CN203417399U - Ileum fistulization tube - Google Patents
Ileum fistulization tube Download PDFInfo
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- CN203417399U CN203417399U CN201320536332.2U CN201320536332U CN203417399U CN 203417399 U CN203417399 U CN 203417399U CN 201320536332 U CN201320536332 U CN 201320536332U CN 203417399 U CN203417399 U CN 203417399U
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- Prior art keywords
- tube
- intestinal
- balloon
- outlet
- ileum
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- 210000003405 ileum Anatomy 0.000 title claims abstract description 31
- 230000000968 intestinal effect Effects 0.000 claims abstract description 31
- 208000027418 Wounds and injury Diseases 0.000 abstract description 19
- 210000003736 gastrointestinal content Anatomy 0.000 abstract description 13
- 230000006378 damage Effects 0.000 abstract description 12
- 208000014674 injury Diseases 0.000 abstract description 12
- 206010052428 Wound Diseases 0.000 abstract description 7
- 210000001035 gastrointestinal tract Anatomy 0.000 abstract description 6
- 210000000936 intestine Anatomy 0.000 abstract description 5
- 230000003187 abdominal effect Effects 0.000 abstract description 4
- 230000035876 healing Effects 0.000 abstract description 4
- 208000003243 intestinal obstruction Diseases 0.000 abstract description 3
- 210000003815 abdominal wall Anatomy 0.000 abstract description 2
- 238000003745 diagnosis Methods 0.000 abstract description 2
- 201000007647 intestinal volvulus Diseases 0.000 abstract description 2
- 206010017982 Gastrointestinal necrosis Diseases 0.000 abstract 1
- 206010019909 Hernia Diseases 0.000 abstract 1
- 230000015572 biosynthetic process Effects 0.000 abstract 1
- 239000002355 dual-layer Substances 0.000 abstract 1
- 238000010186 staining Methods 0.000 abstract 1
- 206010016717 Fistula Diseases 0.000 description 12
- 230000003890 fistula Effects 0.000 description 12
- 239000002872 contrast media Substances 0.000 description 6
- 210000002784 stomach Anatomy 0.000 description 6
- 230000000694 effects Effects 0.000 description 3
- 229920002994 synthetic fiber Polymers 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000002601 radiography Methods 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 206010047697 Volvulus Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000005273 aeration Methods 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000000428 dust Substances 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 235000015097 nutrients Nutrition 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
- 238000013022 venting Methods 0.000 description 1
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- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The utility model discloses an ileum fistulization tube. One end of an outlet tube is communicated with a tube in the intestine, wherein the tube in the intestine is divided into a far end tube and a near end tube, the tube in the intestine is arranged in the intestinal tract, although the wound surface of an incision of the abdominal wall and the intestinal canal can also form funicular or flaky adhesion, the intestinal tract is not prone to forming small angles due to supporting of the tube in the intestine, namely, the angular deformity of the intestinal canal is not prone to formation, and the mechanical intestinal obstruction, the intestinal volvulus, the intestinal hernia and the strangulated intestinal necrosis are prevented from happening after an operation. According to the ileum fistulization tube, intestinal contents can be smoothly excreted out of the body only under the action of abdominal pressure, a negative-pressure suction device is not needed, burdens of a patient are relieved, and the ileum fistulization tube is easy and convenient to use. Due to the design of a dual-layer air bag, the intestinal tract can be fully blocked, the intestinal contents are prevented from staining an anastomotic stoma or a repair position of an injury, contrast mediums can be injected conveniently for observing the healing condition of the anastomotic stoma or the repair position of the injury, the number of times for inserting the fistulization tube and pulling the fistulization tube out for the patient is reduced, and a doctor can carry out diagnosis and treatment conveniently.
Description
Technical field
The application belongs to medical assistive device technical field, specifically, relates to a kind of ileum stoma.
Background technology
Temporary ileum ostomy is the treatment measure that surgical clinical is conventional; its objective is outside the content lead body that ileum upstream intestinal is produced; to protect anastomotic stoma or the injury repairing place of its distal gut; and no longer need after fistulation measure sb.'s illness took a favorable turn; patient must accept once fistulation intestinal tube also to be received the operation in abdominal cavity; and some are gone back fistula operation and also need cut-out intestinal tube; so patient must again after the operation of experience therapeutic experience an operation wound more, and bears again the surgery risks such as anesthetic risks and fistula of operative incision, infection of incisional wound.
For fear of the operation number of times increasing because of intestine fistulization, wound and risk, ileum stoma arises at the historic moment, the patent No. is the utility model patent of ZL201120431979.X, a kind of temporary ileum ostomy pipe is disclosed, as shown in Figure 1, it is the synthetic material pipeline that an one end has spherical envelope 1, the tube wall adjacent with air bag opened several apertures 3 and communicated with tube chamber 2, the pipeline other end has three interfaces, first interface 5 thin passage in tube wall communicates with air bag, can gas injection or bleed, the second interface 6 siphunculus chambeies 2, the 3rd interface 7 passes through the interior thin channel opening of another tube wall in tube chamber 2, temporary ileum ostomy pipe is positioned in latter end ileum and through outside stomach wall 4 lead bodies in operation, at airbag aeration, tube chamber 2 can reach the object outside blocking-up near-end intestinal contents lead body after connecing vacuum suction, after fistulation finishes, pipeline can directly be pulled out, intestinal wall is put the mouth of pipe and will be healed voluntarily, thereby avoid going back fistula operation.
Yet as shown in Figure 1, there is following problems in above-mentioned prior art:
(1), existing clinical experience shows, traction due to fistula, and strap shape or patchy adhesion that stomach wall 4 otch wound surface and intestinal tube form, Intestinal Mucosal Injury in Patients Undergoing fistulation place easily forms a less angle, it is intestinal tube angulation deformity, more easily develop into mechanical intestinal obstruction, even form torsion, entocele and guttie is downright bad, clinical consequences is more dangerous;
(2), owing to using, tube wall is opened aperture 3 everywhere in the middle part of intestinal contents flow direction in fistula, only depends on abdominal pressure, intestinal contents cannot excrete, and also must coordinate vacuum suction, and client need is carried negative pressure suction device, to patient, cause burden, and use very inconvenient;
(3), fistula is positioned over patient body after interior a period of time, often need radiography to observe the anastomotic stoma of distal gut or the healing state at injury repairing place, now need to inject contrast agent to anastomotic stoma or the injury repairing place of distal gut, however the scheme not addressing this problem in prior art.
Summary of the invention
The application has overcome above-mentioned shortcoming of the prior art, and a kind of ileum stoma is provided, and it has the intestinal tube of preventing and forms angulation deformity, does not use vacuum suction can discharge intestinal contents, can be to the feature of bowel anastomosis mouth or injury repairing place injection contrast agent.
In order to solve the problems of the technologies described above, the application is achieved through the following technical solutions:
A kind of ileum stoma, comprise outlet and enteral pipe, one end of outlet is communicated with enteral pipe and enteral pipe is divided into distal tube and proximal tube, distal tube is connected with air bag, and air bag comprises inner bladder and balloon outer, and balloon outer is the tubulose air bag with hollow bulb, inner bladder is arranged at the hollow bulb of balloon outer, balloon outer and inner bladder are separate, and the hollow bulb of balloon outer is communicated with outlet and intestinal, and inner bladder and balloon outer are connected with respectively aerating device.
Further, the end-enclosed of proximal tube, and the side opening of proximal tube is provided with some through holes.
Further, air bag is double-layered balloon.
Further, the aerating device of inner bladder comprises air pressure valve, pilot balloon, gas tube, and gas tube is communicated with inner bladder, pilot balloon and air pressure valve, and pilot balloon is between air pressure valve and inner bladder.
Further, the gas tube of inner bladder is shaped in the tube wall of outlet and enteral pipe, and is not communicated with mutually with outlet and enteral pipe.
Further, the aerating device of balloon outer comprises air pressure valve, pilot balloon, gas tube, and gas tube is communicated with balloon outer, pilot balloon and air pressure valve, and pilot balloon is between air pressure valve and balloon outer.
Further, the gas tube of balloon outer is shaped in the tube wall of outlet and enteral pipe, and is not communicated with mutually with outlet and enteral pipe.
Further, outlet is provided with holder near exit, and holder center is provided with fixing hole, and outlet passes fixing hole, and affixed with holder.
Further, holder is provided with the groove of accommodating aerating device.
Further, holder outer cup is provided with shell.
Compared with prior art, the application's beneficial effect is:
A kind of ileum stoma described in the application, one end of outlet is communicated with enteral pipe and enteral pipe is divided into distal tube and proximal tube, enteral pipe is placed in intestinal, although strap shape or patchy adhesion that incision of abdominal wall wound surface and intestinal tube also can form,, due to the support of enteral pipe, intestinal is difficult for forming less angle, also be just not easy to form intestinal tube angulation deformity, prevent postoperative generation mechanical intestinal obstruction, volvulus, entocele and guttie is downright bad, this device only depends on the effect of abdominal pressure, and intestinal contents can excrete smoothly, does not need to rely on negative pressure suction device, has alleviated patient's burden, easy to use, distal tube is connected with air bag, air bag comprises inner bladder and balloon outer, balloon outer is the tubulose air bag with hollow bulb, inner bladder is arranged at the hollow bulb of balloon outer, balloon outer and inner bladder are separate, the hollow bulb of balloon outer is communicated with outlet and intestinal, inner bladder and balloon outer are connected with respectively aerating device, the design of double-layer air bag not only can total blockage intestinal, prevent that intestinal contents from polluting anastomotic stoma or injury repairing place, can also conveniently inject contrast agent, observe anastomotic stoma or injury repairing place healing state, reduce the number of times that patient plugs stoma, facilitate diagnosis treatment.
Accompanying drawing explanation
Accompanying drawing is used to provide further understanding of the present application, is used from explanation the application with the application's embodiment mono-, does not form the restriction to the application, in the accompanying drawings:
Fig. 1 is the structural representation under the using state of a kind of temporary ileum ostomy pipe of prior art.
In Fig. 1, include:
1---spherical envelope, 2---tube chamber;
3---aperture, 4---stomach wall;
5---first interface, 6---second interface;
7---the 3rd interface.
Fig. 2 is the structural representation under the using state of a kind of ileum stoma described in the application;
Fig. 3 is the structural representation of a kind of air bag deflation state of ileum stoma described in the application;
Fig. 4 be in Fig. 2 A to the structural representation of inner bladder and the equal inflated condition of balloon outer;
Fig. 5 be in Fig. 2 A to the structural representation of internal layer air bag deflation, balloon outer inflated condition;
Fig. 6 is the structural representation of a kind of holder of ileum stoma described in the application;
Fig. 7 is the top view of Fig. 6.
In Fig. 2 to Fig. 7, include:
8---outlet, 9---enteral pipe;
10---distal tube, 11---proximal tube;
12---air bag, 13---inner bladder;
14---balloon outer, 15---through hole;
16---air pressure valve, 17---pilot balloon;
18---gas tube, 19---holder;
20---fixing hole, 21---groove;
22---shell, 23---intestinal;
24---stomach wall.
The specific embodiment
Below in conjunction with accompanying drawing, the application's preferred embodiment is described, should be appreciated that preferred embodiment described herein is only for description and interpretation the application, and be not used in restriction the application.
As shown in Figures 2 to 5, a kind of ileum stoma described in the application, comprise outlet 8 and enteral pipe 9, one end of outlet 8 is communicated with enteral pipe 9, and enteral pipe 9 is divided into distal tube 10 and proximal tube 11, distal tube 10 is connected with air bag 12, air bag 12 comprises inner bladder 13 and balloon outer 14, balloon outer 14 is for having the tubulose air bag of hollow bulb, inner bladder 13 is arranged at the hollow bulb of balloon outer 14, balloon outer 14 and inner bladder 13 are separate, the hollow bulb of balloon outer 14 is communicated with outlet 8 and intestinal 23, inner bladder 13 and balloon outer 14 are connected with respectively aerating device, the aerating device of inner bladder 13 comprises air pressure valve 16, pilot balloon 17, gas tube 18, gas tube 18 is communicated with inner bladder 13, pilot balloon 17 and air pressure valve 16, pilot balloon 17 is between air pressure valve 16 and inner bladder 13.The gas tube 18 of inner bladder 13 is shaped in the tube wall of outlet 8 and enteral pipe 9, and is not communicated with mutually with outlet 8 and enteral pipe 9.The aerating device of balloon outer 14 comprises air pressure valve 16, pilot balloon 17, gas tube 18, and gas tube 18 is communicated with balloon outer 14, pilot balloon 17 and air pressure valve 16, and pilot balloon 17 is between air pressure valve 16 and balloon outer 14.The gas tube 18 of balloon outer 14 is shaped in the tube wall of outlet 8 and enteral pipe 9, and is not communicated with mutually with outlet 8 and enteral pipe 9.
As shown in Figure 2, the end-enclosed of proximal tube 11, and the side opening of proximal tube 11 is provided with some through holes 15.Allow intestinal contents by the end of proximal tube 11, not enter, but enter by being arranged at the through hole of offering proximal tube 11 sides, to guarantee that intestinal contents stays the long period in intestinal 23, make intestinal 23 absorb wherein nutrient substance as far as possible.
This ileum stoma can adopt multiple synthetic material to make, and this synthetic material must be inert material, is difficult for reacting with tissue and body fluid in human body, is difficult for agingly, is most preferably to adopt silica gel.
As shown in Figure 4, Figure 5, air bag 12 is double-layered balloon.The maximum gauge of balloon outer 14 under inflated condition is that 2.5cm is between 3.5cm.Balloon outer 14 and inner bladder 13 all adopt a high air bag that forces down.
During use, as shown in Figure 2, enteral pipe 9 is placed in intestinal 23, outlet 8 is through stomach wall 24 and expose to stomach wall 24 outsides, wherein proximal tube 11 sides of enteral pipe 9 have some through holes 15, the front portion (in Fig. 2 the direction of arrow represent intestinal contents fistula in flow direction) of through hole 15 in intestinal contents flow direction in fistula, human body is when standing or lie on one's side, as long as keep the horizontal level of outlet 8 lower than proximal tube 11, add the effect of abdominal pressure simultaneously, intestinal contents just can excrete smoothly, do not need to rely on negative pressure suction device, alleviated patient's burden, easy to use.When needs stop up intestinal 23 completely, inner bladder 13 and balloon outer 14 are all in being full of the state of gas, in the time need to injecting contrast agent to the anastomotic stoma of the intestinal 23 of far-end or injury repairing place, as shown in Figure 5, balloon outer 14 inflations, inner bladder 13 venting, the tubulose air bag of the hollow that balloon outer 14 forms is communicated with outlet 8 and intestinal 23, now from outlet 8, inject contrast agent, contrast agent can be injected to anastomotic stoma or the injury repairing place of the intestinal 23 of far-end, so that radiography is observed healing state, need not extract stoma, and Reusability repeatedly, can be after determining to heal completely in the anastomotic stoma of intestinal 23 of far-end or injury repairing place, extract again stoma.As shown in Figure 4, when inner bladder 13 and balloon outer 14 are during all in deflation status, air bag 12 becomes flat slice strand, at intestinal 23 fistula mouths less in the situation that, be convenient to enteral pipe 9 to be positioned in intestinal 23, be also convenient to tear open pipe, can take the mode of direct tube drawing to remove fistula, removing fistula rear intestinal 23 can heal voluntarily, need not sew up.Outlet 8 can be set to the outlet 8 of adjustable in length, to adapt to the patient that stomach wall 24 thickness degree are different, uses.
As shown in Figure 6, Figure 7, outlet 8 is provided with holder 19 near exit, and holder 19 centers are provided with fixing hole 20, and outlet 8 passes fixing hole 20, and affixed with holder 19.Outlet 8 can adopt with fixing hole 20 and be threaded, agnail clamping, or screw link etc.Holder 19 is provided with the groove 21 of accommodating aerating device.Holder 19 outer cup are established shell 22.Holder 19 can play the effect of blocking stomach wall 24 wounds and taking in aerating device, and shell 22 can prevent dust and prevent that aerating device from dropping, and makes fistula mouth attractive in appearance clean.
Finally it should be noted that: the preferred embodiment that these are only the application; be not limited to the application; although the application is had been described in detail with reference to embodiment; for a person skilled in the art; its technical scheme that still can record aforementioned each embodiment is modified; or part technical characterictic is wherein equal to replacement; but all within the application's spirit and principle; any modification of doing, be equal to replacement, improvement etc., within all should being included in the application's protection domain.
Claims (10)
1. an ileum stoma, it is characterized in that: comprise outlet and enteral pipe, one end of described outlet is communicated with described enteral pipe, and described enteral pipe is divided into distal tube and proximal tube, described distal tube is connected with air bag, described air bag comprises inner bladder and balloon outer, described balloon outer is the tubulose air bag with hollow bulb, described inner bladder is arranged at the hollow bulb of described balloon outer, described balloon outer and described inner bladder are separate, the hollow bulb of described balloon outer is communicated with described outlet and intestinal, described inner bladder and described balloon outer are connected with respectively aerating device.
2. a kind of ileum stoma according to claim 1, is characterized in that: the end-enclosed of described proximal tube, and the side opening of described proximal tube is provided with some through holes.
3. a kind of ileum stoma according to claim 1, is characterized in that: described air bag is double-layered balloon.
4. a kind of ileum stoma according to claim 1, it is characterized in that: the aerating device of described inner bladder comprises air pressure valve, pilot balloon, gas tube, described gas tube is communicated with described inner bladder, pilot balloon and air pressure valve, and described pilot balloon is between described air pressure valve and described inner bladder.
5. a kind of ileum stoma according to claim 4, is characterized in that: the gas tube of described inner bladder is shaped in the tube wall of described outlet and described enteral pipe, and is not communicated with mutually with described outlet and described enteral pipe.
6. a kind of ileum stoma according to claim 1, it is characterized in that: the aerating device of described balloon outer comprises air pressure valve, pilot balloon, gas tube, described gas tube is communicated with described balloon outer, pilot balloon and air pressure valve, and described pilot balloon is between described air pressure valve and described balloon outer.
7. a kind of ileum stoma according to claim 5, is characterized in that: the gas tube of described balloon outer is shaped in the tube wall of described outlet and described enteral pipe, and is not communicated with mutually with described outlet and described enteral pipe.
8. a kind of ileum stoma according to claim 1, is characterized in that: described outlet is provided with holder near exit, and described holder center is provided with fixing hole, and described outlet passes described fixing hole, and affixed with described holder.
9. a kind of ileum stoma according to claim 8, is characterized in that: described holder is provided with the groove of accommodating described aerating device.
10. a kind of ileum stoma according to claim 9, is characterized in that: described holder outer cup is provided with shell.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201320536332.2U CN203417399U (en) | 2013-08-30 | 2013-08-30 | Ileum fistulization tube |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201320536332.2U CN203417399U (en) | 2013-08-30 | 2013-08-30 | Ileum fistulization tube |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN203417399U true CN203417399U (en) | 2014-02-05 |
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ID=50016507
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201320536332.2U Expired - Lifetime CN203417399U (en) | 2013-08-30 | 2013-08-30 | Ileum fistulization tube |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN203417399U (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103405845A (en) * | 2013-08-30 | 2013-11-27 | 任东林 | Ileum fistulization tube |
| TWI684437B (en) * | 2018-07-27 | 2020-02-11 | 盧建璋 | Artificial ostomy device |
| CN110856676A (en) * | 2018-08-24 | 2020-03-03 | 卢建璋 | Artificial ostomy device |
| TWI688380B (en) * | 2019-03-13 | 2020-03-21 | 張乙馨 | Integrated artificial ostomy device |
| CN111821092A (en) * | 2019-04-23 | 2020-10-27 | 张乙馨 | One-piece artificial ostomy device |
| US11045347B2 (en) | 2019-03-04 | 2021-06-29 | Kaohsiung Chang Gung Memorial Hospital | Artificial stoma device |
-
2013
- 2013-08-30 CN CN201320536332.2U patent/CN203417399U/en not_active Expired - Lifetime
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103405845A (en) * | 2013-08-30 | 2013-11-27 | 任东林 | Ileum fistulization tube |
| CN103405845B (en) * | 2013-08-30 | 2015-08-19 | 任东林 | A kind of Ileum fistulization tube |
| TWI684437B (en) * | 2018-07-27 | 2020-02-11 | 盧建璋 | Artificial ostomy device |
| CN110856676A (en) * | 2018-08-24 | 2020-03-03 | 卢建璋 | Artificial ostomy device |
| CN110856676B (en) * | 2018-08-24 | 2021-11-02 | 长庚医疗财团法人高雄长庚纪念医院 | Artificial ostomy device |
| US11045347B2 (en) | 2019-03-04 | 2021-06-29 | Kaohsiung Chang Gung Memorial Hospital | Artificial stoma device |
| TWI688380B (en) * | 2019-03-13 | 2020-03-21 | 張乙馨 | Integrated artificial ostomy device |
| CN111821092A (en) * | 2019-04-23 | 2020-10-27 | 张乙馨 | One-piece artificial ostomy device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20140205 Effective date of abandoning: 20150819 |
|
| RGAV | Abandon patent right to avoid regrant |