CN114344597A - Visual cerebral hemorrhage cleaning device - Google Patents
Visual cerebral hemorrhage cleaning device Download PDFInfo
- Publication number
- CN114344597A CN114344597A CN202011088279.5A CN202011088279A CN114344597A CN 114344597 A CN114344597 A CN 114344597A CN 202011088279 A CN202011088279 A CN 202011088279A CN 114344597 A CN114344597 A CN 114344597A
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- China
- Prior art keywords
- flushing
- hose
- optical fiber
- peristaltic pump
- guide
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000004140 cleaning Methods 0.000 title claims description 14
- 206010008111 Cerebral haemorrhage Diseases 0.000 title claims description 10
- 230000000007 visual effect Effects 0.000 title claims description 8
- 238000011010 flushing procedure Methods 0.000 claims abstract description 116
- 239000013307 optical fiber Substances 0.000 claims abstract description 49
- 230000002572 peristaltic effect Effects 0.000 claims abstract description 46
- 239000011521 glass Substances 0.000 claims abstract description 15
- 239000002504 physiological saline solution Substances 0.000 claims abstract description 8
- 238000007917 intracranial administration Methods 0.000 claims abstract description 6
- 238000005406 washing Methods 0.000 claims description 9
- 230000001681 protective effect Effects 0.000 claims description 5
- 210000004556 brain Anatomy 0.000 claims description 3
- 238000001746 injection moulding Methods 0.000 claims description 3
- 238000012800 visualization Methods 0.000 claims 2
- 239000008280 blood Substances 0.000 claims 1
- 210000004369 blood Anatomy 0.000 claims 1
- 208000003906 hydrocephalus Diseases 0.000 claims 1
- 210000003625 skull Anatomy 0.000 abstract description 11
- 210000005013 brain tissue Anatomy 0.000 abstract description 9
- 206010018833 Haematocoele Diseases 0.000 abstract description 6
- 208000005873 Hematocele Diseases 0.000 abstract description 6
- 201000004920 hematocele of tunica vaginalis testis Diseases 0.000 abstract description 6
- 230000002490 cerebral effect Effects 0.000 abstract description 3
- 230000002262 irrigation Effects 0.000 description 5
- 238000003973 irrigation Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 230000036544 posture Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 239000012530 fluid Substances 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 210000000416 exudates and transudate Anatomy 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 238000009423 ventilation Methods 0.000 description 2
- 208000024806 Brain atrophy Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000007428 craniotomy Methods 0.000 description 1
- 238000005202 decontamination Methods 0.000 description 1
- 230000003588 decontaminative effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000000249 desinfective effect Effects 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000004382 visual function Effects 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
Images
Abstract
The device comprises a guide handle, a sight glass, an optical fiber cord, a flushing hose, a suction hose, a flushing foot switch, a controller, a flushing peristaltic pump, a medical negative pressure bottle, a flushing parameter display screen, a flushing parameter adjusting knob, a pipe joint, a peristaltic pump special pipe, a shielding box cover plate, a shielding box body, a flushing peristaltic pump power interface, a flushing peristaltic pump source switch and a physiological saline bag; the flushing hose, the suction hose and the optical fiber sight glass can be simultaneously attached to the inner side of the skull to move forwards along the guide direction by the guide handle entering the head, the guide handle has the function of locking the position of the catheter and the optical fiber, flushing and suction are realized by the rotation of the external guide handle, the whole cerebral hematocele area can be covered, and brain tissues are ensured not to be damaged; the intracranial hematocele can be clearly observed through the optical fiber sight glass; the flushing intensity is adjusted by the pulse type flushing peristaltic pump, so that the backflow is avoided. The invention has simple use and convenient operation.
Description
Technical Field
The invention relates to a visual cerebral hemorrhage cleaning device, in particular to a cerebral surgical operation device with flushing, sucking and visual functions, and belongs to the technical field of medical instruments.
Background
At present, after common clinical old people suffer from brain atrophy, a large space is formed between a skull and a brain tissue, a large number of blood vessels are connected between the brain tissue and the skull, after the blood vessels are ruptured or other diseases are generated, a large number of cerebral hematocele can be formed between the brain tissue and the skull, the brain tissue is pressed, the effusion becomes thick after a long time, the adhesion condition needs to be timely treated, and otherwise serious diseases can be generated. These types of hematocele conditions are very risky and costly for the patient if they are treated with a craniotomy. The optimal surgical scheme is that after a small hole with the diameter of less than 20mm is formed in the affected skull, pulse type flushing and suction treatment are carried out by using physiological saline, and hematocele is diluted and sucked out.
At present, irrigators in brain surgery operations and irrigators in common surgery operations only have the functions of irrigation, suction, illumination and the like, cannot be used for brain surgery operations, cannot observe intracranial conditions, are suitable for cleaning the surgical field in open type operations, and are used for sucking and removing bleeding, exudates, pus and the like in the operations, and an operator is required to directly visually wash and suck affected parts.
Chinese patent publication No. CN 109745586A, entitled "surgical suction apparatus with controllable flushing function and controllable suction regulation at the same time". The scheme comprises a flushing/sucking pipe which is respectively connected with a negative pressure suction interface and a flushing fluid interface through a flushing/sucking valve, and a channel connected with the negative pressure suction interface is provided with a suction control hole and a basic suction adjusting valve. Pressing down the flushing/sucking valve, and enabling the flushing fluid to flow out of the flushing/sucking tube to flush the surgical operation field; the irrigation/aspiration valve is released and the irrigation/aspiration orifice is used to contact the irrigation fluid, the hemorrhage, the exudate, the pus, the waste tissue fragments and other substances affecting the surgical procedure.
The Chinese patent publication number is 'CN 110680962A', and the patent name is 'a flushing aspirator for general surgery operation'. This scheme includes protective housing, fixed mounting and is in inside outer sliding sleeve and the inner sliding sleeve of protective housing are equipped with the guide through hole on the outer sliding sleeve lateral wall, are equipped with the slide hole in the outer sliding sleeve, and sliding mounting has the inner sliding sleeve in the slide hole, and inner sliding sleeve surface fixed mounting has the guide block that corresponds the matching with the guide through hole, and inner sliding sleeve surface is provided with the locking groove with the radial relative one end of guide block, and outer sliding sleeve inner wall and locking groove phase position are provided with the mounting groove, and fixed mounting has the spring in the mounting groove.
The two cleaning devices have obvious defects and are difficult to clean a large amount of hematocele between the skull and the brain tissue through a small wound (the diameter of a head operation hole is less than 20 mm); the operation process cannot be observed in real time, the cleaning process and the cleaning result cannot be observed, and the flushing hose cannot be guaranteed not to touch brain tissue to cause damage; and most of the instruments are repeatedly used, so that infection is easily caused, and the washing and disinfecting workload is increased.
Disclosure of Invention
The invention provides a visual cerebral hemorrhage cleaning device for solving the problems in the prior art.
The technical scheme for solving the technical problem of the invention is as follows:
the device is characterized by comprising a guide handle, a sight glass, an optical fiber cord, a flushing hose, a suction hose, a flushing foot switch, a controller, a flushing peristaltic pump, a medical negative pressure bottle, a flushing parameter display screen, a flushing parameter adjusting knob, a pipe joint, a special pipe for the peristaltic pump, a shielding box cover plate, a shielding box body, a flushing peristaltic pump power interface, a flushing peristaltic pump source switch and a physiological saline bag; the optical fiber flexible wire, the flushing hose and the suction hose are all inserted into the guide handle and enter the head of a patient, the tail part of the optical fiber flexible wire is connected with the sight glass, and an operator can observe the inside condition of the head part through the sight glass; the flushing hose is connected with a special tube for the peristaltic pump through a tube joint, and the special tube for the peristaltic pump is arranged on the flushing peristaltic pump and is connected with the physiological saline bag; the other end of the suction hose is connected with a medical negative pressure bottle; the flushing peristaltic pump is arranged on the shielding box; the controller is respectively connected with the flushing foot switch, the flushing parameter display screen, the flushing parameter adjusting knob, the flushing peristaltic pump power interface and the flushing peristaltic pump source switch; and a shielding box cover plate is arranged above the shielding box.
The guide handle includes: the device comprises a handle body, a suction hose guide structure, an optical fiber guide structure, a flushing hose guide structure, a matching guide cylindrical structure, a vent groove, a suction hose position locking button, an optical fiber position locking button and a flushing hose position locking button; the suction hose guide structure, the optical fiber guide structure, the flushing hose guide structure and the matching guide cylindrical structure are integrated with the handle body into an injection molding product, and the suction hose guide structure, the optical fiber guide structure and the flushing hose guide structure are reversely bent in an arc shape and distributed at the foremost end of the handle body in a delta shape and connected with the matching guide cylindrical structure; the matched guide cylinder structure is matched with the head operation hole, and vent grooves are distributed on two sides of the matched guide cylinder structure, so that the intracranial pressure during operation can be relieved; the tail end of the handle body is sequentially provided with an attraction hose position locking button, an optical fiber position locking button and a flushing hose position locking button from top to bottom.
The optical fiber cord is composed of an optical fiber and a protective jacket outside the optical fiber.
The invention has the beneficial effects that:
1. the invention integrates the functions of controllable flushing, suction and optical fiber endoscope. A guide handle is developed to realize that a flushing hose, a suction hose and an optical fiber flexible cord simultaneously enter the head, and the diameter of a matched guide round hole entering the head is smaller than 20 mm. The position of the guide handle entering the head comprises three guide structures, namely a flushing hose guide structure, a suction hose guide structure and an optical fiber guide structure, the three guide structures are arranged in a shape like a Chinese character 'tu', the structure is compact, and all the guide structures have bending radians, so that the flushing hose, the suction hose and the optical fiber flexible cord can enter forwards in a posture of being attached to the inner wall of a skull, and an operator can observe the operation process through a sight glass without damaging brain tissues.
2. The matched guide cylinder is matched with a skull operation hole, the thickness of the skull is different, the length of the matched guide cylinder meets various models of 5-15 mm, the proper model can be selected during operation, and the guide handle rotates along the center of the matched guide cylinder, so that the serum accumulation management around the skull opening can be realized; the ventilation grooves are formed in the two sides of the guide handle, so that intracranial pressure during operation can be relieved, and flushing liquid and cerebral hemorrhage in the operation process are allowed to be reserved along the ventilation grooves.
3. The flushing frequency and the intensity can be adjusted, and the peristaltic pump provides power for the flushing and the sucking respectively independent pipelines; the suction adopts the medical negative pressure bottle to provide power, is simple and reliable, the two work independently, does not interfere, and avoids liquid backflow or mixing caused by improper operation, thereby increasing the new infection probability of patients.
4. The guide handle, the flushing hose, the suction hose and the optical fiber entering the head are all disposable, so that heavy decontamination work is saved.
Drawings
Fig. 1 is a schematic structural view of a visual cerebral hemorrhage cleaning device of the present invention.
Fig. 2 is a schematic structural view of the guide handle according to the present invention.
Fig. 3 is a schematic view of the working posture of the flushing hose and the suction hose entering the head according to the present invention.
In fig. 1, a guide handle; 2. a sight glass; 3. an optical fiber; 4. flushing the hose; 5. a suction hose; 6. a washing foot switch; 7. a controller; 8. flushing the peristaltic pump; 9. a medical negative pressure bottle; 10. flushing a parameter display screen; 11. a flush parameter adjustment knob; 12. a pipe joint; 13. a special tube for a peristaltic pump; 14. a shield box cover plate; 15. a shielding box body; 16. flushing a power interface of the peristaltic pump; 17. flushing a peristaltic pump source switch; 18. physiological saline bag
In FIG. 2, 1-1, the guide handle body; 1-2, guiding by a suction hose; 1-3, guiding the optical fiber; 1-4, guiding a flushing hose; 1-5, matching with a guide cylinder; 1-6, a vent groove; 1-7, a suction hose position locking button; 1-8, an optical fiber position locking button; 1-9 flush hose position lock button.
Detailed Description
As shown in figure 1, the visual cerebral hemorrhage cleaning device comprises a guide handle 1, a sight glass 2, an optical fiber flexible wire 3, a flushing hose 4, a suction hose 5, a flushing foot switch 6, a controller 7, a flushing peristaltic pump 8, a medical negative pressure bottle 9, a flushing parameter display screen 10, a flushing parameter adjusting knob 11, a pipe joint 12, a peristaltic pump special pipe 13, a shielding box cover plate 14, a shielding box body 15, a flushing peristaltic pump power interface 16, a flushing peristaltic pump source switch 17 and a physiological saline bag 18.
The optical fiber flexible wire 3, the flushing hose 4 and the suction hose 5 are all inserted into the guide handle 1 and enter the head of a patient, the tail part of the optical fiber flexible wire 3 is connected with the sight glass 2, and an operator can observe the inside condition of the head part through the sight glass 2; the flushing hose 4 is connected with a special peristaltic pump tube 13 through a pipe joint 12, and the special peristaltic pump tube 13 is arranged on the flushing peristaltic pump 8 and is connected with a normal saline bag 18; the other end of the suction hose 5 is connected with a medical negative pressure bottle 9; the flushing peristaltic pump 8 is arranged in the shielding box body 15. The controller 7 is installed in the shielding box body 15, and the controller 7 is respectively connected with the flushing foot switch 6, the flushing parameter display screen 10, the flushing parameter adjusting knob 11, the flushing peristaltic pump power interface 16 and the flushing peristaltic pump source switch 17. A shield case cover 14 is mounted above the shield case 15.
As shown in fig. 2, the guide handle 1 includes: the device comprises a handle body 1-1, a suction hose guide structure 1-2, an optical fiber guide structure 1-3, a flushing hose guide structure 1-4, a matching guide cylinder structure 1-5, an air groove 1-6, a suction hose position locking button 1-7, an optical fiber position locking button 1-8 and a flushing hose position locking button 1-9. The suction hose guide structure 1-2, the optical fiber guide structure 1-3 and the flushing hose guide structure 1-4 are integrated with the handle body 1-1 into an injection molding product, the four structures of the suction hose guide structure 1-2, the optical fiber guide structure 1-3 and the flushing hose guide structure 1-4 are reversely bent in an arc shape and distributed at the forefront end of the handle body 1-1 in a delta shape to be connected with the matching guide cylindrical structure 1-5, the diameter of the matching guide cylindrical structure 1-5 is 19mm to be matched with a head operation hole, and vent grooves 1-6 are distributed at two sides of the matching guide cylindrical structure and can relieve intracranial pressure during operation; the tail end of the handle body 1-1 is sequentially provided with an attraction hose position locking button 1-7, an optical fiber position locking button 1-8 and a flushing hose position locking button 1-9 from top to bottom.
The optical fiber cord 3 is composed of an optical fiber and a protective jacket outside thereof.
The invention has the working process of the visual cerebral hemorrhage cleaning device:
1. the power supply 16 of the flushing peristaltic pump is connected, the power switch 17 of the flushing peristaltic pump is turned on, the controller 7 collects parameters of the flushing peristaltic pump 8 in real time and sends the parameters to the flushing parameter display screen 10, the frequency and the intensity value on the flushing parameter display screen 10 are observed, the flushing parameter adjusting knob 11 is operated to set the flushing intensity, and the controller 7 controls the working intensity of the flushing peristaltic pump 8 according to the set intensity.
2. Slowly putting a guide handle 1 into a circular hole with a well-opened head, fixing the circular hole, sequentially inserting a flushing hose 4, an attraction hose 5 and an optical fiber cord 3 into a flushing hose guide structure 1-4, an attraction hose guide structure 1-2 and an optical fiber guide structure 1-3 on the guide handle 1, sequentially pressing down a suction hose position locking button 1-7, an optical fiber position locking button 1-8 and a flushing hose position locking button 1-9, slowly and continuously feeding the attraction hose 5, the optical fiber cord 3 and the flushing hose 4 into the head to enable the head to enter forwards in a posture of being attached to the inner wall of a skull, and loosening three locking buttons to realize position fixing. The positions and postures of the suction hose 5, the optical fiber cord 3, and the irrigation hose 4 are observed at any time with the scope 2, as shown in fig. 3. The depth of the flushing hose 4 entering the head during operation should be longer than that of the suction hose 5, so as to avoid that flushing liquid is sucked back by the suction hose 5 when the flushing hose is not working.
3. Starting washing: the flushing foot switch 6 is operated to transmit a control signal to the controller 7, and the controller 7 controls the flushing peristaltic pump 8 to start and stop flushing; the normal saline in the normal saline bag 18 flows through the special tube 13 of the peristaltic pump and the flushing hose 4 in sequence to enter the head, and the cerebral hemorrhage and the normal saline flow through the suction hose 5 to be recycled into the medical negative pressure bottle 9.
4. When the cleaning in one direction is finished, retracting the flushing hose 4, the suction hose 5 and the optical fiber flexible cord 3 to the original position, rotating the guide handle 1 to 30 degrees clockwise along the axis of the matched guide cylinder 1-5 of the guide handle 1, repeating the step 3, and continuing to clean; when rotating, the observation endoscope 2 is needed to prevent the brain tissue from being accidentally injured.
5. And (4) repeating the step (4), checking in real time through the sight glass (2) until all accumulated liquid is cleaned up, and finishing flushing.
The above description of the embodiments is only for the understanding of the present invention. It should be noted that modifications could be made to the invention without departing from the principle of the invention, which would also fall within the scope of the claims of the invention.
Claims (3)
1. The visual hydrocephalus cleaning device is characterized by comprising a guide handle (1), a sight glass (2), an optical fiber flexible wire (3), a flushing hose (4), a suction hose (5), a flushing foot switch (6), a controller (7), a flushing peristaltic pump (8), a medical negative pressure bottle (9), a flushing parameter display screen (10), a flushing parameter adjusting knob (11), a pipe joint (12), a peristaltic pump special pipe (13), a shielding box cover plate (14), a shielding box body (15), a flushing peristaltic pump power interface (16), a flushing peristaltic pump power switch (17) and a physiological saline bag (18);
the optical fiber flexible wire (3), the flushing hose (4) and the suction hose (5) are all inserted into the guide handle (1) and enter the head of a patient, the tail part of the optical fiber flexible wire (3) is connected with the sight glass (2), and an operator can observe the inside condition of the head part through the sight glass (2);
the flushing hose (4) is connected with a special tube (13) for the peristaltic pump through a pipe joint (12), and the special tube (13) for the peristaltic pump is arranged on the flushing peristaltic pump (8) and is connected with a physiological saline bag (18);
the other end of the suction hose (5) is connected with a medical negative pressure bottle (9); the flushing peristaltic pump (8) is arranged in the shielding box (15); a controller (7) is installed in the shielding box body (15), and the controller (7) is respectively connected with the washing foot switch (6), the washing parameter display screen (10), the washing parameter adjusting knob (11), the washing peristaltic pump power interface (16) and the washing peristaltic pump power switch (17);
and a shielding box cover plate (14) is arranged above the shielding box (15).
2. The cerebral hemorrhage cleaning device with visualization according to claim 1, wherein the guiding handle (1) comprises: the device comprises a handle body (1-1), an attraction hose guide structure (1-2), an optical fiber guide structure (1-3), a flushing hose guide structure (1-4), a matching guide cylindrical structure (1-5), an air channel (1-6), an attraction hose position locking button (1-7), an optical fiber position locking button (1-8) and a flushing hose position locking button (1-9);
the suction hose guide structure (1-2), the optical fiber guide structure (1-3), the flushing hose guide structure (1-4) and the matching guide cylindrical structure (1-5) are integrated with the handle body (1-1) into an injection molding product, and the suction hose guide structure (1-2), the optical fiber guide structure (1-3) and the flushing hose guide structure (1-4) are reversely bent into an arc shape and distributed at the foremost end of the handle body (1-1) in a shape of a Chinese character 'pin' to be connected with the matching guide cylindrical structure (1-5); the matched guide cylindrical structure (1-5) is matched with a head operation hole, and vent grooves (1-6) are distributed on two sides of the matched guide cylindrical structure, so that intracranial pressure during operation can be relieved; the tail end of the handle body (1-1) is sequentially provided with an attraction hose position locking button (1-7), an optical fiber position locking button (1-8) and a flushing hose position locking button (1-9) from top to bottom.
3. The device with visualization for washing brain blood according to claim 1, characterized in that the optical fiber cord (3) is composed of optical fiber and its outer protective sheath.
Priority Applications (1)
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CN202011088279.5A CN114344597A (en) | 2020-10-13 | 2020-10-13 | Visual cerebral hemorrhage cleaning device |
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Application Number | Priority Date | Filing Date | Title |
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CN202011088279.5A CN114344597A (en) | 2020-10-13 | 2020-10-13 | Visual cerebral hemorrhage cleaning device |
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CN114344597A true CN114344597A (en) | 2022-04-15 |
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ID=81089951
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CN202011088279.5A Pending CN114344597A (en) | 2020-10-13 | 2020-10-13 | Visual cerebral hemorrhage cleaning device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN115050254A (en) * | 2022-07-11 | 2022-09-13 | 暨南大学附属第一医院(广州华侨医院) | Minimally invasive surgical practice model for removing lackladian cysts |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN2698355Y (en) * | 2004-05-14 | 2005-05-11 | 李峰 | Douche and suction device with illuminator |
CN201840457U (en) * | 2010-10-25 | 2011-05-25 | 安丰娟 | Hysteroscope capable of independently cleaning lens |
CN210873259U (en) * | 2019-07-31 | 2020-06-30 | 威海威创医疗器械有限公司 | Anti-blocking visual craniocerebral drainage device |
-
2020
- 2020-10-13 CN CN202011088279.5A patent/CN114344597A/en active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2698355Y (en) * | 2004-05-14 | 2005-05-11 | 李峰 | Douche and suction device with illuminator |
CN201840457U (en) * | 2010-10-25 | 2011-05-25 | 安丰娟 | Hysteroscope capable of independently cleaning lens |
CN210873259U (en) * | 2019-07-31 | 2020-06-30 | 威海威创医疗器械有限公司 | Anti-blocking visual craniocerebral drainage device |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN115050254A (en) * | 2022-07-11 | 2022-09-13 | 暨南大学附属第一医院(广州华侨医院) | Minimally invasive surgical practice model for removing lackladian cysts |
CN115050254B (en) * | 2022-07-11 | 2023-10-13 | 暨南大学附属第一医院(广州华侨医院) | Minimally invasive surgical exercise model for removing Rake cyst |
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