Metering device and method capable of giving voice alarm for liquid retention amount for hysteroscope water inlet and outlet monitoringTechnical Field
The invention relates to the technical field of medical instruments, in particular to a metering device and a metering method for a hysteroscope water inlet and outlet monitoring voice alarm liquid retention amount.
Background
Hysteroscopic surgery is a minimally invasive gynecological diagnosis and treatment technology used for intrauterine examination and treatment, and comprises a hysteroscope, an energy system, a light source system, a perfusion system and an imaging system; the anterior part of the endoscope body is used for entering the uterine cavity, and the endoscope has an amplifying effect on the observed part, so that the endoscope has the visual and accurate advantage of being the first choice for examining the gynecological hemorrhagic diseases and intrauterine lesions. When hysteroscope operation is performed, the uterus is filled by injecting the distension Gong Ye into the uterine cavity through the water inlet channel, then the water outlet channel is opened to enable the liquid in the uterine cavity to dynamically flow and enter and exit the uterine cavity to be balanced, meanwhile, the clot and impurities in the uterine cavity are discharged, so that the visual field is clearer, various changes in the uterine cavity can be clearly observed, in the actual use process, the air in the water inlet pipe needs to be firstly emptied, the light source is turned on, the hysteroscope is slowly placed, the distension Gong Ye (5% glucose solution or physiological saline) is injected, the distension pressure is controlled to be 13-15kPa (1 kPa=7.5 mmHg), after the uterine cavity is filled, the visual field is bright, and the hysteroscope can be rotated for sequential comprehensive observation.
Currently, this water injection and drainage procedure using perfusion systems with hysteroscopic surgery requires manual observation and measurement: the liquid inlet amount is measured by a graduated capacity device (the liquid in the body is discharged to the interface of a sewage container), so that whether the patient is in a safe state during the operation is judged by calculating the result of the difference between the liquid accumulated in the body and the liquid accumulated in the body. The following problems still exist in practical work:
1. At present, a nurse monitors the human body absorption amount, which is the liquid amount entering the uterine cavity (namely, the weight of an original water bag is weighed, the weight of the water bag is weighed in real time in operation), and the visceral water liquid volume of the uterine cavity is discharged from the barrel (the weight of default physiological saline is 1:1). However, the manual measurement lacks real-time monitoring, and sometimes the high-risk operation access amount can be different by more than 1000ml in a short time, and if the liquid amount entering the human body is excessive in a short time, water poisoning and even life threatening can be caused.
2. In the operation process, the intrauterine tissue can be discharged along with liquid at the same time, so that samples which need to be detected are often arranged in the intrauterine tissue, and the existing technology sometimes causes the loss of the samples.
3. Meanwhile, the coagulum and impurities can cause inaccuracy of liquid accumulation difference of water inlet and outlet in the metering and comparison process after being discharged.
Disclosure of Invention
To solve the technical problems.
The application provides a hysteroscope business turn over water monitoring is with metering device of voice warning stay liquid volume, including being used for hanging the intelligent infusion support subassembly of expansion Gong Ye bag, install the first flowmeter that can detect the feed liquor speed on the intelligent infusion support subassembly, still include: the device comprises a measuring cylinder, a liquid outlet assembly, an analog liquid inlet assembly, a monitoring assembly and an information processing module;
The intelligent infusion support assembly can be movably arranged on one side of the metering cylinder, the liquid outlet assembly and the simulated liquid inlet assembly are all installed inside the metering cylinder through the plug seat, the monitoring assembly is installed on the outer wall of the metering cylinder through the mounting frame, the information processing module is installed on the monitoring assembly, and the liquid outlet assembly, the simulated liquid inlet assembly and the monitoring assembly are all electrically connected with the information processing module;
the measuring cylinder is of a double-layer structure and is divided into an inner cylinder and an outer cylinder, and the plug seat is arranged in the inner cylinder and is in sealing connection with the wall of the inner cylinder.
Preferably, a plurality of guide sleeves are arranged in the inner cylinder of the measuring cylinder along the circumferential direction of the inner cylinder, the guide sleeves are in sliding connection with the plug seat through guide rods, the guide rods are fixedly arranged at the bottoms of the plug seat and are inserted into the guide sleeves, the bottoms of the guide rods are connected with the bottom of the inner cylinder through springs, and the springs are arranged in the guide sleeves.
Preferably, the inner cylinder and the outer cylinder of the metering cylinder are communicated through a communication hole arranged at the bottom, a floating plug is hermetically sleeved between the outer wall of the inner cylinder and the inner wall of the outer cylinder, metering liquid is arranged in the inner cylinder and the outer cylinder, and the plug seat and the floating plug float on the metering liquid;
when the device is not used, the liquid outlet component and part of the liquid inlet component on the plug seat are used for downwards pressing the plug seat, the plug seat is used for extruding the metering liquid, so that the metering liquid in the inner cylinder flows into the outer cylinder from the communication hole, the metering liquid pushes up the floating plug, and the position of the floating plug is the scale mark;
When the device is used, the liquid outlet component and the liquid inlet simulating component work, discharged uterine fluid is collected in the liquid outlet component, liquid inlet in the uterine cavity is simulated through the liquid inlet simulating component, and the difference between the weight of the uterine fluid collected by the liquid outlet component and the weight of the uterine fluid which is simulated and discharged by the liquid inlet simulating component is utilized to further push the plug seat and the metering fluid, so that the position of the floating plug is changed.
Preferably, the outer cylinder of the measuring cylinder is made of transparent materials, the outer wall of the outer cylinder is provided with a scale, and a plurality of positive and negative scale marks are symmetrically marked on the scale;
calculating the liquid retention amount by using the difference between the weight of the uterine distending liquid collected by the liquid outlet component and the weight of the uterine distending liquid which is simulated and discharged by the liquid inlet simulating component, and reasonably setting a scale according to the scientific fixed ratio of the liquid retention amount.
Preferably, the monitoring assembly comprises a monitoring display screen, a voice alarm and a plurality of photoelectric sensors, all the photoelectric sensors are arranged on the mounting frame just to each scale mark array, the monitoring display screen is mounted on the top of the mounting frame through an adjustable support, the adjustable support is fixedly mounted on the top of the mounting frame, the voice alarm is fixedly mounted on the adjustable support, and the voice alarm, the monitoring display screen and the photoelectric sensors are electrically connected with the information processing module.
Preferably, go out liquid subassembly and simulation feed liquor subassembly and all install on the stopper seat through the cassette, go out liquid subassembly and include: the liquid guide bucket is arranged at the top of the upper liquid collecting bucket through the bucket cover and is communicated with the upper liquid collecting bucket, the lower liquid collecting bucket is clamped on a corresponding clamping seat, the upper liquid collecting bucket is detachably arranged at the top of the lower liquid collecting bucket and is detachably arranged at the bottom of the upper liquid collecting bucket through an intrauterine tissue collecting assembly communicated with the intrauterine tissue collecting assembly between the lower liquid collecting buckets, and a second flowmeter for monitoring the liquid outlet rate is arranged at the joint of the liquid guide bucket and the upper liquid collecting bucket and is electrically connected with the information processing module.
Preferably, the intrauterine tissue collecting assembly comprises a primary filter cover and a multi-stage filter cup, wherein the primary filter cover is detachably arranged at the inner bottom of the upper liquid collecting barrel, the multi-stage filter cup is detachably arranged at the outer side of the bottom of the upper liquid collecting barrel and is opposite to the primary filter cover, a plurality of filter plates are arranged in the multi-stage filter cup to form a plurality of filter spaces, and the multi-stage filter cup is communicated with the lower liquid collecting barrel.
Preferably, the simulation feed liquor subassembly includes transition case, feed liquor bucket, self priming pump group and drive control end cover, and the transition case is installed at the top of graduated flask, and the feed liquor bucket joint is on the cassette, and self priming pump group and drive control end cover are installed at the top of feed liquor bucket, communicate through corrugated hose between transition case and the self priming pump group, self priming pump group and drive control end cover electric connection, self priming pump group and drive control end cover and information processing module electric connection.
Preferably, as a principle scheme of the device, when the device does not work, a certain amount of simulated bulge Gong Ye is stored in the liquid inlet barrel, and the initial simulated uterine liquid mass in the liquid inlet barrel is m1 The mass of the liquid inlet barrel, the self-priming pump group, the driving control end cover, the liquid outlet assembly, the plug seat and the clamping seat is m2 Mass of floating plug is not counted, m1 +m2 For the total mass born by the metering liquid in the device, the contact area between the bottom of the plug seat and the metering liquid is s1 The contact area between the bottom of the floating plug and the metering liquid is s2 ,
The pressure exerted on the floating plug is p;
definition of the value of p at this time as p0 ,p0 P of corresponding scale0 Scale marks;
when the device is in operation, the liquid inlet rate delta is monitored according to the first flowmeterv The information processing module and the drive control end cover control the self-priming pump group to suck the simulated expansion Gong Yebeng in the liquid inlet barrel to the transition box at the same speed, and the unit time delta ist The reduction of the internal liquid inlet barrel and the internal simulation expansion Gong Ye is the unit time deltat Liquid inlet amount m in intrauterine cavity3 Based on the monitored exit velocity delta of the second flowmeterh Delta per unit timet The amount of the uterine-expansion liquid discharged into the upper liquid collecting barrel is the liquid outlet amount m4 ;
Thus, the difference between the liquid output and liquid input in unit time is the liquid retention delta in unit timem ;
m3 =Δv *Δt ;
m4 =Δh *Δt ;
Δm =m3 -m4 ;
And pressure p per unit timet The method comprises the following steps:
setting the maximum liquid retention amount m which can be born by a human body according to scientific calculation and safety verificationmax And minimum liquid retention amount mmin The method comprises the steps of carrying out a first treatment on the surface of the Thereby calculating the corresponding maximum pressure Pmax And a minimum pressure Pmin ;
Definition of P at this timemax The upper limit of the liquid retention is set, and the scale is marked according to the position of the floating plug at the moment;
definition of P at this timemin The lower limit of the liquid retention is set, and the scale is marked according to the position of the floating plug at the moment;
the position of the floating plug corresponding to the unit liquid retention amount is calculated and determined according to the multiple increment or decrement of the unit liquid retention amount with the same amount, and the position of the floating plug is marked to form a scale p1 、p2 、p3 、p4 ……。
The dynamic curve delta about the liquid inlet rate and time can be obtained through the data processing of the information processing module by the monitoring of the first flowmeterv -t;
The dynamic curve delta about the liquid outlet speed and time can be obtained through the monitoring of the second flowmeter and the data processing of the information processing moduleh -t;
Dynamic curve delta combining feed rate and timev -t and dynamic curve delta of liquid output rate and timeh -t; the dynamic curve delta of the liquid retention amount and time can be calculatedm -t;
And can calculate the total liquid inlet amount M of the uterine swelling liquidj ;
Expansion Gong Ye total liquid output Mi ;
At a real-time feed rate deltav And the liquid outlet rate deltah Real-time liquid retention amount deltam Can be calculated by the comprehensive operation of the (A) to calculate the current liquid inlet rate deltav And the liquid outlet rate deltah Liquid inlet and outlet, liquid retention deltam Will reach the maximum liquid retention mmax And minimum liquid retention amount mmin Time of (2);
the dynamic curve and the data can be read in the monitoring display screen.
Preferably, the metering device capable of giving an alarm by voice for hysteroscope water inlet and outlet monitoring comprises the following implementation method:
s1, firstly, before the device is used, whether the position of the floating plug is right opposite to p on the graduation table of the outer cylinder of the metering cylinder is needed to be observed0 Scale mark, if floating plug is not right facing p0 The scale marks are used for controlling the self-priming pump group to regulate the quantity of the simulated uterine swelling liquid in the liquid inlet barrel through the drive control end cover, so that the floating plug is reset;
s2, abutting the infusion pipeline of the uterine cavity expansion liquid to a hysteroscope surgical instrument through an intelligent infusion support assembly hung with an expansion Gong Ye bag, detecting the liquid inlet rate through a first flowmeter on the intelligent infusion support assembly, guiding the discharged uterine cavity expansion liquid through a liquid guide bucket, guiding the uterine cavity expansion liquid into an upper liquid collecting barrel, detecting the liquid outlet rate through a second flowmeter, and enabling the uterine cavity expansion liquid to flow into a lower liquid collecting barrel from the upper liquid collecting barrel through an intrauterine tissue collecting assembly, wherein in the process, the intrauterine tissue collecting assembly is used for carrying out solid-liquid separation on clots and impurities mixed in the discharged uterine cavity expansion liquid;
S3, solid-liquid separation and multistage collection of clots and impurities mixed in the discharged uterine swelling liquid are carried out by matching the primary filter cover with the upper liquid collecting barrel and the lower liquid collecting barrel through the multistage filter cup, so that medical staff can sample, observe and perform medical tests according to requirements, the clots are prevented from adhering to the upper liquid collecting barrel and the lower liquid collecting barrel, and the upper liquid collecting barrel and the lower liquid collecting barrel are convenient to clean;
s4, through the arrangement of the liquid inlet barrel and the transition box, the self-priming pump set and the drive control end cover are utilized to pump the simulated expansion Gong Ye in the liquid inlet barrel into the transition box, at the moment, the reduction amount of the simulated uterine fluid in the liquid inlet barrel is the liquid inlet amount of the internal uterine fluid, after the operation is finished, the drive control end cover is used for controlling the self-priming pump set to reversely work to pump the simulated expansion Gong Ye in the transition box back to the liquid inlet barrel for the next use;
s5: when the device is not used, the liquid outlet component and part of the liquid inlet component on the plug seat are used for downwards pressing the plug seat, the plug seat is used for extruding the metering liquid, so that the metering liquid in the inner cylinder flows into the outer cylinder from the communication hole, the metering liquid pushes up the floating plug, and the position of the floating plug is the scale mark;
when the device is used, the liquid outlet component and the liquid inlet simulating component work, discharged uterine fluid is collected in the liquid outlet component, liquid inlet in the uterine cavity is simulated through the liquid inlet simulating component, the plug seat and the metering liquid are further pushed by utilizing the difference of the weight of the uterine fluid collected by the liquid outlet component and the weight of the uterine fluid simulated and discharged by the liquid inlet simulating component, so that the position of the floating plug is changed, the plug seat is axially limited in the inner cylinder through the cooperation of the guide rod and the guide sleeve, and the plug seat axially slides back and forth along the wall of the inner cylinder through the spring;
S6: through the cooperation of the dial gauge on the urceolus of metering cylinder and float the stopper, the liquid retention volume of direct display palace liquid of inflation makes things convenient for medical personnel to directly read and observe, and each photoelectric sensor monitoring floats the position of stopper to confirm liquid retention volume numerical value, demonstrate numerical value and information chart on the monitoring display screen according to information processing module, when liquid retention volume reaches and stays liquid upper limit or stays liquid lower limit, voice alarm then can send the alarm suggestion medical personnel.
Compared with the prior art, the invention has the following beneficial effects:
1. this application is in order to solve when carrying out hysteroscope operation, to the technical problem of palace liquid business turn over water of palace intracavity feed liquor palace in-process that expands, realizes real-time supervision, through calculating the hydrops poor result that gets into in vivo and the discharge is external, judges whether patient gets into the excessive liquid in the body when doing this operation to know whether be in safe state, in time send out the alarm when liquid access volume difference reaches the warning line and remind.
2. The method solves the problems that manual monitoring is inaccurate and cannot be monitored in real time, and provides guarantee for operation safety while saving human capital.
3. In order to solve the technical problem that the volume of the uterine cavity liquid entering the human body can be accurately measured, the discharged distension Gong Ye is collected through the liquid outlet component, the uterine cavity liquid inlet is simulated through the liquid inlet simulating component, the conversion calculation is carried out by utilizing the volume of the uterine cavity liquid inlet and liquid outlet, invisible liquid inlet and outlet balance data are simulated into a visible surface display process, and the calculated volume is compared with the set volume so as to monitor whether the liquid inlet and liquid outlet are balanced.
4. In order to solve the technical problem of collecting discharged uterine fluid and intrauterine tissues (such as specimens), the invention guides the discharged uterine fluid through the fluid guide hopper, guides the uterine fluid into the upper fluid collection barrel, then the uterine fluid flows into the lower fluid collection barrel from the upper fluid collection barrel through the intrauterine tissue collecting assembly, the intrauterine tissue collecting assembly is utilized to carry out solid-liquid separation and collection on the intrauterine tissues and the discharged uterine fluid in the process, the fluid guide hopper, the upper fluid collection barrel and the lower fluid collection barrel are conveniently and rapidly assembled, and the fluid guide hopper, the upper fluid collection barrel and the lower fluid collection barrel are also conveniently cleaned and replaced.
5. In order to simulate the liquid inlet process of the internal uterine liquid in the device, the self-priming pump set and the drive control end cover are utilized to pump the simulated uterine liquid in the liquid inlet barrel into the transition box through the arrangement of the liquid inlet barrel and the transition box, the reduction amount of the simulated uterine liquid in the liquid inlet barrel is the liquid inlet amount of the internal uterine liquid, the speed change problem of the liquid inlet amount in the body is converted into visible and data display in the device, and the cyclic use of the simulated uterine liquid is realized.
Drawings
FIG. 1 is a schematic perspective view of the present invention;
FIG. 2 is a schematic diagram of a second perspective structure of the present invention;
FIG. 3 is a schematic perspective view of a third embodiment of the present invention;
FIG. 4 is a front view of the present invention;
FIG. 5 is a top view of the present invention;
FIG. 6 is a schematic perspective view of a portion of the structure of the present invention;
FIG. 7 is a top view of a portion of the structure of the present invention;
FIG. 8 is an exploded view of the internal mechanism of the metering drum of the present invention;
FIG. 9 is an exploded top view of the metering drum internal mechanism of the present invention;
FIG. 10 is a schematic diagram showing a three-dimensional structure of the present invention;
FIG. 11 is a schematic perspective view of a part of the structure of the liquid outlet assembly of the present invention;
FIG. 12 is a front view of a portion of the structure of the tapping assembly of the present invention;
FIG. 13 is an exploded view of a portion of the structure of the tapping assembly of the present invention;
FIG. 14 is a cross-sectional view taken at A-A of FIG. 12;
FIG. 15 is a schematic perspective view of a portion of a simulated feed assembly of the present invention;
FIG. 16 is a top view of a portion of the structure of a simulated feed assembly of the present invention;
FIG. 17 is an exploded view of a portion of the structure of a simulated feed assembly of the present invention;
FIG. 18 is a schematic perspective view of a monitoring assembly according to the present invention;
FIG. 19 is a graph showing the dynamic delta of feed rate and time for the present inventionv -t; dynamic curve delta of liquid output rate and timeh -t; dynamic curve delta of liquid retention and timem -t; and the curves and the display effect graphs of the data on the monitoring display screen;
fig. 20 is a cross-sectional view at B-B in fig. 7.
The reference numerals in the figures are: the intelligent infusion support comprises an intelligent infusion support assembly 1, ametering cylinder 2, aliquid outlet assembly 3, an analog liquid inlet assembly 4, amonitoring assembly 5 and an information processing module 6;
a first flowmeter 1a;
plugseat 2a,inner cylinder 2b,outer cylinder 2c,guide sleeve 2d, guiderod 2e, spring 2f,communication hole 2g, floatingplug 2h, graduation table 2i;
aliquid guide bucket 3a, an upperliquid collecting barrel 3b, a lowerliquid collecting barrel 3c, abarrel cover 3d, an intrauterinetissue collecting assembly 3e, a primary filter cover 3e1, a multi-stage filter cup 3e2, a filter plate 3e3 and asecond flowmeter 3f;
the device comprises a clampingseat 4a, atransition box 4b, aliquid inlet barrel 4c, a self-primingpump group 4d, a drivingcontrol end cover 4e and acorrugated hose 4f;
the device comprises a mountingframe 5a, amonitoring display screen 5b, a voice alarm 5c, aphotoelectric sensor 5d and anadjustable bracket 5e.
Detailed Description
The following description is presented to enable one of ordinary skill in the art to make and use the invention. The preferred embodiments in the following description are by way of example only and other obvious variations will occur to those skilled in the art.
As shown in fig. 1 to 5, the following preferred technical solutions are provided:
Hysteroscope business turn over water monitoring is with metering device of voice warning stay liquid volume, including being used for hanging intelligent infusion support subassembly 1 of expansion Gong Ye bag, install on the intelligent infusion support subassembly 1 can be to the first flowmeter 1a of feed liquor speed detection, still include: the device comprises ametering cylinder 2, aliquid outlet component 3, an analog liquid inlet component 4, amonitoring component 5 and an information processing module 6;
the intelligent infusion support assembly 1 can be movably arranged on one side of themetering cylinder 2, the intelligent infusion support assembly 1 can realize automatic bag changing of an infusion bag of uterine fluid, the infusion rate is detected by using the first flow 1a meter, medical staff does not need to pay attention to the infusion process at any time, theliquid outlet assembly 3 and the analog liquid inlet assembly 4 are both arranged inside themetering cylinder 2 through theplug seat 2a, themonitoring assembly 5 is arranged on the outer wall of themetering cylinder 2 through the mountingframe 5a, the information processing module 6 is arranged on themonitoring assembly 5, and theliquid outlet assembly 3, the analog liquid inlet assembly 4 and themonitoring assembly 5 are electrically connected with the information processing module 6; the discharged uterine fluid is collected by thefluid outlet component 3, and the fluid inlet process of the uterine fluid in the body is simulated in a metering device by the simulated fluid inlet component 4, so that data conversion is realized;
the measuringcylinder 2 has a double-layer structure and is divided into aninner cylinder 2b and anouter cylinder 2c, and aplug seat 2a is arranged in theinner cylinder 2b and is in sealing connection with the wall of theinner cylinder 2 b.
Specifically, in order to solve the technical problem of monitoring the liquid in the uterus by the liquid in the uterus during the liquid in the uterus and the liquid in the uterus during the hysteroscopic operation, the dynamic flowing and balance of the liquid in the uterus are realized, the result of the liquid accumulation difference between the liquid in the uterus and the liquid out of the uterus is calculated, whether the patient is in a safe state during the operation is judged, and an alarm prompt is sent out in time.
As shown in fig. 3 to 8, the following preferred technical solutions are provided:
a plurality ofguide sleeves 2d are arranged in theinner cylinder 2b of themetering cylinder 2 along the circumferential direction of the inner cylinder, theguide sleeves 2d are in sliding connection with theplug seat 2a throughguide rods 2e, theguide rods 2e are fixedly arranged at the bottom of theplug seat 2a and are inserted into theguide sleeves 2d, the bottoms of theguide rods 2e are connected with the bottom of theinner cylinder 2b through springs 2f, and the springs 2f are arranged in theguide sleeves 2 d.
Specifically, in order to solve the technical problems of sliding and resetting of aplug seat 2a in aninner cylinder 2b of ametering cylinder 2, theplug seat 2a is axially limited in theinner cylinder 2b through the cooperation of aguide rod 2e and aguide sleeve 2d, and theplug seat 2a axially slides back and forth along the wall of theinner cylinder 2b through a spring 2 f.
As shown in fig. 8, the following preferred technical scheme is provided:
theinner cylinder 2b and theouter cylinder 2c of themetering cylinder 2 are communicated through acommunication hole 2g arranged at the bottom, a floatingplug 2h is hermetically sleeved between the outer wall of theinner cylinder 2b and the inner wall of theouter cylinder 2c, metering liquid is arranged in theinner cylinder 2b and theouter cylinder 2c, and aplug seat 2a and the floatingplug 2h float on the metering liquid;
When the device is not in use, theliquid outlet component 3 and the partial simulation liquid inlet component 4 on theplug seat 2a press down theplug seat 2a by self gravity, theplug seat 2a extrudes the metering liquid, so that the metering liquid in theinner cylinder 2b flows into theouter cylinder 2c from thecommunication hole 2g, the metering liquid pushes up the floatingplug 2h, and the position of the floatingplug 2h is p at the moment0 Scale marks;
when the device is used, theliquid outlet component 3 and the simulated liquid inlet component 4 work, discharged uterine fluid is collected in theliquid outlet component 3, liquid inlet in the uterine cavity is simulated through the simulated liquid inlet component 4, and the difference between the weight of the uterine fluid collected by theliquid outlet component 3 and the weight of the uterine fluid which is simulated and discharged by the simulated liquid inlet component 4 is utilized to further push theplug seat 2a and the metering fluid, so that the position of the floatingplug 2h is changed.
Specifically, in order to solve the technical problem of accurately measuring the content of the uterine cavity liquid, the invention collects the discharged dilatation Gong Ye through theliquid outlet component 3, simulates the uterine cavity liquid inlet through the liquid inlet simulating component 4, performs conversion calculation by using the amounts of the uterine cavity liquid inlet and liquid outlet, simulates invisible liquid inlet and outlet balance data into a visible apparent process, and compares the calculated amount with the set amount so as to monitor the liquid inlet and outlet balance process.
As shown in fig. 8, the following preferred technical scheme is provided:
Theouter cylinder 2c of the measuringcylinder 2 is made of transparent material, the outer wall of theouter cylinder 2c is provided with a scale table 2i, and a plurality of positive and negative scale marks are symmetrically marked on the scale table 2 i;
the liquid retention amount is calculated by using the difference between the weight of the uterine distending liquid collected by theliquid outlet component 3 and the weight of the uterine distending liquid which is simulated and discharged by the liquid simulating and inlet component 4, and the graduation table 2i is reasonably set according to the scientific fixed ratio of the liquid retention amount.
Specifically, in order to realize the dynamic calculation of the input amount of the uterine swelling liquid, the dynamic balance process is converted into the scale table 2i for display, and the invention directly displays the liquid retention amount of the uterine swelling liquid by matching the scale table 2i on theouter cylinder 2c of the measuringcylinder 2 with the floatingplug 2h, thereby being convenient for medical staff to directly read and observe.
As shown in fig. 1 to 3, the following preferred technical solutions are provided:
themonitoring assembly 5 comprises amonitoring display screen 5b, a voice alarm 5c and a plurality ofphotoelectric sensors 5d, all thephotoelectric sensors 5d are arranged on the mountingframe 5a just corresponding to each scale mark array, themonitoring display screen 5b is mounted on the top of the mountingframe 5a through anadjustable support 5e, theadjustable support 5e is fixedly mounted on the top of the mountingframe 5a, the voice alarm 5c is fixedly mounted on theadjustable support 5e, and the voice alarm 5c, themonitoring display screen 5b and thephotoelectric sensors 5d are electrically connected with the information processing module 6.
Specifically, in order to measure and record the liquid retention amount of the uterine expansion liquid in detail and convert the liquid retention amount into information data, the invention monitors the position of the floatingplug 2h through eachphotoelectric sensor 5d so as to determine the liquid retention amount value, and displays the value and an information chart on amonitoring display screen 5b according to an information processing module 6, and when the liquid retention amount reaches the upper liquid retention limit or the lower liquid retention limit, a voice alarm 5c sends an alarm to prompt medical staff.
As shown in fig. 11 to 14 and 20, the following preferred technical solutions are provided:
go outliquid subassembly 3 and simulation feed liquor subassembly 4 and all install onstopper seat 2a throughcassette 4a, go outliquid subassembly 3 and include: theliquid guide bucket 3a, the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c, theliquid guide bucket 3a is installed at the top of the upperliquid collecting barrel 3b through thebarrel cover 3d and is communicated with the upperliquid collecting barrel 3b, the lowerliquid collecting barrel 3c is clamped on the corresponding clampingseat 4a, the upperliquid collecting barrel 3b is detachably installed at the top of the lowerliquid collecting barrel 3c, the intrauterinetissue collecting assembly 3e is communicated between the lowerliquid collecting barrels 3c and is detachably installed at the bottom of the upperliquid collecting barrel 3b through the intrauterinetissue collecting assembly 3e, asecond flowmeter 3f for monitoring the liquid outlet rate is installed at the joint of theliquid guide bucket 3a and the upperliquid collecting barrel 3b, and thesecond flowmeter 3f is electrically connected with the information processing module 6.
Specifically, in order to solve the technical problems of discharged uterine fluid and collection of intrauterine tissues such as clots and impurities, the invention guides the discharged uterine fluid through thefluid guide bucket 3a, guides the uterine fluid into the upperfluid collection barrel 3b, then the uterine fluid flows into the lowerfluid collection barrel 3c from the upperfluid collection barrel 3b through the intrauterinetissue collection assembly 3e, and in the process, the clots and the impurities mixed in the discharged uterine fluid are subjected to solid-liquid separation and collection by utilizing the intrauterinetissue collection assembly 3e, so that the matching installation among thefluid guide bucket 3a, the upperfluid collection barrel 3b and the lowerfluid collection barrel 3c is convenient and quick, and thefluid guide bucket 3a, the upperfluid collection barrel 3b and the lowerfluid collection barrel 3c are also convenient to clean and replace.
As shown in fig. 14, the following preferred technical scheme is provided:
the intrauterinetissue collecting assembly 3e comprises a primary filter cover 3e1 and a multi-stage filter cup 3e2, wherein the primary filter cover 3e1 is detachably arranged at the inner bottom of the upperliquid collecting barrel 3b, the multi-stage filter cup 3e2 is detachably arranged at the outer side of the bottom of the upperliquid collecting barrel 3b and is just opposite to the primary filter cover 3e1, a plurality of filter plates 3e3 are arranged in the multi-stage filter cup 3e2 to form a plurality of filter spaces, and the multi-stage filter cup 3e2 is communicated with the lowerliquid collecting barrel 3 c.
Specifically, in order to separate solid and liquid from the clot and impurities mixed in the discharged uterine fluid and collect the clot and impurities, the invention cooperates with the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c through the primary filter cover 3e1 and the multistage filter cup 3e2 to separate solid and liquid from the clot and impurities mixed in the discharged uterine fluid and realize multistage collection, so that medical staff can sample, observe and test the sample and medical test according to the requirement, and meanwhile, the clot tissues are prevented from adhering in the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c, and the cleaning of the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c is facilitated.
As shown in fig. 10 and 17, the following preferred technical solutions are provided:
the simulation feed liquor subassembly 4 includestransition case 4b, feedliquor bucket 4c, self primingpump group 4d and drivecontrol end cover 4e,transition case 4b installs at the top of measuringcylinder 2, feedliquor bucket 4c joint is oncassette 4a, self primingpump group 4d and drivecontrol end cover 4e install at the top offeed liquor bucket 4c, pass throughcorrugated hose 4f intercommunication betweentransition case 4b and the selfpriming pump group 4d, self primingpump group 4d and drivecontrol end cover 4e electric connection, self primingpump group 4d and drivecontrol end cover 4e and information processing module 6 electric connection.
Specifically, in order to simulate the liquid inlet process of internal uterine swelling liquid in the device, the invention utilizes the self-priming pump set 4d and the drivecontrol end cover 4e to suck the simulated swelling Gong Yebeng in theliquid inlet barrel 4c into thetransition box 4b through the arrangement of theliquid inlet barrel 4c and thetransition box 4b, at the moment, the reduction amount of the simulated uterine swelling liquid in theliquid inlet barrel 4c is the liquid inlet amount of the internal uterine swelling liquid, after the operation is finished, the drivecontrol end cover 4e controls the self-priming pump set 4d to reversely work to pump the simulated swelling Gong Ye in thetransition box 4b back to theliquid inlet barrel 4c for the next use.
As shown in fig. 1 to 20, the following preferred technical solutions are provided:
the metering device capable of giving an alarm by voice for monitoring water inlet and outlet of hysteroscope is characterized in that when the metering device is not in operation, a certain amount of simulated bulge Gong Ye is stored in theliquid inlet barrel 4c, and liquid is introduced The initial simulated uterine fluid mass in thebarrel 4c is m1 The mass of theliquid inlet barrel 4c, the self-primingpump group 4d, the drivingcontrol end cover 4e, theliquid outlet assembly 3, theplug seat 2a and the clampingseat 4a is m2 Mass of floatingplug 2h is not counted, m1 +m2 For the total mass of the metering liquid in the device, the contact area between the bottom of theplug seat 2a and the metering liquid is s1 The contact area between the bottom of the floatingplug 2h and the metering liquid is s2 ,
The pressure exerted on the floatingplug 2h is therefore p;
definition of the value of p at this time as p0 ,p0 P corresponding to graduation Table 2i0 Scale marks;
when the device is in operation, the liquid inlet rate delta is monitored according to the first flowmeter 1av The information processing module 6 and the drivecontrol end cover 4e control the self-primingpump group 4d to suck the simulated bulge Gong Yebeng in theliquid inlet barrel 4c to thetransition box 4b at the same speed, and the unit time delta is givent The reduction of the internalliquid inlet barrel 4c and the simulated expansion Gong Ye is the unit time deltat Liquid inlet amount m in intrauterine cavity3 Based on the liquid outlet rate delta monitored by thesecond flowmeter 3fh Delta per unit timet The amount of the uterine-expansion liquid discharged into the upperliquid collecting barrel 3b is the liquid outlet amount m4 ;
Thus, the difference between the liquid output and liquid input in unit time is the liquid retention delta in unit timem ;
m3 =Δv *Δt ;
m4 =Δh *Δt ;
Δm =m3 -m4 ;
And pressure p per unit timet The method comprises the following steps:
according toScientific calculation and safety verification set maximum liquid retention amount m which human body can bearmax And minimum liquid retention amount mmin The method comprises the steps of carrying out a first treatment on the surface of the Thereby calculating the corresponding maximum pressure pmax And a minimum pressure pmin ;
Definition of p at this timemax Marking the graduation table 2i according to the position of the floatingplug 2h at the moment; definition of p at this timemin Is the lower limit of the liquid retention, and the scale is adjusted according to the position of the floatingplug 2h at the moment
2i, marking;
the position of the floatingplug 2h corresponding to the unit liquid retention amount is calculated and determined according to the multiple increment or decrement of the unit liquid retention amount of the same amount, and the position of the floatingplug 2h is marked to form a scale p1 、p2 、p3 、p4 ……。
The dynamic curve delta about the liquid inlet rate and time can be obtained through the monitoring of the first flowmeter 1a and the data processing of the information processing module 6v -t;
The dynamic curve delta about the liquid outlet speed and time can be obtained through the monitoring of thesecond flowmeter 3f and the data processing of the information processing module 6h -t;
Dynamic curve delta combining feed rate and timev -t and dynamic curve delta of liquid output rate and timeh -t; the dynamic curve delta of the liquid retention amount and time can be calculatedm -t;
And can calculate the total liquid inlet amount M of the uterine swelling liquidj ;
Expansion Gong Ye total liquid output Mi ;
At a real-time feed rate deltav And the liquid outlet rate deltah Real-time liquid retention amount deltam Can be calculated by the comprehensive operation of the (A) to calculate the current liquid inlet rate deltav And the liquid outlet rate deltah Liquid inlet and outlet, liquid retention deltam Will reach the maximum liquid retention mmax And minimum liquid retention amount mmin Time of (2);
both the above dynamic curves and data can be presented for reading in themonitoring display 5 b.
As shown in fig. 1 to 20, the following preferred technical solutions are provided:
the utility model provides a hysteroscope business turn over water monitoring is with metering device of but voice warning stay liquid volume, includes following implementation method:
s1: firstly, before the device is used, it is necessary to observe whether the position of the floatingplug 2h is opposite to p on the graduation table 2i of theouter cylinder 2c of the measuringcylinder 20 Scale mark, if floatingplug 2h is not right facing p0 The scale marks are used for controlling the self-primingpump group 4d to regulate the quantity of the simulated uterine swelling liquid in theliquid inlet barrel 4c through the drivingcontrol end cover 4e, so that the floatingplug 2h is reset;
s2: then, the infusion pipeline of the uterine cavity expansion liquid is connected to a hysteroscope surgical instrument in a butt joint mode through the intelligent infusion support assembly 1 with the bag hung by the expansion Gong Ye, the liquid inlet rate is detected through the first flowmeter 1a on the intelligent infusion support assembly 1, the discharged uterine cavity expansion liquid is guided through theliquid guide bucket 3a, the uterine cavity expansion liquid is guided into the upperliquid collecting barrel 3b, the liquid outlet rate is detected through thesecond flowmeter 3f, and then the uterine cavity expansion liquid flows into the lowerliquid collecting barrel 3c from the upperliquid collecting barrel 3b through the intrauterinetissue collecting assembly 3e, and in the process, the clot and impurities mixed in the discharged uterine cavity expansion liquid are subjected to solid-liquid separation and collection through the intrauterinetissue collecting assembly 3 e;
S3, carrying out solid-liquid separation and multistage collection on clots and impurities mixed in the discharged uterine fluid by matching the primary filter cover 3e1 with the multistage filter cup 3e2 with the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c, so that medical staff can sample, observe and test the clots and the impurities according to the requirements, and meanwhile, the clots are prevented from adhering in the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c, and the upperliquid collecting barrel 3b and the lowerliquid collecting barrel 3c are convenient to clean;
s4, through the arrangement of theliquid inlet barrel 4c and thetransition box 4b, the self-priming pump set 4d and the drivecontrol end cover 4e are utilized to suck the simulated expansion Gong Yebeng in theliquid inlet barrel 4c into thetransition box 4b, at the moment, the reduction amount of the simulated uterine fluid in theliquid inlet barrel 4c is the liquid inlet amount of the internal uterine fluid, after the operation is finished, the drivecontrol end cover 4e controls the self-priming pump set 4d to work reversely to pump the simulated expansion Gong Ye in thetransition box 4b back to theliquid inlet barrel 4c for the next use;
s5: when the device is not used, theliquid outlet component 3 and part of the simulated liquid inlet component 4 on theplug seat 2a downwards press theplug seat 2a, theplug seat 2a extrudes the metering liquid, so that the metering liquid in theinner cylinder 2b flows into theouter cylinder 2c from thecommunication hole 2g, the metering liquid pushes up the floatingplug 2h, and the position of the floatingplug 2h is a scale mark;
When the device is used, theliquid outlet component 3 and the simulated liquid inlet component 4 work, discharged uterine fluid is collected in theliquid outlet component 3, liquid inlet in a uterine cavity is simulated through the simulated liquid inlet component 4, theplug seat 2a and metering liquid are further pushed by utilizing the difference between the weight of the uterine fluid collected by theliquid outlet component 3 and the weight of the uterine fluid simulated and discharged by the simulated liquid inlet component 4, so that the position of the floatingplug 2h is changed, theplug seat 2a is axially limited in theinner cylinder 2b through the cooperation of theguide rod 2e and theguide sleeve 2d, and theplug seat 2a axially slides back and forth along the wall of theinner cylinder 2b through the spring 2 f;
s6: through thescale 2i on theurceolus 2c of themetering cylinder 2cooperation floating plug 2h, the liquid retention volume of direct display palace liquid of expanding makes things convenient for medical personnel to directly read and observe, monitors the position of floatingplug 2h through eachphotoelectric sensor 5d to confirm liquid retention volume numerical value, demonstrate numerical value and information chart onmonitor display 5b according to information processing module 6, when liquid retention volume reaches and stays liquid upper limit or stays liquid lower limit, voice alarm 5c then can send the alarm and indicate medical personnel.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and that the above embodiments and descriptions are merely illustrative of the principles of the present invention, and various changes and modifications may be made therein without departing from the spirit and scope of the invention, which is defined by the appended claims. The scope of the invention is defined by the appended claims and equivalents thereof.