CN115778569A - Gas filling and recycling system with suction function - Google Patents

Gas filling and recycling system with suction function Download PDF

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Publication number
CN115778569A
CN115778569A CN202211477193.0A CN202211477193A CN115778569A CN 115778569 A CN115778569 A CN 115778569A CN 202211477193 A CN202211477193 A CN 202211477193A CN 115778569 A CN115778569 A CN 115778569A
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China
Prior art keywords
gas
assembly
suction
abdominal cavity
injection assembly
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Pending
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CN202211477193.0A
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Chinese (zh)
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朱健
向长林
曹彬
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Jiangsu Regrown Medical Technology Co ltd
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Jiangsu Regrown Medical Technology Co ltd
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Priority to CN202211477193.0A priority Critical patent/CN115778569A/en
Publication of CN115778569A publication Critical patent/CN115778569A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a gas filling and recycling system with a suction function, which comprises: a gas injection assembly providing a first gas; the circulating smoke exhaust assembly is connected with the gas injection assembly, first injects first gas with a first volume into the abdominal cavity, simultaneously extracts second gas with a second volume in the abdominal cavity, and outputs the second gas to the gas injection assembly; the suction assembly is connected with the gas injection assembly, extracts the gas-liquid mixture in the abdominal cavity, separates the gas-liquid mixture into liquid and third gas with a third volume, and outputs the third gas to the gas injection assembly; and the pressure sensor is used for monitoring the pressure of the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly. The circulating smoke exhaust assembly and the suction assembly simultaneously send the first gas to the abdominal cavity and extract the second gas and the third gas, smoke exhaust is carried out on the abdominal cavity while pneumoperitoneum is established, and the stability of the pneumoperitoneum is improved through integrated control, so that the problem of pneumoperitoneum collapse is solved.

Description

Gas filling and recycling system with suction function
Technical Field
The invention relates to the technical field of medical instruments, in particular to a gas perfusion and recirculation system with an attraction function.
Background
In minimally invasive surgery, because organs or other tissues of a human body are extruded together, and sufficient space observation and surgery are not available, the pneumoperitoneum machine is required to provide air pressure to prop open the abdominal cavity so as to provide a proper surgical space and surgical field, and the traditional pneumoperitoneum machine adopts a single-channel pipeline to intake air in a single direction at present to control the pneumoperitoneum establishment and abdominal cavity pressure detection so as to realize pneumoperitoneum control; the working principle of the pneumoperitoneum machine is similar to that of the pneumoperitoneum machine which is filled with 3 seconds of air and stops for 1 second to measure the intra-abdominal pressure, the working principle of the existing pneumoperitoneum machine determines that no brand pneumoperitoneum machine can be adjusted immediately, so that the peak value of the generated intra-abdominal pressure is higher than expected, the abdominal cavity pressure fluctuation is large, the operation space is unstable, and the operation space is large and small in time, so that the phenomenon similar to tide is generated. Further bringing about: the visual field is not clear enough, pneumoperitoneum is easy to lose, air pressure is unstable, the efficiency of an operating room is low, hypercapnia, acidosis, shoulder pain, low back pain, arterial and venous reflux pressure reduction, subcutaneous emphysema and other laparoscopic surgery problems.
In addition, in clinical medicine, when an electrotome in the puncture outfit cauterizes or electrocoagulates human tissues, a large amount of smoke and water vapor are inevitably generated, and when a deep operation of a human body is performed, particularly important organs such as deep blood vessels are electrocauterized, the smoke can obscure an electron microscope inside, the sight of medical personnel is influenced, the hemostasis is difficult, and even the operation is blind or busy, so that a smoke removal device is needed to ensure the smoothness of the operation.
Currently, the current situation of smoke removal in operating theatres:
1) The traditional method is to open an exhaust valve of the puncture cannula to directly remove smoke until the visual field is clear and then close a valve. Under the method, the smoke removal speed is influenced by abdominal pressure and the aperture of a smoke discharge valve, and the smoke discharge valve is a luer valve, so the aperture is small and the ventilation capacity is small, therefore, under the method, the smoke removal efficiency is extremely low, the continuity of the operation is influenced, and the smoke generated in the abdominal cavity contains various harmful substances and is directly discharged into an operation room, thereby causing the physical harm of operating room staff and the environmental pollution.
2) And (5) adopting an aspirator to perform suction treatment. The suction apparatus is mainly used as a wound-clearing apparatus in the thoracoscopy, the abdominal cavity endoscopy and the operation process. In the cavity operation, the washing treatment is carried out through the washing wound and the negative pressure suction wound to expose tissues; the smoke generated by the energy instrument is attracted, and the smoke is eliminated; the suction apparatus and the pneumoperitoneum machine are two mutually independent devices, the suction apparatus washes the wound surface and sucks liquid smoke and smoke to bring the change of an abdominal cavity space, the pressure balance of the abdominal cavity space is changed, and the suction flow of the suction apparatus is usually large, so that the pressure fluctuation in the endoscope is very large when the suction apparatus is used, and sometimes the abdominal pressure loss even occurs. Similarly, when the aspirator is adopted to suck waste liquid and blood stain in the abdominal cavity, the pressure balance of the abdominal cavity can be changed when the aspirator is an independent device.
In addition, the smoke generated by the combustion of the organic matter generated by the energy equipment is a strong carcinogen, and no matter the sleeve exhaust valve is opened or the suction device is used for suction, the gas is discharged to an operating room, so that unnecessary injuries are caused to an operator and medical staff in the operating room; direct reaction of CO 2 Discharged to the operating room, and will increase CO 2 The amount of CO used, and the pollution of the operating room and the gas source 2 The gas consumption will be greater.
Disclosure of Invention
Therefore, the technical problem to be solved by the invention is to overcome the defects in the prior art, and disclose a circulating filtration pneumoperitoneum machine system with a suction function.
Can greatly reduce the complications of hypercapnia, acidosis, shoulder pain, low back pain, arterial and venous reflux pressure, subcutaneous emphysema and the like.
Through addding the circulation function of discharging fume, energy equipment produces smog and takes out like the filter through the exhaust passage, is returning the abdominal cavity through the filter, can medical personnel not need extra attention to handle the operation interference such as the visual field that smog caused is not clear enough, pneumoperitoneum is lost, atmospheric pressure is unstable, operating room inefficiency like this.
Through adding the suction function, wash aspirator access device and pneumoperitoneum and establish equipment no longer each other independent equipment like this, pneumoperitoneum control and wash suction control and realize under same equipment, can realize closed loop feedback between. And the gas that attracts through the aspirator can return to the abdominal cavity through filtering, no longer discharges to the operating room, and then realizes the gaseous full closed loop management and control of abdominal cavity. More accurate abdominal pressure control and more comprehensive fully-closed gas management can be realized.
In particular, the present invention provides a gas perfusion and recirculation system with suction, comprising:
a gas injection assembly providing a first gas having a first volume;
a circulating fume extraction assembly coupled to the gas injection assembly for simultaneously extracting a second volume of a second gas from the abdominal cavity by injecting a first gas into the abdominal cavity and delivering the second gas to the gas injection assembly;
the suction assembly is connected with the gas injection assembly, separates the gas-liquid mixture into liquid and third gas with a third volume by extracting the gas-liquid mixture in the abdominal cavity, and transmits the third gas to the gas injection assembly;
and the pressure sensor is connected with the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly and monitors the pressure of the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly.
In a preferred embodiment of the present invention, the first volume is a sum of the second volume and the third volume.
As a preferable mode of the present invention, the circulation smoke evacuation assembly includes a first puncturing device and a first air pump, the first puncturing device is configured to puncture the abdominal cavity, and the first air pump is configured to draw the second gas.
In a preferred embodiment of the present invention, a first air passage is provided between the gas injection assembly and the first puncture device, and the first air passage is used for filling the first gas.
In a preferred embodiment of the present invention, a second air channel is disposed between the first puncturing device, the first air pump, and the air injection assembly, and the second air channel is used for pumping the second air.
As a preferable mode of the present invention, the suction assembly includes a second puncturing device, a liquid storage device, and a second air pump, the second puncturing device is configured to puncture the abdominal cavity, the liquid storage device is configured to store the separated liquid, and the second air pump is configured to pump the third air.
As a preferable mode of the present invention, a third air passage is provided between the second puncturing device, the liquid storage device, and the second air pump, and the third air passage is used for extracting the gas-liquid mixture and the third air.
In a preferred embodiment of the present invention, the abdominal cavity further comprises a flushing device for discharging a flushing fluid into the abdominal cavity.
In a preferred embodiment of the present invention, the gas processing apparatus further comprises a filtering device provided at least in the circulating smoke evacuation module and the suction module, for filtering the first gas, the second gas, and the third gas.
In a preferred embodiment of the present invention, the present invention further comprises a control device for controlling the circulating smoke evacuation module, the suction module, and the pressure sensor.
Compared with the prior art, the technical scheme of the invention has the following advantages:
according to the gas filling and recycling system with the suction function, when the gas filling and recycling system works, the control device controls the air inlet and the air exhaust of the circulating smoke exhaust assembly and the suction assembly, and the pressure sensor is used for ensuring that the pneumoperitoneum is established to a preset pressure value. The circulating smoke exhaust assembly and the suction assembly simultaneously send the first gas into the abdominal cavity and extract the second gas and the third gas, smoke is exhausted from the abdominal cavity while pneumoperitoneum is established, and the stability of the pneumoperitoneum is improved through integrated control, so that the problem of pneumoperitoneum collapse is solved.
Drawings
In order that the present disclosure may be more readily and clearly understood, reference will now be made in detail to the present disclosure, examples of which are illustrated in the accompanying drawings.
FIG. 1 is a schematic view of a gas perfusion and recirculation system with suction of the present invention.
The specification reference numbers indicate: 11. a gas source; 12. a gas injection device; 21. a first puncture device; 22. a first air pump; 23. a first air passage; 24. a second air passage; 31. a second puncture device; 32. a liquid storage device; 33. a second air pump; 34. a third air passage; 4. a pressure sensor; 41. a fourth airway; 5. a flushing device; 6. a filtration device; 7. a control device; 71. a main control panel; 72. operating the control panel; 73. an operation display panel; 8. the abdominal cavity.
Detailed Description
The present invention is further described below in conjunction with the following figures and specific examples so that those skilled in the art may better understand the present invention and practice it, but the examples are not intended to limit the present invention.
Referring to FIG. 1, an embodiment of a gas perfusion and recirculation system with suction of the present invention comprises: a gas injection assembly, a circulating fume extraction assembly, a suction assembly, a pressure sensor 4, etc.
The gas injection assembly is used for providing first gas for the gas filling and recycling system with the suction function. The gas injection assembly specifically comprises a gas source 11 and a gas injection device 12. The gas injection assembly is characterized in that when a user starts a circulating smoke exhaust function, the device controls whether to start a circulating smoke exhaust gas pump according to monitoring parameters.
The gas source 11 provides the gas injection device 12 with a first gas, preferably carbon dioxide gas.
The gas injection device 12 outputs a first gas to the circulating smoke evacuation assembly, and receives a second gas output by the circulating smoke evacuation assembly and a third gas output by the suction assembly. The gas injection device 12 is further configured to receive the second gas and the third gas, and convert the second gas and the third gas into the first gas.
The circulating smoke evacuation assembly is used for evacuating the abdominal cavity 8 during an abdominal cavity 8 operation. Circulation subassembly of discharging fume is after the user opens the attraction function, and the user can adjust the attraction negative pressure as required, and the attraction negative pressure value can be adjusted by the manual work.
The circulating smoke exhaust assembly is connected with the gas injection assembly, the gas injection assembly injects first gas with a first volume into the abdominal cavity 8 through the circulating smoke exhaust assembly, and meanwhile, the circulating smoke exhaust assembly extracts second gas with a second volume in the abdominal cavity 8 and outputs the second gas to the gas injection assembly.
The circulating smoke exhaust assembly specifically comprises a first puncture device 21 and a first air pump 22. The first puncture device 21 is a puncture instrument commonly used in the art for puncturing the abdominal cavity 8. The first air pump 22 is used for pumping the second air in the abdominal cavity 8 through the first puncture device 21.
A first air passage 23 is arranged between the gas injection assembly and the first puncture device 21, and the first air passage 23 is used for filling the first gas into the abdominal cavity 8. The first air passage 23 is a pipeline connecting the gas injection assembly and the first puncture device 21, the first air passage 23 is communicated with the gas injection assembly and the abdominal cavity 8, and the gas injection assembly injects the first gas into the abdominal cavity 8 through the first air passage 23.
A second air channel 24 is arranged among the first puncture device 21, the first air pump 22 and the air injection assembly, and the second air channel 24 is used for extracting the second air. The second air passage 24 is a pipeline connecting the first puncture device 21 and the gas injection device 12, and the second air passage 24 communicates the first puncture device 21 and the gas injection device 12. The first air pump 22 is disposed in the second air passage 24, and the first air pump 22 pumps the second air in the abdominal cavity 8 through the second air passage 24 and outputs the second air to the air injection device 12 through the second air passage 24. The second gas is a gas containing smoke within the abdominal cavity 8.
The suction assembly is used for evacuating and draining the abdominal cavity 8 during an abdominal cavity 8 operation.
The suction assembly is connected with the gas injection assembly, extracts a gas-liquid mixture in the abdominal cavity 8, separates the gas-liquid mixture into a liquid and a third gas with a third volume, and outputs the third gas to the gas injection assembly.
The suction assembly comprises a second puncture device 31, a liquid storage device 32 and a second air pump 33. The second puncturing device 31 may adopt a puncturing device the same as the first puncturing device 21, or adopt another device capable of achieving a puncturing function, the second puncturing device 31 is configured to puncture the abdominal cavity 8, the liquid storage device 32 is configured to store the liquid separated from the gas-liquid mixture, and the second air pump 33 is configured to pump the third gas through the second puncturing device 31.
A third air passage 34 is arranged between the second puncture device 31, the liquid storage device 32 and the second air pump 33, and the third air passage 34 is used for extracting the gas-liquid mixture and the third air from the abdominal cavity 8. The third gas is a pipeline connecting the second puncture device 31 and the gas injection assembly, and the third gas channel 34 is communicated with the second puncture device 31 and the gas injection device 12. The liquid storage device 32 and the second air pump 33 are disposed on the third air passage 34, the second air pump 33 pumps the gas-liquid mixture in the abdominal cavity 8 through the third air passage 34, the enterprise mixture is separated into liquid and third air when passing through the liquid storage device 32, the liquid is stored in the liquid storage device 32, and the third air continues to be output to the air injection assembly along the third air passage 34. The gas-liquid mixture is a mixture of gas containing smoke and liquid in the abdominal cavity 8, the separated liquid is the liquid in the abdominal cavity 8, and the third gas is the gas containing smoke in the abdominal cavity 8.
The pressure sensor 4 is connected with the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly and is used for monitoring the pressure of the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly. Specifically, the pressure sensor 4 is connected to the first air passage 23, the second air passage 24, the third air passage 34, the gas injection device 12, the gas source 11, the pipeline of the gas injection device 12, and the abdominal cavity 8, and monitors the pressure values at these positions. Wherein, the pressure sensor 4 can be connected with the second puncture device 31 through a fourth air passage 41 and monitor the internal pressure of the abdominal cavity 8.
To maintain a constant pressure in the abdominal cavity 8, the first volume is the sum of the second volume and the third volume.
In one embodiment, the gas perfusion and recirculation system with suction function further comprises the flushing device 5 for releasing flushing fluid into the abdominal cavity 8. The flushing device 5 may be a saline bag, which is higher in height in the vertical direction than the abdominal cavity 8.
When the flushing function is needed, the flushing device 5 is used for flushing the inside of the abdominal cavity 8, and the used flushing liquid is pumped out of the abdominal cavity 8 along with the gas-liquid mixture through the third air passage 34.
The flushing device 5 can flush the abdominal cavity 8 through the second puncture device 31.
In one embodiment, the gas perfusion and recirculation system with suction function further includes the filtering device 6, at least disposed on the circulating smoke evacuation assembly and the suction assembly, for filtering the first gas, the second gas, and the third gas.
The filtering device 6 is used for filtering impurities in the gas, such as: and (4) smoke. The filtering device 6 adopts the existing filtering material and filtering mode.
The filtering device 6 may be disposed at a plurality of positions, specifically, at least disposed in the first air passage 23, the second air passage 24, and the third air passage 34, and filters the air in the first air passage 23, the second air passage 24, and the third air passage 34.
The filtering device 6 may also be disposed in the fourth air passage 41 to filter the air in the fourth air passage 41.
In one embodiment, the gas perfusion and recirculation system with suction function further comprises a control device 7, and the control device 7 is used for controlling the circulating smoke exhaust assembly, the suction assembly and the pressure sensor 4.
The control device 7 specifically includes a main control board 71, an operation control board 72, and an operation display panel 73, the main control board 71 is used for controlling the circulating smoke evacuation assembly, the suction assembly, and the pressure sensor 4, the operation control board 72 is used for operating the main control board 71, and the operation display panel 73 is used for displaying the operations of the main control board 71 and the operation control board 72.
Compared with the prior art, the technical scheme of the invention has the following advantages:
when the gas filling and recycling system with the suction function works, the control device controls the air intake and the air exhaust of the circulating smoke exhaust assembly and the suction assembly, and the pressure sensor ensures that the pneumoperitoneum is established to a preset pressure value. The circulating smoke exhaust assembly and the suction assembly simultaneously send the first gas into the abdominal cavity and extract the second gas and the third gas, smoke is exhausted from the abdominal cavity while pneumoperitoneum is established, and the stability of the pneumoperitoneum is improved through integrated control, so that the problem of pneumoperitoneum collapse is solved.
When needs are right when washing in the abdominal cavity, through loading washing unit, the cooperation attract the subassembly, it is right to realize washing and the discharge of washing back liquid in the abdominal cavity.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications of the invention may be made without departing from the spirit or scope of the invention.

Claims (10)

1. A gas perfusion and recirculation system with suction, comprising:
a gas injection assembly providing a first gas having a first volume;
a circulating fume extraction assembly coupled to the gas injection assembly for simultaneously extracting a second volume of a second gas from the abdominal cavity by injecting a first gas into the abdominal cavity and delivering the second gas to the gas injection assembly;
the suction assembly is connected with the gas injection assembly, separates the gas-liquid mixture into liquid and third gas with a third volume by extracting the gas-liquid mixture in the abdominal cavity, and transmits the third gas to the gas injection assembly;
and the pressure sensor is connected with the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly and monitors the pressure of the gas injection assembly, the circulating smoke exhaust assembly and the suction assembly.
2. A gas perfusion and recirculation system with suction function according to claim 1, characterized in that the first volume is the sum of the second and third volumes.
3. A gas perfusion and recirculation system with aspiration function according to claim 1, wherein the circulation fume exhaust assembly comprises a first puncture device for puncturing the abdominal cavity, a first gas pump for pumping the second gas.
4. A gas perfusion and recirculation system with suction function according to claim 3, characterized in that a first gas channel is provided between the gas injection assembly and the first puncture device, said first gas channel being adapted to be filled with said first gas.
5. A suction-enabled gas perfusion and recirculation system according to claim 3, wherein a second gas channel is provided between the first piercing device, the first gas pump, and the gas injection assembly, for drawing the second gas.
6. A gas perfusion and recirculation system with aspiration function according to claim 1, wherein the aspiration assembly comprises a second puncture device for puncturing the abdominal cavity, a reservoir device for storing the separated liquid, and a second air pump for pumping the third gas.
7. The system of claim 6, wherein a third air passage is disposed between the second puncture device, the liquid storage device and the second air pump, and the third air passage is used for pumping the gas-liquid mixture and the third air.
8. A gas perfusion and recirculation system with aspiration, according to claim 1, further comprising irrigation means to release irrigation fluid into the abdominal cavity.
9. The system of claim 1, further comprising a filtering device disposed at least on the smoke evacuation component and the suction component for filtering the first gas, the second gas, and the third gas.
10. The gas perfusion and recirculation system with suction function of claim 1, further comprising a control device for controlling the circulating smoke evacuation assembly, suction assembly, pressure sensor.
CN202211477193.0A 2022-11-23 2022-11-23 Gas filling and recycling system with suction function Pending CN115778569A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211477193.0A CN115778569A (en) 2022-11-23 2022-11-23 Gas filling and recycling system with suction function

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211477193.0A CN115778569A (en) 2022-11-23 2022-11-23 Gas filling and recycling system with suction function

Publications (1)

Publication Number Publication Date
CN115778569A true CN115778569A (en) 2023-03-14

Family

ID=85440699

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211477193.0A Pending CN115778569A (en) 2022-11-23 2022-11-23 Gas filling and recycling system with suction function

Country Status (1)

Country Link
CN (1) CN115778569A (en)

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