Disposable children intussusception enema restorer
Technical Field
The utility model belongs to the technical field of medical appliances, and relates to a disposable pediatric intussusception enema restorer.
Background
Acute intussusception is a common acute abdomen for pediatric surgery, and is characterized in that intestinal obstruction caused by sheathing one section of intestinal canal into the other section of intestinal lumen adjacent to the intestinal canal is manifested as paroxysmal abdominal pain, vomit and dark red sticky frozen bloody stool. Sometimes the abdomen can reach the sausage-shaped mass. Most infants are treated by enema reduction, which is the first method of treating intussusception. The current hydraulic enema reposition operation under B ultrasonic monitoring has high success rate due to simple operation and is popularized and used. Some reset enemators sold in the market at present perform enema operation in a liquid inlet mode of spherical saccule suction extrusion or syringe suction injection, and doctors cannot select the liquid inlet mode according to own habits; in the process of clysis, leakage is easy to generate due to insufficient tightness in the intestines; the manometer is placed horizontally, observes inconveniently.
Disclosure of Invention
The utility model aims at overcoming the defects of the prior art and provides a disposable pediatric intussusception enema restorer.
The disposable pediatric intussusception enema restorer comprises a shell and a pressure control assembly; one end of the liquid inlet pipe is positioned outside the shell, and the other end of the liquid inlet pipe is connected with the first port of the three-way pipe; the second port of the three-way pipe is connected with external normal saline through a one-way valve, and the third port is connected with a liquid inlet of the pressure control assembly;
the pressure control assembly comprises a pressure gauge and a pressure control valve. The pressure gauge displays the pressure value, and the pressure control valve regulates limiting pressure and pressure relief according to the reading of the pressure gauge.
The pressure control valve comprises a four-way pipe, a pressure control gear positioned in a cavity of the pressure control pipe, a screw, a pressure spring and a piston. One end of the pressure control pipe is connected with the first port of the four-way pipe; the screw rod extends into and penetrates through the pressure control gear from the other end of the pressure control pipe; a pressure spring is arranged between the pressure control gear and the piston; the pressure control gear rotates along with the screw rod, so that the pressure control gear axially moves in the pressure control pipe, and the compression amount of the pressure spring is regulated; the size of the accommodating space in the four-way pipe is the same as that of the piston; the piston realizes axial movement on the pressure control pipe through a pressure spring;
when the pressure control gear is close to the maximum axial movement distance of the piston head in the pressure control pipe, the piston is positioned in the four-way pipe under the elasticity given by the pressure spring so as to block the passage of the piston port and the pressure relief port in the inner cavity of the four-way pipe; when the liquid pressure is higher than the elastic force of the pressure spring, the piston moves outwards under the action of the liquid pressure, and the piston port channel is not blocked any more, so that a channel for communicating the inner cavity of the four-way pipe with the pressure relief port is realized;
the pressure control gear is in threaded connection with the screw rod, and the other end of the pressure control pipe is connected with the pressure control pipe cover;
preferably, one end of the screw rod, which is positioned at the other end of the pressure control pipe, is provided with a pressure control knob;
preferably, the device further comprises a pressure release rod; the pressure release rod penetrates through the pressure control pipe cover and extends into the pressure control pipe to be fixedly connected with the piston;
preferably, the side, close to the piston, of the pressure control pipe is provided with an inwards concave clamping position for limiting the piston;
preferably, the four-way pipe is provided with a liquid inlet, a liquid outlet, a piston port and a drain port which are mutually communicated, the piston port is used for being placed at the piston at the pressure control pipe, the liquid inlet is communicated with the liquid inlet pipe, the liquid outlet is connected with the anus connecting pipe, and the drain port is connected with the drain pipe. The anus connecting pipe is communicated with the pressure gauge and the anus pipe. The anus connecting pipe is also provided with a pressure measuring port, and the pressure measuring port is provided with a pressure gauge through a catheter.
Preferably, the pressure control pipe is provided with a guide groove along the length direction of the pressure control pipe, the pressure control gear is provided with a pointer, and the pointer penetrates through the guide groove of the pressure control pipe;
preferably, the shell is provided with a visual window, and the visual window is overlapped with the position of the guide groove and is used for displaying the position of the pointer; more preferably, scale marks are marked on the outer side of the visual window.
Preferably, a plurality of limiting ribs which are axially arranged are arranged on the inner side of the pressure control pipe; the outside of the pressure control gear is provided with a plurality of limit grooves matched with the limit ribs, and the limit grooves and the limit ribs enable the pressure control gear to be restrained from autorotation and only perform linear motion.
Preferably, the tail end of the screw rod is provided with a pressure control knob, and the pressure control knob can drive the screw rod to rotate.
Preferably, the pressure release rod is provided with a pressure release rod cap at the end of the pressing knob; the pressure control knob is provided with a hole and a circular groove, the pressure release rod penetrates through the hole and is fixedly connected with the pressure release rod cap, and the pressure release rod cap is detachably connected with the pressure control knob. The hole size is larger than or equal to the diameter of the pressure release rod, but smaller than the diameter of the pressure release rod cap.
Preferably, a balloon tube is attached in the anal tube, a water injection nozzle is arranged at one end of the balloon tube, a balloon is arranged at the other end of the balloon tube, and the balloon is attached to the outer part of the anal tube. The water injection nozzle is arranged on the shell and is provided with a mark.
Preferably, the housing includes an upper cover and a lower cover, the upper cover and the lower cover being mutually covered.
Preferably, the pressure surface is located at the symmetrical center of the shell and forms a certain angle with the surface of the shell.
From the above technical scheme, the utility model has the advantages that:
according to the utility model, the liquid inlet pipe is externally connected, the injector or the balloon can be adapted according to the requirement, an operating doctor selects a liquid inlet mode according to the hand feeling, the enema pressure is controllable, and the operation is convenient; in addition, through the structure of the pressure control valve, the enema pressure is convenient to adjust, when the intestinal internal pressure reaches a preset value, the pressure reducing valve is automatically opened, the aim of reducing the pressure in the intestines is fulfilled, the pressure can be relieved at any time, and the intestinal rupture caused by the overlarge intestinal internal pressure is reduced to the greatest extent.
The utility model adopts an open liquid inlet mode, so that a user can select more; through the safety valve structure, better tightness and pressure relief sensitivity are achieved; the intestinal canal and the anal canal have better tightness and better intestinal comfort through the annular shape of the anal canal saccule and the insertion of the scale marks; the pressure gauge reading and the scale are more convenient to observe through the symmetrical design; through the setting of symmetry handle, more make things convenient for left hand and right hand to habit's user operation.
Drawings
FIG. 1 is a schematic diagram of the structure of the present utility model;
FIGS. 2 and 3 are schematic views illustrating the internal structure of the present utility model;
FIG. 4 is a schematic cross-sectional view of a relief valve;
FIG. 5 is a schematic diagram of the structure of a pressure control tube;
FIG. 6 is a schematic diagram of a structure of a pressure control gear;
FIG. 7 is a schematic view of a four-way pipe;
FIG. 8 is a schematic view of the structure of the pressure control knob;
FIG. 9 is a schematic view of the structure of the screw;
fig. 10 is a schematic cross-sectional view of an anal canal balloon.
The marks in the figure: the pressure control device comprises an upper cover 1, a lower cover 2, a liquid inlet pipe 3, a three-way pipe 4, a one-way valve 5, a four-way pipe 6, a liquid inlet 7, a pressure control pipe 8, a pressure control gear 9, a screw 10, a pressure spring 11, a piston 12, a pressure control knob 13, a pressure release lever 14, a piston head 15, a pressure release lever cap 16, a limit rib 17, a guide groove 18, a limit groove 19, a pointer 20, a liquid outlet 21, a piston port 22, a drain port 23, an anus connecting pipe 24, an anus pipe 25, a balloon 26, a balloon water injection nozzle 27, a pressure gauge connecting port 28, a pressure gauge 29, a visual window 30, a sliding rib 31, a sliding groove 32 and a pressure control pipe cover 33.
Detailed Description
In the description of the present utility model, it should be understood that the terms "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present utility model and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present utility model.
In the present utility model, unless explicitly specified and limited otherwise, the terms "connected," "fixed" and the like are to be construed broadly and include, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present utility model can be understood by those of ordinary skill in the art according to the specific circumstances.
As shown in fig. 1-10, the novel disposable pediatric intussusception enema restorer comprises a shell, a pressure control assembly and an anal canal. In order to facilitate the installation and the disassembly, the shell is divided into an upper cover 1 and a lower cover 2, the upper cover 1 and the lower cover 2 are mutually covered to form a shell inner cavity, and the safety valve assembly is arranged in the shell inner cavity. The liquid inlet pipe 3 is connected with a three-way pipe 4, the other end of the liquid inlet pipe 3 can be connected with different water injection devices, and the other two ends of the three-way pipe 4 are respectively connected with an external physiological saline bag and a liquid inlet 7 of a four-way pipe 6 through a one-way valve 5. The liquid of the external physiological saline bag can only flow into the three-way pipe 4 through the one-way valve 5 and can not flow reversely; the liquid can only flow to the liquid inlet 7 through the tee pipe 4 and can not flow reversely, so that the liquid can be prevented from flowing backwards during clysis. The safety valve assembly comprises a pressure control pipe 8, a pressure control gear 9, a screw 10, a pressure spring 11, a piston 12, a pressure control knob 13, a pressure release rod 14, a four-way pipe 6, a piston head 15, a pressure release rod cap 16 and a pressure control pipe cover 33. The safety valve assembly is fixed in the shell, the outside of the pressure control pipe 8 is covered by a pressure control pipe cover 33, a screw 10 is arranged in the safety valve assembly, and the screw 10 can rotate in the pressure control pipe 8 after penetrating. The outer surface of the screw rod 10 is provided with threads and is connected with the pressure control gear 9 through thread matching, and when the screw rod 10 is rotated, the pressure control gear 9 can move along the extending direction of the pressure control pipe 8 due to the action of the threads. The inner wall of the pressure control pipe 8 is provided with a limit rib 17 along the extending direction of the sleeve, a guide groove 18 is arranged to limit the sliding distance of the pressure control gear, and the pressure control gear 9 is provided with a limit groove 19 matched with the limit rib 17 and a pointer 20 matched with the guide groove 18, so that the rotation of the pressure control gear 9 is prevented and the sliding distance is limited during movement after assembly. The four-way pipe 6 is provided with a liquid inlet 7, a liquid outlet 21, a piston opening 22 and a drain opening 23 which are mutually communicated, the four-way pipe 6 is bonded with the pressure control pipe 8, and the joint of the four-way pipe 6 and the pressure control pipe 8 is closed (for example, glue dispensing or ultrasonic welding can be adopted). When the pressure of the compression spring 11 to the right is greater than the pressure of the liquid to the left, the piston 12 with the piston head 15 seals the passage of the four-way pipe piston port 22 by the pressure of the compression spring 11, and in the sealing state, the liquid in the four-way pipe 6 is sealed by the piston and cannot flow out through the drain port 23. When the pressure of the compression spring 11 to the right is smaller than the pressure of the liquid to the left, the piston 12 with the piston head 15 is pushed away by the liquid pressure, so that the piston 12 moves to the left, and the pressure release rod is pushed to the left because the pressure release rod is fixed with the piston. The compression spring 11 between the piston 12 and the pressure control gear 9 is made of medical stainless steel. When the screw rod 10 is rotated, the compression amount when the pressure control gear 9 pushes the pressure spring 11 is regulated, the elastic force of the pressure spring 11, namely the pressure transmitted to the piston 12, is regulated, and the piston 12 can be jacked up by the hydraulic pressure to release liquid. The liquid outlet 20 is connected with an anus connecting pipe 24 through a conduit, and the anus connecting pipe 24 is connected with an anus pipe 25. A balloon 26 is attached in the anal canal 25, and a balloon water injection nozzle 27 is arranged at the other end of the balloon 26. The anal tube connecting tube 24 is provided with a pressure gauge connecting port 28, and the pressure gauge connecting port 28 is connected with a pressure gauge 29 through a conduit. During clysis, the anal tube 25 is inserted into the intestinal canal of a patient by being inserted into the anus of the patient to the depth of a depth marking line (not marked in the figure), then water is injected from the balloon water injection nozzle 27 to expand the balloon 26, and the expanded balloon 26 is in a ring shape to block the intestinal canal, so that the balloon is not separated from the intestinal canal and is not leaked. The pressure control pipe 8 is provided with a guide groove 18 along the length direction, the corresponding upper cover 1 is provided with a visual window 30 along the length direction, the pointer 20 on the pressure control gear 9 penetrates through the pressure limiting groove 19 and the visual window 30 to extend to the outside of the upper cover 1, the outer surface of the upper cover 1 is provided with scale marks (not marked in the figure) along the extending direction of the visual window, and the pressure limiting value of the piston 12 at the position of the pointer 20 (namely the position of the pressure control gear 9) is the pressure value marked by the scale marks at the corresponding position. The pressure gauge 29 can display the enema pressure in real time during the enema, so that the pressure value is more visual. And when the pressure spring 11 is clamped or the piston head 15 is clamped, and the time pressure value can not be read normally through the scale value, the reading of the reading pressure gauge 29 can be doubly protected to take pressure relief measures, so that the safety coefficient of the enema is higher.
When emergency pressure relief is needed, the pressure control knob 13 is pulled outwards to relieve pressure. The pressure release lever 14 is fixedly connected with the pressure release lever cap 16, the pressure control knob 13 is provided with a sliding rib 31, and the screw is provided with a sliding groove 32 corresponding to the sliding rib 31. When the pressure is released, the pressure control knob 13 is directly pulled outwards to drive the pressure release rod 14 connected with the pressure release rod cap, and as the pressure release rod 14 is connected with the piston 12, the piston 12 and the piston head 15 move leftwards and then the piston opening 22 is opened, so that the integrated operation of pressure regulation and pressure release of the pressure control knob 13 is realized; when the enema pressure is too high to cause discomfort or intolerance of a patient, the pressure is adjusted or relieved by rotating the pressure control knob.
In use, the drain port 23 is connected to a drain or drain bag, the inlet pipe 3 is connected to a water injection device (e.g. a syringe,
a water injection balloon, etc., in this example a syringe), the one-way valve 5 is connected to a physiological saline device. Extending the anal canal 24 into the intestinal canal of the patient, filling the balloon 26 to block the intestinal canal of the patient, and enabling enema to enter the injector through the one-way valve and the three-way pipe; after the injector is filled with enema liquid, the push rod of the injector is pushed to squeeze the enema liquid, the enema liquid flows into the four-way pipe 6 through the three-way pipe one-way valve and then flows into the anus connecting pipe 23, then enema treatment is carried out through the anus pipe 25, and the enema liquid in the intestinal tract of a patient or in the anus pipe can not flow back to pollute the instrument when the injector absorbs liquid under the action of the one-way valve; when the injector pushes the liquid, the enema liquid can not flow back into the external physiological saline bag. When the pushing pressure of the injector is too high, the hydraulic pressure can push the piston 12 and the piston head 15 to release pressure, so that the enema pressure is kept below the pressure set by the pressure limiting assembly, and the safety of treatment is ensured. The housing is machined with a hand-held end 33 for ease of handling by the physician. In order to facilitate the application of users with different handedness and different handedness, a symmetrical design is adopted. To facilitate viewing of the pressure reading of the pressure gauge 29, the pressure gauge assembly is designed at an angle.
The foregoing detailed description of the embodiments of the present utility model will be provided to those skilled in the art, and the detailed description and the examples should not be construed as limiting the utility model.