TWM468317U - Bi-lumen tip and suction-irrigation system - Google Patents

Bi-lumen tip and suction-irrigation system Download PDF

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Publication number
TWM468317U
TWM468317U TW102211552U TW102211552U TWM468317U TW M468317 U TWM468317 U TW M468317U TW 102211552 U TW102211552 U TW 102211552U TW 102211552 U TW102211552 U TW 102211552U TW M468317 U TWM468317 U TW M468317U
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Taiwan
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chamber
drainage
lavage
head
unit
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TW102211552U
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Chinese (zh)
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Lien-Guo Dai
Ya-Hui Chang
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Human Origin Biotechnology Co Ltd
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Priority to TW102211552U priority Critical patent/TWM468317U/en
Publication of TWM468317U publication Critical patent/TWM468317U/en

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Abstract

An improved suction-irrigation system having an improved bi-lumen tip respectively coupled to a suction unit and an irrigation unit for removing unwanted materials from a body cavity and delivering fluids thereto is provided. The bi-lumen tip has a perforated end for inserting the bi-lumen tip into the body cavity and a non-perforated end for coupling the bi-lumen tip to the suction unit and the fluid delivery unit. The bi-lumen tip includes a drainage lumen and an irrigation lumen, arranged in parallel and share a common lumen wall within the bi-lumen tip. The drainage lumen is coupled to the suction unit, and has a first plurality of perforations on its surface for the removal of the unwanted materials. The irrigation lumen is coupled to the fluid delivery unit via optionally connecting through an adapter, and has a second plurality of perforations for delivering the at least one fluid to the body cavity. The respective first and second plurality of perforations of the drainage lumen and the irrigation lumen are disposed along part of the surface of the perforated end of the bi-lumen tip.

Description

雙腔頭及引流灌洗系統Double chamber head and drainage lavage system

本揭示內容大致是有關於一種新穎、改良的雙腔頭(bi-lumen tip),可做為灌洗系統之灌洗頭使用,以便從一身體腔室中移除不欲求的物質並傳送流體至該身體腔室內,以對該身體腔室進行引流及灌洗。The present disclosure is generally directed to a novel and improved bi-lumen tip that can be used as a lavage head for a lavage system to remove unwanted material from a body chamber and deliver fluid The body cavity is drained and irrigated into the body chamber.

在習知的引流及灌洗過程中,通常會透過套管針(trocar)或是手術方式,將數個單腔的軟管或導管插到諸如傷口之類的身體腔室內,然後再將所***的數個單腔軟管或導管分別與引流裝置連接,以便移除身體腔室內不想要的體液或組織碎片,以及傳送流體到此身體腔室內,以對該身體腔室進行灌洗。每一條引進到身體腔室內的軟管或導管都必須透過在身體腔室上方的皮膚組織做一個切口,才能將軟管或導管放到***位置。但是,每一個這樣的***位置也代表潛在的傷口感染源,因此,必須發展出能減少皮膚上切口數目以降低相對感染風險,同時還能持續進行引流與灌洗之改良的引流灌洗頭。In the conventional drainage and lavage process, a plurality of single-chamber hoses or catheters are usually inserted into a body cavity such as a wound through a trocar or a surgical procedure, and then the A plurality of single lumen hoses or catheters are inserted into the drainage device to remove unwanted body fluids or tissue debris from the body chamber, and to deliver fluid into the body chamber to lavage the body chamber. Each hose or catheter introduced into the body cavity must be cut through the skin tissue above the body chamber to place the hose or catheter into the insertion position. However, each such insertion site also represents a potential source of wound infection, and therefore, it is necessary to develop an improved drainage irrigator that reduces the number of incisions on the skin to reduce the risk of relative infection while continuing to perform drainage and lavage.

相對於習知需要多條單腔軟管或導管的灌洗系統來說,本新型實施方式揭示一種具有雙腔設計的引流灌洗頭,使用時僅需一個***位置,因此可降低習知系統需要多個***位置所造成的感染風險。此外,本新型實施方式在使用上比較容易,因為只需透過一個灌洗頭即可連接不同的引流或灌洗單元,而非如 習知系統般需要同時引入多條灌洗軟管至一身體腔室中,因此本新型在使用過程中僅需在使用者身上產生一個,而非多個,***位置,且能持續對該身體腔室進行引流與灌洗。Compared with a conventional lavage system requiring a plurality of single-chamber hoses or catheters, the present invention discloses a drainage lavage head having a dual-chamber design, which requires only one insertion position in use, thereby reducing the conventional system. The risk of infection due to multiple insertion locations is required. In addition, the novel embodiment is relatively easy to use because it is only necessary to connect different drainage or irrigation units through a single irrigation head instead of Conventional systems need to introduce multiple irrigation hoses into a body cavity at the same time. Therefore, the present invention only needs to produce one, not multiple, insertion positions in the user during use, and can continue to the body. The chamber is drained and irrigated.

如本揭示內容所廣泛描述與例示,本揭示內容目標為提供一種新穎、改良的引流灌洗系統和方法,以便能以無菌方式移除一身體腔室內不想要的物質,以及傳送多種流體到該身體腔室內。As broadly described and exemplified in the present disclosure, the present disclosure is directed to providing a novel and improved drainage lavage system and method for aseptically removing unwanted material from a body cavity and delivering a plurality of fluids thereto. Inside the body cavity.

因此,本揭示內容第一目的在於提供一種雙腔頭,可與一引流單元及一灌洗單元耦接,用以移除一身體腔室內不想要的物質以及傳送至少一種流體到該身體腔室內。此雙腔頭具有一多孔端用以***至該身體腔室內,以及另一非多孔端用以分別連接該引流單元及灌洗單元。此雙腔頭包括一引流腔室(drainage lumen)和一灌洗腔室(irrigation lumen),在該雙腔頭內彼此平行配置且共用一腔壁。該引流腔室與該引流單元耦接,且其腔室表面上具有一第一多數個小孔用以移除該身體腔室內不想要的物質。該灌洗腔室與該灌洗單元耦接,且其腔室表面上具有一第二多數個小孔用以傳送該至少一種流體至該身體腔室內。該引流腔室與該灌洗腔室之第一及第二多數個小孔係沿著該雙腔頭***至身體腔室內之多孔端的部分表面設置,且該引流腔室與該灌洗腔室可具有相同或不同之長度。Therefore, a first object of the present disclosure is to provide a dual-chamber head that can be coupled to a drainage unit and a irrigation unit for removing unwanted substances in a body cavity and delivering at least one fluid into the body cavity. . The dual chamber head has a porous end for insertion into the body chamber and another non-porous end for connecting the drainage unit and the irrigation unit, respectively. The dual chamber head includes a drainage chamber and an irrigation lumen in which the chamber walls are disposed in parallel with each other and share a chamber wall. The drainage chamber is coupled to the drainage unit and has a first plurality of apertures on the surface of the chamber for removing unwanted material from the body chamber. The lavage chamber is coupled to the lavage unit and has a second plurality of apertures in the chamber surface for delivering the at least one fluid into the body chamber. The first and second plurality of small holes of the drainage chamber and the lavage chamber are disposed along a surface of the portion of the double-chamber head that is inserted into the porous end of the body cavity, and the drainage chamber and the lavage chamber The chambers can have the same or different lengths.

依據本新型一實施方式,該灌洗腔室可非必要地(optionally)透過一轉接頭而與與該灌洗單元耦接。According to an embodiment of the invention, the lavage chamber is optionally coupled to the lavage unit through a adapter.

依據本新型一實施方式,該雙腔頭用以***至身體 腔室內之多孔端上設有該第一與第二多數個小孔部分的長度約在0.3至2英吋間,較佳是約在0.5至1.8英吋間,更佳是在約0.8至1.6英吋間,最佳是約1.0英吋。According to an embodiment of the present invention, the double cavity head is inserted into the body The first and second plurality of small hole portions are provided on the porous end of the chamber to have a length of about 0.3 to 2 inches, preferably about 0.5 to 1.8 inches, more preferably about 0.8 to 1.6 miles, the best is about 1.0 miles.

依據本新型一實施方式,該引流腔室的截面積較該灌洗腔室的截面積大;且每一該第一多數個小孔的截面積較每一該第二多數個小孔的截面積大。According to an embodiment of the present invention, a cross-sectional area of the drainage chamber is larger than a cross-sectional area of the lavage chamber; and a cross-sectional area of each of the first plurality of small holes is larger than each of the second plurality of small holes The cross-sectional area is large.

本揭示內容第二目的在於提供一種引流灌洗方法,其係利用本新型所揭示的雙腔頭而自一身體腔室中移除不想要的物質以及傳送流體到該身體腔室中以灌洗該身體腔室。所述方法包括以下步驟:將該雙腔頭之多孔端***至該身體腔室內,並將該引流腔室耦接至該引流單元而建構出一引流路徑;將該雙腔頭之灌洗腔室耦接至該灌洗單元而建構出一灌洗路徑;透過該所建構的引流路徑由該雙腔頭之引流腔室的第一多數個小孔排空(draining)該身體腔室;以及透過該所建構的灌洗路徑由該雙腔頭之灌洗腔室的第二多數個小孔傳送該至少一種流體以灌洗(irrigating)該身體腔室。該引流腔室與該灌洗腔室之第一及第二多數個小孔係沿著該雙腔頭***至身體腔室內之多孔端的部分表面設置,且該引流腔室與該灌洗腔室可具有相同或不同之長度。A second object of the present disclosure is to provide a drainage lavage method for removing unwanted substances from a body chamber and transferring fluid into the body chamber for lavage using the dual lumen head disclosed herein. The body chamber. The method includes the steps of: inserting a porous end of the double-chambered head into the body cavity, and coupling the drainage chamber to the drainage unit to construct a drainage path; the irrigation chamber of the double-chamber head The chamber is coupled to the lavage unit to construct a irrigating path; the first plurality of small holes of the drainage chamber of the double chamber head are drained through the constructed drainage path; And transporting the at least one fluid from the second plurality of apertures of the dual lumen lavage chamber to irrigate the body chamber through the constructed irrigation route. The first and second plurality of small holes of the drainage chamber and the lavage chamber are disposed along a surface of the portion of the double-chamber head that is inserted into the porous end of the body cavity, and the drainage chamber and the lavage chamber The chambers can have the same or different lengths.

依據本揭示內容一實施方式,該雙腔頭之灌洗腔室可非必要地透過一轉接頭與該灌洗單元耦接,進而建構出該灌洗路徑。According to an embodiment of the present disclosure, the double-chambered lavage chamber may be coupled to the lavage unit through a joint, thereby constructing the irrigating path.

依據本揭示內容一實施方式,所述排空與灌洗步驟是交替進行或同時進行。According to an embodiment of the present disclosure, the evacuating and irrigating steps are performed alternately or simultaneously.

依據本揭示內容另一實施方式,所述灌洗單元是一袋流體,且該流體是透過重力傳送至該身體腔室內;至於該引流 單元則包括有一真空幫浦和一流體儲槽。在一實例中,該灌洗單元可額外包括一幫浦。According to another embodiment of the present disclosure, the lavage unit is a bag of fluid, and the fluid is delivered to the body cavity by gravity; as for the drainage The unit includes a vacuum pump and a fluid reservoir. In an example, the lavage unit can additionally include a pump.

本揭示內容第三目的在於提供一種改良的灌洗系統,可與一灌洗方法一起使用。此改良的灌洗系統至少包括一用來排空一身體腔室內不想要物質的引流單元,以及一用來傳送至少一流體到該身體腔室內以進行灌洗的灌洗單元。所揭示引流灌洗系統的改良之處在於使用一種新穎、改良的雙腔頭於所述灌洗方法的實施過程中。此雙腔頭具有一多孔端,用以將該雙腔頭***至該身體腔室內,以及一非多孔端,露出在該身體腔室外,用以分別連接引流單元及灌洗單元;且此雙腔頭包括一引流腔室以及一灌洗腔室,在該雙腔頭內彼此平行配置且共用一腔壁。該引流腔室與該引流單元耦接,且其腔室表面上具有一第一多數個小孔,用以移除該身體腔室內不想要的物質。該灌洗腔室與該灌洗單元耦接,且其腔室表面上具有一第二多數個小孔,用以傳送該至少一種流體至該身體腔室內。該引流腔室與該灌洗腔室之第一及第二多數個小孔係沿著該雙腔頭之多孔端的部分表面設置,且該引流腔室與該灌洗腔室可具有相同或不同之長度。A third object of the present disclosure is to provide an improved lavage system for use with a lavage method. The improved lavage system includes at least one drainage unit for evacuating unwanted material in a body chamber, and a lavage unit for delivering at least one fluid into the body chamber for lavage. An improvement of the disclosed drainage lavage system is the use of a novel, improved dual lumen head during the implementation of the lavage method. The double chamber head has a porous end for inserting the double chamber head into the body chamber, and a non-porous end exposed outside the body chamber for respectively connecting the drainage unit and the irrigation unit; The dual chamber head includes a drainage chamber and a irrigation chamber in which are disposed parallel to one another and share a lumen wall. The drainage chamber is coupled to the drainage unit and has a first plurality of small holes in the surface of the chamber for removing unwanted substances in the body chamber. The lavage chamber is coupled to the lavage unit and has a second plurality of apertures in the chamber surface for delivering the at least one fluid into the body chamber. The first and second plurality of small holes of the drainage chamber and the lavage chamber are disposed along a portion of the surface of the porous end of the double chamber head, and the drainage chamber and the lavage chamber may have the same or Different lengths.

依據本揭示內容一實施方式,該引流腔室的截面積較該灌洗腔室的截面積大;且每一該第一多數個小孔的截面積較每一該第二多數個小孔的截面積大。該灌洗腔室位於該雙腔頭非多孔端的腔室表面上更包含一開口,用來與一相符的轉接頭連接,而使該灌洗腔室可與該灌洗單元耦接。在一實例中,該灌洗單元是一袋流體,且該流體是透過重力傳送到該身體腔室內;至於該引流單元則可包括一真空幫浦與一流體儲槽。According to an embodiment of the present disclosure, the cross-sectional area of the drainage chamber is larger than the cross-sectional area of the lavage chamber; and the cross-sectional area of each of the first plurality of small holes is smaller than each of the second plurality The cross-sectional area of the hole is large. The lavage chamber further includes an opening on the surface of the chamber of the non-porous end of the double-chamber head for connecting with a matching adapter, so that the lavage chamber can be coupled to the lavage unit. In one example, the irrigation unit is a bag of fluid and the fluid is delivered to the body cavity by gravity; the drainage unit can include a vacuum pump and a fluid reservoir.

100‧‧‧引流灌洗系統100‧‧‧Drainage lavage system

110‧‧‧引流灌洗頭組件110‧‧‧Drainage head assembly

120‧‧‧雙腔頭120‧‧‧Double chamber head

121‧‧‧引流腔室121‧‧‧Drainage chamber

122‧‧‧灌洗腔室122‧‧‧Draining chamber

123,124‧‧‧小孔123,124‧‧‧ hole

125,126,127‧‧‧開口125,126,127‧‧‧ openings

130‧‧‧轉接頭130‧‧‧Adapter

140a,140b‧‧‧導管140a, 140b‧‧‧ catheter

150‧‧‧引流單元150‧‧‧Draining unit

151‧‧‧流體儲槽151‧‧‧ fluid storage tank

152‧‧‧引流幫浦152‧‧‧Drainage pump

160‧‧‧灌洗單元160‧‧‧washing unit

161‧‧‧流體袋161‧‧‧ fluid bag

170‧‧‧身體腔室170‧‧‧ body chamber

171‧‧‧皮膚171‧‧‧ skin

在本說明書及附圖中,相同元件係以相同符號表示。In the specification and the drawings, the same elements are denoted by the same reference numerals.

第1圖是依據本新型一實施方式之引流灌洗系統的示意圖;第2A圖是依據本新型一實施方式之引流灌洗頭組件的放大圖;第2B圖是第2A圖之引流灌洗頭組件的***圖;以及第2C圖是第2A圖之引流灌洗頭組件的截面視圖。1 is a schematic view of a drainage lavage system according to an embodiment of the present invention; FIG. 2A is an enlarged view of a drainage lavage head assembly according to an embodiment of the present invention; and FIG. 2B is a drainage lavage head of FIG. 2A An exploded view of the assembly; and Figure 2C is a cross-sectional view of the drainage irrigation head assembly of Figure 2A.

以下所提供之新型詳細說明與附隨圖示僅在解釋本新型實施方式之用,並非本新型多種實施方式的唯一代表實施方式。以下文字將說明實施例的功能以及如何建構與操作這些實施例的步驟和順序。但是,本新型請求範圍並不僅限於所揭示的實施態樣。The detailed description and accompanying drawings set forth below are merely illustrative of the embodiments of the present invention The following text will explain the functions of the embodiments and the steps and sequences of how to construct and operate the embodiments. However, the scope of the present invention is not limited to the disclosed embodiments.

第1圖繪示出依據本新型一實施方式之引流灌洗系統100,用來移除一身體腔室內不想要的物質,同時並傳送多種流體到該身體腔室內。此引流灌洗系統100包括一引流灌洗頭組件110、兩條導管(140a,140b)、一引流單元150以及一灌洗單元160。引流灌洗頭組件110是由一雙腔頭120以及一轉接頭130所共同組成;其中該雙腔頭120具有一多孔端以及一非多孔端,且包括一引流腔室和一灌洗腔室,在該雙腔頭110內彼此平行配置且共用一腔壁;其一端形成該多孔端,用以***至該身體腔室內,另 一端則非非多孔端,用來與引流單元以及灌洗單元耦接。此外,引流腔室和灌洗腔室的長度可以相同或不同;在一特定實例中,該灌洗腔室的長度較該引流腔室長度為短。引流腔室可經由導管140a而與引流單元150耦接,且其多孔尖細端之部分腔室表面上具有多個小孔,用來移除身體腔室內不想要的物質。灌洗腔室可經由導管140b直接與灌洗單元160耦接;或是藉由與轉接頭130連接而被耦接至灌洗單元160,且灌洗腔室多孔端之部分表面上具有多個小孔,用來傳送至少一種流體至身體腔室內。若灌洗腔室係經由轉接頭130與灌洗單元160耦接,則轉接頭130一端之大小需與灌洗腔室的開口相符,其另一端之大小則與導管140b的開口相符。1 depicts a drainage lavage system 100 for removing unwanted material from a body cavity while delivering a plurality of fluids into the body cavity in accordance with an embodiment of the present invention. The drainage lavage system 100 includes a drainage lavage head assembly 110, two conduits (140a, 140b), a drainage unit 150, and a lavage unit 160. The drainage lavage head assembly 110 is composed of a double chamber head 120 and a adapter 130; wherein the double chamber head 120 has a porous end and a non-porous end, and includes a drainage chamber and a lavage a chamber in which the chamber walls are disposed in parallel with each other and share a cavity wall; one end of the chamber is formed with the porous end for insertion into the body cavity, and One end is non-non-porous and is used to couple with the drainage unit and the irrigation unit. Furthermore, the length of the drainage chamber and the irrigation chamber may be the same or different; in a particular example, the length of the irrigation chamber is shorter than the length of the drainage chamber. The drainage chamber can be coupled to the drainage unit 150 via the conduit 140a and has a plurality of apertures in the surface of the portion of the porous tapered end for removing unwanted material from the body chamber. The lavage chamber can be directly coupled to the lavage unit 160 via the conduit 140b; or coupled to the lavage unit 160 by connection with the adapter 130, and the surface of the venous chamber having a plurality of surfaces A small hole for delivering at least one fluid into the body cavity. If the irrigation chamber is coupled to the irrigation unit 160 via the adapter 130, one end of the adapter 130 is sized to conform to the opening of the irrigation chamber, and the other end is sized to conform to the opening of the catheter 140b.

在引流灌洗過程中,臨床醫師或照護人員在套筒針的引導下,刺穿一患者的皮膚171而將雙腔頭120之多孔端或至少該多孔端上具有多數孔洞之部分***至該患者之一身體腔室170中,並使此雙腔頭120的其他部分,包括孔端上不具孔洞的部分以及具有兩個開口(125,126)的非多孔端部分,一起留在身體腔室170外部,並分別經過導管(140a,140b)連接到引流單元150與灌洗單元160,因而構成本新型所揭示的引流灌洗系統100,其中上述兩個開口(125,126)分別屬於引流腔室121以及灌洗腔室122。詳言之,利用下述步驟達成將雙腔頭120***至患者身體腔室170中的目的。首先,以套筒針探查患者身體內一發炎位置;接著,以套筒針刺穿該發炎位置或是該身體腔室170上方的皮膚171。將一導線(未示出)穿過已刺穿皮膚171之套筒針而將導線引入至該身體腔室170中,接著,透過導線的引導,而將雙腔頭120之多孔端整體或其之一部分置入至患者身體腔室170中。During the drainage lavage process, the clinician or caregiver pierces a patient's skin 171 under the guidance of the sleeve needle and inserts the porous end of the double lumen head 120 or at least the portion of the porous end having a plurality of holes into the One of the patients is in the body chamber 170 and the other portions of the dual chamber head 120, including the non-porous portion of the bore end and the non-porous end portion having the two openings (125, 126), remain together outside of the body chamber 170 And connected to the drainage unit 150 and the irrigation unit 160 through the catheters (140a, 140b), respectively, thus constituting the drainage drainage system 100 disclosed in the present invention, wherein the two openings (125, 126) belong to the drainage chamber 121 and the irrigation The chamber 122 is washed. In particular, the purpose of inserting the dual lumen head 120 into the patient's body chamber 170 is achieved using the following steps. First, an inflamed position in the patient's body is probed with a sleeve needle; then, the inflamed position or skin 171 above the body chamber 170 is pierced with a sleeve needle. A wire (not shown) is passed through the sleeve needle that has pierced the skin 171 to introduce the wire into the body chamber 170, and then, through the guiding of the wire, the porous end of the double lumen head 120 or A portion of it is placed into the patient's body chamber 170.

適合以本新型所揭示的灌洗方法與系統進行灌洗之身體腔室170的實例包括,但不限於,腹膜腔、胸腔、腹腔、胸廓腔、心室、關節或任一手術後所形成的開放性傷口,如胸腔手術、泌尿手術、肺部手術或開心手術等。Examples of body chambers 170 suitable for lavage with the lavage methods and systems disclosed herein include, but are not limited to, the peritoneal cavity, thoracic cavity, abdominal cavity, thoracic cavity, ventricle, joint, or open after any surgery Sexual wounds, such as thoracic surgery, urology, lung surgery or happy surgery.

第2A圖為本新型一引流灌洗頭組件110的放大圖;第2B圖為此引流灌洗頭組件110的***圖;第2C圖則是第2A圖之引流灌洗頭組件110的截面視圖。2A is an enlarged view of a new type of drainage lavage head assembly 110; FIG. 2B is an exploded view of the drainage lavage head assembly 110; and FIG. 2C is a cross-sectional view of the drainage lavage head assembly 110 of FIG. 2A. .

第2A圖為依據本新型一實施方式之引流灌洗頭組件110的示意圖,其包括雙腔頭120和與之相連的轉接頭130。在此實例中,此雙腔頭120係朝向一端逐漸尖細(tapered)並形成一尖細端,另一端則為非尖細之開放端。此雙腔頭120包括一引流腔室121和一灌洗腔室122,在該雙腔頭120內彼此相鄰配置且共用一腔壁,且該引流腔室長度大於該灌洗腔室的長度。在一特定實例中,引流腔室121具有兩個開放的末端(125,127),一末端開口125係用來與引流單元150耦接,另一末端開口127則可與設置在其尖細端腔壁部分表面上多個小孔123一起用來移除身體腔室中不想要物質。灌洗腔室122並未貫穿整個雙腔頭,且僅包含一開放的末端126,用來與灌洗單元160耦接,且其多孔端腔壁部分表面同樣設有多個小孔124,用來傳送至少一種流體到身體腔室內。在本實例中,灌洗腔室122的長度較引流腔室121來得短。在灌洗過程中,可將轉接頭130的一端***至灌洗腔室122的開口126中,並將轉接頭130的另一端與導管140b連接,因而使灌洗腔室122與灌洗單元160耦接。類似的,將引流腔室121的開口125與導管140a連接,因而使引流腔室121與引流單元150耦接。或者,在灌洗過程中,也可不使用轉接頭139,而是直接透過導管 140a、140b使引流腔室121與灌洗腔室122分別與引流單元150及灌洗單元160耦接。2A is a schematic illustration of a drainage irrigating head assembly 110 in accordance with an embodiment of the present invention, including a dual chamber head 120 and an adapter 130 coupled thereto. In this example, the dual chamber head 120 is tapered toward one end and forms a tapered end, and the other end is a non-tapered open end. The dual chamber head 120 includes a drainage chamber 121 and a lavage chamber 122. The dual chamber head 120 is disposed adjacent to each other and shares a chamber wall, and the length of the drainage chamber is greater than the length of the lavage chamber. . In a particular example, the drainage chamber 121 has two open ends (125, 127), one end opening 125 for coupling with the drainage unit 150 and the other end opening 127 for being disposed at the tapered end wall A plurality of apertures 123 on a portion of the surface are used together to remove unwanted material from the body chamber. The irrigating chamber 122 does not extend through the entire double-chamber head, and includes only an open end 126 for coupling with the lavage unit 160, and the surface of the porous end chamber wall portion is also provided with a plurality of small holes 124 for To deliver at least one fluid into the body cavity. In the present example, the length of the irrigation chamber 122 is shorter than that of the drainage chamber 121. During the lavage process, one end of the adapter 130 can be inserted into the opening 126 of the lavage chamber 122 and the other end of the adapter 130 can be coupled to the catheter 140b, thereby allowing the lavage chamber 122 to be irrigated Unit 160 is coupled. Similarly, the opening 125 of the drainage chamber 121 is coupled to the catheter 140a, thereby coupling the drainage chamber 121 to the drainage unit 150. Alternatively, during the lavage, the adapter 139 may not be used, but directly through the catheter. The 140a, 140b couples the drainage chamber 121 and the irrigation chamber 122 to the drainage unit 150 and the irrigation unit 160, respectively.

在引流灌洗過程中,此雙腔頭120的兩個腔室(121,122)是被分別連接到引流單元150和灌洗單元160。依據本揭示內容一種實施方式,雙腔頭120的引流腔室121是經由導管140a而連接到引流單元150,以便形成一道引流路徑而能連續地從該身體腔室170中抽出諸如體液、細胞或組織殘屑、血液或血塊之類的不想要的物質。引流單元150本身是一種負壓系統且包括有一流體儲槽151和一引流幫浦152。一旦引流幫浦152被啟動後,身體腔室170中不想要的物質就會因為引流幫浦152所產生的負壓而被抽出通過腔室121表面上的多數個小孔123,傳送通過導管140a,最後被收集在流體儲槽151中。繪示在引流單元150上的箭頭,代表由引流幫浦152所產生之可使身體腔室內物質被抽出並留在流體儲槽151中的引流方向。類似的,此引流灌洗頭120之另一腔室,即灌洗腔室122,則是經由導管140b與轉接頭130而與該灌洗單元160耦接,以形成一道可用來傳送諸如生理食鹽水或醫療流體至身體腔室170的灌洗路徑。此灌洗單元160本身是一種正壓系統。在一實例中,此灌洗單元160是一流體袋161,吊掛在一般常見的點滴支架上,透過重力將流體傳送到身體腔室170中。或者,此灌洗單元160也可額外包括一非必要的傳送幫浦,用來汲取該流體袋161中的流體並透過相連的導管140b傳送到身體腔室170中。一旦灌洗單元160被啟動後,流體袋161中的流體就會因為重力或是額外包含的非必要的(optionally)傳送幫浦所產生的正壓而從流體袋161中流出,接著傳送通過導管140b,最後由灌洗腔室122表面上的多數小孔124離開而進入該身體腔室170 中。可透過調整由引流單元150和灌洗單元160所分別產生的壓力,來使不想要的物質及流體能以相同或不同的傳送速率(視實際需求而定)被傳送通過本新型系統100。任何具有一般技藝的人士或醫師均可在不需過度實驗的情況下,自行調整引流單元150和灌洗單元160所需要的壓力。上述引流幫浦和流體傳送幫浦的實例包括,但不限於,真空幫浦和蠕動式幫浦。較佳是使用蠕動式幫浦做為本新型系統的引流幫浦和該非必要的流體傳送幫浦。During the drainage lavage, the two chambers (121, 122) of the dual chamber head 120 are connected to the drainage unit 150 and the irrigation unit 160, respectively. In accordance with an embodiment of the present disclosure, the drainage chamber 121 of the dual lumen head 120 is coupled to the drainage unit 150 via a catheter 140a to form a drainage path for continuous extraction of fluids, cells, or cells from the body chamber 170. Organize unwanted substances such as debris, blood or blood clots. The drainage unit 150 itself is a negative pressure system and includes a fluid reservoir 151 and a drainage pump 152. Once the drainage pump 152 is activated, unwanted material in the body chamber 170 is drawn through the plurality of apertures 123 in the surface of the chamber 121 due to the negative pressure generated by the drainage pump 152, passing through the conduit 140a. Finally collected in the fluid reservoir 151. An arrow, shown on the drainage unit 150, represents the direction of drainage created by the drainage pump 152 that allows material within the body chamber to be withdrawn and retained in the fluid reservoir 151. Similarly, the other chamber of the drainage lavage head 120, that is, the lavage chamber 122, is coupled to the lavage unit 160 via the conduit 140b and the adapter 130 to form a unit for transporting, for example, physiological The irrigation route of saline or medical fluid to the body chamber 170. This irrigation unit 160 is itself a positive pressure system. In one example, the irrigation unit 160 is a fluid bag 161 that is suspended from a commonly used drip stand to transfer fluid to the body cavity 170 by gravity. Alternatively, the lavage unit 160 may additionally include an optional transfer pump for drawing fluid from the fluid bag 161 and delivering it to the body chamber 170 through the associated conduit 140b. Once the irrigation unit 160 is activated, the fluid in the fluid bag 161 will flow out of the fluid bag 161 due to gravity or an additional positive pressure that is optionally transmitted by the pump, and then passed through the catheter. 140b, finally exiting the body chamber 170 by exiting a plurality of apertures 124 in the surface of the irrigation chamber 122. in. The pressures generated by the drainage unit 150 and the irrigation unit 160, respectively, can be adjusted to allow unwanted materials and fluids to be delivered through the novel system 100 at the same or different delivery rates (depending on actual needs). Any person or physician of ordinary skill can adjust the pressure required by the drainage unit 150 and the irrigation unit 160 without undue experimentation. Examples of such drainage pumps and fluid transfer pumps include, but are not limited to, vacuum pumps and peristaltic pumps. Preferably, a peristaltic pump is used as the drainage pump for the new system and the non-essential fluid delivery pump.

可容納在流體袋161中的流體實例包括,但不限於,生理食鹽水或是其中包含有一有效量之治療性藥劑的醫療用流體。可用來殺菌並防止身體腔室170受到感染的適當治療性藥劑的實例包括,但不限於,抗生素、抗發炎劑或抗病毒劑。可使用至少一種流體來實施本新型之方法和/或系統。在一實例中,先將一生理食鹽水傳送至該身體腔室170,接著再傳送一種醫療用流體(例如,包含有抗生素的流體)到該身體腔室內。在其他實施方式中,可交互傳送生理食鹽水與醫療用流體或以任何欲求的順序來傳送生理食鹽水與醫療用流體,且此傳送順序可重複多次,端視患者主治醫師所開立的治療流程而定。Examples of fluids that may be contained in fluid bag 161 include, but are not limited to, physiological saline or a medical fluid containing an effective amount of a therapeutic agent therein. Examples of suitable therapeutic agents that can be used to sterilize and prevent infection of the body chamber 170 include, but are not limited to, antibiotics, anti-inflammatory agents, or antiviral agents. The method and/or system of the present invention can be implemented using at least one fluid. In one example, a physiological saline solution is first delivered to the body chamber 170, followed by a medical fluid (eg, a fluid containing antibiotics) into the body chamber. In other embodiments, the physiological saline and the medical fluid may be alternately delivered or the physiological saline and the medical fluid may be delivered in any desired order, and the delivery sequence may be repeated multiple times, depending on the patient's attending physician. Depending on the treatment process.

可同時或依序建立上述的引流路徑與灌洗路徑。在一實例中,上述的引流路徑與灌洗路徑係同時建立,此代表引流單元150和灌洗單元160是被同時啟動,使得在經由灌洗路徑傳送生理食鹽水或醫療流體到身體腔室170內進行清洗的同時,也經由引流路徑將身體腔室170內不想要的物質抽離開身體腔室170並送入流體儲槽151中。在另一實例中,則是先建立好引流路徑,待身體腔室170內不想要的物質量相對來說已降低時,再啟動灌洗路徑,將生理食鹽水或醫療流體傳送到身體腔室170內。The above-described drainage path and irrigation path can be established simultaneously or sequentially. In one example, the drainage path described above is established concurrently with the irrigation pathway system, which represents that the drainage unit 150 and the irrigation unit 160 are simultaneously activated such that physiological saline or medical fluid is delivered to the body chamber 170 via the irrigation pathway. While cleaning is being performed, unwanted material in the body chamber 170 is also drawn away from the body chamber 170 via the drainage path and into the fluid reservoir 151. In another example, the drainage path is first established, and when the undesired mass in the body chamber 170 is relatively reduced, the irrigation route is initiated to deliver the physiological saline or medical fluid to the body chamber. Within 170.

本新型的雙腔頭120較佳是由具有可撓性、且不易斷裂的塑膠類聚合性材料製成,例如矽膠等類似物。轉接頭130也可用與此雙腔頭120相同的材料製成。此雙腔頭120多孔端上設有多個小孔123、124之部分的長度一般約在0.3至2英吋之間,例如約0.3、0.4、0.5、0.6、0.7、0.8、0.9、1.0、1.1、1.2、1.3、1.4、1.5、1.6、1.7、1.8、1.9或2英吋;較佳是約0.5至1.8英吋間,更佳是在約0.8至1.6英吋間,最佳是約1.0英吋。使用時,此雙腔頭120多孔端上設有多個小孔的部分必須保持在身體腔室內,至於多孔端的其餘部分則可留在身體腔室內或與雙腔頭120之非多孔端一樣露出在身體腔室外,且其長度並無特殊限制,只要不會妨礙本新型方法的實施即可。此外,灌洗腔室122的長度與引流腔室121的可以相同或不同。在一特定實例中,引流腔室121的長度較灌洗腔室122來得長。雙腔頭120的截面較佳可為圓形或任何其他適當的形狀,例如橢圓形或卵形,只要可在雙腔頭與身體腔室間形成流體連通即可。當上述每一腔室截面為圓形時,其直徑大小可約為1/8英吋、3/16英吋或1/4英吋。兩腔室(即,引流腔室與灌洗腔室)的截面積可以相同或不同。在一實例中,用來引流出身體腔室170內不想要物質的引流腔室121的截面積,較用來傳送流體到身體腔室170內之灌洗腔室122的截面積大。在另一實例中,引流腔室121則是與灌洗腔室122具有相同的截面積。The dual-chamber head 120 of the present invention is preferably made of a plastic polymer material which is flexible and not easily broken, such as silicone rubber or the like. The adapter 130 can also be made of the same material as the dual chamber head 120. The length of the portion of the double-ended head 120 having a plurality of small holes 123, 124 is generally between about 0.3 and 2 inches, for example about 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1.0. 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9 or 2 inches; preferably between about 0.5 and 1.8 inches, more preferably between about 0.8 and 1.6 inches, most preferably about 1.0 English. In use, the portion of the double-ended head 120 having a plurality of small holes in the porous end must be retained in the body chamber, and the remainder of the porous end can remain in the body chamber or be exposed as the non-porous end of the dual chamber head 120. It is outside the body cavity, and its length is not particularly limited as long as it does not hinder the implementation of the novel method. Further, the length of the irrigation chamber 122 may be the same as or different from that of the drainage chamber 121. In a particular example, the length of the drainage chamber 121 is longer than the irrigation chamber 122. The cross-section of the dual lumen head 120 can preferably be circular or any other suitable shape, such as elliptical or oval, as long as fluid communication is formed between the dual lumen head and the body chamber. When each of the above chambers has a circular cross section, the diameter may be about 1/8 inch, 3/16 inch or 1/4 inch. The cross-sectional areas of the two chambers (ie, the drainage chamber and the irrigation chamber) may be the same or different. In one example, the cross-sectional area of the drainage chamber 121 for withdrawing unwanted material from the body chamber 170 is greater than the cross-sectional area of the irrigation chamber 122 for delivering fluid into the body chamber 170. In another example, the drainage chamber 121 has the same cross-sectional area as the irrigation chamber 122.

沿著引流灌洗頭120多孔端之每一腔室(121,122)外表面開設的多數小孔(123,124)的形狀可以是圓形,或是任何其他適當的形狀,只要可在雙腔頭120與身體腔室170間形成流體連通即可。引流灌洗頭120多孔端之引流腔室121外表面上的每一 該些小孔123的大小,可與灌洗腔室122外表面上的每一該些小孔124的大小相同。較佳是,引流腔室121外表面上每一該些小孔123的截面積大於灌洗腔室122外表面上每一該些小孔124的截面積。當引流腔室121外表面上的每一該些小孔123的截面形狀為圓形時,其直徑約在1 mm至5 mm間,例如約1、2、3、4或5mm;至於灌洗腔室122外表面上的每一該些圓形小孔124的直徑則約在1 mm至3 mm間,例如約1、2或3 mm。The plurality of apertures (123, 124) formed along the outer surface of each of the chambers (121, 122) of the porous end of the drainage irrigating head 120 may be circular or any other suitable shape as long as it is available in the dual chamber head 120 The body chambers 170 may be in fluid communication. Each of the outer surfaces of the drainage chamber 121 of the porous end of the drainage irrigating head 120 is drained The apertures 123 may be the same size as each of the apertures 124 on the outer surface of the irrigation chamber 122. Preferably, the cross-sectional area of each of the small holes 123 on the outer surface of the drainage chamber 121 is larger than the cross-sectional area of each of the small holes 124 on the outer surface of the lavage chamber 122. When each of the small holes 123 on the outer surface of the drainage chamber 121 has a circular cross-sectional shape, the diameter thereof is between 1 mm and 5 mm, for example, about 1, 2, 3, 4 or 5 mm; as for lavage Each of the circular apertures 124 on the outer surface of the chamber 122 has a diameter of between about 1 mm and 3 mm, such as about 1, 2 or 3 mm.

本揭示內容之雙腔頭為一種可與習知引流灌洗系統和/或方法一起使用的獨特且有用的產物,可在最簡單操作的方式下,達成排空身體腔室內不想要物質以及傳送欲求流體至該身體腔室內的目的。The dual chamber head of the present disclosure is a unique and useful product that can be used with conventional drainage lavage systems and/or methods to achieve emptying of unwanted material in the body chamber and delivery in the simplest manner The purpose of seeking fluid into the body cavity.

知除非另外指明,否則在本文及附隨之請求項範圍中所述及之單數型式詞,「一(“a“,“an”)或該(”the)」均涵蓋其複數形式。It is to be understood that the singular forms "a", "a", "an" or "the"

雖然本揭示內容已以實施方式揭露如上,然其並非用以限定本揭示內容,任何熟習此技藝者,在不脫離本揭示內容之精神和範圍內,當可作各種之更動與潤飾。舉例來說,具有第一及第二腔室之雙腔頭的一端可以是逐漸尖細的,另一端則是分岔狀,使得此雙腔頭的兩個腔室在該尖細、多孔端內係彼此相鄰且共用一腔壁,但在該分岔端則是彼此分開的腔室。進行引流灌洗時,同樣將該尖細、多孔端***患者之一身體腔室內,至於分岔端上的兩腔室則分別經由適當的導管連接到引流單元和灌洗單元,以便移除身體腔室內不欲求物質以及傳送流體至該身體腔室內。上述的說明書、實施例與數據已提供了與本新型相關之結構與實施例之完整說明,任何習知技藝人士將可在不背離本新型精 神與範疇下,參照上述一或多個特定實施方式進行各種改良或變化,這些改良或變化應該被視為本新型下附請求範圍之範疇。The present disclosure has been disclosed in the above embodiments, and is not intended to limit the scope of the disclosure, and various modifications and changes may be made without departing from the spirit and scope of the disclosure. For example, one end of the dual chamber head having the first and second chambers may be tapered and the other end may be bifurcated such that the two chambers of the dual chamber head are at the tapered, porous end The inner systems are adjacent to each other and share a cavity wall, but at the branching ends are separate chambers. In the case of drainage lavage, the tapered, porous end is also inserted into the body cavity of one of the patients, and the two chambers on the branching end are respectively connected to the drainage unit and the lavage unit via appropriate conduits to remove the body. The substance is not required in the chamber and the fluid is delivered into the body chamber. The above specification, examples and data have provided a complete description of the structure and embodiments related to the present invention, and any skilled person will be able to Various modifications or changes can be made in the context of the above-described one or more specific embodiments, which are considered to be within the scope of the appended claims.

120‧‧‧雙腔頭120‧‧‧Double chamber head

121‧‧‧引流腔室121‧‧‧Drainage chamber

122‧‧‧灌洗腔室122‧‧‧Draining chamber

123,124‧‧‧小孔123,124‧‧‧ hole

125,126,127‧‧‧開口125,126,127‧‧‧ openings

130‧‧‧轉接頭130‧‧‧Adapter

Claims (12)

一種雙腔頭,可在一引流灌洗過程中分別與一引流單元及一灌洗單元耦接,用以移除一身體腔室內不想要的物質和傳送至少一種流體到該身體腔室內,具有一多孔端用以***至該身體腔室內,以及另一非多孔端用以分別耦接該引流單元及該灌洗單元,此雙腔頭包含:一引流腔室,與該引流單元耦接,且具有一第一多數個小孔於該雙腔頭多孔端之引流腔室表面上,用以移除該身體腔室內不想要的物質;以及一灌洗腔室,與該灌洗單元耦接,且具有一第二多數個小孔於該雙腔頭非多孔端之灌洗腔室表面上,用以傳送至少一種流體到該身體腔室內;其中,該引流腔室與該灌洗腔室在該雙腔頭內是彼此相鄰且共用一腔壁,且該第一多數個小孔與該第二多數個小孔係沿著該雙腔頭多孔端的部份表面設置。A double chamber head coupled to a drainage unit and a irrigation unit during a drainage lavage process for removing unwanted substances in a body chamber and delivering at least one fluid into the body chamber, a porous end for inserting into the body cavity, and another non-porous end for coupling the drainage unit and the irrigation unit respectively, the dual cavity head comprising: a drainage chamber coupled to the drainage unit And having a first plurality of small holes on the surface of the drainage chamber of the double-chamber porous end for removing unwanted substances in the body cavity; and a lavage chamber, and the lavage unit Coupling, and having a second plurality of small holes on the surface of the lavage chamber of the non-porous end of the double-chamber head for transferring at least one fluid into the body cavity; wherein the drainage chamber and the irrigation The washing chambers are adjacent to each other and share a cavity wall in the double cavity head, and the first plurality of small holes and the second plurality of small holes are disposed along a part of the surface of the porous end of the double cavity head . 如請求項1所述之雙腔頭,其中,該引流腔室的截面積大於該灌洗腔室的截面積;每一該第一多數個小孔的截面積大於每一該第二多數個小孔的截面積;且該灌洗腔室的長度與該引流腔室的長度可以相同或是不同。The double-chamber head according to claim 1, wherein a cross-sectional area of the drainage chamber is larger than a cross-sectional area of the lavage chamber; each of the first plurality of small holes has a cross-sectional area larger than each of the second plurality The cross-sectional area of the plurality of small holes; and the length of the irrigation chamber may be the same as or different from the length of the drainage chamber. 如請求項1所述之雙腔頭,其中該雙腔頭多孔端上設有該第一與第二多數個小孔部分的長度約在0.3至2英吋間。The double-chamber head according to claim 1, wherein the first and second plurality of small hole portions are provided on the porous end of the double-chamber head to have a length of about 0.3 to 2 inches. 如請求項1所述之雙腔頭,其中該雙腔頭非多孔端之灌洗腔室更包含一開口,用以連接一轉接頭,而使該灌洗腔室與該灌洗單元耦接。 The double-chamber head according to claim 1, wherein the doubling chamber of the non-porous end of the double-chamber head further comprises an opening for connecting a adapter, and coupling the lavage chamber to the lavage unit Pick up. 如請求項1所述之雙腔頭,其中該多孔端的一外型係沿著遠離該非多孔端的方向呈逐漸尖細。 The dual chamber head of claim 1, wherein an outer shape of the porous end tapers in a direction away from the non-porous end. 如請求項1所述之雙腔頭,其中該非多孔端為分岔狀。 The double chamber head of claim 1, wherein the non-porous end is bifurcated. 一種改良的引流灌洗系統,其具有一用來排空一身體腔室內不想要物質的引流單元以及一用來傳送至少一流體到該身體腔室內的灌洗單元,其中該引流灌洗系統的改良包含:一雙腔頭,其具有一多孔端用以***至該身體腔室內,以及另一非多孔端露出在該身體腔室外用以分別耦接該引流單元及該灌洗單元,此雙腔頭包含:一引流腔室,其可與該引流單元耦接,且具有一第一多數個小孔於腔室表面上,用以移除該身體腔室內不想要的物質;以及一灌洗腔室,其可與該灌洗單元耦接,且具有一第二多數個小孔於腔室表面上,用以傳送至少一種流體到該身體腔室內;其中,該引流腔室與該灌洗腔室在該雙腔頭內是彼此相鄰且共用一腔壁,且該第一多數個小孔與該第二多數個小孔係沿著該雙腔頭多孔端的部份表面設置。 An improved drainage lavage system having a drainage unit for evacuating unwanted material in a body chamber and a lavage unit for delivering at least one fluid into the body chamber, wherein the drainage lavage system The improvement comprises: a double cavity head having a porous end for insertion into the body cavity, and another non-porous end exposed outside the body cavity for coupling the drainage unit and the irrigation unit respectively, The dual chamber head comprises: a drainage chamber coupled to the drainage unit and having a first plurality of small holes on the surface of the chamber for removing unwanted substances in the body chamber; and a lavage chamber coupled to the lavage unit and having a second plurality of apertures on the surface of the chamber for delivering at least one fluid into the body chamber; wherein the drainage chamber is The lavage chambers are adjacent to each other and share a cavity wall in the double cavity head, and the first plurality of small holes and the second plurality of small holes are along the porous end of the double cavity head Surface setting. 如請求項7所述之改良的引流灌洗系統,其中該引流腔室的截面積大於該灌洗腔室的截面積;每一該第一多數個小孔的截面積大於每一該第二多數個小孔的截面積;且該灌洗腔室的長度與該引流腔室的長度可以相同或不同。 The improved drainage lavage system of claim 7, wherein a cross-sectional area of the drainage chamber is larger than a cross-sectional area of the irrigation chamber; each of the first plurality of small holes has a cross-sectional area larger than each of the first The cross-sectional area of the plurality of apertures; and the length of the irrigation chamber may be the same or different than the length of the drainage chamber. 如請求項7所述之改良的引流灌洗系統,其中該雙腔頭非多孔端之灌洗腔室更包含一開口,用以連接一轉接頭,而使該灌洗腔室與該灌洗單元耦接。 The improved drainage lavage system of claim 7, wherein the doubling chamber of the non-porous end of the dual chamber head further comprises an opening for connecting a spigot, and the lavage chamber and the irrigation The washing unit is coupled. 如請求項7所述之改良的引流灌洗系統,其中該雙腔頭***至身體腔室內之該多孔端上設有該第一與第二多數個小孔部分的長度約在0.3至2英吋間。 The improved drainage lavage system of claim 7, wherein the double lumen head is inserted into the porous end of the body chamber with the first and second plurality of small hole portions having a length of about 0.3 to 2 Between the United Kingdom. 如請求項7所述之改良的引流灌洗系統,其中該多孔端的一外型係沿著遠離該非多孔端的方向呈逐漸尖細。 The improved drainage lavage system of claim 7, wherein a profile of the porous end tapers in a direction away from the non-porous end. 如請求項7所述之改良的引流灌洗系統,其中該非多孔端為分岔狀。 The improved drainage lavage system of claim 7, wherein the non-porous end is bifurcated.
TW102211552U 2011-05-09 2011-05-09 Bi-lumen tip and suction-irrigation system TWM468317U (en)

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