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CN210904301U - An indwelling catheter device for post-prostatectomy - Google Patents

An indwelling catheter device for post-prostatectomy Download PDF

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CN210904301U
CN210904301U CN201921374337.3U CN201921374337U CN210904301U CN 210904301 U CN210904301 U CN 210904301U CN 201921374337 U CN201921374337 U CN 201921374337U CN 210904301 U CN210904301 U CN 210904301U
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urinary catheter
urine
ureter
jacking
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钟萍
卢振权
罗兵锋
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Shenzhen Hospital University of Hong Kong
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Shenzhen Hospital University of Hong Kong
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Abstract

The utility model discloses a keep somewhere ureter device for prostatectomy postoperative, including the ureter, still include: a jacking member for inserting the penis and the ureter, a urine leakage collecting member for collecting urine leakage between the urethra and the ureter, and a ureter kit for pulling and fixing the ureter and the jacking member; the front end of the ureter is provided with a balloon which can be injected with water, and the rear end is provided with a three-cavity joint; the jacking piece is provided with a hollow inner cavity, and the front end of the jacking piece is connected with a jacking joint which is sleeved at the root of the penis; the urine leakage collecting piece is arranged below the jacking piece and is communicated with the hollow inner cavity of the jacking piece; the urinary catheter sleeve piece is fixedly connected or detachably fixedly connected to the rear end face of the jacking part and is sleeved on the outer wall of the urinary catheter in a tight fit manner. The utility model discloses organically collect the isostructure integration together with the urine leakage of the apical press joint of ureter, apical press piece front end, the ureter external member of apical press piece rear end and apical press piece below to realize the collection of tractive hemostasis by compression and urine leakage of ureter front end sacculus, solved simultaneously through the problem that the urine was collected is spilt to the operation surface of a wound after the urethra prostate excision and ureter and urethra clearance.

Description

一种用于前列腺切除术后的留置尿管装置An indwelling catheter device for post-prostatectomy

技术领域technical field

本实用新型涉及一种手术后的医疗装置,尤其涉及一种用于前列腺切除术后的留置尿管装置。The utility model relates to a post-operative medical device, in particular to an indwelling urinary catheter device for post-prostatectomy.

背景技术Background technique

经尿道前列腺切除术是治疗良性前列腺增生的重要手段,创面出血是前列腺切除术后的常见并发症,目前临床上使用的前列腺切除术后止血方法是:采用自制的绷带将其一端绑在三腔导尿管上,另一端绑在患者的一只腿上,患者将腿伸直使绷带牵拉三腔导尿管充液的球囊压迫止血,一般前列腺切除术后常规牵拉12-24小时。Transurethral resection of the prostate is an important method for the treatment of benign prostatic hyperplasia. Wound bleeding is a common complication after prostatectomy. The current clinical method for hemostasis after prostatectomy is: use a self-made bandage to tie one end of the three-chambered prostate. The other end of the catheter is tied to one leg of the patient. The patient straightens the leg so that the bandage pulls the fluid-filled balloon of the three-lumen catheter to compress and stop the bleeding. Generally, it is routinely stretched for 12-24 hours after prostatectomy. .

此外,大多数患者在术前有较严重的尿频、尿急等膀胱刺激症状,而这些膀胱刺激症状在术后不会立即消失,需要经过一段时间恢复后才逐渐缓解,且由于手术创面及后尿道水肿的存在,患者也不能立即自行排尿,一般需要留置尿管3-6天,而留置尿管期间,由于膀胱刺激症状的存在,加上手术创面及尿管的刺激,经常出现膀胱不自主收缩,导致尿液从尿管和尿道间隙漏出,反复漏出尿液需多次更换尿垫或床单,增加医疗工作量,增加患者不适,带来医患矛盾。目前使用的自制绷带牵拉球囊除可压迫止血外,因牵拉时尿管球囊顶压膀胱颈口,也可一定程度上减少尿液自尿管和尿道间隙漏出,但该自制绷带存在制作不规范、患者使用不方便以及牵拉不牢靠的问题,牵拉球囊时漏尿仍不可避免,且仅在术后牵拉12-24小时,出血可能性降低后不再牵拉,留置尿管3-6天期间,由于膀胱刺激症状没有缓解,漏尿仍然存在。因此该方法未能同时较好地解决前列腺切除术后创面出血和漏尿相关问题。In addition, most patients had more serious bladder irritation symptoms such as frequent urination and urgency before surgery, and these bladder irritation symptoms did not disappear immediately after surgery, but gradually eased after a period of recovery. In the presence of urethral edema, the patient cannot urinate immediately, and the urinary catheter generally needs to be indwelled for 3-6 days. During the indwelling catheter, due to the existence of bladder irritation symptoms, combined with the stimulation of the surgical wound and the urinary catheter, bladder involuntary often occurs. The contraction causes urine to leak from the urethra and urethral space. Repeated leakage of urine requires multiple changes of the changing pads or sheets, which increases the medical workload, increases the discomfort of patients, and brings about contradictions between doctors and patients. In addition to compressing and hemostasis, the currently used self-made bandage pulling balloon can also reduce the leakage of urine from the urethra and urethral space to a certain extent because the urethral balloon presses against the neck of the bladder during pulling. Irregular production, inconvenient use of patients and unreliable traction problems, urine leakage is still inevitable when the balloon is stretched, and it is only stretched for 12-24 hours after the operation, and the possibility of bleeding is reduced. Urine leakage persisted due to unresolved bladder irritation symptoms during 3-6 days of catheterization. Therefore, this method cannot simultaneously solve the problems related to wound bleeding and urine leakage after prostatectomy.

实用新型内容Utility model content

本实用新型要解决的技术问题在于,针对现有技术中未能同时较好地解决前列腺切除术后创面出血和漏尿相关问题,提供一种用于前列腺切除术后的留置尿管装置。The technical problem to be solved by the present invention is to provide an indwelling urinary catheter device for post-prostatectomy in order to solve the problems related to wound surface bleeding and urine leakage after prostatectomy in the prior art.

本实用新型解决其技术问题所采用的技术方案是:一种用于前列腺切除术后的留置尿管装置,包括尿管,还包括:用于将阴茎和所述尿管穿装其中的顶压件、收集尿道与所述尿管之间漏尿的漏尿收集件、用于牵拉固定所述尿管及所述顶压件的尿管套件;The technical scheme adopted by the utility model to solve the technical problem is: an indwelling urinary catheter device for post-prostatectomy, comprising a urinary catheter, and also comprising: a top pressure for putting the penis and the urinary catheter into it parts, a urine leakage collection part for collecting urine leakage between the urethra and the urinary catheter, a urinary catheter kit for pulling and fixing the urinary catheter and the top pressing part;

所述尿管前端设有可注入水的球囊,后端设有三腔接头;The front end of the urinary catheter is provided with a balloon that can be injected with water, and the rear end is provided with a three-chamber joint;

所述顶压件带有中空内腔,所述顶压件前端连接有用于套设在所述阴茎根部的顶压接头;The pressing piece has a hollow inner cavity, and the front end of the pressing piece is connected with a pressing joint for being sleeved on the root of the penis;

所述漏尿收集件设置在所述顶压件下方且与所述顶压件的中空内腔联通;The leaked urine collection piece is arranged below the top pressure piece and communicated with the hollow inner cavity of the top pressure piece;

所述尿管套件固定连接或可拆卸固定连接在所述顶压件后端面且紧配合套装在所述尿管外壁上。The urinary tube set is fixedly connected or detachably fixedly connected to the rear end face of the top pressing piece, and is tightly fitted on the outer wall of the urinary tube.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述顶压接头前端和下方分别设有第一开口、第二开口,通过所述第一开口和所述第二开口将所述顶压接头配合套在所述阴茎根部。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, a first opening and a second opening are respectively provided at the front end and the lower part of the top pressure joint, through which the first opening and the The second opening fits the pressing joint on the base of the penis.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述顶压接头的横截面为拱形,所述顶压接头前端设有用于顶压在所述阴茎根部与耻骨相接处的皮肤表面的至少两个防护垫。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, the cross section of the pressing joint is arched, and the front end of the pressing joint is provided with a device for pressing against the penis. At least two protective pads on the skin surface where the root meets the pubic bone.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述顶压件下方设有至少一个用于将漏尿收集至所述漏尿收集件的第三开口;所述漏尿收集件固定连接或可拆卸固定连接在所述第三开口下方。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, at least one third opening for collecting leaked urine to the leaked urine collecting member is provided below the top pressing member ; the urine leakage collecting piece is fixedly connected or detachably fixedly connected below the third opening.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述第三开口为顶压件下方开设的狭缝或漏尿孔;或者所述漏尿收集件与所述顶压件一体结构,二者内腔联通,所述漏尿收集件与所述顶压件组成后端面密封、前端开口的柱体。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, the third opening is a slit or a urine leakage hole opened below the top pressure piece; The top pressing piece has an integral structure, and the two inner cavities are communicated, and the urine leakage collecting piece and the top pressing piece form a cylinder with a sealed rear end and an open front end.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述漏尿收集件的最低位置处设有排出漏尿的出尿口;Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, a urine outlet for discharging leaked urine is provided at the lowest position of the urine leakage collector;

所述漏尿收集件不超出所述顶压件的前端面。The leaked urine collecting piece does not exceed the front end face of the pressing piece.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述尿管套件包括:紧配合套装在所述尿管外壁上且在外力下沿尿管外壁滑动的尿管固件,所述尿管固件上设有用于加强尿管固件在所述尿管上的固定力的加固件。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, the urinary catheter set includes: a tightly fitting sleeve on the outer wall of the urinary catheter and sliding along the outer wall of the urinary catheter under external force Urinary catheter fasteners are provided with reinforcements for strengthening the fixing force of the urinary catheter fasteners on the urinary catheters.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述顶压件后端面沿其内径方向及顺沿至所述尿管固件处开设有裂缝,用于从所述尿管出尿端向进尿端将所述顶压件和所述尿管固件套于所述尿管上。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, the rear end surface of the pusher is provided with slits along the inner diameter direction and along the urethral fastener for The top pressing piece and the urinary tube fastener are sleeved on the urinary tube from the urine outlet end to the urine inlet end of the urinary tube.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,还包括:设置在所述顶压件上的用于牵拉所述顶压件并引导牵拉方向的牵引带。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, it further comprises: a device arranged on the pressing member for pulling the pressing member and guiding the pulling direction Leashes.

优选地,在本实用新型所述的用于前列腺切除术后的留置尿管装置中,所述牵引带包括:设置在所述牵引带尾端的用于牵拉并引导牵拉方向的牵拉圈、以及设置在所述牵引带主体上的用于粘贴固定在所述尿管外壁而加大牵引力度的胶贴。Preferably, in the indwelling catheter device for post-prostatectomy according to the present invention, the traction belt includes: a traction ring arranged at the tail end of the traction belt for pulling and guiding the pulling direction , and an adhesive sticker arranged on the main body of the traction belt for sticking and fixing on the outer wall of the urinary catheter to increase the traction force.

通过实施本实用新型,具有以下有益效果:By implementing the present utility model, it has the following beneficial effects:

本实用新型的顶压件、顶压接头及尿管套件,与前端设有可注水球囊的尿管配合,形成牵拉尿管的作用力,使得尿管前端的注水球囊顶压膀胱颈口,前列腺创面外形成一定压力得以压迫止血。在顶压件的下方设有漏尿收集件,可用于收集尿道与尿管之间的漏尿。本实用新型有机地将尿管、顶压件、顶压件前端的顶压接头、顶压件后端的尿管套件以及顶压件下方的漏尿收集件等结构整合在一起,从而实现尿管前端球囊的牵拉压迫止血以及漏尿的收集,同时解决了经尿道前列腺切除术后手术创面出血及尿管和尿道间隙漏出尿液收集的问题;The top pressure piece, the top pressure joint and the urinary catheter set of the utility model cooperate with the urinary catheter provided with a water-filled balloon at the front end to form a force for pulling the urinary catheter, so that the water-filled balloon at the front end of the urinary catheter presses against the bladder neck A certain pressure is formed outside the prostate wound to compress and stop the bleeding. A urine leakage collecting member is arranged under the top pressing member, which can be used for collecting urine leakage between the urethra and the urethra. The utility model organically integrates the structures of the urinary tube, the top pressure piece, the top pressure joint at the front end of the top pressure piece, the urinary tube set at the rear end of the top pressure piece, and the urine leakage collection piece below the top pressure piece, thereby realizing the urinary catheter. The traction and compression of the front-end balloon can stop bleeding and collect urine leakage, and at the same time solve the problems of surgical wound bleeding and urine collection from the gap between the urethra and urethra after transurethral prostatectomy;

另外,在顶压接头上可增加防护垫,避免在牵拉尿管前端球囊压迫止血的同时而引起患者的不适,还通过增加牵引带可进一步调整牵拉的力度及方向。In addition, a protective pad can be added to the top pressure joint to avoid discomfort to the patient when the balloon at the front end of the urinary catheter is pulled to compress and stop bleeding, and the pulling force and direction can be further adjusted by adding a traction belt.

附图说明Description of drawings

下面将结合附图及实施例对本实用新型作进一步说明,附图中:The utility model will be further described below in conjunction with the accompanying drawings and embodiments, in the accompanying drawings:

图1是本实用新型用于前列腺切除术后的留置尿管装置的结构示意图;Fig. 1 is the structural representation of the utility model for indwelling urinary catheter device after prostatectomy;

图2是本实用新型用于前列腺切除术后的留置尿管装置的顶压接头的横截面示意图;Fig. 2 is the cross-sectional schematic diagram of the top pressure joint of the utility model for indwelling urinary catheter device after prostatectomy;

图3是本实用新型用于前列腺切除术后的留置尿管装置设有牵引带的结构示意图。Figure 3 is a schematic structural diagram of the present utility model for the indwelling urinary catheter device after prostatectomy is provided with a traction belt.

具体实施方式Detailed ways

为了对本实用新型的技术特征、目的和效果有更加清楚的理解,现对照附图详细说明本实用新型的具体实施方式。In order to have a clearer understanding of the technical features, purposes and effects of the present invention, the specific embodiments of the present invention will now be described in detail with reference to the accompanying drawings.

方位限定:使用时,靠近人体的为前,远离人体的为后,以附图1和3中显示的上下方位为本实用新型的上和下。需要理解的是,“前”、“后”、“上”、“下”等指示的方位或位置关系为基于附图所示的方位或位置关系、以特定的方位构造和操作,仅是为了便于描述本技术方案,而不是指示所指的装置或元件必须具有特定的方位,因此不能理解为对本实用新型的限制。Orientation limitation: when in use, the one that is close to the human body is the front, and the one that is far away from the human body is the rear, and the upper and lower orientations shown in the accompanying drawings 1 and 3 are the upper and lower of the utility model. It should be understood that the orientation or positional relationship indicated by "front", "rear", "upper", "lower", etc. is based on the orientation or positional relationship shown in the drawings, constructed and operated in a specific orientation, only for the purpose of It is convenient to describe the technical solution, rather than indicating that the referred device or element must have a specific orientation, so it should not be construed as a limitation of the present invention.

如图1所示,一种用于前列腺切除术后的留置尿管装置,包括尿管1,还包括:用于将阴茎3和尿管1穿装其中的顶压件4、收集尿道与尿管1之间漏尿的漏尿收集件7、用于牵拉固定尿管1及顶压件4的尿管套件8;所述尿管1前端设有可注入水的球囊11,后端设有三腔接头;顶压件4带有中空内腔,顶压件4前端连接有用于套设在阴茎根部的顶压接头5;漏尿收集件7设置在顶压件4下方且与顶压件4的中空内腔联通;尿管套件8固定连接或可拆卸固定连接在顶压件4后端面且紧配合套装在尿管1外壁上。As shown in FIG. 1 , an indwelling urinary catheter device for post-prostatectomy includes a urinary catheter 1, and also includes: a pusher 4 for putting the penis 3 and the urinary catheter 1 through, collecting the urethra and urine The urine leakage collecting member 7 for leaking urine between the tubes 1, the urinary tube set 8 for pulling and fixing the urinary tube 1 and the top pressing member 4; There are three-chamber joints; the top pressure piece 4 has a hollow inner cavity, and the front end of the top pressure piece 4 is connected with a top pressure joint 5 for being set at the root of the penis; The hollow inner cavity of the member 4 is communicated; the urinary catheter set 8 is fixedly connected or detachably fixedly connected to the rear end surface of the top pressing member 4 and is tightly fitted on the outer wall of the urinary catheter 1 .

本实用新型所述的尿管1为用于前列腺切除术后的三腔导尿管,其包括尿管、设置在尿管前端的球囊以及设置在尿管后端的三腔接头,其中三腔接头包括:用于给球囊注入20-80ml水的球囊注水腔接头、用于给膀胱灌注冲洗的进液腔接头以及用于排尿引流的排液腔接头,每个腔的接头都有独立的管道容置在尿管中,并联通至尿管前端。The urinary catheter 1 of the present invention is a three-lumen urinary catheter used for prostatectomy, which comprises a urinary catheter, a balloon arranged at the front end of the urinary catheter, and a three-lumen joint arranged at the rear end of the urinary catheter, wherein the three lumens The joints include: a balloon water cavity joint for injecting 20-80ml of water into the balloon, a fluid inlet cavity joint for bladder irrigation and irrigation, and a drainage cavity joint for urination and drainage. The joints of each cavity have independent joints. The pipeline is accommodated in the urinary catheter and connected to the front end of the urinary catheter.

在本实施例中,顶压件4为中空柱体轴向切去部分形成的结构,优选顶压件4为中空半椭圆柱。为更好地形成顶压在阴茎根部与耻骨相接处的皮肤表面的作用力,且考虑到每位患者的阴茎术后状态均不相同,需要一定空间调整阴茎位置,因此优选地,顶压件4前端到顶压件4后端的半径逐渐增大。In this embodiment, the top pressing member 4 is a structure formed by axially cutting out a part of a hollow cylinder. Preferably, the top pressing member 4 is a hollow semi-elliptical cylinder. In order to better form the force of pressing on the skin surface where the base of the penis meets the pubic bone, and considering that the postoperative state of the penis of each patient is different, a certain space is needed to adjust the position of the penis, so preferably, the pressing force is The radius from the front end of the piece 4 to the rear end of the pressing piece 4 increases gradually.

顶压件4带有中空内腔,其前端连接有用于套设在阴茎根部的顶压接头5,其中,顶压接头5与顶压件4可以是一体结构,也可以是可拆卸固定连接结构。顶压接头5前端和下方分别设有第一开口51、第二开口52。通过第一开口51和第二开口52将顶压接头5配合套在阴茎根部,患者的阴茎3可自第一开口51和第二开口52穿入至顶压件4的中空内腔中。The top pressure piece 4 has a hollow inner cavity, and its front end is connected with a top pressure joint 5 for being set at the root of the penis, wherein, the top pressure joint 5 and the top pressure piece 4 can be an integral structure or a detachable fixed connection structure. . A first opening 51 and a second opening 52 are respectively provided at the front end and the lower part of the pressing joint 5 . Through the first opening 51 and the second opening 52 , the pressing connector 5 is fitted over the base of the penis, and the patient's penis 3 can penetrate into the hollow cavity of the pressing member 4 from the first opening 51 and the second opening 52 .

如图2所示,顶压接头5的横截面为拱形,为了进一步增加作用面积、减小压强,优选顶压接头5前端设有用于顶压在阴茎根部与耻骨相接处的皮肤表面的至少两个防护垫6。且优选地,顶压接头5和防护垫6采用橡胶或表面软性材料或弹性材料制成,避免增加患者的不适感。As shown in Figure 2, the cross-section of the pressing joint 5 is arched. In order to further increase the action area and reduce the pressure, it is preferable that the front end of the pressing joint 5 is provided with a surface for pressing the skin surface at the junction between the root of the penis and the pubic bone. At least two protective pads 6 . And preferably, the pressing joint 5 and the protective pad 6 are made of rubber or surface soft material or elastic material, so as to avoid increasing the discomfort of the patient.

在其他实施例中,第一开口51边上采用橡胶或表面软性材料或弹性材料包裹,可进一步增加作用面积、减小压强,减少患者的不适感。In other embodiments, the edge of the first opening 51 is wrapped with rubber or surface soft material or elastic material, which can further increase the working area, reduce the pressure, and reduce the discomfort of the patient.

在本实施例中,顶压件4下方设有至少一个用于将漏尿收集至漏尿收集件7的第三开口41,漏尿收集件7固定连接或可拆卸固定连接在第三开口41下方。顶压件4下方的第三开口41在结构上不做特殊限定,优选为狭缝或漏尿孔,用于与漏尿收集件7联通。In this embodiment, at least one third opening 41 is provided below the top pressing member 4 for collecting leaked urine to the leaked urine collecting member 7 , and the leaking urine collecting member 7 is fixedly or detachably connected to the third opening 41 . below. The third opening 41 under the top pressing member 4 is not particularly limited in structure, and is preferably a slit or a urine leakage hole for communicating with the leakage urine collecting member 7 .

在其他实施例中,漏尿收集件7与顶压件4可以为一体结构,二者内腔联通,漏尿收集件7与顶压件4可组成后端面密封、前端开口的柱体,该开口确保阴茎根部在水平位置时能通过。In other embodiments, the urine leakage collecting member 7 and the top pressing member 4 may be of an integrated structure, and the inner cavities of the two are communicated. The opening ensures that the base of the penis can pass through when it is in a horizontal position.

优选地,漏尿收集件7的最低位置处设有排出漏尿的出尿口72,出尿口72可连接外部引流袋等收集漏尿的装置。在其他实施例中,当漏尿收集件7是可拆卸时,可在漏尿收集件7铺设吸尿布等,在一段时间后将漏尿收集件7拆下来更换里面的吸尿布,在此不再赘述。Preferably, a urine outlet 72 for discharging leaked urine is provided at the lowest position of the urine leakage collecting member 7, and the urine outlet 72 can be connected to a device such as an external drainage bag to collect urine leakage. In other embodiments, when the urine leakage collecting member 7 is detachable, a absorbent diaper or the like can be laid on the urine leakage collecting member 7, and after a period of time, the urine leakage collecting member 7 can be removed to replace the absorbent diaper inside. Repeat.

如图1所示,为了尽量避免患者术后的不适,漏尿收集件7不超出顶压件4的前端面,顶压接头5的下方开口形成第二开口52,第二开口52的大小以阴茎根部在水平位置时能通过为宜,且避免在顶压接头5起顶压作用时,漏尿收集件7的前端会对阴茎根部下侧造成顶压作用,引起患者不适。As shown in FIG. 1 , in order to avoid postoperative discomfort of the patient as much as possible, the urine leakage collecting member 7 does not exceed the front end surface of the pressing member 4, and the lower opening of the pressing joint 5 forms a second opening 52, and the size of the second opening 52 is equal to It is advisable that the root of the penis can pass through in a horizontal position, and when the pressing joint 5 acts as a pressing action, the front end of the urine leakage collector 7 will cause pressing on the underside of the root of the penis, causing discomfort to the patient.

优选漏尿收集件7的前端内侧处设有用于黏附于阴茎根部下侧的黏贴71,以封闭漏尿收集件7的前端,让漏液只从出尿口72流出,且漏尿收集件7前端部分可进一步选择由塑料薄膜等柔软材料制成,便于黏贴71黏附阴茎。Preferably, a sticker 71 for adhering to the lower side of the base of the penis is provided at the inner side of the front end of the urine leakage collecting member 7, so as to close the front end of the urine leakage collecting member 7, so that the leakage liquid only flows out from the urine outlet 72, and the leakage collecting member 7. The front part can be further selected to be made of soft materials such as plastic film, which is convenient for sticking 71 to the penis.

本实施例中,尿管1前端的球囊11注入适量的水充盈后顶压膀胱颈口2,向后用力牵拉尿管1,前列腺创面外形成一定压力,得以压迫止血,但本实用新型还设计了尿管套件8,尿管套件8包括:紧配合套装在尿管1外壁上且在外力下沿尿管外壁滑动的尿管固件81,尿管固件81上设有用于加强尿管固件81在尿管1上的固定力的加固件82。尿管套件8还可以在牵拉球囊顶压在膀胱颈口期间,通过与顶压件4、顶压接头5、尿管1的配合,达到稳定牵拉的技术效果,可较好的降低牵拉期间漏尿的发生。In the present embodiment, the balloon 11 at the front end of the urinary catheter 1 is filled with an appropriate amount of water and then pressed against the bladder neck 2, and the urinary catheter 1 is pulled backwards forcefully. A urinary catheter kit 8 is also designed, and the urinary catheter kit 8 includes: a urinary catheter fastener 81 that is tightly fitted on the outer wall of the urinary catheter 1 and slides along the outer wall of the urinary catheter under external force. 81 Reinforcement element 82 for the fixation force on the urinary catheter 1 . The urinary catheter kit 8 can also achieve the technical effect of stable pulling by cooperating with the top pressing member 4, the top pressing joint 5 and the urinary catheter 1 during the top pressing of the pulling balloon against the bladder neck opening, which can be better reduced. Occurrence of leakage of urine during stretching.

具体地,当阴茎3和尿管1穿装在顶压件4中,为了将顶压接头5顶压在阴茎3根部与耻骨相接处的皮肤表面上,首先通过外力作用下将尿管固件81沿尿管外壁滑动,当顶压接头5顶压在阴茎3根部与耻骨相接处的皮肤表面上时,可用力牵拉尿管,此时尿管固件81可紧配合套装在尿管1外壁上,从而固定尿管1,由于顶压件4、尿管固件81、顶压接头5的相互配合,实现了对尿管1的持续牵拉,形成向后牵拉尿管1的作用力,使得球囊11能够持续顶压膀胱颈口2,前列腺创面外可持续形成一定压力,达到更好的止血效果。优选地,尿管固件81为具有弹性的固定件。Specifically, when the penis 3 and the urethra 1 are installed in the pressing member 4, in order to press the pressing joint 5 on the skin surface where the root of the penis 3 and the pubic bone meet, the urethral tube fastener is first pressed by external force. 81 slides along the outer wall of the urinary catheter, when the top pressure joint 5 is pressed on the skin surface where the root of the penis 3 and the pubic bone meet, the urinary catheter can be pulled by force, and the urinary catheter fastener 81 can be tightly fitted on the urinary catheter 1. On the outer wall, thereby fixing the urinary catheter 1, due to the mutual cooperation of the top pressure piece 4, the urinary catheter fastener 81, and the top pressure joint 5, the continuous pulling of the urinary catheter 1 is realized, and the force for pulling the urinary catheter 1 backward is formed. , so that the balloon 11 can continuously press the bladder neck 2, and a certain pressure can be continuously formed outside the prostate wound to achieve better hemostasis effect. Preferably, the urinary catheter fastener 81 is an elastic fastener.

而为了进一步加强尿管固件81在尿管1上的固定力,达到更好的牵拉和止血效果,从而在尿管固件81上还套装了一加固件82,该加固件82可以选择橡胶圈或带有卡扣的可拆卸套环。In order to further strengthen the fixing force of the urinary catheter fastener 81 on the urinary catheter 1 and achieve better pulling and hemostasis effects, a reinforcing member 82 is also set on the urinary catheter fastener 81, and the reinforcing member 82 can be selected from a rubber ring Or a detachable collar with snaps.

本实施例还提供了两种将顶压件4套装在尿管1上的方式,其中一种是:顶压件4后端面和尿管固件81上均开设有裂缝,两裂缝之间贯通,具体地,顶压件4后端面沿其内径方向及顺沿至尿管固件81处开设有裂缝10,用于从尿管1出尿端向进尿端将顶压件4和尿管固件81套于尿管1上,更方便地将顶压件4套装在尿管上。此时优选加固件82为带有卡扣的可拆卸套环,在尿管固件81套于尿管1上后,打开卡扣,将加固件82扣套在尿管1上;这种方式主要是考虑到尿管出尿端存在三腔接头,当尿管1已插入尿道时,为了将尿管1和阴茎穿装在顶压件4中,只能从尿管1出尿端,即三腔接头端向进尿端套入,此时在顶压件4后端面和尿管固件81上开设裂缝10可方便这一过程的实施。另外一种是没有开设有裂缝,此时可在尿管1插入尿道前,从尿管1进尿端向出尿端将顶压件4和尿管套件8套于尿管1上。The present embodiment also provides two ways to fit the top pressing member 4 on the urinary catheter 1, one of which is: the rear end surface of the top pressing member 4 and the urinary catheter fastener 81 are both provided with slits, and the two slits are connected to each other. Specifically, a slit 10 is opened on the rear end surface of the top pressure piece 4 along its inner diameter direction and along the urinary catheter fastener 81, which is used to separate the top pressure piece 4 and the urinary catheter fastener 81 from the urine outlet end of the urinary catheter 1 to the urine inlet end. Put on the urinary catheter 1, it is more convenient to put the top pressing piece 4 on the urinary catheter. At this time, it is preferable that the reinforcing member 82 is a detachable collar with a buckle. After the urinary catheter fastener 81 is put on the urinary catheter 1, the buckle is opened, and the reinforcing member 82 is buckled on the urinary catheter 1; this method is mainly Considering the existence of a three-chamber joint at the urine outlet end of the urethra, when the urethra 1 has been inserted into the urethra, in order to fit the urethra 1 and the penis into the top pressure piece 4, only the urethral end of the urethra 1 can exit, that is, the three The lumen joint end is sleeved toward the urine inlet end, and at this time, opening a slit 10 on the rear surface of the top pressing member 4 and the urinary catheter fastener 81 can facilitate the implementation of this process. The other is that there is no slit. At this time, before the urethra 1 is inserted into the urethra, the top pressing piece 4 and the urethral set 8 can be put on the urethra 1 from the urine inlet end to the urine outlet end of the urethra 1 .

如图3所示,为了根据患者的移动相应调整牵拉的方向,更好的实现止血效果,本实用新型设计了设置在顶压件4上的用于牵拉顶压件4并引导牵拉方向的牵引带9,该牵引带9包括:设置在牵引带9尾端的用于牵拉并引导牵拉方向的牵拉圈91、以及设置在牵引带9主体上的用于粘贴固定在尿管1外壁而加大牵引力度的胶贴92。在使用时,牵拉圈91可以选择为橡胶圈,套于患者腿部,用于牵拉并引导牵拉方向。As shown in FIG. 3 , in order to adjust the pulling direction according to the movement of the patient and better achieve the effect of hemostasis, the present invention designs a device arranged on the pressing member 4 for pulling the pressing member 4 and guiding the pulling The traction belt 9 in the direction of the traction belt 9 includes: a pulling ring 91 arranged at the tail end of the traction belt 9 for pulling and guiding the pulling direction; 1. Adhesive sticker 92 to increase the traction force on the outer wall. In use, the pulling ring 91 can be selected as a rubber ring, which is wrapped around the patient's leg for pulling and guiding the pulling direction.

为了保证顶压件4内腔的通风和患者阴茎术后的卫生,在顶压件4中间靠上位置设有透气孔42,顶压件可采用硬质材料制成。In order to ensure the ventilation of the inner cavity of the top pressure piece 4 and the hygiene of the patient's penis after surgery, a ventilation hole 42 is provided in the upper middle position of the top pressure piece 4, and the top pressure piece can be made of hard material.

根据本实用新型前列腺切除术后的留置尿管装置的结构,其实施过程如下:According to the structure of the indwelling catheter device after prostatectomy of the present utility model, its implementation process is as follows:

当顶压件4后端面沿其内径方向及顺沿至尿管固件81处没有开设有裂缝10时,从尿管1进尿端向出尿端依次将尿管固件81和顶压件4套于尿管1上,待尿管1插入患者膀胱后,注入适量的水充盈尿管1前端球囊11,向后用力牵拉尿管1,球囊11顶压膀胱颈口2,前列腺创面外形成一定压力,得以压迫止血;滑动尿管固件81至恰当位置保持固定,顶压接头5和防护垫6顶压在患者阴茎根部与耻骨相接处的皮肤表面,形成向后牵拉尿管的作用力,适当调整尿管固件81在尿管1的位置,以调整牵拉力度大小,加固件82可用于进一步加固尿管固件81在尿管上1的位置,牵引带9尾端的橡胶圈91可套于患者腿部适当位置,以引导牵拉力的作用方向,也可将牵引带9上的胶贴92环绕贴于尿管1恰当位置上,进一步调整牵拉力的大小;漏尿收集件7的黏贴71黏附于阴茎根部下侧,以封闭漏尿收集件7前端,当尿管1与尿道间隙有尿液漏出时,漏尿收集件7负责收集,漏尿收集件7的出尿口72可接引流袋,漏尿可经此一步储存。术后12-24小时,前列腺创面无明显出血或无较高出血风险时,可调整尿管固件81和加固件82在尿管上的位置,使得顶压接头5和防护垫6不起顶压作用,而此时因膀胱刺激症状的存在,仍可出现尿液自尿管1与尿道间隙漏出的情况,漏尿收集件7仍负责收集。When there is no slit 10 on the rear end surface of the top pressure piece 4 along its inner diameter direction and along to the urinary catheter fastener 81, the urinary catheter fastener 81 and the top pressure piece 4 are set in sequence from the urine inlet end of the urinary catheter 1 to the urine outlet end. On the urinary catheter 1, after the urinary catheter 1 is inserted into the patient's bladder, inject an appropriate amount of water to fill the balloon 11 at the front end of the urinary catheter 1, and pull the urinary catheter 1 backwards. Form a certain pressure to stop bleeding; slide the urinary catheter fastener 81 to an appropriate position and keep it fixed, and the top-pressing joint 5 and the protective pad 6 are pressed against the skin surface of the patient's penis root and the pubic bone, forming a back-pulling urinary catheter. Apply force, properly adjust the position of the urinary catheter fastener 81 on the urinary catheter 1 to adjust the pulling force, the reinforcement 82 can be used to further reinforce the position of the urinary catheter fastener 81 on the urinary catheter 1, and the rubber ring 91 at the end of the traction belt 9 It can be put on the appropriate position of the patient's leg to guide the action direction of the pulling force, and the adhesive sticker 92 on the traction belt 9 can also be attached to the appropriate position of the urinary catheter 1 to further adjust the pulling force; The sticker 71 of the piece 7 is adhered to the underside of the root of the penis to close the front end of the leaking urine collecting piece 7. When urine leaks out from the gap between the urethra 1 and the urethra, the leaking urine collecting piece 7 is responsible for collecting, and the urine leaking collecting piece 7 is collected. The urine opening 72 can be connected to a drainage bag, and leaked urine can be stored in this step. 12-24 hours after the operation, when there is no obvious bleeding or high bleeding risk on the prostate wound, the position of the urinary catheter fastener 81 and the fastener 82 on the urinary catheter can be adjusted so that the top pressure joint 5 and the protective pad 6 can not be pressed. At this time, due to the presence of bladder irritation symptoms, urine may still leak from the gap between the urinary catheter 1 and the urethra, and the leaked urine collection member 7 is still responsible for collection.

当顶压件4后端面沿其内径方向及顺沿至尿管固件81处开设有裂缝10时,从尿管1出尿端向进尿端依次将顶压件4和尿管固件81套于尿管1上,由于此时尿管固件81保持固定在尿管1上位置的作用相较于前种没有开设裂缝10的实施方式弱,加固件82的作用相对重要,此时加固件82优选为带有卡扣的可拆卸套环,待尿管固件81套于尿管1后,打开卡扣,再将加固件82套在尿管固件81上并用卡扣固定,其余实施过程同前。When the rear end face of the top pressing piece 4 is provided with a slit 10 along its inner diameter direction and along to the urinary catheter fastener 81, the top pressing piece 4 and the urinary catheter fastener 81 are sequentially sheathed on the urinary catheter 1 from the urine outlet end to the urine inlet end. On the urinary catheter 1, since the effect of the urinary catheter fastener 81 remaining fixed on the urinary catheter 1 is weaker than the previous embodiment without opening the crack 10, the role of the reinforcing member 82 is relatively important, and the reinforcing member 82 is preferred at this time. It is a detachable collar with a buckle. After the urinary catheter fastener 81 is sheathed on the urinary catheter 1, the fastener is opened, and then the fastener 82 is sheathed on the urinary catheter fastener 81 and fixed with the fastener. The rest of the implementation process is the same as before.

通过实施本实用新型,具有以下有益效果:By implementing the present utility model, it has the following beneficial effects:

经尿道前列腺切除术后,大多数患者膀胱刺激症状不能立即消失,常出现膀胱不自主收缩导致尿液从尿管和尿道间隙漏出,反复漏出尿液需多次更换尿垫或床单,增加医疗工作量,增加患者不适,带来医患矛盾;此外,前列腺切除术后创面出血在临床上也较常见。针对上述问题,本实用新型的顶压件通过尿管套件在尿管上滑动,滑动至顶压接头套设在阴茎根部时,使阴茎和尿管穿装在顶压件的中空内腔中,此时可用力牵拉尿管,并将尿管套件紧配合套装在尿管外壁上,由于尿管套件固定连接或可拆卸固定连接在顶压件上,因此形成向后牵拉尿管的作用力,使得尿管前端的球囊持续顶压膀胱颈口,前列腺创面外持续形成一定压力,达到更好的止血效果。同时,通过设置在顶压件下方且与顶压件的中空内腔联通的漏尿收集件,可收集尿道与尿管之间的漏尿,解决了漏尿收集的问题,降低了医疗工作量,改善了患者生活质量。After transurethral resection of the prostate, bladder irritation symptoms in most patients do not disappear immediately. Involuntary bladder contractions often lead to leakage of urine from the urethra and urethral space. Repeated leakage of urine requires multiple changes of changing pads or sheets, increasing medical work. In addition, wound bleeding after prostatectomy is also common in clinical practice. In view of the above-mentioned problems, the top pressure piece of the present invention slides on the urinary catheter through the urinary catheter set, and slides until the top pressure joint is sleeved on the root of the penis, so that the penis and the urinary catheter are worn in the hollow inner cavity of the top pressure piece, At this time, the urinary catheter can be pulled by force, and the urinary catheter set is tightly fitted on the outer wall of the urinary catheter. Since the urinary catheter set is fixedly connected or detachably fixed on the top pressure piece, the effect of pulling the urinary catheter backward is formed. Therefore, the balloon at the front end of the urinary catheter continuously presses the bladder neck, and a certain pressure is continuously formed outside the prostate wound to achieve a better hemostasis effect. At the same time, through the urine leakage collection piece disposed under the top pressure piece and communicated with the hollow inner cavity of the top pressure piece, the urine leakage between the urethra and the urethra can be collected, which solves the problem of leaking urine collection and reduces the medical workload. , improve the quality of life of patients.

可以理解的,以上实施例仅表达了本实用新型的优选实施方式,其描述较为具体和详细,但并不能因此而理解为对本实用新型专利范围的限制;应当指出的是,对于本领域的普通技术人员来说,在不脱离本实用新型构思的前提下,可以对上述技术特点进行自由组合,还可以做出若干变形和改进,这些都属于本实用新型的保护范围;因此,凡跟本实用新型权利要求范围所做的等同变换与修饰,均应属于本实用新型权利要求的涵盖范围。It can be understood that the above examples only represent the preferred embodiments of the present invention, and the descriptions thereof are more specific and detailed, but should not be construed as a limitation to the scope of the present invention; For technical personnel, under the premise of not departing from the concept of the present utility model, the above-mentioned technical features can be freely combined, and some deformations and improvements can also be made, and these all belong to the protection scope of the present utility model; Equivalent transformations and modifications made within the scope of the claims of the present invention shall fall within the scope of the claims of the present invention.

Claims (10)

1. An indwelling catheter device for use after prostatectomy, comprising a catheter (1), characterized by further comprising: a jacking part (4) for putting the penis (3) and the ureter (1) in the urine collection sleeve, a urine leakage collection part (7) for collecting urine leakage between the urethra and the ureter (1), and a ureter sleeve (8) for pulling and fixing the ureter (1) and the jacking part (4);
the front end of the ureter (1) is provided with a balloon (11) which can be injected with water, and the rear end is provided with a three-cavity joint;
the jacking piece (4) is provided with a hollow inner cavity, and the front end of the jacking piece (4) is connected with a jacking joint (5) which is sleeved at the root of the penis;
the urine leakage collecting piece (7) is arranged below the jacking piece (4) and is communicated with the hollow inner cavity of the jacking piece (4);
the ureter kit (8) is fixedly connected or detachably fixedly connected with the rear end face of the jacking part (4) and is sleeved on the outer wall of the ureter (1) in a close fit manner.
2. The indwelling urinary catheter device for post-prostatectomy according to claim 1, wherein the crimp connector (5) has a first opening (51) and a second opening (52) at the front and under side, respectively, and the crimp connector (5) is fitted over the root of the penis (3) through the first opening (51) and the second opening (52).
3. The indwelling urinary catheter device for post-prostatectomy according to claim 1, wherein the cross-section of the crimp fitting (5) is arched, and the front end of the crimp fitting (5) is provided with at least two protective pads (6) for crimping against the skin surface at the junction of the root of the penis (3) and the pubic bone.
4. The indwelling urinary catheter device for post-prostatectomy according to claim 1, wherein at least one third opening (41) for collecting leakage urine to the leakage urine collecting member (7) is provided below the top pressure member (4); the urine leakage collecting piece (7) is fixedly connected or detachably fixedly connected below the third opening (41).
5. The indwelling urinary catheter device for post-prostatectomy according to claim 4, wherein the third opening (41) is a slit or leak hole provided below the top pressure member (4); or the urine leakage collecting piece (7) and the jacking piece (4) are of an integrated structure, the inner cavities of the urine leakage collecting piece and the jacking piece are communicated, and the urine leakage collecting piece (7) and the jacking piece (4) form a cylinder with a sealed rear end face and an open front end.
6. The indwelling urinary catheter device for post-prostatectomy according to claim 1, wherein the urine leakage collecting member (7) is provided at its lowest position with a urine outlet (72) for discharging leaked urine;
the urine leakage collecting piece (7) does not exceed the front end face of the jacking piece (4).
7. Indwelling urinary catheter device for post-prostatectomy according to claim 1, characterised in that the urinary catheter kit (8) comprises: the catheter fixing piece (81) is sleeved on the outer wall of the catheter (1) in a tight fit manner and slides along the outer wall of the catheter under an external force, and a reinforcing piece (82) used for reinforcing the fixing force of the catheter fixing piece (81) on the catheter (1) is arranged on the catheter fixing piece (81).
8. The indwelling urinary catheter device for post-prostatectomy according to claim 7, wherein the rear end face of the top pressure member (4) is provided with a slit (10) along its inner diameter and along the urinary catheter fixing member (81) for sleeving the top pressure member (4) and the urinary catheter fixing member (81) on the urinary catheter (1) from the urine outlet end to the urine inlet end of the urinary catheter (1).
9. An indwelling urinary catheter device for post-prostatectomy, according to claim 1, further comprising: and the traction belt (9) is arranged on the jacking piece (4) and is used for drawing the jacking piece (4) and guiding the drawing direction.
10. Indwelling urinary catheter device for post-prostatectomy according to claim 9, characterised in that the traction belt (9) comprises: the traction belt is characterized by comprising a traction ring (91) which is arranged at the tail end of the traction belt (9) and is used for traction and guiding the traction direction, and an adhesive tape (92) which is arranged on the body of the traction belt (9) and is used for adhering and fixing the outer wall of the urinary catheter (1) to increase the traction force.
CN201921374337.3U 2019-08-22 2019-08-22 An indwelling catheter device for post-prostatectomy Active CN210904301U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921374337.3U CN210904301U (en) 2019-08-22 2019-08-22 An indwelling catheter device for post-prostatectomy

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921374337.3U CN210904301U (en) 2019-08-22 2019-08-22 An indwelling catheter device for post-prostatectomy

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CN210904301U true CN210904301U (en) 2020-07-03

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Country Link
CN (1) CN210904301U (en)

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