Disclosure of Invention
The invention aims to overcome the defects in the prior art and provides a gastrointestinal anastomotic fistula restoration and blocking assembly which can synchronously treat gastrointestinal anastomotic fistulae at different positions by adjusting the density condition of spiral adsorption sponge.
In order to achieve the above purpose, the technical scheme of the invention provides a gastrointestinal anastomotic fistula recovery plugging assembly, which comprises a drainage tube, wherein an adsorption sponge is spirally wound on the outer ring of the drainage tube, the screw pitch of the adsorption sponge is an adjustable screw pitch, the adsorption sponge comprises a dense section and a loose section, the outer edge of the dense section is attached to the intestinal wall at the anastomotic fistula, the screw pitch of the dense section is consistent with the width of the adsorption sponge, the loose section is positioned between two adjacent dense sections, an adsorption hole matched with the dense sections is formed in the drainage tube, and a negative pressure drainage part is communicated with the drainage tube.
Preferably, the adsorption holes are symmetrically distributed about a center line of the drainage tube, two adsorption holes symmetrically distributed about the center line of the drainage tube correspond to one complete spiral section of the dense section, and the adsorption holes are formed by laser drilling. By means of the design, the suction produced by the dense sections is uniformly distributed through the symmetrically distributed suction holes, and the dense sections can continuously absorb secretion and digestive juice on the peripheral sides.
Preferably, the cross section of the adsorption sponge is rectangular. By the design, a seamless dense segment structure can be formed, and the absorption effect of the dense segment on secretion and digestive juice at the anastomotic stoma fistula is improved.
Preferably, the adsorption sponge is made of polyurethane. By the design, the adsorption sponge can quickly absorb secretion and digestive juice at the anastomotic fistula, so that the healing of the anastomotic fistula is quickened.
Preferably, the adsorption sponge is bound to the drainage tube. By the design, the adsorption sponge can be conveniently fixed on the drainage tube.
Preferably, the adsorption sponge is adhered to the drainage tube. By means of the design, the adsorption sponge can be quickly fixed on the drainage tube, and the adsorption sponge cannot excessively squeeze the drainage tube, so that the circulation performance of the drainage tube is affected.
Preferably, the outside of the adsorption sponge is sleeved with a hydrolysis membrane, the top end of the hydrolysis membrane is sealed, the bottom end of the hydrolysis membrane is provided with an opening, the bottom end of the hydrolysis membrane is sealed by a throat hoop, and the throat hoop is sleeved on the outer ring of the hydrolysis membrane. By means of the design, the negative pressure drainage part can suck gas in the hydrolytic membrane through the adsorption hole, so that the adsorption sponge is compressed, and the drainage tube wound with the adsorption sponge is placed in the intestinal tract of a patient.
Preferably, the outer ring of the drainage tube is fixedly sleeved with a sealing sleeve, the sealing sleeve is made of hard materials, and the bottom end of the hydrolytic membrane is coated with the outer ring of the sealing sleeve. By the design, the laryngeal cuff can be prevented from excessively squeezing the drainage tube, and the fluxion of the drainage tube is ensured to be kept good.
Preferably, the negative pressure drainage part comprises a collecting bottle, a negative pressure pump, a one-way valve, a connecting pipe, a flow guide pipe, an adapter and a flow stopping clamp, wherein the negative pressure pump and the one-way valve are fixedly installed on the collecting bottle, one end of the connecting pipe is connected with a liquid inlet of the one-way valve, the other end of the connecting pipe is communicated with the flow guide pipe through the adapter, one end of the flow guide pipe is connected with a liquid outlet of the one-way valve, the other end of the flow guide pipe extends into the collecting bottle, and the flow stopping clamp is arranged on the connecting pipe. By the design, negative pressure can be formed through the negative pressure pump, and secretion and digestive juice at the anastomotic fistula are sucked into the collecting bottle.
Preferably, the bottom of the drainage tube is communicated with a branch tube, the branch tube is located at one side of the sealing sleeve away from the adsorption sponge, the connecting piece is of a hollow structure and comprises a mounting section and a plugging section, the mounting section is fixedly sleeved on the inner ring of the connecting tube, the plugging section is plugged with the branch tube, the outer diameter of the plugging section is slightly larger than the inner diameter of the branch tube, and one end of the plugging section away from the mounting section is provided with a chamfer. By the design, the connecting pipe and the branch pipe can be conveniently communicated, and the connecting pipe and the branch pipe are connected stably.
The invention has the beneficial effects that:
1. by using the gastrointestinal anastomotic fistula restoration plugging assembly, according to the quantity, the length and the specific position distribution condition of the anastomotic fistula, the adsorption ports are formed in the corresponding positions of the drainage tube, the outer ring of the drainage tube is spirally wound with the adsorption sponge, in the process of winding the adsorption sponge, dense sections are formed in the area near the adsorption holes by adjusting the screw pitch of the adsorption sponge, loose sections are formed in the area between two adjacent groups of adsorption holes, after the drainage tube wound with the adsorption sponge is placed in the intestinal tract of a patient, the corresponding anastomotic fistula and the peripheral part intestinal tracts thereof are filled by the dense sections, and under the action of negative pressure, secretion and digestive juice at the anastomotic fistula can be continuously absorbed by the dense sections, so that the aim of synchronously treating the gastrointestinal anastomotic fistula at different positions is fulfilled;
2. The whole intensity of drainage tube can be adjusted through adjusting the winding density degree of absorption sponge, through the negative pressure size of adjusting negative pressure drainage portion production, can adjust the compression degree of hydrolytic membrane to absorption sponge, and then adjust the whole intensity of drainage tube, through the common regulation in two aspects, can make the whole intensity of drainage tube suitable, when being convenient for the drainage tube to put into patient intestinal, can not cause great damage to patient's intestinal, and hydrolytic membrane has lubrication effect, can reduce drainage tube and absorption sponge to intestinal friction.
Detailed Description
The subject matter described herein will now be discussed with reference to example embodiments. It should be appreciated that these embodiments are discussed so that those skilled in the art will better understand and realize the subject matter described herein. Changes may be made in the function and arrangement of elements discussed without departing from the scope of the disclosure as set forth in the specification. Various examples may omit, replace, or add various procedures or components as desired. In addition, features described with respect to some examples may be combined in other examples as well.
For a better understanding of the present invention, a recovery blocking assembly for a gastrointestinal anastomotic stoma of the present invention is described in detail below in connection with FIGS. 1-7.
Example 1:
As shown in fig. 1-4, the gastrointestinal anastomotic stoma fistula recovery plugging assembly comprises a drainage tube 100, an adsorption sponge 200 is spirally wound on the outer ring of the drainage tube 100, the pitch of the adsorption sponge 200 is an adjustable pitch, the adsorption sponge 200 comprises a dense section 210 and a loose section 220, the outer edge of the dense section 210 is attached to the intestinal wall of an anastomotic stoma fistula, the pitch of the dense section 210 is consistent with the width of the adsorption sponge 200, the loose section 220 is positioned between two adjacent dense sections 210, an adsorption hole 110 matched with the dense section 210 is formed in the drainage tube 100, and a negative pressure drainage part 300 is communicated with the drainage tube 100.
It should be noted that, before the drainage tube 100 is a flexible tube for draining secretions and digestive juice at the gastrointestinal anastomotic fistula, an endoscope is used to detect and measure the length of the anastomotic fistula and the specific position distribution of the anastomotic fistula in the intestinal tract, and a plurality of adsorption holes 110 are formed on the drainage tube 100 according to the measured data, and then, the adsorption sponge 200 is spirally wound around the outer ring of the drainage tube 100, and the adsorption sponge 200 completely covers the adsorption holes 110;
The adsorption holes 110 are distributed at intervals along the length direction of the drainage tube 100, the number of the adsorption holes 110 is related to the number and the length of the anastomotic fistula, each anastomotic fistula corresponds to one group of adsorption holes 110, and the longer the length of the anastomotic fistula is, the more the number of the group of adsorption holes 110 corresponding to the anastomotic fistula is, so that the wound dense section 210 can completely fill the anastomotic fistula and the peripheral intestinal tracts thereof after entering the intestinal tracts, secretion and digestive juice at the anastomotic fistula are completely absorbed, the drainage effect is guaranteed, and the treatment efficiency of the gastrointestinal anastomotic fistula is improved;
When the adsorption sponge 200 is wound, the adsorption sponge 200 is wound in a tight spiral shape along the length direction of the drainage tube 100 in the area near the adsorption holes 110, each circle of adsorption sponge 200 is tightly adhered to one circle of adsorption sponge 200, thereby forming a dense section 210, and the adsorption sponge 200 is wound in a loose spiral shape along the length direction of the drainage tube 100 in the area between two adjacent groups of adsorption holes 110, thereby forming a loose section 220;
Under the winding of the dense section 210, the strength of the part of the drainage tube 100 wrapped by the dense section 210 is improved, which is beneficial to placing the drainage tube 100 in the intestinal tract of a patient, and the screw pitch of the loose section 220 is determined according to specific conditions, including the material of the drainage tube 100, the pipe diameter of the drainage tube 100, the material of the adsorption sponge 200, the size of the adsorption sponge 200 and the like, so that the strength of the part of the drainage tube 100 wrapped by the loose section 220 is improved to a proper degree, and the drainage tube 100 can be smoothly placed in the intestinal tract of the patient without stacking;
The pitch of the adsorption sponge 200 refers to the distance between two adjacent circles of adsorption sponge 200, and likewise, the pitch of the dense section 210 is the distance between two adjacent circles of adsorption sponge 200 in the dense section 210, and the pitch of the loose section 220 is the distance between two adjacent circles of adsorption sponge 200 in the loose section 220;
After the assembly of the gastrointestinal anastomotic fistula restoration plugging assembly is completed, under the assistance of X-ray or CT images, the drainage tube 100 wound with the adsorption sponge 200 is placed in the intestinal tract of a patient, the dense section 210 is ensured to accurately reach the corresponding anastomotic fistula, the dense section 210 can absorb secretions and digestive juice at the anastomotic fistula, then the negative pressure drainage part 300 is started to generate negative pressure, the inside of the drainage tube 100 is in a negative pressure state, the secretions and digestive juice absorbed by the dense section 210 are sucked into the drainage tube 100 through the adsorption hole 110, the dense section 210 is promoted to continuously absorb the secretions and digestive juice at the anastomotic fistula, and the secretions and digestive juice in the drainage tube 100 flow into the negative pressure drainage part 300 to be collected.
In this embodiment, two dense sections 210 are provided, one loose section 220 is provided, and the two dense sections 210 are respectively filled in the intestinal tracts of the patient after the drainage tube 100 wound with the adsorption sponge 200 is placed in the intestinal tracts of the patient, wherein the two dense sections correspond to the situation that two anastomotic fistulae appear in the intestinal tracts of the patient and the distance between the two anastomotic fistulae is larger;
When a plurality of anastomotic fistulae occur and the distance between two adjacent anastomotic fistulae is large, the number of windings of the dense sections 210 is consistent with that of the anastomotic fistulae, and after the drainage tube 100 wound with the adsorption sponge 200 is placed in the intestinal tract of a patient, each dense section 210 fills the intestinal tract of the corresponding anastomotic fistulae in the region.
By using the gastrointestinal anastomotic fistula restoration plugging assembly disclosed by the invention, according to the number, the length and the specific position distribution conditions of the anastomotic fistula, the adsorption ports are formed at the corresponding positions of the drainage tube 100, the adsorption sponge 200 is spirally wound on the outer ring of the drainage tube 100, in the process of winding the adsorption sponge 200, the dense sections 210 are formed in the area near the adsorption holes 110 by adjusting the screw pitch of the adsorption sponge 200, the loose sections 220 are formed in the area between two adjacent groups of adsorption holes 110, after the drainage tube 100 wound with the adsorption sponge 200 is placed in the intestinal tract of a patient, the corresponding anastomotic fistula and the peripheral part of the intestinal tract thereof are filled with the dense sections 210, and under the action of negative pressure, the secretion and digestive juice at the anastomotic fistula can be continuously absorbed by the dense sections 210, so that the aim of synchronously treating the gastrointestinal anastomotic fistula at different positions is achieved.
Example 2:
As an optimization of embodiment 1, as shown in fig. 3 and 4, the suction holes 110 are symmetrically distributed about the center line of the draft tube 100, and two suction holes 110 symmetrically distributed about the center line of the draft tube 100 correspond to one complete spiral section of the dense section 210, and the suction holes 110 are formed by laser drilling.
After the measurement of the length and the position of the anastomotic stoma fistula is finished, the suction holes 110 are formed in the drainage tube 100 in a laser drilling mode, two suction holes 110 symmetrically distributed about the central line of the drainage tube 100 are formed in the drainage tube 100 after each laser drilling, the two suction holes 110 correspond to one complete spiral section of the dense section 210, suction force generated by the suction holes 110 on the dense section 210 is uniformly distributed, most secretion and digestive juice in the dense section 210 can be sucked into the drainage tube 100, the continuous absorption effect of the dense section 210 on peripheral secretion and digestive juice is ensured, the accuracy of the positions of the suction holes 110 can be ensured by opening the suction holes 110 in a laser drilling mode, the perforating efficiency is high, the passing performance of the suction holes 110 is good, and secretion and digestive juice sucked into the dense section 210 can enter the drainage tube 100 through the suction holes 110.
Example 3:
as an optimization of example 2, as shown in fig. 2 to 4, the cross section of the adsorption sponge 200 is rectangular.
It should be noted that, because the cross section of the adsorption sponge 200 is rectangular, in the process of winding the dense section 210, the side surface of each circle of adsorption sponge 200 can be tightly adhered to the side surface of one circle of adsorption sponge 200, and the adsorption sponge 200 is tightly adhered to the outer surface of the drainage tube 100, so that a seamless dense section 210 structure is formed, secretions and digestive juice absorbed by the dense section 210 are easier to enter the drainage tube 100 through the adsorption holes 110, and the absorption effect of the dense section 210 on the secretions and digestive juice is better.
Example 4:
As an optimization of example 3, the material of the adsorption sponge 200 was polyurethane.
It should be noted that the polyurethane adsorption sponge 200 has a high absorption capacity, can rapidly absorb a large amount of secretions and digestive juice, promote granulation tissue proliferation and accelerate healing of the anastomotic fistula, has good elasticity and durability, can adapt to shape changes of the anastomotic fistula, ensures continuous and effective drainage, has good corrosion resistance and hydrolysis resistance, and can ensure that the adsorption sponge 200 can maintain stable performance in the treatment process.
Example 5:
as an optimization for example 4, the adsorption sponge 200 was bound to the drainage tube 100.
It should be noted that, the two ends of each dense section 210 are all bound with a medical thread, the adsorption sponge 200 is fixed on the drainage tube 100 through the medical thread, the operation is convenient, the dense sections 210 can not be integrally shifted, because the dense sections 210 are tightly wound, the dense sections 210 can not become loose under the condition that the two ends are fixed, the loose sections 220 can be bound with the medical thread at equal intervals, the loose sections 220 are properly fixed, the lifting effect of the loose sections 220 on the strength of the drainage tube 100 is not obviously affected, the binding tightness is required to be controlled in the binding process, the adsorption sponge 200 is prevented from excessively extruding the drainage tube 100, and the good circulation effect of the drainage tube 100 is ensured.
Example 6:
as an optimization of example 4, the adsorption sponge 200 was adhered to the drainage tube 100.
It should be noted that, when the medical grade strong glue is smeared on the surface of the drainage tube 100, the adsorption hole 110 needs to be avoided, so that the adsorption hole 110 is blocked due to the fact that the medical grade strong glue is smeared on the adsorption hole 110, after smearing, the adsorption sponge 200 is wound and fixed on the drainage tube 100 according to a preset scheme, and even if the strength of the drainage tube 100 is smaller, the adsorption sponge 200 cannot excessively squeeze the drainage tube 100.
Example 7:
as an optimization of example 6, as shown in fig. 1,3, 4, 5 and 7, the outside of the adsorption sponge 200 is sleeved with a hydrolytic membrane 400, the top end of the hydrolytic membrane 400 is sealed, the bottom end of the hydrolytic membrane 400 is provided with an opening, the bottom end of the hydrolytic membrane 400 is sealed by a throat hoop 500, and the throat hoop 500 is sleeved on the outer ring of the hydrolytic membrane 400.
It should be noted that, the negative pressure drainage portion 300 may pump the gas in the hydrolysis membrane 400 through the adsorption hole 110, shrink the hydrolysis membrane 400, and compress the adsorption sponge 200, so that the outer diameter of the adsorption sponge 200 is reduced, which is beneficial to placing the drainage tube 100 wound with the adsorption sponge 200 at a preset position in the intestinal tract of a patient, after a period of time, under the action of intestinal fluid in the intestinal tract, the hydrolysis membrane 400 is hydrolyzed to release the adsorption sponge 200, the adsorption sponge 200 is re-expanded, and the dense section 210 contacts with the intestinal wall at the anastomotic stoma fistula to start absorbing secretion and digestive juice;
After the hydrolytic membrane 400 compresses the adsorption sponge 200, the overall strength of the drainage tube 100 wound with the adsorption sponge 200 can be further improved, the overall strength of the drainage tube 100 wound with the adsorption sponge 200 is further adjusted by adjusting the negative pressure generated by the negative pressure drainage part 300, the hydrolytic membrane 400 is made of polylactic acid or polyglycolic acid, the hydrolytic membrane 400 can be used as a layer of lubrication barrier, and friction between the drainage tube 100 and the adsorption sponge 200 and intestinal tracts is reduced.
Example 8:
As an optimization of embodiment 7, as shown in fig. 4, the outer ring of the drainage tube 100 is fixedly sleeved with a sealing sleeve 600, the sealing sleeve 600 is made of a hard material, and the bottom end of the hydrolytic membrane 400 is coated on the outer ring of the sealing sleeve 600.
It should be noted that, the sealing sleeve 600 may be made of hard plastic, ceramic or metal, the hose clamp 500 is sleeved outside the sealing sleeve 600, the bottom end portion of the hydrolytic membrane 400 is located between the sealing sleeve 600 and the hose clamp 500, and by setting the sealing sleeve 600, when the hose clamp 500 is used for sealing the bottom end of the hydrolytic membrane 400, excessive extrusion of the drainage tube 100 is not caused, and thus the circulation performance of the drainage tube 100 is affected.
Example 9:
As an optimization of embodiment 8, as shown in fig. 1 and 3, the negative pressure drainage portion 300 includes a collection bottle 310, a negative pressure pump 320, a check valve 330, a connection pipe 340, a flow guiding pipe 350, an adapter 360 and a flow stopping clip 370, wherein the negative pressure pump 320 and the check valve 330 are fixedly installed on the collection bottle 310, one end of the connection pipe 340 is connected to a liquid inlet of the check valve 330, the other end of the connection pipe 340 is communicated with the drainage pipe 100 through the adapter 360, one end of the flow guiding pipe 350 is connected to a liquid outlet of the check valve 330, the other end of the flow guiding pipe 350 extends into the collection bottle 310, and the flow stopping clip 370 is sleeved on the connection pipe 340.
It should be noted that, the negative pressure pump 320 may pump out the gas in the collection bottle 310 so as to form a negative pressure environment, the one-way valve 330 may prevent the gas and the liquid from flowing back, the flow stopping clip 370 may control the on-off of the connection tube 340, so as to control whether the secretion and the digestive juice at the anastomotic fistula are absorbed or not, and the secretion and the digestive juice in the drainage tube 100 sequentially enter the collection bottle 310 through the connection tube 340, the one-way valve 330 and the drainage tube 350.
Example 10:
As an optimization of embodiment 9, as shown in fig. 5-7, the bottom of the drainage tube 100 is communicated with a branch tube 120, the branch tube 120 is located at one side of the sealing sleeve 600 away from the adsorption sponge 200, the connecting piece is of a hollow structure, the connecting piece comprises a mounting section 361 and a plugging section 362, the mounting section 361 is fixedly sleeved on the inner ring of the connecting tube 340, the plugging section 362 is plugged with the branch tube 120, the outer diameter of the plugging section 362 is slightly larger than the inner diameter of the branch tube 120, and one end of the plugging section 362 away from the mounting section 361 is provided with a chamfer.
It should be noted that, by providing the chamfer, the guiding function can be performed so as to insert the plugging section 362 into the branch pipe 120, the outer diameter of the plugging section 362 is slightly larger than the inner diameter of the branch pipe 120, after the plugging section 362 is inserted into the branch pipe 120, the branch pipe 120 is elastically expanded, the connection tightness and stability of the plugging section 362 and the branch pipe 120 are ensured, and the connection part of the connection pipe 340 and the branch pipe 120 is well sealed.
The embodiments of the present invention have been described above with reference to the accompanying drawings, but the embodiments are not limited to the above-described embodiments, which are merely illustrative and not restrictive, and many forms may be made by those of ordinary skill in the art without departing from the spirit of the embodiments and the scope of the claims, which fall within the protection of the embodiments.