A kind of multi-functional Excreta drainage system of adjustable negative pressure
Technical field
This utility model relates to technical field of medical instruments, is specifically related to a kind of multi-functional Excreta drainage system of adjustable negative pressure that can be used for through enteroclysis treatment and Excreta drain.
Background technology
Fecal incontinence is a FAQs urgently to be resolved hurrily in current medical nursing work, there is no good control of feces method.Diarrhoea easily occurs long-term bed critical patient in hospital and number of times is more, stool is many also contains more antibacterial in rare water sample, very easily stimulates anal skin, causes the inflammation such as redness, pain, eczema, add mechanical scrub repeatedly, very easily cause festering, decubital ulcer and infection.Not only sheet is polluted for hospital ICU closed environment and home care ward, more causes serious environment, air pollution because feces is excessive, extreme difficulties is brought to nursery work, and increase cross infection in hospital risk.The apparatuses such as instantly generally multiplex ostomy bag, the paper napkin are all be padded on crissum to accept feces, more increase the weight of above problem and need when nursing diarrhea patient to consume a large amount of nursing articles, increasing patient economy burden.
Current partial clinical can utilize disposable endotracheal tube or catheter etc. to carry out Simple assembled to carry out stool drain temporarily voluntarily, it has following many defects: 1. apparatus used its functional application scope non-, material are really up to the mark, very easily causing hemorrhoid to oppress necrosis when using with serious hemorrhoid or irritated noncooperationist causes hemorrhage, or easy damaged intestinal wall during tube drawing.2. can not create full-closed system environment in use procedure, and often de-pipe causes various pollution problem, needs regular check conduit whether firm.3. when using, patient has obvious foreign body sense of discomfort, so that cannot tolerate for a long time.4. suppress anal sphincter function and can not Preserving time.5. have to when there is plugging phenomenon carry out tube drawing process, contaminated environment again.6. possess other treatment, using function during difference, as coloclysis drug treatment, retention coloclysis etc., also the feces softened cannot be made to be forcefully discharged, and what can not be applied to that the aged people of prolonged constipation or a variety of causes cause can not the independently hospital of defecation patient or home care.
The patent No. be 201320222768.4 Chinese utility model patent disclose a kind of defecation draining device, but cannot thoroughly solve the problem because it there is following defect: 1. its enteral fixture be air bag and air inlet pipe without ventilating control display device, the high pneumatic volume of air bag will cause high pressure to cause intestinal wall pressure necrosis, simultaneously easily gas leakage and cannot monitor and occur coming off, feces leak case occurs.2. there is preposition pipe its sacculus front end, there is the annular that feces cannot get rid of and remains dead angle area.3. be the segmentation of pipe pipe bag, tool grafting designs, and easily comes off, the many pollutions that easily leaks of interface.4. it needs first stopped pipe to guide pipeline to enter anus and then remove guide bar by guide bar again, then take over, bag, complicated operation is loaded down with trivial details.5. cannot process during plugging, there is no negative pressure function.6. structure is single bowel movement function, without there being the multiple uses such as dilution feces, enema treatment, pressure defecation.
Utility model content
The purpose of this utility model is the multi-functional Excreta drainage system providing a kind of adjustable negative pressure for the deficiencies in the prior art, the Fecal Incontinence Nursing problem of many patients etc. that can not take care of oneself about critical patient, long-term bed that thorough solution is mentioned in background technology statement, make it possess as various clinical treatment using function such as feces dilution, coloclysis drug treatment, retention enemas simultaneously, and the function of forcing defecation can be carried out for the patient not possessing autonomous defecation ability.
This utility model is achieved through the following technical solutions this object:
A multi-functional Excreta drainage system for adjustable negative pressure, comprising:
Drainage tube, for by outside the Excreta lead body in human body;
High full low-pressure topping up sacculus fixture, being arranged at the top set portion, front end of described drainage tube, being fixed on ampulla of rectum portion for inserting, create a totally enclosed drainage system environment and prevent drainage tube from coming off;
Antifouling counterflow-preventing pipe device connecting device, is arranged at the end of described drainage tube;
The faeces collector of adjustable negative pressure, be connected with the antifouling counterflow-preventing pipe device connecting device being arranged at described drainage tube end, the cavity of the faeces collector of adjustable negative pressure communicates with drainage tube;
Sacculus fluid filled catheter, is arranged in parallel with described drainage tube, and front end and the described height of sacculus fluid filled catheter fill low-pressure topping up sacculus fixture and be communicated with, and the end of sacculus fluid filled catheter is provided with controllable aerating liquid device;
Coloclysis injection catheter, is arranged in parallel with described drainage tube, and the front opening of coloclysis injection catheter is in the top set portion, front end of described drainage tube, and the end of coloclysis injection catheter is provided with controllable drug delivery device.
Wherein, described sacculus fluid filled catheter and the inwall of being close to drainage tube in parallel with described drainage tube is arranged, and the inwall of end in the middle part of drainage tube of sacculus fluid filled catheter is drawn and extend, and described controllable aerating liquid device inside is provided with counterflow-preventing check valve.
Further, also comprise one for judging that the fluid pressure of sacculus expanded state controls capsule, described fluid pressure controls capsule and is arranged near controllable aerating liquid device place, and is communicated with sacculus fluid filled catheter, controllable aerating liquid device respectively.
Wherein, described coloclysis injection catheter and the inwall of being close to drainage tube in parallel with described drainage tube is arranged, and the inwall of end in the middle part of drainage tube of coloclysis injection catheter is drawn and extend, and described controllable drug delivery device inside is provided with counterflow-preventing check valve.
Further, also comprise one for judging the medicinal liquid Stress control capsule of enteral injection pressure state, described medicinal liquid Stress control capsule is arranged near controllable drug delivery device place, and is communicated with coloclysis injection catheter, controllable drug delivery device respectively.
Wherein, described height fills the outer wall circumferencial direction that low-pressure topping up sacculus fixture is arranged at top set portion, drainage tube front end, the inwall of described drainage tube front end is provided with to be convenient to drainage tube and to insert and insert pipe in body, described in insert the length of the length of pipe and sacculus suitable.
Further, described drainage tube outer wall is provided with degree of depth indicating graduation and degree of depth warning mark near high full low-pressure topping up sacculus fixture place.
Further, the accurate impregnator also comprising the anti-crimping supporting sleeve being sheathed on drainage tube, the closed pipe cleaning valve that can be located in drainage tube and can use with controllable aerating liquid device, controllable drug delivery matched with devices respectively, described anti-crimping supporting sleeve is slightly bent short tube shape, has multiple row shallow slot outside its slightly bent position.
Wherein, described antifouling counterflow-preventing pipe device connecting device inside is provided with one for preventing Excreta from the faeces collector adverse current of adjustable negative pressure to the check valve of drainage tube, described antifouling counterflow-preventing pipe device connecting device is provided with one and plugs into locker, this locker inwall of plugging into is threaded closure interface, simultaneously plug into locker and drainage tube is on-fixed integral manner, and when locker is plugged in rotation, drainage tube can not rotation twist.
Wherein, it is the organ type structure that organ type can create internal tank negative pressure that the faeces collector of described adjustable negative pressure comprises top, bottom is for holding excremental cavity, top is respectively arranged with the connector be connected with drainage tube, the check valve negative pressure post of bleeding can creating tiny structure, shoulder both sides are provided with the sprung parts being convenient to hang, and affiliated chamber outer surface is provided with capacity indicating graduation.
Relative to prior art, the beneficial effects of the utility model are:
1, the Excreta drain gathering system of a total enclosing is created; the series of problems that solution patient fecal incontinence that can not only be safe and reliable is brought and complications; the damage of protection patient anal skin; reduce and infect and reduce secondary pollution; contribute to the generation reducing dermatological complications; minimizing abnormal flavour, raising nursing efficiency, contribute to the good ward environment of creation one and comfort is good, uses compliance high.
2, simple to operate, be easy to grasp, convenient to settle; Significantly reduce nursing work load and Financial cost.
3, meet the overall ergonomic designs of human anatomy requirement and the Material selec-tion of safety and comfort, intestinal wall can be protected, keep sphincteral physiological function in order to life-time service.
4, the parts of multiple design science combine, and make device possess as various clinical treatment using function such as feces dilution, defecate, coloclysis drug treatments simultaneously, improve diagnosis and treatment efficiency.
5, its adjustable negative pressure structural design of faeces collector of unique adjustable negative pressure, ensures unobstructed feces drain, effectively pipe-blocking-proof, and solve stupor, paralysis, long-term bed etc. can not the problem of autonomous defecation.
Accompanying drawing explanation
Fig. 1 is the structural representation of the multi-functional Excreta drainage system of adjustable negative pressure of the present utility model.
Fig. 2 is the structural representation of controllable aerating liquid device of the present utility model, controllable drug delivery device.
Fig. 3 is the scheme of installation of anti-crimping supporting sleeve of the present utility model.
Fig. 4 is the structural representation of closed pipe cleaning valve of the present utility model.
Fig. 5 is the structural representation of accurate impregnator of the present utility model.
Fig. 6 is the structural representation of the faeces collector of adjustable negative pressure of the present utility model.
In figure: 1-drainage tube; The full low-pressure topping up sacculus fixture of 2-height; 3-antifouling counterflow-preventing pipe device connecting device; The faeces collector of 4-adjustable negative pressure; 5-sacculus fluid filled catheter; 6-controllable aerating liquid device; 7-coloclysis injection catheter; 8-controllable drug delivery device; 9-seal closure; 10-fluid pressure controls capsule; 11-medicinal liquid Stress control capsule; 12-degree of depth warning mark; 13-organ type structure; 14-cavity; 15-connector; 16-bleeds check valve negative pressure post; 17-sprung parts; The anti-crimping supporting sleeve of 18-; 19-closes pipe cleaning valve; The 20-collar; The accurate impregnator of 21--; 22-degree of depth indicating graduation; 23-capacity indicating graduation; 24-inserts pipe.
Detailed description of the invention
Below in conjunction with accompanying drawing, this utility model is described in detail.
Embodiment:
As shown in Figures 1 to 5, a kind of multi-functional Excreta drainage system of adjustable negative pressure, comprising:
Drainage tube 1, for by outside the Excreta lead body in human body;
High full low-pressure topping up sacculus fixture 2, is arranged at the front end of described drainage tube 1, for inserting ampulla of rectum portion, creates a totally enclosed drainage system environment and preventing drainage tube 1 from coming off;
Antifouling counterflow-preventing pipe device connecting device 3, is arranged at the end of described drainage tube 1;
The faeces collector 4 of adjustable negative pressure, be connected with the antifouling counterflow-preventing pipe device connecting device 3 being arranged at described drainage tube 1 end, the inner chamber of the faeces collector 4 of adjustable negative pressure communicates with drainage tube 1;
Sacculus fluid filled catheter 5, is arranged in parallel with described drainage tube 1, and front end and the described height of sacculus fluid filled catheter 5 fill low-pressure topping up sacculus fixture 2 and be communicated with, and the end of sacculus fluid filled catheter 5 is provided with controllable aerating liquid device 6;
Coloclysis injection catheter 7, is arranged in parallel with described drainage tube 1, and the front opening of coloclysis injection catheter 7 is in the top set portion, front end of described drainage tube 1, and the end of coloclysis injection catheter 7 is provided with controllable drug delivery device 8.
The operation principle of multi-functional Excreta drainage system of the present utility model is as follows:
(1) when needs carry out the pollution-free Excreta drain of total enclosing to Patients with Fecal Incontinence, first the portion of inserting of drainage tube 1 and the height received under flat state are filled low-pressure topping up sacculus fixture 2 and insert ampulla of rectum portion by anus after obliterating lubricant, then use accurate impregnator 21 to connect the controllable aerating liquid device 6 of sacculus fluid filled catheter 5, by prescribed dose, injection physiological saline and so on liquid is injected described height by sacculus fluid filled catheter 5 and fill low-pressure topping up sacculus fixture 2.
Now sacculus is full expands, be fixed on the connection ampulla between anus and rectum, create a totally enclosed drainage system environment and prevent drainage tube 1 slippage from anus, then namely the Excreta such as feces of Patients with Fecal Incontinence can enter in the faeces collector 4 of adjustable negative pressure along drainage tube 1 preferably.The sacculus fixture of Water ensure that high full low-pressure, sacculus and drainage tube 1 adopt soft material simultaneously, there is good biocompatibility, all prevent the sphincter place caused because of oppression from infecting both described, described height fills low-pressure topping up sacculus fixture 2 can make being retained between anus and rectum of drainage tube 1 long period, and creates the Excreta drainage system of a total enclosing.
The both sides, faeces collector 4 top of adjustable negative pressure are provided with sprung parts 17, and catcher can be suspended on as on sick bed guardrail position by it, and described sprung parts 17 comprises the suspension strap wearing two the VELCRO materials being connected in side-by-side mounting hole, catcher top; The faeces collector 4 of adjustable negative pressure is when pendulum is hung on a certain position of sick bed, when appearance as pipeline because of in lowering causes tortuous situation can by as described in anti-crimping supporting sleeve 18 move to this position thus pre-anti-tortuous plugging, described anti-crimping supporting sleeve 18 is slightly bent short tube shape, has multiple row shallow slot outside its slightly bent position.When faeces collector 4 pendulum of adjustable negative pressure is hung on a certain position of sick bed, when appearance as pipeline because of in lowering causes tortuous situation can by as described in anti-crimping supporting sleeve move to this position thus pre-pipe-blocking-proof, multiple row shallow slot simultaneously outside it can increase sleeve pipe to be puted forth effort at the extension of tortuous position, does not move with retaining sleeve position.
(2) described closed pipe cleaning valve 19 can prevent the Excreta when replacing catcher from flowing out the pollution and inconvenience caused, or under needing patient to be carried out to the treatment situations such as coloclysis administration, retention enema, provide the system environments of a temporary closure.It is divided into two-layer up and down, and its bilevel one end is connected, and the other end has fastening locking device.All there is the airtight docking groove holding column that can match when fastening the upper and lower two-layer inner side of this closed pipe cleaning valve 19.At needs replacing faeces collector 4 or under needing to carry out the treatment situations such as coloclysis administration, retention enema to patient, closed pipe cleaning valve 19 to the suitable position can moved on drainage tube 1 fastens and pins with closed drainage pipe 1, the excremental discharges such as temporary interruption feces.Meanwhile, when drainage tube 1 occurs that drainage difficulty or needs are to when Excreta cleaning is to catcher in pipe, closed pipe cleaning valve 19 can be moved to and need position, promote to catcher direction after draught excluder fastens, then Excreta can be pushed into faeces collector 4.
This closed pipe cleaning valve 19 is also provided with a frenulum, one end of described frenulum is connected with closed pipe cleaning valve 19, the other end is provided with the collar 20 that can be sheathed on drainage tube 1, thus make closed pipe cleaning valve 19 slidably be arranged at drainage tube 1, when needs use closed pipe cleaning valve 19, only the collar 20 need be pulled easily closed pipe cleaning valve 19 can be placed in desired position, not only convenient and practical, and can prevent closed pipe cleaning valve 19 from losing, practical.
(3) under needs carry out the treatment situations such as stool dilution, coloclysis administration, retention enema to patient, accurate impregnator 21 can be used to connect the controllable drug delivery device 8 of coloclysis injection catheter 7, by therapeutic dose, the liquid such as medicine are injected patient's internal rectum by coloclysis injection catheter 7.
(4) when patient occurs that Excreta drainage tube 1 is not smooth or cause independently applying in defecation situation because of a variety of causes, the adjustable negative pressure suction function of catcher can be used according to actual needs to realize suitable pressure defecation.
(5) when needing the excretion recording assess patient, disease observation can be designated as by the graduation indication on the faeces collector 4 of adjustable negative pressure and data are accurately provided.
Wherein, described sacculus the fluid filled catheter 5 and inwall of being close to drainage tube 1 in parallel with described drainage tube 1 is arranged, and the inwall of end in the middle part of drainage tube 1 of sacculus fluid filled catheter 5 is drawn and extend, and described controllable aerating liquid device 6 inside is provided with counterflow-preventing check valve.
Further, also comprise one for judging that the fluid pressure of sacculus expanded state controls capsule 10, described fluid pressure controls capsule 10 and is arranged near controllable aerating liquid device 6 place, and is communicated with sacculus fluid filled catheter 5, controllable aerating liquid device 6 respectively.Utilize accurate impregnator 21 grade to meet the liquid of material requirements to saline injection in filling conduit or other by this controllable aerating liquid device 6, and then make the full expansion of described sacculus fixture.Wherein, when physiological saline and so on liquid injects sacculus fixture, described fluid pressure controls capsule 10 together with walking out of full tympanites that is existing and sacculus fixture equity level, control capsule 10 by described fluid pressure and can judge full expansion level in sacculus fixture, and sacculus fixture can be observed at any time whether have leakage situation, to ensure that sacculus fixture is omnidistance fixing reliable in use.Until sacculus fixture is full reach requirement time, can the fluids such as saline injection be stopped.Meanwhile, described controllable aerating liquid device 6 is also furnished with a counterflow-preventing check valve, thus it is excessive to the unidirectional perfusion of sacculus fixture to ensure that liquid passes through filling conduit, makes the first pressure and sacculus fixture keep full horizontal synchronization.
Wherein, described coloclysis the injection catheter 7 and inwall of being close to drainage tube 1 in parallel with described drainage tube 1 is arranged, and the inwall of end in the middle part of drainage tube 1 of coloclysis injection catheter 7 is drawn and extend, and described controllable drug delivery device 8 inside is provided with counterflow-preventing check valve.
Further, also comprise one for judging the medicinal liquid Stress control capsule 11 of enteral injection pressure state, described medicinal liquid Stress control capsule 11 is arranged near controllable drug delivery device 8 place, and is communicated with coloclysis injection catheter 7, controllable drug delivery device 8 respectively.In coloclysis injection catheter 7, injected the medicinal liquid of clinic diagnosis needs by accurate impregnator 21 grade by this controllable drug delivery device 8, and then make medicinal liquid pour into enteral by coloclysis injection catheter 7 at the opening part in drainage tube 1 top set portion.Wherein, when medicinal liquid pours into coloclysis injection catheter 7, described medicinal liquid Stress control capsule 11 is together with walking out of full expansion that is existing and enteral hydraulic pressure equity level, the level that enteral medicinal liquid filling is full can be judged by medicinal liquid Stress control capsule 11, should consider when overinflation appears in medicinal liquid Stress control capsule 11 and fluid injection resistance increases whether to have occurred blocking or too pouring into situation, as medicinal liquid Stress control capsule 11 expands when also fluid injection resistance is not obvious to consider whether have leakage situation not, thus it is effectively reliable to ensure that coloclysis drug treatment or feces dilute.Meanwhile, described controllable drug delivery device 8 is also furnished with a counterflow-preventing check valve, thus it is excessive to the unidirectional perfusion of enteral to ensure that medicinal liquid passes through coloclysis injection catheter 7, makes medicinal liquid Stress control capsule 11 and coloclysis administration keep full horizontal synchronization.
Wherein, described height fills the outer wall circumferencial direction that low-pressure topping up sacculus fixture 2 is arranged at top set portion, drainage tube 1 front end, and the inwall of described drainage tube 1 front end is provided with to be convenient to drainage tube 1 and to insert and insert pipe 24 in body, facilitates drainage tube 1 to insert.Described sacculus expands in topping up mode and is fixed on anus inwall, can ensure the full and low-pressure of the height of sacculus fixture, namely realize its anal fully fit airtight fixing, avoid again causing intestinal wall oppress impaired thus reach the effect of long-term safety drain.
Further, described drainage tube 1 outer wall is provided with degree of depth warning mark 12 near high full low-pressure topping up sacculus fixture 2 place, degree of depth indicating graduation 22 is marked with to drainage tube 1 leading section outer wall from bottom sacculus, and have obvious indicateing arm, to instruct the insertion safety depth of place tube located and drainage tube 1, when the insertion depth of drainage tube reaches degree of depth warning mark 12, the continuation of drainage tube 1 should be stopped to insert, ensure the safety of patient.
Wherein, described antifouling counterflow-preventing pipe device connecting device 3 inside is provided with one for preventing Excreta from faeces collector 4 adverse current of adjustable negative pressure to the check valve of drainage tube 1, described antifouling counterflow-preventing pipe device connecting device 3 is provided with one and plugs into locker, this locker inwall of plugging into is threaded closure interface, simultaneously plug into locker and drainage tube 1 is on-fixed integral manner, and when locker is plugged in rotation, drainage tube 1 can not rotation twist.When drainage tube 1 is connected with the faeces collector 4 of adjustable negative pressure, antifouling counterflow-preventing pipe device connecting device 3 is entangled the outlet on faeces collector 4 top of adjustable negative pressure, then screw pipe device to plug into dress transposition, complete drainage tube 1 to be connected with the faeces collector 4 of adjustable negative pressure, drainage tube 1 non rotating distortion in connection procedure.When catcher changed by needs, antifouling counterflow-preventing pipe device connecting device 3 is screwed out from faeces collector 4 oral area of adjustable negative pressure, does not need rotation to fill with excremental catcher.Due to the existence of check valve, use this pipe device connecting device when changing catcher, drainage tube 1 afterbody can be opened and keep inwall without manure contamination, convenient and swift.
Wherein, it is the organ type structure 13 can creating internal tank negative pressure that the faeces collector 4 of described adjustable negative pressure comprises top, bottom is for holding excremental cavity 14, top is respectively arranged with the connector 15 be connected with drainage tube 1, the check valve negative pressure post 16 of bleeding of tiny structure can be created, shoulder both sides are provided with the sprung parts 17 being convenient to hang, described sprung parts 17 comprises the suspension strap wearing two the VELCRO materials being connected in side-by-side mounting hole, faeces collector catcher 4 top, utilize it faeces collector catcher 4 can be suspended on sick bed guardrail.
When patient to occur in drainage tube 1 that Excreta is not smooth or cause independently applying in defecation situation because of a variety of causes, can the organ type structure 13 of faeces collector 4 first half of the adjustable negative pressure of appropriateness pressing from top to bottom according to actual needs, then the air of the faeces collector 4 of adjustable negative pressure will be discharged by check valve negative pressure post 16 of bleeding, when the organ type structure 13 of the first half is because of own material elastic stretch, the inside of cavity 14 will produce negative pressure, now vacuum suction effect will realize adjustable suitable pressure defecation, guarantee that excreta collection is smooth and easy, remaining thing in effective removing pipeline, prevent Excreta adverse current.Described check valve negative pressure post 16 of bleeding is provided with organ type structure 13 with faeces collector 4 fixed connection place of adjustable negative pressure, organ type structure 13 position is upwards provided with one and bleeds check valve negative pressure post 16, this check valve can ensure that catcher internal gas is externally discharged, and extraneous gas can not enter catcher inside.When the faeces collector 4 of adjustable negative pressure collect comparatively full or need tiny structure to adjust drainage efficiency time, then the organ type structure 13 repeatedly pressing by appropriateness check valve negative pressure post 16 of bleeding extracts catcher inner air to reach adjustable negative pressure drainage effect.
The above embodiment only have expressed some embodiments of the present utility model, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to this utility model the scope of the claims.It should be pointed out that for the person of ordinary skill of the art, without departing from the concept of the premise utility, can also make some distortion and improvement, these all belong to protection domain of the present utility model.Therefore, the protection domain of this utility model patent should be as the criterion with claims.