CN209696049U - Double-cavity single-bag bladder irrigation catheter - Google Patents
Double-cavity single-bag bladder irrigation catheter Download PDFInfo
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- CN209696049U CN209696049U CN201920139129.9U CN201920139129U CN209696049U CN 209696049 U CN209696049 U CN 209696049U CN 201920139129 U CN201920139129 U CN 201920139129U CN 209696049 U CN209696049 U CN 209696049U
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Abstract
本实用新型公开了一种双腔单囊膀胱冲洗导尿管,它解决了现有技术存在操作麻烦、使用不安全等问题,其特征在于:在引流管腔(5)的一侧壁设置了针柄固定平台(6),并在该平台的一侧引流管腔壁设置了针柄固定带(7),该针柄固定带(7)与平台相对表面后半部分涂覆可反复粘贴粘胶层(8),粘胶层(8)表面设有胶纸保护层。该膀胱冲洗导尿管具有结构合理、制作简单、使用方便、安全卫生等优点,可广泛应用于需要膀胱冲洗的病人。
The utility model discloses a double-chamber single-bag bladder irrigation catheter, which solves the problems of troublesome operation and unsafe use in the prior art, and is characterized in that: a side wall of the drainage tube cavity (5) is provided with The needle handle fixing platform (6), and a needle handle fixing belt (7) is set on the drainage lumen wall on one side of the platform. The adhesive layer (8) is provided with an adhesive tape protective layer on the surface of the adhesive layer (8). The urinary bladder irrigation catheter has the advantages of reasonable structure, simple manufacture, convenient use, safety and sanitation, and can be widely used in patients who need bladder irrigation.
Description
技术领域technical field
本实用新型属于医药卫生领域,尤其是涉及到一种双腔单囊膀胱冲洗导尿管。The utility model belongs to the field of medicine and hygiene, in particular to a double-chamber single-bag bladder irrigation catheter.
背景技术Background technique
目前,医院使用的膀胱冲洗导尿管主要是由乳胶、天然橡胶、硅橡胶或聚氯乙烯等材料制成的带气囊的导尿管。导尿管插入膀胱后,向气囊腔注生理盐水或者气体进行膀胱内固定。依据冲洗方式不同,临床上主要有两类导尿管,一类是三腔导尿管,一类是二腔导尿管。三腔导尿管一个腔通向气囊,另外两个腔一个为冲洗管腔,一个为引流管腔。二腔导尿管,一个腔通向气囊,另一个腔为引流管腔。At present, the bladder irrigation catheter used in the hospital is mainly a catheter with an air bag made of materials such as latex, natural rubber, silicon rubber or polyvinyl chloride. After the catheter is inserted into the bladder, saline or gas is injected into the balloon cavity for internal fixation of the bladder. According to different irrigation methods, there are mainly two types of urinary catheters clinically, one is a three-lumen catheter, and the other is a two-lumen catheter. One lumen of the three-lumen urinary catheter leads to the air bag, and the other two lumens are irrigation lumens and drainage lumens. Two-lumen urinary catheter, one lumen leads to the balloon, and the other lumen is the drainage lumen.
如果使用三腔导尿管对膀胱进行冲洗,冲洗液经过冲洗管口进入膀胱,然后停留一段时间后经引流管引流入尿袋。如果不进行冲洗时,三腔导尿管冲洗管端暴露于空气中,由于没有专门的塞子将这一端封闭,临床上常常将注射器针帽堵塞冲洗管腔口。这样操作有几个缺点:一是增加了护理人员的工作量,操作不是太方便;二是针帽外侧端很光滑,有时堵塞不严,易导致尿液外漏污染床被;三是容易造成细菌的逆行感染。If a three-lumen urinary catheter is used to flush the bladder, the flushing fluid enters the bladder through the mouth of the flushing tube, and then stays for a period of time before being drained into the urine bag through the drainage tube. If flushing is not performed, the flushing tube end of the three-chamber urinary catheter is exposed to the air. Since there is no special stopper to close this end, the syringe needle cap is often blocked clinically. This operation has several disadvantages: one is that the workload of the nursing staff is increased, and the operation is not too convenient; Bacterial retrograde infection.
如果使用二腔导尿管对膀胱进行冲洗,临床上的做法有两种:一种是先将尿液从引流管引流出来后,用限流夹夹住导尿管管体,消毒并拔开引流袋与引流管接头处,然后再用无菌接头把引流管腔口与膀胱冲洗的管道连接起来,再打开限流夹进行冲洗。冲洗完后消毒引流管腔口端重新将引流袋的接头换回来。这种方法的缺点是极为麻烦,操作非常不便,并且还需要专备无菌接头以及配套的冲洗管道。另一种常用的方法是冲洗期间不需要拔引流管接头,直接将输液针穿刺引流管,然后用胶布将针柄固定在引流管侧壁上。此方法比前一种方法方便了很多,但依然存在缺点:一、护理人员常需要一只手固定针柄,同时协助另一只手撕胶布并将针柄固定在呈弧形的引流管上。由于目前的针柄常见宽度为1.4cm,平直,而导尿管引流管腔外侧直径为1cm,呈弧形,这就导致粘贴胶布非常不方便。二、导尿管上的引流管旁边紧挨着气囊腔,气囊腔又会干扰到护理人员粘贴胶布,增加粘贴胶布的难度。三、针柄容易移位,针尖本来已经进入到引流管腔内,针柄的移位有可能导致针尖再次刺到引流管引起针尖堵塞,甚至刺入过深导致气囊腔被刺破而漏水或者气体,引起导尿管膀胱内的固定气囊萎缩而使导尿管滑脱。If a two-lumen catheter is used to flush the bladder, there are two clinical methods: one is to drain the urine from the drainage tube first, clamp the catheter body with a flow-limiting clip, disinfect and pull it out At the junction of the drainage bag and the drainage tube, connect the mouth of the drainage tube with the pipeline for bladder irrigation with a sterile joint, and then open the restrictor clip for irrigation. After rinsing, disinfect the mouth of the drainage tube and replace the connector of the drainage bag. The disadvantage of this method is that it is extremely cumbersome, and the operation is very inconvenient, and it also requires special aseptic joints and matching flushing pipelines. Another commonly used method is to directly puncture the drainage tube with the infusion needle without pulling out the drainage tube connector during flushing, and then fix the needle handle on the side wall of the drainage tube with adhesive tape. This method is much more convenient than the previous method, but there are still disadvantages: 1. Nursing staff often need to fix the needle handle with one hand, and at the same time assist the other hand to tear the adhesive tape and fix the needle handle on the arc-shaped drainage tube . Because the common width of the current needle handle is 1.4 cm, it is straight, and the diameter of the catheter drainage lumen is 1 cm, which is curved, which makes it very inconvenient to stick the adhesive tape. Two, the side of the drainage tube on the urinary catheter is next to the air bag cavity, and the air bag cavity will interfere with the nursing staff to paste the adhesive tape, increasing the difficulty of pasting the adhesive tape. 3. The needle handle is easy to shift. The needle tip has already entered the drainage tube cavity. The displacement of the needle handle may cause the needle tip to puncture the drainage tube again, causing the needle tip to block, or even penetrate too deep, causing the air bag cavity to be punctured and cause water leakage or Gas, causing the fixed balloon in the bladder of the catheter to shrink and make the catheter slip off.
发明内容Contents of the invention
本实用新型的目的是为市场提供一种设计新颖、不需要另外准备无菌接头以及膀胱冲洗专用冲洗管(用临床上极为常见的普通一次性无菌输液器代替即可)、无需另外准备胶布、不易漏尿、不易逆行感染、气囊腔不易误刺穿、护理操作简便的双腔单囊膀胱冲洗导尿管。The purpose of this utility model is to provide the market with a novel design, no need to prepare additional aseptic joints and special irrigation tubes for bladder irrigation (replaced by ordinary disposable aseptic infusion sets that are very common in clinical practice), and no need to prepare additional adhesive tape , It is not easy to leak urine, not easy to retrograde infection, the air bag cavity is not easy to be punctured by mistake, and the nursing operation is simple.
本实用新型的技术方案是:它包括导尿管管体、气囊、气囊腔、引流管腔等构成,在引流管腔的一侧壁设置了针柄固定平台,该固定平台的长度为0.8~2cm、宽度为1.2 ~1.5cm,设置在引流管腔末端3~3.5cm长度范围内的侧壁上。并在该平台的一侧引流管腔壁设置了针柄固定带,该针柄固定带与平台相对表面后半部分涂覆可反复粘贴粘胶层,粘胶层表面设有胶纸保护层。The technical scheme of the utility model is: it comprises catheter tube body, air bag, air bag cavity, drainage lumen etc., and a needle handle fixing platform is set on the side wall of the drainage lumen, and the length of the fixing platform is 0.8~ 2cm, width 1.2~1.5cm, set on the side wall within the length range of 3~3.5cm at the end of the drainage lumen. A needle handle fixing belt is provided on the side drainage lumen wall of the platform, and the second half of the needle handle fixing belt is coated with an adhesive layer that can be pasted repeatedly on the surface opposite to the platform, and the adhesive layer surface is provided with an adhesive tape protective layer.
本实用新型的有益效果是:不仅设计新颖、而且操作非常方便,漏尿、逆行感染、误刺气囊腔、导尿管滑脱等情况发生率大大降低。由于此膀胱冲洗导尿管不需要另外准备无菌接头以及专用冲洗管(用临床上极为常见的普通一次性无菌输液器代替即可),这会很大地减少了膀胱冲洗物品准备和操作的繁琐。由于此种新型导尿管末端有固定用的平台以及粘贴带,在固定针柄时操作极为方便,大大提高了护理效率,并可在多次冲洗时反复使用。此双腔单囊膀胱冲洗导尿管优点明显,具有良好的社会效益和经济效益。The beneficial effects of the utility model are: not only the design is novel, but also the operation is very convenient, and the occurrence rate of leakage of urine, retrograde infection, false puncture of the air bag cavity, slippage of the catheter, etc. is greatly reduced. Since this bladder irrigation catheter does not need to prepare additional sterile joints and special irrigation tubes (it can be replaced by ordinary disposable sterile infusion sets that are very common in clinical practice), this will greatly reduce the preparation and operation of bladder irrigation items. cumbersome. Because the end of the novel urinary catheter has a fixed platform and an adhesive tape, it is very convenient to operate when fixing the needle handle, greatly improves the nursing efficiency, and can be used repeatedly during multiple flushes. The double-chamber single-bag bladder irrigation catheter has obvious advantages and good social and economic benefits.
下面结合附图对本实用新型作进一步说明。Below in conjunction with accompanying drawing, the utility model is further described.
附图说明:Description of drawings:
图1 为本实用新型整体结构示意图。Figure 1 is a schematic diagram of the overall structure of the utility model.
图中:1为导尿管管体,2为气囊,3为气囊腔,4为气囊单向活瓣,5为引流管腔,6为固定平台,7为固定带,8为粘胶层,9为针柄,10为无菌接头。Among the figure: 1 is the catheter tube body, 2 is the air bag, 3 is the air bag cavity, 4 is the one-way valve of the air bag, 5 is the drainage lumen, 6 is the fixed platform, 7 is the fixing belt, 8 is the adhesive layer, 9 is a needle handle, and 10 is a sterile connector.
具体实施方式:Detailed ways:
如图1所示,双腔单囊膀胱冲洗导尿管是由导尿管管体1、气囊2、气囊腔3、引流管腔5等构成,气囊腔3的端部设置了气囊单向活瓣4,引流管腔5通过无菌接头10与尿液袋连接。在引流管腔5的一侧壁设置了针柄固定平台6,该固定平台6的长度为0.8~2cm、宽度为1.2~1.5cm,设置在引流管腔5末端3~3.5cm长度范围内的侧壁上。并在该平台的一侧引流管腔壁设置了针柄固定带7,该针柄固定带7宽度与固定平台6长度相同、长度为2.5~3cm。固定带7与平台相对表面后半部分涂覆可反复粘贴粘胶层8,粘胶层8表面设有胶纸保护层。As shown in Figure 1, the double-chamber single-bladder bladder irrigation catheter is composed of a catheter body 1, an air bag 2, an air bag cavity 3, and a drainage lumen 5. The flap 4 and the drainage lumen 5 are connected with the urine bag through a sterile connector 10 . A needle handle fixing platform 6 is arranged on the side wall of the drainage lumen 5, the length of the fixing platform 6 is 0.8-2 cm, and the width is 1.2-1.5 cm, and it is set at the end of the drainage lumen 5 within the length range of 3-3.5 cm. on the side wall. And a needle handle fixing band 7 is set on the drainage lumen wall on one side of the platform, the width of the needle handle fixing band 7 is the same as the length of the fixing platform 6, and the length is 2.5-3 cm. The second half of the surface of the fixing belt 7 opposite to the platform is coated with an adhesive layer 8 that can be pasted repeatedly, and the surface of the adhesive layer 8 is provided with an adhesive tape protective layer.
实施本实用新型时,以16Fr/ch 30ml/cc导尿管为例,其导尿管引流管腔5外径为1cm,壁厚1mm,引流管腔口距Y型分叉处长度为5cm。在距离端口5mm处一侧壁增设了一个长度为1.5cm、宽度为1.4cm的固定平台6,并在该平台内侧设置了一根长度为2.8cm、宽为1.5cm的固定带7。When implementing the utility model, take the 16Fr/ch 30ml/cc catheter as an example, the catheter drainage lumen 5 has an outer diameter of 1cm, a wall thickness of 1mm, and the length of the drainage lumen mouth from the Y-shaped bifurcation is 5cm. A fixed platform 6 with a length of 1.5 cm and a width of 1.4 cm is added to the side wall at a distance of 5 mm from the port, and a fixed belt 7 with a length of 2.8 cm and a width of 1.5 cm is arranged on the inside of the platform.
作膀胱冲洗前,导尿管的插入方法与Foley导尿管相同,医护人员首先将导尿管插入患者的膀胱,见有尿液流出后再继续插入数厘米,接着通过单向活瓣4向气囊2内注入生理盐水或者气体进行膀胱内固定。患者膀胱内的尿液自导尿管进入尿液袋里。作膀胱冲洗时,医护人员用限流夹或者血管钳夹住尿液袋的引流管道,然后将普通一次性无菌输液器针头自导尿管引流管腔5上的固定平台6前上方刺入引流管腔5内,再将针柄9平置在固定平台6上,撕下固定带7内侧面胶纸后将针柄9固定在引流管腔5上,打开一次性无菌输液器的限流夹,冲洗液自引流管腔5进入膀胱,即可对膀胱进行冲洗。冲洗完毕后,掀开固定带7,将输液器针头拔除,再将固定带粘贴在引流管腔5壁上,以备下次膀胱冲洗时重复粘贴使用。此双腔单囊膀胱冲洗导尿管具有结构合理、制作简单、使用方便、反复粘贴、安全卫生等优点,可广泛应用于需要膀胱冲洗的病人。Before bladder irrigation, the insertion method of the urinary catheter is the same as that of the Foley catheter. The medical staff first inserts the catheter into the patient's bladder, and then continues to insert a few centimeters after seeing that the urine flows out, and then passes through the one-way valve 4-way. Physiological saline or gas is injected into the balloon 2 for bladder internal fixation. The urine in the patient's bladder enters the urine bag from the catheter. When performing bladder flushing, the medical personnel clamp the drainage pipe of the urine bag with a flow-limiting clamp or blood vessel clamp, and then insert the needle of an ordinary disposable sterile infusion set from the upper front of the fixed platform 6 on the catheter drainage lumen 5 In the drainage lumen 5, place the needle handle 9 flat on the fixed platform 6, tear off the adhesive paper on the inner side of the fixing belt 7, fix the needle handle 9 on the drainage lumen 5, and open the limit of the disposable sterile infusion set. The flushing fluid enters the bladder from the drainage lumen 5, and the bladder can be flushed. After flushing, remove the fixing band 7, pull out the needle of the infusion set, and then stick the fixing band on the wall of the drainage tube lumen 5, so as to be pasted repeatedly for the next bladder flushing. The double-chamber single-capsule bladder irrigation catheter has the advantages of reasonable structure, simple manufacture, convenient use, repeated sticking, safety and sanitation, etc., and can be widely used in patients who need bladder irrigation.
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