CN113425924A - Intestinal canal decompression device for intestinal obstruction patient during operation - Google Patents

Intestinal canal decompression device for intestinal obstruction patient during operation Download PDF

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Publication number
CN113425924A
CN113425924A CN202110742348.8A CN202110742348A CN113425924A CN 113425924 A CN113425924 A CN 113425924A CN 202110742348 A CN202110742348 A CN 202110742348A CN 113425924 A CN113425924 A CN 113425924A
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Prior art keywords
intestinal
end side
section
patients
pressure relief
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Pending
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CN202110742348.8A
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Chinese (zh)
Inventor
欧阳柳
郑浩
黄智平
黄晟宇
陶元平
李慧芬
赵博伦
胡先贵
金钢
季秋芳
单晴
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Dalian University
First Affiliated Hospital of Naval Military Medical University of PLA
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Dalian University
First Affiliated Hospital of Naval Military Medical University of PLA
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Priority to CN202110742348.8A priority Critical patent/CN113425924A/en
Publication of CN113425924A publication Critical patent/CN113425924A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • 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
    • A61M2210/1042Alimentary tract
    • A61M2210/106Small intestine
    • 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
    • A61M2210/1042Alimentary tract
    • A61M2210/1064Large intestine

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

The invention discloses an intraoperative intestinal canal decompression device for patients with intestinal obstruction, which comprises a far-end side, a containing section and a near-end side, wherein the far-end side is provided with a far-end buckle assembly for releasing the contents in a containing bag; the containing section is provided with containing scales for observation; the near end side is provided with a near end zipper and a near end opening arranged at the side part of the near end zipper; the two ends of the containing section are respectively connected with the far-end side and the near-end side. The intestinal canal does not need to be dissected freely after the abdomen is opened, and the near-end opening of the device is directly sewed on the intestinal wall close to the obstruction point, so that the in-situ decompression of the intestinal canal can be realized; the far-end side, the containing section and the near-end side are matched for operation, so that the decompression time is shortened, and the intestinal toxin absorption time is further shortened; the possibility of serious abdominal cavity pollution caused by the large amount of intestinal contents flowing into the abdominal cavity is reduced; the pressure can be fully reduced no matter the quantity and the properties of the intestinal contents, so that the intestinal canal can be conveniently cut and anastomosed, and the risk of postoperative anastomotic fistula is reduced; the sealing device can reduce odor overflow, can keep the operating room fresh and air, and is simple to operate.

Description

Intestinal canal decompression device for intestinal obstruction patient during operation
Technical Field
The invention relates to the field of medicine, in particular to an intraoperative intestinal canal decompression device for patients with intestinal obstruction.
Background
Currently, ileus refers to the obstruction of intestinal contents passing caused by any reason, is one of the common acute abdomen symptoms of abdominal surgery, is difficult to diagnose, has fast disease development, and is often life threatening if not treated reasonably in time. Among them, intestinal contents caused by various mechanical factors in the intestine, intestinal wall and the outside of the intestine are often obstructed. The traditional method is used for conservative treatment of gastrointestinal decompression, fasting, fluid infusion, venous nutrition and the like, but has no obvious effect, has certain difficulty in operation and many complications, can possibly cause intestinal obstruction after operation, particularly obstruction caused by late-stage tumor, has no operation chance and poor conservative treatment, and is difficult to select proper treatment aiming at the patients. In the intestinal obstruction operation, after the abdomen is opened, the obstructed intestinal tract is seen to be in an expanded high-tension state because intestinal contents cannot be normally discharged. Decompression of the intestine is required in certain cases: a small opening is longitudinally cut in the intestinal tract, and the intestinal tract contents flowing out of the opening are sucked by a suction apparatus and mainly comprise food residues and excrement and liquid dung. After the intestinal contents are sucked to be clean by the suction apparatus, the next operation is carried out.
However, the intestinal canal upstream of the intestinal obstruction is significantly dilated, and it is difficult to perform intestinal dissociation and resection operations without sufficient decompression of the intestinal tract, and at this time, the forced operation may increase the absorption of intestinal toxins, and may cause rupture of the dilated intestinal canal, and a large amount of intestinal contents may flow into the abdominal cavity, resulting in serious contamination of the abdominal cavity.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide an intraoperative intestinal decompression device for patients with intestinal obstruction, which can solve the problem that the intestinal tract cannot be decompressed safely and effectively.
One of the purposes of the invention is realized by adopting the following technical scheme:
an intraoperative intestinal canal decompression device for patients with intestinal obstruction comprises a distal side, a containing section and a proximal side, wherein the distal side is provided with a distal buckle assembly for releasing the contents in a containing bag; the containing section is provided with containing scales for observation; the near end side is provided with a near end zipper and a near end opening arranged at the side part of the near end zipper; the two ends of the accommodating section are respectively connected with the far-end side and the near-end side.
Further, the cross-sectional area of the distal side is larger than that of the receiving section, and the distal side is in a tightened shape in a direction approaching the receiving section.
Further, a near-end connecting section is arranged on the near-end side and is in a circular tube shape.
Further, the proximal connecting section is 5 cm.
Further, the distal side has a capacity of 2000ml to 5000 ml.
Further, the storage section comprises a storage section and a connection end, the storage section is connected with the connection end, and the connection end is connected with the near-end side.
Further, the capacity of the storage segment is larger than that of the connection end.
Further, the connection end is in a shape of a circular tube, and the diameter of the connection end is the same as that of the proximal side.
Further, a buffer distance is arranged between the right side of the near-end zipper and the near-end opening.
Further, the proximal side is provided with a proximal section, the receiving section having a length greater than the proximal section.
Compared with the prior art, the invention has the beneficial effects that:
the far-end side is provided with a far-end buckle component used for releasing the contents in the containing bag; the containing section is provided with containing scales for observation; the near end side is provided with a near end zipper and a near end opening arranged at the side part of the near end zipper; the two ends of the accommodating section are respectively connected with the far-end side and the near-end side. The intestinal canal does not need to be dissected freely after the abdomen is opened, and the near-end opening of the device is directly sewed on the intestinal wall close to the obstruction point, so that the in-situ decompression of the intestinal canal can be realized; the far-end side, the containing section and the near-end side are matched for operation, so that the decompression time is shortened, and the intestinal toxin absorption time is further shortened; the possibility of serious abdominal cavity pollution caused by the large amount of intestinal contents flowing into the abdominal cavity is reduced; the pressure can be fully reduced no matter the quantity and the properties of the intestinal contents, so that the intestinal canal can be conveniently cut and anastomosed, and the risk of postoperative anastomotic fistula is reduced; the sealing device can reduce odor overflow, can keep the operating room fresh and air, and is simple to operate.
The foregoing description is only an overview of the technical solutions of the present invention, and in order to make the technical means of the present invention more clearly understood, the present invention may be implemented in accordance with the content of the description, and in order to make the above and other objects, features, and advantages of the present invention more clearly understood, the following preferred embodiments are described in detail with reference to the accompanying drawings.
Drawings
Fig. 1 is a schematic structural diagram of a preferred embodiment of the intraoperative intestinal canal pressure reduction device for patients with intestinal obstruction of the invention.
In the figure: 100. a distal side; 110. a distal snap assembly; 200. a storage section; 210. accommodating scales; 300. a proximal side; 310. a proximal end zipper; 320. a proximal port.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and the detailed description, and it should be noted that any combination of the embodiments or technical features described below can be used to form a new embodiment without conflict.
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 a component is referred to as being "connected" to another component, it can be directly connected to the other component or intervening components may also be present. When a component is referred to as being "disposed on" another component, it can be directly on the other component or intervening components may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
Referring to fig. 1, an intestinal decompression device for ileus patients during operation comprises a distal side 100, a receiving section 200, and a proximal side 300, wherein the distal side 100 is provided with a distal buckle assembly 110 for releasing the contents of the receiving bag; the accommodating section 200 is provided with accommodating scales 210 for observation; the proximal side 300 is provided with a proximal zipper 310, and a proximal port 320 is arranged at the side of the proximal zipper 310; the two ends of the receiving section 200 are respectively connected to the distal side 100 and the proximal side 300. After the abdomen is opened, the intestinal canal does not need to be dissected freely, and the proximal port 320 of the device is directly sewn on the intestinal wall close to the obstruction point, so that the in-situ decompression of the intestinal tract can be realized; the distal side 100, the containing section 200 and the proximal side 300 are matched to reduce the decompression time, so that the intestinal toxin absorption time is reduced; the possibility of serious abdominal cavity pollution caused by the large amount of intestinal contents flowing into the abdominal cavity is reduced; the pressure can be fully reduced no matter the quantity and the properties of the intestinal contents, so that the intestinal canal can be conveniently cut and anastomosed, and the risk of postoperative anastomotic fistula is reduced; the sealing device can reduce odor overflow, can keep the operating room fresh and air, and is simple to operate.
The purpose of the distal snap assembly 110 is to: when the pouch-like structure of the distal side 100 is not sufficiently filled or medical waste is disposed of after surgery, the clasp may be opened and the intestinal contents collected by the device may be poured out through the opening.
During the operation, the obvious intestinal tract expansion caused by obstruction is seen in the abdomen, and the intestinal tract is determined to be opened and decompressed. In order to avoid contamination of the entire surgical field with liquid dung due to the incision and decompression, the device according to the invention was decided. The proximal end port 320 of the proximal end side 300 is annularly sewn to the intestinal wall, the proximal end zipper 310 is opened, a scalpel is inserted into the proximal end zipper 310, and the central portion of the proximal end port 320 is cut open, so that the intestinal contents can be seen to flow out through the cut of the proximal end port 320, at this time, the proximal end zipper 310 is rapidly closed, the intestinal contents flow into the storage section 200, and the storage scale 210 is used to determine the storage amount.
As the operation progresses, the receiving bag is filled, the distal buckle assembly 110 on the distal side 100 is opened to release the contents of the receiving bag, and after the operation is completed, the device and the suture part of the intestinal tract are released, and the laceration of the intestinal tract is repaired.
Preferably, the cross-sectional area of the distal side 100 is larger than that of the receiving segment 200, and the distal side 100 is in a tightening shape in a direction approaching the receiving segment 200. The purpose of setting up the form of tightening up is in order to make things convenient for the flow, improves the memory space.
Preferably, the proximal side 300 is provided with a proximal connection section, which is in the shape of a circular tube. Specifically, the proximal connecting section is 5 cm. The distal side 100 has a capacity of 2000ml to 5000 ml.
Preferably, the receiving section 200 includes a storage section and a connection end, the storage section is connected to the connection end, and the connection end is connected to the near-end side 300. The capacity of the storage section is larger than that of the connection end. The engagement end is in the shape of a circular tube, and the diameter of the engagement end is the same as the diameter of the proximal side 300. A buffer distance is provided between the right side of the proximal zipper 310 and the proximal port 320. The proximal side 300 is provided with a proximal section, the receiving section 200 having a greater length than the proximal section. Whole device compact structure, novel structure, design benefit, the suitability is strong, the facilitate promotion.
The above embodiments are only preferred embodiments of the present invention, and the protection scope of the present invention is not limited thereby, and any insubstantial changes and substitutions made by those skilled in the art based on the present invention are within the protection scope of the present invention.

Claims (10)

1. The utility model provides an intestinal canal pressure relief device in ileus patient's art, includes distal end side, accomodates section, near-end side, its characterized in that:
the far-end side is provided with a far-end buckle component used for releasing the contents in the containing bag;
the containing section is provided with containing scales for observation;
the near end side is provided with a near end zipper and a near end opening arranged at the side part of the near end zipper;
the two ends of the accommodating section are respectively connected with the far-end side and the near-end side.
2. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: the cross-sectional area of the distal side is greater than the receiving section, and the distal side is in a tightened shape along a direction close to the receiving section.
3. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: the near-end side is provided with a near-end connecting section, and the near-end connecting section is in a circular tube shape.
4. An intraoperative intestinal pressure relief device for patients with ileus according to claim 3, wherein: the proximal connecting section is 5 cm.
5. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: the distal side has a capacity of 2000ml to 5000 ml.
6. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: the storage section comprises a storage section and a connection end, the storage section is connected with the connection end, and the connection end is connected with the near-end side.
7. An intraoperative intestinal pressure relief device for patients with ileus according to claim 6, wherein: the capacity of the storage section is larger than that of the connection end.
8. An intraoperative intestinal pressure relief device for patients with ileus according to claim 6, wherein: the connection end is in a circular tube shape, and the diameter of the connection end is the same as that of the near-end side.
9. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: a buffer distance is arranged between the right side of the near-end zipper and the near-end opening.
10. An intraoperative intestinal pressure relief device for patients with ileus according to claim 1, wherein: the proximal side is provided with a proximal section, the receiving section having a length greater than the proximal section.
CN202110742348.8A 2021-06-30 2021-06-30 Intestinal canal decompression device for intestinal obstruction patient during operation Pending CN113425924A (en)

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201029972Y (en) * 2007-01-23 2008-03-05 四川省医学科学院(四川省人民医院) Disposable bag used after the two-chamber enterostomy
CN201519221U (en) * 2009-08-24 2010-07-07 李秀月 Bag with mouth
CN201930120U (en) * 2010-12-03 2011-08-17 王万健 Stoma bag and inner bag thereof
CN204484882U (en) * 2015-03-27 2015-07-22 王洛 Gastrointestinal tract contaminants-collecting apparatus
KR20170011318A (en) * 2015-07-22 2017-02-02 고려대학교 산학협력단 Apparatus for attaching on stoma and Method the same
CN207755597U (en) * 2017-06-22 2018-08-24 鞍钢集团公司总医院 A kind of intestinal tube lavation decompressor in left half obstructive colonic carcinoma art
CN209347372U (en) * 2018-12-10 2019-09-06 郑州大学第五附属医院 Intestine fistulization antiseepage liquid device
CN209392457U (en) * 2018-08-17 2019-09-17 南通市肺科医院(南通市第六人民医院) A kind of depressing intestinal canal device blocking operation for intestines

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201029972Y (en) * 2007-01-23 2008-03-05 四川省医学科学院(四川省人民医院) Disposable bag used after the two-chamber enterostomy
CN201519221U (en) * 2009-08-24 2010-07-07 李秀月 Bag with mouth
CN201930120U (en) * 2010-12-03 2011-08-17 王万健 Stoma bag and inner bag thereof
CN204484882U (en) * 2015-03-27 2015-07-22 王洛 Gastrointestinal tract contaminants-collecting apparatus
KR20170011318A (en) * 2015-07-22 2017-02-02 고려대학교 산학협력단 Apparatus for attaching on stoma and Method the same
CN207755597U (en) * 2017-06-22 2018-08-24 鞍钢集团公司总医院 A kind of intestinal tube lavation decompressor in left half obstructive colonic carcinoma art
CN209392457U (en) * 2018-08-17 2019-09-17 南通市肺科医院(南通市第六人民医院) A kind of depressing intestinal canal device blocking operation for intestines
CN209347372U (en) * 2018-12-10 2019-09-06 郑州大学第五附属医院 Intestine fistulization antiseepage liquid device

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