Disclosure of Invention
The invention aims to provide an intestinal fistulization automatic control excrement guide device which can realize automatic control excrement discharge of patients, protect fistulization openings and prevent intestinal mucosa lesions caused by eversion.
Embodiments of the invention may be implemented as follows:
The invention provides an intestinal fistulization automatic control excrement guide device which comprises an inner air bag, an outer air bag, an elastic membrane anal tube, an artificial anus air bag and an excrement bag, wherein one end of the elastic membrane anal tube is connected with the excrement bag, the inner air bag is arranged at a port, far away from the excrement bag, of the elastic membrane anal tube, the outer air bag is arranged on the elastic membrane anal tube and is positioned between the inner air bag and the excrement bag, a first groove is formed in one side, facing the inner air bag, of the outer air bag, the artificial anus air bag is sleeved on the elastic membrane anal tube, the artificial anus air bag is arranged between the outer air bag and the excrement bag, and the artificial anus air bag is used for extruding the elastic membrane anal tube.
In an alternative embodiment, the device further comprises an adjusting clamp, wherein the adjusting clamp is arranged on the artificial anus air bag and used for adjusting the pressure in the artificial anus air bag.
In an alternative embodiment, the adjusting clamp comprises a first clamping plate and a second clamping plate which are oppositely arranged, the first clamping plate and the second clamping plate are respectively arranged at two sides of the artificial anus air bag, and the distance between the first clamping plate and the second clamping plate is adjustable.
In an alternative embodiment, the adjusting clamp further comprises an adjusting assembly, the adjusting assembly comprises a first connecting rod and a second connecting rod, the first connecting rod is connected to one end of the first clamping plate, the second connecting rod is connected to one end of the second clamping plate, and the first connecting rod is provided with an opening to cover the outer side of the second connecting rod, so that the distance between the first clamping plate and the second clamping plate is adjusted.
In an alternative embodiment, the end of the first clamping plate, which is far away from the first connecting rod, is further connected with a third connecting rod, the third connecting rod is arranged along the first clamping plate towards the direction of the second clamping plate, and a plurality of adjusting teeth are arranged on one side of the third connecting rod towards the second clamping plate, so that the adjusting clamp is provided with a plurality of gears.
In an alternative embodiment, the inner balloon and the outer balloon are annular balloons, the inner balloon and the outer balloon are disposed around the elastic membrane anal canal, the first groove is an annular groove, and the first groove is disposed around the elastic membrane anal canal.
In an alternative embodiment, the enterostomy automatic control toilet bowl further comprises an inflation tube which is respectively communicated with the inner air bag, the outer air bag and the artificial anus air bag.
In an alternative embodiment, a stop valve is provided on the inflation tube.
In an alternative embodiment, the distance between the inner balloon and the outer balloon is 20-50mm, the inner diameters of the inner balloon and the outer balloon are 20-30mm, the outer diameter of the inner balloon is 30-50mm, and the outer diameter of the outer balloon is 40-70mm.
In an alternative embodiment, the bag mouth of the fecal bag is provided with an elastic ring, and the elastic ring is sleeved at one end of the elastic membrane anal canal.
The intestinal fistulization automatic control toilet bowl provided by the embodiment of the invention has the beneficial effects that:
The invention relates to an automatic control excrement guide device for intestinal fistulization, which comprises an inner air bag, an outer air bag, an elastic membrane anal canal, an artificial anus air bag and an excrement bag. One end of the elastic membrane anal tube is connected with the fecal bag. The inner air bag is arranged at the port of the elastic membrane anal tube far away from the fecal bag. The outer air bag is arranged on the elastic membrane anal canal and is positioned between the inner air bag and the fecal bag. One side of the outer air bag facing the inner air bag is provided with a groove. The artificial anus air bag is sleeved on the elastic membrane anal canal. The artificial anus air bag is arranged between the outer air bag and the faeces bag and is used for extruding the elastic membrane anal canal. In the invention, the elastic membrane anal canal is inserted into the intestinal canal of a patient, and is clung to the mucous membrane around the rectum through the inner air sac. The outer balloon is adhered to the external skin of the stoma. Through set up the recess in the one side of outer gasbag towards interior gasbag for outer gasbag parcel fistulization mouth turns up intestinal mucosa, plays the guard action, prevents the intestinal mucosa pathological change of turning up. By arranging the artificial anus air bag to extrude the elastic membrane anal canal, the caliber of the elastic membrane anal canal is reduced, when a patient needs to relieve the bowels, the elastic membrane anal canal is extruded forcefully, the pressure in the elastic membrane anal canal is increased, so that the caliber is enlarged, the excrement is discharged, the pressure in the elastic membrane anal canal is reduced after the patient finishes relieving the bowels, the caliber of the elastic membrane anal canal is reduced under the pressure of the artificial anus air bag, and the defecation is prevented. The automatic control defecation of the patient can be realized by arranging the artificial anus air bag.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments of the present invention. The components of the embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected 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 be within the scope of the invention.
It should be noted that like reference numerals and letters refer to like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the description of the present invention, it should be noted that, if the terms "upper", "lower", "inner", "outer", and the like indicate an azimuth or a positional relationship based on the azimuth or the positional relationship shown in the drawings, or the azimuth or the positional relationship in which the inventive product is conventionally put in use, it is merely for convenience of describing the present invention and simplifying the description, and it is not indicated or implied that the apparatus or element referred to must have a specific azimuth, be configured and operated in a specific azimuth, and thus it should not be construed as limiting the present invention.
Furthermore, the terms "first," "second," and the like, if any, are used merely for distinguishing between descriptions and not for indicating or implying a relative importance.
It should be noted that the features of the embodiments of the present invention may be combined with each other without conflict.
In addition, for convenience of understanding, the terms involved in the embodiments of the present invention are explained in the following table:
fistulization or ostomy, namely, caused by digestive system or urinary system diseases, needs to separate an intestinal canal through surgical treatment, and one end of the intestinal canal is led out to a body surface (anus or urethra moves to an abdominal wall) to form an opening;
The stoma is generally directed to a lesion of rectum, bladder (such as rectal cancer, bladder cancer, intestinal obstruction, etc.), and in order to preserve the life of the patient, a doctor performs an operation to remove the lesion, for example, the rectum cancer removes the rectum, anal canal, the bladder cancer removes the bladder, and then opens an opening on the left or right side of the abdomen of the patient. Stool or urine is involuntarily expelled from the body through the stoma, and such patients will need to stick a bag at the stoma after discharge to hold the expelled contents.
The overall construction, the operation principle and the technical effects of the automatic intestinal fistulization toilet 100 according to the present invention will be described in detail below by way of examples and with reference to the accompanying drawings.
Referring to fig. 1 and 2, the automatic control stool pot 100 for enterostomy is applied to defecation of patients after an ostomy.
The self-control excrement guide 100 for intestinal fistulization comprises an inner air bag 20, an outer air bag 30, an elastic membrane anal canal 10, an artificial anus air bag 50 and a fecal bag 40. One end of the elastic membrane anal canal 10 is connected to a faecal bag 40. The inner balloon 20 is provided with an elastic membrane anal canal 10 remote from the port of the faeces bag 40. The outer balloon 30 is disposed on the elastic membrane anal canal 10 and is located between the inner balloon 20 and the faeces bag 40. The side of the outer balloon 30 facing the inner balloon 20 is provided with a first groove 31. The artificial anus balloon 50 is sleeved on the elastic membrane anal canal 10. The artificial anus balloon 50 is disposed between the outer balloon 30 and the fecal bag 40. The artificial anus balloon 50 is used to squeeze the elastic membrane anal canal 10. It can be understood that the elastic membrane anal canal 10 is extruded by the artificial anus air bag 50, so that the caliber of the elastic membrane anal canal 10 is reduced, when a patient needs to relieve the bowels, the elastic membrane anal canal 10 is extruded forcefully, and the pressure in the elastic membrane anal canal 10 is increased, so that the caliber is enlarged, the faeces are discharged, the force is recovered after the patient finishes relieving the bowels, the pressure in the elastic membrane anal canal 10 is reduced, and the caliber of the elastic membrane anal canal 10 is reduced under the pressure of the artificial anus air bag 50, so that the defecation is prevented. The automatic control defecation of the patient can be realized by arranging the artificial anus balloon 50.
It will be appreciated that inflation of the artificial anus balloon 50 increases the pressure within the artificial anus balloon 50, and the artificial anus balloon 50 expands inwardly, squeezing the central elastic membrane anal canal 10, thereby blocking the passage of the elastic membrane anal canal 10 and the faeces bag 40. It can be appreciated that by providing the artificial anus balloon 50 to squeeze the elastic membrane anal canal 10 closed, when the patient needs to relieve the bowels, the patient can exert force to increase the pressure in the elastic membrane anal canal 10, thereby squeezing and expanding the elastic membrane anal canal 10 and the artificial anus balloon 50 for relieving the bowels. When the defecation of the patient is finished, the patient receives force, and the elastic membrane anal canal 10 is closed again under the extrusion of the artificial anus balloon 50, so that the patient can control the defecation autonomously.
It will be appreciated that in this embodiment, both the inner and outer balloons 20, 30 are annular balloons. The artificial anus balloon 50 is an elliptical ring balloon for squeezing the middle elastic membrane anal canal 10. In other embodiments, the artificial anus balloon 50 may have other shapes, such as a rectangular ring shape, etc. The shape of the artificial anus balloon 50 is not limited in the present invention as long as the elastic membrane anal canal 10 can be extruded.
Referring to fig. 1 and 5, further, the self-controlling stoma toilet 100 further includes an adjustment clip 52. The adjusting clamp 52 is clamped on the artificial anus balloon 50 for adjusting the pressure in the artificial anus balloon 50. It will be appreciated that the adjustment clamp 52 may adjust the degree of clamping the artificial anus balloon 50, thereby adjusting the pressure within the artificial anus balloon 50 and thus controlling the ease with which the elastic membrane anal canal 10 may be opened. The greater the force held by the adjusting clamp 52, the greater the pressure in the artificial anus balloon 50, the greater the force required by the patient to open the elastic membrane anal canal 10, the less likely the elastic membrane anal canal 10 will be opened, and the lesser the force held by the adjusting clamp 52, the lesser the pressure in the artificial anus balloon 50, the less the force required by the patient to open the elastic membrane anal canal 10, and the more likely the elastic membrane anal canal 10 will be opened.
Specifically, in the present embodiment, the adjusting clamp 52 may be preset with a plurality of gear positions, and the patient may switch the gear position of the adjusting clamp 52, thereby controlling the degree to which the elastic membrane anal canal 10 is opened.
Further, the adjustment clamp 52 includes a first clamping plate 521 and a second clamping plate 522 that are oppositely disposed. The first clamping plate 521 and the second clamping plate 522 are respectively provided at both sides of the artificial anus balloon 50. The distance between the first clamping plate 521 and the second clamping plate 522 is adjustable. The adjustment clip 52 also includes an adjustment assembly. In this embodiment, the adjustment assembly includes a first link 523 and a second link 524. The first link 523 is connected to one end of the first clamping plate 521. The second link 524 is coupled to one end of the second clamp plate 522. The first link 523 is perforated to cover the outer side of the second link 524 to form a telescopic rod assembly, thereby adjusting the distance between the first clamping plate 521 and the second clamping plate 522.
In other embodiments, the first link 523 and the second link 524 may be hinged to each other, thereby adjusting the distance of the first clamping plate 521 and the second clamping plate 522.
Still further, an end of the first clamping plate 521 remote from the first link 523 is also connected to a third link 525. The third link 525 is disposed along the first clamping plate 521 toward the second clamping plate 522, and it is understood that the first link 523, the second link 524, the first clamping plate 521, the second clamping plate 522 and the third link 525 are disposed around the artificial anus balloon 50. The side of the third link 525 facing the second clamping plate 522 is provided with a plurality of adjustment teeth 526. The adjustment teeth 526 are adapted to engage one end of the second clamping plate 522 to provide multiple distance stops for the first clamping plate 521 and the second clamping plate 522 to vary the force required by the patient to open the elastic membrane anal canal 10. The provision of the adjustment teeth 526 also improves the feel of the patient adjusting the gear. It will be appreciated that in the present embodiment, an elastic member (not shown) is provided between the first link 523 and the second link 524. The elastic member serves to provide a tendency for the first link 523 and the second link 524 to move away from each other, i.e., the elastic member serves to spread the first clamping plate 521 and the second clamping plate 522, abutting the second clamping plate 522 against the adjustment teeth 526.
In this embodiment, the self-controlling stool pot 100 for enterostomy is used for defecation from the stoma. In use, the elastic membrane anal canal 10 together with the inner balloon 20 is inserted into the rectum through the stoma, the inner balloon 20 being in close proximity to the mucosa surrounding the rectum. The outer balloon 30 is tightly attached to the skin outside the stoma, has good sealing and is not easy to fall off, and the outer skin is kept dry. When a patient urinates, faeces can pass from the rectum through the elastic membrane anal tube 10 into the faeces bag 40. Since there is an eversion of the mucosa on the intestine outside the stoma, in this embodiment a first groove 31 is provided in the side of the outer balloon 30 close to the inner balloon 20. It will be appreciated that when the outer balloon 30 is fitted to the stoma skin, the everting intestinal mucosa is wrapped by the first groove 31, thereby protecting the intestinal mucosa from infectious lesions.
Specifically, the inner and outer airbags 20 and 30 are both annular airbags. The inner balloon 20 and the outer balloon 30 are disposed around the elastic membrane anal canal 10. It can be appreciated that the inner balloon 20 and the outer balloon 30 are sleeved on the elastic membrane anal canal 10 and fixedly connected with the elastic membrane anal canal 10. The first groove 31 is an annular groove. The first recess 31 is arranged around the elastic membrane anal canal 10. It will be appreciated that the outer bladder 30 is in the shape of an annular ring with an annular groove on one side. The side wall, the bottom wall and the outer wall of the elastic membrane anal canal 10 of the first groove 31 together encircle the everted intestinal mucosa, so that the sealing performance is good, the fistula skin can be kept dry, and the fistula skin is not easy to fall off.
Referring to fig. 3 and 4, optionally, a fixing ring 21 is further provided between the inner balloon 20 and the elastic membrane anal canal 10. The inner wall of the fixing ring 21 is connected with the outer wall of the elastic membrane anal canal 10. The outer wall of the fixing ring 21 is connected with the inner balloon 20. It will be appreciated that the materials used in this example have good compatibility with intestinal tissue and avoid reactions such as catheter allergy. The fixing ring 21 has the advantages of being hard and not easy to deform, and can enable the inner balloon 20 to be easily fixed with the rectum. Without the retaining ring 21, a high pressure is required to the inner balloon 20 to secure to the rectum. However, high pressure is very damaging to the rectum.
Further, the outer wall of the fixing ring 21 is provided with a second groove 211. The inner bag 20 is disposed in the second recess 211. It will be appreciated that the second groove 211 is provided on the outer wall of the fixing ring 21, so that the outer wall of the fixing ring 21 is matched with the shape of the inner balloon 20, and the inner balloon 20 is not easily extruded.
With continued reference to fig. 1, the self-controlling stoma toilet 100 further includes an inflatable tube 32. The inflation tube 32 communicates with the inner balloon 20, the outer balloon 30 and the artificial anus balloon 50, respectively. Specifically, in the present embodiment, three inflation tubes 32 are provided on the inner balloon 20, the outer balloon 30 and the artificial anus balloon 50, respectively.
It will be appreciated that in use, the elastic membrane anal canal 10 is inserted into the rectum of a patient together with the inner balloon 20 and inflated to the inner balloon 20 and the outer balloon 30, and when the inner balloon 20 and the outer balloon 30 are inflated, the inner balloon 20 is in close proximity to the mucosa surrounding the rectum. The outer balloon 30 is held against the stoma outer skin. The artificial anus balloon 50 is inflated through the inflation tube 32, and the pressure of the artificial anus balloon 50 is increased, so that the middle elastic membrane anal canal 10 is extruded.
Alternatively, in other embodiments, one inflation tube 32 may be used to inflate both the inner and outer airbags 20, 30 simultaneously such that the pressure of the inner and outer airbags 20, 30 is the same. The number and structure of the inflation tubes 32 are not limited as long as inflation of the inner and outer airbags 30 can be achieved.
Further, the method comprises the steps of. The inflation tube 32 is provided with a shutoff valve 321. It will be appreciated that the shut-off valve 321 closes the inflation tube 32 after the inflation tube 32 inflates the inner and outer balloons 20, 30 and the artificial anus balloon 50, preventing the gas within the inner and outer balloons 20, 30 from escaping.
Further, the interval between the inner balloon 20 and the outer balloon 30 is 20-50mm, the inner ring diameter of the inner balloon 20 and the outer balloon 30 is 20-30mm, the outer ring diameter of the inner balloon 20 is 30-50mm, and the outer ring diameter of the outer balloon 30 is 40-70mm.
It can be appreciated that the outer ring diameter of the inner balloon 20 is set to 30-50mm, which can be well fixed with the rectum of the human body, so that the whole intestinal fistulization automatic control toilet 100 is not easy to fall off. The outer ring diameter of the outer balloon 30 is larger than the outer ring diameter of the inner balloon 20 so that the outer balloon 30 can better surround the exposed intestinal mucosa of the stoma.
Further, the fecal bag 40 is square in shape and has a certain elasticity, and the diameter of the opening of the fecal bag 40 is slightly larger than the diameter of the elastic membrane anal canal 10. The diameter of the bag mouth of the fecal bag 40 is 20-30mm, which can meet the defecation requirement.
Alternatively, in other embodiments, the shape of the fecal bag 40 may be configured as desired, such as circular, and the present invention is not limited to the shape of the fecal bag 40.
In this embodiment, the mouth of the faeces bag 40 is provided with an elastic ring 41. The elastic ring 41 is sleeved at one end of the elastic membrane anal canal 10. It can be understood that by providing the elastic ring 41, the bag mouth of the fecal bag 40 is tightly sleeved on one end of the elastic membrane anal canal 10, and the fecal bag 40 is not easy to fall off.
Further, the stool bag 40 is provided with an air pressure adjusting hole 42. It will be appreciated that the air pressure adjusting hole 42 serves to balance the air pressure in the faeces bag 40, so as to avoid the faeces bag 40 falling out due to the excessive air pressure in the faeces bag 40.
The intestinal fistulization automatic control excrement guide 100 provided by the embodiment of the invention has the beneficial effects that:
The enterostomy automatic control toilet bowl 100 of the present invention comprises an inner balloon 20, an outer balloon 30, an elastic membrane anal canal 10, an artificial anus balloon 50 and a faeces bag 40. One end of the elastic membrane anal canal 10 is connected to a faecal bag 40. The inner balloon 20 is disposed at the end of the elastic membrane anal canal 10 remote from the faeces bag 40. The outer balloon 30 is disposed on the elastic membrane anal canal 10 and is located between the inner balloon 20 and the faeces bag 40. The side of the outer balloon 30 facing the inner balloon 20 is provided with a groove. The artificial anus balloon 50 is sleeved on the elastic membrane anal canal 10. An artificial anus balloon 50 is provided between the outer balloon 30 and the faeces bag 40, the artificial anus balloon 50 being used for squeezing the elastic membrane anal canal 10. In the invention, the elastic membrane anal canal 10 is inserted into the intestinal canal of a patient, and is clung to mucous membranes around the rectum through the inner air sac 20. The outer balloon 30 is held against the external skin of the stoma. By arranging the groove on one side of the outer balloon 30 facing the inner balloon 20, the outer balloon 30 wraps the everting intestinal mucosa of the stoma, thereby protecting the everting intestinal mucosa from lesions. By arranging the artificial anus air bag 50 to squeeze the elastic membrane anal canal 10, the caliber of the elastic membrane anal canal 10 is reduced, when a patient needs to relieve the bowels, the elastic membrane anal canal 10 is squeezed forcefully, the pressure in the elastic membrane anal canal 10 is increased, so that the caliber is enlarged, the excrement is discharged, the pressure in the elastic membrane anal canal 10 is reduced after the patient finishes relieving the bowels, the caliber of the elastic membrane anal canal 10 is reduced under the pressure of the artificial anus air bag 50, and the defecation is prevented. The automatic control defecation of the patient can be realized by arranging the artificial anus balloon 50.
The foregoing is merely illustrative of the present invention, and the present invention is not limited thereto, and any changes or substitutions easily contemplated by those skilled in the art within the scope of the present invention should be included in the present invention.