Background
Catheterization is a conventional operation technique which must be mastered by medical staff, and refers to a process of inserting a catheter into a bladder through an external orifice of a urethra to play a role in draining urine. The common clinical catheters mainly comprise two types of double-cavity catheters and three-cavity catheters, wherein the double-cavity catheter comprises a main pipe body, a fixed balloon water injection end and a urine discharge end which are connected with the rear end of the main pipe body, and a urine discharge hole communicated with the urine discharge end and a spherical bladder fixed balloon communicated with the water injection end of the fixed balloon are arranged on the front section pipe wall of the main pipe body; the three-cavity catheter is based on the double-cavity catheter, and the rear end of the main tube body is added with a bladder flushing end communicated with the urination hole. During clinical application, the urine bag is connected to the urination end, the main tube body is lubricated by liquid paraffin, the head end of the main tube body is inserted into the bladder through the external urethral opening, the bladder fixing balloon is filled by water injected through the water injection end of the fixing balloon, and the main tube body is pulled back to enable the bladder fixing balloon to be close to the internal urethral opening.
When the urinary catheter is in actual use, the urine leakage phenomenon of men often occurs, the record of urine volume is influenced, the workload of medical staff is increased, and the embarrassing psychology of patients is easily caused by urine polluting bed sheets and trousers. Aiming at the problem of urine leakage, the invention with the publication number of CN 209033489U discloses a convenient-to-wash urine leakage prevention catheter, which is characterized in that a truncated cone-shaped urine leakage prevention balloon is arranged on a main pipe body close to the rear end of a bladder fixing balloon; the invention with the publication number of CN 210057103U discloses a leakage-proof catheter, which is characterized in that an elastic valve wrapping a bladder fixing saccule is arranged on a main pipe body, and a conical leakage-proof saccule surrounding the outer wall of the pipe body is formed when the bladder fixing saccule is inflated. The patent mainly adds the leak-proof sacculus, and conical leak-proof sacculus more agrees with the bladder wall around the internal orifice of urethra, and conical sacculus and bladder mucous membrane contact surface are bigger, have certain leak-proof function of urine. However, due to the lack of direct force at the interface, the pressure of the balloon against the bladder is low, and when the leak-proof balloon is activated, urine can still flow to the internal urethral opening through the gap between the balloon and the bladder folds, resulting in urine leakage. In addition, when the bladder fixing balloon is excessively inflated, the head-end ureter can greatly stimulate the bladder wall, and pain of a patient can be easily caused.
The anatomical structures of the male bladder and the urethra are analyzed to cause the phenomenon of urine leakage during the retention of the urinary catheter, and the following points are mainly considered: 1. when the bladder is empty, the volume of the bladder is reduced, the bladder inner wall generates radial bladder folds taking the urethra orifice as the center, at the moment, the bladder fixing saccule is far away from the urethra orifice, and a gap exists between the bladder fixing saccule and the bladder wall, so that urine flows into the urethra orifice through the folds; 2. the bladder fixing balloon is spherical, the bladder wall close to the inner opening of the urethra is funnel-shaped in a hollow state, the contact area between the bladder fixing balloon and the funnel-shaped bladder wall is small, and urine can easily flow into the inner opening of the urethra through a gap between the bladder fixing balloon and the funnel-shaped bladder wall; 3. when the bladder is fixed and the funnel-shaped bladder wall outer opening is close to each other, a larger space is formed between the bladder fixing saccule and the urethra inner opening, and urine in the secondary space can be extruded into the urethra through the urethra inner opening under the compression of the bladder and the bladder fixing saccule; 4. the urethra has three physiological stenosis in urethra internal orifice, throat and urethra external orifice, and the ureter is through three stenosis back, and there is the clearance between other positions of urethra and the ureter is responsible for the body, and under the effect of urethra smooth muscle, this gap is less, but old, stupor, paraplegia, patient such as diabetes, urethra smooth muscle is more lax, and the ureter is responsible for between the body and the urethra gap great, and the urine of urethra internal orifice department can flow through this clearance. From the analysis of the cause of urine leakage, the phenomenon of urine leakage can be prevented from the following aspects: 1. increasing the pressure of the balloon on the bladder mucosa at the urethral orifice; 2. increasing the contact area of the near-urethra internal orifice balloon and the bladder wall; 3. reducing detail between the balloon and the intraurethral space; 4. reducing the gap between the catheter and the urethral mucosa.
Disclosure of Invention
According to the prior catheter provided by the above, because the contact surface lacks direct acting force, the pressure of the balloon to the bladder is smaller, when the leakage-proof balloon moves, urine can still flow to the inner opening of the urethra through the gap between the balloon and bladder folds to cause urine leakage; in addition, after the bladder fixing saccule is excessively filled, the ureter at the head end has great stimulation to the bladder wall, which is easy to cause the technical problem of pain of patients, thereby providing a safe urine-leakage-prevention irrigation catheter. The invention mainly utilizes the drop-shaped bladder fixing saccule to simultaneously block the internal orifice of the urethra and the bladder wall near the internal orifice of the urethra, thereby preventing urine from leaking outwards; the anti-displacement saccule is used for blocking the urethra after water is injected, so that urine leakage and catheter displacement are avoided; the annular ridge protruding structure is arranged on the surface of the displacement-preventing balloon, so that the effects of displacement prevention and urine leakage prevention are increased.
The technical means adopted by the invention are as follows:
a safe leak-proof urinary irrigation catheter comprising: the catheter comprises a catheter, a balloon part with multiple urine leakage prevention and displacement prevention functions, and at least two water injection ends, a bladder flushing end and a urine discharging end which are arranged at the tail end of the catheter, wherein the balloon part is arranged on the wall of the catheter, the inside of the balloon part is communicated with the water injection ends, and water is injected into the balloon part through the water injection ends; the head end of the catheter is provided with a side hole for catheterization, and the side hole is communicated with the bladder irrigation end and the urination end through a channel arranged in the catheter and is respectively used for irrigating the bladder and urinating.
Furthermore, the balloon part consists of a bladder fixing balloon and an anti-displacement balloon, the bladder fixing balloon is arranged close to the side hole and communicated with the water injection end of the fixing balloon through a second channel arranged in the catheter, and the bladder fixing balloon is in a water drop shape after being injected with water; the anti-displacement saccule is arranged at the side far away from the side hole and is communicated with the water injection end of the anti-displacement saccule through a first channel arranged inside the catheter, and the shape of the anti-displacement saccule after water injection is cylindrical or wavy.
Furthermore, the bladder fixing balloon consists of a first balloon and a second balloon which are integrated and communicated with each other in inner cavities, the first balloon is arranged on the side far away from the urethral catheterization hole, the second balloon is arranged on the side close to the urethral hole, and the head end of the channel II is positioned inside the first balloon; the second balloon and the side hole are arranged in the bladder, the first balloon is arranged in the urethra, after water is injected, the second balloon is tightly attached to a bladder mucous membrane at the position of the urethra inner opening, the first balloon blocks the urethra inner opening, the urethra inner opening is located between the first balloon and the second balloon, urine leakage is prevented, and the catheter is prevented from moving.
Further, a plurality of annular ridge protruding structures distributed at intervals are arranged on the outer surface of the cylindrical anti-displacement balloon, and preferably 3 annular ridge protruding structures are arranged.
Furthermore, the wave-shaped anti-displacement saccule consists of at least two saccules I with smooth surfaces and at least one saccule II with a plurality of floating points arranged on the surface, the saccules II and the saccules I are distributed at intervals and integrally form a wave-shaped structure after water injection, the head end and the tail end of the anti-displacement saccule are both the saccules I, and the saccule II is arranged between the head saccule I and the tail saccule I.
Furthermore, the diameter of each sacculus in the anti-displacement sacculus is gradually increased, and each sacculus I and each sacculus II are cylindrical after water injection.
Further, the maximum capacity of the anti-displacement balloon is 10ml, the maximum expansion diameter is 1.2cm, the length is 2-5cm, and the preferred length is 3 cm.
Further, the maximum capacity of the bladder fixing balloon is 35ml, and the maximum diameter is 3 cm.
Furthermore, the bladder fixing saccule and the anti-displacement saccule are made of rubber, silica gel, polyurethane, polypropylene or polytetrafluoroethylene and the like.
Further, the outer diameter of the catheter is 6-22Fr, in particular 6, 8, 10, 12, 14, 16, 18, 20 or 22Fr, preferably 18 Fr; the length of the conduit is 30-40cm, preferably 40 cm; the head end of the catheter body is in a semi-elliptical shape.
Compared with the prior art, the invention has the following advantages:
1. according to the safe urine leakage prevention irrigation catheter, the bladder fixing saccule is in a water drop shape and can simultaneously block the inner opening of the urethra and the bladder wall near the inner opening of the urethra, so that urine leakage is prevented.
2. The safe urine leakage prevention washing catheter provided by the invention has the advantages that the urethra can be blocked after the displacement prevention saccule is filled with water, and urine leakage and catheter displacement are avoided.
3. According to the safe urine leakage prevention irrigation catheter provided by the invention, the annular ridge is arranged on the surface of the displacement prevention saccule, so that the displacement prevention and urine leakage prevention effects can be increased.
In conclusion, the technical scheme of the invention can solve the problems that the prior catheter has small pressure of the balloon to the bladder due to the lack of direct acting force on the contact surface, and when the leakage-proof balloon moves, urine can still flow to the inner opening of the urethra through the gap between the balloon and the bladder plica to cause urine leakage; in addition, when the bladder fixing saccule is excessively inflated, the head end ureter has large stimulation to the bladder wall, and the pain of a patient is easily caused.
For the above reasons, the present invention can be widely applied to the fields of medical treatment and the like.
Detailed Description
It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict. The present invention will be described in detail below with reference to the embodiments with reference to the attached drawings.
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. The following description of at least one exemplary embodiment is merely illustrative in nature and is in no way intended to limit the invention, its application, or uses. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of exemplary embodiments according to the invention. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
As shown, the present invention provides a safe urine leakage prevention irrigation catheter comprising: the catheter comprises acatheter 3, a balloon part with multiple urine leakage prevention and displacement prevention functions, and at least two water injection ends, abladder flushing end 7 and aurine discharging end 8 which are arranged at the tail end of thecatheter 3, wherein the balloon part is arranged on the wall of thecatheter 3, the inside of the balloon part is communicated with the water injection ends, and water is injected into the balloon part through the water injection ends; the head end of thecatheter 3 is provided with a side hole 1 for catheterization, and the side hole 1 is communicated with abladder irrigation end 7 and aurination end 8 through a channel arranged in thecatheter 3 and is respectively used for irrigating the bladder and urinating.
In a preferred embodiment, the balloon part consists of abladder fixing balloon 2 and an anti-displacement balloon 4, thebladder fixing balloon 2 is arranged at the side close to the side hole 1 and is communicated with awater injection end 9 of the fixing balloon through asecond channel 10 arranged in thecatheter 3, and thebladder fixing balloon 2 is in a water drop shape after being injected with water; the anti-displacement saccule 4 is arranged at the side far away from the side hole 1 and is communicated with the water injection end 6 of the anti-displacement saccule through afirst channel 5 arranged in thecatheter 3, and the shape of the anti-displacement saccule 4 after water injection is cylindrical or wave-shaped.
In a preferred embodiment, thebladder fixing balloon 2 is composed of afirst balloon 13 and asecond balloon 14 which are integrated and communicated with each other in inner cavities, thefirst balloon 13 is arranged on the side far away from the urethral catheterization hole, thesecond balloon 14 is arranged on the side close to the urethral catheterization hole, and the head end of the second channel is positioned inside thefirst balloon 13; thesecond balloon 14 and the side hole 1 are placed in the bladder, thefirst balloon 13 is placed in the urethra, after water is injected, thesecond balloon 14 is tightly attached to a bladder mucous membrane at the position of the urethra inner opening, thefirst balloon 13 blocks the urethra inner opening, the urethra inner opening is located between thefirst balloon 13 and thesecond balloon 14, urine leakage is prevented, and the catheter is prevented from moving.
In a preferred embodiment, the outer surface of the cylindrical anti-displacement balloon 4 is provided with a plurality of annular ridge-shaped raisedstructures 12 distributed at intervals.
As a preferred embodiment, the wave-shaped anti-displacement saccule 4 consists of at least two saccules I with smooth surfaces and at least one saccule II with a plurality of floating point protrusions arranged on one surface, the saccules II and the plurality of saccules I are distributed at intervals and integrally form a wave-shaped structure after water is injected, the saccules I at the head end and the tail end of the anti-displacement saccule 4 are both the saccules I, and the saccules II are arranged between the first saccule and the tail saccule I.
In a preferred embodiment, the diameter of each balloon in the anti-displacement balloon 4 is gradually increased, and each balloon I and each balloon II are cylindrical after being filled with water.
In a preferred embodiment, the maximum volume of the anti-displacement balloon 4 is 10ml, the maximum inflated diameter is 1.2cm, and the length is 2-5 cm.
In a preferred embodiment, thebladder fixation balloon 2 has a maximum capacity of 35ml and a maximum diameter of 3 cm.
In a preferred embodiment, thebladder fixation balloon 2 and the anti-displacement balloon 4 are made of rubber, silicone, polyurethane, polypropylene, polytetrafluoroethylene, or the like.
As a preferred embodiment, the outer diameter of thecatheter 3 is 6-22Fr, in particular 6, 8, 10, 12, 14, 16, 18, 20 or 22 Fr; the length of theconduit 3 is 30-40 cm; the head end of thecatheter 3 body is in a semi-elliptical shape.
Thefirst channel 5, thesecond channel 10 and thethird channel 11 are all single channels.
The use of the invention: liquid paraffin is wiped on the front section of the catheter, the head end of the catheter is completely inserted through the external orifice of the urethra, 35ml of saline is injected into the bladder fixing saccule through the water injection end of the fixing saccule, the catheter is pulled back to enable the bladder fixing saccule to be close to the bladder wall near the internal orifice of the urethra, and 10ml of saline is injected into the anti-displacement saccule through the water injection end of the anti-displacement saccule.
Example 1
As shown in fig. 1-3, a safe leak-proof urinary irrigation catheter comprising: the catheter comprises a catheter 3, a balloon part with multiple urine leakage prevention and displacement prevention functions, and at least two water injection ends, a bladder flushing end 7 and a urine discharging end 8 which are arranged at the tail end of the catheter 3, wherein the balloon part is arranged on the wall of the catheter 3, the inside of the balloon part is communicated with the water injection ends, and water is injected into the balloon part through the water injection ends; the head end of the catheter 3 is provided with a side hole 1 for catheterization, the side hole 1 is communicated with a bladder flushing end 7 and a urination end 8 through a third channel 11 arranged in the catheter 3 and is respectively used for flushing the bladder and urination, specifically, the bladder flushing end 7 and the urination end 8 are gathered into one path and are communicated with the side hole 1 through the third channel 11, wherein physiological saline is injected into a single channel arranged in the bladder flushing end 7 and flows into the bladder through the third channel 11 and the side hole 1 for flushing, a single channel arranged in the urination end 8 is communicated with the third channel 11 for urination, and urine is discharged through the single channels in the side hole 1, the third channel 11 and the urination end 8 in sequence; the third channel 11 is a single channel.
In the embodiment, the balloon part consists of abladder fixing balloon 2 and an anti-displacement balloon 4, thebladder fixing balloon 2 is arranged at the side close to the side hole 1 and is communicated with awater injection end 9 of the fixing balloon through asecond channel 10 arranged in thecatheter 3, and thebladder fixing balloon 2 is in a water drop shape after being injected with water; the anti-displacement saccule 4 is arranged at the side far away from the side hole 1 and communicated with the water injection end 6 of the anti-displacement saccule through afirst channel 5 arranged inside thecatheter 3, and the anti-displacement saccule 4 is cylindrical after being injected with water.
In the embodiment, thebladder fixing balloon 2 consists of afirst balloon 13 and asecond balloon 14 which are integrated and communicated with each other in inner cavities, thefirst balloon 13 is arranged on the side far away from the urethral catheterization hole, thesecond balloon 14 is arranged on the side close to the urethral catheterization hole, and the head end of the channel II is positioned inside thefirst balloon 13; thesecond balloon 14 and the side hole 1 are placed in the bladder, thefirst balloon 13 is placed in the urethra, after water is injected, thesecond balloon 14 is tightly attached to a bladder mucous membrane at the position of the urethra inner opening, thefirst balloon 13 blocks the urethra inner opening, the urethra inner opening is located between thefirst balloon 13 and thesecond balloon 14, urine leakage is prevented, and the catheter is prevented from moving.
In this embodiment, the outer surface of the cylindrical anti-displacement balloon 4 is provided with 3 annularridge protruding structures 12 distributed at intervals, and the annular ridge protruding structures can increase friction coefficients, so that anti-skidding and anti-displacement effects are increased. Meanwhile, the anti-displacement balloon 4 plays a role in fixing thebladder fixing balloon 2 and is attached to the inner wall of the urethra more tightly.
In the present embodiment, the maximum volume of the displacement prevention balloon 4 is 10ml, the maximum inflation diameter is 1.2cm, and the length is 3 cm.
In the present embodiment, the maximum volume of thebladder fixing balloon 2 is 35ml, and the maximum diameter is 3 cm.
In the present embodiment, thebladder fixation balloon 2 and the displacement prevention balloon 4 are both made of silica gel.
In the present embodiment, the outer diameter of thecatheter 3 is 18 Fr; the length of theconduit 3 is 40 cm; the head end of thecatheter 3 body is in a semi-elliptical shape.
Example 2
A safe leak-proof urinary irrigation catheter comprising: the catheter comprises acatheter 3, a balloon part with multiple urine leakage prevention and displacement prevention functions, and at least two water injection ends, abladder flushing end 7 and aurine discharging end 8 which are arranged at the tail end of thecatheter 3, wherein the balloon part is arranged on the wall of thecatheter 3, the inside of the balloon part is communicated with the water injection ends, and water is injected into the balloon part through the water injection ends; the head end of thecatheter 3 is provided with a side hole 1 for catheterization, and the side hole 1 is communicated with abladder irrigation end 7 and aurination end 8 through athird channel 11 arranged in thecatheter 3 and is respectively used for irrigating the bladder and urinating.
In the embodiment, the balloon part consists of abladder fixing balloon 2 and an anti-displacement balloon 4, thebladder fixing balloon 2 is arranged at the side close to the side hole 1 and is communicated with awater injection end 9 of the fixing balloon through asecond channel 10 arranged in thecatheter 3, and thebladder fixing balloon 2 is in a water drop shape after being injected with water; the anti-displacement saccule 4 is arranged at the side far away from the side hole 1 and is communicated with the water injection end 6 of the anti-displacement saccule through afirst channel 5 arranged inside thecatheter 3, and the shape of the anti-displacement saccule 4 after water injection is wave-shaped.
In the embodiment, thebladder fixing balloon 2 consists of afirst balloon 13 and asecond balloon 14 which are integrated and communicated with each other in inner cavities, thefirst balloon 13 is arranged on the side far away from the urethral catheterization hole, thesecond balloon 14 is arranged on the side close to the urethral catheterization hole, and the head end of the channel II is positioned inside thefirst balloon 13; thesecond balloon 14 and the side hole 1 are placed in the bladder, thefirst balloon 13 is placed in the urethra, after water is injected, thesecond balloon 14 is tightly attached to a bladder mucous membrane at the position of the urethra inner opening, thefirst balloon 13 blocks the urethra inner opening (the connection position of the bladder and the urethra), the urethra inner opening is located between thefirst balloon 13 and thesecond balloon 14, urine leakage is prevented, and the catheter is prevented from moving.
In the embodiment, the wave-shaped displacement-preventing saccule 4 consists of two saccules I with smooth surfaces and a saccule II with a plurality of floating points protruding on one surface, the saccules II and the two saccules I are distributed at intervals and integrally form a wave-shaped structure after water injection, the head end and the tail end of the displacement-preventing saccule 4 are both the saccules I, and the saccule II is arranged between the head saccule I and the tail saccule I. The diameter of each sacculus in the anti-displacement sacculus 4 increases gradually, and each sacculus I and the sacculus II are cylindrical after water injection.
In the present embodiment, the maximum volume of the displacement prevention balloon 4 is 10ml, the maximum inflation diameter is 1.2cm, and the length is 4 cm.
In the present embodiment, the maximum volume of thebladder fixing balloon 2 is 35ml, and the maximum diameter is 3 cm.
In the present embodiment, thebladder fixation balloon 2 and the displacement prevention balloon 4 are both made of rubber.
In the present embodiment, the outer diameter of thecatheter 3 is 16 Fr; the length of theconduit 3 is 30 cm; the head end of thecatheter 3 body is in a semi-elliptical shape.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.