CN213698272U - Intelligent control backwashing constant-pressure filling and sucking system - Google Patents
Intelligent control backwashing constant-pressure filling and sucking system Download PDFInfo
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- CN213698272U CN213698272U CN202022361556.7U CN202022361556U CN213698272U CN 213698272 U CN213698272 U CN 213698272U CN 202022361556 U CN202022361556 U CN 202022361556U CN 213698272 U CN213698272 U CN 213698272U
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- way valve
- negative pressure
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- 238000011001 backwashing Methods 0.000 title description 2
- 210000000626 ureter Anatomy 0.000 claims abstract description 22
- 230000010412 perfusion Effects 0.000 claims abstract description 20
- 238000000034 method Methods 0.000 claims abstract description 12
- 239000007788 liquid Substances 0.000 claims description 15
- 238000011010 flushing procedure Methods 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 abstract description 12
- 238000002347 injection Methods 0.000 abstract description 7
- 239000007924 injection Substances 0.000 abstract description 7
- 230000000007 visual effect Effects 0.000 abstract description 6
- 206010040047 Sepsis Diseases 0.000 abstract description 5
- 208000031729 Bacteremia Diseases 0.000 abstract description 3
- 230000002980 postoperative effect Effects 0.000 abstract description 3
- 239000004575 stone Substances 0.000 abstract description 3
- 206010019280 Heart failures Diseases 0.000 abstract description 2
- 206010037423 Pulmonary oedema Diseases 0.000 abstract description 2
- 208000005333 pulmonary edema Diseases 0.000 abstract description 2
- 210000003708 urethra Anatomy 0.000 abstract description 2
- 230000002485 urinary effect Effects 0.000 abstract 1
- 210000000244 kidney pelvis Anatomy 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000031868 Calculus ureteric Diseases 0.000 description 1
- 229910052689 Holmium Inorganic materials 0.000 description 1
- 206010061213 Iatrogenic injury Diseases 0.000 description 1
- 206010024796 Logorrhoea Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000009911 Urinary Calculi Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 239000000428 dust Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- KJZYNXUDTRRSPN-UHFFFAOYSA-N holmium atom Chemical compound [Ho] KJZYNXUDTRRSPN-UHFFFAOYSA-N 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 208000013223 septicemia Diseases 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 201000011086 ureterolithiasis Diseases 0.000 description 1
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Abstract
The utility model belongs to the technical field of transurethral ureteral rubble technique and specifically relates to an intelligent control back flush constant pressure fills and attracts system. Comprises a perfusion bag, a perfusion pump, an intelligent control device, a control valve, two novel absorbable ureteral hard lenses with independent perfusion and suction channels, a negative pressure suction bottle and a central negative pressure suction device. When in use, the calculus enters the bladder cavity through the urethra, then is placed into the ureter cavity along the guide wire from the ureter opening to find out calculus in the ureter cavity, and the calculus in the ureter is broken up and removed by using a related calculus breaking device. Water injection and negative pressure suction drainage are carried out simultaneously in the operation, the drainage speed in the operation can be accelerated on the premise of not influencing the operation, continuous water circulation in the operation visual field is formed, good definition of the visual field in the operation process can be kept, the operation stone breaking efficiency is obviously improved, the internal pressure of a safety cavity can be accurately set before the operation, and complications such as postoperative bacteremia, urinary sepsis, pulmonary edema, heart failure and the like are prevented.
Description
Technical Field
The utility model belongs to the technical field of transurethral ureteral rubble technique and specifically relates to an intelligent control back flush constant pressure fills and attracts system.
Background
Urinary calculi can be treated by a plurality of methods, including conservative treatment, traditional open surgery and minimally invasive endoscopic surgery. With the improvement of percutaneous nephroscope and transurethral ureteroscope technologies and the upgrade of holmium laser lithotripsy equipment and perfusion platforms, the minimally invasive endoscopic surgery treatment gradually replaces the traditional open surgery mode, and gradually changes to surgery through the natural orifice of a human body, so that the application prospect is very wide.
The traditional ureteroscope water injection and drainage system shares one channel, so that continuous water circulation at the front end of the ureteroscope cannot be formed, and the lithotripsy dust interferes with the visual field in the operation, so that the lithotripsy efficiency is low; in addition, continuous water injection is easy to cause over-high renal pelvis pressure, and perfusion fluid is absorbed to cause complications such as pulmonary edema, heart failure, sepsis and the like.
Therefore, people further research a ureteroscope capable of realizing simultaneous water injection and drainage in an operation process, for example, Chinese patent CN 101879056B discloses a ureteroscope, and by additionally arranging a drainage channel, the continuous water injection through a tube cavity of a scope body in the operation is realized, and the continuous drainage of a groove on the outer wall of the scope body is realized, so that the drainage speed in the operation can be accelerated, the continuous water circulation is formed, the drainage quantity in the operation process can be increased on the premise of not influencing the operation, the clear visual field in the operation process can be kept, the operation efficiency is improved, the pressure in a renal pelvis and a ureter can be reduced, and the occurrence of postoperative bacteremia and urogenic sepsis can be prevented. However, the device cannot intelligently control the intra-cavity pressure of the perioperative renal integrated system, for this reason, chinese patent CN 103767744B discloses a medical perfusion platform, which feeds back the pressure measurement device in the cavity to the platform to automatically control the suction negative pressure, so that the intra-cavity pressure is within the safe range, thereby ensuring the safety of the operation, and the operation efficiency is improved by automatically sucking and removing stones, but a flexible ureteroscope sheath is required to be added to the platform, and water is drained through the sheath gap, thereby realizing continuous water injection and drainage and controlling the renal pelvis pressure within the safe range, and clinically about 15% -20% of patients cannot perform the primary sheath operation due to ureteral stenosis, distortion and the like, and even can cause complications such as ureteral iatrogenic injury of the patient during the sheath placement process. Therefore, transurethral ureteroscopy with a sheath has been limited in clinical practice.
Disclosure of Invention
In order to overcome the problems of the prior transurethral ureterolit technology, the utility model relates to an intelligent control back-flushing constant-pressure perfusion and suction system, which comprises a perfusion bag, a perfusion bag liquid output pipeline, a perfusion pump inlet, a perfusion pump output pipeline, a ureteroscope capable of suction, an intelligent control device, a control valve device branch pipeline I to a ureteroscope pipeline capable of suction, a control valve device branch pipeline II to a ureteroscope pipeline capable of suction, a ureteroscope pipeline interface capable of suction, a control valve device outlet pipeline, a control valve device outlet main pipeline, a three-way valve II, a three-way valve I, a control valve device branch pipeline II, a control valve device branch pipeline I, a control valve device outlet main pipeline inlet, a three-way valve II outflow pipeline, a negative pressure suction bottle, a central negative pressure suction device and a control valve device main pipeline, overflow valve II, I pipeline of overflow valve, overflow valve I, II pipelines of overflow valve, II inflow pipeline of three-way valve, I outflow pipeline of three-way valve, II outflow pipelines of three-way valve, vacuum suction bottle to central vacuum suction ware pipeline constitution.
The filling bag is a columnar tank body, and a liquid output pipeline of the filling bag is arranged at the bottom of the filling bag; the other end of the liquid output pipeline of the filling bag is connected with a liquid inlet of the filling pump and connected into the filling pump; the perfusion pump is connected with an intelligent control device.
The output pipeline of the filling pump is connected with a main pipeline of the control valve device.
The intelligent control device is provided with a control valve device outlet 11 which is connected with a control valve device outlet main pipeline.
The absorbable ureter hard lens is a absorbable ureter hard lens utility model patent (patent application number 201920339071.2) and an absorbable ureter hard lens invention patent (publication number 201910202294.9).
The negative pressure suction bottle 20 is a cylindrical tank body, and the negative pressure suction bottle 20 is connected with the three-way valve II 14 and the three-way valve I15.
The method is characterized in that: a three-way valve II, a three-way valve I, an overflow valve II and an overflow valve I are arranged among the output pipeline of the filling pump, the ureteroscope capable of sucking and the negative pressure suction bottle.
The output pipeline of the filling pump is connected with the inlet of the control valve device outlet main pipeline on the control valve device main pipeline.
The control valve device main pipeline is provided with two branch pipelines, a control valve device branch pipeline II and a control valve device branch pipeline I.
A three-way valve I and an overflow valve I are sequentially arranged on the control valve device branch pipeline I.
And a three-way valve II and an overflow valve II are sequentially arranged on the control valve device branch pipeline II.
The outlet of the control valve device is connected with an outlet main pipeline of the control valve device; the control valve device outlet main pipeline is respectively provided with a pipeline connected with an overflow valve I pipeline, an overflow valve II pipeline and a three-way valve II inflow pipeline, and the three-way valve I inflow pipeline.
The control valve device branch pipeline I is connected with the absorbable ureter hard endoscope through a control valve device branch pipeline I to the absorbable ureter hard endoscope pipeline; the control valve device branch pipeline II is connected with the absorbable ureter hard lens through the absorbable ureter hard lens interface pipeline.
The beneficial effects of the utility model are that get into the bladder cavity with the ureteroscope that can attract through the urethra during operation, follow ureter opening along the wire and put into ureter chamber again, find ureter intracavity calculus, use relevant rubble apparatus with the intraductal calculus of ureter garrulous removing. Water injection and negative pressure suction drainage are carried out simultaneously in the operation, the drainage speed in the operation can be accelerated on the premise of not influencing the operation, continuous water circulation in the operation visual field is formed, good definition of the visual field in the operation process can be kept, the operation stone breaking efficiency is obviously improved, the internal pressure of a renal pelvis and a ureter cavity can be reduced, and the occurrence of postoperative bacteremia and urogenic sepsis septicemia is prevented.
The invention is further described with reference to the accompanying drawings and the detailed description.
Drawings
Fig. 1 is a schematic diagram of the cross-sectional structure, cis-perfusion and suction of the present invention.
Fig. 2 is a schematic diagram of the cross-sectional structure, trans-perfusion and suction of the present invention.
In FIGS. 1-2, 1 is a filling bag, 2 is a filling bag liquid output pipeline, 3 is a filling pump liquid inlet, 4 is a filling pump, 5 is a filling pump output pipeline, 6 is a suction ureteroscope, 7 is an intelligent control device, 8 is a control valve device branch pipeline I to a suction ureteroscope pipeline, 9 is a control valve device branch pipeline II to a suction ureteroscope pipeline, 10 is a suction ureteroscope pipeline interface, 11 is a control valve device outlet, 12 is a suction ureteroscope interface pipeline, 13 is a control valve device outlet main pipeline, 14 is a three-way valve II, 15 is a three-way valve I, 16 is a control valve device branch pipeline II, 17 is a control valve device branch pipeline I, 18 is a control valve device outlet main pipeline inlet, 19 is a three-way valve II outflow pipeline, 20 is a negative pressure suction bottle, 21 is a central negative pressure suction device, 22. the control valve device comprises a control valve device main pipeline 23, overflow valves II and 24, an overflow valve I pipeline 25, overflow valves I and 26, an overflow valve II pipeline 27, a three-way valve II inflow pipeline 28, a three-way valve I inflow pipeline 29, a three-way valve I outflow pipeline 30, a three-way valve II outflow pipeline 31 and a negative pressure suction bottle 31 to a central negative pressure suction device pipeline.
Detailed Description
The first embodiment is as follows: referring to fig. 1-2, the utility model relates to an intelligent control back-flushing constant-pressure perfusion and suction system, which comprises a perfusion bag 1, a perfusion bag liquid output pipeline 2, a perfusion pump inlet 3, a perfusion pump 4, a perfusion pump output pipeline 5, a ureteroscope 6 capable of suction, an intelligent control device 7, a control valve device branch pipeline I to a ureteroscope pipeline 8 capable of suction, a control valve device branch pipeline II to a ureteroscope pipeline 9 capable of suction, a ureteroscope pipeline interface 10 capable of suction, a control valve device outlet 11, a ureteroscope interface pipeline 12 capable of suction, a control valve device outlet main pipeline 13, a three-way valve II 14, a three-way valve I15, a control valve device branch pipeline II 16, a control valve device branch pipeline I17, a control valve device outlet main pipeline inlet 18, a three-way valve II outflow pipeline 19, a negative pressure suction bottle 20 and a central negative pressure suction device 21, the control valve device comprises a control valve device main pipeline 22, an overflow valve II 23, an overflow valve I pipeline 24, an overflow valve I25, an overflow valve II pipeline 26, a three-way valve II inflow pipeline 27, a three-way valve I inflow pipeline 28, a three-way valve I outflow pipeline 29, a three-way valve II outflow pipeline 30 and a negative pressure suction bottle to central negative pressure suction device pipeline 31.
The filling bag 1 is a columnar tank body, and a filling bag liquid output pipeline 2 is arranged at the bottom of the filling bag; the other end of the liquid output pipeline 2 of the filling bag is connected with a liquid inlet 3 of a filling pump and is connected with a filling pump 4; the perfusion pump 4 is connected with an intelligent control device 7.
The filling pump outlet line 5 is connected to the control valve assembly main line 22.
The intelligent control device 7 is provided with a control valve device outlet 11, and the control valve device outlet 11 is connected with a control valve device outlet main pipeline 13.
The absorbable uretero-hard lens 6 is a absorbable uretero-hard lens utility model patent (patent application No. 201920339071.2) and an absorbable uretero-hard lens invention patent (publication No. 201910202294.9).
The negative pressure suction bottle 20 is a cylindrical tank body, and the negative pressure suction bottle 20 is connected with the three-way valve II 14 and the three-way valve I15.
The method is characterized in that: a three-way valve II 14, a three-way valve I15, an overflow valve II 23 and an overflow valve I25 are arranged among the output pipeline 5 of the filling pump, the ureteroscope 6 capable of sucking and the negative pressure suction bottle 20.
The infusion pump outlet line 5 is connected to the control valve assembly outlet manifold inlet 18 on the control valve assembly manifold 22.
The control valve assembly main pipe 22 has two branch pipe control valve assembly branch pipes ii 16 and a control valve assembly branch pipe i 17.
The control valve device branch pipeline I17 is sequentially provided with a three-way valve I15 and an overflow valve I25.
And a three-way valve II 14 and an overflow valve II 23 are sequentially arranged on the control valve device branch pipe II 16.
The control valve device outlet 11 is connected with a control valve device outlet main pipeline 13; the control valve device outlet main pipeline 13 is respectively provided with a pipeline connected with an overflow valve I pipeline 24, an overflow valve II pipeline 26, a three-way valve II inflow pipeline 27 and a three-way valve I inflow pipeline 28.
The control valve device branch pipeline I17 is connected with the absorbable ureter hard endoscope 6 from the control valve device branch pipeline I to the absorbable ureter hard endoscope pipeline 8; the control valve device branch pipe II 16 is connected with the suction ureteroscope 6 through the suction ureteroscope interface pipe 12.
Claims (1)
1. An intelligent control back-flushing constant-pressure filling and sucking system comprises a filling bag, a filling bag liquid output pipeline, a filling pump liquid inlet, a filling pump output pipeline, a hard ureteroscope capable of sucking, an intelligent control device, a control valve device branch pipeline I to a hard ureteroscope pipeline capable of sucking, a control valve device branch pipeline II to a hard ureteroscope pipeline capable of sucking, a hard ureteroscope pipeline interface capable of sucking, a control valve device outlet, a hard ureteroscope interface pipeline capable of sucking, a control valve device outlet main pipeline, a three-way valve II, a three-way valve I, a control valve device branch pipeline II, a control valve device branch pipeline I, a control valve device outlet main pipeline inlet, a three-way valve II outflow pipeline, a negative pressure suction bottle, a central negative pressure suction device, a control valve device main pipeline, an overflow valve II, an overflow valve I pipeline, an overflow valve I and an overflow valve II pipeline, the three-way valve II flows into the pipeline, the three-way valve I flows out of the pipeline, the three-way valve II flows out of the pipeline, and the negative pressure suction bottle is connected with the central negative pressure suction device pipeline;
the filling bag is a columnar tank body, and a liquid output pipeline of the filling bag is arranged at the bottom of the filling bag; the other end of the liquid output pipeline of the filling bag is connected with a liquid inlet of the filling pump and connected into the filling pump; the perfusion pump is connected with the intelligent control device;
the output pipeline of the filling pump is connected with a main pipeline of the control valve device;
the intelligent control device is provided with a control valve device outlet which is connected with a control valve device outlet main pipeline;
the negative pressure suction bottle is a cylindrical tank body and is connected with a three-way valve II and a three-way valve I;
the method is characterized in that: a three-way valve II, a three-way valve I, an overflow valve II and an overflow valve I are arranged among the output pipeline of the filling pump, the ureteroscope capable of sucking and the negative pressure suction bottle;
the output pipeline of the filling pump is connected with the inlet of a main pipeline of an outlet of the control valve device on a main pipeline of the control valve device;
the control valve device main pipeline is provided with two branch pipeline control valve device branch pipelines II and a control valve device branch pipeline I;
a three-way valve I (15) and an overflow valve I (25) are sequentially arranged on the control valve device branch pipeline I;
a three-way valve II and an overflow valve II are sequentially arranged on the control valve device branch pipe II;
the outlet of the control valve device is connected with an outlet main pipeline of the control valve device; the main pipeline at the outlet of the control valve device is respectively provided with a pipeline connected with an overflow valve I pipeline, an overflow valve II pipeline and a three-way valve II inflow pipeline, and the three-way valve I flows into the pipeline;
the control valve device branch pipeline I is connected with the absorbable ureter hard endoscope through a control valve device branch pipeline I to the absorbable ureter hard endoscope pipeline; the control valve device branch pipeline II is connected with the absorbable ureter hard lens through the absorbable ureter hard lens interface pipeline.
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CN202022361556.7U CN213698272U (en) | 2020-10-22 | 2020-10-22 | Intelligent control backwashing constant-pressure filling and sucking system |
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CN202022361556.7U CN213698272U (en) | 2020-10-22 | 2020-10-22 | Intelligent control backwashing constant-pressure filling and sucking system |
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Effective date of registration: 20240223 Address after: 341000 No.16, Meiguan Avenue, Zhanggong District, Ganzhou City, Jiangxi Province Patentee after: GANZHOU PEOPLE'S Hospital Country or region after: China Address before: 341000 Room 403, building 16, Zhangjiang Haoyuan, Zhongdu, Zhanggong District, Ganzhou City, Jiangxi Province Patentee before: Fan Difu Country or region before: China |