CN210844499U - An extracorporeal implantable thoracoabdominal double cavity irrigation and drainage pipeline device - Google Patents

Abstract

Translated fromChinese

本实用新型公开了一种体外置入式胸腹双腔冲洗引流管道装置，包括管道本体，所述管道本体的外侧表面标记有刻度线，所述管道本体内开设有引流腔和冲洗腔，所属管道本体上端固定设有引流口，所述引流口内开设有引流腔，所属引流腔向下延伸至导管尖端开设有引流孔，所属管道本体上端的引流口旁侧设有冲洗口，所述冲洗口内开设有冲洗腔，所述冲洗腔向管道尖端方向延伸设有冲洗孔。该体外置入式胸腹双腔冲洗引流管道装置，避免患者在外科开腹手术下置管的创伤，采用床旁体外置管，操作简单，缩短住院时间，降低因冲洗、引流不彻底导致的再感染率、死亡率，降低医疗费用，避免粗管径引流管对患者的不适感，减少医务人员工作量。

The utility model discloses an extracorporeal implantable thoracic and abdominal double-chamber irrigation and drainage pipeline device, which comprises a pipeline body, the outer surface of the pipeline body is marked with a scale line, and a drainage cavity and a flushing cavity are opened in the pipeline body. The upper end of the pipe body is fixedly provided with a drainage port, the drainage port is provided with a drainage cavity, and the associated drainage cavity extends downward to the tip of the catheter and is provided with a drainage hole. A flushing cavity is opened, and the flushing cavity is provided with a flushing hole extending toward the tip of the pipe. The external implantable thoracic and abdominal double-chamber irrigation and drainage pipeline device avoids the trauma of the patient's catheter placement under surgical laparotomy, and adopts bedside external catheter placement, which is simple to operate, shortens the hospital stay, and reduces the risk of complications caused by incomplete irrigation and drainage. Reinfection rate and mortality rate, reduce medical costs, avoid the discomfort of thick-diameter drainage tubes to patients, and reduce the workload of medical staff.

Description

Translated fromChinese

一种体外置入式胸腹双腔冲洗引流管道装置An extracorporeal implantable thoracoabdominal double cavity irrigation and drainage pipeline device

技术领域technical field

本实用新型涉及医疗器械领域，具体为一种体外置入式胸腹双腔冲洗引流管道装置。The utility model relates to the field of medical devices, in particular to an external implantable thoracic-abdominal double-cavity flushing and drainage pipeline device.

背景技术Background technique

消化系统疾病已成为人类发病率最高的三大疾病之一，临床上，常用的手术治疗方法为外科开腹、腹腔镜微创、内镜下治疗等，但术后发生消化道穿孔，腹腔感染等，是最常见并发症，患者表现为发热、疼痛等急腹症状，腹腔冲洗技术的诞生，大大降低了该类并发症患者的死亡率，减少住院天数，从而提高了患者的生存质量。Digestive system diseases have become one of the three diseases with the highest incidence in human beings. In clinical practice, the commonly used surgical treatment methods are surgical laparotomy, minimally invasive laparoscopy, and endoscopic treatment. However, postoperative gastrointestinal perforation and abdominal infection occur. Etc., is the most common complication. Patients present with acute abdominal symptoms such as fever and pain. The birth of abdominal flushing technology has greatly reduced the mortality rate of patients with such complications and the length of hospital stay, thereby improving the quality of life of patients.

然而，现临床缺少治疗该类并发症的体外穿刺置入式冲洗、引流一体式装置，目前外科使用的冲洗引流管需行手术切开胸/腹腔后置管，增加患者身体、心理创伤，愈合时间长，CT引导下经皮穿刺置管，该操作必须在CT引导下进行，且该引流管为单腔，冲洗与引流不能同步进行，易导致冲洗/引流不彻底，不利于脓腔闭合，延长置管时间；引流不畅时医师需手动冲洗或引流，加大医务人员工作量，增加职业暴漏的风险；且如果于不同部位在胸/腹腔病灶处各置入一根冲洗管和一根引流管，此方法虽冲洗和引流可以同时进行，但需多次穿刺，增加患者的身体痛苦及感染机率，增加医疗耗材支出和医务人员工作量。However, there is currently a lack of external puncture and implantable irrigation and drainage integrated devices to treat such complications. The current surgical irrigation and drainage tubes require surgical incision of the chest/abdominal cavity and placement of the catheter, which increases the physical and psychological trauma of the patient and causes healing. Long time, CT-guided percutaneous catheter placement, this operation must be performed under CT guidance, and the drainage tube is a single-lumen, irrigation and drainage cannot be performed simultaneously, which may easily lead to incomplete irrigation/drainage, which is not conducive to the closure of the abscess cavity. Prolong the catheterization time; physicians need to manually flush or drain when the drainage is not smooth, which increases the workload of medical staff and increases the risk of occupational exposure; and if a flushing tube and a Root drainage tube, although flushing and drainage can be carried out at the same time, but multiple punctures are required, which increases the patient's physical pain and infection probability, increases the expenditure on medical consumables and the workload of medical staff.

实用新型内容Utility model content

本实用新型的目的在于提供一种体外置入式胸腹双腔冲洗引流管道装置，以解决上述背景技术中提出现临床缺少治疗该类并发症的体外穿刺置入式冲洗、引流一体式装置，从而避免患者在外科开腹手术下置管的创伤，采用床旁体外置管，操作简单，控制感染，促进病灶闭合，加速康复，缩短住院时间，降低医疗费用，减少医务人员工作量。The purpose of this utility model is to provide an extracorporeal implantable thoracic and abdominal double cavity irrigation and drainage pipeline device, so as to solve the clinical lack of an in vitro puncture implantable irrigation and drainage integrated device for treating such complications in the above-mentioned background technology. In order to avoid the trauma of patients undergoing catheter placement under surgical laparotomy, bedside extracorporeal catheter placement is simple to operate, control infection, promote lesion closure, speed up recovery, shorten hospital stay, reduce medical costs, and reduce the workload of medical staff.

为实现上述目的，本实用新型提供如下技术方案：一种体外置入式胸腹双腔冲洗引流管道装置，包括管道本体，所述管道本体的外侧表面标记有刻度线，所述管道本体内开设有引流腔和冲洗腔，所属管道本体上端固定设有引流口，所述引流口内开设有引流腔，所属引流腔向下延伸至导管尖端开设有引流孔，所属管道本体上端的引流口旁侧设有冲洗口，所述冲洗口内开设有冲洗腔，所述冲洗腔向管道尖端方向延伸设有冲洗孔，所述冲洗孔距引流孔距离为5-6CM，所述冲洗口的外侧设有冲洗接头，所述冲洗接头的外侧活动安装有连接螺纹，所述引流口的外侧活动安装有引流接头，所述管道本体的一端开设有出导丝孔及引流双用。In order to achieve the above purpose, the present utility model provides the following technical solutions: an external implantable thoracic and abdominal dual cavity irrigation and drainage pipeline device, comprising a pipeline body, the outer surface of the pipeline body is marked with a scale line, and the pipeline body is provided with There is a drainage cavity and a flushing cavity, and the upper end of the pipe body is fixed with a drainage port, the drainage port is provided with a drainage cavity, and the drainage cavity extends downward to the tip of the catheter with a drainage hole. There is a flushing port, and a flushing cavity is opened in the flushing port. The flushing cavity is provided with a flushing hole extending toward the tip of the pipe. The distance between the flushing hole and the drainage hole is 5-6CM, and a flushing joint is arranged on the outside of the flushing port. The outer side of the flushing joint is movably installed with a connecting thread, the outer side of the drainage port is movably installed with a drainage joint, and one end of the pipe body is provided with a guide wire hole and a dual purpose for drainage.

优选的，所述管道本体的前端为分叉结构设计，且管道本体上的刻度线的长度和管道本体的长度相适配。Preferably, the front end of the pipe body is designed with a bifurcated structure, and the length of the scale line on the pipe body is adapted to the length of the pipe body.

优选的，所述引流孔在管道本体尖端上环周设置有至少三组，且相互之间的夹角为120度，并且引流孔的大小相同。Preferably, at least three groups of the drainage holes are circumferentially arranged on the tip of the pipe body, and the included angle between them is 120 degrees, and the drainage holes have the same size.

优选的，所述冲洗腔的直径小于引流腔的直径。Preferably, the diameter of the flushing cavity is smaller than the diameter of the drainage cavity.

优选的，所述冲洗口为螺纹分隔膜设计。Preferably, the flushing port is designed as a threaded separation membrane.

与现有技术相比，本实用新型的有益效果是：该体外置入式胸腹双腔冲洗引流管道装置，在引流管上增加能够进行冲洗的冲洗腔，更小的直径和相对简单的结构，解决临床无有效治疗消化道瘘及胸/腹腔感染的冲洗引流问题，避免患者在外科开腹手术下置管的创伤，从而控制感染，促进病灶闭合，加速康复，缩短住院时间，降低因冲洗、引流不彻底导致的再感染率、死亡率，降低医疗费用，避免粗管径引流管对患者的不适感，利于临床操作，减少医务人员工作量。Compared with the prior art, the beneficial effects of the present invention are: the external implantable thoracic and abdominal double-chamber irrigation and drainage pipeline device adds a irrigation cavity capable of irrigation on the drainage tube, with a smaller diameter and a relatively simple structure. , to solve the problem of irrigation and drainage of gastrointestinal fistula and thoracic/abdominal infection without effective clinical treatment, to avoid the trauma of patients undergoing catheter placement under surgical laparotomy, so as to control infection, promote lesion closure, speed up recovery, shorten hospitalization time, and reduce the risk of irrigation. , Reinfection rate and mortality caused by incomplete drainage, reduce medical costs, avoid the discomfort of thick diameter drainage tubes to patients, facilitate clinical operations, and reduce the workload of medical staff.

附图说明Description of drawings

图1为本实用新型正视结构示意图；Fig. 1 is the front view structure schematic diagram of the present utility model;

图2为本实用新型内部结构示意图；2 is a schematic diagram of the internal structure of the utility model;

图3为本实用新型外置导丝结构示意图；3 is a schematic diagram of the structure of an external guide wire of the present invention;

图4为本实用新型局部结构示意图。FIG. 4 is a schematic diagram of the partial structure of the utility model.

图中：1、管道本体；2、刻度线；3、引流孔；4、引流腔；5、引流口；6、引流接头；7、冲洗孔；8、冲洗腔；9、冲洗口；10、冲洗接头；11、连接螺纹；12、出导丝孔及引流双用； 13、外配导丝。In the figure: 1. Pipe body; 2. Scale line; 3. Drainage hole; 4. Drainage cavity; 5. Drainage port; 6. Drainage joint; 7. Flushing hole; 8. Flushing cavity; 9. Flushing port; 10. Flushing joint; 11. Connecting thread; 12. Dual-purpose guide wire outlet and drainage; 13. External guide wire.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图，对本实用新型实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本实用新型一部分实施例，而不是全部的实施例。基于本实用新型中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

请参阅图1-4，本实用新型提供一种技术方案：一种体外置入式胸腹双腔冲洗引流管道装置，包括管道本体1，管道本体1的外侧表面标记有刻度线2，管道本体1内开设有引流腔4和冲洗腔8，所属管道本体1上端固定设有引流口5，引流口5内开设有引流腔4，所属引流腔4向下延伸至导管尖端开设有引流孔3，所属管道本体1上端的引流口5旁侧设有冲洗口9，冲洗口9内开设有冲洗腔8，冲洗腔8向管道尖端方向延伸设有冲洗孔7，冲洗孔7距引流孔3距离为5-6CM，冲洗口9的外侧设有冲洗接头10，冲洗接头10的外侧活动安装有连接螺纹11，引流口5的外侧活动安装有引流接头6，管道本体1的一端开设有出导丝孔及引流双用12；1-4, the present utility model provides a technical solution: an external implantable thoracic and abdominal dual cavity irrigation and drainage pipeline device, comprising a pipeline body 1, the outer surface of the pipeline body 1 is marked with ascale line 2, and the pipeline body 1 is provided with a drainage cavity 4 and a flushing cavity 8, the upper end of the pipe body 1 is fixedly provided with adrainage port 5, thedrainage port 5 is provided with a drainage cavity 4, and the associated drainage cavity 4 extends downward to the catheter tip and is provided with adrainage hole 3, The side of thedrainage port 5 at the upper end of the pipe body 1 is provided with a flushing port 9, and a flushing cavity 8 is opened in the flushing port 9. The flushing cavity 8 extends toward the tip of the pipe and is provided with a flushing hole 7, and the distance between the flushing hole 7 and thedrainage hole 3 is 5-6CM, the outer side of the flushing port 9 is provided with a flushingjoint 10, the outer side of theflushing joint 10 is movably installed with a connectingthread 11, the outer side of thedrainage port 5 is movably installed with adrainage joint 6, and one end of the pipe body 1 is provided with a guide wire hole. and drainage dual-purpose 12;

进一步的，管道本体1的上端为分叉结构设计，且管道本体1上的刻度线2的长度和管道本体1的长度相适配，方便操作人员进行使用，降低操作的难度；Further, the upper end of the pipeline body 1 is designed with a bifurcated structure, and the length of thescale line 2 on the pipeline body 1 is adapted to the length of the pipeline body 1, which is convenient for operators to use and reduces the difficulty of operation;

进一步的，引流孔3在管道本体1尖端上环周设置有至少三组，且相互之间的夹角为120度，并且引流孔3的大小相同；Further, at least three groups ofdrainage holes 3 are circumferentially arranged on the tip of the pipe body 1, and the included angle between them is 120 degrees, and the size of thedrainage holes 3 is the same;

进一步的，冲洗腔8的直径小于引流腔4的直径，有利于引流腔4更大范围的将引流液引出；Further, the diameter of the flushing cavity 8 is smaller than the diameter of the drainage cavity 4, which is beneficial to the drainage cavity 4 to draw out the drainage fluid in a wider range;

进一步的，冲洗口9为螺纹分隔膜设计，方便临床输液器与冲洗头相互连接。Further, the flushing port 9 is designed as a threaded separation membrane, which is convenient for connecting the clinical infusion set and the flushing head to each other.

工作原理：常规应用穿刺针、单独配置的外配导丝13、扩皮器、扩皮管将管道本体1尖端送至病灶最深处，以将冲洗孔7送至病灶内为基准，管道本体1尖端呈猪尾巴状悬浮于病灶内，留在体外的管体部分使用导管固定器妥善固定，将输液器连接管道本体1的引流接头6，生理盐水通过冲洗腔8从冲洗孔7流出持续缓慢冲洗病灶，边冲洗边应用病房中心负压装置链接该管的引流口5恒力吸引，将病灶内的冲洗液经引流孔3及引流腔4吸出，临床确诊为消化道瘘或有胸、腹腔感染可能者，尽早放置双腔冲洗引流一体管，感染症状明显减轻后，拔除管道本体1，数日后瘘口自然愈合，腹腔感染症状消失。Working principle: Routinely use a puncture needle, a separately configuredexternal guide wire 13, a skin expander, and a skin expansion tube to send the tip of the pipeline body 1 to the deepest part of the lesion, and the irrigation hole 7 is sent to the lesion as the benchmark. The tip is suspended in the lesion in the shape of a pig's tail, and the part of the tube body left outside the body is properly fixed with a catheter holder. Connect the infusion set to thedrainage joint 6 of the pipeline body 1, and the normal saline flows out from the irrigation hole 7 through the irrigation cavity 8 and continues to slowly rinse. For the lesion, use the negative pressure device in the center of the ward to connect thedrainage port 5 of the tube with constant force suction while flushing, and suck the flushing fluid in the lesion through thedrainage hole 3 and the drainage cavity 4. The clinical diagnosis is gastrointestinal fistula or thoracic and abdominal cavity infection. If possible, a dual-lumen irrigation and drainage integrated tube should be placed as soon as possible. After the infection symptoms are significantly relieved, the body of the tube 1 is removed. After a few days, the fistula will heal naturally, and the symptoms of abdominal infection will disappear.

尽管已经示出和描述了本实用新型的实施例，对于本领域的普通技术人员而言，可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型，本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes and modifications can be made to these embodiments without departing from the principles and spirit of the present invention , alternatives and modifications, the scope of the present invention is defined by the appended claims and their equivalents.

Claims (5)

1. The utility model provides an external formula thorax abdomen two-chamber of putting washes drainage tube device, includes pipeline body (1), its characterized in that: the outer side surface of the pipeline body (1) is marked with scale marks (2), a drainage cavity (4) and a flushing cavity (8) are formed in the pipeline body (1), a drainage port (5) is fixedly arranged at the upper end of the pipeline body (1), the drainage cavity (4) is formed in the drainage port (5), the drainage cavity (4) extends downwards to the tip end of a catheter and is provided with a drainage hole (3), a flushing port (9) is arranged at the side of the drainage port (5) at the upper end of the pipeline body (1), a flushing cavity (8) is formed in the flushing port (9), a flushing hole (7) extends towards the tip end of the pipeline and is formed in the flushing cavity (8), the distance between the flushing hole (7) and the drainage hole (3) is 5-6CM, a flushing joint (10) is arranged at the outer side of the flushing port (9), and a connecting thread (11) is movably arranged at the outer side of the flushing joint, the outside movable mounting of drainage mouth (5) has drainage to connect (6), go out wire guide hole and drainage double-purpose (12) have been seted up to the one end of pipeline body (1).

2. The extracorporeal implantable thoracoabdominal dual-chamber irrigation drainage tube device of claim 1, wherein: the front end of the pipeline body (1) is designed to be a branched structure, and the length of the scale marks (2) on the pipeline body (1) is matched with the length of the pipeline body (1).

3. The extracorporeal implantable thoracoabdominal dual-chamber irrigation drainage tube device of claim 1, wherein: at least three groups of drainage holes (3) are arranged on the periphery of the pipeline body (1), included angles among the drainage holes are 120 degrees, and the drainage holes (3) are the same in size.

4. The extracorporeal implantable thoracoabdominal dual-chamber irrigation drainage tube device of claim 1, wherein: the diameter of the flushing cavity (8) is smaller than that of the drainage cavity (4).

5. The extracorporeal implantable thoracoabdominal dual-chamber irrigation drainage tube device of claim 1, wherein: the flushing port (9) is designed for a threaded separation membrane.

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