WO2016086610A1 - 一种胸腔闭式引流装置 - Google Patents

一种胸腔闭式引流装置 Download PDF

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Publication number
WO2016086610A1
WO2016086610A1 PCT/CN2015/079035 CN2015079035W WO2016086610A1 WO 2016086610 A1 WO2016086610 A1 WO 2016086610A1 CN 2015079035 W CN2015079035 W CN 2015079035W WO 2016086610 A1 WO2016086610 A1 WO 2016086610A1
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storage bag
chamber
metering
bottle
measuring
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PCT/CN2015/079035
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English (en)
French (fr)
Inventor
张东萍
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重庆琪美斯医疗设备有限公司
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Publication of WO2016086610A1 publication Critical patent/WO2016086610A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/04Artificial pneumothorax apparatus

Definitions

  • the utility model relates to a drainage device, in particular to a thoracic closed drainage device.
  • Thoracic closed drainage is a relatively common thoracic surgery in clinical practice. Generally used to treat a variety of pleural effusion, effusion and pneumothorax. The procedure is to perform a local anesthesia, a catheter is placed between the ribs as a drainage catheter, and a saline-sealed drainage bottle filled with physiological saline is introduced to discharge the gas or collect the liquid in the chest cavity, so that the lung tissue is reopened and restored.
  • the chest drainage device used in clinical practice basically inserts a drainage catheter into the drainage bottle, and the end of the drainage catheter is closed by physiological saline to artificially form a closed drainage system that does not allow outside air to enter the drainage device, thereby performing drainage and Observe use.
  • physiological saline a physiological saline
  • the artificially formed closed drainage system is instantaneously destroyed.
  • the end of the drainage catheter is exposed to the outside air, and the external gas will quickly enter the patient's chest through the drainage catheter, causing complications such as pneumothorax. For this reason, the use of traditional chest drainage devices requires great care. Otherwise, the consequences are very serious.
  • the technical problem to be solved by the utility model is to provide a closed thoracic drainage device which avoids complications such as pneumothorax caused by air entering the chest through the drainage device, and can keep the drainage channel unobstructed, and the observation is convenient and the patient carries the walking safety.
  • a chest closed drainage device comprising a drainage catheter, a storage bag and a measuring bottle fixed to the outside of the storage bag, further comprising a first exhaust pipe, the measuring bottle a dividing plate is disposed, the measuring bottle is divided into a metering chamber and an observation chamber by the dividing plate, and one end of the drainage tube extends from the top of the measuring bottle into the metering chamber and communicates with the metering chamber
  • the two ends of the first exhaust pipe respectively extend from the top of the metering bottle into the metering cavity and the observation cavity, and respectively communicate with the metering cavity and the observation cavity
  • the top of the metering bottle is fixedly provided with a connection place a second exhaust pipe of the observation chamber and a first liquid supply port with a plug and a second liquid supply port with a plug connected to the metering chamber, the first exhaust pipe communicating with the observation cavity a water sealing tube is fixedly connected to one end, a liquid is injected into the observation chamber
  • the first unidirectional device of the portion, the outer upper portion of the storage bag is fixedly disposed with an exhaust valve that communicates with the inside of the storage bag; the bottom of the measuring bottle is fixedly provided with a discharge pipe that communicates with the measuring chamber, and the discharge pipe a discharge switch is disposed, the end of the discharge pipe remote from the metering chamber is provided with a second unidirectional device leading to the inside of the storage bag, and the bottom of the storage bag is fixedly disposed to communicate with the inside of the storage bag brake.
  • the utility model has the beneficial effects that: since the measuring bottle adopts a one-way closed design, each component that is connected to the external environment is opened when it needs to be opened, so that outside air cannot enter the measuring bottle, and the air is avoided.
  • the utility model enters the chest cavity and causes complications such as pneumothorax, and realizes safe walking of the patient; by observing whether the liquid in the observation cavity is bubbled, or the bubble is generated, the patient's rehabilitation state can be judged, and the observation is convenient;
  • the liquid port injects physiological saline into the measuring chamber, and generates a negative pressure by discharging the physiological saline, thereby promoting the drainage channel to remain unobstructed and achieving the purpose of negative pressure drainage.
  • the present invention can also be improved as follows.
  • the discharge switch is a card holder.
  • the first one-way device And the second one-way device is a one-way valve.
  • the metering bottle is provided with a metering scale corresponding to the outer side wall of the observation chamber.
  • Figure 1 is a schematic view of the structure of the present invention
  • a thoracic closed drainage device includes a drainage catheter 16 , a storage bag 1 , and a metering bottle 2 fixed to the outside of the storage bag 1 , and further includes a first exhaust pipe 14 , and the measuring bottle 2 is provided with a branch
  • the separator, the measuring bottle 2 is divided into a measuring chamber 3 and an observation chamber 9 by a partition plate.
  • One end of the drainage tube 16 extends from the top of the metering bottle 2 into the metering chamber 3 and communicates with the metering chamber 3, and the two ends of the first exhaust tube 14
  • the metering chamber 3 and the observation chamber 9 are respectively inserted from the top of the measuring bottle 2, and communicate with the metering chamber 3 and the observation chamber 9, respectively.
  • the top of the metering bottle 2 is fixedly provided with a second exhaust pipe 13 and a belt that communicate with the observation chamber 9.
  • one end of the first exhaust pipe 14 communicating with the observation chamber 9 is fixedly connected with a water sealing tube 11 for viewing the inside of the chamber 9.
  • the end of the water seal tube 11 away from the first exhaust pipe 14 is immersed in the liquid 8
  • the end of the second exhaust pipe 13 away from the observation chamber 9 is provided with a first unidirectional device leading to the inside of the bag of the storage bag 1.
  • the second unidirectional device 7 leads to the inside of the storage bag 1.
  • the bottom of the storage bag 1 is fixedly provided with a discharge gate 6 that communicates with the inside of the storage bag 1.
  • the discharge switch 5 is a card holder; the first unidirectional device 12 and the second unidirectional device 7 are both one-way valves; and the metering bottle 2 is provided with a metering scale on the outer side wall of the observation chamber 9.
  • the drain enters the metering chamber 3 from the drain conduit 16, and the drain switch 5 is opened when the drain is required, and the drain is discharged from the discharge tube 4 into the storage bag 1 through the second unidirectional device 7, and then the drain gate 6 is opened to open the drain.
  • the storage bag 1 is discharged; if it is necessary to observe whether there is gas in the drainage, the discharge switch 5 needs to be closed first, and the gas enters the observation chamber 9 through the first exhaust pipe 14 and the water sealing pipe 11 through the top of the measuring chamber 3 (observing the liquid 8) The generated bubble and the fluctuation of the liquid 8 can judge the patient's condition), the gas rises to the top of the observation chamber 9 and enters the storage bag 1 through the second exhaust pipe 13 and the first unidirectional device 12, and then the gas is exhausted from the exhaust valve. 10 discharge the storage bag 1.
  • the drainage catheter 16 and the drain switch 5 can be closed, the second liquid addition port 17 is opened, and physiological saline is added to the measuring bottle 3.
  • the second filling port 17 is blocked by the plug, and then the drainage conduit 16 and the discharge switch 5 are opened, and the physiological saline automatically flows into the storage bag 1 through the discharge pipe 5 due to the gravity principle, thereby causing a negative pressure in the measuring bottle.
  • the resulting negative pressure can keep the drainage conduit 16 open.

Abstract

一种胸腔闭式引流装置,包括引流导管(16)、第一排气管(14)、储存袋(1)和固定在储存袋(1)外侧的计量瓶(2),计量瓶(2)内设有计量腔(3)和观察腔(9),引流导管(16)的一端从计量瓶(2)的顶部伸入计量腔(3)并连通计量腔(3),第一排气管(14)两端分别从计量瓶(2)的顶部伸入计量腔(3)和观察腔(9),计量瓶(2)的顶部固定设置有第二排气管(13)、第一加液口(15)和第二加液口(17),第一排气管(14)一端固定连接有水封管(11),第二排气管(13)远离观察腔(9)的一端设有通向储存袋(1)内部的第一单向装置(12),储存袋(1)的外侧上部固定设置有连通储存袋(1)内部的排气阀(10);计量瓶(2)底部固定设置有连通计量腔(3)的排放管(4),排放管(4)远离计量腔(3)的一端设有通向储存袋(1)内部的第二单向装置(7);有益效果是避免外界空气经引流装置进入进入胸腔而引发气胸等并发症等。

Description

一种朐腔闭式引流装置
技术领域
本实用新型涉及一种引流装置, 具体是一种胸腔闭式引流装置。 背景技术
胸腔闭式引流术, 是临床一种较为常见的胸外科手术。 一般用于治疗各 种胸腔积水、 积液和气胸等。 过程是先进行局部麻醉后, 在肋骨间放置一根 导管作引流导管,接入装有生理盐水的水封引流瓶以便排出气体或收集胸腔 内的液体, 使得肺组织重新张开而恢复功能
目前临床使用的胸腔引流装置, 基本都是引流导管插入在引流瓶内, 通 过生理盐水来封闭引流导管的末端, 人为的形成一个不让外界空气进入引流 装置的密闭的引流系统, 从而进行引流和观察使用。 但是, 患者使用时却难 以避免需要被移动 (如: 病人翻身、 下床活动等), 此时的引流瓶容易发生 倾倒。 引流瓶一旦发生倾倒, 人为形成的密闭引流系统瞬间被破坏, 引流导 管的末端暴露在外界空气中, 外界气体会经引流导管很快进入患者胸腔, 引 起气胸等并发症。 为此, 使用传统胸腔引流装置需要非常小心谨慎。 否则, 后果非常严重。
其次, 胸腔引流出来的血凝块或者组织很容易引起引流导管的堵塞, 临 床需要定时挤压引流导管来保持引流通道的通畅, 费时费力很麻烦。 实用新型内容
本实用新型 所要解决的技术问题是提供一种避免空气经引流装置进入 胸腔而引发气胸等并发症,并能够保持引流通道通畅的胸腔闭式引流装置, 观察方便、 病人携带行走安全。 本实用新型解决上述技术问题的技术方案如下: 一种胸腔闭式引流装 置, 包括引流导管、 储存袋和固定在所述储存袋外侧的计量瓶, 还包括第一 排气管, 所述计量瓶内设有分隔板, 所述计量瓶被所述分隔板分隔为计量腔 和观察腔, 所述引流导管的一端从所述计量瓶的顶部伸入所述计量腔并连通 所述计量腔,所述第一排气管两端分别从所述计量瓶的顶部伸入所述计量腔 和观察腔, 并分别连通所述计量腔和观察腔, 所述计量瓶的顶部固定设置有 连通所述观察腔的第二排气管和和带堵头的第一加液口以及连通所述计量 腔的带堵头的第二加液口, 所述第一排气管连通所述观察腔的一端固定连接 有水封管, 所述观察腔内注有液体, 所述水封管远离所述第一排气管的一端 没入所述液体内, 所述第二排气管远离所述观察腔的一端设有通向所述储存 袋袋内部的第一单向装置, 所述储存袋的外侧上部固定设置有连通所述储存 袋内部的排气阀; 所述计量瓶底部固定设置有连通所述计量腔的排放管, 所 述排放管上设有排放开关, 所述排放管远离所述计量腔的一端设有通向所述 储存袋内部的第二单向装置, 所述储存袋的底部固定设置有连通所述储存袋 内部的排放闸。
本实用新型的有益效果是: 由于所述计量瓶采用单向封闭式设计, 各个 接通外部环境的部件均在需要开放时才开放, 故外界空气无法进入所述计量 瓶中, 避免空气经本实用新型进入胸腔而引发气胸等并发症, 实现病人安全 携带行走; 通过观察所述观察腔内的液体是否有气泡产生, 或者气泡产生缓 急即可判断病人的康复状况, 观察方便; 从第二加液口往计量腔内注入生理 盐水, 通过排放该生理盐水产生负压, 促使引流通道保持通畅, 并达到负压 引流的目的。
在上述技术方案的基础上, 本实用新型还可以做如下改进。
进一步, 考虑到方便所述排放管控制开闭, 所述排放开关为卡片夹。 进一步, 考虑到提升本实用新型单向排放的可靠性, 所述第一单向装置 和第二单向装置均为单向阀。
进一步, 考虑到方便计量所述观察腔内液体的液量, 所述计量瓶对应所 述观察腔的外侧壁上设有计量刻度。 附图说明
图 1为本实用新型的结构示意图;
附图中, 各标号所代表的部件列表如下:
1、 储存袋, 2、 计量瓶, 3、 计量腔, 4、 排放管, 5、 排放开关, 6、 排 放闸, 7、 第二单向装置, 8、 液体, 9、 观察腔, 10、 排气阀, 11、 水封管, 12、 第一单向装置, 13、 第二排气管, 14、 第一排气管, 15、 第一加液口, 16、 引流导管, 17、 第二加液口。 具体实施方式
以下结合附图对本实用新型的原理和特征进行描述, 所举实例只用于解 释本实用新型, 并非用于限定本实用新型的范围。
如图 1所示, 一种胸腔闭式引流装置, 包括引流导管 16、储存袋 1和固 定在储存袋 1外侧的计量瓶 2, 还包括第一排气管 14, 计量瓶 2内设有分隔 板,计量瓶 2被分隔板分隔为计量腔 3和观察腔 9, 引流导管 16的一端从计 量瓶 2的顶部伸入计量腔 3并连通计量腔 3,第一排气管 14两端分别从计量 瓶 2的顶部伸入计量腔 3和观察腔 9, 并分别连通计量腔 3和观察腔 9, 计 量瓶 2的顶部固定设置有连通观察腔 9的第二排气管 13和和带堵头的第一 加液口 15以及连通计量腔 3的带堵头的第二加液口 17,第一排气管 14连通 观察腔 9的一端固定连接有水封管 11, 观察腔 9内注有液体 8, 水封管 11 远离第一排气管 14的一端没入液体 8内,第二排气管 13远离观察腔 9的一 端设有通向储存袋 1袋内部的第一单向装置 12,储存袋 1的外侧上部固定设 置有连通储存袋 1内部的排气阀 10; 计量瓶 2底部固定设置有连通计量腔 3 的排放管 4, 排放管 4上设有排放开关 5, 排放管 4远离计量腔 3的一端设 有通向储存袋 1内部的第二单向装置 7, 储存袋 1的底部固定设置有连通储 存袋 1内部的排放闸 6。
本实施例中,排放开关 5为卡片夹;第一单向装置 12和第二单向装置 7 均为单向阀; 计量瓶 2对应观察腔 9的外侧壁上设有计量刻度。
工作原理:
引流物从引流导管 16进入计量腔 3内,需要排放时打开排放开关 5, 引 流物从排放管 4经第二单向装置 7排入储存袋 1内, 之后打开排放闸 6即可 将引流物排出储存袋 1 ; 若需要观察引流物中是否存在气体, 则需要先关闭 排放开关 5, 气体通过计量腔 3的顶部经第一排气管 14和水封管 11进入观 察腔 9 (观察液体 8产生的气泡和液体 8的波动情况即可判断病人病情) , 气体上升到观察腔 9的顶部经第二排气管 13和第一单向装置 12进入储存袋 1内, 之后气体从排气阀 10排出储存袋 1。
再次, 当发现因引流出来的血凝块、 粘液、 组织块等堵塞引流导管 16 时, 可以关闭引流导管 16和排放开关 5, 打开第二加液口 17并加入生理盐 水至计量瓶 3中,加液完毕后用堵头堵住第二加液口 17,然后打开引流导管 16和排放开关 5, 生理盐水因为重力的原理自动通过排放管 5流入储存袋 1 中, 导致计量瓶内产生负压, 产生的负压可以使得引流导管 16保持通畅。
以上所述仅为本实用新型的较佳实施例, 并不用以限制本实用新型, 凡 在本实用新型的精神和原则之内, 所作的任何修改、 等同替换、 改进等, 均 应包含在本实用新型的保护范围之内。

Claims

权 利 要 求 书
1. 一种胸腔闭式引流装置, 包括引流导管 (16) 、 储存袋(1) 和固定 在所述储存袋( 1 )外侧的计量瓶( 2 ),其特征在于:还包括第一排气管( 14), 所述计量瓶(2) 内设有分隔板, 所述计量瓶(2) 被所述分隔板分隔为计量 腔 (3) 和观察腔 (9) , 所述引流导管 (16) 的一端从所述计量瓶 (2) 的 顶部伸入所述计量腔 (3) 并连通所述计量腔 (3) , 所述第一排气管 (14) 两端分别从所述计量瓶 (2) 的顶部伸入所述计量腔 (3) 和观察腔 (9) , 并分别连通所述计量腔 (3) 和观察腔 (9) , 所述计量瓶 (2) 的顶部固定 设置有连通所述观察腔(9)的第二排气管(13)和带堵头的第一加液口(15) 以及连通所述计量腔的带堵头的第二加液口 (17) , 所述第一排气管 (14) 连通所述观察腔 (9) 的一端固定连接有水封管 (11) , 所述观察腔 (9) 内 注有液体 (8) , 所述水封管 (11) 远离所述第一排气管 (14) 的一端没入 所述液体 (8) 内, 所述第二排气管 (13) 远离所述观察腔 (9) 的一端设有 通向所述储存袋 (1)袋内部的第一单向装置 (12) , 所述储存袋(1) 的外 侧上部固定设置有连通所述储存袋 (1) 内部的排气阀 (10) ; 所述计量瓶
(2)底部固定设置有连通所述计量腔(3) 的排放管(4) , 所述排放管(4) 上设有排放开关 (5) , 所述排放管 (4) 远离所述计量腔 (3) 的一端设有 通向所述储存袋 (1) 内部的第二单向装置 (7) , 所述储存袋 (1) 的底部 固定设置有连通所述储存袋 (1) 内部的排放闸 (6) 。
2. 根据权利要求 1所述的一种胸腔闭式引流装置, 其特征在于: 所述 排放开关 (5) 为卡片夹。
3. 根据权利要求 1所述的一种胸腔闭式引流装置, 其特征在于: 所述 第一单向装置 (12) 和第二单向装置 (7) 均为单向阀。
4. 根据权利要求 1至 3任一项所述的一种胸腔闭式引流装置, 其特征 在于: 所述计量瓶 (2) 对应所述观察腔 (9) 的外侧壁上设有计量刻度 (
PCT/CN2015/079035 2014-12-01 2015-05-15 一种胸腔闭式引流装置 WO2016086610A1 (zh)

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CN204246566U (zh) * 2014-12-01 2015-04-08 重庆琪美斯医疗设备有限公司 一种胸腔闭式引流装置
CN104958793A (zh) * 2015-06-19 2015-10-07 重庆琪美斯医疗设备有限公司 一种胸腔闭式引流装置
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CN110227186A (zh) * 2019-06-21 2019-09-13 中南大学湘雅医院 一种胸腔闭式引流装置及其制作方法
CN114146237B (zh) * 2021-12-06 2023-09-12 北京医院 一种用于胸外科闭式护理引流装置

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