CN111298273A - ileostomy dilator - Google Patents
ileostomy dilator Download PDFInfo
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- 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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- mushroom head
- flushing channel
- cavity
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- expansion
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- 238000007455 ileostomy Methods 0.000 title claims description 13
- 235000001674 Agaricus brunnescens Nutrition 0.000 claims abstract description 37
- 238000011010 flushing procedure Methods 0.000 claims abstract description 25
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 22
- 230000002550 fecal effect Effects 0.000 claims description 10
- 210000003608 fece Anatomy 0.000 abstract description 7
- 239000007788 liquid Substances 0.000 abstract 3
- 239000010871 livestock manure Substances 0.000 abstract 3
- 230000000916 dilatatory effect Effects 0.000 abstract 2
- 210000003405 ileum Anatomy 0.000 abstract 1
- 210000001503 joint Anatomy 0.000 abstract 1
- 238000000034 method Methods 0.000 description 7
- 208000031481 Pathologic Constriction Diseases 0.000 description 4
- 230000036262 stenosis Effects 0.000 description 4
- 208000037804 stenosis Diseases 0.000 description 4
- 241000233866 Fungi Species 0.000 description 3
- 210000003815 abdominal wall Anatomy 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 230000000968 intestinal effect Effects 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- 206010030113 Oedema Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002966 stenotic effect Effects 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M2025/0019—Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1064—Large 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
Description
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
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
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
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
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
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)
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CN202010299069.4A CN111298273A (en) | 2020-04-16 | 2020-04-16 | ileostomy dilator |
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Citations (16)
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US4241735A (en) * | 1980-01-24 | 1980-12-30 | Chernov Merrill S | Ileostomy and colostomy plug |
WO1995002368A1 (en) * | 1993-07-15 | 1995-01-26 | Aws Shakir Mustafa Salim | Percutaneous colostomy catheter |
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CN108261577A (en) * | 2018-02-01 | 2018-07-10 | 辽宁省肿瘤医院 | Coincide fistula mouth protection flusher |
CN108338862A (en) * | 2018-04-28 | 2018-07-31 | 江苏省中医院 | A kind of intestines stoma control device |
CN212235590U (en) * | 2020-04-16 | 2020-12-29 | 上海市东方医院(同济大学附属东方医院) | ileostomy dilator |
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2020
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US4241735A (en) * | 1980-01-24 | 1980-12-30 | Chernov Merrill S | Ileostomy and colostomy plug |
WO1995002368A1 (en) * | 1993-07-15 | 1995-01-26 | Aws Shakir Mustafa Salim | Percutaneous colostomy catheter |
CN2220298Y (en) * | 1995-03-10 | 1996-02-21 | 张龙生 | Cold light source dilator for medical |
CN2237425Y (en) * | 1995-05-16 | 1996-10-16 | 陈东平 | Air-bag type umbrella-shaped controller for colostomy |
US6485476B1 (en) * | 1998-02-25 | 2002-11-26 | Zassi Medical Evolutions, Inc. | Continent ostomy port |
CN200939148Y (en) * | 2006-05-16 | 2007-08-29 | 邓秋华 | Field illuminating irrigation sucking head for medical operation |
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CN103239796A (en) * | 2013-04-19 | 2013-08-14 | 郑州迪奥医学技术有限公司 | Anti-blocking two-way-thru combined subcutaneous irrigation drainage tube |
CN103272297A (en) * | 2013-04-19 | 2013-09-04 | 郑州迪奥医学技术有限公司 | Large-flow anti-blocking washable drainage catheter |
CN104146809A (en) * | 2013-08-27 | 2014-11-19 | 林建江 | Full turn flow type intestinal fistulization set |
CN206198453U (en) * | 2016-08-18 | 2017-05-31 | 华志鹏 | Band air bag double-cavity washing drainage tube |
CN107050629A (en) * | 2017-01-23 | 2017-08-18 | 山东省立医院 | A kind of urethral dilatation drainage system and application method |
CN206675765U (en) * | 2017-03-08 | 2017-11-28 | 山西医科大学第二医院 | Disposable double bolloon feces collection device |
CN108261577A (en) * | 2018-02-01 | 2018-07-10 | 辽宁省肿瘤医院 | Coincide fistula mouth protection flusher |
CN108338862A (en) * | 2018-04-28 | 2018-07-31 | 江苏省中医院 | A kind of intestines stoma control device |
CN212235590U (en) * | 2020-04-16 | 2020-12-29 | 上海市东方医院(同济大学附属东方医院) | ileostomy dilator |
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Application publication date: 20200619 |