CN114832176A - Ultrasonic automatic bladder irrigation system and method - Google Patents

Ultrasonic automatic bladder irrigation system and method Download PDF

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Publication number
CN114832176A
CN114832176A CN202210228436.0A CN202210228436A CN114832176A CN 114832176 A CN114832176 A CN 114832176A CN 202210228436 A CN202210228436 A CN 202210228436A CN 114832176 A CN114832176 A CN 114832176A
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Prior art keywords
ultrasonic
bladder
drainage
water inlet
inlet pipe
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CN202210228436.0A
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Inventor
沈夏锋
周哲
沈小花
杨红
赵展
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Shanghai Pudong Hospital Fudan University Pudong Medical Center
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Shanghai City First Rehabilitation Hospital (shanghai Yangpu District Geriatric Hospital)
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Priority to CN202210228436.0A priority Critical patent/CN114832176A/en
Publication of CN114832176A publication Critical patent/CN114832176A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0204Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0266Stands, holders or storage means for irrigation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2206/00Characteristics of a physical parameter; associated device therefor
    • A61M2206/10Flow characteristics
    • A61M2206/20Flow characteristics having means for promoting or enhancing the flow, actively or passively
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/005Anatomical parts of the body used as an access side to the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1085Bladder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0004Applications of ultrasound therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0043Ultrasound therapy intra-cavitary
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A40/00Adaptation technologies in agriculture, forestry, livestock or agroalimentary production
    • Y02A40/10Adaptation technologies in agriculture, forestry, livestock or agroalimentary production in agriculture
    • Y02A40/22Improving land use; Improving water use or availability; Controlling erosion

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

An ultrasonic automatic bladder irrigation system and method, which comprises a bracket system, a pipeline, an irrigation system and a control system; the bracket system comprises a suspension bracket, and a washing bottle is arranged at the top end of the suspension bracket; the pipeline and flushing system comprises a flushing bottle, a water inlet pipe, a three-cavity special-shaped catheter, a cleaning device, a drainage pipe and a drainage bag, wherein the flushing bottle stores bladder flushing fluid, the water inlet pipe and the three-cavity special-shaped catheter are connected in series, the water inlet pipe is an external part, the three-cavity special-shaped catheter is an internal part, and the bladder flushing fluid is connected to the ultrasonic cleaning device in the bladder of a patient through the water inlet pipe and the three-cavity special-shaped catheter; the drainage tube is connected with the ultrasonic cleaning device, and is used for guiding out the cleaned liquid and connecting the liquid to an external drainage bag; the control system comprises a manual liquid speed regulator and a controller; the output of the controller is connected with a switching valve, and the switching valve executes a working mode and stops and starts; after the washing is finished, the switching valve is controlled, and the washing liquid is led out of the patient body through the drainage bag and the drainage tube.

Description

Ultrasonic automatic bladder irrigation system and method
The application is divided into Chinese patent 'an ultrasonic bladder automatic flushing system and method', application number: 202011291842.9
Technical Field
The invention relates to the field of medical care products, in particular to a device for flushing a bladder by adopting ultrasonic waves.
Background
In hospital treatment, the bladder of a patient needs to be flushed regularly in order to treat bladder diseases, or to keep the bladder clean, remove bacteria and impurities in the bladder, avoid urinary tract infection and keep the urethra unobstructed. The bladder is washed repeatedly every time, frequently, even for many times every day, and the washing workload is large. For patients who keep the catheter for a long time, the urine is turbid, the sediment is more, a large amount of flocculent impurities are formed, and the continuous accumulation of the flocculent impurities can cause bladder stones, cystitis, urinary tract infection and the like of the patients.
The current traditional bladder irrigation method comprises the following steps: the catheter and the infusion apparatus are used for infusing the washing liquid into the bladder, and then the infused washing liquid is drained out of the body of the patient by using the siphon principle. By means of the flowing principle of the urethra flushing fluid, the removal of bacteria, urinary sediment crystals and the mucosa falling off from the bladder wall in the bladder can be accelerated, so that the infection caused by the growth of the bacteria is reduced. The traditional bladder cleaning method has the following great disadvantages: because the patient usually adopts the lying position, when the washing liquid is slowly injected into the bladder, the catheter can only suck out the washing liquid and suspended matters due to the action of gravity in the process of flushing the bladder, but the sediment is difficult to suck out, and even impurities (bacteria, blood clots, urinary sediment crystals and the mucosa falling off from the bladder wall) attached to the mucosa of the bladder wall can not be sucked out, so that the actual cleaning effect is greatly reduced.
In order to solve the problems, the medical staff can change the body position of the patient from time to time during the washing process to make the sediment flow and suspend so as to be easier to suck out of the body. Although posture changing has certain effect, many attachments are difficult to peel off and suspend from the bladder wall through posture changing, and the physique of all patients can not meet the requirement of posture changing. The chemical medicine is used for dissolving impurities for cleaning, but the chemical medicine has certain toxic and side effects, the bladder can be damaged after long-term use, and part of patients with allergic constitution are not suitable for use. Furthermore, if a special tool is used to remove impurities, mechanical damage to the mucosa of the bladder wall is also easily caused.
Disclosure of Invention
In order to solve the problems, the invention provides an ultrasonic bladder irrigation instrument,
an ultrasonic bladder irrigation instrument comprises a bracket system, a pipeline, an irrigation system and a control system;
the support system comprises a hanging support 10, and a washing bottle 1 is arranged at the top end of the hanging support;
the pipeline and flushing system comprises a flushing bottle 1, a water inlet pipe 3, a three-cavity special-shaped catheter 5, an ultrasonic cleaning device 4, a drainage pipe 7 and a drainage bag 8, wherein bladder flushing fluid is stored in the flushing bottle and is always positioned at a high position, the water inlet pipe and the three-cavity special-shaped catheter 5 are connected in series, the water inlet pipe is an external part, the three-cavity special-shaped catheter 5 is an internal part, and the bladder flushing fluid is connected to the ultrasonic cleaning device 4 in the bladder of a patient through the water inlet pipe and the three-cavity special-shaped catheter 5; the drainage tube is connected with the ultrasonic cleaning device 4, and the cleaned liquid is led out and connected to a drainage bag outside the body;
the control system comprises a manual liquid speed regulator 2 and an automatic cleaning control system; the automatic cleaning control system comprises a controller 9, a user interface, a display, a switching valve 6 and an ultrasonic driving module, wherein the user interface and the output of the display are connected with the controller 9, and the output of the controller 9 is connected with the switching valve 6 and the ultrasonic driving module; the working mode and the working requirement are input through a user interface, the controller manages the working process, and the switching valve 6 and the ultrasonic drive module execute the working mode and stop and start;
after the washing is finished, the switching valve 6 is controlled, and the washing liquid is led out of the patient body through the drainage bag 8 and the drainage tube 7.
The automatic ultrasonic bladder irrigation method based on the system is characterized in that when ultrasonic bladder irrigation is carried out, a patient is guided to empty the bladder firstly;
then, medical personnel hang the washing bottle 1 filled with bladder washing liquid on the hanging bracket 10, connect the water outlet pipe of the washing bottle 1 with the thinner pipeline water inlet pipe of the three-cavity special-shaped catheter 5, namely the washing cavity channel 53, control the switching valve 6 to open the water inlet pipe 3 and close the drainage pipe 7, after ensuring no liquid leakage, adjust the liquid speed regulator 2 on the water inlet pipe 3 to slowly pour the washing liquid into the bladder at a proper flow speed for about 2/3 hours; after relevant parameters of the ultrasonic waves are connected and set, the ultrasonic cleaning device 4 is started to emit the ultrasonic waves to clean the bladder;
after the cleaning is finished, finally controlling the switching valve 6 to close the water inlet pipe 3 and open the drainage pipe 7;
through the drainage tube 7, the flushing liquid after cleaning the bladder is sucked out of the body by the drainage bag 8 through the drainage tube 7 by utilizing the siphon principle.
As a preferred technical scheme, switching valves are arranged at the water inlet pipe and the drainage pipe, and the switching of the water inlet pipe and the drainage pipe can be switched and controlled.
As a preferred technical scheme, the controller for controlling the ultrasonic transmitting device comprises a button capable of setting the transmitting intensity, frequency, time and waveform of the ultrasonic, and the controller can be adjusted to regulate and control the ultrasonic in real time according to the flushing condition of a patient in the flushing process.
Compared with the prior art, the invention has the following beneficial effects: the ultrasonic bladder irrigation instrument provided by the invention utilizes ultrasonic vibration to cause the vibration of cleaning liquid to generate vortex water flow, so that the cleaning liquid washes and cleans the bladder wall within a set time according to certain waveform, energy and frequency, foreign matters attached to the bladder wall fall off, soft tissues are not damaged, and simultaneously, the ultrasonic bladder irrigation instrument stirs and stands the sediments to suspend the sediments, thereby being beneficial to discharging dirt such as bacteria, blood clots, floccules and the like in the bladder during the irrigation process, and further overcoming the problems that the existing bladder irrigation device has residues, is difficult to clean the sediments, is inconvenient for clinical nurses to clean, is easy to cause urinary tract infection and the like.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic diagram of the construction of the manual fluid speed regulator of the present invention;
FIG. 3 is a schematic structural view of a three-lumen profiled catheter of the present invention;
FIG. 4 is a schematic view of the ultrasonic flushing device according to the present invention;
FIG. 5 is a schematic diagram of the controller and connection structure of the present invention;
FIG. 6 is a functional diagram of the system of the present invention;
FIG. 7 is a control flow chart of the present invention.
Detailed Description
The invention is described in detail below with reference to the figures and specific embodiments.
General basic technical scheme
As shown in fig. 1: an ultrasonic bladder irrigation instrument comprises a bracket system, a pipeline, an irrigation system and a control system,
the support system comprises a hanging support 10, and a washing bottle 1 is arranged at the top end of the hanging support;
the pipeline and flushing system comprises a flushing bottle 1, a water inlet pipe 3, a three-cavity special-shaped catheter 5, an ultrasonic cleaning device 4, a drainage pipe 7 and a drainage bag 8, wherein bladder flushing fluid is stored in the flushing bottle and is always positioned at a high position, the water inlet pipe and the three-cavity special-shaped catheter 5 are connected in series, the water inlet pipe is an external part, the three-cavity special-shaped catheter 5 is an internal part, and the bladder flushing fluid is connected to the ultrasonic cleaning device 4 in the bladder of a patient through the water inlet pipe and the three-cavity special-shaped catheter 5; the drainage tube is connected with the ultrasonic cleaning device 4, and the cleaned liquid is led out and connected to a drainage bag outside the body;
the control system comprises a manual liquid speed regulator 2 and an automatic cleaning control system; the automatic cleaning control system comprises a controller 9, a user interface, a display, a switching valve 6 and an ultrasonic driving module, wherein the user interface and the output of the display are connected with the controller 9, and the output of the controller 9 is connected with the switching valve 6 and the ultrasonic driving module; the working mode and the working requirement are input through the user interface, the controller manages the working process, and the switching valve 6 and the ultrasonic drive module execute the working mode and stop and start.
After the washing is finished, the switching valve 6 is controlled, and the washing liquid is led out of the patient body through the drainage bag 8 and the drainage tube 7.
A, a support and a structural part
As shown in figure 1 of the drawings, in which,
the hanging bracket 10 is of a telescopic structure, and a hook is arranged at the top of the hanging bracket 10. The telescopic mechanism is adopted, and how to realize the telescopic function is not the invention task of the technical scheme of the application.
The hanging support is of a telescopic structure, a hook is arranged at the top of the hanging support, and the hanging support base is movable.
As a preferable technical scheme, the hanging bracket is of a telescopic structure, the hook is arranged at the top of the hanging bracket, the washing bottle is hung on the hook of the hanging bracket, and the water supply pressure of washing liquid in the washing bottle to the bladder of a patient is adjusted by adjusting the height of the hanging bracket.
As shown in fig. 2, a manual liquid speed regulator 2 is provided on the water inlet pipe 3 for regulating the flow rate of the washing liquid.
As shown in fig. 3, the three-cavity special-shaped catheter 5 is designed into four cavities and auxiliary bodies with different functions, including an auxiliary cavity 51, an irrigation cavity 52, a drainage cavity 53 and an air bag limiting auxiliary body 54, wherein the drainage cavity 53 in the three cavities is a middle pipeline of the catheter;
wherein:
the first conduit is the smallest conduit, is an auxiliary cavity 51 for assisting the ultrasonic flushing device 4 to enter the bladder, and is provided with an expanding bag body 41 at the head; the enlarged capsule body 41 is fused with the head part of the three-cavity special-shaped catheter 5, and the ultrasonic flushing power concentration power point is limited in the enlarged capsule body 41, so that the catheter 5 is prevented from sliding out of the bladder of a patient.
The second pipeline is a thick pipeline and is used for flushing the cavity channel 52, the flushing cavity channel is connected with the water inlet pipe, the head area of flushing liquid in the flushing bottle, such as physiological saline, is provided with an inlet and outlet hole 522, and liquid is flushed into the bladder through the inlet and outlet hole 522 to clean the bladder.
The third pipeline is the pipeline with the thickest middle, is a drainage cavity channel 53 and is connected with the drainage tube 7, and after the flushing is finished, liquid flows back through the inlet and outlet hole 522 and is used for leading out bladder flushing liquid to the drainage bag 8 through the drainage cavity channel; (the drainage bag 8 is an external drainage bag or a drainage bottle, etc.)
The fourth auxiliary body is an air bag limiting auxiliary body 54 which is a bag body bulge at the outer side of the three-cavity special-shaped catheter 5 and prevents the catheter 5 from sliding out of the bladder of the patient after extending into the bladder of the patient.
As shown in fig. 4, the ultrasonic flushing device 4 comprises an expansion capsule 41 of the head, an ultrasonic vibrator 42, and a vibrator connecting wire 43, wherein,
the expansion capsule body 41 is a flexible capsule body and is a resonance protective film, the expansion capsule body 41 is integrated with the head part of the three-cavity special-shaped catheter 5, and liquid in the bladder is prevented from flowing back out of a human body along the outer wall of the catheter; an ultrasonic vibrator 42 is arranged in the expanding bag body 41;
the ultrasonic vibrator 42 is an ultrasonic transducer. The ultrasonic transducer product is in the prior art, the wafer is arranged in the ultrasonic transducer product, the ultrasonic transducer product is driven by a control circuit by utilizing an inverse piezoelectric effect principle and under the power-on state, ultrasonic waves are generated, the vibration of the ultrasonic waves causes the vibration of cleaning liquid, and vortex type water flow is generated. The ultrasonic transducer 42 is connected to an external controller 9 via an auxiliary channel 51 via a transducer connection line 43.
The auxiliary cavity 51 is used for wrapping the tube wall of the oscillator connecting wire 43, so that the oscillator connecting wire is not in direct contact with the human body or the body fluid.
The pipeline materials are all made of materials such as silica gel and the like which have good compatibility with human bodies, have no toxic or side effect, and are safe and corrosion-resistant.
The ultrasonic cleaning principle is that sound energy of a power ultrasonic frequency source is converted into mechanical vibration through a transducer to form ultrasonic waves, the ultrasonic waves are radiated to a flushing liquid in the bladder, micro bubbles in the flushing liquid can keep vibrating under the action of the sound waves, so that foreign matters such as blood clots, mucus, bacteria and the like adsorbed on the mucous membrane of the bladder in the bladder are damaged, and the foreign matters are finally separated due to fatigue damage of the dirt layer; meanwhile, the ultrasonic wave stirs the washing liquid to enable the settled sediments to be suspended and sucked out more easily, so that the cleaning effect by adopting the ultrasonic wave is better.
Second, control the system part
Comprises a circuit and control software
(I) Circuit Board
The controller 9 is internally provided with a circuit board 99 which is an integrated circuit chip, and is a small and perfect micro single chip processing system formed by integrating circuits such as a processor with data processing capacity, a memory, various I/O ports and interrupt systems, a timer/counter, a display driving circuit, a pulse width modulation circuit, an analog multiplexer, an A/D converter, a zero-crossing protection circuit, a power supply conversion circuit and the like on a silicon chip by adopting an integrated circuit technology. The present embodiment uses STM32 as ARM Cortex. The STM32 product is widely used in consumer electronics and medical applications. The STM32 product based on ARM Cortex kernel opens up development space for MCU user to provide software and hardware appurtenance.
The circuit board 99 has a display screen for displaying the amplitude, frequency, set duration and waveform of the ultrasonic waves in real time, so that the observation and recording are facilitated.
The circuit board 99 also has an ultrasonic cleaning circuit external to the circuit board for executing ultrasonic cleaning program algorithms sent from the processor software module.
As shown in fig. 5, the external circuit of the circuit board 99 further includes a power switch, a display screen 92, a start/stop key 93, an intensity adjusting button 94, a frequency adjusting button 95, a time adjusting button 96, a waveform switching button 97, and an emergency stop switch 98 on the operating panel of the housing, and is used for inputting control instructions such as operating mode, start/stop, and change.
The external circuit of the circuit board 99 is connected with a peripheral switching valve, is controlled by the circuit board 99, is arranged on the water inlet pipe and the drainage pipe, and can switch and control the on-off of the water inlet pipe and the drainage pipe. The switching valve 6 controls the flow direction of the flushing liquid, so that only one working mode is selected for the liquid between the water inlet pipe 3 and the drainage pipe 7, and only one way of communication is controlled.
According to the parameters set by the intensity adjusting button 94, the frequency adjusting button 95, the time adjusting button 96 and the waveform switching button 97, the start-stop key 93 is pressed to start the controller 9 to work, the controller circuit board 99 controls the ultrasonic transmitting device 4 to transmit ultrasonic waves with different amplitudes, frequencies, durations and different waveforms to wash the bladder, and after the ultrasonic cleaning time is over, the controller 9 sends out an end prompt sound and simultaneously cuts off the ultrasonic transmission.
The emergency stop switch 98 is used for an operation of performing power-off stop of the entire apparatus in an emergency.
The ultrasonic cleaning device 4 arranged in the bladder is controlled to adjust the amplitude, frequency, duration and waveform type of the ultrasonic waves so as to control the flushing liquid in the bladder to flush the bladder wall under different action modes.
The ultrasonic cleaning device is started through the controller, ultrasonic waves within a certain parameter range are set for bladder cleaning, after the bladder cleaning is finished, the switching valve is automatically controlled, the drainage bag conducts drainage through the drainage tube, and flushing fluid is led out of the body of a patient. The liquid speed regulator arranged on the water inlet pipe is used for regulating and controlling the flow speed of flushing liquid, the switching valve is arranged on the water inlet pipe and the drainage pipe, and the switching valve can control the flow direction of the flushing liquid so that only one liquid is selected to be communicated between the water inlet pipe and the drainage pipe.
As an optimization technical measure, the system also comprises a sensing detection system to realize the full automation of the whole cleaning process, the sensing detection system comprises a temperature sensor 111, a pressure sensor 112 and a flow meter 113, the temperature sensor, the pressure sensor and the flow meter are arranged on the water inlet pipe 3 and are respectively electrically connected with the controller 9, the temperature, the pressure and the flow of the flushing liquid entering the bladder of the patient can be detected in real time, and the temperature, the pressure and the instantaneous/accumulated flow parameters of the flushing liquid injected into the bladder are displayed on the display screen 92 of the system, so that the observation and the recording are convenient. If the three parameters exceed normal values, the controller 9 will send out an alarm prompt tone.
(II) a control software part:
the bladder irrigation procedure is shown in figure 7.
Step 1, inputting a start-up and stop key 93 on an operation panel and selecting each adjusting button;
step 2, the system judges whether the temperature is in accordance with the set temperature range through the temperature range provided by the temperature sensor, if so, the step 3 is carried out;
step 3, judging whether the pressure range provided by the water pressure sensor is in accordance with the pressure setting range by the system, if so, entering step 4;
step 4, the system judges whether the water quantity meets the set range of the water quantity through the metering range provided by the flowmeter, if so, the system enters step 5;
step 5, starting an ultrasonic cleaning program;
step 6, updating parameter instructions such as ultrasonic amplitude and the like when an adjusting button is input on the operation panel;
step 7, the ultrasonic cleaning program stops the cleaning program within the set working time;
step 8, the ultrasonic cleaning program is statically cleaned within the set holding time;
9, starting drainage when the ultrasonic cleaning program meets the retention time;
when any abnormal condition occurs in the process, the system is forcibly stopped;
and step 10, finishing the drainage and finishing the process.
As shown in FIG. 6, the patient uses the following: when ultrasonic bladder irrigation is performed, a patient is guided to empty the bladder first; then, medical personnel hang the washing bottle 1 filled with bladder washing liquid on the hanging bracket 10, connect the water outlet pipe of the washing bottle 1 with the thinner pipeline water inlet pipe of the three-cavity special-shaped catheter 5, namely the washing cavity channel 53, control the switching valve 6 to open the water inlet pipe 3 and close the drainage pipe 7, after ensuring no liquid leakage, adjust the liquid speed regulator 2 on the water inlet pipe 3 to slowly pour the washing liquid into the bladder at a proper flow speed for about 2/3 hours; after relevant parameters of the ultrasonic waves are connected and set, the ultrasonic cleaning device 4 is started to emit the ultrasonic waves to clean the bladder; and finally, controlling the switching valve 6 to close the water inlet pipe 3 and open the drainage pipe 7 after the cleaning is finished. Through the drainage tube 7, the drainage bag 8 is used for sucking the flushing liquid for cleaning the bladder out of the body through the drainage tube 7 by utilizing the siphon principle, and the part belongs to the prior art. In order to achieve a better cleaning effect and prevent dirt from settling, the ultrasonic cleaning device 4 can continue to operate for a certain time while the drain tube 7 is leading out the rinsing liquid.
For a patient with a indwelling catheter, a drainage cavity 52 in a three-cavity special-shaped catheter 5 is always connected with a drainage bag 8 through a drainage tube 7 without being detached unless the drainage tube 7 or the drainage bag 8 is detached when the drainage bag 8 is replaced, an ultrasonic vibrator 42 is arranged in a resonance protective film 41 of an ultrasonic cleaning device 4, the resonance protective film 41 plays a role in protection and does not influence the work of the ultrasonic vibrator 42, and the ultrasonic vibrator 42 and the resonance protective film 41 are both positioned in the three-cavity special-shaped catheter 5 and can be stably fixed in a bladder during work. The vibrator connecting wire 43 connected with the ultrasonic vibrator 42 is a key connecting circuit of the ultrasonic cleaning device, the connector of the connector is a waterproof connector, the exterior of the connector is made of soft materials such as plastics and the like, a patient cannot be injured, when the patient does not need bladder washing, the vibrator connecting wire 43 is disconnected and is not electrified, the vibrator connecting wire and the three-cavity special-shaped catheter 5 are kept on the body of the patient together, and in order to further protect the patient from being influenced by the connector of the vibrator connecting wire 43, a medical adhesive tape wound at the connector can be sealed; when bladder irrigation is needed, the vibrator connecting wire 4 is externally connected with the controller 9, and the ultrasonic bladder irrigation is carried out by electrifying, controlling and transmitting ultrasonic waves.
Third, application example
The washing bottle 1 is hung on the hanging bracket 10, bladder washing liquid is arranged in the washing bottle 1, the flow rate of the washing liquid is controlled by the liquid speed regulator 2, the washing liquid flows through the water inlet pipe 3 and the three-cavity special-shaped catheter 5 in sequence and is injected into the bladder, the bladder pressure is monitored in the injection process, and the bladder pressure is controlled to be 20cmH 2 Setting the amplitude, frequency, duration and waveform of ultrasonic wave within O, starting the ultrasonic transmitter 4 to clean bladder, automatically controlling the switch valve 6, leading the bladder out of the patient body via the drainage tube 7 by the drainage bag 8 by siphon principle, continuously transmitting ultrasonic wave during drainage, and when the bladder pressure is reduced to 5cmH 2 And the ultrasonic wave is paused to be transmitted when the temperature is O.
The invention uses ultrasonic vibration to cause the flushing liquid to vibrate to generate vortex water flow, so that the flushing liquid continuously flushes the bladder wall in a set time according to certain waveform, energy and frequency, thereby promoting the foreign matters attached on the bladder wall to fall off, and simultaneously stirring and standing sediments to suspend, thereby being beneficial to discharging the dirt such as bacteria, blood clots, floccules and the like in the bladder during flushing.

Claims (8)

1. An ultrasonic automatic bladder irrigation control method is characterized in that the method is implemented based on an ultrasonic bladder irrigator:
the ultrasonic bladder irrigation instrument comprises a bracket system, a pipeline, an irrigation system and a control system;
the bracket system comprises a suspension bracket (10), and a washing bottle (1) is arranged at the top end of the suspension bracket;
the pipeline and flushing system comprises a flushing bottle (1), a water inlet pipe (3), a three-cavity special-shaped catheter (5), an ultrasonic cleaning device (4), a drainage pipe (7) and a drainage bag (8), wherein bladder flushing fluid is stored in the flushing bottle and is always located at a high position, the water inlet pipe and the three-cavity special-shaped catheter (5) are connected in series, the water inlet pipe is an external part, the three-cavity special-shaped catheter (5) is an internal part, and the bladder flushing fluid is connected to the ultrasonic cleaning device (4) in the bladder of a patient through the water inlet pipe and the three-cavity special-shaped catheter (5); the drainage tube is connected with an ultrasonic cleaning device (4), and the cleaned liquid is led out and connected to a drainage bag outside the body;
the control system comprises a manual liquid speed regulator (2) and an automatic cleaning control system; the automatic cleaning control system comprises a controller (9), a switching valve (6) and an ultrasonic driving module, wherein the output of the controller (9) is connected with the switching valve (6) and the ultrasonic driving module; a switching valve (6) is arranged at the water inlet pipe (3) and the drainage pipe (7) to switch and control the on-off of the water inlet pipe and the drainage pipe;
the ultrasonic automatic bladder irrigation method comprises the following steps:
step 1, when ultrasonic bladder irrigation is carried out, a patient is guided to empty a bladder at first;
step 2, medical personnel hang the washing bottle (1) filled with bladder washing fluid on a hanging bracket (10), connect a water outlet pipe of the washing bottle (1) with a thin pipeline water inlet pipe of a three-cavity special-shaped catheter (5), control a switching valve (6) to open a water inlet pipe (3) and close a drainage pipe (7), and adjust a liquid speed regulator (2) on the water inlet pipe (3) to slowly fill the washing fluid into the bladder at about 2/3 at a proper flow speed after no liquid leakage is ensured; after relevant parameters of the ultrasonic waves are connected and set, the ultrasonic cleaning device (4) is started to emit the ultrasonic waves to clean the bladder;
and 3, after the washing is finished, controlling the switching valve (6) to close the water inlet pipe (3) and open the drainage pipe (7), so that the drainage bag (8) can suck the washing liquid for cleaning the bladder out of the body through the drainage pipe (7).
2. The ultrasonic automatic bladder irrigation control method according to claim 1, wherein in the step 3, the ultrasonic cleaning device (4) continues to work to prevent dirt from settling while the drainage tube (7) is leading out the irrigation liquid.
3. The method as claimed in claim 1, wherein the ultrasonic bladder irrigation apparatus, the controller for controlling the ultrasonic emission, comprises buttons for setting the intensity, frequency, time and waveform of the ultrasonic emission, and the controller is adjusted to control the ultrasonic emission in real time according to the irrigation condition of the patient during the irrigation process.
4. The ultrasonic automatic bladder irrigation control method as claimed in claim 1, wherein a manual fluid speed regulator (2) is provided on the water inlet pipe (3) for regulating the flow rate of the irrigation fluid; the three-cavity special-shaped catheter (5) is designed into a cavity channel and an auxiliary body with different functions, and comprises an auxiliary cavity channel (51), an irrigation cavity channel (52), a drainage cavity channel (53) and an air bag limiting auxiliary body (54), wherein the drainage cavity channel (53) in the three cavity channels is a middle pipeline of the catheter; an ultrasonic irrigation device (4) comprising an expansion bag body (41) of the head, an ultrasonic vibrator (42) and a vibrator connecting wire (43); the auxiliary cavity (51) is the smallest pipeline which assists the ultrasonic flushing device (4) to enter the bladder, and the head of the auxiliary cavity is provided with an expanding bag body (41); the head of the three-cavity special-shaped catheter (5) is fused with the enlarged balloon body (41), and the ultrasonic flushing power concentration power point is limited in the enlarged balloon body (41) to help prevent the catheter (5) from sliding out of the bladder of the patient; the flushing cavity (52) is a thick pipeline and is connected with the water inlet pipe, an inlet and outlet hole (522) is formed in the head area of the flushing cavity (52), and flushing liquid in a flushing bottle connected with the water inlet pipe flushes into the bladder through the inlet and outlet hole (522) to clean the bladder; the drainage cavity (53) is a pipeline with the thickest middle and is connected with the drainage tube (7), and after the flushing is finished, liquid flows back through the inlet and outlet holes (522) and is used for leading out bladder flushing liquid to the drainage bag (8) through the drainage cavity; the air bag limiting auxiliary body (54) is a bag body bulge at the outer side of the three-cavity special-shaped catheter (5), and prevents the catheter (5) from sliding out of the bladder of the patient after extending into the bladder of the patient; the expansion capsule body (41) is a flexible capsule body and is a resonance protective film, the expansion capsule body (41) is integrated with the head of the three-cavity special-shaped catheter (5), and liquid in the bladder is prevented from flowing back out of a human body along the outer wall of the catheter; the ultrasonic vibrator (42) is an ultrasonic transducer and is arranged in the expanding bag body (41); the ultrasonic vibrator (42) is connected with an external controller (9) through a vibrator connecting wire (43) and an auxiliary cavity channel (51); the auxiliary cavity (51) is used for wrapping the tube wall of the oscillator connecting wire (43) so that the oscillator connecting wire is not in direct contact with a human body or body fluid.
5. The ultrasonic automatic bladder irrigation control method according to claim 1, wherein the automatic cleaning control system of the ultrasonic bladder irrigation instrument further comprises a user interface and a display, and the user interface and the output of the display are connected with the controller (9); the working mode and the working requirement are input through the user interface, the controller manages the working process, and the switching valve (6) and the ultrasonic driving module execute the working mode and stop and start.
6. The ultrasonic automatic bladder irrigation control method according to claim 1, wherein a circuit board (99) is arranged inside a controller (9) of the ultrasonic bladder irrigation instrument; the external circuit of the circuit board (99) is provided with a display screen (92) and an ultrasonic cleaning loop, and the display screen (92) can display the amplitude, the frequency, the set duration and the ultrasonic waveform of the ultrasonic wave in real time, so that the observation and the recording are convenient; an ultrasonic cleaning circuit for executing an ultrasonic cleaning program algorithm sent from the processor software module; the circuit board (99) is also provided with a power switch, a display screen (92), a start-stop key (93), an intensity adjusting button (94), a frequency adjusting button (95), a time adjusting button (96), a waveform switching button (97) and an emergency stop switch (98) on a shell operation panel, and the power switch, the display screen (92), the start-stop key and the intensity adjusting button are used for inputting a working mode, starting and stopping and changing control instructions; the external circuit of the circuit board (99) is connected with a switching valve (6), is controlled by the circuit board (99), is arranged on the water inlet pipe and the drainage pipe and is used for switching and controlling the on-off of the water inlet pipe and the drainage pipe; the switching valve (6) controls the flow direction of the flushing liquid, so that only one working mode is selected for the liquid between the water inlet pipe (3) and the drainage pipe (7), and only one path of communication is controlled.
7. The ultrasonic automatic bladder irrigation control method as claimed in claim 6, wherein the control system further comprises a sensing detection system to realize full automation of the whole cleaning process, the sensing detection system comprises a temperature sensor (111), a pressure sensor (112) and a flow meter (113), the sensing detection system is arranged on the water inlet pipe (3) and is respectively electrically connected with the controller (9) to detect the temperature, the pressure and the flow of the irrigation liquid entering the bladder of the patient in real time, and the temperature, the pressure and the instantaneous/accumulated flow parameters of the irrigation liquid injected into the bladder are displayed on the display screen (92); if the three parameters exceed normal values, the controller (9) will send out alarm prompt tone.
8. The method for controlling the automatic ultrasonic bladder irrigation according to claim 7, wherein in the step 2, the following algorithm is adopted for the irrigation program:
step 2.1, inputting a start-up and stop key (93) on an operation panel and selecting each adjusting button;
2.2, judging whether the temperature is in accordance with the set temperature range by the system through the temperature range provided by the temperature sensor, if so, entering the step 2.3;
step 2.3, the system judges whether the pressure is in accordance with the pressure setting range through the pressure range provided by the water pressure sensor, if so, the step 2.4 is carried out;
step 2.4, the system judges whether the water quantity is in accordance with the set range of the water quantity through the metering range provided by the flowmeter, if so, the step 2.5 is carried out;
step 2.5, starting an ultrasonic cleaning program;
step 2.6, updating parameter instructions such as ultrasonic amplitude and the like when an adjusting button is input on the operation panel;
step 2.7, the ultrasonic cleaning program stops at the set working time;
step 2.8, the ultrasonic cleaning program is statically cleaned within the set holding time;
step 2.9, starting drainage when the ultrasonic cleaning program meets the retention time;
when any abnormal condition occurs in the process, the system is forcibly stopped;
and 2.10, finishing the drainage and finishing the process.
CN202210228436.0A 2020-11-18 2020-11-18 Ultrasonic automatic bladder irrigation system and method Pending CN114832176A (en)

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