CN109646790B - double-J tube structure - Google Patents

double-J tube structure Download PDF

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Publication number
CN109646790B
CN109646790B CN201811538728.4A CN201811538728A CN109646790B CN 109646790 B CN109646790 B CN 109646790B CN 201811538728 A CN201811538728 A CN 201811538728A CN 109646790 B CN109646790 B CN 109646790B
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transmission
crystal
flow rate
urine
concentration
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CN109646790A (en
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王美豪
计玲晓
江海红
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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    • 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
    • A61M25/0017Catheters; Hollow probes specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
    • 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
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A61M31/007Injectors for solid bodies, e.g. suppositories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0496Urine

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Urology & Nephrology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

The invention discloses a double-J tube structure, which comprises a tube body and a detection device fixed on the inner wall of the tube body and used for detecting the urine flow rate and concentration in the tube body, wherein the detection device is wirelessly connected with an external terminal so as to output flow rate signals and concentration signals to the external terminal after detecting the urine flow rate and concentration, the detection device comprises a flow rate detector, a concentration detector and a wireless transmission plate, the flow rate detector, the concentration detector and the wireless transmission plate are attached to the inner wall of the tube body, the wireless transmission plate is coupled with an analysis server, and the flow rate detector and the concentration detector are both wirelessly connected with the wireless transmission plate. According to the double-J tube structure, the flow rate and the concentration of urine in the tube body can be effectively detected through the arrangement of the detection device in the tube body, so that a flow rate signal and a concentration signal can be effectively output to an external terminal, and the function monitoring of the kidney and the ureter of a patient is realized after the external terminal analyzes and processes the flow rate signal and the concentration signal.

Description

double-J tube structure
Technical Field
The invention relates to medical equipment, in particular to a double J tube structure.
Background
The double J tube is the most commonly used drainage tube of the upper urinary tract, and has good internal drainage and support functions, so the double J tube is very commonly applied in urinary surgery, is often adopted when repairing ureteral injury or relieving stenosis of the upper urinary tract, and is even used for replacing the former T tube drainage by the conventional built-in double J tube in the ureterolithiasis or renal transplantation.
Except for the operation of the upper urinary tract, urine after double J tubes are implanted, certain complications are caused by the interaction between urothelium, and the early complications comprise discomfort, irritation of the shoulder skin, hematuria, urinary tract infection, fever and late complications of lumbago, such as hydronephrosis, double tube displacement, crusting, breakage and fracture. Meanwhile, when the double J-shaped tube is placed in a human body, the urinary salt deposition on the tube wall can be caused, the crusting of the attached tube can be formed, urinary infection, irritation symptoms of the shoulder skin, hematuria and the like are induced, serious patients cause ureteral obstruction, ipsilateral hydronephrosis, renal function damage and difficult tube drawing, even hospitalization operation treatment is needed, and the existing double J-shaped tube only comprises a tube body structure and cannot effectively detect the functions of the kidney and the ureter in the process of using the double J-shaped tube, so that the existing double J-shaped tube has the problem of insufficient functions.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a double-J tube structure capable of effectively detecting the flow rate and concentration of urine.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a two J tube structures, includes the body and fixes the detection device who is used for detecting urine velocity of flow and concentration in the body on the body inner wall, detection device passes through wireless connection with external terminal to output flow rate signal and concentration signal to external terminal after detecting urine velocity of flow and concentration in, detection device includes attached velocity of flow detector and the concentration detector and the wireless transmission board of setting on the body inner wall, wireless transmission board and external terminal wireless connection, velocity of flow detector and concentration detector all are connected with the wireless transmission board, in order to output flow rate signal and concentration signal after input to external terminal through the wireless transmission board.
As a further improvement of the present invention, the flow velocity detector includes a pressure sensing crystal and a transmission crystal, both of which are annular, the transmission crystal is coaxially fixed on the inner wall of the tube, the pressure sensing crystal is fixed on the side of the transmission crystal facing away from the inner wall of the tube and is coaxial with the transmission crystal, the pressure sensing crystal has a pressure sensing surface, the pressure sensing surface is arranged on the inner ring side of the pressure sensing crystal facing away from the transmission crystal, the pressure sensing crystal is coupled with the transmission crystal to sense pressure and output a pressure signal into the transmission crystal, the transmission crystal is connected with the wireless transmission board to transmit the pressure signal into an external terminal, and further the flow velocity value is obtained by analyzing and calculating the external terminal.
As a further improvement of the present invention, the pressure sensing crystal includes a pressure sensing shell fixedly connected to the transmission crystal and a pressure variable sheet fixed to the pressure sensing shell, the pressure variable sheet is fixed to an inner ring side of the pressure sensing shell facing away from the transmission crystal and is coupled to the transmission crystal to serve as a pressure sensing surface for outputting a pressure signal into the transmission crystal.
As a further improvement of the present invention, the transmission crystal includes a transmission housing, a transmission chip disposed in the transmission housing, and a battery unit disposed on the transmission housing, wherein the voltage transformer and the transmission chip are both coupled to the battery unit to receive a power output by the battery unit, the voltage transformer is coupled to the transmission chip, and the transmission chip is wirelessly connected to an external terminal to receive a pressure signal output by the voltage transformer and then wirelessly transmit the pressure signal to the external terminal.
As a further improvement of the invention, the battery unit comprises a rechargeable battery fixed on the transmission shell and a power generation assembly arranged on the transmission shell and connected with the rechargeable battery, the voltage transformer and the transmission chip are both connected with the rechargeable battery, power is provided by the rechargeable battery, the power generation assembly comprises a micro-generator fixed on the transmission shell and an impeller coaxially sleeved on a rotating shaft of the micro-generator, and the impeller is arranged in the pipe body and is impacted by urine to rotate so as to drive the micro-generator to rotate and generate power to charge the rechargeable battery.
As a further improvement of the present invention, the tube body includes an inner tube wall and an outer tube wall coaxially sleeved with each other, the flow rate detector and the concentration detector are both disposed on the inner tube wall, the inner tube wall and the outer tube wall are disposed at an interval, a containing cavity is formed between the inner tube wall and the outer tube wall, a plurality of through holes communicated with the containing cavity are disposed on the tube wall of the inner tube wall, and soluble anti-inflammatory drugs are filled in the containing cavity, wherein urine flows through the inner tube wall and contacts with the anti-inflammatory drugs through the through holes, so as to dissolve the anti-inflammatory drugs into the urine.
As a further improvement of the invention, one end of the through hole opposite to the inner tube wall is fixedly connected with a dissolving box, the dissolving box is hemispherical, one open end of the dissolving box is fixed with the through hole and is connected with and communicated with the through hole, the box wall of the dissolving box is hollowed out for urine to flow through, and the anti-inflammatory drug in the containing cavity enters the dissolving box to be contacted with the urine to be dissolved into the urine when the urine flows through.
As a further improvement of the invention, the inner tube wall is covered with hydrogel, wherein the flow rate detector, the concentration detector and the lysis cassette are not covered with hydrogel.
The invention has the advantages that the urine drainage effect can be effectively realized through the arrangement of the tube body, the flow velocity and the concentration of urine flowing in the tube body can be effectively detected through the arrangement of the detection device in the tube body, the flow velocity signal and the concentration signal are transmitted to the external terminal through the wireless transmission plate, then the analysis and the processing are carried out through the external terminal, and the functions of the kidney and the ureter of a patient are reflected based on the flow velocity and the concentration condition of the urine in the tube body, so the monitoring effect on the functions of the kidney and the ureter of the patient after the patient is implanted into the double J-tube is well realized, and the functions of the double J-tube are well expanded.
Drawings
FIG. 1 is an overall block diagram of a double J-tube configuration of the present invention;
FIG. 2 is an enlarged view of portion A of FIG. 1;
FIG. 3 is an overall block diagram of the pressure sensing crystal of FIG. 2;
fig. 4 is an overall structural view of the transfer crystal in fig. 2.
Detailed Description
The invention will be further described in detail with reference to the following examples, which are given in the accompanying drawings.
Referring to fig. 1 to 4, a double J-tube structure of the present embodiment includes a tube 21 and a detecting device 22 fixed on an inner wall of the tube 21 for detecting a flow rate and a concentration of urine in the tube 21, the detecting device 22 is wirelessly connected to an external terminal to output a flow rate signal and a concentration signal to the external terminal after detecting the flow rate and the concentration of urine, the detecting device 22 includes a flow rate detector 221 and a concentration detector 222 attached to the inner wall of the tube 21 and a wireless transmission board 223, the wireless transmission board 223 is wirelessly connected to the external terminal, the flow rate detector 221 and the concentration detector 222 are both wirelessly connected to the wireless transmission board 223 to output the flow rate signal and the concentration signal to the external terminal through the wireless transmission board 223, and the flow rate detector 221 is configured to effectively detect a flow rate of urine and the concentration of urine can be effectively detected by the concentration detector 222, and through the setting of wireless transmission board 223, then accessible wireless mode is connected with external terminal, effectual with velocity of flow signal and concentration signal transmission to external terminal in, and the velocity of flow of urine can be fine embodies the function of ureter, the concentration of urine then can with the good cooperation of urine composition embody the function of kidney, consequently detect above-mentioned two kinds of parameters, alright effective realization monitoring ureter jam and the function of kidney have, the splendid extension is the function of two J-tubes, of course also can adopt the mode that the both ends of two J-tubes are provided with velocity of flow detector 221 and concentration detector 222 equally to detect the urine condition of kidney side and the urine condition of bladder department and to further assisted the function of monitoring kidney and bladder in this embodiment. The detector at the bladder end can sense the pressure change of the bladder during urination and monitor the function of the bladder during urination and urine storage.
As a modified specific embodiment, the flow velocity detector 221 includes a pressure sensing crystal 2211 and a transmission crystal 2212 both in ring shape, the transmission crystal 2212 is coaxially fixed on the inner wall of the tube 21, the pressure sensing crystal 2211 is fixed on the side of the transmission crystal 2212 opposite to the inner wall of the tube 21 and is coaxial with the transmission crystal 2212, the pressure sensing crystal 2211 has a pressure sensing surface thereon, the pressure sensing surface is arranged on the inner ring side of the pressure sensing crystal 2211 opposite to the transmission crystal 2212, the pressure sensing crystal 2211 is coupled with the transmission crystal 2212 to sense pressure and output a pressure signal to the transmission crystal 2212, the transmission crystal 2212 is connected with a wireless transmission plate 223 to transmit the pressure signal to an external terminal, and further to obtain a flow velocity value by external terminal analysis, if an obstruction is arranged on the flow path of urine during the flow, the pressure exerted on the obstruction by urine is proportional to the flow velocity, therefore the mode of feeling the pressure that the urine was applied to on the sensing face through pressure sensing crystal 2211, so just can be fine the realization detect the effect of urine velocity of flow, simultaneously through pressure sensing crystal 2211 and transmission crystal 2212's setting, alright effectual increase body 21's density, and then realize that the development that two J pipes can be better is imaged, and concentration detector 222 in this embodiment can adopt a light source to detect with light sensor's cooperation mode, utilize the reflection principle of light to realize the detection to urine concentration promptly.
As a specific embodiment of improvement, the pressure sensitive crystal 2211 comprises a pressure sensitive shell 22111 and a pressure variable piece 22112 fixed on the pressure sensitive shell 22111, the pressure sensing housing 22111 is fixedly connected with the transmission crystal 2212, the pressure variable sheet 22112 is fixed on the inner ring side of the pressure sensing housing 22111 back to the transmission crystal 2212, and is coupled to the transmission crystal 2212 to serve as a pressure sensing surface for outputting a pressure signal into the transmission crystal 2212, by the arrangement of the pressing tab 22112, it can be deformed according to the pressure applied thereto by urine, further change the output resistance, so that the sensed pressure is judged by the condition that the transmission crystal 2212 receives the output resistance of the strain gauge 22112, and the whole structure is simple, the strain gauge 22112 can be made very small, therefore, the double-J pipe joint does not need to occupy large space, and is well suitable for occasions with limited space such as double-J pipes.
As a modified specific embodiment, the transmission crystal 2212 includes a transmission housing 3, a transmission chip 4 disposed in the transmission housing 3, and a battery unit 5 disposed on the transmission housing 3, wherein the voltage transformer 22112 and the transmission chip 4 are both coupled to the battery unit 5 to receive power output by the battery unit 5, the voltage transformer 22112 is coupled to the transmission chip 4, the transmission chip 4 is connected to the wireless transmission board 223 to receive a pressure signal output by the voltage transformer 22112 and then wirelessly transmit the pressure signal to an external terminal, and by the arrangement of the transmission chip 4, the output resistance of the voltage transformer 22112 can be effectively received and further converted into a corresponding signal to be transmitted into the wireless transmission board 223, wherein the transmission chip 4 of this embodiment is an AC/DC signal converter to convert an analog signal generated by resistance change into a corresponding digital signal to be input into the wireless transmission board 223, therefore, the wireless transmission board 223 can better transmit to the external terminal, and the external terminal can better identify.
As a modified specific embodiment, the battery unit 5 includes a rechargeable battery 51 fixed on the transmission housing 3 and a power generation assembly 52 arranged on the transmission housing 3 and connected to the rechargeable battery 51, the pressure-variable sheet 22112 and the transmission chip 4 are both connected to the rechargeable battery 51, power is supplied by the rechargeable battery 51, the power generation assembly 52 includes a micro-generator 521 fixed on the transmission housing 3 and an impeller 522 coaxially sleeved on a rotating shaft of the micro-generator 521, the impeller 522 is arranged in the tube 21 and rotated by urine impact, and then drives the micro-generator 521 to generate power to charge the rechargeable battery 51, since the double J-tube is inserted into the human body, in order to ensure that the transmission chip 4 and the pressure-variable sheet 22112 can work normally, it is necessary to continuously supply power to the pressure-variable sheet 22112 and the transmission chip 4, and if the rechargeable battery 51 is dead, then, it is obviously unrealistic to replace the patient by an operation, which may cause great damage to the body of the patient, so that in the process of drainage by using the dual J-tube through the cooperation of the micro-generator 521 and the impeller 522, an effect of generating electricity to increase endurance is achieved in the circulation of urine flowing through the dual J-tube in the embodiment, and the power generation assembly 52 may be set as an induction coil in the embodiment, and the rechargeable battery 51 is charged by using the electromagnetic induction principle, so that the patient does not need to be frequently operated.
As a modified specific embodiment, the tube body 21 includes an inner tube wall 211 and an outer tube wall 212 coaxially sleeved with each other, the flow rate detector 221 and the concentration detector 222 are both disposed on the inner tube wall 211, the inner tube wall 211 and the outer tube wall 212 are disposed at an interval, a containing cavity is formed therebetween, a plurality of through holes 2111 communicating with the containing cavity are disposed on the tube wall of the inner tube wall 211, and the containing cavity is filled with a soluble anti-inflammatory drug, wherein urine flows through the inner tube wall 211 and contacts with the anti-inflammatory drug through the through holes 2111 to dissolve the anti-inflammatory drug into the urine, as is well known, the most common complication after the double J-tube implantation is inflammation, and since the inflammation further causes more complications, the anti-inflammatory drug can be effectively dissolved into the urine through the arrangement of the containing cavity and the through holes 2111, so that the urine has an anti-inflammatory effect, thereby avoiding the problem of inflammation.
As an improved specific embodiment, the through hole 2111 is fixedly connected with the dissolving box 6 relative to one end of the inner tube wall 211, the dissolving box 6 is hemispherical, one open end of the dissolving box 6 is fixed with the through hole 2111 and is connected with and communicated with the through hole 2111, the box wall of the dissolving box 6 is in a hollow arrangement for urine to flow through, the anti-inflammatory drug in the containing cavity enters the dissolving box 6 to be contacted with the urine to be dissolved in the urine when the urine flows through, and the dissolving box 6 can provide a space for the anti-inflammatory drug to be contacted with the urine, so that the anti-inflammatory drug can be better contacted with the urine, and thus the anti-inflammatory drug can be better dissolved in the urine, so that the urine has a corresponding anti-inflammatory effect, the generation of inflammation in the patient body caused by the implantation of the double J tubes can be effectively reduced, and the comfort of the patient can be increased.
As a modified specific embodiment, the inner tube wall 211 is covered with hydrogel, wherein the flow rate detector 221, the concentration detector 222 and the lysis cassette 6 are not covered with hydrogel, and the arrangement of hydrogel can effectively increase the smoothness of the inner tube wall 211, so that urine can better flow through the inner tube wall 211, and thus the corresponding double J-tube can achieve better drainage effect.
In conclusion, the double-J tube structure of the present embodiment can effectively achieve an effect of drainage by the arrangement of the tube body 21, and by the arrangement of the detection device 22 in the tube body 21, the flow rate signal and the concentration signal of urine can be effectively output to the external terminal through the wireless transmission plate 223, so that the received flow rate signal and concentration signal can be calculated and analyzed by the external terminal, the functional states of the kidney and ureter of the patient implanted with the double-J tube can be effectively known, and the effect of monitoring the functions of the kidney and ureter can be effectively achieved.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (4)

1. A double J-tube structure, characterized in that: the urine flow rate and concentration detection device comprises a pipe body (21) and a detection device (22) fixed on the inner wall of the pipe body (21) and used for detecting the flow rate and concentration of urine in the pipe body (21), wherein the detection device (22) is in wireless connection with an external terminal to detect the flow rate and concentration of urine and output flow rate signals and concentration signals to the external terminal, the detection device (22) comprises a flow rate detector (221), a concentration detector (222) and a wireless transmission plate (223) which are attached to the inner wall of the pipe body (21), the wireless transmission plate (223) is in wireless connection with the external terminal, the flow rate detector (221) and the concentration detector (222) are in wireless connection with the wireless transmission plate (223) to output flow rate signals and concentration signals and then input the flow rate signals and the concentration signals to the external terminal through the wireless transmission plate (223);
the flow velocity detector (221) comprises a pressure sensing crystal (2211) and a transmission crystal (2212) which are both annular, the transmission crystal (2212) is coaxially fixed on the inner wall of the pipe body (21), the pressure sensing crystal (2211) is fixed on one side of the transmission crystal (2212) back to the inner wall of the pipe body (21) and is coaxial with the transmission crystal (2212), the pressure sensing crystal (2211) is provided with a pressure sensing surface, the pressure sensing surface is arranged on the inner annular side of the pressure sensing crystal (2211) back to the transmission crystal (2212), the pressure sensing crystal (2211) is coupled with the transmission crystal (2212) to sense pressure and output a pressure signal to the transmission crystal (2212), the transmission crystal (2212) is connected with a wireless transmission plate (223) to transmit the pressure signal to an external terminal, and then the flow velocity value is calculated through analysis of the external terminal;
the pressure sensing crystal (2211) comprises a pressure sensing shell (22111) and a pressure variable sheet (22112) fixed on the pressure sensing shell (22111), the pressure sensing shell (22111) is fixedly connected with the transmission crystal (2212), the pressure variable sheet (22112) is fixed on the inner ring side of the pressure sensing shell (22111) back to the transmission crystal (2212) and is coupled with the transmission crystal (2212) to serve as a pressure sensing surface to output a pressure signal into the transmission crystal (2212);
the tube body (21) comprises an inner tube wall (211) and an outer tube wall (212) which are coaxially sleeved with each other, the flow rate detector (221) and the concentration detector (222) are arranged on the inner tube wall (211), the inner tube wall (211) and the outer tube wall (212) are arranged at intervals, a containing cavity is formed between the inner tube wall (211) and the outer tube wall, a plurality of through holes (2111) communicated with the containing cavity are formed in the tube wall of the inner tube wall (211), and soluble anti-inflammatory drugs are filled in the containing cavity, wherein urine flows through the inner tube wall (211) and contacts with the anti-inflammatory drugs through the through holes (2111) to dissolve the anti-inflammatory drugs into the urine;
the through hole (2111) is for dissolving box (6) of the one end fixedly connected with of interior pipe wall (211), dissolve box (6) and be hemispherical, and its open-ended one end is fixed with through hole (2111) to be connected and intercommunication each other with through hole (2111), the box wall that dissolves box (6) is the fretwork setting, supplies the urine to flow through, holds the intracavity anti-inflammatory medicine and enters into and dissolve box (6) in order to dissolve to the urine with the urine contact when the urine flows through.
2. The double J-tube structure of claim 1, wherein: the transmission crystal (2212) is including transmission shell (3), transmission chip (4) of setting in transmission shell (3) and battery unit (5) of setting on transmission shell (3), it all couples with battery unit (5) to press variable sheet (22112) and transmission chip (4) to receive the power of battery unit (5) output, it couples with transmission chip (4) to press variable sheet (22112), transmission chip (4) are connected with wireless transmission board (223) in order to receive and transmit in the external terminal through wireless mode behind the pressure signal of pressing variable sheet (22112) output.
3. The double J-tube structure of claim 2, wherein: the battery unit (5) comprises a rechargeable battery (51) fixed on the transmission shell (3) and a power generation assembly (52) arranged on the transmission shell (3) and connected with the rechargeable battery (51), the voltage transformer (22112) and the transmission chip (4) are both connected with the rechargeable battery (51) and provide power through the rechargeable battery (51), the power generation assembly (52) comprises a micro-generator (521) fixed on the transmission shell (3) and an impeller (522) coaxially sleeved on a rotating shaft of the micro-generator (521), the impeller (522) is arranged in the pipe body (21) and is impacted by urine to rotate, and then the micro-generator (521) is driven to rotate to generate power so as to charge the rechargeable battery (51).
4. The double J-tube structure of claim 3, wherein: the inner tube wall (211) is covered with hydrogel, wherein the flow rate detector (221), the concentration detector (222) and the dissolving box (6) are not covered with hydrogel.
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