CN220404052U - Special stomach stay tube of stomach volume reduction operation - Google Patents
Special stomach stay tube of stomach volume reduction operation Download PDFInfo
- Publication number
- CN220404052U CN220404052U CN202321501209.7U CN202321501209U CN220404052U CN 220404052 U CN220404052 U CN 220404052U CN 202321501209 U CN202321501209 U CN 202321501209U CN 220404052 U CN220404052 U CN 220404052U
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- Prior art keywords
- tube
- inner tube
- gastric
- bag
- negative pressure
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- 238000011038 discontinuous diafiltration by volume reduction Methods 0.000 title claims abstract description 18
- 210000002784 stomach Anatomy 0.000 title abstract description 36
- 230000002496 gastric effect Effects 0.000 claims abstract description 38
- 238000001356 surgical procedure Methods 0.000 claims abstract description 13
- 238000007789 sealing Methods 0.000 claims abstract description 4
- 238000005213 imbibition Methods 0.000 claims abstract 2
- 230000007704 transition Effects 0.000 claims description 5
- 230000008859 change Effects 0.000 claims description 3
- 238000006073 displacement reaction Methods 0.000 abstract description 4
- 239000008280 blood Substances 0.000 abstract description 3
- 210000004369 blood Anatomy 0.000 abstract description 3
- 238000005520 cutting process Methods 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 230000009467 reduction Effects 0.000 abstract description 3
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 abstract description 2
- 239000008103 glucose Substances 0.000 abstract description 2
- 210000003238 esophagus Anatomy 0.000 description 9
- 210000004877 mucosa Anatomy 0.000 description 5
- 239000007788 liquid Substances 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 4
- 238000002271 resection Methods 0.000 description 4
- 210000004051 gastric juice Anatomy 0.000 description 3
- 239000013585 weight reducing agent Substances 0.000 description 3
- 210000004229 gastric stump Anatomy 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 206010056519 Abdominal infection Diseases 0.000 description 1
- 206010017877 Gastrointestinal fistula Diseases 0.000 description 1
- 206010018001 Gastrointestinal perforation Diseases 0.000 description 1
- 208000002720 Malnutrition Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000013110 gastrectomy Methods 0.000 description 1
- 238000007685 laparoscopic sleeve gastrectomy Methods 0.000 description 1
- 230000001071 malnutrition Effects 0.000 description 1
- 235000000824 malnutrition Nutrition 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 208000015380 nutritional deficiency disease Diseases 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000005077 saccule Anatomy 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
Abstract
The utility model discloses a special stomach supporting tube for gastric volume reduction surgery, which comprises: the outer tube and set up first inner tube, the second inner tube in the outer tube, the outer tube is J-shaped and including vertical section and the arc section of connecting from top to bottom, the arc section is being close to lower mouth of pipe department and is equipped with the negative pressure suction hole, first inner tube lower extreme is equipped with the inflation balloon in the arc section, the second inner tube lower extreme is equipped with the inflation tube bag in the arc section, the inflation tube bag is located the one side that the lower mouth of pipe was kept away from to the negative pressure suction hole on the arc section, be equipped with the third inner tube that is used for imbibition in the second inner tube, the third inner tube is worn out from inflation tube bag lower extreme just sealing connection around inflation tube bag lower extreme and the third inner tube pipe wall. The utility model overcomes the phenomenon of sliding displacement of the pipeline when cutting the large curve of the stomach, so that the operation in the operation is simpler, the large curve of the stomach is cut more accurately, the operation is safer finally, the weight and blood glucose reduction effect after the operation is better, and the utility model is worthy of wide application and popularization in clinic.
Description
Technical Field
The utility model relates to medical equipment, in particular to a special stomach supporting tube for a gastric volume reduction operation.
Background
In performing laparoscopic sleeve gastrectomy, it is necessary to use a gastric support tube to indicate the greater curvature and the extent of the undercut. The weight reduction postoperative re-enlargement is the key point of the weight reduction professional research, and when the gastric macrobend is cut off, researches show that the residual stomach is remained too much and is an independent risk factor of the postoperative re-enlargement, so that the weight reduction and the blood sugar reduction effect of patients after the operation are poor and the treatment purpose is not achieved; however, too small a residual stomach can cause the postoperative eating difficulty of the patient, the food can not pass smoothly, malnutrition is caused, and the gastrointestinal fistula or perforation is easily caused, so that abdominal infection may need to be operated again.
The stomach is the cavity viscera in the abdominal cavity, and the stomach cavity is big and free, and in the stomach volume reduction operator, after general stomach stay tube reached the stomach cavity, need anaesthetist and operator constantly adjust stay tube, pull stomach wall, so cause the operation time extension, because the stomach wall is pulled constantly causes the stomach wall to tear easily, more importantly constantly swings the stomach wall, probably causes the pipeline slippage to shift, brings the potential safety hazard for the operation.
The gastric support tube used in the market at present is a multipurpose drainage tube or a replacement tube, and when the gastric support tube in a vertical form is put in, the esophagus mucosa of a patient is easy to be injured.
The diameter of the existing gastric support tube is relatively fixed (32Fr 12 mm), and the good support of the stomach can be realized by adopting a relatively thick tube diameter, but when the gastric support tube is placed, the damage to the mucous membranes of the throat and the esophagus can be often caused, and postoperative patients feedback symptoms such as pain, discomfort, bleeding and the like with different degrees.
Therefore, a gastric support tube special for the gastric volume reduction surgery, which has a simple structure and is convenient to operate, needs to be developed, can avoid sliding displacement of a pipeline, change the pipe diameter and protect esophagus mucosa of a patient.
Disclosure of Invention
The utility model aims to solve the defects of the background technology, and provides the special gastric support tube for the gastric volume reduction surgery, which has a simple structure and is convenient to operate, the sliding displacement of a pipeline is avoided when the gastric curve is cut, the pipe diameter size can be changed, and the esophageal mucosa of a patient is protected.
The technical scheme of the utility model is as follows: a gastric support tube dedicated for gastric volume reduction surgery, comprising: an outer tube, a first inner tube and a second inner tube which are arranged in the outer tube,
the outer tube is J-shaped and comprises a vertical section and an arc section which are connected up and down, the arc section is provided with a negative pressure suction hole near the lower tube orifice,
the lower end of the first inner tube is provided with an inflatable balloon with the ball diameter being changed in the arc section, the inflatable balloon is positioned at one side of the negative pressure suction hole on the arc section close to the lower tube orifice,
the lower end of the second inner tube is provided with an inflatable tube bag capable of changing the tube diameter in the arc section, the inflatable tube bag is positioned on one side of the arc section, which is far away from the lower tube opening, of the negative pressure suction hole, the second inner tube is internally provided with a third inner tube for absorbing liquid, the third inner tube penetrates out from the lower end of the inflatable tube bag, and the lower end of the inflatable tube bag is connected with the periphery of the tube wall of the third inner tube in a sealing manner.
Preferably, the inner diameter of the inflation tube bag is larger than that of the second inner tube in a normal state, and a transition section with the inner diameter gradually increasing towards the inflation tube bag is arranged on the second inner tube to communicate the second inner tube with the inflation tube bag.
Preferably, the upper end of the inflation tube bag is flush with the upper end of the arc-shaped section.
Preferably, the pipe orifice at the lower end of the third inner pipe is positioned between the negative pressure suction hole of the arc section and the inflatable tube bag and is close to the negative pressure suction hole.
Preferably, the upper end of the vertical portion is provided with a first mounting hole and a second mounting hole which are corresponding in the radial direction, and the upper end of the first inner tube and the upper end of the second inner tube respectively penetrate through the first mounting hole and the second mounting hole in a fixed mode.
Further, the vertical portion is provided with a third mounting hole below the second mounting hole, and the upper end of the third inner tube penetrates out of the second inner tube and then fixedly penetrates out of the third mounting hole.
Preferably, the negative pressure suction holes are a plurality of, and are circumferentially arranged at intervals on the wall of the arc-shaped part.
Preferably, the outer tube is a through tube with openings at two ends and consistent outer tube diameter.
The beneficial effects of the utility model are as follows:
1. the inflatable saccule is arranged in the head end of the stomach support tube, and the corresponding part of the outer tube is inflated to anchor the tube, so that the tube is more attached to the lesser curvature of the stomach, is not easy to slide and shift, and reduces excessive traction to the stomach wall in operation, thereby avoiding damage to the stomach wall and facilitating accurate cutting operation of the greater curvature of the stomach in operation.
2. The inflatable tube bag is arranged in the bending part of the stomach supporting tube, the tube diameter of the corresponding part of the outer tube can be changed after inflation, the stomach wall is supported, the gastric resection operation is convenient, and the tube placing time is shortened. And the tube diameter is smaller when the outer tube is not inflated under normal conditions, so that the damage to the mucous membrane of the throat and esophagus can be reduced when the outer tube is placed in a human body.
3. The head end of the outer tube of the stomach supporting tube is also provided with the negative pressure suction hole, and the third inner tube penetrating through the inflatable tube bag corresponds to the negative pressure suction hole, so that a doctor can timely use negative pressure to suck residual gastric juice during operation.
4. The whole design of the stomach supporting tube is based on physiological architecture of human esophagus and throat, the outer tube adopts a J-shaped structure with the bent lower end, and a doctor can more protect the esophagus mucosa of a patient from being damaged during operation.
5. According to the utility model, the first mounting hole and the second mounting hole are radially corresponding, and the third mounting hole is arranged below the second mounting hole, so that the air charging opening at the upper end of the first inner tube, the air charging opening at the upper end of the second inner tube and the negative pressure air suction opening at the upper end of the third inner tube can be conveniently distinguished, and the operation in operation is more efficient.
Drawings
FIG. 1 is a schematic view of the structure of the present utility model
FIG. 2 is a cross-sectional view of the present utility model
FIG. 3 is an enlarged view of the upper portion of FIG. 2
FIG. 4 is an enlarged view of a portion of the junction of the vertical section and the arcuate section of FIG. 2
FIG. 5 is an enlarged view of the lower portion of FIG. 2
FIG. 6 is a schematic view of the present utility model in use
Wherein: 1-a first inner tube 2-a second inner tube 3-a third inner tube 4-an inflatable balloon 5-an inflatable balloon 6-a negative pressure suction hole 7-a first mounting hole 8-a second mounting hole 9-a third mounting hole 10-an outer tube 11-a vertical section 12-an arc section 13-a gastrectomy line 21-a transition section.
Detailed Description
Embodiments of the present utility model are described in detail below, wherein like or similar reference numerals refer to like or similar elements or elements having like or similar functions throughout. The embodiments described below by referring to the drawings are illustrative and intended to explain the present utility model and should not be construed as limiting the utility model.
In the description of the present utility model, it should be understood that the terms "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on 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.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present utility model, the meaning of "plurality" means at least two, for example, two, three, etc., unless specifically defined otherwise.
As shown in fig. 1 to 6, the present utility model provides a gastric support tube dedicated for gastric volume reduction surgery, comprising an outer tube 10, and a first inner tube 1 and a second inner tube 2 disposed in the outer tube 10. The outer tube 10 is J-shaped and comprises a vertical section 11 and an arc-shaped section 12 which are connected up and down, and the arc-shaped section 12 is provided with a negative pressure suction hole 6 near the lower tube orifice.
In this embodiment, the outer tube 10 is a through tube with two open ends and consistent outer tube diameter, and the number of negative pressure suction holes 6 is 4, and the negative pressure suction holes are circumferentially and equally spaced at the lower end of the arc-shaped section 12. The outer tube 10 is made of medical transparent silica gel, and the curved arc section 12 is matched with the structure of the esophagus and the throat of a human body, so that the esophagus mucosa is protected from being damaged when the esophagus enters the human body, and the outer diameter of the outer tube 10 is consistent, so that the outer tube can slide down quickly to reach the stomach. The arrangement of the negative pressure suction holes 6 can enable gastric juice to quickly enter the outer tube 10, so that timely suction is realized.
In this embodiment, the lower end of the first inner tube 2 is provided with an inflatable balloon 4 with an inflatable ball diameter being changed in the arc-shaped section 12, the inflatable balloon 4 is located at one side (lower side) of the arc-shaped section 12, which is close to the lower tube orifice, of the negative pressure suction hole 6, and the inflatable balloon 4 is arranged in such a way that the smoothness of the negative pressure suction hole 6 is maintained when the inflatable balloon 4 inflates and jacks up the corresponding position of the outer tube 10.
In this embodiment, the lower end of the second inner tube 2 is provided with an inflatable tube bag 5 with an inflatable tube diameter being changed in the arc section 12, the inflatable tube bag 5 is located at one side (upper side) of the arc section 12 where the negative pressure suction hole 6 is far away from the lower tube opening, a third inner tube 3 for absorbing liquid is arranged in the second inner tube 2, the third inner tube 3 penetrates out from the lower end of the inflatable tube bag 5, and the lower end of the inflatable tube bag 5 is in sealing connection with the periphery of the tube wall of the third inner tube 3. The third inner tube 3 not only uses the inner space of the second inner tube 2 and the inflatable tube bag 5 to absorb liquid, but also does not influence the inflation of the inflatable tube bag 5 to jack up and expand the corresponding position of the outer tube 10, thereby changing the outer diameter of the corresponding position of the outer tube 10 and supporting the stomach wall. The inflation amount of the inflation tube bag 5 can be adjusted according to the condition of the patient, so that the outer tube 10 is inflated to support the stomach wall well.
As shown in fig. 4, the inner diameter of the inflatable tube bag 5 is larger than the inner diameter of the second inner tube 2 in normal state, a transition section 21 with the inner diameter gradually increasing towards the inflatable tube bag 5 is arranged on the second inner tube 2 to communicate the second inner tube 2 with the inflatable tube bag 5, and the upper end of the inflatable tube bag 5 is flush with the upper end of the arc-shaped section 12, namely, the lower end of the transition section 21 is flush with the lower end of the vertical section 11. The pipe orifice at the lower end of the third inner pipe 3 is positioned between the negative pressure suction hole 6 of the arc section 12 and the inflatable tube bag 5 and is close to the negative pressure suction hole 6, namely the pipe orifice at the lower end of the third inner pipe 3 is positioned at the lower side of the inflatable tube bag 5 and is close to the negative pressure suction hole 6. In this embodiment, the third inner tube 3 is a through tube with two open ends and a consistent outer tube diameter, and the outer diameter is smaller than the inner diameter of the second inner tube 2, so that the second inner tube 2 has enough space in radial direction for gas to enter, and is convenient for rapid inflation of the inflation tube bag 5.
In this embodiment, the upper end of the vertical portion 11 of the outer tube 10 is provided with a first mounting hole 7 and a second mounting hole 8 corresponding radially, and the upper ends of the first inner tube 1 and the second inner tube 2 respectively penetrate through the first mounting hole 7 and the second mounting hole 8. The vertical part 11 is provided with a third mounting hole 9 below the second mounting hole 8, and the upper end of the third inner tube 3 penetrates out of the second inner tube 3 and then fixedly penetrates out of the third mounting hole 9. As shown in fig. 3, the left side is a first mounting hole 7, the right side is a second mounting hole 8 and a third mounting hole 9 respectively from top to bottom, and through the left-right asymmetric design, the upper end inflation inlet of the first inner tube 1, the upper end inflation inlet of the second inner tube 2 and the upper end negative pressure air suction inlet of the third inner tube 3 can be conveniently distinguished in the use process, so that the operation in the operation is more efficient.
The working principle of the utility model is as follows:
the special stomach support tube for the gastric volume reduction operation in the normal state is placed into the stomach of a patient from the lower end, the inflatable balloon 4 is inflated through the upper port of the first inner tube 1 after the operation is started, the corresponding part of the lower end of the outer tube 10 is jacked and inflated by the inflatable balloon 4 and then anchored at the gastrointestinal interface, the inflatable balloon 4 is inflated and further inflated to the inflatable tube 5 through the upper port of the second inner tube 2, and the corresponding part of the arc-shaped section 12 on the outer tube 10 is jacked and inflated by the inflatable tube 5 and then supports the stomach wall, as shown in fig. 6. A gastric laparoscopic sleeve resection is started and resections and sutures are performed along the gastric support tube resection line 13. During operation, negative pressure is pumped through the upper port of the third inner tube 3, and gastric juice and other liquid remained in the stomach can be rapidly sucked out as the lower port of the third inner tube 3 is close to the negative pressure suction hole 6.
The utility model overcomes the phenomenon of sliding displacement of the pipeline when cutting the large curve of the stomach, so that the operation in the operation is simpler, the large curve of the stomach is cut more accurately, the operation is safer finally, the weight and blood glucose reduction effect after the operation is better, and the utility model is worthy of wide application and popularization in clinic.
Claims (8)
1. A gastric support tube dedicated for gastric volume reduction surgery, comprising: an outer tube (10), a first inner tube (1) and a second inner tube (2) which are arranged in the outer tube (10),
the outer tube (10) is J-shaped and comprises a vertical section (11) and an arc-shaped section (12) which are connected up and down, the arc-shaped section (12) is provided with a negative pressure suction hole (6) near the lower tube orifice,
the lower end of the first inner tube (1) is provided with an inflatable balloon (4) which can be inflated to change the sphere diameter in the arc-shaped section (12), the inflatable balloon (4) is positioned at one side of a negative pressure suction hole (6) on the arc-shaped section (12) close to the lower tube orifice,
the utility model discloses a tube structure, including first inner tube (2), second inner tube (2), inflation tube bag (5) that can aerify change pipe diameter are equipped with in arc section (12) lower extreme, inflation tube bag (5) are located arc section (12) and go up negative pressure suction hole (6) and keep away from lower orificial one side down, be equipped with in second inner tube (2) and be used for imbibition third inner tube (3), third inner tube (3) are worn out from inflation tube bag (5) lower extreme just inflation tube bag (5) lower extreme and sealing connection around third inner tube (3) pipe wall.
2. The gastric support tube special for the gastric volume reduction surgery according to claim 1, wherein the inner diameter of the inflatable tube bag (5) is larger than the inner diameter of the second inner tube (2) in a normal state, and a transition section (21) with the inner diameter gradually increasing towards the inflatable tube bag (5) is arranged on the second inner tube (2) to communicate the second inner tube (2) with the inflatable tube bag (5).
3. The gastric support tube dedicated for gastric volume reduction surgery as claimed in claim 1, wherein the upper end of the inflatable tube bladder (5) is flush with the upper end of the arcuate section (12).
4. The gastric support tube special for the gastric volume reduction surgery according to claim 1, wherein the orifice at the lower end of the third inner tube (3) is positioned between the negative pressure suction hole (6) of the arc-shaped section (12) and the inflatable tube bag (5) and is adjacent to the negative pressure suction hole (6).
5. The gastric support tube special for the gastric volume reduction surgery according to claim 1, wherein a first mounting hole (7) and a second mounting hole (8) which are corresponding in the radial direction are arranged at the upper end of the vertical section (11), and the upper end of the first inner tube (1) and the upper end of the second inner tube (2) respectively penetrate through the first mounting hole (7) and the second mounting hole (8) in a fixed mode.
6. The special gastric support tube for the gastric volume reduction surgery as claimed in claim 5, wherein the vertical section (11) is provided with a third mounting hole (9) below the second mounting hole (8), and the upper end of the third inner tube (3) penetrates out of the second inner tube (2) and then fixedly penetrates out of the third mounting hole (9).
7. The gastric support tube special for the gastric volume reduction surgery according to claim 1, wherein the plurality of negative pressure suction holes (6) are arranged at intervals along the circumference of the tube wall of the arc-shaped section (12).
8. The gastric support tube special for gastric volume reduction surgery as claimed in claim 1, wherein the outer tube (10) is a tube with two open ends and a consistent outer tube diameter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202321501209.7U CN220404052U (en) | 2023-06-12 | 2023-06-12 | Special stomach stay tube of stomach volume reduction operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202321501209.7U CN220404052U (en) | 2023-06-12 | 2023-06-12 | Special stomach stay tube of stomach volume reduction operation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN220404052U true CN220404052U (en) | 2024-01-30 |
Family
ID=89655769
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202321501209.7U Active CN220404052U (en) | 2023-06-12 | 2023-06-12 | Special stomach stay tube of stomach volume reduction operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN220404052U (en) |
-
2023
- 2023-06-12 CN CN202321501209.7U patent/CN220404052U/en active Active
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