Urethral catheterization training system for human bladder function rehabilitation
Technical Field
The invention relates to the field of medical rehabilitation systems, in particular to a urethral catheterization training system for human bladder function rehabilitation.
Background
Indwelling catheterisation is a clinical form of urination which has been widely used. An indwelling catheter is a device which inserts and indwelling a catheter in the bladder and realizes the urination of a patient in or after an operation by opening and closing a urination valve outside a drainage tube. Common indwelling catheters are divided into an open drainage type and a valve-controlled urination type. Since the open drainage type is easy to cause the problems of frequent micturition and incontinence of urine of users, even leads to the rapid decline of the bladder function to endanger the life safety of people, the method is gradually abandoned by the medical industry. Currently, the most common type of valve-controlled urination apparatus is used in hospitals. The device realizes the control of whether a user urinates or not through the medical conduction stop valve. However, this valve-operated urination apparatus has a problem that it depends on manual operation. If the valve control device is opened too late, urine leakage of a user can be caused, physiological pain is brought to the user, and even urinary tract infection is caused to endanger the life safety of the user. If the valve control device is opened too early, the urinary bladder urination function of the user is disturbed, and the problem of urinary incontinence of the user is caused. Because the valve is opened and is not controlled by the user, when the user uses the indwelling catheter for a certain time, the bladder of the user loses the original urination memory function. Once the catheter is pulled out, abnormal urination can occur in a short time, and inconvenience is brought to patients and families in life. To solve this problem, it is generally clinically recommended to perform a training of bladder function by performing a timed urination before discharge of a patient to restore the bladder function of spontaneous urination, but this method cannot restore the normal bladder function of the patient in a short time.
Therefore, the training device capable of sensing the pressure in the bladder of the patient to automatically control urination is urgently needed to solve the problems, but the prior art cannot effectively solve the influence of the problems of different body conditions, body postures, states before and after eating, blockage of urination foreign matters, occasional cough and the like of the patient on the pressure in the bladder, so that the prior automatic control equipment for the catheter is not widely applied.
Disclosure of Invention
The invention aims to provide a urinary catheterization training system for human bladder function rehabilitation, which can monitor bladder pressure signals of patients in real time and automatically urinate, and a data cloud platform updates a preset threshold value according to different body postures and basic human body parameters of different patients, so that the rehabilitation effect of a bladder rehabilitation training device is improved. In order to achieve the purpose, the invention adopts the following technical scheme:
the utility model provides a recovered catheterization training system of human bladder function, including the catheter, bladder rehabilitation training device, the drainage bag, data cloud platform and remote data monitoring center, the catheter is inserted human bladder by the urethra, the catheter, bladder rehabilitation training device and drainage bag set gradually from top to bottom, the drainage export of honeycomb duct and bladder rehabilitation training device's urethra entry linkage, bladder rehabilitation training device's urethra export is passed through the drainage tube and is connected with the drainage bag, the earial drainage valve is installed to the bottom of drainage bag, bladder rehabilitation training device and data cloud platform signal connection, data cloud platform and remote data monitoring center signal connection.
The urinary bladder rehabilitation training device comprises a shell, a urinary inlet pipe, a urinary catheter, a power module, a microcontroller and a wireless transceiver module, wherein the urinary inlet pipe, the urinary catheter, the power module, the microcontroller and the wireless transceiver module are all installed in the shell, the urinary inlet pipe and the urinary catheter are both vertically arranged, a urethral inlet of the urinary bladder rehabilitation training device is arranged at the top of the shell, the upper end of the urinary inlet pipe is installed at the urethral inlet of the urinary bladder rehabilitation training device and is connected with a drainage outlet at the lower end of a urinary catheter through a first quick-insertion type reducing two-way joint, a urethral outlet of the urinary bladder rehabilitation training device is arranged at the bottom of the shell, the lower end of the urinary catheter is installed at the urethral outlet of the urinary bladder rehabilitation training device and is connected with the upper end of a drainage tube through a second quick-insertion type reducing two-way joint in a plugging manner, the lower end of the drainage tube is connected with a drainage bag, and the lower end of the urinary inlet pipe is connected with the upper end of the urinary catheter through two-insertion type T-shaped joints, pressure conduit is installed to the tee bend third interface of formula T type of inserting soon, pressure monitoring module is installed to pressure conduit's outer end, be provided with the cavity isolation bubble that is used for keeping apart urine and pressure monitoring module in the pressure conduit, install flow monitoring module on the urine inlet pipe, install the solenoid valve on the urine outlet pipe, install the display screen on the shell, the button, bee calling organ, warning light and clock, power module respectively with microcontroller, wireless transceiver module, flow monitoring module, solenoid valve and display screen electricity are connected, microcontroller respectively with flow monitoring module, pressure monitoring module, the solenoid valve, the display screen, the button, bee calling organ, warning light and clock signal connect, microcontroller passes through wireless transceiver module and data cloud platform wireless transmission and is connected.
The power supply module adopts a 5V lithium battery, the power supply module is connected with an external charger through a USB/Type C interface, and a TP4056 charging control chip is arranged in the external charger;
the wireless receiving and transmitting module is a 5G data transmission module.
The flow monitoring module adopts an MEMS ultrasonic liquid flow sensor, a transmitter and a receiver of the MEMS ultrasonic liquid flow sensor are respectively arranged at two sides of the urine inlet pipe, and the transmitter of the MEMS ultrasonic liquid flow sensor is slightly higher than the receiver and is used for judging whether urine flows through the urine inlet pipe or not and measuring the flow and the flow speed of the urine;
the pressure monitoring module adopts a silicon piezoresistive pressure sensor and is used for collecting bladder pressure signals.
The microcontroller comprises a threshold matching database and a control processing center, wherein initial thresholds of different ages, sexes, weights, heights and positions and postures acquired in earlier-stage experiments are stored in the threshold matching database in advance, and the control processing center is respectively in signal connection with the electromagnetic valve, the display screen, the buzzer and the alarm warning lamp.
The data cloud platform is internally stored with a neural network model.
Compared with the prior art, the invention has outstanding substantive characteristics and remarkable progress, and specifically, the working principle of the invention is as follows: firstly, inputting basic parameters of a human body, eating state information and diuretic information as input signals into a microcontroller for processing through a key, and converting the input signals as a preset threshold after processing; collecting a human body posture signal, a bladder pressure signal, flow monitoring data and a current clock signal as monitoring signals into a microcontroller for processing, converting the monitoring signals as monitoring thresholds after processing, comparing a preset threshold and the monitoring thresholds with a threshold matching database to generate decision thresholds and transmitting the decision thresholds to a control processing center, comparing the monitoring data by the control processing center according to the decision thresholds, when the monitoring data is greater than the decision thresholds, controlling an electromagnetic valve to be opened by the control processing center for urination, and when a flow monitoring module monitors that no liquid flows, controlling the electromagnetic valve to be closed by the control processing center; the monitoring data (urine flow, bladder pressure, current clock information, human body posture and the like) monitored by a wireless transceiver module are transmitted to a data cloud platform in real time, the data cloud platform is used for remote monitoring at a remote data monitoring center (PC end), a neural network model is stored in the data cloud platform, the input of the monitoring data is simultaneously carried out, the training and learning of the neural network are carried out by the strong computing power of the data cloud platform, an optimal threshold value is obtained and transmitted to a microcontroller by the wireless transceiver module for threshold value updating, simultaneously, the data of the catheterization training system for the rehabilitation of the bladder function of the human body in all wards is obtained by the data cloud platform at the remote data monitoring center (PC end) for centralized monitoring, the remote alarm prompt is realized, in addition, the control decision can be remotely carried out by the data cloud platform, and the remote one-to-one operation is directly operated, the display screen is used for displaying basic parameter information of a human body, urination information, electric quantity information and the like, the flow monitoring module adopts an MEMS ultrasonic liquid flow sensor, whether urine flows through is judged by utilizing different propagation speeds of ultrasonic waves in a transmission medium, the flow and the flow speed of the urine are measured by utilizing the sound velocity difference principle of ultrasonic propagation, the remaining urine containing amount is calculated according to the maximum urine containing value of the drainage bag, the optimal reminding time for replacing the drainage bag is obtained, so that medical staff or family members can replace the drainage bag, if the drainage bag is not replaced timely, the drainage bag is filled with the urine, and when the urine pressure exceeds the set pressure of the drainage valve, the urine is discharged through the drainage valve, and the normal urine guiding is ensured.
The basic parameters of the human body comprise key parameters such as sex, age, height, weight and the like, and are used for quickly matching with the existing data in the threshold matching database, so that the initial threshold called by the control processing center is ensured to be closest to the actual threshold required by the patient, and the basic parameters of the human body can be obtained by two ways: one method is that physical examination data of a patient before hospitalization is transmitted to a microcontroller through a data cloud platform to complete input of basic parameters of the human body, and the other method is that parameters are set through keys according to data provided by a display screen; collecting the current clock signal to control the processing center to judge the bladder pressure threshold before and after meals to correct, and providing urination time for the control processing center; the pressure monitoring module is used for monitoring the pressure in the bladder in real time; the initial threshold value is set by starting to be matched with the built-in parameters of the threshold value matching database according to the basic parameters of the human body and the posture of the human body, and is distributed to the initial threshold value of the microcontroller for the first time; the position posture detection unit of the microcontroller is used for acquiring the current body posture of the patient, including a lying posture, an end-sitting posture, a standing posture, a side-lying posture and the like, wherein the pressure values of different postures on the bladder are different; the threshold updating learning is the automatic correction of the first distributed threshold value after the neural network model in the data cloud platform is subjected to real-time learning so as to meet the optimal threshold value setting of different patients; the buzzer and the alarm warning lamp are used for alarming the power shortage information and judging whether an abnormal condition occurs within a specified time; the remote data monitoring center is used for monitoring the working state of the bladder rehabilitation training devices of patients in different wards, and is convenient for medical staff to make targeted ward round and check.
The utility model discloses a bladder rehabilitation training device, including bladder rehabilitation training device, catheter lower extreme, first quick-inserting type reducing two-way and drainage tube, the upper end of advancing the ureter is installed at bladder rehabilitation training device's urethra entry and is connected with the drainage export plug of catheter lower extreme through first quick-inserting type reducing two-way, the lower extreme of urination pipe is installed at bladder rehabilitation training device's urethra export and is connected with the upper end plug of drainage tube through second quick-inserting type reducing two-way, so, can satisfy the actual need of variable pipe diameter, has reuse's characteristics, and can adapt to the catheter and the drainage tube diameter requirement of different producers through changing first quick-inserting type reducing two-way and second quick-inserting type reducing two-way, just can firmly hang bladder rehabilitation training device and drainage bag through first quick-inserting type reducing two-way and second quick-inserting type reducing two-way, only require in the use that rehabilitation patient's bladder is higher than bladder rehabilitation training device can normally work.
All sensors, a microcontroller, an electromagnetic valve, a display screen and the like in the bladder rehabilitation training device are powered by the same direct-current lithium battery power supply, an additional voltage division module is not needed, a power circuit is simplified, and the shell volume of the bladder rehabilitation training device is reduced;
the microcontroller of the bladder rehabilitation training device has a data storage function and can store data within the last 90 days;
the screen display information of the display screen specifically includes: feeding state, current threshold, fault information alarm (fault that the electromagnetic valve is not opened when exceeding threshold, fault that the electromagnetic valve is not closed in time when urination is finished, and fault that communication is not connected), real-time urine flow rate, accumulated urine volume, and urination record (urination starting time, urination ending time, single urination volume);
the remote data monitoring center can remotely check all screen display information (feed state, current threshold, fault information alarm (fault that an electromagnetic valve with a super threshold is not opened, fault that an electromagnetic valve is not closed timely when urination is finished, and fault that communication is not connected), real-time urine flow rate, accumulated urine volume, urination record (urination starting time, urination finishing time and single urination volume)) and store historical record data of a rehabilitation patient, the storage threshold can be directly matched when the same patient uses the remote data monitoring center for the next time, and the report of the rehabilitation patient can be printed through a computer;
a rectum pressure detection port is reserved on the shell, and real-time detection of the rectum pressure can be realized.
In conclusion, the bladder pressure signal of the patient can be monitored in real time, the patient can urinate automatically, the data cloud platform updates the threshold value of the preset threshold value according to different body postures and basic parameters of the human body of different patients, and the rehabilitation effect of the bladder rehabilitation training device is improved.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is a block diagram of the working principle of the present invention.
Detailed Description
The embodiments of the present invention are further described below with reference to the drawings.
As shown in fig. 1 and 2, a urethral catheterization training system for human bladder function rehabilitation, which comprises a urinary catheter 1, a bladder rehabilitation training device, a drainage bag 2, a data cloud platform 3 and a remote data monitoring center 4, wherein the urinary catheter 1 is inserted into a human bladder through a urethra, the urinary catheter 1, the bladder rehabilitation training device and the drainage bag 2 are sequentially arranged from top to bottom, an outflow guide port of the drainage pipe is connected with a urethral inlet of the bladder rehabilitation training device, a urethral outlet of the bladder rehabilitation training device is connected with the drainage bag 2 through a drainage pipe 25, a drainage valve 5 is installed at the bottom of the drainage bag 2, the bladder rehabilitation training device is in signal connection with the data cloud platform 3, and the data cloud platform 3 is in signal connection with the remote data monitoring center 4.
The bladder rehabilitation training device comprises a shell 6, a urine inlet pipe 7, a urine discharging pipe 8, a power module 9, a microcontroller 10 and a wireless transceiver module 11, wherein the urine inlet pipe 7, the urine discharging pipe 8, the power module 9, the microcontroller 10 and the wireless transceiver module 11 are all arranged in the shell 6, the urine inlet pipe 7 and the urine discharging pipe 8 are all vertically arranged, a urethral inlet of the bladder rehabilitation training device is arranged at the top of the shell 6, the upper end of the urine inlet pipe 7 is arranged at the urethral inlet of the bladder rehabilitation training device and is connected with a drainage outlet at the lower end of a catheter 1 in a plugging and pulling manner through a first quick-insertion type reducing two-way 12, a urethral outlet of the bladder rehabilitation training device is arranged at the bottom of the shell 6, the lower end of the urine discharging pipe 8 is arranged at the urethral outlet of the bladder rehabilitation training device and is connected with the upper end of a drainage tube 25 in a plugging and pulling manner through a second quick-insertion type reducing two-way 13, the lower end of the drainage tube 25 is connected with a drainage bag 2, the lower end of the urine inlet pipe 7 is connected with the upper end of the urine discharging pipe 8 through two interfaces of a quick-insertion T-shaped tee joint 14, a pressure conduit 15 is installed at the third interface of the quick-insertion T-shaped tee joint 14, a pressure monitoring module 16 is installed at the outer end of the pressure conduit 15, a hollow isolation bubble 17 for isolating urine from the pressure monitoring module 16 is arranged in the pressure conduit 15, a flow monitoring module 18 is installed on the urine inlet pipe 7, an electromagnetic valve 19 is installed on the urine discharging pipe 8, a display screen 20, a button 21, a buzzer 22, an alarm warning lamp 23 and a clock 24 are installed on the shell 6, the power supply module 9 is respectively and electrically connected with the microcontroller 10, the wireless transceiver module 11, the flow monitoring module 18, the electromagnetic valve 19 and the display screen 20, the button 21, the buzzer 22, the alarm warning lamp 23 and the clock 24, the microcontroller 10 is respectively and is in signal connection with the flow monitoring module 18, the pressure monitoring module 16, the electromagnetic valve 19, the display screen 20, the button 21, the buzzer 22, the alarm warning lamp 23 and the clock 24, the microcontroller 10 is in wireless transmission connection with the data cloud platform 3 through the wireless transceiver module 11.
The power module 9 adopts a 5V lithium battery, the power module 9 is connected with an external charger through a USB/Type C interface 26, and a TP4056 charging control chip is arranged in the external charger;
the wireless transceiver module 11 is a 5G data transmission module.
The flow monitoring module 18 adopts an MEMS ultrasonic liquid flow sensor, a transmitter 27 and a receiver 28 of the MEMS ultrasonic liquid flow sensor are respectively arranged at two sides of the urine inlet pipe 7, and the transmitter 27 of the MEMS ultrasonic liquid flow sensor is slightly higher than the receiver 28 and is used for judging whether urine flows through the urine inlet pipe 7 or not and measuring the flow rate and the flow velocity of the urine;
the pressure monitoring module 16 employs a silicon piezoresistive pressure sensor for collecting bladder pressure signals.
The microcontroller 10 comprises a threshold matching database and a control processing center, wherein initial thresholds of different ages, sexes, weights, heights and positions and postures acquired in earlier experiments are stored in the threshold matching database in advance, and the control processing center is in signal connection with the electromagnetic valve 19, the display screen 20, the buzzer 22 and the alarm warning lamp 23 respectively.
The data cloud platform 3 stores therein a neural network model.
The microcontroller 10, the electromagnetic valve 19, the display screen 20, the buzzer 22, the alarm warning lamp 23, the 5G data transmission module, the MEMS ultrasonic liquid flow sensor and the silicon piezoresistive pressure sensor are all conventional devices.
The working principle of the invention is as follows: firstly, inputting basic parameters of a human body, eating state information and diuretic information as input signals into the microcontroller 10 through the key 21 for processing, and converting the input signals as a preset threshold after processing; collecting a human body posture signal, a bladder pressure signal, flow monitoring data and a current clock signal as monitoring signals into a microcontroller 10 for processing, converting the processed monitoring signals as monitoring thresholds, comparing a preset threshold and the monitoring thresholds with a threshold matching database to generate decision thresholds and transmitting the decision thresholds to a control processing center, comparing the monitoring data by the control processing center according to the decision thresholds, when the monitoring data is greater than the decision thresholds, controlling the solenoid valve 19 to be opened for urination by the control processing center, and when the flow monitoring module 18 monitors that no liquid flows, controlling the solenoid valve 19 to be closed by the control processing center; the monitoring data (urine flow, bladder pressure, current clock information, human body posture and the like) are transmitted to the data cloud platform 3 in real time by using the wireless transceiver module 11, remote monitoring is carried out at a remote data monitoring center 4 (PC end) by using the data cloud platform 3, a neural network model is stored in the data cloud platform 3, meanwhile, the input of the monitoring data is implemented, training and learning of the neural network are carried out by means of the strong operational capability of the data cloud platform 3, an optimal threshold value is obtained, the optimal threshold value is transmitted to the microcontroller 10 by the wireless transceiver module 11 for threshold value updating, meanwhile, the data of a catheterization training system for recovering the human bladder function of all sickrooms is obtained at the remote data monitoring center 4 (PC end) by using the data cloud platform 3 for centralized monitoring, remote alarm prompt is realized, in addition, the control decision can be carried out remotely by means of the data cloud platform 3, direct operation is long-range one-to-one to control, display screen 20 is used for showing human basic parameter information, micturition information and electric quantity information etc, flow monitoring module 18 adopts MEMS ultrasonic wave liquid flow sensor, utilize the ultrasonic wave to judge whether there is urine to flow through in the propagation velocity difference of transmission medium, the flow and the velocity of flow of urine are measured to the sound velocity difference principle of utilizing ultrasonic wave propagation, according to the biggest flourishing urine value of drainage bag 2, calculate the remaining flourishing urine volume, acquire the best warning time of changing drainage bag 2, so that medical personnel or family members change drainage bag 2, if drainage bag 2 changes untimely, contain urine in drainage bag 2, when urine pressure exceeded the settlement pressure of drain valve 5, then the urine is discharged through drain valve 5, guarantee that the catheterization is normal.
The basic parameters of the human body comprise key parameters such as sex, age, height, weight and the like, and are used for quickly matching with the existing data in the threshold matching database, so that the initial threshold called by the control processing center is ensured to be closest to the actual threshold required by the patient, and the basic parameters of the human body can be obtained by two ways: one is that the physical examination data of the patient before hospitalization is transmitted to the microcontroller 10 through the data cloud platform 3 to complete the input of the basic parameters of the human body, and the other is that the key 21 is used for setting the parameters according to the data provided by the display screen 20; collecting the current clock signal to control the processing center to judge the bladder pressure threshold before and after meals to correct, and providing urination time for the control processing center; the pressure monitoring module 16 is used for monitoring the pressure in the bladder in real time; the initial threshold value is set according to the basic parameters of the human body and the posture of the human body, is matched with the built-in parameters of the threshold value matching database, and is distributed to the initial threshold value of the microcontroller 10 for the first time; the position posture detection unit of the microcontroller 10 is configured to obtain a current body posture of the patient, including a lying posture, an end-sitting posture, a standing posture, a side-lying posture, and the like, where pressure values of different postures on the bladder are different; the threshold updating learning is the automatic correction of the first distributed threshold value after the neural network model in the data cloud platform 3 is subjected to real-time learning so as to meet the optimal threshold value setting of different patients; the buzzer 22 and the alarm lamp 23 are used for alarming the power shortage information and judging whether an abnormal condition occurs within a specified time; the remote data monitoring center 4 is used for monitoring the working state of the bladder rehabilitation training device for patients in different wards, and is convenient for medical staff to make targeted ward round and check.
The upper end of the urine inlet pipe 7 is installed at the urethral inlet of the bladder rehabilitation training device and is connected with the drainage outlet of the lower end of the catheter 1 through the first quick-inserting type reducing two-way pipe 12 in a plugging mode, the lower end of the urine discharge pipe 8 is installed at the urethral outlet of the bladder rehabilitation training device and is connected with the drainage pipe 25 through the second quick-inserting type reducing two-way pipe 13 in a plugging mode, therefore, the actual requirement of variable pipe diameter can be met, the device has the characteristic of recycling, the diameter requirements of the catheters 1 and the drainage pipes 25 of different manufacturers can be met by replacing the first quick-inserting type reducing two-way pipe 12 and the second quick-inserting type reducing two-way pipe 13, the bladder rehabilitation training device and the drainage bag 2 can be firmly suspended through the first quick-inserting type reducing two-way pipe 12 and the second quick-inserting type reducing two-way pipe 13, and only the bladder of a rehabilitation patient is required to be higher than the bladder rehabilitation training device to normally work in the use process.
All sensors, the microcontroller 10, the electromagnetic valve 19, the display screen 20 and the like in the bladder rehabilitation training device are powered by the same direct-current lithium battery power supply, an additional voltage division module is not needed, a power circuit is simplified, and the volume of the shell 6 of the bladder rehabilitation training device is reduced;
the microcontroller 10 of the bladder rehabilitation training device has a data storage function and can store data within the last 90 days;
the screen display information of the display screen 20 specifically includes: feeding state, current threshold, fault information alarm (fault that the electromagnetic valve is not opened when exceeding threshold, fault that the electromagnetic valve is not closed in time when urination is finished, and fault that communication is not connected), real-time urine flow rate, accumulated urine volume, and urination record (urination starting time, urination ending time, single urination volume);
the remote data monitoring center 4 can remotely check all screen display information (feed state, current threshold, fault information alarm (fault that an electromagnetic valve with a super threshold is not opened, fault that an electromagnetic valve is not closed timely when urination is finished, and fault that communication is not connected), real-time urine flow rate, accumulated urine volume, urination record (urination starting time, urination finishing time and single urination volume)), and store historical record data of a rehabilitation patient, the same patient can be directly matched with the stored threshold for next use, and the recovered patient report can be printed through a computer;
a rectum pressure detection port is reserved on the shell 6, and real-time detection of rectum pressure can be achieved.
The above embodiments are merely to illustrate rather than to limit the technical solutions of the present invention, and although the present invention has been described in detail with reference to the above embodiments, those of ordinary skill in the art should understand that; modifications and equivalents may be made thereto without departing from the spirit and scope of the invention and it is intended to cover in the claims the invention as defined in the appended claims.