CN111214274B

CN111214274B - A catheterization wash pipe for hemorrhagic cystitis

Info

Publication number: CN111214274B
Application number: CN202010011316.6A
Authority: CN
Inventors: 陈小丽; 冯一梅; 杜欣; 张曦; 孔佩艳
Original assignee: Second Affiliated Hospital Army Medical University
Current assignee: Second Affiliated Hospital Army Medical University
Priority date: 2020-01-06
Filing date: 2020-01-06
Publication date: 2022-06-07
Anticipated expiration: 2040-01-06
Also published as: CN111214274A

Abstract

The invention belongs to the technical field of medical instruments, and particularly relates to a catheter flushing tube for hemorrhagic cystitis, which comprises a main tube, wherein a urination tube cavity, a flushing tube cavity, an inflation tube cavity and a special-shaped tube cavity are formed in the main tube, the urination tube cavity, the flushing tube cavity and the special-shaped tube cavity penetrate through the main tube, a special-shaped tube communicated with the special-shaped tube cavity is fixedly arranged at one end of the main tube, a special-shaped sleeve is arranged in the special-shaped tube in a penetrating manner, a cystoscope hole and a guide wire hole are formed in the special-shaped sleeve, a cystoscope tube is arranged in the cystoscope hole in a penetrating manner, a guide wire is arranged in the guide wire hole in a penetrating manner, the front end of the guide wire is connected with a plurality of auxiliary steel wires, the auxiliary steel wires are bent into an arc shape, and the tail ends of the auxiliary steel wires are connected. The purpose is as follows: look for the blood clot in patient's bladder through the cystoscope to clear up, breakage through vice steel wire to the blood clot, effectively clear up bladder blood clot, make the urine of patient's bladder discharge smoothly.

Description

A catheterization wash pipe for hemorrhagic cystitis

Technical Field

The invention belongs to the technical field of medical instruments, and particularly relates to a urethral catheterization washing tube for hemorrhagic cystitis.

Background

Hemorrhagic Cystitis (HC) is a serious complication of patients with various hematopoietic stem cell transplants. The incidence rate is reported to be 3-35% abroad, wherein the severe patients account for about 2-5%, and the severe patients are often accompanied by blood clots which can aggravate the spasticity degree of the bladder, thereby increasing the bleeding amount and the pain of patients, and the fatality rate can be up to 30-40%. The incidence rate of the ureteral blockage of the severe hemorrhagic cystitis is up to 43 percent, the life quality of a patient is seriously influenced after the ureteral blockage, and the digital pain score is up to 10 points; meanwhile, repeated urinary catheterization is likely to increase urinary tract infection and secondary damage of the bladder mucosa.

The existing catheter lacks a structure for effectively cleaning blood clots in the bladder, so that urine in a coil of a patient cannot be smoothly discharged, and the life risk of the patient is possibly caused.

Disclosure of Invention

The purpose of the invention is: aims at providing a catheterization wash tube for hemorrhagic cystitis, seeks the blood clot in patient's bladder through the cystoscope to clear up, breakage through vice steel wire to the blood clot, effectively clear up the blood clot in the bladder, make the urine in patient's bladder discharge smoothly.

In order to achieve the technical purpose, the technical scheme adopted by the invention is as follows:

a catheterization wash pipe for hemorrhagic cystitis, includes the main part pipe, the intraductal urination lumen that has seted up of main part, washes the lumen, aerifys lumen and special-shaped lumen, the urination lumen, wash lumen and special-shaped lumen all run through the main part pipe, the fixed urination tube that is linked together with the urination lumen that is equipped with of one end of main part pipe, the end and the urine bag of urination tube can be dismantled and be connected, the fixed wash pipe that is linked together with washing lumen that is equipped with of one end of main part pipe, the end and the washing syringe of wash pipe can be dismantled and be connected, it still overlaps on the wash pipe to be equipped with first end liquid clamp, the fixed gas tube that is linked together with aerifing the lumen that is equipped with of one end of main part pipe, be equipped with the gasbag on the main part pipe, the gasbag is linked together with aerifing the lumen, the fixed special-shaped tube that is linked together with special-shaped lumen that is equipped with in the special-shaped tube, wear to be equipped with special-shaped sleeve pipe in the special-shaped tube, the special-shaped sleeve is provided with a cystoscope hole and a wire guide hole, a cystoscope tube penetrates through the cystoscope hole, a guide wire penetrates through the wire guide hole, the front end of the guide wire is connected with a plurality of auxiliary steel wires, the auxiliary steel wires are curved to be arc-shaped, and the tail ends of the auxiliary steel wires are connected.

Further defined, the cross section of the urination cavity is arc-shaped. According to the structural design, the plurality of cavities are formed in the main body tube, the urination tube cavity is used as a main urination channel, a relatively large section is needed to discharge urine in a bladder more conveniently, meanwhile, the requirement on the section shape is not high, the arc shape is formed, and the limited cross section of the main tube body is favorably utilized to the greater extent.

Further inject, be connected with first communicating pipe between flushing pipe and the ureter, first communicating pipe intercommunication flushing pipe and ureter, the cover is equipped with the second and ends the liquid clamp on the first communicating pipe. By the structural design, when the inside of the bladder is flushed without using the flushing pipe, the flushing injector on the flushing pipe for flushing the inside of the bladder can be removed, then the tail end of the flushing pipe is cut off by the first liquid stopping clip, and the flushing pipe and the urine discharging pipe are communicated by the first communicating pipe, so that urine in the bladder can enter the urine discharging pipe from the flushing pipe through the first communicating pipe, then enter the urine bag, and the urine guiding speed is accelerated; the second liquid stopping clamp is used for closing the first communicating pipe when the flushing pipe is connected with the flushing injector to flush the bladder, so that flushing liquid is prevented from directly entering the special pipe from the flushing pipe through the second communicating pipe.

Further, the end of the special pipe is provided with a closing plug. By the structural design, when the cystoscope tube is not needed, the special-shaped sleeve, the cystoscope tube and the guide wire can be pulled out of the special-shaped tube, and the sealing plug is arranged at the tail end of the special-shaped tube, so that urine is prevented from flowing out of the special-shaped tube.

Further inject, be equipped with second communicating pipe between special pipe and the first communicating pipe, second communicating pipe intercommunication special pipe and first communicating pipe. By the structural design, when the cystoscope tube is not needed, the special-shaped sleeve can be pulled out of the special-shaped tube together with the cystoscope tube and the guide wire, the sealing plug is arranged at the tail end of the special-shaped tube, the second liquid stopping clamp is opened again, urine can be discharged through the special-shaped tube, and the urethral catheterization speed is further accelerated.

Further limiting, a third liquid stopping clamp is sleeved on the second communicating pipe. By adopting the structure design, when the bladder is only required to be flushed, the third liquid stopping clamp is closed, so that the flushing liquid can be prevented from directly entering the urination pipe from the flushing pipe through the first communicating pipe.

Further defined, the end of the urinary catheter is rounded. Such structural design, convenient and urine bag is connected, and it is more convenient to use.

Further inject, the welding of seal wire front end has the metal round platform, vice steel wire fixed welding is on the metal round platform, the metal round platform is located the wire guide downthehole. According to the structural design, the guide wire and the auxiliary steel wire are welded together through the metal round table, and the manufacturing is convenient.

Further, the cystoscope tube is fixedly connected with the special tube. Such structural design can drive the special-shaped tube to move together when looking for the blood clot in the bladder through the cystoscope, thereby driving the guide wire together to the blood clot needing to be cleaned and broken in the bladder, and the blood clot is more convenient to clean.

Further inject, main part pipe front end integrated into one piece has the button head, the round head is all run through to urination lumen, washing lumen and special-shaped lumen. Due to the structural design, the round head is arranged at the front end of the main body pipe, so that the main body pipe can penetrate into the urethra conveniently.

The invention adopting the technical scheme has the advantages that:

1. the cystoscope is used for searching blood clots in the bladder of a patient, the blood clots are cleaned and broken through the auxiliary steel wire, and the blood clots in the bladder are effectively cleaned, so that urine in the bladder of the patient can be smoothly discharged;

2. the first communicating pipe is communicated with the flushing pipe and the urine discharging pipe, so that urine in the bladder can enter the urine discharging pipe from the flushing pipe through the first communicating pipe, then enter the urine bag, and the urine guiding speed is accelerated;

3. through second communicating pipe intercommunication special-shaped pipe and first communicating pipe for the special-shaped pipe also can carry out the urine and discharge, further accelerates catheterization speed.

Drawings

The invention is further illustrated by the non-limiting examples given in the accompanying drawings;

FIG. 1 is a first schematic structural view of a first embodiment of a catheterizing irrigation tube for hemorrhagic cystitis of the present invention;

FIG. 2 is a schematic structural view showing a urination state of a first embodiment of the urinary catheter for hemorrhagic cystitis of the present invention;

FIG. 3 is a schematic structural diagram II of a first embodiment of a urethral catheter for hemorrhagic cystitis in accordance with the present invention;

FIG. 4 is an enlarged schematic view of the structure at A in FIG. 3;

FIG. 5 is a schematic cross-sectional view of a first embodiment of a catheterizing flush tube for hemorrhagic cystitis in accordance with the present invention;

FIG. 6 is an enlarged view of the structure at B in FIG. 5;

FIG. 7 is a schematic structural view showing a urination state of a second embodiment of the urethral catheter for hemorrhagic cystitis of the present invention;

the main element symbols are as follows:

a main body tube 1, a round head 10, an air bag 11, a urination tube cavity 12, a flushing tube cavity 13, an inflating tube cavity 14,

A urinary catheter 2, a flushing tube 3, a first communicating tube 31, a second communicating tube 32,

An inflation tube 4, a special-shaped tube 5,

A special-shaped sleeve 51, a cystoscope tube 52, a guide wire hole 53, a guide wire 530, an auxiliary steel wire 531, a metal round table 532,

A first liquid stopping clip 62 and a second liquid stopping clip 63.

Detailed Description

The present invention will be described in detail with reference to the drawings and specific embodiments, wherein like reference numerals are used for similar or identical parts in the drawings or the description, and implementations not shown or described in the drawings are known to those of ordinary skill in the art. In addition, directional terms, such as "upper", "lower", "top", "bottom", "left", "right", "front", "rear", and the like, used in the embodiments are only directions referring to the drawings, and are not intended to limit the scope of the present invention.

The first embodiment is as follows:

as shown in fig. 1 to 6, the catheterization washing tube for hemorrhagic cystitis of the invention comprises a main tube 1, a urination tube cavity 12, a washing tube cavity 13, an inflation tube cavity 14 and a special-shaped tube cavity are arranged in the main tube 1, the urination tube cavity 12, the washing tube cavity 13 and the special-shaped tube cavity all penetrate through the main tube 1, a urination tube 2 communicated with the urination tube cavity 12 is fixedly arranged at one end of the main tube 1, the tail end of the urination tube 2 is detachably connected with a urine bag, a washing tube 3 communicated with the washing tube cavity 13 is fixedly arranged at one end of the main tube 1, the tail end of the washing tube 3 is detachably connected with a washing injector, a first liquid stopping clamp 62 is further sleeved on the washing tube 3, an inflation tube 4 communicated with the inflation tube cavity 14 is fixedly arranged at one end of the main tube 1, an air bag 11 is arranged on the main tube 1, the air bag 11 is communicated with the special-shaped tube cavity 14, a special-shaped tube 5 communicated with the main tube cavity is fixedly arranged at one end of the main tube 1, wear to be equipped with special-shaped sleeve 51 in the special-shaped pipe 5, seted up cystoscope hole and seal wire hole 53 on the special-shaped sleeve 51, wear to be equipped with cystoscope pipe 52 in the cystoscope hole, wear to be equipped with guide wire 530 in the seal wire hole 53, the front end of guide wire 530 is connected with many vice steel wires 531, and vice steel wire 531 is crooked to be the arc, and many vice steel wires 531 end-to-end links to each other.

The section of the urination tube cavity 12 is arc-shaped. Because a plurality of cavities are arranged in the main tube 1, and the urination tube cavity 12 is used as a main urination channel, a relatively large section is needed to discharge urine in the bladder more conveniently, and meanwhile, the requirement on the section shape is not high, and the main tube 1 is made into an arc shape, so that the limited cross section of the main tube 1 can be utilized to the greater extent.

A first communicating pipe 31 is connected between the flushing pipe 3 and the urine discharging pipe 2, the first communicating pipe 31 is communicated with the flushing pipe 3 and the urine discharging pipe 2, and the tail end of the urine discharging pipe 2 is circular. Is convenient to be connected with the urine bag, and is more convenient to use. The first communicating pipe 31 is sleeved with a second liquid stopping clamp 63. When the inside of the bladder is not required to be flushed by using the flushing pipe 3, the flushing injector on the flushing pipe 3 for flushing the inside of the bladder can be removed, then the tail end of the flushing pipe 3 is cut off by the first liquid stopping clip 62, the flushing pipe 3 is communicated with the urination pipe 2 through the first communicating pipe 31, so that urine in the bladder can enter the urination pipe 2 from the flushing pipe 3 through the first communicating pipe 31, then enters the urine bag, and the urine guiding speed is increased; the second liquid stop clip 63 is used for closing the first communication tube 31 when the flushing tube 3 is connected with a flushing syringe to flush the bladder, so as to prevent the flushing liquid from directly entering the special tube 5 from the flushing tube 3 through the second communication tube 32.

The end of the special pipe 5 is provided with a closing plug. When the cystoscope tube 52 is not needed, the special-shaped sleeve 51 together with the cystoscope tube 52 and the guide wire 530 can be pulled out of the special-shaped tube 5, and a closing plug is arranged at the tail end of the special-shaped tube 5 to prevent urine from flowing out of the special-shaped tube 5.

A second communication pipe 32 is provided between the special pipe 5 and the first communication pipe 31, and the second communication pipe 32 communicates the special pipe 5 and the first communication pipe 31. When the cystoscope tube 52 is not needed, the special-shaped sleeve 51, the cystoscope tube 52 and the guide wire 530 can be pulled out of the special-shaped tube 5, a sealing plug is arranged at the tail end of the special-shaped tube 5, at the moment, the second liquid stopping clamp 63 is opened, and urine can be discharged through the special-shaped tube 5, so that the urethral catheterization speed is further increased.

A third liquid stopping clip (not shown) is sleeved on the second communicating pipe 32. When only the bladder needs to be flushed, the third liquid stop clip is closed, so that the flushing liquid can be prevented from directly entering the urination tube 2 from the flushing tube 3 through the first communicating tube 31.

The front end of the guide wire 530 is welded with a metal circular truncated cone 532, the auxiliary steel wire 531 is fixedly welded on the metal circular truncated cone 532, and the metal circular truncated cone 532 is positioned in the guide wire hole 53. The guide wire 530 and the auxiliary steel wire 531 are welded together through the metal round table 532, and manufacturing is facilitated.

The cystoscope tube 52 is fixedly connected with the special tube 5. When the cystoscope 52 searches blood clots in the bladder, the special-shaped tube 5 can be driven to move together, so that the guide wire 530 is driven to be close to the blood clots needing to be cleaned and broken in the bladder, and the blood clots can be cleaned more conveniently.

In this embodiment, in use, the main tube 1 is inserted into the urethra, and the balloon 11 is inflated through the inflation tube 4, so that the main tube 1 is fixed in the urethra;

when the special-shaped catheter is normally used, the flushing tube 3 is blocked by the first liquid stopping clamp 62, so that urine is prevented from leaking from the flushing tube 3, the free end of the special-shaped tube 5 is blocked by the closing plug, so that the urine is prevented from leaking from the special-shaped tube 5, at the moment, the second liquid stopping clamp 63 is in an open state, and the urine enters a urine bag from the urination lumen 12, the flushing lumen 13 and the special-shaped lumen through the urination tube 2;

when the bladder needs to be flushed, the second liquid stopping clamp 63 and the third liquid stopping clamp are closed, a flushing syringe is installed on the flushing pipe 3, the interior of the bladder is flushed through the flushing syringe, and the flushed liquid is discharged into the urine bag from the urine discharge pipe 2;

when the blood clot in the bladder needs to be cleaned, the first communication pipe 31 is closed through the second liquid stopping clamp 63, the flushing injector is installed on the flushing pipe 3, the special-shaped sleeve 51 is inserted into the special-shaped pipe 5, before the special-shaped sleeve is inserted, the cystoscope pipe 52 and the wire guide hole 53 are both located in the special-shaped sleeve 51, the auxiliary steel wire 531 is also located in the wire guide hole 53, the blood clot in the bladder is searched through the cystoscope pipe 52, after the blood clot is found, the guide wire 530 is pushed, the auxiliary steel wire 531 is pushed out of the wire guide hole 53, the auxiliary steel wire 531 is opened in the bladder under the action of self elasticity, at the moment, the blood clot in the bladder can be sleeved through the auxiliary steel wire 531, after the sleeving is completed, the guide wire 530 is pulled, the auxiliary steel wire 531 enters the wire guide hole 530 again, the auxiliary steel wire 531 contracts, the blood clot is cut, and after the blood clot is repeatedly flushed by the flushing injector.

Example two:

as shown in fig. 7, the only difference between the first embodiment and the second embodiment is that: the front end of the main tube 1 is integrally formed with a round head 10, and the urination tube cavity 12, the flushing tube cavity 13 and the special-shaped tube cavity all penetrate through the round head 10. Due to the structural design, the round head 10 is arranged at the front end of the main body pipe 1, so that the main body pipe 1 can conveniently penetrate into the urethra.

The detail of the urethral catheterization washing tube for hemorrhagic cystitis provided by the invention is described above. The description of the specific embodiments is only intended to facilitate an understanding of the method of the invention and its core ideas. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, it is possible to make various improvements and modifications to the present invention, and those improvements and modifications also fall within the scope of the claims of the present invention.

Claims

1. A urinary catheterizing irrigation tube for hemorrhagic cystitis, comprising a main tube (1), characterized in that: a urination tube cavity (12), a flushing tube cavity (13), an inflation tube cavity (14) and a special-shaped tube cavity are formed in the main body tube (1), the urination tube cavity (12), the flushing tube cavity (13) and the special-shaped tube cavity all penetrate through the main body tube (1), a urination tube (2) communicated with the urination tube cavity (12) is fixedly arranged at one end of the main body tube (1), the tail end of the urination tube (2) is detachably connected with a urine bag, a flushing tube (3) communicated with the flushing tube cavity (13) is fixedly arranged at one end of the main body tube (1), the tail end of the flushing tube (3) is detachably connected with a flushing injector, a first liquid stopping clamp (62) is further sleeved on the flushing tube (3), an inflation tube (4) communicated with the inflation tube cavity (14) is fixedly arranged at one end of the main body tube (1), and an air bag (11) is arranged on the main body tube (1), the utility model discloses a catheter, including gasbag (11) and inflatable lumen (14) be linked together, the fixed special pipe (5) that are equipped with and are linked together with special-shaped lumen in one end of main part pipe (1), wear to be equipped with special-shaped sleeve pipe (51) in special-shaped sleeve pipe (5), cystoscope hole and wire guide hole (53) have been seted up on special-shaped sleeve pipe (51), cystoscope pipe (52) wear to be equipped with in the cystoscope hole, wear to be equipped with seal wire (530) in wire guide hole (53), the front end of seal wire (530) is connected with many vice steel wire (531), vice steel wire (531) are crooked to be the arc, many vice steel wire (531) end links to each other, be connected with first communicating pipe (31) between flushing pipe (3) and urination pipe (2), first communicating pipe (31) intercommunication pipe (3) and urination pipe (2), the cover is equipped with second end liquid clamp (63) on first communicating pipe (31), the closing plug is installed to special pipe (5) end, be equipped with second communicating pipe (32) between special pipe (5) and first communicating pipe (31), second communicating pipe (32) intercommunication special pipe (5) and first communicating pipe (31).

2. A urinary cathether catheter for hemorrhagic cystitis as claimed in claim 1 wherein: the section of the urination pipe cavity (12) is arc-shaped.

3. A urinary cathether catheter for hemorrhagic cystitis as claimed in claim 1 wherein: and a third liquid stopping clamp is sleeved on the second communicating pipe (32).

4. A urinary cathether catheter for hemorrhagic cystitis as claimed in claim 1 wherein: the tail end of the urination pipe (2) is round.

5. A urinary cathether catheter for hemorrhagic cystitis as claimed in claim 1 wherein: the welding of seal wire (530) front end has metal round platform (532), vice steel wire (531) fixed welding is on metal round platform (532), metal round platform (532) are located wire guide hole (53).

6. The urinary cathether catheter for hemorrhagic cystitis as set forth in claim 5, wherein: the cystoscope tube (52) is fixedly connected with the special tube (5).

7. A urinary cathether catheter for hemorrhagic cystitis as claimed in any one of claims 1 to 6 wherein: the front end of the main body tube (1) is integrally formed with a round head (10), and the round head (10) is penetrated by the urination tube cavity (12), the flushing tube cavity (13) and the special-shaped tube cavity.