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CN118177893A - A device for isolating intestinal wall and assisting anastomosis - Google Patents

A device for isolating intestinal wall and assisting anastomosis Download PDF

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Publication number
CN118177893A
CN118177893A CN202410371190.1A CN202410371190A CN118177893A CN 118177893 A CN118177893 A CN 118177893A CN 202410371190 A CN202410371190 A CN 202410371190A CN 118177893 A CN118177893 A CN 118177893A
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Prior art keywords
intestinal
anastomosis
proximal
soft plastic
plastic film
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Inventor
石磊
沈永强
陈小荣
马艳丽
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Hangzhou Shengshi Technology Co ltd
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Hangzhou Shengshi Technology Co ltd
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Priority to CN202410371190.1A priority Critical patent/CN118177893A/en
Priority to PCT/CN2024/091552 priority patent/WO2025200086A1/en
Publication of CN118177893A publication Critical patent/CN118177893A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00004(bio)absorbable, (bio)resorbable or resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a device capable of being used for intestinal cavity wall isolation and auxiliary anastomosis, and relates to the technical field of medical appliances. The drainage stent and the anastomosis stent are both made of degradable and absorbable high polymer materials; the drainage bracket is arranged at a proper position of the proximal end of the intestinal canal at the position where the intestinal canal is separated and used for expanding and fixing the proximal end of the intestinal canal, and the soft plastic film sleeve connected with the drainage bracket is used for isolating the intestinal canal cavity wall; the movable anastomosis support is arranged in the soft plastic film sleeve and is used for supporting, anastomosing and fixing the intestinal canal with two broken ends. When only the intestinal cavity wall is required to be isolated, the anastomotic stent can be removed, one end of a soft plastic film sleeve connected with the drainage stent is arranged in the separated proximal intestinal canal, and the other end of the anastomosed distal intestinal canal extends out of the anus; the invention can conveniently perform anastomosis conforming to the physiology of the intestinal tract, and can completely isolate the anastomotic stoma from the content of the intestinal tract, thereby preventing the occurrence of anastomotic fistula to the greatest extent.

Description

Device for isolating and assisting anastomosis of intestinal lumen wall
Technical Field
The invention relates to the technical field of medical equipment, in particular to a device capable of being used for isolating and assisting anastomosis of intestinal cavity walls.
Background
With the acceleration of modern life pace and the influence of unhealthy eating habits, the incidence of colorectal cancer is increasing year by year. In all kinds of colorectal anastomosis operations using manual suturing and tube-type anastomat, anastomotic fistula is a common complication, the incidence rate of which is about 2% -20%, the closer the anastomotic stoma is to the anus, the higher the incidence rate of fistula is, especially in low-level rectal cancer operations. After the intestinal tract focus is excised, the intestinal tract broken ends are required to be anastomosed again, if the intestinal tract anastomotic stoma is not healed well, anastomotic fistula appears, intestinal contents can flow into the abdominal cavity, and the abdominal cavity and even the whole body can be infected, so that serious life-threatening disease complications and even death are caused. The anastomotic fistula not only increases the complication and death probability of the patient, but also increases the pain and medical burden of the patient.
Although the conventional manual suture is more suitable for physiological healing of intestinal tracts, the conventional manual suture is time-consuming and labor-consuming. The tubular anastomat is adopted for anastomosis, so that the operation is simplified, but the anastomosis performed by means of the metal titanium nails can cause the metal titanium nails to be permanently reserved at the intestinal wall anastomosis opening.
At present, the conventional clinical practice of preventing anastomotic fistula is to synchronously perform temporary intestinal diversion (diversion) operation during intestinal anastomosis operation, perform stomas on the abdominal wall, carry out bag hanging drainage and perform daily care. After several months, the anastomotic stoma is completely healed and then the intestinal tract recovery operation is performed. Therefore, the life quality of the patient is seriously reduced, the secondary operation of the patient is painful, and the medical burden of each party is increased.
Disclosure of Invention
The invention aims to provide a device for isolating and assisting anastomosis of intestinal lumen walls, which solves the problems in the prior art, can conveniently perform anastomosis conforming to the physiology of the intestinal tract, can completely isolate an anastomotic stoma from intestinal contents, and can prevent anastomotic fistula to the greatest extent.
In order to achieve the above object, the present invention provides the following solutions:
The invention provides a device for isolating and assisting anastomosis of intestinal lumen walls, which comprises: one end of the soft plastic film sleeve is arranged on a proximal intestinal canal at a proper position at the position away from the fracture, and the other end of the soft plastic film sleeve extends out of the anus through the distal intestinal canal after the anastomosis at the position away from the fracture;
the proximal end of the drainage bracket is used for expanding the proximal intestinal canal at the position away from the fracture and guiding intestinal contents into the soft plastic film sleeve.
The invention is characterized in that a surgical absorbable suture for the drainage bracket is firmly arranged in an intestinal cavity with proper opening of a proximal intestinal canal at an intestinal anastomosis opening, thereby expanding the proximal intestinal canal at the separation position and guiding intestinal contents to completely enter the cavity of the drainage bracket, the distal end of the drainage bracket is detachably and seamlessly connected with a section of soft plastic film sleeve with proper length, the contents enter the soft plastic film sleeve through the cavity of the drainage bracket, and the distal end of the soft plastic film sleeve extends out of the anus through the distal intestinal canal. When the anastomotic stoma is in a low-level rectum, after the two broken-end intestinal tracts are anastomosed by a surgical tubular anastomat, the soft plastic film sleeve at the distal end is pulled out of the anus through the rectum and the anal canal by the surgical instrument for discharging intestinal contents.
Optionally, the device further comprises an anastomotic bracket, wherein the anastomotic bracket can be movably arranged in the soft plastic film sleeve, and the anastomotic bracket can be used for supporting, anastomosing and fixing the intestinal canal with two broken ends. When the anastomotic stoma is positioned at the colon, a device with an anastomotic bracket can be used, the two ends of the intestinal tube to be anastomosed are sleeved at the middle part of the anastomotic bracket, and the two ends of the intestinal tube are firmly butted and fixed on the plastic film sleeve by using absorbable surgical suture.
Optionally, the drainage stent and the anastomosis stent are made of the same material and are made of degradable and absorbable high polymer materials, and can be broken and disintegrated after being placed in the body for a set time, and are sequentially discharged out of the body through a soft plastic film sleeve arranged in an intestinal canal.
Alternatively, the soft plastic film sleeve is made of soft plastic material, such as latex or silica gel.
Optionally, a bell mouth is formed at one end of the drainage bracket, an annular concave structure is arranged on the outer wall of the bell mouth, suture lines are conveniently bound and fixed, and the maximum outer diameter of the drainage bracket is matched with the coelenterate inner diameter of the intestinal tube; the proximal horn mouth of the drainage bracket is penetrated into the proximal intestinal canal at the proper position of the fracture, and the drainage bracket is fixed with the proximal intestinal canal at the proper position of the fracture through an absorbable surgical suture; the distal end of the drainage bracket is fixedly arranged in the soft plastic film sleeve in a penetrating way, the drainage bracket is broken and disintegrated after being remained in the body for a certain time, and crushed materials are sequentially discharged out of the body along with the soft plastic film sleeve.
Optionally, two ends of the drainage bracket are provided with horn mouths, the outer wall of each horn mouth is provided with an annular concave structure, and the maximum outer diameter of the drainage bracket is matched with the inner diameter of the intestinal cavity of the off-cut intestinal tube; the proximal end of the drainage bracket is penetrated into the proximal intestinal canal at the proper position of the fracture, and the drainage bracket is fixed with the proximal intestinal canal at the proper position of the fracture through an absorbable surgical suture; the distal end of the drainage bracket is fixedly arranged in the soft plastic film sleeve in a penetrating way, the drainage bracket is broken and disintegrated after being remained in the body for a certain time, and crushed materials are sequentially discharged out of the body along with the soft plastic film sleeve.
Optionally, the anastomotic bracket comprises a connecting pipe, horn-shaped openings are integrally formed at two ends of the connecting pipe, and the maximum diameter of the anastomotic bracket is the same as the inner diameter of the intestinal cavity of the off-cut intestinal canal; the distal end of the intestinal canal is fixed with the distal end of the anastomotic bracket near the incision position thereof through absorbable surgical suture, the proximal end of the intestinal canal is fixed with the proximal end of the anastomotic bracket near the incision position thereof through absorbable surgical suture, after the intestinal canal is left in the body for a certain time, the anastomotic bracket is broken and disintegrated, and the broken objects are discharged out of the body along with the intestinal canal.
Optionally, after the proximal end of the drainage stent is arranged in the intestinal canal at a proper position near the proximal end of the broken position of the intestinal canal in a penetrating manner, the drainage stent is bound and fixed on the outer wall of the intestinal canal at a proper position near the proximal end of the broken position of the intestinal canal by using absorbable surgical suture.
Compared with the prior art, the invention has the following technical effects:
Compared with the traditional operation of using a tubular anastomat, the invention realizes no metal titanium nail residue; compared with the traditional manual surgical suture anastomosis, the intestinal anastomosis is more convenient; the invention can conveniently perform anastomosis conforming to the physiology of the intestinal tract, and can completely isolate the anastomotic stoma, thereby preventing the occurrence of anastomotic fistula to the greatest extent. The drainage stent and the anastomosis stent are made of medical degradable materials, and after the anastomosis is healed, the stent and the soft plastic film sleeve can be discharged out of the body without any residue in the body.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings that are needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of an apparatus for intestinal lumen wall isolation and auxiliary anastomosis according to a first embodiment of the present invention;
FIG. 2 is a schematic view of a drainage stent according to an embodiment of the present invention;
FIG. 3 is a schematic view of an anastomotic stent according to a first embodiment of the present invention;
FIG. 4 is a schematic view of a soft plastic film cover according to an embodiment of the present invention;
FIG. 5 is a schematic view of the present invention prior to anastomosis of an incision distal intestine and an incision proximal intestine;
FIG. 6 is a schematic view of an anastomosis procedure between an open distal intestine and an open proximal intestine in accordance with a first embodiment of the present invention;
FIG. 7 is a schematic view of an embodiment of the present invention after anastomosis of an open distal intestine and an open proximal intestine;
FIG. 8 is a schematic view of a device for intestinal lumen wall isolation and auxiliary anastomosis according to a second embodiment of the present invention;
FIG. 9 is a schematic view of an anastomosis procedure of an open distal intestine and an open proximal intestine in accordance with a second embodiment of the present invention;
FIG. 10 is a schematic view of an embodiment of the present invention after anastomosis of an open distal intestine and an open proximal intestine;
FIG. 11 is a schematic view of the location of an incision in a human body prior to use in accordance with the present invention;
FIG. 12 is a schematic view of the device according to the embodiment of the present invention being placed in a human body during a specific use process;
fig. 13 is a schematic view of the device according to the second embodiment of the present invention being placed in a human body during a specific use process.
In the figure: 1-drainage stent, 2-anastomosis stent, 3-soft plastic membranous sleeve, 4-proximal intestine, 5-distal intestine, 6-purse string suture, 7-surgical suture, 8-anus, 9-forceps, 10-colon, 11-rectum.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The invention aims to provide a device for isolating and assisting anastomosis of intestinal lumen walls, which solves the problems in the prior art, can conveniently perform anastomosis conforming to the physiology of the intestinal tract, can completely isolate an anastomotic stoma from intestinal contents, and can prevent anastomotic fistula to the greatest extent.
In order that the above-recited objects, features and advantages of the present invention will become more readily apparent, a more particular description of the invention will be rendered by reference to the appended drawings and appended detailed description.
Example 1
Referring to fig. 1 to 7, the present embodiment provides a device for intestinal lumen wall isolation and auxiliary anastomosis, which is used for auxiliary anastomosis of incisions in small intestine or colon 10, and is convenient for performing abdominal incision and then performing anastomosis outside the abdominal wall, so that in the present embodiment, a soft plastic film sleeve 3, a drainage stent 1 and an anastomosis stent 2 are adopted to cooperate with auxiliary anastomosis of an intestinal canal at the isolation site, the drainage stent 1 and the anastomosis stent 2 are made of the same material and are made of degradable and absorbable high polymer materials, for example, polyglycolic acid (PGA) materials, and the drainage stent 1 and the anastomosis stent 2 can be ruptured and disintegrated after the internal indwelling setting time and are sequentially discharged out of a human body along with the soft plastic film sleeve 3; the soft plastic film sleeve 3 is made of soft plastic materials, such as latex or silica gel, the near-heart end of the soft plastic film sleeve 3 is arranged in the near-heart end intestinal canal 4 at the position of separation, and the far-heart end extends to the outside of the anus 8 through the far-heart end intestinal canal 5 at the position of separation; the distal end of the drainage bracket 1 is connected with the proximal end of the soft plastic film sleeve 3 in the proximal intestinal tube 4 at the position of separation, and the proximal end of the drainage bracket 1 is used for expanding the proximal intestinal tube 4 at the position of separation and guiding intestinal contents into the soft plastic film sleeve 3; the anastomosis stent 2 can be movably arranged in the soft plastic film sleeve 3, and two ends of the anastomosis stent are respectively positioned in the distal intestinal canal 5 at the position away from the fracture and the proximal intestinal canal 4 at the position away from the fracture, and are used for supporting, anastomosing and fixing the two fractured intestinal canals.
In the embodiment, the drainage stent 1 is firmly fixed at the proximal end position in the intestinal cavity, which is suitable for the incision of the proximal intestinal tube 4 at the separation position, namely the separation position by using a surgical absorbable suture, so as to prop open the proximal intestinal tube 4 at the separation position and guide intestinal contents to completely enter the cavity of the drainage stent 1. The distal end of the drainage bracket 1 is detachably and seamlessly connected with a section of soft plastic film sleeve 3 with proper length. Another disintegratable anastomosis stent 2 is preset in the soft plastic film sleeve 3 at a proper position from the drainage stent 1. When the anastomosis stent 2 is needed to support and anastomose the intestinal canal, the intestinal canal with two broken ends to be anastomosed can be sleeved at the middle part of the anastomosis stent 2, then the intestinal canal with two broken ends is firmly butted and fixed on the soft plastic film sleeve 3 by the surgical absorbable surgical suture 7, and the soft plastic film sleeve 3 at the distal end of the anastomosis stent 2 can be pulled out of the anus 8 through the rectum and the anal canal by a surgical instrument for excretion of intestinal contents.
In a specific embodiment, the drainage stent 1 is of a tubular structure with a lumen, a horn mouth is formed at a proximal end of the drainage stent, an annular concave structure is formed on an outer wall of the horn mouth, a fastening suture is conveniently fastened and fixed, after the proximal end of the drainage stent 1 is arranged in a proximal intestinal tube 4 at a proper position at a position away from a break, the drainage stent 1 and the proximal intestinal tube 4 at the proper position at the position away from the break are bound and fixed by using an absorbable surgical suture 7 outside the intestinal tube 4 at the proximal intestinal tube at the position away from the break, and after the drainage stent 1 disintegrates, the surgical suture 7 can be absorbed by an intestinal body without limiting the inner diameter of the intestinal body at the position. The maximum outer diameter of the drainage bracket 1 is matched with the inner diameter of the intestinal cavity of the proximal intestinal tube 4 at the position away from the fracture, so that the intestinal wall can be expanded and closely attached to the inner wall of the intestine, and the leakage of the content is avoided; the distal end of the drainage bracket 1 is fixedly arranged in the soft plastic film sleeve 3 in a penetrating way, the horn mouth at the proximal end of the drainage bracket 1 is in a concave annular shape, and the proximal end position of the drainage bracket is firmly fixed at the proper intestinal cavity of the intestinal anastomosis mouth by surgical absorbable suture, so that the intestinal canal is spread and intestinal contents are guided to completely enter the cavity of the drainage bracket.
The specific structure of the drainage stent 1 of the present invention is not limited. In another preferred embodiment, in order to fix the drainage stent 1 at one end of the flexible plastic film sleeve 3, both ends of the drainage stent 1 can be integrally formed into a bell mouth structure, so that the flexible plastic film sleeve 3 and the proximal intestinal tube 4 at the separation position can be conveniently and respectively supported and fixed, intestinal contents can completely enter the flexible plastic film sleeve 3 through the drainage stent 1, the effect of isolating the inner cavity wall of the intestinal canal is achieved, and the direct contact between the contents and the anastomotic stoma is avoided.
In the embodiment, the structure of the anastomotic bracket 2 is similar to that of the drainage bracket 1, the anastomotic bracket comprises a connecting pipe, horn-shaped openings are integrally formed at two ends of the connecting pipe, and the maximum diameter of the anastomotic bracket 2 is the same as the inner diameter of an intestinal cavity of a separation intestinal canal; the distal end intestinal canal 5 near the incision position is fixed with the distal end of the anastomotic bracket 2 through the absorbable surgical suture 7, the proximal end intestinal canal 4 near the incision position is fixed with the proximal end of the anastomotic bracket 2 through the absorbable surgical suture 7, the outer diameter of the anastomotic bracket 2 is matched with the inner diameter of the intestinal cavity in a natural state, the anastomotic bracket 2 forms a concave structure, and the intestinal cavity at the two ends of the anastomotic bracket can be opened while the intestinal canal is conveniently fixed.
As shown in fig. 11 and 12, the present embodiment is formed by fixing the drainage stent 1 at a proper intestinal cavity position of the proximal end intestinal tube 4 at the position separated by the surgical absorbable suture, so as to open the proximal end intestinal tube 4 at the position separated by the surgical absorbable suture and guide the intestinal contents to completely enter the cavity of the drainage stent 1, and finally to be discharged to the outside through the soft plastic film sleeve 3. Another disintegratable anastomosis stent 2 is preset in the soft plastic film sleeve 3 at a proper position from the drainage stent 1. When the anastomotic bracket 2 is needed to support and anastomose the intestinal canal at the separated position, the two intestinal canal at the two ends to be anastomosed can be sleeved at the middle part of the anastomotic bracket, the intestinal canal at the two ends can be firmly butted and fixed on the soft plastic film sleeve 3 by using surgical absorbable suture, the healing of the incision of the intestinal canal is facilitated, the anastomosis of the intestinal canal according with the physiology can be conveniently carried out, simultaneously, the anastomotic stoma can be completely isolated, the occurrence of anastomotic fistula can be prevented to the greatest extent, after the anastomotic stoma heals, the bracket and the film sleeve can be discharged outside the body, and no residue exists in the body.
Example two
The present embodiment provides a device for intestinal lumen wall isolation and auxiliary anastomosis, which is used for auxiliary anastomosis of an incision at the position of the rectum 11, and the lower rectum is close to the anal orifice, so that the anastomosis stent is inconvenient to use for auxiliary intestinal anastomosis, therefore, the present embodiment omits an anastomosis stent structure, and adopts the drainage stent 1 and the soft plastic film sleeve 3 which are the same as or similar to those of the first embodiment to realize the purpose of auxiliary anastomosis of the intestinal incision and the intestinal lumen wall isolation.
As shown in fig. 8, 9, 10 and 13, in this embodiment, the structure is that the soft plastic film cover 3 is matched with the drainage bracket 1, the drainage bracket 1 is made of degradable and absorptive high polymer material, for example, polyglycolic acid (PGA) material, and the drainage bracket 1 can be broken and disintegrated after being left in the body for a set time and is sequentially discharged out of the body along with the soft plastic film cover 3; the soft plastic film sleeve 3 is made of soft plastic materials, such as latex or silica gel, one end of the soft plastic film sleeve 3 is arranged in a proximal intestinal tube 4 at a proper position at the position away from the fracture, the other end of the soft plastic film sleeve extends out of the anus 8 through a distal intestinal tube 5 at the position away from the fracture, the distal end of the drainage bracket 1 is connected with one end of the soft plastic film sleeve 3 positioned in the proximal intestinal tube 4 at the position away from the fracture, and the proximal end of the drainage bracket 1 is used for expanding the proximal intestinal tube 4 at the position away from the fracture and guiding intestinal contents into the soft plastic film sleeve 3.
In the embodiment, the drainage stent 1 is firmly fixed at a proper intestinal cavity position of the proximal end intestinal tube 4 at the position away from the fracture by using a surgical absorbable suture, plays a role of expanding the proximal end intestinal tube 4 at the position away from the fracture and guiding intestinal contents to completely enter the cavity of the drainage stent 1, and finally is discharged to the outside through the soft plastic film sleeve 3. The two broken ends of the intestinal canal are firmly abutted and fixed on the soft plastic film sleeve 3 by surgical absorbable suture lines, so that the healing of the incision of the intestinal canal is facilitated, the intestinal canal can be conveniently anastomosed according with the physiology of the intestinal canal, simultaneously, the anastomotic stoma can be completely isolated, the occurrence of anastomotic fistula can be prevented to the greatest extent, after the anastomotic stoma heals, the stent and the film sleeve can be discharged out of the body, and no residue exists in the body.
The principles and embodiments of the present invention have been described in detail with reference to specific examples, which are provided to facilitate understanding of the method and core ideas of the present invention; also, it is within the scope of the present invention to be modified by those of ordinary skill in the art in light of the present teachings. In view of the foregoing, this description should not be construed as limiting the invention.

Claims (8)

1.一种可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,包括:1. A device for isolating the intestinal wall and assisting anastomosis, comprising: 软塑膜套,其一端设置于离断处适宜位置的近心端肠管内,另一端经离断处吻合后的远心端肠管延伸至肛门外;A soft plastic film sleeve, one end of which is placed in the proximal intestinal tube at a suitable position at the cut-off point, and the other end of which is extended to the outside of the anus through the distal intestinal tube after the cut-off point is anastomosed; 引流支架,其远心端与位于离断处的近心端肠管内的软塑膜套近心端连接,所述引流支架近心端用于撑开离断处的近心端肠管并引导肠内容物进入所述软塑膜套内。The drainage stent has a distal end connected to the proximal end of the soft plastic film sleeve located in the proximal intestinal tube at the disconnection site, and the proximal end of the drainage stent is used to open the proximal intestinal tube at the disconnection site and guide the intestinal contents into the soft plastic film sleeve. 2.根据权利要求1所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,还包括吻合支架,所述吻合支架能够活动地设置于所述软塑膜套内,且所述吻合支架能够用于对两断端肠管进行支撑吻合固定。2. The device for isolating the intestinal wall and assisting anastomosis according to claim 1 is characterized in that it also includes an anastomosis bracket, which can be movably arranged in the soft plastic film sleeve, and the anastomosis bracket can be used to support and anastomose the two broken ends of the intestinal tube. 3.根据权利要求2所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述引流支架和吻合支架材质相同,均采用可降解吸收的高分子聚合物材料制成,所述引流支架和吻合支架在体内留置设定时间后能够破裂崩解,经设置于肠管内的软塑膜套,与其相继排出人体外。3. The device for isolating the intestinal wall and assisting anastomosis according to claim 2 is characterized in that the drainage stent and the anastomosis stent are made of the same material, both of which are made of degradable and absorbable high-molecular polymer materials. The drainage stent and the anastomosis stent can rupture and disintegrate after being retained in the body for a set period of time, and are discharged from the human body successively through the soft plastic film sleeve arranged in the intestinal tract. 4.根据权利要求1所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述软塑膜套采用软性塑材制成。4. The device for isolating the intestinal wall and assisting anastomosis according to claim 1 is characterized in that the soft plastic film sleeve is made of soft plastic material. 5.根据权利要求1所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述引流支架一端开设有喇叭口,所述喇叭口外壁设有环状内凹结构,所述引流支架的最大外径与所述离断肠管的肠腔内径相匹配;所述引流支架近心端喇叭口穿设于所述离断处适宜位置的近心端肠管内,并通过可吸收的外科缝线将所述引流支架与所述离断处适宜位置的近心端肠管固定;所述引流支架远心端固定穿设于所述软塑膜套内。5. The device that can be used for isolating the intestinal wall and assisting anastomosis according to claim 1 is characterized in that a bell mouth is opened at one end of the drainage stent, and the outer wall of the bell mouth is provided with an annular concave structure, and the maximum outer diameter of the drainage stent matches the inner diameter of the intestinal cavity of the severed intestinal tube; the bell mouth of the proximal end of the drainage stent is inserted into the proximal intestinal tube at an appropriate position of the severance, and the drainage stent is fixed to the proximal intestinal tube at an appropriate position of the severance by absorbable surgical sutures; the distal end of the drainage stent is fixedly inserted into the soft plastic film sleeve. 6.根据权利要求1所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述引流支架两端均开设有喇叭口,所述喇叭口外壁设有环状内凹结构,所述引流支架的最大外径与所述离断肠管的肠腔内径相匹配;所述引流支架近心端穿设于所述近心端肠管内,并通过可吸收的外科缝线将所述引流支架与所述离断处适宜位置的近心端肠管固定;所述引流支架远心端固定穿设于所述软塑膜套内。6. The device that can be used for isolating the intestinal wall and assisting anastomosis according to claim 1 is characterized in that both ends of the drainage stent are provided with a trumpet mouth, the outer wall of the trumpet mouth is provided with an annular concave structure, and the maximum outer diameter of the drainage stent matches the inner diameter of the intestinal cavity of the severed intestinal tube; the proximal end of the drainage stent is inserted into the proximal intestinal tube, and the drainage stent is fixed to the proximal intestinal tube at an appropriate position at the severance by absorbable surgical sutures; the distal end of the drainage stent is fixedly inserted into the soft plastic film sleeve. 7.根据权利要求1所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述吻合支架包括连接管,所述连接管两端一体成型有喇叭状开口,所述吻合支架最大直径与所述离断肠管的肠腔内径相同;肠管离断处远心端肠管靠近其切口位置处通过可吸收的外科缝线与所述吻合支架远心端固定,肠管离断处近心端肠管靠近其切口位置处通过可吸收的外科缝线与所述吻合支架近心端固定。7. The device that can be used for isolating the intestinal wall and assisting anastomosis according to claim 1 is characterized in that the anastomosis bracket includes a connecting tube, and trumpet-shaped openings are integrally formed at both ends of the connecting tube, and the maximum diameter of the anastomosis bracket is the same as the inner diameter of the intestinal cavity of the severed intestinal tube; the distal end of the intestinal tube at the severed part of the intestinal tube is fixed to the distal end of the anastomosis bracket near its incision position by an absorbable surgical suture, and the proximal end of the intestinal tube at the severed part of the intestinal tube is fixed to the proximal end of the anastomosis bracket near its incision position by an absorbable surgical suture. 8.根据权利要求5或6所述的可用于肠道腔壁隔离及辅助吻合的装置,其特征在于,所述引流支架近心端穿设于肠管离断处近心端适宜位置肠管内后,使用可吸收的外科缝线在所述肠管离断处近心端适宜位置的肠管外壁将所述引流支架捆扎固定。8. The device that can be used for intestinal wall isolation and auxiliary anastomosis according to claim 5 or 6 is characterized in that after the proximal end of the drainage stent is inserted into the intestinal tube at an appropriate position proximal to the intestinal severance, the drainage stent is tied and fixed to the outer wall of the intestinal tube at an appropriate position proximal to the intestinal severance using absorbable surgical sutures.
CN202410371190.1A 2024-03-28 2024-03-28 A device for isolating intestinal wall and assisting anastomosis Pending CN118177893A (en)

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PCT/CN2024/091552 WO2025200086A1 (en) 2024-03-28 2024-05-08 Apparatus for intestinal lumen wall isolation and assisted anastomosis

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Application publication date: 20240614