CN214129730U - Intestinal canal irrigation and drainage device - Google Patents

Abstract

The utility model discloses an intestinal irrigation and drainage device, seed including being responsible for, the one end of being responsible for is equipped with first opening, the lateral wall of being responsible for is equipped with intestinal low level and fills branch pipe and waste discharge branch pipe, intestinal low level fills branch pipe and waste discharge branch pipe and the inner chamber of being responsible for communicates with each other, the other end of being responsible for is equipped with the second opening and can plugs up second open-ended sealed end cap, an intestinal irrigation and drainage device still includes that one end is equipped with the intestinal high level filling tube of annotating the liquid mouth, the intestinal high level filling tube is equipped with the hole that the one end of annotating the liquid mouth can pass sealed end cap and is responsible for and stretch out from first opening, an intestinal irrigation and drainage device still includes the waste liquid pipe of being connected with waste discharge branch pipe, the waste liquid pipe is equipped with the waste discharge valve. The utility model provides a technical problem lie in overcoming traditional enema equipment because all sorts of unfavorable factors that the intubate conversion brought provide once the intubate can carry out intestinal high-order and low level fill, evacuation, the intestinal irrigation and drainage ware of dosing.

Description

Intestinal canal irrigation and drainage device

Technical Field

The utility model relates to the field of medical equipment. In particular to an intestinal tract irrigation and drainage device.

Background

The treatment methods of colon dialysis or colon perfusion administration for treating acute and chronic renal failure, severe liver disease, lower gastrointestinal inflammatory diseases, diseases such as high fever caused by various reasons and the like by auxiliary perfusion equipment and a catheter or a special probe inserted into the large intestine through the anus are being recognized and valued again by clinicians, and particularly when treating symptoms such as fever, dry cough, diarrhea and the like caused by viruses, the traditional Chinese medicine enema is performed by enema equipment to generate a remarkable effect, so that the method is widely popularized. Meanwhile, compared with hemodialysis and peritoneal dialysis, the colon dialysis treatment method is not invasive, has no concurrent infection, is simple and convenient to implement, has lower treatment cost, and is accepted by a plurality of patients with early and medium chronic kidney diseases.

In clinic, enema therapy is generally divided into high-level perfusion and low-level perfusion according to the difference of patients' disease conditions. For low-level enema, the enema liquid or the liquid medicine only needs to be sent to the rectum or the sigmoid colon or the descending colon, so the mode is easy to realize, and the facilities and the devices for low-level enema are many at present.

The low position enema method comprises the following steps: a single lumen catheter is typically inserted through which fluid is infused into the lower bowel lumen, and the patient is then allowed to drain by himself to a toilet or by catheter. Although the method solves the problem of blockage of the waste liquid precipitation pipe, in the operation process, the patient needs to fill and accumulate a large amount of liquid in the intestinal cavity, so that the patient feels strong suffocating feeling and has poor tolerance. Meanwhile, the existing irrigation and drainage catheter or special probe or dialyzer for colon is in clinical use, which does not well solve the problem of the combination of high-level and low-level perfusion of colon, and especially, in order to avoid the blockage of the waste liquid eduction tube, the low-level colon irrigation is generally needed to be carried out before the high-level colon perfusion is carried out to discharge the excrement. For patients treated by high-position colonic perfusion or colonic dialysis, the tube needs to be replaced to perform the high-position colonic dialysis or drug administration treatment after the low-position perfusion cleaning and the excrement removal are finished. The traditional clinical use method has more serious defects, firstly, many patients have poor tolerance and frequent toilet-taking troubles due to artificial strong suffocating feeling, especially the old and weak patients or the patients with inconvenient actions, and the patients have serious manifestations of each bed causing prostration; secondly, frequent or frequent intubation conversion is needed, so that the treatment and nursing operation intensity of medical personnel is increased, and the treatment is not fast and smoothly completed; thirdly, an effective means for the closed defecation of some serious bedridden patients is lacked at present; finally, the repeated tube replacement operation undoubtedly increases the risk of infection, and also increases the consumption of the perfusion apparatus, which is not beneficial to saving and increases the economic burden of the patient.

SUMMERY OF THE UTILITY MODEL

The utility model provides a technical problem lie in overcoming traditional enema equipment because all sorts of unfavorable factors that the intubate conversion brought provide the intubate can carry out the intestinal irrigation and drainage ware that high-order and low level were filled.

The utility model discloses an intestinal irrigation and drainage device, which comprises a main pipe, the one end of being responsible for is equipped with first opening, the lateral wall of being responsible for is equipped with the intestinal low level and pours into branch pipe and the branch pipe of wasting discharge, the intestinal low level fill into branch pipe and the branch pipe of wasting discharge with the inner chamber of being responsible for communicates with each other, the other end of being responsible for is equipped with the second opening and can plugs up the sealed end cap of second open-ended, sealed end cap is equipped with the hole, intestinal irrigation and drainage device still includes that one end is equipped with the intestinal high level filling tube of annotating the liquid mouth, the intestinal high level filling tube is equipped with the one end of annotating the liquid mouth and can pass the hole with the person in charge is followed first opening is stretched out, intestinal irrigation and drainage device still include with the waste liquid pipe of wasting discharge branch union, the waste liquid pipe is equipped with the waste discharge valve.

Preferably, the sealing plug is detachably connected to the main tube.

Preferably, the waste liquid pipe is provided with a negative pressure drainage device. The negative pressure drainage device is a negative pressure ball. The waste liquid pipe is provided with a waste liquid collecting device for receiving the waste liquid flowing out of the waste liquid pipe.

Preferably, the waste liquid pipe and/or the intestinal canal low-level perfusion branch pipe and/or the intestinal canal high-level perfusion pipe are/is provided with a pressure detection port.

Preferably, the intestinal low-level perfusion branch pipe and/or the intestinal high-level perfusion pipe are/is provided with a pressurizing and flow-promoting device. The pressurizing flow promoting device is a pump or a pressurizing ball.

Preferably, the contour of the end of the main pipe provided with the first opening is a convex or concave or convex-concave combined curved surface.

Preferably, a waste liquid separation outlet is provided in a side wall of the main pipe at the end where the first opening is provided.

Preferably, the outer wall of the main pipe is provided with a limiting stop, and the intestinal low-level perfusion branch pipe and the waste discharge branch pipe are located between the limiting stop and the second opening.

Preferably, the intestinal high-level perfusion tube is provided with a balloon.

Preferably, the intestinal tract irrigator further comprises an air injection device for injecting air into the balloon, and the air injection device comprises an air injection pipe and an air injector.

Preferably, the intestinal irrigator further comprises an auxiliary piston introducer, the auxiliary piston introducer comprising a piston head which can extend from the first opening of the main tube, the piston head having a conical profile and a smooth curved top.

Preferably, the auxiliary piston introducer further comprises a piston rod and a piston handle.

Compared with the prior art, the intestinal tract irrigation and drainage device of the utility model has the following beneficial effects:

1. through the utility model provides an intestinal irrigation and drainage ware, the accessible is responsible for and realizes that the low level alone fills, also can realize that the high level alone fills through intestinal high-order filling pipe, also can realize simultaneously that the low level fills and the high level fills through being responsible for and high-order irrigation and drainage pipe. Meanwhile, the intestinal high-level perfusion tube penetrates into the main tube from one end of the main tube and penetrates out from the other end of the main tube, the intestinal high-level perfusion tube is not required to be bent, and the operation is simple.

2. The utility model provides a waste discharge branch pipe of intestinal irrigation and drainage ware is equipped with the waste discharge valve, the break-make of not only steerable waste discharge branch pipe, the flow of still steerable waste discharge prevents that the patient from producing the sense of suffocating when filling.

3. The utility model provides a waste liquid pipe of intestinal irrigation and drainage ware is equipped with negative pressure drainage device, and its effect is the discharge of supplementary waste liquid when waste discharge branch pipe and connecting line are blocked by the interior discharged foreign matter of intestinal.

4. The utility model provides an intestinal irrigation and drainage ware's gasbag can prevent that intestinal high-order perfusion tube from to the inflection when inserting the intestinal intracavity and meet the resistance, and the gasbag can be constantly aerifyd or be exitted so that intestinal high-order perfusion tube reachs the intestinal cavity high-order according to the condition after getting into human intestines string. The air sac adjusts the position of liquid entering the intestinal cavity, the retention time of the liquid in the intestinal cavity and the flow and speed of the liquid when the liquid is discharged out of the intestinal cavity by adjusting the filling degree of the air sac.

5. The utility model provides an intestinal irrigation and drainage ware still includes auxiliary piston intubator, and auxiliary piston intubator is including the piston head that can follow the first opening of being responsible for and stretch out, and the profile of piston head is conical and conical top for smooth curved surface. When the intestinal tract irrigator is used for treatment, the intestinal tract irrigator with the auxiliary piston intubator is firstly inserted into the anus of a patient, and the shape of the piston head of the intestinal tract irrigator can prevent the intestinal tract irrigator from being damaged when the intestinal tract irrigator is inserted into the anus and the rectum of the patient.

Drawings

Fig. 1 is a schematic structural view of an intestinal tract irrigator according to an embodiment of the present invention during intubation.

Fig. 2 is a schematic structural view of the intestinal tract irrigator according to an embodiment of the present invention after completion of intubation.

Fig. 3 is a schematic structural view of the intestinal tract irrigator according to an embodiment of the present invention.

Fig. 4 is a schematic sectional view of the enteral irrigator of fig. 3 during high perfusion.

Fig. 5 is an exploded view of the intestinal irrigation and drainage device according to an embodiment of the present invention.

Fig. 6 is a schematic view illustrating an application of the intestinal tract irrigator according to an embodiment of the present invention.

Reference numerals

The device comprises a main pipe 1, a waste liquid analysis outlet 11, a limit stop 12, a sealing plug 13, a sealing gasket 14, a intestinal tract low-level perfusion branch pipe 2, a low-level perfusion liquid bag 21, a cover 211, a first perfusion pipe 22, a pressurized flow promoting device 23, a low-level perfusion valve 24, a pressure detection port 25, a waste branch pipe 3, a waste valve 31, a waste liquid pipe 32, a waste liquid collecting device 33, a negative pressure drainage device 34, an intestinal tract high-level perfusion pipe 4, a second perfusion pipe 41, an air bag 42, a high-level perfusion liquid bag 43, a cover 431, a high-level perfusion valve 44, a pressurized flow promoting device 45, a pressure detection port 46, an auxiliary piston intubator, a piston head 51, a piston rod 52 and a piston handle 53.

Detailed Description

As shown in fig. 1-5, the utility model provides an intestinal tract irrigation and drainage device, including being responsible for 1, the one end of being responsible for 1 is equipped with first opening, the lateral wall of being responsible for 1 is equipped with intestinal low level and pours into branch pipe 2 and waste discharge branch pipe 3. When in use, the intestinal tract low-level perfusion branch pipe 2 is connected with the low-level perfusion bag 21 through the first perfusion tube 22, the first perfusion tube 22 is provided with a low-level perfusion valve, and the low-level perfusion bag 21, the first perfusion tube 22 and the low-level perfusion valve are medical parts which are used conventionally. Intestinal low level fills branch pipe 2 and waste discharge branch pipe 3 with the inner chamber of being responsible for 1 communicates with each other, and the inner chamber of being responsible for 1 can regard as the liquid medicine when the low level fills and the passageway that the waste liquid when wasting discharge flows through. The other end of the main pipe 1 is provided with a second opening and a sealing plug 13 capable of blocking the second opening, and the sealing plug 13 is detachably connected with the other end of the main pipe 1. In this embodiment, the two are connected by a screw thread, and a sealing gasket 14 is disposed between the sealing plug 13 and the second opening. The sealed end cap 13 is provided with a hole, the intestinal tract irrigation and drainage device further comprises an intestinal tract high-level irrigation pipe with an injection port at one end, and the end, provided with the injection port, of the intestinal tract high-level irrigation pipe can penetrate through the hole and the main pipe 1 to extend out of the first opening. When in use, the intestinal high-level perfusion tube is connected with the high-level perfusion bag 43 through the second perfusion tube 41, and is provided with a high-level perfusion valve.

In the utility model, the high-level perfusion liquid bag 43 is filled with liquid medicine, and the low-level perfusion bag can be filled with liquid medicine or cleaning liquid. The low-level irrigation and drainage can be used for cleaning and draining the wastes such as the excrement in the body of the patient, and can also be used for filling liquid medicine for treatment.

Through the utility model provides a drainage ware is irritated to intestinal, the accessible is responsible for 1 and realizes that the low level alone and fills, also can realize that the high level alone fills through the high-order pipe that fills of intestinal is irritated, also can realize simultaneously that the low level fills and the high level fills through being responsible for 1 and high-order pipe 4 of irritating. Meanwhile, the intestinal high-level perfusion tube penetrates into the main tube 1 from one end of the main tube 1 and penetrates out from the other end of the main tube 1, the intestinal high-level perfusion tube is not required to be bent, and the operation is simple.

As shown in fig. 1-6, the waste discharging branch pipe 3 is provided with a waste discharging valve 31, which can not only control the on-off of the waste discharging branch pipe 3, but also control the flow rate of waste discharge, and prevent the suffocating feeling of the patient during perfusion. As shown in fig. 6, the intestinal tract irrigator further includes a waste liquid tube 32 connected to the waste branch tube 3, a negative pressure drainage device 34 disposed on the waste liquid tube 32, and a waste liquid collecting device 33 for receiving the waste liquid from the waste liquid tube 32, wherein the negative pressure drainage device may be a negative pressure ball or a vacuum pump. Of course, as an alternative solution, the vacuum drainage device 34 may also be provided on the waste branch. When the waste is discharged, the negative pressure drainage device 34 can generate negative pressure on the waste liquid and the garbage in the intestinal tract, so that the waste liquid and the garbage can be smoothly discharged. The waste liquid collecting device 33 allows the discharged intestinal waste and waste liquid to be directly collected. The intestinal low-level perfusion connecting device is provided with a pressurizing flow promoting device 23 and/or the intestinal high-level liquid injection pipe is provided with a pressurizing flow promoting device 45. During perfusion, the liquid in the low-liquid bag can be forced to flow to the patient by pressurizing the flow promoting devices 23, 45.

As shown in fig. 6, the intestinal low-level perfusion branch pipe and/or the intestinal high-level perfusion pipe are/is provided with pressure detection ports 25 and 46 respectively for detecting the pressure of the pipeline. The waste liquid pipe can also be provided with a pressure detection port.

Preferably, the contour of the end of the main pipe 1 provided with the first opening is a convex or concave or convex-concave combined curved surface. In this embodiment, the main tube 1 has a curved surface with a convex-concave combination contour at one end of the first opening, so that the main tube can be tightly attached to the intestinal tract without damaging the intestinal tract. The side wall of the main pipe 1 at the end provided with the first opening is provided with a waste liquid separating outlet 11. The waste liquid can flow not only into the main pipe 1 through the second opening but also into the main pipe 1 through the waste liquid analysis outlet 11.

Preferably, the outer wall of the main pipe 1 is provided with a limit stop 12, and the intestinal low-level perfusion branch pipe 2 and the waste discharge branch pipe 3 are located between the limit stop 12 and the second opening. When the main tube 1 is inserted into a treatment site of a patient, such as an anus, the stop 12 prevents the main tube 1 from being inserted too deeply.

As shown in fig. 4, the intestinal high-level perfusion tube is provided with a balloon 42. The intestinal tract irrigator further comprises an air injection device for injecting air into the air bag 42, wherein the air injection device comprises an air injection pipe and an air injector. The air bag 42 can prevent the intestinal tract high-position perfusion tube from being bent back when being inserted into the intestinal cavity and meeting resistance, and the air bag 42 can be continuously inflated or deflated according to the situation after entering the human intestinal hanger so as to facilitate the intestinal tract high-position perfusion tube to reach the intestinal cavity high position. The balloon 42 regulates the location of fluid entry into the bowel lumen, the retention time of fluid in the bowel lumen, and the rate and rate of fluid exit from the bowel lumen by regulating its degree of filling.

As shown in fig. 1 and 2, the intestinal irrigator further comprises an auxiliary piston introducer 5, wherein the auxiliary piston introducer 5 comprises a piston head 51 which can extend from the first opening of the main tube 1, and the contour of the piston head 51 is conical, and the top of the conical is a smooth curved surface. The auxiliary piston introducer 5 also includes a piston rod 52 and a piston handle 53. The auxiliary piston intubator 5 can prevent the intestinal mucosa from being damaged when the main pipe 1 is inserted into the anus or the rectal section.

When the intestinal tract irrigator is used for treatment, the following operations are carried out:

preparation work

1. The enema (including the liquid medicine to be prepared) is added to the high-level perfusion bag 43 and the low-level perfusion bag 21, respectively. The method specifically comprises the following steps:

a) unscrewing the cover 431 of the high-position perfusion liquid bag 43 and the cover 211 of the head part of the low-position perfusion liquid bag 21;

b) the high-level liquid injection valve 44 on the second liquid injection pipe 41 connected with the high-level perfusate bag 43 or the low-level liquid injection valve 24 on the first liquid injection pipe 22 connected with the low-level perfusate bag 21 is clamped and closed;

c) adding the prepared enema into the high-level perfusion liquid bag 43 and the low-level perfusion liquid bag 21, wherein the temperature of the liquid is kept between 36 and 38 ℃;

d) after the completion, the covers 431 and 211 on the liquid storage bag are fastened to ensure that liquid does not leak.

2. Hanging the high-level perfusion liquid bag 43 filled with the enema liquid (or the liquid medicine) and the liquid storage bag of the low-level perfusion liquid bag 21 on a transfusion stand beside a bed, wherein the recommended hanging height is 30-50cm away from the mattress; meanwhile, the waste liquid bag is placed at a position 10-20 cm lower than the mattress through the hook. Note that: too high a height may cause discomfort to the patient due to too high a perfusion pressure.

3. Pipeline connection: connecting a high-level perfusion liquid bag 43, a low-level perfusion liquid bag 21, an auxiliary piston intubator 5, a waste liquid bag and the like through various joints and keeping sealing without liquid leakage; and checking whether each connecting pipeline is folded and knotted or not to ensure that the pipelines are smooth.

4. The patient is in the left lateral position on the treatment bed, contraindications are eliminated by anus digital diagnosis, the outer side of the main pipe 1, the auxiliary piston intubator 5 and the piston head are uniformly coated with lubricant, then the auxiliary piston intubator 5 is sleeved in the main pipe, and the main pipe 1 and the auxiliary piston intubator 5 are slowly sent into the rectum through the anus. The patient should be asked to feel the intubation continuously, and the intubation depth is determined according to the tolerance and actual condition of the patient, but the intubation depth does not exceed the limit stop 12 of the main pipe at the deepest.

5. After intubation is complete, the auxiliary piston introducer 5 should be withdrawn from the main tube and disposed of as medical waste.

6. After the auxiliary piston intubator 5 is pulled out, the sealing plug 13 of the main pipe 1 is screwed, and if the high-position intestinal perfusion is required, the high-position intestinal perfusion pipe 4 penetrates through the upper hole of the sealing plug 13 and stops being inserted by about 10-15 CM.

(II) intestinal lavage procedure

1. The waste discharge valve 31 is closed, and the size of the rotary switch angle of the waste discharge valve 31 directly influences the flow and speed of waste discharge.

2. And controlling the irrigation and drainage process. Opening a low-level liquid injection valve 24 on a first liquid inlet pipe 22 connected with a low-level perfusion liquid bag 21 to start intestinal lavage; the waste valve 31 is intermittently opened/closed until the liquid in the low-level filling bag 21 is used up, depending on the tolerance of the patient.

(III) dialysis procedure for enteral administration

1. The waste valve 31 is closed.

2. And controlling the irrigation and drainage process.

a) The high-level pouring valve 44 on the second pouring spout 41 connected to the high-level pouring bag 43 is opened.

b) When the second liquid injection pipe 41 has liquid flowing out, the intestinal tract high-level injection pipe 4 is pushed slowly to continue to be inserted to about 30-50CM and stop.

c) The waste valve 31 is continuously opened/closed according to the tolerance of the patient until the liquid in the high-level perfusion liquid bag 43 is used up. During the period, if the liquid medicine is required to be kept for a period of time, the high-level liquid injection valve 44 and the waste discharge valve 31 on the second liquid injection pipe 41 are respectively closed and then are respectively opened.

(IV) finishing the operation

1. After the treatment is finished, the intestinal tract high-position perfusion tube 4 is slowly withdrawn and is withdrawn to the position of the sealing plug 13 in the cavity of the main tube 1 and then is stopped when the intestinal tract high-position perfusion tube cannot be pulled out.

2. The waste valve 31 is closed and the main pipe 1 is slowly pulled out.

3. The sealing of the waste liquid bag is ensured, and the used auxiliary piston intubator 5, each connecting pipeline, the liquid bag and the like are treated as medical waste.

The intestinal tract irrigator can realize the following two modes:

(1) low bowel lavage mode:

a. closing the high-level liquid injection valve 44 and the waste discharge valve 31, opening the low-level liquid injection valve 24, and injecting the cleaning liquid into the rectum by using gravity or a pressurizing flow promoting device 23;

b. after the pouring is finished, the low-level liquid injection valve 24 is closed, the waste discharge valve 31 is opened, the gravity or negative pressure drainage device or the drainage ball 34 is matched with the defecation of the patient, and the waste liquid or foreign matters are discharged to the waste liquid collecting device 33 through the main pipe 1 and the waste discharge branch pipe 3;

(2) sequential mode of high-low intestinal perfusion dialysis:

a. closing the high-level liquid injection valve 44 and the waste discharge valve 31, opening the low-level liquid injection valve 24, and injecting the cleaning liquid into the rectum by using gravity or a pressurizing flow promoting device 45;

b. after the pouring is finished, the low-level liquid injection valve 24 is closed, the waste discharge valve 31 is opened, the gravity or negative pressure drainage device is utilized to be matched with the defecation of the patient, and the waste liquid and the foreign matters are discharged to the waste liquid collecting device 33 through the main pipe 1 and the waste discharge branch pipe 3;

c. closing the waste discharge valve 31, opening the high-level liquid injection valve 44, injecting the liquid medicine into the rectum, and storing for a certain time;

d. the high-level liquid injection valve 44 is closed, the waste discharge valve 31 is opened, the gravity or pressurization flow promoting device 23 is matched with the defecation of the patient, and the waste liquid is discharged into the waste liquid collecting device 33 through the main pipe 1 and the waste discharge branch pipe 3. The above embodiments are only exemplary embodiments of the present invention, and are not intended to limit the present invention, and the protection scope of the present invention is defined by the claims. Various modifications and equivalent arrangements of the disclosed embodiments will be apparent to those skilled in the art and may be made without departing from the spirit and scope of the present invention.

Claims (15)

1. The utility model provides an intestinal irrigation and drainage ware, a serial communication port, including being responsible for, the one end of being responsible for is equipped with first opening, the lateral wall of being responsible for is equipped with intestinal low level and pours into the branch pipe and waste discharge branch pipe, intestinal low level pour into the branch pipe and waste discharge branch pipe with the inner chamber of being responsible for communicates with each other, the other end of being responsible for is equipped with the second opening and can plugs up the sealed end cap of second open-ended, sealed end cap is equipped with the hole, intestinal irrigation and drainage ware still includes that one end is equipped with the intestinal high level filling tube of annotating the liquid mouth, the intestinal high level filling tube is equipped with the one end of annotating the liquid mouth and can pass the hole with be responsible for the follow first opening stretches out, intestinal irrigation and drainage ware still include with the waste liquid pipe that waste discharge branch connects, the waste liquid pipe is equipped with the waste discharge valve.

2. The enteral irrigator of claim 1 wherein said sealing plug is removably connected to said main tube.

3. The enteral irrigator of claim 1 wherein said waste tube is provided with a negative pressure drainage means.

4. The enteral irrigator of claim 3 wherein said negative pressure drainage device is a negative pressure ball.

5. The enteral irrigator of claim 3 wherein said waste tube is provided with a waste collection means for receiving waste from said waste tube.

6. The enteral irrigator according to claim 1 wherein said waste tube and/or said lower and/or higher irrigation branch of the intestine is/are provided with a pressure sensing port.

7. The enteral irrigator according to claim 1, wherein the lower intestinal perfusion branch and/or the upper intestinal perfusion branch are provided with a pressurizing and flow-promoting device.

8. The enteral irrigator of claim 7 wherein said pressurized flow promoting device is a pump or a pressurized bulb.

9. The enteral irrigator according to claim 1 wherein the end of the main tube at which the first opening is provided is contoured to be convex or concave or a combination of convex and concave curved surfaces.

10. The enteral irrigator of claim 1 wherein the side wall of the end of the main tube at which the first opening is provided with a waste liquid eduction port.

11. The intestinal irrigation and drainage device as claimed in claim 1, wherein the main tube has a stop on its outer wall, and the lower intestinal irrigation branch tube and the waste branch tube are located between the stop and the second opening.

12. The enteral irrigator of claim 1 wherein said high-level enteral irrigation tube is provided with a balloon.

13. The intestinal irrigator of claim 12 further comprising an insufflator device for insufflating the balloon, the insufflator device comprising an insufflator tube and an insufflator.

14. The enteral irrigator of claim 1 further comprising an auxiliary piston introducer comprising a piston head that extends from the first opening of the main tube, said piston head being conical in profile and having a smooth curved top.

15. The enteral irrigator of claim 14 wherein said auxiliary piston introducer further comprises a piston rod and a piston handle.

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