Intestinal obstruction catheter for small intestine arrangement
Technical Field
The utility model relates to a clinical medical instrument technical field, more specifically relates to the utility model relates to a when peritoneal metastasis merges small intestine multi-section to colorectal cancer and blocks, be used for the intestinal obstruction pipe that the small intestine was arranged in the operation.
Background
Multiple segments of small intestinal obstruction are one of the main causes of death in peritoneal metastasis of intestinal cancer. Excision of small intestine, arrangement of small intestine and decompression of small intestine are important methods for treating intestinal cancer peritoneal metastasis with intestinal obstruction. Through ilering the near-end in the art and implanting the small intestine and arranging the pipe, reach the ileocecal part through the stoma department, can avoid cutting off the small intestine by a large scale, avoid short bowel syndrome, can alleviate intestinal obstruction and can prevent to be blocked again after the small intestine is arranged, improve nutrition, prolong patient's life. Traditional anus or oral cavity ileus pipe need implant with the help of the scope under the X line perspective, and the radiation is big and drop easily, often fails because of implanting the position is unsatisfactory to multi-section small intestine obstruction, and the pipe can not be antibiotic, and the easy secondary intestinal bacterium shifts to infect, and the pipe material is rough on the hard surface partially, is difficult for implanting, also is difficult for taking out after the implantation, causes the small intestine to perforate easily. Meanwhile, the traditional ileus catheter does not support drug and nutrient injection either.
SUMMERY OF THE UTILITY MODEL
The utility model aims at overcoming above-mentioned prior art's at least one not enough, provide a ileus pipe for the small intestine is arranged, ileus pipe for the small intestine is arranged can be used for the intestinal decompression, effectively alleviates the multiunit section small intestine that the intestinal cancer peritoneum shifted and blocks, still has super-smooth and antibacterial property, and the operation is convenient, can restrain the intestinal bacterium and multiply at pipe surface field planting, prevents the intestinal bacterium and shifts. Meanwhile, the intestinal obstruction catheter can be used for injecting medicines and nutrients.
The utility model adopts the following technical scheme:
the utility model provides an ileus pipe for small intestine range, includes the pipe, is located the pipe head of pipe front end, is located the gasbag valve of pipe tail end to and locate the gasbag on the pipe, the pipe includes pipe wall and pipe appearance chamber, be equipped with 3 passageways in the pipe wall, be seal wire passageway, gasbag passageway and medicine/nutrient passageway respectively, the seal wire has worn the seal wire in the seal wire passageway, and seal wire one end is connected with the pipe head, pipe wall surface scribbles smooth coating, pipe wall surface scribbles with the antibiotic, be equipped with a plurality of through-holes on pipe head and the pipe wall.
A ileus pipe for small intestine is arranged can be followed and is blocked the near-end and implant, it gets into the distal end to make mouthful near-end pass through making mouthful department through the small intestine, wherein the seal wire can be at seal wire passageway internalization, because the one end and the pipe head of seal wire are connected, the seal wire itself has certain rigidity, the pipe head motion can be controlled through the other end of control seal wire to the doctor, make the pipe head can control the luffing motion about in the intestinal, also can be forward or backward motion, conveniently pass a plurality of stages and block the position, thereby conveniently control ileus pipe arrival target location, need not to implant with the help of the scope under the X line perspective, reduce the radiation. The through holes on the catheter head and the catheter are convenient for liquid in the intestinal tract to flow into the catheter containing cavity of the intestinal obstruction catheter from the through holes, so that the resistance of the movement of the intestinal obstruction catheter is reduced, the flow of the liquid in the intestinal tract is not influenced, and the catheter is prevented from being blocked. The air bag valve can control the expansion or contraction of the air bag through the air bag channel, and the intestinal obstruction catheter is conveniently fixed to prevent the intestinal obstruction catheter from slipping when the air bag expands. The antibiotic on the inner surface of the intestinal obstruction catheter can inhibit intestinal bacteria from being planted and propagated on the surface of the catheter and prevent the intestinal bacteria from shifting. The smooth coating on the outer surface of the intestinal obstruction catheter can facilitate the intestinal obstruction catheter to be smoothly inserted into small intestines for intestinal arrangement, so that the small intestines are prevented from being perforated, and the intestinal obstruction catheter can be conveniently and directly pulled out through a stoma after obstruction is relieved. The medicine and nutrient channel is convenient for patients with special conditions, and medicines or nutrient solution can be injected into the intestinal tract from the medicine channel for auxiliary treatment.
Preferably, the ileus conduit is between 3.5m and 4.5m in length.
Preferably, the balloon is located adjacent the head of the catheter, and the balloon is positioned adjacent the head of the catheter to facilitate securement of the ileus catheter upon inflation of the balloon.
Preferably, the catheter is a silicone catheter, a latex catheter or a polyurethane catheter. The silica gel catheter, the latex catheter or the polyurethane catheter is soft in texture and good in water wettability, can conform to the bent small intestine and prevents intestinal perforation.
Preferably, the catheter head is hemispherical, semi-football shaped, conical, truncated cone shaped or arrowhead shaped. The catheter head is configured in such a way that it facilitates movement of the catheter in the intestine.
Preferably, the lubricious coating is a layer of vinyl pyrrolidone.
Preferably, the antibiotic is norfloxacin.
Compared with the prior art, the beneficial effects of the utility model are that:
(1) the utility model coats the outer surface of the duct wall of the ileus duct with a smooth coating, which can facilitate the ileus duct to be smoothly inserted into the small intestine for intestinal arrangement, prevent the small intestine from perforation, and facilitate the direct extraction of the ileus duct through the stoma after the obstruction is removed;
(2) the antibiotic on the inner surface of the intestinal obstruction catheter of the utility model can inhibit the colonization and proliferation of intestinal bacteria on the surface of the catheter and prevent the displacement of the intestinal bacteria;
(3) the utility model discloses the pipe is silica gel pipe, latex pipe or polyurethane pipe, and the texture is softer, and the moisture nature is good, can comply with crooked intestines and prevent the intestinal perforation.
Drawings
Fig. 1 is a perspective view of embodiment 1 of the present invention.
Fig. 2 is a front view of embodiment 1 of the present invention.
Fig. 3 is a sectional view of embodiment 1 of the present invention.
Fig. 4 is a sectional view taken along line B-B of fig. 2.
Fig. 5 is a partially enlarged view a.
Fig. 6 is a perspective view of embodiment 2 of the present invention.
Description of the drawings: 1. a conduit; 2. a catheter head; 3. an air bag valve; 4. an air bag; 5. a conduit wall 6, a conduit chamber 7; a guidewire channel; 8. an air bag channel; 9; a drug channel; 10. a guide wire; 11. a smooth coating; 12. an antibiotic; 13. a through hole; 14. and (4) anti-skid lines.
Detailed Description
The drawings of the present invention are for illustration purposes only and are not to be construed as limiting the invention. For a better understanding of the following embodiments, certain features of the drawings may be omitted, enlarged or reduced, and do not represent the size of an actual product; it will be understood by those skilled in the art that certain well-known structures in the drawings and descriptions thereof may be omitted.
Example 1
As shown in fig. 1 and 2, the present embodiment discloses an ileus catheter for arrangement of small intestine, which includes a catheter 1, a catheter head 2 located at the front end of the catheter 1, a balloon valve 3 located at the tail end of the catheter 1, and a balloon 4 disposed on the catheter 1, as shown in fig. 3, 4 and 5, the catheter 1 includes a catheter wall 5 and a catheter cavity 6, 3 channels are disposed in the catheter wall 5, which are a guide wire channel 7, a balloon channel 8 and a drug channel 9, a guide wire 10 is threaded in the guide wire channel 7, one end of the guide wire 10 is connected to the catheter head 2, a smooth coating 11 is coated on the outer surface of the catheter wall 5, an antibiotic 12 is attached to the inner surface of the catheter wall 5, a plurality of through holes 13 are disposed on the catheter head 2 and the catheter wall 5, the catheter is a silica gel catheter, a catheter latex or a polyurethane catheter, and the catheter head is in a shape of.
The ileus catheter for small intestine arrangement described in this embodiment 1 can be implanted from the proximal end of obstruction, and enters the distal end through the proximal end of small intestine stoma after passing through the stoma, where the guide wire 10 can move in the guide wire channel 7, because one end of the guide wire 10 is connected with the catheter head 2, the guide wire 10 itself has a certain rigidity, the doctor can control the catheter head 2 to move by controlling the other end (manual control) of the guide wire 10, so that the catheter head 2 can swing up and down in the intestinal tract, and also can move forward or backward, and conveniently pass through multiple stages of obstruction parts, thereby conveniently controlling the ileus catheter to reach the target position, and without implanting by means of an endoscope under X-ray fluoroscopy, and reducing radiation. The through holes 13 on the catheter head 2 and the catheter 1 are convenient for liquid in the intestinal tract to flow into the catheter containing cavity 6 of the intestinal obstruction catheter from the through holes, so that the resistance of the movement of the intestinal obstruction catheter is reduced, the flow of the liquid in the intestinal tract is not influenced, and the catheter can be prevented from being blocked. The air bag valve 4 can control the expansion or contraction of the air bag 4 through the air bag channel 8, the air bag expands when inflated, and the air bag shrinks when deflated. When the ileus catheter for small intestine alignment reaches the target position, the balloon is inflated, and the ileus catheter can be fixed to prevent the ileus catheter from slipping off. The antibiotic 12 on the inner surface of the intestinal obstruction catheter can inhibit intestinal bacteria from being planted and propagated on the surface of the catheter and prevent the intestinal bacteria from shifting. The smooth coating 11 on the outer surface of the ileus catheter can facilitate the ileus catheter to be smoothly inserted into small intestines for intestinal arrangement, so as to prevent the small intestines from being perforated, and the ileus catheter can be conveniently and directly pulled out through a stoma after obstruction is relieved. The drug channel 9 is convenient for patients with special conditions, and drugs or nutrient solution can be injected into the intestinal tract from the drug/nutrient channel for auxiliary treatment. The silica gel catheter, the latex catheter or the polyurethane catheter is soft in texture and good in water wettability, can conform to the bent small intestine and prevents intestinal perforation. The head of the catheter is arranged into a rocket head shape to facilitate the movement of the catheter in the intestinal tract.
More specifically, the length of the catheter 1 in this embodiment is 3.5m to 4.5 m. The air sac 4 is positioned at a position close to the head of the catheter, and the distance between the air sac 4 and the front end of the catheter 1 is 10 cm-100 cm.
More specifically, the lubricious coating 11 is a layer of vinyl pyrrolidone and the antibiotic 12 is norfloxacin.
The ileus catheter for small intestine arrangement described in this embodiment 1 has the characteristics of ultra-smooth and moist outer surface, antibacterial inner surface, soft catheter quality and reasonable length, is convenient for implanting the catheter to arrange small intestine in operation, passes through obstruction part and prevents perforation, dredges the multi-section obstruction of intestinal cancer peritoneal metastasis, alleviates abdominal distension and promotes food intake and improves nutrition, is convenient to pull out through making a mouth after obstruction is removed, and can prevent obstruction once more, improves the quality of life of patients and prolongs life.
Example 2
As shown in fig. 2, the present embodiment discloses an ileus catheter for arrangement of small intestine, which has a structure similar to that of embodiment 1, and comprises a catheter 1, a catheter head 2 at the front end of the catheter, a balloon valve at the tail end of the catheter, and a balloon 4 arranged on the catheter, wherein the catheter comprises a catheter wall and a catheter cavity, the catheter wall is provided with 3 channels, namely a guide wire channel, a balloon channel and a medicine/nutrient channel, the guide wire channel is internally provided with a guide wire, one end of the guide wire is connected with the catheter head, the outer surface of the catheter wall is coated with a smooth coating, the inner surface of the catheter wall is attached with an antibiotic, and the catheter head and the catheter wall are provided with a plurality of through holes. The difference between the embodiment 2 and the embodiment 1 is that the tail end of the tube of the ileus tube for arranging small intestines in the embodiment 2 is larger than the front section of the tube, and the tail end is in a round table shape, so that a doctor can hold the tube conveniently during an operation.
Furthermore, in the embodiment 2, the anti-slip threads 14 are additionally arranged at the tail end of the catheter to prevent the hands from slipping during the operation.
It is obvious that the above embodiments of the present invention are only examples for clearly illustrating the technical solutions of the present invention, and are not limitations to the specific embodiments of the present invention. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.