CN111265224B - Blood collection aid and method for separating a serum sample from whole blood - Google Patents
Blood collection aid and method for separating a serum sample from whole blood Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及血液处理技术领域,尤其涉及用于从全血中分离出血清样本的采血辅助装置和方法。The invention relates to the technical field of blood processing, in particular to an auxiliary blood collection device and method for separating serum samples from whole blood.
背景技术Background technique
血液由血浆和血细胞两部分组成,在体内通过循环系统与全身各个组织器官发生密切联系,参与机体各项功能活动,对维持机体新陈代谢、功能调节、机体内外环境的平衡起重要作用。病理状态下,血液系统疾病除直接累及血液外,也可影响全身的组织器官,组织器官病变也可直接或间接地引起血液成分发生变化,血液检查不仅可反应血液系统本身的病变,也可协助诊断疾病、判断病人病情进展程度,为治疗疾病提供参考依据。故血液检查是临床上常用的检验项目之一。大部分人的手肘窝的静脉较粗且比较浅,容易找到血管和进行穿刺。还有手肘窝处的皮肤的敏感性比其他部位低,抽血时疼痛感比较弱,抽血后不容易被外物触碰,可以避免穿刺抽血后伤口被污染。静脉血量速度较慢、静脉血压比动脉血压低、静脉壁比动脉壁薄、静脉多数位于浅表皮肤等,当然动脉也有浅表,不过大部分都是比较深,出于安全考虑,大部分采血都是采静脉血。静脉血标本采集是指自静脉抽取血标本的方法。而静脉血标本采集时所选用的静脉通常有贵要静脉、肘正中静脉、腕部及手背静脉、大隐静脉、小隐静脉、足背静脉、颈外静脉(婴幼儿多选)、股静脉。Blood is composed of two parts, plasma and blood cells. In the body, it is closely connected with various tissues and organs of the whole body through the circulatory system, participates in various functional activities of the body, and plays an important role in maintaining the body's metabolism, function regulation, and balance of the body's internal and external environments. Under pathological conditions, blood system diseases can not only directly affect the blood, but also affect the tissues and organs of the whole body, and tissue and organ lesions can also directly or indirectly cause changes in blood components. Blood tests can not only reflect the lesions of the blood system itself, but also assist Diagnose the disease, judge the progress of the patient's condition, and provide a reference for the treatment of the disease. Therefore, blood test is one of the commonly used test items in clinical practice. The veins in the elbow fossa of most people are thick and shallow, so it is easy to find blood vessels and perform puncture. In addition, the sensitivity of the skin at the fossa of the elbow is lower than that of other parts, and the pain is relatively weak when drawing blood. Venous blood volume is slower, venous blood pressure is lower than arterial blood pressure, vein wall is thinner than arterial wall, and most veins are located on the superficial skin, etc. Of course, arteries also have superficial surfaces, but most of them are relatively deep. For safety reasons, most Blood collection is venous blood. Venous blood sample collection refers to the method of drawing blood samples from veins. The veins used in the collection of venous blood samples usually include the basilic vein, median cubital vein, wrist and dorsal vein, great saphenous vein, small saphenous vein, dorsalis pedis vein, external jugular vein (multiple choices for infants), and femoral vein. .
静脉穿刺采血和静脉输液在临床工作中应用广泛,主要用于化验检查及药物治疗,静脉采血作为化验检查的主要手段,也是临床护理工作的重要部分,外伤止血是各种事故现场、战场救护的关键措施,由于长时间的输液过程中,待采血对象肢体摆放不舒适、活动受局限等多种因素,极易造成穿刺针移动刺出血管,液体外渗,造成皮肤的红肿或坏死,增加病人的痛苦。特别是在采血过程中需要待采血对象暴露局部肢体,但在秋冬季节,室内温度较低,不利于血管充盈;通常操作部位下方只是铺简易垫子或直接放在操作台上,感觉不适,且不易固定;在儿童、危重病人静脉输液时需用夹板、绑带等设备保护输液,病人不便;传统使用的橡皮管压脉带较细,在束紧皮肤时与皮肤接触面积小,待采血对象痛感明显,皮肤干燥时容易松动,且压力不易掌握,应用时容易导致皮下淤血、肿胀,极易产生神经麻痹等并发症,同时增加了工作难度。Blood collection by venipuncture and intravenous infusion are widely used in clinical work, mainly for laboratory examination and drug treatment. As the main means of laboratory examination, venous blood collection is also an important part of clinical nursing work. The key measure is that during the long-term infusion process, various factors such as uncomfortable placement of limbs and limited activities of the subject to be blood-collected can easily cause the puncture needle to move and pierce the blood vessel, and the liquid will leak out, causing redness or necrosis of the skin, increasing patient suffering. Especially in the blood collection process, it is necessary to expose some limbs of the blood collection subject, but in autumn and winter, the indoor temperature is low, which is not conducive to blood vessel filling; usually a simple mat is placed under the operation site or placed directly on the operation table, which feels uncomfortable and not easy. Fixed; during intravenous infusion of children and critically ill patients, splints, bandages and other equipment are required to protect the infusion, which is inconvenient for patients; the traditionally used rubber tube cuff is thinner, and when the skin is tightened, the contact area with the skin is small, and the subject to be blooded feels pain Obviously, when the skin is dry, it is easy to loosen, and the pressure is not easy to control. It is easy to cause subcutaneous congestion and swelling when it is applied, and it is very easy to cause complications such as nerve paralysis, and at the same time it increases the difficulty of work.
静脉采血法的操作步骤:1.根据检验目的选择适当容器。检查容器完好性,在容器外贴上检验标签。2.检查注射器:打开一次性注射器包装,左手持针头下座,右手持针筒,将针头和针筒紧密连接,并使针头斜面对准针筒刻度,抽拉针栓检查有无阻塞和漏气。最后排尽注射器中的空气,备用。3.选择静脉:待采血对象取坐位,前臂水平伸直置于桌面枕垫上。暴露穿刺部位,选择合适血管,常选用肘正中静脉、头静脉或贵要静脉。嘱病人握拳,使静脉充盈。4.消毒:先用消毒棉签自所选静脉穿刺处从内向外、顺时针方向消毒皮肤,待干。5.扎压脉带:在穿刺部位上6CM处扎止血带,并嘱待采血对象反复握拳几次后握紧拳头,使静脉充盈暴露,便于穿刺。6.再次消毒后穿刺:取下针头无菌帽,以左手拇指固定静脉穿刺部位下端,右手拇指和中指持注射器针筒,食指固定针头下座,使针头斜面和针筒刻度向上,沿静脉走向使针头与血管呈15°~30°的方位进针。见回血后,将针头顺势探入少许,以免采血时针头滑出;但不可用力深刺,以免造成血肿,同时立即去掉压脉带。7.抽血:以左手固定注射器,缓缓抽动注射器内芯至所需血量后,用消毒干棉球压住针孔,请待采血对象松拳,迅速拔出注射器。嘱咐待采血对象用无菌干棉签按压局部1-2分钟。8.放血与混匀:取下注射器针头,将血液沿试管壁缓缓注入抗凝管中,防止溶血和泡沫产生。若有抗凝剂的试管,轻轻摇动试管,使抗凝剂与血液充分混合,盖紧试管塞备用。The operation steps of the venous blood collection method: 1. Select the appropriate container according to the inspection purpose. Check the integrity of the container and affix the inspection label on the outside of the container. 2. Check the syringe: open the disposable syringe package, hold the needle seat in the left hand, and the syringe barrel in the right hand, connect the needle and the syringe tightly, and align the slope of the needle with the scale of the syringe, pull the needle plug to check whether there is blockage or leakage. gas. Finally exhaust the air in the syringe and set aside. 3. Select the vein: the subject to be blood-collected takes a sitting position, with the forearm stretched horizontally and placed on the desktop pillow. Expose the puncture site and select a suitable blood vessel, usually the median cubital vein, cephalic vein or basilic vein. Instruct the patient to make a fist to fill the vein. 4. Disinfection: first use a sterile cotton swab to disinfect the skin from the selected venipuncture site from the inside to the outside in a clockwise direction, and wait for it to dry. 5. Tie a cuff: Tie a tourniquet at 6 cm above the puncture site, and ask the blood collection subject to clench his fist several times, so that the vein is filled and exposed for easy puncture. 6. Puncture after re-disinfection: remove the sterile cap of the needle, fix the lower end of the venipuncture site with the thumb of the left hand, hold the syringe barrel with the thumb and middle finger of the right hand, fix the lower seat of the needle with the index finger, make the bevel of the needle and the scale of the barrel upward, and follow the direction of the vein Insert the needle at an angle of 15° to 30° between the needle and the blood vessel. After seeing the return of blood, insert the needle a little in order to prevent the needle from slipping out during blood collection; but do not puncture deeply with force to avoid hematoma, and remove the cuff immediately. 7. Blood drawing: fix the syringe with the left hand, slowly pump the inner core of the syringe to the required blood volume, press the needle hole with a sterile dry cotton ball, wait for the blood collection subject to loosen his fist, and quickly pull out the syringe. Instruct the subject to take blood to press the part with a sterile dry cotton swab for 1-2 minutes. 8. Bleeding and mixing: Remove the needle of the syringe, and slowly inject the blood into the anticoagulant tube along the wall of the test tube to prevent hemolysis and foam generation. If there is a test tube with anticoagulant, shake the test tube gently to fully mix the anticoagulant with the blood, and close the stopper of the test tube tightly for later use.
静脉采血所应用的真空采血技术发明于20世纪30年代末,该技术具有临床使用方便、操作简单、试管全封闭、生物安全、标本易重复检验和标本易保存等优点,在全国基本普及应用。实验室真空采血管标本分析前一般需要处理过程,如生化标本,经历采集、离心、开盖、检验、合盖、保存和消毒处理等步骤,整个过程劳动强度大,操作繁琐,因此有待优化流程,提高效率,减少劳动强度。真空采血管技术是目前国际先进的采血技术。真空采血管技术特点是:(1)自动计量,无须回抽:由于采血管内人为造成真空,可通过控制气压来控制采血量。无须在操作时人工回抽计量;(2)无菌程度高,检验干扰小:为保持管内真空,真空采血管管口盖密闭性较好,无菌程度高,血液污染几率小,对检验结果的干扰相对较小;(3)一次注血入管,血液成分改变小:真空采血法直接将血液注入采血管,省略了血液在注射器针筒中的停留以及从针筒转移至采血管两个过程,减少了血液的反复挤压,血细胞破坏少,检验结果更可靠。Vacuum blood collection technology used in venous blood collection was invented in the late 1930s. This technology has the advantages of convenient clinical use, simple operation, fully sealed test tube, biological safety, easy repeated inspection of specimens, and easy preservation of specimens. It is basically popularized and applied throughout the country. Laboratory vacuum blood collection tube specimens generally require processing before analysis, such as biochemical specimens, which go through the steps of collection, centrifugation, cap opening, inspection, cap closure, preservation, and disinfection. The entire process is labor-intensive and cumbersome, so the process needs to be optimized , Improve efficiency and reduce labor intensity. Vacuum blood collection tube technology is currently the most advanced blood collection technology in the world. The technical characteristics of vacuum blood collection tubes are: (1) Automatic measurement, no need to withdraw: due to the artificial vacuum in the blood collection tube, the blood sampling volume can be controlled by controlling the air pressure. There is no need to manually draw back and measure during operation; (2) High degree of sterility and small inspection interference: In order to maintain the vacuum in the tube, the vacuum blood collection tube cap has better airtightness, high degree of sterility, and a small chance of blood contamination, which has little effect on the test results. (3) Once blood is injected into the tube, the change of blood composition is small: the vacuum blood collection method directly injects blood into the blood collection tube, omitting the two processes of blood staying in the syringe barrel and transferring from the syringe to the blood collection tube, The repeated extrusion of blood is reduced, the destruction of blood cells is less, and the test results are more reliable.
目前采血管有软接式双向采血针系统(头皮静脉双向采血式)和硬接式双向采血针系统(套筒双向采血式))两种,其都是一端为穿刺针,另一端为刺塞针。因为真空采血法符合生物安全措施,且操作简便、准确可靠,普遍应用于临床,真空采血技术是一种先进采血技术,倍受医院及病患的欢迎。采用一次性真空采血装置取代一次性注射器进行采血,由于其具有操作简单、病人痛苦少、工作效率高、采血量不受限制、保护操作者及减少环境污染等优点,在临床上应用越来越广泛。At present, there are two types of blood collection tubes: soft-connected two-way blood collection needle system (scalp vein two-way blood collection type) and hard-connected two-way blood collection needle system (sleeve two-way blood collection type)), both of which are puncture needles at one end and puncture plugs at the other end Needle. Because the vacuum blood collection method complies with biosafety measures, and is easy to operate, accurate and reliable, it is widely used in clinical practice. Vacuum blood collection technology is an advanced blood collection technology that is very popular among hospitals and patients. Using a disposable vacuum blood collection device instead of a disposable syringe for blood collection, due to its advantages of simple operation, less pain for patients, high work efficiency, unlimited blood collection volume, protection of operators and reduction of environmental pollution, it is more and more clinically used. widely.
使用真空采血装置进行样本收集的实际操作中,区别于不同生化检测需求的不同,不同生化检测要求收集不同量的样本,即需要对采集到的样本做定量分装处理。例如,在基因检测实验室,血清血浆分离是很多检测步骤的前序步骤,如公开号为CN108486217A所提出的一种胎儿染色体非整倍体检测中DNA的样本采集及质控方法,其包括样品收集步骤,具体地:采血管一采集5.0mL孕妇外周血,采集完毕后,轻柔颠倒采血管4次并及时将采血管放置4.0℃冰箱中,须在8小时内进行血浆血清分离;采血管二采集10.0mL孕妇外周血,采集完毕后,轻柔颠倒采血管10次并常温保存,须在72小时内进行血浆血清分离;预冷低速离心机至4.0℃,待温度稳定后,放入采血管二,离心15分钟,吸取上清血浆,转移至置于冰盒上的2.0mL EP管中,标记相应的样品编号;预冷高速离心机至4.0℃,待温度稳定后,放入上步所得2.0mLEP管,离心10分钟,枪头对着非白细胞沉淀处,在冰盒上吸取上清血浆,分装至置于冰盒上的1.5mLEP管中,每管转入400uL血浆,标记样品编号和血浆管数,立即放入-20.0℃C或-80.0℃冰箱中保存。In the actual operation of sample collection using a vacuum blood collection device, it is different from the requirements of different biochemical tests. Different biochemical tests require different amounts of samples to be collected, that is, the collected samples need to be quantitatively packaged. For example, in a genetic testing laboratory, separation of serum and plasma is a pre-order step of many testing steps, such as the method for collecting and quality control DNA samples in the detection of fetal chromosomal aneuploidy proposed by the publication number CN108486217A, which includes sample Collection steps, specifically:
如上述样本定量分装处理操作中,医务人员通常是采用先开盖再吸管吸取的方式获取血清的。然而,目前医学实验室真空采血管开盖动作大多由医务人员手动完成,无医务人员对已完成检验工作的病人标本进行合盖处理,更无对已完成检验工作的病人标本进行合盖的仪器设备,并且,进行手工开启采血管盖操作具有以下缺点:1、劳动繁琐;2、耗时长;3、生物安全风险大,如存在试管口破裂划伤操作人员,开盖过程中管内局部负压的骤然释放形成血样飞溅和产生气溶胶,从而导致细菌与病毒感染医护人员;另外对真空采血管开盖且检验工作完毕后再对采血管盖进行合盖的劳动强度更大,更易对操作人员造成生物危害;4、药物临床试验中血样本采集离心后需要分装为检测管和备份管,在分血样时血液会暴露在空气中若发生疏漏血液容易受到细菌感染,会使血液变质,造成检验结果不准确,不但给医务人员增加了工作难度,同时也给病人带来了一定的安全隐患。For example, in the above-mentioned sample quantitative subpackaging and processing operations, medical personnel usually obtain serum by first opening the cover and then sucking it through a straw. However, at present, most of the vacuum blood collection tubes in medical laboratories are manually opened by medical staff. There is no medical staff to close the caps on the patient specimens that have completed the inspection work, and there is no instrument for closing the caps on the patient specimens that have completed the inspection work. equipment, and the operation of manually opening the blood collection tube cover has the following disadvantages: 1. The labor is cumbersome; 2. It takes a long time; 3. The biological safety risk is high. The sudden release of the blood sample will form blood splash and generate aerosol, which will cause bacteria and viruses to infect the medical staff; in addition, the labor intensity of opening the vacuum blood collection tube and closing the blood collection tube cap after the inspection work is greater, and it is easier for the operator. Cause biological hazards; 4. In drug clinical trials, blood samples need to be divided into detection tubes and backup tubes after being collected and centrifuged. When blood samples are divided, the blood will be exposed to the air. Inaccurate test results not only increase the difficulty of work for medical staff, but also bring certain safety hazards to patients.
针对上述目前样本定量分装处理操作中所存在的问题,现有技术已提出了诸多解决方案,例如,公开号为CN108601565A的专利文件公开的一种用于在全血样品中将血清或血浆从血细胞分离的装置和方法,该专利使用带有储存器的盖,使得在样品容器被离心分离时,血细胞装填到盖中,在移除盖时,还移除血细胞,且血清或血浆被留在样品管中,在那里,血清或血浆能够容易地被移液器抽取,移液器能够一直到达样品管的底部,从而最小化死体积。Aiming at the above-mentioned problems existing in the current sample quantitative subpackaging operation, many solutions have been proposed in the prior art. For example, the patent document with the publication number CN108601565A discloses a method for separating serum or plasma from whole blood samples. Apparatus and method for blood cell separation, which uses a cap with a reservoir such that when a sample container is centrifuged, blood cells are filled into the cap, and when the cap is removed, the blood cells are also removed and the serum or plasma is left behind In sample tubes, where serum or plasma can be easily aspirated by a pipette that reaches all the way to the bottom of the sample tube, thereby minimizing dead volume.
上述专利提出了不同于现有采血管常规结构的分离装置,但由于其需要完全替换现有采血管,而不适于现有的常规采血管,大幅度提高了血样本实验的成本;并且上述专利所采用的样本定量分装方法,仍为现有常规取样方法中例如移液管分次取样的方法,导致在实际使用上述专利所提出的分离装置时,在开盖后的取样时间内,血液样本是一直暴露在外界环境下的;此外,血样本实验所需的微量血清样本难以通过移液管准确获取。The above-mentioned patent proposes a separation device different from the conventional structure of the existing blood collection tube, but because it needs to completely replace the existing blood collection tube, it is not suitable for the existing conventional blood collection tube, which greatly increases the cost of blood sample experiments; and the above-mentioned patent The sample quantitative dispensing method adopted is still the method of fractional sampling by pipette in the existing conventional sampling method, resulting in the actual use of the separation device proposed in the above patent, within the sampling time after opening the cover, the blood The samples are always exposed to the external environment; in addition, the tiny amount of serum samples required for blood sample experiments is difficult to obtain accurately by pipette.
此外,一方面由于对本领域技术人员的理解存在差异;另一方面由于发明人做出本发明时研究了大量文献和专利,但篇幅所限并未详细罗列所有的细节与内容,然而这绝非本发明不具备这些现有技术的特征,相反本发明已经具备现有技术的所有特征,而且申请人保留在背景技术中增加相关现有技术之权利。In addition, on the one hand, due to differences in the understanding of those skilled in the art; on the other hand, due to the fact that the inventor has studied a large number of documents and patents when making the present invention, but due to space limitations, all details and contents have not been listed in detail, but this is by no means The present invention does not possess the characteristics of these prior art, on the contrary, the present invention already possesses all the characteristics of the prior art, and the applicant reserves the right to add relevant prior art to the background technology.
发明内容Contents of the invention
针对现有技术之不足,如对真空采血装置进行样本定量分装处理操作中,采血管开盖不安全、取样操作繁琐的问题,现有技术中提出了大量着力于解决如何安全开盖的问题的解决方案,例如结构复杂、操作要求精度高的配套开盖装置以及专门适配于该开盖装置的采血管管盖,上述解决方案不可避免地提高了血样本成本以及操作流程复杂度,并且导致开盖后的血清样本长时间暴露在外界环境下。区别于现有技术,本发明在满足样本定量分装处理操作的分次输出要求以及定量要求的基础上,提出了无需开盖即能获取到血液样品且杜绝气体与液体之间形成不利的吸附作用的解决方案,该解决方案致力于小范围改进现有取样操作装置及流程,来提供用于从全血中分离出血清样本的采血辅助装置和方法。该采血辅助装置是与现有常规采血管相结合进行使用的,无需舍弃现有常规采血管,因而极大地降低了血样本实验所需成本。In view of the shortcomings of the existing technology, such as the unsafe opening of the blood collection tube and the cumbersome sampling operation in the quantitative sample packaging operation of the vacuum blood collection device, a lot of problems have been proposed in the prior art to solve the problem of how to open the cover safely solutions, such as a supporting uncapping device with a complex structure and high operational precision and blood collection tube caps specially adapted to the uncapping device, the above solutions inevitably increase the cost of blood samples and the complexity of the operation process, and As a result, the serum sample after opening the cover is exposed to the external environment for a long time. Different from the prior art, the present invention, on the basis of satisfying the batched output requirements and quantitative requirements of the sample quantitative sub-packaging operation, proposes that the blood sample can be obtained without opening the cover and prevents the formation of unfavorable adsorption between gas and liquid. This solution is dedicated to improving the existing sampling operation device and process in a small range to provide a blood collection auxiliary device and method for separating serum samples from whole blood. The blood collection auxiliary device is used in combination with the existing conventional blood collection tubes, without abandoning the existing conventional blood collection tubes, thereby greatly reducing the cost required for blood sample experiments.
用于从全血中分离出血清样本的采血辅助装置,至少包括:采血管管体,用于存储收集到的液体;采血管管盖,其装配于所述采血管管体上;以及采血分装组件,其可以通过其一端与所述采血管管盖相适配连接的方式将所述采血管管体内的液体可控制地输送至所述采血管管体的外部,所述采血分装组件被配置为以经由采血管管盖来自采血管管体外部的气体不通过存储在采血管管体中的液体的方式使得存储在采血管管体中的液体以规定量分次输出。A blood collection auxiliary device for separating serum samples from whole blood, at least comprising: a blood collection tube body for storing collected liquid; a blood collection tube cover, which is assembled on the blood collection tube body; and a blood collection tube A packaging assembly, which can controllably deliver the liquid in the blood collection tube body to the outside of the blood collection tube body by means of one end of which is fitly connected with the blood collection tube cap, and the blood collection subpackaging assembly The liquid stored in the body of the blood collection tube is configured to output the liquid stored in the body of the blood collection tube in predetermined amounts in batches such that gas from outside the body of the blood collection tube via the cap of the blood collection tube does not pass through the liquid stored in the body of the blood collection tube.
优选地,所述采血分装组件被配置为:在所述采血管管体处于第一放置状态下时以限定所述采血管管盖的开放程度的方式与所述采血管管盖相适配连接,使位于所述采血分装组件上的液体通道的一端与气体通道的一端分别与所述采血管管体内部相连通。或,在所述采血管管体处于与所述第一放置状态相反的第二放置状态下时,使规定量的气体通过所述气体通道且以其与所述液体之间不形成吸附作用的方式进入所述采血管管体内部,以便于将规定量的液体分配至所述采血管管体外部。Preferably, the blood collection sub-packaging assembly is configured to be adapted to the cap of the blood collection tube in a manner that limits the opening degree of the cap of the blood collection tube when the tube body of the blood collection tube is in the first placed state connected so that one end of the liquid channel and one end of the gas channel on the blood collection subpackage assembly communicate with the inside of the tube body of the blood collection tube respectively. Or, when the tube body of the blood collection tube is in the second placement state opposite to the first placement state, a predetermined amount of gas is allowed to pass through the gas passage without forming an adsorption effect between it and the liquid way into the inside of the tube body of the blood collection tube, so as to distribute a prescribed amount of liquid to the outside of the tube body of the blood collection tube.
根据一种优选实施方式,所述采血管管体内设置有中空板,所述中空板被配置为:允许所述气体通道在所述采血分装组件与所述采血管管盖相适配连接时与其内腔相连通。并使得所述气体通道的第一端部沿所述中空板的内腔以经由采血管管盖来自采血管管体外部的气体不通过存储在采血管管体中的液体的方式继续延伸,且在与所述第一端部位于不同假想水平面上的所述中空板的开放端处与所述采血管管体内部相连通。According to a preferred embodiment, the body of the blood collection tube is provided with a hollow plate, and the hollow plate is configured to: allow the gas channel when the blood collection subpackage assembly is fitted and connected with the blood collection tube cover communicate with its inner cavity. and make the first end of the gas channel continue to extend along the inner cavity of the hollow plate in such a way that the gas from the outside of the blood collection tube body through the blood collection tube cover does not pass through the liquid stored in the blood collection tube body, and The open end of the hollow plate located on a different imaginary horizontal plane from the first end communicates with the inside of the tube body of the blood collection tube.
优选地,中空板以活动连接的方式装配至所述采血管管体上靠近所述采血管管盖的内壁上。所述中空板被配置为允许所述气体通道在所述采血分装组件与所述采血管管盖相适配连接时与其内腔相连通。所述中空板被配置为使得所述气体通道的第一端部沿所述中空板的内腔继续延伸。所述中空板被配置为在与所述第一端部位于不同假想水平面上的所述中空板的开放端处与所述采血管管体内部相连通。所述中空板被配置为响应于所述气体通道相对于所述采血管管盖在所述采血管管体内的位移量而朝向远离所述采血管管盖的方向移动,以此在所述采血管管体处于所述第二放置状态下而所述液体位于所述采血管管盖上方时,所述中空板的开放端位于所述液体的液面上方。Preferably, the hollow plate is assembled to the inner wall of the blood collection tube body close to the cap of the blood collection tube in a movably connected manner. The hollow plate is configured to allow the gas channel to communicate with its inner cavity when the blood collection sub-packaging assembly is fitted and connected with the blood collection tube cap. The hollow plate is configured such that the first end of the gas channel continues along the inner cavity of the hollow plate. The hollow plate is configured to communicate with the inside of the tube body of the blood collection tube at an open end of the hollow plate that is on a different imaginary level from the first end. The hollow plate is configured to move in a direction away from the blood collection tube cover in response to the displacement of the gas channel relative to the blood collection tube cover in the blood collection tube body, so that When the blood vessel body is in the second placement state and the liquid is located above the cap of the blood collection tube, the open end of the hollow plate is located above the liquid level of the liquid.
根据一种优选实施方式,所述中空板是在利用所述采血管管体进行采血操作之前装配至所述采血管管体上的,其中,所述中空板其板体上设置的至少一个第一通孔的两端分别与所述采血管管体的内部相连通且与所述中空板的内腔相隔离。使得在利用所述采血管管体进行采血操作时和/或在将所述采血管管体转换至所述第二放置状态时,进入所述采血管管体的液体经过至少一个所述第一通孔在所述采血管管体内部自由流动而覆盖至采血管管盖内壁上。According to a preferred embodiment, the hollow plate is assembled on the tube body of the blood collection tube before the blood collection operation is performed by using the tube body of the blood collection tube, wherein at least one first Two ends of a through hole communicate with the inside of the tube body of the blood collection tube respectively and are isolated from the inner cavity of the hollow plate. so that when the blood collection tube body is used for blood collection operation and/or when the blood collection tube body is converted to the second placement state, the liquid entering the blood collection tube body passes through at least one of the first The through hole flows freely inside the blood collection tube body and covers the inner wall of the blood collection tube cover.
优选地,所述中空板通过其板体上设置的至少一个第一通孔的两端分别与所述采血管管体的内部相连通且与所述中空板的内腔相隔离的方式,使得在利用所述采血管管体进行采血操作时和/或在将所述采血管管体转换至所述第二放置状态时,进入所述采血管管体的液体经过至少一个所述第一通孔而在所述采血管管体内部自由流动,或经过所述气体通道进入其内腔的气体被限制为沿所述内腔延伸方向流动,或位于所述采血管管体内的不溶于所述液体的固体被限制在由所述中空板所确定的单侧区域内。Preferably, the two ends of the at least one first through hole provided on the hollow plate respectively communicate with the inside of the tube body of the blood collection tube and are isolated from the inner cavity of the hollow plate, so that When the blood collection tube body is used for blood collection operation and/or when the blood collection tube body is converted to the second placement state, the liquid entering the blood collection tube body passes through at least one of the first channels hole and flow freely inside the tube body of the blood collection tube, or the gas entering the lumen through the gas channel is restricted to flow along the direction of extension of the lumen, or the gas in the tube body of the blood collection tube is insoluble in the Liquids and solids are confined within the one-sided area defined by the hollow plate.
根据一种优选实施方式,所述采血辅助装置至少包括加压间隙,所述加压间隙是在所述采血分装组件与所述采血管管盖相适配连接时所形成的用于向所述气体通道提供规定量气体的区域。其中,在来自采血管管体外部的气体进入所述采血管管体内部的情况下,位于所述加压间隙中的气压与位于所述采血管管体中的气压能够快速达到平衡。According to a preferred embodiment, the blood collection auxiliary device at least includes a pressurized gap, the pressurized gap is formed when the blood collection sub-packaging assembly is fitted and connected with the blood collection tube cover for The area where the gas channel provides a specified amount of gas. Wherein, when gas from the outside of the blood collection tube body enters the inside of the blood collection tube body, the air pressure in the pressurized gap and the air pressure in the blood collection tube body can quickly reach equilibrium.
优选地,所述加压间隙位于彼此密封连接的所述采血分装组件与所述采血管管盖之间。所述气体通道是按照其上远离所述采血管管体的第二端部在所述加压间隙中呈开放状的方式装配至所述采血分装组件上的。所述液体通道是按照其两端分别贯穿出所述加压间隙的方式装配至所述采血分装组件上的。从而使得输送至所述加压间隙的气体经过所述气体通道和所述中空板向所述采血管管体内部输入。在输入的气体以其与所述液体之间不形成吸附作用的方式进入所述采血管管体内部的情况下,位于所述加压间隙中的气压与位于所述采血管管体中的气压能够快速达到平衡。Preferably, the pressurized gap is located between the blood collection sub-packaging assembly and the blood collection tube cover, which are hermetically connected to each other. The gas passage is assembled to the blood collection sub-packaging assembly in such a manner that the second end thereof away from the tube body of the blood collection tube is open in the pressurized gap. The liquid channel is assembled to the blood collection sub-package assembly in such a manner that its two ends respectively pass through the pressurized gap. Therefore, the gas delivered to the pressurized gap is input into the tube body of the blood collection tube through the gas channel and the hollow plate. When the input gas enters the inside of the tube body of the blood collection tube in a manner that does not form adsorption between it and the liquid, the air pressure in the pressurized gap and the air pressure in the tube body of the blood collection tube Able to reach equilibrium quickly.
根据一种优选实施方式,所述采血辅助装置至少包括液位监测组件,其中,所述采血辅助装置被配置为:基于沿所述气体通道输入的气体规定量以及由所述液位监测组件在不同时刻所监测到的不同液面位置之间的液体流量。可以确定被分配至所述采血管管体外部的液体流量是否满足规定量。According to a preferred embodiment, the blood collection auxiliary device includes at least a liquid level monitoring component, wherein the blood collection auxiliary device is configured to: Liquid flow between different liquid level positions monitored at different times. It can be determined whether the flow rate of the liquid distributed to the outside of the tube body of the blood collection tube satisfies a prescribed amount.
优选地,液位监测组件被配置为与所述采血管管体相对固定而用于监测位于所述采血管管体内部的液体液面所在位置。所述液位监测组件在第一时刻监测到第一液面位置且其在第二时刻监测到第二液面位置,结合位于所述第一液面位置与所述第二液面位置之间的液体流量与沿所述气体通道输入的气体规定量,确定被分配至所述采血管管体外部的液体流量是否满足规定量。Preferably, the liquid level monitoring component is configured to be relatively fixed with the tube body of the blood collection tube for monitoring the position of the liquid level inside the tube body of the blood collection tube. The liquid level monitoring component monitors a first liquid level position at a first moment and a second liquid level position at a second moment, and is located between the first liquid level position and the second liquid level position The liquid flow rate and the specified amount of gas input along the gas channel are used to determine whether the liquid flow rate distributed to the outside of the tube body of the blood collection tube meets the specified amount.
根据一种优选实施方式,所述采血辅助装置被配置为:获取所述采血辅助装置在所述采血管管体处于所述第二放置状态时所采集到的第三液面位置与第四液面位置,确定利用所述采血管管体所采集到的液体总量以便于用户能够基于所述液体总量确定所述液体的至少一个分配方式。According to a preferred embodiment, the blood collection auxiliary device is configured to: obtain the third liquid level position and the fourth liquid level collected by the blood collection auxiliary device when the blood collection tube body is in the second placement state. The surface position is used to determine the total amount of liquid collected by the tube body of the blood collection tube so that the user can determine at least one distribution method of the liquid based on the total amount of liquid.
优选地,所述采血辅助装置被配置为基于所述第三液面位置与所述第四液面位置之间的高度差与所述采血管管体的横截面面积,确定利用所述采血管管体所采集到的液体总量以便于用户能够基于所述液体总量确定所述液体的至少一个分配方式。Preferably, the blood collection auxiliary device is configured to determine whether to use the blood collection tube based on the height difference between the third liquid level position and the fourth liquid level position and the cross-sectional area of the blood collection tube body The total amount of liquid collected by the tube allows the user to determine at least one distribution method of the liquid based on the total amount of liquid.
根据一种优选实施方式,所述中空板上的部分板面朝向远离所述采血管管盖的方向延伸,以使得所述中空板的内腔具有沿所述采血管管体的中心轴线方向延伸的且与所述中空板的板面位于不同的假想水平面上的开放端。According to a preferred embodiment, part of the surface of the hollow plate extends away from the cap of the blood collection tube, so that the inner cavity of the hollow plate extends along the central axis of the blood collection tube body. The open end of the hollow plate is located on a different imaginary horizontal plane from the surface of the hollow plate.
优选地,所述气体通道被配置为允许沿所述气压间隙输入的气体通过而隔离位于所述采血管管体内部的液体,从而使得位于所述采血管管体内部的液体仅能通过所液体通道以规定量向所述采血管管体外部输出。Preferably, the gas channel is configured to allow the gas input along the air pressure gap to pass through and isolate the liquid inside the tube body of the blood collection tube, so that the liquid inside the tube body of the blood collection tube can only pass through the liquid The channel outputs a predetermined amount to the outside of the tube body of the blood collection tube.
用于从全血中分离出血清样本的采血辅助系统,至少包括:采血管管体,用于存储收集到的液体;采血管管盖,其装配于所述采血管管体上;以及采血分装组件,其可以通过其一端与所述采血管管盖相适配连接的方式将所述采血管管体内的液体可控制地输送至所述采血管管体的外部,所述采血辅助系统被配置为在所述采血分装组件与所述采血管管盖相适配连接而形成用于向所述气体通道提供规定量气体的区域时,以经由采血管管盖来自采血管管体外部的气体不通过存储在采血管管体中的液体的方式,使得存储在采血管管体中的液体以规定量分次输出。A blood collection auxiliary system for separating serum samples from whole blood, at least comprising: a blood collection tube body for storing collected liquid; a blood collection tube cap, which is assembled on the blood collection tube body; and a blood collection tube An assembly assembly, which can controllably transport the liquid in the tube body of the blood collection tube to the outside of the tube body of the blood collection tube by means of one end of which is fitly connected with the cap of the blood collection tube, and the blood collection auxiliary system is It is configured that when the blood collection sub-packaging assembly is fitted and connected with the blood collection tube cover to form a region for supplying a specified amount of gas to the gas channel, the gas from the outside of the blood collection tube body through the blood collection tube cover The gas does not pass through the liquid stored in the tube body of the blood collection tube, so that the liquid stored in the tube body of the blood collection tube is output in batches in a prescribed amount.
根据一种优选实施方式,所述采血辅助系统至少包括设于所述采血管管体内的中空板,所述中空板被配置为:允许所述气体通道在所述采血分装组件与所述采血管管盖相适配连接时与其内腔相连通。并使得所述气体通道的第一端部沿所述中空板的内腔以经由采血管管盖来自采血管管体外部的气体不通过存储在采血管管体中的液体的方式继续延伸。According to a preferred embodiment, the blood collection auxiliary system at least includes a hollow plate arranged in the tube body of the blood collection tube, and the hollow plate is configured to: allow the gas passage between the blood collection sub-packaging assembly and the blood collection tube The cap of the blood vessel communicates with its inner cavity when it is fitted and connected. And make the first end of the gas channel continue to extend along the inner cavity of the hollow plate in such a way that the gas from the outside of the blood collection tube body through the blood collection tube cover does not pass through the liquid stored in the blood collection tube body.
根据一种优选实施方式,所述采血辅助系统至少包括液位监测组件,其中,所述采血辅助系统被配置为基于沿所述气体通道输入的气体规定量以及由所述液位监测组件在不同时刻所监测到的不同液面位置之间的液体流量。可以确定被分配至所述采血管管体外部的液体流量是否满足规定量。According to a preferred embodiment, the auxiliary blood collection system includes at least a liquid level monitoring component, wherein the auxiliary blood collection system is configured to The liquid flow between different liquid level positions monitored at all times. It can be determined whether the flow rate of the liquid distributed to the outside of the tube body of the blood collection tube satisfies a prescribed amount.
本发明提供的用于从全血中分离出血清样本的采血辅助装置和方法至少具有如下有益技术效果:The blood collection auxiliary device and method for separating serum samples from whole blood provided by the present invention have at least the following beneficial technical effects:
本发明所提出的是基于无需开盖即能获取到血液样品的解决方案,本发明所提供的采血辅助装置通过设置与现有常规结构下的采血管相适配的采血分装组件,无需改变采血管以及管盖的现有常规结构,即可在完成采血后进行简单装配即可对采血管内部血清样本进行分装,不仅操作流程简单且血样本成本低,无需开盖的同时极大地缩短了血清样本暴露在外界环境下的暴露时长;并且,通过设置与用于提供气体的采血分装组件相互配合使用的中空板,不仅能够有效地杜绝了气体与液体之间形成吸附作用的可能,同时保证了可靠的取样效率与取样量准确度。The present invention proposes a solution based on the ability to obtain blood samples without opening the cover. The blood collection auxiliary device provided by the present invention is provided with a blood collection subpackage assembly that is compatible with the existing conventional structure without changing The existing conventional structure of the blood collection tube and the tube cap can be simply assembled after the blood collection is completed, and the serum sample inside the blood collection tube can be subpackaged. The operation process is simple and the cost of the blood sample is low. The exposure time of the serum sample is exposed to the external environment; and, by setting the hollow plate used to cooperate with the blood collection sub-package assembly used to provide gas, not only can effectively prevent the possibility of adsorption between gas and liquid, At the same time, reliable sampling efficiency and sampling volume accuracy are guaranteed.
附图说明Description of drawings
图1是本发明提供的一种优选实施方式的采血辅助装置的简化剖视结构示意图;Fig. 1 is a schematic diagram of a simplified cross-sectional structure of a blood collection auxiliary device according to a preferred embodiment of the present invention;
图2是本发明提供的中空板的简化结构示意图;Fig. 2 is a simplified structural schematic diagram of a hollow plate provided by the present invention;
图3是本发明提供的气体通道与中空板之间的优选连接方式的结构示意图;Fig. 3 is a schematic structural view of the preferred connection mode between the gas channel and the hollow plate provided by the present invention;
图4是本发明提供的一种优选实施方式的辅助操作装置的简化模块连接关系示意图;和Fig. 4 is a schematic diagram of a simplified module connection relationship of an auxiliary operation device according to a preferred embodiment of the present invention; and
图5是本发明提供的一种优选实施方式的采血支撑托垫的简化结构连接关系示意图。Fig. 5 is a schematic diagram of a simplified structural connection relationship of a blood collection support pad according to a preferred embodiment of the present invention.
附图标记列表List of reference signs
1:采血管管体 2:采血管管盖 3:采血分装组件1: Blood collection tube body 2: Blood collection tube cover 3: Blood collection dispensing assembly
4:气体通道 5:液体通道 6:中空板4: Gas channel 5: Liquid channel 6: Hollow plate
7:加压间隙 8:液位监测组件 9:第一通孔7: Pressure gap 8: Liquid level monitoring component 9: First through hole
10:通孔 11:第一滑动件 12:第二滑动件10: Through hole 11: First slider 12: Second slider
13:固体成分层 14:液体成分层 15:气体层13: Solid component layer 14: Liquid component layer 15: Gas layer
16:惰性分离胶层 101:采血支撑托垫 102:血管可视化设备16: Inert separation glue layer 101: Blood collection support pad 102: Blood vessel visualization equipment
103:中央处理模块 104:支撑平面 105:气囊组件103: Central processing module 104: Support plane 105: Airbag assembly
106:压脉带106: Cuff
具体实施方式Detailed ways
下面结合附图对本发明进行详细说明。The present invention will be described in detail below in conjunction with the accompanying drawings.
实施例1Example 1
如图1所示,本发明提供了用于从全血中分离出血清样本的采血辅助装置。As shown in Figure 1, the present invention provides a blood collection aid for separating a serum sample from whole blood.
该采血辅助装置包括采血管管体1和采血管管盖2。The blood collection auxiliary device includes a blood
上述采血管管体1与采血管管盖2均为现有技术中最常用的采血管结构:The above blood
采血管管体1用于存储收集到的液体。The blood
采血管管盖2装配于所述采血管管体1端部上,使其管体内部相对密封。The
采血管管盖2以可拆卸的方式装配至所述采血管管体1上,能够通过设于采血管管盖2上方的可刺穿层向所述采血管管体1中采集血清样本。The blood
可穿刺层即为常见的药品级丁基橡胶塞。丁基胶塞的胶塞冠部上设置有用于针体顺利穿刺该胶塞的较薄处(该处厚度一般为2.7mm~3mm)。The pierceable layer is a common pharmaceutical grade butyl rubber stopper. The crown of the butyl rubber stopper is provided with a thinner part (the thickness of which is generally 2.7 mm to 3 mm) for the needle body to smoothly puncture the rubber stopper.
以下针对本发明的技术问题及发明点作如下详细说明:Below technical problem of the present invention and invention point are described in detail as follows:
采集来的血液样品需分多次从采血管中转移不同的血样本用器皿上。在现有的血样本转移操作中,操作人员通常是将所述采血管管盖2从所述采血管管体1顶部取下后再进行血液样品转移。针对现有的血样本转移操作:The collected blood samples need to be transferred from the blood collection tube to different vessels for blood samples several times. In the existing blood sample transfer operation, the operator usually removes the blood
一方面,由于采集好血液样品后的采血管管体1的内部呈相对密封状态,采血管管体1内部易于产生一定的气压,在打开采血管管盖2的瞬间难以避免可能带有传染性病毒的血液样品飞溅出来,同时玻璃制的细长采血管管体1容易在强力开盖的操作下出现破损。On the one hand, since the inside of the blood
现有技术中提出了大量针对上述不足进行改进的采血管解决方案,其解决方案着力于解决如何安全开盖的问题,提出了结构复杂、操作要求精度高的配套开盖装置以及专门适配于该开盖装置的采血管管盖2,其极大地提高了血样本成本以及操作流程复杂度,并且要求开盖后的血清样本长时间暴露在外界环境下。In the prior art, a large number of solutions for blood collection tubes have been proposed to improve the above shortcomings. The solutions focus on solving the problem of how to open the cap safely, and propose a supporting cap opening device with complex structure and high operation requirements and specially adapted to The blood
区别于现有技术,本发明所提出的是基于无需开盖即能获取到血液样品的解决方案,本发明所提供的采血辅助装置通过设置与现有常规结构下的采血管相适配的采血分装组件3,无需改变采血管以及管盖的现有常规结构,即可在完成采血后进行简单装配即可对采血管内部血清样本进行分装,不仅操作流程简单且成本低,无需开盖的同时极大地缩短了血清样本暴露在外界环境下的暴露时长。Different from the prior art, the present invention proposes a solution based on the ability to obtain blood samples without opening the cover. The blood collection auxiliary device provided by the present invention is provided with a blood collection tube that is compatible with the existing conventional structure.
另一方面,上述现有技术中提出的结构复杂、操作要求精度高的配套开盖装置以及专门适配于该开盖装置的采血管管盖2,同时也未考虑到开盖后仍面临可能带有传染性病毒的血液样品飞溅的问题。这是由于在后续的分次取样过程中,在现有常规取样方法中,例如采用倾倒式分次取样的方法,不仅在操作精度上比安全取盖的操作精度要求更高,而且同样难以避免可能带有传染性病毒的血液样品飞溅;On the other hand, the supporting uncapping device with complex structure and high operation precision required in the above-mentioned prior art and the blood
此外例如采用移液管分次取样的方法,移液管的伸入程度太深将可能吸取出位于采血管底部的固体物质或伸入程度过浅将无法吸取到足量的血清样本,并且所需的微量血清样本难以通过移液管准确获取。In addition, for example, if the pipette is used for fractional sampling, if the pipette is too deep, solid matter at the bottom of the blood collection tube may be sucked out, or if the pipette is too shallow, it will not be able to draw a sufficient amount of serum samples. It is difficult to accurately obtain the required micro-serum samples by pipette.
区别于现有技术,由于本发明所提出的是基于增大采血管管体1内部压强而进行分次取样的解决方案,通过采血分装组件3向所述采血管管体1内部输入加压气体,不仅能够通过控制加压气体的输入量间接地控制输出血清样本的取样量,同时由于取样时液体与固体相互隔离而避免了现有技术中难以控制取样器伸入深度的问题。Different from the prior art, since the present invention proposes a solution based on increasing the internal pressure of the blood
进一步地,虽然上述加压气体驱使液体定量排出的技术方案在相同领域或相应领域属于现有技术手段,但其并不能直接地与本领域中所提供的采血管相结合。Furthermore, although the above-mentioned technical solution of pressurized gas driving quantitative discharge of liquid belongs to the prior art means in the same field or corresponding field, it cannot be directly combined with the blood collection tube provided in this field.
这是由于直接将加压气体驱使液体定量排出的技术方案结合至常规采血管上时,其向液体中输入的加压气体是以气泡的形式向上浮升至液面上方,但是该过程在加压后期装置内部的压力越来越大时,经过液体输入的多个气泡同样越来越难以向上浮动,气泡的浮动速度逐渐减缓,延长了气泡在液体中的停留时间,一方面不仅延长了取样分装时间,另一方面装置内部压力的增加使得气泡粒径分布逐渐变窄,气泡与液相之间发生吸附的时间延长,气溶率增大,可能导致被夹杂在液体中的气体随液体一起被输送至所述装置外部,在该情况下所获得的取样量难以保证准确度。This is because when the technical solution of pressurized gas driving the quantitative discharge of liquid is directly combined with the conventional blood collection tube, the pressurized gas input into the liquid floats up to the liquid surface in the form of bubbles, but the process is When the pressure inside the device in the later stage of pressure increases, it is also more and more difficult for the multiple bubbles input by the liquid to float upward, and the floating speed of the bubbles gradually slows down, which prolongs the residence time of the bubbles in the liquid. On the one hand, it not only prolongs the sampling time On the other hand, the increase in the internal pressure of the device will gradually narrow the particle size distribution of the bubbles, prolong the adsorption time between the bubbles and the liquid phase, and increase the gas dissolution rate, which may cause the gas contained in the liquid to dissolve with the liquid. are transported to the outside of the device together, in which case it is difficult to ensure the accuracy of the sampling volume obtained.
基于本发明所提出的上述技术问题,本发明提供了与用于提供气体的采血分装组件3相互配合使用的中空板6,中空板6的设置不仅能够有效地杜绝了气体与液体之间形成吸附作用的可能,并且在本发明的发明人实践并对比了大量对照实验组后,证明了取样效率的有效提升而能够缩短原采样时长45%以上,并且证明了最佳能够达到98.5%的液体取样量的准确度。Based on the above-mentioned technical problems proposed by the present invention, the present invention provides a
针对本发明所提供的采血分装组件3的结构及安装方式作如下详细说明:The structure and installation method of the blood
优选地,该采血分装组件3可以通过其一端与所述采血管管盖2相适配连接的方式将所述采血管管体1内的液体可控制地输送至所述采血管管体1的外部。其中,“可控制地”是指从所述采血管管体1内输出的液体的量是可控制地。“其可控制的方式”可以是基于设于采血管管体1外部的液位监测组件8所采集到的液位信息进行控制,也可以是基于输送至采血管管体1内部的加压气体的相关参数进行控制。Preferably, the blood
本发明是通过将以上的液位信息与所述相关参数彼此相互印证的方式对取样量进行控制的,另一方面由于加压气体不是经过液体进入所述采血管管体1内部的气体层15,而避免了夹杂有部分加压气体的液体的液位信息的不准确性,因此本发明所提供的采血辅助装置不仅是改变了现有取样方式而消除外部环境被可能携带传染性病毒的血液污染的问题,同时还提供了高准确度取样的采血辅助方法。The present invention controls the sampling amount by corroborating the above liquid level information and the relevant parameters with each other. , and avoid the inaccuracy of the liquid level information of the liquid mixed with part of the pressurized gas, so the blood collection auxiliary device provided by the present invention not only changes the existing sampling method but also eliminates the blood that may carry infectious viruses in the external environment Contamination problems, but also provides a high-accuracy blood sampling auxiliary method.
优选地,在采血管管体1处于第一放置状态下时,该采血分装组件3以限定采血管管盖2的开放程度的方式与采血管管盖2相适配连接,使位于采血分装组件3上的液体通道5的一端与气体通道4的一端分别与采血管管体1内部相连通,或在采血管管体1处于与第一放置状态相反的第二放置状态下时,使规定量的气体通过气体通道4且以其与液体之间不形成吸附作用的方式进入采血管管体1内部,以便于将规定量的液体分配至采血管管体1外部。“第一放置状态”指的是采血管管盖2位于采血管管体1上方时的放置状态(图中未示出)。“第二放置状态”指的是如图1所示的采血管管盖2位于采血管管体1下方时的放置状态。“限定采血管管盖2的开放程度”指的是采血管管盖2上暴露于外部环境中的开放状端面的面积减少,即被采血分装组件3所覆盖。“相适配连接”指的是螺纹连接或卡合连接等可拆卸式连接方式,采血分装组件3与采血管管盖2之间也可以通过设置橡胶垫圈进一步增强密封性能。Preferably, when the blood
以下针对本发明所提供的区别于现有技术的中空板6的结构及安装方式作如下详细说明:The structure and installation method of the
首先,如图2所示的关于中空板6的结构示意图,从左往右,第一示意图为中空板6的俯视图,第二示意图为中空板6的仰视图,第三示意图为图1中中空板6的A-A向的剖视图。First of all, as shown in Figure 2 about the structural schematic view of the
而如图3所示的是在将气体通道4抵接至中空板6且气体通道4与中空板6内腔连通的情况下,气体通道4与中空板6之间的优选连接方式的示意图。其中,实线箭头指的是在将气体通道4抵接至中空板6上时,位于该箭头一侧的部件(如图中所示的气体通道4、第一滑动件11、第二滑动件12)各自对应的运动方向。其中,虚线箭头指的是在将气体通道4抵接至中空板6上且气体通道4与中空板6内腔连通时,气体通道4内部的液体流向以及第二滑动件12内部的液体流向。其中,介于气体通道4与第二滑动件12两者之间的弧形虚线表示两者内部连通。3 is a schematic diagram of a preferred connection between the
优选地,所述中空板6的整体结构是与采血管管体1的内壁形状相适配的圆筒状。中空板6在外力作用下能够相对所述采血管管体1的内壁上下滑移。为便于理解,此处将中空板6视为圆筒,并规定其中空板6具有筒体底面以及筒体侧面。Preferably, the overall structure of the
进一步地,对于所述中空板6上与采血管管体1的贯通方向相垂直的筒体底面,该筒体底面的中心区域上开设有至少一个第一通孔9,该第一通孔9连通筒体内部及筒体外部。由此,在实际使用该采血装置进行采血前,由于需要将采血管与静脉采血针相组合进行采血,双向采血针的刺塞端刺穿采血管管盖2,且贯穿中空板6的筒体底面上开设的第一通孔9,置入采血管管体1内部;同样地,在采血完成取出双向采血针时,其刺塞端退出第一通孔9及采血管管盖2,脱离采血管管体1内部,即中空板6的设置并不会影响到采血过程。Further, for the bottom surface of the
进一步优选地,针对中空板6的筒体底面上开设的第一通孔9,该第一通孔9的内壁上设置有第二滑动件12和第一滑动件11,两个滑动件均弹性地滑动连接在该第一通孔9的内壁上。第一滑动件11的滑移方向平行于第一通孔9的贯通方向,第二滑动件12的滑移方向垂直于第一通孔9的贯通方向。Further preferably, for the first through hole 9 opened on the bottom surface of the cylinder of the
在未对该第一滑动件11施加外力作用的情况下,第一滑动件11在其对应的呈压缩状态的弹簧作用下位于第二滑动件12的侧端面位置上,第二滑动件12在其对应的呈压缩状态的弹簧作用下抵接在第二滑动件12的侧端面外壁上。Under the condition that no external force is applied to the first sliding
在将气体通道4刺入采血管管盖2进入采血管管体1内部后,逐渐推进采血分装组件3,使得气体通道4的自由端抵接至第一滑动件11,继续推进,该自由端推动第一滑动件11移动,直至第一滑动件11与第二滑动件12之间相脱离抵接关系,第二滑动件12以其对应的呈压缩状态的弹簧作用被释放的方式朝向一侧移动、并抵接至气体通道4的外壁上,限制了气体通道4与中空板6之间的相对固定的位置关系。优选地,第二滑动件12上靠近气体通道4的开放端的外沿设置有弹性橡胶垫。弹性橡胶垫的设置有利于提高第二滑动件12与气体通道4之间的气体通路的相对密封性,且有利于限制两者之间的滑脱趋势。After the
优选地,气体通道4的自由端的侧壁上开设有与其内部连通的开口,第二滑动件12前后贯通,以此,气体通道4通过前后贯通的第二滑动件12可以将气体输送至中空板6的空腔内,气体依次经由筒体底面的空腔、筒体侧面的空腔、筒体侧面的开放端进入采血管管体1内的气体层15。Preferably, the side wall of the free end of the
更进一步优选地,采血管管体1外壁上设置有用于标识安装位置的刻度线,中空板6依照其第一滑动件11所在位置对准该刻度线的方式安装至所述采血管管体1内部。同样地,采血分装组件3也是按照其外壁上的刻度线与采血管管体1外壁上的刻度线相对准的方式安装至所述采血管管盖2上的。以此采血分装组件3上气体通道4能够对准中空板6中的第一滑动件11而完成上述气体通道4与中空板6之间的相对固定的过程。More preferably, the outer wall of the blood
针对以上提出的技术特征以及涉及原理进一步具体说明:A further detailed description of the above-mentioned technical features and principles involved:
在将采集到的血液样本进行离心后,采血管管体1内部的惰性分离胶能够将血液中的液体成分(血清或血浆)和固体成分(红细胞,白细胞,血小板,纤维蛋白等)彻底分开,惰性分离胶基于其物理特性而介于固体成分与液体成分之间。放置一段时间后,分离胶固化而形成一层屏障,屏障积聚在固体成分的上方。After the collected blood sample is centrifuged, the inert separating gel inside the blood
此时即使倒放采血管管体1,如图1所示倒放后的采血管管体1,固体成分受到屏障的阻挡作用而无法移动,只能被保持在采血管管体1的管底部,如图1所示此时位于管体最顶端的层为固体成分层13,位于固体成分层13下方的为惰性分离胶层16,位于管体最底端的为液体成分层14,位于惰性分离胶层16与液体成分层14之间的层为气体层15。At this time, even if the blood
优选地,在所述采血管管体1处于竖直放置的第一放置状态下时,所述采血分装组件3以限定所述采血管管盖2的开放程度的方式与所述采血管管盖2相适配密封连接。位于所述采血分装组件3上的液体通道5的一端与气体通道4的一端分别与所述采血管管体1内部相连通。所述气体通道4通过其延伸至采血管管体1内部的第一端部与所述中空板6的内腔相连通。所述气体通道4的第一端部沿所述中空板6的内腔继续延伸。Preferably, when the blood
优选地,气体通道4的第一端部可以与液体通道5在第一端部所在侧的一端相齐平。在该情况下,中空板6被设置在位于靠近采血管管盖2的位置上且其板体边缘沿管体管壁继续延伸。即中空板6的筒体侧面抵接在采血管管体1管壁上且自筒体底面向上沿管体管壁继续延伸。Preferably, the first end of the
液体通道5是经过中空板6上设置的第一通孔9来连通至采血管管体1内部的液体的,气体通道4是经过中空板6上设置的开口连通至中空板6的内腔的。The
优选地,气体通道4的第一端部可以高于与液体通道5在第一端部所在侧的一端。在该情况下,由于气体通道4较长,以此使得气体通道4抵接至中空板6之后,将继续推进中空板6朝向远离所述采血管管盖2的方向移动。现有的专门用于收集血清样本的真空采血管通常是3ml~5ml的采血量以及13*75mm或13*100mm的规格,即为基于现有规格的真空采血管可以采用不同规格的中空板6。Preferably, the first end of the
优选地,在所述采血分装组件3与所述采血管管盖2相适配连接时所形成了用于向所述气体通道4提供规定量气体的加压间隙7。由此,来至于该采血管管体1的外部的气体的先经过加压间隙7再进入气体通道4内。Preferably, a pressurized gap 7 for supplying a specified amount of gas to the
一方面,当气体通道4穿插过采血管管盖2而置于采血管管体1内部的液体中时、部分液体可能沿气体通道4内部流出采血管管体1内部,该部分液体直接进入加压间隙7中而不会流出污染操作环境;On the one hand, when the
另一方面,加压间隙7的设置可以简单地间接检测采血管管体1内气体层15的气压且缓冲了加压或泄压时的气压变化速率,避免了气体直接输送而无法有效控制其采血管管体1内气体层15的气压变化速率的问题。On the other hand, the setting of the pressurization gap 7 can simply and indirectly detect the air pressure of the
在气体通道4抵接至中空板6且气体通道4与中空板6内腔形成通路后,再将所述采血管管体1倒置。中空板6上设置的第一通孔9有利于液体的流动,以及进一步阻隔了位于液体上方的可能在加压环境下脱落的固体。此时液体与固体分别位于所述采血管管体1的两端,如图1所示,所述中空板6的开放端置于所述液体液面上方的气体层15所在区域。使规定量的气体沿所述加压间隙7依次通过所述气体通道4和中空板6内腔进入所述采血管管体1内部,气体无需经由液体即可进入管体内部的气体层15,即气体与液体之间不形成吸附作用,并以此能够将规定量的液体分配至所述采血管管体1外部。After the
实施例2Example 2
本实施例提出了借助于非接触式血管可视化设备102的辅助操作装置,并基于如实施例1中提供的采血管管体,对辅助操作装置下进行的采血操作作进一步的详细说明,与实施例1相同的部件,在本实施例中不再重复赘述。This embodiment proposes an auxiliary operation device by means of a non-contact blood
如图4所示,借助于非接触式血管可视化设备102的辅助操作装置,其至少包括采血支撑托垫101、血管可视化设备102与中央处理模块103。As shown in FIG. 4 , the auxiliary operation device of the non-contact blood
如图5所示,采血支撑托垫101用于为采血对象的手臂提供支撑固定作用。采血支撑托垫101上布置有至少一个支撑平面104。采血支撑托垫101的至少一个支撑平面104之间的相对空间位置由医疗信息确定。基于不同身高人群可以调整相对空间位置中的高度参数以及两个支撑平面104之间的连线距离参数。As shown in FIG. 5 , the blood
血管可视化设备102被装配至采血支撑托垫101的上方。血管可视化设备102用于配合采血支撑托垫101提供将表面下结构投影到对象表面上的血流动力学监测。采血支撑托垫101安装在位于血管可视化设备102下方的平台平面上。采血支撑托垫101能够相对平台平面前后移动。在实际使用时,血管可视化设备102安装在呈拱形的采血窗的顶部位置上。血流动力学监测至少包括对血流量的监测。血流量(blood flow)是指单位时间内通过血管某一截面的血量也称容积速度。其实这就是血流速,取决于血管两端的压力差以及血管对血流的阻力。血液流速的测量对于检查心血管功能、诊断血管疾病等都有实际价值。血流速慢说明血压不够大,或者血管阻力太大。传统的血流计量方法已有很多,如超声多普勒方法、激光多普勒方法、核磁共振方法等。而血管可视化设备102是利用当红外光线照射人体组织时,静脉血管中的去血红蛋白比周围组织对红外光线有更明显的吸收效果,在用红外摄像镜头摄取时会形成很明显的静脉血管图像,经专门的软硬件图像处理系统转换后,以可见光回投到皮肤表面,形成静脉血管的可见图像,辅助静脉定位显示。血管可视化设备102正是基于上述原理,实现了可显示皮下不易看清的静脉血管,用于手背、足背、肘腕、头皮等部位浅表静脉血管的辅助定位显示。通过血管可视化设备102,可以提高静脉血管定位精确程度和静脉穿刺成功率,减少待采血对象痛苦和医患矛盾。血管可视化设备102当前虽然能够观察血流方向以及定性评估血流速率,但未见对通过血管可视化设备102对血流量进行定量评估的辅助装置。在有血管可视化设备102辅助的实际静脉采血过程中,医护人员通常为判断选取的血管是否符合穿刺条件特别在肿瘤药物注射过程中必须严格监测,需要避免药液渗漏或血管堵塞不连贯导致人体组织受损或引起机械性损伤,需要在血管可视化设备102的映射区域中按压血管的一端再松开,该操作下血管先是一端断流继而恢复流动,以此实现定性评估。而本发明所提供的辅助操作装置利用该简单操作实现了对血流量的定量评估,该定量评估过程是通过结合血管可视化设备102的高清晰成像特征与该简单操作来进行血液动力学分析的方式提供了定量评估其血流量的方法。血流量的个性化定量评估是为医护人员的采血操作提供辅助,尤其是针对操作尚未熟练的不能明确压脉带的松开时机的医护人员而言提供辅助,或尤其是针对操作尚未熟练的不能明确采血操作的停止时机的医护人员而言提供辅助。The blood
根据一种优选实施方式,中央处理模块103与医院医疗系统进行信息交互以在确定下一位采血对象的医疗信息的情况下通过控制采血支撑托垫101与血管可视化设备102相互配合使用的方式至少基于其对提供血流动力学监测的血管可视化设备102所采集到的图像信息的采血图像分析来辅助医护人员完成采血操作。According to a preferred embodiment, the
根据一种优选实施方式,采血图像分析是基于由血管可视化设备102所采集到的图像信息。血管可视化设备102上设置有至少两个摄像头,其中一个摄像头被设置为用于采集反射的红外光强弱的红外线摄像镜头。设于血管可视化设备102上的至少一个摄像头用于监测针头穿刺拔除操作。优选地,中央处理模块103能够基于摄像头所采集到的图像信息进行针头穿刺拔除判别。优选地,中央处理模块103执行针头穿刺拔除判别至少包括以下步骤中的一个或几个:According to a preferred implementation manner, the blood collection image analysis is based on the image information collected by the blood
S1:在第一时刻接收由摄像头所采集到的视频并确定采血前帧,基于采血支撑托垫101上至少一个支撑平面104与血管可视化设备102之间的相对位置关系,在采血前帧中确定至少包括待采血对象待采血部位的采血区域框;S1: Receive the video collected by the camera at the first moment and determine the pre-blood collection frame, based on the relative positional relationship between at least one
S2:继续对视频进行帧数提取并对提取到的帧数进行目标识别检测,在第二时刻在keras环境下基于YOLOv3算法的目标检测方法确定至少包括针头部件的至少一个针头区域框;S2: continue to extract the frame number of the video and perform target recognition and detection on the extracted frame number, and at the second moment, determine at least one needle area frame including at least the needle part in the keras environment based on the target detection method of the YOLOv3 algorithm;
S3:判断采血区域框R1与针头区域框R2之间是否重合,在两者之间的交集比上两者之间的并集所得到的交叠率为R1/(R1+R2)时,对针头区域框的面积大小进行检测;S3: Determine whether the blood collection area frame R1 overlaps with the needle area frame R2. When the intersection ratio between the two is greater than the overlap rate obtained by the union between the two, the overlap rate is R1/(R1+R2). The area size of the needle area frame is detected;
S4:在第三时刻在keras环境下基于YOLOv3算法的目标检测方法确定现面积不大于1/2原面积的针头区域框,得到采血针穿刺操作信息以及用于指示压脉带106动作的指令信息;S4: At the third moment, the target detection method based on the YOLOv3 algorithm in the keras environment determines the needle area frame whose current area is not greater than 1/2 of the original area, and obtains the puncture operation information of the blood collection needle and the instruction information used to indicate the
S5:在第四时刻在keras环境下基于YOLOv3算法的目标检测方法确定现面积不小于原面积的针头区域框,得到采血针拔除操作信息以及用于指示气囊组件105动作的指令信息。S5: At the fourth moment, the target detection method based on the YOLOv3 algorithm in the keras environment determines the needle area frame whose current area is not smaller than the original area, and obtains the operation information of removing the blood collection needle and the command information for instructing the action of the
根据一种优选实施方式,中央处理模块103与医院医疗系统进行信息交互。优选地,医院医疗系统至少包括采血部门的采血对象的先后次序名单以及与下一位待采血对象相对应的医疗信息。医疗信息至少包括待采血对象的身高体重年龄病史等信息。中央处理模块103在确定下一位采血对象的医疗信息的情况下通过控制采血支撑托垫101与血管可视化设备102相互配合使用的方式基于其对血管可视化设备102的采血图像分析来辅助完成采血操作。采血支撑托垫101与血管可视化设备102相互配合使用的过程至少包括中央处理模块103基于医疗信息来调控采血支撑托垫101的至少一个支撑平面104之间的相对空间位置以确定在待采血对象手臂以暴露其待采血部位的方式置于支撑平面104上时血管可视化设备102能够采集到至少关于待采血对象待采血部位的第一图像信息与在医护人员执行触发事件时所采集到的第二图像信息。采血支撑托垫101上设置有至少一个支撑平面104。支撑平面104用于放置待采血对象的手肘部位或是待采血对象的手腕部位。至少一个支撑平面104之间的相对空间位置即为用于支撑待采血对象手肘部位的支撑平面104与用于支撑待采血对象手腕部位的支撑平面104之间在竖向上或在横向上或在各自所确定的平面上的相对彼此所形成的相对位置。中央处理模块103基于医疗信息来调控采血支撑托垫101的至少一个支撑平面104之间的相对空间位置。根据《中国成年人人体尺寸GB10000-88》和《工作空间人体尺寸GB/T 13547-92》节选可获知,不同身高区段不同性别不同年龄区段的人群的臂长差异显著。然而现有技术中或不采用采血支撑托垫101的采血方式或采用固定外形的采血支撑托垫101的采血方式均不利于个体化需求,提供给采血对象的采血体验差的同时个体化差异严重影响了医护人员的采血工作效率。而本发明所提供的辅助操作装置采用灵活性更高的分体式采血支撑托垫101,利用医院医疗系统已有的医疗信息可以在下一位待采血对象进行采血前就将采血支撑托垫101调节至较大程度上适合该医疗信息的相应支撑状态,而具有一定表面积的支撑平面104能够提供待采血对象进一步准确放置手臂的位置,以最大程度满足不同待采血对象不同个体化需求的同时有利于提升医护人员的采血工作效率。According to a preferred implementation manner, the
优选地,中央处理模块103能够基于通过其对由血管可视化设备102所采集到的第一图像信息和第二图像信息的采血图像分析所获取到的至少关于待采血部位的血流动力学信息与至少一个采血阶段之间的时间相关性特征辅助完成自采血前至止血按压结束的过程中的至少一个采血阶段。优选地,第一图像信息是指由血管可视化设备102所采集到的并传输至中央处理模块103进行采血图像分析处理后得到的位于其映射区域内的至少一个血管的宽度尺寸信息。中央处理模块103对第一图像信息进行采血图像分析处理后能够得到的宽度尺寸信息以及横截面信息。映射区域指的是关于待采血对象待采血部位的血管可视化设备102的监测区域。优选地,由血管可视化设备102所采集到的第二图像信息是在满足中央处理模块103预设的触发条件的第一时长或第一时刻所采集得到的。中央处理模块103预存储有触发条件,触发条件至少包括在预定时长内血管先后处于通、断、通状态。触发条件对应的触发事件的执行者是为采血对象进行采血操作的医护人员,触发条件的启动是基于医护人员在血管可视化设备102的映射区域中按压血管的一端再快速松开的手动操作,该手动操作下血管先是由原本畅通的状态转换为两端断流的状态继而恢复畅通流动的状态。第二图像信息至少包括断流的两端之间的相对距离与断流的两端之间恢复畅通的时间。中央处理模块103基于第二图像信息能够处理得到的该血管段内血流平均线速度。静脉血流量的血流平均线速度V与血流量Q成正比,而与血管横断面S的总面积成反比,血流量Q=V*S。采血图像分析至少包括中央处理模块103接收并分析第一图像信息和第二图像信息以获得至少包括采血对象的血流量定量评估结果的血流动力学信息。Preferably, the
优选地,中央处理模块103基于血流动力学信息与至少一个采血阶段之间的时间相关性特征辅助完成自采血前至止血按压结束的过程中的至少一个采血阶段。进一步优选地,中央处理模块103预先将采血操作划分为具有时间序列的至少一个采血阶段。采血阶段至少包括将待采血对象手臂放置在采血支撑托垫101上并在血管可视化设备102的辅助下选取合适采血的静脉血管的采血准备阶段、在血管可视化设备102的辅助下进行穿刺至穿刺结束后的采血进行阶段、待采血对象自行按压手臂止血至止血结束后的采血止血阶段。优选地,时间相关性特征是指在采血过程的不同时间下的不同采血阶段中基于至少包括血流量动力学分析的采血图像分析来获取与不同采血阶段相关联的预测已采集血量。Preferably, the
根据一种优选实施方式,采血支撑托垫101上设置有用于在采血前压迫静脉以使血量充盈静脉显现的压脉带106。通过在至少一个感应组件采集到触发事件时获取有效感应信息的压脉带106将感应组件在压脉带106处于闭合环状而使感应组件与支撑平面104相对固定时获取到的有效感应信息发送至通过在位于压脉带106上的至少一个压力传感器与待采血对象皮肤相接触的状态下获取施压信息的中央处理模块103,以使得通过与医院医疗系统进行信息获取到待采血对象信息的中央处理模块103能够在获取得到有效感应信息的情况下指示处于闭合环状的压脉带106内壁上且设置有至少一个压力传感器的至少一个可膨胀组件进行扩张且在施压信息达到预设施压阈值时指示可膨胀组件保持当前扩张姿态。通过对血管可视化设备102所采集到的图像信息进行采血图像分析以监测采血针插拔操作的中央处理模块103将其在进行采血图像分析而得到采血针穿刺操作时所生成的指令信息传输至通过至少一个可膨胀组件使得压力传感器与待采血对象皮肤相接触的施压信息满足预设施压阈值的压脉带106,使得位于压脉带106上保持当前扩张姿态的可膨胀组件根据中央处理模块103在得到采血针穿刺操作时所生成的指令信息进行泄压操作而回复压力传感器所采集到的施压信息未达到预设施压阈值的初始姿态。According to a preferred embodiment, the blood
根据一种优选实施方式,辅助操作装置还包括用于采血对象以非空拳的方式握持的气囊组件105。气囊组件105设置于采血支撑托垫101的至少一个支撑平面104上且其能够响应于中央处理模块103对其发送的指令信息而从气囊组件105的外部引入气体进行扩张,以用于及时提示待采血对象松开拳头的时机。通过对血管可视化设备102所采集到的图像信息进行采血图像分析以监测采血针插拔操作的中央处理模块103将其在进行采血图像分析而得到采血针拔除操作时所生成的指令信息传输至通过外接气体加压装置来控制涨缩状态的气囊组件105,使得在进行采血操作时在其膨胀状态下被握持于采血对象手中的气囊组件105根据中央处理模块103在得到采血针拔除操作时所生成的指令信息通过其外接的气体加压装置对其进行增压操作而以其逐渐膨胀的方式提示和/或迫使在进行采血操作时保持攥拳姿势握持于气囊组件105外部的待采血对象手部转换为不再握持气囊组件105的展开姿势。从而在无需医护人员手动操作的条件下即能实现紧接着医护人员退出采血针的操作取消压脉带106对待采血对象手部的压迫作用。According to a preferred embodiment, the auxiliary operation device further includes an
根据一种优选实施方式,中央处理模块103还被配置为:在通过医院医疗系统获取得到下一位采血对象的医疗信息的情况下将关于与医疗信息相对应的手掌尺寸参数的指令信息传输至呈膨胀状态以迫使上一位采血对象的手部呈展开姿势的气囊组件105,使得气囊组件105在其与呈展开姿势的上一位采血对象的手部脱离握持关系的情况下通过其外接的气体加压装置对其进行泄压操作而转换为与下一位采血对象的医疗信息相适配的膨胀状态。从而气囊组件105的泄压操作在为上一位采血对象手部脱离采血支撑托垫101提供便利的同时提供了适合下一位采血对象进行握持的膨胀状态。According to a preferred embodiment, the
根据一种优选实施方式,采血支撑托垫101包括便于暴露待采血部位的而彼此之间具有相对空间位置的至少一个支撑平面104。在中央处理模块103通过医院医疗系统获取得到下一位采血对象的医疗信息而将关于与医疗信息相对应的臂展尺寸参数的指令信息传输至通过至少一个支撑平面104构成与上一位采血对象的手臂尺寸参数相适配的第一相对空间位置的采血支撑托垫101,使得采血支撑托垫101通过其至少一个支撑平面104分别相对用于支撑采血支撑托垫101的假想平面在由至少一个支撑平面104的布置方向所限定的横向上或与该横向相垂直的纵向上进行移动调控的方式转换为与下一位采血对象的医疗信息相适配的第二相对空间位置,从而采血支撑托垫101只需对现有相对空间位置的支撑平面104进行小幅度调整或无需调整来提供适合下一位采血对象放置手臂时的相对空间位置。According to a preferred embodiment, the blood
根据一种优选实施方式,中央处理模块103用于获取由血管可视化设备102所采集得到的至少关于待采血对象待采血部位的第一图像信息和/或在医护人员执行触发事件时所采集到的第二图像信息以通过对第一图像信息和/或第二图像信息进行采血图像分析的方式得到通过在向待采血对象的手部透射实时图像信息的血管可视化设备102向医护人员提供关于已采集血量充足的提示信息的血液动力学信息。According to a preferred implementation manner, the
借助于非接触式血管可视化设备102的辅助操作装置的辅助操作方法,辅助操作方法中至少包括采血支撑托垫101、血管可视化设备102与中央处理模块103,采血支撑托垫101,其用于为采血对象的手臂提供支撑固定作用,血管可视化设备102,其被装配至采血支撑托垫101的上方且其用于配合采血支撑托垫101提供将表面下结构投影到对象表面上的血流动力学监测,辅助操作方法至少包括以下步骤:中央处理模块103与医院医疗系统进行信息交互以在确定下一位采血对象的医疗信息的情况下通过控制采血支撑托垫101与血管可视化设备102相互配合使用的方式至少基于其对提供血流动力学监测的血管可视化设备102所采集到的图像信息的采血图像分析来辅助医护人员完成采血操作。The auxiliary operation method by means of the auxiliary operation device of the non-contact blood
具体地,在采血准备阶段,基于已经自动大致调整过的采血支撑托垫101,待采血对象的手臂以预期的角度完全暴露其待采血部位,医护人员嘱咐待采血对象轻握呈一定膨胀状态下的气囊组件105,在采血时待采血对象不再是传统的不利于待采血对象感知握持力度的空拳姿势而是在气囊组件105下有效保持在采血过程中的较为恒定的握持力度。同时医护人员将压脉带106上设置有感应组件的带体环绕待采血对象手部并固定在采血支撑托垫101上,基于感应组件的有效感应信息,压脉带106在外接气体加压装置下对待采血对象手臂进行施压,直至达到预定的压力阈值。该施压操作是中央处理模块103在处理待采血对象信息并确定待采血对象是否有关于血管壁薄弱的历史医疗信息或是否为年龄过大的血管壁弹性偏差的老年人之后所提供的指示信息进行的。以此在检测到待采血对象有关于血管壁薄弱的历史医疗信息或为年龄过大的血管壁弹性偏差的老年人的情况下能够相应地降低压力阈值以避免出现血管壁破裂的问题。此时的血管可视化设备102将其红外摄像镜头所获取的视频信息投射至待采血部位,医护人员通过在血管两端简单地按压释放的动作选取适合进行穿刺的血管。优选地,血管可视化设备102支持医护人员将投射区域缩小至待穿刺血管的较小区域。在对待采血部位进行消毒后,医护人员将采血针针头穿刺进入待采血部位,此时中央处理模块103能够基于处理得到的采血穿刺操作信息紧接着指示压脉带106撤除对待采血对象手臂施加的压力。优选地,在中央处理模块103监测到压脉带106捆扎时间超出1min的情况下提示医护人员或指示压脉带106进行泄压操作。压脉带106捆扎带时间超过1min的情况下大静脉血流受阻会使毛细血管内压增高,使血管内血液与组织液交流,能使相对分子量小于5000的物质逸入组织液,同时,随着压迫的时间延长,局部组织发生缺氧而引起血液成分变化较大,检查结果出现不应有的增高或降低。在采血过程中,中央处理模块103与医院医疗系统之间进行信息交互获得下一位待采血对象的至少包括采血量的采血信息,在判定得到采血穿刺操作信息时中央处理模块103基于其处理得到的血流量信息与采血信息对采血时间进行推测,以此在达到推测采血时间时对医护人员进行提示。医护人员继而覆以消毒棉球按压针孔并将针头从静脉拔除。此时中央处理模块103能够基于处理得到的采血拔除操作信息紧接着指示气囊组件105进行加压操作而提示待采血对象松开拳头。以此减少用力攥拳导致血管壁不易修补而使血液流出血管外而造成瘀血的情况。本发明所提供的辅助操作装置适用于常见的血常规采血操作。本发明所提供的辅助操作装置也适用于需要采集至少200ml的献血采血操作,尤其对于单个医护人员同时为两个献血者进行采血而注意力被不可避免地分散时,能够有效可靠地提示医护人员的处理先后顺序。本发明所提供的辅助操作装置也适用于换血量较多的血液透析操作,尤其是对于出现采血速度与回流速度相差过大而易导致心血管功能并发症的发生,能够有效可靠地提示到医护人员。Specifically, in the blood collection preparation stage, based on the blood
需要注意的是,上述具体实施例是示例性的,本领域技术人员可以在本发明公开内容的启发下想出各种解决方案,而这些解决方案也都属于本发明的公开范围并落入本发明的保护范围之内。本领域技术人员应该明白,本发明说明书及其附图均为说明性而并非构成对权利要求的限制。本发明的保护范围由权利要求及其等同物限定。It should be noted that the above specific embodiments are exemplary, and those skilled in the art can come up with various solutions inspired by the disclosure of the present invention, and these solutions also belong to the scope of the disclosure of the present invention and fall within the scope of this disclosure. within the scope of protection of the invention. Those skilled in the art should understand that the description and drawings of the present invention are illustrative rather than limiting to the claims. The protection scope of the present invention is defined by the claims and their equivalents.
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JPH0727770A (en) * | 1993-07-14 | 1995-01-31 | Aloka Co Ltd | Monitoring method of discharge amount and liquid drip amount and its dispensing apparatus |
CN102300595A (en) * | 2009-02-04 | 2011-12-28 | 株式会社Jms | Liquid component collecting device |
-
2020
- 2020-01-22 CN CN202010076162.9A patent/CN111265224B/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5055203A (en) * | 1990-05-22 | 1991-10-08 | Eastman Kodak Company | Blood collection device with reduced serum dispensing volume and integral needle |
JPH0727770A (en) * | 1993-07-14 | 1995-01-31 | Aloka Co Ltd | Monitoring method of discharge amount and liquid drip amount and its dispensing apparatus |
CN102300595A (en) * | 2009-02-04 | 2011-12-28 | 株式会社Jms | Liquid component collecting device |
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