CN209933139U - An abdominal wall conduit and a transabdominal adjustable ileostomy device - Google Patents

Abstract

The utility model discloses an abdominal wall pipeline and an adjustable ileostomy device through the abdominal wall, belonging to the technical field of medical supplies. The abdominal wall pipeline includes a pipeline body, one end of the pipeline body is provided with a plurality of elastic support bars, and each One end is connected to the pipeline body, and the other end is a free end. A plurality of elastic support strips are distributed along the circumference of the pipeline body. A protective film is provided on the elastic support strips, and the protective film wraps all the elastic support strips. The structure is simple and the production cost is low. Easy to use. The adjustable ileostomy device through the abdominal wall is easy to use. The intestinal stoma does not need to pull the intestinal tract out of the body, but puts the stoma device into the intestinal tract, avoiding the inconvenience caused by the inexperience of the surgeon and improper care of the patient. Stoma prolapse, stoma necrosis, stoma retraction and other complications.

Description

An abdominal wall conduit and a transabdominal adjustable ileostomy device

technical field

The utility model belongs to the technical field of medical supplies, in particular to an abdominal wall pipeline and an adjustable ileostomy device through the abdominal wall.

Background technique

Ileostomy is one of the most commonly performed surgical procedures. Every year, hundreds of thousands of people worldwide need to undergo ileostomy due to colorectal cancer, trauma, inflammation and congenital malformations. Some studies estimate that there are about 100,000 ileostomies in my country every year, and the cumulative number of ileostomies is currently about 1 million, and there will be an increasing trend in the future. Because stoma patients are a special group, stoma will affect the patient's psychology, physiology, society and many other aspects.

At present, the mainstream ileostomy procedures are as follows: 1. Select the right lower abdominal rectus abdominis incision. 2. Lift the terminal ileum 10cm away from the ileocecal valve outside the incision, separate the corresponding mesentery, cut and ligate the mesenteric blood vessels to the root of the mesentery, and pay attention to preserving the blood supply at both ends of the bowel. 3. Use Kocher forceps to clamp both ends of the intestinal tube, cut off the intestinal tube, wipe the stump with an ethanol gauze ball, do two layers of purse-string suture at the distal end of the intestinal tube, seal the intestinal tube and place it into the abdominal cavity. 4. The proximal intestinal canal is raised about 4 cm outside the incision, and the intestinal seromuscular layer is sutured intermittently with the peritoneum, fascia, and skin layers to prevent retraction of the stomal canal. The existing ileostomy does not require any borrowed device, and requires manual suture by the surgeon to reinforce the ileum and the abdominal wall at various levels, thereby completing the construction of the artificial anus.

Ileostomy needs to pull the intestine out of the body. Improper operation often leads to complications, such as stoma tube prolapse, stoma stenosis, stoma tube retraction, stoma necrosis, intestinal obstruction, stoma fecal Dermatitis etc. In addition, ileostomy is often a temporary artificial anus, which needs to be returned after the condition is stable. Because the large intestine is left open for a long time, the intestinal function is often disordered after the return, which is manifested as diarrhea and increased stool frequency.

Utility model content

One object of the embodiments of the present invention is to provide an abdominal wall conduit, which has a simple structure and is convenient to use.

Another object of the embodiments of the present invention is to provide an adjustable ileostomy device through the abdominal wall, which has a simple structure, is convenient to use, and has good safety performance, which can better improve the above problems.

The embodiment of the present utility model is realized as follows:

An embodiment of the present invention provides an abdominal wall pipeline, comprising a pipeline body, one end of the pipeline body is provided with a plurality of elastic support bars, one end of each elastic support bar is connected with the pipeline body, and the other end is At the free end, the plurality of elastic support strips are distributed along the circumference of the pipeline body, a protective film is provided on the elastic support strips, the protective film wraps all the elastic support strips, and the abdominal wall pipeline has the A first state in which the elastic support bars are unfolded, and a second state in which the elastic support bars are closed.

Optionally, the elastic support bar is made of memory alloy.

Optionally, when the abdominal wall conduit is in the first state, it is a funnel-shaped structure, and when the abdominal wall conduit is in the second state, it is a straight-line structure.

Embodiments of the present invention also provide a transabdominal adjustable ileostomy device, comprising an intestinal closure device and the abdominal wall conduit described above, the intestinal closure device comprising a C-shaped bladder and a media conduit, the One end of the medium pipe is communicated with the C-shaped bladder, the other end of the medium pipe is a free end, and the middle part of the medium pipe is connected with the middle part of the pipe body.

Optionally, the open end of the C-shaped bag body is provided with a connection buckle, one end of the connection buckle is fixedly connected to a free end of the C-shaped bag body, and the other end of the connection buckle is connected to the C-shaped bag body. The other free end of the bladder is detachably connected.

Optionally, a reinforcement pad is further provided on the pipe body, and the reinforcement pad is sleeved on the outer side of the pipe body.

Optionally, an adhesive layer is provided on a side of the reinforcing pad close to the elastic support bar.

Optionally, the transabdominal adjustable ileostomy device further comprises an ostomy bag, and one end of the pipe body away from the elastic support bar is connected to the ostomy bag.

Optionally, the pipe body is screwed to the ostomy bag.

Optionally, an exhaust valve is provided on the ostomy bag.

The beneficial effects of the present utility model are:

The abdominal wall pipeline provided by the embodiment of the present utility model has the advantages of simple structure, low manufacturing cost and convenient use.

The transabdominal adjustable ileostomy device provided by the embodiment of the present invention is easy to use, and the intestinal stoma does not need to pull the intestinal tract out of the body, but inserts the ostomy device into the intestinal tract, which avoids the need for a surgeon due to lack of experience. Complications such as stoma prolapse, stoma necrosis, and stoma retraction caused by improper patient care. Compared with the traditional way of severing the intestine, the device minimizes changes to the intestine, reduces the workload of the surgeon, and also helps to reduce the incidence of postoperative intestinal obstruction. The C-shaped balloon is controlled by infusing water, pumping water or inflating and exhausting outside the body to flexibly control the opening and closing of the patient's intestine. For patients with temporary stoma, the intestine can be opened in advance according to the doctor's judgment, and the large intestine anastomosis can be confirmed. Or whether bowel function has returned to normal. The observation of intestinal function before reintroduction will help to improve the safety of ostomy reintroduction, and the intestinal function will not be disturbed due to long-term absence after reintroduction.

Description of drawings

In order to illustrate the technical solutions of the embodiments of the present invention more clearly, the accompanying drawings required in the embodiments will be briefly introduced below. It should be understood that the following drawings only show some embodiments of the present invention. Therefore, it should not be regarded as a limitation of the scope. For those of ordinary skill in the art, other related drawings can also be obtained from these drawings without any creative effort.

1 is a schematic structural diagram of a first state of an abdominal wall conduit provided by an embodiment of the present invention;

Fig. 2 is the top view of Fig. 1;

3 is a schematic structural diagram of a second state of an abdominal wall conduit provided by an embodiment of the present invention;

4 is a schematic structural diagram of a transabdominal adjustable ileostomy device provided by an embodiment of the present invention.

In the figure: 10- abdominal wall pipe; 11- pipe body; 12- elastic support strip; 13- protective film; 14- reinforcement pad; 20- intestinal closure device; 21- C-shaped balloon; 22- media pipe; 23- Connection buckle; 30-ostomy bag; 31-exhaust valve.

Detailed ways

In order to make the purposes, technical solutions and advantages of the embodiments of the present invention more clear, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described The embodiments of the present invention are a part of the embodiments of the present invention, but not all of the embodiments. The components of the embodiments of the invention generally described and illustrated in the drawings herein may be arranged and designed in a variety of different configurations.

Accordingly, the following detailed description of the embodiments of the invention provided in the accompanying drawings is not intended to limit the scope of the invention as claimed, but is merely representative of selected embodiments of the invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

It should be noted that the embodiments of the present invention and the features of the embodiments can be combined with each other unless there is conflict.

It should be noted that like numerals and letters refer to like items in the following figures, so once an item is defined in one figure, it does not require further definition and explanation in subsequent figures.

In the description of the present invention, it should also be noted that, unless otherwise expressly specified and limited, the terms "arrangement", "installation", "connection" and "connection" should be understood in a broad sense, for example, it may be a fixed connection It can also be a detachable connection, or an integral connection; it can be a mechanical connection, a direct connection, an indirect connection through an intermediate medium, or an internal connection between two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood in specific situations.

Embodiment 1

Referring to FIGS. 1 and 2 , Embodiment 1 of the present invention provides an abdominal wall conduit 10 including a conduit body 11 .

The pipe body 11 is a circular pipe, and one end of the pipe body 11 is provided with a plurality of elastic support bars 12, one end of each elastic support bar 12 is fixedly connected with the pipe body 11, and the other end is a free end. The pipe body 11 is distributed in the circumferential direction, and the elastic support bar 12 is provided with a protective film 13 , and the protective film 13 wraps all the elastic support bars 12 .

In this embodiment, the elastic support bar 12 is made of memory alloy.

The abdominal wall duct 10 has a first state in which the elastic support bars 12 are unfolded (refer to FIG. 1 ), and a second state in which the elastic support bars 12 are closed (refer to FIG. 3 ). When the elastic support strip 12 is not subjected to external force, the abdominal wall pipeline 10 is in the first state, and the pipeline body 11, the elastic support strip 12 and the protective film 13 form a funnel-shaped structure at this time; when the elastic support strip 12 is squeezed by external force In the case where the elastic support bar 12 is closed inward, the pipe body 11 , the elastic support bar 12 and the protective film 13 form an in-line structure at this time.

The abdominal wall conduit 10 provided in this embodiment has a simple structure, low manufacturing cost and convenient use.

Embodiment 2

Referring to FIG. 4 , Embodiment 2 of the present invention provides a transabdominal adjustable ileostomy device, which includes a pipeline body 11 and an intestinal closure device 20 .

The pipe body 11 is a circular pipe, and one end of the pipe body 11 is provided with a plurality of elastic support bars 12, one end of each elastic support bar 12 is fixedly connected with the pipe body 11, and the other end is a free end. The pipe body 11 is distributed in the circumferential direction, and the elastic support bar 12 is provided with a protective film 13 , and the protective film 13 wraps all the elastic support bars 12 .

In this embodiment, the elastic support bar 12 is made of memory alloy.

The abdominal wall duct 10 has a first state in which the elastic support bars 12 are unfolded, and a second state in which the elastic support bars 12 are closed. When the elastic support strip 12 is not subjected to external force, the abdominal wall pipeline 10 is in the first state, and the pipeline body 11, the elastic support strip 12 and the protective film 13 form a funnel-shaped structure at this time; when the elastic support strip 12 is squeezed by external force In the case where the elastic support bar 12 is closed inward, the pipe body 11 , the elastic support bar 12 and the protective film 13 form an in-line structure at this time.

The intestinal closure device 20 includes a C-shaped balloon body 21 and a medium pipeline 22, one end of the medium pipeline 22 is communicated with the C-shaped balloon body 21, the other end of the medium pipeline 22 is a free end, and the free end of the medium pipeline 22 is provided with a quick-connect joint , so that the medium pipeline 22 can be connected with the water injection device or the air inflation device. The open end of the C-shaped bag body 21 is provided with a connecting button 23 , one end of the connecting button 23 is fixedly connected with one free end of the C-shaped bag body 21 , and the other end of the connecting button 23 and the other free end of the C-shaped bag body 21 can be connected Remove the connection. After the connection buckle 23 is buckled, the C-shaped bag body 21 is filled with liquid or gas through a water injection device or an inflatable device, and the C-shaped bag body 21 will be inflated. connected, so as to play the role of clamping and blocking.

The middle portion of the medium pipe 22 is connected with the middle portion of the pipe body 11, which facilitates the placement operation.

The pipe body 11 is also provided with a reinforcement pad 14 , which is sleeved on the outside of the pipe body 11 , and the reinforcement pad 14 and the pipe body 11 may be fixedly connected or slidably connected. An adhesive layer is provided on the side of the reinforcing pad 14 close to the elastic support bar 12 , and the adhesive layer can adhere the reinforcing pad 14 on the skin of the human body, thereby ensuring the fixing of the pipe body 11 .

The transabdominal adjustable ileostomy device further includes an ostomy bag 30 , and one end of the pipe body 11 away from the elastic support bar 12 is threadedly connected to the ostomy bag 30 , so that the ostomy bag 30 can be easily replaced.

An exhaust valve 31 is provided on the ostomy bag 30 , so that the gas in the ostomy bag 30 can be easily discharged.

The principle of use of the transabdominal adjustable ileostomy device provided by this embodiment is as follows:

After the surgeon pulls the ileum out of the abdominal wall, a small incision is made in the ileum, and the end of the abdominal wall tube 10 provided with the elastic support strip 12 is placed into the ileum. After being placed in the ileum, it is unfolded and fitted together with the ileum, so that the sealing between the ileum and the abdominal wall duct 10 can be greatly improved; then, the C-shaped balloon 21 is placed on the distal intestine, and the connecting buckle 23 is fastened, and then pass through the external body. Injecting water or inflating the C-shaped bladder 21 can make the C-shaped bladder 21 bulge, thereby closing the intestinal tract; after confirming that the ileum and related devices are put into the abdominal cavity of the patient, adjust the position of the channel, and stick the reinforcement pad 14. Cover the skin of the human body to fix the tube body 11 and prevent the tube body 11 from retracting or coming out; finally, connect the ostomy bag 30 and the end of the tube body 11 away from the elastic support bar 12 together.

The transabdominal adjustable ileostomy device provided by this embodiment has the following advantages:

(1) The intestinal stoma does not need to pull the intestine out of the body, but place the stoma device into the intestine, which avoids stoma prolapse, stoma necrosis, Complications such as stoma retraction. Compared with the traditional way of severing the intestine, the device minimizes changes to the intestine, reduces the workload of the surgeon, and also helps to reduce the incidence of postoperative intestinal obstruction.

(2) The abdominal wall conduit 10 directly introduces the feces into the ostomy bag 30 to prevent the skin from contacting the feces, which helps to reduce the workload of the patient in caring for the stoma, and reduces the incidence of fecal eczema and fecal dermatitis. Replacing the ostomy bag 30 by means of threaded connection simplifies the difficulty of stoma care, and eliminates the care steps such as skin disinfection, drying, and relubrication of the skin. The impact of stoma on life intervention is reduced, and the quality of life of patients is greatly improved.

(3) The C-shaped bladder 21 is controlled by means of external water injection, pumping or inflation and exhaust, so as to flexibly control the "opening and closing" of the patient's intestinal tract. For patients with a temporary stoma, the intestinal tract can be opened in advance according to the judgment of the doctor. Confirm whether the large bowel anastomosis or bowel function has returned to normal. The observation of intestinal function before reintroduction will help to improve the safety of ostomy reintroduction, and the intestinal function will not be disturbed due to long-term absence after reintroduction.

The present utility model is not limited to the above-mentioned optional embodiments, and anyone can draw other various forms of products under the inspiration of the present utility model. The technical solutions within the scope defined by the claims all fall within the protection scope of the present invention.

Claims (10)

1. An abdominal wall pipeline, characterized in that: it comprises a pipeline body, one end of the pipeline body is provided with a plurality of elastic support bars, one end of each of the elastic support bars is connected with the pipeline body, and the other end is a free end , the plurality of elastic support strips are distributed along the circumference of the pipeline body, the elastic support strip is provided with a protective film, the protective film wraps all the elastic support strips, and the abdominal wall pipeline has the elastic support A first state in which the strips are unfolded, and a second state in which the elastic support strips are closed. 2 . The abdominal wall pipeline according to claim 1 , wherein the elastic support bar is made of memory alloy. 3 . 3 . The abdominal wall conduit according to claim 1 , wherein the abdominal wall conduit has a funnel-shaped structure when it is in the first state, and has a straight-line structure when the abdominal wall conduit is in the second state. 4 . 4. A transabdominal wall adjustable ileostomy device, characterized in that it comprises an intestinal closure device and the abdominal wall conduit according to any one of claims 1-3, the intestinal closure device comprises a C-shaped bladder and A medium pipe, one end of the medium pipe is communicated with the C-shaped bladder, the other end of the medium pipe is a free end, and the middle part of the medium pipe is connected with the middle part of the pipe body. 5 . The adjustable ileostomy device according to claim 4 , wherein the open end of the C-shaped bladder is provided with a connecting button, and one end of the connecting button is connected to the C-shaped bladder. 6 . One free end is fixedly connected, and the other end of the connection buckle is detachably connected to the other free end of the C-shaped bag body. 6 . The transabdominal adjustable ileostomy device according to claim 4 , wherein a reinforcing pad is further provided on the pipeline body, and the reinforcing pad is sleeved on the outer side of the pipeline body. 7 . 7 . The transabdominal adjustable ileostomy device according to claim 6 , wherein an adhesive layer is provided on the side of the reinforcing pad close to the elastic support bar. 8 . 8 . The adjustable transabdominal wall ileostomy device according to claim 4 , wherein the transabdominal adjustable ileostomy device further comprises an ostomy bag, and one end of the pipe body away from the elastic support bar is 8 . connected to the ostomy bag. 9. The transabdominal adjustable ileostomy device according to claim 8, wherein the pipe body is threadedly connected to the ostomy bag. 10 . The adjustable transabdominal ileostomy device according to claim 8 , wherein an exhaust valve is provided on the ostomy bag. 11 .

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