CN113288784B

CN113288784B - Lacrimal passage irrigation water collecting device

Info

Publication number: CN113288784B
Application number: CN202110653316.0A
Authority: CN
Inventors: 龚春蓓; 王晓蕾; 王贞; 张瑞; 李小梅
Original assignee: First Affiliated Hospital of Army Medical University
Current assignee: First Affiliated Hospital of Army Medical University
Priority date: 2021-06-11
Filing date: 2021-06-11
Publication date: 2023-03-31
Anticipated expiration: 2041-06-11
Also published as: CN113288784A

Abstract

The invention belongs to the field of medical auxiliary instruments, and particularly discloses a lacrimal passage irrigation water collecting device which comprises two transparent water collecting pieces respectively corresponding to an upper lacrimal punctum and a lower lacrimal punctum, wherein each water collecting piece comprises a tubular section and a collecting section, the tubular section is communicated with the collecting section, the tubular section is provided with an opening which is used for being in contact communication with the upper lacrimal punctum or the lower lacrimal punctum, and the end part of the tubular section is provided with a groove for a lacrimal passage irrigation needle to pass through. By adopting the scheme of the invention, the problem that the judgment on the state of illness is not accurate because the return liquid is not collected in a centralized way when the lacrimal passage irrigation operation is clinically carried out at present can be solved; because the washing liquid passes through the conjunctival sac in the backflow process, if the washing liquid is left in the conjunctival sac, infection is easily caused; the flowing process of the flushing liquid encounters resistance, and the flushing force is too high, so that the flushing liquid is sprayed to the head and face of the medical staff when flowing back, and the problems of cross infection and the like are caused.

Description

Lacrimal passage irrigation water collecting device

Technical Field

The invention belongs to the field of medical auxiliary instruments, and particularly relates to a lacrimal passage irrigation water collecting device.

Background

The lacrimal passage irrigation is an operation technology for dredging different steric plugs of the lacrimal passage by injecting liquid into the lacrimal passage, and has the following important significance clinically: (1) Can be used for checking whether the lacrimal passage is unobstructed and whether inflammation exists or not, and provides basis for the diagnosis of lacrimal passage diseases;

(2) The flushing is a routine flushing before an inner eye operation, so as to prevent postoperative infection;

(3) Can be used as a temporary treatment method for chronic dacryocystitis, and antibiotic solution is used for flushing lacrimal passage to remove pus in lacrimal sac;

(4) Is a routine irrigation before and after the lacrimal passage operation.

The conventional lacrimal passage irrigation operation is to insert a lacrimal passage irrigation needle into an upper lacrimal punctum or a lower lacrimal punctum, and to introduce an irrigation fluid through the lacrimal passage irrigation needle, for example, after the irrigation fluid is introduced from the lower lacrimal punctum, the irrigation fluid may flow back from the lower lacrimal punctum or from the upper lacrimal punctum according to different blocking positions, and at the same time, when the blockage is cleared, the irrigation fluid may carry out secretion, and the condition of a patient may be judged according to the position where the irrigation fluid flows back, the amount and the properties of the secretion, and the like.

In the prior art, an operator usually separates the lower eyelid or the upper eyelid of a patient, fully exposes punctum, introduces a flushing fluid by using a lacrimal passage flushing needle, and directly observes the position of the backflow of the flushing fluid, the amount and the character of the backflow fluid according to naked eyes to judge the state of illness of the patient), and the operation process has the following problems: 1. the return liquid is not collected in a centralized way, so that the judgment of the disease condition is not accurate enough, and particularly, the judgment of the quantity and the character of the return liquid is not accurate enough; 2. because the washing fluid is discharged from the outer canthus of the eye through the conjunctival sac in the reflux process, if the reflux fluid is left in the conjunctival sac, infection is easily caused, and the conjunctival sac is washed subsequently, and the face of a patient is scrubbed and the like; 3. the flowing process of the flushing liquid meets resistance, and the flushing force is too high, so that the flushing liquid is sprayed to the head and face of the medical staff when flowing back, and the possibility of cross infection is caused.

Disclosure of Invention

Aiming at the defects in the prior art, the invention provides a lacrimal passage irrigation water collecting device, which aims to solve the problem that 1, the judgment of the state of an illness is not accurate enough due to the fact that irrigation backflow liquid cannot be collected; 2. because the washing liquid passes through the conjunctival sac in the reflux process, if the reflux liquid is left in the conjunctival sac, infection is easily caused, and the conjunctival sac is washed subsequently, and the face of a patient is scrubbed and other operations are needed; 3. the flowing process of the flushing liquid meets resistance, and the flushing force is too high, so that the flushing liquid is sprayed to the head and face of the medical staff when flowing back, and the possibility of cross infection is caused.

In order to realize the purpose, the invention adopts the following technical scheme:

the lacrimal passage irrigation water collecting device comprises two transparent water collecting pieces corresponding to an upper lacrimal punctum and a lower lacrimal punctum respectively, each water collecting piece comprises a tubular section and a collecting section, the tubular section is communicated with the collecting section, the tubular section is provided with an opening used for being in contact communication with the upper lacrimal punctum or the lower lacrimal punctum, and the end part of the tubular section is provided with a groove for a lacrimal passage irrigation needle to pass through.

Compared with the prior art, the invention has the following beneficial effects:

1. receive the water spare through two transparencies and collect simultaneously and go up the washing of punctum and lower punctum and return the liquid, be convenient for observe and wash return the liquid and specifically discharge from where, and the volume and the property of discharge amount and exhaust secretion respectively, follow-up can be according to the return the liquid that receives the water spare collection, the accurate judgement state of an illness. Meanwhile, the reflux liquid is respectively collected, so that the possibility of infection caused by the reflux liquid remaining in the conjunctival sac is avoided, and the operations of washing the conjunctival sac, scrubbing the face of a patient and the like are reduced. In addition, the backflow liquid is prevented from being sprayed to the head and face of the medical staff, and the operation safety is facilitated.

2. Receive the water spare and include tubulose section and collection section, the tubulose section is used for drainage to collection section, and the tubulose section is for cooperating on the punctum or the punctum down, can set up thinly, in order to receive water, sets up the collection section.

3. The setting of recess, on the one hand the lacrimal passage of being convenient for washes the needle and passes, and on the other hand, recess and lacrimal passage wash the needle spacing each other, avoid lacrimal passage to wash the needle and remove.

Further, the end of the tubular section is provided with a flexible layer.

Has the advantages that: through the setting of flexible layer, avoid tubulose section tip fish tail patient's eye.

Further, the tubular section ends are tapered.

Has the advantages that: the tubular section is set to be conical, so that the size of the upper punctum and the lower punctum can be met, the circulation of the flushing backflow liquid is convenient, and the influence of the excessive thinness of the tubular section on the inflow of the flushing backflow liquid into the collecting section is avoided.

Further, the ratio of the inner diameters of the large-diameter end and the small-diameter end of the tubular section is 1.5-2.

Has the advantages that: the inner diameter of the large-diameter end of the tubular section is not too large, and the collected flushing backflow liquid is reduced to a certain extent.

Furthermore, the nose mask also comprises a support in an n shape, the support is used for being placed on the nose bridge, and the water collecting piece is detachably connected onto the support.

Has the advantages that: carry on spacingly to receiving the water part through the support, and do not need extra medical personnel's auxiliary operation, simultaneously, the support is placed on the bridge of the nose rather than directly setting up around the orbit, then avoid the support to influence tear way and wash the use of needle. And receive water spare detachable connection on the support, after the completion is collected, can take off receiving water spare, and the support then can reuse, reduces use cost.

Furthermore, an adsorption piece is bonded on the inner side of the bracket.

Has the advantages that: so as to fit the support on the bridge of the nose of the patient and reduce the possible movement of the support.

Furthermore, a connecting rod is installed on the support, two mounting rings which are respectively used for installing the two water collecting pieces are hinged to the connecting rod in a ball joint mode, and the mounting rings are used for inserting the tubular sections.

Has the advantages that: after the tubular section is inserted into the mounting ring, the angle of the mounting ring can be adjusted according to the specific position of the upper punctum or the lower punctum, so that the opening of the tubular section is aligned with the upper punctum or the lower punctum and is propped against the upper punctum or the lower punctum.

Further, the connecting rod is connected to the bracket in a sliding manner.

Has the advantages that: the height of the connecting rods on the stent is facilitated so that the tubular section can be aligned with the superior or inferior punctum of the patient.

Further, the end part of the tubular section is connected with a sealing sheet for sealing the groove.

Has the advantages that: the tubular section of the lacrimal passage irrigation needle does not need to be inserted, the closed state can be kept, and the water flow is prevented from flowing out through the groove.

Drawings

Fig. 1 is a schematic overall structure diagram of an embodiment of the present invention.

Fig. 2 is an enlarged view of a portion a in fig. 1.

Figure 3 is a schematic view of a closure panel of example 3.

Figure 4 is a schematic view of the closure panel of example 4.

In the figure: 1. a support; 2. an adsorbing member; 3. a connecting rod; 4. a mounting ring; 5. a tubular section; 6. a collection section; 7. a groove; 8. a sealing sheet; 9. the thread can be torn.

Detailed Description

The invention is further explained in detail and given in the following description and the attached drawings.

Example 1

As shown in fig. 1, the lacrimal passage is washed and is received water installation, support 1 and two correspond the transparent piece of receiving of lacrimation punctum and lacrimation punctum respectively, it includes tubulose section 5 and collection section 6 to receive the water piece, tubulose section 5 and collection section 6 intercommunication, specific tubulose section 5 can choose for use the hose material preparation similar to medical transfer line, collection section 6 chooses for use medical transparent bag can, in the actual course of working, only need tubulose section 5 and collection section 6 fixed intercommunication can, can adopt the integral type processing, also can adopt and dismantle the connection, for example connect or bond through fixed joint or through sticky tape through threaded connection various conventional connected modes such as all can, as long as tubulose section 5 and collection section 6 fixed intercommunication can. The end part of the tubular section 5 is conical, and the inner diameter ratio of the large-diameter end to the small-diameter end of the tubular section 5 is 1.5-2. The tubular section 5 is provided with an opening for contacting communication with the superior punctum or the inferior punctum, i.e. the small diameter end of the tubular section 5 is open. The tubular section 5 is set to be conical, so that the size of the upper punctum and the lower punctum can be met, the circulation of the reflux liquid is convenient to wash, the influence of the thinness of the tubular section 5 on the inflow of the reflux liquid into the collecting section 6 is avoided, the inner diameter of the large-diameter end of the tubular section 5 is not too large, and the collected reflux liquid is reduced to a certain extent and flows back to eyes downwards. Referring to fig. 2, a groove 7 for the lacrimal passage irrigation needle to pass through is arranged at the end of the tubular section 5, a flexible layer is arranged at the end of the tubular section 5, and the flexible layer can be made of medical silica gel or rubber and then is bonded with the end of the tubular section 5.

When the lacrimal passage irrigation needle is used specifically, two persons are needed to assist, one person inserts the lacrimal passage irrigation needle into the lower punctum of a patient (taking the example that the irrigation fluid is introduced from the lower punctum, in the actual operation process, the irrigation fluid can also be introduced from the upper punctum), the other person contacts the tubular section 5 with the upper punctum and the lower punctum, medical personnel can hold the tubular section 5 with two hands respectively to press the tubular section 5 on the upper punctum and the lower punctum, attention needs to be paid to align the groove 7 of the tubular section 5 at the lower punctum with the lacrimal passage irrigation needle, and the irrigation return fluid at the upper punctum and the lower punctum is collected simultaneously through the two transparent water collecting pieces, so that the position from which the irrigation return fluid is discharged is convenient to observe, and the properties and the amount of the respective discharge amount and the secretion are convenient to judge the state of an illness.

Example 2

This embodiment is equipped with support 1 on embodiment 1's basis, and is concrete, and support 1 is the n style of calligraphy, and support 1 is used for placing on the patient's bridge of the nose, and 1 inboard bonds of support has adsorption element 2, and the optional plastic sucking disc of adsorption element 2 can be stained with water to the plastic sucking disc when using to the laminating is on the patient's bridge of the nose. Two receipts water parts all can be dismantled and connect on support 1, carry on spacingly to receiving the water part through support 1, and do not need extra medical personnel auxiliary operation, simultaneously, support 1 is placed on the bridge of the nose rather than directly setting up around the orbit, then is to avoid support 1 to influence the use that the tear duct washed the needle.

The specific installation mode of the water collecting piece is as follows: install connecting rod 3 on support 1, connecting rod 3 is along vertical sliding connection on support 1, ball joint has two collars 4 that are used for installing two receipts water spare respectively on connecting rod 3, collars 4 supply tubulose section 5 to insert, collars 4 inner wall is the tapering unanimous with the tapering of tubulose section 5, tubulose section 5 inserts back in the collars 4, the length that collars 4 were stretched out to 5 lower extremes of tubulose section is no longer than 2cm, reduce to a certain extent and wash the downward backward flow of backflow liquid.

Tubular segment 5 inserts collar 4 back, in the actual use process, for guaranteeing connection stability, can bond tubular segment 5 on collar 4 through the sticky tape, can be according to the specific position of last punctum or lower punctum, adjust the angle of collar 4, make tubular segment 5's opening aim at last punctum or lower punctum and support at last punctum or lower punctum, in order to avoid tubular segment 5 to drive collar 4 by oneself and rotate, collar 4 and connecting rod 3's junction can set up the frictional layer, specifically if: be equipped with the spread groove on connecting rod 3, the spread groove inner wall is equipped with the frictional layer, and the frictional layer accessible obtains spread groove inner wall sanding treatment, and 4 lateral walls of collar are fixed with the connection ball, connect the ball and articulate in the spread groove, through 4 pivoted resistances of frictional layer increase collar, only external force can make its rotation. To avoid the patient's eye blinking causing the tubular section 5 to displace, the patient's eyelid may be assisted by an eye speculum as is commonly used in prior art ophthalmic surgical procedures.

Example 3

In this embodiment, on the basis of embodiment 1, as shown in fig. 3, the end of the tubular segment 5 is connected with the closing sheet 8 for closing the groove 7, during actual processing, the closing sheet 8 can be made of waterproof paper adhered to the outer wall of the tubular segment 5, when in use, the tubular segment 5 of the lacrimal passage irrigation needle needs to be inserted, the waterproof paper is torn off to expose the groove 7, and the tubular segment 5 of the lacrimal passage irrigation needle does not need to be inserted, so that the closing state can be maintained, and water flow is prevented from flowing out through the groove 7.

Example 4

This example differs from example 3 only in that: referring to fig. 4, the choice of the sealing sheet 8 is different, in the actual processing process of the tubular segment 5, a part of the tubular segment needs to be cut to form the groove 7, the tubular segment is not completely cut during cutting, that is, a discontinuous tearable line 9 (also called a tearable line, which belongs to a conventional processing means, and is not described in detail in this embodiment) is formed, and the tearable line 9 is torn to form the groove 7 during use, that is, in this embodiment, the sealing sheet 8 is a remainder generated when the tubular segment 5 processes the groove 7.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.

Finally, the above embodiments are only for illustrating the technical solutions of the present invention and not for limiting, although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made to the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, and all of them should be covered in the claims of the present invention.

Claims

1. Lacrimal passage washes receives water installation, its characterized in that: including two transparent receipts water spare that correspond punctum and punctum down respectively, receive the water spare and include tubulose section and collection section, tubulose section and collection section intercommunication, tubulose section tip is the toper, the internal diameter ratio 1.5-2 of the major diameter end of tubulose section and minor diameter end, the minor diameter end of tubulose section is for being used for with last punctum or the opening that the punctum contact communicates down, tubulose section tip is equipped with the recess that supplies the lacrimal passage to wash the needle and pass, tubulose section end connection has the closure plate that is used for sealing the recess.

2. The lacrimal passage irrigation water collecting device of claim 1, wherein: the end of the tubular section is provided with a flexible layer.

3. The lacrimal passage irrigation water collection device according to claim 1, characterized in that: the nose bridge water collecting device is characterized by further comprising an n-shaped support, the support is used for being placed on the nose bridge, and the water collecting piece is detachably connected to the support.

4. The lacrimal passage irrigation water collection device according to claim 3, characterized in that: the inner side of the bracket is bonded with an adsorption piece.

5. The lacrimal passage irrigation water collecting device of claim 3, wherein: the support is provided with a connecting rod, the connecting rod is hinged with two mounting rings which are respectively used for mounting two water collecting pieces in a ball joint mode, and the mounting rings are used for inserting the tubular sections.

6. The lacrimal passage irrigation water collecting device of claim 5, wherein: the connecting rod is connected to the support in a sliding mode.