CN2936203Y

CN2936203Y - Bladder fistulation tube

Info

Publication number: CN2936203Y
Application number: CN 200720017469
Authority: CN
Inventors: 管育国; 史伟; 魏东卫; 王红霞; 刘岩
Original assignee: Individual
Current assignee: Individual
Priority date: 2007-01-23
Filing date: 2007-01-23
Publication date: 2007-08-22
Anticipated expiration: 2017-01-23

Abstract

The utility model relates to a fistula-creating tube in a bladder, which comprises a guiding tube, an antisepsis tube covering and an air bladder covering; wherein, the top part of the guiding tube is a mushroom-head which is provided with an incision, the top end of the antisepsis tube covering is a liquid-exporting collar extension which is provided with a ring-shaped membrane for a one-way valve, the upper part of the air bladder covering is provided with no less than two raised heads of the air bladder with the lower part provided with a protruding ring of the air bladder, the antisepsis tube covering on the upper part of the raised heads of the air bladder is provided with a liquid-exporting exit which is provided with the membrane for a one-way valve, the bottom end of the antisepsis tube covering is a liquid-entering exit and the bottom end of the air bladder covering is an air-entering valve. The fistula-creating tube of the utility model solves the problems of uneasy fixation of the fistula-creating tube, incomplete airproof easily leading to the leakage of liquid, pollution of the washing anti-inflammation liquid due to sharing the same pipeline of the washing anti-inflammation liquid and the waste liquid when diminishing inflammation, thereby decreasing the infection odds of the patients.

Description

Bladder creating-fistula

Technical field:

This utility model belongs to medical instruments field, is specifically related to the bladder creating-fistula that a kind of fistulation operation back water conservancy diversion is used.

Background technology:

Have many patients to need to carry out various fistulation operations in the Urology Surgery after treatment, to help patient's early recovery, bladder stoma is exactly one of them more common operation.To use the fistulation pipe of bladder stoma to carry out water conservancy diversion after the bladder stoma operation, present bladder creating-fistula is generally the hollow pipe that medical grade rubber is made, the front end of this pipe is umbrella or mushroom projection, have several above and cut the hole, be used for the discharge of urine and other liquid, during use on pubis the position carry out bladder stoma, appear anterior wall of urinary bladder, stab the head insertion intravesical of opening and will pester with vascular forceps, the wound of general bladder stoma is less than the mushroom head, so just can make the mushroom head be stuck in unlikely dropping out on the fistulization oral, intravesical various liquid can be entered enter mozzle after the conduit in the otch of all directions and discharge, though the fistulation pipe of this structure is easy to operate simple, but need be when operation with in the mushroom rigid insertion fistulization oral, bring great misery to patient, also might cause further damage the wound of fistulation; In case the hemorrhage infection that also very easily causes wound of wound.But the utility model patent of Chinese patent 200520022333.0 provides a kind of is having the fistulation pipe of water-filling water pocket, its head is a taper, the water conservancy diversion incision is on cone and cylinder thereafter, avoided the use of mushroom head though adopt this structure, but be positioned at patient's body behind the water pocket band water-filling, though can make fistulation Guan Buhui drop out its stability still bad, external fistulation pipe still can be movable, in case needs of patients moves the fistulation pipe and also can move and bring misery to the patient thereupon, but the contact area that its cone head of while has dwindled otch is unfavorable for carrying out smoothly of water conservancy diversion urethral catheterization; It is a ring-type water pocket that its water pocket is enclosed within what form behind the water-filling, and cyclic water pocket cover can make the contact area with the bladder inwall strengthen, thereby causes the friction bigger to wall of urinary bladder, is unfavorable for that the answer of wound also is unfavorable for intravesical flushing antiinflammatory.

Simultaneously because clinical needs, need wash antiinflammatory every day to bladder by the fistulation pipe, present flushing antiinflammatory means generally are that flushing antiinflammatory medicinal liquids such as penicillin are injected in conduit, enter the processing that patient's intravesical washes antiinflammatory by fistulation pipe body from the incision of its head, though it is convenient like this, but the shared same body of liquid that flushing antiinflammatory medicinal liquid and water conservancy diversion come out, be easy to cause the pollution of medicinal liquid, cause the not thorough of flushing antiinflammatory, increase patient infection's danger, be unfavorable for that rehabilitation of patients does not meet the requirement of medical science flushing antiinflammatory simultaneously yet.

The fistulation pipe will be changed at set intervals, to accelerate rehabilitation of patients, but existing fistulation pipe all can cause the secondary damage of patient's wound when changing, bring misery to the patient, though recited above 200520022333.0 utility model patent can reduce the problem of this respect to a certain extent, but because it is that " puncture path being enlarged with dilator " still can bring bigger misery to the patient, simultaneously because human muscle's natural contraction, still can cause the contraction of wound when changing the described fistulation pipe of this patent, fistula wall extruding wound increases the danger of wound secondary damage.

Summary of the invention

At the deficiencies in the prior art, it is a kind of by mozzle that this utility model provides, the fistulation pipe that sterilization pipe box and air bag condom dress are formed, easy to operate when this fistulation pipe has promptly guaranteed plug fistulation pipe, the secondary pollution problem of the medicinal liquid when having solved the flushing antiinflammatory again.

This utility model is by the following technical solutions: bladder creating-fistula, and from inside to outside by mozzle, sterilization pipe box and Air sac cover are formed, and the top of mozzle is the mushroom head, has otch on the mushroom head; The top of sterilization pipe box is the fluid collar extension, and the ring-type check valve film is arranged on the fluid collar extension; At least two air bag plush copper is arranged at Air sac cover top, and the air bag bulge loop is arranged on the Air sac cover of plush copper bottom; On the sterilization pipe box on air bag plush copper top, liquid outlet is arranged, check valve film is arranged on the liquid outlet.

The bottom of sterilization pipe box is an inlet, and the bottom of Air sac cover is an air intake valve; When the Air sac cover unaerated, the lateral projection height of mushroom head equals or is slightly larger than the height of projection of air bag plush copper, the height of air bag plush copper top liquid outlet is equal to or less than the height of projection of air bag plush copper, and the distance between air bag bulge loop and air bag plush copper is slightly larger than by the thickness of fistulation organ walls; After the Air sac cover inflation, the lateral projection height of mushroom head is less than the height of projection of air bag plush copper.

Adopt the fistulation pipe of technical scheme described in the utility model, still adopt the shape of mushroom head at the top of mozzle, the contact area that has increased a mushroom upper cut like this can guarantee that the smooth and easy of water conservancy diversion carries out; Adopted the sterilization pipe box to be enclosed within the outside of mozzle, formed the cavity of a sealing, the medicinal liquid that will wash antiinflammatory during the flushing antiinflammatory injects in the sterilization pipe box from inlet, as long as the fluid pressure in the pipe box acquires a certain degree, just can wash the check valve film on the liquid outlet open, enter and washed antiinflammatory in the fistulation organ, waste liquid after the flushing antiinflammatory just can enter mozzle by the otch on the mushroom head, excrete, so just solved the problem of the shared same pipeline of liquid that existing fistulation pipe flushing antiinflammatory medicinal liquid and water conservancy diversion come out, the scorching medicinal liquid of the decontamination that can not liquidate pollutes, just can not cause inverse contamination to bladder yet, thereby, reduced the probability that infects for the flushing antiinflammatory to fistulation organs such as bladders provides gnotobasis.The top of sterilization pipe box is the fluid collar extension, increases the flushing antiinflammatory area of medicinal liquid like this, reduces the danger of infecting to the full extent.

Behind airbag aeration, air bag plush copper and air bag bulge loop meeting inflation, owing to have two plush coppers at least on the Air sac cover, plush copper expansion the increasing change of inflation back is big, can be stuck on the bladder inwall, and whole fistulation Guan Buhui is dropped from fistulization oral; Inflation back bulge loop also can become greatly, from external whole fistulization oral sealing is fixed the fistulation pipe jointly with the plush copper of bladder inwall, has solved inboard fixing back fistulation pipe and has exposed the loosening easily problem of waving of external part; Because the distance between plush copper and the bulge loop is slightly larger than or equals by the thickness of fistulation organ walls, be convenient to laying of fistulation pipe, and expansible air bag can encase the organ walls around the fistulization oral fully after inflation, make between itself and the fistulation pipe and the slit can not occur, just do not have the interior liquid of organ yet and flow out external phenomenon by the slit, therefore not needing to fill up a large amount of gauzes again outside fistulization oral exposes to prevent liquid, reduced nursing staff's workload, also reduced patient's misery, between bulge loop and fistulation collar extension, add one deck antiseptic gauze in the time of can be when reality is used, to reduce the probability that infects in unaerated.

Plush copper can be stuck on the bladder inwall in Air sac cover inflation back, will be in contact with one another with inwall like this, when patient's activity at ordinary times, will with inwall mutual friction mutually, therefore preferably the number of plush copper is limited in about 2, has promptly reached the purpose of stable fistulation pipe, reduced the contact area of itself and bladder inwall again, meet the requirement on the nursing, reduced the danger of fistulization oral secondary damage and infection; On the sterilization pipe box on air bag plush copper top, liquid outlet is arranged, medicinal liquid can be discharged from these liquid outlets when the flushing antiinflammatory, because position relation, medicinal liquid can wash targetedly to air bag plush copper and the bladder that is in contact with it inwall, the effect of fluid collar extension in addition, no longer there is the dead angle when making the flushing antiinflammatory, further reduced the probability that infects and made better condition for patient's rehabilitation.

Check valve film is all arranged on fluid collar extension and the liquid outlet, such design can only flow in the fistulation organ flushing antiinflammatory medicinal liquid in the sterilization pipe box, check valve film auto-closing when not carrying out flushing operation, the intraorganic liquid that can not of fistulation enters in the sterilization pipe box, only can enter mozzle and excrete, guarantee the gnotobasis in the sterilization pipe box by the otch on the mushroom head.

When the Air sac cover unaerated, the lateral projection height of mushroom head equals or is slightly larger than the height of projection of air bag plush copper, like this when carrying out the operation of fistula placement, the big or small consistent of head is controlled at the size of fistulization oral and pester in the time of need only fistulation, so just can easily the fistulation pipe be put in the fistulation organ, also only need air bag deflation just can be taken out the fistulation pipe easily when getting pipe, the misery of having brought to the patient when having reduced replace tubes reaches the secondary damage to wound; The height of air bag plush copper top liquid outlet is equal to or less than the height of projection of air bag plush copper, make like this to put when pipe liquid outlet and can not cause obstruction, and when sterilization because the opening direction of check valve film, makes that the flushing antiinflammatory can be more thorough towards plush copper; When Air sac cover was inflated, the lateral projection height of mushroom head was less than the height of projection of air bag plush copper, and it is external that this has guaranteed that also fistulation Guan Buhui drops out.

Mozzle described in the utility model, sterilization pipe box and Air sac cover are all by the medical material manufacturing, generally all adopt the medical grade rubber manufacturing, sterilization pipe box and mozzle are interior because liquid flow is arranged, therefore adopt than hard medical grade rubber manufacturing, to guarantee the smooth and easy of inflation back liquid flow, still sterilize pipe box and Air sac cover generally all adopt thin material manufacture, reducing the integral diameter of fistulation pipe, in the time of can reducing fistulation for injury of human.Adopt fistulation pipe described in the utility model, solved the fistulation pipe and be difficult for fixing, sealing does not thoroughly cause the problem of liquid leakage easily, and flushing anti-inflammation liquid and the shared pipeline of waste liquid make the contaminated problem of anti-inflammation liquid of washing when also having solved the flushing antiinflammatory simultaneously.When being applicable to bladder stoma, also can use in the fistulation operation of other organs, the distance that only needs to adjust between air bag plush copper and air bag bulge loop is fit to be got final product by the thickness of fistulation organ organ walls.

Description of drawings

Fig. 1 is the structural representation of this utility model when unaerated.

Structural representation when Fig. 2 washes antiinflammatory for this utility model after inflation.

Fig. 3 is the enlarged drawing of A part among Fig. 1.

Fig. 4 is the enlarged drawing of B part among Fig. 2.

1 is mozzle in the accompanying drawing, and 2 is Air sac cover, and 3 are the sterilization pipe box, and 4 is air intake valve, and 5 is inlet, and 6 are the mushroom head, and 7 is the fluid collar extension, and 8 is liquid outlet, and 9 is the air bag plush copper, and 10 is the air bag bulge loop, and 11 is the ring-type check valve film, and 12 is check valve film.

The specific embodiment

As shown in Figure 1, bladder creating-fistula is from inside to outside by mozzle 1, and sterilization pipe box 3 and Air sac cover 2 are formed, and the top of mozzle 1 is mushroom 6, has otch on the mushroom 6; The top of sterilization pipe box 3 is a fluid collar extension 7, and ring-type check valve film 11 is arranged on the fluid collar extension 7; Two air bag plush coppers 9 are arranged at Air sac cover 2 tops, on the Air sac cover 2 of plush copper bottom air bag bulge loop 10 are arranged; On the sterilization pipe box 3 on air bag plush copper 9 tops, liquid outlet 8 is arranged, check valve film 12 is arranged on the liquid outlet 8; The bottom of sterilization pipe box 3 is an inlet 5, and the bottom of Air sac cover 2 is an air intake valve 4.

When Air sac cover 2 unaerateds, the lateral projection height of mushroom 6 is slightly larger than the height of projection of air bag plush copper 9, the height of air bag plush copper top liquid outlet 7 is less than the height of projection of air bag plush copper 9, and the distance that air bag bulge loop 10 and air bag plush copper are 9 is slightly larger than the thickness of wall of urinary bladder.

During use the fistulation pipe is inserted intravesical in fistulization oral, when the air bag bulge loop can contact with the skin outside the fistulization oral, stop to insert and get final product, cushioning one deck antiseptic gauze between bulge loop and fistulization oral then, the bottom by Air sac cover 2 is that air intake valve 4 inflations get final product afterwards.As shown in Figure 2, the lateral projection height of mushroom 6 is less than the height of projection of air bag plush copper 9 behind airbag aeration, and air bag bulge loop 10 and air bag plush copper 9 encase near the wall of urinary bladder the fistulization oral fully.

When washing the antiinflammatory operation, inlet 5 by sterilization pipe box 3 bottoms injects flushing antiinflammatory medicinal liquids such as penicillin in the sterilization pipe box, after being full of medicinal liquid in the sterilization pipe box, will wash the check valve film 11 and 12 on fluid collar extension 7 and the liquid outlet 8 open, entering intravesical cleans, reach the purpose of flushing antiinflammatory, the various waste liquids that waste liquid after the cleaning and daily bladder produce enter mozzle 1 by the otch on the mushroom 6 and excrete, and the flushing anti-inflammation liquid that enters from liquid outlet 8 carries out disinfection to corresponding air bag plush copper.

When changing the fistulation pipe, the gas in the Air sac cover 2 is discharged by air intake valve 4, the diameter of fistulation pipe diminishes, and can take out from fistulization oral easily and change.

Claims

1. a bladder creating-fistula contains mozzle (1), and the top of mozzle (1) is mushroom head (6), has otch on the mushroom head (6), it is characterized in that: it is from inside to outside by mozzle (1), and sterilization pipe box (3) and Air sac cover (2) suit are formed; The top of sterilization pipe box (3) is fluid collar extension (7), and ring-type check valve film (11) is arranged on the fluid collar extension (7); Two air bag plush coppers (9) are arranged at Air sac cover (2) top, and air bag bulge loop (10) is arranged on the Air sac cover of plush copper bottom (2); On the sterilization pipe box (3) on air bag plush copper (9) top, liquid outlet (8) is arranged, check valve film (12) is arranged on the liquid outlet (8); There is inlet (5) bottom of sterilization pipe box (3), and there is air intake valve (4) bottom of Air sac cover (2).

2. bladder creating-fistula according to claim 1 is characterized in that: the distance between air bag bulge loop (10) and air bag plush copper (9) is more than or equal to by the thickness of fistulation organ walls.

3. bladder creating-fistula according to claim 1 and 2, it is characterized in that: when Air sac cover (2) unaerated, the lateral projection height of mushroom head is equal to or greater than the height of projection of air bag plush copper (9), and the height of air bag plush copper top liquid outlet (8) is equal to or less than the height of projection of air bag plush copper (9).

4. bladder creating-fistula according to claim 3 is characterized in that: after Air sac cover (2) inflation, the lateral projection height of mushroom head is less than the height of projection of air bag plush copper (9).