CN110559498B - A new type of dialysis catheter with a water bag - Google Patents
A new type of dialysis catheter with a water bag Download PDFInfo
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- CN110559498B CN110559498B CN201910972188.9A CN201910972188A CN110559498B CN 110559498 B CN110559498 B CN 110559498B CN 201910972188 A CN201910972188 A CN 201910972188A CN 110559498 B CN110559498 B CN 110559498B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10181—Means for forcing inflation fluid into the balloon
- A61M25/10183—Compressible bulbs
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Abstract
Description
技术领域Technical Field
本发明涉及医疗器械技术领域,具体为一种带有水囊的新型透析导管。The invention relates to the technical field of medical devices, in particular to a novel dialysis catheter with a water bag.
背景技术Background technique
血液透析是急慢性肾功能衰竭患者肾脏替代治疗方式之一;在带管过程中由于患者活动时将封管液挤出,并使血液流动进入导管,常出现血栓形成导致流量下降,严重影响导管使用寿命及透析疗效,需要重新更换导管,且导管的本身质地较硬,长期使用下来容易引发血管壁损伤和静脉炎。因此有必要通过设计一种新型透析导管,减少患者长期带管过程中出现的血栓栓塞机会,从而减少患者的痛苦,减轻患者的经济负担,为此我们提供一种带有水囊的新型透析导管,以解决上述背景技术中提出的问题。Hemodialysis is one of the renal replacement therapies for patients with acute and chronic renal failure. During the process of wearing a catheter, the patient squeezes out the sealing fluid when moving, and blood flows into the catheter, which often causes thrombosis and reduces the flow rate, seriously affecting the service life of the catheter and the dialysis effect. The catheter needs to be replaced, and the catheter itself is hard, which can easily cause vascular wall damage and phlebitis after long-term use. Therefore, it is necessary to design a new type of dialysis catheter to reduce the chance of thromboembolism during long-term use of the catheter, thereby reducing the patient's pain and reducing the patient's economic burden. To this end, we provide a new type of dialysis catheter with a water bag to solve the problems raised in the above background technology.
发明内容Summary of the invention
本发明的目的可以通过以下技术方案实现:一种带有水囊的新型透析导管,包括脉管、进水管、调节器和卷辊,脉管包括动脉管和静脉管,动脉管与静脉管相互粘接在一起,所述脉管的内部设有管壁,管壁上设有管道,管道的内部插设有进水管,进水管的一端设有充压囊,另一端上设有动脉侧水囊与静脉侧水囊,动脉侧水囊位于动脉管的内部,静脉侧水囊位于静脉管的内部,进水管位于脉管外侧的一端上活动贯穿调节器,调节器上转动设有卷辊,卷辊上卷绕有收卷条,收卷条的一端插入调节器的内部,且其末端设有限位球,限位球活动设置在调节器的内部,当限位球活动至调节器的一端时,限位球挤压进水管,此时进水管闭合。The purpose of the present invention can be achieved through the following technical scheme: a new type of dialysis catheter with a water bag, comprising a vascular tube, a water inlet pipe, a regulator and a roller, the vascular tube comprising an arterial tube and a venous tube, the arterial tube and the venous tube are bonded together, a tube wall is provided inside the vascular tube, a pipeline is provided on the tube wall, a water inlet pipe is inserted inside the pipeline, a pressure bag is provided at one end of the water inlet pipe, and an arterial side water bag and a venous side water bag are provided at the other end, the arterial side water bag is located inside the arterial tube, the venous side water bag is located inside the venous tube, the water inlet pipe is located at one end of the outer side of the vascular tube and movably penetrates the regulator, a roller is rotatably provided on the regulator, a winding strip is wound on the roller, one end of the winding strip is inserted into the interior of the regulator, and a limiting ball is provided at the end thereof, the limiting ball is movably arranged inside the regulator, when the limiting ball moves to one end of the regulator, the limiting ball squeezes the water inlet pipe, and the water inlet pipe is closed at this time.
优选的,所述静脉管的长度长于动脉管,管壁的一端开设有开槽,开槽上设有乳胶挡块,两乳胶挡块位于不同侧,且动脉侧水囊位于动脉管上的乳胶挡块内侧,静脉侧水囊位于静脉管上的乳胶挡块内侧。Preferably, the length of the venous tube is longer than that of the arterial tube, a groove is provided at one end of the tube wall, a latex block is provided on the groove, the two latex blocks are located on different sides, and the arterial side water bag is located inside the latex block on the arterial tube, and the venous side water bag is located inside the latex block on the venous tube.
优选的,所述脉管的末端设有连接管,连接管上转动设有转环,转环的外侧设有固定翼。Preferably, a connecting tube is provided at the end of the vascular tube, a swivel is rotatably provided on the connecting tube, and a fixed wing is provided on the outer side of the swivel.
优选的,所述连接管的末端设有连接座,连接座设有三个接口,呈“Y”形,连接座的一端分别插设有第一延长管与第二延长管,第一延长管与第二延长管的一端卡接有鲁尔接头,其中第一延长管的一端与动脉管相连通,第二延长管的一端与静脉管相连通。Preferably, a connecting seat is provided at the end of the connecting tube, and the connecting seat is provided with three interfaces in a "Y" shape, and a first extension tube and a second extension tube are respectively inserted at one end of the connecting seat, and one end of the first extension tube and the second extension tube are clamped with a Luer connector, wherein one end of the first extension tube is connected to the arterial tube, and one end of the second extension tube is connected to the venous tube.
优选的,所述调节器的内腔中设有对称分布的内侧限位块,进水管位于两内侧限位块之间,调节器的外侧焊接有外侧限位块,卷辊转动设置在外侧限位块之间。Preferably, the inner cavity of the regulator is provided with symmetrically distributed inner limit blocks, the water inlet pipe is located between the two inner limit blocks, the outer side of the regulator is welded with an outer limit block, and the roller is rotatably arranged between the outer limit blocks.
优选的,所述调节器的截面形状为梯形,其内部开设有倾斜设置的滑槽,限位球的外侧设有对称的滑块,滑块的末端滑动插设在滑槽中。Preferably, the cross-sectional shape of the regulator is a trapezoid, an inclined sliding groove is provided inside the regulator, and a symmetrical sliding block is provided on the outer side of the limiting ball, and the end of the sliding block is slidably inserted in the sliding groove.
优选的,所述调节器开口较小的一端设有导杆,收卷条的一端绕过导杆。Preferably, a guide rod is provided at the end of the regulator with a smaller opening, and one end of the winding strip passes around the guide rod.
本发明的有益效果:Beneficial effects of the present invention:
1、此时拨动卷辊,卷辊卷绕收卷条,从而带动限位球移动至调节器的一端并挤压进水管,完成动脉管与静脉管的封堵;1. At this time, the roller is turned, and the roller winds up the winding strip, thereby driving the limit ball to move to one end of the regulator and squeeze the water inlet pipe to complete the blocking of the arterial tube and the venous tube;
2、与现有技术相比,本方案通过设置两种水囊,结束透析后,可将脉管堵住,减少患者长期带管过程中出现的血栓栓塞机会,从而减少患者的痛苦,减轻患者的经济负担;2. Compared with the existing technology, this solution sets two water bags, which can block the blood vessels after dialysis, reduce the chance of thrombus embolism during long-term tube wearing, thereby reducing the pain of patients and reducing the economic burden of patients;
3、本方案方便医护人员操作,改善透析的疗效,减少重复置管对病人血管的损伤,提高患者的满意度。3. This solution is convenient for medical staff to operate, improves the efficacy of dialysis, reduces the damage to patients' blood vessels caused by repeated catheterization, and improves patient satisfaction.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
下面结合附图对本发明作进一步的说明。The present invention will be further described below in conjunction with the accompanying drawings.
图1是本发明结构示意图;Fig. 1 is a schematic diagram of the structure of the present invention;
图2是本发明进水管与调节器连接示意图;FIG2 is a schematic diagram of the connection between the water inlet pipe and the regulator of the present invention;
图3是本发明调节器剖视示意图;FIG3 is a schematic cross-sectional view of the regulator of the present invention;
图4是本发明进水管与脉管连接示意图;FIG4 is a schematic diagram of the connection between the water inlet pipe and the pulse tube of the present invention;
图5是本发明进水管与水囊连接示意图;FIG5 is a schematic diagram of the connection between the water inlet pipe and the water bag of the present invention;
图6是本发明水囊与脉管连接示意图。FIG. 6 is a schematic diagram of the connection between the water bag and the blood vessel of the present invention.
图中:1脉管、11管壁、12管道、13乳胶挡块、14连接管、15动脉管、16静脉管、2连接座、21固定翼、3第一延长管、4第二延长管、5鲁尔接头、6进水管、61充压囊、62动脉侧水囊、63静脉侧水囊、7调节器、71内侧限位块、72滑槽、73导杆、74外侧限位块、8卷辊、81收卷条、82限位球、821滑块。In the figure: 1 vascular tube, 11 tube wall, 12 pipeline, 13 latex stopper, 14 connecting tube, 15 arterial tube, 16 venous tube, 2 connecting seat, 21 fixed wing, 3 first extension tube, 4 second extension tube, 5 Luer joint, 6 water inlet pipe, 61 pressurized bag, 62 arterial side water bag, 63 venous side water bag, 7 regulator, 71 inner side limit block, 72 slide groove, 73 guide rod, 74 outer side limit block, 8 roller, 81 winding strip, 82 limit ball, 821 slider.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
请参阅图1-6,本发明提供一种技术方案:一种带有水囊的新型透析导管,包括脉管1、进水管6、调节器7和卷辊8,脉管1包括动脉管15和静脉管16,动脉管15与静脉管16相互粘接在一起,且均呈中空的半圆状结构,脉管1的内部设有管壁11,管壁11位于其截面圆的中部,管壁11上设有管道12,管道12为中空的天然乳胶管,管道12的内部插设有进水管6,进水管6同样为天然乳胶管,其直径为1mm,进水管6的一端设有充压囊61,充压囊61的内部注有生理盐水,另一端上设有动脉侧水囊62与静脉侧水囊63,对充压囊61施压,充压囊61中的水经进水管6最终进入至动脉侧水囊62与静脉侧水囊63中,并使他们膨胀,动脉侧水囊62位于动脉管15的内部,静脉侧水囊63位于静脉管16的内部,当注入水后动脉侧水囊62和静脉侧水囊63体积变大,从而可将动脉管15和静脉管16的管孔堵住,防止血液回流,进水管6位于脉管1外侧的一端上活动贯穿调节器7,调节器7上转动设有卷辊8,卷辊8上卷绕有收卷条81,收卷条81的一端插入调节器7的内部,且其末端设有限位球82,限位球82活动设置在调节器7的内部,当限位球82活动至调节器7的一端时,限位球82挤压进水管6,此时进水管6闭合,结束透析后,拨动卷辊8,收卷条81放出,并向前推动调节器7,使得调节器7内部的限位球82从其一端移走,进水管6中的水受压回流至充压囊61的内部;透析结束常规抗凝剂封管后,挤压充压囊61,充压囊61中的水进入动脉侧水囊62和静脉侧水囊63中并膨胀将各自对应的动脉管15与静脉管16堵住,此时拨动卷辊8,卷辊8卷绕收卷条81,从而带动限位球82移动至调节器7的一端并挤压进水管6,完成动脉管15与静脉管16的封堵。与现有技术相比,本方案通过设置两种水囊,结束透析后,可将脉管1堵住,减少患者长期带管过程中出现的血栓栓塞机会,从而减少患者的痛苦,减轻患者的经济负担;此外本方案方便医护人员操作,改善透析的疗效,减少重复置管对病人血管的损伤,提高患者的满意度。Please refer to Figures 1-6. The present invention provides a technical solution: a new type of dialysis catheter with a water bag, including a blood vessel 1, a water inlet pipe 6, a regulator 7 and a roller 8. The blood vessel 1 includes an arterial tube 15 and a venous tube 16. The arterial tube 15 and the venous tube 16 are bonded together and both have a hollow semicircular structure. The blood vessel 1 is provided with a tube wall 11 inside. The tube wall 11 is located in the middle of its cross-sectional circle. A pipe 12 is provided on the tube wall 11. The pipe 12 is a hollow natural latex tube. The water inlet pipe 6 is inserted inside the pipe 12. The water inlet pipe 6 is also made of natural latex. The diameter of the water inlet pipe 6 is 1 mm. A pressure-filling bag 61 is arranged at one end of the water inlet pipe 6. The interior of the pressure-filling bag 61 is filled with physiological saline. An arterial side water bag 62 and a venous side water bag 63 are arranged at the other end. When the pressure-filling bag 61 is pressurized, the water in the pressure-filling bag 61 finally enters the arterial side water bag 62 and the venous side water bag 63 through the water inlet pipe 6 and expands them. The arterial side water bag 62 is located inside the arterial tube 15, and the venous side water bag 63 is located inside the venous tube 16. When water is injected, the volumes of the arterial side water bag 62 and the venous side water bag 63 increase, so that the arterial tube can be 15 and the pores of the venous tube 16 are blocked to prevent blood from flowing back. The water inlet pipe 6 is located on one end outside the blood vessel 1 and movably penetrates the regulator 7. A roller 8 is rotatably provided on the regulator 7. A winding strip 81 is wound on the roller 8. One end of the winding strip 81 is inserted into the inside of the regulator 7, and a limiting ball 82 is provided at the end thereof. The limiting ball 82 is movably arranged in the inside of the regulator 7. When the limiting ball 82 moves to one end of the regulator 7, the limiting ball 82 squeezes the water inlet pipe 6. At this time, the water inlet pipe 6 is closed. After the dialysis is finished, the roller 8 is moved, the winding strip 81 is released, and moves forward. Push the regulator 7 so that the limiting ball 82 inside the regulator 7 moves away from one end thereof, and the water in the water inlet pipe 6 is pressurized and flows back to the inside of the pressure bag 61; after the dialysis is finished and the conventional anticoagulant tube is sealed, the pressure bag 61 is squeezed, and the water in the pressure bag 61 enters the arterial side water bag 62 and the venous side water bag 63 and expands to block the corresponding arterial tube 15 and venous tube 16. At this time, the roller 8 is moved, and the roller 8 winds up the winding strip 81, thereby driving the limiting ball 82 to move to one end of the regulator 7 and squeeze the water inlet pipe 6, completing the blocking of the arterial tube 15 and the venous tube 16. Compared with the prior art, this solution, by setting two water bags, can block the blood vessel 1 after the dialysis is finished, reduce the chance of thromboembolism in the patient during the long-term tube wearing process, thereby reducing the patient's pain and reducing the patient's economic burden; in addition, this solution is convenient for medical staff to operate, improve the efficacy of dialysis, reduce the damage to the patient's blood vessels caused by repeated catheterization, and improve patient satisfaction.
静脉管16的长度长于动脉管15,管壁11的一端开设有开槽,开槽上设有乳胶挡块13,两乳胶挡块13位于不同侧,动脉管15上的乳胶挡块13位于管壁11在静脉管16内的一侧,静脉管16上的乳胶挡块13位于管壁11长于动脉管15的一端外侧面上,且动脉侧水囊62位于动脉管15上的乳胶挡块13内侧,静脉侧水囊63位于静脉管16上的乳胶挡块13内侧。The length of the venous tube 16 is longer than that of the arterial tube 15. A groove is provided at one end of the tube wall 11, and a latex stopper 13 is provided on the groove. The two latex stoppers 13 are located on different sides. The latex stopper 13 on the arterial tube 15 is located on the side of the tube wall 11 inside the venous tube 16. The latex stopper 13 on the venous tube 16 is located on the outer side of the end of the tube wall 11 that is longer than the arterial tube 15. The arterial side water bag 62 is located on the inner side of the latex stopper 13 on the arterial tube 15, and the venous side water bag 63 is located on the inner side of the latex stopper 13 on the venous tube 16.
脉管1的末端设有连接管14,连接管14上转动设有转环,转环的外侧设有固定翼21,用于固定脉管1的位置。A connecting tube 14 is provided at the end of the vascular tube 1 . A swivel is rotatably provided on the connecting tube 14 . A fixing wing 21 is provided on the outer side of the swivel for fixing the position of the vascular tube 1 .
连接管14的末端设有连接座2,连接座2设有三个接口,呈“Y”形,连接座2的一端分别插设有第一延长管3与第二延长管4,第一延长管3与第二延长管4的一端卡接有鲁尔接头5,其中第一延长管3的一端与动脉管15相连通,第二延长管4的一端与静脉管16相连通。A connecting seat 2 is provided at the end of the connecting tube 14, and the connecting seat 2 is provided with three interfaces in a "Y" shape. A first extension tube 3 and a second extension tube 4 are respectively inserted at one end of the connecting seat 2, and a Luer connector 5 is clamped at one end of the first extension tube 3 and the second extension tube 4, wherein one end of the first extension tube 3 is connected to the arterial tube 15, and one end of the second extension tube 4 is connected to the venous tube 16.
调节器7的内腔中设有对称分布的内侧限位块71,内侧限位块71为天然橡胶与进水管6不产生摩擦,进水管6位于两内侧限位块71之间,调节器7的外侧焊接有外侧限位块74,卷辊8通过转轴转动设置在外侧限位块74之间。The inner cavity of the regulator 7 is provided with symmetrically distributed inner limit blocks 71. The inner limit blocks 71 are made of natural rubber and do not generate friction with the water inlet pipe 6. The water inlet pipe 6 is located between the two inner limit blocks 71. The outer side of the regulator 7 is welded with an outer limit block 74, and the roller 8 is arranged between the outer limit blocks 74 by rotating the rotating shaft.
调节器7的截面形状为梯形,其内部开设有倾斜设置的滑槽72,限位球82的外侧设有对称的滑块821,滑块821的末端滑动插设在滑槽72中。The cross-sectional shape of the regulator 7 is a trapezoid, and an inclined slide groove 72 is provided inside the regulator 7 . A symmetrical slider 821 is provided on the outer side of the limiting ball 82 , and the end of the slider 821 is slidably inserted in the slide groove 72 .
调节器7开口较小的一端设有导杆73,收卷条81的一端绕过导杆73,减少收卷条摩擦。A guide rod 73 is provided at the end of the regulator 7 with a smaller opening, and one end of the winding strip 81 passes around the guide rod 73 to reduce the friction of the winding strip.
在本说明书的描述中,参考术语“一个实施例”、“示例”、“具体示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, the description with reference to the terms "one embodiment", "example", "specific example", etc. means that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in at least one embodiment or example of the present invention. In this specification, the schematic representation of the above terms does not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described can be combined in any one or more embodiments or examples in a suitable manner.
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