Flexible deep enema drainage device
Technical Field
The utility model relates to a flexible degree of depth enema drainage device belongs to the enema device field.
Background
Enema is a treatment of relaxing the bowels by inserting a perfusion liquid through the anus with a catheter. The enema can stimulate enterokinesia, soften and remove feces, and has the effects of cooling, hastening parturition, diluting intestinal poison, reducing absorption, and cooling patients with hyperpyrexia with low temperature solution. The general enema depth is 7-10 cm.
The stoma is generally directed to rectum and bladder diseases (such as rectal cancer, bladder cancer, intestinal obstruction, etc.), and in order to keep the life of a patient, a doctor surgically cuts the affected part and then opens an opening on the left or right side of the abdomen of the patient.
The conventional enema tube is made of plastic, and the insertion end is very hard, so that a patient feels relatively strong discomfort in the insertion process. Particularly for ostomy patients, insertion is required to a great depth, as a stiff insertion end not only aggravates the discomfort of the patient, but also tends to cause bowel perforation. Along with the deepening of the enema, the resistance of the enema is also increased, and particularly, the enema is not smooth for patients suffering from intestinal obstruction.
The enema is generally at room temperature, and can be directly used for clystering clinically, and the enema is lower than the temperature in vivo, so that the discomfort of patients can be further aggravated.
Furthermore, some patients have symptoms such as intestinal gas accumulation due to intestinal obstruction or poor intestinal peristalsis, and the enema efficiency and the enema effect are reduced if direct enema is carried out.
SUMMERY OF THE UTILITY MODEL
The utility model provides a flexible deep enema drainage device, which solves the discomfort of patients caused by hard enema tubes in the prior art and avoids the occurrence of intestinal perforation; the problems of unsmooth enema caused by deep enema and low temperature of enema are also solved; further solves the problem of clysis for patients with intestinal qi stagnation.
For solving the technical problem, the utility model discloses the technical scheme who adopts as follows:
a flexible deep enema drainage device comprises a liquid storage bag, a hose and a guide wire; the liquid storage bag comprises an inner bag, a first wrapping layer and a second wrapping layer, wherein the first wrapping layer is of a cylindrical structure, the first wrapping layer wraps the periphery of the inner bag, the top edge and the bottom edge of the first wrapping layer are seamlessly connected to the outer side surface of the inner bag, so that a closed first cavity is formed between the inner bag and the first wrapping layer, a water injection pipe is arranged at the top of the first cavity, and a movably connected sealing cover is arranged on the main water pipe; the second wrapping layer is of a cylindrical structure, the second wrapping layer wraps the periphery of the first cavity, the top edge and the bottom edge of the second wrapping layer are seamlessly connected to the outer side surface of the inner bag or the outer side surface of the first cavity, a closed second cavity is formed between the first wrapping layer and the second wrapping layer, a gas injection pipe is arranged on the second cavity, when the height of the second wrapping layer exceeds the height of the water injection pipe, the water injection pipe penetrates through the second wrapping layer, and a sealing layer is arranged between the water injection pipe and the second wrapping layer; hose one end is open structure, the other end is the end-capping structure, hose end-capping one end outside end face is globular, the uncovered one end of hose is connected in the inner bag bottom, be equipped with the round hole on the lateral wall of hose end-capping one end, be equipped with the length scale from end-capping one end tip of valve on the hose lateral wall, be equipped with the seal wire cavity that sets up along length direction on the inside wall of hose, seal wire cavity one end accesss to hose end-capping one end medial surface, the other end stretches out from the uncovered one end side of hose and forms the seal wire import, the length of seal wire is greater than the length of seal wire cavity, the seal wire gets into and the activity is pegged graft in the seal wire cavity.
Before clysis, the inner bag is filled with clyster liquid, when the needed clyster liquid is more, the clyster liquid can be preheated firstly, then hot water with the temperature of about 42 ℃ is injected into the first cavity through the water injection pipe for heat preservation, so that the temperature of the clyster liquid entering the body is maintained at 37-38 ℃, when the needed clyster liquid is less, hot water with the temperature of about 50-70 ℃ is injected into the first cavity through the water injection pipe, the purpose of heating the clyster liquid is realized directly through a heat exchange mode, and the temperature of the clyster liquid entering the body is 37-38 ℃; when the phenomenon of obstruction occurs in the clystering process, air and other gases are injected into the second cavity through the air injection pipe by using air blowing equipment to press the inner bag, so that the input speed of clystering liquid is further improved, and clinical tests show that when the phenomenon of obstruction occurs in the clystering process, the smoothness of clystering can be ensured only by slightly applying pressure, and the clystering can be smoothly performed even if a patient with intestinal obstruction is subjected to the structural design; the skin-friendly performance and the comfort level are improved by arranging the hose made of silica gel or rubber, and the comfort level of a patient is further improved by the design of the spherical structure at the end part of the sealed end of the hose; the length scale from the end part of one end of the self-sealing end on the outer side wall of the hose can accurately know the insertion depth for medical care personnel to refer to whether the medical care personnel is inserted in place or not; through the design of the guide wire made of the plastic rod, the rubber rod or the silica gel rod, the smoothness of the hose during insertion is improved, the deformation capacity of the guide wire is good, the guide wire can be changed adaptively along with the curve change of an intestinal tract, one end of the guide wire reaches the inner side surface of the end-sealed end of the hose, and the other end of the guide wire is positioned outside a guide wire cavity; the depth of the deep part to be enema can be more than 18 cm.
During the use, pour into hot water into earlier in to first cavity, heating or heat preservation enema, will leave the hose end capping one end of seal wire and slowly insert from the anus again, under the guide effect of seal wire, until the target depth, then withdraw from the seal wire, begin the enema, enema passes through the hose after through the round hole outflow get into the human body, if the slow or unsmooth condition of dropping liquid appears, inflate the pressurization in to the second cavity.
The terms of orientation such as up, down, left, right, high, low, top, bottom, etc. refer to the relative positions of the device during normal use. The anus referred to in this application includes both the anus that is naturally grown by the human body and the artificial anus of an ostomy patient or the like.
For convenient observation, the inner bag, the first wrapping layer and the second wrapping layer are all made of transparent materials.
In order to conveniently and accurately measure the volume of the enema liquid, volume scales are arranged on the inner bag. Thus, the amount of the enema used can be accurately known through data reading.
In order to obtain the temperature of the enema liquid in the inner bag conveniently, the inner bag is provided with heat-sensitive temperature test paper, and the temperature of the relatively comfortable enema liquid is about 37-38 ℃.
In order to conveniently inflate the second cavity, a one-way balloon is movably connected to the air injection pipe. One-way air blowing ball belongs to single ball of practicing, directly use the laboratory with one-way air blowing ball can for the pressurization of the internal gas injection of second cavity, also with other inflation equipment such as pump certainly. The gas injection pipe can be further provided with a valve for controlling the on-off of the gas.
In order to further facilitate temperature control, a water outlet pipe is arranged at the bottom of the first cavity, a sealing cover in movable connection is arranged on the water outlet pipe, when the height of the water outlet pipe is higher than the lowest position of the second wrapping layer, the water outlet pipe penetrates out of the second wrapping layer, and a sealing layer is arranged between the water outlet pipe and the second wrapping layer. Thus, water can be fed or discharged according to the temperature of the enema in the inner bag.
In order to be suitable for the patient with intestinal pneumatosis to exhaust, the flexible deep enema drainage device also comprises a medical negative pressure disk, and the open end of the hose is connected to the bottom of the inner bag or communicated with the medical negative pressure disk. The medical negative pressure disc, namely the medical negative pressure suction apparatus, can be directly purchased from commercial products. Has the function of anal tube exhaust for bad intestinal peristalsis. When the anal canal needs to exhaust, the open end of the hose is connected to a negative pressure plate for negative pressure drainage; when enema is needed, the open end of the hose is connected to the bottom of the inner bag for enema. It is necessary to vent the anal canal before enema.
As another realization scheme, the inner side of the hose is also provided with a drainage cavity, one end of the drainage cavity is communicated with one end of the sealed end of the hose and is terminated before the round hole, the other end of the drainage cavity extends out of the side surface of the open end of the hose and is communicated with the medical negative pressure disc, and the open end of the hose is connected to the bottom of the inner bag. The flexible pipe is of a three-cavity structure, namely an enema cavity, a drainage cavity and a guide wire cavity in sequence, and the enema cavity and the drainage cavity share a circular hole at one end of the sealing end. For patients with enteroparalysis or intestinal obstruction, the negative pressure plate is used for draining gas and liquid excrement in the intestinal tract, and after drainage is finished, enema is performed according to needs. That is, the drainage and enema structures in the structure are designed in parallel, and the enema can be directly performed after negative pressure inspiration.
In order to improve the stability of the device in use, an air bag is arranged at the downstream of the round hole at one side of the end sealed end of the hose, an air inlet channel is arranged on the side wall of the hose, one end of the air inlet channel is communicated with the air bag, the other end of the air inlet channel extends out of the side face of the open end of the hose, a movably connected sealing cover is arranged at the end part of the extending end, when the hose is inserted in place, after the guide wire is withdrawn, air can be injected into the air inlet channel through a syringe and the like to expand the air bag, then the air inlet channel is sealed, after the enema.
As another scheme of the application, an air bag is arranged at the downstream of the round hole at the end sealing side of the hose, and the guide wire chamber is communicated with the air bag and is not communicated with other chambers in the hose. Thus, an additional air inlet channel is not needed.
In order to improve the heating effect, the height of the first wrapping layer is 80-95% of the height of the inner bag.
For the pressurizing effect, the height of the second wrapping layer is 70-95% of the height of the inner bag.
According to the other scheme of the application, the first wrapping layer is wrapped on the lower half part of the periphery of the inner bag, the top edge and the bottom edge of the first wrapping layer are connected to the outer side surface of the inner bag in a seamless mode, a closed first cavity is formed between the inner bag and the first wrapping layer, a water injection pipe is arranged at the top of the first cavity, a movably connected sealing cover is arranged on the main water pipe, a water outlet pipe is arranged at the bottom of the first cavity, and a movably connected sealing cover is arranged on the water outlet pipe; the second wrapping layer wraps the upper half part of the periphery of the inner bag, the top edge and the bottom edge of the second wrapping layer are both connected to the outer side surface of the inner bag in a seamless mode, a closed second cavity is formed between the inner bag and the second wrapping layer, and a gas injection pipe is arranged on the second cavity.
In order to better extrude the inner bag, the material of the first wrapping layer is a transparent elastic material, such as a transparent rubber skin or a silica gel skin.
In order to ensure the clystering effect, the round holes have two circles, each circle has three round holes, the round holes in the same circle are uniformly distributed on the periphery of the first through height of the hose, and the two circles of round holes are arranged alternately.
In order to facilitate hanging, the top of the inner bag is provided with a hanging ring. The ventilation of inner bag during dropping liquid can refer to prior art, and this application does not have special improvement to this part.
In order to improve the comfort degree of the hose during insertion, the outer end surface of one end of the hose end sealing end is in an ellipsoid shape.
In order to meet the requirements of strength and deformation, the diameter of the guide wire is 1-5 mm. The guide wire is preferably a rubber rod or a silica gel rod.
Preferably, the insertion end of the guide wire is blunt.
The technology not mentioned in the present invention refers to the prior art.
The flexible deep enema drainage device of the utility model realizes the purpose of heating or insulating enema liquid through the arrangement form of the first cavity, so that the temperature of the enema liquid is close to the temperature in the human body; the enema efficiency can be ensured by arranging the second cavity; by arranging the hose made of silica gel or rubber, the skin-friendly property and the comfort level are improved, intestinal mucosa is not damaged, intestinal perforation is avoided, and the comfort level of a patient is further improved due to the design of the spherical structure at the end part of the hose sealed end; the length scale from the end part of one end of the self-sealing end on the outer side wall of the hose can accurately know the insertion depth for medical care personnel to refer to whether the medical care personnel is inserted in place or not; through the design of the guide wire made of the plastic rod, the rubber rod or the silica gel rod, the smoothness of the hose during insertion is improved, the deformation capacity of the guide wire is good, the hose can be changed adaptively along with the curve change of the intestinal tract, and clinical practice proves that the hose with the guide wire inserted into the hose can be smoothly extended deep without damaging the intestinal mucosa, so that the comfort level of a patient is better, and the depth of the hose with the guide wire required to be enema can be more than 18 cm; further, the problem of clysis for patients with intestinal qi stagnation is solved; the stability of use of device has further been improved, simple structure, low cost, the practicality is strong.
Drawings
FIG. 1 is a schematic structural view of a flexible deep enema drainage device according to embodiment 4 of the present invention;
FIG. 2 is a schematic structural view of a flexible deep enema drainage device in embodiment 6 of the present invention;
in the figure, 1 is a liquid storage bag, 101 is an inner bag, 102 is a first cavity, 103 is a water injection pipe, 104 is a water outlet pipe, 105 is a second cavity, 106 is a gas injection pipe, 107 is volume scale, 108 is temperature sensitive test paper, 109 is a hanging ring, 2 is a hose, 201 is a guide wire cavity, 202 is a guide wire inlet, 203 is a sealing end face, 204 is a round hole, 205 is length scale, 206 is a drainage cavity, 207 is an enema cavity, and 3 is a negative pressure disk.
Detailed Description
For a better understanding of the present invention, the following examples are provided to further illustrate the present invention, but the present invention is not limited to the following examples.
Example 1
A flexible deep enema drainage device comprises a liquid storage bag, a hose and a guide wire; the liquid storage bag comprises an inner bag, a first wrapping layer and a second wrapping layer, wherein the first wrapping layer is of a cylindrical structure, the first wrapping layer wraps the periphery of the inner bag, the top edge and the bottom edge of the first wrapping layer are seamlessly connected to the outer side surface of the inner bag, so that a closed first cavity is formed between the inner bag and the first wrapping layer, a water injection pipe is arranged at the top of the first cavity, and a movably connected sealing cover is arranged on the main water pipe; the second wrapping layer is of a cylindrical structure, the second wrapping layer wraps the periphery of the first cavity, the top edge and the bottom edge of the second wrapping layer are connected to the outer side surface of the inner bag or the outer side surface of the first cavity in a seamless mode, a closed second cavity is formed between the first wrapping layer and the second wrapping layer, a gas injection pipe is arranged on the second cavity, when the height of the second wrapping layer exceeds the height of the water injection pipe, the water injection pipe penetrates through the second wrapping layer, a sealing layer is arranged between the water injection pipe and the second wrapping layer, gas leakage is prevented, and the sealing layer can be rubber and the like; hose one end is open structure, the other end is the end-capping structure, hose end-capping one end outside end face is globular, the uncovered one end of hose is connected in the inner bag bottom, be equipped with the round hole on the lateral wall of hose end-capping one end, be equipped with the length scale from end-capping one end tip of valve on the hose lateral wall, be equipped with the seal wire cavity that sets up along length direction on the inside wall of hose, seal wire cavity one end accesss to hose end-capping one end medial surface, the other end stretches out from the uncovered one end side of hose and forms the seal wire import, the length of seal wire is greater than the length of seal wire cavity, the seal wire can follow the seal wire import and get into and the activity is pegged.
Before clysis, the inner bag is filled with clyster liquid, when the needed clyster liquid is more, the clyster liquid can be preheated firstly, then hot water with the temperature of about 42 ℃ is injected into the first cavity through the water injection pipe for heat preservation, so that the temperature of the clyster liquid entering the body is maintained at 37-38 ℃, when the needed clyster liquid is less, hot water with the temperature of about 50-70 ℃ is injected into the first cavity through the water injection pipe, the purpose of heating the clyster liquid is realized directly through a heat exchange mode, and the temperature of the clyster liquid entering the body is 37-38 ℃; when the phenomenon of obstruction occurs in the clystering process, air and other gases are injected into the second cavity through the air injection pipe by using air blowing equipment to press the inner bag, so that the input speed of clystering liquid is further improved, and clinical tests show that when the phenomenon of obstruction occurs in the clystering process, the smoothness of clystering can be ensured only by slightly applying pressure, and the clystering can be smoothly performed even if a patient with intestinal obstruction is subjected to the structural design; the skin-friendly performance and the comfort level are improved by arranging the hose made of silica gel or rubber, and the comfort level of a patient is further improved by the design of the spherical structure at the end part of the sealed end of the hose; the length scale from the end part of one end of the self-sealing end on the outer side wall of the hose can accurately know the insertion depth for medical care personnel to refer to whether the medical care personnel is inserted in place or not; through the design of the guide wire made of the plastic rod, the rubber rod or the silica gel rod, the smoothness of the hose during insertion is improved, the deformation capacity of the guide wire is good, the guide wire can be changed adaptively along with the curve change of the intestinal tract, one end of the guide wire is connected to the inner side surface of the end-sealed end of the hose, and the other end of the guide wire is positioned outside a guide wire cavity; the depth of the deep part to be enema can be more than 18 cm.
During the use, pour into hot water into earlier in to first cavity, heating or heat preservation enema, will leave the hose end capping one end of seal wire and slowly insert from the anus again, under the guide effect of seal wire, until the target depth, then withdraw from the seal wire, begin the enema, enema passes through the hose after through the round hole outflow get into the human body, if the slow or unsmooth condition of dropping liquid appears, inflate the pressurization in to the second cavity.
Example 2
As shown in fig. 1, on the basis of embodiment 1, the following improvements are further made: for convenient observation, the inner bag, the first wrapping layer and the second wrapping layer are all made of transparent materials. In order to conveniently and accurately measure the volume of the enema liquid, volume scales are arranged on the inner bag. Thus, the amount of the enema used can be accurately known through data reading. In order to obtain the temperature of the enema liquid in the inner bag conveniently, the inner bag is provided with heat-sensitive temperature test paper, and the temperature of the relatively comfortable enema liquid is about 37-38 ℃.
Example 3
On the basis of the embodiment 2, the following improvements are further made: in order to conveniently inflate the second cavity, a one-way balloon is movably connected to the air injection pipe. The unidirectional air blowing ball belongs to a single-shot ball, and can be used for directly using the unidirectional air blowing ball for the laboratory and injecting air and pressurizing the air in the second cavity. The gas injection pipe can be further provided with a valve for controlling the on-off of the gas.
Example 4
On the basis of the embodiment 3, the following improvements are further made: in order to further facilitate temperature control, the bottom of the first cavity is provided with a water outlet pipe, the water outlet pipe is provided with a sealing cover in movable connection, when the water outlet pipe is higher than the lowest position of the second wrapping layer, the water outlet pipe penetrates out of the second wrapping layer, and a sealing layer is arranged between the water outlet pipe and the second wrapping layer to prevent air leakage, and the sealing layer can be rubber and the like. Thus, water can be fed or discharged according to the temperature of the enema in the inner bag.
Example 5
On the basis of the embodiment 4, the following improvements are further made: in order to be suitable for the patient with intestinal pneumatosis to exhaust, the flexible deep enema drainage device also comprises a medical negative pressure disk, and the open end of the hose is connected to the bottom of the inner bag or communicated with the medical negative pressure disk. The medical negative pressure disc, namely the medical negative pressure suction apparatus, can be directly purchased from commercial products. Has the function of anal tube exhaust for bad intestinal peristalsis. When the anal canal needs to exhaust, the open end of the hose is connected to a negative pressure plate for negative pressure drainage; when enema is needed, the open end of the hose is connected to the bottom of the inner bag for enema. It is necessary to vent the anal canal before enema.
Example 6
On the basis of the embodiment 4, the following improvements are further made: the inner side of the hose is also provided with a drainage cavity, one end of the drainage cavity is communicated with the end-sealed end of the hose and is terminated before the round hole, the other end of the drainage cavity extends out from the side surface of the open end of the hose and is communicated with the medical negative pressure disc, and the open end of the hose is connected to the bottom of the inner bag. The flexible pipe is of a three-cavity structure, namely an enema cavity, a drainage cavity and a guide wire cavity in sequence, and the enema cavity and the drainage cavity share a circular hole at one end of the sealing end. For patients with enteroparalysis or intestinal obstruction, the negative pressure plate is used for draining gas and liquid excrement in the intestinal tract, and after drainage is finished, enema is performed according to needs. That is, the drainage and enema structures in the structure are designed in parallel, and the enema can be directly performed after negative pressure inspiration.
Example 7
On the basis of the embodiment 5, the following improvements are further made: in order to improve the stability of the device in use, an air bag is arranged at the downstream of the round hole at one side of the end sealed end of the hose, an air inlet channel is arranged on the side wall of the hose, one end of the air inlet channel is communicated with the air bag, the other end of the air inlet channel extends out of the side face of the open end of the hose, a movably connected sealing cover is arranged at the end part of the extending end, when the hose is inserted in place, after the guide wire is withdrawn, air can be injected into the air inlet channel through a syringe and the like to expand the air bag, then the air inlet channel is sealed, after the enema.
Example 8
On the basis of the embodiment 5, the following improvements are further made: the downstream of the round hole at one end of the hose is provided with an air bag, and the guide wire chamber is communicated with the air bag and is not communicated with other chambers in the hose. Thus, an additional air inlet channel is not needed. In order to better extrude the inner bag, the material of the first wrapping layer is a transparent elastic material, such as a transparent rubber skin or a silica gel skin.
Example 9
On the basis of the embodiment 5, the following improvements are further made: in order to improve the heating effect, the height of the first wrapping layer is 90% of the height of the inner bag; for the pressurization effect, the height of the second wrapping layer is 85% of the height of the inner bag; in order to ensure the clystering effect, the circular holes are provided with two circles, each circle is provided with three circular holes, the circular holes in the same circle are uniformly distributed at the periphery of the first through height of the hose, and the circular holes in the two circles are arranged alternately; in order to facilitate hanging, the top of the inner bag is provided with a hanging ring; in order to improve the comfort degree of the hose during insertion, the outer end surface of one end of the hose at the end sealing is ellipsoidal; in order to meet the requirements of strength and deformation, the diameter of the guide wire is 1mm, 2mm, 3mm, 4mm or 5mm, and the like, and the end part of the insertion end of the guide wire is of a blunt structure; the guide wire is a rubber rod or a silica gel rod.
Example 10
On the basis of the embodiment 5, the following improvements are further made: the first wrapping layer wraps the lower half part of the periphery of the inner bag, the top edge and the bottom edge of the first wrapping layer are connected to the outer side surface of the inner bag in a seamless mode, a closed first cavity is formed between the inner bag and the first wrapping layer, a water injection pipe is arranged at the top of the first cavity, a movably connected sealing cover is arranged on the main water pipe, a water outlet pipe is arranged at the bottom of the first cavity, and a movably connected sealing cover is arranged on the water outlet pipe; the second wrapping layer wraps the upper half part of the periphery of the inner bag, the top edge and the bottom edge of the second wrapping layer are both connected to the outer side surface of the inner bag in a seamless mode, a closed second cavity is formed between the inner bag and the second wrapping layer, and a gas injection pipe is arranged on the second cavity.
The flexible deep enema drainage device of each embodiment realizes the purpose of heating or insulating enema liquid through the arrangement form of the first cavity, so that the temperature of the enema liquid is close to the temperature in a human body; the enema efficiency can be ensured by arranging the second cavity; the skin-friendly performance and comfort level are improved by arranging the hose made of silica gel or rubber, and the comfort level of a patient is further improved by the design of the spherical structure at the end part of the hose sealed end; the length scale from the end part of one end of the self-sealing end on the outer side wall of the hose can accurately know the insertion depth for medical care personnel to refer to whether the medical care personnel is inserted in place or not; through the design of the guide wire made of the plastic rod, the rubber rod or the silica gel rod, the smoothness of the hose during insertion is improved, the deformation capacity of the guide wire is good, the hose can be changed adaptively along with the curve change of the intestinal tract, and clinical practice proves that the hose with the guide wire inserted into the hose can be smoothly extended deep without damaging the intestinal mucosa, so that the comfort level of a patient is better, and the depth of the hose with the guide wire required to be enema can be more than 18 cm; further, the problem of clysis for patients with intestinal qi stagnation is solved; the use stability of the device is further improved.