CN103800991B - Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted - Google Patents

Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted Download PDF

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Publication number
CN103800991B
CN103800991B CN201410060696.7A CN201410060696A CN103800991B CN 103800991 B CN103800991 B CN 103800991B CN 201410060696 A CN201410060696 A CN 201410060696A CN 103800991 B CN103800991 B CN 103800991B
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China
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singlechip
control system
isocon
electronic control
grammed switch
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CN103800991A (en
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周良学
罗林丽
游潮
徐建国
陈海锋
刘翼
魏家富
蔡博文
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Abstract

Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted, including pressure sensor, Y shape isocon, turn of tidal stream pump, the first grammed switch, the second grammed switch, loading plate, the first electronic control system, the first power supply, the second electronic control system and second source;First grammed switch is for turning on or block cerebrospinal fluid path between two upper arm conduits of Y shape isocon, second grammed switch enters the path in abdominal cavity for turning on or block cerebrospinal fluid by Y shape isocon underarm conduit, turn of tidal stream pump is the flowing of cerebrospinal fluid in driving Y shape isocon, pressure sensor is for being acquired the pressure of encephalic, first electronic control system controls turn of tidal stream pump for the pressure condition according to encephalic, first grammed switch and the second grammed switch state in which, and relevant information is transferred to the second electronic control system, second electronic control system is for receiving and show the information of the first electronic control system, and send instruction to the first electronic control system.

Description

Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted
Technical field
The invention belongs to medicine equipment, after neurosurgery ventriculo-peritoneal shunt, regulate and control brain ridge according to intracranial pressure particularly to one Liquid shunt volume also can prevent the device that isocon blocks.
Background technology
Ventriculo-peritoneal shunt operation is the hydrocephalic conventional operation of neurosurgical treatment.Ventriculo-peritoneal shunt Post operation, by Inserting an isocon between the ventricles of the brain and abdominal cavity, cerebrospinal fluid shunt unnecessary in the ventricles of the brain enters abdominal cavity can reduction of patient intracranial hypertension Symptom, but the Hypotensive cranial pressure that shunting excessively causes is likely to cause patient fatal threat.In branching process, shunt pipe plug Plug is one of most common and the most thorny complication of ventriculo-peritoneal shunt Post operation, it was reported that 1 year plugging rate may be up to 40%~ 50%, patient has to bear that shunt operation the most repeatedly brings loses blood, infects, cerebral hemorrhage and brain damage induction epilepsy etc. are big Amount operation risk.Therefore, how to solve ventriculo-peritoneal shunt blockage and precisely regulate shunting according to the real-time monitoring result of intracranial pressure Amount, is to ensure that the key whether ventriculo-peritoneal shunt Post operation shunting effect and shunt catheter can use in long-term safety in the patient Technical problem.
In terms of solving isocon blocking, Chinese patent ZL201020506969.3 and ZL201220124062.X individually discloses The anti-block apparatus that action principle is similar, i.e. arranges the bracing frame of air bag or crux, thus plays anti-in conventional isocon front end The only most advanced and sophisticated situation being pressed off obstruction by brain tissue of isocon.But by clinical a large amount of it has been observed that cause that isocon blocks is main Reason is not that isocon tip is pressed off by brain tissue, but the spontaneous flowing hardly of ICV cerebrospinal fluid, cause brain ridge Visible component in liquid such as albumen, carbohydrate, even free cell deposit at isocon apopore and adhere to, and ultimately result in shunting Pipe apopore blocks.Therefore, the essential measure solving the blocking of isocon apopore is to accelerate cerebrospinal fluid circulation flowing, reduces brain The deposition of the visible component in spinal fluid and attachment.
Summary of the invention
It is an object of the invention to overcome the deficiencies in the prior art, it is provided that a kind of can be automatically adjusted brain according to the intracranial pressure of in real time monitoring The shunt volume of cerebrospinal fluid the device that isocon blocks can be prevented in room.
Cerebrospinal fluid shunt amount and the device preventing isocon from blocking of being automatically adjusted of the present invention, including pressure sensor, Y shape Isocon, turn of tidal stream pump, the first grammed switch, the second grammed switch, loading plate, the first electronic control system, the first power supply, Second electronic control system and second source;Described first electronic control system by the first single-chip microcomputer and connects with the first single-chip microcomputer respectively The first wireless receiver connect and the first wireless launcher composition, the first wireless launcher is for sending to the second electronic control system Information, the first wireless receiver comes from the information of the second electronic control system for receiving and the information received is transferred to the One single-chip microcomputer;Described second electronic control system includes second singlechip and the second wireless receiving being connected respectively with second singlechip Device, the second wireless launcher, man-machine interactive operation button and display, the second wireless launcher is for the first Electronic Control system System sends instruction, and the second wireless receiver is for receiving the information coming from the first electronic control system and the information received being passed Being defeated by second singlechip, man-machine interactive operation button is for sending instruction to second singlechip, and display is for display the second monolithic The information that machine receives;Described first power supply is for the first electronic control system, turn of tidal stream pump, the first grammed switch and the second journey Control switch provides operating current, and described second source is for providing operating current to the second electronic control system;Described Y shape shunts Pipe is made up of the two upper arm conduits intersected at one and a underarm conduit, two upper arm conduits and the junction of a underarm conduit Section is arranged in the groove that loading plate is arranged;Described first grammed switch and the first single-chip microcomputer connect and are arranged on loading plate, position In being at a upper arm conduit of described junction section, for turning on or block cerebrospinal fluid path between two upper arm conduits;Institute State the second grammed switch and the first single-chip microcomputer connect and is arranged on loading plate, lie at the underarm conduit of described junction section, The path in abdominal cavity is entered for turning on or block cerebrospinal fluid;Described turn of tidal stream pump and the first single-chip microcomputer connect and are arranged on loading plate, It is positioned at the junction position of two upper arm conduits, the flowing of cerebrospinal fluid in driving Y shape isocon;Described pressure sensor and One single-chip microcomputer connects, and for being acquired the pressure of encephalic, and the pressure signal collected is transformed into the signal of telecommunication is transferred to the One single-chip microcomputer;The electric pressure signal received is carried out processing and controlling turn of tidal stream according to the pressure condition of encephalic by described first single-chip microcomputer Pump, the first grammed switch and the second grammed switch state in which, simultaneously by intracranial pressure, the first grammed switch, second program control Switch status, pressure sensor, the mode of operation parameter of turn of tidal stream pump and the first power supply status by the first wireless launcher, Second wireless receiver is transferred to second singlechip;Instruction according to second singlechip adjusts the first grammed switch, second program control opens Close the mode of operation parameter of status and pressure sensor and turn of tidal stream pump (when the mode of operation parameter of pressure sensor includes work Between, operating frequency, the mode of operation parameter of turn of tidal stream pump includes rotation direction, turn of tidal stream speed, turn of tidal stream amount, time CPB) and will Information after adjustment is transferred to second singlechip by the first wireless launcher, the second wireless receiver;According to second singlechip Instruction start or shutdown;The information coming from the first single-chip microcomputer received is carried out processing and be transferred to show by described second singlechip Show that device is shown, by the second wireless launcher, the first nothing after the instruction coming from man-machine interactive operation button being processed Line receiver is transferred to the first single-chip microcomputer;Described first power supply, the first electronic control system and be provided with Y shape isocon junction section, First grammed switch, the second grammed switch, the loading plate of turn of tidal stream pump are encapsulated at least one box body, in order to sterilize and be embedded in trouble Person is subcutaneous.
In the above-mentioned device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking, the first grammed switch and the second grammed switch Structure is identical, is constituted by two electromagnetic assemblies, and described electromagnetic assembly is by shell, block, coil, back-moving spring and electromagnet The moving contact composition made, one end of shell is closed, one end open, and block is arranged on the inwall of closed termination of outer cover, and coil is installed At the cylinder section inwall of shell, back-moving spring is arranged on the housing of coil, and moving contact is connected with back-moving spring, its one end plug-in mounting In coil, its other end is towards the openend of shell.In the coil electricity size of current of grammed switch may decide that grammed switch Portion's generation magnetic force size, and then the compression degree of back-moving spring can be affected, finally affect the folding condition of grammed switch.Work as line When circle is not powered on, not producing magnetic force inside grammed switch, the moving contact of grammed switch is closed in spring force effect; When coil leads to weak current, grammed switch is internal produces more weak magnetic force, and the moving contact of grammed switch is in more weak magneticaction bottom Partial compression spring is in semi-open state;When the logical relatively heavy current of coil, grammed switch is internal produces stronger magnetic force, grammed switch Moving contact complete compression spring under stronger magneticaction be in full open state.
Above-mentioned be automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking device in, Y shape isocon be monolithic construction or Split-type structural, the Y shape isocon of described split-type structural includes that two upper arm conduits, a underarm conduit and two upper arm are led The Y shape junction section that pipeline section and a underarm run are formed, upper arm conduit and underarm conduit are respectively by connecting tube and described Y shape Two upper arm runs and a underarm run of junction section connect.
In the above-mentioned device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking, turn of tidal stream pump is by micromachine and with miniature The oval cam that motor power output shaft connects is constituted.
In the above-mentioned device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking, temperature sensor and proportion also can be set Sensor, for gathering the temperature information of encephalic and the proportion information of cerebrospinal fluid, described temperature sensor and specific gravity sensor are respectively It is connected with the first single-chip microcomputer, the temperature signal collected and proportion signal is transformed into the signal of telecommunication and is transferred to the first single-chip microcomputer.
From the point of view of easy to use, cerebrospinal fluid shunt amount and the device preventing isocon from blocking of being automatically adjusted of the present invention In, second singlechip, second source are arranged in a box body, and the second wireless receiver, the second wireless launcher are arranged on described The outer wall of box body or inwall, man-machine interactive operation button, display are arranged on the outer wall of described box body.
In order to extend the function of the second electronic control system, the second electronic control system is additionally provided with alarm lamp, warning buzzing Device, data storage and data output interface, second source connects a power supply indicator, alarm lamp, alarm buzzer, Data storage and data output interface are connected with second singlechip respectively, described data storage and second singlechip, the second electricity Source is arranged in same box body, and described alarm buzzer is arranged on outer wall or the inwall of described box body, described data output interface, Alarm lamp and power supply indicator are arranged on the outer wall of described box body.
Cerebrospinal fluid shunt amount and the device preventing isocon from blocking of being automatically adjusted of the present invention, its using method is as follows:
When ventriculo-peritoneal shunt is performed the operation, two upper arm conduits of Y shape isocon are inserted the encephalic of patient, by Y tube Underarm conduit is inserted in the abdominal cavity of patient, and by pressure sensor, or pressure sensor, temperature sensor and specific gravity sensor are inserted The encephalic of patient, will be equipped with the first single-chip microcomputer, the first power supply, the first wireless receiver, the first wireless launcher, Y shape shunting It is subcutaneous that manifold hands over the box body of section, the first grammed switch, the second grammed switch, turn of tidal stream pump and loading plate to be embedded in patient, makes the second list It is external that sheet machine and the second source being connected with second singlechip and other device are positioned at patient.
The anti-blocking electronic installation being automatically adjusted ventricular shunt amount of the present invention, its operation principle is as follows:
The pressure of encephalic is acquired by pressure sensor, and the signal collected is converted into the signal of telecommunication is transferred to the first single-chip microcomputer, The electric pressure signal received is carried out processing and controls turn of tidal stream pump according to the pressure condition of encephalic, first program control open by the first single-chip microcomputer Close and the second grammed switch state in which, it is achieved following two mode of operation:
1, " turn of tidal stream in the ventricles of the brain " mode of operation
When intracranial pressure is normal, it is in " turn of tidal stream in the ventricles of the brain " mode of operation, in this mode, the first grammed switch opens, Second grammed switch is closed, time that turn of tidal stream pump sets according to single-chip microcomputer and rotational speed, and help cerebrospinal fluid is at Y shape isocon two Root upper arm conduit and ventricles of the brain internal circulation flow, this mode of operation does not change intracranial pressure, only reaches the purpose preventing isocon from blocking.
2, " ventriculo-peritoneal shunt " mode of operation
When the intracranial pressure that pressure sensor collects exceedes normal value, start " ventriculo-peritoneal shunt " mode of operation, at this Under pattern, the first grammed switch is closed, the second grammed switch is opened, and the rotational speed that turn of tidal stream pump sets according to single-chip microcomputer, by cranium Interior cerebrospinal fluid shunt is to abdominal cavity, and when intracranial pressure returns to normal pressure value, " ventriculo-peritoneal shunt " mode of operation stops, It is again introduced into " turn of tidal stream in the ventricles of the brain " mode of operation.
By being wirelessly transferred and the process of the second singlechip signal to receiving, can on the display being connected with second singlechip Demonstrate include intracranial pressure, the power supply status of the first single-chip microcomputer, mode of operation and turn of tidal stream pump rotation direction, turn of tidal stream speed, turn The information such as flow, time CPB.
According to inserting, encephalic sensing element kind is different with function, may also display by the first single-chip microcomputer on the display of the second box body Other important parameter information of transmission, such as: encephalic temperature, cerebrospinal fluid proportion etc..By man-machine interaction button to second singlechip It is configured and is wirelessly transferred, the ginseng of the mode of operation to turn of tidal stream pump and grammed switch can be realized after the first single-chip microcomputer receives and analyzes The control of number.These control the opening and closing that function includes automatically controlling grammed switch;Control the turn of tidal stream speed of turn of tidal stream pump, turn Stream duration, timing automatic unlatching turn of tidal stream and setting turn of tidal stream pump rotation direction etc..In terms of security, when the first single-chip microcomputer is supervised When measuring abnormal information (such as: intracranial pressure drastically changes) or turn of tidal stream pump work appearance exception, can be realized by second singlechip Report to the police, and by second singlechip is arranged, the first chip microcontroller power-off, shutdown etc. can be controlled, it is ensured that the safety of use Property.
The method have the advantages that
1, intracranial pressure can be monitored by device of the present invention, is controlled every shunting parameter of ventriculo-peritoneal shunt, Thus realizing the accurate regulation to intracranial pressure, minimizing shunts excessively and the not enough clinic harm brought of shunting.
2, device of the present invention can make cerebrospinal fluid at isocon internal circulation flow, reduces the visible component in cerebrospinal fluid at isocon Interior deposition and attachment, thus reach the purpose preventing isocon from blocking.
Encephalic temperature, cerebrospinal fluid proportion etc. also can be monitored and record by 3 devices of the present invention in real time, and can pass through data Data are derived and are used for analyzing by output interface.
4, device of the present invention is easy to use, the man-machine interactive operation button being connected with second singlechip by operation, Ji Kexiang First single-chip microcomputer sends information, can realize duty to turn of tidal stream pump and grammed switch after the first single-chip microcomputer receives and analyzes Control;When the first single-chip microcomputer monitors abnormal information (such as: intracranial pressure drastically changes) or turn of tidal stream pump work occurs abnormal, Can realize reporting to the police by second singlechip, and can be by second singlechip being arranged to the first chip microcontroller power-off, shutdown etc. Control, it is ensured that the security of use.
5, will be equipped with the first single-chip microcomputer, the first power supply, the first wireless receiver, the first wireless launcher, Y shape isocon junction It is subcutaneous that the box body of section, the first grammed switch, the second grammed switch, turn of tidal stream pump and loading plate is embedded in patient, thus electronic component All can change easily with Y shape isocon junction section.
Accompanying drawing explanation
Fig. 1 is the first Electronic Control system in the device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking of the present invention System, the second electronic control system and a kind of structured flowchart by control device.
Fig. 2 is the first Electronic Control system in the device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking of the present invention System, the second electronic control system and by control device another kind of structured flowchart.
Fig. 3 is the structural representation of Y shape isocon, and wherein, (1) figure, (2) figure are the Y shape isocons of monolithic construction, (3) figure, (4) figure are the Y shape isocons of split-type structural.
Fig. 4 is the structural representation of loading plate.
Fig. 5 is the junction section of Y shape isocon, turn of tidal stream pump, the first grammed switch and the installation on loading plate of second grammed switch Schematic diagram.
Fig. 6 is the first grammed switch, the structural representation of the second grammed switch, and wherein, the grammed switch in (1) figure is in pass Closed state, the grammed switch in (2) figure is in opening.
Fig. 7 is a kind of outline drawing of the device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking of the present invention.
Fig. 8 is the another kind of outline drawing of the device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking of the present invention.
Fig. 9 is to be automatically adjusted cerebrospinal fluid shunt amount and the device mounting means figure preventing isocon from blocking described in Fig. 7.
Figure 10 is to be automatically adjusted cerebrospinal fluid shunt amount and the device mounting means figure preventing isocon from blocking described in Fig. 8.
In figure, 1 Y shape isocon (1-1: upper arm conduit, 1-2: underarm conduit, 1-3: junction section), 2 connecting tubes, 3 Loading plate, 4 first grammed switches, 5 second grammed switches, 6 turn of tidal stream pumps, 7 shells, 8 coils, 9 blocks, 10 back-moving springs, 11 moving contacts, 12 pressure sensors, 13 data wires, 14 first box bodys, 15 first is wireless Launch/receive window, 16 second box bodys, 17 man-machine interactive operation buttons, 18 displays, 19 second wireless transmission/reception Window, 20 alarm lamps, 21 alarm buzzers, 22 power supply indicators, 23 the 3rd box bodys, 24 the 4th box bodys, 25 temperature sensors, 26 specific gravity sensors, 27 patients.
Detailed description of the invention
Below in conjunction with the accompanying drawings to the device being automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking of the present invention in structure side Face is described further.
Embodiment 1
In the present embodiment, cerebrospinal fluid shunt amount can be automatically adjusted and the device preventing isocon from blocking includes pressure sensor 12, Y Shape isocon 1, turn of tidal stream pump the 6, first grammed switch the 4, second grammed switch 5, loading plate the 3, first electronic control system, First power supply, the second electronic control system and second source.Described first electronic control system is as it is shown in figure 1, by the first monolithic Machine and the first wireless receiver being connected with the first single-chip microcomputer respectively and the first wireless launcher form.Described second Electronic Control system System as it is shown in figure 1, by second singlechip and be connected with second singlechip respectively the second wireless receiver, the second wireless launcher, Man-machine interactive operation button and display composition.The list that first single-chip microcomputer and second singlechip all select model to be MSP430F135 Sheet machine (American TI Company production), the model of wireless receiver and wireless launcher is that (sky, Suzhou iridium electronics technology has nRF905 Limit company produces), pressure sensor (the freescale company of the U.S. that described pressure sensor 12 selects model to be MPX5050 Produce).Described Y shape isocon 1 is split-type structural, as shown in (3) figure in Fig. 3, including two upper arm conduit 1-1, Y shape junction section 1-3 that a piece underarm conduit 1-2 and two upper arm runs and a underarm run are formed, upper arm conduit 1-1 Connected by two upper arm runs and a underarm run of connecting tube 2 with described Y shape junction section respectively with underarm conduit 1-2 Connecing, described upper arm conduit 1-1, underarm conduit 1-2 and Y shape junction section 1-3 are the flexible pipe that medical material makes, described connecting tube 2 stereoplasm tubes made for medical material.Described turn of tidal stream pump 6 is by micromachine and the ellipse that is connected with micromachine power output shaft Shape cam is constituted.Described first grammed switch 4 is identical with the second grammed switch 5 structure, is constituted by two electromagnetic assemblies, institute State electromagnetic assembly as shown in Figure 6, shell 7, coil 8, block 9, back-moving spring 10 and electromagnet the moving contact 11 made Composition, one end of shell is closed, one end open, and block is arranged on the inwall of closed termination of outer cover, and coil is arranged on the cylinder of shell Section inwall, back-moving spring is arranged on the housing of coil, and moving contact is connected with back-moving spring, and its one end is inserted in coil, its The other end is towards the openend of shell.Described loading plate 3 as shown in Figure 4, be provided with installation Y shape junction section, turn of tidal stream pump, First grammed switch and the groove of the second grammed switch.
Each component and the combination of device: as shown in (1) figure in Fig. 1 and Fig. 7, the output of pressure sensor 12 leads to Cross data wire 13 to be connected with the first single-chip microcomputer;As it is shown in figure 5, the Y that two upper arm runs and a underarm run are formed Shape junction section 1-3 is arranged in the groove that loading plate 3 is arranged;As shown in Figure 1 and Figure 5, the first grammed switch 4 and first is single Sheet machine connects and is arranged on loading plate 3, is positioned at a upper arm run of described Y shape junction section, the second grammed switch 5 with First single-chip microcomputer connects and is arranged on loading plate 3, is positioned at the underarm run of described Y shape junction section, turn of tidal stream pump 6 micro- Motor and the first single-chip microcomputer electrically connect and are arranged on loading plate 3, and its oval cam is positioned at the junction portion of two upper arm runs Position.As it is shown in figure 1, the first power supply is for opening to the first electronic control system, turn of tidal stream pump, the first grammed switch and second are program control Closing and provide operating current, second source is for providing operating current to the second electronic control system.
As shown in (1) figure in Fig. 7, described first power supply, the first electronic control system and Y shape isocon junction is installed Section 1-3, first grammed switch the 4, second grammed switch 5, the loading plate 3 of turn of tidal stream pump 6 are encapsulated in the first box body 14, described The first wireless transmission/reception window 15, described upper arm conduit 1-1, underarm conduit 1-2 and pressure sensing is offered on first box body 14 Device 12 is positioned at outside the first box body.As shown in (2) figure in Fig. 7, described second source, second singlechip are arranged on second In box body 16, described second wireless receiver, the second wireless launcher are arranged on the inwall of the second box body, and described man-machine interaction is grasped Make button 17, display 18 is arranged on the outer wall of the second box body, and described second box body 16 offers the second wireless transmission/reception Window 19.
In the present embodiment, can be automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking device mounting means in use such as Shown in Fig. 9, two upper arm conduit 1-1 of Y shape isocon insert the encephalic of patient 27, and the underarm conduit 1-2 of Y tube inserts In the abdominal cavity of patient 27, the encephalic of patient 27 inserted by pressure sensor 12, and it is subcutaneous that the first box body 14 is embedded in patient 27, and second It is external that box body 16 is positioned at patient, by the hand-held operation of medical worker.
Embodiment 2
In the present embodiment, cerebrospinal fluid shunt amount can be automatically adjusted with the device preventing isocon from blocking as shown in Fig. 2, Fig. 8, with Embodiment 1 difference is:
1, adding temperature sensor 25 and specific gravity sensor 26, described temperature sensor and specific gravity sensor pass through data respectively Line 13 is connected with the first single-chip microcomputer, for the temperature of encephalic and the proportion of cerebrospinal fluid are acquired, and the temperature letter that will collect Number and proportion signal be transferred to the first single-chip microcomputer, temperature sensor selects WRTP thermal resistance temperature sensor, and specific gravity sensor is selected Model is the specific gravity sensor of SG-601.
2, the second electronic control system add alarm lamp 20, alarm buzzer 21, data storage, data output connect Mouthful, alarm lamp 20, alarm buzzer 21, data storage, data output interface are connected with second singlechip respectively, the Two power supplys connect power supply indicator 22.
3, Y shape isocon 1 is split-type structural, and as shown in (4) figure in Fig. 3, two upper arm conduit 1-1 fix side by side.
4, as shown in (1) figure in Fig. 8, described first power supply, the first electronic control system are encapsulated in the 3rd box body 23, Pressure sensor 12, temperature sensor 25 and specific gravity sensor 26 are positioned at outside the 3rd box body, and described 3rd box body 23 is opened It is provided with the first wireless transmission/reception window 15;Be provided with Y shape isocon junction section 1-3, the first grammed switch 4, second is program control opens Close 5, the loading plate 3 of turn of tidal stream pump 6 is encapsulated in the 4th box body 24, and described upper arm conduit 1-1, underarm conduit 1-2 are positioned at the Outside four box bodys.
5, as shown in (2) figure in Fig. 8, described second singlechip, second source and data storage are arranged on the second box body In 16, described second wireless receiver, the second wireless launcher and alarm buzzer 21 are arranged on the inwall of the second box body or outer Wall, described man-machine interactive operation button 17, display 18, alarm lamp 20, power supply indicator 22, data output interface It is arranged on the outer wall of the second box body, described second box body 16 offers the second wireless transmission/reception window 19.
In the present embodiment, can be automatically adjusted cerebrospinal fluid shunt amount and prevent isocon from blocking device mounting means in use such as Shown in Figure 10, two upper arm conduit 1-1 of Y shape isocon insert the encephalic of patient 27, and the underarm conduit 1-2 of Y tube inserts In the abdominal cavity of patient 27, pressure sensor 12, temperature sensor 25 and specific gravity sensor 26 insert the encephalic of patient 27, the It is subcutaneous that three box bodys 23 and the 4th box body 24 are embedded in patient 27, and it is external that the second box body 16 is positioned at patient, by the hand-held behaviour of medical worker Make.

Claims (4)

1. one kind can be automatically adjusted cerebrospinal fluid shunt amount and the device preventing isocon from blocking, it is characterised in that include pressure sensor (12), Y shape isocon (1), turn of tidal stream pump (6), the first grammed switch (4), the second grammed switch (5), loading plate (3), First electronic control system, the first power supply, the second electronic control system and second source;
Described first electronic control system is by the first single-chip microcomputer and the first wireless receiver and first of being connected with the first single-chip microcomputer respectively Wireless launcher forms, and the first wireless launcher is for sending information to the second electronic control system, and the first wireless receiver is used for Receive and come from the information of the second electronic control system and the information received is transferred to the first single-chip microcomputer;Described second electronics control System processed includes second singlechip and the second wireless receiver being connected respectively, the second wireless launcher, man-machine with second singlechip Interactive operation button and display, the second wireless launcher is for sending instruction, the second wireless receiving to the first electronic control system Device comes from the information of the first electronic control system for receiving and the information received is transferred to second singlechip, man-machine interaction Operation button is for sending instruction to second singlechip, and display is for showing the information that second singlechip receives;
Described first power supply is for providing work to the first electronic control system, turn of tidal stream pump, the first grammed switch and the second grammed switch Making electric current, described second source is for providing operating current to the second electronic control system;
Described Y shape isocon (1) is made up of the two upper arm conduits intersected at one and a underarm conduit, and two upper arm are led The junction section of pipe and a underarm conduit is arranged in the groove that loading plate (3) is arranged;Described first grammed switch (4) and the One single-chip microcomputer connects and is arranged on loading plate (3), lies at a upper arm conduit of described junction section, is used for turning on or cutting Disconnected cerebrospinal fluid path between two upper arm conduits;Described second grammed switch (5) is connected with the first single-chip microcomputer and is arranged on dress On support plate (3), lie at the underarm conduit of described junction section, enter the path in abdominal cavity for turning on or block cerebrospinal fluid; Described turn of tidal stream pump (6) is connected with the first single-chip microcomputer and is arranged on loading plate (3), is positioned at the junction position of two upper arm conduits, The flowing of cerebrospinal fluid in driving Y shape isocon;
Described pressure sensor (12) is connected with the first single-chip microcomputer, for being acquired the pressure of encephalic, and will collect Pressure signal is transformed into the signal of telecommunication and is transferred to the first single-chip microcomputer;
Described first single-chip microcomputer carry out the electric pressure signal received processing and according to the pressure condition of encephalic control turn of tidal stream pump, the One grammed switch and the second grammed switch state in which, simultaneously by the first grammed switch, the second grammed switch status, pressure Force snesor, the mode of operation parameter of turn of tidal stream pump and the first power supply status and intracranial pressure are by the first wireless launcher, the second nothing Line receiver is transferred to second singlechip;Instruction according to second singlechip adjusts residing for the first grammed switch, the second grammed switch The mode of operation parameter of state and pressure sensor and turn of tidal stream pump the information after adjusting are by the first wireless launcher, the second nothing Line receiver is transferred to second singlechip;Instruction start according to second singlechip or shutdown;
The information coming from the first single-chip microcomputer received is carried out processing and be transferred to display and is shown by described second singlechip Show, passed by the second wireless launcher, the first wireless receiver after the instruction coming from man-machine interactive operation button is processed It is defeated by the first single-chip microcomputer;
Described first power supply, the first electronic control system and Y shape isocon junction section, the first grammed switch, the second journey are installed Control switch, the loading plate (3) of turn of tidal stream pump (6) are encapsulated at least one box body;
Described first grammed switch (4) is identical with the second grammed switch (5) structure, is constituted by two electromagnetic assemblies, described The moving contact (11) that electromagnetic assembly is made by shell (7), coil (8), block (9), back-moving spring (10) and electromagnet Composition, one end of shell is closed, one end open, and block is arranged on the inwall of closed termination of outer cover, and coil is arranged on the cylinder of shell Section inwall, back-moving spring is arranged on the housing of coil, and moving contact is connected with back-moving spring, and its one end is inserted in coil, its The other end is towards the openend of shell;
Described Y shape isocon (1) is monolithic construction or split-type structural, and the Y shape isocon of described split-type structural includes The Y shape that two upper arm conduits (1-1), a underarm conduit (1-2) and two upper arm runs and a underarm run are formed Junction section (1-3), upper arm conduit (1-1) and underarm conduit (1-2) are respectively by connecting tube (2) and described Y shape junction section Upper arm run and underarm run connect;
Described turn of tidal stream pump (6) is made up of micromachine and the oval cam that is connected with micromachine power output shaft.
Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted the most according to claim 1, it is characterised in that Also include temperature sensor (25) and specific gravity sensor (26), described temperature sensor and specific gravity sensor respectively with the first monolithic Machine connects, and for being acquired the temperature of encephalic and the proportion of cerebrospinal fluid, and the temperature signal collected and proportion signal is turned Become the signal of telecommunication and be transferred to the first single-chip microcomputer.
Cerebrospinal fluid shunt amount and the device preventing isocon from blocking of being automatically adjusted the most according to claim 1 or claim 2, its feature It is that described second singlechip, second source are arranged in a box body, described second wireless receiver, the second wireless launcher peace Being contained in the box body outer wall equipped with second singlechip and second source or inwall, described man-machine interactive operation button, display are arranged on Box body outer wall equipped with second singlechip and second source.
Cerebrospinal fluid shunt amount and the device preventing isocon from blocking can be automatically adjusted the most according to claim 3, it is characterised in that Described second electronic control system also includes alarm lamp (20), alarm buzzer (21), data storage and data output Interface, alarm lamp (20), alarm buzzer (21), data storage and data output interface respectively with second singlechip Connecting, described second source connects power supply indicator (22), and described data storage is installed with second singlechip, second source In same box body, described alarm buzzer is arranged on the box body outer wall equipped with second singlechip and second source or inwall, described Data output interface, alarm lamp and power supply indicator are arranged on the box body outer wall equipped with second singlechip and second source.
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CN110496299A (en) * 2019-08-14 2019-11-26 福建医科大学附属第一医院 A kind of double channel catheter for Persistent Csf purification treatment
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