CN217548634U - Liquid collecting device for hysteroscopic surgery - Google Patents
Liquid collecting device for hysteroscopic surgery Download PDFInfo
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- CN217548634U CN217548634U CN202220258302.9U CN202220258302U CN217548634U CN 217548634 U CN217548634 U CN 217548634U CN 202220258302 U CN202220258302 U CN 202220258302U CN 217548634 U CN217548634 U CN 217548634U
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Abstract
本实用新型为一种用于宫腔镜手术的集液装置,包括一次性洞巾、集液袋、负压吸引装置;一次性洞巾与集液袋连接;集液袋与负压吸引装置连接;一次性洞巾上端与下端的背面均设有第一粘连层,粘连层通过胶纸封装;一次性洞巾还设有洞口;集液袋内部套设有对细小组织标本进行过滤收集的过滤袋,过滤袋底部开设有阻滞细小组织标本通过的洞孔;负压吸引装置包括调压器、集液瓶、软管;集液瓶连接两跟软管,一根软管与集液袋内部连接,另一根软管与调压器连接。本实用新型有效解决灌流液外漏、以及无法为灌流液计量的问题,实现了对灌流液的收集以及排出量的计量,对预防TURP综合征具有积极意义。
The utility model relates to a liquid collection device for hysteroscopic surgery, comprising a disposable hole towel, a liquid collection bag and a negative pressure suction device; the disposable hole towel is connected with the liquid collection bag; the liquid collection bag and the negative pressure suction device Connection; the upper and lower backs of the disposable hole towel are provided with a first adhesion layer, and the adhesion layer is sealed with adhesive paper; the disposable hole towel is also provided with a hole; the inside of the liquid collection bag is sleeved with a filter for collecting small tissue samples. A filter bag, the bottom of the filter bag is provided with holes that block the passage of small tissue samples; the negative pressure suction device includes a pressure regulator, a liquid collection bottle, and a hose; the liquid collection bottle is connected with two hoses, and one hose is connected to the liquid collection. The bag is connected inside and the other hose is connected to the regulator. The utility model effectively solves the problems of leakage of the perfusate and inability to measure the perfusate, realizes the collection of the perfusate and the measurement of the discharge, and has positive significance for preventing TURP syndrome.
Description
技术领域technical field
本实用新型涉及宫腔镜电切术技术领域的领域,具体为一种用于宫腔镜手术的集液装置。The utility model relates to the technical field of hysteroscopic electric resection, in particular to a liquid collecting device for hysteroscopic surgery.
背景技术Background technique
宫腔镜电切手术是近年来妇科领域新开展起来的一项通过先进的光学仪器而进行的微创手术,具有手术时间短、创伤小、出血少等优点,逐渐代替子宫切除或开腹手术,深受广大医生、患者欢迎。宫腔镜手术需要借助膨宫设备和灌流液扩张宫腔,便于手术医生观察术野和操作,在形成可视空间的同时,也可能因灌流液在短时间内被机体过度吸收,引起体液超负荷和(或)稀释性低钠血症(TURP综合征),发生电解质平衡紊乱、心功能衰竭、肺水肿及脑水肿,甚至死亡。其发生率国内为0.17%,国外为0.2%。早期诊断是治愈的关键。因此,在宫腔镜手术中如何防止灌流液外漏,有效收集宫腔内流出的灌流液并计量,以计算灌流的液体量,对预防TURP综合征有积极意义。Hysteroscopic resection is a newly developed minimally invasive surgery in the field of gynecology in recent years. It has the advantages of short operation time, less trauma and less bleeding. It gradually replaces hysterectomy or laparotomy. , welcomed by the majority of doctors and patients. Hysteroscopic surgery needs to use dilatation equipment and perfusate to expand the uterine cavity, which is convenient for the surgeon to observe the operative field and operation. While forming a visual space, the perfusate may also be excessively absorbed by the body in a short period of time, causing the body fluid to exceed the limit. Load and (or) dilution hyponatremia (TURP syndrome), electrolyte balance disorders, heart failure, pulmonary edema and cerebral edema, and even death. Its incidence rate is 0.17% in China and 0.2% in foreign countries. Early diagnosis is the key to cure. Therefore, how to prevent the leakage of perfusate during hysteroscopic surgery, effectively collect and measure the perfusate flowing out of the uterine cavity, to calculate the amount of perfusion fluid, has positive significance for the prevention of TURP syndrome.
目前医院在泌尿及妇科宫腔镜手术时,所采用的铺单为一体式一次性洞巾联合会阴处脑科手术薄膜,但薄膜巾尾部为敞开式,术中我们将尾端置于桶中,用于收集宫腔内流出的液体,术中无法准确的估算出量、若手术时间较长,收集桶液体满出,术中需要更换,会影响手术医生的操作,甚至会延长手术时间,增加手术室护士的工作量,带来很大的不便,效果不佳。因最后铺置的洞巾与患者皮肤没有完整的对合,术中操作时液体会在薄膜巾的洞口中流入患者身体,以至术中外漏的灌流液常浸湿无菌棉布单、有部分液体会渗漏手术间地面,若浸湿放置地面的脚踏板也会发生导电现象,同样影响准确计算灌流液的吸收量,从而不能及时发现TURP综合征,不利于早期预防和治疗。术中如有宫腔或前列腺组织掉落与薄膜袋中,术后手术医生还将在桶中寻找手术标本,给手术带来极大的不便。目前使用量桶放置于手术医生的前面,便于收集液体,但桶的高度及宽度,直接影响手术医生的操作,而且进行宫腔镜及泌尿外科手术时,手术室护士在手术开始前较为繁忙,连接器械设备,及放置量桶,挂置冲洗液,有些时候难免会遗漏工作细节,术中关注冲洗液,避免液体流空,关注出量,工作量是非常巨大。因此术中如何采用高效简便的方法收集术中液体出量及收集手术标本是目前临床所关注的重点。At present, the hospital uses one-piece single-use disposable hole towel combined with vaginal brain surgery film in urological and gynecological hysteroscopic surgery, but the tail of the film towel is open, and we put the tail in a bucket during the operation. It is used to collect the fluid flowing out of the uterine cavity. The amount cannot be accurately estimated during the operation. If the operation time is long, the liquid in the collection bucket is full and needs to be replaced during the operation, which will affect the operation of the surgeon and even prolong the operation time. Increasing the workload of nurses in the operating room brings great inconvenience and is ineffective. Because the last hole towel is not completely aligned with the patient's skin, the liquid will flow into the patient's body through the hole of the film towel during the operation, so that the perfusate leaked during the operation often soaks the sterile cotton sheet and contains some liquid. It will leak the floor of the operating room. If the foot pedal placed on the floor is soaked, electrical conductivity will also occur, which will also affect the accurate calculation of the absorption of perfusate, so that TURP syndrome cannot be detected in time, which is not conducive to early prevention and treatment. If the uterine cavity or prostate tissue falls into the film bag during the operation, the surgeon will also search for the surgical specimen in the barrel after the operation, which brings great inconvenience to the operation. At present, the measuring bucket is placed in front of the surgeon to facilitate the collection of liquid, but the height and width of the bucket directly affect the operation of the surgeon, and during hysteroscopy and urological operations, the operating room nurses are busy before the operation begins. Connecting instruments and equipment, placing measuring buckets, and hanging irrigation fluid, sometimes it is inevitable to miss work details. During the operation, pay attention to the irrigation fluid, avoid the liquid from emptying, and pay attention to the output. The workload is very huge. Therefore, how to use an efficient and simple method to collect intraoperative fluid output and collect surgical specimens is the focus of current clinical attention.
为了解决上述问题,本领域工作人员对一种用于宫腔镜手术的集液装置进行了不同的研究:In order to solve the above problems, workers in the field have conducted different studies on a collection device for hysteroscopic surgery:
中国专利公开号为CN212547014U公开了一种宫腔镜膨宫液收集装置。一种宫腔镜膨宫液收集装置,包括可粘贴医用的手术薄膜,在手术薄膜中部设有供膨宫液通过的洞口,洞口下方设有收纳囊,其中,在收纳囊底部连通有防堵塞管道,防堵塞管道的出口端与一汇流腔连通,汇流腔通过连接管道与一用于收集膨宫液的收集袋连通,防堵塞管道包括第一支管和第二支管,第一支管和第二支管的进水端分别与收纳囊底部的出水端连通,第一支管和第二支管的出水端连通并且均与汇流腔的进水端连通,收纳囊、第一支管、第二支管、汇流腔和过滤网形成具有收纳、分流过滤、汇流功能的防堵塞收集通道。本实用新型一种宫腔镜膨宫液收集装置,使用方便并且能够有效降低管道受堵的几率。然而,在该专利申请中,收集袋放置的位置必须比收纳囊放置的位置低,以致于膨宫液能流入收集袋中,此时观察收集袋上的刻度时并不好观察,需要工作人员俯下身子凑近才能看清。Chinese Patent Publication No. CN212547014U discloses a hysteroscopic dilatation fluid collection device. A hysteroscopic uterine distention fluid collection device comprises a surgical film that can be pasted for medical use, a hole for the uterine distention fluid to pass through is arranged in the middle of the operating film, and a storage bag is arranged below the hole, wherein an anti-blocking device is connected to the bottom of the storage bag Pipe, the outlet end of the anti-blocking pipe is communicated with a confluence cavity, and the confluence cavity is communicated with a collection bag for collecting dilatation fluid through the connecting pipe, and the anti-blocking pipe comprises a first branch pipe and a second branch pipe, the first branch pipe and the second branch pipe The water inlet ends of the branch pipes are respectively connected with the water outlet ends of the bottom of the storage bag, the water outlet ends of the first branch pipe and the second branch pipe are connected and both are connected with the water inlet end of the confluence cavity, the storage bag, the first branch pipe, the second branch pipe, the confluence cavity It forms an anti-clogging collection channel with the functions of storage, shunt filtration and confluence with the filter screen. The utility model is a hysteroscope dilatation fluid collection device, which is convenient to use and can effectively reduce the probability of pipeline blockage. However, in this patent application, the position where the collection bag is placed must be lower than the position where the storage bag is placed, so that the dilatation fluid can flow into the collection bag, and it is not easy to observe the scale on the collection bag at this time, requiring staff Bend down to get closer to see clearly.
因此有必要对一种用于宫腔镜手术的集液装置进行进一步的改进,以解决上述的各种不端。Therefore, it is necessary to further improve a liquid collecting device for hysteroscopic surgery to solve the above-mentioned various misconduct.
发明内容SUMMARY OF THE INVENTION
本申请的目的:在于解决和克服现有技术和应用的不足,提供一种用于宫腔镜手术的集液装置,有效解决灌流液外漏、以及无法为灌流液计量的问题,实现了对灌流液的收集以及排出量的计量,对预防TURP综合征具有积极意义。The purpose of this application: to solve and overcome the deficiencies of the prior art and applications, to provide a liquid collection device for hysteroscopic surgery, to effectively solve the problems of leakage of perfusate and inability to measure perfusate, and to The collection of perfusate and the measurement of excretion have positive significance for the prevention of TURP syndrome.
本申请的目的是通过如下技术方案来完成的,一种用于宫腔镜手术的集液装置,包括一次性洞巾、集液袋、负压吸引装置;所述一次性洞巾与集液袋连接;所述集液袋与负压吸引装置连接;The purpose of the present application is accomplished through the following technical solutions, a liquid collection device for hysteroscopic surgery, including a disposable drape, a liquid collection bag, and a negative pressure suction device; the disposable drape and the liquid collection device The bag is connected; the liquid collecting bag is connected with the negative pressure suction device;
所述一次性洞巾上端与下端的背面均设有第一粘连层,所述粘连层通过胶纸封装;所述一次性洞巾还设有洞口;The backs of the upper end and the lower end of the disposable hole towel are both provided with a first adhesion layer, and the adhesion layer is packaged with adhesive paper; the disposable hole towel is also provided with a hole;
所述集液袋内部套设有对细小组织标本进行过滤收集的过滤袋;A filter bag for filtering and collecting small tissue samples is sleeved inside the liquid collection bag;
所述负压吸引装置包括调压器、集液瓶、软管;所述集液瓶连接两跟所述软管,一根所述软管与集液袋内部连接,另一根所述软管与调压器连接。The negative pressure suction device includes a pressure regulator, a liquid collection bottle, and a hose; the liquid collection bottle is connected to two of the hoses, one of the hoses is connected to the inside of the liquid collection bag, and the other is the soft tube. The tube is connected to the regulator.
优选地,所述洞口为椭圆形,在所述洞口四周第二粘连层,所述粘连层通过胶纸封装。Preferably, the hole is oval, and there is a second adhesive layer around the hole, and the adhesive layer is packaged with adhesive tape.
优选地,所述过滤袋底部开设有阻滞自体组织通过的洞孔。Preferably, the bottom of the filter bag is provided with holes for blocking the passage of autologous tissue.
优选地,与所述集液袋内部连接的所述软管上设有流量调节开关。Preferably, a flow adjustment switch is provided on the hose connected to the inside of the collection bag.
优选地,所述集液袋开口边沿上设置有软质空心管,所述空心管内设置有软质金属条。Preferably, a soft hollow tube is arranged on the opening edge of the liquid collecting bag, and a soft metal strip is arranged in the hollow tube.
优选地,所述集液瓶为透明材质,且外壁上设有刻度尺。Preferably, the liquid collecting bottle is made of transparent material, and a scale is provided on the outer wall.
本申请与现有技术相比,至少具有以下明显优点和效果:Compared with the prior art, the present application at least has the following obvious advantages and effects:
1、在本实用新型中,通过一次性洞巾、集液袋、负压吸引装置之间的配合连接,有效地将灌流液收集起来,且手术中能够随时准确计量灌流液的出入量,有利于医生对TURP综合征的判断。1. In the present utility model, the perfusate can be effectively collected through the cooperative connection between the disposable towel, the liquid collection bag and the negative pressure suction device, and the in and out of the perfusate can be accurately measured at any time during the operation. It is helpful for doctors to judge TURP syndrome.
2、在本实用新型中,一次性洞巾上端与下端的背面均设有第一粘连层,一次性洞巾上还设有椭圆形的洞口,在洞口四周设有第二粘连层,粘连层通过胶纸封装,通过一次性洞巾的设计,有效地将一次性洞巾与患者皮肤紧密贴合,有效防止了灌流液浸润一次性洞巾、污染手术台以及造成手术野污染。2. In the present utility model, a first adhesive layer is provided on the back of the upper and lower ends of the disposable towel, an oval hole is also provided on the disposable towel, and a second adhesive layer is arranged around the hole. Through adhesive tape packaging and the design of the disposable hole towel, the disposable hole towel is effectively attached to the patient's skin, which effectively prevents the perfusate from infiltrating the disposable hole towel, contaminating the operating table and causing contamination of the surgical field.
3、在本实用新型中,集液袋内部套设有对细小组织标本进行过滤收集的过滤袋。手术时切割的细小组织标本被阻滞在过滤袋上,在手术结束后只需从过滤袋内取出细小组织标本,方便且快捷,便于细对小组织标本的收集工作,有利于患者宫内病变的判断及病理诊断。3. In the present utility model, a filter bag for filtering and collecting small tissue samples is sleeved inside the liquid collection bag. The small tissue specimens cut during the operation are blocked on the filter bag. After the operation, only the small tissue specimens need to be taken out from the filter bag. diagnosis and pathological diagnosis.
附图说明Description of drawings
图1是本申请的整体结构布置图。FIG. 1 is an overall structural arrangement diagram of the present application.
图2是本申请中过滤袋的结构示意图。FIG. 2 is a schematic structural diagram of a filter bag in the present application.
本申请中的附图标记:Reference numerals in this application:
一次性洞巾1、第一粘连层11、洞口12、第二粘连层13、集液袋2、过滤袋21、洞孔211、软质空心管22、软质金属条23、负压吸引装置3、调压器31、集液瓶32、刻度尺321、软管33。
具体实施方式Detailed ways
结合附图和以下说明描述了本申请的特定实施例以教导本领域技术人员如何制造和使用本申请的最佳模式。为了教导申请原理,已简化或省略了一下常规方面。本领域技术人员应该理解源自这些实施例的变形落在本申请的范围内。本领域技术人员应该理解下述特征能够以各种方式结合以形成本申请的多个变型。本申请中所引用的如“上”、“下”、“左”、“右”、“中间”及“一”等的用语,亦仅为便于叙述的明了,而非用以限定本发明可实施的范围,其相对关系的改变或调整,在无实质变更技术内容下,当亦视为本发明可实施的范畴。由此,本申请并不局限于下述特定实施例,而仅由权利要求和它们的等同物限定。Specific embodiments of the application are described in conjunction with the accompanying drawings and the following description to teach those skilled in the art how to make and use the best mode of the application. In order to teach the principles of the application, conventional aspects have been simplified or omitted. Those skilled in the art will appreciate that variations from these embodiments fall within the scope of the present application. Those skilled in the art will appreciate that the following features can be combined in various ways to form various variations of the present application. Terms such as "up", "down", "left", "right", "middle" and "one" quoted in this application are only for the convenience of description and clarity, and are not used to limit the scope of the present invention. The scope of implementation, the change or adjustment of the relative relationship, and the technical content without substantial change, shall also be regarded as the scope of the present invention. Thus, the present application is not limited to the specific embodiments described below, but only by the claims and their equivalents.
图1至图2示出,本申请的用于宫腔镜电切手术的集液装置的一种具体实施例。FIG. 1 to FIG. 2 show a specific embodiment of the liquid collection device for hysteroscopic resection of the present application.
本实用新型为一种用于宫腔镜手术的集液装置,包括一次性洞巾1、集液袋2、负压吸引装置3;一次性洞巾1与集液袋2连接;集液袋2与负压吸引装置3连接;一次性洞巾1上端与下端的背面均设有第一粘连层11,粘连层通过胶纸封装;一次性洞巾1还设有洞口12;集液袋2内部套设有对细小组织标本进行过滤收集的过滤袋21,过滤袋21底部开设有阻滞自体组织通过的洞孔211;负压吸引装置3包括调压器31、集液瓶32、软管33;集液瓶32连接两跟软管33,一根软管33与集液袋2内部连接,另一根软管33与调压器31连接。本实用新型有效解决灌流液外漏、以及无法为灌流液计量的问题,实现了对灌流液的收集以及排出量的计量,对预防TURP综合征具有积极意义。The utility model relates to a liquid collection device for hysteroscopic surgery, comprising a
如图1所示,在本申请实施例中,As shown in FIG. 1, in the embodiment of the present application,
一种用于宫腔镜手术的集液装置,包括一次性洞巾1、集液袋2、负压吸引装置3;所述一次性洞巾1与集液袋2连接;所述集液袋2与负压吸引装置3连接;通过一次性洞巾1、集液袋2、负压吸引装置3之间的配合连接,有效地将灌流液收集起来,且手术中能够随时准确计量灌流液的出入量,有利于医生对TURP综合征的判断。A liquid collection device for hysteroscopic surgery, comprising a
具体地需说明的是,如图1所示,在本申请实施例中,所述一次性洞巾1上端与下端的背面均设有第一粘连层11,所述粘连层通过胶纸封装,所述一次性洞巾1还设有洞口12;在使用时,一次性洞巾1通过第一粘连层11粘贴在患者身上,防止一次性洞巾1的移动导致椭圆形洞口12的位置移动,进一步地,所述洞口12为椭圆形,在所述洞口12四周设有第二粘连层13,所述第二粘连层13通过胶纸封装。在手术时将周边特别是肛门区域全部贴合覆盖,手术野四周的敷料均处于无菌、干燥状态,避免了将术野四周特别是肛门区域的敷料浸湿后造成的术野污染,有可能导致术后伤口感染现象的发生。通过一次性洞巾1的设计,有效地将一次性洞巾1与患者皮肤紧密贴合,有效防止了灌流液浸润一次性洞巾1、污染手术台以及造成手术野污染。Specifically, it should be noted that, as shown in FIG. 1 , in the embodiment of the present application, the backs of the upper end and the lower end of the
需要说明的是,如图2所示,在本申请实施例中,所述集液袋2内部套设有对细小组织标本进行过滤收集的过滤袋21,过滤袋21开口与集液袋2开口固定连接,开口朝向保持一致,且过滤袋21在集液袋2内部,过滤袋21小于集液袋2,过滤袋21底部开设有阻滞自体组织通过的洞孔211,便于细小组织标本的收集工作,有利于患者宫内病变的判断及病理诊断。灌流液流出时先经过过滤袋2进行过滤,进而灌流液通过洞孔211流入集液袋底部,集液袋底部的灌流液通过连接集液瓶32软管33流入集液瓶32。It should be noted that, as shown in FIG. 2 , in the embodiment of the present application, a
应当说明的是,如图1所示,在本申请实施例中,所述负压吸引装置3包括调压器31、集液瓶32、软管33;所述集液瓶32连接两跟所述软管33,一根所述软管33与集液袋2内部连接,另一根所述软管33与调压器31连接。进一步地,集液瓶32底部设有排液口,用于排出灌流液。进一步地与集液袋2内部连接的软管33上设有流量调节开关,可根据需求调节灌流液的流量,便于操作。进一步地,所述集液瓶32为透明材质,且外壁上设有刻度尺321,便于医护人员在手术时随时观察灌流液的出入量,有利于医生对TURP综合征的判断。It should be noted that, as shown in FIG. 1 , in the embodiment of the present application, the negative
进一步需要说明的,如图1所示,在本申请实施例中,所述集液袋2开口边沿上设置有软质空心管22,所述空心管内设置有软质金属条23,软质金属条23支撑起开口,避免灌流液在流出时,袋口闭合,灌流液外漏,使得流出的液体自然进入集液袋2内部的过滤袋21中。It should be further noted that, as shown in FIG. 1 , in the embodiment of the present application, a soft
本实用新型在使用时:首先将一次性洞巾1、集液袋2以及负压吸引装置3进行有效地配合连接,随后通过第一粘连层11、第二粘连层13将一次性洞巾1与患者皮肤紧密贴合,在灌流液流出时,先经过过滤袋2进行过滤,在集液袋2内部套设有对细小组织标本进行过滤收集的过滤袋21,过滤袋21底部开设有阻滞自体组织通过的洞孔211,当在灌流液中有细小组织标本时,过滤袋21会对其进行有效阻隔,便于细小组织标本的收集工作,有利于患者宫内病变的判断及病理诊断;进而灌流液通过洞孔211流入集液袋2底部,随后调压器31将集液瓶32内的空气比变为负压状态,一端与集液袋2底部连接的软管33,将灌流液吸入集液瓶32中,便于医护人员进行观察。本实用新型有效解决灌流液外漏、以及无法为灌流液计量的问题,实现了对灌流液的收集以及排出量的计量,对预防TURP综合征具有积极意义。When the utility model is in use: firstly, the
由于本领域技术人员能够很容易想到,利用申请的构思和原理之内所作的任何修改、等同替换、改进等,均应包含在本申请的权利要求范围之内。As those skilled in the art can easily imagine, any modification, equivalent replacement, improvement, etc. made within the concept and principle of the application should be included within the scope of the claims of the present application.
Claims (6)
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