CN110124134B

CN110124134B - Ascites ultrafiltration concentration therapeutic instrument

Info

Publication number: CN110124134B
Application number: CN201910371759.3A
Authority: CN
Inventors: 陈倩倩; 宋琦
Original assignee: Wf Maternal And Child Health Hospital
Current assignee: Wf Maternal And Child Health Hospital
Priority date: 2019-05-06
Filing date: 2019-05-06
Publication date: 2021-11-26
Anticipated expiration: 2039-05-06
Also published as: CN110124134A

Abstract

The invention discloses an ascites ultrafiltration concentration therapeutic apparatus with synchronous monitoring, which comprises an interactive device, an interface group, an ascites treatment system, a waste liquid bottle, a moving mechanism, monitoring equipment and a control system, wherein the interface group is connected with the interface group; the ascites treatment system comprises a drainage pump, an ultrafiltration piece and an ultrafiltration pump, wherein a liquid inlet of the drainage pump is connected with the first puncture interface through a first pipeline, and a liquid outlet of the drainage pump is connected to a liquid inlet of the ultrafiltration piece through a pipeline; the ultrafiltration part comprises a pipeline and is connected with an ultrafiltration pump through the pipeline; the liquid outlet of the ultrafiltration element is connected to a feedback interface through a pipeline; the monitoring equipment comprises a bracelet capable of monitoring heart rate and blood pressure and a forehead belt type thermometer for monitoring body temperature; the invention has reasonable structural design, is specially used for the treatment of ascites reinfusion in hospitals, can realize the close monitoring of patients in the process of ascites reinfusion by monitoring the real-time monitoring of human bodies through monitoring equipment in the treatment process, finds out complications in advance and ensures the health of the patients.

Description

Ascites ultrafiltration concentration therapeutic instrument

Technical Field

The invention relates to the technical field of medical instruments, in particular to an ascites ultrafiltration concentration therapeutic apparatus.

Background

Acute/chronic liver diseases are in high incidence in our country, especially high infectious viral hepatitis B. The common symptom of the liver diseases after the end period is intractable ascites, and the main causes are portal hypertension and hypoproteinemia. Due to the massive water accumulation in the abdominal cavity, the life quality of the patient is reduced, and the serious condition can cause ascites infection, multi-organ compression or other hepatic encephalopathy to endanger life. For most patients without other diseases, the ascites is a kind of leakage fluid, is harmless to the body and contains a large amount of albumin, so the adoption of the ultrafiltration and concentration of the autologous ascites and the reinfusion is an effective treatment mode, which not only accords with the physiological circulation of the human body, but also does not need to supplement expensive albumin additionally, thereby reducing the economic burden of the patients.

Currently, a general hospital performs ascites reinfusion after being adjusted by a hemodialysis instrument, however, since the purposes and procedures of hemodialysis and ascites recovery are different, a large amount of adjustment work increases the workload of nursing staff and may cause resource waste (the procedure of hemodialysis is more complicated); meanwhile, in order to avoid discomfort caused by too fast decrease of abdominal pressure of a patient, the ascites reinfusion process generally needs to last for several hours, and medical staff are unlikely to supervise the whole process, but due to different constitutions, some patients can generate complications during ascites reinfusion, particularly complications in aspects of body temperature, blood pressure and heart rate, so that it is very important to realize intelligent monitoring in the process.

Disclosure of Invention

The invention aims to overcome the defects of the prior art and provide an ascites ultrafiltration and concentration therapeutic apparatus so as to carry out ascites reinfusion on a patient with high efficiency and realize intelligent monitoring of complications.

In order to achieve the purpose, the invention provides the following technical scheme:

an ascites ultrafiltration concentration therapeutic apparatus with synchronous monitoring comprises an interactive device, an interface group, an ascites processing system, a waste liquid bottle, a moving mechanism, monitoring equipment and a control system;

the interface group comprises a first puncture interface and a feedback interface; when in use, medical care personnel can puncture a patient by using the disposable puncture device, and the other end of the disposable puncture device is connected with the first puncture port, and the feedback interface is similar to the disposable puncture device in use, so that cross infection can be avoided;

the ascites treatment system comprises a drainage pump, an ultrafiltration piece and an ultrafiltration pump, wherein the drainage pump and the ultrafiltration pump can be peristaltic pumps, vacuum pumps or gear pumps; a liquid inlet of the drainage pump is connected with the first puncture interface through a first pipeline and is mainly used for introducing ascites into the pipeline from the abdominal cavity of a patient; a liquid outlet of the drainage pump is connected to a liquid inlet of the ultrafiltration part through a pipeline, and a first flowmeter and a first pressure gauge are further arranged on the pipeline between the drainage pump and the ultrafiltration part; the ultrafiltration part is connected to the ultrafiltration pump through a pipeline, a third flow meter and a third pressure meter are arranged on the pipeline between the ultrafiltration part and the ultrafiltration pump, negative pressure higher than that of the drainage pump is generated by the ultrafiltration pump to realize ultrafiltration concentration, redundant moisture enters the waste liquid bottle, and nutrient substances such as albumin and the like enter the feedback channel; the liquid outlet of the ultrafiltration piece is connected to the feedback interface through a pipeline, a second flow meter, a second pressure meter, a sudden stop valve and a defoaming device are arranged on the pipeline between the ultrafiltration piece and the feedback interface, the sudden stop valve is used for suddenly stopping the whole device under an unexpected condition, and the defoaming device is used for preventing bubbles from entering the body of a patient to cause danger;

the waste liquid bottle comprises a first waste liquid bottle, and the first waste liquid bottle is connected with a liquid outlet of the ultrafiltration pump through a pipeline and is used for receiving ultrafiltration waste liquid;

the supervisory equipment is mainly wearable monitoring piece, but includes bracelet and the frontal band formula clinical thermometer of monitoring body temperature of the monitoring rhythm of the heart and blood pressure, wears the convenience to patient, can realize real time monitoring, can carry out the connection of other prison controlling parts according to the implementation needs simultaneously, improves the commonality of device.

Preferably, the ascites treatment system further comprises a filter element, which is detachably connected; the interface group also comprises a second puncture interface, and the waste liquid bottle also comprises a second waste liquid bottle;

second puncture interface is connected to first pipeline through the second pipeline of independent setting, it sets up on the second pipeline to filter the piece, it still is provided with the discarded object export and passes through discarded object exit linkage second waste liquid bottle to filter the piece, the design of this passageway is to the patient that has cancer poison or other diseases, and its ascites need filter the piece further processing just can the feedback to internal, filters the waste income second waste liquid bottle.

Preferably, the filter element is a dialyzer, but it may also be a semi-permeable membrane or other means of filtering or expelling toxins, which may be selected according to the patient's condition.

Preferably, the interface set further comprises an auxiliary medicine inlet and an auxiliary medicine outlet, wherein the auxiliary medicine mainly refers to that when complications occur, a patient needs to be injected with some special medicines or supplemented with water according to symptoms; the auxiliary medicine inlet and the auxiliary medicine outlet are connected through a pipeline, a flow control meter is further arranged on the pipeline, the flow control meter can uniformly mix the medicines into the returned abdominal water, and the channel is useful for venous return. Meanwhile, in emergency, the whole device can be used for dialysis of a patient, and the auxiliary medicine inlet can be used for water replenishing operation; the ascites processing system also comprises a transfer bag and a Murphy dropper which are sequentially connected with the feedback interface, the Murphy dropper is provided with a medicine adding port, the medicine adding port is connected with an auxiliary medicine outlet through a pipeline, the outlet of the Murphy dropper is connected with the feedback end of the human body through a pipeline and a puncture needle, and the Murphy dropper can further remove bubbles and carry out auxiliary medicine filling;

preferably, an ascites detection device and a heating device for detecting the clarity and the toxic substances of the reinfused ascites are further arranged on a pipeline between the ultrafiltration element and the reinfusion interface, the ascites detection device is mainly used for monitoring the clarity and the cleanliness of the ascites and preventing the toxic substances from being reinfused into the body again, and the heating device is used for heating the reinfused ascites and preventing the body temperature from being severely changed due to low temperature in the process of massive reinfusion to damage the health of a patient.

Preferably, the hanging bracket is arranged on the side, and the top end of the hanging bracket is provided with at least 1 hook body for hanging the transfer bag 34.

Preferably, the interaction device comprises a display screen and an input device, the input device comprises a keyboard and a mouse, and the computer is a general computer of a windows system;

preferably, the control system comprises an interaction module, an ascites treatment monitoring module, a human body monitoring module and an emergency treatment module;

the interaction module is in communication connection with the interaction device and is used for displaying state information and receiving instructions;

the ascites treatment monitoring module comprises a flow monitoring unit, a pressure monitoring unit and an ascites monitoring unit, wherein the flow monitoring unit is connected with a first flowmeter, a second flowmeter and a third flowmeter; the pressure monitoring unit is connected with the first pressure gauge, the second pressure gauge and the third pressure gauge, the ascites monitoring unit is connected with the ascites detection device, and the ascites treatment monitoring module is used for monitoring various parameters in the ascites treatment process and triggering the emergency treatment module when the parameters exceed a threshold value;

the human body monitoring module comprises a heart rate monitoring unit and a blood pressure monitoring unit which are in communication connection with the forehead belt type thermometer, and a body temperature monitoring unit which is in communication connection with the bracelet, and is used for monitoring the state of a human body and triggering the emergency processing module when the state exceeds a threshold value;

the emergency processing module comprises a judging unit, an alarming unit and a stopping unit, wherein the judging unit is used for analyzing the abnormal conditions so as to adopt different processing modes; the stopping unit is in communication connection with the drainage pump, the ultrafiltration pump and the emergency stop valve and is used for stopping part/all of the device.

Compared with the prior art, the invention has the beneficial effects that: (1) the whole device has compact structure, the used elements only recover ascites, the efficiency is high, and the cost is lower; (2) the arrangement of two ascites feedback pipelines can realize the ultrafiltration concentration feedback of nontoxic/toxic ascites, and has wide universality; (3) the design of the auxiliary medicine passage can conveniently realize the metering and filling of the auxiliary medicine; (4) the physical sign monitoring of the patient is realized by adopting the wearable device, the workload of medical staff is saved, the whole-process monitoring of ascites reinfusion of the patient is realized, the early discovery of complications is realized, and the safety is improved; (5) the ascites feedback line has various monitoring devices, such as a flowmeter, a pressure gauge and an ascites property meter, can realize automatic monitoring of the feedback process, and can be stopped emergently when an accident occurs, so as to prevent further damage to the body of a patient.

Drawings

FIG. 1 is a schematic structural diagram of an embodiment of the present invention;

FIG. 2 is a schematic view of an ascites handling system according to an embodiment of the present invention;

FIG. 3 is a block diagram of a control system according to an embodiment of the present invention;

in the figure, 1-interactive device, 11-display screen, 12-keyboard, 13-mouse;

2-interface group, 21-first puncture interface, 22-second puncture interface, 23-feedback interface, 24-auxiliary medicine inlet, 241-flow control meter and 25-auxiliary medicine outlet;

3-ascites treatment system, 31-drainage pump, 311-first flowmeter, 312-first pressure meter, 32-ultrafiltration piece, 321-second flowmeter, 322-second manometer, 33-ultrafiltration pump, 331-third flowmeter, 332-third manometer, 323-quick stop valve, 324-defoaming device, 325-ascites detection device, 326-heating device 34-transfer bag, 35-Murphy's dropper and 36-filter piece;

4-a waste liquid bottle, 41-a first waste liquid bottle, 42-a second waste liquid bottle; 5-a moving mechanism; 6-monitoring equipment, 61-bracelet, 62-forehead band type thermometer and 7-suspension bracket.

Detailed Description

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. 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.

Referring to fig. 1, an ascites ultrafiltration concentration therapeutic apparatus with synchronous monitoring comprises an interactive device 1, an interface group 2, an ascites treatment system 3, a waste liquid bottle 4, a moving mechanism 5, a monitoring device 6 and a control system;

the interactive device 1 comprises a display screen 11 and input equipment, wherein the input equipment comprises a keyboard 12 and a mouse 13, and the computer is a general computer of a windows system;

the interface group 2 comprises a first puncture interface 21, a second puncture interface 22, a feedback interface 23, an auxiliary medicine inlet 24 and an auxiliary medicine outlet 25; when in use, medical staff can puncture a patient by using the disposable puncture device, and the other end of the puncture device is connected with the puncture port, and the reinfusion interface is similar to the puncture port in use, so that the cross infection can be avoided; the auxiliary medicine mainly refers to that when complications occur, a patient may need to be injected with some special medicines or water supplement according to symptoms.

Referring to fig. 2, the ascites treatment system 3 includes a drainage pump 31, an ultrafiltration member 32, an ultrafiltration pump 33, and a filter member 36, wherein the drainage pump 31 and the ultrafiltration pump 32 are specifically peristaltic pumps, and the peristaltic pumps have a small shearing effect on liquid, so as to avoid ascites degeneration and have a low maintenance cost; a liquid inlet of the drainage pump 31 is connected with the first puncture interface 21 through a first pipeline and is mainly used for introducing ascites into the pipeline from the abdominal cavity of the patient; a liquid outlet of the drainage pump 31 is connected to a liquid inlet of the ultrafiltration element 32 through a pipeline, and a first flow meter 311 and a first pressure meter 312 are further arranged on the pipeline between the drainage pump 31 and the ultrafiltration element 32; the ultrafiltration element 32 is connected to the ultrafiltration pump 33 through a pipeline, a third flow meter 331 and a third pressure meter 332 are arranged on the pipeline between the ultrafiltration element 32 and the ultrafiltration pump 33, and the ultrafiltration principle is as follows: the ultrafiltration pump 33 is used for generating negative pressure higher than that of the drainage pump 31 to realize the ultrafiltration concentration effect, so that redundant moisture enters the waste liquid bottle, and nutrient substances such as albumin and the like enter the feedback channel and enter the body of the patient again; the liquid outlet of the ultrafiltration element 32 is connected to the feedback interface 23 through a pipeline, a second flowmeter 321, a second pressure gauge 322, an emergency stop valve 323, a defoaming device 324, an ascites detection device 325 and a heating device 326 are arranged on the pipeline between the ultrafiltration element 32 and the feedback interface 23, and the emergency stop valve 323 is used for performing emergency stop on the whole device in case of an accident; the bubble removing device 324 is used for removing bubbles in the pipeline, so that the bubbles are prevented from accidentally entering the body of the patient and causing danger; the ascites detection device 325 is mainly used for monitoring the clarity and cleanness of ascites and preventing toxic substances from being re-infused into a body; the heating device 326 is used for heating the re-infusion ascites, and prevents the body temperature from being changed violently due to low temperature in the process of mass re-infusion to damage the health of a patient.

The second puncture 22 is connected to the first line via a second, separate line, and the filter element 36 is arranged on the second line, the filter element 36 can be a commercially available hemodialyzer, in this embodiment a Shandonghai F18 fiber dialyzer, and the filter element 36 is also provided with a waste outlet, and the passage is designed such that ascites from a patient with cancer or other diseases can be returned to the body via further treatment of the filter element 36.

The auxiliary medicine inlet 24 and the auxiliary medicine outlet 25 are connected through a pipeline, a flow control meter 241 is further arranged on the pipeline, the flow control meter 241 can uniformly mix medicines into the returned abdominal water, the channel is convenient for venous return, meanwhile, in case of emergency, the whole device can be used for hemodialysis of a patient, and the auxiliary medicine inlet can be used for water replenishing operation.

The ascites processing system further comprises a transfer bag 34 and a Murphy's dropper 35 which are sequentially connected with the feedback interface 23, the Murphy's dropper 35 is provided with a medicine adding port, the medicine adding port is connected with the auxiliary medicine outlet 25 through a pipeline, the outlet of the Murphy's dropper 35 is connected with the human body feedback end through a pipeline and a puncture needle, and the Murphy's dropper 35 can further remove bubbles and carry out auxiliary medicine filling.

The waste liquid bottle 4 comprises a first waste liquid bottle 41 and a second waste liquid bottle 42, and the first waste liquid bottle 41 is connected with the liquid outlet of the ultrafiltration pump 33 through a pipeline and used for storing ultrafiltration waste liquid; the filter 36 is connected to a second waste bottle 42 via a waste outlet to receive filtered waste into the second waste bottle 42.

The moving device 5 is a universal wheel with a fixing device, so that the medical staff can move and adjust the moving device conveniently, and accidental sliding in the using process can be avoided.

The supervisory equipment 6 is mainly wearable monitoring piece, but bracelet 61 and the frontal zone formula clinical thermometer 62 of monitoring body temperature including the control rhythm of the heart and blood pressure, bracelet 61 and frontal zone formula clinical thermometer 62 all adopt the product on the market, wear the convenience to patient, can realize real time monitoring.

The bag transferring device further comprises a suspension bracket 7 arranged on the side face, wherein 3 hook bodies are arranged at the top end of the suspension bracket 7, and one of the hook bodies is used for suspending the transferring bag 34.

The control system comprises an interaction module, an ascites treatment monitoring module, a human body monitoring module and an emergency treatment module; the interaction module is in communication connection with the interaction device 1 and is used for displaying state information and receiving instructions;

the ascites processing monitoring module comprises a flow monitoring unit, a pressure monitoring unit and an ascites monitoring unit, wherein the flow monitoring unit is connected with a first flowmeter 311, a second flowmeter 321 and a third flowmeter 331; the pressure monitoring unit is connected with the first pressure gauge 312, the second pressure gauge 322 and the third pressure gauge 332, the ascites monitoring unit is connected with the ascites detection device 355, and the ascites monitoring module is used for monitoring various parameters in the ascites treatment process and triggering the emergency treatment module when the parameters exceed a threshold value;

the human body monitoring module comprises a heart rate monitoring unit and a blood pressure monitoring unit which are in communication connection with the forehead belt type thermometer 62, and a body temperature monitoring unit which is in communication connection with the hand ring 61, and is used for monitoring the state of a human body and triggering the emergency processing module when the state exceeds a threshold value;

The control system adopts a PLC control system in the prior art, and a core controller of the control system adopts a SMART series SR40 model number of Siemens company.

Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims

1. The utility model provides a ascites ultrafiltration concentration therapeutic instrument of synchronous monitoring which characterized in that: comprises an interactive device (1), an interface group (2), an ascites processing system (3), a waste liquid bottle (4), a moving mechanism (5), a monitoring device (6) and a control system;

the interface group (2) comprises a first puncture interface (21) and a feedback interface (23);

the ascites treatment system (3) comprises a drainage pump (31), an ultrafiltration piece (32) and an ultrafiltration pump (33), wherein a liquid inlet of the drainage pump (31) is connected with the first puncture interface (21) through a first pipeline, a liquid outlet of the drainage pump (31) is connected with a liquid inlet of the ultrafiltration piece (32) through a pipeline, and a first flowmeter (311) and a first pressure gauge (312) are further arranged on the pipeline between the drainage pump (31) and the ultrafiltration piece (32); the ultrafiltration piece (32) is connected to an ultrafiltration pump (33) through a pipeline, and a third flow meter (331) and a third pressure meter (332) are arranged on the pipeline between the ultrafiltration piece (32) and the ultrafiltration pump (33); a liquid outlet of the ultrafiltration element (32) is connected to the feedback interface (23) through a pipeline, and a second flowmeter (321), a second pressure gauge (322), an emergency stop valve (323) and a defoaming device (324) are arranged on the pipeline between the ultrafiltration element (32) and the feedback interface (23);

the waste liquid bottle (4) comprises a first waste liquid bottle (41), and the first waste liquid bottle (41) is connected with a liquid outlet of the ultrafiltration pump (33);

the monitoring device (6) comprises a bracelet (61) for monitoring heart rate and blood pressure and a forehead belt thermometer (62) for monitoring body temperature;

the ascites processing system (3) further comprises a filter element (36), the interface group (2) further comprises a second puncture interface (22), and the waste liquid bottle (4) further comprises a second waste liquid bottle (42);

the second puncture interface (22) is connected to the first pipeline through a second pipeline which is arranged independently, the filter element (36) is arranged on the second pipeline, the filter element (36) is also provided with a waste outlet and is connected with a second waste liquid bottle (42) through the waste outlet;

the filter element (36) is a hemodialyzer;

the ascites handling system (3) further comprises a filter element (36), the port set (2) further comprises a second puncture port (22);

the second puncture interface (22) is connected to a liquid inlet of the ultrafiltration element (32) through an independently arranged second pipeline, the filter element (36) is arranged on the second pipeline, the filter element (36) is also provided with a waste outlet and is connected with a first waste liquid bottle (41) through the waste outlet;

the interface group (2) further comprises an auxiliary medicine inlet (24) and an auxiliary medicine outlet (25), the auxiliary medicine inlet (24) is connected with the auxiliary medicine outlet (25) through a pipeline, and a flow control meter (241) is further arranged on the pipeline; the ascites processing system further comprises a transfer bag (34) and a Murphy's dropper (35) which are sequentially connected with the feedback interface (23), the Murphy's dropper (35) is provided with a medicine adding port, the medicine adding port is connected with the auxiliary medicine outlet (25) through a pipeline, and the outlet of the Murphy's dropper (35) is connected with the human feedback end through a pipeline and a puncture needle.

2. The ascites ultrafiltration and concentration therapeutic apparatus with synchronous monitoring of claim 1, wherein: the transfer bag is characterized by further comprising a suspension bracket (7) arranged on the left side face, and at least 1 hook body used for suspending the transfer bag (34) is arranged at the top end of the suspension bracket (7).

3. The ascites ultrafiltration and concentration therapeutic apparatus with synchronous monitoring of claim 1, wherein: the interaction device (1) comprises a display screen (11) and input equipment, wherein the input equipment comprises a keyboard (12) and a mouse (13).

4. The ascites ultrafiltration and concentration therapeutic apparatus with synchronous monitoring of claim 1, wherein: the control system comprises an interaction module, an ascites treatment monitoring module, a human body monitoring module and an emergency treatment module;

the interaction module is in communication connection with the interaction device (1) and is used for displaying state information and receiving instructions;

the ascites processing monitoring module comprises a flow monitoring unit, a pressure monitoring unit and an ascites monitoring unit, wherein the flow monitoring unit is connected with a first flowmeter (311), a second flowmeter (321) and a third flowmeter (331); the pressure monitoring unit is connected with a first pressure gauge (312), a second pressure gauge (322) and a third pressure gauge (332), the ascites monitoring unit is connected with an ascites detection device (325), and the ascites processing monitoring module is used for monitoring various parameters in the ascites processing process and triggering the emergency processing module when the parameters exceed a threshold value;

the human body monitoring module comprises a heart rate monitoring unit and a blood pressure monitoring unit which are in communication connection with the forehead belt type thermometer (62), and a body temperature monitoring unit which is in communication connection with the hand ring (61), and is used for monitoring the state of a human body and triggering the emergency processing module when the state exceeds a threshold value;

the emergency processing module comprises a judging unit, an alarming unit and a stopping unit, wherein the judging unit is used for analyzing the abnormal conditions so as to adopt different processing modes; the stopping unit is in communication connection with the drainage pump, the ultrafiltration pump and the emergency stop valve and is used for stopping part/all of the therapeutic apparatus.