CN104888297B

CN104888297B - Piercing enteral irrigation decompressor

Info

Publication number: CN104888297B
Application number: CN201510270595.7A
Authority: CN
Inventors: 王格非
Original assignee: Individual
Current assignee: Individual
Priority date: 2015-05-25
Filing date: 2015-05-25
Publication date: 2018-02-27
Anticipated expiration: 2035-05-25
Also published as: CN104888297A

Abstract

The present invention relates to field of medical device, specifically for a kind of piercing enteral irrigation decompressor.The present invention includes relief pipe, puncture awl and for intestinal walls to be withheld to the fastener being fixed on the outside of decompression tube wall；It is folding fixed part in the middle part of the relief pipe, circular tube wall cloth is provided with the cutting line that multiple tracks extends along tube wall length bearing of trend on the tube wall of the folding fixed part, is additionally provided with bipassage ring on the tube wall of the folding fixed part around tube wall and respectively positioned at preceding annular folding line and the rear annular folding line of each cut-out line front end and middle part；The puncture awl is located in the tube chamber inside of relief pipe and the tube chamber of the relative relief pipe of energy moves forward and backward, and the front end of puncture awl is the pointed cone portion that can stretch out relief pipe tube chamber, position-limit mechanism is provided between on the inside of the tube wall of puncture awl outer wall and relief pipe, the rear end of puncture awl is provided with pull unit.The present invention have need not detachment or additional incisions intestinal tissue decompression, fixation can be rinsed to enteron aisle and removes the advantages of facilitating.

Description

Piercing enteral irrigation decompressor

Technical field

The present invention relates to field of medical device, specifically for a kind of piercing enteral irrigation decompressor.

Background technology

Before Gastrointestinal Obstruction emergency operation is carried out, because obstruction near-end enteron aisle aggregation abundance of food or residue enteral hold Thing, trickle down abdominal cavity for prevention intestinal contents, maintain the cleaning of operative region, avoid secondary pollution, it is necessary to be rinsed to enteron aisle Its content is cleaned out in decompression, in order to further carry out operation, reduces the generation of complication.

In order to solve the above problems, those skilled in the art have invented many devices for being used for enteral irrigation, such as China Patent CN201310738509.1 discloses a kind of intestinal tract lavage device, and it significantly reduces the work load of medical worker, and Reduce the possibility of secondary pollution.

So the existing flusher disclosed in similar above-mentioned patent have one it is common the characteristics of：Can in order to obtain one Fixed position, surgical procedure, such as detachment enteron aisle or cutout unit packet must be first carried out to the position to be performed the operation using preceding Knit, so easily cause extra tissue damage.And if dirt be present near the enteric cavity to be blocked, then the intestines when blocking Dirt in road is easy for outflow and causes secondary pollution, so as to influence the progress of operation.

The content of the invention

It is an object of the invention to：There is provided one kind need not detachment or additional incisions intestinal tissue enteron aisle can be rinsed Decompression, fix and remove convenient piercing enteral irrigation decompressor.

The present invention is achieved through the following technical solutions：A kind of piercing enteral irrigation decompressor, it is characterised in that：It is wrapped Include relief pipe, puncture awl and for intestinal walls to be withheld to the fastener being fixed on the outside of decompression tube wall；

It is folding fixed part in the middle part of the relief pipe, circular tube wall cloth is provided with multiple tracks along pipe on the tube wall of the folding fixed part The cutting line of wall length bearing of trend extension, is additionally provided with bipassage ring around tube wall on the tube wall of the folding fixed part and is located at respectively Preceding annular folding line and the rear annular folding line of each cut-out line front end and middle part；

The puncture awl is located in the tube chamber inside of relief pipe and the tube chamber of the relative relief pipe of energy moves forward and backward, and puncture awl Front end be the pointed cone portion of relief pipe tube chamber of stretching out, on the inside of the tube wall of puncture awl outer wall and relief pipe between be provided with and can make puncture It is relatively fixed motionless between cone and relief pipe or releases fixed position-limit mechanism, the rear end of puncture awl, which is provided with, is used to drive puncture awl Movable pull unit.

Its course of work and principle are as follows：

Early-stage preparations step：Using it is preceding first puncture awl and relief pipe are interfixed and put by position-limit mechanism receive dirt Bag；

Step 1：Put pipe, grip first relief pipe and using relief pipe front end pointed cone portion intestinal walls are broken it is one small Mouthful, while relief pipe is inserted into position predetermined inside enteric cavity, and ensure to include before folding fixed part and fold fixed part Relief pipe is inserted inside enteric cavity；

Step 2：It is fixed, as shown in figures 4-9, intestinal walls are withheld first with fastener and are fixed on the outside of decompression tube wall, Then pull unit is pulled to pull puncture awl backward, now the intestinal walls in relief pipe and outside are together moved back with puncture awl It is dynamic so that fold fixed part and fold, it is final the tube wall between preceding annular folding line and rear annular folding line is turned up and is driven Neighbouring intestinal walls are withheld outside leading portion tube wall, are acted on using the elastic force of pipe wall material itself and intestinal walls are clamped in outside relief pipe Side is so as to completing fixation of the relief pipe in enteron aisle；

Step 3：Remove cone, rinse, now puncture awl is mutually disengaged with relief pipe the spacing releasing of position-limit mechanism, to Flush pipe is penetrated in relief pipe and opens flusher and is rinsed；

Here, the puncture awl withdrawn from can at least have following two processing methods：

Method one：Puncture awl is directly extracted and lost from relief pipe and is received in dirty bag, dirty bag of now receiving is directly connected in On the back-end ports of relief pipe；

Method two：As shown in figure 12, puncture awl is placed in the tube chamber near relief pipe tail end, now receives dirty bag with depressurizing The blow-off pipe that tube wall sidepiece separately connects is attached；

Step 4：Device is removed, is completed after rinsing, is first closed flusher, then hold with a hand relief pipe rear portion backward Pull and make it that fold fixed part flattens again, so as to release the fixation for folding fixed part, and fastener is pulled out, finally by relief pipe Extracted from enteron aisle.

In addition, above-mentioned technical proposal of the present invention can also be further preferably as follows：

(1) further preferred embodiment 1 is：

It also includes flush pipe, and flush pipe connects with the tube chamber of relief pipe.

It also includes receiving dirty bag, and the back-end ports of dirty bag sack and relief pipe received are tightly connected, and the flush pipe can pass through Relief pipe is folded on the outside of tube wall after fixed part and connected with its tube chamber, or is passed through the tube chamber of relief pipe through dirty bag is received It is interior, the blow-off pipe and the oblique connection of relief pipe.

(2) further preferred embodiment 2 is：

It also includes blow-off pipe and dirty bag of receiving；Blow-off pipe is connected on the outside of the tube wall after relief pipe folds fixed part, and Connected with the tube chamber of relief pipe；Dirty bag sack of receiving is tightly connected with blow-off pipe；The rear end of the puncture awl is can be with relief pipe Lumen wall realizes the sealing piston being tightly connected, and the flush pipe can pass through relief pipe to fold the tube wall outside after fixed part And connected with its tube chamber, or be passed through through dirty bag is received in the tube chamber of relief pipe, the blow-off pipe and the oblique connection of relief pipe.

In order to preferably implement the present invention, above-mentioned technical proposal can also carry out following improve：

Preferably, the pull unit is to be fixed on the barre of puncture awl rear end.

Preferably, the position-limit mechanism is the arc chute being arranged on one of decompression tube wall inner side or puncture awl outer wall Be arranged on decompression tube wall on the inside of or puncture awl outer wall it is another on slide mass, the arc chute around decompression tube wall Set.

Preferably, the tube wall of folding fixed part of the relief pipe before it is located at rear annular folding line is arc concave shape pipe Wall, the tube wall of the folding fixed part after rear annular folding line is arc evagination tube wall.

Preferably, the relief pipe, which folds to surround outside the tube wall of fixed part, is laid with elastic sealing film.

Preferably, elastic packing web film is provided between two adjacent cutting planes that each cutting line is cut out.

Than before for technology, beneficial effects of the present invention are：

1. the present invention treats operation enteron aisle using puncture awl and directly carries out puncturing so that by blow-off pipe, flush pipe directly and intestines The connection of road intracavitary portion is rinsed blowdown, thus need not detachment or additional incisions intestinal tissue is i.e. enough carries out closed flushing to enteron aisle Decompression, the damage of internal organs, tissue is reduced, retain normal tissue to greatest extent, avoiding when blocking enteron aisle again has dirt Outflow；

2. only need to firmly be pushed when blow-off pipe stretches into correct position in enteric cavity causes blow-off pipe to fold fixed part folding Poststack clamps intestinal walls so as to complete to fix, and only blow-off pipe folding fixed part need to be stretched into flattening again during dismounting, operated It is simple and convenient；

3. the folding fixed part of the present invention can adapt to the enteron aisle of the various types such as colon, small intestine, stomach and intestine and wall thickness, It is widely applicable.

Brief description of the drawings

Fig. 1 is the dimensional structure diagram of embodiment 1；

Fig. 2 is relief pipe schematic cross-section in embodiment 1；

Fig. 3 is A-A sectional views in Fig. 1；

Fig. 4 is the first state schematic perspective view of folding fixed part；

Fig. 5 is folding second of state schematic perspective view of fixed part；

Fig. 6 is the third state schematic perspective view of folding fixed part；

Fig. 7 is the first form schematic partial cross-sectional view of relief pipe；

Fig. 8 is second of form schematic partial cross-sectional view of relief pipe；

Fig. 9 is the third form schematic partial cross-sectional view of relief pipe；

Figure 10 is relief pipe leading section biopsy cavity marker devices schematic perspective view；

Figure 11 is the dimensional structure diagram of embodiment 2；

Figure 12 is relief pipe schematic cross-section in embodiment 2；

Figure 13 is relief pipe sectional perspective schematic diagram in embodiment 3.

Label declaration：Annular folding line, 1-4 arc chutes, 2 after annular folding line, 1-3 before 1 relief pipe, 1-1 cutting lines, 1-2 Puncture awl, 2-1 pointed cones portion, 2-2 sealing pistons, 2-3 barres, 2-4 slide masses, 3 fasteners, 4 blow-off pipes, 5 receive dirty bag, 6 flush pipes, 7 intestinal walls.

Embodiment

Illustrate to elaborate to the present invention below in conjunction with the accompanying drawings：

Embodiment 1：

As Figure 1-10 shows, the present embodiment includes relief pipe 1, puncture awl 2 and is fixed on decompression for intestinal walls 7 to be withheld Fastener 3 on the outside of the tube wall of pipe 1；

The middle part of relief pipe 1 is to fold fixed part, and circular tube wall cloth is provided with multiple tracks edge on the tube wall of the folding fixed part The cutting line 1-1 of tube wall length bearing of trend extension, be additionally provided with the tube wall of the folding fixed part bipassage ring around tube wall and point Not Wei Yu each cutting line 1-1 front ends and middle part preceding annular folding line 1-2 and rear annular folding line 1-3；

The puncture awl 2 is located in the tube chamber inside of relief pipe 1 and the tube chamber of the relative relief pipe 1 of energy moves forward and backward, and wears The front end of thorn cone 2 is the pointed cone portion 2-1 that can stretch out the tube chamber of relief pipe 1, between the outer wall of puncture awl 2 and the tube wall inner side of relief pipe 1 Provided with can make to be relatively fixed between puncture awl 2 and relief pipe 1 motionless or release fixed position-limit mechanism, the position-limit mechanism is sets Put on the inside of the tube wall of relief pipe 1 or the arc chute 1-4 on one of the outer wall of puncture awl 2 and be arranged on the inside of the tube wall of relief pipe 1 or The outer wall of puncture awl 2 it is another on slide mass 2-4, the arc chute 1-4 sets around the tube wall of relief pipe 1.

The rear end of puncture awl 2 is provided with the pull unit for being used for driving puncture awl 2 movable, and the pull unit is fixation Barre 2-3 in the rear end of puncture awl 2.

The effect of fastener 3 is to withhold intestinal walls 7 to be fixed on the outside of the tube wall of relief pipe 1 to prevent intestinal walls 7 from slipping It can not complete to fix so as to cause to fold fixed part；Fold outer positioned at relief pipe 1 after fixed part folds and rely on the elastic force of itself Act on coordinating with relief pipe 1 and grip the intestinal walls 7 folded near outside fixed part；The effect of puncture awl 2 is to puncture intestinal walls 7 And blow-off pipe 4 is sent to inside the enteric cavity of enteron aisle.

Various parts can use disposable medical plastic material to manufacture used by the present embodiment.

What those of ordinary skill in the art were readily conceivable that is：In the embodiment of replacement, pointed cone portion 2-1 can be used Three Diamond, taper, duck ligulate or other polygonal shapes, the embodiment of these conversion should all belong to the protection model of the present invention Within enclosing.

The present embodiment also includes flush pipe 6, and flush pipe 6 is connected on the outside of the tube wall after relief pipe 1 folds fixed part, and Connected with the tube chamber of relief pipe 1.

The dirt in enteric cavity can be rinsed after 6 external flushing device of flush pipe.

The present embodiment also includes receiving dirty bag 5, and the back-end ports of the dirty sack of bag 5 and relief pipe 1 received are tightly connected, the flushing Pipe 6 can pass through relief pipe 1 fold fixed part after tube wall on the outside of and connect with its tube chamber, or be passed through and subtract through dirty bag 5 is received In the tube chamber of pressure pipe 1.

Barre 2-3 effect is to be easy to puncture awl 2 exiting relief pipe 1 after puncture awl 2 punctures intestinal walls 7, with convenient It is rinsed in next step using flush pipe 6.

When being punctured, slide mass 2-4, which is fastened in arc chute 1-4, causes the energy among the process of puncture of puncture awl 2 Enough relief pipe 1 is driven together to enter in enteron aisle；Only need puncture awl 2 rotating certain angle after the step completed to puncture and fixed Degree cause slide mass 2-4 be sliding out from arc chute 1-4 come can release it is spacing.

Preferably, the relief pipe 1, which folds to surround outside the tube wall of fixed part, is laid with elastic sealing film.

Elastic sealing film at least two effects herein：

1st, it will be sealed at cutting line 1-1, and prevent during decompression is rinsed, thering is liquid to be spilt at cutting line 1-1；

2nd, enhancing fold fixed part elasticity to grip it is more firm.

Preferably, elastic packing web film is provided between two adjacent cutting planes that each cutting line 1-1 is cut out.

Here, the effect of elastic packing web film is identical with elastic sealing film, and more beautiful compared to elastic sealing film See.

Embodiment 2：

As depicted in figs. 11-12, the present embodiment is the further improvement of the progress to embodiment 1 on the basis of embodiment 1, The difference of itself and embodiment 1 is：

It also includes blow-off pipe 4；Blow-off pipe 4 be connected to relief pipe 1 fold fixed part after tube wall on the outside of, and with decompression The tube chamber connection of pipe 1；The dirty sack of bag 5 of receiving is tightly connected with blow-off pipe 4；The rear end of the puncture awl 2 is can be with the pipe of relief pipe 1 Cavity wall realizes the sealing piston 2-2 being tightly connected, and the flush pipe 6 can pass through relief pipe 1 to fold the tube wall after fixed part Outside simultaneously connects with its tube chamber, or is passed through through dirty bag 5 is received in the tube chamber of relief pipe 1, and the blow-off pipe 4 and relief pipe 1 are oblique To connection.

Sealing piston 2-2 effect is so as to preventing dirt from being flowed from the rear end of relief pipe 1 by the back-end sealing of relief pipe 1 Go out.

Rinse and fix in embodiment 1 two steps to complete in relief pipe 1, this results in puncture awl 2 and finally needed Be discarded in and receive in dirty bag 5, across receive dirty bag 5 when operation to puncture awl 2 be not enough conveniently also easy to skid, and puncture awl 2 Head it is sharp stay in receive be also easy to puncture the leakage that bag wall causes dirt in dirty bag 5.

And the present embodiment is directed to above-mentioned problem, further improvement has been carried out on the basis of embodiment 1：Subtracting A blow-off pipe 4 has been separately provided in the side wall of pressure pipe 1, and puncture awl 2 is carried out further to design at pointed cone 2-1 rear portion Sealing piston 2-2 is added, is come so as to successfully rinse and fix required channel separation, successfully solves above-mentioned deposited The problem of.

Embodiment 3：

As shown in figure 13, the present embodiment has carried out further Optimal improvements again on the basis of embodiment 2, itself and implementation The distinguishing characteristics of example 2 is：The tube wall of folding fixed part of the relief pipe 1 before it is located at rear annular folding line 1-3 is arc Indent tube wall, the tube wall of the folding fixed part after rear annular folding line 1-3 is arc evagination tube wall.

The main function so designed is so that relief pipe 1 produces wave profile, former so as to more meet the wriggling of enteron aisle Reason, therefore more difficult slippage；Secondly, preferably fastener 3 can be wrapped up wherein so that fastener 3 is more difficult to be slipped with enteron aisle, Reach more preferable fixed effect.

Certainly, those skilled in the art are readily conceivable that uses what is enumerated in the present embodiment on the basis of embodiment 1 Distinguishing characteristics, it can also reach above-described good result, it will be understood that this alternative is also in the protection model of the present invention Within enclosing.

Although the present invention is illustrated and illustrated to the present invention using specific embodiment and its alternative, but it should reason Solution, it can implement without departing from the variations and modifications in the scope of the present invention.It is therefore understood that except by with Outside the limitation of attached claim and its condition of equivalent, the present invention is not limited by all senses.

Claims

A kind of 1. piercing enteral irrigation decompressor, it is characterised in that：It includes relief pipe (1), puncture awl (2) and for inciting somebody to action Intestinal walls (7) withhold the fastener (3) being fixed on the outside of relief pipe (1) tube wall；

It is folding fixed part in the middle part of the relief pipe (1), circular tube wall cloth is provided with multiple tracks along pipe on the tube wall of the folding fixed part The cutting line (1-1) of wall length bearing of trend extension, be additionally provided with the tube wall of the folding fixed part bipassage ring around tube wall and point Not Wei Yu each cutting line (1-1) front end and middle part preceding annular folding line (1-2) and rear annular folding line (1-3)；

The puncture awl (2) is located in the tube chamber inside of relief pipe (1) and the tube chamber of the relative relief pipe (1) of energy moves forward and backward, and The front end of puncture awl (2) is the pointed cone portion (2-1) that can stretch out relief pipe (1) tube chamber, puncture awl (2) outer wall and relief pipe (1) Being provided between on the inside of tube wall can make to be relatively fixed position-limit mechanism that is motionless or releasing fixation between puncture awl (2) and relief pipe (1), The rear end of puncture awl (2) is provided with the pull unit for being used for driving puncture awl (2) movable.
2. the piercing enteral irrigation decompressor according to claim 1, it is characterised in that：It also includes flush pipe (6), flush pipe (6) connects with the tube chamber of relief pipe (1).
3. piercing enteral irrigation decompressor according to claim 2, it is characterised in that：It also includes receiving dirty bag (5), The back-end ports of dirty bag (5) sack and relief pipe (1) received are tightly connected, and the flush pipe (6) can fold admittedly through relief pipe (1) Determine to connect on the outside of the tube wall after portion and with its tube chamber, or be passed through through dirty bag is received in the tube chamber of relief pipe (1).
4. piercing enteral irrigation decompressor according to claim 2, it is characterised in that：It also includes blow-off pipe (4) With receive dirty bag (5)；Blow-off pipe (4) be connected to relief pipe (1) fold fixed part after tube wall on the outside of, and with relief pipe (1) Tube chamber connects；Dirty bag (5) sack of receiving is tightly connected with blow-off pipe (4)；The rear end of the puncture awl (2) is can be with relief pipe (1) Lumen wall realize be tightly connected sealing piston (2-2), the flush pipe (6) can through relief pipe (1) folding fixed part Connect on the outside of tube wall afterwards and with its tube chamber, or be passed through through dirty bag is received in the tube chamber of relief pipe (1).
5. piercing enteral irrigation decompressor according to claim 4, it is characterised in that：The blow-off pipe (4) is with subtracting Pressure pipe (1) oblique connection.
6. the piercing enteral irrigation decompressor according to claim 1-5 any one, it is characterised in that：The pulling Device is the barre (2-3) for being fixed on puncture awl (2) rear end.
7. the piercing enteral irrigation decompressor according to claim 1-5 any one, it is characterised in that：It is described spacing Mechanism is the arc chute (1-4) being arranged on one of relief pipe (1) tube wall inner side or puncture awl (2) outer wall and is arranged on decompression Manage on the inside of (1) tube wall or puncture awl (2) outer wall it is another on slide mass (2-4), the arc chute (1-4) is around relief pipe (1) tube wall is set.
8. the piercing enteral irrigation decompressor according to claim 1-5 any one, it is characterised in that：The decompression The tube wall for managing the folding fixed part of (1) before it is located at rear annular folding line (1-3) is arc concave shape tube wall, positioned at rear annular folding The tube wall of folding fixed part after trace (1-3) is arc evagination tube wall.
9. the piercing enteral irrigation decompressor according to claim 1-5 any one, it is characterised in that：The decompression Pipe (1), which folds to surround outside the tube wall of fixed part, is laid with elastic sealing film.
10. the piercing enteral irrigation decompressor according to claim 1-5 any one, it is characterised in that：It is described to cut Elastic packing web film is provided between two adjacent cutting planes that broken string (1-1) is cut out.