CN106512111B - Intraoperative intestinal tube interface device and its containing device - Google Patents
Intraoperative intestinal tube interface device and its containing device Download PDFInfo
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Abstract
本发明涉及一种术中肠管接口装置及其容置装置,包括用以引流肠管内容物的管体,所述管体包括用以凸伸入肠管内的前端部以及用以连接用以收容所述肠管内容物的容置装置的后端部,所述术中肠管接口装置还包括用以将所述肠管紧密贴覆于管体外侧的第一固持件。如此,可有效降低术中污染以及术后感染风险;且可较好地保证操作者的手套、手术衣以及整个手术台的无菌环境;避免细菌散布于手术室空气中,利于术后手术室的清洁,降低与其他手术交叉感染的可能;且大大降低术中异味对术者、巡回护士及麻醉师的主观感受,利于手术在更舒适的环境中顺利进行。
The invention relates to an intraoperative intestinal tube interface device and its accommodating device. The rear end of the accommodating device for intestinal contents, and the intraoperative intestinal interface device further includes a first holder for tightly covering the intestinal tube on the outside of the tube body. In this way, it can effectively reduce the risk of intraoperative pollution and postoperative infection; and can better ensure the sterile environment of the operator's gloves, surgical gowns and the entire operating table; prevent bacteria from spreading in the operating room air, which is beneficial to the postoperative operating room The cleanliness reduces the possibility of cross-infection with other operations; and greatly reduces the subjective feeling of the operator, itinerant nurse and anesthetist on the odor during the operation, which is conducive to the smooth operation of the operation in a more comfortable environment.
Description
技术领域technical field
本发明涉及一种医疗器械,尤其涉及一种用于胃肠手术的术中肠管接口装置及其容置装置。The invention relates to a medical device, in particular to an intraoperative intestinal tube interface device and its accommodating device for gastrointestinal surgery.
背景技术Background technique
临床中,肠梗阻是十分常见而又棘手的问题,其发病原因十分复杂:消化道肿瘤、各种原因导致的腹腔粘连、肠道血管病变、肠腔内异物以及慢性便秘均可导致肠道的梗阻。在处理过程中,需根据梗阻的程度及性质决定采取何种治疗手段。一般而言,急性完全性肠梗阻、或伴有血运障碍、或经内科保守治疗48-72小时无法缓解的肠梗阻均需手术治疗。而手术过程中,十分重要的一个环节便是扩张肠管的减压,其有利于恢复肠壁的血运及减少毒素的吸收。In clinical practice, intestinal obstruction is a very common and difficult problem, and its etiology is very complex: gastrointestinal tumors, abdominal adhesions caused by various reasons, intestinal vascular disease, foreign bodies in the intestinal cavity, and chronic constipation can all lead to intestinal obstruction. obstruction. In the process of treatment, it is necessary to decide which treatment to take according to the degree and nature of the obstruction. Generally speaking, acute complete intestinal obstruction, or intestinal obstruction accompanied by blood flow disorder, or intestinal obstruction that cannot be relieved after 48-72 hours of conservative medical treatment requires surgical treatment. During the operation, a very important link is the decompression of the dilated bowel, which is beneficial to restore the blood supply of the intestinal wall and reduce the absorption of toxins.
目前,肠管减压的主要方式包括肠壁表面开口和直接离断肠管两种,其目的均是将肠腔内容物排出。传统的操作方法是将开口的肠管或离断肠管置于洁净袋内,然后将肠内容物通过双手挤压的方式逐步排于洁净袋中。这一传统的操作方法带来了以下几个临床问题。首先,洁净袋开口大,肠管置于洁净袋中毫无密闭性,导致肠液、肠内容物易于外溢,导致手术中的污染,引起术后感染;其次,在挤压过程中,操作者的手套、手术衣以及整个手术台易受污染,难以保证无菌环境;第三,肠腔内的细菌在挤压过程中产生高速运动,散布于手术室空气中,对于术后手术室的清洁造成困难,造成与其他手术交叉感染的可能;最后,术中异味影响术者、巡回护士及麻醉师的主观感受。At present, the main methods of intestinal decompression include opening on the surface of the intestinal wall and directly dissecting the intestinal canal, both of which aim to expel the contents of the intestinal lumen. The traditional operation method is to place the open intestinal tube or severed intestinal tube in a clean bag, and then gradually discharge the intestinal contents into the clean bag by squeezing with both hands. This traditional method of operation has brought the following clinical problems. First of all, the clean bag has a large opening, and the intestinal tube is placed in the clean bag without airtightness, which leads to easy leakage of intestinal fluid and intestinal contents, resulting in contamination during the operation and postoperative infection; secondly, during the squeezing process, the operator's gloves , surgical gowns and the entire operating table are susceptible to contamination, and it is difficult to ensure a sterile environment; third, the bacteria in the intestinal cavity move at high speed during the extrusion process and spread in the air of the operating room, which makes it difficult to clean the operating room after surgery , resulting in the possibility of cross-infection with other operations; finally, the odor during the operation affects the subjective feelings of the operator, itinerant nurse and anesthetist.
在临床实践中,通过利用腹腔镜护套开口小、开口处带有绑带的特点将开口肠管置于其中,形成相对密闭的简易装置能在一定程度上解决上述问题。然而,该护套与肠管的结合仍较松散、易于滑脱或捆绑过紧造成挤压时排空困难在应用过程中作用有限。In clinical practice, the above-mentioned problems can be solved to a certain extent by using the characteristics of the small opening of the laparoscopic sheath and the bandage at the opening to place the open intestine in it to form a relatively airtight simple device. However, the combination of the sheath and the intestinal tube is still relatively loose, easy to slip off or tied too tightly, resulting in difficulty in emptying during extrusion, which has limited effect during application.
因此,有必要研发一种更好的装置来解决这一临床问题。Therefore, it is necessary to develop a better device to solve this clinical problem.
发明内容Contents of the invention
本发明的目的在于提供一种可降低胃肠手术患者腹腔感染风险的术中肠管接口装置。The purpose of the present invention is to provide an intraoperative intestinal tube interface device that can reduce the risk of abdominal infection in patients undergoing gastrointestinal surgery.
为实现前述目的,本发明提供一种术中肠管接口装置,包括用以引流肠管内容物的管体,所述管体包括用以凸伸入肠管内的前端部以及用以连接用以收容所述肠管内容物的容置装置的后端部,所述管体与所述容置装置为分体设置,且所述管体能够与所述容置装置相拆卸或实现配合,所述术中肠管接口装置还包括用以将所述肠管紧密贴覆于管体外侧的第一固持件。In order to achieve the aforementioned purpose, the present invention provides an intraoperative intestinal tube interface device, which includes a tube body for draining intestinal tube contents, and the tube body includes a front end for protruding into the intestinal tube and for connecting to a shelter The rear end of the accommodating device for intestinal contents, the tubular body and the accommodating device are set separately, and the tubular body can be disassembled or matched with the accommodating device, the intraoperative The intestinal tube interface device also includes a first holder for tightly covering the intestinal tube on the outside of the tube body.
作为本发明的进一步改进,所述肠管用以自前向后套设于所述管体外侧,所述管体前端部包括头部及位于头部后端的颈部,所述头部外围直径大于所述颈部外围直径,所述第一固持件用以固持于所述颈部上,所述第一固持件位于所述头部后端。As a further improvement of the present invention, the intestinal tube is used to be sleeved on the outside of the tubular body from front to back, the front end of the tubular body includes a head and a neck located at the rear end of the head, and the peripheral diameter of the head is larger than the The peripheral diameter of the neck, the first holder is used to hold on the neck, and the first holder is located at the rear end of the head.
作为本发明的进一步改进,所述头部前端设有用以引导肠管套入的环状引导斜面。As a further improvement of the present invention, the front end of the head is provided with an annular guide slope for guiding the insertion of the intestinal tube.
作为本发明的进一步改进,所述颈部后端设有自管体向外凸起的阻隔部。As a further improvement of the present invention, the rear end of the neck is provided with a blocking portion protruding outward from the tube body.
作为本发明的进一步改进,所述管体后端部外侧设有用以对接配合所述容置装置的外螺纹。As a further improvement of the present invention, the outer side of the rear end of the pipe body is provided with an external thread for butt-fitting with the accommodating device.
作为本发明的进一步改进,所述第一固持件包括中断的圈体、位于所述圈体两断头部的第一端部、第二端部以及分别位于所述第一端部和第二端部上的用以相互固持的第一固持部和第二固持部。As a further improvement of the present invention, the first retainer includes an interrupted ring body, a first end portion located at both ends of the ring body, a second end portion, and a second end portion located at the first end portion and the second end portion respectively. The first holding part and the second holding part on the end are used for holding each other.
作为本发明的进一步改进,所述第一固持部包括自第一端部向外侧延伸的第一外延部、自第一外延部向第二固持部所在方向延伸的第一插接部以及位于第一端部与第一插接部之间的第一收容部,所述第二固持部包括自第二端部向外侧延伸的第二外延部、自第二外延部向第一固持部所在方向延伸的第二插接部以及位于第二端部与第二插接部之间的第二收容部,所述第一端部用以重合贴置于第二端部内侧,所述第二端部用于与所述第一收容部插接配合,所述第一插接部用以与第二收容部插接配合。As a further improvement of the present invention, the first holding part includes a first extension part extending outward from the first end part, a first insertion part extending from the first extension part to the direction where the second holding part is located, and a The first receiving part between one end and the first insertion part, the second holding part includes a second extension part extending outward from the second end part, and a direction from the second extension part to the first holding part The extended second plug-in part and the second receiving part between the second end part and the second plug-in part, the first end part is used to overlap and stick to the inner side of the second end part, and the second end part The part is used for inserting and fitting with the first receiving part, and the first inserting part is used for inserting and fitting with the second receiving part.
作为本发明的进一步改进,所述第一端部用以位于第二端部内侧,且所述第一端部前端为逐步缩小的弯曲状楔形。As a further improvement of the present invention, the first end is configured to be located inside the second end, and the front end of the first end is in the shape of a tapering curved wedge.
作为本发明的进一步改进,所述第一插接部上、第一收容部内、第二插接部上和/或第二收容部内设有齿部。As a further improvement of the present invention, teeth are provided on the first insertion part, in the first receiving part, on the second insertion part and/or in the second receiving part.
作为本发明的进一步改进,所述管体前端部包括第一部分以及连接第一部分且与第一部分呈一角度弯曲的第二部分,所述第一部分相较于第二部分用以更凸伸入所述肠管内。As a further improvement of the present invention, the front end of the pipe body includes a first part and a second part connected to the first part and bent at an angle to the first part, and the first part is used to protrude into the tube more than the second part. In the intestine.
作为本发明的进一步改进,所述第一部分垂直于所述第二部分。As a further improvement of the present invention, the first portion is perpendicular to the second portion.
作为本发明的进一步改进,所述第一固持件用以位于所述第二部分外侧用以将肠管紧密夹设于第二部分与第一固持件之间。As a further improvement of the present invention, the first holding member is used to be located outside the second portion for tightly sandwiching the intestine between the second portion and the first holding member.
作为本发明的进一步改进,所述第二部分上设有向外凸设或向内凹陷或呈凹凸不平状的阻力部,所述肠管套设于所述阻力部上。As a further improvement of the present invention, the second part is provided with an outwardly convex or inwardly concave or uneven resistance portion, and the intestinal tube is sleeved on the resistance portion.
作为本发明的进一步改进,所述阻力部为自第二部分向外凸伸的环状凸部,所述第一固持件夹设于所述阻力部后端。As a further improvement of the present invention, the resistance part is an annular protrusion protruding outward from the second part, and the first holder is clamped at the rear end of the resistance part.
作为本发明的进一步改进,所述术中肠管接口装置还包括第二固持件,所述第二固持件用以位于所述第一部分外侧上并用以将所述肠管紧密夹设于第一部分与第二固持件之间。As a further improvement of the present invention, the intraoperative bowel interface device further includes a second holder, the second holder is used to be located on the outside of the first part and is used to tightly clamp the intestine between the first part and the first part. Between the two holders.
作为本发明的进一步改进,所述第二固持件包括弹性圈部以及位于所述弹性圈部上的缺口部。As a further improvement of the present invention, the second holder includes an elastic ring portion and a notch on the elastic ring portion.
作为本发明的进一步改进,所述第二固持件还包括位于所述弹性圈部两断头部的用以将弹性圈部掰开的第一操作部和第二操作部。As a further improvement of the present invention, the second holding member further includes a first operating portion and a second operating portion located at both ends of the elastic ring portion for breaking the elastic ring portion apart.
作为本发明的进一步改进,所述第一操作部、第二操作部自弹性圈部两断头部一体向外弯折延伸而成。As a further improvement of the present invention, the first operating part and the second operating part are integrally formed by bending and extending outward from the two broken parts of the elastic ring part.
作为本发明的进一步改进,所述术中肠管接口装置还包括位于管体前端的用以将所述肠管撑开的弹性支撑部。As a further improvement of the present invention, the intraoperative intestinal tube interface device further includes an elastic support portion located at the front end of the tube body for expanding the intestinal tube.
作为本发明的进一步改进,所述管体前端与所述弹性支撑部外侧套设有用以将管体前端与所述弹性支撑部连接在一起的套部。As a further improvement of the present invention, the front end of the pipe body and the outer side of the elastic support part are sheathed with a sleeve part for connecting the front end of the pipe body and the elastic support part together.
作为本发明的进一步改进,所述套部于管体前端与所述弹性支撑部的连接处具有弹性。As a further improvement of the present invention, the sleeve part has elasticity at the junction of the front end of the pipe body and the elastic support part.
作为本发明的进一步改进,所述弹性支撑部包括卷曲的弹性片。As a further improvement of the present invention, the elastic support part includes a curled elastic sheet.
作为本发明的进一步改进,所述弹性片上凹设有扣持口,所述弹性片一端设有突起的用以与所述扣持口相配合的扣持部。As a further improvement of the present invention, a buckling opening is recessed on the elastic piece, and a protruding buckling portion for matching with the buckling opening is provided at one end of the elastic piece.
作为本发明的进一步改进,所述扣持部上设有相互呈一锐角的前端引导面及后端引导面,所述前端引导面的倾斜度小于后端引导面的倾斜度。As a further improvement of the present invention, the buckling part is provided with a front end guide surface and a rear end guide surface which form an acute angle with each other, and the inclination of the front end guide surface is smaller than the inclination of the rear end guide surface.
作为本发明的进一步改进,所述扣持部前端引导面及后端引导面自所述弹性片一体延伸,所述前端引导面及后端引导面左右两侧镂空。As a further improvement of the present invention, the front end guide surface and the rear end guide surface of the buckling part integrally extend from the elastic piece, and the left and right sides of the front end guide surface and the rear end guide surface are hollowed out.
作为本发明的进一步改进,所述弹性片上设有若干间隔设置的所述扣持口。As a further improvement of the present invention, the elastic sheet is provided with several holding openings arranged at intervals.
作为本发明的进一步改进,所述弹性片包括卷曲于内侧的内端部以及卷曲包覆于内端部外侧的外端部,所述扣持部位于所述外端部上且向内凸设而成。As a further improvement of the present invention, the elastic sheet includes an inner end curled on the inner side and an outer end curled and wrapped on the outer side of the inner end, the buckle is located on the outer end and protrudes inward. made.
作为本发明的进一步改进,所述弹性片上设有向内凹陷的用以与内端部前端相临的过渡部。As a further improvement of the present invention, the elastic piece is provided with an inwardly recessed transition portion for adjoining the front end of the inner end portion.
作为本发明的进一步改进,所述术中肠管接口装置用以与小肠对接。As a further improvement of the present invention, the intraoperative bowel interface device is used for docking with the small intestine.
作为本发明的进一步改进,所述术中肠管接口装置用以与大肠对接。As a further improvement of the present invention, the intraoperative intestinal tube interface device is used for docking with the large intestine.
作为本发明的进一步改进,所述术中肠管接口装置管体外径为15mm~25mm。As a further improvement of the present invention, the outer diameter of the tube of the intraoperative intestinal tube interface device is 15 mm to 25 mm.
作为本发明的进一步改进,所述术中肠管接口装置管体外径为20mm。As a further improvement of the present invention, the outer diameter of the tube of the intestinal tube interface device during operation is 20 mm.
作为本发明的进一步改进,所述术中肠管接口装置管体外径为25mm~40mm。As a further improvement of the present invention, the outer diameter of the tube of the intraoperative intestinal tube interface device is 25 mm to 40 mm.
作为本发明的进一步改进,所述术中肠管接口装置管体外径为33mm。As a further improvement of the present invention, the outer diameter of the tube of the intestinal tube interface device during operation is 33 mm.
本发明还可采用如下技术方案:The present invention also can adopt following technical scheme:
一种术中肠管容置装置,包括上述术中肠管接口装置以及用以与所述术中肠管接口装置相连接的用以收容所述肠管内容物的容置装置。An intraoperative intestinal tube accommodating device includes the above-mentioned intraoperative intestinal tube interface device and an accommodating device for accommodating the contents of the intestinal tube connected with the intraoperative intestinal tube interface device.
作为本发明的进一步改进,所述容置装置包括用以收容肠管内容物的主体部以及用以连接所述主体部与所述术中肠管接口装置的管部。As a further improvement of the present invention, the accommodating device includes a main body for accommodating intestinal contents and a tube for connecting the main body and the intraoperative intestinal interface device.
作为本发明的进一步改进,所述管部设有用以与所述术中肠管接口装置对接的连接口,所述连接口上设有用以与管体外螺纹相配合的内螺纹。As a further improvement of the present invention, the tube portion is provided with a connection port for docking with the intraoperative intestinal tube interface device, and the connection port is provided with an internal thread for matching with the external thread of the tube.
作为本发明的进一步改进,所述连接口包括用以包覆于管体外侧的外圈部以及自外圈向内延伸用以与管部连接的内圈部。As a further improvement of the present invention, the connecting port includes an outer ring portion for covering the outside of the pipe body and an inner ring portion extending inward from the outer ring for connecting with the pipe portion.
本发明通过设置一种与肠管对接的术中肠管接口装置,所述术中肠管接口装置包括用以引流肠管内容物的管体,所述管体包括用以凸伸入肠管内的前端以及用以连接用以收容所述肠管内容物的容置装置的后端部,所述术中肠管接口装置还包括用以将所述肠管紧密贴覆于管体外侧的第一固持件。如此,所述管体前端插接到肠管中,且所述第一固持件将所述肠管完全封闭贴合于所述管体外侧,使所述管体与肠管紧密对接,可使肠管内的内容物顺利通过所述管体引流至管体后端相连的容置装置去,防止肠管内容物通过管体与肠管之间的缝隙外溢,有效降低术中污染以及术后感染风险;另一方面,可较好地保证操作者的手套、手术衣以及整个手术台的无菌环境;避免细菌散布于手术室空气中,利于术后手术室的清洁,降低与其他手术交叉感染的可能;且大大降低术中异味对术者、巡回护士及麻醉师的主观感受,利于手术在更舒适的环境中顺利进行。The present invention provides an intraoperative intestinal tube interface device that is docked with the intestinal tube. The intraoperative intestinal tube interface device includes a tube body for draining the contents of the intestinal tube. The tube body includes a front end for protruding into the intestinal tube and a To connect the rear end of the accommodating device for accommodating the contents of the intestinal tube, the intraoperative intestinal tube interface device further includes a first holder for tightly covering the intestinal tube on the outside of the tube body. In this way, the front end of the tubular body is inserted into the intestinal tube, and the first holding member completely seals the intestinal tube and fits it on the outside of the tubular body, so that the tubular body and the intestinal tube are tightly docked, so that the intestines in the intestinal tube can The contents are smoothly drained through the tube body to the receiving device connected to the back end of the tube body, preventing the contents of the intestinal tube from overflowing through the gap between the tube body and the intestinal tube, effectively reducing the risk of intraoperative pollution and postoperative infection; on the other hand , can better ensure the aseptic environment of the operator's gloves, surgical gowns and the entire operating table; prevent bacteria from spreading in the air of the operating room, facilitate the cleaning of the operating room after the operation, and reduce the possibility of cross-infection with other operations; and greatly Reducing the subjective feeling of the operator, itinerant nurse and anesthetist on the odor during the operation will help the operation to proceed smoothly in a more comfortable environment.
附图说明Description of drawings
图1为本发明术中肠管容置装置第一实施方式的立体组合图。Fig. 1 is a three-dimensional assembled view of the first embodiment of the intraoperative bowel accommodating device of the present invention.
图2为图1中的立体分解图。FIG. 2 is an exploded perspective view of FIG. 1 .
图3为本发明术中接口装置的立体结构图。Fig. 3 is a three-dimensional structure diagram of the intraoperative interface device of the present invention.
图4为本发明术中肠管容置装置连接口的立体结构图。Fig. 4 is a three-dimensional structural view of the connection port of the intestinal tube accommodation device during operation of the present invention.
图5为本发明术中肠管接口装置第一固持件的立体分解图。Fig. 5 is a three-dimensional exploded view of the first holder of the intraoperative intestinal tube interface device of the present invention.
图6为本发明术中肠管容置装置第二实施方式的立体组合图。Fig. 6 is a three-dimensional assembled view of the second embodiment of the intraoperative bowel accommodating device of the present invention.
图7为本发明术中肠管容置装置第三实施方式的部分立体分解图。Fig. 7 is a partially exploded perspective view of the third embodiment of the intraoperative intestinal tube accommodating device of the present invention.
图8为图7中接口装置的部分立体分解图。FIG. 8 is a partially exploded perspective view of the interface device in FIG. 7 .
图9为图8中进一步的立体分解图。FIG. 9 is a further perspective exploded view of FIG. 8 .
图10为图7中弹性支撑部的立体结构图。FIG. 10 is a three-dimensional structural view of the elastic support part in FIG. 7 .
图11为图10中另一角度的立体结构图。FIG. 11 is a three-dimensional structure diagram from another angle in FIG. 10 .
图12为图7中第二固持件的立体结构图。FIG. 12 is a three-dimensional structural view of the second holder in FIG. 7 .
图13为本发明术中肠管容置装置第四实施方式的部分立体分解图。Fig. 13 is a partially exploded perspective view of the fourth embodiment of the intraoperative intestinal tube accommodating device of the present invention.
附图标记:Reference signs:
接口装置 100、100’、100”、100”’Interface unit 100, 100’, 100”, 100”’
管体 1Tube 1
前端部 11 头部 111front end 11 head 111
引导斜面 112 颈部 117Guide bevel 112 Neck 117
第一部分 113 第二部分 114Part 1 113 Part 2 114
阻力部 115 阻隔部 116Resistance section 115 Barrier section 116
后端部 12 外螺纹 121Rear end 12 External thread 121
容置装置 200 主体部 20Accommodating device 200 Main body 20
管部 21 连接口 22Tube 21 Connection 22
外圈部 221 内圈部 222Outer ring part 221 Inner ring part 222
内螺纹 223 第一固持件 3Internal thread 223 First retainer 3
圈体 30 第一端部 31ring body 30 first end 31
第二端部 32 第一固持部 311Second end part 32 First holding part 311
第一外延部 312 第一插接部 313First extension part 312 First socket part 313
齿部 314 第一收容部 315Teeth 314 First housing 315
第二固持部 321 第二外延部 322Second holding part 321 Second extension part 322
第二插接部 323 齿部 324Second socket part 323 Tooth part 324
第二收容部 325 第二固持件 4Second housing part 325 Second holder 4
弹性圈部 40 第一操作部 41Elastic ring part 40 First operating part 41
第二操作部 42 缺口部 43Second operating part 42 Notch part 43
套部 5 弹性支撑部 6Sleeve part 5 Elastic support part 6
扣持口 61 过渡部 62Retention Port 61 Transition 62
内端部 65 外端部 63Inner end 65 Outer end 63
扣持部 64 前端引导面 641Buckling part 64 Front end guide surface 641
后端引导面 642Rear guide surface 642
具体实施方式Detailed ways
下面结合附图和实施例,对本发明的具体实施例作进一步详细描述。以下实施例用于说明本发明,但不用来限制本发明的范围。The specific embodiments of the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention.
参图1到图13,为本发明优选实施例的术中肠管接口装置100。Referring to FIG. 1 to FIG. 13 , an intraoperative intestinal tube interface device 100 according to a preferred embodiment of the present invention is shown.
该术中肠管接口装置100包括用以引流肠管内容物的管体1,所述管体1包括用以凸伸入肠管内的前端部11以及用以连接用以收容所述肠管内容物的容置装置200的后端部12,所述术中肠管接口装置100还包括用以将所述肠管紧密贴覆于管体1外侧的第一固持件3。所述管体1前端部11插接到肠管中,且所述第一固持件3将所述肠管完全封闭贴合于所述管体1外侧,使所述管体1与肠管紧密对接,可使肠管内的内容物顺利通过所述管体1引流至与管体1后端部12相连的容置装置200去,防止肠管内容物通过管体1与肠管之间的缝隙外溢,有效降低术中污染以及术后感染风险;另外,可较好地保证操作者的手套、手术衣以及整个手术台的无菌环境;避免细菌散布于手术室空气中,利于术后手术室的清洁,降低与其他手术交叉感染的可能;且大大降低术中异味对术者、巡回护士及麻醉师的主观感受,利于手术在更舒适的环境中顺利进行。在本实施例中,所述管体1与容置装置200为分体设置并组装在一起,有利于提高所述管体1与容置装置200各自的优化利用率。The intraoperative bowel interface device 100 includes a tube body 1 for draining intestinal contents, and the tube body 1 includes a front end 11 for protruding into the intestine and a container for receiving the intestinal contents. The rear end 12 of the device 200 is placed, and the intraoperative intestinal tube interface device 100 also includes a first holder 3 for tightly covering the intestinal tube on the outside of the tube body 1 . The front end 11 of the tubular body 1 is inserted into the intestinal tube, and the first holder 3 completely seals the intestinal tube and fits the outer side of the tubular body 1, so that the tubular body 1 and the intestinal tube are tightly butted, which can The contents in the intestinal tube can be smoothly drained through the tube body 1 to the accommodating device 200 connected to the rear end 12 of the tube body 1, preventing the contents of the intestinal tube from overflowing through the gap between the tube body 1 and the intestinal tube, effectively reducing the surgical In addition, it can better ensure the aseptic environment of the operator's gloves, surgical gowns and the entire operating table; avoid the spread of bacteria in the air of the operating room, which is conducive to the cleaning of the operating room after the operation and reduces the The possibility of cross-infection in other operations; and greatly reduce the subjective feeling of the operating staff, itinerant nurses and anesthesiologists on the odor during the operation, which is conducive to the smooth operation of the operation in a more comfortable environment. In this embodiment, the tube body 1 and the accommodating device 200 are arranged separately and assembled together, which is beneficial to improve the optimal utilization ratio of the tube body 1 and the accommodating device 200 .
参图1到图6,所述管体1前端部11包括头部111及位于头部111后方的颈部117,所述头部111外围直径大于所述颈部117外围直径,所述第一固持件3用以固持于所述颈部117上。所述第一固持件3可限位于头部111后方,从而较稳定地固持于管体1上,防止在术中由于牵拉等动作时第一固持件3随肠管向前脱离所述管体1。所述头部111前端设有用以引导肠管套入的环状引导斜面112。有利于将肠管顺利套接于所述管体1外侧。所述颈部117后端设有自管体1向外凸起的阻隔部116。所述第一固持件3可限位于所述阻隔部116与头部111之间,防止第一固持件3向后脱离管体1或与颈部117后端结构相干涉。所述管体1后端部12外侧设有用以对接配合所述容置装置200的外螺纹121。所述外螺纹121位于管体1外侧,相较于位于管体1内侧更有利于所述管体1的清洁,当需要替换安装另一容置装置200时,可沿用之前对接好肠管的管体1,无需另外重复进行肠管对接步骤,减少术中感染的风险。1 to 6, the front end 11 of the pipe body 1 includes a head 111 and a neck 117 located behind the head 111, the peripheral diameter of the head 111 is larger than the peripheral diameter of the neck 117, and the first The holder 3 is used for fixing on the neck 117 . The first holder 3 can be limited to the rear of the head 111, so that it can be more stably held on the tube body 1, preventing the first holder 3 from detaching from the tube body along with the intestinal canal during the operation due to actions such as pulling. 1. The front end of the head 111 is provided with an annular guiding slope 112 for guiding the insertion of the intestinal tube. It is beneficial to smoothly sleeve the intestinal tube on the outside of the tube body 1 . The rear end of the neck 117 is provided with a blocking portion 116 protruding outward from the tube body 1 . The first retainer 3 can be limited between the blocking portion 116 and the head 111 to prevent the first retainer 3 from detaching from the tube body 1 or interfering with the rear end structure of the neck 117 . An outer thread 121 is provided on the outer side of the rear end portion 12 of the tubular body 1 for docking with the accommodating device 200 . The external thread 121 is located on the outside of the tube body 1, which is more conducive to the cleaning of the tube body 1 than on the inside of the tube body 1. When it is necessary to replace and install another accommodating device 200, the tube that has been butted with the intestinal tube before can be used. Body 1, there is no need to repeat the bowel butt joint step, reducing the risk of intraoperative infection.
为使结构简单,操作方便,所述第一固持件3包括中断的圈体30、位于所述圈体30两断头部的第一端部31、第二端部32以及分别位于所述第一端部31和第二端部32上的用以相互固持的第一固持部311和第二固持部321。所述第一固持件3可事先打开套设于管体1和肠管外侧,在管体1和肠管对接完毕后,使第一固持部311和第二固持部321相互固持,从而使所述第一固持件3紧密夹设于管体1和肠管外侧。In order to make the structure simple and easy to operate, the first holder 3 includes an interrupted ring body 30, a first end portion 31 located at both ends of the ring body 30, a second end portion 32, and a second end portion 32 located at the second end portion respectively. The first holding portion 311 and the second holding portion 321 on the first end portion 31 and the second end portion 32 are used for holding each other. The first holding part 3 can be opened and sleeved on the outside of the tube body 1 and the intestinal tube in advance, and after the tube body 1 and the intestinal tube are docked, the first holding part 311 and the second holding part 321 are held together, so that the first holding part 311 and the second holding part 321 A holder 3 is tightly sandwiched between the tubular body 1 and the outside of the intestine.
进一步的,所述第一固持部311包括自第一端部31向外侧延伸的第一外延部312、自第一外延部312向第二固持部321所在方向延伸的第一插接部313以及位于第一端部31与第一插接部313之间的第一收容部315,所述第二固持部321包括自第二端部32向外侧延伸的第二外延部322、自第二外延部322向第一固持部311所在方向延伸的第二插接部323以及位于第二端部32与第二插接部323之间的第二收容部325,所述第一端部31用以重合贴置于第二端部32内侧,所述第二端部32用于与所述第一收容部315插接配合,所述第一插接部313用以与第二收容部325插接配合。仅需将第一固持部311和第二固持部321向彼此所在方向捏拢,即可实现第一固持部311和第二固持部321的插接固持定位,且第一固持部311和第二固持部321相互之间的接触面积较大,利于提高两者之间的固持力。所述第一端部31用以位于第二端部32内侧,且所述第一端部31前端为逐步缩小的弯曲状楔形。可使所述第一固持部311内圈表面较为平滑,从而较好地与肠管紧密贴合,防止产生缝隙造成肠管内容物外溢,且有效保护该处肠管,防止肠管受到不均匀挤压而造成损伤。所述圈体30内径为15mm~25mm或25mm~40mm。所述圈体30可用以固持于术中大肠或小肠外侧。所述第一插接部313上、第一收容部315内、第二插接部323上和/或第二收容部325内设有阻滞部,在本实施例中为齿部314、324。可提高所述第一固持部311和第二固持部321之间的固持力。可以理解的,在其他实施例中也可为其他形式的起增加摩擦作用而实现紧固的结构。Further, the first holding portion 311 includes a first extension portion 312 extending outward from the first end portion 31 , a first insertion portion 313 extending from the first extension portion 312 toward the direction where the second holding portion 321 is located, and The first receiving portion 315 located between the first end portion 31 and the first insertion portion 313, the second holding portion 321 includes a second extension portion 322 extending outward from the second end portion 32, extending from the second extension portion The second inserting portion 323 extending from the portion 322 to the direction of the first holding portion 311 and the second receiving portion 325 located between the second end portion 32 and the second inserting portion 323, the first end portion 31 is used for The second end portion 32 is overlapped and attached to the inner side of the second end portion 32. The second end portion 32 is used for inserting and mating with the first receiving portion 315, and the first inserting portion 313 is used for inserting with the second receiving portion 325. Cooperate. Only need to pinch the first holding part 311 and the second holding part 321 in the direction of each other, the plug-in holding position of the first holding part 311 and the second holding part 321 can be realized, and the first holding part 311 and the second holding part The contact area between the holding parts 321 is relatively large, which is beneficial to improve the holding force between them. The first end portion 31 is configured to be located inside the second end portion 32 , and the front end of the first end portion 31 is in the shape of a tapering curved wedge. The surface of the inner ring of the first holding part 311 can be made relatively smooth, so that it can fit closely with the intestinal tube, prevent the occurrence of gaps and cause the contents of the intestinal tube to overflow, and effectively protect the intestinal tube at this place, preventing the intestinal tube from being unevenly squeezed and causing damage. The inner diameter of the ring body 30 is 15mm-25mm or 25mm-40mm. The ring body 30 can be used to hold on the outside of the large intestine or small intestine during operation. On the first insertion part 313, in the first receiving part 315, on the second insertion part 323 and/or in the second receiving part 325, there are blocking parts, in this embodiment, tooth parts 314, 324 . The holding force between the first holding portion 311 and the second holding portion 321 can be improved. It can be understood that in other embodiments, other forms of structures that increase friction to achieve fastening can also be used.
在本实施例中,所述第一固持部311和第二固持部321为插接固持,便于操作,即便于固持又便于打开。可以理解的,在其他实施例中,也可以为其他形式的扣持、钩持等固持方式。In this embodiment, the first holding part 311 and the second holding part 321 are plugged and held, which is convenient for operation, not only for holding but also for opening. It can be understood that in other embodiments, other forms of holding, such as buckling and hooking, may also be used.
所述阻滞部沿所述第一固持部311和第二固持部321的插接方向分布。在本实施例中,所述阻滞部为齿部324,所述齿部324沿垂直于所述第一固持部311和第二固持部321的插接方向延伸,且沿所述第一固持部311和第二固持部321的插接方向分布。即,单一一条突起的齿部324沿垂直于圈体30切线方向延伸,而所述若干齿部324沿所述圈体30切线方向一一并列分布,当肠管尺寸不同时,所述阻滞部可以调节第一固持部311和第二固持部321之间的不同插接程度,即可按需插接到底或者只进行部分的插接,部分插接时所述阻滞部仍然可实现两者较好的紧固力,所述阻滞部可起到调节圈体30大小的作用。所述圈体30内侧设有用以与肠管配合的防滑层(图未示)。所述防滑层可防止肠管脱离所述第一固持件3,还可一定程度保护所述肠管不受破损。进一步的,所述防滑层包括磨砂表面或增设防滑胶膜。可以理解的,在其他实施例中,所述防滑层也可采用其他结构实现防滑功能。所述第一固持件3为医用塑料。具有较好的抗菌作用,且价格低廉,适用大范围使用。可以理解的,在其他实施例中,所述第一固持件3也可用其他材料制成,例如金属、其他塑料等。The blocking portions are distributed along the insertion direction of the first holding portion 311 and the second holding portion 321 . In this embodiment, the blocking part is a tooth part 324, and the tooth part 324 extends along the insertion direction perpendicular to the first holding part 311 and the second holding part 321, and extends along the first holding part 311 and the second holding part 321. The insertion directions of the part 311 and the second holding part 321 are distributed. That is, a single protruding tooth portion 324 extends in a direction perpendicular to the tangent of the ring body 30, and the plurality of tooth portions 324 are arranged side by side along the tangential direction of the ring body 30. When the size of the intestinal tube is different, the blocking portion Different insertion degrees between the first holding part 311 and the second holding part 321 can be adjusted, so that they can be inserted to the end or only partially inserted, and the blocking part can still achieve both when partially inserted. Better fastening force, the blocking part can play a role in adjusting the size of the ring body 30 . An anti-slip layer (not shown) is provided on the inner side of the ring body 30 to cooperate with the intestinal tube. The anti-slip layer can prevent the intestinal tube from detaching from the first holding member 3, and can also protect the intestinal tube from being damaged to a certain extent. Further, the anti-slip layer includes a frosted surface or an anti-slip rubber film is added. It can be understood that in other embodiments, the anti-skid layer may also adopt other structures to realize the anti-skid function. The first holder 3 is medical plastic. It has good antibacterial effect and low price, and is suitable for a wide range of applications. It can be understood that, in other embodiments, the first holder 3 can also be made of other materials, such as metal, other plastics, and the like.
所述接口装置100可与肠管直接套设对接,结构简单,组装方便。然而,在实际手术过程中,由于人体肠管结构的不同,在肠管手术中所述接口装置100有时需要与外部结构较复杂的肠管进行对接,此时,可能需要在肠管侧壁或肠管支路进行开口与接口装置100进行对接。The interface device 100 can be directly sleeved and docked with the intestinal tube, and has a simple structure and convenient assembly. However, in the actual operation process, due to the difference in the structure of the human intestinal tract, the interface device 100 sometimes needs to be docked with the intestinal tract with a complicated external structure during the intestinal tract operation. The opening interfaces with the interface device 100 .
故,所述接口装置100还具有进一步改进:参图7到图13,所述管体1前端部11包括第一部分113以及连接第一部分113且与第一部分113呈一角度弯曲的第二部分114,所述第一部分113相较于第二部分114用以更凸伸入所述肠管内。所述第二部分114与肠管侧壁或支路开口对接固持后,所述第一部分113可弯曲延伸至肠管内与所述肠管实现较好的吻合对接,从而使所述接口装置100”适用于更加复杂的肠管环境。Therefore, the interface device 100 has a further improvement: Referring to FIGS. 7 to 13 , the front end 11 of the tube body 1 includes a first part 113 and a second part 114 connected to the first part 113 and bent at an angle to the first part 113 , the first portion 113 is more protruding into the intestine than the second portion 114 . After the second part 114 is docked and fixed with the side wall of the intestinal tube or the opening of the branch, the first part 113 can be bent and extended into the intestinal tube to achieve better anastomosis with the intestinal tube, so that the interface device 100" is suitable for A more complex intestinal environment.
在本实施例中,所述第一部分113垂直于所述第二部分114。所述接口装置100”适用于开口设于肠管侧壁或支路垂直于主肠管的肠管环境,利于所述肠管开口均匀贴覆于第二部分114外侧。可以理解的,在其他实施例中,所述第一部分113与所述第二部分114之间也可以为其他任意角度,从而适应不同肠管结构的需求。所述第一固持件3用以位于所述第二部分114外侧用以将肠管紧密夹设于第二部分114与第一固持件3之间。所述肠管可稳定固持于所述第二部分114上,防止脱离所述管体1。In this embodiment, the first portion 113 is perpendicular to the second portion 114 . The interface device 100" is suitable for the intestinal environment where the opening is set on the side wall of the intestinal tube or the branch is perpendicular to the main intestinal tube, so that the opening of the intestinal tube is evenly attached to the outside of the second part 114. It can be understood that in other embodiments, The angle between the first part 113 and the second part 114 can also be other arbitrary angles, so as to adapt to the needs of different bowel structures. The first holder 3 is used to be located outside the second part 114 to hold the intestinal tube It is tightly sandwiched between the second part 114 and the first holding member 3. The intestinal tube can be stably held on the second part 114 and prevented from detaching from the tube body 1 .
所述第二部分114上设有向外凸设或向内凹陷或呈凹凸不平状的阻力部115,所述肠管套设于所述阻力部115上。可增加阻力,防止肠管脱离。具体参图8,所述阻力部115为自第二部分114向外凸伸的环状凸部,所述第一固持件3夹设于所述阻力部115后端。可以理解的,在其他实施例中,如阻力部115为向内凹陷时,所述第一固持件3可夹设于所述阻力部115内;当阻力部115呈凹凸不平状或磨砂状等时,所述第一固持件3可夹设于所述阻力部115内或后端均可。The second part 114 is provided with an outwardly convex or inwardly concave or uneven resistance portion 115 , and the intestinal tube is sheathed on the resistance portion 115 . Increases resistance and prevents bowel detachment. Specifically referring to FIG. 8 , the resistance portion 115 is an annular convex portion protruding outward from the second portion 114 , and the first holder 3 is clamped at the rear end of the resistance portion 115 . It can be understood that, in other embodiments, if the resistance portion 115 is inwardly recessed, the first holder 3 can be sandwiched in the resistance portion 115; when the resistance portion 115 is uneven or frosted, etc. , the first holder 3 can be sandwiched in the resistance portion 115 or at the rear end.
所述术中肠管接口装置100”还包括第二固持件4,所述第二固持件4用以位于所述第一部分113外侧上并用以将所述肠管紧密夹设于第一部分113与第二固持件4之间。可使所述第一部分113与肠管之间的对接更贴合,防止较多的肠管内容物卡置于第一部分113与肠管之间,保护肠管,避免发生集中于一处的挤压破损;另外,可所述第二固持件4可进一步对肠管和接口装置100”之间实现密封,对内容物外溢起到第二重保险的作用,进一步降低感染风险。The intraoperative bowel interface device 100" also includes a second holder 4, the second holder 4 is used to be located on the outside of the first part 113 and used to clamp the intestine tightly between the first part 113 and the second Between the holders 4. It can make the butt joint between the first part 113 and the intestinal tube more fit, prevent more intestinal contents from being stuck between the first part 113 and the intestinal tube, protect the intestinal tube, and avoid concentrating in one place In addition, the second holder 4 can further seal between the intestinal tube and the interface device 100", which acts as a second insurance against spillage of the contents and further reduces the risk of infection.
所述第二固持件4包括弹性圈部40以及位于所述弹性圈部40上的缺口部43。在术中,当肠管已套设到用以引流肠管内容物的管体外侧时,所述第二固持件4可通过术者掰开中断的弹性圈部套设到肠管和管体重合部分的外侧,放松后,使肠管紧密贴覆于用以引流肠管内容物的管体外侧,且所述缺口部可供肠管外侧粘连组织穿设,避免压迫所述组织,造成该部分组织损伤坏死等情况,可有效降低术中污染以及术后感染风险。所述第二固持件4还包括位于所述弹性圈部40两断头部的用以将弹性圈部40掰开的第一操作部41和第二操作部42。操作者可通过掰开所述第一操作部41和第二操作部42而使所述第二固持件4套设于肠管与管体1外侧,松开所述第一操作部41和第二操作部42后,所述第二固持件4即可紧密夹设于肠管与管体1上。结构简单,操作方便。所述第一操作部41、第二操作部42自弹性圈部40两断头部一体向外弯折延伸而成。结构简单,制造方便。越远离所述弹性圈部40所述第一操作部41、第二操作部42之间的间距越大。可便于术者手指延伸入所述第一操作部41、第二操作部42之间,从而向外掰开所述第一操作部41、第二操作部42,结构简单,便于操作。The second holder 4 includes an elastic ring portion 40 and a notch 43 on the elastic ring portion 40 . During the operation, when the intestinal tube has been sleeved to the outside of the tube body for draining the contents of the intestinal tube, the second holding member 4 can be sleeved to the overlapping part of the intestinal tube and the tube body by the operator breaking off the interrupted elastic ring. Outside, after loosening, the intestinal tube is tightly attached to the outside of the tube body for drainage of intestinal contents, and the gap can be used for penetration of the adhesive tissue on the outside of the intestinal tube, so as to avoid compressing the tissue and causing damage and necrosis of this part of the tissue, etc. , which can effectively reduce the risk of intraoperative contamination and postoperative infection. The second holding member 4 further includes a first operating portion 41 and a second operating portion 42 located at two ends of the elastic ring portion 40 for breaking the elastic ring portion 40 apart. The operator can separate the first operating part 41 and the second operating part 42 so that the second holder 4 is sleeved on the outside of the intestine and the tubular body 1, and loosen the first operating part 41 and the second operating part 41. After operating the part 42 , the second holding member 4 can be tightly clamped on the intestine tube and the tube body 1 . The structure is simple and the operation is convenient. The first operating part 41 and the second operating part 42 are integrally formed by bending and extending outward from two severed parts of the elastic ring part 40 . The structure is simple and the manufacture is convenient. The distance between the first operating portion 41 and the second operating portion 42 is greater the farther away from the elastic ring portion 40 . It is convenient for the operator's finger to extend between the first operating part 41 and the second operating part 42, so as to open the first operating part 41 and the second operating part 42 outwards, and the structure is simple and easy to operate.
所述弹性圈部40内径为15mm~25mm或25mm~40mm。可较好的用以套设于术中大肠或小肠的外侧。所述弹性圈部40内侧设有用以与肠管配合的防滑层(图未示)。所述防滑层可防止肠管脱离所述弹性圈部40。进一步的,所述防滑层可以包括磨砂表面或增设防滑胶膜。可以理解的,在其他实施例中所述防滑层也可采用其他结构实现防滑功能。所述粘连组织包括系膜,也可以是血管等其他组织。The inner diameter of the elastic ring part 40 is 15mm-25mm or 25mm-40mm. It can be better used to sleeve the outside of the large intestine or small intestine during operation. The inner side of the elastic ring part 40 is provided with an anti-skid layer (not shown) for cooperating with the intestine. The anti-slip layer can prevent the intestinal tube from detaching from the elastic ring part 40 . Further, the anti-slip layer may include a frosted surface or an anti-slip film is added. It can be understood that in other embodiments, the anti-skid layer may also adopt other structures to realize the anti-skid function. The adhesion tissue includes mesentery, and may also be other tissues such as blood vessels.
为了所述第二固持件4具有较好的弹性,所述第二固持件4可以为金属材料。可供多次掰开使用,在对肠管进行包覆定位后,还可对肠管实现长久的弹性紧固力,防止肠管脱离管体外侧。In order that the second holding member 4 has better elasticity, the second holding member 4 may be made of metal material. It can be split and used multiple times. After the intestinal tube is coated and positioned, it can also achieve long-term elastic fastening force on the intestinal tube to prevent the intestinal tube from detaching from the outside of the tube body.
优选的,所述术中肠管接口装置100”还包括位于管体1前端的用以将所述肠管撑开的弹性支撑部6。当管体1前端的肠管较窄或呈收缩状态时,所述弹性支撑部6可有效将所述肠管撑开,以利于肠管内容物顺利进入所述接口装置100”;且所述弹性支撑部6具有弹性,可使所述肠管撑开大小可调节。Preferably, the intraoperative intestinal interface device 100" also includes an elastic support part 6 located at the front end of the tubular body 1 to stretch the intestinal tube. When the intestinal tube at the front end of the tubular body 1 is narrow or in a contracted state, the The elastic support part 6 can effectively stretch the intestinal tube to facilitate intestinal content to enter the interface device 100" smoothly; and the elastic support part 6 is elastic, so that the intestinal tube can be stretched to an adjustable size.
所述管体1前端与所述弹性支撑部6外侧套设有用以将管体1前端与所述弹性支撑部6连接在一起的套部5。所述弹性支撑部6与弹性支撑部6之间通过套部5连接,可防止内容物穿过弹性支撑部6后仍然进入至管体1与肠管之间的空隙。即,所述一体式的连接可使内容物穿过弹性支撑部6后全部进入接口装置100”中。另外,所述一体式的连接结构利于所述接口装置100”与肠管的对接操作,避免过多零件的分开组装对接,降低操作者的对接难度,且可避免手术拆解后所述弹性支撑部6遗留肠管内等风险的发生。所述套部5于管体1前端与所述弹性支撑部6的连接处具有弹性。可使所述弹性支撑部6在大于或小于管体1外径的范围内自由调节,防止在大小调节过程中套部5发生撕裂而造成内容物溢出套部5外。The front end of the pipe body 1 and the elastic support part 6 are sheathed with a sleeve part 5 for connecting the front end of the pipe body 1 and the elastic support part 6 together. The elastic support part 6 is connected with the elastic support part 6 through the sleeve part 5, which can prevent the content from entering the gap between the tube body 1 and the intestinal tube after passing through the elastic support part 6. That is, the integrated connection allows all the contents to enter the interface device 100" after passing through the elastic support part 6. In addition, the integrated connection structure facilitates the docking operation between the interface device 100" and the intestinal tube, avoiding The separate assembly and docking of too many parts reduces the difficulty of docking for the operator, and can avoid the occurrence of risks such as the elastic support part 6 being left in the intestinal tract after disassembly during surgery. The sleeve portion 5 is elastic at the joint between the front end of the pipe body 1 and the elastic supporting portion 6 . The elastic support part 6 can be freely adjusted within a range larger or smaller than the outer diameter of the tube body 1, so as to prevent the sleeve part 5 from being torn and the content overflowing from the sleeve part 5 during the size adjustment process.
为使结构简单,所述弹性支撑部6可以为卷曲的弹性片。所述弹性片卷曲成圈状,且外部平滑更有利于与肠管的吻合对接。所述弹性片上凹设有扣持口61,所述弹性片一端设有突起的用以与所述扣持口61相配合的扣持部64。在调节圈体大小过程中,操作者可将扣持部64进行挤压,当圈体大小调节至合适时,放松扣持部64从而将扣持部64扣设于所述扣持口61中,实现圈体大小的限位。In order to simplify the structure, the elastic supporting part 6 may be a curled elastic sheet. The elastic sheet is curled into a ring shape, and the outer surface is smooth, which is more conducive to anastomotic docking with the intestine. A buckling opening 61 is concavely formed on the elastic piece, and a protruding locking portion 64 is provided at one end of the elastic piece for matching with the buckling opening 61 . During the process of adjusting the size of the hoop, the operator can squeeze the buckle 64, and when the size of the hoop is adjusted properly, the buckle 64 is loosened so that the buckle 64 is buckled in the buckle opening 61 , to realize the limit of the circle body size.
所述扣持部64上设有相互呈一锐角的前端引导面641及后端引导面642,所述前端引导面641的倾斜度小于后端引导面642的倾斜度。当挤压所述弹性片时,所述前端引导面641可使引导所述圈体顺利变小,当大小合适时,所述后端引导面642可与扣持口61相抵接,防止扣持部64脱离所述扣持口61。为使结构简单,制造方便,所述扣持部64前端引导面641及后端引导面642自所述弹性片一体延伸,所述前端引导面641及后端引导面642左右两侧镂空。The locking portion 64 is provided with a front guiding surface 641 and a rear guiding surface 642 forming an acute angle with each other. The front guiding surface 641 has an inclination smaller than that of the rear guiding surface 642 . When the elastic sheet is squeezed, the front guide surface 641 can guide the ring body to become smaller smoothly, and when the size is appropriate, the rear guide surface 642 can abut against the buckle opening 61 to prevent buckle The portion 64 is disengaged from the buckling opening 61 . To make the structure simple and easy to manufacture, the front guiding surface 641 and the rear guiding surface 642 of the buckling part 64 integrally extend from the elastic piece, and the left and right sides of the front guiding surface 641 and the rear guiding surface 642 are hollowed out.
所述弹性片上设有若干间隔设置的所述扣持口61。所述弹性支撑部6可有多个可调节大小档位,适应不同的肠管粗细。所述弹性片包括卷曲于内侧的内端部65以及卷曲包覆于内端部65外侧的外端部63,所述扣持部64位于所述外端部63上且向内凸设而成。保证所述弹性支撑部6外侧圆滑,有利于与肠管内壁的平滑吻合对接,避免刺伤或不均匀地挤压肠管内壁。所述弹性片上设有向内凹陷的用以与内端部65前端相临的过渡部62。保证所述弹性支撑部6内侧圆滑,有利于肠管内容物顺利通过,防止肠管内容物卡置于所述内端部65前端与外侧外端部63之间的角落中;另外,所述过渡部62可提高操作者在调节过程中的该调节位置的手部感知度。The elastic piece is provided with several holding openings 61 arranged at intervals. The elastic support part 6 can have a plurality of adjustable size gears to adapt to different thicknesses of intestinal tubes. The elastic sheet includes an inner end portion 65 curled inside and an outer end portion 63 curled and covered outside the inner end portion 65, the buckling portion 64 is located on the outer end portion 63 and protrudes inwardly. . It is ensured that the outer side of the elastic support part 6 is smooth, which is conducive to a smooth butt joint with the inner wall of the intestinal tube, and avoids stabbing or unevenly squeezing the inner wall of the intestinal tube. The elastic piece is provided with an inwardly recessed transition portion 62 for adjoining the front end of the inner end portion 65 . Ensure that the inner side of the elastic support part 6 is smooth, which is conducive to the smooth passage of intestinal contents, and prevents intestinal contents from being stuck in the corner between the front end of the inner end part 65 and the outer outer end part 63; in addition, the transition part 62 can improve the operator's hand perception of the adjustment position during the adjustment process.
参图1、图2和图7,所述术中肠管接口装置100、100”可用以与小肠对接。所述接口装置100、100”管体1外径可为15mm~25mm。优选的,所述术中肠管接口装置100、100”管体1外径为20mm,所述术中肠管接口装置100、100”可与小肠紧密对接,且外部对小肠的折叠褶皱较少,利于提高密封性并减小对小肠的损伤。Referring to Fig. 1, Fig. 2 and Fig. 7, the intraoperative intestinal tube interface device 100, 100" can be used to connect with the small intestine. The outer diameter of the tube body 1 of the interface device 100, 100" can be 15mm-25mm. Preferably, the outer diameter of the tube body 1 of the intraoperative intestinal tube interface device 100, 100" is 20 mm, and the intraoperative intestinal tube interface device 100, 100" can be tightly connected to the small intestine, and the outer folds of the small intestine are less, which is conducive to Improves seal and reduces damage to the small intestine.
参图6和图13,所述术中肠管接口装置100’、100”’可用以与大肠对接。所述术中肠管接口装置100’、100”’管体1外径为25mm~40mm。优选的,所述术中肠管接口装置100’、100”’管体1外径为33mm。所述术中肠管接口装置100’、100”’可与大肠紧密对接,且外部对大肠的折叠褶皱较少,利于提高密封性并减小对大肠的损伤。Referring to Fig. 6 and Fig. 13, the intraoperative bowel interface devices 100', 100"' can be used to dock with the large intestine. The outer diameter of the tube body 1 of the intraoperative intestinal tube interface devices 100', 100"' is 25mm-40mm. Preferably, the outer diameter of the tube body 1 of the intraoperative intestinal access device 100', 100"' is 33mm. The intraoperative intestinal access device 100', 100"' can be tightly connected to the large intestine, and the folded folds of the large intestine Less, which is beneficial to improve the sealing and reduce the damage to the large intestine.
在其他实施例中,所述术中肠管接口装置100还可用以与其他肠管对接,且不限定为人类肠管。此时,所述接口装置100管体1外径还可为相应的数值与所述相应肠管对接。In other embodiments, the intraoperative intestinal tube interface device 100 can also be used to interface with other intestinal tubes, and is not limited to human intestinal tubes. At this time, the outer diameter of the tube body 1 of the interface device 100 can also be a corresponding value to be docked with the corresponding intestinal tube.
本发明还提供一种具体的术中肠管容置装置200,包括上述术中肠管接口装置100、100’、100”、100”’以及用以与所述术中肠管接口装置100、100’、100”、100”’相连接的用以收容所述肠管内容物的容置装置200。所述容置装置200可有效收容所述肠管内容物,防止内容物外溢,有效降低术中污染以及术后感染风险;另外,可较好地保证操作者的手套、手术衣以及整个手术台的无菌环境;避免细菌散布于手术室空气中,利于术后手术室的清洁,降低与其他手术交叉感染的可能;且大大降低术中异味对术者、巡回护士及麻醉师的主观感受,利于手术在更舒适的环境中顺利进行。在本实施例中,所述管体1与容置装置200为分体设置并组装在一起,有利于提高所述管体1与容置装置200各自的优化利用率。The present invention also provides a specific intraoperative intestinal tube accommodating device 200, including the above-mentioned intraoperative intestinal tube interface device 100, 100', 100", 100"' and used to communicate with the intraoperative intestinal tube interface device 100, 100', 100", 100"' is connected to the accommodating device 200 for accommodating the intestinal contents. The accommodating device 200 can effectively accommodate the contents of the intestinal tube, prevent the contents from overflowing, and effectively reduce the risk of intraoperative contamination and postoperative infection; in addition, it can better ensure the safety of the operator's gloves, surgical gowns and the entire operating table. Sterile environment; prevent bacteria from spreading in the air of the operating room, which is beneficial to the cleaning of the operating room after operation, and reduces the possibility of cross-infection with other operations; and greatly reduces the subjective feeling of intraoperative odor on the operator, itinerant nurses and anesthesiologists, which is beneficial The surgery went smoothly in a more comfortable environment. In this embodiment, the tube body 1 and the accommodating device 200 are arranged separately and assembled together, which is beneficial to improve the optimal utilization ratio of the tube body 1 and the accommodating device 200 .
在本实施例中,所述容置装置200包括用以收容肠管内容物的主体部20以及用以连接所述主体部20与所述术中肠管接口装置100、100’、100”、100”’的管部21。所述主体部20可收容肠管内容物,所述管部21可具有相应的长度,从而允许所述主体部20可放置于手术台下方或其他特定位置。在本发明其他实施例中,所述容置装置200还可以是特定的收容区域、容置系统或装置,例如敞开式的收容区域、密闭式的收容区域、密闭式的容器、吸入式装置或系统、敞开式容器等等;所述容置装置200也可以为最终的容置装置200或者起放置过度作用的区域或容器或系统等。所述管部21设有用以与所述术中肠管接口装置100、100’、100”、100”’对接的连接口22,所述连接口22上设有用以与管体1外螺纹121相配合的内螺纹223。所述管体1可与所述容置装置200分体制造后组装在一起,提高各自的优化利用率,且连接结构简单,组装方便。所述连接口22包括用以包覆于管体1外侧的外圈部221以及自外圈向内延伸用以与管部21连接的内圈部222。所述外圈部221可与接口装置100、100’、100”、100”’对接,所述内圈部222可与所述容置装置200的管部21连接,结构简单,组装方便。In this embodiment, the accommodating device 200 includes a main body 20 for containing intestinal contents and for connecting the main body 20 with the intraoperative intestinal interface device 100 , 100 ′, 100 ″, 100 ″ 'The pipe part 21. The main body part 20 can accommodate intestinal contents, and the tube part 21 can have a corresponding length, so that the main body part 20 can be placed under the operating table or other specific positions. In other embodiments of the present invention, the accommodating device 200 can also be a specific accommodating area, accommodating system or device, such as an open accommodating area, a closed accommodating area, a closed container, an inhalation device or systems, open containers, etc.; the containment device 200 may also be the final containment device 200 or an area or container or system that plays an excessive role in placement. The tube portion 21 is provided with a connection port 22 for docking with the intraoperative intestinal tube interface device 100, 100', 100", 100"', and the connection port 22 is provided with a connection port 22 for connecting with the external thread 121 of the tube body 1. Fitting internal thread 223 . The pipe body 1 and the accommodating device 200 can be manufactured separately and assembled together to improve the optimal utilization ratio of each, and the connection structure is simple and the assembly is convenient. The connecting port 22 includes an outer ring portion 221 for covering the outside of the tube body 1 and an inner ring portion 222 extending inward from the outer ring for connecting with the tube portion 21 . The outer ring part 221 can be docked with the interface device 100, 100', 100", 100"', and the inner ring part 222 can be connected with the tube part 21 of the accommodating device 200, which has a simple structure and is convenient for assembly.
以上所述仅是本发明的优选实施方式,并不用于限制本发明,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明技术原理的前提下,还可以做出若干改进和变型,这些改进和变型也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention. It should be pointed out that for those of ordinary skill in the art, some improvements can be made without departing from the technical principle of the present invention. and modifications, these improvements and modifications should also be considered as the protection scope of the present invention.
Claims (32)
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Citations (3)
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CN202437780U (en) * | 2012-01-06 | 2012-09-19 | 中国人民解放军第三军医大学第三附属医院 | Intraoperative intestinal decompression tube |
CN204766737U (en) * | 2015-06-12 | 2015-11-18 | 南通市第三人民医院 | Portable gastrointestinal decompression ware fixation clamp |
CN204972454U (en) * | 2015-05-25 | 2016-01-20 | 王洛 | Reposition of redundant personnel puncture formula intestinal washes pressure relief device |
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US7147627B2 (en) * | 2002-08-21 | 2006-12-12 | Hollister Incorporated | Bowel management system |
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN202437780U (en) * | 2012-01-06 | 2012-09-19 | 中国人民解放军第三军医大学第三附属医院 | Intraoperative intestinal decompression tube |
CN204972454U (en) * | 2015-05-25 | 2016-01-20 | 王洛 | Reposition of redundant personnel puncture formula intestinal washes pressure relief device |
CN204766737U (en) * | 2015-06-12 | 2015-11-18 | 南通市第三人民医院 | Portable gastrointestinal decompression ware fixation clamp |
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