CN204337111U - Medical treatment of intestinal fistula cover - Google Patents

Abstract

This utility model provides a kind of medical treatment of intestinal fistula cover, belong to technical field of medical instruments, it is the deficiency that drainage effect is poor, ejection can not obtain effectively removing in order to overcome current general drainage pipe or fistulization existence, bowl-shape cover body there are syringe pipe, air inlet pipe (or air inlet) and suction catheter lead in cover, the tube chamber of suction catheter communicates with space in cover bottom cover, bellyband through covering on top around cover body.This utility model is as a kind of hood-shaped device having feed pathway, inlet channel and negative pressure channel concurrently, cover barrier action, liquid wash effect, air propels effect and vacuum suction effect are integrated in one, patient body and medicated clothing sheet can be avoided to be subject to the pollution of intestinal contents, promote inflammatory resolution and tissue growth around fistula, shorten the healing time of fistula, the symptom such as eliminate outer fistula mouth surrounding skin redness, pain, fester, not easily blocks.This utility model also can be used for the treatment of the more acute and chronic infection wound surface of secretions or wound.

Description

Medical treatment of intestinal fistula cover

Art

This utility model relates to a kind of medical treatment of intestinal fistula cover, belongs to technical field of medical instruments.

Background technology

Intestinal fistula is more common clinically and deal with quite thorny a kind of disease, it is characterized in that a large amount of intestinal contents continues or be interrupted to discharge from fistula mouth skin of abdomen in the mode being similar to fountain, bring sensual misery, inconvenience in life and spiritual torment to patient, also make medical personnel and family numbers of patients feel to be sorely distressed simultaneously.The treatment of intestinal fistula comprises whole body therapeutic and topical therapeutic, the most important aspect of topical therapeutic is exactly drain, thoroughly must remove having strong corrosion Digestion in time with the intestinal contents comprising a large amount of antibacterial, build a cleaning, be beneficial to the environment of tissue growth, fistula could close gradually.Following several mode is had at present to the process of the intestinal contents of discharge, one is drainage tube adhesive tape sticking is fixed on outer fistula mouth side, then connect wall negative pressure to attract, this method shortcoming is that drainage effect is poor, quite a few ejection does not enter in drainage tube but trickling everywhere pollutes, and drainage tube is easily shifted, need repeatedly to adjust; Or by the hand-held negative-pressure suction pipe of entourage, incessantly ejection is manually attracted, although this method effect compared with front one is better, but to the energy of entourage and physical fitness requirement high, not easily adhere to, and all easily there is the situation of ejection blocking drainage tube at low level patients with intestinal fistula in these two kinds of methods; Moreover fistulization (also known as artificial anus bag, false anus bag) can be placed make ejection enter in bag in local, the method shortcoming comprises that needs frequently change that fistulization is cumbersome, fistulization price higher increase patient economy burden, passive natural drain effect can not show a candle to that initiatively vacuum suction, intestinal contents accumulate corrosion skin in local, the large-area viscose of fistulization easily makes skin produce infringements such as irritated, inflammation or avulsion etc., way that in most cases neither be feasible.For all the foregoing reasons, the ejection of many patients with intestinal fistulas can not be removed in time, causes fistula indolence, short then one or two months, long then more than half a year, and even patient dies because consuming to die of exhaustion.

A kind of special arrangement that can carry out removing fast and thoroughly to intestinal fistula ejection is not also had to be applied to clinical up to now, and retrieve Chinese patent database also only find two related contents, being respectively application number in 1988 is the utility application of 88210789, be that the application for a patent for invention of CN1055299A is open with publication number in 1991, title is " drainage device of intestinal fistula ", applicant and designer are also same people, but find after understanding in detail that their function is in fact identical with the fistulization used clinically at present, just trapped dirt passively, and not actively treat, the scope of application should be that sigmoid colon fistulation after those fistulation artificially deliberately produced such as rectal cancer abdomen perineum Combination resection is (also known as artificial anus, false anus), but not itself be namely a kind of intestinal fistula of disease, the author of these two applications has violated the error of principle that " fistulation " and " intestinal fistula " two concepts are lumped together, and there is the difference of essence exactly in them: fistulation is the drain passage of human body necessity, generally permanent, not for the purpose of healing, intestinal fistula is then a kind of pathological state needing to treat, and final purpose makes fistula healing, closedown, recovers normal.Fistulation needs of patients life and work as normal person, therefore its ejection holding device should possess comfortableness, portability, the feature of ease for use and seal, and the patients with intestinal fistula most of the time all in ward bed accept treatment, its ejection holding device is it is crucial that can remove thorough in time for dirt from local, to comfortableness, portability, the requirement of ease for use and seal is then very not strict, such as the former preferably adopts offset plate and skin close adhesion to ensure that dirt does not exosmose, and the latter allows the seepage of a small amount of dirt, therefore can only utilize external force that device is fixed on skin.Many defects that aforementioned two designs exist; such as comfortable wearing degree is low; fixing unreliable, easily there is seepage when patient's daily routines; non-once uses needs cleaning etc.; there is a big difference compared with fistulization in practicality to make it; and due to not do not rinse and vacuum suction function, efferent tract position more high; determine it and more do not possess the function that the said intestinal fistula of the application is treated; therefore the appellation of " drainage device of intestinal fistula " is very imappropriate, and " artifistulation's ejection catcher " is relatively suitable.Obviously, for patients with intestinal fistula, rely on the action of gravity of enterokinesia and ejection self, passive, go to collect ejection passively, be not as, far from being enough.

Summary of the invention

In order to overcome, the drainage effect that current general drainage pipe or fistulization exist for patients with intestinal fistula is poor, ejection can not obtain the deficiency effectively removed, this utility model provides a kind of medical treatment of intestinal fistula cover having feed pathway, inlet channel and negative pressure channel concurrently, cover barrier action, liquid wash effect, air propels effect and vacuum suction effect are integrated in one, scouring type cleaning can be carried out to fistula, and by excrete intestinal contents dilution, limitation then in time sucking-off.

Design philosophy of the present utility model and know-why are that the barrier action of comprehensive utilization cover, liquid wash effect, air propels effect and vacuum suction effect are carried out removing fast and thoroughly to the ejection of intestinal fistula.This utility model solves the technical scheme that its technical problem adopts, bowl-shape cover body there are syringe pipe, air inlet pipe (or air inlet) and suction catheter lead in cover, the tube chamber of suction catheter passes to mutually with space in cover and fully contacts ejection bottom cover, and bellyband is fixed in abdominal part through covering on top around cover body.Cover is buckled on patient outer fistula mouth place skin, syringe pipe head end is aimed at outer fistula mouth or is inserted into the inner portion, adjusting and fastening bellyband makes cover be fixed on abdominal part, but patient also oneself uses Hand supplementary if desired, make tight between cover and skin, such ejection can be confined to can not trickle everywhere in cover pollute, connect ordinary venous infusion set to syringe pipe, connect ward wall negative pressure to suction catheter, liquid carries out scouring type cleaning to fistula and surrounding skin, mixture quilt cover after flushing stops and surrounding, and after suction catheter sucking-off bottom cover, due to the combined effect of air-flow and current, even ejection is the low level intestinal fistula of solid, shaped feces, suction catheter also not easily blocks.

The beneficial effects of the utility model are, carry out scouring type cleaning and make locally to be maintained in the clean condition to be conducive to inflammatory resolution and tissue growth around fistula, thus promote the healing of fistula, shorten rehabilitation duration to fistula; Alleviate the corrosion stimulation of skin and be more easily sucked out after intestinal contents dilution, outer fistula mouth surrounding skin redness, pain, the symptom such as to fester can effectively be alleviated; Be fixed on abdominal part voluntarily by bellyband, patient oneself is hand steered if desired, generally assists without the need to entourage; Ejection is confined to avoid in cover polluting patient body and other article, alleviates nursing burden, improve quality of life; The suction catheter design be positioned at bottom cover enables to be exhausted by ejection more up hill and dale; The combined effect of air-flow and current ensure that suction catheter is unblocked; Be provided with special drainage tube passage, have drainage tube also not affect use even if outer fistula mouth is other.In addition, this utility model also can be used for the treatment of the more acute and chronic infection wound surface of secretions or wound.

Accompanying drawing explanation

Fig. 1 is the structural representation of this utility model first preferred embodiment cover.

Fig. 2 is the structural representation of this utility model second preferred embodiment cover.

Fig. 3 is the structural representation of this utility model the 3rd preferred embodiment cover.

Fig. 4 is this utility model the 3rd preferred embodiment bottom view.

Fig. 5 is arc outer rotating edge and the partial sectional view with suction catheter position relationship in the 3rd preferred embodiment thereof bottom this utility model second and the 3rd preferred embodiment cover.

Fig. 6 is the structural representation of this utility model the 4th preferred embodiment cover.

Fig. 7 is the structural representation of this utility model the 5th preferred embodiment cover.

Fig. 8 is the structural representation of this utility model the 6th preferred embodiment cover.

Fig. 9 is the schematic diagram of bellyband.

1. cover bodies in figure, 2. arc outer rotating edge, 3. suction catheter, 4. transfer tube, 5. suction catheter side opening, 6. air inlet pipe, 7. air strainer, 8. syringe pipe, 9. gondola water faucet, 10. removable hose, 11. three way cock, 12. suction catheter snap rings, 13. bellyband snap rings, 14. double-deck cover bodies, 15. inwall side openings, 16. drainage tube passages, 17. bellybands, 18. thread gluings, 19. syringe pipes and air inlet pipe hole.

Detailed description of the invention

Below in conjunction with the preferred embodiment of accompanying drawing and correspondence thereof, the utility model is described in further detail.

What Fig. 1 was corresponding is first preferred embodiment of the present utility model, suction catheter (3) is positioned at the bottom of bowl-shape cover body (1), keep to the side fully to contact ejection as far as possible, one " L " shape transfer tube (4) are had to be flexibly connected with it at the end of suction catheter (3), " L " shape transfer tube (4) effect has two aspects: one is can connect negative pressure from different directions, easy to use; Two is that the negative-pressure pipeline of coming from wall is positioned at patient side and does not affect patient legs's activity, and stroke is shorter.Syringe pipe (8) and air inlet pipe (6) enter in cover through cover wall, a gondola water faucet (9) is had to be flexibly connected at the head end of syringe pipe (8), to expand flushing scope, to strengthen developing result, the bottom center of gondola water faucet (9) has a removable hose (10), outer fistula mouth inside can be stretched into rinse, also can be taken off if do not need to use.There is a three way cock (11) outer end of syringe pipe (8), when the knob on three way cock (11) is during shape, two passes in it, is had to pass through, for the situation of ejection stiff, poor fluidity for flushing liquor; When the knob on joint is during shape, a passage is only had to pass through for flushing liquor in it, the situation that, mobility thin for ejection is large.An air strainer (7) is had at the outer portion distal end of the cover of air inlet pipe (6).Syringe pipe (8), air inlet pipe (6) and suction catheter (3) are gas-tight design with the junction of cover.Outside the cover wall is intervally distributed with several bellyband snap ring (13) from bottom to top.

What Fig. 2 was corresponding is second preferred embodiment of the present utility model, and the outside upwards turnup of bottom margin of cover body (1), forms arc outer rotating edge (2), to avoid causing repressive damage to abdominal skin, increase patient comfort degree simultaneously.Remainder structure is with first preferred embodiment.

What Fig. 3-Fig. 5 was corresponding is the 3rd preferred embodiment of the present utility model, cover inner wall surrounding traveling one circle is close to by suction catheter (3), pass finally by cover wall, be convenient to understand to strengthen display effect, suction catheter (3) and cover base distance in Fig. 3, in Fig. 4, suction catheter (3) and cover inwall distance have carried out processing and amplifying, they should be reduced as far as possible during actual fabrication product, the inwall of cover is intervally distributed with several suction catheter snap ring (12) suction catheter (3) is fixed, the inner underside tube wall of part in suction catheter (3) cover, be intervally distributed with several suction catheter side opening (5), suction catheter (3) be to as far as possible the ejection interspersed among in cover everywhere fully be exhausted around traveling and the design of many side openings.Remainder structure is with second preferred embodiment.

What Fig. 6 was corresponding is the 4th preferred embodiment of the present utility model, suction catheter (3) shape is similar to tennis racket, comprise ring and handle, suction catheter (3) annulus becomes the base of cover body (1), the two can integrated molding, the structure that also can arrange groove and so on connects, at the inner underside tube wall of suction catheter (3) annulus, be intervally distributed with several suction catheter side opening (5), the end of suction catheter (3) handle part is flexibly connected with transfer tube (4), eliminate the arc outer rotating edge (2) in the 3rd preferred embodiment and suction catheter snap ring (12).Remainder structure is identical.

What Fig. 7 was corresponding is the 5th preferred embodiment of the present utility model, the inner and outer wall of double-deck cover body (14) connects in bottom flat, its base corner angle are arc-shaped, to alleviate the compressing to abdominal skin, syringe pipe (8) and air inlet pipe (6) enter in cover through two-layer cover wall, the inwall bottom margin of double-deck cover body (14) has some inwall side openings (15) to pass through for ejection, outer wall bottom margin has suction catheter outwardly (3) to be flexibly connected with transfer tube (4), space between double-deck cover body (14) is two-layer instead of suction catheter (3) annulus in the 3rd and the 4th preferred embodiment as efferent tract.Remainder structure is identical.

What Fig. 8 was corresponding is the 6th preferred embodiment of the present invention, cover body (1) has drainage tube passage (16), there are lid or stopper in its outer end, the flexible cushion rubber of intracavity or unidirectional valve, to guarantee no matter pass through all can keep airtight conditions with or without drainage tube.The effect of this design is, even if there is drainage tube also not affect normal use of the present invention near outer fistula mouth.

In Fig. 9, there is thread gluing (18) at bellyband (17) two ends, hard machinery button does not advise due to patient can be made not feel well when lying in bed adopting, and there are syringe pipe and air inlet pipe hole (19) in middle part to hold syringe pipe (8) and air inlet pipe (6) is passed through.Bellyband (17) through bellyband snap ring (13) around cover body (1), the strength to direction at the bottom of cover from cover top can be formed, cover is pressed to stomach wall, such one side ensure that fixing reliability, the opposing party's face shield and the combination between skin are also compared closely, and pollutant relatively not easily exosmose.Bellyband (17) preferably uses has certain elastic material making to increase the comfort level of patient and fixing reliability.

Certainly; it should be noted that these accompanying drawings are the schematic diagram of simplification at this; its Main Function is core content such as reflection design philosophy of the present utility model and know-why etc.; and non-limiting structure of the present utility model; final form of the present utility model especially details aspect be not limited to listed accompanying drawing; when following this utility model design philosophy and know-why; many amendments can also be made to above-described embodiment; as long as they do not depart from essence of the present utility model; just should belong to protection domain of the present utility model, list no longer one by one here.

Claims (7)

1. a medical treatment of intestinal fistula cover, comprises bowl-shape cover body and bellyband, it is characterized in that: on cover body, have syringe pipe, air inlet pipe (or air inlet) and suction catheter to lead in cover, the tube chamber of suction catheter communicates with space in cover bottom cover.

2. medical treatment of intestinal fistula cover according to claim 1, is characterized in that: suction catheter can linearly lead in cover by type, or for being with side opening around traveling, has one " L " shape transfer tube to be flexibly connected with it in the outer end of suction catheter.

3. medical treatment of intestinal fistula cover according to claim 1, is characterized in that: have a gondola water faucet to be flexibly connected at the head end of syringe pipe, a removable hose is arranged at the bottom of gondola water faucet, and there is a three way cock outer end of syringe pipe.

4. medical treatment of intestinal fistula cover according to claim 1, is characterized in that: in air inlet pipe (or air inlet), have air filter to cross device.

5. medical treatment of intestinal fistula cover according to claim 1, is characterized in that: the junction of syringe pipe, air inlet pipe and suction catheter and cover is gas-tight design.

6. medical treatment of intestinal fistula cover according to claim 1, it is characterized in that: on cover wall, have drainage tube passage, there are lid or stopper in its outer end, the flexible cushion rubber of intracavity or unidirectional valve, to guarantee no matter pass through all can keep airtight conditions with or without drainage tube.

7. medical treatment of intestinal fistula cover according to claim 1, is characterized in that: bellyband is attached thereto fixing through covering on top around cover body, and bellyband two ends are connected by thread gluing.