CN207755289U - A kind of detection of neurogenic bladder urodynamics and therapeutic device - Google Patents
A kind of detection of neurogenic bladder urodynamics and therapeutic device Download PDFInfo
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- CN207755289U CN207755289U CN201720308477.5U CN201720308477U CN207755289U CN 207755289 U CN207755289 U CN 207755289U CN 201720308477 U CN201720308477 U CN 201720308477U CN 207755289 U CN207755289 U CN 207755289U
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- 238000001514 detection method Methods 0.000 title claims abstract description 44
- 230000003202 urodynamic effect Effects 0.000 title claims abstract description 22
- 208000000693 Neurogenic Urinary Bladder Diseases 0.000 title claims abstract description 18
- 206010029279 Neurogenic bladder Diseases 0.000 title claims abstract description 18
- 230000001225 therapeutic effect Effects 0.000 title claims 10
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims abstract description 48
- 210000002700 urine Anatomy 0.000 claims abstract description 28
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Abstract
一种神经源性膀胱尿动力学检测与治疗装置，包括橡胶软管、导管接口、塑料导尿管、监控检测系统、储尿袋和出液口，所述橡胶软管为三腔管；所述三腔管还包括导尿管、注射甘油管和注射药物管；所述注射甘油管由橡胶软管外管引出；所述塑料导尿管通过导管接口直接与橡胶导尿管连接；所述监控检测系统固定在塑料导尿管上，由流量表和压力表、传感器三部分组成。本实用新型采用橡胶外管通过注射甘油管注入甘油使其膨胀，能够固定管道使之在患者移动或者由于重力等因素滑落；监控检测系统的传感器数据通过APP显示在医护人员的手机上，医护人员可以随时、更方、便准确地了解病人的膀胱功能，节省了大量的人力也避免了由于人工操作造成延误。
A neurogenic bladder urodynamic detection and treatment device, including a rubber hose, a catheter interface, a plastic catheter, a monitoring and detection system, a urine storage bag and a liquid outlet, the rubber hose is a three-lumen tube; The three-lumen tube also includes a urinary catheter, a glycerin injection tube and a drug injection tube; the glycerin injection tube is led out from the outer tube of a rubber hose; the plastic urinary catheter is directly connected to the rubber urinary catheter through a catheter interface; the The monitoring and detection system is fixed on the plastic catheter and consists of three parts: flow meter, pressure gauge and sensor. The utility model adopts the rubber outer tube to inject glycerin into the glycerin tube to make it expand, and can fix the tube to make it slide when the patient moves or due to factors such as gravity; the sensor data of the monitoring and detection system is displayed on the mobile phone of the medical staff through the APP, and the medical staff The bladder function of the patient can be understood more conveniently and accurately at any time, which saves a lot of manpower and avoids delays caused by manual operations.
Description
技术领域technical field
本实用新型涉及医疗机械，尤其是一种神经源性膀胱尿动力学检测与治疗装置。The utility model relates to medical machinery, in particular to a device for detecting and treating neurogenic bladder urodynamics.
背景技术Background technique
众所周知，导尿是临床上常见的医疗操作之一，导尿管常用于帮助病人收集尿液或帮助术后等行动不便的病人排尿，也适用于因下尿路梗阻引起的尿滞留，导尿操作还应用在抢救危重病人、全麻术前准备、膀胱内药物灌注或膀胱冲洗等情况。现有技术中的导尿管一般在塑料导尿管位置放置一个塑料夹子，人工定时打开夹子排尿这样就会出现，不能根据膀胱充盈程度实时排尿，如果操作失误可导致膀胱过分充盈而导致膀胱损伤，不能实时记录传导膀胱的压力、尿量、排尿流时间、尿流速度、残尿量等长期持续导尿可以使膀胱肌肉萎缩。As we all know, catheterization is one of the common medical operations in clinic. Urinary catheter is often used to help patients collect urine or help patients with inconvenient movements after surgery to urinate. It is also suitable for urine retention caused by lower urinary tract obstruction. Catheterization The operation is also used in the rescue of critically ill patients, preparation before general anesthesia, intravesical drug infusion or bladder flushing, etc. Urinary catheters in the prior art generally place a plastic clip at the position of the plastic catheter, and manually open the clip to urinate, which will occur, and it will not be possible to urinate in real time according to the degree of bladder filling. If the operation is wrong, the bladder will be overfilled and cause bladder damage. , can not record the pressure of the conduction bladder in real time, urine volume, urination flow time, urine flow velocity, residual urine volume, etc. Long-term continuous catheterization can make the bladder muscle atrophy.
实用新型内容Utility model content
本实用新型要解决的技术问题是克服现有的缺陷，提供一种结构简单，投入成本少，设置有三种排尿方式即持续排尿、根据膀胱压力排尿、定时排尿。有精确测定膀胱压力、神经源性膀胱尿动力学检测与治疗系统。The technical problem to be solved by the utility model is to overcome the existing defects and provide a simple structure, low investment cost, and three urination modes, namely continuous urination, bladder pressure urination, and regular urination. There are accurate measurement of bladder pressure, neurogenic bladder urodynamic detection and treatment system.
为了解决上述技术问题，本实用新型提供了如下的技术方案：In order to solve the above technical problems, the utility model provides the following technical solutions:
一种神经源性膀胱尿动力学检测与治疗装置，包括橡胶软管、导管接口、塑料导尿管、监控检测系统、储尿袋和出液口，其特征在于，所述橡胶软管为三腔管；所述三腔管还包括橡胶导尿管、注射甘油管和注射药物管；所述注射甘油管和注射药物管依次在橡胶导尿管两侧；所述注射甘油管由橡胶软管外管引出；所述塑料导尿管通过导管接口直接与三腔管的橡胶导尿管连接；所述监控检测系统固定在塑料导尿管上，由流量表和压力表、传感器三部分组成；所述储尿袋与塑料导尿管相连，最底端有出液口，储尿袋上有容量刻度。A neurogenic bladder urodynamic detection and treatment device, comprising a rubber hose, catheter interface, plastic catheter, monitoring and detection system, urine storage bag and liquid outlet, characterized in that the rubber hose is three lumen tube; the three-lumen tube also includes a rubber catheter, a glycerin injection tube and a drug injection tube; the glycerin injection tube and the drug injection tube are on both sides of the rubber catheter in turn; the glycerin injection tube consists of a rubber hose The outer tube leads out; the plastic catheter is directly connected to the rubber catheter of the three-lumen tube through the catheter interface; the monitoring and detection system is fixed on the plastic catheter and consists of three parts: a flow meter, a pressure gauge and a sensor; The urine storage bag is connected with a plastic catheter, has a liquid outlet at the bottom end, and has a capacity scale on the urine storage bag.
进一步地，所述橡胶导尿管外管在注射甘油管注入液体时最顶端呈球状膨胀。Further, the outer tube of the rubber catheter expands in a spherical shape when the glycerin tube is injected into the liquid.
进一步地，所述橡胶导尿管的一侧上有小孔，该侧部位内管壁与外管壁无间隙。Further, there is a small hole on one side of the rubber catheter, and there is no gap between the inner tube wall and the outer tube wall at this side.
进一步地，所述三腔管的注射药物管是一个独立的注射药物管道。Further, the drug injection tube of the three-lumen tube is an independent drug injection pipeline.
进一步地，所述监控检测系统监控的数据可传输至终端系统。Further, the data monitored by the monitoring and detection system can be transmitted to the terminal system.
进一步地，所述复合管的增强层由高强度碳素弹簧钢丝组成。Further, the reinforcing layer of the composite pipe is composed of high-strength carbon spring steel wire.
进一步地，所述复合管的保护层是改性高密度聚乙烯。Further, the protective layer of the composite pipe is modified high-density polyethylene.
进一步地，所述监控检测系统的传感器可设置定时监控警报系统。Further, the sensor of the monitoring and detection system may be provided with a timing monitoring and alarm system.
进一步地，所述监控检测系统中的流量表和压力表测量尿液排量和压力并上传至终端。Further, the flow meter and pressure gauge in the monitoring and detection system measure the urine output and pressure and upload them to the terminal.
进一步地，所述监控检测系统传感器在塑料导尿管上可拆卸并在其他同类装置上多次使用。Further, the sensor of the monitoring and detection system is detachable on the plastic urinary catheter and can be used multiple times on other similar devices.
进一步地，所述监控检测系统通过电子控制开关控制塑料导管开合与关闭。Further, the monitoring and detection system controls the opening and closing of the plastic conduit through an electronic control switch.
本实用新型所提出的一种神经源性膀胱尿动力学检测与治疗装置采用三种可控制的排尿方式，橡胶外管通过注射甘油管注入甘油使其膨胀，能够固定管道使之在患者移动或者由于重力等因素滑落，注射药物管可以进行药物灌注治疗；利用可从塑料导尿管上拆卸多次使用的监控检测系统，可按时间和流量、压力多向监控患者有没有及时排尿和固定时间段内排尿量的多少来进行数据数据传输并监控；监控检测系统的传感器数据通过APP显示在医护人员的手机上，实时记录和数据传输方便医护人员实时了解病人尿动力学情况，更方便准确地将实时数据更新，节省了大量的人力也避免了由于人工检查而出现遗漏的数据；医生根据需要可以任意设置持续排尿方式、压力排尿方式、定时排尿方式一种或者联合排疗方式，再结合肌电图可以帮助医护人员了解病人的尿动力学情况；实时记录和数据传输方便医护人员实时了解病人尿动力学情况；根据压力排尿方式，可以有效的训练膀胱肌肉、避免长期持续导尿导致膀胱肌肉萎缩，给今后的康复带来困难。A neurogenic bladder urodynamic detection and treatment device proposed by the utility model adopts three controllable urination modes. The rubber outer tube is injected with glycerin through the glycerin tube to make it expand, and the tube can be fixed so that it can be used when the patient moves or Due to gravity and other factors, the drug injection tube can be used for drug infusion therapy; using the monitoring and detection system that can be disassembled from the plastic catheter for multiple uses, it can monitor whether the patient urinates in time and fix the time in multiple directions according to time, flow rate and pressure The amount of urination in the segment is used for data transmission and monitoring; the sensor data of the monitoring and detection system is displayed on the mobile phone of the medical staff through the APP. Real-time recording and data transmission facilitate the medical staff to understand the patient's urodynamics in real time, and more conveniently and accurately Updating real-time data saves a lot of manpower and avoids missing data due to manual inspection; doctors can arbitrarily set continuous urination, pressure urination, timed urination or combined urination according to needs. The electrogram can help medical staff understand the patient's urodynamic situation; real-time recording and data transmission facilitate medical staff to understand the patient's urodynamic situation in real time; according to the pressure urination method, it can effectively train the bladder muscles and avoid long-term continuous catheterization that causes bladder muscle damage. Atrophy will bring difficulties to future rehabilitation.
附图说明Description of drawings
附图用来提供对本实用新型的进一步理解，并且构成说明书的一部分，与本实用新型的实施例一起用于解释本实用新型，并不构成对本实用新型的限制。在附图中：The accompanying drawings are used to provide a further understanding of the utility model, and constitute a part of the description, and are used to explain the utility model together with the embodiments of the utility model, and do not constitute a limitation to the utility model. In the attached picture:
图1是本实用新型的结构示意图；Fig. 1 is the structural representation of the utility model;
图2是本实用新型的监控检测系统示意图。Fig. 2 is a schematic diagram of the monitoring and detection system of the present invention.
具体实施方式Detailed ways
以下结合附图对本实用新型的优选实施例进行说明，应当理解，此处所描述的优选实施例仅用于说明和解释本实用新型，并不用于限定本实用新型。The preferred embodiments of the present utility model are described below in conjunction with the accompanying drawings. It should be understood that the preferred embodiments described here are only used to illustrate and explain the present utility model, and are not intended to limit the present utility model.
如图1所示，本实用新型涉及一种神经源性膀胱尿动力学检测与治疗装置，包括橡胶软管1、导管接口2、塑料导尿管3、监控检测系统4、储尿袋5和出液口6，其特征在于，所述橡胶软管为三腔管；所述三腔管还包括橡胶导尿管7、注射甘油管8和注射药物管9；所述注射甘油管8由橡胶软管外管引出；所述塑料导尿管3通过导管接口2直接与三腔管的橡胶导尿管7连接；所述监控检测系统4固定在塑料导尿管3上，由流量表10、压力表11和传感器12三部分组成；所述储尿袋5与塑料导尿管3相连，最底端有出液口6，储尿袋5上有容量刻度；所述橡胶导尿管7外管在注射甘油管注入液体时最顶端呈球状膨胀；所述橡胶导尿管7的一侧上有小孔，该侧部位内管壁与外管壁无间隙；所述有三腔管有一个独立的注射药物管道；所述监控检测系统4监控的数据可传输至终端系统；所述监控检测系统4的传感器11可设置定时监控警报系统；所述监控检测系统4中的流量表10测量尿液排量并上传至终端；所述监控检测系统4的传感器11在塑料导尿管3上可拆卸并在其他同类装置上多次使用。As shown in Figure 1, the utility model relates to a neurogenic bladder urodynamic detection and treatment device, including a rubber hose 1, a catheter interface 2, a plastic catheter 3, a monitoring and detection system 4, a urine storage bag 5 and The liquid outlet 6 is characterized in that the rubber hose is a three-lumen tube; the three-lumen tube also includes a rubber catheter 7, a glycerin injection tube 8 and a drug injection tube 9; the glycerin injection tube 8 is made of rubber The outer tube of the hose is drawn out; the plastic catheter 3 is directly connected with the rubber catheter 7 of the three-cavity tube through the catheter interface 2; the monitoring and detection system 4 is fixed on the plastic catheter 3, and is controlled by the flow meter 10, The pressure gauge 11 and the sensor 12 are composed of three parts; the urine storage bag 5 is connected with the plastic catheter 3, and the bottom end has a liquid outlet 6, and there is a capacity scale on the urine storage bag 5; The top of the tube expands spherically when the glycerin tube is injected into the liquid; there is a small hole on one side of the rubber catheter 7, and there is no gap between the inner tube wall and the outer tube wall at this side; the three-lumen tube has an independent The injection drug pipeline; the data monitored by the monitoring and detecting system 4 can be transmitted to the terminal system; the sensor 11 of the monitoring and detecting system 4 can be set to a timing monitoring alarm system; the flow meter 10 in the monitoring and detecting system 4 measures urine The displacement is uploaded to the terminal; the sensor 11 of the monitoring and detection system 4 is detachable on the plastic urinary catheter 3 and can be used repeatedly on other similar devices.
本实用新型涉及一种神经源性膀胱尿动力学检测与治疗装置，其制作和原理是：注射甘油管与橡胶管的外管相通，当注射甘油管入甘油时，橡胶外管的最前头部位呈球状膨胀，由于患者膀胱萎缩不具备弹性，故用橡胶外管膨胀来锻炼膀胱肌，也能帮助患者顺利排尿。The utility model relates to a device for detecting and treating neurogenic bladder urodynamics. Its manufacture and principle are as follows: a glycerin injection tube communicates with the outer tube of a rubber tube, and when the glycerin tube is injected into glycerin, the front end of the rubber outer tube The bladder is inflated in a spherical shape. Since the patient's bladder is atrophied and does not have elasticity, the rubber outer tube is used to expand the bladder muscle to exercise the bladder muscle, which can also help the patient urinate smoothly.
监控检测系统4的流量表10和传感器11可根据患者的不同身体状态进行设置警报时间和流量，当普通患者受监控时，一般设置在24小时无尿液排出时警报系统将会发出警报传递给医护人员；当患者在大量输液后排尿量也会随之增加，则此时可将传感器11设置1-2小时的排尿量没有达到一定的当量时，警报系统发出警报传输给医护人员。The flow meter 10 and sensor 11 of the monitoring and detection system 4 can be set according to the different physical states of the patient and the alarm time and flow rate. When an ordinary patient is monitored, the alarm system will generally send out an alarm when there is no urine discharge in 24 hours. Medical staff; when the patient urinates after a large amount of infusion, the amount of urine will also increase. At this time, the sensor 11 can be set to 1-2 hours. When the urination does not reach a certain amount, the alarm system will send an alarm to the medical staff.
实施例：Example:
1.导尿：1. Catheterization:
持续导尿(通过电子控制开关实现)目的是：(1)抢救危重、休克患者时正确记录每小时尿量、测尿比重，密切观察患者的病情变化；(2)为盆腔手术排空膀肤，使膀胧持续保持空虚状态，避免术中误伤；(3)某些泌尿系统疾病手术后留置导尿管，便于引流和冲洗，并减轻手术切口的张力，促进切口的愈合；(4)为尿失禁或会阴部有伤口的患者引流尿液，保持会阴部的清洁干燥；(5)为尿失禁患者行膀胧功能训练。The purpose of continuous catheterization (realized by electronic control switch) is: (1) to correctly record the hourly urine volume and urine specific gravity when rescuing critically ill or shock patients, and to closely observe the patient's condition changes; (2) to empty the bladder for pelvic surgery. , to keep the bladder continuously empty and avoid accidental injury during the operation; (3) indwelling a urinary catheter after surgery for certain urinary system diseases to facilitate drainage and flushing, and to reduce the tension of the surgical incision and promote the healing of the incision; (4) for Patients with urinary incontinence or perineum wounds should drain urine to keep the perineum clean and dry; (5) perform bladder function training for patients with urinary incontinence.
定时导尿(根据病情需要通过定电子时开关实现)目的是：通过定时导尿可以让膀胱得到充分充盈有利于训练膀胱肌、避免长期持续导尿引起膀胱肌萎缩，给今后康复来困难。The purpose of timing catheterization (according to the needs of the patient’s condition through a timing switch) is to allow the bladder to be fully filled through timing catheterization, which is conducive to training the bladder muscle and avoiding bladder muscle atrophy caused by long-term continuous catheterization, which will make future recovery difficult.
实时导尿(根据膀胱的压力通过压力传感器1实现)目的在病人输液、餐后实时导尿可测量膀胱的容量，并了解膀胱在储尿期及排尿期的问题。The real-time catheterization (according to the pressure of the bladder is realized by the pressure sensor 1) aims to measure the capacity of the bladder by real-time catheterization after the patient infusion and meal, and understand the problems of the bladder during the storage period and the urination period.
2.膀胱动力学检测：2. Bladder dynamics detection:
研究贮尿和排尿的生理过程及其功能障碍尿动力学检查包括下列项目：Study the physiological process of urine storage and voiding and its dysfunction Urodynamic examination includes the following items:
(1)尿流率：(通过流量表实现)可测知排尿量、尿流时间、尿流速度，并做残尿量的判定。借以了解膀胱，膀胱肌肉功能不正常会造成尿流速变慢。(1) Urine flow rate: (realized by a flow meter) can measure the urine output, urine flow time, and urine flow velocity, and make a judgment on the residual urine volume. To understand the bladder, bladder muscle dysfunction can cause a slow flow of urine.
(2)注入及排空膀胱的容积压力：可测量膀胱的容量，并了解膀胱在储尿期及排尿期的问题。(2) The volume pressure of the injected and emptied bladder: it can measure the capacity of the bladder, and understand the problems of the bladder during the storage period and urination period.
(3)配合肌电图：测定外括约肌的功能，并得知逼尿肌与括约肌有无协调(3) Cooperate with electromyography: measure the function of the external sphincter, and know whether the detrusor and sphincter are coordinated
3.膀胱肌训练:3. Bladder muscle training:
通过定时导尿可以让膀胱得到充分充盈有利于训练膀胱肌、避免长期持续导尿引起膀胱肌萎缩。The bladder can be fully filled through regular catheterization, which is conducive to training the bladder muscle and avoiding bladder muscle atrophy caused by long-term continuous catheterization.
4.本系统使用对象：4. Objects of this system:
(1)抢救危重病人；(1) Rescue critically ill patients;
(2)盆腔手术；(2) Pelvic surgery;
(3)某些泌尿系统疾病手术后；(3) After surgery for certain urinary system diseases;
(4)尿失禁或会阴部有伤口的患者；(4) Patients with urinary incontinence or perineal wounds;
(5)尿失禁患者行膀胧功能训练。(5) Bladder function training for patients with urinary incontinence.
本实用新型所提出的一种神经源性膀胱尿动力学检测与治疗装置采用橡胶外管通过注射甘油管注入甘油使其膨胀，能够固定管道使之在患者移动或者由于重力等因素滑落；利用监控检测系统4可按时间和流量双向监控患者有没有及时排尿和固定时间段内排尿量的多少来进行数据数据传输并监控；监控检测系统4的传感器11数据通过APP显示在医护人员的手机上，医护人员可以随时、更方、便准确地了解病人的膀胱功能，节省了大量的人力也避免了由于人工操作造成延误。A neurogenic bladder urodynamic detection and treatment device proposed by the utility model adopts a rubber outer tube to inject glycerin into a glycerin tube to expand it, and can fix the tube so that it can slide when the patient moves or due to gravity and other factors; The detection system 4 can bidirectionally monitor whether the patient urinates in time and the volume of urination within a fixed period of time according to time and flow for data transmission and monitoring; the sensor 11 data of the monitoring and detection system 4 is displayed on the mobile phone of the medical staff through the APP, The medical staff can know the bladder function of the patient more conveniently and accurately at any time, which saves a lot of manpower and avoids the delay caused by manual operation.
以上所述仅为本实用新型的优选实施例而已，并不用于限制本实用新型，尽管参照前述实施例对本实用新型进行了详细的说明，对于本领域的技术人员来说，其依然可以对前述各实施例所记载的技术方案进行修改，或者对其中部分技术特征进行等同替换。凡在本实用新型的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本实用新型的保护范围之内。The above description is only a preferred embodiment of the utility model, and is not intended to limit the utility model. Although the utility model has been described in detail with reference to the aforementioned embodiments, for those skilled in the art, it can still understand the aforementioned The technical solutions described in each embodiment are modified, or some of the technical features are equivalently replaced. Any modification, equivalent replacement, improvement, etc. made within the spirit and principles of the present utility model shall be included in the protection scope of the present utility model.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106880365A (en) * | 2017-03-28 | 2017-06-23 | 南京市六合区人民医院 | A kind of neurogenic bladder urodynamics detection and treatment system |
| CN110353706A (en) * | 2019-08-06 | 2019-10-22 | 厦门市领汇医疗科技有限公司 | A kind of urodynamics tractor |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106880365A (en) * | 2017-03-28 | 2017-06-23 | 南京市六合区人民医院 | A kind of neurogenic bladder urodynamics detection and treatment system |
| CN110353706A (en) * | 2019-08-06 | 2019-10-22 | 厦门市领汇医疗科技有限公司 | A kind of urodynamics tractor |
| CN110353706B (en) * | 2019-08-06 | 2023-10-20 | 厦门市领汇医疗科技有限公司 | Urodynamic tractor |
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