CN111803731A

CN111803731A - Quick monitoring devices of first breast surgery postoperative drainage

Info

Publication number: CN111803731A
Application number: CN202010855340.8A
Authority: CN
Inventors: 栗粟; 陈红跃; 樊艳; 王灿; 安丽景; 徐其锋; 蔡文敏; 赵素贞; 张保勇; 田天; 杨萌萌; 武红园
Original assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Current assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Priority date: 2020-08-24
Filing date: 2020-08-24
Publication date: 2020-10-23

Abstract

The invention provides a device for quickly monitoring postoperative drainage of an alpha-breast surgery, which aims to solve the problems that the drainage device in the prior art is not monitored timely, danger is easy to occur, and the working efficiency of the traditional medical care is low.

Description

Quick monitoring devices of first breast surgery postoperative drainage

Technical Field

The invention belongs to the technical field of thyroid and breast surgery drainage, and particularly relates to a postoperative drainage rapid monitoring device for the thyroid and breast surgery.

Background

At present, in clinical work, a drainage ball (bag) is one of the most widely used drainage instruments for drainage of patients after operation; the drainage bag has the main functions of draining the blood and hydrops pneumatosis in the body or at the local deep and shallow positions after an operation, uses a common drainage ball (bag) for drainage, mainly flows out from the high position to the low position under the action of the gravity of a drainage object or the pressure seeped from a drainage port, and belongs to passive drainage; by utilizing the negative pressure principle in physics, the drainage ball (bag) can absorb drainage materials through the negative pressure generated by the drainage ball (bag), and belongs to active drainage. Through the use analysis discovery to current negative pressure drainage technique, negative pressure drainage technique utilizes the negative pressure that the extrusion produced to carry out work, has following not enough: firstly, the drainage volume of the effusion in the drainage bag can not be monitored in real time; secondly, whether the drainage quantity in unit time is abnormal mainly depends on finding and judging when a nurse actively patrols; moreover, the drainage tube can not prompt in time under the conditions of falling, bending or blockage and the like; therefore, whether the drainage tube is used for effective drainage in clinical work, whether the drainage liquid amount is normal and the like are ensured to be continuously carried out by continuously and actively observing the drainage process and manually dumping measurement by medical workers, a large amount of nursing human resources are occupied, and the potential safety hazard of patients caused by the fact that the observation is not in place due to insufficient human resources of the medical workers and the like easily occurs.

In addition, the drainage volume of the effusion in the existing drainage bag can not be monitored in real time; mainly depends on the discovery and judgment of the nurse during the active patrol, and the workload of the medical staff is large.

Therefore, the device which can monitor the condition of the drainage process at any time, achieve safety without abnormity and can remind in real time is very necessary.

Disclosure of Invention

The invention aims to provide a rapid monitoring device for postoperative drainage of a thyroid and breast surgery, which aims to solve the problems that the drainage device in the prior art is not monitored timely, danger is easy to occur, and the traditional medical care work efficiency is low.

The technical scheme for solving the technical problem comprises a drainage bag, wherein a monitoring sleeve is arranged at the upper end opening part of the drainage bag, an outer barrel capable of sliding up and down in the monitoring sleeve is arranged inside the monitoring sleeve, the outer barrel is of a structure with an upper end opening and a lower end being closed, an inner barrel is arranged inside the outer barrel, the inner barrel and the bottom wall of the outer barrel are mutually attached and arranged, the inner barrel can rotate inside the outer barrel, the outer barrel and the inner barrel cannot slide relatively, the upper end of the outer barrel extends out of the upper end surface of the monitoring sleeve, the outer barrel is arranged on the outer side wall of the upper part of the monitoring sleeve and is provided with a negative pressure device, a plurality of liquid outlets are arranged on the bottom plate of the outer barrel, the plurality of liquid outlets are distributed on the same circumference, the included angles of two adjacent liquid outlets are equal, an arc-shaped through groove, when the groove liquid outlet is led to the arc, realize the shutoff of liquid outlet, when the groove is led to the arc does not cover the liquid outlet, realize inner tube and drainage bag through the intercommunication of liquid outlet, the upper end of inner tube be connected to the drainage tube, the bottom plate edge part position of urceolus be equipped with the response piece, the induction zone of direction of height about being equipped with on the inside wall of monitoring cover, the induction zone be connected to control display device.

According to the drainage device, the outer barrel and the inner barrel are designed as monitoring mechanisms and are arranged between the drainage tube and the drainage bag, the drainage liquid can be buffered in the inner barrel, the problem that the current drainage rate and the drainage quantity are qualified can be well judged by monitoring the state of the liquid in the inner barrel, and the specific parameters of drainage can be obtained at any time by controlling the connection of the display device and the induction area, so that the effect of being clear at a glance is achieved.

Preferably, the inner side wall of the monitoring sleeve is provided with two bilaterally symmetrical vertical sliding grooves, the outer side wall of the outer barrel is fixedly provided with a sliding block arranged in the vertical sliding grooves, a first spring is connected between the sliding block and the bottom wall of the corresponding sliding groove, and the height of the vertical sliding groove is not greater than that of the sensing area.

Preferably, the negative pressure device include with the breathing pipe of lateral wall intercommunication, the external connection of breathing pipe has the closed container, the inside of breathing pipe be equipped with radially slidable's on-off mechanism, the closed container is arranged in to the outside one end of breathing pipe, and, the part that the sealed container was arranged in to the breathing pipe is provided with the frame, the lower part of frame is equipped with the fixing base, the diapire fixed connection of fixing base and closed container, the upper portion of fixing base be equipped with the movable block of being connected with the fixing base roof, movable block and fixing base between through second spring coupling, can make the second spring compressed through the extrusion closed container.

Preferably, the closed container is divided into two parts, wherein the first part is a fixed supporting structure at the lower part and is a rigid structure, and the second part is an elastic structure with the upper part covering the first part.

Preferably, the switch mechanism comprises a first piston arranged in the air suction pipe, one end of the outer side of the first piston is connected with a second piston through a connecting rod, the end surface of the first piston is provided with air suction ports which are uniformly distributed on the circumference, the second piston is of a flat plate structure, the first piston, the connecting rod and the second piston form a radial sliding I-shaped structure together, and when the first piston is arranged in the air suction pipe and the second piston is arranged outside the air suction pipe, the closed container is communicated with the inner cylinder; when the first piston and the second piston are both arranged in the air suction pipe, the closed container is not communicated with the inner cylinder.

Preferably, the outside one end of second piston be fixed with the wedge, the movable block one end towards the wedge be equipped with the push rod, the reciprocating accessible push rod that reciprocates of movable block promotes the radial slip that the wedge drove first piston and second piston and gets into in the breathing pipe, the inside of breathing pipe be equipped with arrange the annular boss between first piston and the second piston in, first piston and annular boss between be connected the third spring, when first piston and second piston all arranged in the breathing pipe, the third spring was stretched, first piston and second piston can move to the right side under the effect of third spring.

Preferably, the side wall of the inner cylinder is provided with an annular through groove corresponding to the air suction pipe, and the central angle of the annular through groove is equal to that of the arc-shaped through groove.

Preferably, the closed container is connected with a one-way valve.

Preferably, the connection part of the drainage bag and the outer edge of the monitoring sleeve is provided with a pressure induction ring, and the lower part of the drainage bag is provided with a liquid outlet.

Preferably, the upper end of the inner barrel is provided with an adjusting head, the adjusting head is rotatably connected to the upper end face of the outer barrel, the upper end of the adjusting head is provided with a connector, and the connector is used for connecting a drainage tube.

The invention has at least the following advantages:

1. a drainage caching mechanism is designed as a monitoring mechanism, and a new monitoring concept is provided.

2. The speed, the flow and the like of the drainage liquid are expressed by the pressure, so that the monitoring is convenient.

3. The drainage buffer structure can be well used through the design of the negative pressure device.

4. The design of the new negative pressure device structure ensures the rigid air suction condition and avoids the condition of insufficient pressure.

Drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without creative efforts.

FIG. 1 is a front view of the present invention.

FIG. 2 is a front sectional view of the present invention.

FIG. 3 is a partial schematic view of the monitoring sleeve of FIG. 1 according to the present invention.

FIG. 4 is a partial schematic view of the negative pressure device shown in FIG. 3 according to the present invention.

FIG. 5 is a top view of the negative pressure device of FIG. 4 according to the present invention.

FIG. 6 is a schematic top view of the positions of the arc-shaped through grooves and the liquid outlet at the lower parts of the inner cylinder and the outer cylinder.

Fig. 7 is a schematic view of the arc-shaped through groove in fig. 6 of the present invention in a state of being communicated with two liquid outlets.

FIG. 8 is a side view of the first piston of the present invention.

Detailed Description

The invention is further illustrated by the accompanying figures 1 to 8;

the invention provides a postoperative drainage rapid monitoring device for thyroid breast surgery, which comprises a drainage bag 1, wherein a monitoring sleeve 2 is arranged at the opening part at the upper end of the drainage bag 1, an outer barrel 3 capable of sliding up and down in the monitoring sleeve 2 is arranged in the monitoring sleeve 2, the outer barrel 3 is of a structure with an opening at the upper end and a closed lower end, an inner barrel 4 is arranged in the outer barrel 3, the inner barrel 4 and the bottom wall of the outer barrel 3 are mutually attached, the inner barrel 4 can rotate in the outer barrel 3, and the outer barrel 3 and the inner barrel 4 cannot slide relatively; the monitoring sleeve 2, the outer cylinder 3 and the inner cylinder 4 are designed to be used as a buffer mechanism in the drainage process, so that the control on liquid in the drainage process can be well realized; the upper end of the outer cylinder 3 extends out of the upper end face of the monitoring sleeve 2, the outer side wall of the outer cylinder 3, which is arranged at the upper part of the monitoring sleeve 2, is provided with a negative pressure device, and the negative pressure device is used for providing auxiliary negative pressure for the interior of the inner cylinder 4 at the beginning to ensure the suction effect; a bottom plate of the outer barrel 3 is provided with a plurality of liquid outlets 6, the plurality of liquid outlets 6 are distributed on the same circumference, the included angles of two adjacent liquid outlets 6 are equal, the bottom wall of the inner barrel 4 is provided with an arc through groove 5 corresponding to the positions of the liquid outlets 6, when the inner barrel 4 rotates in the outer barrel 3, the arc through groove 5 can cover different numbers of the liquid outlets 6, when the arc through groove 5 is used for plugging the liquid outlets 6, when the arc through groove 5 is not used for covering the liquid outlets 6, the inner barrel 4 is communicated with the drainage bag 1 through the liquid outlets 6, and the communication number of the liquid outlets 6 can be conveniently controlled through the rotating structures of the liquid outlets 6 and the inner barrel 4 and the design of the arc through groove 5, so as to control the; the upper end of the inner barrel 4 is connected to a drainage tube, the edge part of a bottom plate of the outer barrel 3 is provided with a sensing piece 7, a sensing area 8 in the vertical height direction is arranged on the inner side wall of the monitoring sleeve 2, and the sensing area 8 is connected to a control display device; through the cooperation of the induction area 8 and the control display device, the parameters in the drainage process can be digitalized and graphed, and analysis, management and control are facilitated.

One of the examples in the present invention is not; two bilaterally symmetrical vertical sliding grooves are formed in the inner side wall of the monitoring sleeve 2, sliding blocks installed in the vertical sliding grooves are fixed on the outer side wall of the outer barrel 3, a first spring is connected between each sliding block and the bottom wall of the corresponding sliding groove, and the height of each vertical sliding groove is not larger than that of the sensing area 8; the first spring can be designed to generate compression in different degrees according to different qualities of liquid in the drainage caching mechanism, the outer cylinder 3 can move up and down under the action of the first spring and self gravity, for example, when the drainage rate is normal, the quality of the liquid in the caching mechanism is basically maintained unchanged, the variation range of the first spring is small, and the display is normal under the control of the display device; when drainage speed accelerates, the liquid quality among the buffer memory device can increase this moment, buffer memory mechanism wholly moves down, first spring compression increase, on can reflecting control display device equally, because of some reasons, for example block up, pressure is not enough, or the drainage tube buckles the circumstances such as cause when reducing, buffer memory mechanism can rebound under first spring action this moment, can see out, to the different circumstances, the device all can make different reactions, and the control is timely accurate, the management of being convenient for.

In the invention, in order to store liquid into the buffer mechanism in advance during initial use, an auxiliary negative pressure device needs to be designed; the negative pressure device is used for providing negative pressure in the inner cylinder 4 at the initial stage of drainage, and the principle that a buffer liquid pipe in the infusion principle is used is firstly used for kneading and pressing to form negative pressure, so that temporary auxiliary negative pressure is formed in a buffer mechanism, and the effect of buffering liquid is achieved; the negative pressure device comprises an air suction pipe communicated with the outer side wall, a closed container 9 is connected to the outside of the air suction pipe, a switching mechanism capable of sliding in the radial direction is arranged inside the air suction pipe, one end of the outside of the air suction pipe is arranged in the closed container 9, a frame is arranged on the part of the air suction pipe arranged in the closed container 9, a fixed seat is arranged on the lower portion of the frame and fixedly connected with the bottom wall of the closed container 9, a movable block connected with the top wall of the fixed seat is arranged on the upper portion of the fixed seat, the movable block is connected with the fixed seat through a second spring 10, and the second spring 10 can be compressed by extruding the closed container 9; the closed container 9 is divided into two parts, wherein the first part is a fixed supporting structure at the lower part and is a rigid structure, and the second part is an elastic structure with the upper part covering the first part; the switching mechanism comprises a first piston 11 arranged in the air suction pipe, one end of the outer side of the first piston 11 is connected with a second piston 12 through a connecting rod, the end face of the first piston 11 is provided with air suction ports which are uniformly distributed on the circumference, the second piston 12 is of a flat plate structure, the first piston 11, the connecting rod and the second piston 12 form a radial sliding I-shaped structure together, and when the first piston 11 is arranged in the air suction pipe and the second piston 12 is arranged outside the air suction pipe, the closed container 9 is communicated with the inner cylinder 4; when the first piston 11 and the second piston 12 are both arranged in the suction pipe, the closed container 9 is not communicated with the inner cylinder 4; second piston 12's outside one end be fixed with the wedge, the movable block one end towards the wedge be equipped with the push rod, the reciprocating of movable block accessible push rod promotion wedge drive first piston 11 and second piston 12 radial slip get into in the breathing pipe, the inside of breathing pipe be equipped with arrange the annular boss between first piston 11 and the second piston 12 in, first piston 11 and annular boss between be connected third spring 13, when first piston 11 and second piston 12 all arranged in the breathing pipe, third spring 13 is stretched, first piston 11 and second piston 12 can move to the right side under the effect of third spring 13.

The above mentioned are all designed components of negative pressure mechanism, specifically, a negative pressure auxiliary device with high safety and stability is provided, through the design of different parts of the closed container 9, the combination of the rigid structure of the first part and the elastic structure of the second part can meet the multiple requirements of the connection design of each part in the container and the generation of negative pressure; specifically, the method comprises the following steps: when a negative pressure environment needs to be provided for the cache mechanism, at the moment, the second part of elastic component is firstly extruded, the second spring 10 is compressed through the movable block in the extrusion process, meanwhile, the movable block pushes the second piston 12 in the switch device to enter the air suction pipe through the matching of the push rod and the wedge-shaped block in the downward movement process, the second piston 12 is of a flat plate structure and has no air holes, and after entering the air suction pipe, the plugging effect is realized, at the moment, because the closed container 9 is connected with the one-way valve 15, at the moment, after the compression, the gas in the closed container 9 is discharged through the one-way valve 15; after the extrusion force is released, the second part of the elastic component can be forcibly bounced under the action of the second spring 10, the effect that the elastic component cannot recover due to the principle of atmospheric pressure is avoided, meanwhile, the second piston 12 can reset under the action of the third spring 13, a vacuum structure is formed in the closed container 9 at the moment, and the closed container is communicated with the inner barrel 4 through the air suction pipe, so that an auxiliary negative pressure suction structure is formed.

Aiming at the effects, in order to ensure the negative pressure effect in the process of liquid suction ports with different rotation angles of the inner cylinder 4, the side wall of the inner cylinder 4 is provided with an annular through groove 14 corresponding to the air suction pipe, and the central angle of the annular through groove 14 is equal to that of the arc-shaped through groove 5.

In the invention, in the monitoring of the full discharge of the drainage bag 1, a pressure induction ring at the outer edge connecting part of the drainage bag 1 and the monitoring sleeve 2 is designed, when the liquid in the drainage bag 1 reaches a certain amount, the tension of the pressure induction ring is increased, a signal is sent out by a control device to remind medical personnel to carry out treatment, and the liquid is discharged through a liquid discharge port at the lower part of the drainage bag 1.

In addition, the upper end of the inner barrel 4 is provided with an adjusting head, the adjusting head is rotatably connected to the upper end face of the outer barrel 3, so that the connecting effect of the inner barrel 4 and the outer barrel 3 can be ensured, the inner barrel 4 and the outer barrel can only rotate relatively but can not slide relatively, the fitting sealing effect of the bottom plates of the inner barrel 4 and the outer barrel 3 can be well realized, and the upper end of the adjusting head is provided with a connector which is used for connecting a drainage tube.

The drainage device is ingenious in conception and compact in overall structure, and by designing a new drainage liquid monitoring principle and by switching between flow rate and pressure, the drainage device can conveniently and timely monitor the state in the drainage process, so that the inspection time of medical staff can be greatly saved, and the occurrence of harm can be reduced.

Claims

1. First quick monitoring devices of breast surgery postoperative drainage, its characterized in that, including drainage bag (1), the upper end opening position of drainage bag (1) be provided with monitoring cover (2), monitoring cover (2) inside be equipped with can be in monitoring cover (2) gliding urceolus (3) from top to bottom, urceolus (3) are upper end opening lower extreme confined structure, the inside of urceolus (3) is equipped with inner tube (4), the diapire of inner tube (4) and urceolus (3) is laminated mutually and is arranged, inner tube (4) can rotate in urceolus (3) inside, and, urceolus (3) and inner tube (4) can not the relative slip, urceolus (3) upper end stretch out the up end of monitoring cover (2), urceolus (3) are arranged in and are equipped with negative pressure device on the lateral wall on monitoring cover (2) upper portion, are equipped with a plurality of liquid outlets (6) on the bottom plate of urceolus (3) body, a plurality of liquid, and, the contained angle of two adjacent liquid outlets (6) equals, the diapire of inner tube (4) on be equipped with liquid outlet (6) position corresponding arc through groove (5), when inner tube (4) are at urceolus (3) internal rotation, the arc leads to groove (5) can cover liquid outlet (6) of different quantity, when arc leads to groove (5) liquid outlet (6), realize the shutoff of liquid outlet (6), when arc leads to groove (5) not to cover liquid outlet (6), realize inner tube (4) and drainage bag (1) through the intercommunication of liquid outlet (6), the upper end of inner tube (4) be connected to the drainage tube, the bottom plate edge part position of urceolus (3) be equipped with response piece (7), be equipped with upper and lower direction of height's induction zone (8) on the inside wall of monitoring cover (2), induction zone (8) be connected to control display device.

2. The rapid monitoring device for postoperative drainage of the thyroid and mammary gland surgery according to claim 1, characterized in that two bilaterally symmetrical vertical sliding grooves are formed in the inner side wall of the monitoring sleeve (2), a sliding block mounted in the vertical sliding grooves is fixed on the outer side wall of the outer cylinder (3), a first spring is connected between the sliding block and the bottom wall of the corresponding sliding groove, and the height of the vertical sliding groove is not greater than that of the sensing area (8).

3. The device for rapidly monitoring the drainage after the nail breast surgery according to claim 1, wherein the negative pressure device comprises an air suction pipe communicated with the outer side wall, a closed container (9) is connected to the outside of the air suction pipe, a radially slidable switch mechanism is arranged inside the air suction pipe, one end of the outside of the air suction pipe is arranged in the closed container (9), a frame is arranged on the part of the air suction pipe arranged in the closed container (9), a fixed seat is arranged on the lower part of the frame and fixedly connected with the bottom wall of the closed container (9), a movable block connected with the top wall of the fixed seat is arranged on the upper part of the fixed seat, the movable block is connected with the fixed seat through a second spring (10), and the second spring (10) can be compressed by squeezing the closed container (9).

4. The device for the rapid monitoring of the postoperative drainage of the thyroid surgery according to claim 3, wherein the closed container (9) is divided into two parts, the first part is a fixed supporting structure at the lower part and is a rigid structure, and the second part is an elastic structure at the upper part which covers the first part.

5. The device for rapidly monitoring the drainage after the nail breast surgery according to claim 4, wherein the switch mechanism comprises a first piston (11) arranged in the suction pipe, one end of the outer side of the first piston (11) is connected with a second piston (12) through a connecting rod, the end surface of the first piston (11) is provided with air suction ports which are uniformly distributed on the circumference, the second piston (12) is of a flat plate structure, the first piston (11), the connecting rod and the second piston (12) form a radial sliding I-shaped structure together, and when the first piston (11) is arranged in the suction pipe and the second piston (12) is arranged outside the suction pipe, the closed container (9) is communicated with the inner cylinder (4); when the first piston (11) and the second piston (12) are both arranged in the air suction pipe, the closed container (9) is not communicated with the inner cylinder (4).

6. The device for rapidly monitoring the postoperative drainage of the nail breast surgery according to claim 5, wherein a wedge-shaped block is fixed at one end of the outer side of the second piston (12), a push rod is arranged at one end of the movable block facing the wedge-shaped block, the movable block can push the wedge-shaped block to drive the first piston (11) and the second piston (12) to slide radially into the air suction pipe by moving up and down through the push rod, an annular boss arranged between the first piston (11) and the second piston (12) is arranged inside the air suction pipe, a third spring (13) is connected between the first piston (11) and the annular boss, when the first piston (11) and the second piston (12) are arranged in the air suction pipe, the third spring (13) is stretched, and the first piston (11) and the second piston (12) can move to the right side under the action of the third spring (13).

7. The device for rapidly monitoring the drainage after the nail breast surgery according to claim 5 or 6, wherein the side wall of the inner cylinder (4) is provided with an annular through groove (14) corresponding to the air suction pipe, and the central angle of the annular through groove (14) is equal to that of the arc-shaped through groove (5).

8. The device for rapidly monitoring the drainage after the nail breast surgery according to claim 7, characterized in that a one-way valve (15) is connected to the closed container (9) in the step (3).

9. The device for rapidly monitoring the postoperative drainage of the thyroid surgery according to claim 1, wherein a pressure induction ring is arranged at the connecting part of the drainage bag (1) and the outer edge of the monitoring sleeve (2), and a liquid outlet is arranged at the lower part of the drainage bag (1).

10. The device for rapidly monitoring the postoperative drainage of the nail breast surgery according to claim 1, wherein the upper end of the inner barrel (4) is provided with an adjusting head which is rotatably connected to the upper end surface of the outer barrel (3), and the upper end of the adjusting head is provided with a joint which is used for connecting a drainage tube.