Disclosure of Invention
The invention aims to avoid medical auxiliary injury caused by a drainage tube and avoid causing pain to a patient when a new drainage tube is placed.
The detachable drainage flushing sleeve device is characterized by comprising a drainage tube, a flushing tube, an inner sleeve and an outer sleeve;
The drainage tube and the flushing tube can be inserted into the inner sleeve, the drainage tube and the flushing tube can be fixed relative to the inner sleeve, and both a drainage operation port of the drainage tube and a flushing operation port of the flushing tube extend out from the front end of the inner sleeve;
the inner sleeve can be inserted into the outer sleeve, the inner sleeve can axially move relative to the outer sleeve under the action of external force, the two ends of the outer sleeve are both openings, the drainage operation opening and the flushing operation opening extend out from the front end opening of the outer sleeve, and the outer sleeve can be placed into a patient body.
Preferably, the outer sleeve is a silicone tube, and the inner sleeve is a silicone tube.
Preferably, the outer sleeve is a transparent tube, and scales arranged along the axial direction are arranged on the outer sleeve.
Preferably, the front end of the inner sleeve is a closed end, and the closed end is provided with a drainage tube through hole in interference fit with the drainage tube and a flushing tube through hole in interference fit with the flushing tube.
Preferably, the drainage operation port comprises a front port of the drainage tube, and further comprises a plurality of drainage holes arranged on the tube body of the drainage tube, and the plurality of drainage holes are spirally arranged around the axis of the drainage tube.
Preferably, the flushing operation port comprises a front port of the flushing pipe and further comprises a plurality of flushing holes arranged on the pipe body of the flushing pipe, and the plurality of flushing holes are spirally arranged around the axis of the flushing pipe.
Preferably, the length of the drain tube extending beyond the front end of the inner sleeve is shorter than the length of the flush tube extending beyond the front end of the inner sleeve.
Preferably, emergency drainage holes are formed in the pipe body of the inner sleeve and close to the front end of the inner sleeve, and the emergency drainage holes are arranged in a plurality of mode and are arranged in a spiral mode around the axis of the inner sleeve.
Preferably, the inner sleeve is longer than the outer sleeve.
Preferably, the rear end of the flushing pipe is used for being inserted into a flushing liquid container, and a flushing regulator is arranged on the flushing pipe.
Preferably, the rear end of the drainage tube is inserted into a drainage liquid collecting container, and a drainage regulator is arranged on the drainage tube.
Preferably, the drainage liquid collecting container is communicated with the negative pressure source equipment through a negative pressure connecting pipe, and a pressure regulator is arranged on the negative pressure connecting pipe.
Preferably, the drainage tube is divided into two parts which are plugged together by a pluggable quick connector.
From the above technical scheme, the main beneficial effects of the invention include the following points:
Firstly, the drainage tube is not required to be put into the body of a patient in advance, so that the medical auxiliary injury is avoided;
secondly, the inner sleeve can stretch out and draw back along the outer sleeve when external force is applied, so that the drainage tube can be quickly replaced, long-time blockage of the drainage tube is avoided, and meanwhile, the implantation depth of the drainage tube 9 and the irrigation tube can be flexibly adjusted to obtain the optimal irrigation and drainage effects;
Thirdly, the outer sleeve is a transparent tube, scales are arranged on the outer sleeve, and the implantation depth of the drainage tube and the flushing tube can be represented according to scale marks pointed by the rear end of the inner sleeve, so that the drainage tube and the flushing tube can be accurately reset when the drainage tube 9 and the flushing tube 8 are accidentally separated;
fourth, the drainage holes in spiral arrangement form a multi-section omnibearing suction area, so that the drainage effect is optimized. The flushing holes which are arranged in a spiral form a flushing vortex, thereby being beneficial to full lavage;
fifthly, an emergency drainage hole is arranged on the inner sleeve to drain when the drainage tube is blocked, so that drainage interruption is avoided;
sixth, the pluggable quick connector may be disconnected when the patient is toilet or in a hospital visit.
Detailed Description
The invention discloses a removable drainage irrigation sleeve device, which can avoid medical auxiliary injury caused by a drainage tube and can avoid causing pain to a patient when a new drainage tube is placed.
The following description of the embodiments of the present invention will be made clearly and fully with reference to the accompanying drawings, in which it is evident that the embodiments described are only some, but not all embodiments of the invention. 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 fall within the scope of the invention.
Reference herein to "front end" refers to the end proximal to the patient, and reference to "back end" refers to the end distal to the patient.
Please refer to fig. 1-5.
The invention discloses a removable drainage flushing sleeve device which comprises a drainage tube 9, a flushing tube 8, an inner sleeve 12 and an outer sleeve 11. The drainage tube 9 and the flushing tube 8 can be inserted into the inner sleeve 12. After the drainage tube 9 and the flushing tube 8 are inserted into the inner sleeve 12, the drainage tube 9 and the flushing tube 8 are fixed relative to the inner sleeve 12, so that the drainage tube 9, the flushing tube 8 and the inner sleeve 12 are combined into an inner sleeve 12 combined tube. The drainage port of the drainage tube 9 and the flushing port of the flushing tube 8 extend from the front end of the inner tube 12, so that the drainage port and the flushing port can operate smoothly.
The inner sleeve 12 is insertable into the outer sleeve 11, and the inner sleeve 12 is axially movable relative to the outer sleeve 11 under the influence of an external force. Both ends of the outer sleeve 11 are openings, the inner sleeve 12 is inserted from the rear end opening of the outer sleeve 11, and the drainage operation port of the drainage tube 9 and the flushing operation port of the flushing tube 8 extend from the front end opening of the outer sleeve 11. Also, the outer cannula 11 may be placed into the patient.
In performing a contaminated operation such as a gastrointestinal tract operation, the outer sleeve 11 is placed in the patient. If a fistula is formed in the patient's body, an inner cannula 12 fitted with a drainage tube 9 and an irrigation tube 8 is inserted into an outer cannula 11, thereby effecting the placement of the drainage tube 9 and irrigation tube 8. Compared with the technical scheme that the drainage tube 9 is placed in the patient in advance in the prior art, the drainage tube 9 cannot be placed in advance, and the drainage tube 9 can be placed only when the fistula appears in the patient, so that medical auxiliary injury is effectively avoided.
The drainage tube 9 is likely to be clogged during drainage due to the viscous pus or blood. The drainage tube 9 can be folded and deformed due to factors such as suction force in the drainage process, so that drainage is not smooth. If a problem of poor drainage occurs, only the inner sleeve 12 needs to be pulled out, after which a new drainage tube 9 is fitted into the inner sleeve 12, and finally the inner sleeve 12 is reinserted into the outer sleeve 11. Compared with the technical scheme that the suture for fixing the drainage tube 9 is needed to be cut off firstly, the new drainage tube 9 is placed, and then the drainage tube 9 is fixed on the skin of a patient through the suture, the technical scheme that the suture is not needed to be cut off, and only the inner sleeve 12 is needed to be pulled out or inserted in the invention can obviously relieve the pain of the patient, and the efficiency of placing the new drainage tube 9 can be obviously improved, so that the risk of infection of the patient can be reduced.
It should be noted that, if the drainage tube 9 is fixedly connected with the inner sleeve 12 through an interference fit manner, when the drainage tube 9 is blocked, the drainage tube 9 can be pulled out only, and after the new drainage tube 9 is replaced, the new drainage tube 9 is assembled into the inner sleeve 12, so that the placement of the new drainage tube 9 can be realized.
It should also be noted that, for fistulae with larger or elongated lacuna, the specific depth of the fistula is unknown. After the drainage tube 9 and the flushing tube 8 are placed, flushing and drainage are often not complete due to an insufficient placement depth. In this case, the depth of insertion of the drainage tube 9 and the flushing tube 8 should be increased. In the prior art, if the depth of placement of the drainage tube 9 and the irrigation tube 8 is increased, the suture for fixing the irrigation tube 8 and the drainage tube 9 is first released, and after the suture is put in place, the irrigation tube 8 and the drainage tube 9 need to be fixed to the skin of the patient again through the suture. The operation mode not only increases the pain of the patient, but also increases the risk of infection of the patient. In the present invention, however, if the depth of insertion of the drainage tube 9 and the irrigation tube 8 is to be changed, it is only necessary to apply an external force to the inner sleeve 12 so that the inner sleeve 12 moves in the axial direction of the outer sleeve 11. If the depth of insertion of the drainage tube 9 and the flushing tube 8 is to be increased, the inner sleeve 12 is driven to move towards the front end of the outer sleeve 11, and if the depth of insertion of the drainage tube 9 and the flushing tube 8 is to be reduced, the inner sleeve 12 is driven to move towards the rear end of the outer sleeve 11. Since the drainage tube 9 and the flushing tube 8 are fixed relative to the inner tube 12, the movement amount of the inner tube 12 is the movement amount of the drainage tube 9 and the flushing tube 8.
In addition, since the inner sleeve 12 is placed in the body of the patient, the inner sleeve 12 forms a certain attractive force to surrounding tissues, the fistula tissues are continuously attached due to the attractive force under the condition of full flushing, the filling of granulation tissues and fibrous tissues in the fistula is promoted, and the healing process is promoted. At the same time, the inner cannula 12 is gradually pulled out to continuously repair and heal the fistula tissue, thereby greatly shortening the hospitalization time of the patient.
In the invention, the material of the outer sleeve 11 is preferably silica gel, namely the outer sleeve 11 is a silica gel tube. The inner tube 12 is preferably made of silica gel, and the inner tube 12 is also a silica gel tube. And the present invention defines an outer diameter of the inner sleeve 12 that is 0.1mm smaller than an inner diameter of the outer sleeve 11. After the inner sleeve 12 is inserted into the outer sleeve 11, the inner sleeve 12 is fixed relative to the outer sleeve 11 when no external force is applied, and the inner sleeve 12 is almost in sealing engagement with the outer sleeve 11, or the gap between the inner sleeve 12 and the outer sleeve 11 is very small. If it is necessary to adjust the replacement of the inner sleeve 12 or to adjust the insertion depth of the drainage tube 9 and the flushing tube 8, an external force may be applied to the inner sleeve 12, so that the inner sleeve 12 moves axially in the outer sleeve 11.
In a specific embodiment of the invention, the outer diameter of the inner sleeve 12 is designed to be 9.5mm, the inner diameter is designed to be 8mm, the outer diameter of the outer sleeve 11 is designed to be 11.5mm, and the inner diameter is designed to be 9.6mm.
The outer sleeve 11 in the present invention is also a transparent tube, and graduations arranged along the axial direction of the outer sleeve 11 are provided on the outer sleeve 11. The inner sleeve 12 can be seen through the outer sleeve 11 to move axially relative to the outer sleeve 11. Specifically, the axial movement of the inner sleeve 12 can be determined by the graduation marks indicated at the rear end of the inner sleeve 12.
After the inner cannula 12, the drainage tube 9 and the irrigation tube 8 are placed in the patient, the scale value corresponding to the rear end of the inner cannula 12 is recorded. When the drainage tube 9 or the flushing tube 8 is pulled out by the patient due to accidental pulling and other factors, the drainage tube 9 and the flushing tube 8 can be assembled into the inner sleeve 12 again, and then the inner sleeve 12 is inserted according to the recorded scale values, so that the drainage tube 9 and the flushing tube 8 can be ensured to be placed into the initial depth, and the optimal flushing and drainage effects can be obtained again.
It should be noted that the lengths of the flushing tube 8 and the drainage tube 9 extending out of the front end of the inner sleeve 12 are usually constant, so that after the rear end of the inner sleeve 12 is inserted into the recorded scale values, the insertion depth of the flushing tube 8 and the drainage tube 9 is the initial insertion depth.
Regarding the specific assembly relationship of the drainage tube 9 and the flushing tube 8 with the inner sleeve 12, in the present invention the front end of the inner sleeve 12 is provided as a closed end for sealing the front end opening of the inner sleeve 12. A drain tube through hole 121 and a flushing tube through hole 122 are provided at the closed end of the inner sleeve 12. The drainage tube 9 is in interference fit with the drainage tube through hole 121. The flush tube 8 is an interference fit with the flush tube through hole 122. In this way, after the drainage tube 9 and the flushing tube 8 are assembled into the inner sleeve 12, the interference fit relation can keep the drainage tube 9 and the flushing tube 8 fixed, so that the drainage tube 9 and the flushing tube 8 are ensured not to be dislocated and extruded due to factors such as water flow, suction force and the like, and the smoothness of drainage and flushing is ensured. The interference fit relationship also provides a seal to prevent exuded fluid from escaping through the gap between the inner sleeve 12 and the outer sleeve 11.
The drainage port and the flushing port of the present invention are described as including the front port 91 of the drainage tube 9 and further including the drainage hole 92 provided in the body of the drainage tube 9. The drainage holes 92 are plural, and the plural drainage holes 92 are spirally arranged around the axis of the drainage tube 9. And along the spiral trajectory, two adjacent drainage holes 92 are spatially angled at 120 °. Similar to the drainage port, the flushing port includes a front port 81 of the flushing pipe 8 and further includes a flushing hole 82 provided in the body of the flushing pipe 8. The flushing holes 82 are plural, and the plural flushing holes 82 are arranged spirally around the axis of the flushing pipe 8. And along the spiral path, adjacent flushing holes 82 are spatially angled at 120 deg..
Further, the present invention starts with a drainage aperture 92, approximately 150mm from the anterior port 91 of the drainage tube 9, to create a large area drainage. The present invention begins with the irrigation hole 82 being perforated approximately 50mm from the anterior port 81 of the irrigation tube 8 so that the irrigation hole 82 is closer to the fistula wound.
The drainage holes 92 arranged in a spiral manner on the drainage tube 9 form a multi-section omnibearing suction area, and the suction area of drainage is larger and more uniform. In addition, the drainage holes 92 which are arranged in a spiral manner on the drainage tube 9 can form vortex in the fistula cavity of the fistula when the airflow is sucked, so that the drainage is facilitated to be fully performed. The helically arranged irrigation holes 82 in the irrigation tube 8 are capable of creating a vortex in the fistula lumen of the fistula during irrigation, thereby facilitating adequate irrigation.
Further, the present invention defines that the length of the drain tube 9 extending out of the front end of the inner sleeve 12 is shorter than the length of the flush tube 8 extending out of the front end of the inner sleeve 12. In other words, the irrigation tube 8 is closer to the fistula wound than the drainage tube 9. The arrangement ensures that the flushing liquid flowing out of the flushing pipe 8 can not be sucked by the drainage operation port of the drainage pipe 9 so as to keep enough flushing time, and on the other hand, the flushing liquid is sucked by the drainage operation port after the dirt flushed by the flushing liquid is collected so as to ensure that the dirt is sufficiently sucked.
In a specific embodiment of the invention, the extension of the irrigation tube 8 is defined to be 3cm longer than the extension of the drainage tube 9. And the outer diameter of the drainage hole 92 and the flushing hole 82 are 3.5mm and the inner diameter are 2.5mm. The aperture of both drainage aperture 92 and irrigation aperture was 1.5mm.
The invention is provided with a plurality of emergency drainage holes 123 at the front end of the tube body of the inner sleeve 12, and the plurality of emergency drainage holes 123 are spirally arranged around the axis of the inner sleeve 12. When the drainage tube 9 is blocked, dirt can be discharged out of the body through the emergency drainage hole 123, so that drainage interruption is avoided, and infection risk is further reduced. The aperture of the emergency drain hole 123 is designed to be 2.5mm in one embodiment of the present invention.
Further, the present invention defines that the length of the inner sleeve 12 is longer than the length of the outer sleeve 11, so that even if the rear end of the inner sleeve 12 is located at the zero graduation line of the outer sleeve 11, the front end of the inner sleeve 12 extends out of the outer sleeve 11, so that the emergency drainage hole 123 is located outside the outer sleeve 11, and the emergency drainage hole 123 is always enabled to play the role of emergency drainage. In a specific embodiment of the invention, the length of the inner sleeve 12 is designed to be 270mm and the length of the outer sleeve 11 is designed to be 250mm.
The front end of the irrigation tube 8 in the present invention is intended to be placed in the patient's body and directed towards the fistula wound. The rear end of the flushing pipe 8 is intended to be inserted into the flushing-liquid vessel 2. And a flush regulator 4 is provided on the flush tube 8. The rinse regulator 4 is used to regulate the flow rate of the rinse liquid.
The front end of the drainage tube 9 is used for being placed into the body of a patient and pointing to the fistula wound surface. The rear end of the drainage tube 9 is for insertion into the drainage fluid collection container 3. And a drainage regulator 6 is arranged on the drainage tube 9, and the drainage regulator 6 is used for regulating the flow of drainage liquid.
The drainage liquid collection container 3 is communicated with the negative pressure source equipment 1 through a negative pressure connecting pipe 10. The negative pressure connection pipe 10 is provided with a pressure regulator 5. The drainage operation port attracts dirt through the negative pressure source device 1.
According to the invention, the negative pressure intensity is regulated by regulating the pressure regulator 5, the drainage flow is regulated by the drainage regulator 6, and the flushing fluid flow is regulated by the flushing regulator 4, so that the optimal flushing and drainage effects are obtained.
In addition, the drainage tube 9 in the present invention is divided into two parts which are joined together by a pluggable quick connector 7.
In the prior art, when a patient is in a toilet or performs a medical examination, the patient is required to carry the negative pressure source device 1 with him. In the invention, the pressure regulator 5, the drainage regulator 6 and the flushing regulator 4 are closed at the same time, and then the pluggable quick connector 7 is disconnected, so that the drainage sleeve can be separated from the negative pressure source equipment 1, and the body position of a patient can be freely changed, thereby minimizing the body burden.
In summary, the main beneficial effects of the invention include the following:
Firstly, the drainage tube 9 does not need to be put into the body of a patient in advance, so that the medical auxiliary injury is avoided;
Secondly, when external force is applied, the inner sleeve 12 can stretch and retract along the outer sleeve 11, so that the drainage tube 9 can be quickly replaced, long-time blockage of the drainage tube 9 is avoided, and meanwhile, the implantation depth of the drainage tube 9 and the irrigation tube 8 can be flexibly adjusted to obtain the optimal irrigation and drainage effects;
Thirdly, the outer sleeve 11 is a transparent tube, scales are arranged on the outer sleeve 11, and the placement depth of the drainage tube 9 and the flushing tube 8 can be represented according to scale marks pointed by the rear end of the inner sleeve 12, so that the drainage tube 9 and the flushing tube 8 can be accurately reset when the drainage tube 9 and the flushing tube 8 are accidentally separated;
fourth, the helically arranged drainage apertures 92 form a multi-section omnidirectional suction zone, optimizing drainage. The flushing holes 82 in a spiral arrangement form a flushing vortex, thereby facilitating a full lavage;
fifth, an emergency drainage hole 123 is arranged on the inner sleeve 12 to drain when the drainage tube 9 is blocked, so that drainage interruption is avoided;
sixth, the pluggable quick connector 7 may be disconnected when the patient is toilet or in a hospital examination.
The clinical application examples of the removable drainage irrigation sleeve device in the invention are as follows:
1. The patient Zhang Mou, men, 58 years old, the symptom of duodenal residual fistula, abdominal pain, nausea, fever and the like after gastric cancer operation, and the fistula is smoothly healed after the removable drainage flushing sleeve device is matched with antibiotic treatment for 3 days.
2. The patient Li Mou, the female, 62 years old and the post-operation fistula of the rectum cancer, after using the removable drainage flushing sleeve device of the invention for 2 days, the drainage tube 9 is blocked due to the manure, the drainage is not smooth, the drainage tube 9 is pulled out after the drainage and the negative pressure source equipment are cut off, the quick replacement is carried out, the seepage of the patient is exhausted after 6 days, and the fistula is completely healed.
3. After the patient Zhao Mou, men, 68 years old and gastric cancer have gastric and intestinal anastomosis fistula after operation, the removable drainage irrigation sleeve device is left, the drainage tube 9 is accidentally dropped off, medical staff quickly resets according to the recorded implantation depth, and the fistula is completely healed after 8 days.
Finally, it is also noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising one does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises an element.
In the present specification, each embodiment is described in a progressive manner, and each embodiment is mainly described in a different point from other embodiments, and identical and similar parts between the embodiments are all enough to refer to each other.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.