CN219815002U - High-flow automatic small intestine stoma and small intestine fistula digestive juice collecting, back-conveying and circulating equipment - Google Patents
High-flow automatic small intestine stoma and small intestine fistula digestive juice collecting, back-conveying and circulating equipment Download PDFInfo
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- CN219815002U CN219815002U CN202222614702.1U CN202222614702U CN219815002U CN 219815002 U CN219815002 U CN 219815002U CN 202222614702 U CN202222614702 U CN 202222614702U CN 219815002 U CN219815002 U CN 219815002U
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Abstract
The utility model discloses automatic collection and feedback circulation equipment for high-flow small intestine ostomy or small intestine fistula digestive juice, which comprises a first funnel sealing element and a second funnel sealing element, wherein the upper ends of the first funnel sealing element and the second funnel sealing element are respectively provided with an opening funnel, the lower ends of the first funnel sealing element and the second funnel sealing element are respectively provided with a connecting pipe, the opening funnel of the second funnel sealing element is slightly smaller than the opening funnel of the first funnel sealing element, the connecting pipe of the second funnel sealing element is provided with an annular clamping strip corresponding to the annular groove so as to form a sealing lock catch structure, the connecting pipe of the first funnel sealing element is connected with a first collecting pipe, the lower end of the first collecting pipe is connected with an inverted T-shaped cylinder, the bottom of the inverted T-shaped cylinder is sleeved with a filter screen, the inverted T-shaped cylinder and the filter screen are positioned in a shrinkage collecting bottle, the bottom of the shrinkage collecting bottle is provided with a discharging funnel, and the second collecting pipe is connected with a nutrition bag directly or connected with the nutrition bag through a ball bag. The utility model can continuously collect, filter and reinfusion digestive juice and is applied to clinic.
Description
Technical Field
The utility model relates to the technical field of medical equipment, in particular to high-flow automatic small intestine ostomy or small intestine fistula digestive juice collecting, returning and circulating equipment.
Background
The whole small intestine is about 4-6 m in length, and is divided into three parts, namely a duodenum, a jejunum and an ileum from near to far. The small intestine is the main site of food digestion and absorption. Some special types of high-order small intestinal obstruction or intestinal necrosis, such as mesenteric vascular diseases, reduce the intestine after surgical excision, and due to the lack of conditions for small intestine anastomosis reconstruction, temporary small intestine double-cavity stoma, called high-flow small intestine stoma, is often performed. In addition, high-order small intestine fistulae are called high-flux small intestine fistulae due to the outflow of large amounts of digestive juice. High-flow small intestine stomas and high-flow small intestine fistulae can cause a large amount of digestive juice to be discharged out of the body and can not enter the far-end small intestine intestinal cavity to participate in digestion and absorption. Because these digesters contain a large amount of digestive enzymes, bile acid salts, gastrointestinal hormones, electrolytes and water, if they cannot be infused back into the distal small intestine cavity in time and completely, they can cause serious complications such as digestive fluid loss, water electrolyte disturbance and malnutrition. The following cases are intestinal diseases requiring digestive juice collection and reinfusion in clinic, and are as follows:
case 1, patient male, 26 years old. Complaints: the main cause "pain in the middle abdomen with diarrhea 5 days, aggravated for 3 days" was admitted from the external emergency at day 11, 6, 2021. Admission diagnosis: acute mesenteric ischemia, portal vein and mesenteric vein thrombosis, localized peritonitis, small intestine necrosis, incomplete ileus and hypoproteinemia. The main treatment comprises: 1. superior mesenteric vein and portal vein indirect thrombolysis. 2. Laparoscopic exploration, small intestine partial excision, small intestine double-cavity ostomy. 3. Postoperative comprehensive treatment measures: (1) anticoagulation and microcirculation improvement treatment; (2) acid-inhibiting and enzyme-inhibiting treatment; (3) returning digestive juice; (4) forbid food and parenteral enteral nutrition support; (5) Prevention and treatment of water electrolyte, acid-base imbalance disorders; (6) ostomy care; (7) encourage out-of-bed activities and perform functional rehabilitation exercises; (8) home rehabilitation.
Case 2, patient male, 42 years old. Complaints: the main reason is that the intermittent abdominal pain is more than 4 days, the aggravated abdominal distention is accompanied by 16 hours, and the acute treatment is admitted in the emergency treatment of 1 month and 6 days of 2022. Admission diagnosis: ileus, peritonitis, superior mesenteric venous thrombosis accompanied by intestinal necrosis. The main treatment comprises: 1. gastrointestinal surgery general anesthesia downlink emergency laparotomy, intestinal resection, intestinal ostomy, 2022, 1 month 12 days. 2. Postoperative comprehensive treatment measures: (1) anticoagulation and microcirculation improvement treatment; (2) acid-inhibiting and enzyme-inhibiting treatment; (3) returning digestive juice; (4) forbid food and parenteral enteral nutrition support; (5) Prevention and treatment of water electrolyte, acid-base imbalance disorders; (6) analgesia and insomnia treatment; (7) ostomy care; (8) patient influenza b, quarantine and antiviral treatment; (9) encourage out-of-bed activities and perform functional rehabilitation exercises.
Case 3, female patient, age 50. The main reason is that the abdominal distension is accompanied by intermittent abdominal pain for more than 10 days and aggravated for 13 hours is admitted to the hospital in the emergency treatment of the day 12 of 1 month in 2022. Admission diagnosis: small intestine necrosis, mesenteric venous thrombosis, pelvic effusion. The main treatment comprises: 1. the study was performed on the general anesthesia downstream via laparotomy, partial excision of the small intestine, fistulization of the duodenum, gastrostomy, and insertion of small intestine nutrient canal at day 1 and 7 of 2022. 2. Postoperative comprehensive treatment measures: (1) anticoagulation and microcirculation improvement treatment; (2) acid-inhibiting and enzyme-inhibiting treatment; (3) returning digestive juice; (4) forbid food and parenteral enteral nutrition support; (5) Prevention and treatment of water electrolyte, acid-base imbalance disorders; (6) antibiotic treatment; (7) ostomy care; (8) encourage the activities of getting out of bed and performing functional rehabilitation exercises.
Case 4, patient male, 63 years old. The main factor "more than 5 months of intestinal fistula" is transferred from the foreign hospital to the hospital in 25 th 2020. Admission diagnosis: high-level small intestine external fistula, abdominal cavity infection, liver function abnormality, mild jaundice, hypoalbuminemia and malnutrition. The main treatment comprises: 1. general anesthesia downlink laparotomy, intestinal fistula resection, digestive tract reconstruction, small intestine side anastomosis and abdominal wall reconstruction in year 2020, 6 and 15. 2. Postoperative comprehensive treatment measures: (1) acid-inhibiting and enzyme-inhibiting treatment; (2) Li Shi tube irrigation negative pressure suction; (3) returning digestive juice; (4) forbid food and parenteral enteral nutrition support; (5) Prevention and treatment of water electrolyte, acid-base imbalance disorders; (6) antibiotic treatment; (7) ostomy care; (8) encourage the activities of getting out of bed and performing functional rehabilitation exercises.
The patients in the cases 1-3 are all acute mesenteric ischemic diseases, the incidence rate of the acute mesenteric ischemic diseases gradually rises in recent years, the death rate of early diagnosis and treatment is up to 25%, and the acute mesenteric ischemic diseases are one of most critical acute abdomen in surgery. Because of mesenteric thrombosis, the small intestine venous return is blocked, so that the edema of the intestinal wall of the small intestine is serious, or the necrosis of the intestinal wall occurs again, and the occurrence rate of the primary anastomosis fistula of the small intestine after the necrotic small intestine is resected is high, therefore, the temporary stoma of the small intestine is often adopted in clinic. A large amount of intestinal fluid is lost after ostomy.
Case 4 patient is high intestinal fistula, and digestive juice is lost in a large amount for a long time.
At present, the collection of small intestinal juice mainly relies on an ostomy bag in an ostomy device to collect the collected digestive juice or chyme, and the collected digestive juice or chyme can not be directly returned into a distal intestinal canal due to frequent sediment or condensate, and the traditional digestive juice returning method comprises the following steps: the digestive juice is collected into a cup through a drainage tube or an ostomy bag, filtered by a strainer and finally injected into a pipeline in the intestinal cavity by a syringe. The digestive juice is easy to pollute in the operation process, the external exposure time of the digestive juice is long, the pollution risk is increased, and meanwhile, the nasal smell is generated, so that psychological discomfort of patients is caused, and the probability of intestinal tract infection is increased. Because digestive juice is continuously secreted, the steps are repeated in 24 hours, a large amount of manpower and material resources are consumed, the workload of medical staff is increased, the economic expenditure of a patient is increased, and the digestive juice is inevitably overflowed to corrode the skin around the fistula, and the fistula inflammation is complicated, so that the recovery time is prolonged, and more pains are brought to the patient. The conventional method cannot safely and rapidly reinfusion the digestive juice. In view of this, a device for automatic collection, filtration and reinfusion of digestive juice was developed and applied clinically.
Disclosure of Invention
In order to solve the defects and shortcomings in the prior art, the digestive juice circulating equipment in the small intestinal obstruction ostomy is provided, and can continuously collect, filter and reinfusion digestive juice and be applied to clinic.
The digestive juice circulating equipment in the small intestinal obstruction ostomy operation provided by the utility model comprises a first funnel sealing piece and a second funnel sealing piece, wherein the upper ends of the first funnel sealing piece and the second funnel sealing piece are respectively provided with an open funnel, the lower ends of the first funnel sealing piece and the second funnel sealing piece are respectively provided with a connecting pipe, and the diameter of the open funnel of the first funnel sealing piece is 20mm and is used for being connected with an ostomy bag; the utility model discloses a nutrition bag, including first funnel sealing member, second funnel sealing member, first funnel sealing member's connecting pipe is provided with the ring channel in, the opening funnel of second funnel sealing member is slightly less than first funnel sealing member's opening funnel to embolia in the first funnel sealing member, the connecting pipe of second funnel sealing member corresponds the ring channel is provided with annular card strip, in order to form sealed hasp structure, first funnel sealing member's connecting pipe is connected with first collecting pipe, the lower extreme of first collecting pipe is connected with an inverted T section of thick bamboo, inverted T section of thick bamboo's bottom cover is equipped with the filter screen, an inverted T section of thick bamboo is located shrink collecting bottle with the filter screen, shrink collecting bottle's bottom is provided with ejection of compact funnel, ejection of compact funnel connects the second collecting pipe, the second collecting pipe is direct to be connected with the nutrition bag or is connected with the nutrition bag through the sacculus. The ostomy bag is a soft bag and is not supported by hard materials, so that the first funnel sealing piece and the second funnel sealing piece which are funnel-shaped are required to support the bag opening, and digestive juice smoothly flows out.
There are two specific embodiments of the connection mode of the second collecting tube and the nutrition bag in the present utility model: first kind: the second collecting pipe is directly connected with the nutrition bag, and the digestion liquid is pumped into the nutrition bag through a peristaltic pump; second kind: the second collecting pipe is connected with the saccule, the connecting pipes at two sides of the saccule are provided with valves for controlling the direction of the fluid, and digestive juice is extruded into the nutrition bag through the saccule.
In use, the mixed nutrient and digestive fluids are pumped into the distal intestinal lumen by peristaltic pumps.
As a further improvement of the above solution, the taper of the first funnel seal and the taper of the second funnel seal are the same.
As a further improvement of the scheme, the membrane pore diameter of the filter screen is 10 meshes.
As a further improvement of the scheme, the upper end and the lower end of the first collecting pipe are respectively provided with a convex clamping convex groove, and the first funnel sealing piece and the inverted T-shaped barrel are provided with clamping convex rings corresponding to the clamping convex grooves.
As a further improvement of the scheme, an installation cross rod is arranged in the collecting bottle, a hollow cylinder is arranged in the middle of the installation cross rod, an annular supporting plate is arranged at the bottom of the hollow cylinder, and the inverted T-shaped cylinder is placed in the hollow cylinder and supports the inverted T-shaped cylinder through the annular supporting plate.
As a further improvement of the scheme, the upper end of the filter screen is provided with a necking elastic rope, and the filter screen is sleeved on the inverted T-shaped barrel through the necking elastic rope. The inverted T-shaped cylinder and the filter screen are matched to collect sediment, and the filter screen can be taken out, so that sediment can be conveniently removed and cleaned.
As a further improvement of the above, the diameter of the first collecting pipe is 10mm, and the diameter of the second collecting pipe is 5mm.
The beneficial effects of the utility model are as follows:
compared with the prior art, the digestive juice circulating equipment for small intestinal obstruction ostomy is used for clamping and fixing the ostomy bag between the first funnel sealing piece and the second funnel sealing piece and has a sealing effect. Through the setting of first collecting pipe, an inverted T section of thick bamboo, filter screen, shrink collecting bottle and ejection of compact funnel, second collecting pipe, nutrition bag, can continuously collect, filter and reinfusion digestive juice to it is clinical to be applied to.
Drawings
The utility model is described in further detail below with reference to the attached drawing figures, wherein:
fig. 1 is a schematic structural view of the present utility model.
Detailed Description
As shown in fig. 1, the digestive juice circulating device in small intestinal obstruction ostomy provided by the utility model comprises a first funnel sealing element 1 and a second funnel sealing element 2, wherein the upper ends of the first funnel sealing element 1 and the second funnel sealing element 2 are open funnels, the lower ends of the first funnel sealing element 1 and the second funnel sealing element 2 are connecting pipes, the taper angles of the first funnel sealing element 1 and the second funnel sealing element 2 are the same, and the diameter of the open funnel of the first funnel sealing element 1 is 20mm and is used for connecting an ostomy bag; be provided with ring channel 3 in the connecting pipe of first funnel sealing member 1, the open funnel of second funnel sealing member 2 is slightly less than the open funnel of first funnel sealing member 1, in order to embolia first funnel sealing member 1, the connecting pipe of second funnel sealing member 2 corresponds ring channel 3 and is provided with annular card strip 4, in order to form sealed hasp structure, the connecting pipe of first funnel sealing member 1 is connected with first collecting pipe 5, the diameter of first collecting pipe 5 is 10mm, the lower extreme of first collecting pipe 5 is connected with an inverted T section of thick bamboo 6, the bottom cover of an inverted T section of thick bamboo 6 is equipped with filter screen 7, the membrane aperture of filter screen 7 is 10 mesh. The inverted T-shaped cylinder 6 and the filter screen 7 are positioned in a shrinkage collecting bottle 19, a discharging funnel 8 is arranged at the bottom of the shrinkage collecting bottle 19, the discharging funnel 8 is connected with a second collecting pipe 9, and the diameter of the second collecting pipe 9 is 5mm. The second collection tube 9 is connected directly to the nutrition bag 10 or via a balloon 11 to the nutrition bag 10. The ostomy bag is a soft bag and is not supported by hard materials, so that the first funnel sealing piece 1 and the second funnel sealing piece 2 which are in funnel shapes are required to support the bag mouth, and digestive juice smoothly flows out.
There are two embodiments of the connection of the second collection tube 9 to the nutrition bag 10 according to the utility model: first kind: the second collection tube 9 is directly connected with the nutrition bag 10, and the digestion liquid is pumped into the nutrition bag 10 through a peristaltic pump; second kind: the second collecting pipe 9 is connected with a balloon 11, and valves for controlling the direction of fluid are arranged on the connecting pipes at the two sides of the balloon 11, so that digestive juice is extruded into the nutrition bag 10 through the balloon 11.
In use, the mixed nutrient and digestive fluids are pumped into the distal intestinal lumen by peristaltic pumps.
In order to prevent the first collecting pipe 5 from falling off, the upper end and the lower end of the first collecting pipe 5 are both provided with convex clamping convex grooves 14, and the first funnel sealing piece 1 and the inverted T-shaped barrel 6 are provided with clamping convex rings 15 corresponding to the clamping convex grooves 14.
Further improved, a mounting cross rod 16 is arranged in the collecting bottle, a hollow cylinder 17 is arranged in the middle of the mounting cross rod 16, an annular supporting plate 18 is arranged at the bottom of the hollow cylinder 17, the inverted T-shaped cylinder 6 is placed in the hollow cylinder 17, and the inverted T-shaped cylinder 6 is supported through the annular supporting plate 18.
Further improved, the upper end of the filter screen 7 is provided with a necking elastic rope which is sleeved on the inverted T-shaped barrel 6. The inverted T-shaped cylinder 6 and the filter screen 7 are matched to collect sediment, and the filter screen 7 can be taken out to facilitate sediment removal and cleaning.
The above embodiments are not limited to the technical solution of the embodiments, and the embodiments may be combined with each other to form a new embodiment. The above embodiments are only for illustrating the technical solution of the present utility model and not for limiting the same, and any modifications or equivalent substitutions without departing from the spirit and scope of the present utility model should be covered in the scope of the technical solution of the present utility model.
Claims (7)
1. High flow small intestine stoma or small intestine fistula digestive juice automatic collection feedback circulation equipment, its characterized in that: the opening funnel comprises a first funnel sealing piece and a second funnel sealing piece, wherein the upper ends of the first funnel sealing piece and the second funnel sealing piece are both open funnels, the lower ends of the first funnel sealing piece and the second funnel sealing piece are connecting pipes, and the diameter of the open funnels of the first funnel sealing piece is 20mm and is used for being connected with an ostomy bag; the utility model discloses a nutrition bag, including first funnel sealing member, second funnel sealing member, first funnel sealing member's connecting pipe is provided with the ring channel in, the opening funnel of second funnel sealing member is slightly less than first funnel sealing member's opening funnel to embolia in the first funnel sealing member, the connecting pipe of second funnel sealing member corresponds the ring channel is provided with annular card strip, in order to form sealed hasp structure, first funnel sealing member's connecting pipe is connected with first collecting pipe, the lower extreme of first collecting pipe is connected with an inverted T section of thick bamboo, inverted T section of thick bamboo's bottom cover is equipped with the filter screen, an inverted T section of thick bamboo is located shrink collecting bottle with the filter screen, shrink collecting bottle's bottom is provided with ejection of compact funnel, ejection of compact funnel connects the second collecting pipe, the second collecting pipe is direct to be connected with the nutrition bag or is connected with the nutrition bag through the sacculus.
2. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the taper of the first funnel sealing piece and the taper of the second funnel sealing piece are the same.
3. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the membrane aperture of the filter screen is 10 meshes.
4. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the upper and lower both ends of first collecting pipe all are provided with the screens tongue of evagination, first funnel sealing member and the back T section of thick bamboo are last to correspond the screens tongue is provided with the screens bulge loop.
5. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the collecting bottle is characterized in that an installation cross rod is arranged in the collecting bottle, a hollow cylinder is arranged in the middle of the installation cross rod, an annular supporting plate is arranged at the bottom of the hollow cylinder, and the inverted T-shaped cylinder is placed in the hollow cylinder and is supported by the annular supporting plate.
6. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the upper end of the filter screen is provided with a necking elastic rope which is sleeved on the inverted T-shaped barrel.
7. The high flow enterostomy or enterofistula digestive juice automatic collection and feedback circulation device of claim 1, wherein: the diameter of the first collecting pipe is 10mm, and the diameter of the second collecting pipe is 5mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202222614702.1U CN219815002U (en) | 2022-09-30 | 2022-09-30 | High-flow automatic small intestine stoma and small intestine fistula digestive juice collecting, back-conveying and circulating equipment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202222614702.1U CN219815002U (en) | 2022-09-30 | 2022-09-30 | High-flow automatic small intestine stoma and small intestine fistula digestive juice collecting, back-conveying and circulating equipment |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN219815002U true CN219815002U (en) | 2023-10-13 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202222614702.1U Active CN219815002U (en) | 2022-09-30 | 2022-09-30 | High-flow automatic small intestine stoma and small intestine fistula digestive juice collecting, back-conveying and circulating equipment |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN219815002U (en) |
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- 2022-09-30 CN CN202222614702.1U patent/CN219815002U/en active Active
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