A perfusion drainage system and control method
The perfusion and drainage system dynamically controls intracranial pressure and drainage volume, automatically adjusts perfusion and drainage modes, solves the problem of drainage tube blockage, and improves treatment efficiency and safety.
Patent Information
- Application Number
- CN202411408779.0
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2024-10-10
- Publication Date
- 2025-09-19
- Estimated Expiration
- 2044-10-10
AI Technical Summary
During existing external ventricular drainage surgery, the drainage tube is easily blocked by blood clots, resulting in blockage, increasing patient pain and treatment costs. The existing monitoring and unblocking methods are cumbersome to operate.
A perfusion and drainage system is used, including a perfusion unit, a drainage unit and an interactive control unit. By obtaining intracranial pressure and drainage volume parameters, the perfusion and drainage mode is dynamically determined, control instructions are generated, and the perfusion and drainage process is automatically controlled to reduce human intervention.
It achieves personalized treatment, improves treatment efficiency, simplifies operating procedures, reduces the risk of tube blockage, and ensures the accuracy and safety of treatment.
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Figure CN119185673B_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the field of medical device technology, and in particular to a perfusion and drainage system and a control method. Background Art
[0002] Intraventricular hemorrhage, a common and severe neurosurgical emergency, carries a high risk of disability and mortality. The overall mortality rate ranges from 43% to 83%. External ventricular drain (EVD) involves the placement of a drainage tube within the ventricle. This procedure can drain hematoma and hydrocephalus caused by obstructed cerebrospinal fluid circulation, relieve intracranial hypertension, reduce vasospasm and cytotoxicity, and improve patient symptoms. However, after EVD surgery, the drainage tube's duct may become blocked by blood clots, leading to blockage and poor drainage. This may necessitate additional surgery to replace the tube, increasing patient pain, treatment costs, and the risk of infection. Therefore, preventing blockage during drainage is crucial.
[0003] Related technologies typically reduce intracranial pressure by placing drainage tubes to directly drain cerebrospinal fluid from the ventricles. Medical staff regularly monitor the amount of fluid collected in the drainage bag and perform manual intracranial pressure monitoring to determine whether the tube is blocked. If a blockage occurs, medical staff must manually inject fluid to clear the blocked drainage tube and complete perfusion and drainage. However, this manual monitoring and unblocking method is cumbersome. Summary of the Invention
[0004] In order to solve the problem of complicated perfusion and drainage operations in the prior art, the present application provides a perfusion and drainage system and a control method.
[0005] In a first aspect, the present application provides a perfusion and drainage system, which adopts the following technical solutions:
[0006] A perfusion and drainage system comprises: a perfusion unit, a drainage unit, an interactive control unit and a drainage tube;
[0007] The interactive control unit is used to obtain intracranial pressure parameters and drainage volume parameters of the patient's ventricles, dynamically determine a current perfusion and drainage mode based on the intracranial pressure parameters and the drainage volume parameters, and generate a control instruction corresponding to the current perfusion and drainage mode, wherein the current perfusion and drainage mode is one of a normal perfusion and drainage mode, a dredging mode, and a drainage mode, wherein the dredging mode is used to remove blockage of the drainage tube;
[0008] The drainage tube is used to connect the perfusion unit and the drainage unit to the patient's cerebral ventricle respectively;
[0009] The perfusion unit and the drainage unit are used to receive control instructions sent by the interactive control unit and perform perfusion and / or drainage on the patient's ventricles according to the control instructions.
[0010] By adopting the above technical solution, different patients and conditions may require different perfusion and drainage strategies. The interactive control unit dynamically determines the current perfusion and drainage mode according to the intracranial pressure parameters and drainage volume parameters, generates corresponding control instructions, realizes personalized treatment, and improves the treatment effect. The perfusion unit and drainage unit connected to the patient's ventricle through the drainage tube perform perfusion and / or drainage according to the control instructions, reducing human intervention, simplifying the perfusion and drainage control process, and improving treatment efficiency.
[0011] In a preferred example, the present application may be further configured as follows: the perfusion unit includes a perfusion path switch and a perfusion fluid bag, and the drainage unit includes a drainage path switch and a drainage bag;
[0012] The perfusion liquid bag is used to perfuse liquid into the patient's cerebral ventricle when the perfusion passage is open;
[0013] The drainage bag is used to drain the fluid in the patient's cerebral ventricle when the drainage passage switch is open.
[0014] By adopting the above technical solution, the perfusion unit and the drainage unit respectively achieve precise control of the perfusion and drainage processes through the perfusion path switch and the drainage path switch, opening or closing the corresponding paths at the appropriate time, thereby ensuring the accuracy and timeliness of perfusion and drainage, and avoiding mixing or backflow between the perfusion fluid and the drainage fluid, thereby ensuring the safety of the treatment process.
[0015] In a preferred example, the present application may be further configured as follows: the interactive control unit includes an input module, a processing controller and a display module;
[0016] The input module is configured to receive preset parameters input by a user and send the preset parameters to the processing controller, wherein the preset parameters include a preset intracranial pressure range and a preset drainage volume range;
[0017] The processing controller is configured to receive an intracranial pressure parameter and a drainage volume parameter, and dynamically determine a current perfusion and drainage mode based on the intracranial pressure parameter, the drainage volume parameter, the preset intracranial pressure range, and the preset drainage volume range;
[0018] The display module is used to display the intracranial pressure parameters and drainage volume parameters received by the processing controller.
[0019] By adopting the above technical solution, the input module allows the user to input preset parameters, such as a preset intracranial pressure range and a preset drainage volume range, so that medical staff can flexibly set them according to the patient's specific situation and treatment needs, making the treatment process more personalized. The processing controller dynamically determines the most suitable perfusion and drainage mode at the moment, and can accurately control the treatment process to avoid excessive or insufficient perfusion and drainage. The display module displays the intracranial pressure parameters and drainage volume parameters received by the processing controller in real time, providing clear visual feedback to doctors or operators, helping medical staff to grasp the patient's treatment status at any time and promptly detect and deal with any abnormal situation.
[0020] In a preferred example, the present application can be further configured as follows: the processing controller is used to determine the current perfusion and drainage mode as the normal perfusion and drainage mode when the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range; when the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range, the current perfusion and drainage mode is determined as the dredging mode; when the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range, the current perfusion and drainage mode is determined as the drainage mode.
[0021] By adopting the above technical solution, the intracranial pressure parameters are compared with the preset intracranial pressure range, and the drainage volume is compared with the preset drainage volume range. The current perfusion and drainage mode is determined based on the comparison results, thereby avoiding the risk of treatment delay caused by manual observation and judgment, realizing automatic perfusion and drainage control, reducing the probability of manual perfusion and flushing, and reducing the possibility of infection or catheter replacement surgery.
[0022] In a preferred example, the present application can be further configured as follows: the processing controller is also used to issue an alarm signal when it is monitored that the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range.
[0023] By adopting the above technical solution, when the intracranial pressure is too high and tube blockage occurs, an alarm signal is issued, which can prevent the condition from further deteriorating and improve the treatment effect.
[0024] In a preferred example, the present application can be further configured as follows: when the current perfusion and drainage mode is the dredging mode,
[0025] The control instructions corresponding to the dredging mode are used to control the perfusion unit and the drainage unit to perform enhanced perfusion and drainage operations alternately according to a preset rhythm;
[0026] Among them, the alternating execution of the enhanced perfusion and drainage operation according to a preset rhythm includes: after the perfusion pathway switch is opened and the drainage pathway switch is closed and perfusion is continued for a first preset time period, the perfusion pathway switch is closed and the drainage pathway switch is opened to drain the fluid in the patient's ventricle into the drainage bag and continue drainage for a second preset time period, and the operations are performed alternately in sequence.
[0027] By adopting the above technical solution, the pressure difference between the patient's ventricle and the drainage tube is increased through the dredging mode, and the blocked drainage tube channel is dredged through continuous perfusion and drainage.
[0028] In a preferred example, the present application can be further configured as follows: the interactive control unit is also used to control the drainage bag lifting device connected to the drainage bag to descend to a preset height when the current perfusion and drainage mode is the dredging mode, and to control the drainage bag lifting device to rise to the preset height when exiting the dredging mode.
[0029] By adopting the above technical solution and adjusting the height of the drainage bag, the pressure difference between the patient's ventricle and the drainage tube can be further increased in the dredging mode, thereby improving the dredging effect.
[0030] In a preferred example, the present application can be further configured as follows: when the current perfusion and drainage mode is the drainage mode,
[0031] The control instruction corresponding to the drainage mode is used to control the closing of the perfusion path switch and the opening of the drainage path switch.
[0032] By adopting the above technical solution, the drainage mode does not perform perfusion but only drains the fluid in the patient's ventricles through the opened drainage passage switch, which can quickly reduce the patient's ventricular pressure and restore the intracranial pressure to normal levels.
[0033] In a preferred example, the present application can be further configured as follows: when the current perfusion and drainage mode is the normal perfusion and drainage mode,
[0034] The control instructions corresponding to the normal perfusion and drainage mode are used to control the perfusion unit to perfuse at the perfusion volume set by the user when the intracranial pressure parameter is lower than the upper limit of the preset intracranial pressure range, and to control the drainage unit to drain at the drainage volume set by the user when the intracranial pressure parameter is higher than the lower limit of the preset intracranial pressure range.
[0035] By adopting the above technical solution, the perfusion unit and the drainage unit perform normal perfusion and drainage mode, ensuring that the fluid in the patient's ventricles can be diluted and discharged normally, which can effectively reduce the possibility of tube blockage and ensure a stable drainage effect.
[0036] In a second aspect, the present application provides a perfusion and drainage control method, which adopts the following technical solution:
[0037] A perfusion and drainage control method, comprising:
[0038] Obtain intracranial pressure parameters and ventricular drainage volume parameters of patients;
[0039] Dynamically determining a current perfusion and drainage mode according to the intracranial pressure parameter and the drainage volume parameter, and generating a control instruction corresponding to the current perfusion and drainage mode, wherein the current perfusion and drainage mode is one of a normal perfusion and drainage mode, a dredging mode, and a drainage mode, wherein the dredging mode is used to relieve blockage of the drainage tube;
[0040] The control instructions are sent to a perfusion unit and a drainage unit connected to the patient's ventricles through a drainage tube, so that the perfusion unit and the drainage unit perform perfusion and drainage on the patient's ventricles according to the control instructions.
[0041] In a second aspect, the present application provides a computer program product that employs the following technical solution:
[0042] A computer program product includes a computer program. When the computer program is executed by a processor, it implements the perfusion and drainage control method as described in any one of the first aspects.
[0043] In a third aspect, the present application provides an electronic device, which adopts the following technical solution:
[0044] one or more processors;
[0045] Memory;
[0046] At least one application, wherein the at least one application is stored in a memory and configured to be executed by at least one processor, and the at least one application is configured to: execute the perfusion and drainage control method as described in any one of the first aspects.
[0047] In a fourth aspect, the present application provides a computer-readable storage medium, which adopts the following technical solution:
[0048] A computer-readable storage medium stores a computer program thereon, which, when executed in a computer, causes the computer to execute the perfusion and drainage control method as described in any one of the first aspects.
[0049] In summary, this application has the following beneficial technical effects:
[0050] In this application, different patients and conditions may require different perfusion and drainage strategies. The interactive control unit dynamically determines the current perfusion and drainage mode based on the intracranial pressure parameters and drainage volume parameters, generates corresponding control instructions, realizes personalized treatment, and improves the treatment effect. The perfusion unit and drainage unit connected to the patient's ventricle through the drainage tube perform perfusion and / or drainage according to the control instructions, reducing human intervention, simplifying the perfusion and drainage control process, and improving treatment efficiency. BRIEF DESCRIPTION OF THE DRAWINGS
[0051] Figure 1 This is a structural diagram of a perfusion and drainage system provided in an embodiment of the present application;
[0052] Figure 2 This is an interactive schematic diagram of an infusion and drainage system provided in an embodiment of the present application;
[0053] Figure 3 This is a flow chart of a perfusion and drainage control method provided in an embodiment of the present application;
[0054] Figure 4 This is a structural diagram of an electronic device provided in an embodiment of the present application. DETAILED DESCRIPTION
[0055] The following is combined with Figure 1 -Attached Figure 4 This application is described in further detail.
[0056] This specific embodiment is merely an explanation of the present application and is not a limitation of the present application. After reading this specification, those skilled in the art may make non-creative modifications to the present embodiment as needed, but as long as they are within the scope of the claims of the present application, they are protected by the patent law.
[0057] To make the purpose, technical solutions, and advantages of the embodiments of this application more clear, the technical solutions in the embodiments of this application will be clearly and completely described below in conjunction with the drawings in the embodiments of this application. Obviously, the described embodiments are part of the embodiments of this application, not all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by ordinary technicians in this field without making creative efforts are within the scope of protection of this application.
[0058] In this document, the term "and / or" simply describes a relationship between related objects, indicating that three possible relationships exist. For example, "A and / or B" can represent: A exists alone, A and B exist simultaneously, or B exists alone. Furthermore, the character " / " in this document, unless otherwise specified, generally indicates an "or" relationship between the related objects.
[0059] It should be noted that in the optional embodiments of the present application, the object information and other related data involved, when the embodiments in the present application are applied to specific products or technologies, need to obtain the permission or consent of the object, and the collection, use and processing of the relevant data need to comply with the relevant laws, regulations and standards of the relevant countries and regions. In other words, if the embodiments of the present application involve data related to the object, it needs to be obtained through the authorization and consent of the object, the authorization and consent of the relevant departments, and in compliance with the relevant laws, regulations and standards of the country and region. If personal information is involved in the embodiments, the acquisition of all personal information requires the consent of the individual. If sensitive information is involved, the separate consent of the information subject needs to be obtained. The embodiments also need to be implemented with the authorization and consent of the object.
[0060] The present application embodiment provides a perfusion drainage system, such as Figure 1 As shown, the system includes: an infusion unit, a drainage unit, an interactive control unit and a drainage tube.
[0061] For details, see Figure 2 The interactive control unit is used to obtain intracranial pressure parameters and the patient's ventricular drainage volume parameters, dynamically determine the current perfusion and drainage mode based on the intracranial pressure parameters and drainage volume parameters, and generate control instructions corresponding to the current perfusion and drainage mode. The current perfusion and drainage mode is one of the following modes: normal perfusion and drainage mode, unblocking mode, and drainage mode. Among them, unblocking mode is used to remove blockages in the drainage tube.
[0062] A drainage tube is used to connect the perfusion unit and the drainage unit to the patient's ventricles, respectively. The drainage tube can be a double-lumen or multi-lumen drainage tube, comprising at least two channels: a first channel with one end connected to the perfusion unit and the other end connected to the patient's ventricles, for injecting liquid from the perfusion unit into the patient's ventricles through the first channel and the drainage holes; a second channel with one end connected to the patient's ventricles and the other end connected to the drainage unit, for draining liquid from the patient's ventricles through the drainage holes and the second channel into the drainage bag of the drainage unit.
[0063] The perfusion unit and the drainage unit are used to receive control instructions sent by the interactive control unit and perform perfusion and / or drainage on the patient's ventricles according to the control instructions.
[0064] The perfusion unit includes a perfusion fluid bag, a peristaltic pump, a perfusion pathway switch, an intracranial pressure sensor, and an ultrasonic bubble sensor. The perfusion pathway switch is connected to the patient's ventricles through a drainage tube and is used to control whether the perfusion unit is working. The intracranial pressure sensor is placed on the perfusion pipeline. The height of the intracranial pressure sensor can be fixed to be consistent with the ventricles, and is not restricted by the position of the traditional intracranial pressure sensor on the three-way valve at the drainage bag. It is used to obtain intracranial pressure parameters and send them to the interactive control unit. The peristaltic pump is used to inject the liquid in the perfusion fluid bag into the patient's ventricles when the perfusion pathway switch is turned on, thereby completing the perfusion. The peristaltic pump can also monitor the injection volume parameter injected into the patient's ventricles and send it to the interactive air unit. The injection volume parameter represents the amount of liquid injected into the patient's ventricles by the peristaltic pump per unit time. The ultrasonic bubble sensor is used to monitor whether there are bubbles entering the patient's ventricles through the perfusion pipeline.
[0065] The drainage unit includes a drainage path switch, a liquid flow meter, and a drainage bag. The liquid flow meter measures the flow rate out of the patient's ventricles per unit time and transmits it to the interactive control unit. The drainage path switch controls whether the drainage unit is operational. When the drainage path switch is on, fluid in the patient's ventricles flows through the drainage tubes into the drainage bag, achieving drainage.
[0066] The interactive control unit includes a display module, an input module, and a processing controller. The input module includes an interactive interface for medical personnel to input preset parameters and transmit them to the processing controller. The processing controller, acting as a processor, receives ultrasonic bubble monitoring results, injection volume parameters sent by the peristaltic pump, and flow rate parameters sent by the liquid flow meter. It calculates the difference between the flow rate parameter and the injection volume parameter, which is the amount of fluid drained from the patient's ventricles per unit time, i.e., the drainage volume parameter.
[0067] In the embodiment of the present application, different patients and conditions may require different perfusion and drainage strategies. The interactive control unit automatically and dynamically determines the current perfusion and drainage mode based on the intracranial pressure parameters and the drainage volume parameters, generates corresponding control instructions, realizes personalized treatment, and improves the treatment effect. The perfusion unit and drainage unit connected to the patient's ventricle through the drainage tube perform perfusion and / or drainage according to the control instructions, reducing human intervention, simplifying the perfusion and drainage control process, and improving treatment efficiency.
[0068] In a possible implementation of the embodiment of the present application, the interaction control unit includes an input module, a processing controller, and a display module;
[0069] An input module, configured to receive preset parameters input by a user and send the preset parameters to a processing controller, wherein the preset parameters include a preset intracranial pressure range and a preset drainage volume range;
[0070] a processing controller, configured to receive an intracranial pressure parameter and a drainage volume parameter, and dynamically determine a current perfusion and drainage mode based on the intracranial pressure parameter, the drainage volume parameter, a preset intracranial pressure range, and a preset drainage volume range;
[0071] The display module is used to display the intracranial pressure parameters and drainage volume parameters received by the processing controller.
[0072] In this embodiment, medical personnel set and input preset parameters into the input module based on their clinical experience and medical knowledge. The preset parameters may include a preset intracranial pressure monitoring frequency, a preset intracranial pressure range, and a preset drainage volume range. The input module then transmits the preset parameters to the processing controller. The preset intracranial pressure range represents a normal range for intracranial pressure, and the preset drainage volume range represents a normal range for drainage volume.
[0073] After receiving the preset intracranial pressure monitoring frequency, the processing controller generates a corresponding monitoring signal and sends it to the intracranial pressure sensor, so that the intracranial pressure sensor monitors according to the preset intracranial pressure monitoring frequency and sends the obtained intracranial pressure parameters to the processing controller.
[0074] The display module can also be used to display the current perfusion and drainage mode.
[0075] In the embodiment of the present application, the input module allows the user to input preset parameters, such as a preset intracranial pressure range and a preset drainage volume range, so that medical staff can flexibly set them according to the patient's specific situation and treatment needs, making the treatment process more personalized. The processing controller dynamically determines the most suitable perfusion and drainage mode at the moment, and can accurately control the treatment process to avoid excessive or insufficient perfusion and drainage. The display module displays the intracranial pressure parameters and drainage volume parameters received by the processing controller in real time, providing clear visual feedback to doctors or operators, helping medical staff to grasp the patient's treatment status at any time and promptly detect and deal with any abnormal situation.
[0076] A possible implementation method of an embodiment of the present application is that the processing controller is used to determine the current perfusion and drainage mode as the normal perfusion and drainage mode when the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range; when the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range, the current perfusion and drainage mode is determined as the dredging mode; when the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range, the current perfusion and drainage mode is determined as the drainage mode.
[0077] In this embodiment, the processing controller compares the received intracranial pressure parameter with the preset intracranial pressure range, and compares the received drainage volume parameter with the preset drainage volume range, thereby determining the current perfusion and drainage mode.
[0078] In addition, when the intracranial pressure parameter is lower than the lower limit of the preset intracranial pressure range, the processing controller determines the current perfusion and drainage mode as the monitoring mode. The perfusion unit also includes a perfusion pathway switch for turning on / off the perfusion unit, and the drainage unit also includes a drainage pathway switch for turning on / off the drainage unit. The control instructions corresponding to the monitoring mode are used to control the perfusion pathway switch and the drainage pathway switch to be closed, so that the perfusion unit and the drainage unit do not work and only perform continuous intracranial pressure monitoring.
[0079] The embodiment of the present application compares the intracranial pressure parameters with the preset intracranial pressure range, compares the drainage volume with the preset drainage volume range, and determines the current perfusion and drainage mode based on the comparison results, thereby avoiding the risk of treatment delays caused by manual observation and judgment, realizing automatic perfusion and drainage control, reducing the probability of requiring manual perfusion and flushing, and reducing the possibility of infection or catheter replacement surgery.
[0080] In a possible implementation of the embodiment of the present application, the processing controller is further used to issue an alarm signal when the monitored intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range.
[0081] In this embodiment, when the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume is lower than the lower limit of the preset drainage volume range, it can be determined that the tube is blocked, and the intracranial pressure is too high, perfusion is not allowed, and the blockage cannot be relieved by the dredging mode, and manual intervention is required. The lower limit of the above-mentioned drainage volume range can be determined based on the conventional drainage volume and the abnormal ratio. For example, the lower limit of the drainage volume range can be determined based on the conventional drainage volume and the abnormal ratio of 20%. The conventional drainage volume can be obtained based on the previously stable drainage flow data statistics, and the abnormal ratio can be set according to actual needs. This embodiment does not make specific restrictions. The above-mentioned special blockage situation cannot automatically relieve the blockage, and an audible and visual alarm signal can be issued to remind medical staff to intervene, such as manually controlling the peristaltic pump to pump in liquid, or replacing the drainage tube.
[0082] The embodiment of the present application sends out an alarm signal when the intracranial pressure is too high and tube blockage occurs, which can prevent the condition from further deteriorating and improve the treatment effect.
[0083] In a possible implementation of the embodiment of the present application, the perfusion unit includes a perfusion path switch and a perfusion liquid bag, and the drainage unit includes a drainage path switch and a drainage bag;
[0084] A perfusion fluid bag, used for perfusing fluid into the patient's cerebral ventricle when the perfusion passage is open;
[0085] The drainage bag is used to drain the fluid in the patient's ventricles when the drainage passage switch is open.
[0086] Among them, when the perfusion path is open, the peristaltic pump of the perfusion unit injects the liquid in the perfusion liquid bag into the patient's ventricles to dilute the accumulated fluid; when the drainage path switch is open, the drainage unit drains the diluted liquid out of the patient's ventricles.
[0087] In the embodiment of the present application, the perfusion unit and the drainage unit respectively achieve precise control of the perfusion and drainage processes through the perfusion path switch and the drainage path switch, opening or closing the corresponding paths at the appropriate time, thereby ensuring the accuracy and timeliness of perfusion and drainage, and avoiding mixing or backflow between the perfusion fluid and the drainage fluid, thereby ensuring the safety of the treatment process.
[0088] In a possible implementation of the embodiment of the present application, when the current perfusion and drainage mode is the dredging mode,
[0089] The control instructions corresponding to the dredging mode are used to control the perfusion unit and the drainage unit to perform enhanced perfusion and drainage operations alternately according to a preset rhythm;
[0090] Among them, alternatingly performing enhanced perfusion and drainage operations according to a preset rhythm includes: after the perfusion pathway switch is opened and the drainage pathway switch is closed for continuous perfusion for a first preset period of time, the perfusion pathway switch is closed and the drainage pathway switch is opened to drain the fluid in the patient's ventricles into the drainage bag and continue drainage for a second preset period of time, and the operations are performed alternately in sequence.
[0091] In this embodiment, the perfusion pathway switch is turned on and the drainage pathway switch is closed, and liquid is pumped into the perfusion pathway via a peristaltic pump to increase the pressure within the perfusion pathway. The pressure difference between the perfusion pathway and the patient's ventricle flushes the obstruction at the drainage hole out of the hole first, appropriately increasing the patient's ventricular pressure. The drainage pathway switch is then controlled to open and the perfusion switch is closed, utilizing the greater pressure difference between the patient's ventricle and the drainage tube to flush the obstruction near the drainage tube opening into the drainage tube through the opening, thereby unblocking the blocked channel. The above operation is repeated, utilizing the "water hammer effect" to a certain extent to expand the pressure difference inside and outside the drainage hole to unblock the blocked drainage hole, until the blocked channel is unblocked, that is, the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range, and the current unblocking mode is switched to the normal perfusion and drainage mode. Among them, the first preset time length and the second preset time length are affected by factors such as the specifications of the drainage tube and the drainage site, and can be set by medical staff based on clinical experience and medical knowledge. The optimal first preset time length and second preset time length can also be determined by experiments under different conditions. After the medical staff selects specific conditions through the interactive control unit, the appropriate first preset time length and second preset time length are automatically recommended. This embodiment does not make specific limitations.
[0092] The embodiment of the present application expands the pressure difference between the inside and outside of the drainage hole through the dredging mode, thereby more effectively relieving the blockage of the drainage tube.
[0093] In a possible implementation of an embodiment of the present application, the interactive control unit is also used to control the drainage bag lifting device connected to the drainage bag to descend to a preset height when the current perfusion drainage mode is the dredging mode, and to control the drainage bag lifting device to rise to a preset height when exiting the dredging mode.
[0094] In this embodiment, the drainage unit may further include a drainage bag elevator, and the processing controller controls the drainage bag elevator. In normal mode (such as normal perfusion drainage mode), the drainage bag is set at a commonly used fixed height, such as a height slightly lower than the ventricle. In the dredging mode, the drainage bag elevator automatically lowers the drainage bag to a preset height, which can further increase the pressure difference between the patient's ventricle and the drainage bag, and use the larger pressure difference to dredge the blocked drainage tube channel. After the drainage tube is dredged, that is, the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume is within the preset drainage volume range, the dredging mode is exited, and the drainage bag elevator is controlled to raise the drainage bag to its original height. The above-mentioned preset height can be set according to actual needs, and this embodiment is not limited.
[0095] The embodiment of the present application can further increase the pressure difference between the patient's ventricle and the drainage tube in the dredging mode by adjusting the height of the drainage bag, thereby improving the dredging effect.
[0096] In a possible implementation of the embodiment of the present application, when the current perfusion and drainage mode is the drainage mode,
[0097] The control instructions corresponding to the drainage mode are used to control the closing of the perfusion path switch and the opening of the drainage path switch.
[0098] In drainage mode, if the intracranial pressure is too high but there is no blockage, no perfusion is performed and only the fluid in the patient's ventricles is drained through the open drainage pathway switch, which can quickly reduce the patient's ventricular pressure and restore the intracranial pressure to normal levels.
[0099] In a possible implementation of the embodiment of the present application, when the current perfusion and drainage mode is the normal perfusion and drainage mode,
[0100] The control instructions corresponding to the normal perfusion and drainage mode are used to control the perfusion unit to perfuse at the user-set perfusion volume when the intracranial pressure parameter is lower than the preset upper limit of the intracranial pressure range, and to control the drainage unit to drain at the user-set drainage volume when the intracranial pressure parameter is higher than the preset lower limit of the intracranial pressure range.
[0101] The perfusion unit and the drainage unit work independently. The preset parameters set by the user through the input module also include perfusion volume and drainage volume. The processing controller controls the perfusion unit and the drainage unit to perform normal perfusion and drainage mode according to the received perfusion volume and drainage volume.
[0102] Among them, the perfusion unit works when the intracranial pressure parameter is lower than the upper limit of the preset intracranial pressure range. The processing controller sends an instruction to control the perfusion pathway switch to open. The liquid in the perfusion fluid bag passes through the peristaltic pump and the perfusion pathway switch in turn and flows into the patient's ventricle to complete the perfusion; the drainage unit works when the intracranial pressure parameter is higher than the lower limit of the preset intracranial pressure range. The processing controller sends an instruction to control the drainage pathway switch to open to drain the patient's ventricular fluid.
[0103] In the embodiment of the present application, the perfusion unit and the drainage unit perform a normal perfusion and drainage mode, ensuring that the fluid in the patient's ventricles can be diluted and discharged normally, which can effectively reduce the possibility of tube blockage and ensure a stable drainage effect.
[0104] The present application embodiment provides a perfusion and drainage control method, such as Figure 3 As shown, the method provided in the embodiment of the present application is performed by an electronic device, which can be a server or a terminal device, wherein the server can be an independent physical server, a server cluster or distributed system composed of multiple physical servers, or a cloud server providing cloud computing services. The terminal device can be a smartphone, a tablet computer, a laptop computer, a desktop computer, etc., but is not limited thereto. The terminal device and the server can be directly or indirectly connected via wired or wireless communication, which is not limited in the embodiment of the present application. The method includes steps S301 to S303, wherein:
[0105] S301. Obtain intracranial pressure parameters and drainage volume parameters of the patient's ventricles.
[0106] S302. Dynamically determine the current perfusion and drainage mode based on the intracranial pressure parameters and the drainage volume parameters, and generate control instructions corresponding to the current perfusion and drainage mode. The current perfusion and drainage mode is one of the normal perfusion and drainage mode, the dredging mode, and the drainage mode. The dredging mode is used to remove the blockage of the drainage tube.
[0107] S303: Sending control instructions to the perfusion unit and the drainage unit connected to the patient's ventricles through the drainage tube, so that the perfusion unit and the drainage unit perform perfusion and drainage on the patient's ventricles according to the control instructions.
[0108] An embodiment of the present application provides a computer program product, including a computer program. When the computer program is executed by a processor, the contents shown in the above-mentioned perfusion and drainage control method embodiment are implemented.
[0109] An electronic device is provided in an embodiment of the present application, such as Figure 4 As shown, Figure 4The electronic device 400 shown includes a processor 401 and a memory 403. The processor 401 and the memory 403 are connected, for example, via a bus 402. Optionally, the electronic device 400 may further include a transceiver 404. It should be noted that in actual applications, the number of transceivers 404 is not limited to one, and the structure of the electronic device 400 does not constitute a limitation on the embodiments of the present application.
[0110] Processor 401 may be a CPU (Central Processing Unit), a general-purpose processor, a DSP (Digital Signal Processor), an ASIC (Application Specific Integrated Circuit), an FPGA (Field Programmable Gate Array), or other programmable logic device, transistor logic device, hardware component, or any combination thereof. It may implement or execute the various exemplary logic blocks, modules, and circuits described in conjunction with the disclosure of this application. Processor 401 may also be a combination that implements computing functions, such as a combination of one or more microprocessors, or a combination of a DSP and a microprocessor.
[0111] Bus 402 may include a path for transmitting information between the above components. Bus 402 may be a PCI (Peripheral Component Interconnect) bus or an EISA (Extended Industry Standard Architecture) bus. Bus 402 may be divided into an address bus, a data bus, a control bus, etc. For ease of representation, Figure 4 Only one thick line is used in the diagram, but it does not mean that there is only one bus or one type of bus.
[0112] The memory 403 may be a ROM (Read Only Memory) or other type of static storage device that can store static information and instructions, a RAM (Random Access Memory) or other type of dynamic storage device that can store information and instructions, or an EEPROM (Electrically Erasable Programmable Read Only Memory), a CD-ROM (Compact Disc Read Only Memory) or other optical disk storage, optical disk storage (including compact discs, laser discs, optical discs, digital versatile discs, Blu-ray discs, etc.), a magnetic disk storage medium or other magnetic storage device, or any other medium that can be used to carry or store desired program code in the form of instructions or data structures and can be accessed by a computer, but is not limited thereto.
[0113] The memory 403 is used to store application code for executing the solution of the present application, and is controlled by the processor 401. The processor 401 is used to execute the application code stored in the memory 403 to implement the content shown in the above-mentioned embodiment of the perfusion and drainage control method.
[0114] Figure 4 The electronic device shown is merely an example and should not limit the functions and scope of use of the embodiments of the present application.
[0115] An embodiment of the present application provides a computer-readable storage medium having a computer program stored thereon. When the computer-readable storage medium is run on a computer, the computer can execute the contents shown in the aforementioned embodiment of the perfusion and drainage control method.
[0116] It should be understood that although the steps in the flowcharts of the accompanying drawings are shown in sequence as indicated by the arrows, these steps are not necessarily executed in the order indicated by the arrows. Unless otherwise specified herein, there is no strict order restriction on the execution of these steps, and they can be executed in other orders. Moreover, at least some of the steps in the flowcharts of the accompanying drawings may include multiple sub-steps or multiple stages, and these sub-steps or stages are not necessarily executed at the same time, but can be executed at different times, and their execution order is not necessarily sequential, but can be executed in turn or alternately with other steps or at least a portion of the sub-steps or stages of other steps.
[0117] The above are only some of the implementation methods of the present application. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principles of the present application. These improvements and modifications should also be regarded as the scope of protection of the present application.
Claims
1. A perfusion and drainage system, characterized in that: include: perfusion unit, drainage unit, interactive control unit and drainage tube; The interactive control unit is used to obtain intracranial pressure parameters and drainage volume parameters of the patient's ventricles, dynamically determine a current perfusion and drainage mode based on the intracranial pressure parameters and the drainage volume parameters, and generate a control instruction corresponding to the current perfusion and drainage mode, wherein the current perfusion and drainage mode is one of a normal perfusion and drainage mode, a dredging mode, and a drainage mode, wherein the dredging mode is used to remove blockage of the drainage tube; The drainage tube is used to connect the perfusion unit and the drainage unit to the patient's cerebral ventricle respectively; The perfusion unit and the drainage unit are configured to receive control instructions sent by the interactive control unit and perform perfusion and / or drainage on the patient's ventricles according to the control instructions; The interactive control unit, when executing the step of dynamically determining the current perfusion and drainage mode according to the intracranial pressure parameter and the drainage volume parameter, is specifically configured to: When the intracranial pressure parameter is within a preset intracranial pressure range and the drainage volume parameter is within a preset drainage volume range, determining the current perfusion and drainage mode as a normal perfusion and drainage mode; When the intracranial pressure parameter is within the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range, determining the current perfusion and drainage mode as the dredging mode; When the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is within the preset drainage volume range, determining the current perfusion and drainage mode as the drainage mode; When the current perfusion and drainage mode is the normal perfusion and drainage mode, The control instructions corresponding to the normal perfusion and drainage mode are used to control the perfusion unit to perform perfusion at a user-set perfusion volume when the intracranial pressure parameter is lower than the upper limit of the preset intracranial pressure range, and to control the drainage unit to perform drainage at a user-set drainage volume when the intracranial pressure parameter is higher than the lower limit of the preset intracranial pressure range; When the current perfusion and drainage mode is the dredging mode, The control instructions corresponding to the dredging mode are used to control the perfusion unit and the drainage unit to perform enhanced perfusion and drainage operations alternately according to a preset rhythm; Among them, the enhanced perfusion and drainage operation is performed alternately according to a preset rhythm, including: after the perfusion pathway switch is opened and the drainage pathway switch is closed for continuous perfusion for a first preset time period, the perfusion pathway switch is closed and the drainage pathway switch is opened to drain the fluid in the patient's ventricles into the drainage bag and continue drainage for a second preset time period, and the operations are performed alternately in sequence.
2. The perfusion and drainage system according to claim 1, characterized in that: The perfusion unit includes a perfusion passage switch and a perfusion fluid bag, and the drainage unit includes a drainage passage switch and a drainage bag; The perfusion liquid bag is used to perfuse liquid into the patient's cerebral ventricle when the perfusion pathway switch is turned on; The drainage bag is used to drain the fluid in the patient's cerebral ventricle when the drainage passage switch is open.
3. The perfusion and drainage system according to claim 1, characterized in that: The interactive control unit includes an input module, a processing controller and a display module; The input module is configured to receive preset parameters input by a user and send the preset parameters to the processing controller, wherein the preset parameters include a preset intracranial pressure range and a preset drainage volume range; The processing controller is configured to receive an intracranial pressure parameter and a drainage volume parameter, and dynamically determine a current perfusion and drainage mode based on the intracranial pressure parameter, the drainage volume parameter, the preset intracranial pressure range, and the preset drainage volume range; The display module is used to display the intracranial pressure parameters and drainage volume parameters received by the processing controller.
4. The perfusion and drainage system according to claim 3, characterized in that: The processing controller is further configured to send out an alarm signal when it is detected that the intracranial pressure parameter is higher than the upper limit of the preset intracranial pressure range and the drainage volume parameter is lower than the lower limit of the preset drainage volume range.
5. The perfusion and drainage system according to claim 1, characterized in that: The interactive control unit is also used to control the drainage bag lifting device connected to the drainage bag to descend to a preset height when the current perfusion and drainage mode is the dredging mode, and to control the drainage bag lifting device to rise to the preset height when exiting the dredging mode.
6. The perfusion and drainage system according to claim 1, characterized in that: When the current perfusion and drainage mode is the drainage mode, The control instructions corresponding to the drainage mode are used to control the closing of the perfusion path switch and the opening of the drainage path switch.
Citation Information
Patent Citations
Craniocerebral postoperative drainage device and control method
CN113069610A