Disclosure of Invention
The invention provides visual bladder puncture fistulization drainage equipment, which can solve the technical problem that in the prior art, on the premise of not causing additional wounds, the visual puncture cannot effectively avoid a vascular region on the surface of a bladder so as to cause infection.
In order to achieve the above purpose, the present invention is realized by the following technical scheme:
The application provides visual bladder puncture fistulization drainage equipment which comprises a puncture sheath, a visual puncture assembly, a puncture needle core, an image acquisition end and a display screen, wherein the puncture sheath is used for being inserted into the surface of a bladder through an incision to isolate an operation channel, the visual puncture assembly is connected with the puncture sheath in a penetrating mode, the puncture needle core is connected with one end of the visual puncture assembly, the outer side of the puncture needle core is wrapped with an optical fiber integrated body, one end of the optical fiber integrated body, which faces towards a needle point of the puncture needle core, is conical, the image acquisition end is connected with the inner side of the visual puncture assembly, the image acquisition end is optically coupled with one end, which faces away from the needle point of the puncture needle core, of the optical fiber integrated body, the display screen is connected with one end, which faces away from the puncture needle core, of the visual puncture assembly, and the display screen is in communication connection with the image acquisition end, and the image acquisition end acquires images of one end of the needle point of the puncture needle core through the optical fiber integrated body and transmits the images to the display screen.
Through the technical scheme, the optical fiber integrated body is adopted as the light-transmitting body so as to combine the image acquisition end and the puncture needle core, after the functions of puncture and endoscope are integrated, the additional provision of an endoscope penetration port is avoided, and further, the tissue image at the front end of the puncture needle core can be watched in real time through the display screen, so that a blood vessel region is avoided during puncture, and the probability of infection is reduced.
The visualized bladder puncture fistulization drainage device further comprises a negative pressure cavity, a negative pressure generating bag and a negative pressure adsorption end, wherein the negative pressure cavity is arranged on the outer side of the puncture sheath in a surrounding mode, the negative pressure generating bag is connected to the outer side of the negative pressure cavity, negative pressure is formed in the negative pressure cavity through an external air source by the negative pressure generating bag, the negative pressure adsorption end is arranged at one end, facing the puncture needle core, of the negative pressure cavity, a plurality of adsorption holes are formed in the negative pressure adsorption end, and when negative pressure is formed in the negative pressure cavity, the adsorption holes are used for adsorbing the outer epidermis of the bladder.
Through the technical scheme, the negative pressure adsorption end is adopted to adsorb the bladder epidermis region to be punctured, so that the relative positions of the bladder and the puncture sheath are fixed, further, the bladder can be prevented from being pressed during puncturing, meanwhile, the bladder wall on one side can be adsorbed, the penetration damage to the bladder during puncturing can be avoided, and the accuracy and safety of bladder puncturing are improved.
In the invention, the visual bladder puncture fistulization drainage device further comprises a plurality of nano silver drainage cloths, wherein the nano silver drainage cloths are annularly arranged on the outer side of the negative pressure cavity, and the nano silver drainage cloths are attached to the inner side of the epidermis incision along with the insertion of the puncture sheath.
Through the technical scheme, the nanometer drainage cloth is attached to the inner side of the epidermis incision while penetrating through the epidermis along with the puncture sheath, so that friction between the puncture sheath and skin tissues can be reduced, contusion is reduced, and meanwhile, after the nanometer silver drainage cloth covers the wound, tissue fluid in the wound is effectively led out, so that the wound is kept clean, and the antibacterial and anti-inflammatory effects can be achieved.
In the invention, the visual bladder puncture fistulization drainage device further comprises a plurality of lubrication grooves, wherein the lubrication grooves are formed in the outer side of the negative pressure cavity along the axial direction of the puncture sheath, and the lubrication grooves are filled with lubricant.
Through the technical scheme, the lubrication groove is used for storing the lubricant, and the lubricant can continuously keep the lubricity of subcutaneous tissues such as the puncture sheath, fat and the like after the puncture sheath is separated from the nano silver drainage cloth, so that the contusion of the puncture sheath to internal tissues is reduced.
In the invention, the visual bladder puncture fistulization drainage device further comprises scale marks, wherein the scale marks are arranged on the outer wall of the negative pressure cavity, and the insertion depth of the puncture sheath is obtained according to the scale marks of the scale marks immersed in the epidermis incision.
Through the technical scheme, the scale marks are adopted to identify the insertion depth of the puncture sheath after the negative pressure adsorption end at the tail end of the puncture sheath is adsorbed and positioned with the bladder wall, so that equipment with proper length can be selected during subsequent operation conveniently.
In the visual bladder puncture fistulization drainage device, the visual bladder puncture fistulization drainage device further comprises a drainage tube, a first air bag and a second air bag, wherein the drainage tube is connected in the puncture sheath in a penetrating mode, the first air bag is arranged in the middle of the drainage tube in a surrounding mode, the first air bag is connected with the outer side of an incision of the epidermis in an abutting mode after being inflated, the second air bag is arranged at one end, inserted into the bladder, of the drainage tube in a surrounding mode, and the second air bag is connected with the inner wall of the bladder in an abutting mode after being inflated.
Through the technical scheme, two air bags are adopted to simultaneously position the inner wall of the bladder and the outer side of the incision of the epidermis, so that the positioning stability of the drainage tube is improved.
In the present invention, the first balloon and the second balloon are communicated.
Through the technical scheme, the two air bags are communicated, and when the bladder contracts, the second air bag can be compressed simultaneously to press the air into the first air bag, so that the pressing sense of the second air bag on the bladder is reduced.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is an isometric view of a visual cystocele ostomy drainage device according to an embodiment of the present invention as it is inserted into a visual piercing assembly;
FIG. 2 is a bottom view of a visual cystocele ostomy drainage device according to an embodiment of the present invention as it is inserted into a visual piercing assembly;
FIG. 3 is a side view of a visual cystocele ostomy drainage device according to an embodiment of the present invention as it is inserted into a visual piercing assembly;
FIG. 4 is a cross-sectional view at A-A in FIG. 3;
FIG. 5 is a partial enlarged view at B in FIG. 4;
FIG. 6 is an enlarged view of a portion of FIG. 4 at C;
FIG. 7 is an isometric view of a visual cystocele ostomy drainage device with a drainage tube inserted therein according to an embodiment of the present invention;
FIG. 8 is a front view of a visual cystocele ostomy drainage device according to an embodiment of the present invention as it is inserted into a drainage tube;
FIG. 9 is an enlarged view of a portion at E in FIG. 8;
FIG. 10 is a cross-sectional view taken at D-D of FIG. 8;
fig. 11 is a partial enlarged view of F in fig. 10.
The icons are 101-negative pressure generating bag, 102-negative pressure adsorption end, 1021-adsorption hole, 103-operation wing, 104-negative pressure cavity, 105-puncture sheath cavity, 2-visual puncture assembly, 201-display screen, 202-operation handle, 203-image acquisition end, 204-puncture needle core, 205-optical fiber integrated body, 206-fixing ring, 3-nano silver drainage cloth, 401-lubrication groove, 402-scale mark, 501-drainage tube, 502-injection tube, 503-first air bag, 504-second air bag, 6-epidermis model and 7-bladder model.
Detailed Description
Embodiments of the present application will be described in detail below with reference to the accompanying drawings.
In the description of the present application, it should be understood that the terms "center," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like indicate orientations or positional relationships based on the orientation or positional relationships shown in the drawings, merely to facilitate describing the present application and simplify the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present application.
The terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present application, unless otherwise indicated, the meaning of "a plurality" is two or more.
In the description of the present application, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be welded, bolted, riveted, fixedly connected, detachably connected, or integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected via an intermediate medium, or in communication with the interior of two elements, for example. The specific meaning of the above terms in the present application will be understood in specific cases by those of ordinary skill in the art.
Examples:
referring to fig. 1 to 11, fig. 1 to 11 show an embodiment of the present application.
The embodiment provides visual bladder puncture fistulization drainage equipment, which comprises a puncture sheath, a visual puncture assembly 2, a puncture needle core 204, an image acquisition end 203 and a display screen 201, wherein the puncture sheath is used for being inserted into the surface of a bladder through an incision to isolate an operation channel, the visual puncture assembly 2 is connected with the puncture sheath in a penetrating way, the puncture needle core 204 is connected with one end of the visual puncture assembly 2, the outer side of the puncture needle core 204 is wrapped with an optical fiber integrated body 205, the optical fiber integrated body 205 is conical towards one end of the needle tip of the puncture needle core 204, the image acquisition end 203 is connected with the inner side of the visual puncture assembly 2, the image acquisition end 203 is optically coupled with one end of the optical fiber integrated body 205, which is away from the needle tip of the puncture needle core 204, the display screen 201 is connected with the image acquisition end 203 in a communicating way, and the image acquisition end 203 acquires an image of one end of the needle tip of the puncture needle 204 through the optical fiber integrated body 205 and transmits the image to the display screen 201.
When the puncture needle is used, a surgical knife is adopted to make a cut at a puncture position determined after ultrasonic examination, then a puncture sheath is placed in the puncture needle, as shown in fig. 2 and 3, the bottom of the puncture sheath is a plane, other organs can be prevented from being accidentally injured by the puncture sheath, the outer end of the puncture sheath is provided with an operation wing 103, pressure can be conveniently applied to pass through a fat layer and other internal tissues to reach the outer side of a bladder, after the puncture sheath is placed in the puncture needle, the visual puncture assembly 2 penetrates into the puncture sheath cavity 105, as shown in fig. 4, the displacement of the visual puncture assembly 2 is controlled through the operation handle 202, the optical fiber integrated body 205 is formed by gluing a plurality of tiny optical fibers, two end surfaces of each optical fiber are parallel, so that a good optical conduction effect is obtained, a plurality of optical fibers are distributed in a ladder shape, insertion resistance is reduced, in order to facilitate assembly, the puncture needle core 204 and the optical fiber integrated body 205 can be fixed into a fixed ring 206 after adhesion is completed, then the image acquisition end 203 is inserted into the other end of the fixed ring 206, optical coupling is completed, and then the front end image of the puncture needle core 204 can be visually observed through the display screen 201, so that the surface blood tube area is avoided.
It should be noted that, in some basic medical units without ultrasound or endoscope and in some field places where emergency measures are needed, the integrated visual puncture assembly 2 can be used to directly perform safer and more reliable puncture drainage, in an exemplary use, a built-in battery is used to supply power to the display screen 201 and the image acquisition end 203, the outer ring of the image acquisition end 203 is integrated with an annular light source, and the light source transmits light to the outside through the outer ring optical fiber of the optical fiber integrated body 205 to provide illumination function.
Through the above technical scheme, the optical fiber integrated body 205 is adopted as a light-transmitting body to further combine the image acquisition end 203 with the puncture needle core 204, so that after the functions of puncture and endoscope are integrated, the additional opening of an endoscope penetration port is avoided, and further, the tissue image at the front end of the puncture needle core 204 can be watched in real time through the display screen 201, and further, the blood vessel region is avoided during puncture, and the probability of infection is reduced.
As a preferred embodiment, as shown in fig. 2 to 5, the visual bladder puncture fistulization drainage device further includes a negative pressure cavity 104, a negative pressure generating bag 101 and a negative pressure adsorption end 102, wherein the negative pressure cavity 104 is annularly arranged at the outer side of the puncture sheath, the negative pressure generating bag 101 is connected at the outer side of the negative pressure cavity 104, the negative pressure generating bag 101 forms negative pressure in the negative pressure cavity 104 through an external air source, the negative pressure adsorption end 102 is arranged at one end of the negative pressure cavity 104 facing the puncture needle core 204, the negative pressure adsorption end 102 is provided with a plurality of adsorption holes 1021, and when the negative pressure cavity 104 forms negative pressure, the adsorption holes 1021 are used for adsorbing the bladder outer epidermis.
When the puncture needle is used, a gas source for central gas supply in a hospital is adopted and is connected with a negative pressure generator, the negative pressure generator is connected with the negative pressure generating bag 101, the negative pressure generator is opened to generate negative pressure in the negative pressure cavity 104, because the principle of the negative pressure generator is that gas flowing at high speed forms low pressure at a pipe orifice and then discharges the gas in the pipe to form negative pressure, suction force enough to cause damage to the bladder epidermis is not generated, after the puncture position is determined through the visual puncture assembly 2, the relative positions of the bladder epidermis and a puncture sheath are fixed to a certain extent after the bladder epidermis is adsorbed through the negative pressure, then the operation handle 202 is pushed downwards, the bladder epidermis can be punctured by utilizing the puncture needle core 204, and then the puncture opening is further enlarged by the tapered optical fiber integrated body 205, so that the subsequent drainage tube 501 is convenient to put in.
Through the above technical scheme, adopt negative pressure adsorption end 102 to treat the bladder epidermis region of puncture to fix the relative position of bladder and puncture sheath, and then can avoid producing the oppression to the bladder when the puncture, simultaneously because only can adsorb the bladder wall of unilateral, also can avoid causing the penetration damage to the bladder when the puncture, improved bladder puncture's accuracy and security.
As a preferred embodiment, as shown in fig. 1, 7, 10 and 11, the visual bladder puncture fistulization drainage device further comprises four nano silver drainage cloths 3, the nano silver drainage cloths 3 are annularly arranged on the outer side of the negative pressure cavity 104, a medical pressure-sensitive adhesive is attached to one side of the nano silver drainage cloth 3, which faces the negative pressure cavity 104, for being adhered to the negative pressure cavity 104, the nano silver drainage cloths 3 are separated from the outer side of the negative pressure cavity 104 along with the insertion of a puncture sheath, and the medical pressure-sensitive adhesive is used for attaching the nano silver drainage cloths 3 on the inner side of an epidermis incision.
When in use, as shown in fig. 1, the lower end surface of the nano silver drainage cloth 3 is folded upwards during packaging, one folded end of the nano silver drainage cloth 3 is flatly laid after removal, then the nano silver drainage cloth 3 is pressed on the skin surface by forceps or hands, then as shown in fig. 10 and 11, and then the nano silver drainage cloth 3 is gradually attached around the incision formed by the epidermis model 6 along with the penetration of the puncture sheath. .
Through above-mentioned technical scheme, adopt nanometer drainage cloth to adhere to the epidermis incision inboard when passing the epidermis along with the puncture sheath, can reduce the friction of puncture sheath and skin tissue, reduce the contusion, after nanometer silver drainage cloth 3 covered the wound simultaneously, effectively lead out the interstitial fluid in the wound, be favorable to keeping the cleanness of wound, can also play antibacterial anti-inflammatory's effect.
As a preferred embodiment, as shown in fig. 7 to 9, the visual bladder puncture fistulization drainage device further includes a plurality of lubrication grooves 401, the lubrication grooves 401 are axially arranged on the outer side of the negative pressure cavity 104 along the puncture sheath, the lubrication grooves 401 are filled with a lubricant, and an exemplary lubricant is polyethylene glycol medical lubricant.
When in use, along with the separation of the nano silver drainage cloth 3, the outer wall of the negative pressure cavity 104 gradually contacts and rubs with internal tissues, and the pre-filled lubricant slides from the lubrication groove 401 to the space between the outer wall of the negative pressure cavity 104 and the tissues for lubrication.
Through the technical scheme, the lubrication groove 401 is used for storing the lubricant, and after the puncture sheath is separated from the nano silver drainage cloth 3, the lubricant can continuously keep the lubricity of subcutaneous tissues such as the puncture sheath and fat, and the contusion of the puncture sheath to internal tissues is reduced.
As a preferred embodiment, as shown in fig. 9, the visual bladder puncture fistulization drainage device further includes scale marks 402, the scale marks 402 are disposed on the outer wall of the negative pressure cavity 104, and the insertion depth of the puncture sheath is obtained according to the scale marks that the scale marks 402 are immersed in the epidermis incision, so that when the double-balloon drainage tube 501 is selected, drainage tubes 501 with different balloon space types can be selected.
Through the technical scheme, the scale marks 402 are adopted to identify the insertion depth of the puncture sheath after the negative pressure adsorption end 102 at the tail end of the puncture sheath is adsorbed and positioned with the bladder wall, so that equipment with proper length can be selected during subsequent operation.
As a preferred embodiment, as shown in fig. 10, the visual bladder puncture fistulization drainage device further comprises a drainage tube 501, a first air bag 503 and a second air bag 504, wherein the drainage tube 501 is connected in the puncture sheath in a penetrating way, the first air bag 503 is annularly arranged in the middle of the drainage tube 501 and is abutted to the outer side of an incision of epidermis after being inflated, the second air bag 504 is annularly arranged at one end of the drainage tube 501 inserted into the bladder, and the second air bag 504 is abutted to the inner wall of the bladder after being inflated.
In use, as shown in fig. 10, by way of example, because the suction end 102 is used to position the bladder model 7, the step of threading a guide wire can be saved when threading the drainage tube 501,
Through the technical scheme, two air bags are adopted to be positioned at the same time on the inner wall of the bladder and the outer side of the incision of the epidermis, so that the positioning stability of the drainage tube 501 is improved.
As a preferred embodiment, the first balloon 503 and the second balloon 504 are communicated.
When the puncture sheath is used, in order to facilitate the taking out of the puncture sheath, when gas is input through the injection pipe 502, the first air bag 503 is compressed by the puncture sheath cavity 105, the expansion volume of the gas is smaller than that of the second air bag 504, redundant gas is input into the second air bag 504 through a communicated pipeline, after the puncture sheath is taken out, the gas pressures inside the two air bags are balanced through the pipeline and can restore to the same pressure, when a patient moves or the bladder spasm is reversed, the second air bag 504 is extruded by the same principle, if the second air bag 504 is an independent air bag at the moment, the risk of bladder tearing is caused, and because the second air bag 504 is communicated with the first air bag 503, the redundant gas can enter the first air bag 503 after the second air bag 504 is compressed, and bladder tearing is avoided.
Through the technical scheme, the two air bags are communicated, when the bladder is contracted, the second air bag 504 can be compressed simultaneously to press the air into the first air bag 503, so that the pressing sense of the second air bag 504 on the bladder is reduced.
The above description is merely an embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art can easily think about changes or substitutions within the technical scope of the present invention, and it is intended to cover the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.