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CN111298273A - ileostomy dilator - Google Patents

ileostomy dilator Download PDF

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Publication number
CN111298273A
CN111298273A CN202010299069.4A CN202010299069A CN111298273A CN 111298273 A CN111298273 A CN 111298273A CN 202010299069 A CN202010299069 A CN 202010299069A CN 111298273 A CN111298273 A CN 111298273A
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Prior art keywords
mushroom head
flushing channel
cavity
main
expansion
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杜涛
傅传刚
周主青
韩俊毅
黄贲
李雪冬
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Shanghai East Hospital
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Shanghai East Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0019Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1064Large intestine

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

An ileum stoma expander relates to the technical field of medical equipment and solves the technical problem of expanding a narrow stoma. The dilator comprises a main catheter and a dilating balloon; the main catheter penetrates through an annular hole of the expansion airbag in a tight fit mode, and an expansion air inlet valve for controlling inflation and deflation of the expansion airbag is arranged on the expansion airbag; a mushroom head is fixed at the left end of the main guide pipe, the mushroom head is a hollow cavity, a liquid manure outlet and a plurality of liquid manure inlet openings are formed in the cavity wall of the mushroom head, and the liquid manure outlet is in butt joint with a pipe orifice at the left end of the main guide pipe; the main duct is provided with a flushing channel, a water outlet of the flushing channel is communicated with the inner cavity of the mushroom head, a water inlet of the flushing channel is positioned at the right part of the main duct, and the inner cavity of the flushing channel is communicated with the tube cavity of the main duct through each bypass port on the flushing channel. The dilator provided by the invention is used for dilating and guiding a narrow stoma.

Description

回肠造口扩张器ileostomy dilator

技术领域technical field

本发明涉及医用器材技术,特别是涉及一种回肠造口扩张器的技术。The invention relates to the technology of medical equipment, in particular to the technology of an ileostomy dilator.

背景技术Background technique

回肠造口术是医生为了治疗某些疾病,在患者腹壁上做一个人工开口,并将一段肠管拉出开口外,翻转缝于腹壁,从而形成了肠造口,患者大便通过该造口排出体外。造口狭窄是回肠造口术的常见并发症,形成造口狭窄的原因有两个:1)部分患者由于腹壁肌肉强壮有力,收缩时会将肠管夹闭,影响排便;2)由于手术刺激引起的回肠水肿。Ileostomy is an artificial opening in the patient's abdominal wall in order to treat certain diseases, and a section of intestinal tube is pulled out of the opening, and is turned over and sewn to the abdominal wall, thereby forming an intestinal stoma, and the patient's stool is excreted through the stoma. . Stoma stenosis is a common complication of ileostomy. There are two reasons for the formation of stoma stenosis: 1) In some patients, due to the strong abdominal wall muscles, the bowel can be clamped during contraction, affecting defecation; 2) due to surgical stimulation of ileal edema.

患者发生造口狭窄后必须要及时处理,否则会引起肠梗阻,甚至引起更严重的并发症。现有的造口狭窄治疗有两种,方法一是医生将手指伸入造口实施造口扩张,该方法的缺点是无法持续的扩张造口(医生不可能24h在病人身边扩张);方法二是将导管伸入造口实施扩张,该方法的缺点是导管一旦堵塞后需要将导管拔出处理。Patients with stoma stenosis must be treated in time, otherwise it will cause intestinal obstruction or even more serious complications. There are two existing stoma stenosis treatments. The first method is that the doctor inserts his finger into the stoma to perform stoma expansion. The disadvantage of this method is that the stoma cannot be continuously expanded (the doctor cannot expand the stoma around the patient 24 hours); the second method It is to insert the catheter into the stoma for dilation. The disadvantage of this method is that once the catheter is blocked, the catheter needs to be pulled out for treatment.

发明内容SUMMARY OF THE INVENTION

针对上述现有技术中存在的缺陷,本发明所要解决的技术问题是提供一种能用于造口扩张,并且无需拔出即可清理堵管物的回肠造口扩张器。In view of the above-mentioned defects in the prior art, the technical problem to be solved by the present invention is to provide an ileostomy dilator that can be used for stoma expansion and can clear the blocked tube without being pulled out.

为了解决上述技术问题,本发明所提供的一种回肠造口扩张器,其特征在于:包括主导管、扩张气囊;所述扩张气囊呈环形,主导管以紧配合方式穿过扩张气囊的环孔,扩张气囊上设有用于控制扩张气囊充放气的扩张进气阀;In order to solve the above technical problems, an ileostomy dilator provided by the present invention is characterized in that: it includes a main catheter and an expansion balloon; the expansion balloon is annular, and the main catheter passes through the annular hole of the expansion balloon in a tight fit manner. , the expansion air bag is provided with an expansion air valve for controlling the inflation and deflation of the expansion air bag;

所述主导管的左端固定有蕈头,所述蕈头为空心腔体,蕈头的腔壁上开设有一个粪水导出口及多个粪水导入口,其中的粪水导出口与主导管的左端管口对接;The left end of the main pipe is fixed with a mushroom head, the mushroom head is a hollow cavity, and the cavity wall of the mushroom head is provided with a fecal water outlet and a plurality of fecal water inlets, wherein the fecal water outlet and the main pipe are provided. The left end of the pipe port is docked;

所述主导管上设有冲洗通道,冲洗通道的出水口连通蕈头的内腔,冲洗通道的进水口位于主导管的右部,并且在冲洗通道上设有多个旁通口,冲洗通道的内腔与主导管的管腔通过冲洗通道上的各个旁通口相互连通。The main pipe is provided with a flushing channel, the water outlet of the flushing channel is connected to the inner cavity of the mushroom head, the water inlet of the flushing channel is located on the right part of the main pipe, and a plurality of bypass ports are arranged on the flushing channel, and the The inner lumen and the lumen of the main conduit communicate with each other through various bypass ports on the flushing channel.

进一步的,所述蕈头为软质腔体。Further, the mushroom head is a soft cavity.

进一步的,所述蕈头的腔壁上形成有可充放气的腔壁气囊,主导管的右部设有用于控制蕈头腔壁上的腔壁气囊充放气的蕈头进气阀。Further, a cavity wall airbag that can be inflated and deflated is formed on the cavity wall of the mushroom head, and the right part of the main conduit is provided with a mushroom head intake valve for controlling the inflation and deflation of the cavity wall airbag on the cavity wall of the mushroom head.

进一步的,所述主导管上设有冲洗通道,冲洗通道的出水口连通蕈头的内腔,冲洗通道的进水口位于主导管的右部。Further, the main conduit is provided with a flushing channel, the water outlet of the flushing channel is connected to the inner cavity of the mushroom head, and the water inlet of the flushing channel is located at the right part of the main conduit.

进一步的,所述主导管的右部设有冷光光源,主导管上设有用于将冷光光源的出射光线导引至蕈头的光源通道。Further, a cold light light source is provided on the right part of the main pipe, and a light source channel for guiding the emitted light of the cold light light source to the mushroom head is provided on the main pipe.

本发明提供的回肠造口扩张器,通过主导管与扩张气囊的配合,可利用主导管将扩张气囊导引至造口的待扩张部位,并根据造口的口径控制扩张气囊的膨胀度,即可实现造口扩张,必要时还可通过冲洗通道注水冲洗蕈头内腔及主导管的管腔,还可以利用蕈头腔壁上的腔壁气囊挤压蕈头内的粪便,无需拔出主导管即可清理堵管物。In the ileostomy dilator provided by the present invention, through the cooperation of the main catheter and the expansion balloon, the expansion balloon can be guided to the to-be-expanded part of the stoma by the main catheter, and the expansion degree of the expansion balloon can be controlled according to the diameter of the stoma, that is, Stoma expansion can be achieved, and if necessary, the lumen of the fungus head and the main catheter can be flushed with water through the irrigation channel, and the feces in the fungus head can be squeezed by the cavity wall balloon on the cavity wall of the fungus head without pulling out the main tube. The pipe can clear the blockage.

附图说明Description of drawings

图1是本发明实施例的回肠造口扩张器的结构示意图。FIG. 1 is a schematic structural diagram of an ileostomy dilator according to an embodiment of the present invention.

具体实施方式Detailed ways

以下结合附图说明对本发明的实施例作进一步详细描述,但本实施例并不用于限制本发明,凡是采用本发明的相似结构及其相似变化,均应列入本发明的保护范围,本发明中的顿号均表示和的关系。The embodiments of the present invention will be described in further detail below in conjunction with the accompanying drawings, but the present embodiments are not intended to limit the present invention. Any similar structures and similar changes of the present invention shall be included in the protection scope of the present invention. The commas in all indicate the relationship of and.

如图1所示,本发明实施例所提供的一种回肠造口扩张器,其特征在于:包括主导管1、扩张气囊2;As shown in FIG. 1 , an ileostomy dilator provided by an embodiment of the present invention is characterized in that: it comprises a main catheter 1 and an expansion balloon 2;

所述扩张气囊2呈环形,主导管1以紧配合方式穿过扩张气囊2的环孔,扩张气囊2上设有用于控制扩张气囊充放气的扩张进气阀4;The expansion balloon 2 is annular, the main conduit 1 passes through the annular hole of the expansion balloon 2 in a tight fit manner, and the expansion balloon 2 is provided with an expansion intake valve 4 for controlling inflation and deflation of the expansion balloon;

所述主导管1的左端固定有蕈头3,所述蕈头3为空心腔体,蕈头3的腔壁上开设有一个粪水导出口及多个粪水导入口7,其中的粪水导出口与主导管1的左端管口对接;The left end of the main pipe 1 is fixed with a mushroom head 3, the mushroom head 3 is a hollow cavity, and the cavity wall of the mushroom head 3 is provided with a fecal water outlet and a plurality of fecal water introduction ports 7, wherein the fecal water is The outlet is butted with the left end nozzle of the main conduit 1;

所述主导管1上设有冲洗通道,冲洗通道的出水口连通蕈头3的内腔,冲洗通道的进水口5位于主导管的右部;并且在冲洗通道上设有多个旁通口,冲洗通道的内腔与主导管的管腔通过冲洗通道上的各个旁通口相互连通;The main pipe 1 is provided with a flushing channel, the water outlet of the flushing channel is connected to the inner cavity of the mushroom head 3, and the water inlet 5 of the flushing channel is located on the right part of the main pipe; and a plurality of bypass ports are arranged on the flushing channel, The lumen of the flushing channel and the lumen of the main conduit are communicated with each other through various bypass ports on the flushing channel;

所述主导管1的右部设有冷光光源8,主导管1上设有用于将冷光光源8的出射光线导引至蕈头3的光源通道。The right part of the main pipe 1 is provided with a cold light source 8 , and the main pipe 1 is provided with a light source channel for guiding the emitted light of the cold light source 8 to the mushroom head 3 .

本发明实施例中,所述蕈头3为软质腔体,并且蕈头3的腔壁上形成有可充放气的腔壁气囊,主导管1的右部设有用于控制蕈头腔壁上的腔壁气囊充放气的蕈头进气阀6。In the embodiment of the present invention, the mushroom head 3 is a soft cavity, and an inflatable and deflated cavity wall airbag is formed on the cavity wall of the mushroom head 3, and the right part of the main conduit 1 is provided with a cavity wall for controlling the mushroom head Inflate and deflate the mushroom head inlet valve 6 on the cavity wall airbag.

本发明实施例中,所述主导管1上印制有用于标示长度的刻度,该刻度从主导管的左部延伸至主导管的右部。In the embodiment of the present invention, a scale for marking the length is printed on the main pipe 1, and the scale extends from the left part of the main pipe to the right part of the main pipe.

本发明实施例用于狭窄造口的扩张,其使用方法如下:The embodiment of the present invention is used for the expansion of stenotic stoma, and its use method is as follows:

先通过扩张进气阀4对扩张气囊2实施放气,使扩张气囊2收瘪,然后将主导管1的左部插入造口,并使扩张气囊2到达造口的需扩张位置,然后再通过扩张进气阀4对扩张气囊2实施充气,使扩张气囊2膨胀,利用扩张气囊2对造口实施扩张。First deflate the expansion balloon 2 through the expansion air valve 4 to deflate the expansion balloon 2, then insert the left part of the main catheter 1 into the stoma, make the expansion balloon 2 reach the position where the stoma needs to be expanded, and then pass The inflation intake valve 4 inflates the inflation balloon 2 , inflates the inflation balloon 2 , and inflates the stoma by the inflation balloon 2 .

蕈头3为软体,置入造口方便,粪物可通过各个粪水导入口7进入蕈头3,再通过主导管引流导出体外,通过蕈头进气阀6,还可以向蕈头腔壁上的腔壁气囊充气、放气,从而对蕈头内的粪便实施挤压,防止粪便堵塞主导管;必要时还可通过冲洗通道注水冲洗蕈头内腔及主导管的管腔,有效防止堵管。The mushroom head 3 is a soft body, and it is convenient to insert into the stoma. The feces can enter the mushroom head 3 through each fecal water inlet 7, and then drain out of the body through the main conduit, and pass through the mushroom head air inlet valve 6. The upper cavity wall airbag is inflated and deflated, so as to squeeze the feces in the mushroom head and prevent the feces from blocking the main duct; if necessary, the inner cavity of the mushroom head and the lumen of the main duct can be flushed with water through the flushing channel to effectively prevent clogging Tube.

主导管1插入造口过程中,可利用冷光光源8提供照明光线,使医生能在可视环境下操作,避免插入过程中损伤组织,通过主导管上的刻度,还能获知主导管的插入深度。During the insertion of the main catheter 1 into the stoma, the cold light source 8 can be used to provide illumination light, so that the doctor can operate in a visible environment and avoid tissue damage during the insertion process. Through the scale on the main catheter, the insertion depth of the main catheter can also be known. .

Claims (4)

1.一种回肠造口扩张器,其特征在于:包括主导管、扩张气囊;所述扩张气囊呈环形,主导管以紧配合方式穿过扩张气囊的环孔,扩张气囊上设有用于控制扩张气囊充放气的扩张进气阀;1. An ileostomy dilator is characterized in that: it comprises a main conduit and an expansion balloon; the expansion balloon is annular, and the main conduit passes through the annular hole of the expansion balloon in a tight-fitting manner, and the expansion balloon is provided with the expansion balloon for controlling the expansion. Expanded intake valve for air bag inflation and deflation; 所述主导管的左端固定有蕈头,所述蕈头为空心腔体,蕈头的腔壁上开设有一个粪水导出口及多个粪水导入口,其中的粪水导出口与主导管的左端管口对接;The left end of the main pipe is fixed with a mushroom head, the mushroom head is a hollow cavity, and the cavity wall of the mushroom head is provided with a fecal water outlet and a plurality of fecal water inlets, wherein the fecal water outlet and the main pipe are provided. The left end of the pipe port is docked; 所述主导管上设有冲洗通道,冲洗通道的出水口连通蕈头的内腔,冲洗通道的进水口位于主导管的右部,并且在冲洗通道上设有多个旁通口,冲洗通道的内腔与主导管的管腔通过冲洗通道上的各个旁通口相互连通。The main pipe is provided with a flushing channel, the water outlet of the flushing channel is connected to the inner cavity of the mushroom head, the water inlet of the flushing channel is located on the right part of the main pipe, and a plurality of bypass ports are arranged on the flushing channel, and the The inner lumen and the lumen of the main conduit communicate with each other through various bypass ports on the flushing channel. 2.根据权利要求1所述的回肠造口扩张器,其特征在于:所述蕈头为软质腔体。2 . The ileostomy dilator according to claim 1 , wherein the mushroom head is a soft cavity. 3 . 3.根据权利要求2所述的回肠造口扩张器,其特征在于:所述蕈头的腔壁上形成有可充放气的腔壁气囊,主导管的右部设有用于控制蕈头腔壁上的腔壁气囊充放气的蕈头进气阀。3 . The ileostomy dilator according to claim 2 , wherein an inflatable and deflated cavity wall balloon is formed on the cavity wall of the mushroom head, and the right part of the main conduit is provided with a cavity for controlling the mushroom head cavity. 4 . The cavity wall airbag on the wall inflates and deflates the mushroom head inlet valve. 4.根据权利要求1所述的回肠造口扩张器,其特征在于:所述主导管的右部设有冷光光源,主导管上设有用于将冷光光源的出射光线导引至蕈头的光源通道。4 . The ileostomy dilator according to claim 1 , wherein a cold light light source is provided on the right part of the main conduit, and a light source for guiding the emitted light of the cold light light source to the mushroom head is provided on the main conduit. 5 . aisle.
CN202010299069.4A 2020-04-16 2020-04-16 ileostomy dilator Pending CN111298273A (en)

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US4241735A (en) * 1980-01-24 1980-12-30 Chernov Merrill S Ileostomy and colostomy plug
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Application publication date: 20200619