CN103007418B - Urethral catheter with bladder monitoring function - Google Patents

Urethral catheter with bladder monitoring function Download PDF

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Publication number
CN103007418B
CN103007418B CN201210549259.2A CN201210549259A CN103007418B CN 103007418 B CN103007418 B CN 103007418B CN 201210549259 A CN201210549259 A CN 201210549259A CN 103007418 B CN103007418 B CN 103007418B
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China
Prior art keywords
rubber tube
rubber
catheter
urethral
inflating
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Expired - Fee Related
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CN201210549259.2A
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Chinese (zh)
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CN103007418A (en
Inventor
张磊
王成果
曹宝萍
梁景文
费舟
李兵
刘文博
胡学安
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Abstract

The invention discloses a urethral catheter with a bladder monitoring function. The urethral catheter comprises a hollow inflatable rubber tube, wherein the rubber tube is divided into an inflating end and a urethral side, the inflating end is provided with an inflating opening and a urine bag connecting opening, the urethral side is provided with an inflating bag head and a urethral opening, a circle of projected conducting rubber is arranged on the outer wall of the inflating bag head, the conducting rubber is connected with two conducting wires symmetrically embedded in the rubber tube, and one ends of the conducting wires extend out of the rubber tube and are positioned at the inflating end. The urethral catheter has an important significance on preventing and controlling the complicating diseases such as postoperative bladder functional disorders, lightening the workload of medical personnel and particularly reducing the unnecessary secondary operation injury through the prewarning effect on operators. Through the bibliographic retrieval performed by applicants, a similar device in the same type is not found.

Description

A kind of catheter of monitoring bladder function
Technical field
The invention belongs to clinical treatment auxiliary device, relate to a kind of catheter, be specifically related to a kind of catheter of monitoring bladder function.
Background technology
The traumatic paralysis that spinal cord injury causes is one of the most serious wound, and the SCI sickness rate of developed country and China is up to 2.83-4.5/10 ten thousand, and residual, dead rate is high.And the incidence rate of the spinal cord injury causing due to operation reason at present also improves year by year, be the key subjects that current neurosurgery and orthopaedics educational circles urgently capture.According to documents and materials, most of diseases of spinal cord, as tumor of spinal cord, cervical spondylosis, spina bifida, tethered cord syndrome and spinal arteriovenous malformations or hemangioma etc. all need operative treatment, to obtaining good curative effect.Yet, owing to lacking corresponding monitoring system in art, particularly means and the measure of omnidistance monitoring bladder function, while causing patient to perform the operation, cannot accurately judge whether art district damages normal nerve, or cause spinal cord injury, and then bring out many complication, excise untotally, cause surgical effect not good.
At present, it is that urinary incontinence, hydronephrosis and the chronic renal failure that neurogenic bladder causes not only has a strong impact on the quality of life of paralytic patient that operation causes the dysuria after spinal cord injury, and is to cause first dead reason.Medical circle has adopted some ways, as: indwelling catheter, interruption urethral catheterization, functional electric stimulation, bladder training method and Drug therapy etc., but these measures are all the remedial measures after damage generation, effect is general, almost cannot recover the function of injured nerve, thoroughly solve the complication such as dysuria.So the means of omnidistance monitoring bladder function just become unique hope that early warning operation causes nerve injury in art.
Due to urethral stricture, and insert catheter, do not had space to place monitoring wire, also cannot monitor the signals direct operations such as neural discharge.Someone additive wire, on catheter, can obtain some signals, but the method (it is outer that wire is placed in catheter) often causes injury of urethra, hemorrhage, to patient, brings many troubles and misery.Meanwhile, the method (wire be placed in catheter in) loose contact, can not effectively collect the signal of predictive value, cannot guided operation.
Therefore, if can research and develop a kind of simple and feasible, effect really, low price, the new-type catheter of monitoring bladder function particularly organically blending with catheter, is that this area medical personnel are desired.
Summary of the invention
The defect or the deficiency that for above-mentioned prior art, exist, the object of the invention is to, and provides a kind of catheter of monitoring bladder function, the complication such as bladder disorders that cause patient's nerve injury to bring for early warning operation on spinal cord.
In order to realize above-mentioned task, the present invention takes following technical solution:
A catheter of monitoring bladder function, is characterized in that, comprises an inflatable rubber tube of hollow, and this rubber tube is divided into inflation end and urethral catheterization side, it is characterized in that:
Described inflation end is provided with inflation inlet and urinal connector;
Described urethral catheterization side has gas cell head and catheterizing port;
On the outer wall of gas cell head, be provided with the conductive rubber of a circle projection, this conductive rubber is connected with the seal wire that two symmetries are embedded in rubber tube, and one end of seal wire is stretched out outside rubber tube and is positioned at inflation end.
In the present invention, described rubber tube is made by non-conductive General Purpose Rubber;
The parameter of described conductive rubber is as follows:
Shao Er A type hardness tester: 70 ± 10 degree;
Hot strength: >=1.38 ~ 3.57MPa;
Elongation rate of tensile failure: >=200%;
Compression set :≤45 ~ 30(70h * l00 ℃)/%;
Maximum operation (service) temperature: 120 ℃/220 ℃;
Electric conductivity and electric performance stablity :≤0.002 ~ 5(Ω cm);
The shield effectiveness of conductive rubber is as follows:
1. >=200kHz magnetic field: 50dB ~ 70dB;
2. 100MHz electric field: 80dB~120dB;
3. 500MHz electric field: 80dB~130dB;
4. 2GHz plane wave: 60dB~130dB
5. 10GHz plane wave: 50dB~120dB.
This conductive rubber advantage is: shield effectiveness is excellent; Cost is medium; Corrosion resistance is excellent.Collection that can be sensitive and accept electroneurographic signal.
Described seal wire is made by aluminium wire.Conduction electroneurographic signal that can be sensitive.
Catheter of monitoring bladder function of the present invention, for complication such as control postoperative vesical dysfunction etc., alleviates medical personnel's workload, and it is all significant that particularly early warning patient reduces unnecessary operation secondary damage etc.The literature search of doing through applicant, yet there are no similar similar installation.
Accompanying drawing explanation
Fig. 1 is catheter structural representation of monitoring bladder function of the present invention;
Fig. 2 is catheter pictorial diagram of monitoring bladder function of the present invention;
Fig. 3 is the signal intensity of application the present invention when instructing pleura spinal meninges bulging corrective surgery and the postoperative patient effect of urinating.
Fig. 4 is the signal intensity of application the present invention when instructing pleura spinal meninges bulging corrective surgery and the postoperative patient effect of urinating.
Below in conjunction with drawings and Examples, the present invention is described in further detail.
The specific embodiment
Referring to Fig. 1 and Fig. 2, the present embodiment provides a kind of catheter of monitoring bladder function, comprises an inflatable rubber tube 1 of hollow, and this rubber tube 1 is divided into inflation end and urethral catheterization side.
Inflation end is provided with inflation inlet 2 and urinal connector 3;
Urethral catheterization side has gas cell head 7 and catheterizing port 4;
On the outer wall of gas cell head 7, be provided with the conductive rubber 5 of a circle projection, this conductive rubber 5 is connected with the seal wire 6 that two symmetries are embedded in rubber tube 1, and one end of seal wire 6 is stretched out outside rubber tube 1 and is positioned at inflation end.
In the present embodiment, rubber tube 1 is made by non-conductive General Purpose Rubber.On inflation inlet 2, there is check valve.
Conductive rubber 5 is selected commercially available product, and its parameter is:
Shao Er A type hardness tester: 70 ± 10 degree;
Hot strength: 1.38 ~ 3.57MPa;
Elongation rate of tensile failure: >=200%; Compression set :≤45 ~ 30(70h * l00 ℃)/%;
Maximum operation (service) temperature: 120/220 ℃;
Electric conductivity and electric performance stablity: 0.002 Ω cm ~ 5 Ω cm;
Shield effectiveness is as follows:
1. >=200kHz magnetic field: 50dB ~ 70dB;
2. 100MHz electric field: 80dB ~ 120dB;
3. 500MHz electric field: 80dB ~ 130dB;
4. 2GHz plane wave: 60dB ~ 130dB;
5. 10GHz plane wave: 50dB ~ 120dB.
The advantage of this conductive rubber 5 is: shield effectiveness is excellent; Cost is medium; Corrosion resistance is excellent.
Adopt catheter of monitoring bladder function of the present invention, before operation starts, insert urethra, give after 7 inflations of gas cell head, gas cell head 7 and the urethra rear end close contact of urethral catheterization side, simultaneously, on the outer wall of gas cell head 7 one circle projection conductive rubber 5 also with urethral tissue close contact, then the exposed junction of the wire 6 of inflation side is connected with monitoring instrument, collect signal, if patient interferes with the muscle of domination bladder, during as detrusor, the inside and outside sphincteral nerve of urethra, instrument is reported to the police or signal change, reminds patient to note.This device, for complication such as control postoperative vesical dysfunction etc., alleviates medical personnel's workload, and it is all significant that particularly early warning patient reduces unnecessary operation secondary damage etc.The literature search of doing through applicant, yet there are no similar similar installation.
It is below catheter application example of monitoring bladder function of the present invention.
Embodiment 1: the bulging operation of early warning pleura spinal meninges and postoperative effect
Applicant utilizes the present invention to carry out whole process monitoring in a routine pleura spinal meninges bulging operation, in use procedure, conductive rubber can be sensitive collection and accept electroneurographic signal, seal wire can be sensitive conduction electroneurographic signal, in operation process, conductive rubber does not receive invades and harasses thoracic nerve signal, what monitoring instrument received is all normal signal, patient normally performs the operation, complete resection bulging tissue, successful surgery.
Embodiment 2: the operation of early warning thoracic vertebra intraspinal tumor and postoperative effect
Applicant utilizes the omnidistance monitoring of the present invention in a routine thoracic vertebra intraspinal tumor operation, in use procedure, conductive rubber can be sensitive collection and accept electroneurographic signal, seal wire can be sensitive conduction electroneurographic signal, in operation process, conductive rubber receives invades and harasses thoracic nerve signal, by seal wire, be delivered in monitoring instrument, monitoring instrument shows this abnormal signal in display screen, after seeing, patient reduced tumor resection tissue, preserve nervous tissue, prevented the urinary incontinence of postoperative patient etc., improved patient's life quality.

Claims (3)

1. can monitor a catheter for bladder function, comprise an inflatable rubber tube of hollow (1), this rubber tube (1) is divided into inflation end and urethral catheterization side, it is characterized in that:
Described inflation end is provided with inflation inlet (2) and urinal connector (3);
Described urethral catheterization side has gas cell head (7) and catheterizing port (4);
On the outer wall of gas cell head (7), be provided with the conductive rubber (5) of a circle projection, this conductive rubber (5) is embedded in the interior seal wire (6) of rubber tube (1) with two symmetries and is connected, and one end of seal wire (6) is stretched out outside rubber tube (1) and is positioned at inflation end;
The parameter of described conductive rubber (5) is:
Shao Er A type hardness tester: 70 ± 10 degree;
Hot strength: 1.38~3.57MPa;
Elongation rate of tensile failure: >=200%;
Compression set :≤45~30(70h * l00 ℃)/%;
Maximum operation (service) temperature: 120 ℃/220 ℃;
Electric conductivity and electric performance stablity: 0.002 Ω cm~5 Ω cm;
Shield effectiveness is as follows:
1. >=200kHz magnetic field: 50dB~70dB;
2. 100MHz electric field: 80dB~120dB;
3. 500MHz electric field: 80dB~130dB;
4. 2GHz plane wave: 60dB~130dB;
5. 10GHz plane wave: 50dB~120dB.
2. catheter of monitoring bladder function as claimed in claim 1, is characterized in that, described seal wire (6) is made by aluminium wire.
3. catheter of monitoring bladder function as claimed in claim 1, is characterized in that, described rubber tube (1) is made by non-conductive General Purpose Rubber.
CN201210549259.2A 2012-12-17 2012-12-17 Urethral catheter with bladder monitoring function Expired - Fee Related CN103007418B (en)

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CN103007418B true CN103007418B (en) 2014-04-09

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106175746A (en) * 2016-08-04 2016-12-07 皖南医学院弋矶山医院 The measurement apparatus of bladder pressure
US10485483B1 (en) * 2016-10-17 2019-11-26 Srs Medical Systems, Llc Diagnostic drainage catheter assembly and methods

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0205851A1 (en) * 1985-05-10 1986-12-30 Max Dr. Hubmann Catheter
DE3810408A1 (en) * 1988-03-26 1989-10-12 Thomas Lang Duodenal probe
CN201006054Y (en) * 2006-11-13 2008-01-16 陈金国 Disposable electrode urinary catheter

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2694150A1 (en) * 2011-04-08 2014-02-12 Covidien LP Iontophoresis drug delivery system and method for denervation of the renal sympathetic nerve and iontophoretic drug delivery

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0205851A1 (en) * 1985-05-10 1986-12-30 Max Dr. Hubmann Catheter
DE3810408A1 (en) * 1988-03-26 1989-10-12 Thomas Lang Duodenal probe
CN201006054Y (en) * 2006-11-13 2008-01-16 陈金国 Disposable electrode urinary catheter

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