CN107281562A - Adjusting means and drainage of cerebrospinal fluid system in a kind of drainage of cerebrospinal fluid system - Google Patents

Adjusting means and drainage of cerebrospinal fluid system in a kind of drainage of cerebrospinal fluid system Download PDF

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Publication number
CN107281562A
CN107281562A CN201710437621.XA CN201710437621A CN107281562A CN 107281562 A CN107281562 A CN 107281562A CN 201710437621 A CN201710437621 A CN 201710437621A CN 107281562 A CN107281562 A CN 107281562A
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CN
China
Prior art keywords
drainage
spring leaf
spheroid
siphon
adjusting means
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CN201710437621.XA
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Chinese (zh)
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CN107281562B (en
Inventor
于新
郑春玲
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Individual
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Classifications

    • A61M1/0023
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/73Suction drainage systems comprising sensors or indicators for physical values
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0464Cerebrospinal fluid
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0693Brain, cerebrum

Abstract

The embodiments of the invention provide the adjusting means in a kind of drainage of cerebrospinal fluid system and drainage of cerebrospinal fluid system.The device includes:Upper lid, base, current limliting seat, anti-siphon spheroid, support member and spring leaf.Upper lid is fastened to form hollow structure with base, and current limliting seat is fixed in hollow structure, and annular seal space is formed in current limliting seat;Anti-siphon spheroid is located in annular seal space and is positioned in sphere installation hole, and anti-siphon spheroid is used to block spheroid mounting hole;Support member is located in annular seal space and is installed in support member mounting hole, and support member top has supporting table;Spring leaf is located in annular seal space, and the first end of spring leaf is overlapped in anti-siphon spheroid, and the second end is overlapped in supporting table, and centre has installation portion, and spring leaf bearing is carried out spacing by installation portion to spring leaf.This programme solves the drainage overscale problems that the control and regulation of pressure and drainage speed, reflux problem and intracranial pressure rapid change zone come during drainage of cerebrospinal fluid, while facilitating the care operation in drainage process.

Description

Adjusting means and drainage of cerebrospinal fluid system in a kind of drainage of cerebrospinal fluid system
Technical field
The present invention relates to technical field of medical instruments, adjusting means in more particularly to a kind of drainage of cerebrospinal fluid system and Drainage of cerebrospinal fluid system.
Background technology
In medical domain, for neurosurgery treatment clinical course, (it is specifically as follows brain to Drainage of cerebrospinal fluid Outdoor drainage or Lumbar catheter external drainage art) it is a kind of very common and effective treatment means, Drainage of cerebrospinal fluid is general It is required for using drainage of cerebrospinal fluid system.Exemplified by the drainage of cerebrospinal fluid system of extraventricular drainage art, it is generally included:Draw Flow tube and drainage bag, the ventricles of the brain of patient are connected by drainage tube with drainage bag, and the ICV cerebrospinal fluid of patient can pass through drainage Pipe enters in drainage bag.The drainage of cerebrospinal fluid system clinically applied to extraventricular drainage art has following open defect at present: A variety of causes cause cerebrospinal fluid from drainage bag adverse current to the ventricles of the brain infection in the ventricles of the brain of patient, easily causing patient;Implementing brain During outdoor drainage, generally require by artificial mode to adjust the height of drainage bag, to control drainage speed, nursery work Amount is big and operation difficulty is high.Drainage system applied to Lumbar catheter external drainage art can also have above mentioned problem in use.
The content of the invention
The purpose of the embodiment of the present invention is to provide adjusting means and drainage of cerebrospinal fluid in a kind of drainage of cerebrospinal fluid system System, to solve the reflux problem of cerebrospinal fluid, while simplifying care operation.Concrete technical scheme is as follows:
The embodiments of the invention provide the adjusting means in a kind of drainage of cerebrospinal fluid system, including:Upper lid, base, current limliting Seat, anti-siphon spheroid, support member and spring leaf;Wherein,
The upper lid is interlocked with the base to form hollow structure, and the current limliting seat is fixed on the hollow structure Interior, the bottom surface of the upper lid blocks the opening of the current limliting seat, so as to form an annular seal space in current limliting seat;
The top surface of the current limliting seat is provided with sphere installation hole, spring leaf bearing, support member mounting hole and the first liquid outlet, The side wall of the current limliting seat is provided with the first inlet and the second liquid outlet, and the spring leaf bearing is located at the sphere installation hole Between the support member mounting hole, the sphere installation hole is connected with first inlet, and first inlet is also It is connected with the second inlet for being arranged at the upper lid and/or the base, first liquid outlet and described second goes out liquid Mouth is connected, and second liquid outlet is also connected with being arranged at the 3rd liquid outlet of the upper lid and/or the base;
The anti-siphon spheroid is located in the annular seal space, and is positioned in the sphere installation hole, the anti-siphon ball Body is used to block the sphere installation hole;
The support member is located in the annular seal space, and is installed in the support member mounting hole, the top of the support member End has supporting table;
The spring leaf is located in the annular seal space, and the first end of the spring leaf is overlapped in the anti-siphon spheroid, institute The second end for stating spring leaf is overlapped in the supporting table, also, the centre of the spring leaf has installation portion, the spring leaf branch Seat is carried out spacing by the installation portion to the spring leaf.
Alternatively, the face coordinated on the sphere installation hole with the anti-siphon spheroid is taper surface or spherical.
Alternatively, the supporting table is spiralling step-like platform, the second end of the spring leaf be adjusted to At the different height for being pressed on the step-like platform.
Alternatively, the support member includes:First cylindrical structure and the second hollow cylindrical structure;Wherein,
Second cylindrical structure is rotatablely installed in the support member mounting hole, and first cylindrical structure is fixed Connect and be sheathed in second cylindrical structure, also, the bottom of first cylindrical structure is provided with adjustment portion, institute State on base and to offer handle hole corresponding to the adjustment portion;
The step-like platform is arranged at the top of second cylindrical structure, also, the second end of the spring leaf End face be resisted against the side wall of first cylindrical structure.
Alternatively, the spring leaf offers through hole, and the installation portion is to turn over the connecting plate located at the through hole edge;
The top of the spring leaf bearing offers connecting hole, and the connecting plate is slideably plugged in the connecting hole.
Alternatively, the installation portion is the flange set along the edge of the spring leaf;
The top of the spring piece bracket offers connecting hole, and the flange is slideably plugged in the connecting hole.
Alternatively, the adjusting means also includes:Drainage seat and flexible sheet;Wherein,
The 3rd inlet is provided with the side wall of the current limliting seat;
The drainage seat is installed in the hollow structure, and outside the annular seal space;
There is the first pipeline and the second pipeline, the first end of first pipeline and second feed liquor in the drainage seat Mouth is connected, and the middle part of first pipeline is connected with the first end of second pipeline, the second end of first pipeline It is connected with the 3rd inlet, the second end of second pipeline is connected with first inlet;
The elastic sheet is located in the annular seal space and blocks the 3rd inlet, and the flexible sheet resists with described Siphon spheroid offsets, also, the flexible sheet applies towards spheroid peace under deformed state to the anti-siphon spheroid Fill the active force in the direction in hole.
Alternatively, the adjusting means also includes:Pressure sensor, controller and LCDs;Wherein,
The pressure sensor and the controller are mounted in the hollow structure, and outside the annular seal space, The LCDs is flush-mounted in the top surface of the upper lid;
Pressure sensor detection flows through the pressure of the liquid of second pipeline, and by the pressure detected send to The controller;
The controller reads the pressure from the pressure sensor, and will read pressure and send to the liquid crystal Display screen;
The LCDs shows the pressure received.
Alternatively, the adjusting means also includes:Postive stop baffle;Wherein, the postive stop baffle limits the anti-siphon spheroid Relative to the maximum displacement in the sphere installation hole.
The embodiment of the present invention additionally provides a kind of drainage of cerebrospinal fluid system, including:Drainage bag and above-mentioned drainage of cerebrospinal fluid system Adjusting means in system;Wherein,
The second inlet in the adjusting means is connected by the first drainage tube with the ventricles of the brain or Lumbar catheter of patient, The 3rd liquid outlet in the adjusting means is connected by the second drainage tube with the drainage bag.In this programme, no matter at what In the case of kind, cerebrospinal fluid is only possible to the internal outflow from patient, and sequentially passes through the first drainage tube, adjusting means and second and draw Flow tube enter drainage bag in, or cerebrospinal fluid not can enter annular seal space in, its never from adjusting means adverse current to In first drainage tube and backflow in patient body, i.e., cerebrospinal fluid is merely able to one-way flow, therefore this programme preferably solves brain ridge The reflux problem of liquid, so as to avoid the ventricles system infection caused by the adverse current of cerebrospinal fluid, and then is reliably protected The life security of patient.
In addition, it is necessary to, it is noted that be more than the first of spring leaf in the pressure for flowing to the cerebrospinal fluid at the first inlet In the case that end puts on the pressure of anti-siphon spheroid, if the difference of two pressure is bigger, the height that anti-siphon spheroid is lifted, That is displacement of the anti-siphon spheroid relative to sphere installation hole will be bigger, correspondingly, enters at the first inlet in annular seal space The flow velocity of cerebrospinal fluid will be faster.On the contrary, in the case where the difference of above-mentioned two pressure is smaller, anti-siphon spheroid is lifted Height, i.e. displacement of the anti-siphon spheroid relative to sphere installation hole will be smaller, correspondingly, at the first inlet enter it is close The flow velocity for sealing the cerebrospinal fluid of intracavitary will be slower.That is, according to the pressure for flowing to the cerebrospinal fluid at the first inlet, adjusting Regulating device itself can adjust drainage speed, and the regulation process is without manually participating in.
It can be seen that, this programme efficiently solves the control and regulation of pressure and drainage speed during drainage of cerebrospinal fluid, inverse The drainage overscale problems that flow problem and intracranial pressure rapid change zone come, while the care operation in drainage process is facilitated, this Scheme can also show patient's intracranial pressure in real time by LCDs.
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 There is the accompanying drawing used required in technology description to be 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 be drainage of cerebrospinal fluid system provided in an embodiment of the present invention in adjusting means installation diagram;
Fig. 2 be drainage of cerebrospinal fluid system provided in an embodiment of the present invention in adjusting means half sectional view;
Fig. 3 be drainage of cerebrospinal fluid system provided in an embodiment of the present invention in adjusting means structural representation;
Fig. 4 be drainage of cerebrospinal fluid system provided in an embodiment of the present invention in adjusting means in current limliting seat structural representation Figure.
Fig. 1 into Fig. 4 all parts title and respective drawings mark between corresponding relation be:
Covered on 1;2 bases;3 current limlitings seat;31 sphere installation holes;32 spring leaf bearings;33 support member mounting holes;34 first go out Liquid mouthful;35 first inlets;4 anti-siphon spheroids;5 support members;51 supporting tables;52 first cylindrical structures;53 second cylinders Structure;54 adjustment portions;6 spring leafs;61 installation portions;7 first interfaces;8 drainages seat;81 first pipelines;82 second pipelines;9 bullets Property diaphragm;10 pressure sensors;11 controllers;12 LCDs;100 hollow structures;200 annular seal spaces.
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete Site preparation is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.It is based on Embodiment in the present invention, it is every other that those of ordinary skill in the art are obtained under the premise of creative work is not made Embodiment, belongs to the scope of protection of the invention.
In order to solve the problem of prior art is present, the embodiments of the invention provide the tune in a kind of drainage of cerebrospinal fluid system Regulating device and drainage of cerebrospinal fluid system.
It should be noted that above-mentioned drainage of cerebrospinal fluid system both can apply in extraventricular drainage art, it can also apply In Lumbar catheter external drainage art.In general, the drainage of cerebrospinal fluid system is in extraventricular drainage art and Lumbar catheter external drainage art Operation principle it is similar, therefore, subsequent embodiment with the drainage of cerebrospinal fluid system be applied to extraventricular drainage art in situation Exemplified by illustrate.
Adjusting means in a kind of drainage of cerebrospinal fluid system provided first below the embodiment of the present invention is illustrated.
Referring to Fig. 1 to Fig. 3, the regulation in a kind of drainage of cerebrospinal fluid system that the embodiment of the present invention is provided is shown in figure The structural representation of device.As shown in Figure 1 to Figure 3, the adjusting means includes:Upper lid 1, base 2, current limliting seat 3, anti-siphon spheroid 4th, support member 5 and spring leaf 6.
Wherein, upper lid 1 is interlocked with base 2 to form hollow structure 100, and current limliting seat 3 is fixed in hollow structure 100, The opening of the bottom surface closure current limliting seat 3 of upper lid 1, so as to form an annular seal space 200 in current limliting seat 3.
Specifically, upper lid 1 can be made up of plastic material, to reduce the weight and production cost of upper lid 1, upper lid 1 and bottom Seat 2 can be attached by adhesive means.Certainly, upper lid 1 can also be made up of other lightweight materials, upper lid 1 and base 2 It can be attached by other feasible patterns.In addition, current limliting seat 3 can be fixed on any one of lid 1 and base 2, only It need to ensure that the opening of current limliting seat 3 is capped 1 and blocked, so as to which annular seal space 200 can be formed inside current limliting seat 3.
As shown in Figures 2 to 4, the top surface of current limliting seat 3 is provided with sphere installation hole 31, spring leaf bearing 32, support member peace The liquid outlet 34 of hole 33 and first is filled, the side wall of current limliting seat 3 is provided with the first inlet 35 and the second liquid outlet (because first patches Mouthfuls 7 block, not shown in figure), spring leaf bearing 32 is located between sphere installation hole 31 and support member mounting hole 33, spheroid peace Dress hole 31 is connected with the first inlet 35, second inlet of first inlet 35 also with being arranged at upper lid 1 and/or base 2 (due to blocking for diversion seat 8, not shown in figure) is connected, and the first liquid outlet 34 is connected with the second liquid outlet, and second goes out liquid Mouth is also connected with being arranged at the 3rd liquid outlet (due to blocking for the first plug receptacle 7, not shown in figure) of upper lid 1 and/or base 2 It is logical.
It can easily be seen that by the first interface 7, the first liquid outlet 34, the second liquid outlet and the 3rd liquid outlet are sequentially connected Lead to.
Anti-siphon spheroid 4 is located in annular seal space 200, and is positioned in sphere installation hole 31, and anti-siphon spheroid 4 is used to block Sphere installation hole 31.
Wherein, anti-siphon spheroid 4 can be glass spheres, and certainly, anti-siphon spheroid 4 can also be made up of other materials Spheroid.
It should be noted that in order to realize on closure of the anti-siphon spheroid 4 to sphere installation hole 31, sphere installation hole 31 with The face that anti-siphon spheroid 4 coordinates can be taper surface or spherical.
Support member 5 is located in annular seal space 200, and is installed in support member mounting hole 33, and the top of support member 5 has support Platform 51.
Spring leaf 6 is located in annular seal space 200, and the first end (left end shown in Fig. 1) of spring leaf 6 is overlapped in anti-siphon ball Body 4, the second end (right-hand member shown in Fig. 1) of spring leaf 6 is overlapped in supporting table 5, also, the centre of spring leaf 6 has installation Portion 61, spring leaf bearing 32 is carried out spacing by installation portion 61 to spring leaf 6.
It should be noted that spring leaf bearing 32 carries out spacing implementing form by installation portion 61 to spring leaf 6 It is various, it is clear in order to be laid out, it is follow-up to carry out citing introduction.
It is easily understood that because the first end of spring leaf 6 is overlapped in anti-siphon spheroid 4, therefore, the first of spring leaf 6 End can apply an active force in anti-siphon spheroid 4.In order that the first end of spring leaf 6 is reliably overlapped in anti-siphon spheroid 4, bullet The first end of reed 6 can bond together with anti-siphon spheroid 4.
For the adjusting means in the drainage of cerebrospinal fluid system that this programme is provided, in actual installation, it will can be somebody's turn to do Adjusting means is fixed on the head of patient by fixation kit, the second inlet is passed through the first drainage tube and the brain of patient Room is connected, while making the 3rd liquid outlet be connected by the second drainage tube with drainage bag.
When the drainage system using the adjusting means for being provided with this programme offer is to implement extraventricular drainage art, from patient The cerebrospinal fluid of encephalic outflow can be flowed to through the first drainage tube at the second inlet, and be successfully entered at the second inlet In hollow structure 100.Afterwards, cerebrospinal fluid can be flowed at the first inlet 35 connected with the second inlet.
If the pressure value of patient's encephalic is less high, then, the pressure of the cerebrospinal fluid flowed at the first inlet 35 is general The first end for being not above spring leaf 6 puts on the pressure of anti-siphon spheroid 4, at this moment, and anti-siphon spheroid 4 is in and can sealed completely The position in stifled sphere installation hole 31, correspondingly, the cerebrospinal fluid flowed at the first inlet 35 can not be by sphere installation hole 31 Into in annular seal space 200, the cerebrospinal fluid in annular seal space 200 can not also be back to the first inlet 35 by sphere installation hole 31 Place.
When patient due to position chanP, cough, firmly etc. reason and when causing the pressure of encephalic to increase suddenly, flow to the The first end that the pressure of cerebrospinal fluid at one inlet 35 will be typically higher than spring leaf 6 puts on the pressure of anti-siphon spheroid 4, this When, anti-siphon spheroid 4 can be lifted in the presence of the making a concerted effort of the two power, i.e. anti-siphon spheroid 4 can relative to sphere installation Hole 31 produces certain displacement, and anti-siphon spheroid 4, which can not be kept, can block the position of spheroid mounting hole 31 completely, accordingly Ground, flows to the cerebrospinal fluid at the first inlet 35 and is entered by sphere installation hole 31 in annular seal space 200.Next, into close Envelope chamber 200 in cerebrospinal fluid flow at the first liquid outlet 34 after, its can successively after the second liquid outlet and the 3rd liquid outlet from Flowed out in annular seal space 200, afterwards, during the cerebrospinal fluid of outflow can enter drainage bag through the second drainage tube out of hollow structure 100 simultaneously It is collected.
No matter under what circumstances it can easily be seen that, cerebrospinal fluid is only possible to the encephalic outflow from patient, and sequentially passes through the One drainage tube, adjusting means and the second drainage tube enter in drainage bag, or cerebrospinal fluid can not enter annular seal space 200 Interior, it is never from adjusting means adverse current is into the first drainage tube and is back to patient's encephalic, i.e. cerebrospinal fluid and is merely able to unidirectionally Flowing, therefore this programme preferably solves the reflux problem of cerebrospinal fluid, so that it is inverse due to cerebrospinal fluid to avoid the ventricles of the brain of patient Flow and be infected, and then reliably protect the life security of patient.
In addition, it is necessary to, it is noted that be more than the of spring leaf 6 in the pressure for flowing to the cerebrospinal fluid at the first inlet 35 In the case that one end puts on the pressure of anti-siphon spheroid 4, if the difference of two pressure is bigger, what anti-siphon spheroid 4 was lifted Highly, i.e. displacement of the anti-siphon spheroid 4 relative to sphere installation hole 31 will be bigger, correspondingly, enters at the first inlet 35 The flow velocity for entering the cerebrospinal fluid in annular seal space 200 will be faster.On the contrary, in the case where the difference of above-mentioned two pressure is smaller, resisting The displacement of the height that siphon spheroid 4 is lifted, i.e. anti-siphon spheroid 4 relative to sphere installation hole 31 will be smaller, correspondingly, from The flow velocity of the cerebrospinal fluid entered at first inlet 35 in annular seal space 200 will be slower.That is, entering according to flowing to first The pressure of cerebrospinal fluid at liquid mouthful 35, adjusting means itself can adjust drainage speed, and the regulation process is without manually participating in.
It can be seen that, this programme preferably solves the reflux problem easily occurred in drainage process, also greatly simplify simultaneously Care operation in drainage process.
As shown in Figures 2 and 3, in above-described embodiment, supporting table 51 can be spiralling step-like platform, spring leaf 6 the second end is adjusted to press at the different height of step-like platform.
It is understood that when the second end of spring leaf 6 is pressed at the different height of step-like platform, spring leaf 6 The pressure that puts on anti-siphon spheroid 4 of first end it is also different.
Specifically, if the height that presses on step-like platform of the second end of spring leaf 6 is higher, the of spring leaf 6 The pressure that one end is put on anti-siphon spheroid 4 is bigger;Conversely, then the first end of spring leaf 6 is put on anti-siphon spheroid 4 Pressure just it is smaller.For example, if anti-siphon spheroid 4, which is currently at, can not block the position of spheroid mounting hole 31 completely, that , with the increase for the height that the second end of spring leaf 6 is pressed on step-like platform, the first end of spring leaf 6 puts on anti- Pressure on siphon spheroid 4 can gradually increase, and the height that now anti-siphon spheroid 4 is lifted can be reduced gradually, therefore csf flow Entering the flow velocity in annular seal space 200 can gradually reduce;The pressure increase put on when the first end of spring leaf 6 on anti-siphon spheroid 4 During to a certain threshold value, anti-siphon spheroid 4, which will be returned to, can block the position of anti-siphon spheroid 4 completely, and now cerebrospinal fluid will It cannot be introduced into completely in annular seal space 200.
As can be seen that pressed on by the second end for adjusting spring leaf 6 at the different height of step-like platform, can be more The pressure that easily and effectively first end of regulation spring leaf 6 is put on anti-siphon spheroid 4, so as to realize brain ridge more conveniently The control and regulation of pressure and drainage speed in liquid drainage process.
It should be noted that the structure type of support member 5 is various, with reference to Fig. 2 and Fig. 3, to a kind of structure therein Form carries out citing introduction.
As shown in Figures 2 and 3, support member 5 can include:First cylindrical structure 52 and the second hollow cylindrical structure 53.Wherein, the second cylindrical structure 53 is rotatablely installed in support member mounting hole 33, i.e., the outer wall of the second cylindrical structure 53 with The inwall of support member mounting hole 33 is engaged.First cylindrical structure 52 is fixedly connected and is sheathed on the second cylindrical structure 53 It is interior, also, the bottom of the first cylindrical structure 52 is provided with adjustment portion 54 shown in Fig. 2, base 2 and corresponds to adjustment portion 54 Offer the handle hole 21 shown in Fig. 2.
Wherein, can be welding, certainly, the first cylinder between the first cylindrical structure 52 and the second cylindrical structure 53 Structure 52 can also be integrally formed with the second cylindrical structure 53 or be fixed by well-known to those skilled in the art other Connected mode is attached, and can specifically be determined according to actual conditions, this is no longer going to repeat them.
Specifically, adjustment portion 54 can be inner hexagonal hole.
Step-like platform is arranged at the top of the second cylindrical structure 53, also, the second end of spring leaf 6 end face against In the side wall of the first cylindrical structure 52.
Preferably, the end face at the second end of spring leaf 6 can be cambered surface.
When it is implemented, step-like platform can include highly different multi-stage stairs structure, multi-stage stairs structure along The circumference on the top of the second cylindrical structure 53 is arranged by height size order.For example, the step-like platform can include 18 grades of ledge structures, wherein, the minimum first order ledge structure of height correspond to 30mmH2O cerebrospinal pressure force value, height Second small second level ledge structure correspond to 40mmH2O cerebrospinal pressure force value, the 3rd small third level ledge structure of height It correspond to 50mmH2O cerebrospinal pressure force value, often increases one-level step, and corresponding cerebrospinal pressure force value is increased by 10mmH2O is high Degree the 18th grade of step of highest correspond to 200mmH2O cerebrospinal pressure force value.Can according to the result that finite element simulation is modeled Know, the corresponding relation that the first end of spring leaf 6 is put between the pressure on anti-siphon spheroid 4 and the height of ledge structure is met Hooke's law, therefore, it can by making the second end of spring leaf 6 press on the ledge structure of different height come more accurately The pressure that the first end of control spring leaf 6 is put on anti-siphon spheroid 4.
It should be noted that highly between the 18th grade of ledge structure of minimum first order ledge structure and height highest The transition bench that one end can be set smooth.
, can when the second end for needing to make spring leaf 6 is pressed at the different height on step-like platform in the present embodiment So that special hexagonal regulation spanner coordinates through handle hole 21 with adjustment portion 54, hexagonal regulation spanner is then rotated, to pass through The rotation of hexagonal regulation spanner drives the first cylindrical structure 52 to rotate, correspondingly, and the second cylindrical structure 53 also can be with the The rotation of one cylindrical structure 52 and rotate in the support member mounting hole 33, by controlling the first cylindrical structure 52 exactly The anglec of rotation, and the end face at the second end of spring leaf 6 is resisted against the side-walls of the correspondence position of the first cylindrical structure 52, you can The second end of spring leaf 6 is set reliably to press on the ledge structure of setting height, therefore the first end of spring leaf 6 puts on anti-rainbow The pressure inhaled on spheroid 4 can also be adjusted accordingly, so, flowed into the flow velocity of the cerebrospinal fluid of annular seal space 200 and can also be adjusted It is whole, also, when support member 5 is using said structure, the structure of the adjusting means is relatively simple.
It is emphasized that the gap between the second cylindrical structure 53 and support member mounting hole 33 should be in suitable In the range of, if gap between the two is excessive, the reliable installation of the second cylindrical structure 53 can not be ensured, if between the two Gap is too small, then the second cylindrical structure 53 will be difficult to rotate in support member mounting hole 33.
It should be noted that to carry out spacing way of realization to spring leaf 6 by installation portion 61 various for spring leaf bearing 32, The concrete implementation form to two kinds therein is illustrated below.
In a kind of way of realization, spring leaf 6 can offer through hole, and installation portion 61 is to turn over the connection located at through hole edge Plate.Specifically, connecting plate can be bending plate.The top of spring leaf bearing 32 offers connecting hole, and connecting plate is slideably inserted It is connected to connecting hole.
In this kind of way of realization, the second end for adjusting spring leaf 6 in operating personnel presses on the Step-edge Junction of different height During structure, connecting plate can be slided in connecting hole therewith.Because connecting plate is plugged in connecting hole all the time, spring can be so avoided Piece 6 is separated from anti-siphon spheroid 4 or support member 5 in actual use to be come, so as to reliably ensure that the of spring leaf 6 One end can press on anti-siphon spheroid 4 all the time, also, the second end of spring leaf 6 can press on supporting table 51 all the time.
In another way of realization, as shown in Figure 2 and Figure 3, installation portion 61 can be to be set along the edge of spring leaf 6 Flange.The top of spring piece bracket 32 offers connecting hole, and flange is slideably plugged in connecting hole.Specifically, flange Quantity with connecting hole can be multiple, also, can be one-to-one relation between flange and connecting hole.
When it is implemented, the flange can be L-shaped flange, the quantity of flange and connecting hole can be two, certainly, turn over The shape and flange on side and the quantity of connecting hole are not limited to above-mentioned situation, can specifically be determined according to actual conditions, this Embodiment does not do any restriction to this.
In this kind of way of realization, the second end for adjusting spring leaf 6 in operating personnel presses on the Step-edge Junction of different height During structure, each flange can be slided in the connecting hole of correspondence position therewith.Because each flange is plugged in the connection of correspondence position all the time In hole, it can so avoid spring leaf 6 from being separated from actual use with anti-siphon spheroid 4 or support member 5 and come, so as to It ensure that the first end of spring leaf 6 can press on anti-siphon spheroid 4 all the time by ground, also, the second end of spring leaf 6 can begin Supporting table 51 is pressed on eventually.
As can be seen that when spring leaf bearing 32 by above two way of realization to carry out spacing to spring leaf 6 when, entirely The structure of adjusting means is relatively simple, therefore adjusting means production and processing get up more convenient.
As shown in Figure 2 and Figure 3, in above-described embodiment, the adjusting means can also include:Drainage seat 8 and flexible sheet 9.
Wherein, the 3rd inlet is provided with the side wall of current limliting seat 3 (due to blocking for flexible sheet 9, not shown in figure).
Drainage seat 8 is installed in hollow structure 100, and outside annular seal space 200.There is the first pipeline 81 in drainage seat 8 With the second pipeline 82, the first end (left end shown in Fig. 1) of the first pipeline 81 is connected with the second inlet, the first pipeline 81 Middle part be connected with the first end (left upper end shown in Fig. 1) of the second pipeline 82, the second end of the first pipeline 81 is (in Fig. 1 Shown right-hand member) it is connected with the 3rd inlet, the second end (bottom righthand side shown in Fig. 1) and the first feed liquor of the second pipeline 82 Mouth 35 is connected.
Wherein, the aperture of the first pipeline 81 can be 2mm, and the aperture of the second pipeline 82 can be 0.5mm, i.e. the first pipeline 81 and second pipeline 82 both aperture ratios be 4, certainly, the value in the aperture of the first pipeline 81 and the second pipeline 82 is not limited to In this, it can specifically be determined according to actual conditions, this is no longer going to repeat them.
Elastic sheet 9 is located in annular seal space 200 and the 3rd inlet of closure, and flexible sheet 9 offsets with anti-siphon spheroid 4, Also, flexible sheet 9 applies the active force in the direction towards sphere installation hole 31 under deformed state to anti-siphon spheroid 4.
In the present embodiment, after cerebrospinal fluid is flowed into from the second inlet, cerebrospinal fluid can be divided into two, wherein, a brain ridge Liquid flows in the first pipeline 81, and finally flows at the 3rd inlet, and another cerebrospinal fluid flows in the second pipeline 82, And finally flow at the first inlet 35.
It should be noted that because elastic sheet 9 is located in annular seal space 200 and the 3rd inlet of closure, therefore, final stream Move to the cerebrospinal fluid at the 3rd inlet and cannot be introduced at all in annular seal space 200, still, the cerebrospinal fluid can apply certain pressure In elastic sheet 9, so, elastic sheet 9 can produce corresponding elastic deformation.
It is easily understood that when the pressure ratio of the cerebrospinal fluid flowed at the second inlet is larger, putting on springform Pressure on piece 9 can be than larger, and correspondingly, the deformation of flexible sheet 9 will be very big.Now, flexible sheet 9 is to anti-siphon ball The force ratio in direction that body 4 applies, towards sphere installation hole 31 is larger, then, flexible sheet 9 can hinder anti-siphon spheroid 4 lift, that is to say, that anti-siphon spheroid 4 is difficult to be lifted higher distance in a short time, correspondingly, from the first feed liquor Very big change will not occur in a short time for the flow velocity of the liquid flowed at mouth 35, so can preferably avoid due to disease The excessive drainage problem that the change of people's intracranial pressure is too fast and occurs.
On the contrary, when the pressure ratio of the cerebrospinal fluid flowed at the second inlet is smaller, the pressure put on flexible sheet 9 Power can be smaller, correspondingly, and the deformation of flexible sheet 9 also can be very small.Now, elastic module 9 applies to anti-siphon spheroid 4 , the active force in direction towards sphere installation hole 31 it is also smaller, the active force will not lift process to anti-siphon spheroid 4 Obvious influence is caused, the normal drainage of cerebrospinal fluid is achieved.
As shown in Fig. 2 the adjusting means can also include:Pressure sensor 10, controller 11 and LCDs 12.Its In,
Pressure sensor 10 and controller 11 are mounted in hollow structure 100, and outside annular seal space 200, liquid crystal Display screen 12 is flush-mounted in the top surface of lid 1.
Pressure sensor 10 detects the pressure for the liquid for flowing through the second pipeline 82, and the pressure detected is sent to control Device 11.
Controller 11 reads the pressure from pressure sensor 10, and the pressure read is sent to LCDs 12, And when the rate of change of the pressure read exceedes predetermined threshold value, output alarm signal.
LCDs 12 shows the pressure received.
Specifically, alarm signal can be audio alert signal, for example, pass through buzzer output setting voice.Certainly, report Alert signal can also be other kinds of alarm signal, such as word alarm signal, and this is all feasible.In addition, given threshold Specific value can determine that the present embodiment does not do any restriction to this according to actual conditions.
It is easily understood that in order to ensure pressure sensor 10, controller 11 and the normal work of the three of LCDs 12 Make, the battery powered for this three is may be provided in the adjusting means.
In the present embodiment, when the rate of change for flowing through the pressure of liquid of the second pipeline 82 exceedes given threshold, this explanation The pressure of patient's encephalic occurs in that situation about rising sharply.At this moment, controller 11 can output alarm signal, can so point out patient or Person doctor notices the situation in time, and takes corresponding measure for the situation, effectively to ensure the life security of patient.Separately Outside, doctor can know the pressure of patient's encephalic by the pressure shown in real time on LCDs 12 in time, to know patient Physical condition.
In above-described embodiment, the adjusting means can also include:Postive stop baffle (not shown);Wherein, postive stop baffle Limit maximum displacement of the anti-siphon spheroid 4 relative to sphere installation hole 31.
Wherein, postive stop baffle can be fixedly installed in annular seal space 200 and positioned at the surface in sphere installation hole 31, spacing Height of the baffle plate apart from sphere installation hole 31 can be set according to actual conditions.
Assuming that anti-siphon spheroid 4, which is currently at, can block the position of spheroid mounting hole 31 completely, enter with flowing into second The increase of the pressure of cerebrospinal fluid at liquid mouthful, anti-siphon spheroid 4 can be lifted gradually.Cerebrospinal fluid at the second inlet of inflow Pressure when increasing to a certain pressure value, anti-siphon spheroid 4 can be raised up at a maximum displacement relative to sphere installation hole 31.This When, postive stop baffle blocks anti-siphon spheroid 4, and anti-siphon spheroid 4 can not continue to be lifted, correspondingly, from the first inlet 35 The flow velocity for the liquid that place is flowed into annular seal space 200 will not be further continued for increase, so can preferably avoid due to patient's intracranial pressure The excessive drainage problem that power change is too fast and occurs.
To sum up, the adjusting means in the drainage system preferably solves pressure and drainage speed during drainage of cerebrospinal fluid Control and the drainage overscale problems that come of regulation, reflux problem and intracranial pressure rapid change zone, while facilitating drainage process In care operation, and then reliably ensure that the life security of patient.
A kind of drainage of cerebrospinal fluid system provided below the embodiment of the present invention is illustrated.
The embodiment of the present invention additionally provides a kind of drainage of cerebrospinal fluid system.Wherein, the drainage of cerebrospinal fluid system includes:Drainage Adjusting means in bag and above-mentioned drainage of cerebrospinal fluid system.The second inlet in adjusting means passes through the first drainage tube and patient The ventricles of the brain or Lumbar catheter be connected, the 3rd liquid outlet in adjusting means is connected by the second drainage tube with drainage bag.
It is understood that when the second inlet in adjusting means is connected by the first drainage tube with the ventricles of the brain of patient When, the drainage of cerebrospinal fluid system is applied in extraventricular drainage art;When the second inlet in adjusting means passes through the first drainage When pipe is connected with the Lumbar catheter of patient, the drainage of cerebrospinal fluid system is applied in Lumbar catheter external drainage art.
It should be noted that the specific implementation process of the adjusting means in the drainage of cerebrospinal fluid system is with reference to described above Can, it will not be repeated here.
Because the adjusting means in the drainage of cerebrospinal fluid system has above-mentioned technique effect, therefore there is the brain of the adjusting means Spinal fluid drainage system also has corresponding technique effect.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the scope of the present invention.It is all Any modification, equivalent substitution and improvements made within the spirit and principles in the present invention etc., are all contained in protection scope of the present invention It is interior.

Claims (10)

1. the adjusting means in a kind of drainage of cerebrospinal fluid system, it is characterised in that including:Upper lid, base, current limliting seat, anti-siphon Spheroid, support member and spring leaf;Wherein,
The upper lid is interlocked with the base to form hollow structure, and the current limliting seat is fixed in the hollow structure, institute The bottom surface for stating lid blocks the opening of the current limliting seat, so as to form an annular seal space in current limliting seat;
The top surface of the current limliting seat is provided with sphere installation hole, spring leaf bearing, support member mounting hole and the first liquid outlet, described The side wall of current limliting seat is provided with the first inlet and the second liquid outlet, and the spring leaf bearing is located at the sphere installation hole and institute State between support member mounting hole, the sphere installation hole is connected with first inlet, first inlet is also with setting The second inlet for being placed in the upper lid and/or the base is connected, first liquid outlet and the second liquid outlet phase Connection, second liquid outlet is also connected with being arranged at the 3rd liquid outlet of the upper lid and/or the base;
The anti-siphon spheroid is located in the annular seal space, and is positioned in the sphere installation hole, and the anti-siphon spheroid is used In the closure sphere installation hole;
The support member is located in the annular seal space, and is installed in the support member mounting hole, the top tool of the support member There is supporting table;
The spring leaf is located in the annular seal space, and the first end of the spring leaf is overlapped in the anti-siphon spheroid, the bullet Second end of reed is overlapped in the supporting table, also, the centre of the spring leaf has installation portion, and the spring leaf bearing leads to Cross the installation portion spacing to spring leaf progress.
2. adjusting means as claimed in claim 1, it is characterised in that match somebody with somebody on the sphere installation hole with the anti-siphon spheroid The face of conjunction is taper surface or spherical.
3. adjusting means as claimed in claim 1, it is characterised in that the supporting table is spiralling step-like platform, Second end of the spring leaf is adjusted to press at the different height of the step-like platform.
4. adjusting means as claimed in claim 3, it is characterised in that the support member includes:First cylindrical structure and sky Second cylindrical structure of the heart;Wherein,
Second cylindrical structure is rotatablely installed in the support member mounting hole, and first cylindrical structure is fixedly connected And be sheathed in second cylindrical structure, also, the bottom of first cylindrical structure is provided with adjustment portion, the bottom On seat handle hole is offered corresponding to the adjustment portion;
The step-like platform is arranged at the top of second cylindrical structure, also, the end at the second end of the spring leaf Face is resisted against the side wall of first cylindrical structure.
5. adjusting means as claimed in claim 1, it is characterised in that
The spring leaf offers through hole, and the installation portion is to turn over the connecting plate located at the through hole edge;
The top of the spring leaf bearing offers connecting hole, and the connecting plate is slideably plugged in the connecting hole.
6. adjusting means as claimed in claim 1, it is characterised in that
The installation portion is the flange set along the edge of the spring leaf;
The top of the spring piece bracket offers connecting hole, and the flange is slideably plugged in the connecting hole.
7. adjusting means as claimed in claim 1, it is characterised in that also include:Drainage seat and flexible sheet;Wherein,
The 3rd inlet is provided with the side wall of the current limliting seat;
The drainage seat is installed in the hollow structure, and outside the annular seal space;
There is the first pipeline and the second pipeline, the first end of first pipeline and the second inlet phase in the drainage seat Connection, the middle part of first pipeline is connected with the first end of second pipeline, the second end of first pipeline and institute State the 3rd inlet to be connected, the second end of second pipeline is connected with first inlet;
The elastic sheet is located in the annular seal space and blocks the 3rd inlet, the flexible sheet and the anti-siphon Spheroid offsets, also, the flexible sheet applies towards the sphere installation hole under deformed state to the anti-siphon spheroid Direction active force.
8. adjusting means as claimed in claim 7, it is characterised in that also include:Pressure sensor, controller and liquid crystal display Screen;Wherein,
The pressure sensor and the controller are mounted in the hollow structure, and outside the annular seal space, it is described LCDs is flush-mounted in the top surface of the upper lid;
The pressure sensor detection flows through the pressure of the liquid of second pipeline, and the pressure detected is sent to described Controller;
The controller reads the pressure from the pressure sensor, and will read pressure and send to the liquid crystal display Screen;
The LCDs shows the pressure received.
9. adjusting means as claimed in claim 1, it is characterised in that also include:Postive stop baffle;Wherein, the postive stop baffle Limit maximum displacement of the anti-siphon spheroid relative to the sphere installation hole.
10. a kind of drainage of cerebrospinal fluid system, it is characterised in that including:Drainage bag and as claimed in any one of claims 1-9 wherein Adjusting means in drainage of cerebrospinal fluid system;Wherein,
The second inlet in the adjusting means is connected by the first drainage tube with the ventricles of the brain or Lumbar catheter of patient, described The 3rd liquid outlet in adjusting means is connected by the second drainage tube with the drainage bag.
CN201710437621.XA 2017-06-12 2017-06-12 Adjusting device in cerebrospinal fluid drainage system and cerebrospinal fluid drainage system Active CN107281562B (en)

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