CN117398041A - Combined sleeve for gastroscope assistance and disinfection cleaning mechanism - Google Patents

Combined sleeve for gastroscope assistance and disinfection cleaning mechanism Download PDF

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Publication number
CN117398041A
CN117398041A CN202311582730.2A CN202311582730A CN117398041A CN 117398041 A CN117398041 A CN 117398041A CN 202311582730 A CN202311582730 A CN 202311582730A CN 117398041 A CN117398041 A CN 117398041A
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China
Prior art keywords
pipeline
air bag
box
gastroscope
way valve
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CN202311582730.2A
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Chinese (zh)
Inventor
于宁
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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Priority to CN202311582730.2A priority Critical patent/CN117398041A/en
Publication of CN117398041A publication Critical patent/CN117398041A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves mounted on the endoscope prior to insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/00137End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00142Instruments 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 with means for preventing contamination, e.g. by using a sanitary sheath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/273Instruments 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
    • A61B1/2736Gastroscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • 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
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/18Liquid substances or solutions comprising solids or dissolved gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • 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
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • A61B2090/701Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a combined sleeve for gastroscope assistance and a disinfection cleaning mechanism, which relate to the technical field of medical appliances and comprise a hose main body provided with an interlayer, a hard joint and a first air bag, wherein the hard joint comprises a first supporting section and a second supporting section which are communicated, and a blocking plate is arranged around the circumference of the second supporting section; one end of the first support section, which is far away from the first air bag, is a gastroscope inlet, the first air bag is arranged around the hose main body, and a plurality of through holes and pipelines matched with the through holes are arranged between the first air bag and the hard joint; an air charging pipeline is also arranged in the interlayer. Thus, the first air bag not only plays a role in sealing, but also can supply oxygen and detect carbon dioxide. Therefore, the device can be used for assisting Endoscopic Submucosal Dissection (ESD), endoscopic Retrograde Cholangiopancreatography (ERCP) and other gastroscopic operations to prevent reflux and aspiration; secondly, the patient with gastroesophageal hemorrhage is subjected to hemostasis and treatment, and the tracheal intubation is assisted in emergency.

Description

Combined sleeve for gastroscope assistance and disinfection cleaning mechanism
Technical Field
The invention relates to the technical field of medical instruments, in particular to a combined sleeve for gastroscope assistance and a disinfection cleaning mechanism.
Background
The mucosa state of esophagus, stomach, duodenal bulbar and even descending part can be observed sequentially and clearly through the gastroscope, and the process of pathology and cytology examination of living bodies can be called gastroscopy.
Existing gastroscopies fall into two categories, one of which is that by extending into the stomach through a thin, flexible tube, a physician can directly observe lesions of the esophagus, stomach and duodenum, especially for microscopic lesions. The gastroscopy can directly observe the real condition of the checked part, and can further definitely diagnose the pathological biopsy and cytology check of the suspicious lesion part, thereby being the first checking method of the upper digestive tract lesion. The other type is a capsule endoscope, and the magnetic control capsule gastroscope creates a brand new inspection mode of 'no intubation as gastroscope', and has the characteristics of painless, noninvasive, no anesthesia and disposable cross infection. However, capsule gastroscopy suffers from the disadvantage of being expensive to examine and unable to clamp on the pathology and treatment, so patients will generally prefer a first type of gastroscopy.
However, the first gastroscope has the following disadvantages when in use (especially under the condition of sedation or anesthesia), firstly, the patients may have nausea, choking cough and other problems when in use, especially the patients with achalasia of cardiac, hiatus hernia, pylorus (incomplete) obstruction, delayed gastric emptying and the like, the risks of reflux and aspiration are high, and the reflux aspiration may cause aspiration pneumonia, and the patients die when serious. And secondly, gastroscopy (such as ESD, EVS, EVL and the like) is carried out for a long time, and bleeding and even hemostasis difficulties can occur at the same time. Thirdly, the down gastroscopy of sedation or anesthesia can occur with respiratory depression, respiratory obstruction, etc.
Therefore, how to avoid the problems is a constant problem in the field of gastroscopy.
Disclosure of Invention
The invention aims at: in order to solve the problem that the patient's personal safety is caused by the problems of reflux and aspiration of gastric contents or hemorrhage or respiratory depression during untreated operation when the patient performs gastroscopy in the prior art, the patent provides a combined sleeve for gastroscopy assistance and a disinfection cleaning mechanism.
In order to achieve the above purpose, the present invention provides the following technical solutions:
the combined sleeve comprises a hose body provided with an interlayer, a hard joint and a first air bag, wherein the hard joint comprises a first supporting section and a second supporting section which are communicated, one end, far away from the first supporting section, of the second supporting section is communicated with the hose body, and a blocking plate is arranged around the second supporting section in the circumferential direction; one end of the first support section, which is far away from the first air bag, is a gastroscope inlet, the first air bag is arranged around the hose main body, and a plurality of through holes and pipelines matched with the through holes are arranged between the first air bag and the hard joint; an air charging pipeline is further arranged in the interlayer, one end of the air charging pipeline is communicated with the first air bag, and an esophageal bag air charging port is arranged at the other end of the air charging pipeline.
The through holes comprise oxygen outlets and carbon dioxide inlets, the pipeline comprises an oxygen pipeline and a carbon dioxide pipeline, one end of the oxygen pipeline is connected with the oxygen outlets, an oxygen connector is arranged at the other end of the oxygen pipeline, one end of the carbon dioxide pipeline is connected with the carbon dioxide inlets, and the other end of the carbon dioxide pipeline is connected with the carbon dioxide connector.
The through hole further comprises a sputum suction port, a liquid passing pipeline is further arranged in the interlayer, one end of the liquid passing pipeline is connected with the sputum suction port, and a sputum suction joint is arranged at the other end of the liquid passing pipeline.
The combined sleeve further comprises a rubber hose, the rubber hose is sleeved in the hose body, a second air bag is installed at one end of the rubber hose, a first interface and a second interface are installed at the other end of the rubber hose, a third air bag is installed between the second air bag and the first interface, a first ventilation pipe is arranged between the first interface and the second air bag, and a second ventilation pipe is arranged between the second interface and the third air bag.
Wherein the length of the rubber hose is greater than the length of the hose body.
The utility model provides an auxiliary sleeve pipe cleaning and disinfecting mechanism, includes box and top cap, spray mechanism is installed towards the one end of box to the top cap, the waste water collecting box is installed to the bottom of box, install the washing tank of placing auxiliary combination sleeve pipe between spray mechanism and the waste water collecting box, install the sewer line between washing tank and the waste water collecting box, a plurality of ceramic preforming are installed to the bottom of washing tank, and a plurality of ceramic preforming are around sewer line even arrangement.
The cleaning tank is characterized in that a first multi-way valve is arranged between the spraying mechanism and the cleaning tank, a plurality of storage tanks are arranged on the side wall of the cleaning tank, a liquid passing pipeline is arranged between the storage tanks and the first multi-way valve, and an inner pipeline is arranged between the multi-way valve and the cleaning tank.
The first multi-way valve and the top cover are connected through a first connecting pipe, the second multi-way valve and the top cover are connected through a second connecting pipe, a liquid draining pipe is arranged between the second multi-way valve and the plurality of storage tanks, and the liquid draining pipe is arranged between the second multi-way valve and the spraying mechanism.
The side wall of the box body is provided with a hot air box, exhaust pipelines are arranged between the hot air box and the first multi-way valve and between the hot air box and the second multi-way valve, and an exhaust outlet is formed in one side, far away from the hot air box, of the box body.
The spraying mechanism comprises a fixed shell and a spraying disc, one end of the fixed shell is connected with the top cover, a connecting section is arranged at one end of the spraying disc, which faces the fixed shell, a plurality of nozzles are arranged at one end of the spraying disc, which is far away from the fixed shell, the connecting section is rotationally connected with the liquid discharge pipeline, and the connecting section is rotationally connected with the fixed shell; the driving motor is arranged in the fixed shell, a first gear is arranged at the power output end of the driving motor, a plurality of protruding structures are arranged on the side wall of the connecting section, and the first gear is meshed with the protruding structures.
The beneficial effect of this scheme is:
the first air bag not only plays a sealing role, but also can perform compression hemostasis on bleeding parts in the esophagus. Therefore, the device can be used for assisting Endoscopic Submucosal Dissection (ESD), endoscopic Retrograde Cholangiopancreatography (ERCP) and other gastroscopic operations;
secondly, the hemostasis and treatment are carried out on patients with gastroesophageal hemorrhage, and the tracheal intubation is assisted in emergency situations, so that reflux and aspiration are prevented;
third, can be used for hardening treatment (EVS) or ligation treatment (EVL) of endoscopic fundus-esophageal varices hemorrhage;
fourth, can be used for high reflux, mistake induced draft patient's gastroscopy or treatment;
fifthly, the inner pipeline and the spraying mechanism are utilized to comprehensively flush the inner part and the outer part of the combined pipeline, so that the combined pipeline is ensured to be clean enough;
and the drying hot air generated by the hot air box is utilized to dehumidify the inner part and the outer part of the combined pipeline, so that the problem of secondary drying is avoided, and labor is saved.
Drawings
Fig. 1 is a cross-sectional view of a hose body;
fig. 2 is a structural view of the hose body;
FIG. 3 is a top view of the film structure when not open;
FIG. 4 is a top view of the film structure when open;
FIG. 5 is a block diagram of a rubber hose;
FIG. 6 is a block diagram of a composite sleeve;
FIG. 7 is a perspective view of the cleaning and disinfecting mechanism;
FIG. 8 is a sectional view of the cleaning and disinfecting mechanism in embodiment 2;
FIG. 9 is a sectional view of the cleaning and disinfecting mechanism in embodiment 3;
FIG. 10 is a structural view of a shower mechanism in embodiment 4;
fig. 11 is a partial enlarged view of a in fig. 10.
In the figure: 1-hose body, 10-interlayer, 101-inflation line, 102-oxygen line, 103-carbon dioxide line, 104-liquid-passing line, 105-sputum suction port, 11-second support section, 111-esophageal pouch inflation port, 112-oxygen connector, 113-carbon dioxide connector, 114-sputum suction connector, 12-first balloon, 13-oxygen outlet, 14-carbon dioxide inlet, 15-first support section, 16-thin film structure, 17-hard connector, 18-barrier plate, 2-rubber hose, 21-first balloon, 22-third balloon, 23-first interface, 24-second interface, 25-first vent tube, 26-second vent tube, 4-box, 41-wastewater collection box, 42-cleaning tank, 421-ceramic tablet, 422-heating wire, 43-sewage pipeline, 44-first multi-way valve, 45-storage box, 451-liquid-passing pipeline, 46-inner-passing pipeline, 47-second multi-way valve, 471-liquid-discharging pipeline, 4711-boss, 4712-sealing ring, 48-hot bellows, 481-exhaust pipeline, 482-air outlet, 5-top cover, 51-spraying mechanism, 511-fixed shell, 5111-driving motor, 5112-first gear, 5113-second gear, 512-spraying plate, 5121-connecting section, 5122-protruding structure, 5123-clamping table, 5124-nozzle and 52-ultraviolet sterilizing lamp.
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 those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "configured" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art. Hereinafter, an embodiment of the present invention will be described in accordance with its entire structure.
Example 1:
as shown in fig. 1-6, the combined sleeve for auxiliary gastroscope comprises a hose body 1 provided with an interlayer 10, a hard joint 17 and a first air bag 12, wherein the hard joint 17 comprises a first supporting section 15 and a second supporting section 11 which are communicated, one end of the second supporting section 11 away from the first supporting section 15 is communicated with the hose body 1, and a blocking plate 18 is arranged around the circumference of the second supporting section 11; one end of the first supporting section 15, which is far away from the first air bag 12, is a gastroscope inlet, the gastroscope inlet is covered with a film structure 16, the first air bag 12 is arranged around the hose main body 1, and a plurality of through holes and pipelines matched with the through holes are arranged between the first air bag 12 and the hard joint 17; an inflation pipeline 101 is further arranged in the interlayer 10, one end of the inflation pipeline 101 is communicated with the first airbag 12, and an esophageal bag inflation inlet 111 is arranged at the other end of the inflation pipeline 101. In this embodiment, the first air bag 12 is in a contracted state at first, and after the hose body 1 is inserted into the esophagus, the first air bag 12 is inflated to fill the gap between the esophagus and the hose body 1, and the esophagus is closed. Wherein, in order to facilitate the respiration of the patient, a plurality of through holes are arranged between the hard joint 17 and the first air bag 12, a pipeline matched with the through holes is arranged in the interlayer 10, and one end of the pipeline away from the through holes extends to the second supporting section 11. The through hole can send oxygen to the throat through the pipeline, improves the oxygen suppliment, also can suck back the palirrhea liquid or the sputum of accumulating of patient's throat, prevents the emergence of the scheduling problem of choking, throat spasm or mistake inhale, can monitor the carbon dioxide that breathes and produce simultaneously to judge patient's respiratory state.
Wherein, in order to prevent the hose body 1 and the gastroscope from being damaged due to occlusion of a patient, the hard joint 17 comprises a first support section 15 and a second support section 11. The second support section 11 together with the blocking plate 18 constitutes a bite head, the teeth of the patient being blocked by the blocking plate 18, biting into the end of the second support section 11 remote from the first support section 15. This design both protects the hose body 1 and prevents the hard joint 17 from penetrating too far into the patient's mouth.
In order to facilitate inflation, an inflation pipeline 101 is further disposed in the interlayer 10, one end of the inflation pipeline 101 is communicated with the first air bag 12, and an esophageal bag inflation inlet 111 is installed at the other end of the inflation pipeline 101.
In this scheme, a plurality of through-holes include oxygen export 13 and carbon dioxide entry 14, the pipeline includes oxygen pipeline 102, carbon dioxide pipeline 103, the one end and the oxygen export 13 of oxygen pipeline 102 are connected, oxygen joint 112 is installed to the other end of oxygen pipeline 102, the one end and the carbon dioxide entry 14 of carbon dioxide pipeline 103 are connected, the other end of carbon dioxide pipeline 103 is connected with carbon dioxide joint 113. Preferably, the through hole further comprises a sputum suction port 105, a liquid passing pipeline 104 is further arranged in the interlayer 10, one end of the liquid passing pipeline 104 is connected with the sputum suction port 105, and a sputum suction joint 114 is arranged at the other end of the liquid passing pipeline 104. The oxygen joint 112, the carbon dioxide joint 113 and the sputum suction joint 114 in the scheme are all standard interfaces, and the oxygen joint 112 is used for connecting oxygen supply equipment so as to supply oxygen to a patient; the carbon dioxide connector 113 is used for connecting carbon dioxide detection equipment and is used for detecting carbon dioxide exhaled by a patient and monitoring whether the patient breathes smoothly or not; the sputum aspirator 114 is used for connecting a sputum aspirator, and the sputum aspirator is used for aspirating the reflux liquid or the accumulated sputum of the throat of the patient after the hose body 1 is installed in place, so that the situations of choking, throat cramping, aspiration error and the like are prevented.
Preferably, the carbon dioxide joint 113 and the access point of the sputum suction joint 114 in this embodiment are located between the first support section 15 and the barrier plate 18, i.e. in a partial area of the second support section 11. And the oxygen connector 112 is located on the side wall of the first support section 15.
In order to avoid under-inflation caused by the escape of inflation air or carbon dioxide during gastroscopy, the rigid coupling 17 comprises a channel communicating with the hose body 1, one end of which channel covers a membrane structure 16 with an opening. The film structure 16 is used for blocking the gastroscope entrance when idle, and when in use, the film structure 16 is opened, the gastroscope passes through the space generated when the film structure 16 is opened and enters the hose body 1, and the film structure 16 is filled in the gap between the gastroscope and the hard joint 17, so that the overflow of air and carbon dioxide is reduced. Preferably, the opening of the membrane mechanism 16 is cross-shaped. The design enables the membrane structure 16 to be adapted to gastroscopes of different diameters, and the membrane structure 16 can be uniformly arranged in a gap between the hard joint 17 and the gastroscope when opened, so that tightness is ensured.
The first balloon 12 in this embodiment not only serves as a seal, but also serves to compress bleeding from the bleeding site in the esophagus. This design greatly reduces the risk of reflux in gastroscopy or therapy, especially under sedated or anesthetized conditions. In addition, for the patients diagnosed with bleeding of the fundus and the lower esophageal segment (such as bleeding of fundus-esophageal varices, etc.), or bleeding and even difficult bleeding during treatment of the fundus and the lower esophageal segment, the rubber hose 2 is introduced to play a role in compression hemostasis. The rubber hose 2 is sleeved in the hose body 1, a second air bag 21 is installed at one end of the rubber hose 2, a first interface 23 and a second interface 24 are installed at the other end of the rubber hose 2, a third air bag 22 is installed between the second air bag 21 and the first interface 23, a first ventilation pipe 25 is arranged between the first interface 23 and the second air bag 21, and a second ventilation pipe 26 is arranged between the second interface 24 and the third air bag 22. The diameter of the rubber hose 2 is far smaller than the aperture of the hose body 1, so that only the bottom end of the rubber hose 2, that is, the ends of the second air bag 21 and the third air bag 22, need to be sent into the esophagus and the stomach of a patient along the hose body 1 when in use. Wherein, the second air bag 21 is located in stomach, the third air bag 22 is located in the bottom of esophagus, both of them play the role of compressing the bottom of stomach, lower end of esophagus respectively, in addition the second air bag 21, the third air bag 22 play the role of preventing patient from flowing backward, inhaling by mistake. For special situations such as hemostasis by compression difficulty, can withdraw from the hose main part 1 the back, can carry out the trachea cannula operation of transoral, the rubber hose 2 can effectively prevent backward flow, the emergence of mistake suction in the trachea cannula in-process, does not hinder trachea cannula operation simultaneously.
Preferably, the length of the rubber hose 2 is longer than the length of the hose body 1. When the rubber hose 2 is used in combination with the hose body 1, the second bladder 21 and the third bladder 22 are both located outside the hose body 1, and the purpose is to prevent the hose body 1 from obstructing the inflation of the bladders. Wherein, the first air bag 12, the third air bag 22 and the second air bag 21 are distributed from top to bottom in sequence.
In this embodiment, the esophageal balloon inflation port 111 is connected to a balloon pressure detector for the purpose of detecting the pressure within the first balloon 12. When the air bag is inflated, the air bag pressure detector detects the pressure in the air bag, and when the pressure reaches a specified limit value, the inflation equipment stops inflating; after the air bag is fully inflated, the air bag is in a slowly deflating state, and when the pressure in the air bag is reduced to a specified value, the air inflation equipment inflates the air bag again.
In order to conform to the length of the esophagus of the Chinese patient, the length of the hose body 1 is about 22 cm-25 cm, the length of the hard joint 17 is about 1.5 cm-3 cm, the distance between the blocking plate 18 and the sputum suction opening 105 is about 8 cm-12 cm, the length of the first air bag 12 is about 4 cm-7 cm, the outer contour dimension of the first air bag 12 after expansion is 3.2 cm-3.6 cm, and the length of the second support section 11 is about 2 cm-3 cm. The length of the rubber hose 2 is 53-56 cm, the length of the third air bag 22 is 9-11 cm, the outer diameter of the third air bag 22 after expansion is 3.2-3.6 cm, and the outer diameter of the second air bag 21 after expansion is 4.5-5.5 cm.
In this solution, the rigid joint 17 (comprising the blocking plate 1) is of non-toxic rigid construction, the purpose of which is to prevent the problem of damage to the gastroscope caused by the patient's bite.
In summary, the scheme has the following advantages: first, the first balloon 12 not only plays a sealing role, but also can perform compression hemostasis on bleeding parts in the esophagus. Therefore, the device can be used for assisting Endoscopic Submucosal Dissection (ESD), endoscopic Retrograde Cholangiopancreatography (ERCP) and other gastroscopic operations; secondly, the hemostasis and treatment are carried out on patients with gastroesophageal hemorrhage, and the tracheal intubation is assisted in emergency situations, so that reflux and aspiration are prevented; third, can be used for hardening treatment (EVS) or ligation treatment (EVL) of endoscopic fundus-esophageal varices hemorrhage; fourth, can be used for gastroscopy or treatment of high reflux, mistake and induced draft patient.
Example 2:
the combination sleeve of example 1 can be reused, and requires special personnel to perform flushing, cleaning and disinfection. However, this is labor-intensive and for this purpose, a special cleaning device is required for the combined sleeve.
As shown in fig. 7-11, for this purpose, an auxiliary sleeve cleaning and disinfecting mechanism comprises a tank body 4 and a top cover 5, wherein a spraying mechanism 51 is installed at one end of the top cover 5 facing the tank body 4, a waste water collecting box 41 is installed at the bottom of the tank body 4, a cleaning tank 42 is installed between the spraying mechanism 51 and the waste water collecting box 41, a sewage pipeline 43 is installed between the cleaning tank 42 and the waste water collecting box 41, a plurality of ceramic pressing sheets 421 are installed at the bottom of the cleaning tank 42, and the ceramic pressing sheets 421 are uniformly arranged around the sewage pipeline 43. In use, the top cover 5 of the box body 4 is opened, the combined sleeves are coiled respectively and then placed in the washing tank 42, and the spraying mechanism 51 injects enzyme washing liquid into the washing tank 42 until the enzyme washing liquid is out of the combined sleeves. Then, the ceramic pressing sheet 421 is started, and the ultrasonic waves generated by the ceramic pressing sheet 421 drive the enzyme washing liquid in the washing tank 42 to vibrate, so that micro bubbles are generated in the enzyme washing liquid during vibration, and the micro bubbles impact the stains on the combined sleeve and take the stains away from the combined sleeve. After the completion of the enzyme washing, the enzyme washing liquid in the washing tank 42 is sent to the waste water collection tank 41 through the sewage pipe 43. After the enzyme washing liquid is discharged, the spraying mechanism 51 sprays clear water and alcohol into the washing tank 42 in sequence, and the above process is repeated to complete the washing of the combined sleeve.
Since the gastroscope is stained with the digestive juice, and the gastroscope is scraped with the hose body 1 when the gastroscope is taken out from the hose body 1, the digestive juice stained with the gastroscope is inevitably transferred into the hose body 1. However, the ultrasonic cleaning is only suitable for cleaning the outside of the pipe, and for convenience in cleaning the inside of the pipe, it is preferable that a first multi-way valve 44 is installed between the spray mechanism 51 and the cleaning tank 42, a plurality of storage tanks 45 are installed at the side wall of the cleaning tank 42, a liquid passing pipe 451 is installed between the storage tanks 45 and the first multi-way valve 44, and an inner pipe 46 is installed between the first multi-way valve 44 and the cleaning tank 42. The plurality of storage tanks 45 are respectively an enzyme washing liquid storage tank, a clear water storage tank and an alcohol storage tank, the liquid-passing pipeline 451 respectively sends the enzyme washing liquid, clear water and alcohol to the first multi-way valve 44, the first multi-way valve 44 is communicated with the inner-way pipeline 46, and the first multi-way valve 44 controls the enzyme washing liquid, clear water and alcohol to respectively enter the inner-way pipeline 46. Wherein the end of the inner communication tube 46 remote from the first multi-way valve 44 mates with the gastroscope inlet of the second support section 11, i.e. the gastroscope inlet is connected with the inner communication tube 46. The design ensures that enzyme washing liquid, clear water and alcohol can effectively wash the inside of the hose body 1.
In order to facilitate the free switching of the spray liquid by the spray mechanism 51, a second multi-way valve 47 is installed between the first multi-way valve 44 and the top cover 5, a liquid passing pipe 451 is also installed between the second multi-way valve 47 and the plurality of storage tanks 45, and a liquid discharging pipe 471 is installed between the second multi-way valve 47 and the spray mechanism 51. The design enables the second multi-way valve 47 to sequentially send the specified spraying liquid to the spraying mechanism 51 according to the setting, and the outer wall of the combined pipeline is cleaned.
The storage tank 45 in this embodiment is internally provided with a suction pump, the purpose of which is to power the flow of cleaning liquid.
Example 3:
in the embodiment 2, the cleaning of the inner part and the outer part of the combined sleeve is completed, and the cleaned combined pipeline needs to be stored after being dried. In order to avoid the need of taking out the combined sleeve from the machine for airing operation, the cleaning and sterilizing mechanism in the scheme integrates a drying function. As shown in fig. 9, for this purpose, a hot blast box 48 is mounted on the side wall of the box 4, exhaust pipes 481 are mounted between the hot blast box 48 and the first multi-way valve 44 and the second multi-way valve 47, and an exhaust port 482 is provided on the side of the box 4 away from the hot blast box 48. The function of the hot air box 48 is to generate dry hot air, then the dry hot air is sent to the first multi-way valve 44 and the second multi-way valve 47 through the exhaust pipeline 481, then the dry hot air is respectively dried inside and outside the combined pipeline through the spraying mechanism 51 and the inner communication pipeline 46, water vapor is carried away from the combined pipeline, and finally flowing air carrying the water vapor is discharged through the exhaust port 482.
The hot air box 48 is formed of a blower and a heating assembly, and since this technology is a well-known technology, it will not be described in detail.
Preferably, the end of the top cover 5 facing the box body 4 is also provided with an ultraviolet sterilizing lamp 52. The ultraviolet disinfection lamp 52 in the scheme has the functions that firstly, when the cleaning mechanism is idle, the cleaning mechanism is started to disinfect the inside of the cleaning mechanism uninterruptedly; and secondly, further sterilizing the combined pipeline.
The enzyme washing liquid in the scheme is prepared by compounding neutral proteolytic enzyme, lipase, amylase and other multienzymes, and is very suitable for cleaning a combined pipeline because of no corrosion and aging effects on various precise instruments and medical instruments. However, enzyme washes are sensitive to temperature, for example, in winter, due to low temperature of the enzyme wash itself and the environment, the efficiency of the enzyme wash is reduced, and the combined pipeline cannot be cleaned sufficiently. For this purpose, a heating wire 422 is provided on a sidewall of the washing tank 42, the heating wire 422 is provided around the washing tank 42, and a temperature detecting member (not shown in the drawing) is connected to the heating wire 422, and when it is detected that the temperature of the washing tank 42 is low, the heating wire 422 is started to heat the washing tank 42. When the temperature reaches the predetermined value, the heating wire 422 stops heating and is turned into a heat-retaining state.
Example 4:
in order to ensure that the shower mechanism 51 can sufficiently clean the outer wall of the combination pipe, this embodiment is modified on the basis of embodiment 1.
As shown in fig. 11, the spraying mechanism 51 includes a fixed housing 511 and a spraying disc 512, one end of the fixed housing 511 is connected with the top cover 5, one end of the spraying disc 512 facing the fixed housing 511 is provided with a connection section 5121, one end of the spraying disc 512 far from the fixed housing 511 is provided with a plurality of nozzles 5124, one end of the connection section 5121 far from the spraying disc 512 is rotatably connected with a liquid discharge pipe 471, and the connection section 5121 is rotatably connected with the fixed housing 511; the driving motor 5111 is installed in the fixing housing 511, a first gear 5112 is installed at the power output end of the driving motor 5111, a plurality of protruding structures 5122 are arranged on the side wall of the connecting section 5121, and the first gear 5112 is in meshed connection with the protruding structures 5122. The drain 471 is rotatably connected to one end of the connecting section 5121, and the connecting section 5121 is rotatably connected to the fixing case 511. The design makes driving motor 5111 can drive spray dish 512 rotation, and the impact force of the washing liquid that the pivoted spray dish 512 sprayed to the combination pipeline outer wall is stronger, therefore can further wash the combination pipeline outer wall.
Because the driving motor 5111 is installed at the position of the inner eccentric side wall of the fixed shell 511, the rotation space of the first gear 5112 is smaller due to the design, namely, if the first gear 5112 is larger, the first gear 5112 can not rotate, so that the first gear 5112 drives the protruding structure 5122 to rotate, a second gear 5113 is arranged between the connecting section 5121 and the first gear 5112, and the second gear 5113 is respectively connected with the first gear 5112 and the protruding structure 5122 in a meshed manner. This design allows the first gear 5112 to be reduced in volume, avoiding the inner wall of the fixed case 511 from obstructing the rotation of the first gear 5112.
In order to avoid the seepage of the cleaning solution from the gap between the connection section 5121 and the liquid discharge pipe 471, a boss 4711 is arranged at one end of the liquid discharge pipe 471 facing the connection section 5121, a clamping table 5123 is arranged in the inner cavity of the connection section 5121, the clamping table 5123 is abutted to the boss 4711, and a plurality of sealing rings 4712 are arranged between the liquid discharge pipe 471 and the inner cavity of the connection section 5121. The design ensures the tightness and avoids the problem of falling off between the liquid discharge pipe 471 and the connecting section 5121.
To sum up, the cleaning and disinfecting mechanism in the scheme has the following advantages: firstly, the inner pipeline 46 and the spraying mechanism 51 are utilized to comprehensively wash the inside and the outside of the combined pipeline, so that the combined pipeline is ensured to be clean enough. And secondly, the drying hot air generated by the hot air box 48 is utilized to dehumidify the inner part and the outer part of the combined pipeline, so that the problem of secondary drying is avoided, and labor is saved.
The foregoing description is only a preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art, who is within the scope of the present invention, should make equivalent substitutions or modifications according to the technical solution of the present invention and the inventive concept thereof, and should be covered by the scope of the present invention.

Claims (10)

1. The utility model provides a gastroscope is supplementary with combination sleeve pipe which characterized in that: the flexible pipe comprises a flexible pipe main body (1) provided with an interlayer (10), a hard joint (17) and a first air bag (12), wherein the hard joint (17) comprises a first supporting section (15) and a second supporting section (11) which are communicated, one end, far away from the first supporting section (15), of the second supporting section (11) is communicated with the flexible pipe main body (1), and a blocking plate (18) is arranged around the second supporting section (11) in the circumferential direction; one end of the first supporting section (15) far away from the first air bag (12) is a gastroscope inlet, the first air bag (12) is arranged around the hose main body (1), and a plurality of through holes and pipelines matched with the through holes are arranged between the first air bag (12) and the hard joint (17); an air charging pipeline (101) is further arranged in the interlayer (10), one end of the air charging pipeline (101) is communicated with the first air bag (12), and an esophageal bag air charging port (111) is arranged at the other end of the air charging pipeline (101).
2. The combined sleeve for assisting gastroscope according to claim 1, wherein: the through holes comprise an oxygen outlet (13) and a carbon dioxide inlet (14), the pipeline comprises an oxygen pipeline (102) and a carbon dioxide pipeline (103), one end of the oxygen pipeline (102) is connected with the oxygen outlet (13), an oxygen connector (112) is arranged at the other end of the oxygen pipeline (102), one end of the carbon dioxide pipeline (103) is connected with the carbon dioxide inlet (14), and the other end of the carbon dioxide pipeline (103) is connected with the carbon dioxide connector (113).
3. The combined sleeve for assisting gastroscope according to claim 2, wherein: the through hole further comprises a sputum suction port (105), a liquid through pipeline (104) is further arranged in the interlayer (10), one end of the liquid through pipeline (104) is connected with the sputum suction port (105), and a sputum suction joint (114) is arranged at the other end of the liquid through pipeline (104).
4. A combined sleeve for assisting a gastroscope according to claim 3, characterized in that: the combined sleeve further comprises a rubber hose (2), the rubber hose (2) is sleeved in the hose main body (1), a second air bag (21) is installed at one end of the rubber hose (2), a first interface (23) and a second interface (24) are installed at the other end of the rubber hose (2), a third air bag (22) is installed between the second air bag (21) and the first interface (23), a first ventilation pipe (25) is arranged between the first interface (23) and the second air bag (21), and a second ventilation pipe (26) is arranged between the second interface (24) and the third air bag (22).
5. The combined sleeve for assisting a gastroscope according to claim 4, wherein: the length of the rubber hose (2) is longer than that of the hose main body (1).
6. An auxiliary sleeve cleaning and disinfecting mechanism which is characterized in that: including box (4) and top cap (5), spray mechanism (51) are installed towards the one end of box (4) to top cap (5), waste water collecting box (41) are installed to the bottom of box (4), install between spray mechanism (51) and waste water collecting box (41) and place supplementary with combination sheathed tube washing tank (42), install sewer line (43) between washing tank (42) and waste water collecting box (41), a plurality of ceramic preforming (421) are installed to the bottom of washing tank (42), a plurality of ceramic preforming (421) are around sewer line (43) even arrangement.
7. The auxiliary cannula cleaning and disinfecting mechanism of claim 6, wherein: a first multi-way valve (44) is arranged between the spraying mechanism (51) and the cleaning tank (42), a plurality of storage tanks (45) are arranged on the side wall of the cleaning tank (42), a liquid passing pipeline (451) is arranged between each storage tank (45) and each first multi-way valve (44), and an inner communication pipeline (46) is arranged between each first multi-way valve (44) and the cleaning tank (42).
8. The auxiliary cannula cleaning and disinfecting mechanism of claim 7, wherein: a second multi-way valve (47) is arranged between the first multi-way valve (44) and the top cover (5), liquid passing pipelines (451) are also arranged between the second multi-way valve (47) and the storage tanks (45), and liquid discharging pipelines (471) are arranged between the second multi-way valve (47) and the spraying mechanism (51).
9. The auxiliary cannula cleaning and disinfecting mechanism of claim 6, wherein: the hot blast box (48) is installed to the lateral wall of box (4), all install exhaust duct (481) between hot blast box (48) and first multiport valve (44), second multiport valve (47), air exit (482) have been seted up to one side that box (4) kept away from hot blast box (48).
10. The auxiliary cannula cleaning and disinfecting mechanism of claim 6, wherein: the spraying mechanism (51) comprises a fixed shell (511) and a spraying disc (512), one end of the fixed shell (511) is connected with the top cover (5), a connecting section (5121) is arranged at one end of the spraying disc (512) facing the fixed shell (511), a plurality of nozzles (5124) are arranged at one end of the spraying disc (512) far away from the fixed shell (511), the connecting section (5121) is rotationally connected with a liquid discharge pipeline (471) at one end of the spraying disc (512), and the connecting section (5121) is rotationally connected with the fixed shell (511); the driving motor (5111) is installed in the fixed shell (511), a first gear (5112) is installed at the power output end of the driving motor (5111), a plurality of protruding structures (5122) are arranged on the side wall of the connecting section (5121), and the first gear (5112) is meshed and connected with the protruding structures (5122).
CN202311582730.2A 2023-11-24 2023-11-24 Combined sleeve for gastroscope assistance and disinfection cleaning mechanism Withdrawn CN117398041A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311582730.2A CN117398041A (en) 2023-11-24 2023-11-24 Combined sleeve for gastroscope assistance and disinfection cleaning mechanism

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202311582730.2A CN117398041A (en) 2023-11-24 2023-11-24 Combined sleeve for gastroscope assistance and disinfection cleaning mechanism

Publications (1)

Publication Number Publication Date
CN117398041A true CN117398041A (en) 2024-01-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202311582730.2A Withdrawn CN117398041A (en) 2023-11-24 2023-11-24 Combined sleeve for gastroscope assistance and disinfection cleaning mechanism

Country Status (1)

Country Link
CN (1) CN117398041A (en)

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Application publication date: 20240116