CN112023167A - Double cannula negative pressure washes all-in-one - Google Patents

Double cannula negative pressure washes all-in-one Download PDF

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Publication number
CN112023167A
CN112023167A CN202011001106.5A CN202011001106A CN112023167A CN 112023167 A CN112023167 A CN 112023167A CN 202011001106 A CN202011001106 A CN 202011001106A CN 112023167 A CN112023167 A CN 112023167A
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CN
China
Prior art keywords
negative pressure
plc
flushing
gravity sensor
alarm
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Pending
Application number
CN202011001106.5A
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Chinese (zh)
Inventor
王葵儿
朱阿考
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Hangzhou First Peoples Hospital
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Hangzhou First Peoples Hospital
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Priority to CN202011001106.5A priority Critical patent/CN112023167A/en
Publication of CN112023167A publication Critical patent/CN112023167A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/08Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using communication transmission lines
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/10Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using wireless transmission systems
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B7/00Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00
    • G08B7/06Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00 using electric transmission, e.g. involving audible and visible signalling through the use of sound and light sources
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring

Abstract

The invention discloses a double-sleeve negative pressure flushing all-in-one machine, which belongs to the field of negative pressure flushing, and comprises a flushing fluid module, a PLC (programmable logic controller) and a negative pressure bottle; the negative pressure ends of the flushing liquid module and the negative pressure bottle are connected to the drainage position in the abdominal cavity of the patient through pipes, and the flushing liquid module and the negative pressure bottle are connected with the PLC and controlled to be opened and closed by the PLC; a first gravity sensor is arranged at the lower end of the flushing liquid module; the second gravity sensor is arranged on the pipe between the negative pressure bottle and the patient, monitors the liquid amount in the flushing liquid and the negative pressure constantly through the first gravity sensor and the second gravity sensor, compares the liquid amount through the PLC, gives an alarm in time when the difference value is too large and exceeds the preset value, transmits abnormal information to medical personnel, can find abnormal conditions in time and solve the problems, and effectively avoids the occurrence of abnormal things which are not found in time.

Description

Double cannula negative pressure washes all-in-one
Technical Field
The invention relates to the field of negative pressure flushing, in particular to a double-sleeve negative pressure flushing all-in-one machine.
Background
Anastomotic stoma flaccidity after operation of patients with gastric cancer and colorectal cancer is a common postoperative serious complication, once the anastomotic stoma flaccidity occurs, the treatment time is prolonged, the treatment difficulty is increased, the complication is serious, the fatality rate is as high as 50% -60% before the 70 s of the 20 th century, the fatality rate is still as high as 15% -20% until now [2 ], the most effective method for treatment is continuous flushing of double sleeves of the abdominal cavity, on one hand, effusion and hematocele in the abdominal cavity can be led out, on the other hand, infection is inhibited by injecting antibacterial drugs, the most important point in the nursing measures of the double sleeves is to keep smooth drainage, 24 inlet and outlet amounts are strictly recorded, the change of the state of an illness is judged by the color and the amount of the drainage amount, the traditional flushing mode is generally continuous flushing for 24 hours, a large bag of physiological saline of 2000ml is selected for flushing, a venous transfusion, or the double-sleeve outer sleeve with the improved abdominal drainage tube, the inner sleeve connected with a negative pressure suction bottle, the drainage is sucked by a 3000ml high-capacity glass bottle, the wall connection type negative pressure is adopted, the drainage negative pressure value is 0.01-0.04 MPa, the statistics of 24-hour inflow and outflow amount is generally recorded when the night shift morning is 7 hours, and if the color of drainage liquid becomes clear, the drainage amount is reduced, and patients have no positive signs such as abdominal pain and abdominal distension, the tube drawing can be considered.
The traditional drainage device generally records one bag of record when recording the amount of inflow and outflow, estimate the surplus of 2000ml of big bag of normal saline when recording the amount of inflow and outflow at 7 am, and record the amount of outflow and empty once and record once, also exist and estimate 3000ml of a barrel, the subjective factor of the nurse of the amount of inflow and outflow record is great, the error is great, there is certain influence to the judgement of the disease, and because of work is busy, once a day makes statistics, the amount of inflow is obviously more than the amount of outflow easily, accumulate in the abdominal cavity and not in time found, in addition, there is negative pressure, gastrointestinal surgery is fundamentally cured, there is exposed blood vessel after lymph is cleaned, because of fistula outflow corrodes the blood vessel, cause bleeding after long-term washing, not in time found during washing, and lead to the change of the state of an illness, cause.
Disclosure of Invention
1. Technical problem to be solved
Aiming at the problems in the prior art, the invention aims to provide a double-sleeve negative pressure flushing all-in-one machine, which constantly monitors the liquid amounts in a flushing liquid and a negative pressure through a first gravity sensor and a second gravity sensor, compares the liquid amounts through a PLC (programmable logic controller), and timely alarms when the difference is too large and exceeds the preset value to transmit abnormal information to medical personnel, so that abnormal conditions can be timely found and solved, and the occurrence of abnormal events which are not timely found is effectively avoided.
2. Technical scheme
In order to solve the above problems, the present invention adopts the following technical solutions.
A double-sleeve negative pressure flushing integrated machine comprises a flushing liquid module, a PLC (programmable logic controller) and a negative pressure bottle; the negative pressure ends of the flushing liquid module and the negative pressure bottle are connected to the drainage position in the abdominal cavity of the patient through pipes, and the flushing liquid module and the negative pressure bottle are connected with the PLC and controlled to be opened and closed by the PLC; a first gravity sensor is arranged at the lower end of the flushing liquid module and used for monitoring the residual liquid amount of the flushing liquid module; a second gravity sensor is arranged at the lower end of the negative pressure bottle and used for monitoring the liquid amount in the negative pressure bottle; the first gravity sensor and the second gravity sensor are both connected to the PLC, and the monitored data are uploaded to the PLC; the PLC is connected with an alarm device; the PLC compares the data values of the first gravity sensor and the second gravity sensor to generate a numerical difference, and when the numerical difference reaches a numerical value preset in the PLC, the alarm device gives an alarm and closes the work of the flushing liquid module and the negative pressure bottle; and when the value difference does not reach a value preset in the PLC, the alarm device does not give an alarm.
Furthermore, the PLC controller is connected with a display screen, and the display screen can display the data value uploaded by the first gravity sensor and the second gravity sensor, the numerical value difference and alarm display.
Furthermore, the display screen is a touch display screen, and the numerical value of the PLC is preset through the display screen.
Furthermore, the alarm device can transmit alarm information to medical staff in the modes of voice broadcasting, light flashing and whistle.
Further, the alarm device can be wirelessly connected with mobile phones of more than one medical staff to transmit alarm messages in an information mode.
Furthermore, a response module is arranged on the mobile phone of the medical staff.
Further, a red sensor is mounted on a tube between the negative pressure bottle and the patient, the red sensor is connected with the PLC and used for monitoring the RGB value of the color of the output liquid, the RGB value is preset in the red sensor, when the RGB value exceeds the preset RGB value, the red sensor transmits alarm information to the PLC, the PLC controls an alarm device to give an alarm, and the work of the flushing liquid module and the negative pressure bottle is closed; and when the preset RGB value is not exceeded, the red sensor transmits a safety message to the PLC.
3. Advantageous effects
Compared with the prior art, the invention has the advantages that:
the utility model provides a, this double cannula negative pressure washes all-in-one, through the liquid measure in first gravity sensor and the second gravity sensor constantly monitoring flush fluid and the negative pressure to carry out the comparison through the PLC controller, in time report to the police when the too big super default of difference, to medical personnel transmission abnormal information, thereby can in time discover abnormal conditions and solve, effectively avoid not in time discovering unusual things and taking place.
In order to enable the negative pressure washing to be cleaner, the output speed is usually slightly higher than the input speed, therefore, a red sensor is arranged in the integrated machine to monitor whether the output liquid has heavy bleeding or not, and once the monitored RGB value exceeds, the washing and negative pressure work is stopped in time and medical personnel are called, so that the condition deterioration of patients caused by untimely discovery of bleeding is effectively avoided, and meanwhile, unnecessary medical disputes are reduced.
This double cannula negative pressure washes all-in-one can adopt the alarm mode of one kind or multiple combination to transmit alarm information to medical personnel, in time call medical personnel to handle this abnormal situation, and can be maintained jointly by a plurality of medical personnel, and after the medical personnel who receive alarm information responded through answering the module, appointed 1 or 1-N medical personnel according to the response order by the PLC controller and go to handle, can in time solve patient's problem and can also reduce unnecessary medical resources's occupation.
Fourth, this double cannula negative pressure washes all-in-one, PLC controller, red sensor, automatically controlled switch and display screen and alarm device etc. all install in same box, make the all-in-one, and are more convenient.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a block diagram of a PLC controller of the present invention;
fig. 3 is a block diagram of an alarm mode of the present invention.
Detailed Description
The drawings in the embodiments of the invention will be combined; the technical scheme in the embodiment of the invention is clearly and completely described; obviously; the described embodiments are only some of the embodiments of the invention; but not all embodiments, are based on the embodiments of the invention; all other embodiments obtained by a person skilled in the art without making any inventive step; all fall within the scope of protection of the present invention.
Example 1:
referring to fig. 1-3, a double-cannula negative pressure flushing integrated machine comprises a flushing liquid module, a PLC controller and a negative pressure bottle; the negative pressure ends of the flushing liquid module and the negative pressure bottle are connected to drainage positions in abdominal cavities of patients through pipes, the pipes can be detached at one time, replacement of different patients is facilitated, and the flushing liquid module and the negative pressure bottle are connected with the PLC and controlled to be opened and closed by the PLC; the lower end of the flushing liquid module is provided with a first gravity sensor for monitoring the residual liquid amount of the flushing liquid module; a second gravity sensor is arranged at the lower end of the negative pressure bottle and used for monitoring the liquid amount in the negative pressure bottle; the first gravity sensor and the second gravity sensor are both connected to the PLC, and the monitored data are uploaded to the PLC; the PLC controller is connected with an alarm device; the PLC compares the data values of the first gravity sensor and the second gravity sensor to generate a numerical difference, the unit of the difference value can be g, when the numerical difference reaches a numerical value preset in the PLC, the preset numerical value needs to be manually set, for example, within 250g, the alarm device gives an alarm, and an electric control switch arranged on each pipe is closed, so that the work of the flushing liquid module and the negative pressure bottle is closed; when the numerical value difference does not reach the numerical value preset in the PLC, the alarm device does not give an alarm, and simultaneously, in order to avoid excessive negative pressure and bleeding of a patient, a red sensor is installed on a pipe between the negative pressure bottle and the patient and is also connected with the PLC, the color RGB value of output liquid is monitored, the RGB value is preset in the red sensor, when the RGB value exceeds the preset RGB value, the red sensor transmits alarm information to the PLC, the PLC controls the alarm device to give an alarm, and the work of the flushing liquid module and the negative pressure bottle is closed; and when the preset RGB value is not exceeded, the red sensor transmits a safety message to the PLC.
The PLC is connected with a display screen, and the display screen can display the data value, the numerical difference and the alarm display uploaded by the first gravity sensor and the second gravity sensor; the display screen is a touch display screen, and the numerical value of the PLC can be preset through the display screen; the alarm device can transmit alarm information to medical staff in the modes of voice broadcasting, light flashing and whistle; the alarm device can be wirelessly connected with mobile phones of more than one medical staff, and transmits alarm information in an information mode, a response module is arranged on the mobile phones of the medical staff, after the medical staff receives alarm information and responds through the response module, the response information is fed back to the PLC controller, the PLC controller feeds back appointed information to the first medical staff or the 1 st to the N medical staff in the response list again according to the response sequence, the situation that a plurality of medical staff appear together is effectively avoided, unnecessary occupation of medical resources is reduced, the PLC controller designates the medical staff according to the response sequence, other medical staff which is not designated can continue to work at hand, furthermore, the names of the medical staff which receive the appointed information can be simultaneously fed back to each person in the response list, and other medical staff can be helped to clearly know the situation that the medical staff are not designated, and supervision can be formed among the devices, so that the responsibility unloading is avoided.
This scheme can install PLC controller, red sensor and electric control switch in the box, and two pipes all pass from the box to also install display screen and alarm device and make the all-in-one use in the box, it is more convenient.
The above; but are merely preferred embodiments of the invention; the scope of the invention is not limited thereto; any person skilled in the art is within the technical scope of the present disclosure; the technical scheme and the improved concept of the invention are equally replaced or changed; are intended to be covered by the scope of the present invention.

Claims (7)

1. The utility model provides a double cannula negative pressure washes all-in-one which characterized in that: comprises a flushing liquid module, a PLC controller and a negative pressure bottle; the negative pressure ends of the flushing liquid module and the negative pressure bottle are connected to the drainage position in the abdominal cavity of the patient through pipes, and the flushing liquid module and the negative pressure bottle are connected with the PLC and controlled to be opened and closed by the PLC;
a first gravity sensor is arranged at the lower end of the flushing liquid module and used for monitoring the residual liquid amount of the flushing liquid module;
a second gravity sensor is arranged at the lower end of the negative pressure bottle and used for monitoring the liquid amount in the negative pressure bottle;
the first gravity sensor and the second gravity sensor are both connected to the PLC, and the monitored data are uploaded to the PLC; the PLC is connected with an alarm device;
the PLC compares the data values of the first gravity sensor and the second gravity sensor to generate a numerical difference, and when the numerical difference reaches a numerical value preset in the PLC, the alarm device gives an alarm and closes the work of the flushing liquid module and the negative pressure bottle; and when the value difference does not reach a value preset in the PLC, the alarm device does not give an alarm.
2. The double-cannula negative pressure flushing all-in-one machine of claim 1, wherein: the PLC controller is connected with a display screen, and the display screen can display data values uploaded by the first gravity sensor and the second gravity sensor, numerical value differences and alarm display.
3. The double-cannula negative pressure flushing all-in-one machine as claimed in claim 2, characterized in that: the display screen is a touch display screen, and the numerical value of the PLC is preset through the display screen.
4. The double-cannula negative pressure flushing all-in-one machine of claim 1, wherein: the alarm device can transmit alarm information to medical staff in the modes of voice broadcasting, light flashing and whistle.
5. The double-cannula negative pressure flushing all-in-one machine of claim 1, wherein: the alarm device can be wirelessly connected with the mobile phone of more than one medical personnel to transmit alarm information in an information mode.
6. The double-cannula negative pressure flushing all-in-one machine of claim 5, wherein: and the medical staff mobile phone is provided with a response module.
7. The double-cannula negative pressure flushing all-in-one machine of claim 1, wherein: a red sensor is arranged on a tube between the negative pressure bottle and the patient, the red sensor is connected with the PLC and is used for monitoring the RGB value of the color of the output liquid, and the RGB value is preset in the red sensor;
when the preset RGB value is exceeded, the red sensor transmits alarm information to the PLC, the PLC controls the alarm device to give an alarm, and the work of the flushing liquid module and the negative pressure bottle is closed; and when the preset RGB value is not exceeded, the red sensor transmits a safety message to the PLC.
CN202011001106.5A 2020-09-22 2020-09-22 Double cannula negative pressure washes all-in-one Pending CN112023167A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113476283A (en) * 2021-07-01 2021-10-08 赵田田 Nursing device for biliary tract operation
CN114642776A (en) * 2022-03-21 2022-06-21 安徽医科大学第二附属医院 Intelligent flushing and low negative pressure drainage device for medical three-cavity drainage tube

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CN109498854A (en) * 2018-12-29 2019-03-22 刘铁楠 A kind of drainage monitoring device
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CN102698327A (en) * 2012-06-08 2012-10-03 李广成 Hematoma remover
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CN113476283A (en) * 2021-07-01 2021-10-08 赵田田 Nursing device for biliary tract operation
CN113476283B (en) * 2021-07-01 2023-12-22 赵田田 Nursing device for biliary tract operation
CN114642776A (en) * 2022-03-21 2022-06-21 安徽医科大学第二附属医院 Intelligent flushing and low negative pressure drainage device for medical three-cavity drainage tube

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