CN114949391B - Device for removing retention substances in alimentary canal - Google Patents
Device for removing retention substances in alimentary canal Download PDFInfo
- Publication number
- CN114949391B CN114949391B CN202210570922.0A CN202210570922A CN114949391B CN 114949391 B CN114949391 B CN 114949391B CN 202210570922 A CN202210570922 A CN 202210570922A CN 114949391 B CN114949391 B CN 114949391B
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- China
- Prior art keywords
- negative pressure
- pressure suction
- sleeve
- inner tube
- retention
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- 230000014759 maintenance of location Effects 0.000 title claims abstract description 33
- 239000000126 substance Substances 0.000 title abstract description 11
- 229910000831 Steel Inorganic materials 0.000 claims description 3
- 239000010959 steel Substances 0.000 claims description 3
- 210000001035 gastrointestinal tract Anatomy 0.000 abstract description 19
- 238000002360 preparation method Methods 0.000 abstract description 7
- 238000003745 diagnosis Methods 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 6
- 208000007536 Thrombosis Diseases 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 4
- 238000005452 bending Methods 0.000 description 4
- 239000012634 fragment Substances 0.000 description 4
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000001839 endoscopy Methods 0.000 description 3
- 230000003902 lesion Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000003200 Adenoma Diseases 0.000 description 2
- 206010018833 Haematocoele Diseases 0.000 description 2
- 208000005873 Hematocele Diseases 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 210000003608 fece Anatomy 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 230000005176 gastrointestinal motility Effects 0.000 description 2
- 201000004920 hematocele of tunica vaginalis testis Diseases 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 208000012671 Gastrointestinal haemorrhages Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000002550 fecal effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 231100000957 no side effect Toxicity 0.000 description 1
- 230000005180 public health Effects 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
Abstract
The invention belongs to the technical field of medical appliances, and particularly relates to a device for removing retention substances in a digestive tract. The device comprises negative pressure suction equipment, wherein a suction opening of the negative pressure suction equipment is connected with a vacuum inner pipe, and a movable sleeve is sleeved outside the negative pressure suction inner pipe. The device can realize the rapid, efficient and safe function of clearing the digestive tract retention substances, can be used for diagnosis and treatment operation under an emergency endoscope, can also be used for patients with poor digestive tract preparation, and has good application prospect.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a device for removing retention substances in a digestive tract.
Background
Acute gastrointestinal hemorrhage is one of the common acute severe symptoms of internal medicine, and the death rate is as high as 3-14%. In recent years, the treatment measures of acute digestive tract hemorrhage have advanced to a certain extent, and emergency endoscopy is gradually becoming the first intervention measure of acute digestive tract hemorrhage.
However, many problems remain to be appreciated in the emergency endoscope diagnosis and treatment process, especially hematocele, blood clot, food retention or faeces and faeces in the digestive tract, seriously interfere with the field of view of the endoscope, obstruct the identification of lesions or the searching of bleeding points, and seriously interfere with the implementation of further diagnosis and treatment measures, so that the patients with curable diseases can be missed or lose rescue opportunities, and the death risk is increased.
At present, the measures for improving the field of view of emergency endoscopes mainly comprise the measures of gastrointestinal motility medicaments, gastric lavage, intestinal lavage and the like before endoscopy, but factors such as time urgency, unsatisfactory curative effect, adverse reaction, contraindications and the like limit the wide application of the emergency endoscopes in clinical work. Thus, there is a need in the art for a method for rapidly, efficiently and safely removing retention in the digestive tract.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a device for removing retention substances in the digestive tract, which aims to quickly, efficiently and safely remove the retention substances in the digestive tract.
The utility model provides an internal retention thing clearing device of alimentary canal, includes negative pressure suction equipment, negative pressure suction equipment's extraction opening is connected with the negative pressure and attracts the inner tube, the negative pressure attracts the inner tube overcoat to be equipped with mobilizable sleeve pipe.
Preferably, one end of the sleeve away from the negative pressure suction device is provided with a plurality of side wall openings.
Preferably, the device further comprises a tensioning wire;
the sleeve is provided with a knob structure at one end close to the negative pressure suction equipment, a plurality of small holes are formed in the sleeve, the small holes are arranged along the length direction of the sleeve, and a fixing device is arranged at one end, far away from the negative pressure suction equipment, of the sleeve;
one end of the tensioning wire is coiled on the knob structure, and the other end of the tensioning wire is fixedly arranged on the fixing device; the middle part of the tensioning wire sequentially passes through the small holes.
Preferably, the tightening wire is a steel wire or a silk wire with both toughness and tensile strength.
Preferably, a mark for identifying the setting direction of the small hole is arranged on the sleeve.
Preferably, the small hole is arranged at one end of the sleeve away from the negative pressure suction device.
Preferably, the negative pressure suction inner tube is provided with a negative pressure switch valve or a side hole.
Preferably, the inner diameter of the negative pressure suction inner tube is 7-13 mm, and the outer diameter is 8-15 mm; the inner diameter of the sleeve is 11-15mm, and the outer diameter of the sleeve is 12-17 mm.
Preferably, the end of the negative pressure suction inner tube and the end of the sleeve, which are far away from the negative pressure suction equipment, are smooth blunt ends.
Preferably, the outer wall of the negative pressure suction inner tube is provided with a scale for marking the position of the sleeve.
The device can effectively remove retention matters in the alimentary canal, and the working process comprises the steps of sleeving a sleeve outside an endoscope, inserting the sleeve into a severe region of the retention matters in the alimentary canal of a patient along with the endoscope, withdrawing the endoscope, extending the negative pressure suction inner tube into the alimentary canal of the patient along the inner cavity of the sleeve instead, observing that the negative pressure suction inner tube is in place (observing that the scale of the negative pressure suction inner tube reaches the scale of 0), operating the negative pressure suction inner tube to make the negative pressure suction inner tube and the sleeve move relatively, shearing the retention matters (blood clots, food retention or excrement and excrement blocks) in the alimentary canal by utilizing the relative movement of the negative pressure suction inner tube and the sleeve, and then sucking the sheared retention matter fragments through the vacuum inner tube. Compared with the common measures such as gastrointestinal motility medicines and gastric lavage in the prior art, the device provided by the invention is more convenient to use, has smaller stimulation to patients and no side effect, so that the device provided by the invention has the advantages of more rapid, efficient and safe effect of removing the digestive tract retention substances.
The invention can be used for assisting in clearing away hematocele and blood clot in the digestive tract, and is beneficial to successful hemostasis under emergency endoscope; the method can also be used for patients with poor digestive tract preparation, and can be used for carrying out secondary intestinal tract preparation to a certain extent, so that the influence on the detection rate of lesions such as polyps, adenomas and the like caused by unqualified intestinal tract preparation of the patients is avoided, and the medical burden of the patients and the conservation of public health resources are realized.
It should be apparent that, in light of the foregoing, various modifications, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.
The above-described aspects of the present invention will be described in further detail below with reference to specific embodiments in the form of examples. It should not be understood that the scope of the above subject matter of the present invention is limited to the following examples only. All techniques implemented based on the above description of the invention are within the scope of the invention.
Drawings
FIG. 1 is a schematic structural diagram of embodiment 1 of the present invention;
FIG. 2 is a schematic view showing the partial structure of the end portions of the negative pressure suction inner tube and the sleeve in example 1 of the present invention;
FIG. 3 is a schematic view showing the structure of a sleeve according to embodiment 1 of the present invention;
fig. 4 is a schematic view showing the arrangement of scales on the negative pressure suction inner tube in example 1 of the present invention.
Wherein, 1-negative pressure suction equipment, 2-negative pressure suction inner tube, 3-negative pressure switch valve or side opening, 4-knob structure, 5-sleeve pipe, 501-side wall trompil, 502-fixing device, 503-aperture, 504-tensioning wire.
Detailed Description
Example 1
The embodiment provides an intra-alimentary canal retention object removing device, which comprises negative pressure suction equipment 1 as shown in figures 1-4, wherein a suction opening of the negative pressure suction equipment 1 is connected with a negative pressure suction inner tube 2, and a negative pressure switch valve or a side hole 3 is arranged on the negative pressure suction inner tube 2. For switching on or off the negative pressure of the negative pressure suction inner tube 2. The negative pressure suction inner tube 2 is sleeved with a movable sleeve 5. The inner diameter of the negative pressure suction inner tube 2 is 7-13 mm, and the preferred embodiments are 9mm, 9.9mm and 12.8mm (examination gastroscope: 9mm; treatment gastroscope: 9.9mm; enteroscope: 12.8 mm); the inner diameter of the sleeve 5 is 11-15mm, and in this embodiment is preferably 11mm, 12mm or 15mm.
When the retention matter in the alimentary canal is removed, the outer wall of the negative pressure suction inner tube 2 is provided with a scale for marking the position of the sleeve 5. The length from the end of the negative pressure suction apparatus 1 to the 0 scale is equal to the length of the sleeve 5. If the length exceeds the scale, the positive scale (cm) is adopted, and if the length is insufficient, the negative scale (cm) is adopted. The scale is used for clinical application and guides the insertion depth distance of the negative pressure suction inner tube 2 during operation.
The sleeve 5 is sleeved outside the endoscope, and is inserted into a region with serious retention of retention substances in the alimentary canal of a patient along with the endoscope, the endoscope is withdrawn, the negative pressure suction inner tube 2 is used for extending into the alimentary canal of the patient along the inner cavity of the sleeve, after the scale of the negative pressure suction inner tube reaches the scale of 0, the negative pressure suction inner tube 2 is operated to make the sleeve 5 move relatively, retention substances (blood clots, food retention or fecal waste blocks and the like) in the alimentary canal are sheared by the relative movement of the negative pressure suction inner tube 2 and the sleeve 5, and then the sheared fragments are sucked away by the negative pressure suction inner tube 2.
The end of the sleeve 5 remote from the negative pressure suction device 1 is provided with a number of side wall openings 501. In the process of the relative movement of the negative pressure suction inner tube 2 and the sleeve 5, the retention in the alimentary canal can be sheared and crushed more easily under the action of the side wall opening 501, and the chopped solid retention fragments can also freely pass through the side wall opening 501, so that the retention fragments are sucked away by the negative pressure suction inner tube 2 more easily.
The end parts of the negative pressure suction inner tube 2 and the sleeve 5, which are far away from one end of the negative pressure suction device 1, are smooth blunt ends, and the inner tube wall and the outer tube wall are both smooth treated to reduce the surface friction coefficient to the maximum extent, so that the negative pressure suction inner tube is easy to lubricate. Can effectively prevent the end parts of the negative pressure suction inner tube 2 and the sleeve 5 from damaging the mucous membrane of the inner wall of the alimentary canal of the patient.
As a preferable mode, in order to further realize the adjustment of the angles of the end portions of the negative pressure suction inner tube 2 and the sleeve 5, the device of the present embodiment is further provided with the following structure:
the sleeve 5 is provided with a knob structure 4 near one end of the negative pressure suction device 1, a plurality of small holes 503 are arranged on the sleeve 5, and the small holes 503 are arranged at one end of the sleeve 5 far away from the negative pressure suction device 1. The small holes 503 are arranged along the length direction of the sleeve 5, and a fixing device 502 is arranged at one end of the sleeve 5 away from the negative pressure suction device 1. The device further comprises a tensioning wire 504, one end of the tensioning wire 504 is coiled on the knob structure 4, and the other end of the tensioning wire is fixedly arranged on the fixing device 502; the central portion of the tensioning wire 504 passes through all the small holes 503 in sequence, and the number of small holes 503 should be large and dense enough to achieve a maximum 90 ° bend of the end of the sleeve 5. The tension wire 504 may be a steel wire.
When it is desired to adjust the angle of the end of the sleeve 5, the tightening wire 504 is retracted or released by rotating the knob structure 4, and the sleeve 5 is bent or stretched at the position where the small hole 503 is provided by the tightening wire 504. The sleeve 5 is provided with a mark for identifying the setting direction of the small hole (503). The direction of the mark (the axial extension along the arrangement direction of the small holes 503) marks the bending direction of the front end of the indication sleeve 5, so that the physician can conveniently rotate the outer body to control the bending direction of the head end.
Therefore, the bending angle of one end of the sleeve 5 (and the negative pressure suction inner tube 2 inside the sleeve 5) far away from the negative pressure suction equipment 1 is adjusted (0-90 degrees), and the negative pressure suction inner tube 2 and the end of the sleeve 5 can extend into more dead angle areas in the alimentary canal through the adjustment of the bending angle of the sleeve 5, so that the retention object removing effect is better.
According to the embodiment, the device can realize a rapid, efficient and safe function of clearing the digestive tract retention substances, can be used for emergency endoscopy, greatly improves the success rate of hemostasis under the endoscope, can also be used for patients with poor digestive tract preparation, can perform secondary intestinal tract preparation to a certain extent, avoids the influence on the detection rate of lesions such as polyps and adenomas due to unqualified intestinal tract preparation of the patients, and realizes the medical burden of the patients and the saving of public sanitary resources. Therefore, the invention has good application prospect.
Claims (6)
1. An intra-alimentary canal retention matter removal device, characterized in that: the negative pressure suction device comprises negative pressure suction equipment (1), wherein a suction opening of the negative pressure suction equipment (1) is connected with a negative pressure suction inner pipe (2), and a movable sleeve (5) is sleeved outside the negative pressure suction inner pipe (2);
one end of the sleeve (5) far away from the negative pressure suction equipment (1) is provided with a plurality of side wall openings (501);
the inner diameter of the negative pressure suction inner tube (2) is 7-13 mm, and the outer diameter is 8-15 mm; the inner diameter of the sleeve (5) is 12-15 mm, the outer diameter of the sleeve is 12-17 mm, and the outer diameter of the sleeve (5) is larger than the inner diameter;
also comprises a tensioning wire (504);
one end of the sleeve (5) close to the negative pressure suction equipment (1) is provided with a knob structure (4), the sleeve (5) is provided with a plurality of small holes (503), the small holes (503) are arranged along the length direction of the sleeve (5), and one end of the sleeve (5) far away from the negative pressure suction equipment (1) is provided with a fixing device (502);
one end of the tensioning wire (504) is coiled on the knob structure (4), and the other end of the tensioning wire is fixedly arranged on the fixing device (502); the middle part of the tensioning wire (504) sequentially passes through the small holes (503);
the sleeve (5) is provided with a mark for marking the setting direction of the small hole (503).
2. The intragut retention removal device according to claim 1, wherein: the tensioning wire (504) is a steel wire or a tensile wire.
3. The intragut retention removal device according to claim 1, wherein: the small hole (503) is arranged at one end of the sleeve (5) far away from the negative pressure suction equipment (1).
4. The intragut retention removal device according to claim 1, wherein: the negative pressure suction inner tube (2) is provided with a negative pressure switch valve or a side hole (3).
5. The intragut retention removal device according to claim 1, wherein: the end parts of the negative pressure suction inner tube (2) and the sleeve (5) far away from one end of the negative pressure suction equipment (1) are smooth blunt ends.
6. The intragut retention removal device according to claim 1, wherein: the outer wall of the negative pressure suction inner tube (2) is provided with scales for marking the position of the sleeve (5).
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202210570922.0A CN114949391B (en) | 2022-05-24 | 2022-05-24 | Device for removing retention substances in alimentary canal |
PCT/CN2023/093352 WO2023226769A1 (en) | 2022-05-24 | 2023-05-11 | Apparatus for removing retention substances in digestive tract |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202210570922.0A CN114949391B (en) | 2022-05-24 | 2022-05-24 | Device for removing retention substances in alimentary canal |
Publications (2)
Publication Number | Publication Date |
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CN114949391A CN114949391A (en) | 2022-08-30 |
CN114949391B true CN114949391B (en) | 2024-01-26 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN202210570922.0A Active CN114949391B (en) | 2022-05-24 | 2022-05-24 | Device for removing retention substances in alimentary canal |
Country Status (2)
Country | Link |
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CN (1) | CN114949391B (en) |
WO (1) | WO2023226769A1 (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114949391B (en) * | 2022-05-24 | 2024-01-26 | 四川大学华西医院 | Device for removing retention substances in alimentary canal |
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Also Published As
Publication number | Publication date |
---|---|
WO2023226769A1 (en) | 2023-11-30 |
CN114949391A (en) | 2022-08-30 |
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