CN209734618U - Continuous gastrointestinal decompression device for infants - Google Patents

Continuous gastrointestinal decompression device for infants Download PDF

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Publication number
CN209734618U
CN209734618U CN201920129706.6U CN201920129706U CN209734618U CN 209734618 U CN209734618 U CN 209734618U CN 201920129706 U CN201920129706 U CN 201920129706U CN 209734618 U CN209734618 U CN 209734618U
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CN
China
Prior art keywords
negative pressure
pressure reducer
drainage tube
continuous
piston core
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Expired - Fee Related
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CN201920129706.6U
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Chinese (zh)
Inventor
国献素
李超颖
关兰荣
史泽宁
焦保权
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Affiliated Hospital Of Academy School Military Medical University Of People's Liberation Army Of China
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Affiliated Hospital Of Academy School Military Medical University Of People's Liberation Army Of China
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Priority to CN201920129706.6U priority Critical patent/CN209734618U/en
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Abstract

The utility model provides an infant is with lasting stomach intestine pressure reducer belongs to medical instrument technical field. The technical scheme is as follows: the utility model provides an infant is with lasting stomach intestine pressure reducer, includes the drainage tube and with the collection container of drainage tube intercommunication, the key lies in, still includes the automatic negative pressure control assembly who is connected with the collection container, including the barrel of taking the scale, set up the piston core bar in the barrel and supporting piston core bar stroke control mechanism in the automatic negative pressure control assembly. The beneficial effects are that: the continuous gastrointestinal decompression device for infants has simple structure and scientific design, realizes the stable and automatic control of negative pressure in the whole gastrointestinal decompression treatment process, improves the comfort level of children patients and lightens the workload of medical staff; the pressure reducer material safe and reliable, and in the further modified technical scheme, increase hoist and mount basket and porous adsorption granules, effectively prevent harmful microorganism secondary infection, got rid of the hidden danger risk.

Description

continuous gastrointestinal decompression device for infants
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to infant is with lasting stomach intestine pressure reducer.
Background
Gastrointestinal decompression is a treatment method for sucking gas and liquid accumulated in the gastrointestinal tract by utilizing the principles of negative pressure and siphon so as to reduce the pressure in the gastrointestinal tract, improve the blood circulation of the gastrointestinal wall, promote wound healing and restore the gastrointestinal function, is an important means for clinically treating gastrointestinal obstruction, perforation and the like caused by various reasons, and is also a common nursing measure before and after gastrointestinal surgery.
In the clinical work of neonates and infants, especially in intensive care therapy, many infants have abnormal conditions such as abdominal distension, feeding difficulty, upper gastrointestinal hemorrhage and the like, continuous gastrointestinal decompression is needed to solve the problems of flatulence or excessive liquid stored in the gastrointestinal tract, and the infants can eat better only by sucking the gas and the liquid, so that the recovery of the state of illness is accelerated. However, most of the current gastrointestinal decompression devices are suitable for adults, and when the gastrointestinal decompression devices are used for infant patients with immature digestive systems and small stomach volumes, the gastrointestinal decompression devices have various discomforts and disadvantages, such as large volume, insufficient precision, incapability of accurately seeing drainage quantity in each time period, and the like. For more being applicable to neonate, infant and carrying out the stomach intestine decompression, medical personnel have carried out multiple repacking and improvement, CN 208097034U's chinese patent discloses a neonate's disposable stomach intestine decompression drainage device, including the gastric juice collecting tube of tubbiness, its inside is equipped with the piston, and through-hole is seted up to piston centre of a circle department, and the collection is drawn forth to gastric juice to fixed connection breather pipe realization in the through-hole. CN106267387A, the present invention patent in china discloses a novel gastrointestinal decompression device, which comprises a bottle body and an air pump, wherein the upper end of the air pump is connected with a sealing cover of the bottle body through an air pump pipe, the sealing cover is provided with a pressure gauge, the bottle body is provided with scales, the upper end of the sealing cover is provided with a stomach tube, and a liquid discharge pipe is arranged at the lower end of the outer side of the bottle body.
However, the current drainage device still has a lot of inconvenience in operation, for example, scales are arranged on the collection bottle body, so that medical personnel can conveniently check the collected liquid amount, and no measures are provided for the condition that the negative pressure is small due to gas accumulation; the negative pressure is unstable and uncontrolled, the initial large negative pressure drainage effect is good, the pressure reduction effect is poor when the negative pressure is too small after effusion or other materials are increased, the gastric mucosa of the infant patient is easily damaged when the negative pressure is too large, the treatment effect is poor, and a great deal of trouble is brought to a doctor by the difficulty in controlling the negative pressure. On the other hand, most gastrointestinal decompression devices work continuously, such as 24 hours, 28 hours and even 72 hours, accumulated liquid and gas are easy to deteriorate, infection prevention is a great challenge for infant patients with weak mucosa environments, if careless, treatment side reactions are easy to cause, secondary infection is caused, pain is brought to the infant patients, and even doctor-patient disputes are caused.
Disclosure of Invention
For solving the technical problem that current stomach intestine pressure relief device infant patient adaptability is poor, pressure is changeable, the drainage effect is unstable, easily arouse the secondary infection, the utility model provides an infant is with lasting stomach intestine pressure reducer adopts the technical scheme who sets up automatic negative pressure control assembly on stomach intestine pressure reducer, has realized the automation among the decompression treatment process, has lasted, has stabilized low negative pressure state, has both guaranteed treatment, has alleviateed medical staff work load again.
The utility model adopts the technical proposal that: the utility model provides an infant is with lasting stomach intestine pressure reducer, includes the drainage tube and with the collection container of drainage tube intercommunication, the key lies in, still includes the automatic negative pressure control assembly who is connected with the collection container, including the barrel of taking the scale, set up the piston core bar in the barrel and supporting piston core bar stroke control mechanism in the automatic negative pressure control assembly.
Further, the piston core rod stroke control mechanism structure comprises a pressure sensor for monitoring the pressure in the cylinder, a controller connected with the pressure sensor and a piston core rod telescopic driving mechanism connected to the signal output end of the controller, the piston core rod telescopic driving mechanism is positioned on the cylinder, and the execution end of the piston core rod telescopic driving mechanism is connected with the piston core rod.
Further, the piston core rod telescopic driving mechanism is an air cylinder.
Furthermore, the collecting container comprises a container body, a hoisting basket inserted into the container body and porous adsorption particles in the containing cavity of the hoisting basket.
Furthermore, the upper part of the collecting container is provided with an exhaust port, and the lower part of the collecting container is provided with a discharge port.
Furthermore, the tail end of one end, extending into the body, of the drainage tube is closed, and drainage holes are formed in the side wall of the drainage tube and are circular or oval.
Furthermore, the length of the drainage tube is 40-70cm, the inner diameter is 2-4mm, and the volume of the collection container is 50-100 mL.
Furthermore, the drainage tube is a soft silicone tube, and the collection container is made of hard plastic materials or corrosion-resistant metal materials.
Furthermore, a filter disc is arranged between the automatic negative pressure control assembly and the collecting container.
Furthermore, the end cover of the piston core rod is a one-way air valve.
In the technical scheme, the continuous gastrointestinal decompression device for the infants comprises a drainage tube, a collection container and an automatic negative pressure control assembly, wherein the drainage tube is communicated with the collection container, gas and liquid in the stomach enter the collection container under the drainage action of the drainage tube, and the driving force for drainage is from the automatic negative pressure control assembly; the piston core rod is arranged in the cylinder, the piston core rod stroke control mechanism matched with the piston core rod has the freedom degree of moving along the axial direction of the cylinder, and the piston core rod stroke control mechanism drives the piston core rod to form negative pressure when the piston core rod is pulled out from the cylinder. When the drainage tube is used specifically, the piston core rod is located at the initial position in the cylinder body and is in a normal pressure state, after the drainage tube is placed at the preset position, the piston core rod stroke control mechanism drives the piston core rod to be pulled out to the target scale and positioned in the cylinder body, and liquid and gas accumulated in the intestines and the stomach can flow out to the collection container along with the drainage tube under the action of negative pressure.
The utility model has the advantages that: the continuous gastrointestinal decompression device for infants has simple structure and scientific design, realizes the stable and automatic control of negative pressure in the whole gastrointestinal decompression treatment process, improves the comfort level of children patients and lightens the workload of medical staff; the pressure reducer material safe and reliable, and in the further modified technical scheme, increase hoist and mount basket and porous adsorption granules, effectively prevent harmful microorganism secondary infection, got rid of the hidden danger risk.
Drawings
Fig. 1 is a schematic structural view of a sustained gastrointestinal decompression apparatus for an infant according to embodiment 1;
Fig. 2 is a schematic structural view of the sustained gastrointestinal decompression apparatus for infants according to embodiment 2;
In the drawing, the device comprises 1 part of a drainage tube, 1-1 part of a drainage hole, 2 parts of a collection container, 2-1 part of a container body, 2-2 parts of a hoisting basket, 2-3 parts of porous adsorption particles, 3 parts of an automatic negative pressure control assembly, 3-1 part of a cylinder body, 3-2 parts of a piston core rod, 3-3 parts of a pressure sensor, 3-4 parts of a controller, 3-5 parts of a piston core rod telescopic driving mechanism, 4 parts of a filter disc.
Detailed Description
The following detailed description will be given of the structure and the application method of the sustained gastrointestinal decompression device for infants according to the specific embodiments, but the scope of the present invention is not limited in any way, and the modifications or similar replacements performed by those skilled in the art according to the technical solutions should be included in the scope of the present invention.
Example 1
The embodiment provides a continuous gastrointestinal decompression device for infants, which comprises a drainage tube 1, a collection container 2 communicated with the drainage tube 1 and an automatic negative pressure control assembly connected with the collection container 2, wherein the automatic negative pressure control assembly is used for metering negative pressure and automatically maintaining the negative pressure within a certain range, so that the drainage can be continuously carried out, as shown in fig. 1. For guaranteeing negative pressure formation and safe travelling comfort, drainage tube 1 is soft silicone tube, and collection container 2 is hard plastic material or corrosion-resistant metal material, and preferred integrated into one piece makes, collects the preferred transparent material of container 2 to the sign scale is convenient for look over the volume of drainage liquid. The automatic negative pressure control assembly comprises a cylinder 3-1 with scales, a piston core rod 3-2 arranged in the cylinder 3-1 and a matched piston core rod stroke control mechanism. The cylinder 3-1 is provided with scales, so that the volume of liquid and gas sucked out by negative pressure can be clearly shown, the initial negative pressure can be controlled, and the metering function is realized; the piston core rod 3-2 is arranged in the cylinder 3-1, the piston core rod stroke control mechanism can drive the piston core rod 3-2 to move in the cylinder 3-1, and the piston core rod stroke control mechanism drives the piston core rod to form negative pressure when being pulled out from the cylinder 3-1. In the embodiment, the piston core rod stroke control mechanism structure comprises a pressure sensor 3-3 for monitoring the pressure in a cylinder 3-1, a controller 3-4 connected with the pressure sensor 3-3 and a piston core rod telescopic driving mechanism 3-5 connected with the signal output end of the controller 3-4, wherein the pressure sensor 3-3 is positioned at the joint of the cylinder 3-1 and a collecting container 2, is used for monitoring the pressure intensity in the collecting container 2 and transmitting a pressure signal to a controller 3-4, the controller 3-4 is a PLC controller, a pressure threshold value and a moving distance numerical value of the control piston core rod 3-2 are preset, when the controller 3-4 monitors that the pressure is lower than a set value, the piston core rod telescopic driving mechanism 3-5 is controlled to operate, and the piston core rod 3-2 is driven to be pulled out to a moving distance value until a preset negative pressure range is reached. The piston core rod telescopic driving mechanism 3-5 can be screw rod driving, cylinder driving and the like, in the embodiment, the cylinder can be a common cylinder or a double-stroke cylinder and the like, is positioned on the side surface of the cylinder body 3-1, the execution end of the cylinder is connected with the piston core rod 3-2, the cylinder drives the piston core rod 3-2 to move outwards under the control of the controller, and in order to keep balance, the cylinders are symmetrically arranged or uniformly distributed, for example, two cylinders are arranged, 3 cylinders are uniformly distributed and the like.
In order to avoid the injury of mucosa caused by over-high direct suction pressure, the tail end of one end of the drainage tube 1 extending into the body is closed, drainage holes 1-1 are formed in the side wall of the drainage tube 1 and can be scattered or formed in rows, the hole positions on the opposite side wall are staggered when the drainage holes are formed in the rows, the aperture is generally controlled to be 2-4mm, and the drainage holes 1-1 are circular or oval, as shown in figure 1.
In order to adapt to infants of different ages, the length of the drainage tube 1 is 40-70cm, the inner diameter is 2-4mm, the volume of the collection container 2 is 50-100mL, for example, the drainage tube is 40cm long and the inner diameter is 2mm for neonates, 50cm long and the inner diameter is 3mm for 2-4 years old, and 70cm long and the inner diameter is 4mm for children over 5 years old.
In order to avoid ideal accumulated liquid and gas absorption when the piston core rod 3-2 is pulled out to the maximum position, the end cover of the piston core rod 3-2 is a one-way air valve, the controller 3-4 can control the piston core rod stroke control mechanism to remove the support, so that the piston core rod is reset to the initial position (the process is similar to the process of an air pump and is not inflated), and the piston core rod is pulled out again to form negative pressure.
When the gastrointestinal decompression device is used specifically, the piston core rod 3-2 is located at the innermost end of the cylinder 3-1, the gastrointestinal decompression device is in a normal pressure state, the drainage tube 1 is placed at a preset position, a pressure threshold value and a piston core rod movement distance value L when the pressure threshold value is lower than a set value are set on the controller 3-4, the piston core rod travel control mechanism drives the piston core rod 3-2 to be pulled out to a target scale and positioned in the cylinder 3-1, and liquid and gas accumulated in the intestines and the stomach can flow out to the collection container 2 along with the drainage tube under the action of negative pressure. As the drainage liquid and gas are enriched in the collecting container 2, the negative pressure is reduced, the drainage effect is weakened, the pressure sensor 3-3 detects the negative pressure value of the pressure reducer system and sends the negative pressure value to the controller 3-4, when the controller 3-4 detects that the pressure value is lower than the set value, the piston core rod telescopic driving mechanism 3-5 is controlled to drive the piston core rod 3-2 to pull out the L until the pressure value reaches the preset pressure range, so that the automatic control of the initial negative pressure and the continuous negative pressure in the gastrointestinal decompression process are realized, on one hand, the automatic continuous low negative pressure treatment is realized, the mucosa injury and the like caused by the overlarge negative pressure are avoided, on the other hand, the medical staff is prevented from frequently checking and adjusting the negative pressure, the workload is reduced, the process can be visually measured, the nursing and treatment efficiency is improved, the volume of the sucked liquid can, The volume of the gas sucked out can be known by the volume of the liquid, so that the medical staff can accurately record and evaluate the treatment process.
Example 2
On the basis of embodiment 1, in this embodiment, the upper portion of the collection container 2 is provided with an exhaust port, the lower portion of the collection container is provided with a discharge port, the collection container can be reused after cleaning and sterilization, the exhaust port is in a conventional pressing type, and the discharge port is located at a bottom plate position and is connected and sealed by means of hinges, gaskets and the like. For the convenience of placement, it can be made into a square shape, an elliptic cylinder shape, or a positioning component such as a clip or the like can be mounted on the cylinder 3-1.
The cylinder 3-1 and the piston core bar 3-2 in the automatic negative pressure control assembly can be selected from a large metering injector, and the materials are conveniently obtained, safely and practically.
Further, the collecting container 2 of the present embodiment includes a container body 2-1, a hanging basket 2-2 inserted into the container body 2-1, and porous adsorbent particles 2-3 in the containing cavity thereof. As shown in fig. 2, the lifting basket 2-2 is pressed into the container body 2-1 by means of a sealing gasket, porous adsorption particles 2-3 are arranged in the lifting basket, on one hand, the porous adsorption particles 2-3 can adsorb the drained gas, on the other hand, the effects of adsorbing bacteria and the like are achieved, the effects of avoiding the over-fast reduction of negative pressure and reducing the risk of secondary infection are achieved, the negative pressure and the porous adsorption particles 2-3 are automatically continued, the backflow of the collected materials in the collecting container 2 is further achieved in cooperation, and the secondary infection is avoided.
A filter 4 is arranged between the automatic negative pressure control assembly 3 and the collecting container 2, so that drainage liquid or macromolecular microorganisms are prevented from entering the negative pressure control assembly, and cleanness of the cylinder 3-1 and the piston core rod 3-2 is guaranteed.
To sum up, the utility model provides an infant is with lasting stomach intestine pressure reducer structure scientific and reasonable, and it is suitable for the convenience, not only avoided medical staff frequently to look over the adjustment negative pressure, alleviateed work load, more guaranteed that the infant is comfortable, improved the security among the treatment process, effectively improved nursing, treatment effeciency.

Claims (10)

1. The gastrointestinal continuous pressure reducer for the infants comprises a drainage tube (1) and a collection container (2) communicated with the drainage tube (1), and is characterized by further comprising an automatic negative pressure control assembly (3) connected with the collection container (2), wherein the automatic negative pressure control assembly comprises a barrel body (3-1) with scales, a piston core rod (3-2) arranged in the barrel body (3-1) and a matched piston core rod stroke control mechanism.
2. The continuous gastrointestinal decompression device according to claim 1, wherein the piston rod stroke control mechanism comprises a pressure sensor (3-3) for monitoring the pressure in the cylinder (3-1), a controller (3-4) connected with the pressure sensor (3-3) and a piston rod telescopic driving mechanism (3-5) connected to the signal output end of the controller (3-4), the piston rod telescopic driving mechanism (3-5) is positioned on the cylinder (3-1), and the execution end of the piston rod telescopic driving mechanism is connected with the piston rod (3-2).
3. Continuous gastrointestinal pressure reducer according to claim 2, wherein the piston rod telescopic drive mechanism (3-5) is a cylinder.
4. Continuous gastrointestinal pressure reducer according to claim 1, wherein the collecting vessel (2) comprises a vessel body (2-1), a hanging basket (2-2) inserted into the vessel body (2-1) and porous adsorption granules (2-3) in its accommodation cavity.
5. Continuous gastrointestinal pressure reducer according to claim 1 or 4, wherein the collecting container (2) is provided with a vent in the upper part and a discharge in the lower part.
6. The continuous gastrointestinal pressure reducer according to claim 1, wherein the end of the drainage tube (1) extending into the body is closed, the side wall of the drainage tube (1) is provided with a drainage hole (1-1), and the drainage hole (1-1) is circular or elliptical.
7. Continuous gastrointestinal pressure reducer according to claim 1 or 6, wherein the drain tube (1) has a length of 40-70cm, an internal diameter of 2-4mm and the collection vessel (2) has a volume of 50-100 mL.
8. Continuous gastrointestinal pressure reducer according to claim 1 or 6, wherein the drainage tube (1) is a soft silicone tube and the collection container (2) is a hard plastic material or a corrosion resistant metal material.
9. Continuous gastrointestinal pressure reducer according to claim 1, wherein a filter (4) is provided between the automatic negative pressure control assembly (3) and the collection container (2).
10. Continuous gastrointestinal pressure reducer according to claim 1, wherein the end cap of the plunger rod (3-2) is a one-way gas valve.
CN201920129706.6U 2019-01-25 2019-01-25 Continuous gastrointestinal decompression device for infants Expired - Fee Related CN209734618U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617325A (en) * 2020-05-28 2020-09-04 西安市儿童医院 Medical decompression drainage device based on stomach intestine, pleuroperitoneal cavity and postoperative position

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617325A (en) * 2020-05-28 2020-09-04 西安市儿童医院 Medical decompression drainage device based on stomach intestine, pleuroperitoneal cavity and postoperative position

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20191206

Termination date: 20210125