CN219375836U

CN219375836U - Intestinal juice diversion device for small intestine ostomy

Info

Publication number: CN219375836U
Application number: CN202223063651.4U
Authority: CN
Inventors: 吴凤云; 吴冰杰; 赵跃
Original assignee: Individual
Current assignee: Individual
Priority date: 2022-11-18
Filing date: 2022-11-18
Publication date: 2023-07-21
Anticipated expiration: 2032-11-18

Abstract

The utility model discloses a intestinal juice diversion device for small intestine ostomy, which comprises a T-shaped three-way pipe, wherein a left long arm and a right long arm are a proximal insertion pipe and a distal insertion pipe, a short arm starts from the middle position of the two long arm pipes and is communicated with the two long arm pipes in a T shape, the proximal insertion pipe and the middle short arm pipe are integrated into a whole, the tail ends of the distal insertion pipe and the proximal insertion pipe are connected through a short rigid plastic pipe, and the proximal insertion pipe and the distal insertion pipe are respectively provided with an inner core with the same inner diameter; the two-piece hand-shaped ostomy bag is divided into two parts, wherein the first part is a skin sticking chassis with a clamping ring, and the second part is an ostomy bag with the clamping ring, and the ostomy bag is in a hand shape with four fingers being folded and thumb being abducted. According to the utility model, the double mushroom head tube is inserted into the intestinal cavity at the proximal stoma, so that intestinal fluid is intercepted and transferred into the intestinal tube below the distal stoma at the upstream of the intestinal cavity, the probability of overflow of the intestinal fluid through the bottom plate of the stoma bag is reduced, and skin irritation at the stoma is lightened. Meanwhile, the workload of the traditional method for back transfusion of intestinal juice is reduced.

Description

Intestinal juice diversion device for small intestine ostomy

Technical Field

The utility model belongs to the technical field of medical appliances, and particularly relates to a small intestine ostomy intestinal juice diversion device.

Technical Field

External small intestine ostomy is commonly used in the surgical treatment of intestinal rupture, intestinal resection and intestinal obstruction caused by trauma, inflammation, tumor and other factors. The small intestine has thin and large content, contains a large amount of gastric juice, pancreatic juice, bile, water and electrolyte, and causes water, electrolytic disorder and malnutrition due to a large loss. The above problem is more pronounced for high-order small intestine stomas or for small intestine resections which are too numerous. The traditional treatment method is that an ostomy bag is covered on an external intestinal canal, intestinal fluid or chyme discharged through a proximal intestinal canal is collected, filtered and then returned into the stomach or jejunum through a nasal feeding tube, and although part of the intestinal fluid can be returned, the method has a plurality of defects: (1) a certain amount of the liquid is required to be collected, filtered and heated, and is slowly dripped into the stomach or the small intestine through a nasal feeding tube, so that the dripping time is long, and the operation is complicated; (2) the infusion pipeline is easy to be blocked; (3) for patients who feed semi-fluid food, the thin intestinal juice can be fed back, while the slightly rough chyme is difficult to feed back, so that the nutrition quality in the intestines cannot be ensured. Meanwhile, because the small intestinal juice contains bile, pancreatic juice, pancreatin, gastric acid and other irritant substances, the traditional method for collecting the intestinal juice by using the ostomy bag is easy to cause skin corrosion and eczema due to long-time soaking or side leakage of the intestinal juice, and brings a lot of pains and inconvenience to patients.

Disclosure of Invention

In order to solve the problems in the prior art, the utility model provides a small intestine ostomy intestinal juice diversion device, which solves the problems of skin corrosion, eczema and work load of back transfusion of intestinal juice caused by long-time soaking or side leakage of intestinal juice in the small intestine external ostomy in the prior art.

The utility model is realized by the following technical scheme:

the intestinal juice transfer device comprises a T-shaped three-way pipe, wherein a left long arm and a right long arm are a proximal insertion pipe and a distal insertion pipe which are respectively inserted into the proximal ostomy intestinal pipe and the distal ostomy intestinal pipe, a short arm starts from the middle position of the two long arm pipes and is communicated with the two long arm pipes in a T shape, the proximal insertion pipe and the middle short arm pipe are integrated, the distal insertion pipe is connected with the tail end of the proximal insertion pipe through a short hard plastic pipe, and the proximal insertion pipe and the distal insertion pipe are respectively provided with an inner core with the same inner diameter;

the ostomy bag also comprises a two-piece hand-shaped ostomy bag which is divided into two parts, wherein the first part is a skin sticking chassis with a clamping ring and comprises a skin protection bottom plate, a ostomy sticking ring and a ostomy chassis; the second part is an ostomy bag with a clasp, which is in a shape of a hand with four fingers folded and thumb abducted, the lower part of the bag body with four fingers folded is open, a sealing clamp is arranged, and if intestinal contents are accumulated, the bag can be opened and discharged at any time; the thumb abducted finger-shaped protruding body is also open for the insertion tube at the far end and the near end to go in and out, and is fixed by a small elastic ring to prevent leakage; the ostomy bag comprises finger-like protrusions on either the left or right side to facilitate connection of the distal and proximal insertion tubes.

The head end of the proximal insertion tube is expanded in a mushroom head shape, the top of the proximal insertion tube is provided with a small hole, the front outer side of the proximal insertion tube is provided with three small holes, a mushroom head with the same size is arranged below the first mushroom head and connected with the rubber tube, the front side of the mushroom head is provided with three small holes, and the tail end of the distal insertion tube is cut into a smooth inclined plane and is naturally opened without changing the shape.

The diameter of the mushroom head is 2.0-2.3cm, the diameter of the small hole on the mushroom head is 0.8-1cm, and the interval between the upper mushroom head and the lower mushroom head is 3cm.

The T-shaped three-way pipe is made of silica gel, the length of each of the proximal insertion pipe and the distal insertion pipe is 15-30 cm, the outer diameter is 1.8-2cm, and the inner diameter is 1.4-1.6cm; the middle short arm is 20cm long, the outer diameter is 1.2cm, and the inner diameter is 1cm.

And each pipe at the junction of the T-shaped tee joint is provided with a water stop clamp respectively.

The utility model can realize the following effects:

(1) By inserting the double mushroom head tube into the intestinal lumen at the proximal stoma, intestinal fluid is trapped in the intestinal tube under the distal stoma upstream of the intestinal lumen, reducing the probability of intestinal fluid spilling over through the stoma floor and reducing skin irritation at the stoma.

(2) Reduces the workload of the traditional method for back transfusion of intestinal juice.

(3) Intestinal fluid overflowed from the proximal stoma into the stoma bag can be returned to the distal stoma intestinal canal via the T-tube short arm, and intestinal nutrient fluid can also be infused into the downstream intestinal canal via the T-tube short arm.

(4) The use of the hand-shaped ostomy bag not only facilitates the placement and operation of the shunt tube, but also protects the stoma and surrounding skin.

Drawings

FIG. 1 is a schematic diagram of a T-shaped three-way pipe in a small intestine ostomy intestinal juice diverting device;

FIG. 2 is a schematic view of the structure of a hand-shaped ostomy bag in the intestinal ostomy intestinal juice diverting device of the utility model; a is the finger-shaped protrusion on the right side, B is the finger-shaped protrusion on the left side;

FIG. 3 is a schematic structural view of the intestinal juice diversion device for the small intestine ostomy of the utility model;

FIG. 4 is a schematic diagram showing the use of the intestinal ostomy intestinal juice diverting device of the utility model;

wherein: 1-a proximal insertion tube; 2-distal insertion tube; 3-middle short arm; 4-hard plastic tube; 5-first mushroom head expansion; 6-expanding the second mushroom head shape; 7-small holes; 8-a skin adhesion chassis; 9, bag body; 10-small elastic ring; 11-a closing clip; 12-small intestine; 13-water stop clamp.

Detailed Description

The present utility model is described in detail below with reference to the accompanying drawings.

The intestinal juice diversion device for the small intestine ostomy is characterized in that firstly, a silicon tube which is corrosion-resistant, free of tissue stimulation and soft in texture is selected to be made into a T-shaped tee shape, and after being unfolded, the left and right long arm proximal insertion tubes 1 and the distal insertion tube 2 are 15-30 cm long respectively, and the outer diameter is 2cm and the inner diameter is 1.6cm; the middle short arm 3 is 20cm long, the outer diameter is 1.2cm, and the inner diameter is 1cm. The two long arms are respectively inserted into the proximal ostomy tube and the distal ostomy tube to play a role in draining and conveying upstream intestinal fluid into the downstream distal intestinal tube through the tube, the short arm 3 is communicated with the middle position of the two long arm tubes in a T shape, the proximal insertion tube 1 and the middle short arm tube 3 are integrated, the distal insertion tube 2 and the tail end of the proximal insertion tube 1 are connected through a short hard plastic tube 4 so as to facilitate the replacement of an ostomy bag, and the short arm tube 3 is used for flushing the distal and proximal insertion tubes through the tube to prevent blocking of the tube or infusing intestinal nutrient fluid into the distal insertion tube 2 through the tube. Each pipe at the junction of the tee joint is sleeved with a water stop clamp for clamping when needed.

The head end of the proximal insertion tube 1 is expanded in a mushroom head shape, the head end is expanded in a first mushroom head shape, the diameter is about 2.3cm, a small hole with the diameter of about 1cm is formed in the top, 3 small holes with the diameter of about 1cm are formed in the front outer side, a second mushroom head-shaped expansion 6 with the same size is arranged at the position about 3cm away from the lower side of the first mushroom head and is connected with a rubber tube, three small holes with the diameter of about 1cm are formed in the front side of the second mushroom head-shaped expansion 6, the two mushroom heads are used for bearing intestinal juice upstream of drainage in an intestinal cavity, the expanded mushroom heads are used for increasing the caliber and the number of collecting holes, the full inflow of the intestinal juice is facilitated, the mushroom heads are soft in texture, and the mushroom heads can be fully attached to the inner wall of the intestinal cavity in a small intestine and can not cause intestinal mucosa to compress ischemia. The tail end of the distal insertion tube 2 is cut into a smooth inclined surface and naturally opened without changing the shape.

The proximal insertion tube and the distal insertion tube are each provided with an inner core with the inner diameter being identical, and the texture is slightly tough and hard so as to be ready for placing the distal and proximal insertion tubes into the upstream and downstream ostomy intestinal tubes under the support and guide of the proximal insertion tube, and if the insertion is difficult, the insertion can be finished under the guide of an enteroscope.

Design of two-piece hand-shaped ostomy bag: the utility model is divided into two parts, the first part is a skin sticking chassis with a clamping ring, which comprises a skin protection bottom plate, an ostomy sticking ring and a ostomy chassis. The second part is an ostomy bag with a clasp, which is in a shape of a hand with four fingers being gathered (bag body) and thumb being abducted (finger-shaped protruding body), the lower part of the bag body is opened, the sealing clamp 11 is used for sealing to prevent leakage, and if intestinal contents are accumulated, the bag can be opened and discharged at any time; the finger-shaped protruding body is also open for the insertion tube at the far end and the near end to go in and out, and is fixed by a small elastic ring to prevent leakage. Ostomy bags are made in two types, with finger-like protrusions on the left or right side to facilitate connection of the distal and proximal insertion tubes.

For the double-cavity ostomy, as the two external stomas are closely connected together, a slightly short diversion pipe can be selected, the proximal insertion pipe 1 and the distal insertion pipe 2 are respectively placed into intestinal cavities at two sides of the stoma, the short arm 3 can be led out and sealed through the finger-shaped protruding end of the ostomy bag, the lower end of the ostomy bag is sealed by a sealing clamp, and overflowed intestinal juice can be cleaned and returned at any time.

For single lumen stomas with two or more remote sites, a slightly longer shunt tube may be chosen, the stoma is covered with a plurality of hand-shaped stoma bags, the proximal insertion tube 1 and the distal insertion tube 2 are placed into the stoma bag via the finger-like protruding ends of the stoma bag, and then inserted into the stoma lumen, the short arm 3 of the shunt tube remaining outside the stoma bag for flushing or infusion of nutritional liquid.

The present utility model is not limited to the above embodiments, and any other changes, modifications, substitutions, combinations, and simplifications that do not depart from the spirit and principles of the utility model are intended to be equivalent substitution methods and are included in the protection of the utility model.

Claims

1. The intestinal juice diversion device for the small intestine ostomy is characterized by comprising a T-shaped three-way pipe, wherein a left long arm and a right long arm are a proximal insertion pipe and a distal insertion pipe which are respectively inserted into the proximal ostomy intestinal pipe and the distal ostomy intestinal pipe, a short arm is led from the middle position of the two long arm pipes to be communicated with the two long arm pipes in a T shape, the proximal insertion pipe and the middle short arm pipe are integrated, the distal insertion pipe and the tail end of the proximal insertion pipe are connected through a short hard plastic pipe, and the proximal insertion pipe and the distal insertion pipe are respectively provided with an inner core with the same inner diameter;

2. The intestinal ostomy converting device according to claim 1, wherein the head end of the proximal insertion tube is expanded in the shape of a mushroom head, the top of the proximal insertion tube is provided with a small hole, the front outer side of the proximal insertion tube is provided with three small holes, a mushroom head with the same size is arranged below the first mushroom head and connected with the rubber tube, the front side of the mushroom head is provided with three small holes, and the tail end of the distal insertion tube is cut into a smooth inclined surface and is naturally opened without changing the shape.

3. The intestinal ostomy diverting device according to claim 2, wherein the diameter of the mushroom head is 2.0-2.3cm, the diameter of the small hole on the mushroom head is 0.8-1cm, and the upper and lower mushroom heads are spaced 3cm apart.

4. The intestinal juice diverting device for the stoma of the small intestine according to claim 1 or 2, wherein the T-shaped three-way pipe is made of silica gel, the length of the proximal insertion pipe and the distal insertion pipe is 15-30 cm, the outer diameter is 1.8-2cm, and the inner diameter is 1.4-1.6cm; the middle short arm is 20cm long, the outer diameter is 1.2cm, and the inner diameter is 1cm.

5. The intestinal juice diverting device according to claim 1 or 2, wherein each pipe at the junction of the tee joint is provided with a water stop clip.