CN113274524A - Method and device for disinfecting drainage tube interface after neurosurgery operation - Google Patents

Abstract

The invention discloses a disinfection method and a disinfection device for a drainage tube interface after neurosurgery operation, which comprises the steps of preliminarily disinfecting a box body; opening a box body of the disinfection device, and putting a preset disinfection bag and medicines into the box body; the drainage tube to be disinfected spans the whole disinfection box body; starting an ultraviolet lamp in the box body for disinfection, and keeping the box body in a closed environment; opening a disinfection bag placed in the box body, clamping the disinfection cup on a fixing ring at the lower end of the support in the box, and keeping the position of the fixing ring in the box body to be flush with a connecting line between the penetrating end and the penetrating end; putting the three-way connector to be disinfected into a disinfection cup, and soaking the three-way connector; unscrewing a heparin cap at the three-way interface, wiping and disinfecting the interior of the three-way interface and nearby pipelines, opening a piston to enable disinfectant to flow into a drainage bag, and closing the piston after operation; the method and the device have thorough disinfection, and solve the problems that the traditional disinfection operation process uses cotton swab to pick the iodine so as to disinfect the three-way interface, which is insufficient and incomplete, and can cause or aggravate intracranial infection at present in intracranial treatment.

Description

Method and device for disinfecting drainage tube interface after neurosurgery operation

Technical Field

The invention relates to the technical field of medical instrument disinfection, in particular to a disinfection method and a disinfection device for a drainage tube interface after neurosurgery operation.

Background

A three-way interface is usually arranged at the middle section of a ventricular drainage tube or a lumbar cisterna drainage tube left in a severe neurosurgical patient so as to conveniently leave cerebrospinal fluid for inspection or inject medicine for intracranial treatment. Intracranial infection's patient is all through keeping somewhere the ceaseless drainage of drainage tube, at ordinary times intracranial infection, through unscrewing the heparin cap on the three way connection, the intraductal direct intracranial that reaches is injected into to the medicine that the syringe was prepared, through injection medicine in big pond of waist or the ventriculus cerebri drainage tube, the medicine can reach the effect position more fast, twice intraductal injection medicine is in order to reach treatment, but if not strictly to drainage tube three way connection, frequent injection medicine is on the contrary easily to bring the bacterium outside air or the pipe wall into intracranial, aggravate the infection, traditional disinfection operation process is to carry out the disinfection of three-way connection mouth with cotton swab adhesion ampere iodine, this disinfection process is usually insufficient, thoroughly, the disinfection scope is not enough big, easily bring the bacterium of pipe wall into the pipe, can cause or aggravate intracranial infection on the contrary, increase day of being in hospital and economy. Therefore, the three-way interface is thoroughly sterilized before operation, which plays an important role in preventing or alleviating intracranial infection, so that the device for thoroughly sterilizing the three-way interface is necessary and urgent to design a sterilizing device for the drainage tube interface after neurosurgery operation.

Disclosure of Invention

Aiming at the technical problems that the disinfection on the three-way interface is insufficient and incomplete in the prior art and intracranial infection can be caused or aggravated, the invention aims to provide a disinfection method and a disinfection device for the drainage tube interface after the neurosurgery, which can reduce the occurrence of intracranial infection caused or aggravated by the incomplete disinfection, save medical expenses, reduce hospitalization time and improve survival rate.

In order to achieve the purpose, the invention adopts the following technical scheme: a method for disinfecting a drainage tube interface after neurosurgery operation adopts a disinfection device to disinfect the drainage tube interface after the neurosurgery operation, and comprises the following steps:

the method comprises the following steps: wiping all surfaces in the box body of the disinfection device by alcohol gauze to carry out primary disinfection;

step two: unzipping a zipper of a box body of the disinfection device, putting a preset disinfection bag and medicines into the box body, wherein the objects in the disinfection bag are aseptic objects and comprise a disinfection cup for soaking a connector of a drainage tube to be disinfected, a liquid outlet pipe is connected below the disinfection cup and connected with a drainage bag, and a piston is arranged on the liquid outlet pipe;

step three: a drainage tube to be disinfected penetrates through one side of the box body and stretches across the whole disinfection box body to penetrate out to the other side, the penetrating end and the penetrating end are both tightly wrapped by the drainage tube, and a three-way connector of the drainage tube is arranged at a disinfection position in the box body;

step four: starting an ultraviolet lamp in the box body, after ultraviolet disinfection is finished, extending two hands into the box body from the elastic sponge bodies of the left and right elastic circular through holes respectively, tensioning elastic bands, and keeping a closed environment in the box body;

step five: opening a disinfection bag placed in the box body, clamping the disinfection cup on a fixing ring at the lower end of the support in the box, and keeping the position of the fixing ring in the box body to be flush with a connecting line between the penetrating end and the penetrating end;

step six: putting the three-way connector to be disinfected into the disinfection cup, and closing a piston on a liquid outlet pipe at the lower part of the disinfection cup; pouring alcohol into the disinfection cup, and soaking the three-way connector; taking out the sterile glove from the disinfection bag, putting on the sterile glove, unscrewing a heparin cap at the three-way connector, wiping the inner part of the three-way connector and nearby pipelines by using an alcohol cotton ball, repeating the operation by using an iodine cotton ball, finally flushing the three-way connector by using conical bottle mouth extrusion type iodine, opening a piston to enable disinfectant to flow into a drainage bag, and closing the piston to prevent the disinfectant from flowing backwards after the operation is finished.

The invention also provides a disinfection device for the drainage tube connector after the neurosurgery operation, which comprises a box body, wherein a transparent sheet is arranged on the front end surface of the box body, elastic through holes are formed in two sides of the box body, a zipper capable of opening the upper surface of the box body is further arranged on the box body, the zipper starts from the position above the elastic through hole in one side of the box body, is arranged along the upper surface of the box body and stops above the elastic through hole in the other side of the box body, and before the disinfection is started, the liquid medicine pumped by a disinfection bag and an injector can be placed into the box by unzipping the zipper; the bottom of the box body is provided with an ultraviolet lamp which emits light upwards and is electrically connected with an external power supply, the ultraviolet lamp can sterilize and kill bacteria in the box body, and the content of the bacteria in the air in the box body is reduced, so that the sterilized air and natural bacteria on articles are obviously reduced; an opening is formed in the box body and below the elastic through hole, a circle of elastic sponge body is arranged on the inner side of the opening, a long tube cuff is connected to the elastic sponge body, an elastic band is arranged at the tail end of the long tube cuff, and when two hands enter the box body through the elastic circular through hole to operate, a closed system can be formed by tensioning the elastic band through the cooperation of the elastic sponge body and the elastic band; the disinfection cup is characterized by also comprising a disinfection bag matched with the disinfection cup, wherein the disinfection bag comprises a disinfection cup and other common sterile articles for disinfection; a support is arranged at the inner upper end of the box body in a protruding and inward mode, a clamping ring used for clamping the disinfection cup is installed at the tail end of the support, and the clamping ring and the elastic through holes on the two sides of the box body are located on the same horizontal plane.

The invention has the following beneficial effects: the disinfection method can obviously reduce the occurrence of intracranial infection caused or aggravated by incomplete disinfection, save medical cost, reduce hospitalization time and improve survival rate, each disinfection step follows the aseptic principle, and the adopted disinfection instruments are also in an aseptic state, so that secondary pollution of the external environment to the drainage tube to be disinfected can be avoided as far as possible by disinfecting in a closed disinfection environment; the box body is reusable, the cuboid is a rectangular box body structure built by cylindrical aluminum alloy, an ultraviolet lamp is arranged at the center of the bottom of the box body and is used for sterilizing and killing bacteria in the box, the bacteria content of air in the box is reduced, the sterilized air and natural bacteria on articles are obviously reduced, and in addition, when two hands enter the box body through the elastic circular through holes for operation, the elastic bands fasten the arms to form a closed system. The middle part of the box body of the disinfection device is provided with the zipper, before the disinfection is started, the liquid medicine pumped by the disinfection bag and the injector can be placed into the box through the zipper, and in order to conveniently treat disinfected objects, the box body is internally provided with the bracket, the clamping ring is provided with the clamping ring, and the clamping ring can be used for placing the disinfection cup.

Drawings

FIG. 1 is a schematic view of the overall structure of a disinfection device for a neurosurgical postoperative drainage tube interface according to the present invention;

FIG. 2 is a schematic view of the overall structure of a disinfection device for a neurosurgical postoperative drain tube port of the present invention in another direction;

FIG. 3 is a schematic isometric view of a disinfection device for a post-operative drainage tube interface for neurosurgery according to the invention;

FIG. 4 is a schematic view of another isometric view of a disinfection device for a post-neurosurgical drainage tube interface according to the invention;

FIG. 5 is a schematic view of the construction of the sanitizing cup portion of the present invention;

FIG. 6 is a schematic view of a disinfection device disinfecting a drain to be disinfected;

FIG. 7 is a schematic view of the sterilization process of the present invention;

in the figure: 1. a box body; 2. a leather layer; 3. a transparent sheet; 4. an ultraviolet lamp; 5. an indicator light; 6. a time button; 7. an elastic sponge body; 8. a long-tube cuff; 9. elastic bands; 10. an elastic through hole; 11. a zipper; 12. a support; 13. a snap ring; 14. a sterilizing cup; 15. a snap fastener; 16. a liquid outlet pipe; 17. a piston; 18. a drainage bag; 19. an electric wire; 20. a plug; 21. a drainage tube; 22. and a three-way interface.

Detailed Description

The invention will be further described with reference to the accompanying drawings and specific embodiments so as to more clearly understand the technical idea of the invention claimed.

As shown in fig. 1 to 5, a disinfection device for a drainage tube interface after neurosurgery operation is a reusable box body 1 with a rectangular structure, the cuboid is in a rectangular shape built by cylindrical aluminum alloy, the left side, the right side and the back side are enclosed by opaque leather layers 2, the front side is enclosed by transparent sheets 3, and the bottom of the box body 1 is provided with an ultraviolet lamp 4 which emits light upwards and is electrically connected with an external power supply; the ultraviolet disinfection device is provided with an indicator lamp 5, the indicator lamp is red when a power supply is plugged, meanwhile, a time button 6 is arranged on the ultraviolet disinfection device, disinfection time can be selected according to temperature and humidity in the box, the ultraviolet lamp 4, the indicator lamp 5 and the time button 6 are connected through a wire 19, a plug 20 is arranged at the tail end of the wire 19, temperature, humidity and accumulated time of use in the box can be displayed on the device, the ultraviolet ray has the strongest effect of killing microorganisms when the temperature in the box is 20-40 ℃ and the relative humidity is 55% -60%, medical staff can determine whether to prolong the disinfection time according to the displayed temperature and humidity, so that the full disinfection effect in the box is achieved, and whether to replace a new ultraviolet disinfection device for disinfection is determined according to the accumulated time of use.

The two sides of the box body 1 are provided with elastic through holes 10, the inner side of the box body is provided with a sponge body, the box body 1 is also provided with a zipper 11 which can open the upper surface of the box body 1, and the zipper 11 starts above the elastic through holes 10 on one side of the box body 1, is arranged along the upper surface of the box body 1 and stops above the elastic through holes 10 on the other side of the box body 1; an opening is formed in the box body 1 and below the elastic through hole 10, a circle of elastic sponge body 7 is arranged on the inner side of the opening, a long sleeve cuff 8 is connected to the elastic sponge body 7, an elastic band 9 is arranged at the tail end of the long sleeve cuff 8, and when two hands enter the box body 1 through the elastic circular through hole to operate, a closed system can be formed by tensioning the elastic band 9;

this degassing unit is supporting to have a disinfection package in disinfection process, the article in the disinfection package is aseptic article, 2 of 20ml syringes are contained in the disinfection package, 1 package of aseptic gauze, 1 package of aniodian cotton ball, 1 package of alcohol cotton ball, 10ml1 of preflush, aseptic gloves 1, hemostatic forceps 1 handle, adhesive tape 1 book, conical bottleneck extrusion type iodine tincture 50ml bottle, alcohol 100ml bottle, 1 heparin cap, 3 test tubes, disinfection cup 1 (its below is through drain pipe 16 connection drainage bag 18, drain pipe 16 middle part is equipped with a piston 17), disinfection cup 14 in this embodiment can adopt flat type plastic cup edge to be the broadside structure, flat type plastic cup left and right sides both ends respectively have one according to the snap fastener 15, be used for fixing when disinfecting and soaking and treat disinfection drainage tube 21 and prevent the aversion.

A bracket 12 is arranged at the inner upper end of the box body 1 in a protruding and inward manner, a clamping ring 13 used for clamping a disinfection cup 14 is arranged at the tail end of the bracket 12, and the clamping ring 13 and the elastic through holes 10 at the two sides of the box body 1 are positioned on the same horizontal plane. The upper edge of the clamping ring 13 is a concave ring groove, the bottom of the edge of the flat plastic cup is provided with a convex surface matched with the concave ring groove, and the disinfection cup 14 is clamped on the clamping ring 13 in an inserting manner, so that the structure is stable and firm.

The disinfection method of the present embodiment is as follows, please refer to fig. 6 in combination:

the method comprises the following steps: firstly, before the operation is started, wiping each surface inside the box body 1 of the disinfection device by alcohol gauze, and carrying out primary disinfection;

step two: the zipper 11 of the box body of the disinfecting device is unzipped, a disinfecting bag and the well-pumped medicine are placed in the box body 1, the articles in the disinfecting bag are aseptic articles and comprise a disinfecting cup 14 used for soaking a connector of a drainage tube to be disinfected, a liquid outlet pipe 16 is connected below the disinfecting cup 14, the liquid outlet pipe 16 is connected with a drainage bag 16, and a piston 17 is arranged on the liquid outlet pipe 16;

step three: a drainage tube 21 to be disinfected passes through a circular elastic through hole 10 at the beginning end and the end of a zipper 11 and spans the whole disinfection box body 1, the elastic through hole 10 is tightly wrapped on the drainage tube 21, the penetrating end and the penetrating end are tightly wrapped on the drainage tube, and a three-way connector 22 of the drainage tube 21 is arranged at a disinfection position in the box body 1;

step four: starting an ultraviolet lamp 4 in the box body 1, after ultraviolet disinfection is finished, respectively extending two hands into the box body 1 from an elastic sponge body 7 with left and right elastic circular through holes, tensioning an elastic band 9, keeping a closed environment in the box body, opening a disinfection bag placed in the box body 1, and placing a disinfection cup 14 on a clamping ring 13 at the lower end of an aluminum alloy bracket 12;

step five: opening a disinfection bag placed in the box body 1, clamping a disinfection cup 14 on a fixing ring 13 at the lower end of the bracket in the box, and keeping the position of the fixing ring 13 in the box body 1 flush with a connecting line between a penetrating end and a penetrating end;

step six: putting a three-way connector 22 to be disinfected into a disinfection cup 14, fixing a drainage tube 21 on the disinfection cup 14 through a snap fastener 15, and closing a piston 17 on a liquid outlet tube 16 at the lower part of the disinfection cup 14; pouring 100ml of alcohol into the disinfection cup 14, and soaking the three-way connector 22; taking out the sterile glove from the disinfection bag, putting on the sterile glove, unscrewing a heparin cap at the three-way connector 22, wiping the inner part of the three-way connector 22 and nearby pipelines by using an alcohol cotton ball, repeating the operation by using an iodine cotton ball, finally flushing the three-way connector 22 by using the conical bottle opening extrusion type iodine, opening the piston 17 to enable the disinfectant to flow into the drainage bag 18, and closing the piston 17 to prevent the disinfectant from flowing backwards after the operation is finished.

The sample is retained before inspection, a 20ml syringe is used for pumping back 5ml cerebrospinal fluid at the front end to be discarded, then new cerebrospinal fluid is pumped for inspection, finally the prepared liquid medicine is injected into the tube, the tube is sealed by pre-flushing, the tube is clamped to replace a new heparin cap, the three-way connector 22 is wrapped by sterile gauze, medical waste is taken out, and the interior of the box body 1 is wiped by alcohol.

Various other changes and modifications to the above-described embodiments and concepts will become apparent to those skilled in the art from the above description, and all such changes and modifications are intended to be included within the scope of the present invention as defined in the appended claims.

Claims (5)

1. A method for disinfecting a drainage tube interface after neurosurgery operation is characterized in that a disinfection device is adopted to disinfect the drainage tube interface after the neurosurgery operation, and the method comprises the following steps:

the method comprises the following steps: preliminarily disinfecting the interior of the box body of the disinfecting device;

step two: opening a box body of the disinfection device, and putting a preset disinfection bag and medicines into the box body, wherein the objects in the disinfection bag are aseptic objects and comprise a disinfection cup used for soaking a connector of a drainage tube to be disinfected;

step three: a drainage tube to be disinfected penetrates through one side of the box body and stretches across the whole disinfection box body to penetrate out to the other side, the penetrating end and the penetrating end of the drainage tube are kept sealed, and a three-way connector of the drainage tube is arranged at a disinfection position in the box body;

step four: starting an ultraviolet lamp in the box body to carry out ultraviolet disinfection, and extending two hands into the box body from the elastic sponge bodies of the left and right elastic circular through holes respectively to keep a closed environment in the box body;

step five: opening a disinfection bag placed in the box body, clamping the disinfection cup on a fixing ring at the lower end of the support in the box, and keeping the position of the fixing ring in the box body to be flush with a connecting line between the penetrating end and the penetrating end;

step six: putting the three-way connector to be disinfected into the disinfection cup, and closing a piston on a liquid outlet pipe at the lower part of the disinfection cup; pouring alcohol into the disinfection cup, and soaking the three-way connector; taking out the sterilized glove from the sterilizing bag, putting on the sterilized glove, unscrewing a heparin cap at the three-way interface, wiping the inner part of the three-way interface and the nearby pipeline by using an alcohol cotton ball, repeating the operation by using an iodine cotton ball, finally flushing the three-way interface by using iodine, opening a piston to enable the sterilizing liquid to flow into a drainage bag, and closing the piston after the operation is finished.

2. A sterilization apparatus according to the sterilization method of claim 1, characterized in that: the transparent box comprises a box body (1), wherein a transparent sheet (3) is installed on the front end face of the box body (1), elastic through holes (10) are formed in two sides of the box body (1), a zipper (11) capable of pulling the upper surface of the box body (1) open is further arranged on the box body (1), and the zipper (11) starts above the elastic through holes (10) in one side of the box body (1), is arranged along the upper surface of the box body (1), and stops above the elastic through holes (10) in the other side of the box body (1); an ultraviolet lamp (4) which emits light upwards and is electrically connected with an external power supply is arranged at the bottom of the box body (1);

an opening is formed in the box body (1) and below the elastic through hole (10), a circle of elastic sponge body (7) is arranged on the inner side of the opening, a long tube cuff (8) is connected to the elastic sponge body (7), and an elastic band (9) is arranged at the tail end of the long tube cuff (8);

the disinfection cup is characterized by also comprising a disinfection bag which is matched with the disinfection cup, wherein the disinfection bag comprises a disinfection cup (14), the lower end of the disinfection cup (14) is connected with a liquid outlet pipe (16), the lower end of the liquid outlet pipe (16) is connected with a drainage bag (18), and a piston (17) is arranged on the liquid outlet pipe (16);

a support (12) is arranged at the inner upper end of the box body (1) in a protruding inward mode, a clamping ring (13) used for clamping a disinfection cup (14) is installed at the tail end of the support (12), and the clamping ring (13) and elastic through holes (10) on the two sides of the box body (1) are located on the same horizontal plane.

3. A disinfection device for a post-neurosurgical drainage tube interface, as claimed in claim 2, wherein: leather layers (2) are arranged on two sides, the rear side surface and the upper surface of the box body (1); an indicator lamp (5) and a time button (6) are further mounted at the bottom of the box body (1), the ultraviolet lamp (4), the indicator lamp (5) and the time button (6) are connected through an electric wire (19), and a plug (20) is mounted at the tail end of the electric wire (19).

4. A disinfection device for a post-neurosurgical drainage tube interface, as claimed in claim 2, wherein: a sponge body is arranged on the inner side of the elastic through hole (10); the left side and the right side of the upper end of the disinfection cup (14) are respectively provided with a snap fastener (15) for fastening the tube wall of the drainage tube to be disinfected.

5. The disinfection device for a post-neurosurgical drainage tube interface of claim 4, wherein: the disinfection cup (14) is a flat plastic cup, the edge of the disinfection cup is of a wide-edge structure, and the snap buttons (15) are fixed on the left edge and the right edge of the flat plastic cup; the reason is sunken formula annular on snap ring (13), flat plastics cup edge bottom is equipped with the convex surface of mating with sunken formula annular, disinfection cup (14) male card is on snap ring (13).

Images