Intelligent lung breathing lavage device
Technical Field
The invention relates to the field of medical instruments, in particular to an intelligent lung respiratory lavage device.
Background
The main cause of some lung tissue diseases, such as pneumoconiosis, pulmonary alveolar proteinosis, radioactive dust inhalation and the like, is the deposition of abnormal substances in the lung, patients often have difficulty in breathing and blocked lung function, even threaten the life of the patients when the conditions are severe, and the life quality of the patients is significantly influenced. Particularly, in China, the proportion of patients with occupational diseases of the pneumoconiosis is quite high, according to statistics, the number of newly increased pneumoconiosis patients reaches 1 ten thousand every year, and the conventional treatment method cannot remove abnormal substances in the lungs of the patients, so that the affected lungs are subjected to fibrosis in different degrees. At present, the most direct and effective method for treating the abnormal substance pulmonary deposition diseases is whole-lung lavage (WLL), wherein WLL can effectively eliminate abnormal substances deposited in an alveolar cavity, a bronchiole and a part of pulmonary interstitium, such as protein-like substances, dust-swallowing alveolar macrophages and inflammatory factors, fibrosis factors and the like generated by the alveolar macrophages, and has the effects of removing etiology, improving respiratory function and relieving symptoms.
At present, the lung respiratory lavage technology is mainly improved on a canning device, for example, CN207837949U provides a multichannel large-capacity lung lavage device and a multichannel large-capacity lung lavage drainage device, the pipelines of two paths of gas are mutually communicated and blown out by the same respirator, the pressure and frequency of the two paths of gas are completely synchronous, so that lavage liquid in the left lung/right lung of a patient can be prevented from entering the right lung/left lung of the patient to cause mutual infection between the right lung and the left lung, and meanwhile, the change of thoracic cavity pressure and the change of hemodynamics are facilitated; CNCN102119039A provides a catheter assembly for sample collection in non-bronchoscopic bronchoalveolar lavage procedures that improves patient safety, comfort and economy, and reduces the risk of contaminants from the upper respiratory tract passing into the lower lung through improvements to non-bronchoscopic BAL apparatus.
However, in the field of lung respiratory lavage, the structure of the device is complex, a corresponding means is not provided for intelligently controlling the lung respiratory lavage device, the problems of long time consumption and low efficiency of lung lavage still exist, in addition, in the actual operation, lavage liquid is easy to enter the lung at one side from the lung at the other side, and the cross infection of the two lungs is caused, in addition, the amount of the lavage liquid and the recovery liquid is difficult to control by the conventional device, and the secondary damage to the lung organs is easy to cause; complications of pulmonary lavage are common and seriously affect the safety, comfort and economy of patients.
Disclosure of Invention
In order to solve the technical problem, the invention provides an intelligent lung breathing lavage device, which comprises a lavage device, a liquid return device, a breathing machine, a controller and a connecting pipe; the connecting pipe includes the respiratory tube, is located respiratory tube is inside and passes return liquid pipe and being located of respiratory tube tip return inside liquid pipe and with return the feed liquor pipe of the coaxial setting of liquid pipe, return liquid pipe with the tip cooperation of feed liquor pipe is provided with the lavage head, the lavage device pass through the feed liquor branch pipe with the other end intercommunication of feed liquor pipe, return the liquid device through return liquid branch pipe with return the other end intercommunication of liquid pipe, the breathing machine with the other end intercommunication of respiratory tube, just the lavage device return the liquid device the breathing machine is connected respectively the controller to realize intelligent control.
The lavage head comprises a liquid inlet head and a liquid return valve clack, wherein a liquid inlet channel communicated with the liquid inlet pipe is arranged in the liquid inlet head, a shutoff valve is arranged in the liquid inlet channel, and the inner end part of the liquid inlet head radially extends to the liquid inlet channel to form a step, so that the diameter of the liquid inlet channel is smaller than the inner diameter of the liquid inlet pipe, the outer side of the liquid inlet head is conical-like, and the outer end part of the liquid inlet head is directly smaller than the diameter of the inner end part; the liquid return valve clack sets up the tip of liquid return pipe, the liquid return valve clack is elasticity sealable material, and it includes the valve clack inlayer, the valve clack inlayer with the feed liquor head lateral wall is connected, set up back the liquid hole on the valve clack inlayer.
When the device is not in operation, the outer end part of the liquid return valve clack is attached to the liquid inlet head, during lavage, the shutoff valve is opened, lavage liquid impacts the step to form a driving force on the liquid inlet head, so that the liquid inlet head moves forwards relative to the liquid return pipe to drive the end part of the liquid return valve clack to expand outwards and open, and the liquid return valve clack can form micro-seal with the trachea of the lung to prevent the lavage liquid from flowing from the lung on one side to the lung on the other side to form cross infection;
when the liquid returns, the shutoff valve is closed, so that a certain pressure is kept in the liquid inlet pipe, the liquid return valve clack is opened, the liquid return hole on the inner layer of the valve clack is leaked, and the liquid returns smoothly.
A first metal ring and a second metal ring are respectively arranged at the outer end parts of the liquid inlet head and the liquid return valve clack; the arrangement of the first metal ring and the second metal ring is beneficial to imaging of a CCD (charge coupled device) forming system, the position of the irrigation head is visualized through the CCD forming system imaging technology during irrigation, the CCD forming system is connected with the controller, and the controller receives the position distance information of the first metal ring and the second metal ring and judges the working state of the liquid return valve clack;
the lavage device is provided with a flowmeter A and a timer A, the liquid inlet branch pipe is provided with a liquid inlet valve, and the inside of the liquid inlet pipe is provided with a pressure sensor for measuring the internal pressure of the liquid inlet pipe; the liquid return device is provided with a flowmeter B and a timer B, and the liquid return branch pipe is provided with a liquid outlet valve; a breathing valve is arranged on a communication channel between the respirator and the breathing tube, and the flowmeter A, the timer A, the flowmeter B, the timer B, the pressure sensor, the liquid inlet valve, the liquid outlet valve, the breathing valve and the electromagnetic valve are all connected with the controller, so that the intelligent control of the lavage device is realized; during operation, the liquid inlet amount and the liquid return amount are calculated through parameters such as flow and time through the controller, the opening and closing of the liquid inlet valve, the liquid outlet valve, the breather valve and the like are reasonably controlled, and secondary damage to lung organs of a patient caused by excessive liquid inlet or excessive liquid return is avoided.
Has the advantages that:
1. according to the invention, the liquid return valve flap capable of being opened and closed is arranged, when in lavage, the shutoff valve is opened, lavage liquid impacts the step to form a driving force for the liquid inlet head, so that the liquid inlet head moves forwards relative to the liquid return pipe, the end part of the liquid return valve flap is driven to expand outwards and open, and the liquid return valve flap can form micro-seal with the trachea of the lung to prevent the lavage liquid from flowing from the lung at one side to the lung at the other side to form cross infection; when returning liquid, the controller closes the shutoff valve to keep a certain pressure in the liquid inlet pipe, so that the liquid return valve clack is opened to leak the liquid return hole on the inner layer of the valve clack, and the liquid is smoothly returned.
2. The outer ends of the liquid inlet head and the liquid return valve clack are respectively provided with a first metal ring and a second metal ring; the arrangement of the first metal ring and the second metal ring is beneficial to imaging of a CCD (charge coupled device) forming system, the position of the irrigation head is visualized through the CCD forming system imaging technology during irrigation, the CCD forming system is connected with the controller, and the controller receives the position distance information of the first metal ring and the second metal ring and judges the working state of the liquid return valve clack; the controller can judge whether the internal pressure of the liquid inlet pipe needs to be adjusted to meet the working requirement according to the working state of the liquid return valve clack;
3. the flowmeter A, the timer A, the flowmeter B, the timer B, the pressure sensor, the liquid inlet valve, the liquid outlet valve, the breather valve and the electromagnetic valve are all connected with the controller, so that the intelligent control of the lavage device can be realized; during operation, the liquid inlet amount and the liquid return amount are calculated through parameters such as flow and time through the controller, the opening and closing of the liquid inlet valve, the liquid outlet valve, the breather valve and the like are reasonably controlled, and secondary damage to lung organs of a patient caused by excessive liquid inlet or excessive liquid return is avoided.
Drawings
FIG. 1 is a schematic diagram of the overall structure of an intelligent lung respiratory lavage device;
FIG. 2 is a sectional view of the tank head washing section in an inoperative state;
FIG. 3 is a sectional view showing a state of irrigation/return of the head washing part of the tank;
fig. 4 is a schematic diagram of the control structure of the intelligent lung respiratory lavage device.
Detailed Description
The following disclosure provides many different embodiments for implementing the devices and methods of the present invention so that those skilled in the art can more clearly understand how to implement the present invention. To simplify the disclosure of the present invention, the components and arrangements of specific examples are described below.
The embodiment is an intelligent lung breathing lavage device, which comprises a lavage device 1, a liquid return device 2, a breathing machine 3, a controller and a connecting pipe 4; connecting pipe 4 includes respiratory tube 8, is located respiratory tube 8 is inside and passes return liquid pipe 7 and be located of 8 tip of respiratory tube 7 return inside and with return the feed liquor pipe 13 of the coaxial setting of liquid pipe 7, return liquid pipe 7 with the tip cooperation of feed liquor pipe 13 is provided with lavage head 9, lavage device 1 through feed liquor branch pipe 5 with the other end intercommunication of feed liquor pipe 13, return liquid device 2 through return liquid branch pipe 6 with return the other end intercommunication of liquid pipe 7, breathing machine 3 with the other end intercommunication of respiratory tube 8, just lavage device 1 return liquid device 2 breathing machine 3 connects respectively the controller to realize intelligent control.
The irrigation head 9 comprises a liquid inlet head 9-2 and a liquid return valve flap 9-1, wherein a liquid inlet channel 9-4 communicated with the liquid inlet pipe 13 is arranged in the liquid inlet head 9-2, a shutoff valve 9-5 is arranged in the liquid inlet channel 9-4, and a step 9-6 is formed by radially extending the inner end part of the liquid inlet head 9-2 to the liquid inlet channel, so that the diameter of the liquid inlet channel 9-4 is smaller than the inner diameter of the liquid inlet pipe 13, the outer side of the liquid inlet head 9-2 is in a cone-like shape, and the outer end part of the liquid inlet head is directly smaller than the diameter of the inner end part; the liquid return valve clack 9-1 is arranged at the end part of the liquid return pipe 7, the liquid return valve clack 9-1 is made of an elastic sealable material and comprises a valve clack inner layer 9-8, the valve clack inner layer 9-8 is connected with the outer side wall of the liquid inlet head 9-2, and a liquid return hole 9-7 is formed in the valve clack inner layer 9-8.
When the device is not in operation, the outer end part of the liquid return valve clack 9-1 is attached to the liquid inlet head 9-2, when in lavage, the shutoff valve 9-5 is opened, lavage liquid impacts the step 9-6 to form a pushing force on the liquid inlet head 9-2, so that the liquid inlet head moves forwards relative to the liquid return pipe 7, the end part of the liquid return valve clack 9-1 is driven to expand outwards and open, and the liquid return valve clack 9-1 can form a micro seal with the trachea of the lung to prevent the lavage liquid from flowing from the lung on one side to the lung on the other side to form cross infection;
when returning liquid, the shutoff valve 9-5 is closed, so that a certain pressure is kept in the liquid inlet pipe 13, the liquid return valve flap 9-1 is opened, the liquid return hole 9-7 on the inner layer 9-8 of the valve flap is leaked, and the liquid is smoothly returned.
A first metal ring 9-3 and a second metal ring 9-9 are respectively arranged at the outer end parts of the liquid inlet head 9-2 and the liquid return valve clack 9-1; the arrangement of the first metal ring 9-3 and the second metal ring 9-9 is beneficial to imaging of a CCD forming system, the position of the lavage head 9 is visualized through the imaging technology of the CCD forming system during lavage, the CCD forming system is connected with the controller, the controller receives the position distance information of the first metal ring 9-3 and the second metal ring 9-9, and the working state of the liquid return valve flap 9-1 is judged;
the lavage device 1 is provided with a flowmeter A and a timer A, the liquid inlet branch pipe 5 is provided with a liquid inlet valve 10, and the inside of the liquid inlet pipe is provided with a pressure sensor to measure the internal pressure of the liquid inlet pipe 13; the liquid return device 2 is provided with a flowmeter B and a timer B, and the liquid return branch pipe 6 is provided with a liquid outlet valve 11; a breathing valve 12 is arranged on a communication channel between the respirator and the breathing tube 8, and the flowmeter A, the timer A, the flowmeter B, the timer B, the pressure sensor, the liquid inlet valve 10, the liquid outlet valve 11, the breathing valve 12 and the electromagnetic valves 9-5 are all connected with a controller to realize the intelligent control of the lavage device; during operation, the liquid inlet amount and the liquid return amount are calculated through parameters such as flow and time through the controller, the opening and closing of the liquid inlet valve 10, the liquid outlet valve 11, the breather valve 12 and the like are reasonably controlled, and secondary damage to lung organs of a patient caused by excessive liquid inlet or excessive liquid return is avoided.
The above detailed description is only a preferred embodiment of the present disclosure, and is not intended to limit the present disclosure, so that any modification, equivalent replacement, or improvement made within the spirit and principle of the present disclosure should be included in the scope of the present disclosure.