CN106823026A - A kind of totally enclosed type post total pneumonectomy drainage system - Google Patents
A kind of totally enclosed type post total pneumonectomy drainage system Download PDFInfo
- Publication number
- CN106823026A CN106823026A CN201710165033.5A CN201710165033A CN106823026A CN 106823026 A CN106823026 A CN 106823026A CN 201710165033 A CN201710165033 A CN 201710165033A CN 106823026 A CN106823026 A CN 106823026A
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- Prior art keywords
- drainage
- air pressure
- double
- pressure adjustment
- adjustment passage
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- A61M1/0023—
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- A61M1/0001—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/101—Pleural cavity
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pulmonology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a kind of totally enclosed type post total pneumonectomy drainage system, including the Double-channel drainage tube with double drainage channels, the first end of Double-channel drainage tube is placed in the thoracic cavity of post total pneumonectomy, draining hole of second end of double drainage channels of Double-channel drainage tube respectively with a drainage bottle is connected, connected by an air pressure adjustment passage between a pair of drainage bottles, mobile valve element is provided with air pressure adjustment passage, the drive device for driving mobile valve element to be moved in air pressure adjustment passage is provided with outside air pressure adjustment passage;Mobile valve element is the internal sealing piston for being embedded with magnet, and drive device includes being separately positioned on a pair of electromagnet at air pressure adjustment passage two ends, and when the electromagnet of wherein one end is powered, mobile valve element is moved to the extreme direction.Instant invention overcomes after conventional drainage clamp cannot in the thoracic cavity of drainage in time oozing of blood sepage shortcoming, intrathoracic constant volume is constant in whole process, and pressure will not also become, it is ensured that mediastinum position does not offset.
Description
Technical field
The present invention relates to medical instruments field, more particularly to a kind of totally enclosed type post total pneumonectomy drainage system.
Background technology
Post operation (the non-full pneumonectomy such as lung wedge shape, lung section, the lobe of the lung, vertical diaphragm swollen thing, esophagus in conventional unilateral or bilateral thoracic cavity
Operation), in order that the exudate such as blood, gas is discharged from pleural cavity in thoracic cavity, recover the seal of pleural cavity and rebuild pleural cavity
Normal negative pressure make lung recruitment, closed drainage of pleural cavity is postoperative common processing method.Additionally, the method be also convenient for it is postoperative in time
It was observed that in thoracic cavity drainage-fluid speed with amount, determine whether postoperative active hemorrhage, be easy to medical personnel to make related place in time
Put and ensure that drainage is unobstructed, be easy to grasp intrathoracic drain extubation time.Postoperative closed drainage of pleural cavity person, usual drainage flow<
80ml/h, it is courage and uprightness to start, and color gradually becomes shallower as later, is light red, is difficult to coagulate.If there is situations below, examine as postoperative
Active hemorrhage in thoracic cavity:1. drainage flow is more than 200ml/h, continues 3~5h, and chest fluid color is by the light turn of deep or person that has blood clot;
2. 2h inner drainage tubes hemorrhage is more than 500ml, and with sludged blood person;3. 50~100ml/h of drainage flow, continues 12~24h, and total amount is big
In 2000ml.Such as being diagnosed as active hemorrhage secondary in time should cut open chest hemostasis redemption patient vitals.But the morning of post total pneumonectomy
Phase, Ipsilateral closed thoracic drainage tube needs folder to close, it is therefore an objective to make the pressure of left and right sides pleural cavity of substantially equal, in case mediastinum is put
It is dynamic.Now Ipsilateral thoracic cavity is air-tight state, although avoid the normal ventilation that vertical diaphragm swings and ensures strong side lung, but in special feelings
(such as there is arterial hemorrhage in postoperative patient pleurobranch chamber) under condition, the drainage tube that the blood that early postoperation spills cannot be closed by folder in time
Drainage enters drainage bottle, if Massive Bleeding in thoracic cavity, doctor Chang Wufa judges intrathoracic situation and affects disposal adversely in time, jeopardizes patient
Life.
The content of the invention
A kind of above-mentioned not enough and defect it is an object of the invention to be directed to prior art, there is provided full pneumonectomy of totally enclosed type
Surgery drainage device, both ensure that the air-tight state in thoracic cavity after full pneumonectomy avoided vertical diaphragm from swinging, and chest can be in time drained again
Oozing of blood sepage in chamber is easy to observe thoracic cavity internal haemorrhage situation.
Technical problem solved by the invention can be realized using following technical scheme:
A kind of totally enclosed type post total pneumonectomy drainage system, it is characterised in that including the two-chamber with double drainage channels
Drainage tube, the first end of the Double-channel drainage tube is placed in the thoracic cavity of post total pneumonectomy, and the double of the Double-channel drainage tube draw
Draining hole of second end of circulation road respectively with a drainage bottle is connected, and an air pressure adjustment passage is passed through between drainage bottle described in a pair
Connection, is provided with mobile valve element in the air pressure adjustment passage, and the driving movement is provided with outside the air pressure adjustment passage
The drive device that valve element is moved in the air pressure adjustment passage;The mobile valve element is that the internal sealing for being embedded with magnet is lived
Plug, the drive device includes being separately positioned on a pair of electromagnet at the air pressure adjustment passage two ends, when the electricity of wherein one end
When magnet is powered, the mobile valve element is moved to the extreme direction.
In a preferred embodiment of the invention, the first end of the Double-channel drainage tube helically coil-like structure,
The first end sidepiece of the Double-channel drainage tube is arranged at intervals with some conduction holes.
In a preferred embodiment of the invention, the middle part side of the Double-channel drainage tube is additionally provided with the 3rd interface.
In a preferred embodiment of the invention, air pressure induction installation is at least provided with drainage bottle described in, it is described
Air pressure induction installation is connected with warning device.
As a result of technical scheme as above, instant invention overcomes cannot the chest of drainage in time after conventional closed drainage clamp
The shortcoming of oozing of blood sepage in chamber, and ensure that whole loop is all air-tight state;Can make to move valve element by electromagnetic attraction and exist
Back and forth movement in passage, and then change the draught head between a pair of drainage bottles so that hematocele is between a pair of drainage bottles in thoracic cavity
Collect or flow out, electromagnet and mobile valve element are by magnetic field control, without contact, it is ensured that air pressure adjustment passage in whole process
The sealing of inner chamber so that intrathoracic constant volume is constant, pressure will not also become, it is ensured that mediastinum position does not offset.It is logical in addition
Cross and be provided with air pressure induction installation, the pressure in whole loop can be shown, if postoperative Bronchial Stump after Pneumonectomy gas leakage occurs tension gas
Chest, pressure all can persistently increase and not decline in whole loop, can now open alarm doctor and dispose in time, for example, pass through
The external common closed thoracic drainage bottle of 3rd interface;.Furthermore, if postoperative mediastinum position is not good, can by the 3rd interface be evacuated or
Injection filtrated air, changes Ipsilateral Thorax volume, mediastinum is located at ideal position, is easy to strong side pulmonary ventilation.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are only this
Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with
Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the use state schematic diagram of an embodiment of the present invention.
Specific embodiment
In order that technological means, creation characteristic, reached purpose and effect that the present invention is realized are easy to understand, enter below
One step illustrates the present invention.
A kind of totally enclosed type post total pneumonectomy drainage system shown in Figure 1, including with double drainage channel 110a,
The Double-channel drainage tube 100 of 110b and a pair of drainage bottles 200a, 200b.The first end of Double-channel drainage tube 100 is placed on full pneumonectomy
In postoperative thoracic cavity 1, it is used to attract the blood in thoracic cavity 1.In order that obtaining Double-channel drainage tube 100 can more comprehensively attract blood
Liquid, the first end of the Double-channel drainage tube 100 in the present embodiment helically coil-like structure 100 ', the of Double-channel drainage tube 100
One end sidepiece is arranged at intervals with some conduction hole (not shown)s, and such structure just considerably increases Double-channel drainage tube 100
With the contact area of blood so as to lift drainage efficiency.
Second end of double drainage channel 110a, 110b of Double-channel drainage tube 100 respectively with a pair of drainage bottles 200a, 200b
Draining hole 210a, 210b are connected.Blow vent 220a, 220b, blow vent are respectively arranged with the top of a pair of drainage bottles 200a, 200b
Connected by an air pressure adjustment passage 300 between 220a, 220b.Mobile valve element 310 is provided with air pressure adjustment passage 300,
The drive device for driving mobile valve element 310 to be moved in air pressure adjustment passage 300 is provided with outside air pressure adjustment passage 300.Drive
Device includes being separately positioned on a pair of electromagnet 410a, the 410b at the two ends of air pressure adjustment passage 300, and mobile valve element 310 is interior
Portion is embedded with the sealing piston 312 of magnet 311.The two ends of magnet 311 are respectively N poles and S poles, and near the N poles of magnet 311
It is S poles that the electromagnet 410a of side is inner, and it is N poles that the electromagnet 410b near the side of the S poles of magnet 311 is inner, when wherein
When the electromagnet of one end is powered, mobile valve element 310 is moved to the extreme direction;When electromagnet 410a, 410b alternate energisation at two ends
When, mobile valve element 310 does back and forth movement.
Operation principle of the invention is as follows:
Instant invention overcomes cannot oozing of blood sepage in the thoracic cavity of drainage in time after post total pneumonectomy routine closed drainage clamp
Shortcoming, and ensure that whole loop is all air-tight state, equivalent to drainage tube clamp state.To electromagnet 410a or electromagnet
410b is powered, and mobile valve element 310 can horizontally slip, if mobile valve element 310 is to electromagnet 410a slips, drainage bottle 200a and drainage
Passage 110a pressure increases, and drainage bottle 200b and drainage channel 110b pressure reduce, if the first end leaching of Double-channel drainage tube 100
In in blood, blood can be drained from drainage channel 110b and come together in drainage bottle 200b;If mobile valve element 310 is to electromagnet
410b is slided, and drainage bottle 200b and drainage channel 110b pressure increase, and drainage bottle 200a and drainage channel 110a pressure reduce, double
If the first end of chamber drainage tube 100 is dipped in blood, blood can be drained from drainage channel 110a and come together in drainage bottle
200a.Electromagnet and mobile valve element 310 are by magnetic field control, without contact, it is ensured that in air pressure adjustment passage in whole process
The sealing in chamber so that intrathoracic constant volume is constant, pressure will not also become, it is ensured that mediastinum position does not offset.
In addition, air pressure induction installation (not shown) is provided with the present embodiment at least drainage bottle, air pressure sensing dress
Put and be connected with warning device, by being provided with air pressure induction installation, the pressure in whole loop can be shown, if postoperative bronchus is residual
There is pressure pneumothorax in end gas leakage, pressure all can persistently increase and not decline in whole loop, can now open alarm doctor
Raw disposal in time.Furthermore, the middle part side of Double-channel drainage tube 100 is additionally provided with the 3rd interface 500, if there is pressure pneumothorax,
Can external common closed thoracic drainage bottle by the 3rd interface 500;If postoperative mediastinum position is not good, can be by the 3rd interface 500
Pumping or injection filtrated air, change Ipsilateral Thorax volume, mediastinum is located at ideal position, are easy to strong side pulmonary ventilation.
General principle of the invention and principal character and advantages of the present invention has been shown and described above.The technology of the industry
Personnel it should be appreciated that the present invention is not limited to the above embodiments, simply explanation described in above-described embodiment and specification this
The principle of invention, without departing from the spirit and scope of the present invention, various changes and modifications of the present invention are possible, these changes
Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appending claims and its
Equivalent thereof.
Claims (4)
1. a kind of totally enclosed type post total pneumonectomy drainage system, it is characterised in that draw including the two-chamber with double drainage channels
Flow tube, the first end of the Double-channel drainage tube is placed in the thoracic cavity of post total pneumonectomy, double drainages of the Double-channel drainage tube
Draining hole of second end of passage respectively with a drainage bottle is connected, and is connected by an air pressure adjustment passage between drainage bottle described in a pair
Connect, mobile valve element is provided with the air pressure adjustment passage, the driving mobile valve is provided with outside the air pressure adjustment passage
The drive device that core is moved in the air pressure adjustment passage;The mobile valve element is the internal sealing piston for being embedded with magnet,
The drive device includes being separately positioned on a pair of electromagnet at the air pressure adjustment passage two ends, when the electromagnet of wherein one end
During energization, the mobile valve element is moved to the extreme direction.
2. a kind of totally enclosed type post total pneumonectomy drainage system as claimed in claim 1, it is characterised in that the two-chamber draws
The first end of flow tube helically coil-like structure, some drainages are arranged at intervals with the first end sidepiece of the Double-channel drainage tube
Hole.
3. a kind of totally enclosed type post total pneumonectomy drainage system as claimed in claim 1, it is characterised in that the two-chamber draws
The middle part side of flow tube is additionally provided with the 3rd interface.
4. a kind of totally enclosed type post total pneumonectomy drainage system as claimed in claim 1, it is characterised in that at least described in
Air pressure induction installation is provided with drainage bottle, the air pressure induction installation is connected with warning device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710165033.5A CN106823026B (en) | 2017-03-20 | 2017-03-20 | A kind of totally enclosed type post total pneumonectomy drainage device |
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CN201710165033.5A CN106823026B (en) | 2017-03-20 | 2017-03-20 | A kind of totally enclosed type post total pneumonectomy drainage device |
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Publication Number | Publication Date |
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CN106823026A true CN106823026A (en) | 2017-06-13 |
CN106823026B CN106823026B (en) | 2019-03-19 |
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CN201710165033.5A Expired - Fee Related CN106823026B (en) | 2017-03-20 | 2017-03-20 | A kind of totally enclosed type post total pneumonectomy drainage device |
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Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4411786A (en) * | 1979-09-07 | 1983-10-25 | Russell Richard T | Method and apparatus for separating blood from other fluids during operative procedures |
CN2484063Y (en) * | 2001-04-28 | 2002-04-03 | 张泉 | Double-chamber closed drainage device for thoracic cavity |
CN201806768U (en) * | 2010-10-18 | 2011-04-27 | 于华 | Single-needle two-cavity chest puncture needle |
CN203989150U (en) * | 2014-05-19 | 2014-12-10 | 中国人民解放军第四军医大学 | Multi-chamber drainage system |
CN204446729U (en) * | 2015-02-17 | 2015-07-08 | 陈立材 | A kind of medical thoracic duction instrument |
-
2017
- 2017-03-20 CN CN201710165033.5A patent/CN106823026B/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4411786A (en) * | 1979-09-07 | 1983-10-25 | Russell Richard T | Method and apparatus for separating blood from other fluids during operative procedures |
CN2484063Y (en) * | 2001-04-28 | 2002-04-03 | 张泉 | Double-chamber closed drainage device for thoracic cavity |
CN201806768U (en) * | 2010-10-18 | 2011-04-27 | 于华 | Single-needle two-cavity chest puncture needle |
CN203989150U (en) * | 2014-05-19 | 2014-12-10 | 中国人民解放军第四军医大学 | Multi-chamber drainage system |
CN204446729U (en) * | 2015-02-17 | 2015-07-08 | 陈立材 | A kind of medical thoracic duction instrument |
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CN106823026B (en) | 2019-03-19 |
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Granted publication date: 20190319 Termination date: 20210320 |