CN217091769U - Urinary catheter with its own pressure measurement and marking - Google Patents
Urinary catheter with its own pressure measurement and marking Download PDFInfo
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- CN217091769U CN217091769U CN202121370986.3U CN202121370986U CN217091769U CN 217091769 U CN217091769 U CN 217091769U CN 202121370986 U CN202121370986 U CN 202121370986U CN 217091769 U CN217091769 U CN 217091769U
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- 230000002485 urinary effect Effects 0.000 title claims abstract description 39
- 238000009530 blood pressure measurement Methods 0.000 title claims abstract description 14
- 238000011010 flushing procedure Methods 0.000 claims abstract description 112
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 51
- 238000002347 injection Methods 0.000 claims abstract description 33
- 239000007924 injection Substances 0.000 claims abstract description 33
- 229920001296 polysiloxane Polymers 0.000 claims description 12
- 238000001125 extrusion Methods 0.000 claims description 8
- 239000002775 capsule Substances 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 7
- 210000000626 ureter Anatomy 0.000 abstract 1
- 210000003708 urethra Anatomy 0.000 description 15
- 230000006378 damage Effects 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 239000000243 solution Substances 0.000 description 5
- 241000894006 Bacteria Species 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 4
- 210000004877 mucosa Anatomy 0.000 description 4
- 238000002627 tracheal intubation Methods 0.000 description 4
- 210000002700 urine Anatomy 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 230000007547 defect Effects 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 210000002640 perineum Anatomy 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 210000001635 urinary tract Anatomy 0.000 description 2
- 208000019206 urinary tract infection Diseases 0.000 description 2
- 210000003905 vulva Anatomy 0.000 description 2
- 206010011985 Decubitus ulcer Diseases 0.000 description 1
- 235000009161 Espostoa lanata Nutrition 0.000 description 1
- 240000001624 Espostoa lanata Species 0.000 description 1
- 241001313288 Labia Species 0.000 description 1
- 239000005662 Paraffin oil Substances 0.000 description 1
- 208000004210 Pressure Ulcer Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及一种自带压力测量并标有刻度的尿管,属于医用器械技术领域。The utility model relates to a urinary catheter with self-contained pressure measurement and marked with a scale, belonging to the technical field of medical instruments.
背景技术Background technique
留置尿管术是在严格无菌操作下,用无菌尿管经尿道插入膀胱引流出尿液的方法,是目前临床上常用的一项护理操作技术。目前临床上常用的尿管前端设有球囊,尿管插入后通过向球囊注入20ml左右的生理盐水来填充球囊,球囊膨胀起到固定尿管、防止漏尿的作用。但现在的尿管在实际使用中存在以下几个缺陷:1、由于每个患者的尿道松紧度不一样,注入20ml左右生理盐水的固定情况也会有差别,为了判断尿管是否已经固定住,医护人员在注水后通常要用手往外拉测试,这种操作会有损伤尿道黏膜的可能;2、插入的尿管上没有具体刻度,医护人员通常依靠经验判断插入长度,精确度不高;3、留置尿管是细菌进入尿路的医源性途径,尿道或肛门周围细菌可沿着导尿管的外壁进入尿道;另外,尿管在插管过程中也有损伤尿道的可能性,从而使细菌侵犯尿道黏膜而致感染。Indwelling catheter is a method of inserting a sterile catheter into the bladder through the urethra to drain urine under strict aseptic operation. It is a nursing operation technique commonly used in clinical practice. At present, there is a balloon at the front end of the urinary catheter commonly used in clinical practice. After the urinary catheter is inserted, the balloon is filled by injecting about 20ml of normal saline into the balloon. However, the current urinary catheter has the following defects in actual use: 1. Due to the different tightness of the urethra of each patient, the fixation situation of injecting about 20ml of normal saline will also be different. In order to judge whether the urinary catheter has been fixed, Medical staff usually have to pull out the test by hand after water injection. This operation may damage the urethral mucosa; 2. There is no specific scale on the inserted urinary catheter, and medical staff usually rely on experience to judge the insertion length, and the accuracy is not high; 3 , Indwelling urinary catheter is an iatrogenic way for bacteria to enter the urinary tract. Bacteria around the urethra or anus can enter the urethra along the outer wall of the urinary catheter; in addition, the urinary catheter may also damage the urethra during intubation, so that bacteria Infection of the urethral mucosa.
针对上述的第一个缺陷,现在有些方案是通过在球囊内设置压力传感器,压力传感器通过导线与显示屏连接,但是由于压力传感器是有一定体积的,压力传感器放在需要插入尿道的球囊内,会给尿管插入带来困难,加大了尿道黏膜受损伤的风险。因此,有必要设计一种既能够准确判断球囊内压力,又安全可靠的尿管,同时还要能便于精确掌握尿管插入长度,能够避免感染情况发生。In view of the above-mentioned first defect, some solutions are to set a pressure sensor in the balloon, and the pressure sensor is connected to the display screen through a wire. However, since the pressure sensor has a certain volume, the pressure sensor is placed in the balloon that needs to be inserted into the urethra. It will bring difficulty to the insertion of the urinary catheter and increase the risk of injury to the urethral mucosa. Therefore, it is necessary to design a safe and reliable urinary catheter that can accurately judge the pressure in the balloon, and at the same time, it is convenient to accurately grasp the insertion length of the urinary catheter, so as to avoid the occurrence of infection.
发明内容SUMMARY OF THE INVENTION
本实用新型的目的在于克服现有技术中存在的不足,提供一种自带压力测量并标有刻度的尿管,其结构巧妙,设计合理,使用方便,既能准确判断球囊内压力,又安全可靠,同时还便于精确掌握尿管插入长度,降低感染发生率。The purpose of the utility model is to overcome the deficiencies in the prior art, and to provide a urinary catheter with its own pressure measurement and marking with a scale, which is ingenious in structure, reasonable in design, convenient in use, can not only accurately judge the pressure in the balloon, but also It is safe and reliable, and at the same time, it is convenient to accurately grasp the insertion length of the urinary catheter and reduce the incidence of infection.
按照本实用新型提供的技术方案:自带压力测量并标有刻度的尿管,包括管体,所述管体前端设置有球囊,管体中心设有导尿通道,管体的侧壁上沿管体轴向开设有注水通道,所述管体侧壁上位于球囊内的部位开设有与球囊内部连通的出水孔,所述注水通道前端与出水孔连通,所述注水通道连接有注水管;其特征在于:所述注水管后端连接有一三通器,所述三通器的其余两个接口分别连接压力表和注水装置;管体的侧壁上沿管体轴向还开设有冲洗通道,所述管体侧壁上位于球囊前的部位开设有囊前冲洗孔,所述冲洗通道前端与囊前冲洗孔连通,所述冲洗通道连接有冲洗管,所述管体侧壁上设置有刻度。According to the technical solution provided by the present utility model: a urinary catheter with its own pressure measurement and marked with a scale includes a pipe body, a balloon is provided at the front end of the pipe body, a catheterization channel is provided in the center of the pipe body, and a side wall of the pipe body is provided with a bladder. A water injection channel is opened along the axial direction of the tube body, and a water outlet hole that communicates with the inside of the balloon is opened on the side wall of the tube body at the position inside the balloon, the front end of the water injection channel is communicated with the water outlet hole, and the water injection channel is connected with a Water injection pipe; it is characterized in that: the rear end of the water injection pipe is connected with a three-way device, and the other two interfaces of the three-way device are respectively connected to the pressure gauge and the water injection device; A flushing channel is opened, a pre-bag flushing hole is opened on the side wall of the tube body before the balloon, the front end of the flushing channel is communicated with the flushing hole in front of the balloon, the flushing channel is connected with a flushing tube, and the tube body There are scales on the side walls.
作为本实用新型的进一步改进,所述冲洗管包括冲洗外管、锁紧接头、冲洗内管和冲洗接头,所述冲洗外管前端与冲洗通道后端密封连接,所述锁紧接头安装在冲洗外管后端,所述冲洗内管从锁紧接头的中心穿入冲洗外管和冲洗通道内且能密封滑动,所述管体侧壁上位于球囊前的部位开设有与冲洗通道连通的囊后冲洗孔。As a further improvement of the present invention, the flushing pipe includes an outer flushing pipe, a locking joint, an inner flushing pipe and a flushing joint, the front end of the flushing outer pipe is sealedly connected with the rear end of the flushing channel, and the locking joint is installed on the flushing joint. At the rear end of the outer tube, the inner flushing tube penetrates into the outer flushing tube and the flushing channel from the center of the locking joint and can be sealed and slidable. Rinse the hole after the capsule.
作为本实用新型的进一步改进,所述锁紧接头包括接头体、硅胶圈和挤压尾盖,所述接头体与冲洗外管密封连接,所述硅胶圈设置在接头体内腔中,接头体后端开口处设有内螺纹,所述挤压尾盖螺纹安装在接头体后端开口处,所述冲洗内管从挤压尾盖、硅胶圈和接头体的中心插入到冲洗外管内。As a further improvement of the present invention, the locking joint includes a joint body, a silicone ring and an extruded tail cover, the joint body is sealedly connected with the flushing outer pipe, and the silicone ring is arranged in the cavity of the joint body. The end opening is provided with an inner thread, the extrusion end cap is threaded at the rear end opening of the joint body, and the flushing inner tube is inserted into the flushing outer tube from the center of the extrusion end cap, the silicone ring and the joint body.
作为本实用新型的进一步改进,所述冲洗内管后部设置有指示色段,当指示色段位于锁紧接头外时,所述冲洗内管的前端位于囊后冲洗孔的后方;当指示色段全部位于锁紧接头内时,所述冲洗内管前端越过囊后冲洗孔。As a further improvement of the present invention, an indicator color segment is arranged at the rear of the inner flushing tube. When the indicator color segment is located outside the locking joint, the front end of the inner flushing tube is located behind the flushing hole behind the bladder; When all segments are located in the locking joint, the front end of the flush inner tube passes over the bladder rear flush hole.
作为本实用新型的进一步改进,所述注水装置包括注水器、软管和限流夹,所述注水器通过软管与三通器连接,所述限流夹设置在软管上。As a further improvement of the present invention, the water injection device includes a water injector, a hose and a flow restrictor, the water injector is connected to the tee through a hose, and the flow restrictor is arranged on the hose.
作为本实用新型的进一步改进,所述注水器采用注射器。As a further improvement of the present utility model, the water injector adopts a syringe.
作为本实用新型的进一步改进,所述三通器上设置有开关,所述开关向上旋拧打开时,三通器的三个接口相互连通,所述开关向下旋拧关闭时,三通器的三个接口互不连通。As a further improvement of the present invention, a switch is provided on the three-way device. When the switch is turned upward, the three interfaces of the three-way device are connected to each other. When the switch is turned downward to close, the three-way device The three interfaces are not connected to each other.
本实用新型与现有技术相比,具有如下优点:Compared with the prior art, the utility model has the following advantages:
1)、本实用新型结构巧妙,设计合理,由于在注水管外端连接有压力表,通过压力表可以更直观的测试压力,从而可以提升尿管固定的可靠性,既可以防止由于压力不足导致尿管滑脱,又可以避免由于压力过大而损伤尿道。1), the utility model is ingenious in structure and reasonable in design, because the outer end of the water injection pipe is connected with a pressure gauge, the pressure can be tested more intuitively through the pressure gauge, thereby the reliability of the fixation of the urinary catheter can be improved, and it can be prevented from being caused by insufficient pressure. Urinary catheter slippage, but also to avoid damage to the urethra due to excessive pressure.
1)、本实用新型由于在尿管上设置了刻度,医护人员可以更精确地观察到具体的插管深度,操作更为精准。1), the utility model is provided with a scale on the urinary catheter, the medical staff can more accurately observe the specific intubation depth, and the operation is more accurate.
3)、本实用新型由于设置了在管体上设置了冲洗通道并连接冲洗管,在尿管留置过程中,还可以通过冲洗管打入药液进行冲洗,大大降低留置尿管导致的尿路感染发生率;而且设置有囊前冲洗孔和囊后冲洗孔,结合改进的冲洗管,可以在不同时间节点对尿道进行相应的冲洗,进一步避免尿路感染发生。3), because the utility model is provided with a flushing channel on the pipe body and is connected to the flushing tube, during the indwelling process of the urinary catheter, the medicinal liquid can also be flushed through the flushing tube, which greatly reduces the urinary tract caused by the indwelling urinary catheter. In addition, there are pre-capsule flushing holes and post-capsular flushing holes. Combined with the improved flushing tube, the urethra can be flushed accordingly at different time points to further avoid the occurrence of urinary tract infections.
附图说明Description of drawings
图1为本实用新型实施例1的整体结构示意图。FIG. 1 is a schematic diagram of the overall structure of
图2为图1中的A-A处截面剖视图。FIG. 2 is a cross-sectional view taken along line A-A in FIG. 1 .
图3为本实用新型实施例2的整体结构示意图。3 is a schematic diagram of the overall structure of
图4为本实用新型实施例2中冲洗管的结构示意图。4 is a schematic structural diagram of a flushing pipe in
图5为本实用新型实施例2中锁紧接头处的结构放大剖视图。5 is an enlarged cross-sectional view of the structure of the locking joint in
附图标记说明:1-管体、2-球囊、3-导尿通道、4-注水通道、5-出水孔、6-注水管、7-三通器、8-压力表、9-冲洗通道、10-囊前冲洗孔、11-冲洗管、12-注水器、13-软管、14-限流夹、15-冲洗外管、16-锁紧接头、16.1-接头体、16.2-硅胶圈、16.3-挤压尾盖、17-冲洗内管、17a-指示色段、18-冲洗接头、19-囊后冲洗孔。Description of reference numerals: 1-tube, 2-balloon, 3-catheterization channel, 4-water injection channel, 5-water outlet, 6-water injection pipe, 7-three-way device, 8-pressure gauge, 9-rinsing Channel, 10-front flushing hole, 11-flushing tube, 12-water injector, 13-hose, 14-flow restrictor, 15-flushing outer tube, 16-locking joint, 16.1-joint body, 16.2-silicone circle, 16.3-extrusion tail cap, 17-flushing inner tube, 17a-indicating color segment, 18-flushing joint, 19-sac back flushing hole.
具体实施方式Detailed ways
下面结合具体附图和实施例对本实用新型作进一步说明。The utility model will be further described below in conjunction with the specific drawings and embodiments.
实施例1Example 1
如图1、图2所示,实施例1公开了一种自带压力测量并标有刻度的尿管,包括管体1,所述管体1前端设置有球囊2,管体1中心设有导尿通道3,管体1的侧壁上沿管体1轴向开设有注水通道4,所述管体1侧壁上位于球囊2内的部位开设有与球囊2内部连通的出水孔5,所述注水通道4前端与出水孔5连通,所述注水通道4连接有注水管6;其特征在于:所述注水管6后端连接有一三通器7,所述三通器7的其余两个接口分别连接压力表8和注水装置;管体1的侧壁上沿管体1轴向还开设有冲洗通道9,所述管体1侧壁上位于球囊2前的部位开设有囊前冲洗孔10,所述冲洗通道9前端与囊前冲洗孔10连通,所述冲洗通道9连接有冲洗管11,所述管体1侧壁上设置有刻度。As shown in FIG. 1 and FIG. 2 ,
临床使用时,患者先清洗外阴,然后取仰卧位,屈髋屈膝,双腿略向外展,露出会阴;操作者站在患者旁侧,将小橡胶单及治疗巾垫于患者臀下,弯盘置于近会阴处,换药碗与弯盘放于患者两腿之间,常规方法擦洗外阴、小阴唇及尿道口进行消毒,然后用石蜡油棉球润滑尿管前端,用止血钳持尿管对准尿道口插入尿道约4-6厘米,见尿液流出,再插入1厘米左右停止;然后利用注水装置向球囊2内注入适量生理盐水,通过压力表8观察球囊2内的压力,当压力达标后停止,这样就完成了尿管的固定。本实用新型通过压力表8可以更直观的测试压力,从而可以提升尿管固定的可靠性,既可以防止由于压力不足导致尿管滑脱,又可以避免由于压力过大而损伤尿道。由于尿管上设置有刻度,医护人员可以更精确地观察到具体的插管深度,操作更为精准。在尿管留置过程中,还可以通过冲洗管11打入药液进行冲洗,大大降低留置尿管导致的尿路感染发生率,而且冲洗的药液被球囊2阻挡,不会出现渗漏问题。In clinical use, the patient first cleans the vulva, then takes the supine position, flexes the hips and knees, and spreads the legs slightly to expose the perineum; the operator stands beside the patient, puts a small rubber sheet and a therapeutic towel under the patient's buttocks, and bends The plate is placed near the perineum, the dressing bowl and the curved plate are placed between the patient's legs, the vulva, labia minora and urethral opening are routinely scrubbed for disinfection, and then the front end of the urinary catheter is lubricated with a paraffin oil cotton ball, and the urine is held with a hemostatic forceps. The tube is aligned with the urethra and inserted into the urethra for about 4-6 cm. When the urine flows out, insert it for about 1 cm to stop; then use the water injection device to inject an appropriate amount of normal saline into the
如图1所示,本实施例1中,所述注水装置包括注水器12、软管13和限流夹14,所述注水器12通过软管13与三通器7连接,所述限流夹14设置在软管13上。如此设置,当尿管插入到位后,松开限流夹14,通过注水器12经软管13和三通器7向球囊2内注入生理盐水,当观察到球囊2压力合适后,停止注入并关闭限流夹14,就可以使球囊2内的压力保持稳定。本实施例1中,所述注水器12优选采用注射器。As shown in FIG. 1 , in this
如图1所示,本实施例1中,所述三通器7上设置有开关7a,所述开关7a向上旋拧打开时,三通器7的三个接口相互连通,所述开关7a向下旋拧关闭时,三通器7的三个接口互不连通。如此设置,当尿管置入到位后,可以关闭三通器7的开关7a,开关7a再用纱布包裹,此时不再需要使用压力表8,可以从三通器7上拆下,避免给患者身上造成压疮。As shown in FIG. 1 , in
实施例2Example 2
如图3~图5所示,实施例2公开了一种自带压力测量并标有刻度的尿管,其与实施例的区别在于对冲洗结构进行了改进。As shown in FIGS. 3 to 5 ,
如图3~图5所示,本实施例2中,所述冲洗管11包括冲洗外管15、锁紧接头16、冲洗内管17和冲洗接头18,所述冲洗外管15前端与冲洗通道9后端密封连接,所述锁紧接头16安装在冲洗外管15后端,所述冲洗内管17从锁紧接头16的中心穿入冲洗外管15和冲洗通道9内且能密封滑动,所述管体1侧壁上位于球囊2前的部位开设有与冲洗通道9连通的囊后冲洗孔19。As shown in FIGS. 3 to 5 , in the second embodiment, the flushing
临床使用时,冲洗内管17前端的初始位置是在囊后冲洗孔19之后,且冲洗内管17被锁紧接头16锁定。当完成尿管插入时,为了避免尿管在插管过程中损伤尿道导致细菌侵犯尿道黏膜而致感染,此时先用药物进行冲洗,对位于球囊2前部的尿道内壁进行杀菌,由于此时刚完成置管,小橡胶单、治疗巾以及弯盘还未撤去,冲洗的药液从尿道流出可以直接被一次性收集处理。冲洗完成后,旋松锁紧接头16,将冲洗内管17向内推动,使冲洗内管17前端位置到达囊后冲洗孔19的前方,再用锁紧接头16将冲洗内管17锁紧固定,此时囊后冲洗孔19被冲洗内管17所封闭,再用药液冲洗时就是与实施例1中的冲洗操作相同。In clinical use, the initial position of the front end of the flushing
如图4、图5所示,本实施例2中,所述锁紧接头16包括接头体16.1、硅胶圈16.2和挤压尾盖16.3,所述接头体16.1与冲洗外管15密封连接,所述硅胶圈16.2设置在接头体16.1内腔中,接头体16.1后端开口处设有内螺纹,所述挤压尾盖16.3螺纹安装在接头体16.1后端开口处,所述冲洗内管17从挤压尾盖16.3、硅胶圈16.2和接头体16.1的中心插入到冲洗外管15内。如此设置,当需要锁紧冲洗内管17时,通过旋转使挤压尾盖16.3向接头体16.1内移动,挤压尾盖16.3挤压硅胶圈16.2,使硅胶圈16.2变形并抱紧冲洗内管17。当需要松开冲洗内管17时,反向操作即可。As shown in FIGS. 4 and 5 , in the second embodiment, the locking joint 16 includes a joint body 16.1, a silicone ring 16.2 and an extrusion tail cover 16.3. The joint body 16.1 is sealedly connected to the flushing
如图3、图4所示,本实施例中,所述冲洗内管17后部设置有指示色段17a,当指示色段17a位于锁紧接头16外时,所述冲洗内管17的前端位于囊后冲洗孔19的后方;当指示色段17a全部位于锁紧接头16内时,所述冲洗内管17前端越过囊后冲洗孔19。如此设置,医护人员可以更直观地判断冲洗内管17前端的位置,使操作更为方便快捷。As shown in FIGS. 3 and 4 , in this embodiment, an
以上所描述的仅为本实用新型的较佳实施例,上述具体实施例不是对本实用新型的限制。在本实用新型的技术思想范畴内,可以出现各种变形及修改,凡本领域的普通技术人员根据以上描述所做的润饰、修改或等同替换,均属于本实用新型所保护的范围。The above descriptions are only preferred embodiments of the present invention, and the above-mentioned specific embodiments are not intended to limit the present invention. Within the scope of the technical idea of the present invention, various deformations and modifications may occur, and all modifications, modifications or equivalent replacements made by those of ordinary skill in the art according to the above descriptions belong to the scope of protection of the present invention.
Claims (7)
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