CN214387831U

CN214387831U - Intestinal stoma communicating pipe

Info

Publication number: CN214387831U
Application number: CN202023283977.9U
Authority: CN
Inventors: 杨辉; 成冬冬; 陈丽丽
Original assignee: Shandong Qianfoshan Hospital
Current assignee: Shandong Qianfoshan Hospital
Priority date: 2020-12-30
Filing date: 2020-12-30
Publication date: 2021-10-15
Anticipated expiration: 2030-12-30

Abstract

The utility model provides a mouthful communicating pipe is made to intestines, include: the flexible communicating pipe main body with a hollow structure communicates the proximal enterostomy with the distal enterostomy through the communicating pipe main body; the end part of one end of the communicating pipe main body inserted into the far-end enterostomy is provided with a blunt blind end, the side wall of one end of the communicating pipe main body inserted into the far-end enterostomy is provided with more than two side holes, one end of the communicating pipe main body inserted into the near-end enterostomy is designed into a horn mouth structure, and the side wall of the middle position of the communicating pipe main body is respectively penetrated and inserted with an enteral nutrient solution infusion pipe and a flushing pipe. The utility model discloses can the mouth is made to the lug connection near-end intestines and the mouth is made to the distal end intestines, be favorable to near-end intestines to make mouthful excrement and digestive juice through the direct feedback patient of making mouthful of distal end intestines internal, digestive juice feedback speed is even, need not to collect the feedback again, more accords with human physiology structure and function, reduces patient and family members work load simultaneously, also is favorable to helping the patient to return work and society again.

Description

Intestinal stoma communicating pipe

Technical Field

The utility model belongs to the technical field of medical auxiliary instrument, specific theory relates to an intestines stoma communicating pipe for connecting near-end intestines stoma and distal end intestines stoma.

Background

Some patients with small intestine necrosis, small intestine tumor and inflammatory bowel perforation caused by various reasons such as mesenteric thrombus, etc. can not be anastomosed after the small intestine is partially removed, and the patients are left with two stoma after the operation: the proximal intestine stoma and the distal intestine stoma, the positions of the stomas can be positioned at different parts of the abdominal wall due to different diseases and different excision intestinal sections. The proximal intestine stoma is a discharge stoma and is mainly used for discharging excrement and digestive juice. The distal enterostomy is an input type stoma and is mainly used for inputting enteral nutrition and re-infusing digestive juice.

At present, due to the limitation of the existing conditions, digestive juice discharged from a proximal enterostomy of a patient needs to be collected by a stoma bag and then is re-infused into the patient body through a distal enterostomy by using a syringe so as to maintain the normal digestive function of an intestinal tract, and the maintenance of the intestinal mucosa barrier of the patient is facilitated and the occurrence of ectopic flora is reduced. Because the amount of the digestive juice secreted by a human body every day is about 6-8L, the workload of back transfusion by an injector is large, and the life quality of a patient is influenced; and it is not clear whether the function of digestive enzymes is affected by placing the digestive liquid for a long time. In addition, nutrient solution in the intestines is infused through a distal enterostomy without special medical equipment at present, and generally a catheter is used for infusion, but the catheter is small in pipe diameter and not firm in fixation, and the nutrient solution in the intestines is easy to reflux.

Disclosure of Invention

In order to solve the technical problem, the utility model provides an intestines stoma communicating pipe, include: the flexible communicating pipe main body with a hollow structure communicates the proximal enterostomy with the distal enterostomy through the communicating pipe main body; the tip of the one end of communicating pipe main part inserting distal end intestines stoma sets up blunt head cecum, to the damage of intestinal mucosa when reducing communicating pipe main part and inserting, set up the side opening more than two on the lateral wall of the one end of communicating pipe main part inserting distal end intestines stoma, the side opening gets into the passageway of distal end intestines stoma for the intestinal nutrient solution of the digestive juice that near-end intestines stoma accomodates and external infusion, the one end design of the communicating pipe main part that inserts near-end intestines stoma is the horn mouth structure, the external diameter of horn mouth structure slightly is greater than the external diameter of communicating pipe main part, and obviously be less than the intestinal internal diameter and guarantee to put into smoothly, the horn mouth structure of expanding is favorable to collecting digestive juice and the excrement in the small intestine of near-end intestines stoma department communicating pipe.

An enteral nutrition solution infusion tube and a flushing tube are respectively inserted through the side wall of the middle position of the communicating tube main body. The end part of one end of the enteral nutrition solution infusion tube inserted into the communicating tube main body extends to the position of the blunt blind end; the enteral nutrition liquid infusion tube is positioned at one end of the outer part of the communicating tube main body, is of a liquid backflow prevention structure, and can inject enteral nutrition liquid into the intestinal tract through the enteral nutrition liquid infusion tube when necessary so as to maintain the daily intake of a patient and reduce the intravenous infusion amount, and meanwhile, the enteral nutrition is favorable for maintaining normal intestinal peristalsis and reducing the ectopic flora and the damage of intestinal mucosa barriers. The end part of one end of the flushing pipe inserted into the communicating pipe main body extends to the position of the bell mouth structure; the flushing pipe is positioned at one end outside the communicating pipe main body, is of a liquid backflow preventing structure, and can be used for flushing through the flushing pipe by infusing liquid after the proximal enterostomy is blocked by excrement. The enteral nutrient solution infusion tube and the flushing tube with the liquid backflow preventing structure can be realized by a catheter produced by Shandong Steve medical science and technology Limited, and can infuse liquid by connecting an injector, thereby being very convenient.

The utility model has the advantages that:

at present there is not the device that mouth and distal end intestines were made to lug connection near-end intestines yet, uses the utility model discloses a communicating pipe can the lug connection near-end intestines make mouthful and distal end intestines make mouthful, is favorable to near-end intestines to make mouthful excrement and digestive juice directly reinfusion patient internal through distal end intestines make mouthful, and digestive juice reinfusion speed is even, need not to collect reinfusion again, more accords with human physiology structure and function, reduces patient and family members work load simultaneously, also is favorable to helping the patient to return work and society again. Meanwhile, the communicating pipe can be used for infusing the nutrient solution in the intestines, the design of the thick pipe diameter and the water sac can reduce the falling and the backflow of the nutrient solution in the intestines, and the use and the nursing are both more convenient.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be apparent that the drawings in the following description are illustrative of some embodiments of the invention, and that those skilled in the art will be able to derive other drawings without inventive step from these drawings, which are within the scope of the present application.

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

in the figure, 1-communicating pipe body, 2-blunt blind end, 3-side hole, 4-first water sac, 5-first water sac water injection pipe, 6-enteral nutrient solution infusion pipe, 7-second water sac, 8-second water sac water injection pipe, 9-flushing pipe, 10-bell mouth structure, 11-first sealing head, 12-yellow marking ring, 13-purple marking ring, 14-blue marking ring, 15-red marking ring, 16-second sealing head, 17-third sealing head, 18-fourth sealing head.

Detailed Description

In order to more clearly illustrate the technical solutions of the present invention, the technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings, and it is obvious that the described embodiments are some embodiments of the present invention, not all embodiments.

As shown in fig. 1, is a schematic structural diagram of an embodiment of the present invention. An enterostomy communicating tube comprising: the flexible communicating pipe main body 1 with a hollow structure communicates the proximal end enterostomy with the distal end enterostomy through the communicating pipe main body 1; the end part of one end of the communicating pipe main body 1 inserted into the distal end enterostomy is provided with a blunt blind end 2, the side wall of one end of the communicating pipe main body 1 inserted into the distal end enterostomy is provided with three side holes 3, and one end of the communicating pipe main body 1 inserted into the proximal end enterostomy is designed into a horn mouth structure 10.

An enteral nutrient solution feeding tube 6 and a flushing tube 9 are inserted through the side wall of the communication tube body 1 at the intermediate position. The end part of one end of the enteral nutrition solution infusion tube 6 inserted into the communicating tube main body 1 extends to a position close to the blunt blind end 2; the enteral nutrient solution infusion tube 6 is located at one end of the exterior of the communication tube main body 1, is normally plugged by the third plugging head 17, and can be used for injecting artificial nutrient solution into the intestinal tract by pulling out the third plugging head 17 when necessary and through the enteral nutrient solution infusion tube 6. The end part of one end of the flushing pipe 9 inserted into the communicating pipe body 1 extends to the position of the bell mouth structure 10; the flushing pipe 9 is located at one end of the outer part of the communicating pipe main body 1, normally, the fourth blocking head 18 is used for blocking, after the proximal end enterostomy is blocked by excrement, the fourth blocking head 18 can be pulled out, and liquid can be infused through the flushing pipe 9 for flushing.

As a preferred embodiment of the present invention, a sealed annular first water bag 4 is disposed on the side wall of the communicating tube main body 1 inserted into the distal enterostomy, and a first water bag water injection tube 5 is inserted through the side wall of the middle position of the communicating tube main body 1; first water pocket water injection pipe 5 is located the tip of the one end in communicating pipe main part 1, link up communicating pipe main part 1's lateral wall after with first water pocket 4 intercommunication, first water pocket water injection pipe 5 is located communicating pipe main part 1 outside one end, utilizes first shutoff head 11 shutoff at ordinary times, extracts first shutoff head 11 when needing, can make its inflation through first water pocket water injection pipe 5 to first water pocket 4 internal water injection. A sealed annular second water sac 7 is arranged on the side wall of the communicating pipe main body 1 inserted into the proximal enterostomy, and a second water sac water injection pipe 8 is inserted on the side wall of the middle position of the communicating pipe main body 1 in a penetrating way; the second water bag water injection pipe 8 is located at the end part of one end in the communicating pipe main body 1, is communicated with the second water bag 7 after penetrating through the side wall of the communicating pipe main body 1, and the second water bag water injection pipe 8 is located at one end outside the communicating pipe main body 1, is plugged by the second plugging head 16 at ordinary times, is pulled out when needed, and can be injected with water into the second water bag 7 through the second water bag water injection pipe 8 to expand the second water bag. The water bag expands after being filled with water, is mainly used for reducing the slippage of a communicating pipe and the backflow of nutrient solution in the intestines, and can adjust the water filling amount and the size in the water bag according to the small intestine diameter of a patient, thereby preventing the water bag from causing ischemia and even necrosis of the intestinal wall due to the compression of the intestinal wall.

In a preferred embodiment of the present invention, a yellow mark ring 12 is provided on the first water sac water injection tube 5 at a position close to the first stopper 11, a purple mark ring 13 is provided on the second water sac water injection tube 8 at a position close to the second stopper 16, a blue mark ring 14 is provided on the enteral nutrient solution infusion tube 6 at a position close to the third stopper 17, and a red mark ring 15 is provided on the flushing tube 9 at a position close to the fourth stopper 18. Through setting up the mark ring of different colours, conveniently distinguish different infusion pipes, can not appear the mistake when guaranteeing to infuse different liquid.

In a preferred embodiment of the present invention, the communication tube body 1, the first water bladder 4, the first water bladder water injection tube 5, the enteral nutrient solution infusion tube 6, the second water bladder 7, the second water bladder water injection tube 8 and the flushing tube 9 are made of natural latex. The natural latex product is soft, has good biocompatibility, comfortable feeling for patients, high surface smoothness, small irritation and proper price, can be used for manufacturing air bag products, and is convenient to keep and operate.

As a preferred embodiment of the present invention, the diameter of the communication pipe body 1 is designed to be 3cm, the diameter of the bell mouth structure 10 is designed to be 4cm, and the diameters of the first water bag 4 and the second water bag 7 are designed to be 5 cm. Usually, the diameter of the small intestine of a human being is 6cm, and the bell mouth structure 10 with the diameter of 4cm can be put in the small intestine in sequence and can ensure the collection effect at the same time; the water sac with the diameter of 5cm can reduce the slippage of the communicating pipe body and the backflow of the enteral nutrient solution, and can not cause oppression on the intestinal wall.

Finally, it is to be noted that: the above embodiments are only specific embodiments of the present invention, and are not intended to limit the technical solutions of the present invention, and the scope of the present invention is not limited thereto. Those skilled in the art will understand that: any person skilled in the art can modify or easily conceive the technical solutions described in the foregoing embodiments or equivalent substitutes for some technical features within the technical scope of the present disclosure; such modifications, changes or substitutions do not substantially depart from the spirit and scope of the embodiments of the present invention, and are intended to be included within the scope of the present invention.

Claims

1. An enterostomy communicating tube, comprising: the flexible communicating pipe main body (1) with the hollow structure is characterized in that a blunt blind end (2) is arranged at the end part of one end of the communicating pipe main body (1) inserted into a far-end enterostomy, more than two side holes (3) are arranged on the side wall of one end of the communicating pipe main body (1) inserted into the far-end enterostomy, one end of the communicating pipe main body (1) inserted into a near-end enterostomy is designed into a horn mouth structure (10), and the outer diameter of the horn mouth structure (10) is larger than the outer diameter of the communicating pipe main body (1) and smaller than the inner diameter of a small intestine;

an enteral nutrition solution infusion tube (6) and a flushing tube (9) are respectively inserted on the side wall of the middle position of the communicating tube main body (1) in a penetrating way; the end part of one end of the enteral nutrition solution infusion tube (6) inserted into the communicating tube main body (1) extends to the position of the blunt blind end (2), and one end of the enteral nutrition solution infusion tube (6) positioned outside the communicating tube main body (1) is of a liquid backflow preventing structure; the end part of one end of the flushing pipe (9) inserted into the communicating pipe main body (1) extends to the position of the bell-mouth structure (10), and one end of the flushing pipe (9) positioned outside the communicating pipe main body (1) is of a liquid backflow preventing structure.

2. The enterostomy communicating tube according to claim 1, wherein a sealed annular first water sac (4) is provided on the side wall of the communicating tube body (1) inserted into the distal enterostomy, and a first water sac filling tube (5) is inserted through the side wall of the communicating tube body (1) at the middle position; the first water bag water injection pipe (5) is positioned at the end part of one end in the communicating pipe main body (1), is communicated with the first water bag (4) after penetrating through the side wall of the communicating pipe main body (1), and one end of the first water bag water injection pipe (5) positioned outside the communicating pipe main body (1) is of a liquid backflow prevention structure; a sealed annular second water sac (7) is arranged on the side wall of the communicating pipe main body (1) inserted into the proximal enterostomy, and a second water sac water injection pipe (8) is inserted on the side wall of the middle position of the communicating pipe main body (1) in a penetrating way; the second water bag water injection pipe (8) is positioned at the end part of one end in the communicating pipe main body (1), is communicated with the second water bag (7) after penetrating through the side wall of the communicating pipe main body (1), and the end, positioned outside the communicating pipe main body (1), of the second water bag water injection pipe (8) is of a liquid backflow prevention structure.

3. An enterostomy communicating tube according to claim 2, characterized in that the enteral feeding solution infusion tube (6) is located at the end of the exterior of the communicating tube body (1) and is blocked by a third blocking head (17); the flushing pipe (9) is positioned at one end of the outer part of the communicating pipe main body (1) and is blocked by a fourth blocking head (18); the first water sac water injection pipe (5) is positioned at one end of the outer part of the communicating pipe main body (1) and is blocked by a first blocking head (11); the second water sac water injection pipe (8) is positioned at one end of the outer part of the communicating pipe main body (1) and is blocked by a second blocking head (16).

4. An enterostomy communicating tube according to claim 3, characterized in that a yellow marking ring (12) is provided on the first water sac filling tube (5) near the first stopper (11), a purple marking ring (13) is provided on the second water sac filling tube (8) near the second stopper (16), a blue marking ring (14) is provided on the enteral feeding tube (6) near the third stopper (17), and a red marking ring (15) is provided on the flushing tube (9) near the fourth stopper (18).

5. The enterostomy communicating tube according to claim 2, characterized in that the communicating tube main body (1), the first water sac (4), the first water sac water injection tube (5), the enteral nutrient solution infusion tube (6), the second water sac (7) and the second water sac water injection tube (8) are made of natural latex.

6. An enterostomy communicating tube according to any one of claims 2 to 5, characterized in that the diameter of the communicating tube body (1) is designed to be 3cm, the diameter of the bell-mouth structure (10) is designed to be 4cm, and the diameters of the first water bag (4) and the second water bag (7) are designed to be 5 cm.