CN107617133A - A kind of oxygenation separate type BAL fluid collection device - Google Patents
A kind of oxygenation separate type BAL fluid collection device Download PDFInfo
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- CN107617133A CN107617133A CN201710722471.7A CN201710722471A CN107617133A CN 107617133 A CN107617133 A CN 107617133A CN 201710722471 A CN201710722471 A CN 201710722471A CN 107617133 A CN107617133 A CN 107617133A
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Abstract
The invention discloses a kind of oxygenation separate type BAL fluid collection device, mainly including irrigating tube, physiological saline container, control device, collection vessel；Physiological saline is sprayed from the mouth of pipe and areole, and Multi-directional three-dimensional extruding is rinsed, enhancing developing result, and pressurizing valve is unidirectional pressurization liquid valve, rinses and reclaim complete independently, will not produce physiological saline refluence；The oxygen received is entered row buffering decompression by pressure-reducing valve, is prevented that oxygen pressure is excessive, oxygen is safely used by patient；Manually piston is reclaimed in control in collection vessel, the irrigating solution being collected into is passed through into filter screen filtration, effectively go the removal of impurity, the bottom of collection vessel is connected with liquid collecting funnel, liquid outlet controls the collection of irrigating solution sample by going out liquid switch, multiplicity sampling collection can be directly carried out during collection, sampling is convenient, simple to operate.
Description
Technical field
The present invention relates to bronchoalveolar lavage technical field, and in particular to a kind of oxygenation separate type bronchoalveolar lavage
Liquor collecting device.
Background technology
Bronchoalveolar lavage is horizontal with lower lung section or sub- lung section to bronchus by branchofiberoscope, repeatedly with nothing
The lavation of bacterium physiological saline, recovery, a series of detections and analysis are carried out to it, so as to obtain the property feature of lower respiratory tract lesion and
Active level, help to establish diagnosing.Suitable for the cause of disease of pulmonary infection, particularly immunocompromised host, immune deficiency pulmonary infection
Diagnosis is learned, diffuses the cytodiagnosis of type and peripheral lung tumors, interstitial lung disease, such as sarcoidosis, idiopathic pulmonary interstitial
The diagnosis of fibrosis, extrinsic allergic alveolitis, pulmonary alveolar proteinosis, Collagen vascular companion's pulmonary fibrosis etc., treatment, curative effect
Estimate with prognosis.
Current lavaging method mainly includes：1. Whole lung lavage：For pulmonary alveolar proteinosis, silicosis, microlithiasis alveolaris pulmonum,
The treatment of status asthmaticus etc..2. lung section lavation：It is mainly used in diffusivity interstitial pulmonary fibrosis, asbestosis and Cattell lung sac
The diagnosis of worm pneumonia, the diagnosis to Diffuse alveolar cell carcinoma, also there is important value.Treatment of the low capacity lung lavage to pneumoconiosis also rises
To important effect.Must strictly grasp idicatio in use, old, body decline patient check in should be with electrocardiogram and warp
Skin detection blood oxygen saturation is guarded；Nasal tube oxygen inhalation or bronchoalveolar lavage high-frequency ventilation oxygen supply are given in art；Art
Middle strict aseptic technique, prevents scabies secondary infection；Normal operations on request, qualified irrigating solution should reach defined yield, no
It is mixed with blood (red blood cell number<10%), should not be mixed with volume epithelial cell (<3%)；Censorship as early as possible after acquisition irrigating solution；Check
When occurring the complication such as heating, bleeding, pulmonary infection, bronchial spasm afterwards, handle accordingly.
At present, the acquisition method of BAL fluid is directly to extract BAL fluid by needle tubing, behaviour
Make that difficulty is big, existing BAL fluid collector collect after irrigating solution need after filtering could sample detecting, lung
It is low to steep the lavation rate of recovery, easily causes the lesions such as infection and sends out；When needing uninterrupted multigroup sampling, it is necessary to frequently change collection
Device, process is complicated, and larger pain is caused to patient.
The content of the invention
For above technical problem, the present invention provides a kind of alternative oxygenation, the branch that lavation and recovery are separated
Bronchoalveolar lavage fluid collection device.
The technical scheme is that：A kind of oxygenation separate type BAL fluid collection device, it is main to include filling
Wash pipe, physiological saline container, control device, collection vessel；Described irrigating tube inserts bronchial airway wall conduit, irrigating tube
One end the mouth of pipe is set, be provided with some areoles on the outer wall of the described mouth of pipe to the irrigating tube between the 2-3cm of its top, fill
The other end for washing pipe is provided with connecting pipe, and irrigating tube is connected by connecting pipe with control device, outside described control device
Side is disposed with pressurizing valve, Gas mixing valve, collecting pipe from left to right, and bottom and the physiological saline container of described pressurizing valve connect
Connect, oxygen tube connection ports are provided with described Gas mixing valve, Gas mixing valve connects with irrigating tube, described collecting pipe and collection vessel
Connection, the inner side high order end of control device are provided with liquid separatnig valve, and one end of described liquid separatnig valve is connected with connecting pipe, liquid separatnig valve
The other end be divided into two, be respectively arranged with lavation inner tube and recovery inner tube, the low order end of described lavation inner tube is provided with storage
Liquid air bag, the top of described liquid storage air bag are provided with pressurization connector, and described pressurization connector is fixedly connected with pressurizing valve,
Described recovery inner tube is connected by Gas mixing valve with collection vessel；Connecting rod, water outlet are provided with described physiological saline container
Pipeline, sealing ring, watered cup, salt water absorption tube, filter, screw thread, the top of connecting rod are provided with described connecting rod
It is connected with pressurizing valve, the bottom of connecting rod is connected with outlet pipeline, and described outlet pipeline is fixed on physiology salt by sealing ring
On water receptacle, described salt water absorption tube is extend into physiological saline container, salt through being fixed in outlet pipeline by sealing ring
The lower end of water absorption tube is connected with filter, and liquid level line is provided with the side wall of physiological saline container, and watered cup is embedded solid
Be scheduled in the side wall of physiological saline container, described watered cup center is provided with water inlet, described water inlet it is outer
Side is provided with seal head；Screen pack is provided with above described collection vessel, recovery is provided with above described screen pack
Piston, pressurization spanner is provided with the outside of described recovery piston, liquid collecting funnel, institute are provided with below described collection vessel
Liquid outlet is provided with below the liquid collecting funnel stated, liquid switch is provided with out on described liquid outlet.
Further, described recovery piston is manual attractor, and there is described attractor anti-overflow counterflow-preventing to design, most
Big true control value arrives -100mmHG for -50；Recovery internal piston mainly includes：Valve A, piston, depression bar (423), piston outer tube, go out
Fluid apertures, valve B, liquid collecting funnel, discharging tube, described valve A water inlet end be connecteds with recovery inner tube, valve A water side and
Piston is connected, and described piston is connected by depression bar with pressurization spanner, and some fluid holes are dispersed with the extruded wall of piston, described
Piston base installation valve B, described valve B on the outside of parcel piston outer tube, described piston outer tube is connected with liquid collecting funnel,
Described liquid collecting funnel is connected with discharging tube, is made of medical macromolecular materials, and small volume is in light weight, simple to operate.
Further, the capacity of described physiological saline container is 240-300ml, and the capacity of described collection vessel is
90-150ml, enough physiological saline is held, so as to ensure developing result.
Further, described filter mainly includes：Cylinders of filter mesh, circular cone screen pack, imbibing hole, described circle
Post screen pack upper end is connected with salt water absorption tube, and cylinders of filter mesh lower end is connected with circular cone screen pack, on described circular cone screen pack
Some imbibing holes are dispersed with, the internal diameter of described imbibing hole is 0.1-0.3mm.
Further, described liquid outlet controls the collection of irrigating solution sample by going out liquid switch, and the sample of collection can
It is directly used in Bacteria Culture, cell detection, biochemical measurement.
Further, pressure-reducing valve and control valve, the inlet end and oxygen of described pressure-reducing valve are provided with described Gas mixing valve
Tracheae connector is connected, and the outlet side of pressure-reducing valve is connected with control valve, and the oxygen received is entered row buffering and depressurized by pressure-reducing valve, is prevented
Block atmospheric pressure is excessive, and control valve controls oxygen flow by controlling the size of oxygen channel, allow oxygen safely by
Patient uses.
Further, described irrigating tube is disposable sterile tube, a diameter of 1.8-2.4mm of described sterile tube,
Other bacteriums will not be introduced during use, are polluted, so as to influence biochemistry detection result.
Further, described pressurizing valve is unidirectional pressurization liquid valve, for by the sterile physiological in physiological saline container
For salt solution by injecting irrigating tube after controlling pressurizing valve pressurization, pressure of the described pressurizing valve in lavation is 150-190cmH2O is pressed
Power, then pressurizing valve is controlled to reclaim again, pressure recovery is 6.7-13.3kPa (80-100mmHg).
In operation, answer is advisable the lavation collection device of the present invention under operating room local anaesthesia, and patient is complete
It is clear-headed, the idea of oneself can be expressed, patient takes dorsal position more, and under low discharge oxygen uptake, cardiac monitoring, whole-body muscle loosens, tranquil
Deeply breathe, beneficial in oxygen suction alveolar.Patient enters irrigating tube direct oral cavity or nasal cavity, and through pharyngeal cavity, glottis enters gas
Pipe --- left and right bronchus, the through lung section opening for needing Lavage for Treatment, avoid doing before irrigating tube enters glottis by cavum laryngis
Swallowing act, check that patient does not speak in Lavage for Treatment, can tussicula if any cough, there is phlegm or secretion application toilet paper in mouth
Clean, add 37 DEG C of sterile salines and carry out lavation, every time 20-30ml, by being injected under irrigating tube in alveolar, collect back
Liquid is received, lavation should be repeated, until eluate is completely limpid, you can tube pulling terminates Lavage for Treatment.
Beneficial effects of the present invention are compared with prior art：
1. during lavation, physiological saline is added by irrigating tube by physiological saline container, then from the mouth of pipe and areole
Spray, Multi-directional three-dimensional extruding is rinsed, and strengthens developing result, during operation, is rinsed and recovery complete independently, will not be produced physiological saline
Flow backwards；Liquid separatnig valve is switched by binary channels to be set, and runner switching is carried out, so as to control lavation and recovery pipe to greatest extent
Pollution, prevented because hidden danger, reliability are high caused by pollution；
2. being provided with pressure-reducing valve and control valve in Gas mixing valve, the oxygen received is entered row buffering and depressurized by pressure-reducing valve, is prevented
Oxygen pressure is excessive, and control valve controls oxygen flow by controlling the size of oxygen channel, allows oxygen safely sick
People uses；
3. manually control recovery piston in collection vessel, by the irrigating solution being collected into by filter screen filtration, effectively
The removal of impurity is gone, the bottom of collection vessel is connected with liquid collecting funnel, and liquid outlet controls the receipts of irrigating solution sample by going out liquid switch
Collection, multiplicity sampling collection can be directly carried out during collection, sampling is convenient, simple to operate.
Brief description of the drawings
Fig. 1 is the overall structure diagram of the present invention；
Fig. 2 is the Gas mixing valve internal structure schematic diagram of the present invention；
Fig. 3 is the filter apparatus configuration schematic diagram of the present invention；
Fig. 4 is the recovery piston structure schematic diagram of the present invention；
Wherein, 1- irrigating tubes, 11- areoles, the 12- mouths of pipe, 13- connecting pipes, 2- physiological saline containers, 21- connecting rods,
22- outlet pipelines, 23- sealing rings, 24- liquid level lines, 25- water inlets, 26- seal heads, 27- watered cups, 28- salt water absorption tubes,
29- filters, 291- cylinders of filter mesh, 292- circular cone screen packs, 293- imbibing holes, 3- control devices, 31- pressurizing valves, 32-
Gas mixing valve, 321- pressure-reducing valves, 322- control valves, 33- oxygen tube connection ports, 34- collecting pipes, 35- liquid separatnig valves, 36- lavation inner tubes,
37- reclaims inner tube, 38- pressurization connectors, 39- liquid storage air bags, 4- collection vessels, 41- pressurization spanners, 42- recovery pistons, 421-
Valve A, 422- piston, 423- depression bars, 424- piston outer tubes, 425- fluid holes, 426- valves B, 427- liquid collecting funnel, 428- rows
Liquid pipe, 43- screen packs, 44- liquid collecting funnels, 45- go out liquid switch, 46- liquid outlets.
Embodiment
The present invention is further described in detail with reference to example during specific implementation：
Embodiment 1：As shown in figure 1, a kind of oxygenation separate type BAL fluid collection device, mainly including lavation
Pipe 1, physiological saline container 2, control device 3, collection vessel 4；
Irrigating tube 1 inserts bronchial airway wall conduit, and one end of irrigating tube 1 sets the mouth of pipe 12, and the mouth of pipe 12 arrives its top
Areole 11 is provided with the outer wall of irrigating tube 1 between 2cm, the other end of irrigating tube 1 is provided with connecting pipe 13, irrigating tube
1 is connected by connecting pipe 13 with control device 3, and irrigating tube 1 is disposable sterile tube, a diameter of 1.8mm of sterile tube, is made
Used time will not introduce other bacteriums, pollute, so as to influence biochemistry detection result.
The outside of control device 3 is disposed with pressurizing valve 31, Gas mixing valve 32, collecting pipe 34 from left to right, pressurizing valve 31
Bottom is connected with physiological saline container 2, and oxygen tube connection ports 33 are provided with Gas mixing valve 32, and Gas mixing valve 32 connects with irrigating tube 1,
Collecting pipe 34 is connected with collection vessel 4, and the inner side high order end of control device 3 is provided with liquid separatnig valve 35, one end of liquid separatnig valve 35 with
Connecting pipe 13 connects, and the other end of liquid separatnig valve 35 is divided into two, and is respectively arranged with lavation inner tube 36 and recovery inner tube 37, lavation
The low order end of inner tube 36 is provided with liquid storage air bag 39, and the top of liquid storage air bag 39 is provided with pressurization connector 38, and pressurize connector
38 are fixedly connected with pressurizing valve 31, and recovery inner tube 37 is connected by Gas mixing valve 32 with collection vessel 4；As shown in Fig. 2 Gas mixing valve 32
Pressure-reducing valve 321 and control valve 322 are inside provided with, the inlet end of pressure-reducing valve 321 is connected with oxygen tube connection ports 33, pressure-reducing valve 321
Outlet side be connected with control valve 322, pressure-reducing valve 321 by the oxygen received enter row buffering depressurize, prevent that oxygen pressure is excessive,
Control valve 322 controls oxygen flow by controlling the size of oxygen channel, oxygen is safely used by patient.
Connecting rod 21, outlet pipeline 22, sealing ring 23, watered cup 27, salt water absorption tube are provided with physiological saline container 2
28th, filter 29, screw thread are provided with connecting rod 21, the top of connecting rod 21 is connected with pressurizing valve 31, under connecting rod 21
Portion is connected with outlet pipeline 22, and outlet pipeline 22 is fixed on physiological saline container 2 by sealing ring 23, and salt water absorption tube 28 runs through
It is fixed in outlet pipeline 22, is extend into by sealing ring 23 in physiological saline container 2, lower end and the filtering of salt water absorption tube 28 fills
29 connections are put, liquid level line 24 is provided with the side wall of physiological saline container 2, watered cup 27 is embedded to be fixed on the physiology salt water capacity
In the side wall of device 2, the center of watered cup 27 is provided with water inlet 25, and the outside of water inlet 25 is provided with seal head 26；It is raw
The capacity for managing saline container 2 is 240ml, and the capacity of collection vessel 4 is 90ml, holds enough physiological saline, so as to ensure to rush
Wash effect.As shown in figure 3, filter 29 mainly includes：Cylinders of filter mesh 291, circular cone screen pack 292, imbibing hole 293, circle
The upper end of post screen pack 291 is connected with salt water absorption tube 28, and the lower end of cylinders of filter mesh 291 is connected with circular cone screen pack 292, circular cone filtering
Imbibing hole 293 is dispersed with net 292, the internal diameter of imbibing hole 293 is 0.1mm.
The top of collection vessel 4 is provided with screen pack 43, and the top of screen pack 43 is provided with recovery piston 42, reclaims piston
42 outside is provided with pressurization spanner 41, and the lower section of collection vessel 4 is provided with liquid collecting funnel 44, and the lower section of liquid collecting funnel 44 is set
There is liquid outlet 46, liquid switch 45 is provided with out on liquid outlet 46.Recovery piston 42 is manual attractor, and attractor has anti-overflow anti-
Counter-flow designs, maximum true control value is -50mmHG；As shown in figure 4, the inside of recovery piston 42 mainly includes：Valve A421, piston
422nd, depression bar 423, piston outer tube 424, fluid hole 425, valve B426, liquid collecting funnel 427, discharging tube 428, valve A421's enters
Water end (W.E.) is connected with recovery inner tube 37, and valve A421 water side is connected with piston 422, and piston 422 is pulled by depression bar 423 with pressurization
Hand 41 connects, and is dispersed with fluid hole 425 in the extruded wall of piston 422, outside the installation of the bottom of piston 422 valve B426, valve B426
Side parcel piston outer tube 424, piston outer tube 424 is connected with liquid collecting funnel 427, and liquid collecting funnel 427 is connected with discharging tube 428, is adopted
It is made of medical macromolecular materials, small volume is in light weight, simple to operate.Liquid outlet 46 controls lavation by going out liquid switch 45
The collection of liquid sample, the sample of collection can be directly used for Bacteria Culture, cell detection, biochemical measurement.
Wherein, pressurizing valve 31 is unidirectional pressurization liquid valve, for the sterile saline in physiological saline container to be passed through
Control pressurizing valve 31 injects irrigating tube after pressurizeing, and pressure of the pressurizing valve 31 in lavation is 150cmH2O pressure, is then controlled again
Pressurization spanner 41 reclaims, pressure recovery 6.7kPa.
In operation, answer is advisable the lavation collection device of the present invention under operating room local anaesthesia, and patient is complete
It is clear-headed, the idea of oneself can be expressed, patient takes dorsal position more, and under low discharge oxygen uptake, cardiac monitoring, whole-body muscle loosens, tranquil
Deeply breathe, beneficial in oxygen suction alveolar.Patient enters irrigating tube direct oral cavity or nasal cavity, and through pharyngeal cavity, glottis enters gas
Pipe --- left and right bronchus, the through lung section opening for needing Lavage for Treatment, avoid doing before irrigating tube enters glottis by cavum laryngis
Swallowing act, check that patient does not speak in Lavage for Treatment, can tussicula if any cough, there is phlegm or secretion application toilet paper in mouth
Clean, add 37 DEG C of sterile salines and carry out lavation, each 20ml, by being injected under irrigating tube in alveolar, collect recovered liquid,
Lavation should be repeated, until eluate is completely limpid, you can tube pulling terminates Lavage for Treatment.
Embodiment 2：As shown in figure 1, a kind of oxygenation separate type BAL fluid collection device, mainly including lavation
Pipe 1, physiological saline container 2, control device 3, collection vessel 4；
Irrigating tube 1 inserts bronchial airway wall conduit, and one end of irrigating tube 1 sets the mouth of pipe 12, and the mouth of pipe 12 arrives its top
Areole 11 is provided with the outer wall of irrigating tube 1 between 2.5cm, the other end of irrigating tube 1 is provided with connecting pipe 13, lavation
Pipe 1 is connected by connecting pipe 13 with control device 3, and irrigating tube 1 is disposable sterile tube, a diameter of 2.1mm of sterile tube,
Other bacteriums will not be introduced during use, are polluted, so as to influence biochemistry detection result.
The outside of control device 3 is disposed with pressurizing valve 31, Gas mixing valve 32, collecting pipe 34 from left to right, pressurizing valve 31
Bottom is connected with physiological saline container 2, and oxygen tube connection ports 33 are provided with Gas mixing valve 32, and Gas mixing valve 32 connects with irrigating tube 1,
Collecting pipe 34 is connected with collection vessel 4, and the inner side high order end of control device 3 is provided with liquid separatnig valve 35, one end of liquid separatnig valve 35 with
Connecting pipe 13 connects, and the other end of liquid separatnig valve 35 is divided into two, and is respectively arranged with lavation inner tube 36 and recovery inner tube 37, lavation
The low order end of inner tube 36 is provided with liquid storage air bag 39, and the top of liquid storage air bag 39 is provided with pressurization connector 38, and pressurize connector
38 are fixedly connected with pressurizing valve 31, and recovery inner tube 37 is connected by Gas mixing valve 32 with collection vessel 4；As shown in Fig. 2 Gas mixing valve 32
Pressure-reducing valve 321 and control valve 322 are inside provided with, the inlet end of pressure-reducing valve 321 is connected with oxygen tube connection ports 33, pressure-reducing valve 321
Outlet side be connected with control valve 322, pressure-reducing valve 321 by the oxygen received enter row buffering depressurize, prevent that oxygen pressure is excessive,
Control valve 322 controls oxygen flow by controlling the size of oxygen channel, oxygen is safely used by patient.
Connecting rod 21, outlet pipeline 22, sealing ring 23, watered cup 27, salt water absorption tube are provided with physiological saline container 2
28th, filter 29, screw thread are provided with connecting rod 21, the top of connecting rod 21 is connected with pressurizing valve 31, under connecting rod 21
Portion is connected with outlet pipeline 22, and outlet pipeline 22 is fixed on physiological saline container 2 by sealing ring 23, and salt water absorption tube 28 runs through
It is fixed in outlet pipeline 22, is extend into by sealing ring 23 in physiological saline container 2, lower end and the filtering of salt water absorption tube 28 fills
29 connections are put, liquid level line 24 is provided with the side wall of physiological saline container 2, watered cup 27 is embedded to be fixed on the physiology salt water capacity
In the side wall of device 2, the center of watered cup 27 is provided with water inlet 25, and the outside of water inlet 25 is provided with seal head 26；It is raw
The capacity for managing saline container 2 is 270ml, and the capacity of collection vessel 4 is 120ml, holds enough physiological saline, so as to ensure to rush
Wash effect.As shown in figure 3, filter 29 mainly includes：Cylinders of filter mesh 291, circular cone screen pack 292, imbibing hole 293, circle
The upper end of post screen pack 291 is connected with salt water absorption tube 28, and the lower end of cylinders of filter mesh 291 is connected with circular cone screen pack 292, circular cone filtering
Imbibing hole 293 is dispersed with net 292, the internal diameter of imbibing hole 293 is 0.2mm.
The top of collection vessel 4 is provided with screen pack 43, and the top of screen pack 43 is provided with recovery piston 42, reclaims piston
42 outside is provided with pressurization spanner 41, and the lower section of collection vessel 4 is provided with liquid collecting funnel 44, and the lower section of liquid collecting funnel 44 is set
There is liquid outlet 46, liquid switch 45 is provided with out on liquid outlet 46.Recovery piston 42 is manual attractor, and attractor has anti-overflow anti-
Counter-flow designs, maximum true control value is -75mmHG；As shown in figure 4, the inside of recovery piston 42 mainly includes：Valve A421, piston
422nd, depression bar 423, piston outer tube 424, fluid hole 425, valve B426, liquid collecting funnel 427, discharging tube 428, valve A421's enters
Water end (W.E.) is connected with recovery inner tube 37, and valve A421 water side is connected with piston 422, and piston 422 is pulled by depression bar 423 with pressurization
Hand 41 connects, and is dispersed with fluid hole 425 in the extruded wall of piston 422, outside the installation of the bottom of piston 422 valve B426, valve B426
Side parcel piston outer tube 424, piston outer tube 424 is connected with liquid collecting funnel 427, and liquid collecting funnel 427 is connected with discharging tube 428, is adopted
It is made of medical macromolecular materials, small volume is in light weight, simple to operate.Liquid outlet 46 controls lavation by going out liquid switch 45
The collection of liquid sample, the sample of collection can be directly used for Bacteria Culture, cell detection, biochemical measurement.
Wherein, pressurizing valve 31 is unidirectional pressurization liquid valve, for the sterile saline in physiological saline container to be passed through
Control pressurizing valve 31 injects irrigating tube after pressurizeing, and pressure of the pressurizing valve 31 in lavation is 170cmH2O pressure, is then controlled again
Pressurization spanner 41 reclaims, pressure recovery 10kPa.
In operation, answer is advisable the lavation collection device of the present invention under operating room local anaesthesia, and patient is complete
It is clear-headed, the idea of oneself can be expressed, patient takes dorsal position more, and under low discharge oxygen uptake, cardiac monitoring, whole-body muscle loosens, tranquil
Deeply breathe, beneficial in oxygen suction alveolar.Patient enters irrigating tube direct oral cavity or nasal cavity, and through pharyngeal cavity, glottis enters gas
Pipe --- left and right bronchus, the through lung section opening for needing Lavage for Treatment, avoid doing before irrigating tube enters glottis by cavum laryngis
Swallowing act, check that patient does not speak in Lavage for Treatment, can tussicula if any cough, there is phlegm or secretion application toilet paper in mouth
Clean, add 37 DEG C of sterile salines and carry out lavation, each 25ml, by being injected under irrigating tube in alveolar, collect recovered liquid,
Lavation should be repeated, until eluate is completely limpid, you can tube pulling terminates Lavage for Treatment.
Embodiment 3：As shown in figure 1, a kind of oxygenation separate type BAL fluid collection device, mainly including lavation
Pipe 1, physiological saline container 2, control device 3, collection vessel 4；
Irrigating tube 1 inserts bronchial airway wall conduit, and one end of irrigating tube 1 sets the mouth of pipe 12, and the mouth of pipe 12 arrives its top
Areole 11 is provided with the outer wall of irrigating tube 1 between 3cm, the other end of irrigating tube 1 is provided with connecting pipe 13, irrigating tube
1 is connected by connecting pipe 13 with control device 3, and irrigating tube 1 is disposable sterile tube, a diameter of 2.4mm of sterile tube, is made
Used time will not introduce other bacteriums, pollute, so as to influence biochemistry detection result.
The outside of control device 3 is disposed with pressurizing valve 31, Gas mixing valve 32, collecting pipe 34 from left to right, pressurizing valve 31
Bottom is connected with physiological saline container 2, and oxygen tube connection ports 33 are provided with Gas mixing valve 32, and Gas mixing valve 32 connects with irrigating tube 1,
Collecting pipe 34 is connected with collection vessel 4, and the inner side high order end of control device 3 is provided with liquid separatnig valve 35, one end of liquid separatnig valve 35 with
Connecting pipe 13 connects, and the other end of liquid separatnig valve 35 is divided into two, and is respectively arranged with lavation inner tube 36 and recovery inner tube 37, lavation
The low order end of inner tube 36 is provided with liquid storage air bag 39, and the top of liquid storage air bag 39 is provided with pressurization connector 38, and pressurize connector
38 are fixedly connected with pressurizing valve 31, and recovery inner tube 37 is connected by Gas mixing valve 32 with collection vessel 4；As shown in Fig. 2 Gas mixing valve 32
Pressure-reducing valve 321 and control valve 322 are inside provided with, the inlet end of pressure-reducing valve 321 is connected with oxygen tube connection ports 33, pressure-reducing valve 321
Outlet side be connected with control valve 322, pressure-reducing valve 321 by the oxygen received enter row buffering depressurize, prevent that oxygen pressure is excessive,
Control valve 322 controls oxygen flow by controlling the size of oxygen channel, oxygen is safely used by patient.
Connecting rod 21, outlet pipeline 22, sealing ring 23, watered cup 27, salt water absorption tube are provided with physiological saline container 2
28th, filter 29, screw thread are provided with connecting rod 21, the top of connecting rod 21 is connected with pressurizing valve 31, under connecting rod 21
Portion is connected with outlet pipeline 22, and outlet pipeline 22 is fixed on physiological saline container 2 by sealing ring 23, and salt water absorption tube 28 runs through
It is fixed in outlet pipeline 22, is extend into by sealing ring 23 in physiological saline container 2, lower end and the filtering of salt water absorption tube 28 fills
29 connections are put, liquid level line 24 is provided with the side wall of physiological saline container 2, watered cup 27 is embedded to be fixed on the physiology salt water capacity
In the side wall of device 2, the center of watered cup 27 is provided with water inlet 25, and the outside of water inlet 25 is provided with seal head 26；It is raw
The capacity for managing saline container 2 is 300ml, and the capacity of collection vessel 4 is 150ml, holds enough physiological saline, so as to ensure to rush
Wash effect.As shown in figure 3, filter 29 mainly includes：Cylinders of filter mesh 291, circular cone screen pack 292, imbibing hole 293, circle
The upper end of post screen pack 291 is connected with salt water absorption tube 28, and the lower end of cylinders of filter mesh 291 is connected with circular cone screen pack 292, circular cone filtering
Imbibing hole 293 is dispersed with net 292, the internal diameter of imbibing hole 293 is 0.3mm.
The top of collection vessel 4 is provided with screen pack 43, and the top of screen pack 43 is provided with recovery piston 42, reclaims piston
42 outside is provided with pressurization spanner 41, and the lower section of collection vessel 4 is provided with liquid collecting funnel 44, and the lower section of liquid collecting funnel 44 is set
There is liquid outlet 46, liquid switch 45 is provided with out on liquid outlet 46.Recovery piston 42 is manual attractor, and attractor has anti-overflow anti-
Counter-flow designs, maximum true control value is -100mmHG；As shown in figure 4, the inside of recovery piston 42 mainly includes：Valve A421, piston
422nd, depression bar 423, piston outer tube 424, fluid hole 425, valve B426, liquid collecting funnel 427, discharging tube 428, valve A421's enters
Water end (W.E.) is connected with recovery inner tube 37, and valve A421 water side is connected with piston 422, and piston 422 is pulled by depression bar 423 with pressurization
Hand 41 connects, and is dispersed with fluid hole 425 in the extruded wall of piston 422, outside the installation of the bottom of piston 422 valve B426, valve B426
Side parcel piston outer tube 424, piston outer tube 424 is connected with liquid collecting funnel 427, and liquid collecting funnel 427 is connected with discharging tube 428, is adopted
It is made of medical macromolecular materials, small volume is in light weight, simple to operate.Liquid outlet 46 controls lavation by going out liquid switch 45
The collection of liquid sample, the sample of collection can be directly used for Bacteria Culture, cell detection, biochemical measurement.
Wherein, pressurizing valve 31 is unidirectional pressurization liquid valve, for the sterile saline in physiological saline container to be passed through
Irrigating tube is injected after control pressurizing valve pressurization, pressure of the pressurizing valve 31 in lavation is 190cmH2O pressure, then control and add again
Pressure spanner 41 reclaims, pressure recovery 13.3kPa
In operation, answer is advisable the lavation collection device of the present invention under operating room local anaesthesia, and patient is complete
It is clear-headed, the idea of oneself can be expressed, patient takes dorsal position more, and under low discharge oxygen uptake, cardiac monitoring, whole-body muscle loosens, tranquil
Deeply breathe, beneficial in oxygen suction alveolar.Patient enters irrigating tube direct oral cavity or nasal cavity, and through pharyngeal cavity, glottis enters gas
Pipe --- left and right bronchus, the through lung section opening for needing Lavage for Treatment, avoid doing before irrigating tube enters glottis by cavum laryngis
Swallowing act, check that patient does not speak in Lavage for Treatment, can tussicula if any cough, there is phlegm or secretion application toilet paper in mouth
Clean, add 37 DEG C of sterile salines and carry out lavation, each 30ml, by being injected under irrigating tube in alveolar, collect recovered liquid,
Lavation should be repeated, until eluate is completely limpid, you can tube pulling terminates Lavage for Treatment.
The present invention in use, first opens seal head 26, then by water inlet 25 toward adding in watered cup 27
Physiological saline, reach the 80% of total capacity by observing the capacity in the physiological saline container 2 of liquid level line 24, then will be external
Oxygen hose be connected with oxygen tube connection ports 33, extrude pressurizing valve 31, carry out normal saline flushing, according to visual bronchial gas
Pipe sem observation rinses situation, and after the completion of flushing, regulation pressurization spanner 41 gives back to the effect of plug 42 of accepting orders for repairs or processing manually, and irrigating solution is collected
Into collection vessel 4, sampled by adjusting the liquid switch 45 that goes out set on liquid outlet 46.
Finally it should be noted that：The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations；Although
The present invention is described in detail with reference to the foregoing embodiments, it will be understood by those within the art that：It still may be used
To be modified to the technical scheme described in previous embodiment, or equivalent substitution is carried out to which part technical characteristic；And
These modifications are replaced, and the essence of appropriate technical solution is departed from the spirit and model of technical scheme of the embodiment of the present invention
Enclose.
Claims (8)
1. a kind of oxygenation separate type BAL fluid collection device, it is characterised in that mainly including irrigating tube (1), life
Manage saline container (2), control device (3), collection vessel (4)；Described irrigating tube (1) inserts bronchial airway wall conduit,
One end of irrigating tube (1) sets the mouth of pipe (12), the outer wall for the irrigating tube (1) that the described mouth of pipe (12) is arrived between the 2-3cm of its top
On be provided with some areoles (11), the other end of irrigating tube (1) is provided with connecting pipe (13), and irrigating tube (1) passes through connection
Pipe fitting (13) is connected with control device (3), be disposed with from left to right on the outside of described control device (3) pressurizing valve (31),
Gas mixing valve (32), collecting pipe (34), the bottom of described pressurizing valve (31) are connected with physiological saline container (2), described mixed gas
Oxygen tube connection ports (33) are provided with valve (32), described collecting pipe (34) is connected with collection vessel (4), control device (3)
Inner side high order end be provided with liquid separatnig valve (35), one end of described liquid separatnig valve (35) is connected with connecting pipe (13), liquid separatnig valve
(35) the other end is divided into two, and is respectively arranged with lavation inner tube (36) and recovery inner tube (37), described lavation inner tube (36)
Low order end be provided with liquid storage air bag (39), the top of described liquid storage air bag (39) is provided with pressurization connector (38), described
Pressurization connector (38) be fixedly connected with pressurizing valve (31), described recovery inner tube (37) by Gas mixing valve (32) with collect hold
Device (4) connects；Be provided with described physiological saline container (2) connecting rod (21), outlet pipeline (22), sealing ring (23), plus
Hyponome (27), salt water absorption tube (28), filter (29), described connecting rod (21) is interior to be provided with screw thread, connecting rod (21)
Top be connected with pressurizing valve (31), the bottom of connecting rod (21) is connected with outlet pipeline (22), described outlet pipeline (22)
It is fixed on by sealing ring (23) on physiological saline container (2), described salt water absorption tube (28), which runs through, is fixed on outlet pipeline
(22) in, it is extend into by sealing ring (23) in physiological saline container (2), lower end and the filter (29) of salt water absorption tube (28)
Connect, be provided with liquid level line (24) in the side wall of physiological saline container (2), watered cup (27) is embedded to be fixed on physiological saline
In the side wall of container (2), described watered cup (27) center is provided with water inlet (25), described water inlet (25)
Outside is provided with seal head (26)；Screen pack (43), described screen pack (43) are provided with above described collection vessel (4)
Top be provided with recovery piston (42), pressurization spanner (41), described receipts are provided with the outside of described recovery piston (42)
Liquid collecting funnel (44) is provided with below collection container (4), liquid outlet (46), institute are provided with below described liquid collecting funnel (44)
Liquid switch (45) is provided with out on the liquid outlet (46) stated.
2. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Recovery piston (42) be manual attractor, there is described attractor anti-overflow counterflow-preventing to design, maximum true control value be -50 to -
100mmHG；Mainly include inside recovery piston (42)：Valve A (421), piston (422), depression bar (423), piston outer tube
(424), fluid hole (425), valve B (426), liquid collecting funnel (427), discharging tube (428), described valve A (421) water inlet
End is connected with recovery inner tube (37), and valve A (421) water side is connected with piston (422), and described piston (422) passes through pressure
Bar (423) is connected with pressurization spanner (41), and some fluid holes (425), described piston are dispersed with the extruded wall of piston (422)
(422) parcel piston outer tube (424), described piston outer tube on the outside of bottom installation valve B (426), described valve B (426)
(424) it is connected with liquid collecting funnel (427), described liquid collecting funnel (427) is connected with discharging tube (428).
3. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Filter (29) mainly include：Cylinders of filter mesh (291), circular cone screen pack (292), imbibing hole (293), described cylinder
Screen pack (291) upper end is connected with salt water absorption tube (28), and cylinders of filter mesh (291) lower end is connected with circular cone screen pack (292), institute
Some imbibing holes (293) are dispersed with the circular cone screen pack (292) stated, the internal diameter of described imbibing hole (293) is about 0.1-
0.3mm。
4. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Liquid outlet (46) control the collection of irrigating solution sample by going out liquid switch (45).
5. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Gas mixing valve (32) in be provided with pressure-reducing valve (321) and control valve (322), the inlet end and oxygen of described pressure-reducing valve (321)
Tube connection ports (33) connect.
6. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Irrigating tube (1) be disposable sterile tube, a diameter of 1.8-2.4mm of described sterile tube or so.
7. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
Irrigating tube (1) be sterile tube.
8. a kind of oxygenation separate type BAL fluid collection device as claimed in claim 1, it is characterised in that described
The capacity of physiological saline container (2) be 240-300ml, the capacity of described collection vessel (4) is 90-150ml.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710722471.7A CN107617133B (en) | 2017-08-22 | 2017-08-22 | Oxygenation disconnect-type bronchoalveolar lavage fluid collection device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710722471.7A CN107617133B (en) | 2017-08-22 | 2017-08-22 | Oxygenation disconnect-type bronchoalveolar lavage fluid collection device |
Publications (2)
| Publication Number | Publication Date |
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| CN107617133A true CN107617133A (en) | 2018-01-23 |
| CN107617133B CN107617133B (en) | 2020-04-17 |
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| CN201710722471.7A Active CN107617133B (en) | 2017-08-22 | 2017-08-22 | Oxygenation disconnect-type bronchoalveolar lavage fluid collection device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113546458A (en) * | 2020-04-24 | 2021-10-26 | 南阳市中心医院 | Oxygen-adding separation type bronchial lavage liquid collecting device for outside |
| CN114652360A (en) * | 2022-01-27 | 2022-06-24 | 常州乐奥医疗科技股份有限公司 | Alveolar lavage device |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2008139847A1 (en) * | 2007-04-23 | 2008-11-20 | Kaneka Corporation | Medical tube |
| CN102264404A (en) * | 2008-12-23 | 2011-11-30 | 美国政府卫生和公众服务部疾病预防和控制中心 | Lung aerosol collection device |
| CN202761334U (en) * | 2012-09-28 | 2013-03-06 | 范忠宇 | Bronchoavleolar lavage fluid collector |
| CN204260767U (en) * | 2014-09-19 | 2015-04-15 | 刘豹 | A kind of bronchoalveolar lavage device with sacculus |
| CN204765736U (en) * | 2015-06-03 | 2015-11-18 | 兰州大学第一医院 | Device is left and taken to alveolus lavage liquid |
| CN205514701U (en) * | 2016-03-23 | 2016-08-31 | 上海交通大学医学院附属仁济医院 | Bronchoalveolar lavage liquid reposition of redundant personnel collector |
| CN208301921U (en) * | 2017-08-22 | 2019-01-01 | 李堃 | A kind of separate type BAL fluid collection device |
-
2017
- 2017-08-22 CN CN201710722471.7A patent/CN107617133B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2008139847A1 (en) * | 2007-04-23 | 2008-11-20 | Kaneka Corporation | Medical tube |
| CN102264404A (en) * | 2008-12-23 | 2011-11-30 | 美国政府卫生和公众服务部疾病预防和控制中心 | Lung aerosol collection device |
| CN202761334U (en) * | 2012-09-28 | 2013-03-06 | 范忠宇 | Bronchoavleolar lavage fluid collector |
| CN204260767U (en) * | 2014-09-19 | 2015-04-15 | 刘豹 | A kind of bronchoalveolar lavage device with sacculus |
| CN204765736U (en) * | 2015-06-03 | 2015-11-18 | 兰州大学第一医院 | Device is left and taken to alveolus lavage liquid |
| CN205514701U (en) * | 2016-03-23 | 2016-08-31 | 上海交通大学医学院附属仁济医院 | Bronchoalveolar lavage liquid reposition of redundant personnel collector |
| CN208301921U (en) * | 2017-08-22 | 2019-01-01 | 李堃 | A kind of separate type BAL fluid collection device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113546458A (en) * | 2020-04-24 | 2021-10-26 | 南阳市中心医院 | Oxygen-adding separation type bronchial lavage liquid collecting device for outside |
| CN114652360A (en) * | 2022-01-27 | 2022-06-24 | 常州乐奥医疗科技股份有限公司 | Alveolar lavage device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107617133B (en) | 2020-04-17 |
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