Peritoneum dialysis catheter guiding device
Technical field
The invention belongs to hemodialysis technology fields, and in particular to a kind of peritoneum dialysis catheter guiding device.
Background technique
Peritoneal dialysis is a kind of dialysis using the peritonaeum of human body itself as dialysis membrane.By pouring into the saturating of abdominal cavity
Analysis liquid in the capillary of the peritonaeum other side plasma composition progress solute and moisture exchange, remove the metabolism of internal retention
Product and excessive moisture, while substance necessary to body is supplemented by dialyzate.By constantly updating peritoneal dialysis liquid, reach
The purpose of kidney substitution or supportive treatment.When peritoneal dialysis treatment, by peritoneal dialysis catheters by peritoneal dialysis solution fill into
Abdominal cavity.The side of intraperitoneal peritonaeum is the blood containing waste and excessive moisture in peritonaeum capillary, and the other side is that peritonaeum is saturating
Liquid is analysed, the waste and extra moisture in blood enter in peritoneal dialysis liquid through peritonaeum.After a period of time, containing waste and extra
The peritoneal dialysis solution of moisture is released in abdominal cavity, then fills into new peritoneal dialysis solution, is constantly recycled in this way.
Now, before carrying out peritoneal dialysis to patient, peritoneum dialysis catheter can only be inserted into abdominal cavity by medical staff by rule of thumb, but
It is to be influenced since the figure posture of different patients is different, or by the past abdominal operation history, the internal structure in abdominal cavity can also deposit
In certain difference.Therefore, the mode of medical staff's blindmate peritoneum dialysis catheter is likely to occur the feelings of catheter position inaccuracy at present
Condition leads to peritoneal dialysis solution inadequate drainage, and dialysis-effect is not good enough, visceral organ injury etc..Solving problem above becomes the task of top priority.
Summary of the invention
For solve current medical staff can only blindmate peritoneum dialysis catheter, there are peritoneal dialysis place tube located inaccuracy and damages
The technical issues of internal organs hidden danger, the present invention provide a kind of peritoneum dialysis catheter guiding device.
To achieve the above object, technical solution of the present invention is as follows:
A kind of peritoneum dialysis catheter guiding device, the guiding device shell including elongated structure, the guiding device shell are thin-walled
Structure, and have through the inner passage at its both ends, be characterized by: the partial sidewall of the guiding device shell has been recessed
The saturating pipe limiting slot of the abdomen extended along its length is respectively provided with the saturating pipe limit of one piece of abdomen in the two sides of the saturating pipe limiting slot of the abdomen
Plate, the saturating pipe limit plate of two pieces of abdomens is staggered along the length direction of guiding device shell, and the saturating pipe limit plate of abdomen is slideably
It is inserted into inner passage, and is provided with inclined guiding groove on respective outer surface;
Be equipped in the inner passage unlock flexible axle and be located at unlock flexible axle two sides data line and
Power supply line, the head end of the data line are equipped with CCD camera, and the head end of the power supply line is equipped with LED cold light source, institute
Setting is stated on the outer peripheral surface of unlock flexible axle there are two the driving salient point arranged along its length, two driving salient points are respectively embedded into pair
In the guiding groove answered, when push-and-pull unlocks flexible axle, unlock flexible axle can drive respectively two pieces of abdomens to manage thoroughly by two driving salient points
The top of limit plate from the saturating pipe limiting slot of abdomen it is close to each other or far from, to lock or unlock peritoneum dialysis catheter.
Using the above structure, it can accurately learn abdominal cavity of patients's by the CCD camera of peritoneum dialysis catheter guiding device
Inner case can sufficiently drain abdomen to instruct medical staff that peritoneum dialysis catheter is accurately placed in the pelvic cavity lowermost end of patient
While transparent liquid, there is a situation where patient's visceral organ injury appearance when avoiding operating;Peritoneum dialysis catheter guiding device when in use, can be with
It is first inserted into abdominal cavity of patients, peritoneum dialysis catheter is inserted into from side opening again after capturing position, peritoneum dialysis catheter can also be initially charged with, together
Be inserted into abdominal cavity of patients, peritoneum dialysis catheter guided to pelvic cavity bottom, very flexibly, can according to the actual situation depending on;When by abdomen
When film dialysis tubing is guided to pelvic cavity bottom, medical staff only needs to pull out flexible axle, it will be able to make the saturating pipe limit plate of two pieces of abdomens
It is located remotely from each other, peritoneum dialysis catheter is enable to deviate from, last medical staff is external by peritoneum dialysis catheter guiding device extraction patient, uses
It is convenient;Also, the peritoneum dialysis catheter guiding device is not only suitable for the peritoneum dialysis catheter of straight tube form, and is suitable for the abdomen of coil form
Film dialysis tubing, versatility are good.
As preferred: the saturating pipe limiting slot of abdomen is arc-shaped structure, and two pieces of saturating pipe limit plates of abdomen are arc-shaped
Structure, and the inner surface cambered surface cooperation of the saturating pipe limit groove location of abdomen corresponding with guiding device shell.It using the above structure, can either can
Locking peritoneum dialysis catheter is clamped by ground, and will not excessively squeeze peritoneum dialysis catheter, and leads to peritoneum dialysis catheter deformation damage, simultaneously
So that the saturating pipe limit plate of abdomen is bonded with guiding device shell more close, is slidably matched conducive to the two.
As preferred: when the saturating pipe limit plate of two pieces of abdomens is in the locked position, two pieces of saturating pipe limit plates of abdomen, which are located at, to be drawn
Lead projection intersection of the part other than device shell on guiding device housing cross-sectional direction.It using the above structure, can be preferably
Clamping locking peritoneum dialysis catheter, prevents peritoneum dialysis catheter from surprisingly deviating from.
As preferred: when guiding device shell is inserted into abdominal cavity of patients, one piece of abdomen far from guiding device shell head end is saturating
In the abdominal cavity of pipe limit plate partial insertion patient.Using the above structure, abdominal cavity of patients, capturing position are first inserted into convenient for medical staff
It is inserted into the operation of peritoneum dialysis catheter afterwards.
As preferred: the sum of width of two pieces of saturating pipe limit plates of abdomen is greater than the half of guiding device shell length.
Using the above structure, locking peritoneum dialysis catheter can be preferably clamped, prevents peritoneum dialysis catheter from surprisingly deviating from.
As preferred: being always positioned at guiding device shell in two pieces of saturating pipe limit plates of abdomen to set on the inner surface of outer portion
It is equipped with intensive fiber fur.Using the above structure, can preferably clamp locking peritoneum dialysis catheter, prevent peritoneum dialysis catheter with
Meaning rotation, or unexpected abjection.
As preferred: being provided with flexible axle guide chute, the unlock flexible axle insertion flexible axle guiding in the inner passage
In sliding slot, the head end protrusion of the unlock flexible axle is formed with positioning protrusion, and the head end undergauge of the flexible axle guide chute forms limited
Position step.Using the above structure, guiding can either be played the role of to unlock flexible axle well, and unlock can be positioned well
The maximum insertion depth of flexible axle ensure that the stability and reliability of the unlock flexible axle course of work.
As preferred: having chamfering in the outer rim of the positioning protrusion.Using the above structure, make the convex for unlocking flexible axle
It rises in the hole that can be reliably inserted between limited step.
As preferred: be provided in the inner passage be respectively used to location data transmission line and power supply line harness it is fixed
Position folder.Using the above structure, reliably data line and power supply line can be limited.
As preferred: the inner surface of the guiding device shell is arranged side by side along its length three convex ribs, and any two
The limit sliding chutes being adapted with the saturating pipe limit plate of corresponding abdomen are formed between adjacent convex ribs.Using the above structure, make the saturating pipe limit of abdomen
Position plate and being slidably matched for guiding device shell are more reliable and more stable.
Compared with prior art, the beneficial effects of the present invention are:
Using peritoneum dialysis catheter guiding device provided by the invention, structure novel is ingenious in design, it is easy to accomplish, pass through peritonaeum
The CCD camera of dialysis tubing guiding device can accurately learn the inner case of abdominal cavity of patients, to instruct medical staff by peritonaeum
Dialysis tubing is accurately placed in the pelvic cavity lowermost end of patient, while capable of sufficiently draining peritoneal dialysis liquid, avoids that patient occurs when operation
The case where visceral organ injury, occurs;Peritoneum dialysis catheter guiding device when in use, can first be inserted into abdominal cavity of patients, after capturing position again from
Side opening is inserted into peritoneum dialysis catheter, can also be initially charged with peritoneum dialysis catheter, together be inserted into abdominal cavity of patients, peritoneum dialysis catheter is guided
To pelvic cavity bottom, very flexibly, can according to the actual situation depending on;When guiding peritoneum dialysis catheter to pelvic cavity bottom, medical care
Personnel only need to pull out flexible axle, it will be able to and it is located remotely from each other the saturating pipe limit plate of two pieces of abdomens, peritoneum dialysis catheter is enable to deviate from,
Last medical staff is external by peritoneum dialysis catheter guiding device extraction patient, easy to use;Also, the peritoneum dialysis catheter guiding device was both
Suitable for the peritoneum dialysis catheter of straight tube form, and it is suitable for the peritoneum dialysis catheter of coil form, versatility is good.
Detailed description of the invention
Fig. 1 is use state diagram of the invention;
Fig. 2 is the structural schematic diagram that the saturating pipe limit plate of two pieces of abdomens of the invention is in the locked position;
Fig. 3 is the structural schematic diagram that the saturating pipe limit plate of two pieces of abdomens of the invention is in the unlocked position;
Fig. 4 is the plan view of Fig. 2;
Fig. 5 is the cross-sectional view in Fig. 4 at A-A;
Fig. 6 is the matching relationship schematic diagram for unlocking flexible axle and the saturating pipe limit plate of abdomen;
Fig. 7 is the structural schematic diagram for unlocking flexible axle;
Fig. 8 is the local expansion schematic diagram of abdomen saturating pipe limit plate outer surface.
Specific embodiment
The invention will be further described with attached drawing with reference to embodiments.
As shown in Fig. 1~Fig. 6, a kind of peritoneum dialysis catheter guiding device, the guiding device shell 1 including elongated structure should
Guiding device shell 1 is thin-wall construction, can use metal material, can also use the one-pass molding of rigid plastics material.It is described
Guiding device shell 1 has through the inner passage 11 at 1 both ends of guiding device shell, and the partial sidewall of guiding device shell 1 is recessed
There is the saturating pipe limiting slot 12 of the abdomen extended along its length, the saturating pipe limiting slot 12 of the abdomen is arc-shaped structure.
Referring to Figure 1~Fig. 6 is each provided with the saturating pipe limit plate 2 of one piece of abdomen in the two sides of the saturating pipe limiting slot 12 of the abdomen, and two
The saturating pipe limit plate 2 of block abdomen is staggered along 1 length direction of guiding device shell, and the saturating pipe limit plate 2 of two pieces of abdomens is slidably inserted into
In inner passage 11.Specifically, two pieces of saturating pipe limit plates 2 of abdomen are arc-shaped structure, and corresponding with guiding device shell 1
The inner surface cambered surface of saturating 12 position of pipe limiting slot of abdomen cooperates.The limit of the protruding guiding device shell 1 of the saturating pipe limit plate 2 of two pieces of abdomens
Position is latched position, and the extreme position that the saturating pipe limit plate 2 of two pieces of abdomens inwardly retracts inner passage 11 is unlocked position.
The saturating pipe limit plate 2 of two pieces of abdomens can be slided along guiding device shell 1;When the saturating pipe limit plate 2 of two pieces of abdomens is in unlock
When position (as shown in Figure 3), peritoneum dialysis catheter 8 can be unlocked, deviates from peritoneum dialysis catheter 8;At the saturating pipe limit plate 2 of two pieces of abdomens
When latched position (as depicted in figs. 1 and 2), peritoneum dialysis catheter 8 can be locked.
Referring to Figure 1, Fig. 2, Fig. 5~Fig. 8 is provided on the respective outer surface of the saturating pipe limit plate 2 of two pieces of abdomens inclined
Guiding groove 21.Unlock flexible axle 3 is equipped in the inner passage 11, on the outer peripheral surface of the unlock flexible axle 3 there are two settings
The driving salient point 31 arranged along its length, two driving salient points 31 are respectively embedded into corresponding guiding groove 21, when push-and-pull unlocks
When flexible axle 3, unlock flexible axle 3 can drive the cooperation of salient point 31 and corresponding guiding groove 21 by two, drive two pieces of abdomens saturating respectively
The top of pipe limit plate 2 from the saturating pipe limiting slot 12 of abdomen it is close to each other or far from, to lock or unlock peritoneum dialysis catheter 8.To protect
The reliable fit of card driving salient point 31 and corresponding guiding groove 21 carries out chamfered to the outer rim of driving salient point 31.
Fig. 2 is referred to, flexible axle guide chute 13 is provided in the inner passage 11, the unlock flexible axle 3 is embedded in soft
In axis guide chute 13, the head end protrusion of the unlock flexible axle 3 is formed with positioning protrusion 32, the head end of the flexible axle guide chute 13
Undergauge is formed with limited step 131.It also, is the reliable fit for guaranteeing positioning protrusion 32 and limited step 131, the convex
Rising has chamfering 321 in 32 outer rim.
Referring to Figure 1~Fig. 5, in addition, to guarantee that the saturating pipe limit plate 2 of two pieces of abdomens can cooperate the saturating pipe limiting slot 12 of abdomen reliable
Ground positions peritoneum dialysis catheter 8, and guiding device shell 1 and the saturating pipe limit plate 2 of two pieces of abdomens also have the feature that when the saturating pipe of two pieces of abdomens limits
When position plate 2 is in the locked position, two pieces of saturating pipe limit plates 2 of abdomen are located at the part other than guiding device shell 1 in guiding device shell
Projection intersection in 1 cross-sectional direction of body.Also, when guiding device shell 1 is inserted into abdominal cavity of patients, far from guiding device shell 1
In the abdominal cavity of one piece of saturating 2 partial insertion patient of pipe limit plate of abdomen at end.It is always positioned in two pieces of saturating pipe limit plates 2 of abdomen
Guiding device shell 1 is to be provided with intensive fiber fur 22 on the inner surface of outer portion.The width of two pieces of saturating pipe limit plates 2 of abdomen
The sum of degree is greater than the half of 1 length of guiding device shell.The inner surface of the guiding device shell 1 is arranged side by side along its length
There are three convex ribs 15, forms the limit sliding chutes being adapted with the saturating pipe limit plate 2 of corresponding abdomen between any two adjacent convex ribs 15.
Referring to Figure 1 and Fig. 2, data line 4 and power supply line 5 are respectively arranged in the two sides of the unlock flexible axle 3.Institute
The head end for stating data line 4 is equipped with CCD camera 6, to acquire the situation in abdominal cavity of patients.The head end of the power supply line 5
LED cold light source 7 is installed, the shooting for CCD camera 6 provides illumination.It may also be noted that the tail end of data line 4
Data connector is installed, is connected by data connector with display, the image in abdominal cavity of patients can be showed to medical staff,
Also, it can also be powered by the data line 4 for CCD camera 6;The tail end of LED cold light source 7 is equipped with power connection, leads to
Power connection connection power supply is crossed, is powered for LED cold light source 7.In addition, CCD camera 6 can also replace with light according to the actual situation
The equipment such as fibre probe.
Fig. 2 and Fig. 6 are referred to, is provided in the inner passage 11 and is respectively used to location data transmission line 4 and power supply
The harness locating clip 14 of line 5, with fixed data transmission line 4 and power supply line 5.It is pointed out that flexible axle guide chute 13, harness
Locating clip 14, convex ribs 15 are reliable and stable with 1 one-pass molding of guiding device shell.
Application method of the invention is as follows:
Method one: being first in the locked position the saturating pipe limit plate 2 of two pieces of abdomens, is then inserted into peritoneum dialysis catheter guiding device and suffers from
Person abdominal cavity adjusts the position of peritoneum dialysis catheter guiding device, makes peritoneum dialysis catheter guiding device according to the image that CCD camera 6 is passed back
The predetermined position for placing peritoneum dialysis catheter 8 is reached, saturating 2 part of pipe limit plate of one piece of abdomen for being now placed in top can be located at patient's body
Outside, peritoneum dialysis catheter 8 is connect down from the abdominal cavity for being inserted into patient between the saturating pipe limiting slot 12 of abdomen and the saturating pipe limit plate 2 of two pieces of abdomens
Come, according to the image that CCD camera 6 is passed back, finely tunes the position of peritoneum dialysis catheter guiding device and peritoneum dialysis catheter 8, peritonaeum is saturating
After analysing the guidance to pelvic cavity bottom of pipe 8, medical staff pulls unlock flexible axle 3, and the saturating pipe limit plate 2 of two pieces of abdomens is located remotely from each other to Xie Suowei
It sets, peritoneum dialysis catheter 8 is no longer limited by peritoneum dialysis catheter guiding device, finally, only by peritoneum dialysis catheter guiding device from patient's body
Extraction.
Peritoneum dialysis catheter 8: being first placed in the saturating pipe limiting slot 12 of abdomen by method two, then operation unlock flexible axle 3 or between grasp
Make the saturating pipe limit plate 2 of two pieces of abdomens, be in the locked position the saturating pipe limit plate 2 of two pieces of abdomens, clamps peritoneum dialysis catheter 8, lead to after the completion
It crosses peritoneum dialysis catheter guiding device to substitute into peritoneum dialysis catheter 8 in the abdominal cavity of patient, according to the image that CCD camera 6 is passed back, fine tuning
The position of peritoneum dialysis catheter guiding device and peritoneum dialysis catheter 8, after the guidance to pelvic cavity bottom of peritoneum dialysis catheter 8, medical staff is drawn
Dynamic unlock flexible axle 3, the saturating pipe limit plate 2 of two pieces of abdomens are located remotely from each other to unlocked position, and peritoneum dialysis catheter 8 is no longer drawn by peritoneum dialysis catheter
Device limitation is led, finally, only extracting peritoneum dialysis catheter guiding device from patient's body.
It may also be noted that either using method one or using method two, guided using above-mentioned peritoneum dialysis catheter
Device can only need to carry out local anaesthesia to patient, without general anesthesia, and a lesser handle hole only by navel, relatively
Pipe operation (needing to open a hole with patient) is set in the minimally invasive laparoscope of tradition, has and spends low, convenient, single wound of operation etc.
Feature.
Finally, it should be noted that foregoing description is only the preferred embodiment of the present invention, the ordinary skill people of this field
Member under the inspiration of the present invention, without prejudice to the purpose of the present invention and the claims, can make multiple similar tables
Show, such transformation is fallen within the scope of protection of the present invention.