The anti-blocking o urethral catheterization device of pressure measurement noinvasive
Technical field
The present invention relates to technical field of medical instruments, be specifically related to the anti-blocking o urethral catheterization device of a kind of pressure measurement noinvasive.
Background technology
Hematuria is Urology Surgery patient's common sympton, as urinary system calculus, tumor, wound etc., when amount of bleeding is large, hematuria concentration is high, urine easily forms clottage urinary tract in intravesical retention, causes acute renal failure threat to life, often needs emergency operation to remove clot.There are a large amount of hematurias once therefore clinical, often need emergency treatment positive treatment.
Although there is the medical device product of some blockage resisting catheters at present, implement and be not easy, effect is also imprecise, as current clinical employing three-cavity catheter carries out irrigation and drainage, diluted urine from inlet channel injects bladder with normal saline, drain by flowing out pipeline, can avoid to a certain extent intravesical blood clot to form, but in clinical use, remain in problems: (1) three-cavity catheter drain power is mainly derived from intravesical pressure, pressure is relatively little, and the tube chamber of drainage tube is limited, in the time that existing blood clot, very easily stops up intravesical tube chamber, need medical personnel's Reusability irrigation with syringe, sometimes a few minutes just need medical worker to rinse once, greatly increase medical worker's workload, waste medical resource, (2) vacuum suction can increase drain pressure and strengthen drainage effect, but current clinical use drainage tube quality is soft, connects negative pressure and often makes tube wall sunken, can not realize, (3) the catheter product of current clinical use can not demonstrate intravesical pressure situation, and can not perception abdominal distention patient for some comatose patients, often need the regular close observation of medical worker ultrasound diagnosis understanding intravesical drainage effect even repeatedly, the same medical worker's workload that increases, waste medical resource, (4) clinical part patient needs Preserving time catheter, but uses at present catheter often to need periodic replacement for avoiding infection, and increases undoubtedly patient's misery, waste medical resource.
Therefore, research and develop a kind of urethral catheterization effective, and can Real Time Observation to intravesical pressure information, be directly acquainted with drainage effect, the little urine drainage system of sufferer wound is become clinical urgently required.
Summary of the invention
For above-mentioned deficiency, the object of the invention is to, provide a kind of structural design ingenious, reasonable, easy to operate, can be directly acquainted with in real time intravesical pressure condition, and avoid occurring that blood clot stops up, urethral catheterization is effective, effectively alleviates the anti-blocking o urethral catheterization device of pressure measurement noinvasive that urethral catheterization is performed the operation painful.
For achieving the above object, technical scheme provided by the present invention is: the anti-blocking o urethral catheterization device of a kind of pressure measurement noinvasive, and it comprises:
The conduit of being made by hard material, the front end of this conduit is provided with urine entrance, and tail end is provided with urine outlet; The structural strength of the conduit of being made up of hard material is higher;
Cystometry module, this cystometry module is connected with described conduit, for monitoring the internal pressure of the bladder that this conduit inserts;
Internal urethral orifice blocking-up module, this internal urethral orifice blocking-up module is arranged on described conduit, for the gap between shutoff urethra and conduit outer wall, makes the inner space of described bladder form the space of sealing, avoids urine extravasation;
Noinvasive air bag module, this noinvasive air bag module is coated on described conduit, to form the skin of one deck softness on the outer wall of this conduit, avoids oppressing caused injury of urethra because of conduit friction or long period;
Diluent liquid injection module, this diluent liquid injection module is connected with described conduit, for the intravesical injection diluent toward described;
Sterilization module, this sterilization module is connected with conduit, for inject disinfectant solution in urethra, plays bactericidal action in urethra;
Urine storage module, this liquid container is connected with the urine outlet of conduit, the liquid flowing out through conduit for splendid attire;
Anti-blocking urethral catheterization module, this anti-blocking urethral catheterization module is connected with conduit, forms negative pressure for making in conduit, flows, and be drained to urine storage module by being blocked in the blood clot suction catheter on the urine entrance of this conduit and/or the blood clot that makes to be blocked in this conduit.
As a modification of the present invention, described cystometry module comprises air bag bead, air bag air flue, connect display tube and pressure indicator board, described air bag bead is arranged on the front end face center at the insertion position of described conduit, described air bag air flue inlays on the tube wall of conduit, and one end of this air bag air flue is connected with described air bag bead, described connection display tube is arranged on pressure indicator board, and one end of this connection display tube sealing, and accommodate a certain amount of coloured liquid, the other end of this connection display tube is connected with the other end of described air bag air flue, wherein air bag air flue and the diameter that is connected display tube all≤initial diameter of 1/3 air bag bead.
As a modification of the present invention, described internal urethral orifice blocking-up module comprises internal urethral orifice blocking-up air bag, blocking-up air flue and blocking-up interface, described internal urethral orifice blocking-up air bag is arranged in the front position of described conduit, described urine entrance is on the position between described air bag bead and this internal urethral orifice blocking-up air bag, described blocking-up interface is arranged on the afterbody of described conduit, described blocking-up air flue inlays on the tube wall of this conduit, and one end of this blocking-up air flue embedding is connected with described internal urethral orifice blocking-up air bag, and the other end is connected with described blocking-up interface.
As a modification of the present invention, described noinvasive air bag module comprises urethra noinvasive air bag and urethra noinvasive interface, this urethra noinvasive interface is arranged on the afterbody of described conduit, multiple urethra noinvasive air bags are coated on the stem outer wall of this conduit along the axial interval successively of described urethra, and be connected with described urethra noinvasive interface by urethra noinvasive air flue, this urethra noinvasive air flue inlays on the tube wall of this conduit.
As a modification of the present invention, the quantity of described urethra noinvasive air bag is 3~10.
As a modification of the present invention, described sterilization module comprises disinfectant solution outlet, disinfectant solution passage and disinfectant solution interface, this disinfectant solution interface is arranged on the afterbody of described conduit, the outlet of described disinfectant solution biphase adjoin urethra noinvasive air bag between position, described disinfectant solution passage inlays on the tube wall of this conduit, and one end of this disinfectant solution passage is connected with described disinfectant solution interface, the other end is connected with described disinfectant solution interface.
As a modification of the present invention, described diluent liquid injection module comprises diluent liquid passage and diluent interface, described diluent interface is arranged on the afterbody of described conduit, described diluent liquid passage inlays on the tube wall of this conduit, and one end of this diluent liquid passage is connected with described diluent interface, the other end stretches out and forms a diluent liquid outlet from the front end of described conduit.
As a modification of the present invention, described urine storage module comprises urine container and derivation check valve, and the opening of described urine container is connected with described conduit by deriving check valve.
As a modification of the present invention, described anti-blocking urethral catheterization module comprises negative pressure gasbag, air bag connecting leg, outgassing nonreturn valve and breather cheek valve, the tail end of described conduit is provided with opening and forms described urine outlet, described negative pressure gasbag is provided with gas outlet and air entry, described outgassing nonreturn valve is arranged on gas outlet, described air entry is connected with described air bag connecting leg one end, and the other end of this air bag connecting leg is connected with the described urine outlet that is connected by described breather cheek valve.
Beneficial effect of the present invention is: structural design of the present invention is ingenious, reasonable, utilize negative-pressure suction principle, still can drain have the foreign body such as a small amount of blood clot to produce during at intravesical out, effectively guarantee urethral catheterization drainage effect, when conduit is during by foreign matters from being blockeds such as fritter blood clots, only need the other entourage of bed to push the foreign bodies such as the negative pressure gasbag blood clot that just sucking-off is stopped up smoothly, urethral catheterization is effective, not only make sufferer avoid being subject to repeatedly to plug the misery of conduit operation, also greatly reduce medical worker's workload, save medical resources and medical treatment cost.Be provided with cystometry module, because the air bag air flue of cystometry module is less with the diameter that is connected display tube, so the smaller size smaller that the pressure measurement bead that pressure measurement bead causes due to intravesical pressure occurs changes, can cause and connect display tube liquid level compared with significant change; In use, can, by the intravesical pressure condition of perusal pressure indicator board understanding directly perceived, understand in real time the effect of urethral catheterization drain.Conduit adopts hard material to make, there is higher structural strength, be unlikely to that tube wall occurs in the time connecing negative pressure sunken, and on the coated conduit of noinvasive air bag module, to form the skin of one deck softness on the outer wall of this conduit, can realize the sense of discomfort that vacuum suction function reduces Catheter in Patients device simultaneously, effectively alleviate urethral catheterization and operate the misery of bringing to patient.Can also regularly carry out disinfection by sterilization module, greatly reduce the incidence rate infecting due to indwelling catheter, increase the safety using, extend effective indwelling time, reduce the frequency of changing catheter, greatly Economy type medicine cost and alleviate patient's misery.In addition, overall structure of the present invention is simple, is easy to manufacture, and cost is low, is beneficial to wide popularization and application.
Below in conjunction with accompanying drawing and embodiment, the present invention is further described.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the sectional structure schematic diagram of conduit A-A in Fig. 1.
The specific embodiment
Referring to Fig. 1 and Fig. 2, the anti-blocking o urethral catheterization device of a kind of pressure measurement noinvasive that the present embodiment provides, it comprises: conduit 1, cystometry module 2, internal urethral orifice blocking-up module 3, noinvasive air bag module 4, diluent liquid injection module 5, sterilization module 6, urine storage module 7 and anti-blocking urethral catheterization module 8.
Described conduit 1 is made up of hard material, and structural strength is higher; The front end of this conduit 1 is provided with urine entrance 11, and tail end is provided with urine outlet; Described cystometry module 2 is connected with described conduit 1, for monitoring the internal pressure of the bladder that this conduit 1 inserts; Described internal urethral orifice blocking-up module 3 is arranged on described conduit 1, for the gap between shutoff urethra and conduit 1 outer wall, makes the inner space of described bladder form the space of sealing, avoids urine extravasation; Described noinvasive air bag module 4 is coated on described conduit 1, to form the skin of one deck softness on the outer wall at this conduit 1, avoids oppressing caused injury of urethra because of conduit friction or long period; Described diluent liquid injection module 5 is connected with described conduit 1, for the intravesical injection diluent toward described; Described sterilization module 6 is connected with conduit 1, for inject disinfectant solution in urethra, plays bactericidal action in urethra; Described liquid container is connected with the urine outlet of conduit 1, the liquid flowing out through conduit 1 for splendid attire; Described anti-blocking urethral catheterization module 8 is connected with conduit 1, for making the interior formation negative pressure of conduit 1, the blood clot that is blocked in the blood clot suction catheter 1 on the urine entrance 11 of this conduit 1 and/or make to be blocked in this conduit 1 is flowed, and be drained to urine storage module 7.
Concrete, described cystometry module 2 comprises air bag bead 21, air bag air flue 22, connect display tube 23 and pressure indicator board 24, described air bag bead 21 is arranged on the front end face center at the insertion position of described conduit 1, described air bag air flue 22 inlays on the tube wall of conduit 1, and one end of this air bag air flue 22 is connected with described air bag bead 21, described connection display tube 23 is arranged on pressure indicator board 24, and one end of this connection display tube 23 sealing, and accommodate a certain amount of coloured liquid, the other end of this connection display tube 23 is connected with the other end of described air bag air flue 22, wherein air bag air flue and the diameter that is connected display tube all≤initial diameter of 1/3 air bag bead.On pressure indicator board 24, be labeled with different zone, the length variations that can observe coloured liquid is understood the situation of change of bladder internal pressure, thereby learn bladder internal pressure size, classification color indication by different zone can be more intuitively, and can observe and understand for intravesical pressure by Continuous Observation, avoid repeatedly loaded down with trivial details traditional cystometry process, Economy type medicine cost.Even non-medical staff still can directly judge, facilitate layman as attending family notes abnormalities immediately, can carry out record for intravesical pressure, basic clinical data source is provided, it is particularly important that this cystometry module 2 is owed sufferer clearly to mind.
Described internal urethral orifice blocking-up module 3 comprises internal urethral orifice blocking-up air bag 31, blocking-up air flue 32 and blocking-up interface 33, described internal urethral orifice blocking-up air bag 31 is arranged in the front position of described conduit 1, described urine entrance 11 is on the position between described air bag bead 21 and this internal urethral orifice blocking-up air bag 31, described blocking-up interface 33 is arranged on the afterbody of described conduit 1, described blocking-up air flue 32 inlays on the tube wall of this conduit 1, and one end of these blocking-up air flue 32 embeddings is connected with described internal urethral orifice blocking-up air bag 31, and the other end is connected with described blocking-up interface 33.When inflation, internal urethral orifice blocking-up air bag 31 expands, and slowly the gap between urethra and conduit 1 outer wall is filled up, and makes the inner space of bladder form the space of sealing.
Described noinvasive air bag module 4 comprises urethra noinvasive air bag 41 and urethra noinvasive interface 42, this urethra noinvasive interface 42 is arranged on the afterbody of described conduit 1, multiple urethra noinvasive air bags 41 are coated on the stem outer wall of this conduit 1 along the axial interval successively of described urethra, and be connected with described urethra noinvasive interface 42 by urethra noinvasive air flue 43, this urethra noinvasive air flue 43 inlays on the tube wall of this conduit 1.Urethra noinvasive air bag 41 is coated on described conduit 1, and maintaining certain air pressure inside, to realize conduit 1 relatively fixing in endo-urethral position, gapped between urethra noinvasive air bag 41 and urethra noinvasive air bag 41, is convenient to arrange disinfectant solution outlet.Disinfectant solution from biphase adjoin urethra noinvasive air bag 41 between flow out, germicidal efficiency is better.In the present embodiment, the quantity of described urethra noinvasive air bag 41 is preferably five, and good stability also has compared with multiposition and is used for arranging disinfectant solution outlet, promotes bactericidal effect.Other embodiment, the quantity of this urethra noinvasive air bag 41 can be 3~10, as 3,4,6 or more.
Described sterilization module 6 comprises disinfectant solution outlet, disinfectant solution passage 61 and disinfectant solution interface 62, this disinfectant solution interface 62 is arranged on the afterbody of described conduit 1, the outlet of described disinfectant solution biphase adjoin urethra noinvasive air bag 41 between position, described disinfectant solution passage 61 inlays on the tube wall of this conduit 1, and one end of this disinfectant solution passage 61 is connected with described disinfectant solution interface 62, the other end is connected with described disinfectant solution interface 62.Can regularly carry out disinfection to the conduit 1 of indwelling by sterilization module 6, greatly reduce the incidence rate infecting due to inlying catheter 1, guarantee the safety that uses, prolongation indwelling time.
Described diluent liquid injection module 5 comprises diluent liquid passage 51 and diluent interface 52, described diluent interface 52 is arranged on the afterbody of described conduit 1, described diluent liquid passage 51 inlays on the tube wall of this conduit 1, and one end of this diluent liquid passage 51 is connected with described diluent interface 52, the other end stretches out and forms a diluent liquid outlet from the front end of described conduit 1.Can inject module 5 to intravesical injection diluent by diluent liquid, diluted urine is convenient to drain, also reduces the formation of the foreign bodies such as blood clot simultaneously, and then promotes drain urethral catheterization effect.
Described urine storage module 7 comprises urine container 71 and derivation check valve 72, and the opening of described urine container 71 is connected with described conduit 1 by deriving check valve 72.Deriving under the effect of check valve 72, the urine in conduit 1 only can flow into urine container 71, and urine in urine container 71 can not oppositely flow back to conduit 1.
Described anti-blocking urethral catheterization module 8 comprises negative pressure gasbag 81, air bag connecting leg 82, outgassing nonreturn valve 83 and breather cheek valve 84, the tail end of described conduit 1 is provided with opening and forms described urine outlet, described negative pressure gasbag 81 is provided with gas outlet and air entry, described outgassing nonreturn valve 83 is arranged on gas outlet, described air entry is connected with described air bag connecting leg 82 one end, and the other end of this air bag connecting leg 82 is connected with the described urine outlet that is connected by described breather cheek valve 84.When extruding negative pressure gasbag 81, breather cheek valve 84 self-closeds, and outgassing nonreturn valve 83 is opened automatically, discharge the gas in negative pressure gasbag 81, unclamp negative pressure gasbag 81, negative pressure gasbag 81 is under the deformation elastic force effect of self, slowly resile, at this moment, outgassing nonreturn valve 83 self-closeds, and breather cheek valve 84 is opened automatically, suction pipe is produced to suction, the blood clot that is blocked in the blood clot suction catheter 1 on the urine entrance 11 of this conduit 1 and/or make to be blocked in this conduit 1 is flowed, and be drained to urine storage module 7, urethral catheterization is effective, not only make sufferer avoid being subject to repeatedly to plug the operation misery of conduit 1, also greatly reduce medical worker's workload, save medical resources and medical treatment cost.
When use, conduit 1 is inserted bladder by per urethra, on the coated conduit 1 of urethra noinvasive air bag 41, can form the skin of one deck softness, effectively alleviates urethral catheterization operation painful, damages littlely, effectively improved safety and the effectiveness of drainage procedure.
At this moment, block air bag 31 and urethra noinvasive air bag 41 air feed respectively by blocking-up interface 33 and urethra noinvasive interface 42 to internal urethral orifice, internal urethral orifice blocking-up air bag 31 expands, and makes the inner space of bladder form the space of sealing; Urethra noinvasive air bag 41 air feed adaptabilities expand, and realize conduit 1 relatively fixing in endo-urethral position, convenient operation.At this moment, intravesical urine enters conduit 1 through urine entrance 11, and through conduit 1 be drained to urine container 71, realize the object of urethral catheterization.
In the time occurring the foreign matters from being blocked urine entrances 11 such as blood clot or retention at conduit 1, can push negative pressure gasbag 81, utilize negative-pressure suction principle to produce suction to suction pipe, and then make to be blocked in the blood clot suction catheter 1 on the urine entrance 11 of this conduit 1 and/or the blood clot that makes to be blocked in this conduit 1 flows, and be drained to urine container 71, realize anti-blocking object.Simultaneously can also be by diluent interface 52 to intravesical injection diluent, diluted urine is convenient to drain, also reduces the formation of the foreign bodies such as blood clot simultaneously, avoids clogging, and then promotes drain urethral catheterization effect.
Can also regularly inject disinfectant solution by disinfectant solution interface 62 in addition, to sterilize to being retained in intravesical conduit 1, greatly reduce the incidence rate infecting due to inlying catheter 1, guarantee the safety using, extend indwelling time, reduce the frequency of changing catheter, greatly Economy type medicine cost and minimizing patient's misery.
The announcement of book and instruction according to the above description, those skilled in the art in the invention can also change and revise above-mentioned embodiment.Therefore, the present invention is not limited to the specific embodiment disclosed and described above, also should fall in the protection domain of claim of the present invention modifications and changes more of the present invention.In addition,, although used some specific terms in this description, these terms just for convenience of description, do not form any restriction to the present invention.As described in the above embodiment the present invention, adopt component same or analogous with it and obtain other device, all in protection domain of the present invention.