CN217987669U

CN217987669U - Single-hole stomach fistulization device of peritoneoscope

Info

Publication number: CN217987669U
Application number: CN202221541836.9U
Authority: CN
Inventors: 沈柏儒; 陈秋霞; 肖德丽; 林思瑶; 李韦湮; 叶仙银; 谭明华; 赵晓东; 宋长山
Original assignee: Foshan Fuxing Chancheng Hospital Co Ltd
Current assignee: Foshan Fuxing Chancheng Hospital Co Ltd
Priority date: 2022-06-20
Filing date: 2022-06-20
Publication date: 2022-12-09
Anticipated expiration: 2032-06-20

Abstract

The utility model discloses a peritoneoscope haplopore stomach fistulization device, including endoscope puncture sleeve an, endoscope puncture sleeve b and spacing spout, a set of spacing spout has been seted up to endoscope puncture sleeve an's inside wall, the inside sliding connection of spacing spout has endoscope puncture sleeve b, the inside wall of stomach wall fistulization ware is provided with elastic material that can stretch, through stomach wall fistulization ware, fistulization ware lid, throw the esophagus, elastic material that can stretch, controllability elastic material, seal ring, through elastic material that can stretch, controllability elastic material for it is automatic to laminate mutually with patient's stomach wall through elastic material after stomach wall fistulization ware gets into patient's stomach wall, and the inside of fistulization ware lid is provided with withholds the spring and compresses tightly and throws the esophagus.

Description

Single-hole stomach fistulization device of peritoneoscope

Technical Field

The utility model relates to the technical field of gastrostomy, in particular to a laparoscope single-hole gastrostomy device.

Background

The gastrostomy is the common clinical operation at present (the simple explanation is that firstly an opening is made on the chest, then a small hole is made beside the stomach, and the intubation tube enters the stomach), and the gastroscope fistulization is mainly used for patients with advanced esophageal cancer or patients who can not eat food due to esophageal lesion, the gastroscope fistulization is adopted, the patients are in a flat lying position, the trachea intubation is full anesthesia, a disinfection and drape is adopted in the conventional epigastric operation, the patient is punctured on the upper edge of the umbilicus, a puncture device with the length of 10mm is arranged, the laparoscope exploration is firstly carried out, the abdominal cavity state is confirmed to be suitable for the laparoscopic fistulization, the puncture is carried out on the approximate midpoint of the connecting line between the xiphoid process and the umbilicus, a puncture device with the length of 5mm is arranged, a non-invasive grasping forceps is used for clamping the front wall of the stomach, the stomach is pulled towards the abdominal wall, and the fistulization positions of the stomach wall are determined according to the tension. Puncturing the selected abdominal wall, placing a 12mm puncture outfit, inserting an intracavity type linear cutting suture instrument with the length of 6cm, cutting and suturing on the front wall of the stomach, and manufacturing a tube stomach with the length of about 6cm and the width of about 1cm and having active bleeding.

The laparoscopic single-hole gastrostomy device in the prior art has the defects that:

1. the reference file CN208301709U discloses a percutaneous puncture stomach fistulization device, which comprises a puncture tool, a skin-breaking tool, a guide wire, a fistulization tube, an extension tube and an external fixing device; the puncture tool comprises a puncture injector and a puncture needle, and a guide wire can be arranged in a push rod of the puncture injector and the puncture needle; the fistulization tube comprises a main tube body, an inner body end and an outer body end, wherein the main tube body comprises a main tube cavity and an inner gas bag cavity, the inner body end comprises a feeding port and an inner gas bag, the outer body end comprises a connecting port and an air inlet branch tube, the connecting port, the main tube cavity and the feeding port form a feeding channel, and the air inlet branch tube, the gas tube cavity and the inner gas bag form a gas path fixing channel; the external fixing device comprises a limiting sleeve and a fixing ring; the air inlet branch pipe is provided with a pressure measuring air bag and a backflow resisting structure, and the outside of the connecting port is connected with an extension pipe or a fistula cap. The utility model discloses avoided the patient of late stage esophageal cancer to stand the misery of general anesthesia operation stomach fistulization, easy operation has avoided causing the damage to the stomach wall simultaneously, can conveniently detect the inside pressure of gasbag and adjust, consequently, is worth promoting ", above-mentioned device cost is higher when the preparation, and the process is comparatively complicated when throwing something and feeding food to the patient, has certain limitation when using, therefore the device's concrete implementation mode remains to be improved. Among the prior art a peritoneoscope haplopore stomach fistulization device, current partial stomach fistulization device is with higher costs when the preparation, and the process is comparatively loaded down with trivial details when using, has certain limitation when using.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a peritoneoscope haplopore stomach fistulization device to solve the problem that proposes among the above-mentioned background art.

In order to achieve the above object, the utility model provides a following technical scheme, a peritoneoscope haplopore stomach fistulization device, including scope puncture sleeve an, scope puncture sleeve b and spacing spout, its characterized in that: a group of limiting sliding grooves are formed in the inner side wall of the endoscope puncture sleeve a, and an endoscope puncture sleeve b is connected inside the limiting sliding grooves in a sliding mode;

the inside wall of the endoscope puncture sleeve b is provided with an abdominal wall fistulization device, and the inside wall of the abdominal wall fistulization device is provided with a stretchable elastic material.

Preferably, a fixture block is installed on the surface of the endoscope puncture sleeve b, and the surface of the fixture block slides in the limiting sliding groove.

Preferably, a set of clamping grooves are formed in the inner side wall of the endoscope puncture sleeve a, the directions of the two clamping grooves are opposite, and one side of each clamping groove is connected with the bottom of the limiting sliding groove.

Preferably, the inner side wall of the stretchable elastic material is provided with a controllable elastic telescopic material, and the top end of the inner side wall of the abdominal wall fistulization device is provided with a fistulization cover.

Preferably, the top of the fistulization cover is provided with a through hole, the inner side wall of the through hole is provided with a sealing gasket, and the inner side wall of the sealing gasket is provided with a feeding pipe.

Preferably, a set of fixed block is installed to the inside wall of fistulization lid, the inside wall of fixed block is provided with the withholding spring.

Compared with the prior art, the beneficial effects of the utility model are as follows:

1. the utility model discloses a stomach wall fistulization ware, fistulization ware lid, throw the esophagus, elastic material can stretch, controllability elastic stretching material, seal ring, through elastic material can stretch, controllability elastic stretching material, fistulization ware lid, the collocation use of seal ring and arc fixed block, make stomach wall fistulization ware get into and laminate mutually through the automatic stomach wall with the patient of elastic material behind the patient's stomach wall, the inside of fistulization ware lid is provided with withholds the spring and compresses tightly throws the esophagus, the inside of fistulization ware lid is provided with seal ring, make the inside secretion of patient's stomach wall sealed, avoid leaking, make through the arc fixed block simultaneously throw the esophagus and obtain fixing, avoid the staff to manually support for a long time.

Drawings

FIG. 1 is a perspective view of the present invention;

FIG. 2 is a schematic view of the fixture block structure of the present invention;

fig. 3 is a schematic view of the feeding tube structure of the present invention;

fig. 4 is a schematic view of the structure of the sealing washer of the present invention;

fig. 5 is a schematic diagram of the present invention used in a model.

In the figure: 1. an endoscope puncture sleeve a; 2. an endoscope puncture sleeve b; 3. a limiting chute; 4. a clamping block; 5. a card slot; 6. an abdominal wall fistulization instrument; 7. a stretchable elastic material; 8. a controllable elastic stretchable material; 9. a fistulization cap; 10. a sealing gasket; 11. administering to the esophagus; 12. the abdominal wall; 13. the stomach wall.

Detailed Description

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

In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "front end", "rear end", "both ends", "one end", "the other end" and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the device or element to which the reference is made must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "disposed," "connected," and the like are to be construed broadly, and for example, "connected" may be either fixedly connected or detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.

The first embodiment is as follows:

please refer to fig. 1, fig. 2, fig. 3, fig. 4 and fig. 5, an embodiment of the present invention provides a laparoscopic single-hole gastrostomy device, including an endoscopic puncture sleeve a1, an endoscopic puncture sleeve b2 and a limiting chute 3, wherein the inner sidewall of the endoscopic puncture sleeve a1 is provided with a set of limiting chute 3, the internal sliding of the limiting chute 3 is connected with an endoscopic puncture sleeve b2, the surface of the endoscopic puncture sleeve b2 is provided with a fixture block 4, the surface of the fixture block 4 slides in the limiting chute 3, the inner sidewall of the endoscopic puncture sleeve a1 is provided with a set of clamping grooves 5, and the directions of the two clamping grooves 5 are opposite, one side of the clamping grooves 5 is connected with the bottom of the limiting chute 3, the inner sidewall of the endoscopic puncture sleeve b2 is provided with an abdominal wall fistulator 6, the inner sidewall of the abdominal wall fistulator 6 is provided with a stretchable elastic material 7, the inner sidewall of the stretchable elastic material 7 is provided with an elastic controllable telescopic material 8, the top end of the abdominal wall fistulator 6 is provided with a fistulator cap 9, the top of the fistulator cap 9 is provided with a through hole, the through hole is provided with a sealing gasket 10, the inner sidewall of the through hole is provided with a sealing gasket 11, the inner sidewall of the sealing gasket 9, and the esophageal fistula cap is provided with a set of the sealing gasket 9;

firstly, an abdominal wall fistulization device 6, a fistulization cover 9, a feeding tube 11, a stretchable elastic material 7, a controllable elastic telescopic material 8 and a sealing washer 10 are adopted to pierce the abdomen, then a fixture block 4 is rotated to separate the fixture block 4 from a clamping groove 5, the fixture block 4 slides out through a limiting chute 3, the endoscopic puncture sleeve a1 is separated from the endoscopic puncture sleeve b2, the endoscopic puncture sleeve a1 is taken out, the endoscopic puncture sleeve b2 is left at the abdomen of a patient, the abdominal wall fistulization device 6 is inserted into the endoscopic puncture sleeve b2, the endoscopic puncture sleeve b2 is taken out from the abdominal wall of the patient at the moment, because the stretchable elastic material 7 is arranged on the inner side wall of the abdominal wall fistulization device 6, the stretchable elastic material 8 is arranged on the inner side wall of the stretchable elastic material 7, the controllable fistulization device 6 on the abdominal wall is influenced by the elastic material, the lower part is bent and buckled in the abdominal wall, and the abdominal wall fistulization device 6 is covered by the fistulization cover 9, because the top of the fistulization cover 9 is provided with a through hole, the inner side wall of the through hole is provided with a sealing gasket 10, a worker inserts the inside of the through hole into the feeding pipe 11, so that the feeding pipe 11 is jointed with the inner side wall of the sealing gasket 10, the sealing performance of the fistulization cover is ensured, secretion of abdominal wall is prevented from leaking out, when the feeding pipe 11 is inserted into the fistulization cover 9, the inner side wall of the fistulization cover 9 is provided with a group of fixed blocks, the inner side of the fistulization cover 9 is provided with a buckling spring to tightly press the feeding pipe, so that the feeding pipe 11 is fixed when the bottom end of the feeding pipe 11 enters the fistulization cover 9, the working personnel can feed the stomach of the patient through the feeding pipe 11, the stretchable elastic material 7, the controllable elastic telescopic material 8 and the fistulization cover 9 are used for leading the abdominal wall fistulization device 6 to be jointed with the stomach wall 13 through the deformation of the elastic material after entering the abdominal wall 13 of the patient, the fistulization device cover 9 is internally provided with a sealing gasket 10, so that secretion in the abdominal wall of a patient is sealed, leakage is avoided, and a worker is prevented from manually supporting the fistulization device for a long time.

The utility model discloses in, the device's working procedure as follows:

through an abdominal wall fistulization device 6, a fistulization cover 9, a feeding tube 11, a stretchable elastic material 7, a controllable elastic telescopic material 8 and a sealing washer 10, firstly, an abdominal cavity puncture device is adopted to puncture the abdominal part, then a clamping block 4 is rotated to separate the clamping block 4 from a clamping groove 5, the clamping block 4 slides out through a limiting sliding groove 3, the endoscopic puncture sleeve a1 is separated from the endoscopic puncture sleeve b2, the endoscopic puncture sleeve a1 is taken out, the endoscopic puncture sleeve b2 is left at the abdominal part of a patient, the abdominal wall fistulization device 6 is inserted into the endoscopic puncture sleeve b2, at the moment, the endoscopic puncture sleeve b2 is taken out from the abdominal wall of the patient, as the stretchable elastic material 7 is arranged on the inner side wall of the abdominal wall fistulization device 6, the controllable elastic telescopic material 8 is arranged on the inner side wall of the stretchable elastic material 7, the gastric wall fistulization device 6 is affected by the elastic material, the lower part of the controllable fistulization device 6 is bent and buckled in the gastric wall, at the moment, the abdominal wall fistulization device 6 is covered by the fistulization cover 9, because the top of the fistulization cover 9 is provided with a through hole, the inner side wall of the through hole is provided with a sealing gasket 10, a worker inserts the inside of the through hole into the feeding pipe 11, so that the feeding pipe 11 is jointed with the inner side wall of the sealing gasket 10, the sealing performance is ensured, and secretion of abdominal wall is prevented from leaking out, when the feeding pipe 11 is inserted into the fistulization cover 9, the inner side wall of the fistulization cover 9 is provided with a group of fixed blocks, when the bottom end of the feeding pipe 11 enters the fistulization cover 9, the inner part of the fistulization cover 9 is provided with a buckling spring to tightly press the feeding pipe 11, so that the feeding pipe 11 is fixed, the worker can feed the stomach of the patient through the feeding pipe 11 conveniently, the controllable elastic material 7, the controllable elastic telescopic material 8 and the fistulization cover 9 are used for ensuring that the abdominal wall 12 of the patient is jointed with the stomach wall 13 through the deformation of the elastic material after the fistulization cover 6 enters the abdominal wall of the patient, the fistulization cover 9 is provided with a sealing gasket 10 inside, so that the secretion inside the abdominal wall of the patient is sealed, leakage is avoided, and the staff is prevented from being manually supported for a long time.

It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.

Claims

1. The utility model provides a peritoneoscope haplopore gastrostomy device, includes chamber mirror puncture sleeve a (1), chamber mirror puncture sleeve b (2) and spacing spout (3), its characterized in that: a group of limiting sliding chutes (3) are formed in the inner side wall of the endoscope puncture sleeve a (1), and endoscope puncture sleeves b (2) are connected inside the limiting sliding chutes (3) in a sliding mode;

the abdominal wall fistulization device is characterized in that an abdominal wall fistulization device (6) is arranged on the inner side wall of the endoscope puncture sleeve b (2), and a stretchable elastic material (7) is arranged on the inner side wall of the abdominal wall fistulization device (6).

2. The laparoscopic single port gastrostomy device according to claim 1, wherein: a clamping block (4) is installed on the surface of the endoscope puncture sleeve b (2), and the surface of the clamping block (4) slides in the limiting sliding groove (3).

3. The laparoscopic single port gastrostomy device according to claim 1, wherein: a set of clamping grooves (5) are formed in the inner side wall of the endoscope puncture sleeve a (1), the directions of the two clamping grooves (5) are opposite, and one side of each clamping groove (5) is connected with the bottom of the limiting sliding groove (3).

4. The laparoscopic single port gastrostomy device of claim 1, wherein: the inner side wall of the stretchable elastic material (7) is provided with a controllable elastic telescopic material (8), and the top end of the inner side wall of the abdominal wall fistulization device (6) is provided with a fistulization cover (9).

5. The laparoscopic single port gastrostomy device according to claim 4, wherein: the through-hole has been seted up at the top of fistulization lid (9), the inside wall of through-hole is provided with seal ring (10), the inside wall of seal ring (10) is provided with throws esophagus (11).

6. The laparoscopic single port gastrostomy device according to claim 4, wherein: a set of fixed block is installed to the inside wall of fistulization lid (9), the inside wall of fixed block is provided with withholds spring (12).