CN103126665B - Disposable intra-abdominal pressure (IAP) monitoring tube - Google Patents

Disposable intra-abdominal pressure (IAP) monitoring tube Download PDF

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Publication number
CN103126665B
CN103126665B CN201310030779.7A CN201310030779A CN103126665B CN 103126665 B CN103126665 B CN 103126665B CN 201310030779 A CN201310030779 A CN 201310030779A CN 103126665 B CN103126665 B CN 103126665B
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pressure
measuring pipe
triple valve
pressure measuring
measuring tube
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Expired - Fee Related
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CN201310030779.7A
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CN103126665A (en
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任广秀
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Individual
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Individual
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Abstract

The invention relates to a disposable IAP monitoring tube. A pressure measuring tube comprises a pressure measuring tube A, a pressure measuring tube B, a pressure measuring tube C and a pressure measuring tube D. A graduated scale with pressure unit scale values is arranged on the upper portion of the pressure measuring tube A, the lower portion is hinged with the pressure measuring tube B and an angle scale, and an included angle between the angle scale and the pressure measuring tube B is adjusted into standard 90 degrees; the pressure measuring tube B and the pressure measuring tube C are connected through a connection cap A and a connection cap B; the pressure measuring tube C, a liquid tube and the pressure measuring tube D are connected through a three-way valve A; and the tail end of the pressure measuring tube D is connected with a urine tube and a urine bag of a urinary catheter through a three-way valve B, and the liquid tube is connected with a normal saline bag. The disposable IAP monitoring tube has the advantages that the operation is simple, the cost is low, the operation process is simplified, the tube can be taken down when not used, the intra-abdominal infection chance is reduced, the nursing quality can be improved, the intra-abdominal infection risk can be reduced, and the application range is wide.

Description

Disposable monitoring intra-abdominal pressure pipe
(1) technical field
The present invention relates to a kind of medical supplies, particularly relate to a kind of disposable monitoring intra-abdominal pressure pipe.
(2) background technology
As everyone knows, IAP(intra-abdominal pressure) raise acquire a certain degree after harmful effect is produced to human organ function, continue for some time and can cause multiple Organ replication, or even occur exhaustion phenomenon.
Abdominal cavity is made up of stomach wall, greater psoas muscle, backbone, diaphram and pelvic cavity, and its capacity is limited, can be considered a compartment [4].Normal human's intra-abdominal pressure is at about 0Kpa [5](1Kpa=7.5mmHg), any situation causing abdominal cavity content volume to increase can increase Intraabdominal pressure.Usually intra-abdominal pressure > 1.96Kpa (20mmHg) is defined as intra-abdominal pressure to increase, intra-abdominal pressure > 2.45Kpa (25mmHg), there is the rising of oliguresis, airway pressure in patient, hypoxemia, cardiac output reduce, acid poisoning even the one or more of clinical manifestation such as hypotensive shock be diagnosed as abdominal compartment syndrome [5].Intra-abdominal pressure can be divided into 4 grades: I grade of 10-14mmHg; II grade of 15-24mmHg; III grade of 25-35mmHg; IV grade of > 35mmHg.Wherein I, II grade less to body harm [5].By monitoring intra-abdominal pressure, foundation can be provided for diagnosing patient, treatment.
The monitoring and measuring application of intra-abdominal pressure, in aspects such as urgent patient's diagnosis, treatment, nursing, reduces the generation of complication, improves Rescuing Critical Patients success rate.A lot of nursing problem is there is in monitoring intra-abdominal pressure.There is no the disposable simple and easy monitor measuring intra-abdominal pressure at present.
(3) summary of the invention
The present invention, in order to make up the deficiencies in the prior art, provides a kind of applied widely, disposable monitoring intra-abdominal pressure pipe that can improve nursing quality, reduce abdominal cavity of patients risk of infection.
The present invention is realized by following technical method.
Disposable monitoring intra-abdominal pressure pipe of the present invention, it comprises pressure-measuring pipe, triple valve, infusion pipeline three part, it is characterized in that: pressure-measuring pipe comprise connect successively pressure-measuring pipe A, pressure-measuring pipe B, pressure-measuring pipe C, pressure-measuring pipe D tetra-sections, the rule of band pressure unit scale value is arranged at pressure-measuring pipe A top, bottom and pressure-measuring pipe B and angle scale hinged, by angle scale, the angle of rule and pressure-measuring pipe B is adjusted to standard 90 °; Pressure-measuring pipe B is connected by attachment cap A, attachment cap B with pressure-measuring pipe C, and pressure-measuring pipe C, liquid line are connected by triple valve A with pressure-measuring pipe D, and pressure-measuring pipe D end is connected with urinal with the urinary catheter of catheter by triple valve B, and liquid line connects normal saline bag.
Disposable monitoring intra-abdominal pressure pipe of the present invention, indirectly reflect intra-abdominal pressure by measuring bladder pressure, pressure-measuring pipe D is connected with double lumen catheter, wooden pail for urine, the pipeline that communicates can be regulated by triple valve A and three-way pipe B, pressure-measuring pipe C is connected with liquid line by triple valve with pressure-measuring pipe D, and major part is the pressure-measuring pipe A of front end, has pressure unit scale value above it, directly can read force value, convenient and easy.
The invention has the beneficial effects as follows, common monitoring intra-abdominal pressure device basis is transformed, draws its advantage, carry out anti symptom treatment solution to its deficiency, this kind of disposable monitor is simple to operate, and cost is low, simplify operation sequence, the used time can not take off, and decreases opportunities for contamination, reduce the chance of abdominal cavity infection, promote Rehabilitation, promote patient comfort, decrease nurse job amount, can nursing quality be improved, reduce abdominal cavity of patients's risk of infection, applied widely.And this moderate product price, grasping than being easier to, being applicable to different level hospital, having wide exploitation and application prospect.Pressure-measuring pipe A collapsible with pressure-measuring pipe B and together with, be convenient to deposit.The monitoring and measuring application of intra-abdominal pressure, in Rescuing Critical Patients, reduces the generation of complication, improves the salvage success rate of urgent patient.
Reduce infection rate,
(4) accompanying drawing explanation
Accompanying drawing is structural representation of the present invention.
In figure: 1, pressure-measuring pipe A; 2, pressure unit scale value; 3, angle scale; 4, pressure-measuring pipe B; 5, attachment cap A; 6, attachment cap B; 7, pressure-measuring pipe C; 8, triple valve A; 9, liquid line; 10, normal saline bag; 11, pressure-measuring pipe D; 12, triple valve B.
(5) detailed description of the invention
Accompanying drawing is a kind of instantiation of the present invention.
Disposable property monitoring intra-abdominal pressure pipe of the present invention, it comprises pressure-measuring pipe, triple valve, infusion pipeline three part, pressure-measuring pipe comprise connect successively pressure-measuring pipe A 1, pressure-measuring pipe B 4, pressure-measuring pipe C 7, pressure-measuring pipe D 11 4 sections, the rule of band pressure unit scale value 2 is arranged at pressure-measuring pipe A 1 top, bottom and pressure-measuring pipe B 2 and angle scale 3 hinged, by angle scale 3, the angle of rule and pressure-measuring pipe B 4 is adjusted to standard 90 °; Pressure-measuring pipe B 2 is connected by attachment cap A 5, attachment cap B 6 with pressure-measuring pipe C 7, pressure-measuring pipe C 7, liquid line 9 are connected by triple valve A 8 with pressure-measuring pipe D 11, pressure-measuring pipe D 11 end is connected with urinal with the urinary catheter of catheter by triple valve B 12, and liquid line connects 100ml normal saline bag 10.
Pressure-measuring pipe A 1 is connected with pressure-measuring pipe B 4, and junction is therebetween collapsible makes the two be close together, and is availablely adjusted to standard 90 °, to guarantee the accurate of numerical value by angle scale 3 rule.Wherein pressure unit scale value is in units of mmHg, consistent with existing SI units, and nurse can directly read pressure measurement numerical value.Pressure-measuring pipe C 7 is connected by attachment cap B 6 with pressure-measuring pipe B 4, and two attachment caps have supporting screw, can compact siro spinning technology, without any gap.Liquid line 9 is connected by triple valve A 8 with pressure-measuring pipe C, pressure-measuring pipe D.The pipeline that communicates can be selected by triple valve A.Pressure-measuring pipe D 11 is connected by triple valve B 12 with urinary catheter, urinal, and selects to communicate pipeline by triple valve B.
Disposable monitoring intra-abdominal pressure pipe of the present invention, pressure-measuring pipe A 1 and pressure-measuring pipe B 4 selection are that toughness high-tension PE material is made, and can guarantee 90 ° accurately, to ensure that parameter is accurate by angle scale 3.Can also prevent the pipeline that causes really up to the mark from fractureing, simultaneously the discomfort of reduction of patient.Pressure-measuring pipe C, pressure-measuring pipe D are flexible pipe.Each section of pressure-measuring pipe is connected by triple valve, and simple convenient operation directly reads corresponding scale by dial.
During use, patient makes even clinostatism.Indwelling double lumen catheter, prepares 100ml physiological saline, and pressure-measuring pipe C 7 is connected with liquid line 9 by triple valve A 8 with pressure-measuring pipe D 11, and triple valve B 12 is connected with pressure-measuring pipe D with urinary catheter.Before pressure measurement, pressure-measuring pipe A and pressure-measuring pipe B folds.Opened by pressure-measuring pipe A and pressure-measuring pipe B, pressure-measuring pipe B is lain in desktop, vertically erect pressure-measuring pipe A and make itself and pressure-measuring pipe B shape angle in 90 °, dial numerical value is 0.Keep urinary tract unobstructed before measuring, after empty bladder, press from both sides one that the urinary catheter closing triple valve B connection leads to urinal, one of bladder is led to by infusion pipeline, triple valve A, pressure-measuring pipe D, triple valve B and urinary catheter, physiological saline 50 ~ 100ml is instilled in bladder, physiological saline input speed is wanted slowly, and quick input can cause bladder muscle to shrink, and causes increasing of bladder pressure.Pressure-measuring pipe A " 0 " scale and pubic symphysis same level during pressure measurement, close infusion pipeline by triple valve A, and reading the pressure unit scale value on dial in end-tidal, is then intra-abdominal pressure.
Because patient body position, positive airway pressure and breathing have a certain impact to intra-abdominal pressure measurement.All should horizontal position during pressure measurement.Can by PEEP(end-expiratory positive pressure during mechanical ventilation) reduce to 0cmH 2o or temporarily off line are for a moment.

Claims (1)

1. a disposable monitoring intra-abdominal pressure pipe, it comprises pressure-measuring pipe, triple valve, infusion pipeline three part, it is characterized in that: pressure-measuring pipe comprise connect successively pressure-measuring pipe A, pressure-measuring pipe B, pressure-measuring pipe C, pressure-measuring pipe D tetra-sections, rule with pressure unit scale value is arranged at pressure-measuring pipe A top, bottom and pressure-measuring pipe B and angle scale hinged, by angle scale, the angle of rule and pressure-measuring pipe B is adjusted to standard 90 °; Pressure-measuring pipe C, liquid line are connected by triple valve A with pressure-measuring pipe D, and pressure-measuring pipe D end is connected with urinal with the urinary catheter of catheter by triple valve B, and liquid line connects normal saline bag;
During use, patient makes even clinostatism, indwelling double lumen catheter, prepare 100ml physiological saline, pressure-measuring pipe C 7 is connected with liquid line 9 by triple valve A 8 with pressure-measuring pipe D 11, triple valve B 12 is connected with pressure-measuring pipe D with urinary catheter, before pressure measurement, pressure-measuring pipe A and pressure-measuring pipe B folds, pressure-measuring pipe A and pressure-measuring pipe B is opened, pressure-measuring pipe B is lain in desktop, vertically erect pressure-measuring pipe A and make itself and pressure-measuring pipe B shape angle in 90 °, dial numerical value is 0, keep urinary tract unobstructed before measuring, after empty bladder, press from both sides one that the urinary catheter closing triple valve B connection leads to urinal, pass through infusion pipeline, triple valve A, pressure-measuring pipe D, triple valve B and urinary catheter lead to one of bladder, physiological saline 50 ~ 100ml is instilled in bladder, physiological saline input speed is wanted slowly, quick input can cause bladder muscle to shrink, cause increasing of bladder pressure, pressure-measuring pipe A " 0 " scale and pubic symphysis same level during pressure measurement, infusion pipeline is closed by triple valve A, the pressure unit scale value on dial is read in end-tidal, it is then intra-abdominal pressure.
CN201310030779.7A 2013-01-28 2013-01-28 Disposable intra-abdominal pressure (IAP) monitoring tube Expired - Fee Related CN103126665B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104807564A (en) * 2014-01-28 2015-07-29 上海市嘉定区中心医院 Pressure monitoring apparatus for artery compressing hemostasis
CN104856724A (en) * 2014-02-25 2015-08-26 首都医科大学附属北京佑安医院 Direct pressure measurement device
CN106137177A (en) * 2016-07-29 2016-11-23 原大江 A kind of Intra-abdominal pressure measurement apparatus

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2748034Y (en) * 2004-11-16 2005-12-28 高岩 Medical pressure measuring device
CN201996555U (en) * 2011-02-25 2011-10-05 绵竹市人民医院 Bladder capacity and pressure measuring device
CN102599892A (en) * 2012-04-16 2012-07-25 许永华 Intraperitoneal pressure monitoring system and monitoring method

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8870742B2 (en) * 2006-04-06 2014-10-28 Ethicon Endo-Surgery, Inc. GUI for an implantable restriction device and a data logger

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2748034Y (en) * 2004-11-16 2005-12-28 高岩 Medical pressure measuring device
CN201996555U (en) * 2011-02-25 2011-10-05 绵竹市人民医院 Bladder capacity and pressure measuring device
CN102599892A (en) * 2012-04-16 2012-07-25 许永华 Intraperitoneal pressure monitoring system and monitoring method

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