CN2186575Y

CN2186575Y - Intestine cleaning and pressure reducing device

Info

Publication number: CN2186575Y
Application number: CN 93232770
Authority: CN
Inventors: 胡冀琼
Original assignee: Individual
Current assignee: Individual
Priority date: 1993-12-18
Filing date: 1993-12-18
Publication date: 1995-01-04
Anticipated expiration: 2003-12-18

Abstract

The utility model discloses a cleaning and pressure reducing device in the process of carrying out the intestine operation. The utility model is composed of a Y-shaped external center pipe with a branch pipe; an internal center pipe whose pipe wall is provided with a plurality of small holes, and a balloon bladder installed around the top end of the external center pipe. The internal center pipe can insert the internal chamber of the internal center pipe. When the utility model is in use, the internal center pipe is in the intestine; one end of the internal center pipe can insert the top end of the external center pipe in the intestine; the balloon bladder is filled with the air so as to make the external center pipe fixed on the intestine wall; the content in the intestine can be extracted from the straight pipe mouth of the external center pipe; the cleaning liquid can be injected from the branch pipe. The utility model has the characteristics of few polluting operation, smooth extracting and draining operation, and high cleanliness. The utility model is suitable for pressure reducing and cleaning at the any part of the intestine.

Description

Intestine cleaning and pressure reducing device

This utility model relates to a kind of medical apparatus that intestinal cleans decompression that carries out in operation.

In the gastrointestinal surgery, how to carry out the intestinal decompression effectively, clean intestinal contents, guarantee intestinal tract cleaning, the prevention fistula of operative incision is a thorny difficult problem.Traditional intestinal decompression is to cut intestinal wall to reduce pressure with the opening that hands directly squeezes out content, and this method is polluted big, and easily pulls intestinal tube and cause postoperative infection.People adopt the trocar puncturing decompression for this reason, but this method drain is slow, obstruction easily, uses inconvenient in the operation.The lavation of intestinal decompression must carrying out is again simultaneously handled, and present various decompression lavation methods all have limitation on application site, and easily leak when lavation, cause infection, when for example large intestine being punctured the decompression lavation, owing to large intestine is fixed at intraperitoneal, so above-mentioned processing can't be carried out.Lavation utensil commonly used at present in addition only just is suitable for when intestinal excises, and does not carry out the operation of intestinal excision and then can not use.

It is a kind of applicable to any intestinal position that the purpose of this utility model just is to provide, and pollute fewly in operation, and the cleaning apparatus of intestinal decompression is smoothly cleaned in decompression.

The purpose of this utility model utilizes a kind of like this utensil to realize that this utensil comprises an excenter tube, the gentle sacculus of innermost tube.Excenter tube is the tube that an arm is arranged, its top can be inserted in the intestinal walls, tail end comprises that arm is exposed to outside the intestinal walls, around pipe two balloon capsules at regular intervals are being installed near position, excenter tube top, these two balloon capsules and a hollow pipe communicate, the balloon capsule is just clamped intestinal wall after inflating by air hose, makes between excenter tube and the intestinal wall and fixes.Innermost tube is the plastic flexible pipe that tube wall has many apertures, can be inserted in the excenter tube inner chamber.

Use for convenient, excenter tube is that internal diameter is 0.6～1.2cm, and the bifurcation type silica gel tube of long 10～20cm is installed two spacing 0.2～0.6cm balloon capsules apart from top 1.0～2.0cm, in tube wall, there is a hollow pipe to communicate, draws at tail end by latex tubing with two balloon capsules.Innermost tube is long 40.0cm～60.0cm flexible plastic tube.

During use, intestinal clamp is put at two ends, intestinal position in the needs decompression, in the middle of this, cut one section intestinal wall then and do cannula port, enteral is inserted on the excenter tube top, the pocket seam is pricked intestinal wall between two sacculus, and from the gas injection in sacculus of the hollow mouth of pipe, make between intestinal wall and the air bag and fix, prevent that intestinal contents from overflowing.Innermost tube is in intestinal, and the one end injects the excenter tube top, connects suction catheter from the excenter tube tail end mouth of pipe, and control arm caliber size, with adjusting captivation size, after suction catheter is taken out most content, inject a cleanout fluid from the mouth of pipe, wash repeatedly to intestinal clearly to the greatest extent till.

Compare with intestinal decompression cleaning in the past, this utility model is not owing to need intestinal tube is taken out external, can be to the operation of the abdominal cavity large intestine lavation of reducing pressure, can carry out lavation to non-intestinal resection operation again, so applied range, clean applicable to the decompression that any position intestinal blocks, and intestinal patient out of trim before the art.Because content is pumped to the fixation that adds two balloon capsules in the drainage bottle from excenter tube, content can't be overflowed in cannula port and all the other places again, so pollute few in the art.Owing to can wash intestinal repeatedly from arm, so intestinal tract cleaning degree height, the fistula of operative incision incidence rate is low.In addition because innermost tube has supporting role at enteral, and can reach any position of enteral, add and to regulate the suction size with arm, so the suction intestinal contents is smooth and easy rapidly, can not occur subsiding because of suction ambassador intestinal tube, intestinal contents cleans not smooth defect, thereby makes simple, convenient, quick.

Below by accompanying drawing this utility model is described further.

Fig. 1 is the excenter tube structural representation.

Fig. 2 is the innermost tube structural representation.

View when Fig. 3 uses for this utility model.

Among Fig. 1,1 is excenter tube, the 2nd, and the arm of excenter tube, the tail end of excenter tube 1 and arm 2 are the bifurcation type, have the latex tubing of a hollow pipe 3 to make in the whole excenter tube 1 usefulness wall, and hollow pipe 3 is at the tail end introduction pipe 5 of excenter tube 1.The internal diameter 0.8cm of whole hollow pipe, long 15.0cm, tiltedly and sharp, around two spacing 0.4cm balloon capsules 4 of pipe installation, hollow pipe 3 and they communicate apart from top 1.5cm on the top.

Among Fig. 2,6 is innermost tube, and long is 60.0cm, external diameter 0.7cm.It is that certain elastic flexible plastic tube are arranged, and many apertures 7 are arranged on the wall.

During use, as shown in Figure 3.One section terminal ileum of emptying, 8, two side intestinal clamps 9.Make cannula port at 9 longitudinal incision intestinal wall of intestinal clamp, excenter tube 1 top is inserted in the intestinal tube 8, the pocket seam is pricked intestinal wall between two sacculus 4, and from hollow pipe 3 introduction pipes 5 to sacculus 4 gas injections, make between intestinal wall and the sacculus 4 and fix, prevent that intestinal contents from overflowing.Unclamp near-end intestinal clamp 9 then, innermost tube 6 is inserted in the intestinal 8 from 1 straight mouthful of tail end of excenter tube, and an end injects in the top of excenter tube 1.Straight mouthful of tail end of excenter tube 1 connected suction catheter, the caliber size of controlling arm 2 simultaneously is to regulate captivation, with hands fixing innermost tube 6 of excenter tube 1 top end outside intestinal wall, take out most intestinal contents, and in bifurcation shape tail end arm 6, inject cleanout fluid, from straight tube, extract out, clean so repeatedly till the intestinal tract cleaning.Unplug suction catheter 10 at last, innermost tube 6 withdraws from for straight mouthful from excenter tube, extracts and the above-mentioned end ileum of emptying, puts intestinal clamp 9 again at far-end, cuts off the pocket suture, discharges the gas in the sacculus 4, extracts excenter tube 1, and disinfection and stitching gets final product.

Claims

1, a kind of intestinal cleans reduced pressure appliance, is made up of excenter tube (1), the gentle sacculus of innermost tube (6) (4), it is characterized in that:

1. excenter tube (1) is being installed two at regular intervals balloon capsules (4) near excenter tube (1) position, top around pipe for the tube of an arm (2) is arranged, and balloon capsule (4) and hollow pipe (3) communicate;

2. on innermost tube (6) tube wall many apertures (7) are arranged;

2, utensil according to claim 1, its feature also is:

Have a hollow pipe (3) to communicate with two balloon capsules (4) in excenter tube (1) tube wall, hollow pipe (3) is drawn at the excenter tube tail end;

3, utensil according to claim 1, its feature also is:

Excenter tube (1) internal diameter is 0.6～1.2cm, and long 10.0～20cm is 0.2～0.6cm balloon capsule (4) apart from top 1.0～2.0cm place around the pipe installing space, and innermost tube (6) is grown 40.0～60.0cm.