CN208741663U - A kind of intelligent high-pressure injector handle device - Google Patents

A kind of intelligent high-pressure injector handle device Download PDF

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CN208741663U
CN208741663U CN201820505520.1U CN201820505520U CN208741663U CN 208741663 U CN208741663 U CN 208741663U CN 201820505520 U CN201820505520 U CN 201820505520U CN 208741663 U CN208741663 U CN 208741663U
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injection
contrast agent
pressure injector
handle
control
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刘勇
黄育铭
陈纪言
耿庆山
谭宁
陈世群
谈文开
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Abstract

The utility model discloses a kind of intelligent high-pressure injector handle device is provided, the injection handle including maximum contrast dose assessment system and control high pressure injector injection, the injection handle is equipped with injection control, power supply and microelectronic control system;The microelectronic control system includes the microelectronic chip connecting with the power supply and the timekeeping system connecting with the microelectronic chip, alarm system and display;The injection control includes the injection contrast agent switch connecting with the microelectronic chip, injecting heparin-sodium chloride switch and contrast agent Injection valve.The intelligent high-pressure injector handle device can calculate the maximum contrast tolerance dose of patient with creatinine number according to the patient's condition, it can guarantee that the total amount for injecting contrast agent to patient in surgical procedure is no more than its maximum contrast tolerance dose, avoid the compromised kidneys for leading to patient because injecting excessive contrast agent.

Description

A kind of intelligent high-pressure injector handle device
Technical field
The utility model relates to a kind of Medical Devices more particularly to a kind of intelligence injected for controlling medical high-pressure syringe It can high pressure injector handle apparatus.
Background technique
With the rapid development of medical imaging technology and interventional therapy, to the quality of spiral CT, CTA, DSA medical image It is required that higher and higher, doctor and patient slowly start to need higher-quality spiral CT, CTA, DSA medical image and three-dimensional reconstruction Effect, better diagnosis effect and the harm of lower contrast agent.In order to preferably obtain the medicine shadow of high quality and high contrast As figure, thus increase application of the contrast agent in Medical Imaging.Currently, the injection of contrast agent needs matching for high pressure injector It closes, and can only then rely on the clinical experience of doctor for the control of contrast agent injection volume, it is easy to will appear contrast agent and inject The phenomenon that amount, excessive contrast agent injection can endanger the renal function of patient.Meanwhile high pressure injector injection operation is improper to draw Cause the picture quality of spiral CT, CTA and DSA not high, the injection pressure of high pressure injector is excessively high to cause complication for patients.
Utility model content
Utility model aims to solve above-mentioned shortcoming and defect of the existing technology, provide a kind of for controlling The intelligent high-pressure injector handle device of medical high-pressure syringe injection.The intelligent high-pressure injector handle device can be according to trouble The case where person and creatinine number calculate the maximum contrast tolerance dose of the patient, and doctor passes through the intelligent high-pressure syringe hand Handle device manipulates high pressure injector and injects contrast agent to patient, can guarantee in surgical procedure and injects the total amount of contrast agent not to patient More than its maximum contrast tolerance dose, the compromised kidneys for leading to patient because injecting excessive contrast agent are avoided.
To solve its technical problem, the technology employed by the present utility model is a kind of intelligent high-pressure injector handle Device, the injection handle including maximum contrast dose assessment system and control high pressure injector injection, the injection handle are set There are injection control, power supply and microelectronic control system;
The microelectronic control system include the microelectronic chip being connect with the power supply and with the microelectronic chip Timekeeping system, alarm system and the display of connection;
The injection control includes the injection contrast agent switch for controlling high pressure injector injection contrast agent, control high-pressure injection The contrast agent introduction valve of the injection gradient of device injecting heparin-sodium chloride injecting heparin-sodium chloride switch and control contrast agent Door;The injection contrast agent switch, injecting heparin-sodium chloride switch and contrast agent Injection valve connect with the microelectronic chip It connects.
The maximum contrast dose assessment system is radiographic contrast nephropathy (CIN) Risk-warning and decision system, is calculated Machine software copyright registration number is 2016SR367388.The maximum contrast dose assessment system can according to the case where patient and Creatinine number calculates the maximum contrast tolerance dose of the patient.
Preferably, the microelectronic control system further includes wireless transmitting system, and the microelectronic chip passes through the nothing Line Transmission system is connect with computer.In this way, doctor can see the ejection situation of contrast agent in real time on computers, moreover it is possible to pass through Computer settings are injected in single maximum injection flow, single maximum injection total amount, single maximum injection pressure and the art of handle Maximum injection total amount.Maximum contrast dose assessment system is installed on computer, and passes through the wireless transmitting system and institute State microelectronic chip connection.
The working principle of the intelligent high-pressure injector handle device are as follows: first according to the case where patient and creatinine number, use institute State the maximum contrast tolerance dose that maximum contrast dose assessment system-computed goes out the patient.It is then turned on the electricity of injection handle Source connects computer and the injection handle by the wireless transmitting system, display or calculating in the injection handle Contrast agent and heparin-sodium chloride solution single maximum injection flow, single maximum injection total amount, single maximum note are set on machine Maximum injection total amount in injection pressure and art.Maximum injection total amount value is equal to the maximum contrast of the patient in the art of the contrast agent Tolerance dose.Microelectronic chip controls injection contrast agent switch, injecting heparin-sodium chloride according to the numerical value set on display Switch and contrast agent Injection valve, and information is fed back into the timekeeping system and alarm system.The timekeeping system is based on Calculate total time of performing the operation, the time of single depression injection contrast agent, the time of total pressing injection contrast agent, single depression injection liver Element-sodium chloride solution time and total pressing heparin-sodium chloride solution time, and related data is shown in the display On device.When practical contrast agent injection total amount differs 30ml with maximum injection total amount in preset art, the alarm system is issued Alarm sound;When practical contrast agent injection total amount is equal to maximum injection total amount in preset art, the alarm system issues report Alert sound.
Preferably, the display is touch-screen display.The display can real-time display contrast agent and heparin-chlorination Actual injection total amount, single injection flow, single injection total amount and the single injection pressure of sodium solution.Medical staff can be described Contrast agent and heparin-sodium chloride solution single maximum injection flow, single maximum injection total amount are set on display, and single is most Maximum injection total amount in big injection pressure and the art of contrast agent.
Preferably, the injection handle is additionally provided with the connecting line for connecting the microelectronic chip with high pressure injector.
Preferably, the display be set to it is described injection handle front surface on, the microelectronic chip, timekeeping system, Alarm system and power supply are set to the inside of the injection handle.
Preferably, the injection contrast agent switch and injecting heparin-sodium chloride switch are set to the positive table of the injection handle On face, the contrast agent Injection valve is set on the side of the injection handle.
Preferably, three gradients of the contrast agent Injection valve equipped with control contrast agent bolus total amount, described three A gradient is respectively 0.1-1ml, 1-10ml and 10-100ml.
The application method of the intelligent high-pressure injector handle device is as follows:
1) operation working specification is injected in strict accordance with technician's contrast agent;
2) high pressure injector and intelligent high-pressure injector handle installation's power source are opened;
3) the injection handle of computer and intelligent high-pressure injector handle device is connected by wireless transmitting system;
4) gradient of contrast agent Injection valve is selected on injection handle;
5) set on the display of injection handle contrast agent and heparin-sodium chloride solution single maximum injection flow, Maximum injection total amount in the art of single maximum injection total amount, single maximum injection pressure and contrast agent.
6) radiography is injected to control high pressure injector by pressing injection contrast agent switch and injecting heparin-sodium chloride switch Agent and heparin-sodium chloride solution, and contrast agent and heparin-sodium chloride solution single note are controlled according to the strength of pressing Amount of jet, single injection total amount and single injection pressure, but no more than preset value;
7) display for injecting handle can show last injection flow, injection total amount and injection pressure, and by wireless Transmission system will be in related data real-time display to computer.
Compared with prior art, the utility model has the following beneficial effects: the intelligent high-pressure injector handle of the utility model Device can guarantee surgical procedure to trouble according to the case where patient and creatinine number calculates the maximum contrast tolerance dose of the patient The total amount that person injects contrast agent is no more than its maximum contrast tolerance dose, avoids leading to patient's because injecting excessive contrast agent Compromised kidneys.The intelligent high-pressure injector handle device can also set and control the contrast agent and heparin-chlorine of high pressure injector It is total to change maximum injection in single maximum injection flow, single maximum injection total amount, single maximum injection pressure and the art of sodium solution Amount, avoids being led to the problems such as contrastographic picture is of low quality generation because of misoperation.In addition, the intelligent high-pressure syringe can also Contrast agent and heparin-sodium chloride solution injection related data will be shown on computers or set, is manipulated convenient for doctor.
Detailed description of the invention
Fig. 1 is the perspective view of the intelligent high-pressure injector handle device of the utility model embodiment 1;
Fig. 2 is the structural schematic diagram of the intelligent high-pressure injector handle device of the utility model embodiment 1;
Fig. 3 is the connection schematic diagram of the intelligent high-pressure injector handle device of the utility model embodiment 1;
Fig. 4 is the working principle flow chart of the intelligent high-pressure injector handle device of the utility model embodiment 1.
In figure, injection handle 1, connecting line 2, injection control 3, power supply 4, microelectronic control system 5, microelectronic chip 6, meter When system 7, alarm system 8, display 9, injection contrast agent switch 10, injecting heparin-sodium chloride switch 11, contrast agent introduction valve Door 12, wireless transmitting system 13.
Specific embodiment
Embodiment 1
The present embodiment 1 provides a kind of intelligent high-pressure injector handle device, as shown, including that maximum contrast dosage is commented Estimate system and control the injection handle 1 of high pressure injector injection, injection handle 1 is connect by connecting line 2 with high pressure injector.Note Shooter's handle 1 is equipped with injection control 3, power supply 4 and microelectronic control system 5.Microelectronic control system 5 includes connecting with power supply 4 Microelectronic chip 6 and the timekeeping system 7 being connect with microelectronic chip 6, alarm system 8 and display 9.Injecting control 3 includes Control injection contrast agent switch 10, the control high pressure injector injecting heparin-sodium chloride note of high pressure injector injection contrast agent It penetrates heparin-sodium chloride switch 11 and controls the contrast agent Injection valve 12 of the injection gradient of contrast agent.Inject contrast agent switch 10, injecting heparin-sodium chloride switch 11 and contrast agent Injection valve 12 are connect with microelectronic chip 6.
Specifically, display 9 is set on the front surface of injection handle 1, microelectronic chip 6, timekeeping system 7, alarm system 8 And power supply 4 is set to the inside of injection handle 1.It injects contrast agent switch 10 and injecting heparin-sodium chloride switch 11 is set to injection hand On the front surface of handle 1, contrast agent Injection valve 12 is set on the side of injection handle 1.Inject contrast agent switch 10 and injection liver Element-sodium chloride switch 11 is medical grade rubber button, and contrast agent Injection valve 12 is gear potentiometer.Contrast agent Injection valve 12 is set There are three gradients of control contrast agent bolus total amount, three gradients are respectively 0.1-1ml, 1-10ml and 10-100ml.
Specifically, maximum contrast dose assessment system is radiographic contrast nephropathy (CIN) Risk-warning and decision system, meter Calculation machine software copyright registration number is 2016SR367388.Maximum contrast dose assessment system is installed on computer, can root According to the case where patient and creatinine number calculates the maximum contrast tolerance dose of the patient.In maximum contrast dose assessment system The patient basis of input includes: age (age), systolic pressure (SBP), heart rate (HR), and Left Ventricular Ejection Fraction (LVEF) is blood red Albumen (HG), hematocrit (HCT), albumin (ALB), serum creatinine (scr), uric acid (URI), urea nitrogen (BUN), creatine Kinases (CKMB), potassium (K) and brain natriuretic peptide (BNP).
Specifically, microelectronic control system 5 further includes wireless transmitting system 13, microelectronic chip 6 passes through wireless transmission system System 13 is connect with computer.The wireless transmitting system 13 of the present embodiment turns serial ports wireless transparent using the embedded WIFI of HLK-RM04 Transmission module, microelectronic chip 6 use Espruino Pico (unpinned) one chip microcomputer panel.In this way, doctor can count Contrast agent and heparin-sodium chloride solution ejection situation are seen on calculation machine in real time, moreover it is possible to inject handle 1 by computer settings Maximum injection total amount in single maximum injection flow, single maximum injection total amount, single maximum injection pressure and art.
The working principle of the intelligent high-pressure injector handle device of the present embodiment are as follows: first according to the case where patient and creatinine Number, the maximum contrast tolerance dose of the patient is gone out with maximum contrast dose assessment system-computed.It is then turned on injection handle Power supply, by wireless transmitting system connect computer and injection handle, injection handle display or computer on set Contrast agent and heparin-sodium chloride solution single maximum injection flow, single maximum injection total amount, single maximum injection pressure and Maximum injection total amount in art.Maximum injection total amount value is equal to the maximum contrast tolerance dose of the patient in the art of contrast agent.It is micro- Electronic chip controls injection contrast agent switch, injecting heparin-sodium chloride switch and radiography according to the numerical value set on display Agent Injection valve, and information is fed back into timekeeping system and alarm system.Timekeeping system is pressed for calculating operation total time, single Pressure injection penetrates time, the single depression injecting heparin-sodium chloride solution time of the time of contrast agent, total pressing injection contrast agent And total pressing heparin-sodium chloride solution time, and related data is shown on the display.When practical contrast agent is infused When firing association's amount differs 30ml with preset contrast agent injection total amount, alarm system issues alarm sound;When practical contrast agent is injected When total amount is equal to preset contrast agent injection total amount, alarm system issues alarm sound.
Specifically, display 9 is touch-screen display, it can real-time display contrast agent and heparin-sodium chloride solution reality Inject total amount, single injection flow, single injection total amount and single injection pressure.Meanwhile medical staff can set on the display 9 Set contrast agent and heparin-sodium chloride solution single maximum injection flow, single maximum injection total amount, single maximum injection pressure With maximum injection total amount in the art of contrast agent.
The application method of the intelligent high-pressure injector handle device of the present embodiment is as follows:
1) operation working specification is injected in strict accordance with technician's contrast agent;
2) high pressure injector and intelligent high-pressure injector handle installation's power source are opened;
3) the injection handle of computer and intelligent high-pressure injector handle device is connected by wireless transmitting system;
4) gradient of contrast agent Injection valve is selected on injection handle;
5) set on the display of injection handle contrast agent and heparin-sodium chloride solution single maximum injection flow, The total amount of single maximum injection total amount, single maximum injection pressure and Photographg agent injection.
6) radiography is injected to control high pressure injector by pressing injection contrast agent switch and injecting heparin-sodium chloride switch Agent and heparin-sodium chloride solution, and contrast agent and heparin-sodium chloride solution single note are controlled according to the strength of pressing Amount of jet, single injection total amount and single injection pressure, but no more than preset value;
7) display for injecting handle can show last injection flow, injection total amount and injection pressure, and by wireless Transmission system will be in related data real-time display to computer.
Clinical use case
In strict accordance with doctor's operation working specification and technician's operation working specification, technician opens high pressure injector and embodiment 1 intelligent high-pressure injector handle installation's power source, the intelligence of the high pressure injector and embodiment 1 of being bought market by connecting line The connection of high pressure injector handle apparatus, doctor carry out percutaneous coronary bracket to 72 years old male patient.
Patient's basic condition
Patient male, insult х х, 72 years old, because " 10 years after percutaneous transluminal coronary stent implantation, then sending out pectoralgia 2 days " is in 2018-02-09 Take in our hospital.There is precordial fullness pain suddenly in 10 Nian Qianwu inducement of patient, and to squeeze sample, paroxysmal breaks out continue 20-30 every time Minute, it with palpitaition, feels suffocated and whole body cold sweat, does not radiate to elsewhere, cannot be relieved after rest, with dizzy, big belly, Zeng Yu Local hospital is medical, looks into electrocardiogram prompt " acute inferior myocardial infarction ", blood troponin I positive is diagnosed as " coronary heart disease, urgency Property lower wall myocardial infarction ", give the treatment such as " nitroglycerin, aspirin, Plavix ", above-mentioned symptom is relieved, but still is had Slighter above-mentioned symptom, in August, 2009 are gone to a doctor in our hospital, and row coronary angiography shows triple vessel disease, are implanted into 5 pieces of bracket altogether. Postoperative patient restores good, the long-term oral medicaments for coronary disease treatment of rule.Aspirin, Lipitor are oral so far, Plavix mouth It takes 1 year.The morning 8:00 patient of on February 07th, 2018 is without bored pain under obvious inducement burst xiphoid-process, and range is in fist size, without him Place's radiation, with slight dizzy, limbs fatigue, without sweat all over, Nausea and vomiting, amaurosis, headache, palpitaition, the discomforts such as shortness of breath, hold Gradually alleviate after 1 hour continuous.The patient assessment of on February 08th, 2018 illustrates II, III, aVF lead pathologic in outer court, row electrocardio Q wave, ST sections are raised 0.05mv.CKMB 17.52ng/ml, cTnI 17.51ng/ml, Myo 122.4ng/ml.Consider the acute heart Flesh infarct, remaining ticagrelor load treatment.The present takes in my lesion for further treatment.
The past diabetes medical history, it is specifically unknown.Physical examination: Bp:106/60mmHg, weight 59kg, height 164cm.Biochemistry inspection It looks into and shows creatinine: 94.21umol/L, hematocrit value: 37.3%.Electrocardiogram shows without exception.Color Sonography shows LVEF57%, Meet the change of coronary heart disease ultrasound, Diastole Function decline, slight mitral regurgitation.
It is with the maximum contrast tolerance dose that the maximum contrast dose assessment system-computed of embodiment 1 goes out the patient 136.40ml。
Maximum injection total amount is infused as 136.40ml, single maximum in the art for setting contrast agent on the display of embodiment 1 Firing association's amount is 4ml, single maximum injection flow is 3ml and single maximum injection pressure is 700psi.It can also be by wirelessly passing Defeated system connect injection handle with computer, then sets the above-mentioned injection data of contrast agent on computers.
In art: 02-11 row coronary angigraphy+percutaneous coronary intervention (pci), it is preoperative to give 0.9% physiological saline 500ml aquation, Results of Coronary Arteriography show narrow 70%, the LAD in the tail portion LM opening narrow 70%, the visible bracket shadow in nearly middle section, branch Narrow 60%, the LCX opening of distal section and the narrow 50-60% of proximal segment diffusivity, the narrow 60-90% of distal section diffusivity in frame.Row LAD- LM, LCX row PCI treatment are sent into 2 2.5*33mm drug stent of Firebird in LCX distal section lesion, are sent into the distal end LAD Happy general 3.5*18mm drug stent.
Operation terminates, and technician closes high pressure injector and medicinal intelligent high pressure injector handle apparatus power supply, closes connection Line 1.
Postoperative: the maximum contrast tolerance dose of patient is 136.40ml, and performs the operation and actually used 120ml contrast agent, Patient checks creatinine 95.77umol/L (preoperative creatinine: 94.21umol/L) after returning to ward, and not sent creatinine is significantly raised, nothing Radiographic contrast nephropathy occurs.
By above-mentioned clinical case as it can be seen that the intelligent high-pressure injector handle device of the present embodiment 1 can guarantee surgical procedure The total amount for injecting contrast agent to patient is no more than its maximum contrast tolerance dose, avoids causing to suffer from because injecting excessive contrast agent The compromised kidneys of person.
Finally, it should be noted that above embodiments are only to illustrate the technical solution of the utility model rather than to this realities With the limitation of novel protected range, although being explained in detail referring to preferred embodiment to the utility model, this field it is common It will be appreciated by the skilled person that can be with the technical solution of the present invention is modified or equivalently replaced, without departing from this reality With the spirit and scope of new technique scheme.

Claims (7)

1. a kind of intelligent high-pressure injector handle device, it is characterised in that: including maximum contrast dose assessment system and control The injection handle of high pressure injector injection, the injection handle are equipped with injection control, power supply and microelectronic control system;
The microelectronic control system includes the microelectronic chip connecting with the power supply and connect with the microelectronic chip Timekeeping system, alarm system and display;
The injection control includes the injection contrast agent switch for controlling high pressure injector injection contrast agent, control high pressure injector note Penetrate the contrast agent Injection valve of the injection gradient of heparin-sodium chloride injecting heparin-sodium chloride switch and control contrast agent; The injection contrast agent switch, injecting heparin-sodium chloride switch and contrast agent Injection valve are connect with the microelectronic chip.
2. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: the microelectronic control system is also Including wireless transmitting system, the microelectronic chip is connect by the wireless transmitting system with computer.
3. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: the display is to touch screen display Show device.
4. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: the injection handle, which is additionally provided with, to be made The connecting line that the microelectronic chip is connect with high pressure injector.
5. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: the display is set to the note On the front surface of shooter's handle, the microelectronic chip, timekeeping system, alarm system and power supply are set to the interior of the injection handle Portion.
6. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: injection contrast agent switch and Injecting heparin-sodium chloride switch is set on the front surface of the injection handle, and the contrast agent Injection valve is set to the injection On the side of handle.
7. intelligent high-pressure injector handle device as described in claim 1, it is characterised in that: the contrast agent Injection valve is set There are three gradients of control contrast agent bolus total amount, three gradients are respectively 0.1-1ml, 1-10ml and 10- 100ml。
CN201820505520.1U 2018-04-10 2018-04-10 A kind of intelligent high-pressure injector handle device Active CN208741663U (en)

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CN201820505520.1U CN208741663U (en) 2018-04-10 2018-04-10 A kind of intelligent high-pressure injector handle device

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Application Number Priority Date Filing Date Title
CN201820505520.1U CN208741663U (en) 2018-04-10 2018-04-10 A kind of intelligent high-pressure injector handle device

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