CN103877671B - Intracranial hematoma bores cranium drainage system - Google Patents
Intracranial hematoma bores cranium drainage system Download PDFInfo
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- CN103877671B CN103877671B CN201410093763.5A CN201410093763A CN103877671B CN 103877671 B CN103877671 B CN 103877671B CN 201410093763 A CN201410093763 A CN 201410093763A CN 103877671 B CN103877671 B CN 103877671B
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Abstract
A kind of intracranial hematoma bores cranium drainage system, it is characterized in that, this drainage system comprises double channel catheter, drainage tube, dredging sacculus, drainage bag and counterflow-preventing threeway, described double channel catheter has the first mutually isolated tube chamber and the second tube chamber, first tube chamber is used for drain, it is connected with drainage tube, described second tube chamber is used for injection and flushing, it is connected with syringe, by arranging double channel catheter, drain and flushing and injection can be carried out respectively in different pipelines, thus the clean hygiene of pipeline can be ensured, prevent intracranial infection.Described counterflow-preventing three is common to and prevents hydrops from flowing backwards, to avoid infecting once again and dangerous generation.Described drainage tube and drainage bag are provided with scale, and described dredging sacculus is connected with air pressure adjustment assembly, by arranging scale and air pressure adjustment assembly, can avoid cannot grasping operation dynamics because lacking experience, thus improve operative stabilization.In addition, the present invention is also provided with drop bottle, dredging sacculus, and it can be convenient to observe and prevent channel blockage.
Description
[technical field]
The present invention relates to medical apparatus and instruments, particularly a kind of intracranial hematoma bores cranium drainage system.
[background technology]
Cerebral hemorrhage is the high disease of a kind of case fatality rate.Number of the infected is in rising trend in recent years, and age of onset is more and more rejuvenation also.Cerebral hemorrhage not only case fatality rate is high, and disability rate also shelter have the first place of brain class disease.A small amount of cerebral hemorrhage can adopt internal medicine conservative treatment, and for curtain being greater than 30ml, the treatment being greater than the cerebral hemorrhage of 10ml under curtain is the important topic of neurosurgery research always.As large trauma cramiotomy, DAGU window, small bone flap craniotomy and the microsurgery in recent years carried out, endoscopic surgery etc.Though these methods existing can remove intracranial hematoma under direct-view, but its damage is large, post-operative complication is many.In addition, Patients With Hypertensive Cerebral Hemorrhage is in the majority with middle-aged and elderly people.Middle-aged and elderly people is due to weak and should not implement general anesthesia, operation of opening cranium etc.
Along with going deep into of Wicresoft's theory, intracranial hematoma microtrauma puncture technology obtains extensive popularization.At present, operation method mainly contains soft passage and hard passage.Though its method is not quite similar, its Wicresoft, quick, easy, effective, thus reaction effect is good.Confirm through national multicenter, randomized control study, microtrauma puncture evacuation of hematoma treatment cerebral hemorrhage is better than surgery operation of opening cranium treatment and simple internal medicine conservative treatment.For hard access procedures method, because it is not dodged cerebral tissue fibre bundle and cerebral blood vessel, thus cause damage comparatively large, there is bleeding risk again, and it easily produces artifact in image check, therefore adopt hard passage method to reduce gradually.Along with technological improvement, soft passage is developed gradually.Existing soft passage drainage tube mostly is silica gel tube, its end is cecum, its sidewall is provided with multiple side opening in order to drain, thus damaging less to brain while playing centrifugation to cerebral tissue and nerve fiber because its end is round and smooth, also blood vessel can be dodged, without artifact during image check, thus put pipe more accurate.
Drainage system is the necessary apparatus of intracranial hematoma Drilling and drainage, and at present, drainage tube used is mainly ventricular drainage tube clinically, its side opening is thin, side opening is few, distribution distance is short, easily cause conduction hole blocking, inadequate drainage, as at long axis direction puncture drainage, because the total distance of side opening arrangement is too short, thus cannot fully drain.In addition, existing drainage system does not all have flow control valve, after putting pipe success, because of the intrinsic pressure height of brainpan, and extracting force during drain is held by doctor usually, if doctor's puncture is lacked experience, dynamics controls bad, just easily cause again hemorrhage and injured brain tissue because suction force is excessive, and when drain is too fast, easily cause intracranial pressure reduce too fast thus easily cause hemorrhage or cerebral hernia.Doctor directly presss from both sides drainage tube for preventing this from occurring conventional mosquito forceps etc., and this mode easily causes drainage tube breakage or fracture, newly need put pipe, cause patient's wound again.On the other hand, existing drainage tube is for being generally single chamber, and drain, flushing, injection all must be carried out in single tube chamber, thus easily drain, air etc. is refilled brainpan and causes retrograde infection.In addition, owing to there is no special dredging pipeline, can not only stop during dredging to extrude drainage tube, in extrusion process, thus likely pull out drainage tube or cause drainage tube to break, there is potential safety hazard.On the other hand, existing drainage tube does not have scale, it can not accurately understand intracranial pressure situation.And during existing Encephalic drainage, drop bottle 50 is not set, can only understand by having in drainage tube ripple disable during observation, in drainage tube, the not obvious dyschezia of fluctuation is to find whether have drain to flow out, and intuitively can not understand drainage speed.
[summary of the invention]
The present invention is intended to solve the problem, and provides one drain, flushing and injection can be made separately to carry out and can prevent hydrops from flowing backwards, and can conveniently monitor and grasp the intracranial hematoma brill cranium drainage system taking out drainage speed and drainage flow.
For achieving the above object, the invention provides a kind of intracranial hematoma and bore cranium drainage system, it is characterized in that, this drainage system comprises double channel catheter, drainage tube, dredging sacculus, drainage bag and counterflow-preventing threeway: described double channel catheter has mutually isolated the first tube chamber for drain hydrops and the second tube chamber for injection and flushing; One end of this double channel catheter is closed, and its sidewall is provided with the side opening of its sidewall through, and the other end of double channel catheter is link; One end of described drainage tube is connected with described first tube chamber by counterflow-preventing threeway, and its other end is connected with drainage bag, which is provided with pressure measurement scale; Described dredging sacculus is located on the double channel catheter or drainage tube that hydrops flows through, and it prevents hydrops from blocking the first tube chamber or drainage tube for dredging pipeline; Described drainage bag is provided with volume scale, and described drainage bag is provided with porus excretorius; Described counterflow-preventing threeway is connected between described first tube chamber and drainage tube, and it for regulating flow and the/flow velocity of drain hydrops, and prevents hydrops from blowing back in brainpan.
Described double channel catheter is provided with the first lumen extension tube be communicated with the first tube chamber one, and described dredging sacculus is located on this first lumen extension tube.
Described double channel catheter is pipe, and described first tube chamber is coaxial with it, and described second tube chamber is located between the outer wall of described double channel catheter and the inwall of the first tube chamber, and the end of this second tube chamber departs from described double channel catheter and forms injection head.
The external diameter of described double channel catheter is 5mm-5.5mm, and the diameter of described first tube chamber is 3mm-4.0mm.
The front end of described double channel catheter is provided with the deep calibration that can develop under x-ray, stretches into the degree of depth in brainpan for measuring it.
The sidewall of described double channel catheter is interval with the fiber that density is different from double channel catheter, deep calibration described in the processbearing astrocyte at this interval.
Drop bottle is connected with between described drainage tube and described drainage bag.
Described dredging sacculus enlarges into hollow sphere by a part for the first lumen extension tube 15 and is formed, or for being connected to the hollow cystidium on the first tube chamber.
Ball valve assembly is provided with in described counterflow-preventing threeway, this ball valve assembly comprises the first baffle plate of spaced setting, second baffle and spring support, described first baffle plate with second baffle are provided with relative through hole, between the first baffle plate and second baffle, be provided with the ball valve that can withstand described through hole, this ball valve is connected with the spring support outside the first baffle plate or second baffle by spring.
Favorable attributes of the present invention is, it efficiently solves the problems referred to above.The present invention, by arranging double channel catheter, makes drain and flushing and injection carry out in different pipelines respectively, manages special, thus can ensure the clean hygiene of pipeline, prevent intracranial infection.The present invention, thus can the various surgical parameters of direct vision by arranging various scale and Pressure gauge, can avoid cannot grasping operation dynamics because lacking experience.The present invention is provided with counterflow-preventing threeway, and it can regulate drainage speed and drainage flow automatically, and can prevent hydrops from flowing backwards, and avoids infecting once again and dangerous generation.The present invention is provided with dredging sacculus, by extruding this dredging sacculus and dredging pipeline, prevents drainage tube or double channel catheter blocking.The present invention is provided with drop bottle 50, can conveniently observe drain situation, and can play counterflow-preventing effect to a certain extent.The present invention have reduce line clogging, drainage speed effective, the features such as hydrops refluence, safety and sanitation can be prevented.
[accompanying drawing illustrates]
Fig. 1 is structural representation of the present invention.
Fig. 2 is the partial enlarged drawing of A in Fig. 1.
Fig. 3 is the cross sectional representation of double channel catheter of the present invention.
Fig. 4 is the structural representation of counterflow-preventing threeway of the present invention.
Wherein, double channel catheter 10, first tube chamber 11, second tube chamber 12, side opening 13, deep calibration 14, first lumen extension tube 15, injection head 16, drainage tube 20, pressure measurement scale 21, interface 22, drainage bag 30, volume scale 31, porus excretorius 32, dredging sacculus 40, drop bottle 50, counterflow-preventing threeway 60, first baffle plate 61, second baffle 62, ball valve 63, spring 64, spring support 65.
[detailed description of the invention]
The following example explains further the present invention and supplements, and do not constitute any limitation the present invention.
As shown in Figure 1 to 4, intracranial hematoma of the present invention bores cranium drainage system, comprises double channel catheter 10, drainage tube 20, syringe, dredging sacculus 40, drainage bag 30 and counterflow-preventing threeway 60.
As shown in FIG. 1 to 3, described double channel catheter 10 is rounded cylindrical body, and its one end is closed as cecum, and its other end is link.The sidewall of the cecum of described double channel catheter 10 is interval with some side openings 13, and it is for drain.Described side opening 13 is circular port, and it is specifically arranged according to the different situations of puncture, and its total distance is 2 ~ 5cm.Such as, for major axis puncture, its total distance can be set to 4cm, and namely the 4cm place, front end of described double channel catheter 10 is all interval with side opening.For minor axis puncture, its total distance can be set to 2cm.Described double channel catheter 10 has the first mutually isolated tube chamber 11 and the second tube chamber 12, and described first tube chamber 11 is connected with drainage tube 20, for drain intracranial hydrops.Described second tube chamber 12 is connected with syringe, for intracranial injection liquid medicine and flushing.Described first tube chamber 11 is coaxial with described double channel catheter 10, and its end is provided with the first lumen extension tube 15 of one with it, and it is connected with described drainage tube 20 by counterflow-preventing threeway.Described second tube chamber 12 is located between the lateral wall of described double channel catheter 10 and the medial wall of the first tube chamber 11, and its end departs from described double channel catheter 10 and stretches out and form injection head 16.By arranging the first spaced tube chamber 11 and the second tube chamber 12, drain and flushing and injection can be carried out respectively in different pipelines, manage special, be beneficial to drainage wash, prevent tube chamber from blocking, and tamper in pipe can not be pushed intracranial again, formed and infect or blocking source, thus the clean hygiene of pipeline can be ensured, prevent intracranial infection.The external diameter of described double channel catheter 10 is 5mm-5.5mm, and the diameter of described first tube chamber 11 is 3mm-4.0mm.In the present embodiment, the external diameter of preferred double channel catheter 10 is 5mm, and the diameter of the first tube chamber 11 is 4mm.Because the second tube chamber 12 is the loculuses formed in wall, its wall is thin, when not injecting because intracranial pressure effect can press off naturally, prevents from flowing backwards and blocking.Understand for ease of convenient during puncture the degree of depth that conduit thrusts intracranial, being provided with in the front end of described double channel catheter 10 can at the deep calibration 14 of X-ray card development.According to the characteristic of X-ray development, the sidewall of described double channel catheter 10 is interval with the fiber that density is different from double channel catheter 10, the fiber at this interval just plays scale effect under X-ray, use relevant equipment just clearly can see the deep calibration 14 formed by fiber during operation, so that the degree of depth understanding puncture directly perceived.
For ease of preventing line clogging, and be convenient to dredging pipeline, described first lumen extension tube 15 or drainage tube 20 are provided with dredging sacculus 40.In the present embodiment, it is located on the first lumen extension tube 15 of double channel catheter 10.This dredging sacculus can enlarge into hollow sphere by a part for the first lumen extension tube 15 and be formed, or one is connected to the first lumen extension tube 15 has elastic hollow cystidium.When drainage tube or double channel catheter blocking, or during inadequate drainage, this dredging sacculus 40 can be pressed and change manifold pressure, reaching the object of dredging pipeline.
As shown in Figure 1, described drainage tube 20 is for drain hydrops.Its one end is provided with interface 22, for being connected with the first lumen extension tube 15.The mating shapes of described interface 22 and the first lumen extension tube 15.For ease of understanding drainage tube 20 internal gas pressure situation, described drainage tube 20 is provided with pressure measurement scale 21.For preventing hydrops blocking pipe, described drainage tube 20 can select thicker pipeline, and its length can be arranged as required.
As shown in Figure 1, described drainage bag 30, for holding the hydrops of drawing in brainpan, is provided with porus excretorius 32 bottom it.For ease of intuitively understanding drainage flow, described drainage bag 30 is provided with volume scale 31.Described drainage bag 30 can be arranged to various ways as required, and described volume scale 31 also can arrange different scales as required.
For ease of observing drain situation, between described drainage tube 20 and described drainage bag 30, be provided with the transparent drop bottle 50 be attached thereto.This drop bottle 50 can select known drop bottle 50.In addition, because drop bottle 50 cross section is greater than drainage tube 20 cross section, it also can play counterflow-preventing effect.
As shown in Figure 1, for preventing hydrops from flowing backwards, described drainage tube 20 is connected by counterflow-preventing threeway 60 with the first lumen extension tube 15.As shown in Figure 4, this counterflow-preventing threeway 60 inside is provided with spool, its by rotation conducting wherein any two lead to.Be provided with ball valve 63 assembly in the passage that hydrops flows through in counterflow-preventing threeway 60, this ball valve 63 assembly comprises the first baffle plate 61, second baffle 62, spring support 65, spring 64 and ball valve 63.Described first baffle plate 61 and second baffle 62 and spring support 65 interval are arranged, and wherein second baffle 62 is between the first baffle plate 61 and spring support 65.Described first baffle plate 61 matches with the shape of second baffle 62 and the interior shape of second channel.Described first baffle plate 61 with second baffle 62 are equipped with through hole, so that hydrops circulation.First baffle plate 61 is relative with the lead to the hole site on second baffle 62, and it is all positioned at the center of baffle plate.Described ball valve 63 is located between the first baffle plate 61 and second baffle 62, and its diameter is less than the distance at interval between the first baffle plate 61 and second baffle 62, and is greater than the distance of described through hole.One end of described ball valve 63 and spring 64 are fixed, and the other end of this spring 64 is then on affixed and described spring support 65.On the inwall of the affixed and described second channel of described spring support 65.According to siphon principle (Encephalic drainage carries out based on siphon principle), in drainage process, if the adjustment of drainage bag position is too high, if lack anti-backflow device, then hydrops can flow backward in brainpan, and is provided with ball valve 63 assembly due to the present invention, when drainage bag height adjustment is too high, spring 64 stretches under suction force effect, makes ball valve 63 keep out on the through hole of the first baffle plate 61, prevents hydrops from flowing backward in brainpan.And when drainage bag or drainage bottle height adjustment too low time, spring 64 compresses under suction force effect, ball valve 63 is made to keep out on the through hole of second baffle 62, to change pressure reduction, buffering adjustment drainage speed and drainage flow, prevent suction force excessive and drain is too fast, thus the object automatically regulating drainage speed and drainage flow can be realized, and prevent hydrops adverse current.
By this, the present invention, by arranging double channel catheter, makes drain and flushing and injection carry out in different pipelines respectively, manages special, thus can ensure the clean hygiene of pipeline, prevent intracranial infection.The present invention, thus can the various surgical parameters of direct vision by arranging various scale and Pressure gauge, can avoid cannot grasping operation dynamics because lacking experience.The present invention is provided with counterflow-preventing threeway, and it can regulate drainage speed and drainage flow automatically, and can prevent hydrops from flowing backwards, and avoids infecting once again and dangerous generation.The present invention is provided with dredging sacculus, by extruding this dredging sacculus and dredging pipeline, prevents drainage tube or double channel catheter blocking.The present invention is provided with drop bottle 50, can conveniently observe drain situation, and can play counterflow-preventing effect to a certain extent.
Although by above embodiment to invention has been announcement, scope of the present invention is not limited thereto, and under the condition not departing from the present invention's design, above each component can be replaced with the similar or equivalent element that art personnel understand.
Claims (9)
1. intracranial hematoma bores a cranium drainage system, and it is characterized in that, this drainage system comprises:
Double channel catheter (10), it has mutually isolated the first tube chamber (11) for drain hydrops and the second tube chamber (12) for injection and flushing; One end of this double channel catheter (10) is closed, and its sidewall is provided with the side opening (13) of its sidewall through, and the other end of double channel catheter (10) is link;
Drainage tube (20), its one end is connected with described first tube chamber (11) by counterflow-preventing threeway (60), and its other end is connected with drainage bag (30), which is provided with pressure measurement scale (21);
Dredging sacculus (40), it is located on the double channel catheter (10) or drainage tube (20) that hydrops flows through, and it prevents hydrops from blocking the first tube chamber (11) or drainage tube (20) for dredging pipeline;
Drainage bag (30), which is provided with volume scale (31), and described drainage bag (30) is provided with porus excretorius (32);
Counterflow-preventing threeway (60), it is connected between described first tube chamber (11) and drainage tube (20), and it for regulating flow and/or the flow velocity of drain hydrops, and prevents hydrops from blowing back in brainpan.
2. intracranial hematoma as claimed in claim 1 bores cranium drainage system, it is characterized in that, described double channel catheter (10) is provided with the first lumen extension tube (15) be communicated with the first tube chamber (11) one, and described dredging sacculus (40) is located on this first lumen extension tube (15).
3. intracranial hematoma as claimed in claim 2 bores cranium drainage system, it is characterized in that, described double channel catheter (10) is pipe, described first tube chamber (11) is coaxial with it, described second tube chamber (12) is located between the outer wall of described double channel catheter (10) and the inwall of the first tube chamber (11), and the end of this second tube chamber (12) departs from described double channel catheter (10) and forms injection head (16).
4. intracranial hematoma as claimed in claim 3 bores cranium drainage system, it is characterized in that, the external diameter of described double channel catheter (10) be 5mm ?5.5mm, the diameter of described first tube chamber (11) be 3mm ?4.0mm.
5. intracranial hematoma as claimed in claim 4 bores cranium drainage system, and it is characterized in that, the front end of described double channel catheter (10) is provided with the deep calibration (14) that can develop under x-ray, stretches into the degree of depth in brainpan for measuring it.
6. intracranial hematoma as claimed in claim 5 bores cranium drainage system, it is characterized in that, the sidewall of described double channel catheter (10) is interval with the fiber that density is different from double channel catheter (10), deep calibration (14) described in the processbearing astrocyte at this interval.
7. intracranial hematoma as claimed in claim 6 bores cranium drainage system, it is characterized in that, is connected with drop bottle (50) between described drainage tube (20) and described drainage bag (30).
8. intracranial hematoma as claimed in claim 7 bores cranium drainage system, and it is characterized in that, described dredging sacculus (40) enlarges into hollow sphere by a part for the first lumen extension tube 15 and formed, or for being connected to the hollow cystidium on the first tube chamber.
9. intracranial hematoma as claimed in claim 8 bores cranium drainage system, it is characterized in that, ball valve (63) assembly is provided with in described counterflow-preventing threeway (60), this ball valve (63) assembly comprises first baffle plate (61) of spaced setting, second baffle (62) and spring support (65), described first baffle plate (61) with second baffle (62) are provided with relative through hole, the ball valve (63) that can withstand described through hole is provided with between the first baffle plate (61) and second baffle (62), this ball valve (63) is connected by the spring support (65) of spring (64) with the first baffle plate (61) or second baffle (62) outside.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410093763.5A CN103877671B (en) | 2014-03-13 | 2014-03-13 | Intracranial hematoma bores cranium drainage system |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201410093763.5A CN103877671B (en) | 2014-03-13 | 2014-03-13 | Intracranial hematoma bores cranium drainage system |
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| CN103877671A CN103877671A (en) | 2014-06-25 |
| CN103877671B true CN103877671B (en) | 2015-12-02 |
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Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105310670A (en) * | 2014-07-25 | 2016-02-10 | 谷欣 | Medical pressure sensor with multichannel washing function |
| CN114732971A (en) * | 2022-04-19 | 2022-07-12 | 湖南医科医工科技有限公司 | Ventricular external drainage device |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2810610Y (en) * | 2005-12-24 | 2006-08-30 | 周娅 | Brain ventricle drainage device |
| CN201596151U (en) * | 2009-10-11 | 2010-10-06 | 宋玲琴 | Body cavity effusion drainage device |
| CN201603160U (en) * | 2010-01-24 | 2010-10-13 | 邓仲存 | Improved ventricular drainage tube |
| CN203404536U (en) * | 2013-07-23 | 2014-01-22 | 安徽江淮汽车股份有限公司 | Unidirectional T-branch pipe |
| CN203736692U (en) * | 2014-03-13 | 2014-07-30 | 张波 | Skull trepanation and drainage device for intracranial hematoma |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2012016179A1 (en) * | 2010-07-30 | 2012-02-02 | C.R. Bard, Inc. | Automated method of pooling elimination with a biological fluid collection system |
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2810610Y (en) * | 2005-12-24 | 2006-08-30 | 周娅 | Brain ventricle drainage device |
| CN201596151U (en) * | 2009-10-11 | 2010-10-06 | 宋玲琴 | Body cavity effusion drainage device |
| CN201603160U (en) * | 2010-01-24 | 2010-10-13 | 邓仲存 | Improved ventricular drainage tube |
| CN203404536U (en) * | 2013-07-23 | 2014-01-22 | 安徽江淮汽车股份有限公司 | Unidirectional T-branch pipe |
| CN203736692U (en) * | 2014-03-13 | 2014-07-30 | 张波 | Skull trepanation and drainage device for intracranial hematoma |
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