Dredging and sealing device for peritoneal dialysis catheter

By designing the dredging and sealing device for the peritoneal dialysis tube, the dredging is performed using a balloon and a nylon brush, and the impurities are dissolved through a mixed solution of urokinase solution and normal saline, the problem of the inability to effectively unblock the peritoneal dialysis tube is solved, and efficient and safe dredging is achieved, reducing surgical risks and medical costs.

CN119868691APending Publication Date: 2025-04-25SHANGHAI SIXTH PEOPLES HOSPITAL
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Patent Information

Application Number
CN202411830818.6
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-12-12
Publication Date
2025-04-25

AI Technical Summary

Technical Problem

The existing peritoneal dialysis tubes cannot be effectively unblocked, resulting in poor peritoneal fluid flow and infusion, and even require laparoscopic surgery, causing physical damage to the patient and high medical expenses.

Method used

A peritoneal dialysis tube dredging and sealing device is designed, including a dredging device and a tube sealing device. The dredging device discharges fibrin and impurities through a balloon and a nylon brush, while the sealing device dissolves the impurity fragments through a mixed solution of urokinase solution and normal saline.

Benefits of technology

Efficient and simple peritoneal dialysis tube dredging is achieved, improving dredging efficiency and completion, and reducing the necessity and medical costs of laparoscopic surgery.

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Patent Text Reader

Abstract

The dredging and tube sealing device comprises a dredging device and a tube sealing device, the dredging device comprises a dredging tube used for stretching into the peritoneal dialysis tube, a balloon communicated with the interior of the dredging tube is arranged at the first end of the dredging tube, and a brush is arranged at the position, close to the balloon, of the outer side of the dredging tube; the outer side of the second end of the dredging tube is sleeved with a fixing base, the dredging tube is fixed to the outer side of one end of the peritoneal dialysis tube in a sleeving mode, an injection hole is formed in the end face of the fixing base and communicated with a gap between the peritoneal dialysis tube and the dredging tube, and the tube sealing device is pre-filled with urokinase solution and normal saline. And one end of the tube sealing device is used for injecting a mixed solution of a urokinase solution and normal saline into the peritoneal dialysis tube. The peritoneal dialysis catheter can solve the problems that an existing peritoneal dialysis catheter cannot be effectively dredged after being blocked, so that a peritoneal dialysis technology fails, normal dialysis treatment cannot be performed, and damage to the body of a peritoneal dialysis patient is large.
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Description

Technical Field

[0001] The invention relates to the technical field of medical devices, in particular to a peritoneal dialysis tube unclogging and sealing device. Background Art

[0002] Peritoneal dialysis is a home treatment for patients with end-stage renal disease (uremia). The peritoneal dialysis fluid is passed in and out through a peritoneal dialysis tube inserted into the abdominal cavity every day, ultrafiltering excess water and toxins in the body to achieve the therapeutic effect. The peritoneal dialysis tube is the lifeline of peritoneal dialysis patients, but fibrin, bacterial clumps or impurities in the abdominal cavity can block the side holes or main holes of the intra-abdominal section of the tube, causing the peritoneal dialysis fluid to flow out and infuse poorly. In various dialysis centers, the incidence of mechanical complications related to such peritoneal dialysis tubes is between 6-55%. If not handled properly and in a timely manner, it will lead to failure of dialysis technology and even endanger life.

[0003] In this situation, it is often necessary to seek help from the hospital's full-time doctors and nurses, who use a 20ml syringe to extract one tube of heparin or one tube of urokinase and 20ml of normal saline, and inject them into the peritoneal dialysis tube to seal the tube in order to fully dissolve impurities such as fibrin attached to the tube. However, for patients with severe tube blockage, unblocking is difficult and laparoscopic surgery is often required to deal with the tube problem, which causes great damage to the patient's body, high medical costs, and is time-consuming and laborious for medical staff. Summary of the invention

[0004] The invention provides a peritoneal dialysis tube unclogging and sealing device, which can solve the problem that the existing peritoneal dialysis tube cannot be effectively unclogged, causing the failure of peritoneal dialysis technology and causing great damage to the body of the peritoneal dialysis patient.

[0005] To achieve the above-mentioned purpose, the present invention provides the following technical solutions: a peritoneal dialysis tube unclogging and sealing device, comprising an unclogging device and a tube sealing device, the unclogging device comprising an unclogging tube for extending into the peritoneal dialysis tube, the first end of the unclogging tube being provided with a balloon connected to the inside of the unclogging tube, the outer side of the unclogging tube being provided with a nylon brush near the balloon, the outer side of the second end of the unclogging tube being sleeved with a fixing seat, the unclogging tube and the fixing seat being movably matched, the unclogging tube sleeve being fixed on the outer side of one end of the peritoneal dialysis tube, the end surface of the fixing seat being provided with an injection hole, the injection hole and the space between the peritoneal dialysis tube and the unclogging tube The two gaps are connected, the tube sealing device is pre-filled with urokinase solution and physiological saline, one end of the tube sealing device is used to directly inject a mixed solution of urokinase solution and physiological saline into the peritoneal dialysis tube or inject it into the gap between the peritoneal dialysis tube and the dredging tube through the injection hole, the dredging device and the tube sealing device constitute a matching dredging and sealing device, which is easy to use, and the fibrin and impurities in the peritoneal dialysis tube can be discharged from the end or the side hole through the balloon and nylon brush on the dredging device, and the impurity fragments can be dissolved by the mixed solution of urokinase solution and physiological saline while the balloon and the brush are working, so the dredging efficiency is high and the dredging completion degree is high.

[0006] Preferably, the first end of the clearing tube is provided with a blunt tail end portion, the surface of the blunt tail end portion is an arc surface, and the blunt tail end portion can avoid damaging the intestine and other abdominal organs when guiding the guide wire into the peritoneal dialysis tube.

[0007] Preferably, the nylon brush is arranged obliquely along the length direction of the cleaning tube, so as to facilitate the cleaning tube to enter the peritoneal dialysis tube, and can be inserted into the opening of the side wall of the peritoneal dialysis tube when the cleaning tube moves.

[0008] Preferably, the tube sealing device comprises a syringe and a piston arranged in the syringe, a push rod is arranged at the rear end of the piston, a pointed rod is arranged at the front end of the piston, a sealing soft capsule is arranged inside the syringe, a urokinase solution is arranged in the sealing soft capsule, physiological saline is pre-filled between the sealing soft capsule and the front end liquid outlet of the syringe, and when the push rod pushes the piston to move, the pointed rod can pierce the sealing soft capsule to mix the urokinase solution with the physiological saline and discharge it from the front end liquid outlet.

[0009] Preferably, locking studs are radially mounted on the side walls of the fixing seat, and the locking studs abut against the outer wall of the peritoneal dialysis tube, so as to facilitate the fixing of the fixing seat and the peritoneal dialysis tube and facilitate the movable operation of the clearing tube.

[0010] Preferably, operating side pieces are symmetrically provided on both sides of the second end of the dredging tube, so as to facilitate moving or rotating the dredging tube back and forth by holding the operating side pieces.

[0011] Preferably, a detachable pipe cap is installed at the second end of the dredging pipe to seal the dredging pipe.

[0012] Compared with the prior art, the present invention has the following beneficial effects:

[0013] The structure is simple. The unblocking device and the tube sealing device form a matching unblocking and tube sealing device, which can be packaged uniformly and are easy to use. The fibrin and impurities in the peritoneal dialysis tube can be discharged from the end or the side hole through the balloon and the brush on the unblocking device, and the impurity fragments can be dissolved with a mixed solution of urokinase and saline while the balloon and the brush are working. The unblocking efficiency and the unblocking completion degree are high, which can effectively solve the problem of peritoneal dialysis tube blockage and reduce the damage of laparoscopic surgery to patients and the high medical expenses. BRIEF DESCRIPTION OF THE DRAWINGS

[0014] Figure 1 It is a schematic diagram of the packaging state of the present invention;

[0015] Figure 2 It is a structural schematic diagram of the dredging device of the present invention;

[0016] Figure 3 It is a cross-sectional structural diagram of the dredging device of the present invention after being connected to the peritoneal dialysis tube;

[0017] Figure 4 is a cross-sectional structural diagram of the pipe sealing device of the present invention;

[0018] Figure 5 It is a schematic diagram of the coordinated use of the dredging device and the pipe sealing device of the present invention;

[0019] Figure 6 is a schematic diagram of an existing peritoneal dialysis tube;

[0020] Reference numerals:

[0021] 1. Unclogging device, 11. Unclogging tube, 12. Fixing seat, 13. Balloon, 14. Nylon brush, 15. Blunt tail end, 16. Tube cap, 17. Locking stud, 18. Injection hole, 19. Operating side piece, 2. Tube sealing device, 21. Syringe, 22. Sealing soft capsule, 23. Urokinase solution, 24. Piston, 25. Pointed rod, 26. Push rod, 27. Physiological saline, 28. Front liquid outlet, 3. Sealing bag, A. Peritoneal dialysis tube. DETAILED DESCRIPTION

[0022] The technical solutions in the embodiments of the present invention will be described clearly and completely below in conjunction with the accompanying drawings in the embodiments of the present invention.

[0023] The present invention aims to solve the problem that the existing peritoneal dialysis tube cannot be effectively unblocked and causes great damage to the patient's body. Figure 1-6 As shown, the following technical scheme is provided: a peritoneal dialysis tube unclogging and sealing device, comprising an unclogging device 1 and a tube sealing device 2, wherein the unclogging device 1 comprises an unclogging tube 11 for extending into the peritoneal dialysis tube A, wherein a first end of the unclogging tube 11 is provided with a balloon 13 connected to the inside of the unclogging tube 11, and a nylon brush 14 is provided on the outside of the unclogging tube 11 near the balloon 13, and a fixing seat 12 is sleeved on the outside of the second end of the unclogging tube 11, wherein the unclogging tube 11 and the fixing seat 12 are movably matched, wherein the unclogging tube 11 is sleeved on the outside of one end of the peritoneal dialysis tube A and fixed, and an injection hole 18 is provided on the end surface of the fixing seat 12, wherein the injection hole 18 and the space between the peritoneal dialysis tube A and the unclogging tube 11 are spaced apart from each other. The sealing device 2 is pre-filled with urokinase solution 23 and saline solution 27. One end of the sealing device 2 is used to inject a mixed solution of urokinase solution 23 and saline solution 27 directly into the peritoneal dialysis tube A or into the gap between the peritoneal dialysis tube A and the dredging tube 11 through the injection hole 18. The dredging device 1 and the sealing device 2 form a matching dredging and sealing device, which is easy to use. The fibrin and impurities in the peritoneal dialysis tube A can be discharged from the end or the side hole through the balloon 13 and the brush 14 on the dredging device 1, and the impurity fragments can be dissolved by the mixed solution of urokinase solution 23 and saline solution 27 while the balloon 13 and the brush 14 are working, so the dredging efficiency is high and the dredging completion degree is high.

[0024] Specifically, Figure 1 As shown, the tube sealing device 2 is in a sealed state when not in use and the solution inside cannot be pushed out. Since the structures of the unblocking device 1 and the tube sealing device 2 are relatively simple and the cost is relatively low, they can be used as disposable medical supplies. After production and manufacturing, the two are sealed with a sealing bag 3. When in use, the sealing bag 3 can be torn open and the solution can be taken out and used directly.

[0025] Among them, the function of the dredging device 1 is to discharge or chop up the fibrin and impurities inside the peritoneal dialysis tube A. During the use of the peritoneal dialysis tube A, its impurities are mainly concentrated in the side holes on the front and side walls of the peritoneal dialysis tube A. Therefore, when the first end of the dredging tube 11 moves to the front of the membrane dialysis tube A, the balloon 13 will expand after water is injected into the dredging tube 11. The expanded balloon 13 can push the impurities or fibrin forward or squeeze them into the side holes on the side walls of the membrane dialysis tube A as the dredging tube 11 moves. Then, when the nylon brush 14 passes through the side hole, the nylon brush 14 can be inserted into the side hole to push out and chop up the impurities or fibrin. The nylon brush 14 can clean the side holes over a large range as the dredging tube 11 moves axially or rotates, and the cleaning effect is very good.

[0026] After the peritoneal dialysis tube A is cleaned by the clearing tube 11, a mixed solution of urokinase solution 23 and saline solution 27 can be injected into the peritoneal dialysis tube A using the tube sealing device 2 to dissolve the remaining impurities and fibrin fragments. Since the volume of the impurities and fibrin fragments is very small, the dissolution efficiency is very high.

[0027] When the tube sealing device 2 is injected into the peritoneal dialysis tube A, the clearing tube 11 may not be withdrawn from the peritoneal dialysis tube A. The mixed solution is injected into the gap between the peritoneal dialysis tube A and the clearing tube 11 through the injection hole 18. After dissolving for a period of time, the peritoneal dialysis tube A is cleaned through the clearing tube 11, which can better improve the cleaning efficiency.

[0028] Therefore, the entire unblocking and cleaning process is not only highly efficient and effective, but also flexible and diverse in operation, and can be used according to different blockage conditions of peritoneal dialysis tube A.

[0029] In this embodiment, if Figure 2 As shown, the first end of the clearing tube 11 is provided with a blunt tail end portion 15, and the surface of the blunt tail end portion 15 is an arc surface. The blunt tail end portion 15 can guide the guide wire into the peritoneal dialysis tube without damaging the intestine and other abdominal organs. The blunt tail end portion 15 can be made of metal material and has a good guiding and unblocking effect.

[0030] In this embodiment, if Figure 2 As shown, the nylon brush 14 is arranged obliquely along the length direction of the clearing tube 11, which facilitates the clearing tube 11 to enter the peritoneal dialysis tube A, and can be inserted into the opening on the side wall of the peritoneal dialysis tube A when the clearing tube 11 moves, wherein the inclination angle and length of the brush 14 can be set as needed.

[0031] In this embodiment, if Figure 4As shown, the tube sealing device 2 comprises a syringe 21 and a piston 24 disposed in the syringe 21, a push rod 26 is disposed at the rear end of the piston 24, a pointed rod 25 is disposed at the front end of the piston 24, a sealing soft capsule 22 is disposed inside the syringe 21, a urokinase solution 23 is disposed in the sealing soft capsule 22, physiological saline 27 is pre-filled between the sealing soft capsule 22 and the front end liquid outlet 28 of the syringe 21, and when the push rod 26 pushes the piston 24 to move, the pointed rod 25 can pierce the sealing soft capsule 22 to allow urokinase to flow out. The solution 23 is mixed with the physiological saline solution 27 and can be discharged from the front end liquid outlet 28. When not in use, a sealing cap is placed on the front end liquid outlet 28, and the piston 24 cannot be pushed at this time, thereby ensuring the safety of transportation. The sealing soft capsule 22 can be made of PVC film. The sealing soft capsule 22 can be punctured by the pointed rod 25 first because of the buoyancy arranged on the upper part of the physiological saline solution 27. After puncture, the urokinase solution 23 and the physiological saline solution 27 can be mixed. When in use, the tube sealing device 2 can be shaken to improve the mixing efficiency.

[0032] like Figure 2-3 As shown, locking studs 17 are radially installed on the side wall of the fixing seat 12, and the locking studs 17 are against the outer wall of the peritoneal dialysis tube A, so that the fixing seat 12 and the peritoneal dialysis tube A can be fixed and the dredging tube 11 can be operated. When the fixing seat 12 is connected and fixed to the peritoneal dialysis tube A, the expansion and rotation of the dredging tube 11 have a support point, which is convenient for operation. If the dredging tube 11 needs to be withdrawn from the peritoneal dialysis tube A, the fixing seat 12 can be separated from the peritoneal dialysis tube A. At the same time, in order to facilitate the operation of the dredging tube 11, the second end of the dredging tube 11 is symmetrically provided with operating side pieces 19 on both sides, so that the dredging tube 11 can be moved back and forth or rotated by holding the operating side pieces 19.

[0033] In this embodiment, a detachable pipe cap 16 is installed at the second end of the dredging pipe 11 to seal the dredging pipe 11 .

[0034] It should be noted that all directional indications in the embodiments of the present invention (such as up, down, left, right, front, back, etc.) are only used to explain the relative position relationship, movement status, etc. between the components under a certain specific posture (as shown in the accompanying drawings). If the specific posture changes, the directional indication will also change accordingly.

[0035] In addition, in the present invention, descriptions such as "primary", "secondary", etc. are only used for descriptive purposes and cannot be understood as indicating or implying their relative importance or implicitly indicating the number of the indicated technical features. Therefore, features defined as "primary" or "secondary" may explicitly or implicitly include at least one of the features. In the description of the present invention, the meaning of "multiple" is at least two, such as two, three, etc., unless otherwise clearly and specifically defined.

[0036] In the present invention, unless otherwise clearly specified and limited, the terms "connection", "fixation", etc. should be understood in a broad sense. For example, "fixation" can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements, unless otherwise clearly defined. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0037] In addition, the technical solutions between the various embodiments of the present invention can be combined with each other, but it must be based on the fact that ordinary technicians in the field can implement it. When the combination of technical solutions is contradictory or cannot be implemented, it should be deemed that such combination of technical solutions does not exist and is not within the scope of protection required by the present invention.

Claims

1. A peritoneal dialysis tube unclogging and sealing device, characterized in that: include: A dredging device (1) and a tube sealing device (2), wherein the dredging device (1) comprises a dredging tube (11) for extending into a peritoneal dialysis tube (A), a first end of the dredging tube (11) is provided with a balloon (13) connected to the inside of the dredging tube (11), a nylon brush (14) is provided on the outside of the dredging tube (11) near the balloon (13), a second end of the dredging tube (11) is sleeved with a fixing seat (12), the dredging tube (11) and the fixing seat (12) are movably matched, and the dredging tube (11) is sleeved on the peritoneal dialysis tube. One end of the fixing seat (12) is fixed on the outside, an injection hole (18) is arranged on the end surface of the fixing seat (12), and the injection hole (18) is connected to the gap between the peritoneal dialysis tube (A) and the clearing tube (11). The sealing device (2) is pre-filled with urokinase solution (23) and physiological saline (27), and one end of the sealing device (2) is used to directly inject a mixed solution of urokinase solution (23) and physiological saline (27) into the peritoneal dialysis tube (A) or inject it into the gap between the peritoneal dialysis tube (A) and the clearing tube (11) through the injection hole (18).

2. The peritoneal dialysis tube unclogging and sealing device according to claim 1, characterized in that: The first end of the dredging pipe (11) is provided with a blunt tail end (15), and the surface of the blunt tail end (15) is an arc surface.

3. The peritoneal dialysis tube unclogging and sealing device according to claim 1, characterized in that: The nylon brushes (14) are arranged in an inclined manner along the length direction of the dredging pipe (11).

4. The peritoneal dialysis tube unclogging and sealing device according to claim 1, characterized in that: The tube sealing device (2) comprises a syringe (21) and a piston (24) arranged in the syringe (21); a push rod (26) is arranged at the rear end of the piston (24); a pointed rod (25) is arranged at the front end of the piston (24); a sealing soft capsule (22) is arranged inside the syringe (21); a urokinase solution (23) is arranged in the sealing soft capsule (22); and physiological saline (27) is pre-filled between the sealing soft capsule (22) and the front end liquid outlet (28) of the syringe (21).

5. The peritoneal dialysis tube unclogging and sealing device according to claim 1, characterized in that: A locking stud (17) is radially mounted on the side wall of the fixing seat (12), and the locking stud (17) abuts against the outer wall of the peritoneal dialysis tube (A).

6. The peritoneal dialysis tube unclogging and sealing device according to claim 1, characterized in that: Operation side panels (19) are symmetrically arranged on both sides of the second end of the dredging pipe (11).

7. The peritoneal dialysis tube unclogging and sealing device according to claim 6, characterized in that: The second end of the dredging pipe (11) is provided with a detachable pipe cap (16).