CN108066832A - It is a kind of to be used for pleural effusion and the drainage system of exhaust - Google Patents

It is a kind of to be used for pleural effusion and the drainage system of exhaust Download PDF

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Publication number
CN108066832A
CN108066832A CN201711306534.7A CN201711306534A CN108066832A CN 108066832 A CN108066832 A CN 108066832A CN 201711306534 A CN201711306534 A CN 201711306534A CN 108066832 A CN108066832 A CN 108066832A
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drainage
puncture
needle body
fixed plate
negative pressure
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CN108066832B (en
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王大娟
王爱萍
徐维亮
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    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • 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
    • A61M1/08Cupping glasses, i.e. for enhancing blood circulation
    • 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
    • A61M1/84Drainage tubes; Aspiration tips
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/065Guide needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0213Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/0233Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/028Holding devices, e.g. on the body having a mainly rigid support structure

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
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  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a kind of for pleural effusion and the drainage system of exhaust, it is main to include puncturing needle body, puncture fixing device, puncture positioning device, drainage system, infusion device, propeller, puncture positioning device is adjusted by ultrasonic wave to puncturing needle body puncture position, improve positioning accuracy, it is fixed by fixing device to puncturing needle body, the adjusting of triple valve and speed governing valve in drainage, realize the exchange of pleural effusion or exhaust process, and fixed plate one is employed with propeller band when puncturing, fixed plate two, the resilient mounting of spring composition, the puncture and extraction of needle core can quickly be carried out, infusion device can be cleaned and be administered to thoracic cavity, realize hydrops with being vented the seamless connection of interchange process.In short, present invention design is reasonable, accurate positioning is securely and reliably, small to patient's irritation, easy to operate.

Description

It is a kind of to be used for pleural effusion and the drainage system of exhaust
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of for pleural effusion and the drainage system of exhaust.
Background technology
Have 3~15ml liquid in normal person's pleural cavity, in respiratory movement from lubricating action, but the hydrops amount in pleural cavity It is not changeless.Even normal person, it is every 24 it is small when also have 500~1000ml liquid formed and absorb.Pleural cavity Interior liquid is being absorbed from the vein end of capillary, remaining liquid is recycled to blood by lymphatic system, and filtration is in absorption Dynamic equilibrium, if since whole body or local patholoic change destroy such dynamic equilibrium, cause pleura intracavity liquid formed it is too fast or Absorbed it is slow, clinic generate pleural effusion, oppress lung or the hydrops time it is long, the easy machine of celloglobulin therein and send out Raw two layers of pleaural adhesion, so as to influence lung's respiratory function, at this moment we need to puncture and take out hydrops, and when patient is in the wall of the chest Either have in the case of defect Pulmonary Function poor at lung surface or during a large amount of pneumothoraxs, tension gas especially occurs During chest, it must just carry out effective pneumothorax closed drainage treatment rapidly.In most cases, pneumothorax patient needs to carry out continuation chest Chamber closed drainage, in a few cases, if failing to make pleura cut to heal after water-sealed drainage bottle drains, lung still cannot again, can be It is drained after drainage tube plus with negative pressure device.Thoracentesis is one relatively common in clinical position, and is convenient simple A kind of diagnostic and therapeutic method, when in pleural effusion puncture drainage or pneumothorax drainage, pleural effusion or gas it is continuous Drainage, lung tissue expansion, it is possible to cause needle point damage alveolar and trigger iatrogenic pneumothorax, clinically due to being in fear of needle point to the heart Dirty or lung tissue damage can only usually terminate relevant drainage in advance.In the prior art simply individually to product in thoracic cavity Liquid or gas are drained, and whole process is infectious high, and after drainage, when needing to clean extraction location or drug During treatment, it is punctured again, it is impossible to carry out effective drug-treated to extraction location in time, making patients' state of an illness is suffered from Person's healing time lengthening, is unfavorable for physical recovery.Therefore, be now badly in need of a kind of design rationally, accurate positioning, it is safe and reliable, Drainage system small to patient's irritation, easy to operate.
The content of the invention
For more than technical problem, the present invention provides a kind of for pleural effusion and the drainage system of exhaust.
The technical scheme is that:It is a kind of for pleural effusion and the drainage system of exhaust, it is main include puncturing needle body, Fixing device, puncture positioning device, drainage system, infusion device, propeller are punctured, the puncture needle body includes puncture needle, returns Device is played, the resilient mounting is located at behind the puncture needle, and puncture needle is fixed structure with resilient mounting, and described puncture is fixed Device includes fixed block and supporting rack, and the fixed block, which is located at, punctures needle body front end both sides, and there are six support frame as described above quantity, and It is evenly distributed on the fixed block of both sides, the puncture positioning device includes display and ultrasonic probe, the ultrasonic probe Positioned at puncturing behind fixing device, with ultrasonic probe to be electrically connected, the drainage system is located to be worn the display Below pricker, drainage system include No.1 drainage tube, medical flow velocity speed governing valve, negative pressure generator, No.1 triple valve, negative pressure bag, Receiving flask, water-sealed drainage bottle, one end of the drainage tube are connected with puncturing needle body lower end, and the other end is distinguished by the No.1 triple valve Be connected to the negative pressure bag and the receiving flask, on No.1 drainage tube between puncture needle body and No.1 triple valve on toward Under be respectively equipped with the medical flow velocity speed governing valve and the negative pressure generator, the entrance of the water-sealed drainage bottle passes through conduit and receiving flask Outlet be connected, and be inserted into height of the conduit less than water in water-sealed drainage bottle of water-sealed drainage bottle, the infusion device include No. two drainage tubes, Medical flow control valve, No. two triple valves, cleaning solution storage bottle, administration injection device, one end of the drainage tube is with puncturing needle body Upper end connects, and the other end is connected by No. two triple valves with the cleaning solution storage bottle and the administration injection device respectively, The medical flow control valve is equipped between puncture needle body and No. two triple valves on No. two drainage tubes, the propeller is consolidated It is scheduled on and punctures needle body end, propeller includes micromachine, battery, microcontroller, motor push rod, and the electric pole push rod is with wearing To be fixedly connected, the micromachine is connected pricker with motor push rod end, and the microcontroller is located at battery to be promoted At left and right sides of device, it is electrically connected with each other between battery, miniature control room, micromachine.
Further, six supporting rack ends for puncturing fixing device are equipped with rubber suction cups, can be to puncturing needle body It is fixed into row position.
Further, the opening upwards sliding slot corresponding with the ultrasonic probe that the puncture needle external surface is equipped with, The sliding block of ultrasonic probe with puncturing the sliding slot on needle body to be slidably connected, the angle of ultrasonic probe with puncture needle body into 30~ 35 ° of angles, the sliding block are equipped with locking component, can facilitate the accurate location of observation lesion, and adjustment punctures what needle body was pierced into Position.
Further, the puncture needle includes casing one, casing two, needle core, and the end connection of described sleeve pipe one is described to return Device is played, described sleeve pipe two is located at the outer surface of casing one, and casing one can slide in casing two, be equipped in resilient mounting Fixed plate one, fixed plate two, spring, there are three the springs, is respectively positioned between the fixed plate one and the fixed plate two, Gu Fixed board one is connected with fixed plate two by spring, wherein an intermediate spring is located at two centre bit of fixed plate one and fixed plate It puts, other two springs are equally distributed on both sides, fixed plate one and fixed plate two and resilient mounting inner wall sealing respectively, and fixed Plate one can adjust the depth of needle core puncture by mobile fixed plate one with horizontally slipping in resilient mounting inner wall inner wall, described Needle core is located at one location mid-shaft of described sleeve pipe, and needle core prolongs one direction of casing and extends to motor push rod, and runs through fixed plate one, consolidates Fixed board two and middle springs, the motor push rod, to be threadedly coupled, can quickly carry out puncture extraction, prevent from puncturing through with needle core Unnecessary damage is caused in journey to lung tissue.
Further, the upper right corner of the propeller outer surface is equipped with solenoid valve trigger switch and indicator light, can wear Quickly needle core is punctured and extracted during thorn, the indicator light can observe whether solenoid valve trigger switch works normally, push away Charge port is equipped with close to the battery into the right side of device, charges to battery, prevents from bringing paracentesis depth because of electric power deficiency Not enough.
Further, the front end outer wall of the casing one of the puncture needle is equipped with drainage trough, can prevent in drainage process Hydrops overflows and increases flow velocity in exhaust process, and drainage trough is set to oblique carry out Assist drainage, can prevent single in drainage Hole plug damages thoracic tissues.
A kind of method of work for drainage system of the pleural effusion with being vented is to comprise the following steps:
Step 1:Processing first is exhausted in negative pressure bag, drains internal air, negative pressure device is formed, is placed in one Below number triple valve at port;
Step 2:The needle body alignment position to be punctured will be punctured, passes through the opening upwards being equipped in puncture needle external surface Sliding slot corresponding with ultrasonic probe, the angle for adjusting ultrasonic probe and puncturing between needle body is 30~40 °, promotes ultrasonic wave Probe carries out thoracic cavity puncture position detection, and observation display epigraph determines puncture position;
Step 3:It is fixed by puncture positioning device to puncturing needle body progress position, adjusts fixed plate one and filled in rebound The solenoid valve trigger switch of propeller is opened in the position put, and motor push rod, which moves forward, promotes needle core, and needle core passes through fixed plate First, fixed plate two, the resilient mounting of spring composition are quickly sprung back, and prevent needle core from causing to damage to thoracic cavity;
Step 4:When carrying out hydrops drainage in thoracic cavity, No.1 triple valve is adjusted to negative pressure bag, opening drainage system will product Liquid is drained by casing one, oblique drainage trough, No.1 drainage tube in negative pressure bag, can be by adjusting medical flow velocity during drainage The flow of hydrops is adjusted in speed governing valve, when the pressure in negative pressure bag reaches certain value, opens negative pressure generator to hydrops Drainage processing is carried out, the negative pressure absorbing power of negative pressure generator is 50~200ml;
Step 5:When needing exhaust in thoracic cavity, thoracic cavity becomes positive pressure by negative pressure, by adjusting No.1 triple valve with receiving Collect bottle connection, open drainage system and gas is drained into receiving flask by casing one, oblique drainage trough, No.1 drainage tube, collect Bottle is collected a small amount of liquid being mingled in gas, then gas is flowed to water-sealed drainage bottle by conduit, by observing in water-sealed drainage bottle The number of underwater bubble, adjusting medical flow velocity speed governing valve is adjusted gas flow rate, when thoracic cavity pressure is to certain value Negative pressure generator is opened again to drain gas;
Step 6:After hydrops or gas have drained in thoracic cavity, infusion device is opened, when carrying out thoracic cavity cleaning, by turning Dynamic No. two triple valves connect cleaning solution storage bottle, and the thoracic cavity after the completion of drainage is cleaned with 300~400ml cleaning solutions, when It when needing drug therapy, adjusts No. two triple valves and connects administration injection device, by absorption 3~5ml drugs, then adjust No. two threeways The cleaning solution that valve is switched to 10~20ml of cleaning solution storage bottle absorption is mixed, and passes through the medical stream adjusted on No. two diversion pipes Mixed liquor is sent in thoracic cavity by fast control valve, after the completion of infusion, is taken out and is punctured needle body progress wound hemostasis processing.
Compared with prior art, beneficial effects of the present invention are:The present invention is used for pleural effusion and the drainage system of exhaust, The extraction of chest intracavity gas and hydrops can be completed, while is cleaned and is treated after the completion of extracting, by fixing device with surpassing The cooperation of acoustic location device accurately punctures lesion, in drainage process, using solenoid valve trigger switch, passes through fixed plate First, fixed plate two, spring composition resilient mounting make needle core quickly be pierced into and spring back, and needle core is avoided to damage thoracic tissues, Wherein, by the adjusting of two triple valves, realize the seamless connection of extraction and the treatment of gas and hydrops, ensure in whole process It avoids infection.In short, present invention design is reasonable, accurate positioning is securely and reliably, small to patient's irritation, easy to operate.
Description of the drawings
Fig. 1 is the overall schematic of the present invention;
Fig. 2 is the enlarged drawing of the puncture needle of the present invention;
Fig. 3 is the internal structure schematic diagram of the propeller of the present invention.
Wherein, 1- puncture needle body, 2- puncture fixing device, 3- puncture positioning devices, 4- drainage systems, 5- infusion devices, 6- propellers, 1a- puncture needles, 1b- resilient mountings, 101- casings one, 102- casings two, 103- sliding slots, 104- sliding blocks, 105- are oblique Shape drainage trough, 106- needle cores, 107 fixed plates two, 108- fixed plates one, 110- springs, 201- fixed blocks, 202- supporting racks, 301- ultrasonic probes, 302- displays, 401- No.1s drainage tube, the medical flow velocity speed governing valves of 402-, 403- negative pressure generators, 404- No.1s triple valve, 405- negative pressure bags, 406- receiving flasks, 407- water-sealed drainage bottles, No. bis- diversion pipes of 501-, the medical flow velocity controls of 502- Valve processed, No. bis- triple valves of 503-, 504- administration injections device, 505 cleaning solution storage bottles, 602- motors push rod, 603- indicator lights, 604- solenoid valves trigger switch, 605- batteries, 606- charge ports, 607- micromachines, 608- microcontrollers.
Specific embodiment
It for ease of the understanding of the present invention, is further explained below in conjunction with attached drawing, embodiment is not formed Restriction to the embodiment of the present invention.
As shown in Figure 1,3, it is a kind of for pleural effusion and the drainage system being vented, mainly include puncturing needle body 1, puncture admittedly Determine device 2, puncture positioning device 3, drainage system 4, infusion device 5, propeller 6, puncturing needle body 1 includes puncture needle 1a, rebound Device 1b, resilient mounting 1b are located at behind puncture needle 1a, and puncture needle 1a and resilient mounting 1b is fixed structure, punctures fixing device 2 include fixed block 201 and supporting rack 202, and fixed block 201, which is located at, punctures 1 front end both sides of needle body, and there are six 202 quantity of supporting rack, And be evenly distributed on both sides fixed block 201, six 202 ends of supporting rack are equipped with rubber suction cups, can be carried out to puncturing needle body Position is fixed, and puncture positioning device 3 includes display 302 and ultrasonic probe 301, and ultrasonic probe 301, which is located to puncture, to be fixed Behind device 2, puncture 1 outer surface of needle body and be equipped with opening upwards and 301 corresponding sliding slot 103 of ultrasonic probe, ultrasonic probe For 301 sliding block 104 with sliding slot 103 to be slidably connected, sliding block 104 is equipped with locking component, display 302 and ultrasonic probe 301 is are electrically connected, and drainage system 4, which is located at, punctures 1 lower section of needle body, and drainage system 4 includes No.1 drainage tube 401, medical flow velocity Speed governing valve 402, negative pressure generator 403, No.1 triple valve 404, negative pressure bag 405, receiving flask 406, water-sealed drainage bottle 407, No.1 drainage One end of pipe 401 is connected with puncturing 1 lower end of needle body, and the other end is respectively connected to negative pressure bag 405 by No.1 triple valve 404 and receives Collect bottle 406, be respectively equipped with from top to bottom between puncture needle body 1 and No.1 triple valve 404 on No.1 drainage tube 401 medical Flow velocity speed governing valve 402 and negative pressure generator 403, the entrance of water-sealed drainage bottle 407 are connected by conduit with the outlet of receiving flask 406, and Height of the conduit less than water in water-sealed drainage bottle 407 of water-sealed drainage bottle 407 is inserted into, infusion device 5 includes No. two diversion pipes 501, medical stream Fast control valve 502, No. two triple valves 503, cleaning solution storage bottle 505, administration injection devices 504, one end of No. two drainage tubes 501 with The connection of 1 upper end of needle body is punctured, the other end is connected by No. two triple valves 503 with cleaning solution storage 505 and administration injection device 504 respectively It connects, is equipped with medical flow control valve 502 between puncture needle body 1 and No. two triple valves 503 on No. two drainage tubes 501, pushes away It is fixed on into device 6 and punctures 1 end of needle body, propeller 6, which includes micromachine 607, battery 605, microcontroller 608, motor, to be pushed away Bar 602, propeller 6 is with puncturing needle body 1 to be fixedly connected, and micromachine 607 is connected with 602 end of motor push rod, miniature control Device 608 is located at 6 left and right sides of propeller with battery 605, and the upper right corner of 6 outer surface of propeller is equipped with solenoid valve triggering exploitation 604 With indicator light 603, it can control and needle core 106 is quickly punctured and extracted, electromagnetism can be seen by viewing lamp 603 Whether valve trigger switch 604 works normally, and is equipped with charge port 606 in battery 605, charges to battery 605, prevents electric power Deficiency brings the inadequate of paracentesis depth, is electrically connected with each other between battery 605, miniature control room 608, micromachine 607.
As shown in Figure 1, 2, puncturing needle body 1 includes puncture needle 1a and resilient mounting 1b, and puncture needle 1a includes casing 1, Casing 2 102, needle core 106, end one end of casing 1 are equipped with resilient mounting 1b, and casing 2 102 is equipped with casing 1 Outer surface, and casing 1 can slide in casing 2 102, the front end outer wall of casing 1 is equipped with oblique drainage trough 105, The both sides of the face of oblique drainage trough 105 are wrapped up using medical colloid, and fixed plate 1, fixed plate two are equipped in resilient mounting 1b 107th, spring 110, there are three springs 110, is respectively positioned between fixed plate 1 and fixed plate 2 107, fixed plate 1 and solid Fixed board 2 107 is connected by spring 110, wherein an intermediate spring 110 is located at fixed plate 1 and fixed plate 2 107 Center, other two springs 110 are equally distributed on both sides, fixed plate 1 and fixed plate 2 107 and resilient mounting respectively 1b inner wall sealings, and fixed plate 1 and resilient mounting 1b inner walls is are slidably connected, needle core 106 is located at axle position in casing 1 It puts, and needle core 106 prolongs one 101 direction of casing and extends to motor push rod 602, and through fixed plate 1,2 107 and of fixed plate Middle springs 110, motor push rod 602 are to be threadedly coupled with needle core 106.
A kind of method of work for pleural effusion and the drainage system of exhaust comprises the following steps:
Step 1:Processing first is exhausted in negative pressure bag 405, drains internal air, negative pressure device is formed, is placed in At 404 lower section port of No.1 triple valve;
Step 2:Needle body 1 will be punctured and be directed at the position to be punctured, by puncture opening that needle body 1 outer surface is equipped with to It is upper with 301 corresponding sliding slot 103 of ultrasonic probe, adjust the angle between ultrasonic probe 301 and puncture needle body 1 be 30~ 40 °, ultrasonic probe 301 is promoted to carry out puncture position detection to thoracic cavity, observation 302 epigraph of display determines puncture position;
Step 3:It is fixed by puncture positioning device 3 to puncturing needle body 1 into row position, adjusts fixed plate 1 and returning The position of device 1b is played, opens the solenoid valve trigger switch 604 of propeller 6, motor push rod 602, which moves forward, promotes needle core 106, Needle core 106 is quickly sprung back by the resilient mounting that fixed plate 1, fixed plate 2 107, spring 110 form, and prevents needle core It causes to damage in 106 pairs of thoracic cavities;
Step 4:When carrying out hydrops drainage in thoracic cavity, No.1 triple valve 404 is adjusted to negative pressure bag 405, opens drainage dress 4 are put to drain into hydrops in negative pressure bag 405 by casing one, oblique drainage trough 105, No.1 drainage tube 401, it can be with during drainage The flow of hydrops is adjusted by adjusting medical flow velocity speed governing valve 402, when the pressure in negative pressure bag 405 reaches certain value When, it opens negative pressure generator 403 and drainage processing is carried out to hydrops, the negative pressure absorbing power of negative pressure generator 403 is 50~200ml;
Step 5:When needing exhaust in thoracic cavity, thoracic cavity becomes positive pressure by negative pressure, by adjusting No.1 triple valve 404 It is connected with receiving flask 406, opens drainage system 4 and drain into gas by casing one, oblique drainage trough, No.1 drainage tube 401 Receiving flask 406, receiving flask 406 is collected a small amount of liquid being mingled in gas, then gas is flowed to water-sealed drainage bottle by conduit 407, by the way that the number of underwater bubble in water-sealed drainage bottle 407 observed, adjust medical flow velocity speed governing valve 402 and gas flow rate is adjusted Whole, when thoracic cavity pressure is to certain value opening negative pressure generator 403 again drains gas;
Step 6:After hydrops or gas have drained in thoracic cavity, infusion device 5 is opened, when carrying out thoracic cavity cleaning, by turning Dynamic No. two triple valves 503 connect cleaning solution storage bottle 505, and the thoracic cavity after the completion of drainage is carried out clearly with 300~400ml cleaning solutions It washes, when needing drug therapy, adjusts No. two triple valves 503 and connect administration injection device 504, by absorption 3~5ml drugs, then The cleaning solution that No. two triple valves 503 of adjustment are switched to 10~20ml of the absorption of cleaning solution storage bottle 505 is mixed, and is passed through and is adjusted two Mixed liquor is sent in thoracic cavity by the medical flow control valve 502 on number diversion pipe 501, after the completion of infusion, is taken out and is punctured needle body 1 Carry out wound hemostasis processing.
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 of ordinary skill in the art that:It still may be used To modify to the technical solution recorded in previous embodiment or carry out equivalent substitution to which part technical characteristic;And These modifications are replaced, and the essence of appropriate technical solution is not made to depart from the spirit and model of technical solution of the embodiment of the present invention It encloses.

Claims (8)

  1. It is 1. a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust, which is characterized in that main to include puncturing needle body (1), fixing device (2), puncture positioning device (3), drainage system (4), infusion device (5), propeller (6) are punctured, it is described to wear Pricker (1) includes puncture needle (1a), resilient mounting (1b), and the resilient mounting (1b) is located at behind the puncture needle (1a), Puncture needle (1a) is fixed structure with resilient mounting (1b), and the puncture fixing device (2) includes fixed block (201) and supporting rack (202), the fixed block (201), which is located at, punctures needle body (1) front end both sides, and there are six support frame as described above (202) quantity, and average It being distributed on both sides fixed block (201), the puncture positioning device (3) includes display (302) and ultrasonic probe (301), The ultrasonic probe (301), which is located at, to be punctured behind fixing device (2), and the display (302) is with ultrasonic probe (301) It is electrically connected, the drainage system (4), which is located at, to be punctured below needle body (1), and the drainage system (4) includes No.1 drainage tube (401), medical flow velocity speed governing valve (402), negative pressure generator (403), No.1 triple valve (404), negative pressure bag (405), receiving flask (406), water-sealed drainage bottle (407), one end of the No.1 drainage tube (401) are connected with puncturing needle body (1) lower end, and the other end passes through institute It states No.1 triple valve (404) and is respectively connected to the negative pressure bag (405) and the receiving flask (406), in No.1 drainage tube (401) It is upper to be respectively equipped with the medical flow velocity speed governing valve (402) from top to bottom between puncture needle body (1) and No.1 triple valve (404) With the negative pressure generator (403), the entrance of the water-sealed drainage bottle (407) is connected by conduit with the outlet of receiving flask (406), and Height of the conduit less than water in water-sealed drainage bottle (407) of water-sealed drainage bottle (407) is inserted into, the infusion device (5) includes No. two diversion pipes (501), medical flow control valve (502), No. two triple valves (503), cleaning solution storage bottle (505), administration injection device (504), One end of No. two drainage tubes (501) is connected with puncturing needle body (1) upper end, and the other end passes through No. two triple valves (503) It is connected respectively with cleaning solution storage bottle (505) and administration injection device (504), puncture needle body is located on No. two drainage tubes (501) (1) the medical flow control valve (502) is equipped between No. two triple valves (503), the propeller (6) is fixed on puncture needle Body (1) end, propeller (6) include micromachine (607), battery (605), microcontroller (608), motor push rod (602), With puncturing needle body (1) to be fixedly connected, the micromachine (607) connects the propeller (6) with motor push rod (602) end It connects, the microcontroller (608) is located at battery (605) at left and right sides of propeller (6), battery (605), miniature control room (608), it is electrically connected with each other between micromachine (607).
  2. It is 2. as described in claim 1 a kind of for Pulmonary Medicine's pleural effusion and the drainage system of exhaust, which is characterized in that described Six supporting rack (202) ends for puncturing fixing device (2) are equipped with rubber suction cups.
  3. It is 3. as described in claim 1 a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust, which is characterized in that Described puncture needle body (1) outer surface is equipped with opening upwards sliding slot (103) corresponding with the ultrasonic probe (301), ultrasonic wave For the sliding block (104) and sliding slot (103) of probe (301) to be slidably connected, the sliding block (104) is equipped with locking component.
  4. It is 4. as described in claim 1 a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust, which is characterized in that The puncture needle (1a) includes casing one (101), casing two (102), needle core (106), the end connection of described sleeve pipe one (101) The resilient mounting (1b), described sleeve pipe two (102) is located at the outer surface of casing one (101), and casing one (101) can cover It is slided in pipe two (102), fixed plate one (108), fixed plate two (107), spring (110) is equipped in resilient mounting (1b), it is described There are three springs (110), is respectively positioned between the fixed plate one (108) and fixed plate two (107), fixed plate one (108) and solid Fixed board two (107) is connected by spring (110), wherein among a spring (110) be located at the fixed plate one (108) and Fixed plate two (107) center, other two springs (110) are equally distributed on both sides, fixed plate one (108) and fixation respectively Plate two (107) and resilient mounting (1b) inner wall sealing, and fixed plate one (108) is in resilient mounting (1b) inner wall with horizontally slipping, The needle core (106) is located at described sleeve pipe one (101) location mid-shaft, and needle core (106) prolongs casing one (101) direction and extends to electricity Machine push rod (602), and through fixed plate one (108), fixed plate two (107) and middle springs (110), the motor push rod (602) it is to be threadedly coupled with needle core (106).
  5. It is 5. as described in claim 1 a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust, which is characterized in that The upper right side of the outer surface of the propeller (6) is equipped with solenoid valve trigger switch (604) and indicator light (603), propeller (6) Right side is equipped with charge port (606) close to the position of the battery (605).
  6. It is 6. as claimed in claim 4 a kind of for intrathoracic section's hydrops and the drainage system of exhaust, which is characterized in that the puncture The front end outer wall of the casing one (101) of pin (1a) is equipped with oblique drainage trough (105), and the both sides of the oblique drainage trough (105) make It is wrapped up with medical colloid.
  7. It is 7. as described in claim 1 a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust, which is characterized in that Described puncture needle body (1) outer surface is equipped with opening upwards sliding slot (103) corresponding with the ultrasonic probe (301), ultrasonic wave For the sliding block (104) and sliding slot (103) of probe (301) to be flexibly connected, the sliding block (104) is equipped with locking component.
  8. 8. as claimed in any one of claims 1 to 6 is a kind of for intrathoracic section's pleural effusion and the puncturing drainage apparatus of exhaust Method of work, which is characterized in that comprise the following steps:
    Step 1:Processing first is exhausted in negative pressure bag (405), drains internal air, negative pressure device is formed, is placed in one On number triple valve (404) port;
    Step 2:Needle body (1) will be punctured and be directed at the position to be punctured, by puncture the opening that is equipped with of needle body (1) outer surface to Upper sliding slot (103) corresponding with ultrasonic probe (301), the angle between adjustment ultrasonic probe (301) and puncture needle body (1) For 30~40 °, ultrasonic probe (301) is promoted to carry out puncture position detection to thoracic cavity, observation display (302) epigraph determines Puncture position;
    Step 3:It is fixed by puncture positioning device (3) to puncturing needle body (1) into row position, adjusts fixed plate one (108) and exist The position of resilient mounting (1b), opens the solenoid valve trigger switch (604) of propeller (6), and motor push rod (602) forward movement pushes away Dynamic needle core (106), the resilient mounting that needle core (106) is made up of fixed plate one (108), fixed plate two (107), spring (110) It is quickly sprung back, prevents needle core (106) from causing to damage to thoracic cavity;
    Step 4:When carrying out hydrops drainage in thoracic cavity, adjust No.1 triple valve (404) and be communicated to negative pressure bag (405), opening is drawn Hydrops is drained into negative pressure bag by stream device (4) by casing one (101), oblique drainage trough (105), No.1 drainage tube (401) (405) in, the flow of hydrops can be adjusted by adjusting medical flow velocity speed governing valve (402) during drainage, works as negative pressure bag (405) when the pressure in reaches certain value, open negative pressure generator (403) and drainage processing, negative pressure generator are carried out to hydrops (403) negative pressure absorbing power is 50~200ml;
    Step 5:When needed in thoracic cavity exhaust when, thoracic cavity becomes positive pressure by negative pressure, by adjusting No.1 triple valve (404) with Receiving flask (406) connects, and opens drainage system (4) and drains gas by casing one (101), oblique drainage trough (105), No.1 Pipe (401) drains into receiving flask (406), and receiving flask (406) is by being collected a small amount of liquid being mingled in gas, then by gas Body flows to water-sealed drainage bottle (407) by conduit, by the way that the number of underwater bubble in water-sealed drainage bottle (407) observed, adjusts medical flow velocity tune Fast valve (402) is adjusted gas flow rate, and negative pressure generator (403) is opened when thoracic cavity pressure is to certain value to gas It is drained;
    Step 6:After hydrops or gas have drained in thoracic cavity, infusion device (5) is opened, when thoracic cavity is cleaned, passes through rotation No. two triple valves (503) connect cleaning solution storage bottle (505), complete 300~400ml cleaning solutions and the thoracic cavity after having drained is carried out Cleaning when needing drug therapy, adjusts No. two triple valves (503) and connects administration injection device (504), by drawing 3~5ml medicines Object, then adjust No. two triple valves (503) be switched to cleaning solution storage bottle (505) draw 10~20ml cleaning solution mixed, Mixed liquor is sent in thoracic cavity by adjusting the medical flow control valve (502) on No. two diversion pipes (501), infusion is completed Afterwards, take out and puncture needle body (1) progress wound hemostasis processing.
CN201711306534.7A 2017-12-11 2017-12-11 Drainage device for pleural effusion and exhaust Expired - Fee Related CN108066832B (en)

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CN108744080A (en) * 2018-06-05 2018-11-06 芜湖谱瑞电子科技有限公司 A kind of medical thoracic duction instrument
CN109260532A (en) * 2018-09-18 2019-01-25 郭跃文 A kind of Novel internal medicine treatment auxiliary device
CN109374752A (en) * 2018-11-20 2019-02-22 中国航发贵州黎阳航空动力有限公司 A kind of ultrasonic probe apparatus
CN109662761A (en) * 2019-02-20 2019-04-23 上海市肺科医院 Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane
CN110368178A (en) * 2019-08-09 2019-10-25 四川大学华西第二医院 A kind of urethra prostatic comprehensive therapeutic apparatus
CN110403683A (en) * 2019-07-30 2019-11-05 吉林大学 A kind of closed thoracic intervention drainage pricking device
CN111013423A (en) * 2020-01-06 2020-04-17 中国人民解放军陆军军医大学第一附属医院 Foaming device
CN112263287A (en) * 2020-11-25 2021-01-26 福建医科大学附属协和医院 Thoracic cavity ultrasonic mirror and imaging system thereof
CN112755265A (en) * 2021-01-15 2021-05-07 张鑫 Pleural effusion drainage equipment

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CN106821467A (en) * 2017-03-21 2017-06-13 孙军红 A kind of Cardiological pericardium and cavum thoracis are punctured and effusion drainage device

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CN2188388Y (en) * 1994-03-11 1995-02-01 高茂良 Pleuroperitoneal cavity gas-liquid automatic suction therapeutic instrument
CN103251990A (en) * 2013-04-02 2013-08-21 高胜东 Pneumothorax diagnosis and treatment device and using method thereof
WO2016183070A1 (en) * 2015-05-13 2016-11-17 Atrium Medical Corporation Chest drainage system
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108744080A (en) * 2018-06-05 2018-11-06 芜湖谱瑞电子科技有限公司 A kind of medical thoracic duction instrument
CN109260532A (en) * 2018-09-18 2019-01-25 郭跃文 A kind of Novel internal medicine treatment auxiliary device
CN109260532B (en) * 2018-09-18 2021-04-06 郭跃文 Novel internal medicine treatment is supplementary device
CN109374752A (en) * 2018-11-20 2019-02-22 中国航发贵州黎阳航空动力有限公司 A kind of ultrasonic probe apparatus
CN109662761A (en) * 2019-02-20 2019-04-23 上海市肺科医院 Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane
CN110403683A (en) * 2019-07-30 2019-11-05 吉林大学 A kind of closed thoracic intervention drainage pricking device
CN110368178A (en) * 2019-08-09 2019-10-25 四川大学华西第二医院 A kind of urethra prostatic comprehensive therapeutic apparatus
CN111013423A (en) * 2020-01-06 2020-04-17 中国人民解放军陆军军医大学第一附属医院 Foaming device
CN112263287A (en) * 2020-11-25 2021-01-26 福建医科大学附属协和医院 Thoracic cavity ultrasonic mirror and imaging system thereof
CN112755265A (en) * 2021-01-15 2021-05-07 张鑫 Pleural effusion drainage equipment
CN112755265B (en) * 2021-01-15 2023-06-09 张鑫 Pleural effusion drainage equipment

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