Perfusion system and medical instrument
By setting up multiple pressure and temperature sensors at the end of the endoscope and in the perfusion system, combined with the control host, real-time monitoring of the intrarenal pressure and temperature is achieved, solving the problems of overpressure and temperature abnormalities caused by perfusion in the existing technology, and improving the safety and comfort of lithotripsy treatment.
Patent Information
- Application Number
- CN202421936266.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- Filing Date
- 2024-08-12
- Publication Date
- 2025-09-23
- Estimated Expiration
- 2034-08-12
AI Technical Summary
The existing perfusion method in lithotripsy may lead to increased intra-renal pelvic pressure, causing reflux of bacteria and endotoxin perfusion fluid, resulting in postoperative fever and sepsis, and may also cause damage to the kidneys and ureters or postoperative complications.
The first pressure sensor at the end of the endoscope and the second pressure sensor on the control host are used to monitor the intrarenal pressure and perfusion line pressure in real time. Combined with the temperature sensor and heating device, the perfusion fluid temperature is controlled to ensure that the perfusion pressure is within a safe range and avoid overpressure and temperature abnormalities.
It achieves real-time monitoring of intrarenal pressure and temperature, reduces safety risks caused by single sensor failure, improves the safety of the treatment process and patient comfort, and avoids kidney and ureteral damage and postoperative complications.
Smart Images

Figure CN223365513U_ABST
Abstract
Description
Technical Field
[0001] The utility model relates to the technical field of medical devices, in particular to a perfusion system and a medical device. Background Art
[0002] Kidney stones are a common urological condition. With the advancement of medical equipment, the mainstream treatment for kidney stones has gradually shifted from traditional surgery to minimally invasive surgery. During minimally invasive kidney stone surgery, renal pelvic irrigation is often performed to maintain a clear surgical field and flush out lithotripsy. However, current standard procedures can still increase intrarenal pelvic pressure, leading to renal reflux and absorption of perfusate containing bacteria and endotoxins, causing postoperative fever and sepsis. Therefore, continuous and effective monitoring of intrarenal pressure and controlling it at a certain level can reduce the incidence of renal reflux and improve the safety of minimally invasive kidney stone surgery.
[0003] Some of the existing perfusions in lithotripsy rely on liquid gravity perfusion or manual injection perfusion, which may cause overpressure during the operation, resulting in damage to the kidneys and ureters or postoperative complications.
[0004] The above content is only used to assist in understanding the technical solution of the present invention and does not constitute an admission that the above content is prior art. Utility Model Content
[0005] The main purpose of the present utility model is to provide a perfusion system and medical device, aiming to solve the problem of perfusion in lithotripsy treatment in the prior art, some of which rely on liquid gravity perfusion or hand-push injection perfusion, which may cause overpressure during surgery, damage to the kidneys and ureters or postoperative complications.
[0006] To achieve the above objectives, the present invention provides a perfusion system, comprising:
[0007] a first pressure sensor and a second pressure sensor;
[0008] an endoscope having a tip end, the tip end being equipped with the first pressure sensor, the first pressure sensor being configured to measure the pressure of a site to be perfused;
[0009] an irrigation device connected to the endoscope via an irrigation pipeline, for irrigation of liquid into the part to be irrigated; and
[0010] A control host electrically connected to the perfusion device, the first pressure sensor, and the second pressure sensor to control perfusion of the perfusion device;
[0011] The second pressure sensor is provided on the control host and is configured to measure the pressure in the perfusion pipeline.
[0012] Preferably, the perfusion system further comprises a first temperature sensor, wherein the first temperature sensor is provided at the head end of the endoscope and is configured to measure the temperature of the perfusion site.
[0013] Preferably, in the perfusion system, the perfusion device comprises:
[0014] a perfusion fluid source, for providing perfusion fluid;
[0015] a perfusion pipeline, one end of which is connected to the perfusion liquid source;
[0016] an irrigation pump head connected to the other end of the irrigation pipeline, the irrigation pump head extending into the endoscope, and used for irrigation of liquid into the part to be irrigated;
[0017] The first driving motor is drivingly connected to the perfusion pump head and electrically connected to the control host.
[0018] Preferably, in the perfusion system, the perfusion device further comprises a heating device, wherein the heating device is electrically connected to the control host and is used to heat the perfusion liquid in the perfusion liquid source.
[0019] Preferably, in the perfusion system, the temperature of the perfusion fluid in the perfusion fluid source is T, 36°C ≤ T ≤ 40°C.
[0020] Preferably, the perfusion system further includes a second temperature sensor, which is arranged in the perfusion pipeline, electrically connected to the control host, and configured to measure the temperature in the perfusion pipeline.
[0021] Preferably, in the perfusion system, the perfusion fluid source is a perfusion fluid bag.
[0022] Preferably, the perfusion system further comprises a suction device, which is connected to the endoscope via a suction pipeline and is used to suction liquid from the site to be perfused.
[0023] Preferably, in the perfusion system, the suction device includes a liquid barrel, a filter, a suction pipeline, and a suction drive device connected in sequence, the liquid barrel is connected to the endoscope, and the suction drive device is electrically connected to the control host.
[0024] In order to achieve the above-mentioned purpose, the present invention also provides a medical device, which includes the above-mentioned perfusion system.
[0025] The utility model has at least the following beneficial effects:
[0026] The utility model sets a first pressure sensor at the head end of the endoscope, which can directly monitor the pressure in the kidney. By setting a second pressure sensor, the second pressure sensor is arranged on the control host to measure the pressure in the perfusion pipeline. While monitoring the pressure in the kidney in real time, it can also reduce the safety risks caused by the failure of a single sensor. BRIEF DESCRIPTION OF THE DRAWINGS
[0027] Figure 1 This is a schematic diagram of an embodiment of the perfusion system provided by the present invention.
[0028]
[0029]
[0030] The purpose, features and advantages of the present invention will be further described with reference to the accompanying drawings and in conjunction with the embodiments. DETAILED DESCRIPTION
[0031] The technical solution of the present invention will be clearly and completely described below in conjunction with the accompanying drawings. Obviously, the embodiments described are only some embodiments of the present invention, not all embodiments. The present invention will be described in detail below with reference to the accompanying drawings and in conjunction with the embodiments. It should be noted that the embodiments of the present invention and the features in the embodiments may be combined with each other unless there is a conflict.
[0032] In the embodiments of the present invention, the term "and / or" describes the relationship between associated objects, indicating that three relationships can exist. For example, A and / or B can represent three situations: A exists alone, A and B exist simultaneously, and B exists alone. The character " / " generally indicates that the associated objects are in an "or" relationship.
[0033] It should be noted that the terms "first", "second", etc. in the specification and claims of the present utility model and the above-mentioned drawings are used to distinguish similar objects, and are not necessarily used to describe a specific order or sequence.
[0034] In the embodiments of the present invention, the term "plurality" refers to two or more than two, and other quantifiers are similar.
[0035] In the present invention, unless otherwise specified, directional words such as "up, down, top, bottom" are usually used with reference to the directions shown in the drawings, or with reference to the components themselves in the vertical, perpendicular or gravity direction; similarly, for ease of understanding and description, "inside and outside" refer to the inside and outside relative to the outline of each component itself, but the above directional words are not used to limit the present invention.
[0036] Figure 1An embodiment of the perfusion system is shown in FIG. Figure 1 The present invention provides a perfusion system 100, which includes a first pressure sensor 1, a second pressure sensor 2, an endoscope 3, a perfusion device 4, and a control host 5. The perfusion system 100 can be used for, but is not limited to, kidney stone treatment, and can also be used for other treatments, without specific limitations herein. However, for ease of explanation, the present invention uses the perfusion system 100 for kidney stone treatment as an example.
[0037] The endoscope 3 has a tip end, which is equipped with the first pressure sensor 1. The first pressure sensor 1 is configured to measure the pressure of the site to be perfused. When the perfusion system 100 is used in the treatment of kidney stones, the tip end of the endoscope 3 is inserted into the kidney. The first pressure sensor 1 can directly measure the pressure within the kidney, accurately and directly monitoring the pressure in the kidney in real time, thereby improving the safety of the patient's treatment process.
[0038] The perfusion device 4 is connected to the endoscope 3 via a perfusion line 42 and is used to perfuse liquid into the area to be perfused. The perfusion device 4 includes a perfusion liquid source 41, a perfusion line 42, a perfusion pump head 43, and a first drive motor 44. The perfusion liquid source 41 is used to provide perfusion liquid. The perfusion liquid source 41 is typically a perfusion liquid bag filled with perfusion liquid, but other containers may also be used in other embodiments. One end of the perfusion line 42 is connected to the perfusion liquid source 41, and the other end is connected to the perfusion pump head 43. The perfusion pump head 43 extends into the endoscope 3 and is used to perfuse liquid into the area to be perfused. The first drive motor 44 is drivably connected to the perfusion pump head 43 and is electrically connected to the control host 5. When the perfusion system 100 is used in the treatment of kidney stones and perfusion of liquid into the kidney is required, the control host 5 can control the first drive motor 44 to drive the perfusion pump head 43 to perfuse liquid into the kidney. Compared with the perfusion in lithotripsy treatment in the prior art, some of which rely on liquid gravity perfusion or hand-push injection perfusion, which may cause overpressure during the operation, damage to the kidneys and ureters or postoperative complications; the utility model can accurately control the perfusion volume, avoiding the occurrence of the above situation.
[0039] It should be noted that the first pressure sensor 1 can directly monitor the pressure in the kidney, and can also judge whether the perfusion pressure in lithotripsy treatment is reasonable based on the pressure value detected by the first pressure sensor 1. When the pressure is too high, the perfusion flow rate is reduced; when the pressure is too low, the perfusion flow rate is increased, thereby improving the convenience of equipment operation.
[0040] The control host 5 is electrically connected to the perfusion device 4, the first pressure sensor 1, and the second pressure sensor 2 to control perfusion by the perfusion device 4. The control motor can obtain the pressure values of the first pressure sensor 1 and the second pressure sensor 2. The second pressure sensor 2 is provided on the control host 5, that is, the second pressure sensor 2 is provided on the host end. The second pressure sensor 2 is configured to measure the pressure within the perfusion line 42. By providing the first pressure sensor 1 and the second pressure sensor 2 at the same time, the values measured by the first pressure sensor 1 and the second pressure sensor 2 can be compared to determine whether the first pressure sensor 1 and the second pressure sensor 2 have failed. Because the second pressure sensor 2 does not directly measure the pressure within the kidney, there will be a certain deviation from the pressure value measured by the first pressure sensor 1. When the deviation is within the allowable range, the first pressure sensor 1 and the second pressure sensor 2 are considered to be normal. When the deviation is not within the allowable range, it is considered that at least one of the first pressure sensor 1 and the second pressure sensor 2 has failed, thereby reducing the safety risk caused by the failure of a single sensor.
[0041] Furthermore, in existing lithotripsy procedures, the constant-pressure perfusion pump only has a single pressure sensor mounted on the main unit. Due to the small channel of the pyeloscope and the distance between the tip and the main unit, real-time pressure transmission is insufficient, and there is a pressure difference between the main unit and the tip. The present invention, however, adds a first pressure sensor 1 to the tip of the endoscope 3, allowing direct monitoring of intrarenal pressure. Simultaneously, the pressure is measured by both the first and second pressure sensors 1 and 2, and the difference between these values can be used to monitor fluctuations in the values, improving data accuracy.
[0042] In addition, the perfusion system 100 further includes a first temperature sensor 6 , which is disposed at the tip of the endoscope 3 , and is configured to measure the temperature of the perfusion site.
[0043] During existing holmium laser treatments, laser lithotripsy can cause the liquid to overheat without the medical staff's knowledge, potentially harming the patient. Alternatively, during existing endoscope observations, the tip of the mirror can fog up, and the infusion of sub-body-temperature liquid can cause discomfort to the patient.
[0044] By providing a first temperature sensor 6, the temperature of the perfusion site can be monitored in real time to avoid the above-mentioned situation. When the temperature detected by the first temperature sensor 6 is too low, the temperature of the perfusion fluid in the perfusion fluid source 41 is controlled to be increased; when the temperature detected by the first temperature sensor 6 is too high, the temperature of the perfusion fluid in the perfusion fluid source 41 is controlled to be decreased. The temperature of the perfusion fluid in the perfusion fluid source 41 is T, 36°C ≤ T ≤ 40°C. More specifically, the perfusion device 4 also includes a heating device 45, which is electrically connected to the control host 5 and is used to heat the perfusion fluid in the perfusion fluid source 41. The heating device 45 heats the perfusion fluid and maintains it at temperature T, thereby improving the patient's comfort.
[0045] The perfusion system 100 also includes a second temperature sensor 7, which is disposed in the perfusion line 42 and electrically connected to the control host 5. The second temperature sensor 7 is configured to measure the temperature within the perfusion line 42. By providing both the first temperature sensor 6 and the second temperature sensor 7, fluctuations in the values can be effectively monitored, reducing safety risks caused by failure of a single temperature sensor.
[0046] The perfusion system 100 also includes a suction device 8, which is connected to the endoscope 3 via a suction line 83 and is used to draw liquid from the site to be perfused. When it is necessary to aspirate the liquid in the kidney, the control host 5 controls the suction device 8 to draw the liquid. The suction device 8 includes a liquid barrel 81, a filter 82, a suction line 83, and a suction drive 84, which are connected in sequence. The liquid barrel 81 is connected to the endoscope 3, and the suction drive 84 is electrically connected to the control host 5.
[0047] In other embodiments, the perfusion system 100 further includes a liquid volume display function, a liquid volume shortage reminder function, a flow rate display function, and an idling detection function, thereby providing convenience for the operator's diagnosis / treatment.
[0048] The perfusion system 100 provided by the present invention monitors the intracavitary pressure and temperature in real time during the treatment of kidney stones, thereby automatically adjusting the perfusion flow, suction pressure, and suction flow to control the intracavitary pressure within the range set by the treating physician.
[0049] The present invention further provides a medical device, which includes the above-mentioned perfusion system 100. An embodiment of the medical device includes an embodiment of the above-mentioned perfusion system 100, and the beneficial effects of the above-mentioned perfusion system 100 can be applied to the medical device.
[0050] Obviously, the embodiments described above are only part of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, those skilled in the art can make other variations or modifications without creative work, which should fall within the scope of protection of the present invention.
Claims
1. A perfusion system, characterized in that: include: a first pressure sensor and a second pressure sensor; an endoscope having a tip end, the tip end being equipped with the first pressure sensor, the first pressure sensor being configured to measure the pressure of a site to be perfused; an irrigation device, connected to the endoscope via an irrigation pipeline, for irrigation of liquid into the part to be irrigated; as well as, A control host electrically connected to the perfusion device, the first pressure sensor, and the second pressure sensor to control perfusion of the perfusion device; Wherein, the second pressure sensor is provided on the control host and is configured to measure the pressure in the perfusion pipeline.
2. The perfusion system according to claim 1, wherein The endoscope further includes a first temperature sensor, which is disposed at the tip of the endoscope and configured to measure the temperature of the perfusion site.
3. The perfusion system according to claim 1, wherein: The perfusion device comprises: a perfusion fluid source, for providing perfusion fluid; a perfusion pipeline, one end of which is connected to the perfusion liquid source; an irrigation pump head connected to the other end of the irrigation pipeline, the irrigation pump head extending into the endoscope, and used for irrigation of liquid into the part to be irrigated; The first driving motor is drivingly connected to the perfusion pump head and electrically connected to the control host.
4. The perfusion system according to claim 3, wherein: The perfusion device further includes a heating device, which is electrically connected to the control host and is used to heat the perfusion liquid in the perfusion liquid source.
5. The perfusion system according to claim 3, wherein: The temperature of the perfusion liquid in the perfusion liquid source is T, 36°C≤T≤40°C.
6. The perfusion system according to claim 1 or 3, characterized in that It also includes a second temperature sensor, which is arranged in the perfusion pipeline, the second temperature sensor is electrically connected to the control host, and the second temperature sensor is configured to measure the temperature in the perfusion pipeline.
7. The perfusion system according to claim 3, wherein: The perfusion fluid source is a perfusion fluid bag.
8. The perfusion system according to claim 1, wherein: The device further comprises a suction device, which is connected to the endoscope through a suction pipeline and is used to suction liquid from the site to be perfused.
9. The perfusion system according to claim 8, wherein The suction device includes a liquid barrel, a filter, a suction pipeline, and a suction drive device connected in sequence. The liquid barrel is connected to the endoscope, and the suction drive device is electrically connected to the control host.
10. A medical device, characterized in that: Comprising the perfusion system according to any one of claims 1 to 9.