: as shown in fig. 3-6, the top of the silicone sealing sheet 302 is obliquely provided with a flow deflector 303 facing the perfusion channel 304, and when the silicone sealing sheet 302 moves downwards along the sliding chute to the lowest position, the flow deflector 303 is in butt joint with the perfusion fluid discharge channel 108 to guide the perfusion fluid discharged from the perfusion fluid discharge channel 108 to directly flow into the perfusion channel 304.
In this embodiment, the cross section of the guide vane 303 is arc-shaped.
Example 4
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 3-6, the driving structure 4 includes a supporting shaft 405 fixed in the perfusate discharging cavity 101, two poke rods are rotatably disposed on the supporting shaft 405, a driving portion 404 is formed at a portion of the two poke rods above the supporting shaft 405, a driven portion 406 is formed at a portion of the supporting shaft 405, an outer side of the driven portion 406 is connected to inner side walls of the two silica gel turnover pieces 301, a strip-shaped air bag 403 is disposed in the driving portion 404, when a fixed amount of air is filled into the strip-shaped air bag 403, the strip-shaped air bag 403 expands to drive upper ends of the two poke rods to face away, so that lower ends of the two poke rods also move away from each other, thereby driving the two silica gel turnover pieces 301 to move away from each other, and forming a perfusion channel 304 communicating the perfusate discharging cavity 101; when the gas in the strip-shaped gas-filled bag 403 is pumped out to restore the original state, the distance between the upper ends of the two poke rods is reduced, and further the distance between the lower ends of the two poke rods is synchronously reduced, so that the two silica gel turnover pieces 301 are driven to fold, and the bottom of the reserved pipe 1 is sealed.
Example 5
This embodiment is an improved scheme based on embodiment 4, and the main structure thereof is the same as embodiment 4, and the improvement point is that: as shown in fig. 3 and 4, the strip-shaped inflatable bag 403 is communicated with an air passage 402 formed in the inner wall of the reserve tube 1, and the upper end of the air passage 402 is detachably connected with an external inflation device through an inflation port 401.
Example 6
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 9-12, the reserve tube 1 is formed by connecting an inner tube 106 inserted into the abdominal cavity and an outer tube 105 located outside the abdominal cavity, and the joint of the inner tube 106 and the outer tube 105 forms an inner clamping platform 104 surrounding the inner wall of the outer tube 105 and an outer clamping platform 107 surrounding the outer wall of the outer tube 105, the perfusion connection tube 2 is provided with a clamping platform matched with the inner clamping platform 104 to limit the insertion and matching position of the perfusion connection tube 2 and the reserve tube 1, the outer clamping platform 107 is provided with a fixing structure 5 surrounding the outer tube 105 and used for fixing the reserve tube 1, the fixing structure 5 comprises at least three arc-shaped connecting fins 501 surrounding the outer tube 105, the arc-shaped connecting fins 501 are made of silica gel and located on the same cylinder, and have an interval 503 therebetween, and the back surface of the reserve tube 1 is adhered and fixed on the abdominal surface by turning outwards.
Example 7
This embodiment is an improved scheme based on embodiment 6, and the main structure thereof is the same as that of embodiment 6, and the improvement point is that: as shown in fig. 10 and 11, the height of the arc-shaped connecting fins 501 is higher than the length of the outer tube 105, so that the outer tube 105 is covered when the outer tube is not folded, the back of each arc-shaped connecting fin 501 is provided with an inflating fin 502, and after inflation, the inflating fins 502 fill the space 503 between the arc-shaped connecting fins 501, thereby completing the sealing of the outer wall of the reserve tube 1 and the puncture hole of the abdominal cavity.
In this embodiment, a height mark line may be provided along the height direction of the arc-shaped connecting wing 501, and the insertion depth of the inner tube 102 is determined by the height mark line.
Example 8
This embodiment is another modified scheme based on embodiment 6, and the main structure thereof is the same as embodiment 6, and the improvement point is that: as shown in fig. 9 and 12, a perfusate distributing cavity 102 is arranged in the inner tube 106, the at least two perfusate discharging channels 108 are communicated with the bottom of the perfusate distributing cavity 102, at least one lower perfusate channel 109 is arranged at the top of the perfusate distributing cavity 102, and when the perfusion adapter 2 is in splicing fit with the reserve tube 1, the lower perfusate channel 109 is communicated with the upper perfusate channel 201.
In this embodiment, a temperature sensor for measuring the temperature of the perfusate is disposed in the perfusate distribution chamber 102, so as to monitor the temperature of the perfusate entering the abdominal cavity as accurately as possible.
Example 9
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 13, the outer end of the perfusion connection tube 2 is provided with a connector 202 connected with perfusion equipment, the interior of the perfusion connection tube is provided with an upper perfusion fluid channel 201 for guiding perfusion fluid, and the perfusion fluid connected to the connector 202 enters the abdominal cavity through the upper perfusion fluid channel 201 to complete abdominal perfusion; at least one perfusate buffer cavity 203 is arranged in the perfusion connecting pipe 2, and the at least one perfusate buffer cavity 203 is connected in series by utilizing an upper perfusate channel 201.
Example 10
This embodiment is an improved scheme based on embodiment 9, and the main structure thereof is the same as that of embodiment 9, and the improvement point is that: as shown in fig. 9-11, the middle part of the reserve tube 1 is provided with a sealing boss 103 which is matched with the bottom end of the filling adapter tube 2, and the bottom end of the filling adapter tube 2 is matched with the sealing boss 103 through a sealing gasket to seal the insertion position of the filling adapter tube and the sealing boss.

Claims (10)

1. The utility model provides a peritoneal irrigation presets pipe with double-barrelled drainage, takes over (2) including fixing in reserve pipe (1) of patient's abdominal cavity and the pouring of grafting in reserve pipe (1), and the top of wearing out reserve pipe (1) and filling equipment and being connected its characterized in that are taken over to the upper end of pouring into (2): the bottom of the reserved pipe (1) is provided with a cylindrical perfusate discharging cavity (101), the side wall of the perfusate discharging cavity (101) is provided with at least two perfusate discharging pore channels (108), and the perfusate discharging pore channels (108) are communicated with an upper perfusate channel (201) in the perfusion connecting pipe (2), so that perfusate in perfusion equipment is sent into the perfusate discharging cavity (101); an elastic rubber sleeve (3) for sealing the perfusion liquid discharge cavity (101) is arranged at the bottom of the perfusion liquid discharge cavity, the elastic rubber sleeve (3) is formed by splicing two symmetrical semi-conical silica gel turnover sheets (301), the conical end of each silica gel turnover sheet (301) protrudes out of the bottom of the reserved pipe (1), a driving structure (4) for controlling the opening and closing of two silica gel turnover sheets (301) of the elastic rubber sleeve (3) is arranged in the perfusate discharging cavity (101), the driving structure (4) pushes the two silica gel turnover sheets (301) to move back and forth when being inflated to form a perfusion channel (304) for communicating the perfusion liquid discharge cavity (101) and the abdominal cavity, when the gas in the driving structure (4) is pumped out, the two silica gel turnover sheets (301) are driven to fold to seal the perfusate discharge cavity (101), in the air inflation and deflation process, the conical tips of the two silica gel turnover sheets (301) can dredge the blockage of the pipe orifice of the reserved pipe (1).
2. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 1, wherein: be provided with silica gel shutoff piece (302) on the inside wall of silica gel upset piece (301), the quantity of silica gel shutoff piece (302) and the quantity one-to-one of perfusate discharge hole (108), and each silica gel shutoff piece (302) all slides and sets up in the spout of perfusate discharge chamber (101) inner wall, when two silica gel upset pieces (301) fold, each silica gel shutoff piece (302) will be sealed rather than perfusate discharge hole (108) that correspond, when two silica gel upset pieces (301) remove mutually in the opposite directions and form filling channel (304), silica gel shutoff piece (302) move down along the spout, make perfusate discharge hole (108) and perfusate discharge chamber (101) communicate.
3. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 2, wherein: the top of the silica gel plugging piece (302) is obliquely provided with a flow deflector (303) facing the perfusion channel (304), and when the silica gel plugging piece (302) moves downwards to the lowest position along the sliding groove, the flow deflector (303) is in butt joint with the perfusion liquid discharge hole channel (108) to guide the perfusion liquid discharged from the perfusion liquid discharge hole channel (108) to directly flow into the perfusion channel (304).
4. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 1, wherein: the driving structure (4) comprises a supporting shaft (405) fixed in the perfusate discharging cavity (101), two poke rods are rotatably arranged on the supporting shaft (405), a driving part (404) is formed by the parts, located above the supporting shaft (405), of the two poke rods, a driven part (406) is formed by the parts, located below the supporting shaft (405), of the driven part (406), the outer side of the driven part (406) is connected with the inner side walls of the two silica gel turnover pieces (301), a strip-shaped inflatable bag (403) is arranged in the driving part (404), when a fixed amount of gas is filled into the strip-shaped inflatable bag (403), the strip-shaped inflatable bag (403) expands to drive the upper ends of the two poke rods to deviate, so that the lower ends of the two poke rods also move back to drive the two silica gel turnover pieces (301) to move back to form a perfusion channel; when the gas in the strip-shaped inflatable bag (403) is pumped out to restore the original state, the distance between the upper ends of the two poke rods is reduced, and further the distance between the lower ends of the two poke rods is synchronously reduced, so that the two silica gel turnover pieces (301) are driven to fold, and the bottom of the reserved pipe (1) is closed.
5. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 4, wherein: the strip-shaped inflatable bag (403) is communicated with an air channel (402) formed in the inner wall of the reserved pipe (1), and the upper end of the air channel (402) is detachably connected with external inflation equipment through an inflation port (401).
6. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 1, wherein: reserve pipe (1) and be in the outer tube (105) of abdominal cavity and connect and form for inserting inner tube (106) in the abdominal cavity, and inner tube (106) and outer tube (105) junction form encircle inner card platform (104) of outer tube (105) inner wall and encircle outer card platform (107) of outer tube (105) outer wall, fill and have on taking over (2) with inner card platform (104) assorted card platform to inject the grafting cooperation position of taking over (2) and reserving pipe (1), it is provided with fixed knot structure (5) that are used for fixed reservation pipe (1) to encircle outer tube (105) on outer card platform (107), fixed knot structure (5) are including surrounding at least three arc connection fin (501) that outer tube (105) set up, and these arc connection fin (501) are the silica gel material and are on same drum, have interval (503) each other, make its back adhesion fix on the abdominal cavity surface through outwards turning over, and fixing the reserved pipe (1) is completed.
7. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 6, wherein: the height of the arc-shaped connecting fins (501) is higher than the length of the outer pipe (105), so that the outer pipe (105) is wrapped when the outer pipe is not turned over, the back of each arc-shaped connecting fin (501) is provided with an inflating fin (502), and the inflating fins (502) fill the intervals (503) between the arc-shaped connecting fins (501) after inflation, so that the sealing of the outer wall of the reserved pipe (1) and the abdominal puncture hole is completed.
8. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 6, wherein: the inner tube (106) is internally provided with a perfusate shunt cavity (102), the at least two perfusate discharge pore channels (108) are communicated with the bottom of the perfusate shunt cavity (102), the top of the perfusate shunt cavity (102) is provided with at least one lower perfusate channel (109), and when the perfusion connecting tube (2) is spliced and matched with the reserved tube (1), the lower perfusate channel (109) is communicated with the upper perfusate channel (201).
9. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 1, wherein: the outer end of the perfusion connecting pipe (2) is provided with a connector (202) connected with perfusion equipment, an upper perfusion liquid channel (201) for guiding perfusion liquid is arranged in the perfusion connecting pipe, and the perfusion liquid accessed by the connector (202) enters the abdominal cavity through the upper perfusion liquid channel (201) to complete abdominal perfusion; the perfusion connecting pipe (2) is internally provided with at least one perfusion fluid buffer cavity (203), and the at least one perfusion fluid buffer cavity (203) is connected in series by utilizing an upper perfusion fluid channel (201).
10. The double-tube drainage preset tube for peritoneal irrigation as claimed in claim 1, wherein: the middle part of the reserved pipe (1) is provided with a sealing boss (103) matched with the bottom end of the pouring connecting pipe (2), and the bottom end of the pouring connecting pipe (2) is matched with the sealing boss (103) through a sealing gasket to realize sealing of the inserting position of the pouring connecting pipe and the sealing boss.
CN202110368671.3A 2021-04-06 2021-04-06 Double-tube drainage preset tube for abdominal cavity perfusion Active CN113101427B (en)

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