CN113069619A

CN113069619A - Cleaning device for urological nursing

Info

Publication number: CN113069619A
Application number: CN202110323993.6A
Authority: CN
Inventors: 李红芸; 许翠萍
Original assignee: Shandong Qianfoshan Hospital
Current assignee: Shandong Qianfoshan Hospital
Priority date: 2021-03-26
Filing date: 2021-03-26
Publication date: 2021-07-06

Abstract

Uropoiesis is belt cleaning device for surgery nursing for conveniently carry out the bladder washing to uropoiesis patient. It includes: the box body is provided with a box cover and a handle at the top, and the box body is internally provided with a first box body, a second box body and a third box body; the recovery unit comprises a recovery bag placed in the second box body, a recovery pipe connected with the recovery bag, an air bag arranged on the recovery pipe, a three-way valve connected with the recovery pipe and a catheter connected with the three-way valve; the liquid flows in the recovery pipe in a single direction and flows to one side of the recovery bag; the flushing clamping unit comprises a flushing mechanism, a second clamping mechanism and a third clamping mechanism, the second clamping mechanism is placed in the first box body and used for clamping thighs of a patient when in use, and the third clamping mechanism is arranged on the second clamping mechanism and used for clamping a catheter; the flushing mechanism comprises a liquid storage bag arranged in the third box body and a connecting pipe for connecting the liquid storage bag and the three-way valve. The bladder cleaning device is convenient for bladder cleaning of patients in urology surgery.

Description

Cleaning device for urological nursing

Technical Field

The invention relates to the technical field of urology surgery, in particular to a cleaning device for urology surgery nursing.

Background

The bladder irrigation can remove blood clots, mucus, bacteria and other foreign matters in the bladder and treat some bladder diseases. A urinary catheter can be adopted for irrigating the bladder of a patient, the urinary catheter is inserted into the bladder of the patient, and then urine in the bladder is drained; an irrigation fluid, such as saline, is then injected into the bladder through the catheter. The problems existing in the prior operation mode are as follows: (1) the catheter is not easy to fix and is easy to move when bladder cleaning is carried out; (2) the collected urine and the washing liquid are exposed in the air, and have strong smell and are pungent; (3) when in operation, some instruments are directly placed on a sickbed, which causes pollution to the sickbed.

Disclosure of Invention

The invention aims to provide a cleaning device for urological nursing, which is used for conveniently cleaning a bladder of a urological patient.

The technical scheme adopted by the invention for solving the technical problems is as follows: uropoiesis is belt cleaning device for surgery nursing, characterized by, it includes:

the box body is provided with a box cover and a handle at the top, and the box body is internally provided with a first box body, a second box body and a third box body;

the recovery unit comprises a recovery bag placed in the second box body, a recovery pipe connected with the recovery bag, an air bag arranged on the recovery pipe, a three-way valve connected with the recovery pipe and a catheter connected with the three-way valve; the liquid flows in the recovery pipe in a single direction and flows to one side of the recovery bag;

the flushing clamping unit comprises a flushing mechanism, a second clamping mechanism and a third clamping mechanism, the second clamping mechanism is placed in the first box body and used for clamping thighs of a patient when in use, and the third clamping mechanism is arranged on the second clamping mechanism and used for clamping a catheter; the flushing mechanism comprises a liquid storage bag arranged in the third box body and a connecting pipe for connecting the liquid storage bag and the three-way valve.

Furthermore, a pair of handles arranged front and back are hinged to the top of the box body, the box cover is hinged to the top of the box body and is arranged left and right, and supporting blocks for supporting the box cover are arranged on the front inner wall and the rear inner wall of the box body.

Furthermore, a magnet is arranged at the top of the support block, and an iron sheet corresponding to the magnet is arranged on the box cover.

Furthermore, the first clamping mechanism comprises a first clamping rod and a second clamping rod which are connected in a hinged mode, the first clamping rod and the second clamping rod are of arc-shaped structures, a torsion spring is arranged between the first clamping rod and the second clamping rod, and the first clamping rod and the second clamping rod are encircled on the thigh of the patient under the action of the torsion spring.

Further, the second clamping mechanism comprises a lower rod arranged on the first clamping rod and an upper rod hinged and connected with the lower rod, a torsion spring is arranged between the upper rod and the lower rod, and the catheter is clamped under the matching action of the upper rod and the lower rod under the action of the torsion spring.

Furthermore, a fixing cylinder is arranged outside the catheter, an annular groove is formed in the outer wall of the fixing cylinder, and the upper rod and the lower rod are arranged at the position of the annular groove.

Furthermore, a flat part is arranged on the liquid storage bag, a pressure rod is fixed on the flat part, and the liquid storage bag is wound on the pressure rod to extrude the liquid storage bag.

Furthermore, cushion blocks are arranged on the inner walls of the first clamping rod and the second clamping rod, the whole cushion blocks are arc-shaped, the cross sections of the cushion blocks are conical, and the cushion blocks are made of silica gel.

Furthermore, handles are fixed on the first clamping rod and the second clamping rod.

Further, the lower rod is fixedly connected with the first clamping rod, and the lower rod can be bent at will and can be shaped after being bent.

The invention has the beneficial effects that: according to the cleaning device for urological nursing, on one hand, the catheter and the thigh of a patient are relatively fixed together through the first clamping mechanism and the second clamping mechanism, and then the catheter is fixed; the patient is only required to be advised to move the thighs when nursing. Under the effect of first, second fixture, the position of catheter relative urethra is fixed, can ensure like this that the flush fluid can directly get into in the bladder, ensures the washing effect. When carrying out the cleaning operation, whole process does not need extra power supply, like power, air supply, only needs the bare-handed extrusion gasbag of operator or stock solution bag, can carry out urine recovery, bladder and wash the operation. When carrying out the washing operation, place the box between patient's two legs, insert the urethra with the catheter in, retrieve bag, stock solution bag and all place in the box in the second that corresponds, third box body, retrieve bag, stock solution bag all not with the bed body contact, guaranteed the cleanness of the bed body.

Drawings

FIG. 1 is a top view of the present invention;

FIG. 2 is a schematic view of the cover after opening;

FIG. 3 is a side view of the present invention;

FIG. 4 is a schematic view of the flushing clamp unit;

FIG. 5 is a schematic view of a recovery unit;

FIG. 6 is a schematic top view of a reservoir bag;

FIG. 7 is a side view of a reservoir bag;

FIG. 8 is a schematic view of a connecting tube;

FIG. 9 is a top view of the first clamping mechanism;

FIG. 10 is one of the front views of the first clamping mechanism;

FIG. 11 is a second front view of the first clamping mechanism;

FIG. 12 is a schematic view of the fluid reservoir bag being squeezed;

FIG. 13 is a schematic view of the present invention in use;

FIG. 14 is a cross-sectional view of the first clamping mechanism;

in the figure: 1 box body, 10 support blocks, 11 handles, 12 hinge shafts, 13 box covers, 14 handles, 15 ear plates, 16 first box bodies, 17 second box bodies, 18 third box bodies, 19 fourth box bodies, 2 recovery bags, 21 valves, 22 recovery pipes, 23 air bags, 24 three-way valves, 241 first valve ports, 242 second valve ports, 243 third valve ports, 244 connecting rings, 25 fixing cylinders, 251 ring grooves, 26 urinary catheters, 3 liquid storage bags, 31 flat parts, 32 pressure rods, 33 bag openings, 34 connecting pipes, 341 connecting parts, 4 first clamping mechanisms, 41 first clamping rods, 42 second clamping rods, 43 handles, 44 support ears, 45 cushion blocks, 5 second clamping mechanisms, 51 lower rods, 52 upper rods, 53 semicircular grooves, 6 patients,

penis

61 and 62 bladders.

Detailed Description

As shown in fig. 1 to 14, the present invention mainly includes a case 1, a recovery unit, and a flushing holding unit, and the present invention will be described in detail with reference to the accompanying drawings.

As shown in fig. 1 to 3, the box body 1 is a main body component of the present invention, and the box body has a rectangular parallelepiped structure, and has an open top and a hollow interior. The top of the box body is provided with a pair of lifting handles 11 which are arranged front and back, the lifting handles are of U-shaped structures, and two ends of each lifting handle are hinged with the top of the box body through hinged shafts 12. When the novel multifunctional lifting handle is used, the lifting handles are turned upwards and the middle parts of the two lifting handles are held, so that the novel multifunctional lifting handle is held. When cleaning operation is needed, the box body is placed on the bed body. Then turn over the handle downwards for the handle contacts with the upper surface of box, is equipped with a pair of case lid 13 that sets up about at the top of box, and the side of case lid is connected with the looks somatic side wall of corresponding side is articulated between. The front inner wall and the rear inner wall of the box body are respectively provided with a support 10, and the support blocks are used for contacting with the lower surface of the box cover so as to realize the lifting of the box cover. Be equipped with magnet in the upper surface of tray, be equipped with the iron sheet in the corresponding face of case lid, after the iron sheet on the case lid contacts with the magnet on the tray, can realize fixed to the absorption of case lid, and then avoid opening by oneself of case lid.

Be equipped with the recess in the upper surface of case lid, be fixed with otic placode 15 in the recess, articulated on the otic placode be connected with handle 14, the setting of handle is convenient for opening of case lid, holds the handle during the operation and upwards carries out the pulling, alright with separating case lid and tray, continues the upset with the case lid afterwards until case lid and the contact of box lateral wall.

The first container 16, the second container 17, the third container 18 and the fourth container 19 are provided on the inner side of the case. Place first fixture in first box body, place the recovery unit in the second box body, place stock solution bag 3 in the third box body, place other required nursing tools in the fourth box body. The second box body and the third box body are both a plurality of so as to store as many recovery units and liquid storage bags as possible.

As shown in fig. 4 and 5, the recovery unit includes a recovery bag 2, a recovery tube 22 connected to the recovery bag, a balloon 23 provided on the recovery tube, a three-way valve 24 connected to the recovery tube, and a catheter 26 connected to the three-way valve. The recovery bag is a plastic bag, and is in a flat state under a natural state, namely, no air exists in the recovery bag, a valve 21 is arranged at one end of a recovery pipe connected with the recovery bag, and external air can not enter the recovery bag under the action of the valve. After the valve is opened, the liquid in the recovery tube can enter the recovery bag. The three-way valve 24 comprises a first port 241, a second port 242 and a third port 243, wherein the first port is directly connected with the recovery tube as a whole, the second port is fixedly connected with the catheter 26 or screwed together, and the third port is fixed with a connecting ring 244 which is provided with internal threads. Valves are arranged on the first valve port, the second valve port and the third valve port and are used for realizing the opening and closing of the valve ports of the three-way valve.

The recovery tube is a hose, and the catheter is a hard tube. The first end of the catheter is connected with the second valve port, and the second end of the catheter is open and is in a circular arc shape so as to be conveniently inserted into the urethra. The outer wall of the catheter is fixed with a fixed cylinder 25, the fixed cylinder and the catheter can be integrally manufactured and formed, and the outer wall of the fixed cylinder is provided with a ring groove 251. When the urethral catheter is used, the urethral catheter is inserted into the urethra until the second end of the urethral catheter extends into the bladder, the third valve port is closed at the moment, the first valve port and the second valve port are opened, and the urine in the bladder can enter the urethral catheter at the moment by pressing the air bag and flow into the recovery bag through the recovery tube. Since there is no air in the bag, there is a gradual increase in the liquid in the bag. After the air bag is deflated, the air bag can gradually recover to the original shape due to the elasticity of the air bag; at the moment, negative pressure is formed at the first end of the catheter, and urine in the bladder enters the urinary tube and flows into the air bag through the recovery tube. When the air bag is pressed, the urine in the air bag is pressed into the recovery bag through the recovery pipe. The recovery pipes at the two ends of the air bag are respectively provided with a one-way valve to control the one-way flow of the liquid, namely, the liquid can only flow to the recovery bag from one side of the air bag between the recovery bag and the air bag. Between the catheter and the air bag, the liquid can only flow from one side of the catheter to one side of the air bag.

The recovery unit is arranged to facilitate the extraction of urine from the bladder of the patient for subsequent cleaning. And no extra power is needed during operation, and the air bag only needs to be squeezed by hands. To achieve the flushing of the bladder, as shown in fig. 2 and 4, the flushing holding unit comprises a flushing mechanism, a first holding mechanism 4 and a second holding mechanism, wherein the flushing mechanism comprises a liquid storage bag 3 and a connecting pipe 34 arranged between the liquid storage bag and a third valve opening. As shown in fig. 6, the liquid storage bag 3 is a plastic bag, and a washing liquid, such as physiological saline, is contained in the liquid storage bag. The side wall of the liquid storage bag is provided with a bag opening 33 which is made of hard plastic. The bag mouth is wrapped with a plastic film to realize the sealing of the liquid storage bag. When in operation, only the bag mouth needs to be opened. The connecting pipe 34 is a hose, the two ends of the connecting pipe are connected with hard connecting portions 341, external threads are arranged on the connecting portions, the connecting portion at the first end of the connecting pipe is used for being connected with the bag mouth in a threaded manner, and the connecting portion at the second end of the connecting pipe is used for being connected with the connecting ring in a threaded manner. One end of the liquid storage bag, which is far away from the bag opening, is provided with a flat part 31, and the width of the flat part is about 2-4 cm. As shown in fig. 7, a pressing rod 32 is fixed to the flat portion, and the pressing rod 32 may be a circular plastic rod, solid, or hollow. When the bladder needs to be washed, the valve on the second valve port is closed, the valves on the first valve port and the third valve port are opened, then the liquid storage bag is continuously wound on the pressure rod as shown in figure 12, under the squeezing action of the pressure rod, the washing liquid in the liquid storage bag flows out and enters the three-way valve through the connecting pipe, and then flows into a part of the recovery pipe through the first valve port, and the purpose of the operation is to wash out urine flowing into the connecting pipe and the three-way valve, namely, the connecting pipe and the three-way valve are cleaned. And finally, closing the valve on the first valve port, opening the valve on the second valve port, continuing to wind the liquid storage bag on the pressure rod, extruding the liquid storage bag through the pressure rod, and then enabling flushing liquid in the liquid storage bag to enter the catheter through the connecting pipe and the three-way valve, and enabling the flushing liquid to flow out of the catheter and then enter the bladder to clean the bladder. In the operation process, the flow rate of the flushing liquid flowing into the bladder is different when the force for extruding the liquid storage bag is different. The larger the flow rate of the irrigating fluid into the bladder, the better the irrigation, but care should not be taken to cause too much discomfort to the patient. The liquid storage bag and the connecting pipe form a washing mechanism, and the washing mechanism, the first clamping mechanism and the second clamping mechanism form a washing clamping unit.

When the catheter is inserted into the urethra in the prior art, the position of the catheter relative to the human body is easy to move, and the catheter can be possibly removed from the bladder. At this time, if the catheter is pushed into the urethra again, unnecessary pain is caused to the patient. In addition, urine in the bladder can also play the effect of impact to the catheter when flowing out for the position of catheter takes place to remove. The first clamping mechanism is arranged for fixing the position of the catheter.

As shown in fig. 4, 9 and 10, the first clamping mechanism includes a first clamping bar 41 and a second clamping bar 42 which are arranged left and right, the first clamping bar and the second clamping bar are both arc-shaped structures, and the first clamping bar and the second clamping bar may be plastic parts or metal parts. When the first clamping rod and the second clamping rod are metal pieces, the first clamping rod and the second clamping rod can be formed by bending iron wires. The first end of first clamping bar links together with the first end of second clamping bar is articulated to be equipped with the torsional spring between the two, under the effect of torsional spring, the distance between first clamping bar second end and the second clamping bar second end is minimum. Handles 43 are fixed at the first ends of the first clamping rod and the second clamping rod, and the handles are arranged to separate the second ends of the first clamping rod and the second clamping rod. During operation, the two handles are pinched to enable the two handles to gradually approach, and at the moment, the second ends of the first clamping rod and the second clamping rod are far away from each other. Thereafter, the first and second clamping bars may be placed on either side of the patient's thigh. Then, after the handle is loosened, the first clamping rod and the second clamping rod are contacted with the thigh of the patient and tightly clamped on the thigh. A support lug 44 is fixed to the first clamping bar, and a second clamping mechanism 5 is rotatably mounted on the support lug. As shown in fig. 10, the second clamping mechanism comprises a lower rod 51 rotatably connected with the support lug and an upper rod 52 hinged with the lower rod, a torsion spring is arranged between the upper rod and the lower rod, and the clamping end of the upper rod is contacted with the clamping end of the lower rod under the action of the torsion spring. The upper rod and the lower rod are respectively provided with a semicircular groove 53, and under the action of the torsion spring, the semicircular grooves on the upper rod and the lower rod are encircled to form a circular hole for clamping the fixed cylinder.

When the catheter needs to be clamped, the free end of the upper rod is pressed to separate the clamping part of the upper rod from the clamping part of the lower rod, and then the annular groove on the fixing cylinder is arranged between the semicircular grooves of the upper rod and the lower rod; after the free end of the upper rod is released, the fixed cylinder is clamped under the action of the torsion spring through the matching action of the upper rod and the lower rod. A damping part is arranged between the lower rod and the support lug, so that the lower rod and the support lug cannot rotate by itself, and the friction force between the lower rod and the support lug is enough, so that the relative rotation between the lower rod and the first clamping rod can be realized only by applying a certain force; on one hand, the position of the lower rod can be fixed, and on the other hand, the position of the lower rod is convenient to adjust, so that the catheter is in a proper position.

As shown in fig. 11, the lower rod and the first clamping rod may also be fixedly connected, and the lower rod is made of a material that is easy to bend, and can be shaped after being bent. Since the thighs of the human body have different thicknesses, the thighs closer to the hip are thicker, and the thighs closer to the knee are thinner. After the thigh of the patient is clamped by the first clamping mechanism, the first clamping mechanism cannot slip on the thigh, and discomfort caused by overlarge pressure between the first clamping mechanism and the thigh is avoided. As shown in fig. 13, spacers 45 are provided on the inner walls of the first and second clamping bars. The whole cushion block is arc-shaped, the cross section of the cushion block is conical, and the cushion block is made of silica gel; on the one hand, the squeezing of the thigh is reduced and on the other hand the friction between the first clamping structure and the thigh is increased. The wider end of the cushion block is arranged at one side close to the knee when in use.

The method of use of the present invention will now be described, with the lid opened and the recovery unit, reservoir and first clamping mechanism removed for use, as shown in figure 13. First, the first clamping mechanism is clamped on the thigh part of the left leg or the right leg of the patient. The recovery bag is then connected to the recovery tube, the three-way valve is connected to the reservoir bag via the connecting tube, the valve at the third port is then closed, the valves at the first port and the second port of the recovery tube are opened, the catheter is inserted into the penis 61 of the male patient 6, and the inward pushing is continued until the catheter extends through the urethra into the bladder 62. At the moment, the valve on the recovery tube is opened, the air bag is continuously squeezed, so that urine in the bladder enters the catheter, then enters the air bag through the three-way valve and the recovery tube, and then enters the recovery bag through the air bag and the recovery tube, and the urine in the bladder is discharged. The valve on the second port is then closed and the valve on the third port is opened. The liquid storage bag is extruded through the pressing rod, so that flushing liquid in the liquid storage bag enters the three-way valve and the recovery pipe through the connecting pipe, and the flushing of the connecting pipe and the three-way valve is realized. And then closing the valve on the first valve port, opening the valve on the second normal port, and continuously extruding the liquid storage bag, so that the flushing liquid in the liquid storage bag enters the bladder through the connecting pipe, the three-way valve and the catheter, and the bladder is flushed. After the flushing is finished, the valve on the third valve port is closed, the valve on the first valve port is opened, and the flushing fluid in the bladder is discharged into the recovery bag.

The invention has the advantages that: on one hand, the catheter and the thigh of the patient are relatively fixed together through the first clamping mechanism and the second clamping mechanism, so that the catheter is fixed; the patient is only required to be advised to move the thighs when nursing. Under the effect of first, second fixture, the position of catheter relative urethra is fixed, can ensure like this that the flush fluid can directly get into in the bladder, ensures the washing effect. When carrying out the cleaning operation, whole process does not need extra power supply, like power, air supply, only needs the bare-handed extrusion gasbag of operator or stock solution bag, can carry out urine recovery, bladder and wash the operation. When carrying out the washing operation, place the box between patient's two legs, insert the urethra with the catheter in, retrieve bag, stock solution bag and all place in the box in the second that corresponds, third box body, retrieve bag, stock solution bag all not with the bed body contact, guaranteed the cleanness of the bed body.

Claims

1. Uropoiesis is belt cleaning device for surgery nursing, characterized by, it includes:

2. The urological nursing washing device of claim 1, wherein a pair of handles are hingedly mounted on the top of the box, the cover is a pair hinged to the top of the box and disposed on the left and right, and the front and rear inner walls of the box are provided with support blocks for supporting the cover.

3. The urological nursing washing device of claim 2, wherein a magnet is provided on the top of the tray and a corresponding iron plate is provided on the cover.

4. The uro logical surgical nursing washing device of claim 1, wherein the first clamping mechanism includes a first clamping bar and a second clamping bar hinged together, the first clamping bar and the second clamping bar are both arc-shaped, a torsion spring is provided between the first clamping bar and the second clamping bar, and the first clamping bar and the second clamping bar embrace around the thigh of the patient under the action of the torsion spring.

5. The urinary surgical nursing cleaning device of claim 4, wherein the second clamping mechanism includes a lower rod disposed on the first clamping rod, and an upper rod hinged to the lower rod, a torsion spring is disposed between the upper and lower rods, and the upper and lower rods cooperate to clamp the catheter under the action of the torsion spring.

6. The urinary surgical nursing washing device as claimed in claim 1, wherein a fixed cylinder is provided outside the urinary catheter, an annular groove is provided on the outer wall of the fixed cylinder, and the upper and lower rods are disposed at the position of the annular groove.

7. The urological nursing washing device of claim 1, wherein the reservoir bag is provided with a flat portion, a pressure bar is fixed to the flat portion, and the reservoir bag is wound around the pressure bar to compress the reservoir bag.

8. The urinary surgical nursing washing device of claim 1, wherein the first and second clamping rods have pads on their inner walls, the pads are generally circular arc-shaped, the pads have a tapered cross-section, and the pads are made of silicone.

9. The uro-surgical nursing washing device of claim 1 wherein handles are secured to the first and second clamp bars.

10. The urological nursing washing device of claim 5, wherein the lower rod is fixedly connected to the first clamping rod, and the lower rod can be bent freely and can be shaped after being bent.