Rectum anastomotic stoma healing promoting device

Abstract

The utility model discloses a rectum anastomotic stoma healing promoting device which comprises a cylindrical bag body which can be expanded into two open ends after being inflated, a bag ring is sleeved on the outer surface of one end, far away from the anus, of the bag body, a sponge is fixedly arranged on the outer surface of the bag body, and the rectum anastomotic stoma healing promoting device further comprises an inflating pipeline used for inflating and deflating the bag body and the bag ring. The utility model has the advantages that the fixing is convenient, the stability is strong, and the anastomotic stoma can be effectively prevented from being polluted.

Description

TECHNICAL FIELD

[0001] The utility model relates to medical instrument technical field especially relates to a rectal anastomotic mouth promotes healing device. BACKGROUND

[0002] Rectal cancer is a common disease in China, and the rectal intestine containing tumor needs to be resected, and the intestine is anastomosed (the anastomosis is called anastomotic mouth). Some patients will have anastomotic mouth non-healing and other complications after operation, form anastomotic mouth fistula, cause serious abdominal and pelvic infections, and in most cases, emergency secondary operation is needed, and descending colon fistulization is needed.

[0003] The stimulation and pressure increase of intestinal contents such as feces cause severe contraction of rectum, which is an important reason for anastomotic leakage. Therefore, in order to reduce the incidence and severity of anastomotic fistula, some doctors in some hospitals will leave a anal tube after operation, which can play the role of intestinal cavity drainage, reduce intestinal pressure, and be beneficial to rectal anastomotic healing. However, the anal tube used at present is not easy to fix and is easy to fall out, and the pollution of intestinal contents to the anastomotic mouth cannot be avoided, and the occurrence of anastomotic infection and anastomotic fistula cannot be avoided.

[0004] How to solve the above problems has become a technical problem to be solved. CONTENT OF THE UTILITY MODEL

[0005] The utility model aims at providing a rectal anastomotic mouth promotes healing device, which is convenient to fix and has high stability after fixing, and can effectively prevent the anastomotic mouth from being polluted.

[0006] In order to achieve the above purpose, the utility model adopts the following technical scheme:

[0007] The utility model provides a rectal anastomotic mouth promotes healing device, which includes a capsule that can be inflated into a cylindrical shape with open ends, a capsule ring is sleeved on the outer surface of the capsule far from the anus, and a sponge is fixedly arranged on the outer surface of the capsule, and the device further includes a pumping pipeline for inflating and deflating the capsule and the capsule ring.

[0008] Further, a placement and delivery assembly is detachably sleeved in the capsule, the length of the placement and delivery assembly is longer than the length of the capsule, one end of the placement and delivery assembly near the capsule ring is rounded, and the placement and delivery assembly is connected with the capsule through at least one wire.

[0009] Further, the placement and delivery assembly includes a push tube, an operating rod is rotatably sleeved in the push tube, both ends of the operating rod extend out of the push tube, operating heads and handles are respectively connected with both ends of the operating rod, one end of the operating head far from the operating rod is rounded, both ends of the wire are respectively connected with the operating head and the capsule, and the capsule is detachably attached to the outside of the push tube.

[0010] Further, the sending and placing assembly is provided with a limiting device, the limiting device comprises a limiting slot and a clamping opening, the limiting slot is arranged on the operating rod, the clamping opening is arranged on the push tube, the limiting slot is provided with an elastic clamping convex, the elastic clamping convex is buckled with the clamping opening, and the push tube is provided with a button for pushing the convex end of the elastic clamping convex out of the clamping opening.

[0011] Further, the button comprises a shell, a pressing block and a spring, the shell is arranged above the clamping opening, the shell is slidably connected with the pressing block, one end of the pressing block is arranged in the shell and abuts against the convex end of the elastic clamping convex, the other end of the pressing block is exposed outside the shell, the pressing block is provided with a blocking ring, and the spring is arranged outside the pressing block and connected with the push tube and the blocking ring.

[0012] Further, the operating rod is provided with at least one blade, and the blade is arranged between the operating head and the push tube.

[0013] Further, at least one adhesive strip is arranged, one end of the adhesive strip is connected with the end of the capsule body close to the anus, and the other end of the adhesive strip is a free end.

[0014] Further, the sponge is in a ring structure and is arranged on the outer surface of the capsule body.

[0015] Further, the capsule body is provided with an infusion pipeline for conveying the medicine liquid of the sponge.

[0016] Due to the above structure, the present application has the following beneficial effects:

[0017] The capsule body is arranged in the rectum, the sponge is aligned with the anastomotic stoma, the capsule body is inflated through the inflation pipeline, the capsule body is expanded into a hollow channel with open ends, and the intestinal contents such as feces are discharged out of the body through the anastomotic stoma, so that the anastomotic stoma is effectively prevented from being polluted by the intestinal contents; the capsule ring is in a ring structure and is arranged on the outer surface of the end of the capsule body away from the anus, the capsule ring is inflated and expanded through the inflation pipeline, the inner and outer walls of the capsule ring are tightly attached to the capsule body and the rectal wall respectively, the position of the capsule body is fixed, the fixing is convenient and the stability after fixing is high, the capsule ring blocks the intestinal contents from flowing into the gap between the capsule body and the rectal wall, the anastomotic stoma is effectively prevented from being polluted by the intestinal contents, the possibility of infection of the anastomotic stoma and the occurrence of anastomotic fistula is reduced, and the healing of the anastomotic stoma of the rectum is effectively promoted.

[0018] The present application will become more apparent through the following description and accompanying drawings, which are used to explain the embodiments of the present application. BRIEF DESCRIPTION OF DRAWINGS

[0019] In order to make the technical schemes in the embodiments of the present application clearer, the accompanying drawings needed in the embodiments or prior art description will be briefly introduced as follows. Obviously, the accompanying drawings in the following description are only some embodiments of the present application, and all other embodiments obtained by those of ordinary skill in the art without any creative effort based on the embodiments in the present application shall fall within the protection scope of the present application.

[0020] Figure 1 Figure 4 is a schematic view of the capsule deflated and curled on the placement and delivery assembly of the present application;

[0021] Figure 2 Figure 5 is a schematic view of the capsule inflated and expanded into a tube shape of the present application;

[0022] Figure 3 Figure 6 is a schematic view of the capsule left in the rectum of the present application;

[0023] Figure 4 Figure 7 is a schematic view of the structure of the placement and delivery assembly of the present application;

[0024] Figure 5 Figure 8 is a schematic view of the structure of the limiting device of the present application. DETAILED DESCRIPTION

[0025] The technical schemes in the embodiments of the present application will be described clearly and completely in combination with the accompanying drawings of the embodiments of the present application. Obviously, the described embodiments are only some embodiments of the present application, but not all the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without any creative effort shall fall within the protection scope of the present application.

[0026] Please refer to Figures 1 to 3The utility model provides a kind of rectal anastomotic mouth healing promotion device, including the inflation after being able to expand into the tubular shape of the capsule 1 of two ends open, the outer surface of the capsule 1 far from anus one end is equipped with capsule ring 2 and the outer surface of this capsule 1 is fixedly provided with sponge 3,And, also include for the inflation of capsule 1 and capsule ring 2 exhausts and exhausts pumping pipeline 4.Concretely, the capsule ring 2 is annular structure and coaxially fixedly equipped in the outer surface of the capsule 1 far from anus one end;The sponge 3 is soft material, when the capsule 1 is placed into rectum, the sponge 3 is below the capsule ring 2 and aligns and sticks to anastomotic mouth, both can not affect rectal anastomotic mouth growth, also can effectively isolate fecal bacteria etc with anastomotic mouth, so that the healing growth of anastomotic mouth;The one end of pumping pipeline 4 extends out from the direction close to anus and the one end of this pumping pipeline 4 is provided with the valve of openable and closable outside the capsule 1, optionally, the capsule 1, capsule ring 2 is not connected, and the pumping pipeline 4 includes two air pipes for respectively inflating capsule 1, capsule ring 2 exhausts, or, the capsule 1, capsule ring 2 is interconnected, and the pumping pipeline 4 includes one air pipe for connecting capsule 1 or capsule ring 2.

[0027] Preferably, the diameter of the capsule 1 is 60 cm, the length is 200 cm, and the thickness is 10 cm, the width of the sponge 3 is 40 cm, and the distance between the sponge 3 and the capsule ring 3 is 80 cm.

[0028] In use, the capsule 1 is placed into the rectum, and the sponge 3 aligns with the anastomotic mouth. The capsule 1 and the capsule ring 2 are inflated by the pumping pipeline 4 to expand until the capsule 1 expands into a tubular structure with both ends open, and the inner and outer walls of the capsule ring 2 can be tightly attached to the capsule 1 and the rectal wall respectively, forming a hollow channel for the feces and other intestinal contents to pass through the anastomotic mouth and be discharged outside the body. At the same time, the capsule ring 2 can effectively block the flow of intestinal contents into the gap between the capsule 1 and the rectal wall, thereby effectively preventing the anastomotic mouth from being contaminated by feces and other intestinal contents and leaking into the abdominal cavity through the anastomotic mouth, reducing the likelihood of complications such as infection of the anastomotic mouth and anastomotic fistula, and further effectively promoting the healing of the rectal anastomotic mouth.

[0029] In the utility model, at least one adhesive strip 7 is also included, one end of the adhesive strip 7 is connected to the end of the capsule 1 close to the anus, and the other end of the adhesive strip 7 is a free end.

[0030] Preferably, the length of the adhesive strip 7 is 60 cm.

[0031] In use, the release paper on the adhesive strip 7 is torn off, and the free end of the adhesive strip 7 is attached to the perianal skin, which can better fix the capsule 1 to the intestinal segment where the anastomotic mouth is located, and the patient's experience is better.

[0032] The sponge 3 is annular structure, is sleeved on the outer surface of the capsule 1, so that in the process of being placed into the capsule 1, only the placement depth of the capsule 1 needs to be judged to determine whether the sponge 3 is aligned with the anastomotic stoma, and the capsule 1 does not need to be rotated to adjust the angle of the sponge 3, so that the operation difficulty of the utility model is reduced, and the utility model is simpler and more convenient to use.

[0033] In the utility model, the capsule 1 is provided with infusion pipeline 8 for conveying medicinal liquid to sponge 3. Specifically, the infusion pipeline 8 is arranged along the length direction of the capsule 1, and one end of the infusion pipeline 8 is connected with sponge 3 by penetrating the side wall of the capsule 1, and the other end of the infusion pipeline 8 extends out of the capsule 1 from the direction close to the anus, so that the infusion pipeline 8 can be used to infuse medicine to the anastomotic stoma through sponge 3, such as driping growth factor to promote the growth of anastomotic stoma cells, driping antibiotic to inhibit the growth of bacteria in the anastomotic stoma, and driping physiological saline when rectal anastomotic stoma fistula occurs, and then connecting negative pressure suction, and the two operations of driping physiological saline and negative pressure suction are alternately carried out, so that the effect of flushing the anastomotic stoma is achieved, and the healing of the anastomotic stoma fistula site is promoted.

[0034] Please refer to Figure 1 、 Figure 2 and Figure 4 In the utility model, the capsule 1 is detachably sleeved with the placing and sending assembly 5, the length of the placing and sending assembly 5 is longer than the length of the capsule 1, one end of the placing and sending assembly 5 close to the capsule ring 2 is round, and the placing and sending assembly 5 is connected with the capsule 1 through at least one silk thread 6, so that when the placing and sending assembly 5 is inserted into the rectum, the capsule 1 can be inserted into the rectum together through the silk thread 6.

[0035] Preferably, the number of silk threads 6 is even and symmetrically arranged, for example, the number of silk threads 6 is 2 or 4 or 6; before the capsule 1 is placed into the rectum, the capsule 1 and the capsule ring 2 are concave and in the form of crinkle or curl on the placing and sending assembly 5, one end of the placing and sending assembly 5 away from the capsule ring 2 is held, the round end of the placing and sending assembly 5 is stretched out of the capsule 1 from one end close to the capsule ring 2 and the round end of the placing and sending assembly 5 is pushed to squeeze the anus, and in the process of moving the placing and sending assembly 5 to the depth of the rectum, the capsule 1 can be inserted into the rectum together, so that the placement difficulty of the capsule 1 and the damage to human tissues in the placement process are effectively reduced.

[0036] Optionally, the outer surface of the capsule 1 is provided with at least one detachable adhesive 11, when the capsule 1 is deflated, different parts of the capsule 1 are pasted by the detachable adhesive 11, which can make the capsule 1 better keep the crumpled or curled shape; the detachable adhesive 11 can be a magic tape or a non-permanent adhesive with low adhesion, which can effectively bond different parts of the capsule 1, and when the capsule 1 is inflated, the parts of the capsule 1 can be well separated; and the silk thread 6 can be partially wound around the capsule 1 as needed, which can further make the capsule 1 better keep the crumpled or curled shape.

[0037] In the utility model, the placing and sending assembly 5 includes a push tube 51, an operating rod 52 is rotatably sleeved in the push tube 51, both ends of the operating rod 52 extend out of the push tube 51 and the both ends of the operating rod 52 are connected with operating heads 53 and handles 54 respectively, one end of the operating head 53 far from the operating rod 52 is rounded, and both ends of the silk thread 6 are connected with the operating head 53 and the capsule 1 respectively, and the capsule 1 is detachably pasted on the outside of the push tube 51. Specifically, bearings or convex rings and ring grooves can be used between the push tube 51 and the operating rod 52 to realize the rotatable sleeve connection of the two, and the specific structure is prior art, which will not be repeated here. The operating head 53 is a metal head, and the operating rod 52, the operating head 53 and the handle 54 are fixedly connected, and when the anus is squeezed, the handle 54 is rotated in sequence to rotate the operating rod 52 and the operating head 53, which can reduce the difficulty of squeezing the anus. The capsule 1 and the push tube 51 are connected by at least one detachable adhesive 11, so that when the capsule 1 is placed in the rectum by the placing and sending assembly 5, the capsule 1 is inflated to form a cylindrical structure with a diameter much larger than the outer diameter of the push tube 51, which can separate most of the adhesive parts of the capsule 1 and the push tube 51. For the remaining adhesive parts, the capsule 1 is fixed by the friction force formed by the inflation and expansion of the capsule ring 2 or the sponge 3 or by itself or outward support and the inward contraction of the rectal muscle. At this time, the push tube 51 can be slowly rotated to rotate relative to the capsule 1 until the two are completely not adhered.

[0038] Preferably, the length of the push tube 51 is 250 cm, and the distance between the push tube 51 and the operating head 53 is 5 cm, the long axis of the operating head 53 is 15 or 20 or 30 cm, and the short axis of the operating head 53 is 10 cm, and the length of the handle 54 is 50 cm.

[0039] The utility model discloses, the operating rod 52 is provided with at least one blade 10, the blade 10 is located between operating head 53 and push tube 51. Preferably, the maximum diameter of operating head 53 and the outer diameter of push tube 51 are all greater than the width of blade 10, one end of silk thread 6 is connected with the upper end of sleeve body 1, and the other end of the silk thread 6 is connected with the bottom of operating head 53, and the position of connection is close to the cutting edge of blade 10, when the capsule 1 is placed in the required position in rectum, rotates operating rod 52, can drive silk thread 6 to be wound on operating rod 52 and be cut off by blade 10, it can be understood that in addition to cutting off silk thread 6 by blade 10, when necessary, sharp instrument such as scissors, cutting forceps can also be used to assist cutting off silk thread 6 to make the placement and sending assembly 5 and capsule 1 separate.

[0040] Please refer to Figure 5 The utility model discloses, the placement and sending assembly 5 is provided with limiting device 9, limiting device 9 includes limiting groove 91, bayonet 92, wherein, limiting groove 91 is set up in operating rod 52, bayonet 92 is set up in push tube 51, and the elastic card convex 93 is arranged in limiting groove 91, the elastic card convex 93 and bayonet 92 buckle cooperation, thereby can fix the relative position and angle between operating rod 52 and push tube 51, and the push tube 51 is provided with the button 94 for the convex end of elastic card convex 93 to push out bayonet 92, thereby can make elastic card convex 93 separate from bayonet 92, operating rod 52 and push tube 51 can occur relative rotation, drive silk thread 6 to be wound on operating rod 52.

[0041] The utility model discloses a button 94 includes casing 941, pressing block 942, spring 943, the casing 941 covers the right above of bayonet 92 and the casing 941 and pressing block 942 sliding sleeve joint cooperation, the pressing block 942 one end goes into the casing 941 with the protruding end of elastic card protruding 93 and this pressing block 942 other end exposes in the casing 941 outside, and, the pressing block 942 is fixedly provided with the retaining ring 944, the spring 943 clearance is set in the outside of pressing block 942 and the both ends of spring 943 are connected with push tube 51, retaining ring 944 respectively. Specifically, the casing 941 is fixedly connected with push tube 51, the pressing block 942 and retaining ring 944 are integrally formed structure, and the both ends of spring 943 are fixedly connected or abut with push tube 51, retaining ring 944 respectively, the maximum distance between retaining ring 944 and the outer surface of push tube 51 is less than the distance from the outer surface of push tube 51 to the outer surface of operating lever 52, and the one end of pressing block 942 exposed outside the casing 941 is pressed, spring 943 is compressed and pressing block 942 moves towards the direction close to operating lever 52, can push the protruding end of elastic card protruding 93 and deviate towards the direction away from push tube 51, until the protruding end of elastic card protruding 93 is completely out of bayonet 92, operating lever 52 and push tube 51 can relatively rotate, and releasing pressing block 942, spring 943 stretches and pushes pressing block 942 and moves away from operating lever 52 through retaining ring 944, until pressing block 942 restores the state before pressing.

[0042] Before use, the capsule 1 and capsule ring 2 are concave and wrinkled or curled and fitted onto the outside of the push tube 51. During use, first grasp the handle 54, extend the operating head 53 from the end near the capsule ring 2 outside the capsule 1, and push the operating head 53 to open the anus. Then insert the placement component 5 into the rectum until the operating rod 52 pulls the capsule 1 through the thread 6 and inserts it into the rectum, with the sponge 3 aligned with the anastomosis. Then, inflate the capsule 1 and capsule ring 2 through the air inflator 4 until the capsule 1 expands into a tubular shape and the inner and outer walls of the capsule ring 2 are tightly fitted to the capsule 1 and rectal wall, respectively. Finally, press down on the pressing block 942 to expose it to the housing 9. At one end of 41, the spring 943 is compressed and the pressing block 942 moves towards the operating rod 52, causing the protruding end of the elastic locking protrusion 93 to shift away from the push tube 51 until the protruding end of the elastic locking protrusion 93 is completely disengaged from the locking slot 92. Then, the handle 54 is rotated to make the operating rod 52 and the push tube 51 rotate relative to each other, so that the cyst 1 and the push tube 51 are completely separated and the silk thread 6 is wound around the operating rod 52 and cut by the blade 10. Finally, the delivery component 5 is withdrawn from the cyst 1 and taken out of the anus. Also, as needed, drugs or saline can be infused into the anastomosis through the infusion tube 8 and sponge 3 to promote the healing of the anastomotic fistula. Therefore, this utility model has a simple structure and good operability. It can be quickly and easily applied to the rectum and anal canal and anastomosis, reducing the invasiveness and iatrogenic damage to the rectal anastomosis and promoting the healing of the anastomosis.

[0043] The preferred embodiments of this utility model have been described above. It should be understood that this utility model is not limited to the specific embodiments described above. Devices and structures not described in detail herein should be understood as being implemented in a conventional manner within the art. Any person skilled in the art can make many possible variations and modifications to the technical solutions of this utility model using the disclosed methods and techniques, or modify them into equivalent embodiments with equivalent changes, without departing from the scope of the technical solution of this utility model. This does not affect the essential content of this utility model. Therefore, any simple modifications, equivalent changes, and modifications made to the above embodiments based on the technical essence of this utility model, without departing from the content of the technical solution of this utility model, still fall within the protection scope of the technical solution of this utility model.

Claims

1. A rectal anastomotic stoma healing facilitation device, characterized by: The application relates to a balloon for anus, which comprises a balloon body (1) capable of being inflated into a cylinder-shaped bag with open two ends, a balloon ring (2) sleeved on the outer surface of the balloon body (1) far from the anus, a sponge (3) fixedly arranged on the outer surface of the balloon body (1), and a pumping pipeline (4) for pumping air into or discharging air from the balloon body (1) and the balloon ring (2).

2. A device for promoting healing of a rectal anastomosis according to claim 1, characterized in that: A delivery assembly (5) is detachably sleeved in the balloon body (1), the length of the delivery assembly (5) is longer than that of the balloon body (1), the end of the delivery assembly (5) close to the balloon ring (2) is rounded, and the delivery assembly (5) is connected with the balloon body (1) through at least one wire (6).

3. A device for promoting healing of a straight anastomosis according to claim 2, characterized in that: The delivery assembly (5) comprises a push tube (51), an operating rod (52) rotatably sleeved in the push tube (51), operating heads (53) and handles (54) connected with the two ends of the operating rod (52) respectively, and the end of the operating head (53) far from the operating rod (52) is rounded, and the two ends of the wire (6) are connected with the operating head (53) and the balloon body (1) respectively, and the balloon body (1) is detachably pasted on the outer side of the push tube (51).

4. A device for promoting healing of a straight anastomosis according to claim 3, characterized in that: A limiting device (9) is arranged on the delivery assembly (5), the limiting device (9) comprises a limiting groove (91) and a clamping hole (92), the limiting groove (91) is arranged on the operating rod (52), the clamping hole (92) is arranged on the push tube (51), an elastic clamping convex (93) is arranged in the limiting groove (91), the elastic clamping convex (93) is buckled with the clamping hole (92), and a button (94) is arranged on the push tube (51) for pushing the protruding end of the elastic clamping convex (93) out of the clamping hole (92).

5. A device for promoting healing of a straight anastomosis according to claim 4, characterized in that: The button (94) comprises a shell (941), a pressing block (942) and a spring (943), the shell (941) is arranged above the clamping hole (92), the shell (941) is slidably sleeved with the pressing block (942), one end of the pressing block (942) is inserted into the shell (941) and abuts against the protruding end of the elastic clamping convex (93), the other end of the pressing block (942) is exposed outside the shell (941), a stop ring (944) is fixedly arranged on the pressing block (942), and the spring (943) is gap-sleeved on the outer side of the pressing block (942) and connected with the push tube (51) and the stop ring (944) at the two ends.

6. A device for promoting healing of a rectal anastomosis according to any one of claims 3 to 5, characterised in that: At least one blade (10) is arranged on the operating rod (52) and located between the operating head (53) and the push tube (51).

7. A device for promoting healing of a rectal anastomosis according to any one of claims 1 to 5, characterized in that: At least one adhesive strip (7) is arranged, one end of the adhesive strip (7) is connected with the end of the balloon body (1) close to the anus, and the other end of the adhesive strip (7) is a free end.

8. A device for promoting healing of a rectal anastomosis according to any one of claims 1 to 5, characterized in that: The sponge (3) is in a ring structure and sleeved on the outer surface of the balloon body (1).

9. A device for promoting healing of a rectal anastomosis according to any one of claims 1 to 5, characterized in that: The balloon body (1) is provided with a liquid delivery pipeline (8) for delivering liquid to the sponge (3).

Images