Peritoneal dialysis device
Technical Field
The utility model relates to the field of medical supplies, especially, relate to a peritoneal dialysis device.
Background
Peritoneal dialysis is to inject prepared dialysate into abdominal cavity of patient, and utilizes the characteristic that peritoneum is semi-permeable membrane to make blood in capillary vessel of peritoneum and dialysate undergo extensive material exchange so as to attain the goal of removing in vivo metabolic product and toxic material and correcting imbalance of water electrolyte and acid-base balance.
The conventional peritoneal dialysis device comprises a main pipe, an input pipe, an output pipe, a dialysate bag and a waste liquid bag, wherein the input pipe is connected with the dialysate bag and the main pipe, and the output pipe is connected with the waste liquid bag and the main pipe. The main pipe is connected with a pipeline which is placed in the abdominal cavity of a patient, the dialysate bag is hung at a high position, the waste liquid bag is hung at a low position, then the dialysate can enter the abdominal cavity of the patient through the input pipe and the main pipe, and the waste liquid can be conveyed to the waste liquid bag through the main pipe and the output pipe.
During peritoneal dialysis, balancing experiments are sometimes required, and are described in Shandong Hospital 2002, volume 42, No. 22, and in various papers.
The procedure for carrying out the balancing experiment using the conventional peritoneal dialysis set was as follows: A. putting the dialyzate left overnight in a waste liquid bag, and extracting a small amount of dialyzate to be used as a specimen; B. inputting the new dialysate in the dialysate bag into the abdominal cavity of the patient, and changing the body position of the patient; C. then the dialysate bag is lowered to make about 200ml of dialysate in the abdominal cavity enter the dialysate bag, and a small amount of dialysate is extracted as a specimen; D. raising the dialysate bag to allow the rest dialysate to re-enter the abdominal cavity of the patient; E. after two hours, repeating the step C; F. d, repeating the step D; G. after four hours, the dialysate was placed in a waste bag and a small amount was withdrawn as a specimen.
In the above steps C and E, the dialysate specimen is left to be taken, and the syringe needle is required to be punctured into the dialysate bag medicine adding opening for extraction, so that the risk of needle stick injury exists in the process.
In the above steps a and G, since the waste liquid bag usually has no output port, the dialysate sample to be taken needs to be extracted by puncturing the output tube or the waste liquid bag with the syringe, and besides the risk of needle stick injury, the needle hole after puncturing with the syringe is not easy to seal and easily causes leakage.
During peritoneal dialysis, it is often necessary to additionally infuse the abdominal cavity with some drugs depending on the patient's condition. When using conventional peritoneal dialysis device, can only pierce the syringe needle into the dislysate bag and add the medicine mouth in, inject the liquid medicine into the dislysate bag, then input the abdominal cavity again, except that equally having the needle stick and hindering the risk, because the liquid volume of adding the medicine is less, the liquid medicine is difficult to export completely again in the dislysate bag, can lead to the dose inaccurate.
In addition, among the dialysis process, the omentum in the abdominal cavity can lead to being responsible for the jam sometimes to lead to the dislysate to be difficult to input and output, conventional peritoneal dialysis device can not help the siphunculus this moment, and the siphunculus operation is comparatively loaded down with trivial details.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is: provides a peritoneal dialysis device which can facilitate balance experiments.
The technical scheme adopted for solving the problems is as follows: the peritoneal dialysis device comprises a main pipe, an input pipe and an output pipe, wherein the input pipe and the output pipe are connected with the main pipe; the first liquid taking pipe is connected with an output pipe, a first liquid taking joint is arranged at the end part of the first liquid taking pipe and is matched with the empty needle nipple, and a first joint cover is covered on the first liquid taking joint; the second liquid taking pipe is connected with the input pipe, the end part of the second liquid taking pipe is provided with a second liquid taking joint, the second liquid taking joint is matched with the empty needle nipple, and a second joint cover covers the second liquid taking joint.
Further, the method comprises the following steps: a first clamping and closing device is arranged between the connecting point of the first liquid taking pipe and the main pipe on the output pipe; the second clamping device is arranged between the end part of the input pipe and the connecting point of the second liquid taking pipe on the input pipe, the third clamping device is arranged between the connecting point of the second liquid taking pipe and the main pipe, the fourth clamping device is arranged on the first liquid taking pipe, and the fifth clamping device is arranged on the second liquid taking pipe.
Further, the method comprises the following steps: the fourth clamping device comprises a clamping device main body and a connecting sleeve, the connecting sleeve is connected with the clamping device main body, the connecting sleeve is a circular sleeve with an opening, and the connecting sleeve is sleeved on the output pipe; the fifth clamping device has the same structure as the fourth clamping device, and the connecting sleeve of the fifth clamping device is sleeved on the input pipe.
The utility model has the advantages that: 1. in each step of balance experiment, insert first liquid joint or the second of getting with the empty needle nipple and get the liquid joint and can extract the dislysate sample, need not pierce the dislysate bag with the syringe and add medicine mouth and output tube or waste liquid bag. No puncture risk exists in the whole process, and an output pipe or a waste liquid bag cannot be damaged, so that the balance experiment can be performed more conveniently and safely.
2. When the medicine needs to be additionally injected into the abdominal cavity, the medicine is extracted by the empty needle, and then the nipple of the empty needle is inserted into the second liquid-extracting joint, so that the medicine can be injected into the abdominal cavity of the patient. No puncture risk exists, the medicine injection is rapid, the medicine can completely enter the abdominal cavity, and the dosage is accurate.
3. When the nethike embrane blockked up the person in charge, with empty needle extraction catheter occlusion liquid or peritoneal dialysis liquid, then insert the empty needle nipple the second and get the liquid and connect and inject, fluid pressure can play the siphunculus effect, consequently the utility model discloses the effect that makes things convenient for the siphunculus has.
Drawings
FIG. 1 is a schematic view of a peritoneal dialysis set;
FIG. 2 is a view of the structure of a peritoneal dialysis set with a connection sleeve;
FIG. 3 is a view showing a fourth structure of the clip closure;
FIG. 4 is a view showing a fourth clip closer in the other direction;
labeled as: the device comprises a main pipe 1, an output pipe 2, an input pipe 3, a first liquid taking pipe 4, a first liquid taking joint 5, a first joint cover 6, a second liquid taking pipe 7, a second liquid taking joint 8, a second joint cover 9, a first clamping device 10, a second clamping device 11, a third clamping device 12, a fourth clamping device 13, a clamping device main body 13-1, a connecting sleeve 13-2, an opening 13-3, a fifth clamping device 14, a waste liquid bag 15, a dialysate bag 16 and a dialysate bag medicine adding port 16-1.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and the following detailed description.
As shown in fig. 1: the peritoneal dialysis device comprises a main pipe 1, an input pipe 3 and an output pipe 2, wherein the input pipe 3 and the output pipe 2 are both connected with the main pipe 1; the device also comprises a first liquid taking pipe 4 and a second liquid taking pipe 7, wherein the first liquid taking pipe 4 is connected with the output pipe 2, a first liquid taking joint 5 is arranged at the end part of the first liquid taking pipe 4, the first liquid taking joint 5 is matched with the nipple of the empty needle, and a first joint cover 6 is covered on the first liquid taking joint 5; the second liquid taking pipe 7 is connected with the input pipe 3, the end part of the second liquid taking pipe 7 is provided with a second liquid taking joint 8, the second liquid taking joint 8 is matched with the empty needle nipple, and the second liquid taking joint 8 is covered with a second joint cover 9.
Utilize the utility model discloses the mode of carrying out peritoneal dialysis is the same with the background art conventional peritoneal dialysis device.
When peritoneal dialysis and balance experiments are carried out, partial pipelines need to be clamped, and a common blue clamp can be adopted for clamping during peritoneal dialysis. In order to facilitate clipping, the utility model discloses preferably take clipping ware certainly, specifically as follows: a first clamping and closing device 10 is arranged between the connecting point of the first liquid taking pipe 4 and the main pipe 1 on the output pipe 2; a second clamp 11 is provided on the inlet pipe 3 between the end of the inlet pipe 3 and the connection point of the second liquid take-off pipe 7, a third clamp 12 is provided between the connection point of the second liquid take-off pipe 7 and the main pipe 1, a fourth clamp 13 is provided on the first liquid take-off pipe 4, and a fifth clamp 14 is provided on the second liquid take-off pipe 7. Each clip may be a conventional stop clip for clipping medical tubing.
Utilize the utility model discloses carry out the concrete step as follows of balanced experiment: A. putting the dialyzate left in the abdomen overnight into a waste liquid bag 15, clamping the first clamping device 10, opening the fourth clamping device 13, exhausting air, inserting an empty needle nipple into the first liquid taking connector 5, and taking the dialyzate in the waste liquid bag 15 as a sample; B. inputting the new dialysate in the dialysate bag 16 into the abdominal cavity of the patient, and changing the body position of the patient; C. then, the dialysate bag 16 is lowered, about 200ml of dialysate in the abdominal cavity enters the dialysate bag 16, then the third clamping device 12 is clamped, the second clamping device 11 and the fifth clamping device 14 are opened, and the empty needle nipple is inserted into the second fluid taking connector 8 to draw the dialysate in the dialysate bag 16 as a sample; D. raising the dialysate bag 16 to allow the remaining dialysate to re-enter the patient's peritoneal cavity; E. after two hours, repeating the step C; F. d, repeating the step D; G. after four hours, the dialysate is put into the waste liquid bag 15, and the dialysate in the waste liquid bag 15 is extracted as a specimen by the method of step a.
During the balancing experiment, a syringe is not needed to pierce the drug adding opening 16-1 of the dialysate bag and the output pipe 2 or the waste liquid bag 15. No puncture risk exists in the whole process, the output pipe 2 or the waste liquid bag 15 cannot be damaged, and therefore the balance experiment can be carried out more conveniently and safely.
When the medicine needs to be additionally injected into the abdominal cavity, the first clamping device 10 and the second clamping device 11 are clamped, the third clamping device 12 and the fifth clamping device 14 are opened, the medicine is extracted by using an empty needle, and then the nipple of the empty needle is inserted into the second liquid taking connector 8, so that the medicine can be injected into the abdominal cavity of the patient.
When the omentum blocks the main pipe 1, the operation is basically the same as that of injecting medicine into the abdominal cavity, the first clamping device 10 and the second clamping device 11 are clamped, the third clamping device 12 and the fifth clamping device 14 are opened, the tube sealing liquid or the abdominal liquid is extracted by an empty needle, then the nipple of the empty needle is inserted into the second liquid taking connector 8 and injected, and the liquid pressure can play a role in communicating the tube.
The first joint cover 6 and the second joint cover 9 are used for protecting the first liquid taking joint 5 and the second liquid taking joint 8 from pollution. The first joint cover 6 and the second joint cover 9 should obviously be openable. The probability of the second closing tool 11 being closed is not high, and the second closing tool 11 may not be provided for the sake of simplification of the structure.
The utility model discloses owing to increased first liquid intaking pipe 4 and second liquid intaking pipe 7, the pipeline is more, seems mixed and disorderly and leads to the pipeline to drag easily. For this purpose, the following arrangements can be provided as shown in fig. 2 to 4: the fourth clipping device 13 comprises a clipping device main body 13-1 and a connecting sleeve 13-2, the connecting sleeve 13-2 is connected with the clipping device main body 13-1, the connecting sleeve 13-2 is a circular sleeve with an opening 13-3, and the connecting sleeve 13-2 is sleeved on the output pipe 2; the fifth clipping device 14 has the same structure as the fourth clipping device 13, and the connecting sleeve 13-2 of the fifth clipping device 14 is sleeved on the input pipe 3. At this time, the main body 13-1 of the clipping device can be the same as the conventional flow stopping clip, and the fourth clipping device 13 and the fifth clipping device 14 can be the same as the conventional flow stopping clip to which the connecting sleeve 13-2 is connected.
When the first liquid taking tube 4 and the second liquid taking tube 7 are not used in normal dialysis, the connecting sleeve 13-2 of the fourth clamping device 13 is sleeved on the output tube 2, and the connecting sleeve 13-2 of the fifth clamping device 14 is sleeved on the input tube 3, so that the first liquid taking tube 4 is connected with the output tube 2, and the second liquid taking tube 7 is connected with the input tube 3. Therefore, the pipeline is more regular, and the possibility of accidental pulling is reduced.