CN217745325U - Adjustable control terminal ostomy tube for sexual ileum - Google Patents

Abstract

The utility model relates to a regulating ileum terminal ostomy tube, which comprises a near side catheter and a far side catheter which are juxtaposed, and absorbable pads are arranged around the near side catheter and the far side catheter; the near-side catheter comprises a catheter body, the catheter body is a hollow pipeline, an air bag is arranged on the outer wall of the catheter body, the catheter is connected onto the air bag, and the tail of the catheter is connected with a connector; the far-side catheter comprises a catheter body, the catheter body is a hollow pipeline, a first air bag and a second air bag are sequentially arranged on the catheter body from front to back, the first air bag is connected with a first catheter, the second air bag is connected with a second catheter, and the tail end of the catheter body is connected with a catheter connecting port.

Description

Adjustable control terminal ostomy tube for sexual ileum

Technical Field

The utility model belongs to the technical field of medical product, concretely relates to mouth tube is made to regulation and control nature ileum end.

Background

Colorectal cancer is one of the most common malignant tumors of the digestive tract, and is one of the most serious complications of the colorectal cancer, and the death rate of anastomotic leakage reaches 2 to 24 percent. Patients with a terminal ileal stoma may have complications of dehydration, parastomal hernia, stomal prolapse, parastomal dermatitis, disuse enteritis, and altered anal sphincter function, and require secondary work to close the stoma. The recovery work also has the risks of incision infection, anastomotic leakage, intestinal adhesion, intestinal obstruction and the like. Refer to Chinese patent "ileum fistulization catheter for reducing intestinal fluid leakage" (application No. 2017.07.04; application No. 201720800313.4; grant No. CN 207666749U); chinese patent 'ileum fistulization catheter with wave-shaped balloon' (application date: 2017.07.04; application number: 201720800814.2; grant publication number: CN 207838014U). At present, the tube is inserted to cause the stoma, and the pressure reducing effect provided by the drainage tube is not as good as that of the traditional stoma because the intestinal juice can not be completely changed. With the recovery of intestinal peristalsis, intestinal contents can be discharged from the gap existing between the balloon and the intestinal wall to the far end, and the protection effect on the anastomotic stoma is uncertain. Conversely, if the balloon presses the intestinal wall too tightly, intestinal ischemia may occur. The technology of performing closed treatment on the distal ileum by using a single-row nail linear type closer or the technology of performing ileum protective stoma by using a BAR (combined drainage tube and condom) technology can cause the closed part to have potential risks of not opening, narrowing, perforating and the like. The ileocecal valve is used as a ring muscle thickening in the opening intestinal wall of the cecum from the tail end of the ileum and is covered with mucous membrane to form upper and lower semilunar plica. It is used to prevent the contents of small intestine from flowing into large intestine too quickly, so that the food can be digested and absorbed in small intestine, and the contents of cecum can be prevented from flowing back into small intestine. By utilizing the physiological structure characteristics of the ileocecal valve, a novel ileum ostomy tube which can prevent anastomotic leakage and effectively block intestinal juice on the basis of not increasing trauma needs to be designed.

SUMMERY OF THE UTILITY MODEL

To the defect that above-mentioned prior art exists, the utility model aims to provide a regulation and control nature ileum end makes oral siphon, is the ileum that prevents that coincide mouth from leaking that can be better, can effectively block intestinal juice again makes oral siphon.

In order to realize the above purpose, the utility model discloses a technical scheme be: a regulatory ileum terminal ostomy tube comprises a proximal catheter and a distal catheter which are juxtaposed, wherein absorbable pads are arranged around the proximal catheter and the distal catheter;

the near-side catheter comprises a catheter body, the catheter body is a hollow pipeline, an air bag is arranged on the outer wall of the catheter body, the catheter is connected onto the air bag, and the tail of the catheter is connected with a connector;

the far-side catheter comprises a catheter body, the catheter body is a hollow pipeline, a first air bag and a second air bag are sequentially arranged on the catheter body from front to back, the first air bag is connected with a first catheter, the second air bag is connected with a second catheter, and the tail end of the catheter body is connected with a catheter connecting port.

Further, the air bag is positioned on the front half part of the tube body and is hermetically wrapped on the outer wall of the tube body, and the catheter is inserted into the air bag and is communicated with the air bag.

Furthermore, the connecting port is inserted at the tail of the pipe body, and the front end of the pipe body is an open port; the outer suspension end of the conduit is provided with a pipe connecting port.

Furthermore, the first air bag and the second air bag are positioned on the front half part of the catheter body, the first air bag and the second air bag are respectively wrapped on the outer wall of the catheter body in a sealing mode, the overhang end of the first catheter is provided with a first catheter connecting port, and the overhang end of the second catheter is provided with a second catheter connecting port.

Furthermore, the catheter connecting port is inserted at the tail end of the catheter body.

Still further, the front end of the catheter body is an open port, and the side wall of the front end of the catheter body is provided with a side hole.

Furthermore, the outer wall of the catheter body is marked with scale marks, and a mark point is arranged on the rear side of the second air bag on the catheter body.

The technical effects of the utility model reside in that: the utility model relates to an ileum end stoma tube which can regulate and control blocking intestinal canal and prevent anastomotic leakage. Is an ileum ostomy tube which can better prevent anastomotic leakage and effectively block intestinal juice.

Drawings

Fig. 1 is an overall view of the proximal side (catheter) of a regulated ileum terminal ostomy tube according to the present invention;

fig. 2 is a schematic view of the proximal side (catheter) structure of a regulated ileum terminal ostomy tube of the present invention;

in fig. 1 and 2: 4. a pipe body; 5. an air bag; 6. a pipe tail; 7. a connecting port; 8. a conduit; 9. a pipe connection port; 10. an outer wall of the tube;

fig. 3 is an overall view of the distal side (catheter) of a regulated ileum terminal ostomy tube according to the present invention;

fig. 4 is a schematic view of the distal (catheter) tube structure of a regulated ileal end ostomy tube of the present invention;

in fig. 3 and 4: 11. a catheter body; 12. a first conduit; 13. a second conduit; 14. a side hole; 15. a first air bag; 16. a second air bag; 17. (scale color) mark points; 18. a conduit connection port; 19. a first conduit connection port; 20. a second conduit connection port; 21. a tail end; 22. scale (line);

fig. 5 is a reference schematic diagram of the use state of the adjustable terminal ileum ostomy tube of the invention in the terminal ileum and cecum;

in fig. 5: 23. the position of the ileocecal valve; 24. parietal peritoneum; the figure is a usage state reference only;

fig. 6 is a structural view of the usage state of the present invention.

Detailed Description

Referring to the attached drawings, the utility model relates to an ileum end stoma tube which can regulate and control blocking of an intestinal canal and prevention of anastomotic leakage. Is an ileum ostomy tube which can better prevent anastomotic leakage and effectively block intestinal juice.

The utility model discloses a mouth tube is made at adjustable and controllable nature ileum end mainly includes two parts, arranges terminal ileum near side pipe 1 in promptly and arranges distal side pipe 2 in the cecum in, and near side pipe 1 is with the drainage of intestines content in vitro, and distal side (pipe) 2 pipe is furnished with the gasbag through returning cecum valve pipe both sides, blocks the intestines content through sacculus regulation and control to can wash the colon through the pipe. The utility model discloses the structure can effectually block intestinal juice seepage to coincide mouthful.

Description of the specific construction, a (steerable) ileal (terminal) ostomy tube comprising a proximal catheter 1 and a distal catheter 2 connected by an absorbable pad 3 (and cooperating with a parietal peritoneum 24), said proximal catheter 1 being provided with a balloon 5, (balloon 5) being connected to an inflation device (not shown); the distal catheter 2 has two independent disk-like balloons (first balloon 15, second balloon 16) in front and behind, which are connected to respective inflation devices (not shown).

Furthermore, the diameter of the near side (catheter) 1 is 7.0-10.0mm, the far side of the air sac 5 of the near side (catheter) 1 is a pipe body 4 with the length of more than 5.0cm, and the end of the pipe body 4 is open. Here means that both the front and the rear ends of the pipe body 4 are open ports, and the connecting port 7 is a middle connecting piece and also a two-end through port piece. Further, the maximum diameter of the balloon 5 of the proximal (catheter) 1 is not more than 3.0cm after filling. Further preferably, the balloon 5 is a double-layer balloon.

To be further described, the tube body 4 of the near side (catheter) tube 1 is provided with 2 connectors, and the 1 connectors are communicated with the air bag 5 through a thin channel in the tube wall of the tube body 4, so that the air bag 5 can be inflated by injecting air, and the air bag 5 can be deflated by extracting the air. The other interface (i.e. the connecting port 7) is communicated with the lumen of the tube body 4, namely the self interface of the tube body 4 of the near side (guide) tube 1 can receive water.

Further, 2 discoid balloons (a first balloon 15 and a second balloon 16) which are not communicated with each other are arranged on the catheter body 11 of the distal (catheter) tube 2 at a distance of 1.5-2.0cm, and the end of the catheter body 11 is open. Here (the catheter body 11) also means that both the front and rear ends are open, and the catheter connection port 18 is provided as an intermediate connection member, which is also a two-end port member.

In a further illustration, the catheter body 11 of the distal (catheter) tube 2 has 3 ports, and the 1 st and 2 nd ports (i.e. the first catheter connection port 19 and the second catheter connection port 20) are communicated with the cecum balloon (the first balloon 15) and the ileum balloon (the second balloon 16) through narrow channels in the tube wall, so that the balloons can be inflated by injecting air and deflated by extracting air to shrink the balloons. The 3 rd interface is communicated with the lumen of the catheter body 11, namely the interface of the catheter body 11 can receive water.

By way of further illustration, the 2 disc-like balloons on the distal (catheter) tube 2 are not in communication with each other and are inflated to a diameter of up to 3.0cm, i.e. the cecum balloon (first balloon 15) is slightly larger in diameter than the ileum balloon (second balloon 16).

Like this, the disk gasbag (first gasbag 15, second gasbag 16) that 1 st and 2 nd are full is fixed in the cecum return both sides, effectively blocks intestinal juice and gets into the cecum, and external connection gas injection adjusts the size and the pressure of gasbag. The 3 rd interface is communicated with the lumen of the catheter body 11 and can be used for flushing cecum.

Preferably, 20.0cm from the front end of the distal catheter 2 serves as an ileostomy exit marker site (marker 17), from which the proximal (guide) tube 1 leads. The ileum outlet is marked at the position (marked point 17), the mesenteric contralateral intestinal wall is cut after purse string suture, the distal (catheter) tube 2 and the proximal (catheter) tube 1 jointly penetrate through the intestinal wall incision, and the (wall layer) peritoneum is externally connected with the (absorbable) pad 3.

The utility model relates to a regulating ileum terminal ostomy tube, which comprises a near-side two-cavity one-sac tube and a far-side three-cavity two-sac tube assembly, wherein the tube cavity of the near-side (guide) tube 1 is large and hard, and is fixed by an air bag 5, so that intestinal contents can be effectively drained out of the body; the distal (catheter) tube 2 is respectively provided with disc-shaped air bags (a first air bag 15 and a second air bag 16) through two sides of the ileocecal valve catheter, so that intestinal contents can be effectively controlled and blocked through the air bags, the colon can be flushed through the head of the catheter, the ileum contents are prevented from polluting an anastomotic stoma, and secondary stoma reduction is also avoided.

For yet further explanation:

as shown in fig. 1 to 6, the adjustable ileum ostomy tube of the present invention comprises a proximal side (catheter) tube 1, a distal side (catheter) tube 2 and an absorbable pad 3, wherein the proximal side (catheter) tube 1 comprises a tube body 4, an air bag 5, a tube tail 6 and a connector 7, the tube body 4 is a hollow tube, the air bag 5 is located at the front half part of the tube body 4, and the tube outer wall 10 of the tube body 4 is hermetically wrapped with the air bag 5; the catheter 8 is communicated with the balloon 5; the connecting port 7 is inserted at the pipe tail 6 of the pipe body 4; the far-side (catheter) tube 2 comprises a tube body 11, a first air bag 15, a second air bag 16, a first catheter 12, a second catheter 13, a first catheter connecting port 19, a second catheter connecting port 20 and a connecting port 18, wherein the tube body 11 is a hollow pipeline, the first air bag 15 and the second air bag 16 are respectively and hermetically wrapped on the tube body 11, and the catheter connecting port 18 is inserted at the tail end 21 of the tube body 11.

As shown in fig. 1 and fig. 2, the inner diameter of the tube body 4 of the near side (catheter) 1 is 7.0-10.0mm, the head end of the tube body 4 is open, and intestinal contents are not easy to block.

As shown in fig. 1 and 2, the distance from the head end of the open tube body 4 of the near side (catheter) tube 1 to the air sac 5 is more than 5.0cm, the air sac 5 completely swells up to the maximum of 2.5-3.0cm, the intestinal juice is reduced to the cecum, and the tube body can be prevented from slipping out of the ileum.

The near side (catheter) 1 is made of silica gel synthetic material, is not easy to react with intestinal juice, is not easy to age, and is suitable for hardness and can support.

As shown in fig. 3 and 4, the distance between the first balloon 15 and the second balloon 16 of the distal (guide) tube 2 needs to be kept 1.5-2.0cm, the balloons (the first balloon 15 and the second balloon 16) are prevented from bulging and pressing the ileocecal valve 23, and the distal (guide) tube 2 can be fixed; the diameter of the first air sac 15 and the second air sac 16 is more than 3.0cm after being inflated, the shape is like a disk, and intestinal contents can be effectively prevented from entering the ileocecal valve to the colon.

As shown in fig. 3 and 4, the first balloon 15 of the distal (guide) tube 2 is 3.0cm away from the front end of the catheter body 11, and a side hole 14 is provided, so that the colon can be easily flushed.

As shown in Figs. 3 and 4, the catheter body 11 of the distal (guide) tube 2 is marked with a scale 22, and 20.0cm from the front end of the catheter body 11 is provided with (scale color) marker points 17, preferably in color, for easy exit and fixation of the catheter body 11 from the terminal ileal miniincision.

As shown in fig. 3 and 4, the catheter body 11 of the distal (catheter) tube 2 has a small inner diameter and is made of a soft material, so that irritation to the ileocecal valve is reduced.

As shown in figures 5 and 6, the marker 17 (colored) on the catheter body 11 of the distal catheter 2, together with the catheter body 4 of the proximal catheter 1, is surrounded by the absorbable pad 3, and the absorbable line is used to fix the parietal peritoneum 24, preventing intestinal fluid from leaking out of the abdominal cavity, and also to fix the catheter body 4 and the catheter body 11.

In the embodiment shown in fig. 6, a 1.0cm incision is made in the mesenteric marginal intestinal wall of the distal ileum at a distance of 15.0-20.0cm from the ileocecal part, the first air sac 15 at the front end of the distal (catheter) tube 2 of the adjustable terminal ileostomy tube of the invention is placed in the cecum, air is injected through the first catheter connecting port 19 to fill the disc-shaped first air sac 15, then air is injected through the second catheter connecting port 20 to fill the disc-shaped second air sac 16, and the inflated air sac does not extrude the ileocecal flap; then the front half part of the near side (conduit) 1 is placed into the near side in the tail part of the ileum through an ileum incision, the absorbable thread is sewed together to embed the tube bodies of the near side (conduit) 1 and the far side (conduit) 2, the embedded ileum wall outer absorption pad 3 is led out from the right lower abdominal incision after being surrounded by a gasket, and the wall layer peritoneum 24 is fixed by the absorption thread; the air is injected through the pipe connecting port 9 to expand the air bag 5, so that the intestinal contents are reduced from entering the cecum part, and the near-side catheter 2 can be prevented from falling off; the ileum content can be drained to the outside of the body through the connecting port 7, and the terminal ileum can also be washed; the normal ileocecal valve ring muscle is in a contraction state, the length of the normal ileocecal valve ring muscle protruding to the cecum cavity is 10.0-3.5mm, the ileocecal valve ring muscle can be opened by stimulation of intestinal content liquid, pressure and the like, three filling air bags (the air bag 5, the first air bag 15 and the second air bag 16) can reduce the opening of the ileocecal valve, particularly, the two disc air bags are in double separation, the ileocecal valve ring muscle can effectively and completely prevent the intestinal content from entering the colon to pollute an anastomotic stoma, the colon is flushed through the catheter connecting port 18 to clean the content in the colon, the repair of the injury of the anastomotic stoma can be facilitated, one disc air bag can be used for blocking the intestinal content in a regulating and controlling manner, or the two disc air bags are alternately used to relieve the extrusion of the intestinal wall by the air bags; if no anastomotic leakage exists, the air or water in the two disk-shaped air bags can be sucked out, and then the ostomy tube can be pulled out.

The above, only be the embodiment of the preferred of the present invention, but the protection scope of the present invention is not limited thereto, and any person skilled in the art is in the technical scope of the present invention, according to the technical solution of the present invention and the utility model, which are designed to be replaced or changed equally, all should be covered within the protection scope of the present invention.

Claims (7)

1. A regulation and control type ileum terminal ostomy tube is characterized in that: comprises a proximal catheter (1) and a distal catheter (2) which are juxtaposed, wherein absorbable pads (3) are arranged around the proximal catheter (1) and the distal catheter (2);

the near-side catheter (1) comprises a catheter body (4), the catheter body (4) is a hollow pipeline, an air bag (5) is arranged on the outer wall (10) of the catheter body (4), a catheter (8) is connected onto the air bag (5), and a catheter tail (6) of the catheter (8) is connected with a connecting port (7);

the far-side catheter (2) comprises a catheter body (11), the catheter body (11) is a hollow pipeline, a first air bag (15) and a second air bag (16) are sequentially arranged on the catheter body (11) from front to back, the first air bag (15) is connected with a first catheter (12), the second air bag (16) is connected with a second catheter (13), and the tail end (21) of the catheter body (11) is connected with a catheter connecting port (18).

2. The regulated ileal end ostomy tube of claim 1, wherein: the air bag (5) is positioned on the front half part of the tube body (4) and is hermetically wrapped on the tube outer wall (10) of the tube body (4), and the catheter (8) is inserted into the air bag (5) and is communicated with the air bag (5).

3. The regulated ileal end ostomy tube of claim 2, wherein: the connecting port (7) is inserted at the tail (6) of the pipe body (4), and the front end of the pipe body (4) is an open port; the outer suspension end of the conduit (8) is provided with a pipe connecting port (9).

4. The regulated ileal end ostomy tube of claim 1, wherein: the first air bag (15) and the second air bag (16) are positioned on the front half part of the catheter body (11), the first air bag (15) and the second air bag (16) are respectively wrapped on the outer wall of the catheter body (11) in a sealing mode, the overhang end of the first catheter (12) is provided with a first catheter connecting port (19), and the overhang end of the second catheter (13) is provided with a second catheter connecting port (20).

5. The regulated ileal end ostomy tube of claim 4, wherein: the catheter connecting port (18) is inserted at the tail end (21) of the catheter body (11).

6. The regulated ileal end ostomy tube of claim 5, wherein: the front end of the catheter body (11) is an open port, and the side wall of the front end of the catheter body (11) is provided with a side hole (14).

7. The regulated ileal end ostomy tube of claim 6, wherein: the outer wall of the catheter body (11) is marked with scale marks (22), and a marking point (17) is arranged on the rear side of the second air bag (16) on the catheter body (11).

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