CN106139287B

CN106139287B - Peritoneal dialysis mate

Info

Publication number: CN106139287B
Application number: CN201610594695.XA
Authority: CN
Inventors: 彭罗民; 曾易
Original assignee: Sichuan Great Wall Kidney Disease Hospital Co ltd
Current assignee: Sichuan Great Wall Kidney Disease Hospital Co ltd
Priority date: 2015-07-31
Filing date: 2016-07-27
Publication date: 2020-07-14
Anticipated expiration: 2036-07-27
Also published as: CN106139287A; CN104958796A

Abstract

A medical intelligent peritoneal dialysis device, is short for: a peritoneal dialysis partner. Is mainly used for the emergency treatment of acute kidney injury, acute renal failure, severe pancreatitis, drug poisoning, etc. and the alternative treatment of the patients with chronic renal failure and uremia in each period for maintaining life. The device mainly comprises a computer and operation screen system, an abdominal penetration liquid pump, an abdominal penetration liquid drying and heating temperature-measuring scale incubator, an abdominal penetration liquid sterilizer, an electronic measuring scale sensor, a three-way pipe, an electric catheter clamp, an electronic temperature sensor and the like. Has the functions of digital and voice communication, and is characterized by preventing abdominal cavity infection caused by pollution in peritoneal dialysis. The design is ingenious, and the operation is simple and convenient.

Description

Peritoneal dialysis mate

One, the technical field

The peritoneal dialysis partner is a short for an intelligent peritoneal dialysis device with a medical innovative design. The present invention relates to a medical device, and more particularly to a medical device for an artificial kidney replacement therapy for treating, rescuing, and maintaining life in response to acute renal impairment (AKI), Acute Renal Failure (ARF), severe pancreatitis (SAP), Chronic Renal Failure (CRF), Uremia (Uremia), multiple organ failure with renal failure (MOF and RF), drug poisoning, fish gall poisoning, muscarinic poisoning, and the like. The invention has the function of preventing peritonitis related to peritoneal dialysis. In chronic end-stage renal failure uremia patients, peritoneal dialysis is an alternative therapy for long-term life maintenance, and peritoneal dialysis and peritoneal infection are still global problems at present. The long-term maintenance peritoneal dialysis patients are mostly middle-aged and old people, and the middle-aged and old peritoneal dialysis patients in China cannot get due humanistic care and living care because relatives cannot accompany the patients for a long time, so that the maintenance self-operation of the maintenance peritoneal dialysis patients is difficult to perform for a long time. The invention has two sets of treatment operation schemes, and firstly, Continuous Ambulatory Peritoneal Dialysis (CAPD) can be assisted by medical staff, patients or relatives to complete treatment operation. And Continuous Circulating Peritoneal Dialysis (CCPD), the application of the invention not only can simplify the two treatment operations, but also can prevent abdominal infection, and can be used in medical institutions and patients' homes.

Second, background Art

The history of the peritoneal dialysis technology is that animal experiments are researched from 1886, the peritoneal dialysis technology is applied to clinic in 1923, and acute drug poisoning and acute renal failure are clinically rescued in 40-50 th century in a scattered state. In the 20 th century and the 60 th century, Tenchoff invented a peritoneal dialysis tube with a dacron sleeve (cuff), so that the peritoneal dialysis can be used for long-term maintenance treatment of patients with chronic renal failure and uremia. In 1976 of the 20 th century, popovich improved the packaging form of peritoneal dialysis solution, changed the original bottled liquid into soft plastic bag for packaging peritoneal dialysis solution, greatly simplified the process of peritoneal dialysis, and could achieve portable dialysis. In the 90 s of the 20 th century, the peritoneal dialysis solution package and catheter connection device was further developed into a package bag containing dialysis solution and an empty bag containing waste liquid to be connected, which is called a duplex bag tube system, so that the operation of peritoneal dialysis was further facilitated, the number of peritoneal dialysis patients worldwide was greatly increased, and the treatment effect was remarkably improved, but peritoneal dialysis complicated with peritoneal infection, and no satisfactory solution or medical equipment was ever provided. Although various automatic peritoneal dialysis machines have been known, none of them has been satisfactory in operation and cannot sufficiently prevent abdominal infection, so that they are not widely popularized. Peritoneal infection, the incidence of peritonitis, remains a global kidney disease, an annoying event that blood purification medical personnel have to face, and the embarrassing outcome that many peritoneal dialysis patients have to withdraw from peritoneal dialysis, or change to peritoneal dialysis or die due to peritonitis. At present, the peritoneal dialysis duplex bag is a product of three companies of BaiTe, Shanghai Changfu and Chengdu Qingshan in the United states. The recent products on the market of the automatic peritoneal dialysis machine have unreasonable structure and complex operation, and no design for preventing abdominal infection is provided. The automatic peritoneal dialysis machine catheter connecting system of Jilin Midada is messy, the drain pipe has no anti-pollution design, and a user has no sense of safety and convenience. The popularization rate of peritoneal dialysis in China is low, and first, the allocation rate of medical resources is limited and the regions are uneven; secondly, the degree of mastering medical technology is limited; thirdly, the incidence of peritonitis complicated with peritoneal dialysis is high, so that a plurality of medical technical executors have a daunting thought; fourthly, the promotion strength of the professional academic skills is limited since a long time; fifth, the prior art procedures for peritoneal dialysis still have their own drawbacks. According to the introduction of data: 50550 people in 13 provinces and 18 years old in China are randomly extracted in a layered mode, 47204 people are investigated, and the total disease rate of Chronic Kidney Disease (CKD) is 10.8%; according to the 2009 population, about 1.2 hundred million patients with CKD exist in china, but only 12.5% of people know that CKD suffers from CKD, and the prevalence rate of CKD is about 10% -14% according to the reports of all countries in the world.

Thirdly, objects of the invention

The invention aims to reduce the complications of peritoneal infection and peritonitis in peritoneal dialysis; secondly, the peritoneal dialysis operation is further simplified; thirdly, more patients are provided with treatment opportunities. The popularization rate of peritoneal dialysis in China is low, and the popularization rate is related to limited medical resource allocation rate and uneven regions; secondly, the degree of medical technology mastery is limited; thirdly, the incidence of peritonitis complicated with peritoneal dialysis is high, so that a plurality of medical technical executors have a daunting thought; fourthly, the promotion strength of the professional academic skills is limited since a long time; fifthly, the prior art equipment for peritoneal dialysis still has defects. The invention aims to provide equipment and a technical innovation design scheme for solving the defects of the peritoneal dialysis technology and the equipment. The invention aims to simplify the technical operation of the peritoneal dialysis equipment; secondly, the technical cost performance of the equipment is improved; thirdly, the occurrence rate of abdominal cavity infection is reduced by prevention; finally, the peritoneal dialysis technology is further popularized, more patients are benefited, and benefits are brought to the patients.

Fourth, the invention

The invention relates to an intelligent peritoneal dialysis device with innovative design, which is shortened as follows: the invention discloses a peritoneal dialysis partner, which is characterized in that: the peritoneal dialysis companion is formed by connecting a top cover and a gripper (1) with a computer and an operation screen (2), wherein the computer and the operation screen (2) are provided with a male loudspeaker (3) and a female loudspeaker (4), the lower part of the computer and the operation screen (2) is connected with a front panel (5), the front panel (5) is provided with a peritoneal dialysis liquid outlet joint (6), a peritoneal dialysis liquid outlet joint protective cover (6-1) is arranged outside the peritoneal dialysis liquid outlet joint (6) and is connected with a front panel wall (5), the front panel (5) is also provided with an observation window (7) which is opened on the front panel (5), four electric conduit clamps (5-1; 5-2; 5-3; 5-4) are also arranged on the front panel (5), and a three-way conduit (6-2) connected with the peritoneal dialysis liquid outlet joint (6), a waste liquid barrel (8) and the peritoneal dialysis catheter (9) on the body of a patient is respectively connected with the peritoneal dialysis liquid outlet joint (6) The waste liquid barrel (8) is connected with a peritoneal dialysis nozzle stub (9) on the body of a patient and is arranged in four electric catheter clamps (5-1; 5-2; 5-3; 5-4) on the front panel (5); the foregoing features are described in the specification with reference to fig. 1 and 2.

Four universal wheels (10-1; 10-2; 10-3; 10-4) are arranged below a base (10) of the peritoneal dialysis partner, the four universal wheels (10-1; 10-2; 10-3; 10-4) are connected with the base (10), wherein the two front universal wheels (10-2; 10-4) are provided with a switch lock, the upper parts of the universal wheels (10-1; 10-2; 10-3; 10-4) are connected with the peritoneal dialysis partner base (10), an electronic measurement weight sensor (11) is arranged in the front center of the peritoneal dialysis partner base (10), a push and lift handle (12-1; 12-2) is arranged in the middle of the right side and the left side of the peritoneal dialysis partner, and a peritoneal dialysis sterilizer (13) is arranged below the push and lift handle (12-1) on the left side of the peritoneal dialysis partner, a tube (13-1) which can emit 254nm wavelength ultraviolet ray is arranged in the peritoneal dialysis solution sterilizer (13), a quartz glass spiral tube (13-4) which has sufficient transmittance to ultraviolet ray is wound and assembled around the tube (13-1) which can emit 254nm wavelength ultraviolet ray, and two ends of the quartz glass spiral tube (13-4) are respectively connected with a peritoneal dialysis solution inlet joint tube (13-2) and a peritoneal dialysis solution outlet joint tube (13-3); the above features are described in the specification with reference to fig. 3, 4, 5 and 6.

The device is characterized in that a heat dissipation hole and a heat dissipation groove (15) are formed in a back plate (14) above the back of the peritoneal dialysis partner, two middle doors (16) are arranged below the back plate (14) above the back, a lower door rail (17) is arranged below the two middle doors (16), a space of a dry electric heating plate heating temperature balancing box (18) is formed inside the two middle doors (16) and the lower door rail (17), a hook of an electronic measurement weighing instrument sensor (19) is connected in the dry electric heating plate heating temperature balancing box (18), the weight of a suspended peritoneal dialysis bag (20) is monitored by the electronic measurement weighing instrument sensor (19) on the hook of the electronic measurement weighing instrument sensor (19), and the peritoneal dialysis bag pipe (21) is connected with a four-way pipe joint (22) of the peritoneal dialysis partner; the above features are described in fig. 7, 8, 9, 15.

The left side and the right side of the inner wall of the drying electric heating plate heating constant temperature box (18) are respectively provided with a heating constant temperature plate (23) and a heating constant temperature plate (24); a peritoneal dialysis pump (25) and an adjusting switch (26) are displayed on the computer and the operation screen (2); a dynamic display frame (27) for the volume of the transudate (waste liquid), a functional state display lamp (28), a functional state display frame (29), a hydraulic monitoring display meter (30), a dynamic display frame (31) for fresh peritoneal dialysis liquid, a status display (32) for peritoneal dialysis liquid sterilizer and a temperature sensor (33); the foregoing features are described in the specification with reference to fig. 10, 11, and 12.

A peritoneal dialysis partner frontal view (34); peritoneal dialysis partner fu-organ observation (35); the foregoing features are described in fig. 13 and 14.

The device comprises a power supply, a computer and operation screen (2), an abdominal infiltration pump (25), an electronic measurement weighing instrument sensor (19) hook, an abdominal infiltration liquid heating and weighing instrument temperature box (18), an electric conduit clamp (5-1; 5-2; 5-3; 5-4), an abdominal infiltration liquid sterilizer (13), a heating and weighing instrument temperature plate (23), a heating and weighing instrument temperature plate (24), an electronic measurement weighing instrument sensor (11) and a temperature sensor (33) which are uniformly connected with the computer and the operation screen (2) through cables; the above features are depicted in fig. 17.

The operating procedures of the peritoneal dialysis partner are as follows: single-bag peritoneal dialysis: manually switching on a power supply, taking a 2000ml abdominal fluid 4 bag, tearing an outer package, respectively hanging the four bags of abdominal fluid on hooks of an upper electronic measuring scale and a lower electronic measuring scale (19), connecting joints of abdominal fluid bag pipes (21) of four abdominal fluid bags (20) with an abdominal fluid partner four-way pipe joint (22), heating the 4 bags of abdominal fluid in a dry electric heating plate heating constant temperature box (18), adjusting the temperature in the dry electric heating plate heating constant temperature box (18) according to different environmental temperatures and displayed by an abdominal fluid temperature sensor (33), connecting a first end of a three-way guide pipe (6-2) to an abdominal fluid outlet joint (6), connecting a second end of the three-way guide pipe (6-2) with a short pipe (9) on a patient body when the temperature of the four bags of abdominal fluid reaches an acceptable temperature (36.5-37.5 ℃) of the human body, the third end of the three-way conduit (6-2) is connected with the waste liquid barrel (8), the conduits of the three-way conduit (6-2) are respectively arranged in four conduit clamps (5-1; 5-2; 5-3; 5-4), and the flow rate (generally 150 ml/min) of the peritoneal dialysis solution pump (25) is set; opening a peritoneal dialysis short tube (9) on a patient body to enable waste liquid in the abdominal cavity of the patient to flow out from the peritoneal dialysis short tube (9), enter a second end of a three-way tube (6-2), flow through an electric conduit clamp (5-2), flow through the electric conduit clamp (5-3) and the electric conduit clamp (5-4) and flow into a waste liquid barrel (8), when the entering speed of the waste liquid received in the waste liquid barrel (8) is gradually reduced to less than 10ml per minute, an electronic measurement weight sensor (11) transmits information to be detected to a computer and an operation screen (2), the computer and the operation screen (2) judge that the waste liquid in the abdominal cavity is empty, instruct to close the electric conduit clamp (5-3) and the electric conduit clamp (5-4), open the electric conduit clamp (5-1) and the electric conduit clamp (5-2), and start a peritoneal dialysis liquid pump (25), after the green inner blocking rod between the broken peritoneal dialysis solution bag pipe and the peritoneal dialysis solution bag, the peritoneal dialysis solution in the peritoneal dialysis solution bag is made to flow out, then the peritoneal dialysis solution reaches a peritoneal dialysis solution sterilizer (13) through a peritoneal dialysis solution pump (25), then the peritoneal dialysis solution flows out from a peritoneal dialysis solution outlet connector (6), then the peritoneal dialysis solution flows into the abdominal cavity of a patient through an peritoneal dialysis short pipe (9) through an electric catheter clamp (5-1) and an electric catheter clamp (5-2), when the set 2000ml peritoneal dialysis solution flows into the abdominal cavity of the patient, an electronic measuring weighing instrument sensor hook (19) transmits information to a computer and an operation screen (2), the computer and the operation screen (2) instruct the peritoneal dialysis solution pump (25) to stop rotating, a peritoneal dialysis person manually separates the peritoneal dialysis short pipe (9) from the second end of the three-way pipe (6-2), the peritoneal dialysis short pipe (9) connector is screwed and the second end of the three-way pipe (6-2) is screwed with a special sterile cover, after one-time liquid changing operation of the single bag is finished, the patient with the peritoneal dialysis can move freely; when the peritoneal dialysis solution is reserved in the abdominal cavity of the peritoneal dialysis patient for a set time (generally 3-6 hours), the peritoneal dialysis patient performs the second liquid changing operation, the operation process is repeated from the breaking of the green blocking rod in the second bag of peritoneal dialysis solution bag pipe until the breaking of the green blocking rod in the fourth bag of peritoneal dialysis solution bag pipe, the fourth bag of peritoneal dialysis solution is filled into the abdominal cavity of the peritoneal dialysis patient for reservation, and the treatment of one day is finished; the above features are described in the specification with reference to fig. 9, 16 and 17.

Multiple bags of peritoneal dialysis: manually switching on a power supply, taking 2000ml of a 4-bag of peritoneal dialysis solution, tearing an outer package, respectively hanging the four bags of peritoneal dialysis solution on hooks of an upper electronic measuring weighing apparatus (17) and a lower electronic measuring weighing apparatus (17), connecting joint pipes (21) of the peritoneal dialysis solution bags (20) with a four-way joint pipe joint (22) of a peritoneal dialysis partner, heating the 4 bags of peritoneal dialysis solution in a drying electric heating plate heating constant temperature box (18), adjusting the temperature in the drying electric heating plate heating constant temperature box (18) according to different environmental temperatures and displayed by a peritoneal dialysis solution temperature sensor (33), breaking a green inner blocking rod between the four bags of peritoneal dialysis solution bags and the peritoneal dialysis solution bags when the temperature of the four bags of peritoneal dialysis solution reaches an acceptable temperature (36.5-37.5 ℃) of a human body, connecting a first end of a three-way guide pipe (6-2) on an peritoneal dialysis solution outlet joint (6), connecting a second end of the three-way guide pipe (6-2) with a peritoneal dialysis short pipe (9) on the body of a patient, the third end of the three-way conduit (6-2) is connected with a waste liquid barrel (8), the conduit part of the three-way conduit (6-2) is respectively arranged in four electric conduit clamps (5-1; 5-2; 5-3; 5-4), the flow rate (generally 150 ml/min) of an peritoneal dialysis fluid pump (25) is set, the peritoneal dialysis patient adopts a flat lying position and a sitting position, an peritoneal dialysis short tube (9) on the peritoneal dialysis patient is opened, waste liquid in the abdominal cavity of the patient flows out from the peritoneal dialysis short tube (9), enters the second end of the three-way conduit (6-2), flows through the electric conduit clamps (5-2) and then flows through the electric conduit clamps (5-3) and the electric conduit clamps (5-4) and flows into the waste liquid barrel (8), and when the flow speed of the waste liquid received in the waste liquid barrel is gradually reduced to less than 10ml per minute, information to be detected by the electronic measurement weight sensor (11) is transmitted to a computer and an operation screen (2), the computer and the operation screen (2) judge that the waste liquid in the abdominal cavity is empty, instruct to close the electric conduit clamp (5-3) and the electric conduit clamp (5-4), open the electric conduit clamp (5-1) and the electric conduit clamp (5-2), start the peritoneal dialysis pump (25), after the green inner blocking rod between the broken peritoneal dialysis bag and the peritoneal dialysis bag pipe, the peritoneal dialysis liquid in the peritoneal dialysis bag flows out, reaches the peritoneal dialysis sterilizer (13) through the peritoneal dialysis pump (25), flows out from the peritoneal dialysis liquid outlet joint (6), flows into the abdominal cavity of the patient through the electric conduit clamp (5-1) and the electric conduit clamp (5-2) and then flows into the abdominal cavity of the patient through the peritoneal dialysis short pipe (9), when the set 2000ml peritoneal dialysis liquid flows into the abdominal cavity of the patient, the electronic measurement weighing instrument sensor (19) transmits information to the computer and the operation screen (2), and the computer and the operation screen (2) instruct the peritoneal dialysis pump (25) to stop rotating, the peritoneal dialysis solution filled into the peritoneal cavity of the peritoneal dialysis patient enters the retention time for dialysis, the peritoneal dialysis patient can sleep and rest, and the retention time of the peritoneal dialysis solution retained in the peritoneal cavity of the peritoneal dialysis patient is set according to the medical advice and is generally 2.5-3.0 hours;

when the first bag of peritoneal dialysis solution is kept in the abdominal cavity, the computer and the operation screen (2) instruct the electric conduit clamp (5-4) and the electric conduit clamp (5-3) to be opened, the waste liquid in the abdominal cavity of a peritoneal dialysis patient flows out through the peritoneal dialysis short tube (9), flows into the three-way tube (6-2) through the electric conduit clamp (5-3), flows into the waste liquid barrel (8) through the third end conduit of the three-way tube (6-2), when the electronic measurement weight sensor (11) below the waste liquid barrel (8) senses that the inflow speed of the waste liquid received by the waste liquid barrel is gradually slowed to be less than 10ml per minute, the electronic measurement weight sensor (11) transmits the information to be detected to the computer and the operation screen (2), the computer and the operation screen (2) instruct the electric conduit clamp (5-4) and the electric conduit clamp (5-3) to be closed, instruct the electric conduit clamp (5-1) and the electric conduit clamp (5-2) to be opened, the peritoneal dialysis solution pump (23) is started, the second bag of peritoneal dialysis solution passes through the peritoneal dialysis solution bag (20), flows through the peritoneal dialysis mate four-way pipe joint (21), passes through the peritoneal dialysis solution pump (25), reaches the peritoneal dialysis solution sterilizer (13), passes through the peritoneal dialysis solution sterilizer (13), flows out from the peritoneal dialysis solution outlet joint (6), enters the first end of the three-way pipe (6-2), flows to the peritoneal dialysis short pipe (9) through the electric conduit clamp (5-2), and then flows into the peritoneal cavity of the peritoneal dialysis patient, when the information sensed by the electronic measuring weighing instrument (19) is transmitted to the computer and the operation screen (2), the computer and the operation screen (2) judge that the peritoneal dialysis solution with the preset amount of 2000ml is filled into the peritoneal cavity, the computer and the operation screen (2) instruct the peritoneal dialysis solution pump (25) to close and stop rotating until the peritoneal dialysis solution stays in the peritoneal cavity for the preset dialysis time, the next cycle is carried out, when the fourth bag of the peritoneal dialysis solution is filled into the abdominal cavity, the computer and the operation screen (2) instruct to prompt the end of the treatment, and the fourth bag of the peritoneal dialysis solution is kept in the abdominal cavity; the above features are described in the specification with reference to fig. 9, 12, 16 and 17.

Continuous peritoneal dialysis: when patients suffering from drug poisoning, severe pancreatitis and the like need 24 hours or more than 24 hours for continuous rescue treatment, the continuous peritoneal dialysis procedure can be adopted for peritoneal dialysis, and the procedure is as follows: firstly, a multi-bag peritoneal dialysis procedure is used, when four bags of peritoneal dialysis solutions of the multi-bag peritoneal dialysis procedure are used up, immediately under the aseptic operation, the four bags of peritoneal dialysis solutions (20) are hung on a hook of an electronic measuring weighing instrument sensor (19) again, a peritoneal dialysis solution bag pipe (21) is connected with a peritoneal dialysis mate four-way pipe joint (22) to continue peritoneal dialysis, if eight bags of peritoneal dialysis solutions still cannot meet the treatment requirement, four bags are added according to the state of an illness, and the treatment is continuously maintained until the rescue treatment purpose is achieved; the above features are described in fig. 9, 12, 16, 17.

The present invention may also be embodied as: during the execution process of each treatment program of single-bag peritoneal dialysis, multi-bag peritoneal dialysis and continuous peritoneal dialysis, according to the specific needs of a peritoneal dialysis person, a male loudspeaker (3) and a female loudspeaker (4) are designed to synthesize voice, so as to prompt each important peritoneal dialysis operation step and notice with voice, and help medical staff and the peritoneal dialysis person to carry out standardized peritoneal dialysis liquid changing operation according to medical requirements, wherein the characteristics are described in the attached figure 17 of the specification.

Description of the figures

FIG. 1 is a front view of a prototype of the invention without power on.

Fig. 2 shows the relationship between the three-way pipe (6-2) of the peritoneal dialysis partner and the outlet (6) of the peritoneal dialysis solution, the peritoneal dialysis short pipe (9) and the waste liquid barrel (8).

Figure 3 is a right side view of the peritoneal dialysis partner.

Figure 4 is a left side view of a peritoneal dialysis partner.

Figure 5 shows the right side of the peritoneal dialysis partner where the peritoneal dialysis solution sterilizer is installed.

Fig. 6 is an internal structure of a peritoneal dialysis partner peritoneal dialysis solution sterilizer.

Figure 7 is a dorsal view of a peritoneal dialysis companion prototype.

Fig. 8 is the back side open state of the peritoneal dialysis companion model machine, and shows the internal structure of the drying electrothermal heating constant temperature box.

Fig. 9 shows the state of the inside of the back of the peritoneal dialysis partner, and the connection relationship between the peritoneal dialysis solution bag (20) and the peritoneal dialysis solution bag tube (21) and the peritoneal dialysis partner four-way pipe joint (22).

Fig. 10 is an electrothermal heating plate on the left side surface inside the peritoneal dialysis companion drying electrothermal heating constant temperature box.

Fig. 11 is an electrothermal heating plate on the right side surface inside the peritoneal dialysis companion drying electrothermal heating constant temperature box.

Fig. 12 is a perspective view of a peritoneal dialysis companion computer and operating screen, touch screen display and operating system.

Figure 13 is a front view of a peritoneal dialysis partner prototype.

Fig. 14 is a front view of the abdomen penetrating partner model.

Fig. 15 shows the relationship between the peritoneal dialysis partner peritoneal dialysis solution pump (25), peritoneal dialysis solution sterilizer (13), electronic measurement scale sensor (19), peritoneal dialysis solution bag (20), and peritoneal dialysis solution bag tube (21) connected to peritoneal dialysis partner four-way tube connector (22).

Fig. 16 is a schematic diagram of the complete machine of the peritoneal dialysis partner.

Fig. 17 is an overall view of a trans-abdominal companion cable connection system and master control system.

Sixth, detailed description of the invention

As shown in fig. 1-17, the main original parts for preparing the peritoneal dialysis partner include: 1. the whole machine frame, 2, the top cover of the peritoneal dialysis companion machine, 3, the computer display screen, 4, the peritoneal dialysis liquid pump, 5, the peritoneal dialysis liquid sterilizer, 6, four electric conduit clamps, 7, six peritoneal dialysis liquid drainage special joints, 8, 2 electronic weight sensors, 9, 4 heating constant temperature plates, 10, 2 weight sensor sliding plates, 11, 2 weight sensor hooks, 12, 1 four-way conduit, 13, a three-way pipe and a matched conduit, 14, 1 peritoneal dialysis liquid outlet special joint, 15, 1 peritoneal dialysis liquid outlet special joint protective cover, 16, 1 waste liquid barrel, 17, 1 peritoneal dialysis companion base, 18, 4 universal wheels, 19, 1 electronic temperature sensor display instrument, 20, wires, cables, bolts, nuts, clamps, fixers, electronic components, padding and insulating anti-leakage materials and the like required by the connection of a computer and each part, after preparing the original accessories, the peritoneal dialysis complete machine is assembled, and the complete debugging is completed, so that the peritoneal dialysis complete machine can be used for clinical trial. The operation was performed in single-bag, multi-bag and continuous modes.

Seventh, the invention has the positive effects

Compared with the background technology, the invention has the positive effects that: 1. sterilizing the peritoneal dialysis solution entering the abdominal cavity every time to ensure that the peritoneal dialysis partner has the function of preventing abdominal cavity infection; 2. the peritoneal dialysis solution changing operation is visual, simple and convenient and is easier to master; 3. compared with the product design in the background technology, the product cost performance is improved; 4. accumulating the weight of the peritoneal dialysis solution changed every bag and the weight of the discharged waste liquid in real time, calculating the ultrafiltration volume and displaying the ultrafiltration volume on a computer screen to prompt a patient; 5. the peritoneal dialysis pump is used for controlling the liquid flow of the peritoneal dialysis solution filled into the peritoneal cavity, so that the flow speed can be accurately controlled, and the abdominal pain caused by over-speed can be prevented; 6. the joint of the connecting pipe is operated under the ultraviolet light-focusing lampshade when the peritoneal dialysis solution is replaced, so that the pollution during operation can be prevented; 7. the peritoneal dialysis solution contains glucose, and the data introduces that the glucose has the biological effect of absorbing ultraviolet rays and is beneficial to the health of human bodies; 8. the transfusion bracket is not used in medical institutions or at home; 9. adjusting the temperature of the peritoneal dialysis solution in real time according to the temperature change of the four seasons to make the peritoneal dialysis patients feel appropriate; 10. can be pushed to a required place according to the requirement; 11. the operation of the peritoneal dialysis patient is prompted and guided by the images and the sounds of the male and the female respectively, the matters in the process of changing the liquid are noticed, and the functions of the peritoneal dialysis partner and the peritoneal dialysis director are fulfilled.

Claims

1. A medical peritoneal dialysis companion for preventing abdominal cavity infection, which is characterized in that: the top cover and the gripper (1) are connected with a computer and an operation screen (2), a male loudspeaker (3) and a female loudspeaker (4) are designed on the computer and the operation screen (2), the lower part of the computer and the operation screen (2) is connected with a front panel (5), an abdominal liquid outlet joint (6) is arranged on the front panel (5), an abdominal liquid outlet joint protective cover (6-1) is arranged outside the abdominal liquid outlet joint (6), the protective cover (6-1) is connected with the front panel (5), an observation window (7) is arranged on the front panel (5), the observation window (7) is opened on the front panel (5), a first electric conduit clamp (5-1), a second electric conduit clamp (5-2), a third electric conduit clamp (5-3) and a fourth electric conduit clamp (5-4) are further arranged on the front panel (5), the electric catheter clamp I (5-1), the electric catheter clamp II (5-2), the electric catheter clamp III (5-3) and the electric catheter clamp IV (5-4) are all connected with the front panel (5), the peritoneal dialysis solution outlet connector (6) is respectively connected with the waste liquid barrel (8) and the peritoneal dialysis short tube (9) on the body of the patient through a three-way catheter (6-2), and the waste liquid barrel (8) is connected with the peritoneal dialysis short tube (9) on the body of the patient through the three-way catheter (6-2); four universal wheels (10-1; 10-2; 10-3; 10-4) are arranged below a base (10) of the peritoneal dialysis partner, the four universal wheels (10-1; 10-2; 10-3; 10-4) are connected with the base (10), wherein the two front universal wheels (10-2; 10-4) are provided with a switch lock, the upper parts of the universal wheels (10-1; 10-2; 10-3; 10-4) are connected with the peritoneal dialysis partner base (10), an electronic weight measuring sensor (11) is arranged at the front center of the peritoneal dialysis partner base (10), push and lift handles (12-1; 12-2) are respectively arranged at the middle parts of the right side surface and the left side surface of the peritoneal dialysis partner, a peritoneal dialysis sterilizer (13) is arranged below the push and lift handle (12-1) on the left side surface of the peritoneal dialysis partner, a lamp tube (13-1) capable of emitting ultraviolet rays with the wavelength of 254nm is installed in the peritoneal dialysis solution sterilizer (13), a quartz glass spiral tube (13-4) with sufficient transmittance to the ultraviolet rays is wound and assembled around the lamp tube (13-1), and a peritoneal dialysis solution inlet joint tube (13-2) and a peritoneal dialysis solution outlet joint tube (13-3) are respectively connected at two ends of the quartz glass spiral tube (13-4); a heat dissipation hole and a heat dissipation groove (15) are formed in a back plate (14) above the back of the peritoneal dialysis partner, two middle doors (16) are arranged below the back plate (14) above the back, a lower door fence (17) is arranged below the two middle doors (16), a dry electric heating plate heating scale incubator (18) is arranged inside the two middle doors (16) and the lower door fence (17), a hook of an electronic measurement scale sensor (19) is connected in the dry electric heating plate heating scale incubator (18), the electronic measurement scale sensor (19) is used for monitoring the weight of a peritoneal dialysis solution bag (20) hung on the hook, and the peritoneal dialysis solution bag pipe (21) is connected with a peritoneal dialysis partner four-way pipe joint (22); a first heating constant temperature plate (23) and a second heating constant temperature plate (24) are respectively arranged on the left side and the right side of the inner wall of the drying electric heating plate heating constant temperature box (18); the computer and operation screen (2) displays the states of the peritoneal dialysis solution pump (25), the adjusting switch (26), the temperature sensor (33) and the peritoneal dialysis solution sterilizer (13), and also has a waste liquid capacity dynamic display frame (27), a functional state display lamp (28), a functional state display frame (29), a hydraulic monitoring display table (30) and a fresh peritoneal dialysis solution dynamic display frame (31); the peritoneal dialysis solution pump (25), the drying electric hot plate heating scale incubator (18), the electric conduit clamp I (5-1), the electric conduit clamp II (5-2), the electric conduit clamp III (5-3), the electric conduit clamp IV (5-4), the peritoneal dialysis solution sterilizer (13), the heating scale temperature plate I (23), the heating scale temperature plate II (24), the electronic measurement weight sensor (11), the electronic measurement scale sensor (19) and the temperature sensor (33) are uniformly connected with the computer and the operation screen (2) by cables; the operating procedures of the peritoneal dialysis partner are as follows: single-bag peritoneal dialysis: manually switching on a power supply, taking 2000ml of one bag of peritoneal dialysis solution 4 bags, tearing off an outer package, respectively hanging the four bags of peritoneal dialysis solution on hooks of an upper electronic measuring weighing instrument sensor (19) and a lower electronic measuring weighing instrument sensor (19), connecting joints of peritoneal dialysis solution bag pipes (21) of four peritoneal dialysis solution bags (20) with a peritoneal dialysis partner four-way pipe joint (22), heating the 4 bags of peritoneal dialysis solution in a dry electric heating plate heating and weighing instrument temperature box (18), adjusting the temperature in the dry electric heating plate heating and weighing instrument temperature box (18) according to different environmental temperatures and the temperatures displayed by peritoneal dialysis solution temperature sensors (33), breaking one bag in the four bags of peritoneal dialysis solution when the temperature of the four bags of peritoneal dialysis solution reaches 36.5-37.5 ℃ acceptable for a human body, connecting a first end of a three-way guide pipe (6-2) on an peritoneal dialysis solution outlet joint (6), connecting the second end of the three-way conduit (6-2) with a peritoneal dialysis short tube (9) on the body of a patient, connecting the third end of the three-way conduit (6-2) with a waste liquid barrel (8), respectively placing the conduits of the three-way conduit (6-2) in an electric conduit clamp I (5-1), an electric conduit clamp II (5-2), an electric conduit clamp III (5-3) and an electric conduit clamp IV (5-4), and setting the flow rate of a peritoneal dialysis liquid pump (25) to be 150 ml/min; opening a peritoneal dialysis short tube (9) on a patient body to enable waste liquid in the abdominal cavity of the patient to flow out of the peritoneal dialysis short tube (9), enter a second end of a three-way guide tube (6-2), flow through an electric guide tube clamp II (5-2), flow through an electric guide tube clamp III (5-3) and an electric guide tube clamp IV (5-4), flow into a waste liquid barrel (8), when the entering speed of the waste liquid received in the waste liquid barrel (8) is gradually slowed to be less than 10ml per minute, an electronic measurement weight sensor (11) transmits detected information to a computer and an operation screen (2), the computer and the operation screen (2) judge that the waste liquid in the abdominal cavity is empty, instruct to close the electric guide tube clamp III (5-3) and the electric guide tube clamp IV (5-4), open the electric guide tube clamp I (5-1) and the electric guide tube clamp II (5-2), and start a peritoneal dialysis liquid pump (25), breaking off a green inner blocking rod between an peritoneal dialysis solution bag pipe (21) and a peritoneal dialysis solution bag (20), enabling the peritoneal dialysis solution in the peritoneal dialysis solution bag (20) to flow out, reaching a peritoneal dialysis solution sterilizer (13) through a peritoneal dialysis solution pump (25), flowing out from a peritoneal dialysis solution outlet connector (6), flowing into the abdominal cavity of a patient through an electric catheter clamp I (5-1) and an electric catheter clamp II (5-2), and when 2000ml of peritoneal dialysis solution flows into the abdominal cavity of the patient, transmitting information to a computer and an operation screen (2) through an electronic measurement weighing instrument sensor (19), instructing the peritoneal dialysis solution pump (25) to stop rotating by the computer and the operation screen (2), manually separating the peritoneal dialysis solution short pipe (9) from the second end of the three-way pipe (6-2) by the peritoneal dialysis person, covering the connector of the peritoneal dialysis solution short pipe (9) by an iodophor cap in a screwing way, and then using a special sterile cover of the second end of the three-way pipe (6-2), the joint end of the three-way catheter (6-2) is screwed and covered, and the single-bag liquid changing operation is finished once, so that the person with the peritoneal dialysis can move freely; after the peritoneal dialysis solution is reserved in the peritoneal cavity of the peritoneal dialysis patient for 3-6 hours, the peritoneal dialysis patient performs the second liquid changing operation, the operation process is repeated from the breaking of the green blocking rod in the second bag of peritoneal dialysis solution bag pipe until the green blocking rod in the fourth bag of peritoneal dialysis solution bag pipe is broken, the fourth bag of peritoneal dialysis solution is filled into the peritoneal cavity of the peritoneal dialysis patient for reservation, and the treatment of one day is finished; multiple bags of peritoneal dialysis: manually switching on a power supply, taking 2000ml of a peritoneal dialysis solution bag 4, tearing off an outer package, respectively hanging four bags of peritoneal dialysis solutions on hooks of an upper electronic measuring weighing instrument sensor (19) and a lower electronic measuring weighing instrument sensor (19), respectively connecting peritoneal dialysis solution bag pipes (21) of four peritoneal dialysis solution bags (20) with a peritoneal dialysis partner four-way pipe joint (22), heating the 4 bags of peritoneal dialysis solutions in a dry electric heating plate heating and weighing instrument temperature box (18), adjusting the temperature in the dry electric heating plate heating and weighing instrument temperature box (18) according to different environmental temperatures and the temperatures displayed by peritoneal dialysis solution temperature sensors (33), breaking a green inner blocking rod between the four bags of peritoneal dialysis solution bags (21) and the peritoneal dialysis solution bags (20) when the temperature of the four bags of peritoneal dialysis solutions reaches 36.5-37.5 ℃ acceptable for a human body, connecting a first end of a three-way conduit (6-2) on a peritoneal dialysis solution outlet joint (6), the second end of the three-way conduit (6-2) is connected with the peritoneal dialysis stub pipe (9) on the body of the patient, the third end of the three-way conduit (6-2) is connected with the waste liquid barrel (8), the conduit part of the three-way conduit (6-2) is respectively arranged in the electric conduit clamp I (5-1), the electric conduit clamp II (5-2), the electric conduit clamp III (5-3) and the electric conduit clamp IV (5-4), the flow rate of the peritoneal dialysis liquid pump (25) is set to be 150 ml/min, the peritoneal dialysis patient adopts a horizontal position or a sitting position, the peritoneal dialysis stub pipe (9) on the body of the peritoneal dialysis patient is opened, the waste liquid in the abdominal cavity of the patient flows out from the peritoneal dialysis stub pipe (9), enters the second end of the three-way conduit (6-2), flows through the electric conduit clamp II (5-2) and then flows through the electric conduit clamp III (5-3) and the electric conduit clamp IV (5-4), when the waste liquid received in the waste liquid barrel gradually slows down to less than 10ml per minute, an electronic measurement weight sensor (11) transmits detected information to a computer and an operation screen (2), the computer and the operation screen (2) judge that the waste liquid in the abdominal cavity is empty, an instruction is given to close an electric conduit clamp III (5-3) and an electric conduit clamp IV (5-4), an electric conduit clamp I (5-1) and an electric conduit clamp II (5-2) are opened, an abdominal liquid pump (25) is started, after a green inner blocking rod between the abdominal liquid bag (20) and a liquid permeable abdominal bag pipe (21) is broken, the abdominal liquid in the abdominal liquid bag (20) flows out, reaches an abdominal liquid sterilizer (13) through the abdominal liquid pump (25), flows out from an abdominal liquid outlet joint (6), and flows out through the electric conduit clamp I (5-1) and the electric conduit clamp II (5-2), then the liquid flows into the abdominal cavity of the patient through the peritoneal dialysis nozzle stub (9), when 2000ml of the peritoneal dialysis liquid flows into the abdominal cavity of the patient, the electronic measuring weighing instrument sensor (19) transmits information to the computer and the operation screen (2), the computer and the operation screen (2) instruct the peritoneal dialysis liquid pump (25) to stop rotating, the peritoneal dialysis liquid filled into the abdominal cavity of the peritoneal dialysis patient enters the retention time, the peritoneal dialysis patient can sleep and rest, and the retention time of the peritoneal dialysis liquid retained in the abdominal cavity of the peritoneal dialysis patient is 2.5-3.0 hours; when the time that the first bag of peritoneal dialysis solution is remained in the abdominal cavity is up, the computer and the operation screen (2) instruct the electric conduit clamp four (5-4) and the electric conduit clamp three (5-3) to be opened, the waste liquid in the abdominal cavity of the peritoneal dialysis patient flows out through the peritoneal dialysis short tube (9), flows into the three-way conduit (6-2) through the electric conduit clamp three (5-3), flows into the waste liquid barrel (8) through the third end conduit of the three-way conduit (6-2), when the electronic measurement weight sensor (11) below the waste liquid barrel (8) senses that the inflow speed of the waste liquid received by the waste liquid barrel (8) is gradually slowed to be less than 10ml per minute, the electronic measurement weight sensor (11) transmits the detected information to the computer and the operation screen (2), and the computer and the operation screen (2) instruct the electric conduit clamp four (5-4) and the electric conduit clamp three (5-3) to be closed, the first electric catheter clamp (5-1) and the second electric catheter clamp (5-2) are instructed to open, the peritoneal dialysis fluid pump (25) is started, the second bag of peritoneal dialysis fluid passes through the peritoneal dialysis fluid bag (20), flows through the peritoneal dialysis mate four-way pipe joint (22), passes through the peritoneal dialysis fluid pump (25), reaches the peritoneal dialysis fluid sterilizer (13), flows out of the peritoneal dialysis fluid outlet joint (6) after passing through the peritoneal dialysis fluid sterilizer (13), enters the first end of the three-way catheter (6-2), flows to the peritoneal dialysis short pipe (9) through the electric catheter clamp two (5-2), then flows into the abdominal cavity of a peritoneal dialysis patient, when information sensed by the electronic measuring scale sensor (19) is transmitted to the computer and the operation screen (2), the computer and the operation screen (2) judge that a preset amount of 2000ml of peritoneal dialysis fluid is filled into the abdominal cavity, and the computer and the operation screen (2) instruct the peritoneal dialysis fluid pump (25) to close and stop rotating, when the peritoneal dialysis solution stays in the abdominal cavity for a preset retention time, the next circulation is carried out again, and when the fourth bag of peritoneal dialysis solution is filled into the abdominal cavity, the computer and the operation screen (2) instruct to prompt that the treatment is finished, and the fourth bag of peritoneal dialysis solution is retained in the abdominal cavity; continuous peritoneal dialysis: when a patient suffering from drug poisoning or severe pancreatitis needs to be continuously rescued for 24 hours or more than 24 hours, the continuous peritoneal dialysis procedure can be adopted for peritoneal dialysis, and the procedure is as follows: firstly, a multi-bag peritoneal dialysis procedure is used, when four bags of peritoneal dialysis liquid of the multi-bag peritoneal dialysis procedure are used up, immediately under the aseptic operation, the four bags of peritoneal dialysis liquid bags (20) are hung on the hook of the electronic measuring weighing instrument sensor (19) again, the peritoneal dialysis is continuously carried out by connecting the peritoneal dialysis liquid bag pipe (21) with the peritoneal dialysis mate four-way pipe joint (22), if eight bags of peritoneal dialysis liquid still can not meet the treatment requirement, the four bags are added according to the state of an illness, and the treatment is continuously maintained until the purpose of rescue treatment is achieved.

2. The peritoneal dialysis partner of claim 1, further characterized by: during the execution process of each treatment program of single-bag peritoneal dialysis, multi-bag peritoneal dialysis and continuous peritoneal dialysis, according to the specific requirements of a peritoneal dialysis person, a male loudspeaker (3) and a female loudspeaker (4) are designed to synthesize voice, so that each important peritoneal dialysis operation step and caution items are prompted by sound, and medical care personnel and the peritoneal dialysis person are helped to carry out standardized peritoneal dialysis liquid changing operation according to medical requirements.