CN220899307U - Intracranial hematoma drainage tube capable of continuously monitoring intracranial pressure - Google Patents
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 103
- 238000007917 intracranial administration Methods 0.000 title claims abstract description 67
- 206010059491 Intracranial haematoma Diseases 0.000 title claims abstract description 19
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 12
- 238000002513 implantation Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 4
- 210000003625 skull Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 101100012902 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) FIG2 gene Proteins 0.000 description 2
- 101100233916 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) KAR5 gene Proteins 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 101001121408 Homo sapiens L-amino-acid oxidase Proteins 0.000 description 1
- 101000827703 Homo sapiens Polyphosphoinositide phosphatase Proteins 0.000 description 1
- 206010022773 Intracranial pressure increased Diseases 0.000 description 1
- 102100026388 L-amino-acid oxidase Human genes 0.000 description 1
- 102100023591 Polyphosphoinositide phosphatase Human genes 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 210000005013 brain tissue Anatomy 0.000 description 1
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 1
- 238000003759 clinical diagnosis Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000006261 foam material Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 201000009941 intracranial hypertension Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
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Abstract
本实用新型公开了一种可持续颅压监测的颅内血肿引流管,属于神经科技术领域,该装置包括引流管,所述引流管内部放置有颅压监测球囊,颅压监测球囊位于所述引流管的盲端内部,颅压监测球囊连接有引导管,引导管远离颅压监测球囊端伸出颅压监测球囊,伸出端插接有压力监测盒,压力监测盒内部设有可双向移动的参照块,压力监测盒内部填充有水;该引流管内置颅压监测球囊,通过颅压监测球囊内部压力的变化驱动外部连接的压力监测盒中参照块的移动,进而可实时直观的了患者颅内压力变化情况,结构简单,成本低廉,出现损坏后易于更换颅压监测球囊,同样为一次置入,减轻患者疼痛。
The utility model discloses an intracranial hematoma drainage tube with sustainable intracranial pressure monitoring, which belongs to the technical field of neurology. The device comprises a drainage tube, wherein an intracranial pressure monitoring balloon is placed inside the drainage tube, the intracranial pressure monitoring balloon is located inside the blind end of the drainage tube, the intracranial pressure monitoring balloon is connected with a guide tube, the guide tube extends out of the intracranial pressure monitoring balloon away from the end of the intracranial pressure monitoring balloon, a pressure monitoring box is plugged into the extended end, a reference block movable in both directions is arranged inside the pressure monitoring box, and the pressure monitoring box is filled with water; the drainage tube has an intracranial pressure monitoring balloon built in, and the movement of the reference block in the externally connected pressure monitoring box is driven by the change of the internal pressure of the intracranial pressure monitoring balloon, so that the change of the intracranial pressure of the patient can be intuitively monitored in real time, the structure is simple, the cost is low, the intracranial pressure monitoring balloon is easy to replace after being damaged, and it is also a one-time implantation, which relieves the pain of the patient.
Description
技术领域Technical Field
本实用新型属于神经科技术领域,尤其涉及一种可持续颅压监测的颅内血肿引流管。The utility model belongs to the technical field of neurology, and in particular relates to an intracranial hematoma drainage tube capable of continuously monitoring intracranial pressure.
背景技术Background technique
颅内压的动态变化是了解脑室外引流患者病情变化的一项重要指标,连续准确的进行颅内压监控可为临床诊断与治疗提供可靠依据。The dynamic change of intracranial pressure is an important indicator for understanding the changes in the condition of patients with external ventricular drainage. Continuous and accurate monitoring of intracranial pressure can provide a reliable basis for clinical diagnosis and treatment.
临床颅内引流时如需进行颅压监测,传统治疗方法只能采用二次置管,其一管为引流功能,一管为监测功能。这样一来不仅医护人员操作程序繁琐,而且增加了患者的痛苦及手术费用,多处开口也更容易发生感染。另外,传统的颅内压监测是将脑脊液引流到体外的压力传感装置上测量,有损伤脑组织的风险,而且在脑严重受压而使脑室移位或压扁时无法引流以至于无法测压。If intracranial pressure monitoring is required during clinical intracranial drainage, the traditional treatment method can only use secondary catheterization, one for drainage and one for monitoring. This not only makes the operation procedures cumbersome for medical staff, but also increases the pain of patients and surgical costs. Multiple openings are also more prone to infection. In addition, traditional intracranial pressure monitoring is to drain cerebrospinal fluid to an external pressure sensor device for measurement, which has the risk of damaging brain tissue, and when the brain is severely compressed and the ventricles are displaced or flattened, it is impossible to drain and measure pressure.
因此中国专利CN 201978307 U一种可对颅内压监测的引流导管,涉及神经科医疗仪器,设有引流导管主体,引流导管一端为引流端,引流端侧壁上设有引流孔,引流端头部为盲端,盲端上设有可以对周边的液体压力测量的压力传感装置,引流导管另一端分为两个支管,压力传感装置的数据传输线经一个支管引出并连接有测压检测接头,另一支管为引流管,引流管末端连接有鲁尔接头;主要采用压力传感器装置随着引流管进入,进行监测,但是本发明人研究发现,压力传感器装置的设置,在颅内压力较大时,颅内组织可能挤压压力传感器,由于压力传感器为硬质材料,因此可能会出现挤压颅内组织的情况,存在一定风险,同时压力传感器安装后不易取出,若出现监测故障,则需要重新更换整体引流导管,提高成本,可进一步改进。Therefore, Chinese patent CN 201978307 U discloses a drainage catheter capable of monitoring intracranial pressure, which relates to a neurological medical instrument. The catheter is provided with a drainage catheter body, one end of which is a drainage end, a drainage hole is provided on the side wall of the drainage end, the head of the drainage end is a blind end, and a pressure sensing device capable of measuring the surrounding liquid pressure is provided on the blind end. The other end of the drainage catheter is divided into two branches, and a data transmission line of the pressure sensing device is led out through one branch and connected with a pressure measuring detection connector, and the other branch is a drainage tube, and a Luer connector is connected to the end of the drainage tube; the pressure sensor device is mainly used to enter with the drainage tube for monitoring, but the inventor has found that the setting of the pressure sensor device may squeeze the pressure sensor when the intracranial pressure is large. Since the pressure sensor is made of hard material, squeezing of the intracranial tissue may occur, which poses a certain risk. At the same time, the pressure sensor is not easy to remove after installation. If a monitoring failure occurs, the overall drainage catheter needs to be replaced, which increases the cost and can be further improved.
实用新型内容Utility Model Content
本实用新型的目的在于提供一种可持续颅压监测的颅内血肿引流管,该引流管内置颅压监测球囊,通过颅压监测球囊内部压力的变化驱动外部连接的压力监测盒中参照块的移动,进而可实时直观的了患者颅内压力变化情况,结构简单,成本低廉,出现损坏后易于更换颅压监测球囊,同样为一次置入,减轻患者疼痛。The utility model aims to provide an intracranial hematoma drainage tube with sustainable intracranial pressure monitoring. The drainage tube has a built-in intracranial pressure monitoring balloon. The change of the internal pressure of the intracranial pressure monitoring balloon drives the movement of a reference block in an externally connected pressure monitoring box, thereby real-time and intuitively monitoring the change of the patient's intracranial pressure. The utility model has a simple structure and low cost. The intracranial pressure monitoring balloon is easy to replace after damage. It is also a one-time implant, which reduces the patient's pain.
为实现上述目的,本实用新型提供如下技术方案:一种可持续颅压监测的颅内血肿引流管,该可持续颅压监测的颅内血肿引流管包括引流管,其特征在于,所述引流管内部放置有颅压监测球囊,颅压监测球囊位于所述引流管的盲端内部,颅压监测球囊连接有引导管,引导管远离颅压监测球囊端伸出颅压监测球囊,伸出端插接有压力监测盒,压力监测盒内部设有可双向移动的参照块,压力监测盒内部填充有水。To achieve the above-mentioned purpose, the utility model provides the following technical solutions: an intracranial hematoma drainage tube with sustainable intracranial pressure monitoring, the intracranial hematoma drainage tube with sustainable intracranial pressure monitoring includes a drainage tube, characterized in that an intracranial pressure monitoring balloon is placed inside the drainage tube, the intracranial pressure monitoring balloon is located inside the blind end of the drainage tube, the intracranial pressure monitoring balloon is connected to a guide tube, the guide tube extends out of the intracranial pressure monitoring balloon away from the end of the intracranial pressure monitoring balloon, a pressure monitoring box is plugged into the extended end, a bidirectionally movable reference block is provided inside the pressure monitoring box, and the pressure monitoring box is filled with water.
进一步的,所述引导管靠近所述压力监测盒端固定连接有第一导入管,第一导入管上插接有管盖,管盖上开设有若干的气孔。Furthermore, the guide tube is fixedly connected to a first introduction tube at an end close to the pressure monitoring box, a tube cover is plugged into the first introduction tube, and a plurality of air holes are formed on the tube cover.
进一步的,所述压力监测盒上端固定连接有第二导入管,第二导入管上插接有所述管盖。Furthermore, a second introduction tube is fixedly connected to the upper end of the pressure monitoring box, and the tube cover is plugged into the second introduction tube.
进一步的,所述压力监测盒朝向第二导入管侧嵌设有腰型透明片,位于腰型透明片两侧设有刻在压力监测盒上的刻度条。Furthermore, a waist-shaped transparent sheet is embedded in the pressure monitoring box on the side facing the second introduction tube, and scale bars engraved on the pressure monitoring box are provided on both sides of the waist-shaped transparent sheet.
进一步的,所述参照块两端固定有导向杆,导向杆远离参照块端均伸出压力监测盒,伸出压力监测盒端固定有触发板。Furthermore, guide rods are fixed at both ends of the reference block, and the ends of the guide rods away from the reference block extend out of the pressure monitoring box, and the ends extending out of the pressure monitoring box are fixed with trigger plates.
进一步的,所述参照块上还固定有指针,指针位于参照块中部位置。Furthermore, a pointer is fixed on the reference block, and the pointer is located in the middle of the reference block.
本实用新型的有益效果是:The beneficial effects of the utility model are:
1、引流管内置颅压监测球囊,通过颅压监测球囊内部压力的变化驱动外部连接的压力监测盒中参照块的移动,进而可实时直观的了患者颅内压力变化情况,结构简单,成本低廉。1. The drainage tube has a built-in intracranial pressure monitoring balloon. The changes in the internal pressure of the intracranial pressure monitoring balloon drive the movement of the reference block in the externally connected pressure monitoring box, thereby visually monitoring the changes in the patient's intracranial pressure in real time. It has a simple structure and low cost.
2、压力监测的结构与引流管一次置入,减轻患者疼痛。2. The pressure monitoring structure and drainage tube are inserted at the same time to relieve the patient's pain.
3、颅压监测球囊未充满水等液体时,为干瘪状态,易于取出更换。3. When the intracranial pressure monitoring balloon is not filled with water or other liquids, it is in a deflated state and is easy to remove and replace.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本实用新型提供的一种可持续颅压监测的颅内血肿引流管的结构示意图;FIG1 is a schematic structural diagram of an intracranial hematoma drainage tube for sustainable intracranial pressure monitoring provided by the utility model;
图2是本实用新型提供的一种可持续颅压监测的颅内血肿引流管的颅压监测球囊及引导管连接结构示意图;FIG2 is a schematic diagram of the connection structure of an intracranial pressure monitoring balloon and a guide tube of an intracranial hematoma drainage tube with sustainable intracranial pressure monitoring provided by the utility model;
图3是本实用新型提供的一种可持续颅压监测的颅内血肿引流管的图2中I处放大示意图;FIG3 is an enlarged schematic diagram of point I in FIG2 of an intracranial hematoma drainage tube with sustainable intracranial pressure monitoring provided by the utility model;
图4是本实用新型提供的一种可持续颅压监测的颅内血肿引流管图3中II处放大示意图;FIG4 is an enlarged schematic diagram of a intracranial hematoma drainage tube for sustainable intracranial pressure monitoring provided by the present invention at point II in FIG3 ;
图5是本实用新型提供的一种可持续颅压监测的颅内血肿引流管的压力监测盒剖视结构示意图。FIG5 is a schematic cross-sectional view of a pressure monitoring box of an intracranial hematoma drainage tube for continuous intracranial pressure monitoring provided by the present invention.
图中:1、引流管;2、颅压监测球囊;3、引导管;4、压力监测盒;5、参照块;6、第一导入管;7、管盖;8、气孔;9、第二导入管;10、腰型透明片;11、刻度条;12、导向杆;13、触发板;14、指针。In the figure: 1. drainage tube; 2. intracranial pressure monitoring balloon; 3. guide tube; 4. pressure monitoring box; 5. reference block; 6. first introduction tube; 7. tube cover; 8. air hole; 9. second introduction tube; 10. waist-shaped transparent sheet; 11. scale bar; 12. guide rod; 13. trigger plate; 14. pointer.
具体实施方式Detailed ways
为能进一步了解本实用新型的实用新型内容、特点及功效,兹例举以下实施例,并配合附图详细说明如下。In order to further understand the content, features and effects of the utility model, the following embodiments are given as examples and described in detail with reference to the accompanying drawings.
请同时参考图1至图5,下面将结合附图对本实用新型实施例的可持续颅压监测的颅内血肿引流管作详细说明。Please refer to Figures 1 to 5 at the same time. The intracranial hematoma drainage tube for sustainable intracranial pressure monitoring according to the embodiment of the utility model will be described in detail below in conjunction with the accompanying drawings.
如图1所示,该可持续颅压监测的颅内血肿引流管1包括引流管1,其特征在于,所述引流管1内部放置有颅压监测球囊2,颅压监测球囊2位于所述引流管1的盲端内部,颅压监测球囊2连接有引导管3,引导管3远离颅压监测球囊2端伸出颅压监测球囊2,伸出端插接有压力监测盒4,压力监测盒4内部设有可双向移动的参照块5,压力监测盒4内部填充有水。As shown in Figure 1, the intracranial hematoma drainage tube 1 with continuous intracranial pressure monitoring includes a drainage tube 1, which is characterized in that an intracranial pressure monitoring balloon 2 is placed inside the drainage tube 1, and the intracranial pressure monitoring balloon 2 is located inside the blind end of the drainage tube 1. The intracranial pressure monitoring balloon 2 is connected to a guide tube 3, and the guide tube 3 extends out of the intracranial pressure monitoring balloon 2 away from the end of the intracranial pressure monitoring balloon 2. A pressure monitoring box 4 is plugged into the extended end, and a bidirectionally movable reference block 5 is provided inside the pressure monitoring box 4, and the pressure monitoring box 4 is filled with water.
其中参照块5采用泡沫材料制作,泡沫在水中可浮动,且微小推力可驱动其移动,因此可提高该引流管1压力监测的准确性。The reference block 5 is made of foam material, which can float in water and can be driven to move by a small thrust, thereby improving the accuracy of pressure monitoring of the drainage tube 1.
在本实施例中,其中设置的引导管3可沿引流管1端头处伸出,也可沿引导管3侧面伸出,且设置的引导管3足够长,可伸出引导管3同时与压力监测盒4插接后可确保压力监测盒4能放置于水平位置处。In this embodiment, the guide tube 3 provided therein can extend from the end of the drainage tube 1, or can extend from the side of the guide tube 3, and the guide tube 3 provided is long enough, and the guide tube 3 can be extended and connected with the pressure monitoring box 4 to ensure that the pressure monitoring box 4 can be placed in a horizontal position.
在引流管1进入患者颅内时,内部的颅压监测球囊2为充满状态,由于在引导管3靠近压力监测盒4端固定连接有第一导入管6,第一导入管6上插接有管盖7,管盖7上开设有若干的气孔8,在进入患者颅内之前,可取下管盖7,沿第一导入管6导入水,水质颅内监测球囊内部使其充满,此时,将压力监测盒4放置于水平桌面或床面,确保其内部的参照块5位于0刻度位置处,将其与引流管1共同置于患者颅内。When the drainage tube 1 enters the patient's skull, the internal intracranial pressure monitoring balloon 2 is in a filled state. Since a first introduction tube 6 is fixedly connected to the end of the guide tube 3 near the pressure monitoring box 4, a tube cover 7 is inserted on the first introduction tube 6, and a number of air holes 8 are opened on the tube cover 7, before entering the patient's skull, the tube cover 7 can be removed, and water can be introduced along the first introduction tube 6 to fill the intracranial pressure monitoring balloon with water. At this time, place the pressure monitoring box 4 on a horizontal table or bed, ensure that the reference block 5 inside it is at the 0 scale position, and place it together with the drainage tube 1 in the patient's skull.
其中的压力监测盒4上端固定连接有第二导入管9,第二导入管9上插接有同样的管盖7,进而可沿第二导入管9导入水,使得参照块5处于浮动状态,压力监测盒4朝向第二导入管9侧嵌设有腰型透明片10,位于腰型透明片10两侧设有刻在压力监测盒4上的刻度条11,在参照块5两端固定有导向杆12,导向杆12远离参照块5端均伸出压力监测盒4,伸出压力监测盒4端固定有触发板13。The upper end of the pressure monitoring box 4 is fixedly connected to a second introduction tube 9, and the second introduction tube 9 is plugged with a similar tube cover 7, so that water can be introduced along the second introduction tube 9, so that the reference block 5 is in a floating state. The pressure monitoring box 4 is embedded with a waist-shaped transparent sheet 10 on the side facing the second introduction tube 9, and scale bars 11 engraved on the pressure monitoring box 4 are provided on both sides of the waist-shaped transparent sheet 10. Guide rods 12 are fixed at both ends of the reference block 5, and the ends of the guide rods 12 away from the reference block 5 are extended out of the pressure monitoring box 4, and the ends extended out of the pressure monitoring box 4 are fixed with trigger plates 13.
在引流管1进入患者颅内后,如果颅内压力增加,则颅压监测球囊2被挤压,挤压后,内部的水沿引导管3流动,进而推动上述的触发板13移动,带动导向杆12移动,继而参照块5可朝向远离引导管3端移动;如果颅内压力降低,则引导管3内部的水沿引导管3流动,朝向颅压监测球囊2端移动,进而带动上述的触发板13移动,带动导向杆12移动,继而参照块5可朝向靠近引导管3端移动;因此上述两种情况可直观判断患者颅内压力变化情况,同时设置刻度条11进行参考,可方便医生判断。After the drainage tube 1 enters the patient's skull, if the intracranial pressure increases, the intracranial pressure monitoring balloon 2 is squeezed. After squeezing, the water inside flows along the guide tube 3, thereby pushing the above-mentioned trigger plate 13 to move, driving the guide rod 12 to move, and then the reference block 5 can move toward the end away from the guide tube 3; if the intracranial pressure decreases, the water inside the guide tube 3 flows along the guide tube 3, moving toward the end of the intracranial pressure monitoring balloon 2, thereby driving the above-mentioned trigger plate 13 to move, driving the guide rod 12 to move, and then the reference block 5 can move toward the end close to the guide tube 3; therefore, the above two situations can intuitively judge the changes in the patient's intracranial pressure, and at the same time, a scale bar 11 is set for reference, which can facilitate the doctor's judgment.
特别的是,由于第一导入管6和第二导入管9上均设有管盖7,管盖7上均设有气孔8,在自然状态下,引导管3内部压力与外界压力一致,因此引导管3内部的水可流动,可实现上述功能。In particular, since the first inlet pipe 6 and the second inlet pipe 9 are both provided with a pipe cover 7, and the pipe cover 7 is provided with an air hole 8, under a natural state, the internal pressure of the guide pipe 3 is consistent with the external pressure, so the water inside the guide pipe 3 can flow, and the above function can be achieved.
尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.
Claims (6)
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