CN202723864U

CN202723864U - A disposable simple detection kit for dynamic detection of bladder compliance

Info

Publication number: CN202723864U
Application number: CN 201120468226
Authority: CN
Inventors: 张金龙; 倪朝民
Original assignee: Individual
Current assignee: Individual
Priority date: 2011-11-22
Filing date: 2011-11-22
Publication date: 2013-02-13
Anticipated expiration: 2021-11-22

Abstract

The utility model provides a disposable simple detection kit for dynamic detection of bladder compliance. The disposable simple detection kit can be used for detecting bladder compliance of bladder dysfunction patients dynamically. The utility model relates to two parts, one part being the detection kit provided with a T-branch tube, a pressure measuring tube, an extension tube, a urethral catheter, a valve clip, a urine collection bag, a syringe needle, a dynamic record card, a tape, disinfectant, and sterile gloves, and the second part being a dynamic bladder compliance detection technology. The technology is characterized in that: through a detection device, dynamic liquid is transfused into the bladder, reactivity pressure values of the bladder are measured and recorded on coordinate axes of the record card, a bladder compliance curve is worked out, and the bladder compliance can be mastered.

Description

Disposable dynamic bladder compliance simple detection bag

One technical field:

The invention that the present invention relates to a kind of dynamic bladder compliance checkout gear and detect bag, its checkout gear capable of dynamic detects vesical dysfunction patient bladder compliance, it detects bag can be convenient to clinical practice, aseptic, noinvasive, be easy to promote, can solve clinical bladder compliance test problems, provide Data support for understanding patient's bladder function and clinical application and rehabilitation.

Two background technologies:

At present, well-known, along with the fast development of society, the high rate of vehicle accident, and various industrial injury cause numerous injuries to personnel, especially spinal cord injury causes patient's vesical dysfunction, and the patient carries the urinal life for a long time, bring huge life stress to the patient, urinary system infection all appears in Preserving time urethral catheterization patient more than 90%, severe one can cause patient's pyelonephritis, can cause renal failure what is more, be one of topmost cause of death of Patients of Spinal.

Patients of Spinal is associated with vesical dysfunction more, is called for short neurogenic bladder, and its bladder compliance function is relatively poor, but clinically, there is no a kind of device and can detect patient's bladder compliance, especially detection of dynamic patient's bladder compliance is understood patient's bladder to the response function of urine.Can't understand the bladder function state, for clinical drug therapy and rehabilitation bring huge difficulty, for the patient brings huge healthy pressure, be a great difficult problem of medical circle.

For above-mentioned consideration, apparatus of the present invention and detection bag can address this problem, and capable of dynamic detects patient's bladder compliance, and clinical manipulation is convenient, practicality, and expense is cheap, for the vesical dysfunction patient brings huge interests.

Three summary of the invention:

The present invention solves its technical barrier and is its detection of dynamic, noinvasive, aseptic and handled easily.Its main contents are as follows:

1. at first be the invention that detects bag, mainly comprise in the detection bag: the devices such as tee T, pressure-measuring pipe, extension tube, catheter, valve clip, urine drainage bag, syringe needle, dynamically recording card, tape, disinfectant solution, sterile gloves.After article are disposable use, production and processing and autoclave sterilization sterilization in this detection bag and the bag, pack into and detect in the bag, this detection bag major function is: with checkout gear unitizing, be convenient to production and transport, and be convenient to clinical disinfection and operation, and convenient and practical.

2. the dynamically invention of bladder compliance detection technique: first: dynamically observe bladder function, tee T one port connecting needle can insert in the catheter, two ports connect pressure-measuring pipe, three ports can connect extension tube, external clinical transfusion device, and valve clip is sandwiched in the urine drainage bag urinary catheter.The aseptic urethral catheterization of going ahead of the rest, external urinary catheter, until the patient urinate drain after, insert syringe needle, open tee T, connect a port and two ports, understanding bladder residual urine pressure, this is " 0 point pressure ".Folder closes valve, and the control normal saline flows to urine drainage bag, opens tee T, connects a port and three ports, to intravesical perfusion 50ml physiological saline solution, then connects a port and two ports, carries out pressure measurement.So analogize, until saline be can't flow into intravesical the time or urine occurs and spill from the catheter edge, the bladder maximum pressure is understood in again pressure measurement, i.e. " press at the bladder end ".Second: sterile device, the sterile working, without wound, clinical use and easy to operate does not cause infection.

Four description of drawings:

The serial number parts or the structure that identify in the accompanying drawing are respectively:

1. a port; 2. two ports; 3. rotary switch; 4. three ports; 5. syringe needle; 6. pressure-measuring pipe; 7. extension tube; 8. transfusion bag; 9. catheter; 10. valve clip; Collecting duct;

Urine drainage bag;

Urethra;

Bladder.

Accompanying drawing one: for the three-way pipe structure schematic diagram, by rotary switch, can connect arbitrarily two ports in the tee T.

Accompanying drawing two: be schematic diagram after tee T, syringe needle, pressure-measuring pipe and extension tube are installed.

Accompanying drawing three: be whole pressure measurement process schematic diagram.

Five specific embodiment:

1. select to need detect the patient of bladder compliance, inform the necessity of its detection, after obtaining patient or family members and agreeing, the patient gets dorsal position, pulls on screen, carries out testing;

2. installation detecting device: hand-washing of medical staffs, wear mask and medicated cap, open and detect bag, wear sterile gloves, the large syringe syringe needle is loaded onto tee T one port (for preventing from stabbing the testing staff, syringe needle does not emit and need take off during device), extension tube is loaded on three ports, pressure-measuring pipe does not need first to install, again row installation when needing pressure measurement.

3. aseptic urethral catheterization: with aseptic urethral catheterization technology (catheter inserts in the urethra, needs the strict implement aseptic technique).If the patient is retention catheterization at this moment, then need not to carry out this step, jumped directly to for the 4th step.

4. pressure measurement: 1. open valve clip on the Collecting duct, patient's intravesical urine is flow to urine drainage bag, emptying rear folder closes valve clip.

2. open sterilized cotton ball in the pressure measurement bag, with latex catheter sterilization three times.

3. close the tee T rotary switch, the insertion syringe needle is installed in two ports with pressure-measuring pipe, opens rotary switch, connects a port and two ports, and the bladder first pressing is " pressure at zero point " after the emptying urine of mensuration bladder, is recorded in to detect on the interior registration card graph paper of bag.

4. transfusion device is connected on the extension tube, external 500ml normal saline transfusion bag is carved with scale on the transfusion bag.This moment, swivel tee pipe rotary switch was connected a port and three ports, with maximal rate to the intravesical 50ml that infuses.Then stopping infusion is connected a port and two ports, continues pressure measurement, with result queue on the registration card coordinate axes.

5. repeated for the 4th step, continue to intravesical infusion 50ml liquid, step so far, intravesical is infusion 100ml liquid altogether, continues pressure measurement, with result queue on the registration card coordinate axes.

6. continue to repeat above-mentioned the 4th step, continue infusion 50ml, pressure measurement behind later every infusion 50ml normal saline, is carried out pressure measurement, with result queue on the registration card coordinate axes.

7. until transfusion device shows when liquid can't infusion enters bladder or patient when urine occurring and spilling from the catheter edge, the prompting intravesical pressure equates with fluid pressure in the transfusion device, this moment infusion intravesical amount of liquid, be this patient's maximum bladder capacity, there are two kinds of approach can detect intravesical maximum pressure this moment, and " press at the bladder end ", one: with detecting disposable tape in the bag, measure the interior liquid plane of transfusion device to the height of patient's anterior superior iliac spine, the numerical value of measurement is the bladder end and presses.Its two: continue the swivel tee pipe, connect a port with two ports carry out pressure measurement, exceed the pressure-measuring pipe maximum scale but intravesical pressure might occur, cause urine in pressure-measuring pipe, to overflow or spray, cause bladder end pressure mensuration inaccurate.

8. maximum is infused to patient's intravesical amount of liquid and can not surpasses 1000ml, flow in the kidney in order to avoid cause that liquid is counter, causes pyelonephritis.Because of every patient's bladder compliance difference, maximum amount of infusion is indefinite, need the tester specifically to grasp, non-medical practitioner must not operate, and the patient is when leakage of urine and liquid occurring and can't input bladder, stop infusion, avoid causing stretch reflex because of excessively transfusion, cause patient's blood pressure drops, severe one can cause shock, need avoid.

9. this device and detect that article need in strict accordance with sterile working's standard operation during operation all through after disinfection with high pressure steam and the sterilization in the bag, article in the bag are disposable, can not use by secondary, and after the use, product is processed or recovery as medical waste.

10. the careful usefulness of anemia of pregnant woman in the time of must using, should be noted and avoids hypertonia, causes the fetus compressing.The ultrasound diagnosis of can going ahead of the rest, understand anemia of pregnant woman's residual urine volume and maximum bladder capacity after, determine again the infusion fluid amount.When the child uses, should be noted equally maximum input quantity.

Claims

1. disposable dynamic bladder compliance simple detection bag, it comprises dynamic bladder compliance determination techniques and disposable detection bag; It is characterized in that: described determination techniques is connected tee T by syringe needle (5) with urinary catheter (9); Described transfusion bag (8) will be dynamically to the interior perfusion fluid of bladder (14); By regulating tee T, described pressure-measuring pipe (6) is understood bladder compliance with dynamic measurement bladder (14) internal pressure; All article are disposable use all through high-temperature sterilization in the described detection bag, and are interior with the dynamically recording card, can describe the bladder compliance curve, and write according to this clinical report.