CN105999452A - Stoma enema auxiliary device - Google Patents
Stoma enema auxiliary device Download PDFInfo
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- CN105999452A CN105999452A CN201610257061.5A CN201610257061A CN105999452A CN 105999452 A CN105999452 A CN 105999452A CN 201610257061 A CN201610257061 A CN 201610257061A CN 105999452 A CN105999452 A CN 105999452A
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- 239000007920 enema Substances 0.000 title abstract description 16
- 241000792859 Enema Species 0.000 title abstract description 15
- 229940095399 enema Drugs 0.000 title abstract description 14
- 238000003825 pressing Methods 0.000 claims abstract description 20
- 210000002255 anal canal Anatomy 0.000 claims abstract description 19
- 230000007246 mechanism Effects 0.000 claims abstract description 12
- 238000005086 pumping Methods 0.000 claims description 4
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims 2
- 239000007787 solid Substances 0.000 claims 1
- 239000012530 fluid Substances 0.000 abstract description 21
- 238000002347 injection Methods 0.000 abstract description 17
- 239000007924 injection Substances 0.000 abstract description 17
- 230000000694 effects Effects 0.000 abstract description 4
- 239000003814 drug Substances 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 8
- 230000000968 intestinal effect Effects 0.000 description 5
- 230000008569 process Effects 0.000 description 4
- 239000002872 contrast media Substances 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 230000005855 radiation Effects 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 229940079360 enema for constipation Drugs 0.000 description 2
- 210000002445 nipple Anatomy 0.000 description 2
- 238000002601 radiography Methods 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000007455 ileostomy Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000003449 preventive effect Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000003874 surgical anastomosis Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
- A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
- A61M3/0258—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped by means of electric pumps
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
本发明涉及一种造口灌肠辅助装置,属于医学相关技术领域。主要包括基座,基座上固定连接有Z轴直线滑台和造影液注入机构,造影液注入机构具有肛管;所述Z轴直线滑台具有Z轴滑块;所述Z轴滑块与X轴直线滑台固定连接;所述X轴直线滑台具有X轴滑块,X轴滑块与上连杆固定连接,上连杆的另一端与压板的上部相铰接,压板的下部与下连杆的一端相铰接,下连杆的另一端与X轴直线滑台的端部固定连接;所述压板上具有通孔,肛管贯穿于所述通孔。本发明通过设计全新的结构,使本装置可以达到定时定速注射造影液且能够实现按压造口处奶嘴的良好效果。
The invention relates to an ostomy enema auxiliary device, which belongs to the related technical field of medicine. It mainly includes a base, a Z-axis linear slide and a contrast fluid injection mechanism are fixedly connected to the base, and the contrast fluid injection mechanism has an anal canal; the Z-axis linear slide has a Z-axis slider; the Z-axis slider is connected to the The X-axis linear slide table is fixedly connected; the X-axis linear slide table has an X-axis slider, and the X-axis slider is fixedly connected to the upper link. One end of the connecting rod is hinged, and the other end of the lower connecting rod is fixedly connected with the end of the X-axis linear slide table; the pressing plate has a through hole, and the anal canal runs through the through hole. By designing a brand-new structure, the present invention enables the device to inject contrast fluid at a fixed time and at a fixed speed, and to achieve a good effect of pressing the pacifier at the stoma.
Description
技术领域technical field
本发明涉及医学相关技术领域,具体的说,是涉及一种造口灌肠辅助装置。The present invention relates to the technical field related to medicine, in particular, relates to an ostomy enema auxiliary device.
背景技术Background technique
预防性造口患者在造口回纳前,手术医生需要跟随患者去放射科行肠管造影检查,以保证肠管的通畅及观察手术吻合口的情况。为了更好的显影,检查前患者需要口服造影剂,以观察近端肠管的通畅情况,因为是双腔造口,口服造影剂无法使远端的肠管显影,手术医生只能用注射器连接肛管将造影剂在家属的协助下推注至远端肠管,每次造影需要2人以上才能完成,从而增加了手术医生不得不接触放射线的机会,导致健康的损害。为了保证手术顺利的进行,术前常规要为患者清洁灌肠以保证远端的肠管保持清洁的状态,但因回肠造口没有肛门括约肌的收缩功能,使用传统灌肠器灌肠常使灌肠液外溢,及其影响肠道准备的效果,并易使患者局部床单位潮湿,引起患者的不适,并给护士操作增加难度。For preventive stoma patients, before the stoma is retracted, the surgeon needs to follow the patient to the radiology department for enterography to ensure the patency of the bowel and observe the condition of the surgical anastomosis. For better imaging, the patient needs to take a contrast agent orally before the examination to observe the patency of the proximal intestinal canal. Because it is a double-cavity stoma, the oral contrast agent cannot visualize the distal intestinal canal, and the surgeon can only use a syringe to connect the anal canal With the assistance of family members, the contrast agent is injected into the distal intestinal canal. More than two people are required to complete each angiography, which increases the chance of the surgeon having to be exposed to radiation and causes health damage. In order to ensure the smooth progress of the operation, it is routine to clean the enema for the patient before the operation to ensure that the distal intestinal tube remains clean. However, because the ileostomy does not have the contraction function of the anal sphincter, enemas using traditional enemas often cause the enema to overflow, and It affects the effect of intestinal preparation, and it is easy to make the patient's local bed unit wet, causing discomfort to the patient, and increasing the difficulty of the nurse's operation.
现有技术中,已经存在部分关于避免造影液或灌肠液外溢技术的研究。例如:在造影时,通过注射器与肛管密闭连接,肛管上反向套有奶嘴,当肛管插入造口深度适宜时,依靠医护人员注入造影液并需要另一人员按压奶嘴,实现动态观察造影液流动过程的良好技术效果;在灌肠时,使用灌肠器,灌肠器肛管端反向套有奶嘴,当肛管插入造口深度适宜时,将奶嘴头端放入造口开口处,将整个奶嘴固定于腹壁,需要人工固定奶嘴,另一位护士调节灌肠器开关进行操作。In the prior art, there have been some studies on techniques for avoiding contrast fluid or enema fluid spillage. For example: during radiography, the anal canal is airtightly connected through a syringe, and the anal canal is covered with a pacifier in reverse. When the anal canal is inserted into the stoma to a suitable depth, it is necessary to rely on the medical staff to inject contrast solution and another person to press the pacifier to realize dynamic observation. The good technical effect of the contrast fluid flow process; when using an enema, use an enema device, and the anal canal end of the enema device is covered with a nipple in reverse. When the anal canal is inserted into the stoma to a suitable depth, put the nipple head into the stoma opening, and The entire pacifier is fixed on the abdominal wall, and the pacifier needs to be fixed manually, and another nurse adjusts the switch of the enema device for operation.
但是,上述的解决方案,仍然存在一定的弊端。包括:However, the above solutions still have certain disadvantages. include:
(1)人工注射造影液的速度与剂量依靠经验控制,所以偶尔会出现注射起始时间与注射速度和设计速度不一致的情况。(1) The speed and dose of manual injection of contrast fluid are controlled by experience, so occasionally the starting time of injection is inconsistent with the injection speed and design speed.
(2)注射过程中必须医护人员及家属必须全程按压奶嘴,使得医护人员遭受不必要的射线照射,极其影响身体健康。(2) During the injection process, the medical staff and their family members must press the pacifier all the way, so that the medical staff will be exposed to unnecessary radiation, which will greatly affect their health.
因此,如何设计一种能够不需要人工辅助,即可完成造口灌肠过程中,是本领域技术人员亟需解决的。Therefore, how to design a method that can complete the stoma-enema process without manual assistance is urgently needed by those skilled in the art.
发明内容Contents of the invention
本发明的目的是为克服上述现有技术的不足,提供一种造口灌肠辅助装置。本发明通过设计全新的结构,使本装置可以达到定时定速注射造影液且能够实现按压造口处奶嘴的良好效果。The object of the present invention is to provide an ostomy enema auxiliary device in order to overcome the above-mentioned deficiencies in the prior art. By designing a brand-new structure, the present invention enables the device to inject contrast fluid at a fixed time and at a fixed speed, and to achieve a good effect of pressing the pacifier at the stoma.
为了达成上述目的,本发明采用如下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
一种造口灌肠辅助装置,包括:基座,An ostomy enema aid comprising: a base,
基座上固定连接有Z轴直线滑台和造影液注入机构,造影液注入机构具有肛管;The base is fixedly connected with a Z-axis linear slide table and a contrast fluid injection mechanism, and the contrast fluid injection mechanism has an anal canal;
所述Z轴直线滑台具有Z轴滑块;所述Z轴滑块与X轴直线滑台固定连接;The Z-axis linear slide has a Z-axis slider; the Z-axis slider is fixedly connected to the X-axis linear slide;
所述X轴直线滑台具有X轴滑块,X轴滑块与上连杆固定连接,上连杆的另一端与压板的上部相铰接,压板的下部与下连杆的一端相铰接,下连杆的另一端与X轴直线滑台的端部固定连接;The X-axis linear slide table has an X-axis slider, the X-axis slider is fixedly connected to the upper link, the other end of the upper link is hinged to the upper part of the pressure plate, and the lower part of the pressure plate is hinged to one end of the lower link. The other end of the connecting rod is fixedly connected with the end of the X-axis linear slide table;
所述压板上具有通孔,肛管贯穿于所述通孔。The pressing plate has a through hole, and the anal canal runs through the through hole.
优选的,所述造影液注入机构包括箱体,箱体内设有注射泵,注射泵通过肛管将造影液泵出,注射泵被控制模块控制通断电及泵送速度。Preferably, the contrast fluid injection mechanism includes a box body, and a syringe pump is arranged in the box body, and the syringe pump pumps the contrast fluid out through the anal canal, and the injection pump is controlled by the control module to control the power on and off and the pumping speed.
优选的,所述基座底部与支撑杆固定连接,支撑杆的底部与底座固定连接。Preferably, the bottom of the base is fixedly connected to the support rod, and the bottom of the support rod is fixedly connected to the base.
优选的,所述压板为弧形。Preferably, the pressing plate is arc-shaped.
优选的,所述压板朝下的一面粘接有软垫。Preferably, a cushion is bonded to the downward facing side of the pressing plate.
本发明的有益效果是:The beneficial effects of the present invention are:
可以通过压板压住奶嘴,然后利用注射泵来控制造影液注入的时间及流速,全程无需额外的医护人员辅助,在有效的解决了造影液外溢的同时,还避免了医护人员被不必要的射线照射,有效的保证了医护人员的身体健康。The pacifier can be pressed by the pressure plate, and then the injection pump can be used to control the injection time and flow rate of the contrast fluid. There is no need for additional medical staff to assist in the whole process. While effectively solving the contrast fluid overflow, it also avoids medical staff from being exposed to unnecessary rays. Irradiation effectively guarantees the health of medical staff.
附图说明Description of drawings
图1是本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2是本发明中压板的装配示意图;Fig. 2 is the assembly schematic diagram of middle pressure plate of the present invention;
图3是本发明中造影液注入机构的结构示意图;Fig. 3 is a schematic structural diagram of the contrast fluid injection mechanism in the present invention;
1、造影液注入机构,2、基座,3、支撑杆,4、底座,5、Z轴直线滑台,6、Z轴滑块,7、X轴直线滑台,8、X轴滑块,9、压板,10、上连杆,11、肛管,12、下连杆,13、箱体,14、注射泵。1. Contrast fluid injection mechanism, 2. Base, 3. Support rod, 4. Base, 5. Z-axis linear slide table, 6. Z-axis slide block, 7. X-axis linear slide table, 8. X-axis slide block , 9, pressing plate, 10, upper connecting rod, 11, anal canal, 12, lower connecting rod, 13, box body, 14, injection pump.
具体实施方式detailed description
下面将结合附图对本发明进行详细说明。The present invention will be described in detail below in conjunction with the accompanying drawings.
实施例:一种造口灌肠辅助装置,其结构如图1-3所示,包括:基座2,Embodiment: an ostomy enema auxiliary device, the structure of which is shown in Figure 1-3, including: a base 2,
基座2上固定连接有Z轴直线滑台5和造影液注入机构1;The base 2 is fixedly connected with a Z-axis linear slide 5 and a contrast fluid injection mechanism 1;
所述Z轴直线滑台5上具有Z轴滑块6,且所述Z轴直线滑台5能驱动Z轴滑块6沿Z轴进行直线运动;所述Z轴滑块6与X轴直线滑台7固定连接;There is a Z-axis slider 6 on the Z-axis linear slide 5, and the Z-axis linear slide 5 can drive the Z-axis slider 6 to move linearly along the Z-axis; the Z-axis slider 6 is linearly aligned with the X-axis The slide table 7 is fixedly connected;
所述X轴直线滑台7具有X轴滑块8,X轴滑块8上具有凸起部,该凸起部与X轴方向的上连杆10固定连接,上连杆10的另一端与压板9的上的凸起部相铰接,压板9的下部与下连杆12的一端相铰接,下连杆12的另一端与X轴直线滑台7的外端板固定连接。The X-axis linear slide table 7 has an X-axis slider 8, and the X-axis slider 8 has a raised portion, which is fixedly connected to the upper link 10 in the X-axis direction, and the other end of the upper link 10 is connected to the The raised portion on the pressing plate 9 is hinged, the bottom of the pressing plate 9 is hinged with one end of the lower connecting rod 12, and the other end of the lower connecting rod 12 is fixedly connected with the outer end plate of the X-axis linear slide table 7.
所述造影液注入机构1包括箱体13,箱体13内设有注射泵14,注射泵14通过肛管11将造影液泵出,注射泵14被控制模块控制通断电及泵送速度。The contrast fluid injection mechanism 1 includes a box body 13, and a syringe pump 14 is arranged inside the box body 13. The syringe pump 14 pumps out the contrast fluid through the anal canal 11. The power on and off and pumping speed of the syringe pump 14 are controlled by the control module.
根据不同的需要,控制模块可以选择为无线控制单元或时间继电器。According to different needs, the control module can be selected as a wireless control unit or a time relay.
所述压板7为弧形,且内侧面具有软垫(例如硅胶垫或海绵垫),能避免压板9直接接触患者皮肤引起不适。压板9上具有通孔,肛管11贯穿于所述通孔。The pressing plate 7 is arc-shaped, and has a soft pad (such as a silicone pad or a sponge pad) on the inner surface, which can prevent the pressing plate 9 from directly contacting the patient's skin and causing discomfort. The pressing plate 9 has a through hole, and the anal canal 11 runs through the through hole.
其中,所述基座2底部与支撑杆3固定连接,支撑杆3的底部与底座4固定连接。Wherein, the bottom of the base 2 is fixedly connected with the support rod 3 , and the bottom of the support rod 3 is fixedly connected with the base 4 .
造影前,让病人在造影床上躺好,然后将本装置放置于造影床的一侧。接下来,令奶嘴反向套接于肛管11上,再卡入压板9上的通孔,然后将肛管11插入病人造口,再通过Z轴直线滑台6调整好压板9的高度。Before imaging, let the patient lie down on the contrast bed, and then place the device on one side of the contrast bed. Next, the pacifier is reversely socketed on the anal canal 11, and then snapped into the through hole on the pressure plate 9, and then the anal canal 11 is inserted into the stoma of the patient, and then the height of the pressure plate 9 is adjusted through the Z-axis linear slide 6.
再次参考图2所示,令X轴直线滑块8沿X轴右向移动,则上连杆10就向右侧移动,压板9的下端与下连杆12相铰接,则压板9就会在上连杆10的推动下,沿着自身与下连杆12的铰接节点为圆心进行顺时针转动。令X轴直线滑块8左向移动,则压板9就会逆时针转动。Referring to Fig. 2 again, if the X-axis linear slider 8 is moved rightward along the X-axis, the upper link 10 will move to the right, and the lower end of the pressing plate 9 is hinged to the lower link 12, and the pressing plate 9 will be in the Under the promotion of the upper link 10, it rotates clockwise along the hinge joint between itself and the lower link 12 as the center of circle. Make the X-axis linear slider 8 move to the left, and the pressing plate 9 will rotate counterclockwise.
通过上述方式,调整好压板9的合适角度,最终令Z轴滑块6下降,则压板9就能紧贴于患者的皮肤,并将奶嘴牢固准确的压接于造口处。Through the above method, the proper angle of the pressure plate 9 is adjusted, and finally the Z-axis slider 6 is lowered, so that the pressure plate 9 can be tightly attached to the patient's skin, and the pacifier can be firmly and accurately crimped to the stoma.
完成上述工作后,工作人员离开造影室。After completing the above work, the staff left the imaging room.
造影时,通过控制模块(图中未示出)控制注射泵14的通断电及泵送速度,则造影液就会按照设定的流速经过患者体内。便于医护人员方便的在造影室观察造影液的流动状况,无需额外的医护人员被射线照射。During radiography, the control module (not shown in the figure) controls the on-off and pumping speed of the syringe pump 14, and the contrast fluid will pass through the patient's body according to the set flow rate. It is convenient for medical staff to observe the flow of contrast fluid in the contrast room without requiring additional medical staff to be exposed to radiation.
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其它实施例中实现,未予以详细说明和局部放大呈现的部分,为现有技术,在此不进行赘述。因此,本发明将不会被限制于本文所示的这些实施例,而是要符合与本文所公开的原理和特点相一致的最宽的范围。The above description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the invention. Various modifications to the embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Parts presented in detail and partially enlarged are prior art, and will not be repeated here. Therefore, the present invention will not be limited to these embodiments shown herein, but will conform to the widest scope consistent with the principles and characteristics disclosed herein.
Claims (5)
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108339188A (en) * | 2017-01-23 | 2018-07-31 | 上海长海医院 | Contrast apparatus |
| CN109602440A (en) * | 2019-02-19 | 2019-04-12 | 邬政宏 | A kind of radiography auxiliary device suitable for irradiation image section |
| CN115105669A (en) * | 2022-05-24 | 2022-09-27 | 苏州市中医医院 | Colon perfusion device for anorectal surgery |
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| WO2018141221A1 (en) * | 2017-01-23 | 2018-08-09 | 上海长海医院 | Radiography apparatus |
| CN108339188B (en) * | 2017-01-23 | 2020-08-14 | 上海长海医院 | imaging device |
| CN109602440A (en) * | 2019-02-19 | 2019-04-12 | 邬政宏 | A kind of radiography auxiliary device suitable for irradiation image section |
| CN115105669A (en) * | 2022-05-24 | 2022-09-27 | 苏州市中医医院 | Colon perfusion device for anorectal surgery |
| CN115105669B (en) * | 2022-05-24 | 2023-08-15 | 苏州市中医医院 | Anorectal surgery colon perfusion device |
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Application publication date: 20161012 |