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CN210873286U - Medical intestinal juice of integral type feedback device - Google Patents

Medical intestinal juice of integral type feedback device Download PDF

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Publication number
CN210873286U
CN210873286U CN201921471291.7U CN201921471291U CN210873286U CN 210873286 U CN210873286 U CN 210873286U CN 201921471291 U CN201921471291 U CN 201921471291U CN 210873286 U CN210873286 U CN 210873286U
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CN
China
Prior art keywords
intestinal
pipe
negative pressure
feeding device
intestinal fluid
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Expired - Fee Related
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CN201921471291.7U
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Chinese (zh)
Inventor
余稳稳
周海存
刘宏斌
李洪涛
阎龙
汪文杰
于建平
李坤
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904th Hospital of the Joint Logistics Support Force of PLA
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904th Hospital of the Joint Logistics Support Force of PLA
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Priority to CN201921471291.7U priority Critical patent/CN210873286U/en
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Publication of CN210873286U publication Critical patent/CN210873286U/en
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Abstract

The utility model belongs to the field of medical equipment, and relates to an integrated medical intestinal juice feedback device, which comprises a liquid outlet pipe, an intestinal juice filtering device and a feedback pipe, wherein one end of the liquid outlet pipe enters the upper segment of the intestinal juice stump, the other end of the liquid outlet pipe is connected with the intestinal juice filtering device, the intestinal juice filtering device is connected with a negative pressure drainage pressure feeding device, the negative pressure drainage pressure feeding device is connected with a transfusion device, the transfusion device is communicated with one end of the feedback pipe, and the other end of the feedback pipe extends into the lower segment of the intestinal juice stump; the intestinal juice filtering device is provided with a plurality of hard filter screen barrels in the box body, and the upper parts of the filter screen barrels are communicated with the inlet of the box body; the negative pressure drainage pressure feeding device consists of an elastic cavity and a liquid storage cavity; the connecting pipe is provided with a one-way conduction device, the filtered intestinal fluid can only flow from the intestinal fluid filtering device to the negative pressure drainage pressure feeding device, and the intestinal fluid can only flow from the negative pressure drainage pressure feeding device to the infusion apparatus. The advantages are that: a hard filter screen barrel is used for filtering for a long time; the negative pressure drainage pressure feeding device reduces the volume and is more convenient to use.

Description

Medical intestinal juice of integral type feedback device
Technical Field
The utility model belongs to the technical field of medical instrument, a device for intestinal juice feedback is related to.
Background
When abdominal cavity infection is caused by intestinal fistula due to trauma, primary operation and other reasons of a patient, intestinal tracts of the patient cannot be subjected to enteroanastomosis for the first time, generally, an ostomy bag or a drainage bag is adopted to collect intestinal juice close to the heart end, and the intestinal juice is poured out after reaching a certain amount, and then is connected into a new ostomy bag or a new drainage bag again for repeated operation. Because the hospitalization period of the intestinal fistula patient is long, a large amount of digestive juice of the organism can be lost due to repeated pouring of the intestinal juice, serious malnutrition and water electrolyte disturbance are caused, and the recovery of the patient is not facilitated.
At present, a part of hospitals begin to adopt a simple intestinal fluid reinfusion method to try to improve the adverse effect caused by digestive juice loss, namely, an ostomy bag or a drainage bag is used for collecting near-heart-end intestinal fluid, then sterile gauze is used for simple filtration or no filtration, the intestinal fluid is poured into an infusion bag, and a far-end intestinal tube is reinfused. The processes of repeated collection, filtration, feedback and the like can increase the burden of medical personnel, the process is complicated, the cost is high, and simple, convenient and quick integral intestinal juice feedback cannot be realized. For example, chinese patent publication No. CN205569412U discloses a closed intestinal fluid reinfusion system, which comprises a closed ostomy bag, a filter box and a reinfusion tube. The device has the following defects that each layer of the filtering membrane consists of gauze, the bearing capacity of the gauze is limited, the gauze is easy to deform, and when the viscosity of intestinal fluid is higher, the gauze is easy to press down to form a depression. Meanwhile, when one layer of filtering membrane is blocked, the other filtering membranes can not filter. The top-down and series-connected multi-layer filtering methods have poor filtering effect and filtering speed. The whole operation process is relatively complicated, the cost is relatively high, and the practicability is not good enough.
In severe intestinal diseases such as intestinal fistula, intestinal resection and enterostomy cannot be performed in one stage, and temporary enterostomy is a common surgical mode, but in some cases, abdominal cavity and intestinal canal are seriously adhered due to the diseases, intestinal canal edema cannot free small intestines with enough length for abdominal wall stoma, or even after the abdominal wall stoma is performed by a reluctant force, the intestinal canal is broken and retracted into the abdominal cavity due to the serious intestinal canal edema and the fragile wall of the intestinal canal at the suture part. Therefore, for patients who cannot perform an enterostomy to the abdominal wall, an additional intestinal fluid return route is required.
SUMMERY OF THE UTILITY MODEL
The utility model provides a medical intestinal juice feedback device of integral type for solving the technical problems.
The technical scheme of the utility model: an integrated medical intestinal juice feedback device comprises a liquid outlet pipe, an intestinal juice filtering device and a feedback pipe, wherein one end of the liquid outlet pipe enters the left end of an upper section of intestinal tube (which is sewed by a purse), intestinal juice of the upper section of intestinal tube flows into the liquid outlet pipe, the other end of the liquid outlet pipe is connected with the inlet of the intestinal juice filtering device, the outlet of the intestinal juice filtering device is connected with a negative pressure drainage pressure feeding device, the outlet of the negative pressure drainage pressure feeding device is connected with an infusion device, the infusion device is communicated with one end of the feedback pipe, the other end of the feedback pipe extends into the left end of the lower section of intestinal tube (which is sewed by the purse), and the infusion device and the feedback pipe feed back the filtered intestinal juice to an intestinal cavity under the action of gravity; the intestinal juice filtering device is characterized in that a plurality of hard filter screen barrels are arranged in the box body, and the upper parts of the filter screen barrels are communicated with the inlet of the box body; the negative pressure drainage pressure feeding device consists of an elastic cavity and a liquid storage cavity, wherein the wall of the elastic cavity is sealed with the wall of the liquid storage cavity, and the elastic cavity is communicated with the liquid storage cavity; the connecting pipe of the intestinal fluid filtering device and the negative pressure drainage pressure feeding device is provided with a one-way conduction structure, the filtered intestinal fluid can only flow from the intestinal fluid filtering device to the negative pressure drainage pressure feeding device, the connecting pipe of the negative pressure drainage pressure feeding device and the infusion apparatus is also provided with a one-way conduction structure, and the intestinal fluid can only flow from the negative pressure drainage pressure feeding device to the infusion apparatus.
Further, the method comprises the following steps: the feedback pipe is provided with a nutrient solution input branch pipe.
Further, the method comprises the following steps: set up in the box body and divide the liquid pipe, divide liquid pipe one end to connect the box body import, divide the liquid pipe to be equipped with the opening, convex lateral wall is established to the opening, and along airtight connection on lateral wall and the filter screen bucket, intestines liquid gets into a plurality of filter screen buckets through dividing.
Further, the method comprises the following steps: the liquid distribution pipe is a fork-shaped branch.
Furthermore, a partition plate is arranged between the elastic cavity and the liquid storage cavity of the negative pressure drainage pressure feeding device, and a vent hole is formed in the partition plate.
It is preferable that: the liquid inlet of the negative pressure drainage pressure feeding device is arranged at the upper part of the liquid storage cavity, and the liquid outlet is arranged at the lower part or the bottom of the liquid storage cavity.
Preferably, the elastic cavity of the negative pressure drainage pressure feeding device is an internal spring for playing an elastic role, and the side wall of the elastic cavity is made of a soft material.
Preferably, the elastic cavity of the negative pressure drainage and pressure feeding device has an elastic function and is a plastic side wall with elastic ring grains.
Preferably, the one-way conduction structure adopts a medical diaphragm type one-way valve arranged on the connecting pipe or a non-return clamp (the mode can be adopted when the connecting pipe is a medical plastic hose).
The utility model has the advantages that: (1) the disposable ostomy bag replaces the conventional disposable ostomy bag, can continuously recover intestinal juice, can continuously return after filtration, and can continuously return the intestinal juice in an integrated manner, thereby being practical, simple and convenient, reducing the cost and relieving the pain of patients. (2) The product realizes totally enclosed feedback without external interference, and uses a power device taking a negative pressure drainage pressure feeding device as a core, the pressure of the power device accords with the normal human body physiological tolerance range, and the safety is improved. (3) The hard filter screen barrel is adopted as the filter screen of the product, so that the filter membrane is prevented from sinking and blocking. Vertical and parallel filtration is adopted, so that the problem of poor filtration effect caused by a top-down and serial multi-layer filtration mode is avoided.
Drawings
Fig. 1 is a schematic view of the present invention;
FIG. 2 is a schematic view of a crotch-like branch liquid-distributing pipe;
FIG. 3 is a schematic view of a spring-type negative pressure drainage pressure feeding device;
FIG. 4 is a schematic view of a spring-loaded negative pressure induction pumping device in a compressed state;
FIG. 5 is a schematic view of a stretch-loop sidewall-type negative pressure drainage and pressure delivery device;
FIG. 6 is a schematic view of the compressed state of the circlip sidewall negative pressure drainage pumping device;
in the figure: 1-liquid outlet pipe, 2-intestinal juice filtering device, 3-feedback pipe, 4-negative pressure drainage pressure feeding device, 5-transfusion device, 6-abdominal wall, 7-upper segment intestinal tube (proximal end), 8-lower segment intestinal tube (distal end), 21-box body, 22-filter screen barrel, 31-nutrient solution input branch pipe, 41-elastic cavity, 42-liquid storage cavity, 43-clapboard, 431-vent hole, 51-atmosphere vent pipe and 9-one-way conduction structure.
Detailed Description
As shown in fig. 1, a medical intestinal fluid feedback device comprises a liquid outlet pipe 1, an intestinal fluid filtering device 2 and a feedback pipe 3, wherein one end of the liquid outlet pipe 1 enters the residual end of an upper section of intestinal tube, the intestinal fluid of the upper section of intestinal tube flows into the liquid outlet pipe 1, the other end of the liquid outlet pipe 1 is connected with the inlet of the intestinal fluid filtering device 2, the outlet of the intestinal fluid filtering device 2 is connected with a negative pressure drainage pressure feeding device 4, the outlet of the negative pressure drainage pressure feeding device 4 is connected with an infusion device 5, the infusion device 5 is communicated with one end of the feedback pipe 3, the other end of the feedback pipe 3 extends into the residual end of the lower section of intestinal tube, and the infusion device 5 and the feedback pipe 3 transmit the filtered intestinal fluid back to; the intestinal juice filtering device 2 is characterized in that a plurality of hard filter screen barrels 22 (both stainless steel and plastic materials can be used, the aperture of filter holes is 0.1-1 micron) are arranged in a box body 21, and the upper parts of the filter screen barrels 22 are communicated with an inlet of the box body 21; the negative pressure drainage pressure feeding device 4 consists of an elastic cavity 41 and a liquid storage cavity 42, the wall of the elastic cavity 41 is sealed with the wall of the liquid storage cavity 42, and the elastic cavity 41 is communicated with the liquid storage cavity 42; the connecting pipe of the intestinal fluid filtering device 2 and the negative pressure drainage pressure feeding device 4 is provided with a one-way conduction structure 9, the filtered intestinal fluid can only flow from the intestinal fluid filtering device 2 to the negative pressure drainage pressure feeding device 4, the connecting pipe of the negative pressure drainage pressure feeding device 4 and the transfusion device 5 is also provided with a one-way conduction structure, and the intestinal fluid can only flow from the negative pressure drainage pressure feeding device 4 to the transfusion device 5.
When the device is used, the device is connected as shown in figure 1, the intestinal fluid in the upper intestinal canal 7 flows to the intestinal fluid filtering device 2 through the liquid outlet pipe 1, the filtering net barrel 22 filters the intestinal fluid, and the filtered intestinal fluid is in the box body 21 (if the intestinal fluid filtering device and the negative pressure drainage pressure feeding device have a height difference, a part of the filtered intestinal fluid can automatically flow to the liquid storage cavity 42). The elastic cavity 41 is compressed by exerting force (only applying force by a human hand, and paying attention to uniform force so as to prevent the elastic part of the elastic cavity from being damaged or damaged by rapidly exerting force), the one-way conduction structure 9 on the left side in the figure 1 is in a closed non-return state, the one-way conduction structure 9 on the right side is in a conduction state, the intestinal juice is pumped into the infusion apparatus 5, the liquid of the infusion apparatus 5 flows back to the lower intestinal tube 8 through the return tube 3 under the action of gravity, and the intestinal juice can flow back. When the force of the elastic cavity 41 is released, the elastic cavity 41 recovers and relaxes, negative pressure exists in the recovery process, the one-way conduction structure 9 on the left side in fig. 1 is in a conduction state, the one-way conduction structure 9 on the right side is in a closed non-return state, and the negative pressure forces the filtered intestinal fluid accumulated in the box body 21 to flow into the liquid storage cavity 42. The intestinal juice filter 2 is replaced regularly, and the box body 21 can also be made of transparent material, so that the sediment state of the filter screen barrel 22 can be observed at any time and replaced at proper time.
Furthermore, a nutrient solution input branch pipe 31 is arranged on the return pipe 3, so that the device can simultaneously support the nutrient solution to be input into the intestinal canal to supplement nutrition for the patient.
In order to increase the filter effect, filter screen bucket 22 is equipped with a plurality ofly, gets into the filter screen bucket respectively for making things convenient for intestinal juice, then can set up branch liquid pipe in box body 21, divides liquid pipe one end to connect the import of box body 21, divides the liquid pipe to be equipped with the opening, and convex lateral wall is established to the opening, and along sealing connection on lateral wall and the filter screen bucket 22, intestinal juice gets into a plurality of filter screen buckets 22 through dividing. The liquid separating pipe can adopt a fork-shaped branch type (as shown in figure 2), and the filter net barrel are not affected after branching.
Further, a partition plate 43 is provided between the elastic chamber 41 and the liquid storage chamber 42 of the negative pressure drainage pressure-feed device 4, and a vent hole 431 is provided in the partition plate 43. Thus, even if the liquid reservoir 42 is shaken, the liquid is not substantially scattered into the elastic chamber, and the empty state of the elastic chamber is maintained.
In order to discharge the liquid in the liquid storage cavity in a large amount, the liquid inlet and outlet of the negative pressure drainage pressure feeding device 4 can be arranged as follows: the liquid inlet is arranged at the upper part of the liquid storage cavity 42, and the liquid outlet is arranged at the lower part or the bottom of the liquid storage cavity 42.
In order to realize the effects of compression pressure feeding and return drainage, the elastic cavity 41 may be a built-in spring (when the partition plate 43 is provided, only a boss is required to be arranged on the partition plate and the top wall, the two ends of the spring are sleeved on the boss, the boss plays a role in limiting the deflection of the spring, as shown in fig. 3 and 4), and the side wall of the elastic cavity 41 is made of soft material.
The elastic cavity 41 of the negative pressure drainage pressure feeding device 4 can also adopt a plastic side wall with elastic ring grains for elastic action, so the structure is simpler, no spring is needed, the partition plate is omitted, and the device can be normally used (the elastic cavity and the liquid storage cavity are placed up and down without dumping, and the liquid storage cavity is arranged below the elastic cavity and the liquid storage cavity particularly when being compressed, so the liquid drainage is thorough).
If the manual operation is reduced, the one-way conduction structure adopts a medical diaphragm type one-way valve which is arranged on the connecting pipe. If the check clamp is adopted, the connecting pipe needs to be a plastic hose, and the check clamp is manually placed and taken down to close and open the connecting pipe.
Utilize the utility model discloses the time, can put into respectively the abdominal cavity both sides intestines tube broken ends with the one end of drain pipe 1, feedback pipe 3 in the art to draw the other end outside, utilize the intestines tube broken ends to add the mode of putting the pipe and making a mouthful and solve this type of problem. Is not available in other related patents (such as CN205569412U, CN 207768796).
The continuous intestinal juice feedback device of totally enclosed integration is one of the best mode of intestinal juice feedback, the utility model discloses an adopt for the power device of core with "negative pressure drainage pressure feed device", its pressure accords with normal human physiology tolerance range, and filters for perpendicular, parallel, has avoided from top to bottom the not good enough problem of filter effect that serial-type multilayer filtration mode caused, whole feedback process totally enclosed, no external factor interference, practicality, convenient, economy, safe and reliable, accomplishes that the integration lasts intestinal juice feedback.
The components of the device are in accordance with the medical appliance standard, the materials are in accordance with the national standard, and the introduction of no external bacteria is ensured, and when the intestinal juice filter is replaced, the disinfection treatment of the insertion port is noticed. Some parts can adopt the existing appliances, such as a liquid outlet pipe and a feedback pipe adopt a sterile double-cavity saccule catheter, and the transfusion device can directly use a medical transfusion bag.

Claims (9)

1. The utility model provides a medical intestinal juice feedback device of integral type, including drain pipe (1), intestinal juice filter (2), feedback pipe (3), characterized by: one end of a liquid outlet pipe (1) enters the residual end of an upper section of intestinal canal, intestinal fluid of the upper section of intestinal canal flows into the liquid outlet pipe (1), the other end of the liquid outlet pipe (1) is connected with an inlet of an intestinal fluid filtering device (2), an outlet of the intestinal fluid filtering device (2) is connected with a negative pressure drainage pressure feeding device (4), an outlet of the negative pressure drainage pressure feeding device (4) is connected with an infusion apparatus (5), the infusion apparatus (5) is communicated with one end of a feedback pipe (3), the other end of the feedback pipe (3) extends into the residual end of the lower section of intestinal canal, and the infusion apparatus (5) and the feedback pipe (3) convey the filtered intestinal fluid back to an intestinal cavity under the action; the intestinal juice filtering device (2) is characterized in that a plurality of hard filter screen barrels (22) are arranged in a box body (21), and the upper parts of the filter screen barrels (22) are communicated with an inlet of the box body (21); the negative pressure drainage pressure feeding device (4) consists of an elastic cavity (41) and a liquid storage cavity (42), the wall of the elastic cavity (41) is sealed with the wall of the liquid storage cavity (42), and the elastic cavity (41) is communicated with the liquid storage cavity (42); a connecting pipe of the intestinal fluid filtering device (2) and the negative pressure drainage pressure feeding device (4) is provided with a one-way conduction structure, filtered intestinal fluid can only flow from the intestinal fluid filtering device (2) to the negative pressure drainage pressure feeding device (4), a connecting pipe of the negative pressure drainage pressure feeding device (4) and the infusion apparatus (5) is also provided with a one-way conduction structure, and intestinal fluid can only flow from the negative pressure drainage pressure feeding device (4) to the infusion apparatus (5).
2. The integrated medical intestinal fluid reinfusion device according to claim 1, wherein: the feedback pipe (3) is provided with a nutrient solution input branch pipe (31).
3. The integrated medical intestinal fluid reinfusion device according to claim 1, wherein: set up in box body (21) and divide the liquid pipe, divide liquid pipe one end to connect box body (21) import, divide the liquid pipe to be equipped with the opening, convex lateral wall is established to the opening, goes up along airtight connection on lateral wall and filter screen bucket (22), and intestinal juice gets into a plurality of filter screen buckets (22) through dividing the reposition of redundant personnel.
4. The integrated medical intestinal fluid reinfusion device according to claim 3, characterized in that: the liquid distribution pipe is a fork-shaped branch.
5. The integrated medical intestinal fluid reinfusion device according to claim 1, wherein: a partition plate (43) is arranged between the elastic cavity (41) and the liquid storage cavity (42) of the negative pressure drainage pressure feeding device (4), and a vent hole (431) is arranged on the partition plate (43).
6. The integrated medical intestinal fluid reinfusion device according to claim 5, wherein: the liquid inlet of the negative pressure drainage pressure feeding device (4) is arranged at the upper part of the liquid storage cavity (42), and the liquid outlet is arranged at the lower part or the bottom of the liquid storage cavity (42).
7. The integrated medical intestinal fluid reinfusion device according to claim 5, wherein: the elastic cavity (41) of the negative pressure drainage pressure feeding device (4) plays an elastic role and is a built-in spring, and the side wall of the elastic cavity (41) is made of soft materials.
8. The integrated medical intestinal fluid reinfusion device according to claim 1, wherein: the elastic cavity (41) of the negative pressure drainage pressure feeding device (4) plays an elastic role and is a plastic side wall with elastic ring grains.
9. The integrated medical intestinal fluid reinfusion device according to claim 1, wherein: the one-way conduction structure adopts a medical diaphragm type one-way valve arranged on the connecting pipe or a check clamp.
CN201921471291.7U 2019-09-02 2019-09-02 Medical intestinal juice of integral type feedback device Expired - Fee Related CN210873286U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921471291.7U CN210873286U (en) 2019-09-02 2019-09-02 Medical intestinal juice of integral type feedback device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921471291.7U CN210873286U (en) 2019-09-02 2019-09-02 Medical intestinal juice of integral type feedback device

Publications (1)

Publication Number Publication Date
CN210873286U true CN210873286U (en) 2020-06-30

Family

ID=71331988

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201921471291.7U Expired - Fee Related CN210873286U (en) 2019-09-02 2019-09-02 Medical intestinal juice of integral type feedback device

Country Status (1)

Country Link
CN (1) CN210873286U (en)

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Granted publication date: 20200630

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