CN216876535U - Epidural anesthesia pressure detection medicine injection system - Google Patents
Epidural anesthesia pressure detection medicine injection system Download PDFInfo
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- CN216876535U CN216876535U CN202123442757.0U CN202123442757U CN216876535U CN 216876535 U CN216876535 U CN 216876535U CN 202123442757 U CN202123442757 U CN 202123442757U CN 216876535 U CN216876535 U CN 216876535U
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Abstract
The utility model discloses an epidural anesthesia pressure detection and injection system, which comprises a two-channel injection pump and a detection and injection catheter; the detection medicine injection guide pipe comprises a main guide pipe, two liquid inlet branch pipes and a negative pressure sampling branch pipe; the two liquid inlet branch pipes are respectively and movably inserted with the two corresponding liquid outlets of the double-channel injection pump in a split manner; the two liquid inlet branch pipes are respectively communicated with the main pipe; one end of the main catheter is provided with a catheter quick joint; a pressure detection device is arranged on the main conduit between the liquid inlet branch pipe and the check valve; a negative pressure sampling branch pipe is arranged on the main conduit between the check valve and the conduit quick connector; a block valve is arranged on the negative pressure sampling branch pipe; the top end of the negative pressure sampling branch pipe is provided with a bottle stopper puncture outfit. Has the advantages that: the epidural anesthesia catheter has a simple structure and is convenient to use, automatic detection of epidural anesthesia catheter placement positioning and automatic administration of epidural anesthesia are realized, the anesthesia process is recorded in real time, bleeding of the epidural anesthesia catheter is detected through objective indications, and the incidence rate of anesthesia complications is reduced; improving the success rate of epidural anesthesia.
Description
The technical field is as follows:
the utility model relates to medical equipment, in particular to an epidural anesthesia pressure detection and injection system.
The background art comprises the following steps:
epidural anesthesia (also known as epidural block): the traditional Chinese medicine composition is one of anesthesia techniques widely applied to clinic, and has the characteristics of small influence on cardiovascular, respiratory and gastrointestinal functions, exact analgesic effect, good muscle relaxation, economy and practicality, and has no replaceable effect in clinic anesthesia and pain treatment. Epidural anesthesia scope: the operation anesthesia, postoperative analgesia, delivery analgesia and pain treatment of neck, chest, abdomen, waist bottom, perineum, lower limbs and feet are combined with general anesthesia at present for major operations of chest and abdomen and the like.
The epidural anesthesia comprises two links of epidural space puncture and epidural space catheter placement.
After the epidural space puncture is finished, before epidural injection, an epidural space test method is often used for using toxic reaction of anesthetic to serve as a secondary monitoring method for positioning of the epidural space puncture and catheter placement, however, if the epidural space puncture and catheter placement are wrong, for example, the catheter is mistakenly inserted into a subarachnoid space or a blood vessel, serious complications can be caused, and when local anesthetic with an epidural anesthetic dose is mistakenly injected into the subarachnoid space, total spinal anesthesia can be immediately generated (namely, all somatic nerves and sympathetic nerves are blocked in a short time, namely, breathing and heartbeat are stopped, and consciousness disappears); when the local anesthetic with the epidural anesthetic dose is mistakenly injected into a blood vessel, mild or severe local anesthetic toxic reaction (sudden convulsion , consciousness loss, high muscle tension, muscle tremor and respiratory heartbeat stoppage) caused by intravascular injection, local anesthetic systemic toxic reaction caused by epidural space bleeding (the incidence rate is about 9.6-25.9 percent) and total spinal anesthesia can be caused, and when the local anesthetic is not timely found and effectively treated, the patient can be disabled or die.
Meanwhile, the epidural space has abundant vascular plexus, the epidural space catheter can damage the venous plexus to bleed, epidural hematoma is easy to generate after bleeding, and irreversible injury can be generated once the epidural hematoma forms to press the spinal cord for more than 24 hours. The diagnosis of epidural hematoma mainly depends on clinical symptoms, physical signs and imaging examination, once the diagnosis is confirmed, the operation must be performed within 6-8 h, hematoma is cleared, and the compression is relieved. Spinal irreversible damage is avoided, and the prognosis is poor when the spinal compression exceeds 8 h.
The blind detection method has no anesthesia complications caused by epidural external tube hemorrhage and the like due to objective indications, and is still the main source of epidural anesthesia complications and epidural anesthesia accidents.
The utility model has the following contents:
the utility model aims to provide an epidural anesthesia pressure detection medicine injection system for detecting epidural anesthesia catheter positioning and automatically feeding medicine.
The utility model is implemented by the following technical scheme: the epidural anesthesia pressure detection medicine injection system comprises a two-channel injection pump and a detection medicine injection catheter; the detection medicine injection guide pipe comprises a main guide pipe, two liquid inlet branch pipes and a negative pressure sampling branch pipe; one end of each of the two liquid inlet branch pipes is respectively in split movable insertion connection with the corresponding two liquid outlets of the two-channel injection pump; one end of each of the two liquid inlet branch pipes is communicated with one end of the main pipe; the other end of the main catheter is provided with a catheter quick connector; a check valve is arranged on the main conduit; a pressure detection device is arranged on the main conduit between the liquid inlet branch pipe and the check valve; the negative pressure sampling branch pipe is arranged on the main conduit between the check valve and the conduit quick connector; a block valve is arranged on the negative pressure sampling branch pipe; the top end of the negative pressure sampling branch pipe is provided with a bottle stopper puncture outfit.
Preferably, the two liquid inlet branch pipes are connected with the main pipe through an electric control three-way valve; the electric control three-way valve and the double-channel injection pump are respectively electrically connected with a controller.
Preferably, the block valve is an electric control block valve; the electric control block valve and the double-channel injection pump are respectively electrically connected with a controller.
The utility model has the advantages that: compared with the prior art, the device has the advantages of simple structure and convenient use, realizes automatic detection of epidural anesthesia catheter positioning, automatic administration of epidural anesthesia, real-time recording of anesthesia process, and reduction of incidence of anesthesia complications by detecting epidural catheter bleeding through objective indications; improving the success rate of epidural anesthesia.
Description of the drawings:
fig. 1 is an overall schematic view of the present invention.
The device comprises a double-channel injection pump 1, a liquid outlet 11, a detection medicine injection guide pipe 2, a main guide pipe 21, two liquid inlet branch pipes 22, a negative pressure sampling branch pipe 23, a guide pipe quick joint 24, a check valve 25, a pressure detection device 26, an electric control block valve 27, a bottle stopper puncture outfit 28, an electric control three-way valve 29 and a controller 3.
The specific implementation mode is as follows:
example (b): as shown in fig. 1, the epidural anesthesia pressure detection and injection system comprises a two-channel injection pump 1 and a detection and injection catheter 2; the detection medicine injection guide pipe 2 comprises a main guide pipe 21, two liquid inlet branch pipes 22 and a negative pressure sampling branch pipe 23; one end of each of the two liquid inlet branch pipes 22 is connected with one end of the main pipe 21 through an electric control three-way valve 29; the electric control three-way valve 29 and the two-channel injection pump 1 are respectively electrically connected with the controller 3; one end of each of the two liquid inlet branch pipes 22 is respectively in split movable insertion connection with the two corresponding liquid outlets 11 of the two-channel injection pump 1; the other end of the main duct 21 is provided with a duct quick joint 24; a check valve 25 is provided on the main duct 21; a pressure detection device 26 is arranged on the main pipe 21 between the electric control three-way valve 29 and the check valve 25; a negative pressure sampling branch pipe 23 is arranged on the main conduit 21 between the check valve 25 and the conduit quick connector 24; the negative pressure sampling branch pipe 23 is provided with a cut-off valve which is an electric control cut-off valve 27; the electric control block valve 27 and the double-channel injection pump 1 are respectively electrically connected with the controller 3; a bottle stopper puncture outfit 28 is arranged at the top end of the negative pressure sampling branch pipe 23; the controller 3 controls the work of the double-channel injection pump 1 and the on-off of the electric control cut-off valve 27 and the electric control three-way valve 29; the controller 3 can be installed in the casing of the dual-channel injection pump 1 as required, and the connection interfaces of the controller 3 and the electric control block valve 27 and the electric control three-way valve 29 can be arranged on the outer wall of the casing of the dual-channel injection pump 1.
Instructions for use: epidural anesthetic and normal saline are respectively filled in two syringes of the two-channel injection pump 1, and the bottle stopper puncture outfit 28 is inserted into a negative pressure sampling test tube through detecting the fast connector 24 of the catheter on the injection catheter 2 to be communicated with an epidural catheter for completing epidural puncture tube placement.
When the epidural anesthesia catheterization positioning is detected, the controller 3 controls the electric control cut-off valve 27 to be closed, after the electric control three-way valve 29 is switched to the injector filled with the physiological saline to be communicated with the main catheter 21, the controller 3 controls the injector filled with the physiological saline to inject the physiological saline quantitatively into the epidural space, the controller 3 controls the electric control cut-off valve 27 to be opened, the physiological saline injected into the epidural space is sucked into the negative pressure sampling test tube, and whether the epidural anesthesia catheter mistakenly enters the subarachnoid space or the blood vessel is judged by observing the physiological saline sucked into the negative pressure sampling test tube.
When the epidural anesthesia is injected, the controller 3 controls the electric control cut-off valve 27 to be closed, and after the electric control three-way valve 29 is switched to the injector filled with the epidural anesthesia and is communicated with the main catheter 21, the controller 3 controls the injector filled with the epidural anesthesia to carry out the epidural anesthesia.
In the epidural anesthesia process, whether the epidural anesthesia catheter mistakenly enters the subarachnoid space or the blood vessel in the operation process can be detected by detecting the epidural anesthesia catheter placement positioning program.
The physiological saline absorbed into the negative pressure sampling test tube in the epidural anesthesia catheterization positioning process can be used as an objective indication record of the anesthesia process.
Claims (3)
1. The epidural anesthesia pressure detection medicine injection system is characterized by comprising a two-channel injection pump and a detection medicine injection catheter; the detection medicine injection guide pipe comprises a main guide pipe, two liquid inlet branch pipes and a negative pressure sampling branch pipe; one end of each of the two liquid inlet branch pipes is respectively in split movable insertion connection with the corresponding two liquid outlets of the two-channel injection pump; one end of each of the two liquid inlet branch pipes is communicated with one end of the main guide pipe; the other end of the main catheter is provided with a catheter quick connector; a check valve is arranged on the main conduit; a pressure detection device is arranged on the main conduit between the liquid inlet branch pipe and the check valve; the negative pressure sampling branch pipe is arranged on the main conduit between the check valve and the conduit quick connector; a block valve is arranged on the negative pressure sampling branch pipe; the top end of the negative pressure sampling branch pipe is provided with a bottle stopper puncture outfit.
2. The epidural anesthesia pressure detection and drug injection system according to claim 1, wherein the two liquid inlet branch pipes are connected with the main pipe through an electrically controlled three-way valve; the electric control three-way valve and the double-channel injection pump are respectively electrically connected with a controller.
3. The epidural anesthesia pressure detection and drug injection system according to any one of claims 1 or 2, wherein the block valve is an electrically controlled block valve; the electric control block valve and the double-channel injection pump are respectively electrically connected with a controller.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202123442757.0U CN216876535U (en) | 2021-12-31 | 2021-12-31 | Epidural anesthesia pressure detection medicine injection system |
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CN202123442757.0U CN216876535U (en) | 2021-12-31 | 2021-12-31 | Epidural anesthesia pressure detection medicine injection system |
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CN216876535U true CN216876535U (en) | 2022-07-05 |
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CN202123442757.0U Active CN216876535U (en) | 2021-12-31 | 2021-12-31 | Epidural anesthesia pressure detection medicine injection system |
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2021
- 2021-12-31 CN CN202123442757.0U patent/CN216876535U/en active Active
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