CN104274170B - A kind of intracrenial pressure monitor - Google Patents

A kind of intracrenial pressure monitor Download PDF

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Publication number
CN104274170B
CN104274170B CN201410570396.3A CN201410570396A CN104274170B CN 104274170 B CN104274170 B CN 104274170B CN 201410570396 A CN201410570396 A CN 201410570396A CN 104274170 B CN104274170 B CN 104274170B
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Prior art keywords
drainage
pressure
air bag
drainage tube
branch pipe
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CN201410570396.3A
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CN104274170A (en
Inventor
万鹏
付正英
韩如泉
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Henan Shuguang qualied Kang biological Polytron Technologies Inc
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万鹏
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • A61B5/031Intracranial pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0001Catheters; Hollow probes for pressure measurement
    • A61M2025/0003Catheters; Hollow probes for pressure measurement having an additional lumen transmitting fluid pressure to the outside for measurement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0037Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • A61M2025/1015Multiple balloon catheters having two or more independently movable balloons where the distance between the balloons can be adjusted, e.g. two balloon catheters concentric to each other forming an adjustable multiple balloon catheter system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1025Connections between catheter tubes and inflation tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A61M31/002Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Neurosurgery (AREA)
  • Pathology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • External Artificial Organs (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The invention belongs to cerebral surgery operation monitoring instrument technical field, relate in particular to a kind of intracrenial pressure monitor, the drainage end of drainage tube is provided with conduction hole, near the drainage end of drainage tube, outer cover has air bag one, drainage catheter overcoat has the aerating device that can slide along drainage tube, drainage tube comprises drainage lumens and pressure measuring cavity, the end of drainage lumens is fixedly connected with drainage branch pipe connection, the end of pressure measuring cavity is fixedly connected with pressure measurement branch pipe connection, and pressure measurement branch pipe connection is connected by pressure sensor device with detection display device; Monitor display side is provided with pressure sensor line box, power cord box, display screen, is respectively equipped with and is wound around wire column and jack in pressure sensor line box and power cord box. The invention has the beneficial effects as follows: can realize the drainage of cerebrospinal fluid and the measurement of intracranial pressure simultaneously, realize monitoring in real time, save the time for rescuing, and many places opening is difficult for infecting, also difficultly deviate from from opening part, alleviated patient's misery.

Description

A kind of intracrenial pressure monitor
Technical field
The invention belongs to cerebral surgery operation monitoring instrument technical field, relate in particular to a kind of intracrenial pressure monitor.
Background technology
EVD art is the common technique of neurosurgery, be rescue intracranial hypertension, brain trauma, encephaledema, cerebral hemorrhage,The important way of the serious illness such as internal hydrocephaly, the object of EVD art is effectively to drain ICV bloodLiquid and blood contained cerebrospinal fluid, reduce intracranial pressure, alleviates encephaledema, avoids or reduce the outbreak of cerebral angiospasm, reduces brain functionDamage, patient clinical illness is improved. Continuously uninterrupted intracranial pressure (ICP), can observe the dynamic of intracranial pressureChange, instruct at any time diagnosis, treatment, judging prognosis and adjust drainage speed. But current EVD is controlled dress automaticallyPut, although also can intracranial pressure, in the time measuring intracranial pressure, must close drainage, and can not measure again cranium in the time of drainageInterior pressure, the two must carry out respectively. Produced contradiction is carried out respectively in so mutual switching, no matter still exists in rescue processWhen postoperative drainage recovers to observe, the risk of bringing and the impact on diagnosis and treatment, prognosis and operating efficiency are self-evident. DrawFlow through journey wound and be exposed to outside, easily bacterial infection, makes wound be difficult for healing, has increased patient's misery.
Summary of the invention
In order to overcome above-mentioned the deficiencies in the prior art, the object of this invention is to provide a kind of intracrenial pressure monitor, can be simultaneously realThe existing drainage of cerebrospinal fluid and the measurement of intracranial pressure, realize monitoring in real time, simplified medical personnel's operation sequence, for rescuing jointApproximately the time, and many places opening is difficult for infecting, and also difficultly deviates from from opening part, alleviated patient's misery.
To achieve these goals, the present invention adopts following technical scheme:
A kind of intracrenial pressure monitor, comprises drainage tube and monitor display, and the drainage end of described drainage tube is provided with conduction hole, itsNear the outer cover of drainage end that is characterised in that described drainage tube has air bag one, and described drainage catheter overcoat has and can draw along describedThe aerating device that stream pipe slides;
Described drainage tube comprises drainage lumens and pressure measuring cavity, and the end of described drainage lumens is fixedly connected with drainage branch pipe connection, described inDrainage branch pipe connection is connected with drainage bottle, and the top of described drainage bottle and two ends are equipped with holes, the end of described pressure measuring cavity withPressure measurement branch pipe connection is fixedly connected with, and described pressure measurement branch pipe connection is connected by pressure sensor device with described detection display device,
Described monitor display side is provided with pressure sensor line box, power cord box, display screen, described monitor display topPortion is provided with spring handle, is respectively equipped with and is wound around wire column and jack in described pressure sensor line box and described power cord box.
Described pressure sensor line box and described power cord box are provided with transparent box cover outward, and inside can also be provided with LED light.
Described pressure sensor device line box is provided with fixing lock outward, for preventing that patient from pulling open lid.
Described aerating device comprises that hard slides up and down pipe, and described hard slides up and down pipe overcoat air bag two, described in fillGas air bag two and described hard slide up and down and between pipe, are provided with hard and slide up and down pipe steady pin, described air bag one, described inAir bag two is connected with two inflating catheters respectively, and described two inflating catheters are connected with spring non-return valve respectively.
Described two inflating catheters are respectively inflating catheter one, inflating catheter two, the two ends of described inflating catheter one respectively with instituteState air bag one, spring non-return valve one connection, the two ends of described inflating catheter two respectively with described air bag two, springSingle-phase valve two connects.
Described hard slides up and down pipe box and is positioned at the outside of described drainage tube, or be positioned at simultaneously described inflating catheter one, described inThe outside of drainage tube.
Described air bag two is positioned at the below of described air bag one, a side away from described drainage tube drainage end.
The length that described hard slides up and down pipe is greater than the length of described air bag two.
Described pressure measurement branch pipe connection is three-port structure.
The Y type that is shaped as of described drainage tube.
The invention has the beneficial effects as follows: can avoid make-up valve for a long time in opening or closing state, when liquid level in bottle placerReach a certain height and touch behind the bottom of the 3rd liquid-level probe, controller control make-up valve is closed, and prevents in hopperOverflow, if encounter the out of order situation of the 3rd liquid-level probe, just alarm can send alarm, simultaneously by unnecessaryMaterial be temporarily stored in overflow launder, can effectively avoid the waste of material and the generation of fault, ensured filling quality.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment of the present invention 1;
Fig. 2 is the structural representation of monitor display of the present invention;
Fig. 3 is the connection diagram of aerating device of the present invention and drainage tube;
Fig. 4 is the structural representation of the embodiment of the present invention 2.
In figure, 1, drainage tube, 2, conduction hole, 3, drainage branch pipe connection, 4, drainage bottle, 5, drainage switch, 6, surveyPress branch pipe connection, 7, air bag one, 8, hard slide up and down pipe, 9, air bag two, 10, hard slide up and down pipeSteady pin, 11, spring non-return valve one, 12, spring non-return valve two, 13, with holes, 14, mouthful, 15, drainage lumens, 16,Pressure measuring cavity, 17, monitor display, 18, pressure sensor line box, 19, power cord box, 20, display screen, 21, springHandle, 22, be wound around wire column, 23, jack, 24, pressure sensor device.
Detailed description of the invention
Below in conjunction with accompanying drawing, a kind of detailed description of the invention of the present invention is explained.
Embodiment 1: as shown in Figure 1, Figure 2, Figure 3 shows, the invention provides a kind of intracrenial pressure monitor, comprise drainage tube 1 HeMonitor display 17, drainage tube 1 is a long flexible conduit, the drainage end of described drainage tube 1 is provided with conduction hole 2, its spyNear levying the drainage end that is described drainage tube 1, outer cover has air bag 1, and described drainage catheter overcoat has and can draw along describedThe aerating device that stream pipe 1 slides;
Described drainage tube 1 comprises drainage lumens 15 and pressure measuring cavity 16, and the end of described drainage lumens 15 and drainage branch pipe connection 3 are solidFixed connection, described drainage branch pipe connection 3 is connected with drainage bottle 4, and drainage switch 5 is set on drainage branch pipe connection 3, described inThe Y type that is shaped as of drainage tube 1, drainage lumens 15 and pressure measuring cavity 16 be disposable processing in the time making drainage tube 1, techniqueWith simple in structure, cost is low; It is with holes 13 that the top of described drainage bottle 4 and two ends are equipped with, the end of described pressure measuring cavity 16 withPressure measurement branch pipe connection 6 is fixedly connected with, and described pressure measurement branch pipe connection 6 connects by pressure sensor device 24 with described detection display deviceConnect,
Described monitor display 17 sides are provided with pressure sensor line box 18, power cord box 19, display screen 20, described prisonSurvey display 17 tops and be provided with spring handle 21, in described pressure sensor line box 18 and described power cord box 19, be respectively equipped withBe wound around wire column 22 and jack 23.
Outside described pressure sensor line box 18 and described power cord box 19, be provided with transparent box cover, inside can also be provided with LED and refer toShow lamp.
Described pressure sensor device 24 line boxes are provided with fixing lock outward, for preventing that patient from pulling open lid.
Described aerating device comprises that hard slides up and down pipe 8, as long as hard slides up and down pipe, 8 diameters facilitate it on drainage tube 1Slide smoothly; Described hard slides up and down pipe 8 overcoats air bag 29, described air bag 29 and described hardSliding up and down pipe is provided with hard between 8 and slides up and down pipe steady pin 10, described air bag 1, described air bag 29Be connected with inflating catheter one and inflating catheter two respectively, inflating catheter one, inflating catheter two respectively with spring non-return valve 1,Spring non-return valve 2 12 connects, and spring non-return valve 1, spring non-return valve 2 12 are for air bag 1, air bag29 unidirectional inflation.
Described hard slides up and down pipe 8 and overlaps the outside that is simultaneously positioned at described inflating catheter one, described drainage tube 1, and hard is upper and lowerSliding tube 8 covers can be by fixing inflating catheter one.
Described air bag 29 is positioned at the below of described air bag 1, a side away from described drainage tube 1 drainage end.
Described hard slides up and down the length that pipe 8 length is greater than described air bag 29.
Described pressure measurement branch pipe connection 6 is three-port structure, is provided with one mouthful 14 in the sidepiece lower end of pressure measurement branch pipe connection 6.
Embodiment 2: as shown in Figure 4, described hard slides up and down the outside that pipe 8 is enclosed within described drainage tube 1 overcoat, described in fillAirway one is positioned at described hard and slides up and down the outside of managing 8, and a mouth 14 for pressure measurement branch pipe connection 6 is arranged on pressure measurement arm and connects6 with the joint of drainage tube 1, pressure measurement branch pipe connection 6 is triplet type, can control to a certain extent the speed of drainage,The misery that reduces patient, realizes the continuous and discontinuous measurement of intracranial pressure. Other is identical with the structure of embodiment 1.
Example: the one end that drainage tube 1 is provided with to conduction hole 2 is placed on punching place of cranium portion, and air bag 1 is inserted to craniumThe inside of portion's punching, gives air bag one 7 inflations by spring non-return valve 1, until the size of air bag 1 can notShift out and be advisable from incision, then mobile hard slides up and down pipe 8, makes air bag 29 be placed in the outward flange of punching, passes throughSpring non-return valve 2 12 gives air bag 29 inflations, hard is slided up and down to pipe steady pin 10 and extract; Work as intracranial pressureWhen rising, open the drainage switch 5 that is arranged on drainage branch pipe connection 3, cerebrospinal fluid can flow into drainage bottle along drainage branch pipe connection 34; While needing gaging pressure, close drainage switch 5, pressure measurement branch pipe connection 6 is connected with pressure sensor, block pressure measurement and prop upA mouth 14 for pipe joint 6 can be measured intracranial pressure; Also can in drainage, block a mouth 14, measure in drainage process simultaneouslyIntracranial pressure, be convenient to take measures according to patient's situation in time. In air bag 1, can place antibiotic, simultaneously toolThere is the effect of sterilizing.
Pressure sensor device 24 by the pressure measxurement of cerebrospinal fluid out, and is presented on the display screen 20 of monitor display 17.Be wound around wire column 22 for no pressure sensor wire or power lead are wound up, save space, not in disorder. PrisonSurveying display 17 can be connected with printer, and testing result is printed.
Normal intracranial pressure scope is 0.7-2.0KPa (70-200mmH2O), and the measurement category of this monitor is 0.1-26.7KPa(200mmHg), the intracranial pressure waveform of measurement has tri-kinds of C, B, A, and C shape ripple is normal waveform, and its pressure curve is smooth,Be with angiosthenia Reeb and breathe consistent fluctuation; B shape ripple is in normal pressure ripple background, to occur rising sharply in short-term and rapid drawdownGao Bo, be generally no more than 65mmHg (6.6KPa), the B of appearance ripple per minute shows that intracranial pressure moderate is to severe for 0.5-2 timeIncrease; A shape ripple claims again plateau wave, and pressure rises to suddenly 50mmHg-100mmHg, continues 5-20 minute, and rapid drawdown extremely againFormer level or lower.
Above example of the present invention is had been described in detail, but described content is only preferred embodiment of the present invention, can not be byThink for limiting practical range of the present invention. All equalization variation and improvement etc. of doing according to the present patent application scope, all should be stillWithin belonging to patent covering scope of the present invention.

Claims (9)

1. an intracrenial pressure monitor, comprise drainage tube and monitor display, the drainage end of described drainage tube is provided with conduction hole, it is characterized in that near the outer cover of drainage end of described drainage tube has air bag one, and described drainage tube overcoat has the aerating device that can slide along described drainage tube; Described aerating device comprises that hard slides up and down pipe, described hard slides up and down pipe overcoat air bag two, described air bag two and described hard slide up and down and between pipe, are provided with hard and slide up and down pipe steady pin, described air bag one, described air bag two are connected with two inflating catheters respectively, and described two inflating catheters are connected with spring non-return valve respectively;
Described drainage tube comprises drainage lumens and pressure measuring cavity, the end of described drainage lumens is fixedly connected with drainage branch pipe connection, the end of described pressure measuring cavity is fixedly connected with pressure measurement branch pipe connection, and described pressure measurement branch pipe connection is connected by pressure sensor device with described monitor display;
Described monitor display side is provided with pressure sensor line box, power cord box, display screen, described monitor display top is provided with spring handle, in described pressure sensor line box and described power cord box, be respectively equipped with and be wound around wire column and jack, described pressure sensor line box and described power cord box are respectively equipped with transparent box cover outward.
2. intracrenial pressure monitor according to claim 1, it is characterized in that described two inflating catheters are respectively inflating catheter one, inflating catheter two, the two ends of described inflating catheter one are connected with described air bag one, spring non-return valve one respectively, and the two ends of described inflating catheter two are connected with described air bag two, spring non-return valve two respectively.
3. intracrenial pressure monitor according to claim 2, is characterized in that described hard slides up and down pipe and is positioned at the outside of described drainage tube, or is positioned at the outside of described inflating catheter one, described drainage tube simultaneously.
4. intracrenial pressure monitor according to claim 1 and 2, is characterized in that described air bag two is positioned at the below of described air bag one, a side away from described drainage tube drainage end.
5. intracrenial pressure monitor according to claim 1 and 2, is characterized in that length that described hard slides up and down pipe is greater than the length of described air bag two.
6. according to the intracrenial pressure monitor described in claim 1-3 any one, it is characterized in that described pressure measurement branch pipe connection is three-port structure.
7. according to the intracrenial pressure monitor described in claim 1-3 any one, it is characterized in that the Y type that is shaped as of described drainage tube.
8. according to the intracrenial pressure monitor described in claim 1-3 any one, it is characterized in that described drainage branch pipe connection is connected with drainage bottle, the top of described drainage bottle and two ends are equipped with holes.
9. according to the intracrenial pressure monitor described in claim 1-3 any one, it is characterized in that described pressure sensor line box is provided with fixing lock outward.
CN201410570396.3A 2014-10-23 2014-10-23 A kind of intracrenial pressure monitor Active CN104274170B (en)

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Publication number Priority date Publication date Assignee Title
CN105641758A (en) * 2016-04-01 2016-06-08 王学建 Cerebrospinal fluid drainage device and intracranial pressure monitoring system
CN106901713B (en) * 2017-03-06 2019-07-12 清华大学 A kind of implantation type wireless monitoring intracranial pressure system based on air bag
CN108543120A (en) * 2018-02-05 2018-09-18 武汉大学 A kind of encephalic cerebrospinal fluid automatic drainage device
CN109107029A (en) * 2018-09-12 2019-01-01 武汉恒鑫康得科技有限公司 The anti-skidding anticreep lateral leakage protection body cavity drainage tube of composite layer
CN109107028A (en) * 2018-09-12 2019-01-01 武汉恒鑫康得科技有限公司 Anti-skidding anticreep lateral leakage protection body cavity drainage tube
CN109259754A (en) * 2018-09-30 2019-01-25 珠海亚特兰生命工程科技有限公司 A kind of internal pressure monitor and its control method
CN110251804A (en) * 2019-05-30 2019-09-20 威海柯西医疗科技有限公司 A kind of visualization drainage catheter
CN110575155B (en) * 2019-09-26 2024-04-05 北京市神经外科研究所 Catheter device for intracranial pressure measurement

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US5957912A (en) * 1998-04-16 1999-09-28 Camino Neurocare, Inc. Catheter having distal stylet opening and connector
CN200942206Y (en) * 2006-08-18 2007-09-05 天津市塑料研究所 Single-cavity double-head multi-functional brain drain device
CN101549178B (en) * 2008-04-02 2013-03-06 青岛市海慈医疗集团 Multifunctional intracephalic drainage device
CN201230978Y (en) * 2008-07-06 2009-05-06 杜德运 Cerebral-ventricle outer conduction device
CN204192604U (en) * 2014-10-23 2015-03-11 万鹏 A kind of intracrenial pressure monitor

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Effective date of registration: 20191008

Address after: Luohe City, Henan province 462000 Yuanhui District Riverside Metro Xiangjiang Road

Patentee after: Henan Shuguang qualied Kang biological Polytron Technologies Inc

Address before: Luohe City, Henan Province town Xiangjiang road 462000 Binhe Shalihe Industrial Agglomeration Area

Patentee before: Wan Peng