CN213031435U

CN213031435U - Bile collecting device for bile duct extravasation

Info

Publication number: CN213031435U
Application number: CN202021379225.XU
Authority: CN
Inventors: 吴田瑞; 王俊霞; 赵煜华
Original assignee: Zhengzhou University
Current assignee: Zhengzhou University
Priority date: 2020-07-14
Filing date: 2020-07-14
Publication date: 2021-04-23
Anticipated expiration: 2030-07-14

Abstract

The utility model discloses a bile collecting device for bile extravasation outside a biliary tract, which comprises a fixed part, a bile collecting device and a bile collecting device, wherein the fixed part is provided with a through hole corresponding to a puncture hole on the abdominal wall of a patient and a disconnected channel for connecting the through hole and the outer edge of the fixed part; the liquid collecting part is provided with an inner cavity for collecting bile and a liquid collecting port communicated with the inner cavity; the first connecting part is arranged on the fixing part around the outer side of the through hole; the second connecting part is arranged on the opening edge of the liquid collecting opening in a surrounding manner along the circumferential direction of the liquid collecting opening; wherein, the first connecting part is connected with the second connecting part in a sealing and clamping way, and a leading-out channel which is convenient for a drainage tube on the abdominal wall of a patient to penetrate out is arranged on the combined surface of the first connecting part and the second connecting part. The utility model discloses the advantage lies in installation and convenient to use, and is sealed effectual, and the suitability is strong, need not frequent clearance and changes the dressing, can not cause the pollution, effectively avoids putting red swelling of pipe department skin, erosion or infection, alleviates the painful expense that reaches extra nursing expense of patient, alleviates medical personnel's nursing work load greatly.

Description

Bile collecting device for bile duct extravasation

Technical Field

The utility model relates to a through skin liver puncture bile duct drainage technical field, especially relate to a biliary tract puts outer bile collection device that oozes of pipe.

Background

Percutaneous Transluminal Cholangiotomy (PTCD) is a minimally invasive interventional diagnosis and treatment technology, which is characterized in that a special puncture needle is used for percutaneously penetrating intrahepatic bile ducts under the guidance of X rays or B ultrasonic waves, contrast agents are injected into the biliary tract, and biliary drainage is performed through the contrast ducts. So as to achieve the purposes of removing obstruction, reducing serum bilirubin, controlling infection, draining bile and the like. But the disease changes the property of the bile, the drainage is not smooth, and the incidence rate of bile leakage from the skin of the drainage tube of a patient clinically reaches 8 percent; once the exosmotic bile corrodes the abdominal skin, the exosmotic bile can cause flushing, erosion and even ulcer of the skin, and the physical and psychological pain and economic burden of a patient are aggravated; in addition, the extravasated bile cannot be collected and measured, and is not favorable for clinical observation of disease conditions. However, no device specially used for collecting bile oozed from the biliary tract catheterization part exists in the market at present, the bile oozed from the biliary tract catheterization part can only be cleaned and changed by medical staff regularly, the operation is troublesome, the risk of extubation is increased, and limited medical staff cannot completely care each patient in large and medium hospitals with more patients.

Disclosure of Invention

The utility model aims to provide a bile collecting device is oozed to biliary tract catheterization outside of tubes.

In order to achieve the above purpose, the utility model can adopt the following technical proposal:

bile duct extravasation bile collection device, include:

the fixing part is provided with a through hole corresponding to the abdominal wall puncture opening of the patient and a disconnection channel which is communicated with the through hole and the outer edge of the fixing part;

the liquid collecting part is provided with an inner cavity for collecting bile and a liquid collecting port communicated with the inner cavity;

the first connecting part is arranged on the fixing part around the outer side of the through hole in a surrounding manner; and

the second connecting part is arranged on the opening edge of the liquid collecting opening in a surrounding manner along the circumferential direction of the liquid collecting opening;

the first connecting part is connected with the second connecting part in a sealing and clamping mode, and a leading-out channel which is convenient for a drainage tube on the abdominal wall of a patient to penetrate out is arranged on the combining surface of the first connecting part and the second connecting part.

Furthermore, the fixing part is a circular application patch fixedly attached to the abdominal wall of a patient, the through hole is formed in the center of the circular application patch, and the disconnecting channel is of a fan-shaped structure with gradually increasing width from the center of the circular application patch to the outside.

Further, the first connecting part is a round split ring which is fixedly connected to the outer side surface of the round application patch in a sealing mode, an opening in the round split ring is matched and corresponds to the disconnecting channel, and a clamping ring groove is formed in the outer ring surface of the round split ring; the second connecting part is a circular closed ring which is hermetically and fixedly connected to the edge of the liquid collecting opening, and a clamping convex ring which is in adaptive clamping connection with the clamping annular groove is arranged on the inner annular surface of the circular closed ring.

Further, an arc-shaped flange which is matched with and blocks the opening is hinged at the opening of the round split ring.

Furthermore, a pair of waistband connecting lugs is arranged on the round split ring, the two waistband connecting lugs are symmetrically arranged on the left side and the right side of the round split ring, and each waistband connecting lug is provided with a waistband penetrating hole.

Furthermore, a first groove is formed in the circular open ring on the opposite side of the disconnecting channel along the radial direction of the circular open ring, a second groove is formed in the circular closed ring on the opposite side of the disconnecting channel along the radial direction of the circular open ring, the first groove and the second groove are in the same axial direction and are oppositely formed in the combining surface of the circular open ring and the circular closed ring, and the leading-out channel for the drainage tube to penetrate out is formed together.

Furthermore, a sealing cover which is matched with the gap for sealing the second groove is hinged on the outer ring surface of the circular sealing ring.

Furthermore, anti-skidding rubber mats convenient for fixing the drainage tube are arranged on the inner groove surfaces of the first groove and the second groove.

Further, the liquid collecting part is a transparent flexible liquid collecting bag; the liquid collecting port is arranged on one side wall of the transparent flexible liquid collecting bag and close to the upper part, a liquid discharge pipe is communicated with the bottom of the transparent flexible liquid collecting bag far away from the liquid collecting port, and an opening and closing valve or a pricking pipe clamp for opening and closing the liquid discharge pipe is arranged on the liquid discharge pipe.

The utility model has the advantages that the fixing part is pasted and fixed around the abdominal wall operation mouth of the biliary tract catheterization patient, and the first connecting part and the second connecting part which are mutually clamped are matched to lead the liquid collecting part sealing cover to be arranged on the abdominal wall operation mouth, thereby forming a device which is specially used for collecting bile leaked outside the biliary tract catheterization and easily collecting the bile leaked outside; whole device installation and convenient to use, sealed effectual, the suitability is strong, need not medical personnel's frequent clearance and change dressing, can not cause the pollution to bedspread, clothes etc, effectively avoid putting red swelling of pipe department skin, erosion or infection, alleviate the painful expense of patient and extra nursing expense, simultaneously, this device still can use and change under the prerequisite that does not influence the drainage tube external fixation, alleviates medical personnel's nursing work load greatly.

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a schematic structural view of the fixing portion and the first connecting portion in fig. 1.

Fig. 3 is a schematic view showing the structure of the liquid collecting part and the second connecting part in fig. 1 (the block cover is opened).

Detailed Description

The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.

It should be noted that all the directional indicators (such as upper, lower, left, right, front and rear … …) in the embodiments of the present invention are only used to explain the relative position relationship between the components, the motion situation, etc. in a specific posture (as shown in the drawings), and if the specific posture is changed, the directional indicator is changed accordingly.

In addition, descriptions in the present application as to "first", "second", and the like are for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicit to the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature.

As shown in fig. 1-3, the bile duct extravascular bile collecting device of the utility model comprises a fixing part, a liquid collecting part, a first connecting part and a second connecting part; wherein, the fixed part is provided with a through hole 2 corresponding to the puncture hole of the abdominal wall of the patient and a disconnection channel 3 which is communicated with the through hole 2 and the outer edge of the fixed part; the liquid collecting part is provided with an inner cavity for collecting bile and a liquid collecting port 5 communicated with the inner cavity; the first connecting part is arranged on the fixing part outside the through hole 2 in a surrounding manner, the second connecting part is arranged on the opening edge of the liquid collecting opening 5 in a surrounding manner along the circumferential direction, the first connecting part and the second connecting part are connected in a sealing and clamping manner, and a leading-out channel which is convenient for a drainage tube on the abdominal wall of a patient to penetrate out is arranged on the combining surface of the first connecting part and the second connecting part.

Specifically, the fixed part is a circular patch 1 which is fixedly attached to the abdominal wall of a patient, the circular patch 1 can be a hard patch, the through hole 2 is formed in the center of the circular patch 1, and the disconnection channel 3 is of a fan-shaped structure with gradually increasing width from the center of the circular patch 1 to the outside; the liquid collecting part is a transparent flexible liquid collecting bag 4, and the liquid collecting port 5 is arranged on one side wall of the transparent flexible liquid collecting bag 4 and close to the upper part; the first connecting part is a round split ring 6 which is fixedly connected to the outer side surface of the round application 1 in a sealing mode, the round split ring 6 and the round application 1 are arranged concentrically, an opening in the round split ring 6 is matched and corresponds to the disconnecting channel 3, and a clamping and fixing ring groove 7 is formed in the outer ring surface of the round split ring 6; the second connecting part is a circular closed ring 8 which is hermetically and fixedly connected to the edge of the liquid collecting port 5, the circular closed ring 8 and the liquid collecting port 5 are concentrically arranged, and a clamping convex ring 9 which is in adaptive clamping connection with the clamping ring groove 7 is arranged on the inner annular surface of the circular closed ring 8.

Furthermore, because the round split ring 6 is provided with an opening for the drainage tube to pass through, in order to enhance the sealing performance of the round split ring 6, the opening of the round split ring 6 is hinged with an arc-shaped flange 10 which is adapted to block the opening, the outer wall of the arc-shaped flange 10 is also provided with an inward concave groove, the groove is matched with the clamping ring groove 7 on the outer ring surface of the round split ring 6, and when the arc-shaped flange 10 is blocked and blocked on the opening of the round split ring 6, the groove can be just connected with the clamping ring groove 7 into a whole to form an annular clamping groove together; when the drainage tube needs to pass through, the arc-shaped flange 10 is opened, and when the drainage tube enters the inner side of the round split ring 6, the arc-shaped flange 10 can be buckled, so that the round split ring 6 forms a closed circular ring shape, and the integrity and the sealing performance of the round split ring 6 are enhanced.

Furthermore, a pair of waistband connecting lugs 11 can be further arranged on the round split ring 6, the two waistband connecting lugs 11 are symmetrically arranged on the left side and the right side of the round split ring 6, each waistband connecting lug 11 is provided with a waistband penetrating hole 12, the matching ring passes through the waist of a patient, and the two ends of the waistband are respectively fixedly connected to the two waistband connecting lugs 11, so that the round split ring 6 can be further fixed.

Furthermore, the leading-out channel is composed of a first groove 13 arranged on the round open ring 6 and a second groove 14 arranged on the round closed ring 8, the first groove 13 and the second groove 14 are arranged on the opposite side of the broken channel 3, the axial directions of the first groove 13 and the second groove 14 are consistent, the first groove 13 and the second groove are oppositely arranged on the combined surface of the round open ring 6 and the round closed ring 8, the leading-out channel convenient for the drainage tube to penetrate out is jointly formed, the drainage tube can be normally fixed externally after penetrating out of the leading-out channel, and the drainage tube is prevented from being separated from the body cavity. In addition, still can be provided with the anti-skidding cushion that increases frictional force, conveniently fix the drainage tube on the inner trough surface of first recess 13 and second recess 14 to articulated on the outer annular surface of circular closed ring 8 have the shutoff lid 15 of the gap of adaptation shutoff second recess 14, increase the frictional force when first recess, second recess and the outer wall laminating of drainage tube through the anti-skidding cushion, come the shutoff drainage tube to wear out the gap of circular closed ring 8 department through shutoff lid 15, avoid the bile of extravasation to flow from the gap.

Further, a liquid discharge pipe 16 may be provided in communication with the bottom of the transparent flexible liquid collecting bag 4 remote from the liquid collecting port 5, and an opening/closing valve 17 for opening and closing the liquid discharge pipe 16 may be provided in the liquid discharge pipe 16, or of course, the liquid discharge pipe 16 may be directly clamped by a pinch-off clamp, and the opening/closing valve 17 may be opened to conduct the liquid discharge pipe 16, thereby discharging bile temporarily accumulated in the transparent flexible liquid collecting bag 4, and enabling the transparent flexible liquid collecting bag 4 to be used for a long period of time. In addition, the outer end of the liquid discharge pipe 16 can be connected with a conventional drainage bottle for collecting bile, when the liquid discharge pipe 16 is clamped, the drainage bottle connected with the tail end of the liquid discharge pipe 16 can be replaced, and the color and the property of the bile can be observed instantly through the transparent flexible liquid collection bag 4 and the liquid discharge pipe 16.

When in use, the arc-shaped retaining edge 10 on the circular open ring 6 is only needed to be opened firstly, so that the drainage tube on the abdominal wall of a patient transversely crosses the break channel 3 on the circular application 1 and the opening on the circular open ring 6 to enter the through hole 2 at the center of the circular application 1, then the circular application 1 is fixedly attached to the abdominal wall of the patient and the arc-shaped retaining edge 10 on the circular open ring 6 is buckled; then, the circular closed ring 8 connected with the transparent flexible liquid collecting bag 4 can be clamped and fixed on the circular open ring 6, the direction of the drainage tube is combed while the circular open ring 6 and the circular closed ring 8 are clamped and connected, so that the drainage tube penetrates out of an extraction channel formed by buckling the first groove 13 and the second groove 14, and the drainage function of the drainage tube and the external fixing part of the drainage tube are not influenced; finally, the plugging cover 15 is buckled to plug the gap where the drainage tube passes through the circular sealing ring 8.

In the using process, the opening and closing valve 17 is in an open state daily, so that exuded bile is prevented from accumulating on the broken channel 3 on the circular patch 1 to stimulate the skin; when the drainage bottle for collecting bile needs to be replaced, the opening and closing valve 17 can be closed for replacement; in addition, if necessary, a film application may be used to protect the local skin before the circular application 1 is applied.

Claims

1. The utility model provides a bile collection device oozes outside biliary tract device pipe which characterized in that: comprises that

2. The extravascular bile collection device of claim 1, wherein: the fixing part is a circular patch fixedly attached to the abdominal wall of a patient, the through hole is formed in the center of the circular patch, and the disconnecting channel is of a fan-shaped structure with gradually increasing width from the center of the circular patch to the outside.

3. The extravascular bile collection device of claim 2, wherein: the first connecting part is a round split ring which is fixedly connected to the outer side surface of the round application in a sealing mode, an opening in the round split ring is matched and corresponds to the disconnecting channel, and a clamping and fixing ring groove is formed in the outer ring surface of the round split ring; the second connecting part is a circular closed ring which is hermetically and fixedly connected to the edge of the liquid collecting opening, and a clamping convex ring which is in adaptive clamping connection with the clamping annular groove is arranged on the inner annular surface of the circular closed ring.

4. The extravascular bile collection device of claim 3, wherein: an arc-shaped flange which is matched with and blocks the opening is hinged at the opening of the round split ring.

5. The extravascular bile collection device of claim 3, wherein: the circular split ring is provided with a pair of waistband connecting lugs, the two waistband connecting lugs are symmetrically arranged on the left side and the right side of the circular split ring, and each waistband connecting lug is provided with a waistband penetrating hole.

6. The extravascular bile collection device of claim 3, wherein: the circular open ring at the opposite side of the disconnecting channel is provided with a first groove along the radial direction, the circular closed ring at the opposite side of the disconnecting channel is provided with a second groove along the radial direction, the axial directions of the first groove and the second groove are consistent, and the first groove and the second groove are oppositely arranged on the combined surface of the circular open ring and the circular closed ring to form the leading-out channel for the drainage tube to penetrate out.

7. The extravascular bile collection device of claim 6, wherein: and a plugging cover which is matched with the gap for sealing the second groove is hinged on the outer ring surface of the circular closed ring.

8. The extravascular bile collection device of claim 6, wherein: and anti-skid rubber pads which are convenient for fixing the drainage tube are arranged on the inner groove surfaces of the first groove and the second groove.

9. The extravascular bile collection device of claim 1, wherein: the liquid collecting part is a transparent flexible liquid collecting bag.

10. The extravascular bile collection device of claim 9, wherein: the liquid collecting port is arranged on one side wall of the transparent flexible liquid collecting bag and close to the upper part, a liquid discharge pipe is communicated with the bottom of the transparent flexible liquid collecting bag far away from the liquid collecting port, and an opening and closing valve or a pricking pipe clamp for opening and closing the liquid discharge pipe is arranged on the liquid discharge pipe.