TWI527571B - A operation method of catheterization apparatus - Google Patents
A operation method of catheterization apparatus Download PDFInfo
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- TWI527571B TWI527571B TW103117020A TW103117020A TWI527571B TW I527571 B TWI527571 B TW I527571B TW 103117020 A TW103117020 A TW 103117020A TW 103117020 A TW103117020 A TW 103117020A TW I527571 B TWI527571 B TW I527571B
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本發明係關於一種導尿裝置之作業方法，尤其是一種自動進行尿液排空、液量監測及管路消毒作業之導尿裝置。 The invention relates to a method for operating a catheter guiding device, in particular to a catheter guiding device for automatically performing urine emptying, liquid volume monitoring and pipeline disinfection operation.
在醫院、長期照護中心、護理之家或一般家庭中，病患因重症、開刀、膀胱老化或攝護腺肥大等因素，常造成無法排尿或排尿不順等排尿障礙現象，為了讓病患膀胱中的尿液能順利排出，需由護理人員為病患進行導尿處理，在病患之膀胱中留置導尿管，將病患之尿液排至集尿袋內。 In hospitals, long-term care centers, nursing homes or general households, patients often suffer from urinary dysfunction such as urinary dysfunction or urinary dysfunction due to severe illness, surgery, bladder aging, or prostate hypertrophy. The urine can be discharged smoothly, and the patient is required to perform catheterization treatment for the patient. The catheter is placed in the bladder of the patient, and the patient's urine is discharged into the urine collection bag.
關於上述的習知導尿方法，係以人力進行導尿作業，對於長期留置導尿管的病患而言，為了避免引起細菌感染，通常採取投藥方式或鼓勵病患多攝取水分以增加排尿量。然而，由於專業的護理人力不足，使病患的尿液長時間留置於集尿袋中，造成集尿袋容易孳生細菌，進而使病患引發菌尿症；或者，因為排尿管路消毒不完全，而導致排尿管路的衛生狀況不佳，而容易引起細菌感染。因此，採用習知導尿方法，不僅病患所接受之導尿照護品質不佳，同時，使護理人力不足的問題更雪上加霜。 Regarding the above-mentioned conventional catheterization method, the catheterization operation is performed by human beings. For patients with long-term indwelling catheters, in order to avoid causing bacterial infection, it is usually adopted to encourage the patient to take more water to increase the urine output. . However, due to the lack of professional nursing manpower, the patient's urine is left in the urine collection bag for a long time, which causes the urine collection bag to easily cause bacteria, which causes the patient to cause bacteriuria; or, because the urination pipeline is not completely disinfected. The sanitary condition of the urination line is poor, and it is easy to cause bacterial infection. Therefore, using the conventional catheterization method, not only the quality of the catheterization care received by the patient is poor, but also the problem of insufficient nursing manpower is even worse.
此外，對於接受子宮頸癌、腎結石或攝護腺切除手術之病患而言，在進行手術後，需由開刀房或加護病房之護理人員進行尿液觀察(例如：尿液量)等工作，供醫師進行臨床診斷之參考。惟，由於專業的護理人力不足，因此，護理人員僅能在有限時間內，以目測方式讀取尿袋之刻 度，難免會造成人工作業疏失，例如：紀錄錯誤等，使醫師未能及時掌握病患導尿狀況，進而造成醫療糾紛。 In addition, for patients undergoing cervical cancer, kidney stones, or prostatectomy, after surgery, urine observation (eg, urine volume) is required by the care room of the opener or intensive care unit. For the reference of the physician for clinical diagnosis. However, due to the lack of professional nursing manpower, the nursing staff can only read the urine bag visually within a limited time. Degrees will inevitably lead to the loss of manual work, such as: record errors, etc., so that the doctor can not grasp the patient's catheterization status in time, and thus cause medical disputes.
基於上述原因，有必要提供一種導尿裝置，藉由定時、定量及自動化方式進行尿液排空、管路消毒及液量監測作業，以提升病患之導尿照護品質、降低照護人力之工作負荷及降低病患引發細菌感染之機率。 For the above reasons, it is necessary to provide a catheterization device for urine evacuation, pipeline disinfection and fluid volume monitoring by means of timing, quantification and automation to improve the quality of the patient's catheterization and reduce the care of the manpower. Load and reduce the chance of bacterial infection in patients.
本發明之目的係提供一種導尿裝置之作業方法，以自動化進行尿液排空作業，而提升病患之導尿照護品質者。 SUMMARY OF THE INVENTION The object of the present invention is to provide a method of operating a catheter guiding device for automatically performing urine evacuation operations and improving the quality of catheterization care for patients.
本發明之再一目的係提供一種導尿裝置之作業方法，以自動化進行管路消毒作業，而降低病患引發細菌感染之機率者。 Still another object of the present invention is to provide a method of operating a catheter guiding device that automates the operation of a pipeline to reduce the risk of bacterial infection in a patient.
為達到前述發明目的，本發明所運用之技術手段包含有：一種導尿裝置，係包含：一導尿模組，係由一導尿管連通一集尿袋，該集尿袋設有一第一感測單元；一輸液模組，係由一第一控制閥連通該導尿模組之集尿袋，一連通管連通該第一控制閥、一動力單元及一第二控制閥，該第二控制閥連通一儲液槽；一量測模組，係連通該輸液模組之動力單元；及一控制單元，係電性連接該導尿模組之第一感測單元、該輸液模組之第一控制閥、該動力單元、該第二控制閥及該量測模組。 In order to achieve the foregoing object, the technical means for the present invention comprises: a catheter guiding device comprising: a catheter guiding module, wherein a urine collecting tube is connected to a urine collecting bag, and the urine collecting bag is provided with a first a sensing unit; an infusion module is connected to the urine collection bag of the catheter module by a first control valve, and a communication tube connects the first control valve, a power unit and a second control valve, the second The control valve is connected to a liquid storage tank; a measuring module is connected to the power unit of the infusion module; and a control unit is electrically connected to the first sensing unit of the catheter module, and the infusion module a first control valve, the power unit, the second control valve, and the measuring module.
藉由上述導尿裝置，本發明導尿裝置之作業方法，係包含：一排尿步驟，該排尿步驟進行前，由一導尿裝置將一尿液累加值設為零，並使一計時器開始計時，該排尿步驟係由該導尿裝置依據一液量判斷標準，而進行一排尿作業，其中，該排尿作業完成後，再進行一強制排尿作業；一強制排尿步驟，該強制排尿步驟係由該導尿裝置依據一時間判斷標準，而進行該強制排尿作業或重新進行該排尿步驟，其中，該強制排尿作業完成後，再進行一管路消毒作業；及一消毒步驟，該消毒步驟係由該導尿裝置進行該管路消毒作業，由該導尿裝置抽取一消毒液，對該導尿裝置 之一液體輸送管路進行消毒，直到該液體輸送管路內已填充消毒液，待到達一消毒時間，再將消毒液由該導尿裝置排出，該消毒作業完成後，並使該計時器重新計時，再重新進行該排尿步驟。 The method for operating a catheter according to the present invention comprises: a urinary step, wherein a urine accumulating value is set to zero and a timer is started before the urination step is performed. Timing, the urination step is performed by the urinary device according to a liquid volume judgment standard, wherein after the urinary operation is completed, a forced urination operation is performed; a forced urination step, the forced urination step is performed The catheter guiding device performs the forced urination operation or restarts the urination step according to a time judgment criterion, wherein after the forced urination operation is completed, a pipeline disinfection operation is performed; and a disinfection step is performed by the disinfection step The catheter guiding device performs the pipeline disinfection operation, and the disinfecting liquid is extracted from the catheter guiding device, and the catheter guiding device is One of the liquid delivery lines is sterilized until the liquid delivery line has been filled with the disinfectant, and a disinfection time is reached, and then the disinfectant is discharged from the urinary device. After the disinfection operation is completed, the timer is restarted. Timing, and then repeat the urination step.
其中該排尿步驟係由該導尿裝置判斷該導尿裝置之一集尿袋之尿液量是否已達到一容量門檻值，若判斷為是，則符合該液量判斷標準，該導尿裝置感測該集尿袋之尿液量並計算該尿液累加值，再將尿液由該導尿裝置洩除，若判斷為否，則不符合該液量判斷標準，該導尿裝置持續觀察該集尿袋之尿液量是否已達到該容量門檻值。 Wherein the urinating step is determined by the urinary device whether the urine volume of the urine collecting bag of one of the urinary devices has reached a threshold value, and if it is judged to be YES, the liquid volume determining standard is met, and the urinary device feels Measure the urine volume of the urine bag and calculate the accumulated value of the urine, and then vent the urine from the catheter. If the judgment is no, the liquid volume determination criterion is not met, and the catheter device continuously observes the urine volume. Whether the urine volume of the urine collection bag has reached the threshold value of the capacity.
其中該強制排尿步驟係由該導尿裝置判斷該計時器之時間值是否已達到一時間門檻值，若判斷為是，則符合該時間判斷標準，該導尿裝置感測該導尿袋之尿液量並計算該尿液累加值，再強制將尿液由該導尿裝置洩除，若判斷為否，則不符合該時間判斷標準，重新進行該排尿步驟。 Wherein the forced urination step is determined by the urinary device whether the time value of the timer has reached a time threshold, and if the determination is yes, the time lapse criterion is met, and the urinary device senses the urine of the catheter bag The amount of liquid is calculated and the accumulated value of the urine is calculated, and then the urine is forcibly discharged from the catheter. If the determination is negative, the time is not met, and the urination step is performed again.
〔本發明〕 〔this invention〕
1‧‧‧導尿模組 1‧‧‧ catheterization module
11‧‧‧導尿管 11‧‧‧ catheter
12‧‧‧集尿袋 12‧‧‧ urine bag
121‧‧‧第一開口 121‧‧‧first opening
122‧‧‧容室 122‧‧ ‧ room
123‧‧‧第二開口 123‧‧‧second opening
13‧‧‧第一感測單元 13‧‧‧First sensing unit
2‧‧‧輸液模組 2‧‧‧Infusion module
21‧‧‧第一控制閥 21‧‧‧First control valve
22‧‧‧連通管 22‧‧‧Connected pipe
221a‧‧‧通道口 221a‧‧‧ passage
221b‧‧‧通道口 221b‧‧‧ passage
221c‧‧‧通道口 221c‧‧‧ passage
23‧‧‧動力單元 23‧‧‧Power unit
24‧‧‧第二控制閥 24‧‧‧Second control valve
25‧‧‧儲液槽 25‧‧‧ liquid storage tank
251‧‧‧出液口 251‧‧‧ liquid outlet
3‧‧‧量測模組 3‧‧‧Measurement module
31‧‧‧容器 31‧‧‧ Container
311‧‧‧導液口 311‧‧‧ liquid inlet
312‧‧‧洩液口 312‧‧‧Discharge port
32‧‧‧第三控制閥 32‧‧‧third control valve
33‧‧‧第二感測單元 33‧‧‧Second sensing unit
4‧‧‧控制單元 4‧‧‧Control unit
5‧‧‧電源單元 5‧‧‧Power unit
S1‧‧‧準備步驟 S1‧‧‧Preparation steps
S2‧‧‧排尿步驟 S2‧‧‧ urinary steps
S3‧‧‧強制排尿步驟 S3‧‧‧forced urination steps
S4‧‧‧消毒步驟 S4‧‧‧ disinfection step
第1圖：本發明導尿裝置之較佳實施例之系統架構示意圖。 Figure 1 is a schematic view showing the system architecture of a preferred embodiment of the catheterization device of the present invention.
第2圖：本發明導尿裝置之較佳實施例之作業方法流程圖。 Figure 2 is a flow chart showing the method of operation of the preferred embodiment of the catheterization device of the present invention.
為讓本發明之上述及其他目的、特徵及優點能更明顯易懂，下文特舉本發明之較佳實施例，並配合所附圖式，作詳細說明如下：請參照第1圖所示，其係本發明導尿裝置之作業方法所使用的導尿裝置之較佳實施例，主要包含一導尿模組1、一輸液模組2、一量測模組3及一控制單元4，該導尿模組1係將病患之尿液導出並集中，該輸液模組2連通該導尿模組1及該量測模組3，該控制單元4電性連接該導尿模組1、該輸液模組2及該量測模組3。因此，病患可藉由該導尿模組1 進行導尿，該導尿模組1所收集之尿液係由該輸液模組2輸送至該量測模組3，該量測模組3量測尿液量後，由該控制單元4將尿液量加以儲存，供相關人員參考。 The above and other objects, features, and advantages of the present invention will become more apparent from the aspects of the appended claims. The preferred embodiment of the catheterization device used in the method of operating the catheter device of the present invention comprises a catheter module 1, an infusion module 2, a measurement module 3 and a control unit 4. The urinary catheter module 1 is configured to connect and concentrate the patient's urine. The infusion module 2 is connected to the urinary catheter module 1 and the measurement module 3, and the control unit 4 is electrically connected to the urinary catheter module 1. The infusion module 2 and the measurement module 3. Therefore, the patient can use the catheter module 1 The urine collected by the catheter module 1 is sent to the measurement module 3 by the infusion module 2, and the measurement module 3 measures the amount of urine, and the control unit 4 The amount of urine is stored for reference by the relevant personnel.
該導尿模組1係包含一導尿管11、一集尿袋12及一第一感測單元13，該導尿管11係由習知導尿管構成，該導尿管11之一端連通該集尿袋12，另一端放置於一病患之膀胱中(圖未繪示)，用以導出該病患之尿液。該集尿袋12具有一第一開口121、一容室122及一第二開口123，該第一開口121連通該容室122並連接該導尿管11之一端，供該病患之尿液收集於該容室122，該第二開口123連通該容室122並連接該輸液模組2，用以排出該容室122之尿液。該第一感測單元13係設於該集尿袋12，用以感測該集尿袋12內之尿液量，例如：感測該集尿袋12之膨脹量、重量或該集尿袋12內之尿液壓力或深度等。在本實施例中，該第一感測單元13係由具有偵測物體形變量功能之元件或裝置構成，例如：應變規(Strain Gauge)、薄膜式應變感知器或包含可變電阻之裝置等；該第一感測單元13係設於該集尿袋12之表面，用以偵測該集尿袋12的膨脹量，該第一感測單元13較佳以粘合或夾合方式設於該集尿袋12之外表面，除了使該第一感測單元13可重複使用之外，並可降低該集尿袋12之結構複雜度；此外，該第一感測單元13設有導線輸出對應之電性變化值(例如：電阻值、電壓值或電流值)，並電性連接該控制單元4，當該集尿袋12之尿液量越多時，該集尿袋12之膨脹量越大，該第一感測單元13的電性變化值亦隨膨脹量而改變，因此，可得知尿液量與該電性變化值之關係。 The catheter module 1 includes a catheter tube 11, a urine collection bag 12, and a first sensing unit 13. The catheter tube 11 is composed of a conventional catheter, and one end of the catheter tube 11 is connected. The urine bag 12 is placed at the other end in a bladder of a patient (not shown) for deriving the urine of the patient. The urine bag 12 has a first opening 121, a chamber 122 and a second opening 123. The first opening 121 communicates with the chamber 122 and connects one end of the catheter 11 for the patient's urine. Collected in the chamber 122, the second opening 123 communicates with the chamber 122 and is connected to the infusion module 2 for discharging urine of the chamber 122. The first sensing unit 13 is disposed in the urine collection bag 12 for sensing the amount of urine in the urine collection bag 12, for example, sensing the expansion amount, weight or the urine collection bag of the urine collection bag 12. Urine pressure or depth within 12 etc. In this embodiment, the first sensing unit 13 is composed of an element or device having a function of detecting an object shape variable, such as a strain gauge, a thin film strain sensor, or a device including a variable resistor. The first sensing unit 13 is disposed on the surface of the urine collecting bag 12 for detecting the amount of expansion of the urine collecting bag 12. The first sensing unit 13 is preferably disposed on the bonding or clamping manner. The outer surface of the urine collecting bag 12 can reduce the structural complexity of the urine collecting bag 12 in addition to making the first sensing unit 13 reusable; in addition, the first sensing unit 13 is provided with a wire output. Corresponding electrical change value (for example, resistance value, voltage value or current value), and electrically connected to the control unit 4, when the urine volume of the urine collection bag 12 is more, the expansion amount of the urine collection bag 12 As a result, the electrical change value of the first sensing unit 13 also changes with the amount of expansion, and therefore, the relationship between the amount of urine and the value of the electrical change can be known.
該輸液模組2係由一第一控制閥21連通該導尿模組1之集尿袋12及一連通管22，且該第一控制閥21電性連接該控制單元4，形成該連通管22及該集尿袋12之間的流體控制開關；該連通管22分別連通該第一控制閥21、一動力單元23及一第二控制閥24，而使該第一控制閥21、 該連通管22、該動力單元23及該第二控制閥24共同形成一液體輸送管路；該動力單元23連通該連通管22及該量測模組3，且該動力單元23電性連接該控制單元4，用以提供該液體輸送管路之輸送動力；該第二控制閥24連通該連通管22及一儲液槽25，且該第二控制閥24電性連接該控制單元4，形成該連通管22及該儲液槽25之間的流體控制開關；該儲液槽25可儲放消毒液體，用以對該液體輸送管路進行消毒。在此實施例中，該第一控制閥21及該第二控制閥24皆以一電磁閥(solenoid valve)作為實施態樣說明，惟不以此為限；該第一控制閥21分別由一軟管連通該連通管22之通道口221a及該集尿袋12之第二開口123，以提高該第一控制閥21與其他元件之間的活動裕度；該動力單元23係由具有流體驅動功能之裝置構成，例如：抽水泵浦(Pump)等，且該動力單元23分別由一軟管連通該連通管22之通道口221b及該量測模組3；該第二控制閥24分別由一軟管連通該連通管22之通道口221c及該儲液槽25之一出液口251。 The infusion module 2 is connected to the urine collection bag 12 and the communication tube 22 of the catheter module 1 by a first control valve 21, and the first control valve 21 is electrically connected to the control unit 4 to form the communication tube. And a fluid control switch between the urine bag 12; the communication pipe 22 communicates with the first control valve 21, a power unit 23 and a second control valve 24, respectively, to make the first control valve 21, The communication unit 22, the power unit 23 and the second control valve 24 together form a liquid delivery line; the power unit 23 communicates with the communication tube 22 and the measurement module 3, and the power unit 23 is electrically connected to the The control unit 4 is configured to provide the power of the liquid delivery line; the second control valve 24 is connected to the communication tube 22 and a liquid storage tank 25, and the second control valve 24 is electrically connected to the control unit 4 to form The fluid control switch between the communication tube 22 and the liquid storage tank 25; the liquid storage tank 25 can store a disinfecting liquid for disinfecting the liquid delivery pipeline. In this embodiment, the first control valve 21 and the second control valve 24 are all illustrated by a solenoid valve as an implementation aspect, but not limited thereto; the first control valve 21 is respectively composed of one The hose communicates with the passage opening 221a of the communication tube 22 and the second opening 123 of the urine collection bag 12 to improve the movement margin between the first control valve 21 and other components; the power unit 23 is driven by a fluid The function device is configured, for example, a pump, etc., and the power unit 23 is respectively connected to the passage port 221b of the communication pipe 22 and the measuring module 3 by a hose; the second control valve 24 is respectively A hose communicates with the passage opening 221c of the communication pipe 22 and one of the liquid outlets 251 of the liquid storage tank 25.
該量測模組3係由具有液量感測之裝置構成，例如：液量計或其他可量測液體量之裝置等，該量測模組3係連通該輸液模組2之動力單元23，並電性連接該控制單元4，用以量測該動力單元23送出之液體量及將該液體洩除，例如：量測尿液量及洩除尿液或消毒液體。在本實施例中，該量測模組3包含一容器31、一第三控制閥32及一第二感測單元33作為實施態樣說明，該容器31設有一導液口311及一洩液口312，該導液口311連通該輸液模組2之動力單元23，用以將該動力單元23送出之液體導入該容器31內，該洩液口312連通該第三控制閥32(例如：電磁閥)；該第三控制閥32電性連接該控制單元4，作為控制該容器31內之液體是否洩除的開關；該第二感測單元33係由具有液體容量感測功能之電子元件構成，例如：電錶或液位感知器等。該第二感測單元33係設於該容器31內，用以量測該容器31內之液體容量，該第二感測單元33設有導線輸出 對應之電性變化值(例如：電阻值、電壓值或電流值)並電性連接該控制單元4。舉例而言，若該第二感測單元使用液位感知器(eTape liquid level sensor)來量測液位高度，則該第二感測單元利用水壓來改變電阻，並以電阻值的變化來呈現液面的變化，每單位的電阻值變化相對於0.79mm的液位高度變化，液體表面高度越高，相對應電阻值越低，反之，液體表面高度越低，相對應電阻值越高。 The measuring module 3 is composed of a device having a liquid amount sensing device, for example, a liquid meter or other device capable of measuring the amount of liquid, and the measuring module 3 is connected to the power unit 23 of the infusion module 2, The control unit 4 is electrically connected to measure the amount of liquid sent by the power unit 23 and to vent the liquid, for example, measuring the amount of urine and discharging urine or disinfecting liquid. In the embodiment, the measuring module 3 includes a container 31, a third control valve 32 and a second sensing unit 33. The container 31 is provided with a liquid guiding port 311 and a liquid discharge. The port 312, the liquid guiding port 311 is connected to the power unit 23 of the infusion module 2, and the liquid sent from the power unit 23 is introduced into the container 31. The liquid discharging port 312 communicates with the third control valve 32 (for example: The third control valve 32 is electrically connected to the control unit 4 as a switch for controlling whether the liquid in the container 31 is leaked; the second sensing unit 33 is an electronic component having a liquid capacity sensing function. The composition is, for example, an electric meter or a liquid level sensor. The second sensing unit 33 is disposed in the container 31 for measuring the liquid capacity in the container 31, and the second sensing unit 33 is provided with a wire output. Corresponding electrical change values (for example, resistance value, voltage value or current value) are electrically connected to the control unit 4. For example, if the second sensing unit uses an eTape liquid level sensor to measure the liquid level height, the second sensing unit uses the water pressure to change the resistance and changes the resistance value. The change of the liquid level is presented, and the change of the resistance value per unit is changed with respect to the liquid level height of 0.79 mm. The higher the liquid surface height, the lower the corresponding resistance value. Conversely, the lower the liquid surface height, the higher the corresponding resistance value.
該控制單元4係具有邏輯運算、資料儲存及計數/時功能之裝置，例如：單晶片(Single-Chip)、可程式邏輯控制器(Programmable Logic Controller，PLC)或工業型電腦(Industrial Personal Computer，IPC)等，該控制單元4電性連接該導尿模組1之第一感測單元13、該輸液模組2之第一控制閥21、該動力單元23及該第二控制閥24及該量測模組3，在此實施例中，該控制單元4係電性連接該量測模組3之第三控制閥32及該第二感測單元33。另，該控制單元4儲存一控制程式，用以監測該第一感測單元13之電性變化值；控制該第一控制閥21、該第二控制閥24、該第三控制閥32及該動力單元23，而以自動化方式進行尿液排空或管路消毒之作業；且該控制單元4藉由讀取該第二感測單元33之電性變化值，而將尿液量加以儲存。 The control unit 4 is a device having logic operation, data storage and counting/time function, such as single-chip, programmable logic controller (PLC) or industrial personal computer (Industrial Personal Computer, IPC), etc., the control unit 4 is electrically connected to the first sensing unit 13 of the catheter module 1, the first control valve 21 of the infusion module 2, the power unit 23 and the second control valve 24, and the like The measuring module 3 is electrically connected to the third control valve 32 and the second sensing unit 33 of the measuring module 3 in this embodiment. In addition, the control unit 4 stores a control program for monitoring the electrical change value of the first sensing unit 13; controlling the first control valve 21, the second control valve 24, the third control valve 32, and the The power unit 23 performs an operation of urinating or sterilizing the urine in an automated manner; and the control unit 4 stores the amount of urine by reading the electrical change value of the second sensing unit 33.
此外，本發明導尿裝置還可以設一電源單元5，該電源單元5電性連接該控制單元4，用以提供該控制單元4所需之電源。在此實施例中，該電源單元5具一電源管理電路，可藉由外部變壓器、一般市售電池或蓄電池等方式供電至該控制單元4。 In addition, the urinary device of the present invention can also be provided with a power supply unit 5 electrically connected to the control unit 4 for providing the power required by the control unit 4. In this embodiment, the power supply unit 5 has a power management circuit that can be powered to the control unit 4 by means of an external transformer, a commercially available battery or a battery.
請參照第2圖所示，其係本發明藉由上述導尿裝置所進行的導尿裝置之作業方法流程圖，包含：一準備步驟S1、一排尿步驟S2、一強制排尿步驟S3及一消毒步驟S4。該準備步驟S1係將該導尿裝置之導尿管11放置於一病患之膀胱中，之後，再進行該排尿步驟S2。詳言之，本發明 導尿裝置於使用時，係先由護理人員將該導尿模組1之導尿管11放置於一病患之膀胱中，待該導尿管11放置完成並接上電源後，由該控制單元4將一尿液累加值設為零，並使一計時器開始計時，之後，再進行該排尿步驟S2。 Referring to FIG. 2, a flow chart of a method for operating a catheter guiding device according to the present invention includes: a preparation step S1, a urination step S2, a forced urination step S3, and a sterilization step. Step S4. In the preparation step S1, the catheter of the catheter is placed in the bladder of a patient, and then the urination step S2 is performed. In detail, the present invention When the catheter is in use, the catheter of the catheter module 1 is placed in the bladder of a patient by the nursing staff. After the catheter 11 is placed and connected to the power source, the control is performed. Unit 4 sets a urine accumulated value to zero and causes a timer to start counting, after which the urination step S2 is performed.
該排尿步驟S2係由該導尿裝置之控制單元4依據一液量判斷標準，而進行一排尿作業，之後，再進行一強制排尿作業。詳言之，由該控制單元4送出訊號，使該第一控制閥21、該第二控制閥24及該第三控制閥32關閉，該控制單元4之計時器持續計時。接著，該控制單元4持續監控該第一感測單元13之電性變化值，並以該集尿袋12之膨脹量估測該集尿袋12之尿液量，同時，該控制程式判斷該集尿袋12之尿液量是否已達到一容量門檻值，若判斷為「是」，則符合該液量判斷標準，進行該排尿作業；若判斷為「否」，則不符合該液量判斷標準，持續監控該第一感測單元13之電性變化值，用以觀察該集尿袋12之尿液量是否已達到該容量門檻值。在此實施例中，該容量門檻值為該集尿袋12之容量的一半。 The urination step S2 is performed by the control unit 4 of the urinary device according to a liquid amount determination standard, and a urinary operation is performed, and then a forced urination operation is performed. In detail, the control unit 4 sends a signal to turn off the first control valve 21, the second control valve 24 and the third control valve 32, and the timer of the control unit 4 continues to count. Then, the control unit 4 continuously monitors the electrical change value of the first sensing unit 13, and estimates the amount of urine of the urine collection bag 12 by the expansion amount of the urine collection bag 12, and the control program determines the Whether the urine volume of the urine collection bag 12 has reached the threshold value of one capacity, and if it is judged as "Yes", the liquid discharge determination standard is met, and the urine discharge operation is performed; if the determination is "No", the liquid amount is not satisfied. Standardly, the electrical change value of the first sensing unit 13 is continuously monitored to observe whether the urine volume of the urine collection bag 12 has reached the capacity threshold. In this embodiment, the capacity threshold is half the capacity of the urine collection bag 12.
該控制單元4進行該排尿作業時，係先紀錄該集尿袋12之尿液量後，再將尿液由該導尿裝置洩除，詳言之，該控制單元4先送出訊號，使該第一控制閥21開啟，並使該第二控制閥24及該第三控制閥32關閉，再啟動該動力單元23，將該集尿袋12內之尿液抽至該量測模組3之容器31內，直到該集尿袋12內之尿液完全排空，再由該控制單元4讀取該第二感測單元33所感測之電性變化值，以儲存此次排尿作業之尿液量，用以計算並儲存該尿液累加值，接著，該控制單元4送出訊號，使該第一控制閥21及該第二控制閥24關閉，並使該第三控制閥32開啟，將該容器31內的尿液由該第三控制閥32洩除。該控制單元4進行該排尿作業後，再進行該強制排尿步驟S3。 When the control unit 4 performs the urination operation, the urine volume of the urine collection bag 12 is recorded first, and then the urine is vented by the urinary catheter. In detail, the control unit 4 first sends a signal to make the signal The first control valve 21 is opened, and the second control valve 24 and the third control valve 32 are closed, and the power unit 23 is activated to pump the urine in the urine collection bag 12 to the measuring module 3 In the container 31, until the urine in the urine collection bag 12 is completely emptied, the control unit 4 reads the electrical change value sensed by the second sensing unit 33 to store the urine of the urination operation. The amount is used to calculate and store the accumulated value of the urine. Then, the control unit 4 sends a signal to close the first control valve 21 and the second control valve 24, and opens the third control valve 32. The urine in the container 31 is vented by the third control valve 32. After the control unit 4 performs the urination operation, the forced urination step S3 is performed.
藉由將尿液定量排空的方式，對於長時間留置導尿管的病患 而言，不僅能盡量延後發生菌尿症避免由菌尿症導致細菌感染，更不用頻繁更換該導尿管及該集尿袋，除了可以保障病患的隱私及尊嚴，亦可降低護理人員的工作負擔。此外，藉由該控制單元4儲存該尿液累加值，可避免人工作業疏失，使醫師能及時掌握病患導尿狀況，避免由導尿處理而肇生醫療糾紛。 A patient who indwells a catheter for a long period of time by quantitatively emptying the urine In addition, it can not only delay the occurrence of bacteriuria to avoid bacterial infection caused by bacteriuria, but also eliminate the frequent replacement of the catheter and the urine collection bag, in addition to protecting the privacy and dignity of the patient, and reducing the nursing staff. The burden of work. In addition, by storing the accumulated value of the urine by the control unit 4, manual work loss can be avoided, so that the doctor can timely grasp the patient's catheterization condition and avoid medical disputes caused by catheterization treatment.
該強制排尿步驟S3係由該導尿裝置之控制單元4依據一時間判斷標準，而進行該強制排尿作業或重新進行該排尿步驟S2，其中，該強制排尿作業完成後，再進行一管路消毒作業。詳言之，該控制單元4之計時器持續計時，該控制程式監控該計時器之時間值，同時，該控制程式判斷該計時器之時間值是否已達到一時間門檻值，若判斷為「是」，則符合該時間判斷標準，進行該強制排尿作業，於感測該集尿袋12之尿液量並計算該尿液累加值後，強制將尿液洩除，在此步驟中，進行該強制排尿作業與該排尿步驟S2之排尿作業之動作大致相同，在此容不贅述，該控制單元4進行該強制排尿作業後，再進行該消毒步驟S4；若判斷為「否」，則不符合該時間判斷標準，重新進行該排尿步驟S2。在此實施例中，該時間門檻值為一小時(60分鐘)。藉由將尿液強制排空的方式，可避免該導尿管11留置時間過長或該集尿袋12排空不完全，而導致的尿液逆流或細菌孳生等問題。 The forced urination step S3 is performed by the control unit 4 of the urinary device according to a time determination criterion, and the forced urination operation or the urination step S2 is performed again, wherein after the forced urination operation is completed, a pipeline disinfection is performed. operation. In detail, the timer of the control unit 4 continues to count, and the control program monitors the time value of the timer. At the same time, the control program determines whether the time value of the timer has reached a threshold value. Then, in accordance with the time judgment criterion, the forced urination operation is performed, and after the urine volume of the urine collection bag 12 is sensed and the urine accumulated value is calculated, the urine is forcibly discharged. In this step, the operation is performed. The forced urination operation is substantially the same as the urination operation of the urination step S2. It is not described here that the control unit 4 performs the sterilization step S4 after performing the forced urination operation; if the determination is "No", the urination operation does not match. This time is judged as a criterion, and the urination step S2 is repeated. In this embodiment, the time threshold is one hour (60 minutes). By forcibly emptying the urine, it is possible to avoid problems such as excessive retention of the catheter 11 or incomplete emptying of the urine collection bag 12, resulting in backflow of urine or bacterial growth.
該消毒步驟S4係由該導尿裝置之控制單元4進行該管路消毒作業，該消毒作業完成後，再重新進行該排尿步驟S2。其中，該消毒作業係由該導尿裝置抽取消毒液，對液體輸送管路進行消毒。詳言之，該導尿裝置進行該消毒作業前，該控制單元4先送出訊號，使該第一控制閥21及該第三控制閥32關閉，並使該第二控制閥24開啟，再啟動該動力單元23，抽取該儲液槽25內之消毒液，直到該輸液模組2之液體輸送管路內已填充消毒液，較佳使該液體輸送管路及該量測模組3之容器31內均填充消 毒液，以提高消毒效果，再由該控制單元4關閉該第二控制閥24，以進行該液體輸送管路及該容器31之消毒作業，待到達一消毒時間，例如：5分鐘，接著，由該控制單元4開啟該第三控制閥32，使消毒液由該第三控制閥32排出，並啟動該動力單元23，將該液體輸送管路內之消毒液抽至該容器31，使消毒液由該導尿裝置排出。該控制單元4進行該管路消毒作業後，該控制單元4之計時器重新計時，並重新進行該排尿步驟S2。藉由進行該管路消毒作業，不僅可避免因為消毒不完全而引起細菌孳生之問題，亦可降低該導尿管11及該集尿袋12更換次數，進而提升病患的導尿照護品質，及降低該導尿管11及該集尿袋12等耗材的使用成本。 The sterilization step S4 is performed by the control unit 4 of the catheter guiding device, and after the sterilization operation is completed, the urination step S2 is repeated. Wherein, the disinfecting operation extracts the disinfectant from the catheter to disinfect the liquid delivery line. In detail, before the urinary device performs the disinfecting operation, the control unit 4 first sends a signal to close the first control valve 21 and the third control valve 32, and causes the second control valve 24 to be turned on and then restarted. The power unit 23 extracts the disinfectant in the liquid storage tank 25 until the liquid delivery line of the infusion module 2 is filled with the disinfectant, preferably the liquid transport line and the container of the measuring module 3 31 inside the filling a venom to improve the disinfection effect, and the second control valve 24 is closed by the control unit 4 to perform the disinfection operation of the liquid delivery line and the container 31 until a sterilization time is reached, for example, 5 minutes, and then, The control unit 4 opens the third control valve 32 to discharge the disinfectant from the third control valve 32, and activates the power unit 23 to pump the disinfectant in the liquid delivery line to the container 31 to make the disinfectant It is discharged by the catheter. After the control unit 4 performs the pipeline disinfection operation, the timer of the control unit 4 is re-timed, and the urination step S2 is repeated. By performing the pipeline disinfection operation, not only the problem of bacterial growth caused by incomplete disinfection can be avoided, but also the number of replacement of the catheter 11 and the urine collection bag 12 can be reduced, thereby improving the quality of the catheterization of the patient. And reducing the use cost of the consumables such as the catheter 11 and the urine collection bag 12.
本發明之導尿裝置之作業方法，係由該控制單元4儲存一控制程式，用以監測該第一感測單元13之電性變化值，並控制該第一控制閥21、該第二控制閥24、該第三控制閥32及該動力單元23，而自動化進行尿液排空作業(即排尿作業及強制排尿作業)，而使本發明之導尿裝置具有提升病患之導尿照護品質之功效。 The operating method of the urinary device of the present invention is that the control unit 4 stores a control program for monitoring the electrical change value of the first sensing unit 13 and controlling the first control valve 21 and the second control. The valve 24, the third control valve 32 and the power unit 23 automatically perform urine evacuation operations (ie, urinary operation and forced urination operation), and the urinary catheter of the present invention has the urinary care quality of the patient. The effect.
本發明之導尿裝置之作業方法，由該控制單元4儲存該第二感測單元33之電性變化值，儲存該尿液排空作業之尿液量，計算並儲存該尿液累加值，以自動進行液量監測作業，而使本發明之導尿裝置具有降低照護人力之工作負荷之功效。 In the operation method of the catheter guiding device of the present invention, the control unit 4 stores the electrical change value of the second sensing unit 33, stores the urine amount of the urine emptying operation, calculates and stores the accumulated value of the urine, The liquid volume monitoring operation is automatically performed, and the catheter guiding device of the present invention has the effect of reducing the workload of the care worker.
本發明之導尿裝置之作業方法，係由該控制單元4儲存一控制程式，用以監測該第一感測單元13之電性變化值，並控制該第一控制閥21、該第二控制閥24、該第三控制閥32及該動力單元23，而自動化進行管路消毒作業，而使本發明之導尿裝置具有降低病患引發細菌感染機率之功效。 The operating method of the urinary device of the present invention is that the control unit 4 stores a control program for monitoring the electrical change value of the first sensing unit 13 and controlling the first control valve 21 and the second control. The valve 24, the third control valve 32 and the power unit 23 automate the pipeline disinfection operation, so that the catheter guiding device of the present invention has the effect of reducing the probability of bacterial infection caused by the patient.
雖然本發明已利用上述較佳實施例揭示，然其並非用以限定本發明，任何熟習此技藝者在不脫離本發明之精神和範圍之內，相對上述 實施例進行各種更動與修改仍屬本發明所保護之技術範疇，因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed by the above-described preferred embodiments, it is not intended to limit the invention, and it is apparent to those skilled in the art without departing from the spirit and scope of the invention. The various modifications and variations of the embodiments are still within the technical scope of the invention. The scope of the invention is defined by the scope of the appended claims.
1‧‧‧導尿模組 1‧‧‧ catheterization module
11‧‧‧導尿管 11‧‧‧ catheter
12‧‧‧集尿袋 12‧‧‧ urine bag
121‧‧‧第一開口 121‧‧‧first opening
122‧‧‧容室 122‧‧ ‧ room
123‧‧‧第二開口 123‧‧‧second opening
13‧‧‧第一感測單元 13‧‧‧First sensing unit
2‧‧‧輸液模組 2‧‧‧Infusion module
21‧‧‧第一控制閥 21‧‧‧First control valve
22‧‧‧連通管 22‧‧‧Connected pipe
221a‧‧‧通道口 221a‧‧‧ passage
221b‧‧‧通道口 221b‧‧‧ passage
221c‧‧‧通道口 221c‧‧‧ passage
23‧‧‧動力單元 23‧‧‧Power unit
24‧‧‧第二控制閥 24‧‧‧Second control valve
25‧‧‧儲液槽 25‧‧‧ liquid storage tank
251‧‧‧出液口 251‧‧‧ liquid outlet
3‧‧‧量測模組 3‧‧‧Measurement module
31‧‧‧容器 31‧‧‧ Container
311‧‧‧導液口 311‧‧‧ liquid inlet
312‧‧‧洩液口 312‧‧‧Discharge port
32‧‧‧第三控制閥 32‧‧‧third control valve
33‧‧‧第二感測單元 33‧‧‧Second sensing unit
4‧‧‧控制單元 4‧‧‧Control unit
5‧‧‧電源單元 5‧‧‧Power unit
Claims (3)
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|---|---|---|---|
| TW103117020A TWI527571B (en) | 2011-06-07 | 2011-06-07 | A operation method of catheterization apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW103117020A TWI527571B (en) | 2011-06-07 | 2011-06-07 | A operation method of catheterization apparatus |
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| Publication Number | Publication Date |
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| TW201433302A TW201433302A (en) | 2014-09-01 |
| TWI527571B true TWI527571B (en) | 2016-04-01 |
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| TWI836475B (en) * | 2022-06-15 | 2024-03-21 | 國立臺北科技大學 | Liquid level sensing device |
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| CN107261218A (en) * | 2017-06-09 | 2017-10-20 | 韩巨山 | A kind of intelligent urethral catheterization bionic device and its control method |
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| TWI836475B (en) * | 2022-06-15 | 2024-03-21 | 國立臺北科技大學 | Liquid level sensing device |
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