CN1072080A - Automatic monitoring display meter with double-balloon and tri-lumen tube - Google Patents
Automatic monitoring display meter with double-balloon and tri-lumen tube Download PDFInfo
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- CN1072080A CN1072080A CN 91110768 CN91110768A CN1072080A CN 1072080 A CN1072080 A CN 1072080A CN 91110768 CN91110768 CN 91110768 CN 91110768 A CN91110768 A CN 91110768A CN 1072080 A CN1072080 A CN 1072080A
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- gastric pouch
- electromagnetic valve
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- oesophageal pouches
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Abstract
A kind of automatic monitoring display meter with double-balloon and tri-lumen tube is applicable to esophagus or gastric fundus vein burst hemorrhage patient's rescue.It is made up of sengstaken-blakemore tube, computer, pick off, controller, air pump, display, alarm etc.Have automatic monitoring display, inflate automatically, multiple function such as warning automatically, overcome the dependence experience that exists in the present clinical use monitoring process and manual pressure measurement's shortcoming.
Description
The present invention relates to medical apparatus and instruments, be applicable to esophagus, varices of fundus of stomach break due to massive hemorrhage patient's rescue.
Sengstaken-blakemore tube is to be used for hospitals at different levels to carry out esophagus at non-operative treatment, carry out the easy instrument of urgent hemostatic when varices of fundus of stomach is broken.Sengstaken-blakemore tube is made up of three chamber stomach tube, gastric pouch and oesophageal pouches, and three branch pipe(tube)s in the three chamber stomach tube pass to oesophageal pouches, gastric pouch and gastric respectively.After air was pressed into gastric pouch or oesophageal pouches, capsule is expansion gradually just, and oesophageal pouches is oppressed at the esophagus hypomere, the gastric pouch compressing by the pulling force traction, makes gastric pouch wall, esophagus cyst wall be close at the bottom of the stomach respectively and esophagus at stomach bottom, increase the effect of hemostasis by compression, reached the hemostatic purpose.Therefore it is vital keeping two stable inflating conditions of capsule.But how exactly the two capsule inflating conditions of monitoring still lack effective means in use.At present mainly be to rely on mercury gauge sphygmomanometer to show the gas charging degree of the two capsules of pressure understanding; Monitoring patient's blood pressure, pulsation, breathing, observation patient's complexion, the variation of sings and symptomses such as skin temperature, indirect Estimation and judgement haemostatic effect.To the adjusting of gastric pouch, pulling force, have more very big randomness.Standing up or staff's randomness and changing often along with patient.These monitoring means are very extensive, can not correctly reflect patient's hemorrhage situation and haemostatic effect.
In order to solve the monitoring means problem of sengstaken-blakemore tube, there is the people once to design special-purpose pressure gauge, and publishes an article at " China's nursing " magazine in 1985 the 20th volume fifth phases.This pressure gauge mainly by two tabular form blood pressure machines and oesophageal pouches and gastric pouch connection, reflects the variation of intraluminal pressure at any time, reflects gas charging degree in the capsule indirectly, if any gas leakage, can carry out the manual inflation by sacculus, the clinical information comparatively intuitively that provides is provided, also alleviate staff's complex type of labor.But this pressure gauge remains in many weak points, and sphygomanometers pressure shows than mistake, as Pressure gauge position improper operator's sight line illusion etc.The demonstration of two meter pressures lacks alarm device, too busy to get away staff observed and recorded at any time; This pressure gauge fails to solve gastric pouch traction pressure problem; Moreover because the product quality processing technique difference of two capsules, the standard of each capsule inflation back pressure is also different.Therefore the pressure of pressure gauge demonstration is difficult to the directly inflating condition and the haemostatic effect of the two capsules of reflection, in fact fails to improve the monitoring means of clinical use, still relies on experience and manual pressure measurement.
The objective of the invention is to introduce computer technology, design a kind of automatic monitoring display instrument, realize that subchannel detects and control, not only improve monitoring accuracy but also reach automatic demonstration intraluminal pressure and traction situation, automatically inflation, automatically monitoring is reported to the police automatically, overcomes dependence experience and manual pressure measurement's shortcoming.
The automatic monitoring display meter with double-balloon and tri-lumen tube that the present invention realized is made up of sengstaken-blakemore tube, computer, display, alarm, sensing system, air pump, controller system, preamplifier, A/D converter, electromagnetic valve etc.Sensing system comprises gastric pouch pressure transducer, oesophageal pouches pressure transducer, gravity sensor.The tee pipe junction of gravity sensor and sengstaken-blakemore tube links together; The gastric pouch pressure transducer connects tee T, and two ends in addition of this tee T connect the gastric pouch pipe of gastric pouch electromagnetic valve of gas circuit and sengstaken-blakemore tube respectively; The oesophageal pouches pressure transducer is connected with tee T, and two ends in addition of this tee T connect the oesophageal pouches pipe of oesophageal pouches electromagnetic valve of gas circuit and sengstaken-blakemore tube respectively.Three of sensing system independently pick off be connected with computer through preamplifier, A/D converter respectively, computer is connecting display and keyboard; Computer is connected with controller system by three delivery outlet lines, and controller system has the three paths of independent control circuit, and one the tunnel connects alarm, the one tunnel connect gastric pouch inflate gas circuit, one tunnel connection oesophageal pouches is inflated gas circuit in addition.Gastric pouch is inflated gas circuit, oesophageal pouches and is inflated gas circuit and connect with gastric pouch interface, oesophageal pouches interface and gastric pouch pressure transducer air inlet, oesophageal pouches pressure transducer air inlet respectively again.
The advantage of sengstaken-blakemore tube automatic monitoring display of the present invention is: behind the signal input computer of the pull strength of sengstaken-blakemore tube and gastric pouch, oesophageal pouches pressure, after machine is handled as calculated, can show working condition automatically; When air bag had gas leakage and surpasses setting, computer sent instruction control air pump, inflates automatically; When air bag seriously leaks gas, two capsule interface comes off, hyperinflation or instrument host have fault etc., can report to the police automatically, and display alarm reason and attribute; When two capsules need QI invigorating, also can carry out artificial QI invigorating; Can also check whether the pull strength of sengstaken-blakemore tube is in optimum state by display.
Accompanying drawing 1 is that each parts of the present invention are formed sketch map;
Accompanying drawing 2 is an operation principle block diagram of the present invention.
In conjunction with the accompanying drawings, narration embodiments of the invention.
Automatic monitoring display meter with double-balloon and tri-lumen tube of the present invention is made up of sengstaken-blakemore tube 1, sensing system 6, preamplifier 10, A/D converter 11, computer 12, display 14, keyboard 13, controller system 15, alarm 19, air pump 22,24, electromagnetic valve 23,25 etc.Sensing system 6 is made up of gastric pouch pressure transducer 7 and oesophageal pouches pressure transducer 8,9 three standalone sensors of gravity sensor.Gravity sensor 9 links together by tee pipe (gastric pouch open tube 3, stomach tube 4, the oesophageal pouches open tube 5) junction 2 of stay cord, hasp and sengstaken-blakemore tube; Gastric pouch pressure transducer 7 links to each other with tee T 26 by conduit, and two ends in addition of tee T 26 are communicated with the oesophageal pouches interface 3 of gastric pouch electromagnetic valve of gas circuit 23 and sengstaken-blakemore tube respectively; Oesophageal pouches pressure transducer 8 links to each other with tee T 27 by conduit, and two ends in addition of tee T 27 are communicated with the oesophageal pouches interface 5 of esophagus electromagnetic valve of gas circuit 25 and sengstaken-blakemore tube respectively.Gravity sensor 9, gastric pouch pressure transducer 7 and oesophageal pouches pressure transducer 8 are connected with preamplifier 10 respectively again, and preamplifier 10 is connected with A/D converter 11, and A/D converter 11 is connected computer 12.The input port line of computer 12 connects keyboard 13, and the delivery outlet line of computer links to each other with driver, and driver links to each other with six light-emitting diode displays 14.Computer 12 links to each other with controller system 15 by three delivery outlet lines, and controller system 15 is by independently alarm controller 18, gastric pouch are inflated controller 16, oesophageal pouches and inflated controller 17 and form each other.Alarm controller 18 connects alarm 19 by driving relay; Gastric pouch is inflated controller 16 and is inflated the gastric pouch air pump 22 of gas circuit 20 and be connected with electromagnetic valve 23 by driving relay and gastric pouch; Oesophageal pouches is inflated controller 17 and is inflated the oesophageal pouches air pump 24 of gas circuit 21 and be connected with magnet valve 25 by driving relay and oesophageal pouches.These two air pumps 22,24 link to each other with electromagnetic valve 23,25 air inlets separately again, and the gas outlet of electromagnetic valve 23,25 is respectively by tee T 26,27 and gastric pouch opening part 3, oesophageal pouches opening part 5 and gastric pouch pressure transducer 7 air inlets and the connection of oesophageal pouches pressure transducer 8 air inlets.
During automatic monitoring display meter with double-balloon and tri-lumen tube work, pressure and pull strength in the sengstaken-blakemore tube 1 detect respectively by sensing system 6, and be transformed into voltage signal, be defeated by preamplifier 10, preamplifier 10 is defeated by A/D converter 11 to tiny signal after amplifying, A/D converter 11 converts analog quantity to digital quantity and is defeated by computer 12.Computer 12 requires to measure automatically, compensates automatically and Automatic Cycle demonstration gastric pouch, the pressure of oesophageal pouches and the pull strength of sengstaken-blakemore tube according to program under the support of software.When two capsules had gas leakage and surpass setting, computer 12 sent instruction and inflates controller 16 or oesophageal pouches to gastric pouch and inflate controller 17, controls two air pump solenoid valve work respectively; Automatically inflate; When the serious gas leakage of two capsules or two capsule interface came off or excessively inflates, computer 12 sent instruction and gives alarm controller 18, report to the police automatically, and by display 14 display alarm reason and attributes; When instrument host had fault, dosing machine 12 sent instruction and reports to the police automatically to alarm controller, showed the guilty culprit position simultaneously on display 14; When needs carry out artificial QI invigorating, also can pass through keyboard 13, the operation computer carries out artificial QI invigorating to gastric pouch or oesophageal pouches; Can check whether the pull strength of sengstaken-blakemore tube is in optimum Working by display 14.
Claims (4)
1, a kind of automatic monitoring display meter with double-balloon and tri-lumen tube is characterized in that being connected with on the sengstaken-blakemore tube (1) sensing system (6), and sensing system (6) is connected with computer (12) by preamplifier (10), A/D converter (11); The delivery outlet line of computer (12) connects display (14) and controller system (15) respectively, and the input port line of computer (12) is connecting keyboard (13); Each controller in the controller system (15) connects alarm (19), gastric pouch respectively inflates the air pump of gas circuit and electromagnetic valve (22.23) and oesophageal pouches and inflates the air pump and the electromagnetic valve (24.25) of gas circuit, and gastric pouch is inflated gas circuit (20) and oesophageal pouches and inflated gas circuit (21) and be communicated with sengstaken-blakemore tube (1) and pick off by tee T respectively.
2, automatic monitoring display meter with double-balloon and tri-lumen tube according to claim 1, it is characterized in that sensing system (6) contains gravity sensor (9), be connected with computer (12) by preamplifier (10), A/D converter (11), the delivery outlet line of computer (12) connects display (14).
3, automatic monitoring display meter with double-balloon and tri-lumen tube according to claim 1, it is characterized in that sensing system (6) contains gastric pouch pressure transducer (7), by preamplifier (10), A/D converter (11) is connected with computer (12), the delivery outlet line of computer (12) connects display and gastric pouch respectively and inflates controller (16) gastric pouch and inflate controller (16) and be connected gastric pouch air pump (22) and electromagnetic valve (23), gastric pouch air pump (22) links to each other with electromagnetic valve by conduit, electromagnetic valve links to each other with tee T by conduit, and tee T links to each other with the air inlet of the gastric pouch interface stomach function regulating bag pressure force transducer of sengstaken-blakemore tube respectively.
4, automatic monitoring display meter with double-balloon and tri-lumen tube according to claim 1, it is characterized in that sensing system (6) contains oesophageal pouches pressure transducer (8), by preamplifier (10), A/D converter (11) is connected with computer (12), the delivery outlet line of computer (12) connects display (14) and oesophageal pouches respectively and inflates controller (17), oesophageal pouches is inflated controller (17) and is connect oesophageal pouches air pump (24) and electromagnetic valve (25), oesophageal pouches air pump (24) links to each other with electromagnetic valve by conduit, electromagnetic valve links to each other with triple channel by conduit, and tee T links to each other with the oesophageal pouches interface of sengstaken-blakemore tube and the air inlet of oesophageal pouches pressure transducer respectively.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 91110768 CN1072080A (en) | 1991-11-10 | 1991-11-10 | Automatic monitoring display meter with double-balloon and tri-lumen tube |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 91110768 CN1072080A (en) | 1991-11-10 | 1991-11-10 | Automatic monitoring display meter with double-balloon and tri-lumen tube |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1072080A true CN1072080A (en) | 1993-05-19 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 91110768 Pending CN1072080A (en) | 1991-11-10 | 1991-11-10 | Automatic monitoring display meter with double-balloon and tri-lumen tube |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN1072080A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105559846A (en) * | 2016-03-09 | 2016-05-11 | 中国人民解放军第三军医大学第一附属医院 | Uterus hemostatic air bag with automatically adjustable pressure |
| CN105662518A (en) * | 2016-03-09 | 2016-06-15 | 中国人民解放军第三军医大学第一附属医院 | Intelligent uterus hemostasis air bag |
| CN106730105A (en) * | 2017-03-03 | 2017-05-31 | 金华市中心医院 | Disposable gastric lavage kit |
-
1991
- 1991-11-10 CN CN 91110768 patent/CN1072080A/en active Pending
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105559846A (en) * | 2016-03-09 | 2016-05-11 | 中国人民解放军第三军医大学第一附属医院 | Uterus hemostatic air bag with automatically adjustable pressure |
| CN105662518A (en) * | 2016-03-09 | 2016-06-15 | 中国人民解放军第三军医大学第一附属医院 | Intelligent uterus hemostasis air bag |
| CN105662518B (en) * | 2016-03-09 | 2018-06-05 | 中国人民解放军第三军医大学第一附属医院 | Intelligent uterine hemostasis air bag |
| CN106730105A (en) * | 2017-03-03 | 2017-05-31 | 金华市中心医院 | Disposable gastric lavage kit |
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| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C01 | Deemed withdrawal of patent application (patent law 1993) | ||
| WD01 | Invention patent application deemed withdrawn after publication |