CN217660175U

CN217660175U - Abdominal cavity exhaust combination device in full-thickness resection under endoscope

Info

Publication number: CN217660175U
Application number: CN202220854592.3U
Authority: CN
Inventors: 徐恩盼; 蔡世伦; 钟芸诗
Original assignee: Zhongshan Hospital Fudan University
Current assignee: Zhongshan Hospital Fudan University
Priority date: 2022-04-11
Filing date: 2022-04-11
Publication date: 2022-10-28
Anticipated expiration: 2032-04-11

Abstract

The utility model relates to the field of medical equipment, in particular to abdominal cavity exhaust composite set under scope in full-thickness resection. The device comprises a pigtail pipe, a skin expanding device and an exhaust device, wherein the exhaust device is of a box body structure, a U-shaped internal pressure gauge, a suck-back prevention bottle and an exhaust bottle are arranged in the exhaust device box body, the suck-back prevention bottle is communicated with the exhaust bottle, the exhaust bottle is communicated with the outside, and the top of the suck-back prevention bottle is externally connected with the pigtail pipe to realize exhaust; when the device is operated, firstly, the skin is expanded along the puncture needle, the skin expander successfully expands the skin, the puncture needle is pulled out, the pigtail tube is placed into the skin expander, then the skin expander is pulled out, the pigtail tube is communicated with the hose connector, and if the generation of bubbles in the exhaust bottle is observed, the exhaust is successful. The utility model provides a syringe needle damage internal organs, gas pocket easily block up and the uncontrollable problem of air displacement.

Description

Abdominal cavity exhaust combination device in full-thickness resection under endoscope

Technical Field

The utility model relates to the field of medical equipment, in particular to abdominal cavity exhaust combination device in full-layer resection under endoscope.

Background

Endoscopic full-thickness resection (EFTR) is a technique of determining the boundary of a lesion under an endoscope, marking, injecting under a mucous membrane, fully lifting the lesion, cutting a partial full-thickness part by an electrotome, recovering the lesion, and finally treating a wound surface. In the operation process of full-thickness resection under an endoscope, perforation or defect of the stomach wall can be actively caused, and then gas enters the abdominal cavity, so that the intra-abdominal pressure is gradually increased, the operation process is slightly influenced, and the life of a patient is seriously threatened. Effective abdominal venting is required during EFTR procedures.

The currently clinically adopted exhaust method is an injector exhaust method, and an injector filled with certain physiological saline is inserted into a position 1 cm to the left or 1-2 cm above the midpoint of the connecting line of the navel part of a patient and the upper edge of the pubic symphysis, so that bubbles can emerge and the exhaust is successful. Although this method can effectively discharge the excess gas in the abdominal cavity, it has more limitations: 1. as the patient's body-level intestinal tract moves, the needle is susceptible to damage to internal organs; 2. in the operation process, the needle head is easy to block, and the position of the needle head needs to be frequently adjusted; 3. in the operation process, the needle head is easy to scratch; 4. the exhaust amount cannot be controlled;

SUMMERY OF THE UTILITY MODEL

In order to overcome the defects of the prior art, the utility model aims to provide an abdominal cavity exhaust combination device in full-layer resection under endoscope, which makes the operation safer and more concise. Use the utility model provides a skin expander is after expanding the skin successfully, can extract the pjncture needle and put into the pigtail pipe and expand the skin ware, and the skin expander is extracted to the back and is carried out the abdominal cavity through the pigtail pipe and exhaust, and pigtail pipe anterior segment is crooked, and the tail end makes its head end press close to the stomach wall by self gravity tractive, and exhaust apparatus ends the air displacement through control and transfers. The utility model discloses effectively avoided the syringe needle to damage internal organs, the gas pocket is easily stifled and the uncontrollable problem of air displacement.

The purpose of the utility model is realized by adopting the following technical scheme:

the utility model provides an abdominal cavity exhaust composite set in full-thickness resection under scope, includes pigtail pipe, expands skin device and exhaust apparatus, exhaust apparatus is the box structure, and its outside is equipped with the portable knot, inside U-shaped internal pressure gage, the bottle and the air discharge bottle of preventing suck-back of being equipped with of exhaust apparatus box, the bottle and the air discharge bottle intercommunication each other prevent suck-back of being equipped with in the external pigtail pipe in order to realize intra-abdominal exhaust in anti-suck-back bottle top.

As a further improvement, the pressure gauge interface is seted up in the anti-suck-back bottle left side, the pressure gauge in the external U-shaped of pressure gauge interface, the pressure gauge left end extends to the box top and communicates with each other with the box outside in the U-shaped, prevent suck-back bottle and exhaust bottle extend to exhaust apparatus box top, the exhaust bottle contains the solution.

As a further improvement, the suck-back prevention bottle top is provided with a first interface and a second interface, the external rubber hose of the first interface, the rubber hose is provided with an air stop valve, and the rubber hose end is a horn-shaped hose interface which is suitable for an external pigtail tube.

As a further improvement, the third interface and the fourth interface are seted up at the exhaust bottle top, the third interface with the first interface of preventing the suck-back bottle passes through the blast pipe and connects, the blast pipe tail end extends to below the solution liquid level in the exhaust bottle, the fourth interface communicates with each other with the exhaust apparatus box outside.

As a further improvement of the utility model, the top of the suck-back prevention bottle and the exhaust bottle is in the shape of a wide-mouth bottle.

As a further improvement of the utility model, the box body of the exhaust device is of a box body structure made of plastic.

As a further improvement of the utility model, the U-shaped position of the U-shaped internal pressure gauge is provided with scales, and the U-shaped internal pressure gauge is filled with indicating solution.

As a further improvement, the front section of the pigtail tube is curled and distributed with air holes, the tail of the pigtail tube is sleeved with a cylindrical tail end interface, and the outer edge of the tail end interface is provided with a support.

As a further improvement of the utility model, the skin expanding device comprises a skin expanding device and a puncture needle, and the skin expanding device is sleeved outside the puncture needle.

Compared with the prior art, the beneficial effects of the utility model reside in that:

the front section of the pigtail tube is bent, and the head end of the pigtail tube is close to the abdominal wall by the outer end of the pigtail tube due to the self gravity traction, so that the air hole is not easy to block; the front section can be fixed under the abdominal wall to prevent slipping out; the retention of the pigtail tube in the operation can not damage the visceral organs of the abdominal cavity and is not easy to block; the pigtail tube can be connected with the exhaust device through a rubber hose without being fixed by a special person; the exhaust device has a reflux resistance function, so that the infection risk is reduced; the internal pressure gauge in the exhaust device can observe the pressure in the abdomen in real time, adjust the air output in time and is beneficial to the operation.

Drawings

Fig. 1 is a schematic view of an exhaust device in an abdominal cavity exhaust combination device in a full-thickness resection under endoscope of the present invention.

Fig. 2 is a schematic view of a skin expanding device in an abdominal cavity exhaust combination device in a full-thickness resection under endoscope of the present invention.

Fig. 3 is a pigtail tube drawing of the abdominal cavity exhaust assembly in the endoscopic full-thickness resection of the present invention.

The reference numbers in the figures illustrate: 1-an exhaust device, 2-a hose connector, 3-an air stop valve, 4-a hand buckle, 5-a U-shaped internal pressure gauge, 6-an anti-suck-back bottle, 61-a first connector, 62-a second connector, 7-an exhaust bottle, 71-a third connector, 72-a fourth connector, 8-a skin expanding device, 9-a skin expander, 10-a puncture needle, 11-a pigtail tube, 12-a bracket, 13-a tail end connector, 14-an air hole and 15-an exhaust tube.

Detailed Description

The following description of the embodiments of the present invention is provided for illustrative purposes, and other advantages and effects of the present invention will be readily apparent to those skilled in the art from the disclosure herein. The present invention can be implemented or applied by other different specific embodiments, and various details in the present specification can be modified or changed based on different viewpoints and applications without departing from the spirit of the present invention. It should be noted that the drawings provided in the following embodiments are only for illustrating the basic idea of the present invention, and the features in the following embodiments and examples may be combined with each other without conflict.

Wherein the showings are for the purpose of illustration only and not for the purpose of limiting the invention, the figures are shown in schematic form and not in pictorial form; for a better explanation of the embodiments of the present invention, some parts 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. If the description of "first" and "second" is used for the purpose of distinguishing technical features, the description is not intended to indicate or imply relative importance or to implicitly indicate the number of the indicated technical features or to implicitly indicate the precedence of the indicated technical features.

Referring to the exhaust apparatus 1 of fig. 1, the exhaust apparatus 1 mainly includes a U-shaped internal pressure gauge 5, a suck-back prevention bottle 6 and an exhaust bottle 7, a pressure gauge connector is disposed outside the suck-back prevention bottle 6, a right end of the U-shaped internal pressure gauge 5 is connected to the pressure gauge connector, and a left end of the U-shaped internal pressure gauge 5 extends to the outside of the exhaust apparatus 1, and is the same as the outside air. The U-shaped internal pressure gauge 5 mainly comprises a U-shaped pipeline, colored solution is contained in the U-shaped pipeline, scales with equal height are distributed on two sides of the U-shaped pipeline respectively, and the change of the intra-abdominal pressure can be known by observing the scales where the solution level is located. The bottle openings at the tops of the anti-suck-back bottle 6 and the exhaust bottle 7 are in the shape of wide-mouth bottles, the bottle openings of the anti-suck-back bottle 6 are respectively provided with a first connector 61 and a second connector 62, the bottle opening of the exhaust bottle 7 is respectively provided with a third connector 71 and a fourth connector 72, the first connector 61 is connected with a rubber hose, the rubber hose is provided with an air stop valve 3, the tail end of the rubber hose is provided with a hose connector 2, the inner diameter of the hose connector 2 is matched with the tail end diameter of the pigtail tube, and the rubber hose is used for conveying intra-abdominal gas. The second port 62 is communicated with the third port 71 through an exhaust pipe, the right end of the exhaust pipe 15 extends to a position below the liquid level in the exhaust bottle 7, and the third port 71 is communicated with the outside of the exhaust device 1, so that the gas in the suck-back prevention bottle 6 can flow into the exhaust bottle 7 and generate bubbles in the solution, and accordingly, medical personnel can observe whether the intra-abdominal exhaust is successful or not. Exhaust apparatus 1 outside is the box structure, and portable knot 4 is installed to box externally mounted both sides, and there is bearing structure box structure below for shelve whole exhaust apparatus 1, outside box adopt transparent plastic material to make, observes the reading of manometer 5 in the U-shaped through the box, knows the interior pressure of abdomen in real time, and adjusts air stop valve 3 in time control air output according to actual conditions.

Referring to the skin expanding device 8 shown in fig. 2, the skin expanding device 8 mainly comprises a skin expanding device 9 and a puncture needle 10, the skin expanding device 9 is cylindrical, a sheet-shaped handheld component is further arranged on the outer edge of the skin expanding device 9 to facilitate the skin expanding operation, and the puncture needle 10 is sleeved with the skin expanding device 9. In operation, the skin expander 9 expands the skin along the puncture needle 10.

Referring to the pigtail tube 11 of fig. 3, the front section of the pigtail tube 11 is curled, and air holes 14 are distributed on the front section, a cylindrical tail port 13 is sleeved on the tail of the pigtail tube 11, an expandable bracket 13 is arranged on the outer edge of the tail port 13, and the bracket 13 can rotate along with the tail port 13, so that the adjustment direction and the extraction of the skin expander are convenient during operation. When the skin expanding operation is completed, the pigtail tube 11 can be placed in the skin expanding device 8, and the skin expanding device 8 is pulled out and then used for intra-abdominal exhaust.

The utility model discloses a use method:

the disinfection puncture pubis symphysis and the middle-outer third of the anterior superior iliac spine, no important organ exists at the position, the puncture is safe, the puncture needle 10 is used for puncturing the abdominal cavity, after the puncture is successful, the skin expander 9 is sleeved into the puncture needle 10, the skin is expanded along the puncture needle 10, after the skin expansion is successful, the puncture needle 10 is pulled out, the pigtail tube 11 is placed into the skin expander 8, after the appropriate length is placed, the guide wire in the pigtail tube 11 is pulled out, then the skin expander 9 is pulled out, the hose connector 2 is connected with the pigtail tail end connector 13, when the bubble generation in the exhaust bottle 7 is seen, the exhaust success is indicated, and the exhaust device 1 is placed at the appropriate position. The air stop valve 3 can be adjusted in real time according to the reading of the U-shaped pressure gauge 5 in the operation, and the exhaust speed is controlled.

Claims

1. The utility model provides an abdominal cavity exhaust composite set among full-thickness resection under scope, its characterized in that, includes pigtail pipe (11), expands leather clothing and exhaust apparatus (1), exhaust apparatus (1) is the box structure, and its outside is equipped with hand-held buckle (4), inside U-shaped internal pressure gage (5), anti-suck-back bottle (6) and the air discharge bottle (7) of being equipped with of exhaust apparatus (1) box, anti-suck-back bottle (6) and air discharge bottle (7) communicate each other, the external pigtail pipe (11) in order to realize the abdominal cavity exhaust in anti-suck-back bottle (6) top.

2. The abdominal cavity exhaust combination device in endoscopic full-thickness resection according to claim 1, wherein a pressure gauge interface is arranged on the left side of the anti-suck back bottle (6), the pressure gauge interface is externally connected with a U-shaped internal pressure gauge (5), the left end of the U-shaped internal pressure gauge (5) extends to the top of the box body and is communicated with the outside of the box body, the anti-suck back bottle (6) and the exhaust bottle (7) extend to the top of the box body of the exhaust device (1), and the exhaust bottle (7) contains solution.

3. The abdominal cavity exhaust combination device in the endoscopic full-thickness resection according to claim 2, wherein the top of the suck-back prevention bottle (6) is provided with a first connector (61) and a second connector (62), the first connector (61) is externally connected with a rubber hose, the rubber hose is provided with an air stop valve (3), and the tail end of the rubber hose is provided with a horn-shaped hose connector (2) which is suitable for being externally connected with a pigtail tube (11);

the exhaust device is characterized in that a third interface (71) and a fourth interface (72) are arranged at the top of the exhaust bottle (7), the third interface (71) is connected with the first interface (61) of the suck-back prevention bottle (6) through an exhaust pipe (15), the tail end of the exhaust pipe (15) extends to a position below the liquid level of a solution in the exhaust bottle (7), and the fourth interface (72) is communicated with the outside of the box body of the exhaust device (1).

4. The abdominal cavity degassing assembly of claim 1, wherein the top of said suck-back prevention bottle (6) and degassing bottle (7) is in the shape of a wide-mouth bottle.

5. The abdominal cavity degassing assembly of an endoscopic laminectomy according to claim 1, wherein the housing of the degassing device (1) is a plastic housing structure.

6. The combined abdominal cavity ventilation device in endoscopic full laminectomy according to claim 1, wherein the U-shaped position of the U-shaped internal pressure gauge (5) is provided with a scale, and the U-shaped internal pressure gauge (5) contains an indicating solution.

7. The abdominal cavity exhaust combination device in endoscopic full-thickness resection according to claim 1, wherein the front section of the pigtail tube (11) is curled, air holes (14) are distributed on the front section, a cylindrical tail port (13) is sleeved on the tail of the pigtail tube (11), and a support (13) is arranged on the outer edge of the tail port (13).

8. The abdominal cavity exhaust combination device in the endoscopic full laminectomy according to claim 1, wherein the skin expanding device (8) comprises a skin expander (9) and a puncture needle (10), and the skin expander (9) is sleeved outside the puncture needle (10).