CN113397795B - Enterostomy device - Google Patents

Enterostomy device Download PDF

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Publication number
CN113397795B
CN113397795B CN202110824926.2A CN202110824926A CN113397795B CN 113397795 B CN113397795 B CN 113397795B CN 202110824926 A CN202110824926 A CN 202110824926A CN 113397795 B CN113397795 B CN 113397795B
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catheter
tube
intestinal
intestinal tube
port
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CN113397795A (en
Inventor
谢明峰
刘潜
刘海金
刘建平
徐仙贇
曾勇
陈枫
黄海金
彭威
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Gannan Medical University
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Gannan Medical University
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    • 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; Colostomy devices
    • A61F5/4404—Details or parts
    • A61F5/4405—Valves or valve arrangements specially adapted therefor ; Fluid inlets or outlets
    • 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; 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; Colostomy devices
    • A61F5/442—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having irrigation ports or means
    • 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; Colostomy devices
    • A61F5/443—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having adhesive seals for securing to the body, e.g. of hydrocolloid type seals, e.g. gels, starches, karaya gums

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  • 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)
  • Chemical & Material Sciences (AREA)
  • Dispersion Chemistry (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

本发明公开了一种肠管造瘘装置，涉及造瘘装置的技术领域，包括导管接头、导出管或者造口袋，导管接头的一端用于穿过体表造瘘的切口并分别切口和肠管的端口密封连接、另一端与导出管或者造口袋连通。本发明通过将造瘘口和切口相对分隔，方便保护切口，且通过将植入肠管的导管与设置有排泄阀门的造口袋或导出管可拆卸连接，方便更换造口袋及控制肠内容物排泄；避免切口感染和延期愈合，降低手术风险。

The present invention discloses an intestinal ostomy device, which relates to the technical field of ostomy devices, and includes a catheter connector, a guide tube or an ostomy bag, one end of which is used to pass through an incision for ostomy on the body surface and seal the incision and the intestinal port, respectively, and the other end is connected to the guide tube or the ostomy bag. The present invention facilitates the protection of the incision by relatively separating the ostomy port and the incision, and facilitates the replacement of the ostomy bag and the control of the excretion of intestinal contents by detachably connecting the catheter implanted in the intestinal tract with the ostomy bag or the guide tube provided with an excretion valve, thereby avoiding infection of the incision and delayed healing, and reducing the risk of surgery.

Description

Intestinal canal fistulization device
Technical Field
The invention relates to the technical field of fistulization devices, in particular to an intestinal canal fistulization device.
Background
At present, a common ostomy bag is adopted for fistulization patients, namely the ostomy bag is adhered to the skin at the periphery of an incision. The ostomy bag is generally composed of two parts, namely a non-woven gauze (skin-sticking) bag body (storing intestinal contents), and the whole incision and the stoma are covered in the ostomy bag in the skin-sticking process, so that the intestinal contents easily pollute the side incision after exiting from the stoma, the incision is infected, a light person delays healing, and a heavy person causes serious infection to induce subsequent serious problems. And the ostomy bag is connected with the skin in an adhesive manner, so that the skin is easily damaged in the replacement process.
Disclosure of Invention
The object of the present invention is to provide an intestinal canal fistulization device which solves the above-mentioned problems of the prior art, enabling the stoma and the incision to be separated, avoiding infection of the incision.
In order to achieve the above object, the present invention provides the following solutions:
The invention provides an intestinal canal fistulization device, which comprises a catheter connector, a delivery tube or an ostomy bag, wherein one end of the catheter connector is used for penetrating through an incision of a body surface fistulization and respectively connected with a port of an intestinal canal in a sealing way, and the other end of the catheter connector is communicated with the delivery tube or the ostomy bag.
Preferably, the catheter connector comprises a catheter and a sealing assembly, wherein the catheter penetrates through the sealing assembly, and the sealing assembly is respectively connected with the incision and the port of the intestinal canal in a sealing manner.
Preferably, the seal assembly comprises a silica gel plate, an intestinal canal fixing piece and a protective sleeve, wherein the silica gel plate is sleeved on the catheter, the intestinal canal fixing piece and the protective sleeve are arranged on the surface of one side of the silica gel plate, the protective sleeve is positioned on the outer side of the intestinal canal fixing piece, the intestinal canal fixing piece is in sealing connection with a port of the intestinal canal, and the protective sleeve is adhered to the periphery of the notch through a non-woven adhesive tape.
Preferably, an intestinal canal locking sleeve is arranged between the intestinal canal fixing piece and the protective sleeve, one end of the intestinal canal locking sleeve is fixed on the silica gel plate, and the other end of the intestinal canal locking sleeve is provided with a contraction band which is used for locking a port of an intestinal canal on the catheter.
Preferably, the intestinal canal fixing piece is a fixing ring or a bulge, the bulge is uniformly distributed on the silica gel plate in a circular ring shape at equal intervals, and the port of the intestinal canal is matched and sewed with the fixing ring or the bulge.
Preferably, the intestinal canal fixing piece is a locking ring or a clamp, the middle part of the locking ring or the clamp is fixedly connected with the silica gel plate, and the locking ring or the clamp can lock the port of the intestinal canal on the catheter.
Preferably, the catheter is provided with at least one bionic saccule of a colon bag in a penetrating way, each bionic saccule of the colon bag is communicated with an injection tube, the injection tube is fixed on the outer wall of the catheter, and the injection tube is used for injecting physiological saline into the bionic saccule of the colon bag, so that the bionic saccule of the colon bag is matched with the inner wall of the colon.
Preferably, an irrigation tube is arranged on the outer wall of the catheter, and the irrigation tube extends into a port of the intestinal tube and can be used for injecting physiological saline for cleaning the intestinal tube.
Preferably, the delivery tube or the ostomy bag is connected with the catheter through threads, the delivery tube is a telescopic tube, and a discharge valve is arranged at the lower end of the ostomy bag or in the middle of the delivery tube.
Preferably, the catheter adapter is an integral part of medical material.
Compared with the prior art, the invention has the following technical effects:
The invention can conveniently protect the incision by relatively separating the fistulization opening from the incision, and can conveniently replace the ostomy bag and control the excretion of intestinal contents by detachably connecting the catheter implanted in the intestinal canal with the ostomy bag or the delivery tube provided with the excretion valve, thereby avoiding infection of the incision and delayed healing and reducing the risk of operation.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings that are needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic view of an intestinal tube fistulization device according to the present invention;
fig. 2 is a schematic structural view of the enterostomy device of the present invention;
fig. 3 is a schematic view showing a structure of a catheter adapter in a first embodiment of an intestinal tract fistulization device according to the present invention;
fig. 4 is a schematic view of a catheter adapter according to a first embodiment of the enterostomy device of the present invention;
fig. 5 is a schematic view showing the structure of a catheter adapter in a second embodiment of an intestinal tract fistulization device according to the present invention;
Wherein the device comprises a 1-intestinal canal fistulization device, a 2-catheter, a 3-silica gel plate, a 4-protective sleeve, a 5-nonwoven adhesive tape, a 6-intestinal canal locking sleeve, a 7-contraction belt, an 8-colon bag bionic saccule, a 9-fixing ring, a 10-bulge, a 11-locking ring, a 12-injection tube, a 13-flushing tube, a 14-delivery tube, a 15-ostomy bag and a 16-discharge valve.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by a person skilled in the art based on the embodiments of the invention without any inventive effort, are intended to fall within the scope of the invention.
The present invention aims to provide an intestinal canal fistulization device which solves the problems of the prior art, enables the fistulization opening and the incision to be separated, and avoids the infection of the incision.
In order that the above-recited objects, features and advantages of the present invention will become more readily apparent, a more particular description of the invention will be rendered by reference to the appended drawings and appended detailed description.
Example 1
As shown in fig. 1 to 4, the present embodiment provides an intestinal canal fistulization device 1 comprising a catheter adapter, a delivery tube 14 or an ostomy bag 15, one end of the catheter adapter being adapted to pass through an incision of a body surface fistulization and being sealingly connected to a port of an intestinal canal, respectively, and the other end being in communication with the delivery tube 14 or the ostomy bag 15.
The catheter connector comprises a catheter 2 and a sealing assembly, wherein the catheter 2 is arranged in the sealing assembly in a penetrating mode, and the sealing assembly is respectively connected with the incision and the port of the intestinal canal in a sealing mode. The seal assembly comprises a silica gel plate 3, an intestinal canal fixing piece and a protective sleeve 4, wherein the silica gel plate 3 is sleeved on the catheter 2, the intestinal canal fixing piece and the protective sleeve 4 are arranged on the surface of one side of the silica gel plate 3, the protective sleeve 4 is positioned on the outer side of the intestinal canal fixing piece, the intestinal canal fixing piece is connected with a port of an intestinal canal in a sealing mode, the protective sleeve 4 is adhered to the periphery of a notch through a non-woven adhesive tape 5, the whole fistulization opening is covered and protected, and notch healing is guaranteed. The non-woven adhesive tape 5 and the protective sleeve 4 are preferably in an integrated structure, and when in use, only the adhesive paper on the non-woven adhesive tape 5 needs to be connected. The joint of the catheter 2 is an integrated part made of medical materials, wherein the silica gel plate 3 is a hard silica gel plate and is convenient for providing a setting space for other components, the protective sleeve 4 is a round table-shaped polyvinyl chloride film, the shape of the protective sleeve can be changed randomly and is convenient for the operation of fitting with an incision, the lower end of the catheter 2 is soft silica gel and is convenient for being placed into a colostomy without damaging an intestinal canal, the upper end of the catheter 2 above the silica gel plate 3 is hard silica gel and is provided with threads, and the protective sleeve is convenient for being connected with a guide tube 14 or a hard silica gel screw sleeve on an ostomy bag 15.
Be provided with intestinal canal lock sleeve 6 between intestinal canal mounting and the lag 4, the one end of intestinal canal lock sleeve 6 is fixed in on the silica gel plate 3, is provided with shrink area 7 on the other end, and shrink area 7 is used for locking the port of intestinal canal on pipe 2, seals intestinal canal tip again, avoids the content to leak and pollutes the incision, convenient operation and practicality are strong. The intestinal canal locking sleeve 6 is made of a polyvinyl chloride film, the shape of the intestinal canal locking sleeve is convenient to change, closing and locking are carried out, and after the colon bag bionic saccule and the intestinal canal are both expanded, the outer wall of the intestinal canal is contracted and fixed by the contraction band 7 at the lower end of the intestinal canal locking sleeve 6. The intestinal canal fixing piece is a fixing ring 9 or a bulge 10, the bulges 10 are uniformly distributed on the surface of the silica gel plate 3 in a circular ring shape at equal intervals, and the ports of the intestinal canal are matched and sewed with the fixing ring 9 or the bulge 10 so as to realize the sealing connection of the intestinal canal and the catheter 2 and prevent the intestinal content from leaking outwards.
At least one colon-specific bag-like balloon 8 is arranged on the catheter 2 in a penetrating way, each colon-specific bag-like balloon 8 is communicated with an injection tube 12, the injection tubes 12 are fixed on the outer wall of the catheter 2, and the injection tubes 12 are used for injecting physiological saline into the colon-specific bags-like balloons 8, so that the colon-specific bags-like balloons 8 are expanded to form colon-specific bag-like shapes which are matched with the inner wall of the colon, and are stably attached in the colon. The intestinal canal is separated from the clean incision, so that the intestinal canal is prevented from being in direct contact with the outside, and the leakage of intestinal contents and excessive loss of liquid in the intestinal canal are effectively controlled. The outer wall of the catheter 2 is provided with a flushing pipe 13, and the flushing pipe 13 stretches into the port of the intestinal canal and can be injected with physiological saline for cleaning the intestinal canal. The delivery tube 14 or the ostomy bag 15 is connected with the catheter 2 by screw threads, and the delivery tube 14 is a telescopic tube and can be stretched for use when the intestinal contents are excreted. The lower end of the ostomy bag 15 or the middle part of the delivery tube 14 is provided with a discharge valve 16 for facilitating control of the discharge of intestinal contents.
The specific operation of the intestinal tract fistulization device 1 of this embodiment is as follows:
Firstly, the lower end of the catheter 2 is placed into the port of the intestinal canal, the port of the intestinal canal is sutured with the fixed ring 9, and a proper amount of physiological saline is injected into the colon bag bionic saccule 8 through the injection tube 12, so that the colon bag is expanded into a colon bag shape and stably attached in the colon. The end of the intestinal canal is then tightened by the shrink band 7 of the intestinal canal locking sleeve 6, and the protective sleeve 4 is adhered to the skin near the incision through the non-woven cloth to protect the whole fistulization incision and the exposed intestinal canal. Finally, the threaded catheter 2 is connected with the ostomy bag 15 or the delivery tube 14 with the screw sleeve, warm normal saline is injected into the intestinal canal through the flushing tube 13, after the intestinal canal is fixed in the intestinal canal and the intestinal canal imbedding part (the catheter 2 part) is normally used, the ostomy bag 15 or the delivery tube 14 is selectively connected according to the requirement of a patient, and the timely discharge of the content can be realized by controlling the discharge valve. The port of the intestinal canal is sutured with the fixing ring 9, and the intestinal canal suture is suitable for a long-term fistulization opening, so that intestinal contents can enter the catheter 2 from the intestinal canal, and the intestinal contents can not leak out and pollute a clean incision.
Example two
As shown in fig. 5, the difference between the structure of this embodiment and that of the first embodiment is that the intestinal canal fixing member is a locking ring 11 or a clip, the middle portion of the locking ring 11 or the clip is fixedly connected with the silica gel plate 3, and the locking ring 11 or the clip can lock the port of the intestinal canal on the catheter 2. In this embodiment, the port of the intestinal canal is locked on the catheter 2 through the locking ring 11 or the clamping ring, so that the intestinal canal fixing piece is convenient to detach, is suitable for a short-term fistulization opening, can be stably kept in the required time of the illness state, and is simpler to operate. The other operation steps are the same as in the first embodiment.
The principles and embodiments of the present invention have been described in detail in this application, the above examples are provided to facilitate understanding of the method of the present invention and its core ideas, and modifications may be made by those skilled in the art in light of the present teachings, both in the detailed description and the application scope. In view of the foregoing, this description should not be construed as limiting the invention.

Claims (7)

1.一种肠管造瘘装置，其特征在于：包括导管接头、导出管或者造口袋，所述导管接头的一端用于穿过体表造瘘的切口并分别所述切口和肠管的端口密封连接、另一端与所述导出管或者所述造口袋连通，所述导管接头包括导管和封口组件，所述导管穿设于所述封口组件内，所述封口组件分别与所述切口和所述肠管的端口密封连接；所述封口组件包括硅胶板、肠管固定件和防护套，所述硅胶板套设于所述导管上，所述硅胶板一侧的表面上设置有所述肠管固定件和所述防护套，所述防护套位于所述肠管固定件的外侧，所述肠管固定件密封连接所述肠管的端口，所述防护套通过无纺胶布粘贴于所述切口的四周，所述肠管固定件和所述防护套之间设置有肠管锁紧套，所述肠管锁紧套的一端固定于所述硅胶板上、另一端上设置有收缩带，所述收缩带用于将肠管的端口锁紧于导管上，所述导管上穿设有至少一个结肠袋仿生球囊。1. An enterostomy device, characterized in that it comprises a catheter joint, an outlet tube or an ostomy bag, one end of the catheter joint is used to pass through the incision of the body surface ostomy and seal the incision and the port of the intestinal tube respectively, and the other end is communicated with the outlet tube or the ostomy bag, the catheter joint comprises a catheter and a sealing component, the catheter is inserted into the sealing component, and the sealing component is sealed and connected to the incision and the port of the intestinal tube respectively; the sealing component comprises a silicone plate, an intestinal tube fixing piece and a protective sleeve, and the silicone plate is sleeved on the catheter The intestinal tube fixing piece and the protective sleeve are arranged on the surface of one side of the silicone plate, the protective sleeve is located on the outside of the intestinal tube fixing piece, the intestinal tube fixing piece is sealingly connected to the port of the intestinal tube, the protective sleeve is adhered to the four sides of the incision by non-woven tape, an intestinal tube locking sleeve is arranged between the intestinal tube fixing piece and the protective sleeve, one end of the intestinal tube locking sleeve is fixed to the silicone plate, and the other end is arranged with a shrinkage band, the shrinkage band is used to lock the port of the intestinal tube on the catheter, and at least one colon bag bionic balloon is pierced on the catheter. 2.根据权利要求1所述的肠管造瘘装置，其特征在于：所述肠管固定件为固定环或者凸起，所述凸起等间距呈圆环形均布于所述硅胶板上，所述肠管的端口与所述固定环或者所述凸起匹配缝合。2. The intestinal tube fistula device according to claim 1 is characterized in that: the intestinal tube fixing part is a fixing ring or a protrusion, the protrusions are evenly distributed on the silicone plate in a circular shape with equal intervals, and the port of the intestinal tube is matched and sutured with the fixing ring or the protrusion. 3.根据权利要求1所述的肠管造瘘装置，其特征在于：所述肠管固定件为锁扣环或者卡箍，所述锁扣环或者所述卡箍的中部与所述硅胶板固定连接，所述锁扣环或者所述卡箍能够将所述肠管的端口锁紧于所述导管上。3. The enterostomy device according to claim 1 is characterized in that: the intestinal tube fixing piece is a locking ring or a clamp, the middle part of the locking ring or the clamp is fixedly connected to the silicone plate, and the locking ring or the clamp can lock the port of the intestinal tube on the catheter. 4.根据权利要求1所述的肠管造瘘装置，其特征在于：每个所述结肠袋仿生球囊均与一注射管连通，所述注射管固定于所述导管外壁上，所述注射管用于给所述结肠袋仿生球囊注射生理盐水，使所述结肠袋仿生球囊与所述结肠内壁相匹配。4. The enterostomy device according to claim 1 is characterized in that each of the colon bag bionic balloons is connected to an injection tube, the injection tube is fixed on the outer wall of the catheter, and the injection tube is used to inject physiological saline into the colon bag bionic balloon to make the colon bag bionic balloon match the inner wall of the colon. 5.根据权利要求1所述的肠管造瘘装置，其特征在于：所述导管外壁上设置有冲洗管，所述冲洗管伸入所述肠管的端口且能够注射用于清洗所述肠管的生理盐水。5. The enterostomy device according to claim 1, characterized in that a flushing tube is provided on the outer wall of the catheter, the flushing tube extends into the port of the intestinal tube and can inject physiological saline for cleaning the intestinal tube. 6.根据权利要求1所述的肠管造瘘装置，其特征在于：所述导出管或者所述造口袋与所述导管通过螺纹连接，所述导出管为可伸缩管，所述造口袋的下端或者所述导出管的中部均设置有排放阀门。6. The enterostomy device according to claim 1 is characterized in that: the outlet tube or the ostomy bag is connected to the catheter by a thread, the outlet tube is a telescopic tube, and a discharge valve is provided at the lower end of the ostomy bag or the middle of the outlet tube. 7.根据权利要求1所述的肠管造瘘装置，其特征在于：所述导管接头为医用材质的一体成型件。7. The enterostomy device according to claim 1, characterized in that the catheter connector is an integrally formed part made of medical material.
CN202110824926.2A 2021-07-21 2021-07-21 Enterostomy device Active CN113397795B (en)

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Publication number Priority date Publication date Assignee Title
CN103961199A (en) * 2013-01-24 2014-08-06 樊强华 Embolizing type rectum stoma controllable device
CN213076875U (en) * 2020-04-30 2021-04-30 深圳大学 Intestinal canal stoma nursing device
CN215385040U (en) * 2021-07-21 2022-01-04 赣南医学院 An enterostomy device

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