CN118519372A - Centralized treatment system and judgment method for surgical waste liquid - Google Patents
Centralized treatment system and judgment method for surgical waste liquid Download PDFInfo
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Abstract
本发明设计了一种手术废液集中处理系统,通过使用集中处理的办法代替传统的推车回收,方便了膨宫手术的进行,同时通过流量计反馈的方式为手术医生提供直观的数据参考。同时本发明提供了一种适用于集中处理计算多个手术室废液流量用的一种手术废液集中处理系统判定方。一种手术废液集中处理系统,包括:MCU、RJ45通讯模块,负压管路过滤装置,输入端连接废液吸引管,输出端连接预埋管路;预埋管路,设置在医院墙体内;缓冲瓶,输入端设置有第一控制阀,输入端连通预埋管路,输出端连接集液瓶;集液瓶,第二输入端连接医院的负压提供系统,输出端连接至医院的医废管路;在集液瓶与缓冲瓶的连接管路中设置有称重式流量传感器。
The present invention designs a centralized treatment system for surgical waste liquid. By using a centralized treatment method instead of traditional cart recovery, it facilitates the performance of uterine distension surgery, and provides intuitive data reference for surgeons through flow meter feedback. At the same time, the present invention provides a determination method for a centralized treatment system for surgical waste liquid, which is suitable for centralized treatment and calculation of the waste liquid flow rate of multiple operating rooms. A centralized treatment system for surgical waste liquid, including: MCU, RJ45 communication module, negative pressure pipeline filter device, the input end is connected to the waste liquid suction tube, and the output end is connected to the pre-buried pipeline; the pre-buried pipeline is arranged in the wall of the hospital; the buffer bottle, the input end is provided with a first control valve, the input end is connected to the pre-buried pipeline, and the output end is connected to the liquid collecting bottle; the liquid collecting bottle, the second input end is connected to the negative pressure providing system of the hospital, and the output end is connected to the medical waste pipeline of the hospital; a weighing flow sensor is arranged in the connecting pipeline between the liquid collecting bottle and the buffer bottle.
Description
技术领域Technical Field
本发明涉及医疗设备技术领域,尤其是涉及一种手术废液集中处理系统。The present invention relates to the technical field of medical equipment, and in particular to a centralized surgical waste liquid treatment system.
背景技术Background Art
宫腔镜诊疗项目是妇科常规宫腔疾病微创内窥镜诊疗技术,由于子宫腔在平时处于全闭合状态,术中需要膨宫泵对宫腔持续注入膨宫介质,使宫腔膨起,为诊疗手术提供足够的操作空间。The hysteroscopic diagnosis and treatment project is a minimally invasive endoscopic diagnosis and treatment technology for routine gynecological uterine cavity diseases. Because the uterine cavity is normally in a completely closed state, a uterine distension pump is required during the operation to continuously inject uterine distension medium into the uterine cavity to expand the uterine cavity and provide sufficient operating space for the diagnosis and treatment operation.
中国发明专利申请公开号CN115607755A,公开了一种宫腔镜手术监控系统和方法,就是针对上述问题而设计的一种宫腔镜手术用的注入装置。而实际在手术中膨宫介质并不会被人体吸收并且为了确保手术环境视野可靠会使用吸引管将膨宫介质同步吸出。而现有的废液吸引通常采用移动推车式,每个手术室需要配备一个这样的废液回收推车,当废液回收推车中的收集瓶满时需要去手术废物集中处理中心处理,通常一个手术室需要有2个以上的废液回收推车进行备用。当手术中一个废液回收推车的回收瓶满时不仅仅需要暂停进行更换,在术后还需要有人去对推车进行回收处理(包括推车清洗),这样增加了医护人员的术后清理负担。但是废液回收推车能够直观的让手术人员得知膨宫介质的排出情况是值得考量的。China's invention patent application publication number CN115607755A discloses a hysteroscopic surgery monitoring system and method, which is an injection device for hysteroscopic surgery designed to address the above-mentioned problems. In fact, during surgery, the uterine distension medium will not be absorbed by the human body, and in order to ensure a reliable field of view in the surgical environment, a suction tube will be used to simultaneously suck out the uterine distension medium. The existing waste liquid suction usually adopts a mobile cart type, and each operating room needs to be equipped with such a waste liquid recovery cart. When the collection bottle in the waste liquid recovery cart is full, it needs to be processed in the surgical waste centralized treatment center. Usually, an operating room needs to have more than 2 waste liquid recovery carts for standby. When the recovery bottle of a waste liquid recovery cart is full during surgery, it is not only necessary to pause and replace it, but also someone needs to recycle the cart after surgery (including cleaning the cart), which increases the postoperative cleaning burden of medical staff. However, it is worth considering that the waste liquid recovery cart can intuitively let the surgical staff know the discharge of the uterine distension medium.
发明内容Summary of the invention
本发明设计了一种手术废液集中处理系统,通过使用集中处理的办法代替传统的推车回收,方便了膨宫手术的进行,同时通过流量计反馈的方式为手术医生提供直观的数据参考。同时本发明提供了一种适用于集中处理计算多个手术室废液流量用的一种手术废液集中处理系统判定方。The present invention designs a centralized surgical waste liquid treatment system, which uses centralized treatment to replace traditional cart recovery, facilitates the uterine distension surgery, and provides intuitive data reference for surgeons through flow meter feedback. At the same time, the present invention provides a surgical waste liquid centralized treatment system determination method suitable for centralized treatment and calculation of waste liquid flow in multiple operating rooms.
一种手术废液集中处理系统,包括:MCU、RJ45通讯模块,负压管路过滤装置,设置在手术室,输入端连接废液吸引管,输出端连接预埋管路;A surgical waste liquid centralized treatment system, comprising: an MCU, an RJ45 communication module, and a negative pressure pipeline filtering device, which is arranged in an operating room, with an input end connected to a waste liquid suction tube, and an output end connected to a pre-buried pipeline;
负压管路过滤装置呈瓶形,中间设置有滤网,瓶盖设置输入端,输入端连通滤网与瓶盖之间的瓶内空间,瓶底设置输出端,输出端连接滤网与瓶底之间的瓶内空间;The negative pressure pipeline filter device is in the shape of a bottle, with a filter screen in the middle, an input end is provided on the bottle cap, the input end is connected to the bottle space between the filter screen and the bottle cap, and an output end is provided on the bottle bottom, the output end is connected to the bottle space between the filter screen and the bottle bottom;
预埋管路,设置在医院墙体内;Pre-buried pipelines are installed inside the hospital walls;
缓冲瓶,设置在手术室集中处理中心,输入端设置有第一控制阀,输入端连通预埋管路,输出端连接集液瓶;A buffer bottle is arranged in the centralized processing center of the operating room, the input end of which is provided with a first control valve, the input end is connected to the pre-buried pipeline, and the output end is connected to the liquid collection bottle;
集液瓶,设置在手术室集中处理中心,拥有双输入端和一个输出端,第一输入端与缓冲瓶连通,第二输入端设置有第二控制阀,第二输入端连接医院的负压提供系统,输出端设置有第三控制阀,输出端连接至医院的医废管路;The liquid collection bottle is arranged in the centralized processing center of the operating room, and has two input ends and one output end. The first input end is connected to the buffer bottle, the second input end is provided with a second control valve, the second input end is connected to the negative pressure supply system of the hospital, and the output end is provided with a third control valve, and the output end is connected to the medical waste pipeline of the hospital;
其中单个缓冲瓶和集液瓶构成1个集液单元,手术室集中处理中心至少设置2个集液单元;在集液瓶的内设置有液位传感器,在集液瓶与缓冲瓶的连接管路中设置有称重式流量传感器。A single buffer bottle and a liquid collecting bottle constitute a liquid collecting unit, and at least two liquid collecting units are arranged in the operating room centralized processing center; a liquid level sensor is arranged inside the liquid collecting bottle, and a weighing flow sensor is arranged in the connecting pipeline between the liquid collecting bottle and the buffer bottle.
负压管路过滤装置主要对可能产生的生物组织进行过滤避免过大的组织对管道进行堵塞。缓冲瓶用于对收集的废液在计算流量前进行去气泡处理,避免气泡对称重式流量传感器进行干扰。集液瓶主要提供废液收集作用。The negative pressure pipeline filter device mainly filters possible biological tissues to prevent oversized tissues from clogging the pipeline. The buffer bottle is used to remove bubbles from the collected waste liquid before calculating the flow rate to prevent bubbles from interfering with the symmetric flow sensor. The liquid collection bottle mainly provides waste liquid collection.
作为优选,负压管路过滤装置包括:透明的过滤瓶,瓶身呈圆柱体,顶部旋盖设置有输入端,瓶身内设置有滤网,瓶身底部设置有输出端;Preferably, the negative pressure pipeline filtering device comprises: a transparent filtering bottle, the bottle body is cylindrical, the top screw cap is provided with an input end, a filter screen is provided inside the bottle body, and an output end is provided at the bottom of the bottle body;
过滤瓶外套设有检测装置,检测装置包括:红外检测器、电磁式流量计、mcu和RJ45通讯模块;The filter bottle jacket is provided with a detection device, which includes: an infrared detector, an electromagnetic flow meter, an MCU and an RJ45 communication module;
其中红外检测器的检测端对准过滤瓶,使得检测端设置在滤网和瓶盖之间的3/4处;The detection end of the infrared detector is aligned with the filter bottle, so that the detection end is set at 3/4 between the filter screen and the bottle cap;
电磁式流量计设置在过滤瓶的输出端上;红外检测器和电磁式流量计的统计信息通过RJ45通讯模块发送给医院的手术系统。The electromagnetic flowmeter is arranged on the output end of the filter bottle; the statistical information of the infrared detector and the electromagnetic flowmeter is sent to the operation system of the hospital through the RJ45 communication module.
作为优选,所述缓冲瓶内设置有透气膜将缓冲瓶分隔成气腔和液腔,其中缓冲瓶输入端和输出端均连接液腔;在气腔的瓶壁设置开口用于气体释放。Preferably, a breathable membrane is provided inside the buffer bottle to separate the buffer bottle into an air cavity and a liquid cavity, wherein both the input end and the output end of the buffer bottle are connected to the liquid cavity; and an opening is provided on the bottle wall of the air cavity for gas release.
作为优选,所述的气腔开口与集液瓶的第二输入端连通,同时受第二控制阀控制。为气腔提供均一的负压有利于废液中可能存在的气体透过透气膜排出。Preferably, the air cavity opening is connected to the second input end of the liquid collecting bottle and is controlled by the second control valve. Providing a uniform negative pressure to the air cavity is conducive to the discharge of gas that may exist in the waste liquid through the gas permeable membrane.
一种手术废液集中处理系统判定方法,设使用废液吸引管包括三个阶段,包括:废液吸引管插入阶段,手术持续期间,手术结束阶段;A method for determining a centralized surgical waste liquid treatment system, assuming that the use of a waste liquid suction tube includes three stages, including: a waste liquid suction tube insertion stage, a surgery duration, and a surgery end stage;
判定方法包括以下步骤:The determination method includes the following steps:
步骤1,通过通讯获取医院手术系统信息,登记当前手术废液吸引管使用情况,其中手术室房间序号s={1,2,3……n},对应手术室的废液吸引管使用情况Vs={V1,V2,V3,……Vn},Vs为单位时间内排出的废液量,乘以手术持续时间可以获得总排出量Vsum_s,其中s依旧为手术室房间序号;Step 1, obtain the hospital surgery system information through communication, register the current use of the surgical waste liquid suction tube, where the operating room room number s = {1, 2, 3...n}, the corresponding operating room waste liquid suction tube usage Vs = {V1, V2, V3,...Vn}, Vs is the amount of waste liquid discharged per unit time, multiplied by the duration of the surgery to obtain the total discharge volume Vsum_s, where s is still the operating room room number;
步骤2,由负压管路过滤装置和重式流量传感器组合判断废液流经状态,负压管路过滤装置中的传感器获得到Vs后则在总排出量Vsum_s中加入setV1,结束废液吸引管插入阶段,其中setV1的值为手动输入的,一根废液吸引管内液体的容量;Step 2, the negative pressure pipeline filter device and the weight flow sensor are combined to determine the flow state of the waste liquid. After the sensor in the negative pressure pipeline filter device obtains Vs, setV1 is added to the total discharge volume Vsum_s, and the waste liquid suction tube insertion stage is ended. The value of setV1 is manually input, which is the volume of the liquid in a waste liquid suction tube;
当重式流量传感器内的液体流量增加Vs时判断为s号手术室的废液成功的回收入集中处理装置内;When the liquid flow rate in the heavy flow sensor increases by Vs, it is judged that the waste liquid in the operating room No. s is successfully recovered into the centralized treatment device;
步骤3,手术持续期间通过医院手术系统,为s号手术室提供提供Vs信息和Vsum_s供手术医生参考;Step 3, during the operation, the hospital operation system is used to provide Vs information and Vsum_s for the reference of the surgeon to the operating room s;
步骤4,当手术结束时,由手术医生确定结束,记录当前Vs的快照值,快照值记录为Vs’,当负压管路过滤装置的传感器记录Vs信息为0时,判定已经抽出了废液吸引管;此时允许拆除废液吸引管不允许拆除负压管路过滤装置,当重式流量传感器取得的单位时间流量V减少了Vs’时,判定为手术s至集中处理装置的管路内废液已经排空,正式结束手术。Step 4. When the operation is over, the surgeon determines the end and records the snapshot value of the current Vs, which is recorded as Vs’. When the sensor of the negative pressure pipeline filter device records the Vs information as 0, it is determined that the waste liquid suction tube has been pulled out. At this time, the waste liquid suction tube is allowed to be removed but the negative pressure pipeline filter device is not allowed to be removed. When the unit time flow rate V obtained by the heavy flow sensor decreases by Vs’, it is determined that the waste liquid in the pipeline from the operation s to the centralized treatment device has been emptied, and the operation is officially over.
作为优选,步骤3中包括有校准步骤,校准步骤包括以下子步骤:Preferably, step 3 includes a calibration step, which includes the following sub-steps:
子步骤1,比较手术室负压管路过滤装置的传感器记录废液吸引管使用情况总和与重式流量传感器计算的数值,计算出误差百分比,当误差百分比大于等于2%时则启用子步骤2,误差百分比K的计算公式如下:Sub-step 1, compare the sum of the waste liquid suction tube usage recorded by the sensor of the negative pressure pipeline filter device in the operating room with the value calculated by the heavy flow sensor, and calculate the error percentage. When the error percentage is greater than or equal to 2%, sub-step 2 is enabled. The calculation formula of the error percentage K is as follows:
其中Ve是重式流量传感器测得的单位时间流量;Where Ve is the flow rate per unit time measured by the gravity flow sensor;
子步骤2,使用重式流量传感器测得单位时间流量按比例分配给各个手术室,并在触发此步骤期间,使用此步骤提供的Ves数值代替Vs计算累计的总排出量Vsum_s;Sub-step 2, using a heavy flow sensor to measure the flow per unit time and distribute it to each operating room in proportion, and during the triggering of this step, using the Ves value provided in this step instead of Vs to calculate the accumulated total discharge volume Vsum_s;
分配公式如下:The allocation formula is as follows:
其中,Ves中的角标s代表对应的手术室的编号,Ves则代表对应手术室的计算值,Vs为手术室负压管路过滤装置的传感器记录的值。Among them, the subscript s in Ves represents the number of the corresponding operating room, Ves represents the calculated value of the corresponding operating room, and Vs is the value recorded by the sensor of the negative pressure pipeline filter device in the operating room.
步骤3中包括有自动更替集液瓶的子步骤,当第一集液单元中液位传感器反馈数值大于等于高液位设定值时,关闭第一集液单元中第一控制阀,同步开启第二集液单元中第一控制阀;关闭第一集液单元中第二控制阀,打开第一集液单元中的第三控制阀,进行排液;直到第一集液单元中液位传感器反馈数值小于等于低液位设定值,关闭第三控制阀,开启第二控制阀,进入备用状态。Step 3 includes a sub-step of automatically replacing the liquid collecting bottle. When the feedback value of the liquid level sensor in the first liquid collecting unit is greater than or equal to the high liquid level setting value, the first control valve in the first liquid collecting unit is closed, and the first control valve in the second liquid collecting unit is opened synchronously; the second control valve in the first liquid collecting unit is closed, and the third control valve in the first liquid collecting unit is opened to drain the liquid; until the feedback value of the liquid level sensor in the first liquid collecting unit is less than or equal to the low liquid level setting value, the third control valve is closed, the second control valve is opened, and the standby state is entered.
步骤4中还包括了手术结束之后对负压管路过滤装置和预埋管路的临时消毒;Step 4 also includes temporary disinfection of the negative pressure pipeline filter device and the pre-buried pipeline after the operation;
临时消毒的方法包括:预制袋装消毒液,袋装消毒液内包括中性消毒液和酶清洗液;Temporary disinfection methods include: pre-made bagged disinfectant, which includes neutral disinfectant and enzyme cleaning solution;
手术结束后将废液吸引管插入袋装消毒液中,等到袋装消毒液被抽干净,再结束本手术室的废液吸引;After the operation, insert the waste liquid suction tube into the bag of disinfectant, and wait until the bag of disinfectant is completely drained before ending the waste liquid suction in this operating room;
采用1L的袋装,中性消毒液和酶清洗液均采用标准浓度。It is packaged in 1L bags, and both the neutral disinfectant and enzyme cleaning solution are of standard concentration.
本发明的实质性效果在于首先避免了传统的废液回收推车的使用直接减少了医护人员的术后清理负担;其次避免了术中废液回收推车满废液瓶的情况,从而回避了手术暂停更换废液瓶的状态;同时保留了废液回收推车方便观察膨宫介质排出的特点,在本发明中使用医院手术系统反馈,数字化实时显示废液回收量,与废液回收推车的肉眼观察形式相比更加直观、准确、实时。The substantial effect of the present invention is that, firstly, it avoids the use of traditional waste liquid recovery carts and directly reduces the postoperative cleaning burden of medical staff; secondly, it avoids the situation in which the waste liquid recovery cart is full of waste liquid bottles during surgery, thereby avoiding the state in which the surgery is suspended to replace the waste liquid bottles; at the same time, it retains the characteristic of the waste liquid recovery cart that it is convenient to observe the discharge of uterine distension medium. In the present invention, the hospital surgical system feedback is used to digitally display the waste liquid recovery amount in real time, which is more intuitive, accurate and real-time compared with the naked eye observation of the waste liquid recovery cart.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1本发明处理系统的结构图;Fig. 1 is a block diagram of a processing system of the present invention;
图2集液单元并联方式图;Fig. 2 is a diagram of the parallel connection of liquid collecting units;
图3缓冲瓶连接关系方向图;Fig. 3 is a directional diagram of the connection relationship of the buffer bottle;
图4实施例2中的电磁式流量计设置位置图;FIG4 is a diagram showing the location of the electromagnetic flow meter in Embodiment 2;
图5实施例1中的负压管路过滤装置示意图;FIG5 is a schematic diagram of the negative pressure pipeline filtering device in Example 1;
图中:100、缓冲瓶,101、气腔,102、液腔,103、输入端,104、输出端,105、气腔开口,200、过滤瓶,201、废液吸引管,202、滤网,203、电磁式流量计,104-2、集液瓶与缓冲瓶的连接管路,300、集液瓶,301、第二控制阀,302、第三控制阀,303、液位传感器。In the figure: 100, buffer bottle, 101, air cavity, 102, liquid cavity, 103, input end, 104, output end, 105, air cavity opening, 200, filter bottle, 201, waste liquid suction tube, 202, filter screen, 203, electromagnetic flowmeter, 104-2, connecting pipeline between liquid collecting bottle and buffer bottle, 300, liquid collecting bottle, 301, second control valve, 302, third control valve, 303, liquid level sensor.
具体实施方式DETAILED DESCRIPTION
下面通过具体实施例,并结合附图,对本发明的技术方案作进一步的具体说明。The technical solution of the present invention is further described in detail below through specific embodiments in conjunction with the accompanying drawings.
实施例1Example 1
如图1、图2、图3和图5所示,所述的一种手术废液集中处理系统,包括:MCU、RJ45通讯模块,负压管路过滤装置,设置在手术室,输入端连接废液吸引管,输出端连接预埋管路;负压管路过滤装置呈瓶形,中间设置有滤网202,瓶盖设置输入端,输入端连通滤网与瓶盖之间的瓶内空间,瓶底设置输出端,输出端连接滤网与瓶底之间的瓶内空间;As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 5, the centralized treatment system for surgical waste liquid comprises: MCU, RJ45 communication module, negative pressure pipeline filtering device, which is arranged in the operating room, the input end is connected to the waste liquid suction tube, and the output end is connected to the pre-buried pipeline; the negative pressure pipeline filtering device is in the shape of a bottle, a filter screen 202 is arranged in the middle, the bottle cap is provided with an input end, the input end is connected to the bottle space between the filter screen and the bottle cap, and the bottle bottom is provided with an output end, the output end is connected to the bottle space between the filter screen and the bottle bottom;
预埋管路,设置在医院墙体内;Pre-buried pipelines are installed inside the hospital walls;
缓冲瓶100,设置在手术室集中处理中心,输入端设置有第一控制阀,输入端连通预埋管路,输出端连接集液瓶;The buffer bottle 100 is arranged in the centralized processing center of the operating room, and a first control valve is arranged at the input end, the input end is connected to the pre-buried pipeline, and the output end is connected to the liquid collection bottle;
集液瓶300,设置在手术室集中处理中心,拥有双输入端和一个输出端,第一输入端与缓冲瓶连通,第二输入端设置有第二控制阀301,第二输入端连接医院的负压提供系统,输出端设置有第三控制阀302,输出端连接至医院的医废管路;The liquid collecting bottle 300 is arranged in the centralized processing center of the operating room, and has two input ends and one output end. The first input end is connected to the buffer bottle, the second input end is provided with a second control valve 301, and the second input end is connected to the negative pressure supply system of the hospital, and the output end is provided with a third control valve 302, and the output end is connected to the medical waste pipeline of the hospital;
其中单个缓冲瓶和集液瓶构成1个集液单元,手术室集中处理中心至少设置2个集液单元;在集液瓶的内设置有液位传感器303,在集液瓶与缓冲瓶的连接管路104-2中设置有称重式流量传感器。A single buffer bottle and a liquid collecting bottle constitute a liquid collecting unit, and at least two liquid collecting units are arranged in the operating room centralized processing center; a liquid level sensor 303 is arranged inside the liquid collecting bottle, and a weighing flow sensor is arranged in the connecting pipeline 104-2 between the liquid collecting bottle and the buffer bottle.
负压管路过滤装置主要对可能产生的生物组织进行过滤避免过大的组织对管道进行堵塞。缓冲瓶用于对收集的废液在计算流量前进行去气泡处理,避免气泡对称重式流量传感器进行干扰。集液瓶主要提供废液收集作用。The negative pressure pipeline filter device mainly filters possible biological tissues to prevent oversized tissues from clogging the pipeline. The buffer bottle is used to remove bubbles from the collected waste liquid before calculating the flow rate to prevent bubbles from interfering with the symmetric flow sensor. The liquid collection bottle mainly provides waste liquid collection.
负压管路过滤装置包括:透明的过滤瓶,瓶身呈圆柱体,顶部旋盖设置有输入端,瓶身内设置有滤网,瓶身底部设置有输出端;The negative pressure pipeline filtering device comprises: a transparent filtering bottle, the bottle body is cylindrical, the top screw cap is provided with an input end, a filter screen is provided inside the bottle body, and an output end is provided at the bottom of the bottle body;
过滤瓶外套设有检测装置,检测装置包括:红外检测器、电磁式流量计、mcu和RJ45通讯模块;The filter bottle jacket is provided with a detection device, which includes: an infrared detector, an electromagnetic flow meter, an MCU and an RJ45 communication module;
其中红外检测器的检测端对准过滤瓶,使得检测端设置在滤网和瓶盖之间的3/4处;The detection end of the infrared detector is aligned with the filter bottle, so that the detection end is set at 3/4 between the filter screen and the bottle cap;
电磁式流量计设置在过滤瓶的输出端上;红外检测器和电磁式流量计的统计信息通过RJ45通讯模块发送给医院的手术系统。The electromagnetic flowmeter is arranged on the output end of the filter bottle; the statistical information of the infrared detector and the electromagnetic flowmeter is sent to the operation system of the hospital through the RJ45 communication module.
所述缓冲瓶内设置有透气膜将缓冲瓶分隔成气腔101和液腔102,其中缓冲瓶输入端103和输出端104均连接液腔;在气腔的瓶壁设置开口用于气体释放。A breathable membrane is arranged inside the buffer bottle to separate the buffer bottle into an air cavity 101 and a liquid cavity 102, wherein the input end 103 and the output end 104 of the buffer bottle are both connected to the liquid cavity; an opening is arranged on the bottle wall of the air cavity for gas release.
所述的气腔开口105与集液瓶的第二输入端连通,同时受第二控制阀控制。为气腔提供均一的负压有利于废液中可能存在的气体透过透气膜排出。The air cavity opening 105 is connected to the second input end of the liquid collecting bottle and is controlled by the second control valve. Providing a uniform negative pressure to the air cavity is conducive to the gas that may exist in the waste liquid to be discharged through the gas permeable membrane.
实施例2Example 2
如图4所示,本实施例与实施例1的区别在于不使用负压管路过滤装置,直接采用在废液吸引管201上设置电磁式流量计计算单元,并将废液吸引管直接通入预埋管路中。As shown in FIG4 , the difference between this embodiment and embodiment 1 is that a negative pressure pipeline filtering device is not used, and an electromagnetic flow meter calculation unit is directly set on the waste liquid suction pipe 201, and the waste liquid suction pipe is directly connected to the pre-buried pipeline.
在手术室中设置的电磁式流量计计算单元,包括:电磁式流量计201、mcu和RJ45通讯模块;电磁式流量计203套设在废液吸引管外端,通过mcu处理数据,通过RJ45通讯模块传输数据至医院手术系统。The electromagnetic flowmeter calculation unit installed in the operating room includes: an electromagnetic flowmeter 201, an MCU and an RJ45 communication module; the electromagnetic flowmeter 203 is sleeved on the outer end of the waste liquid suction tube, processes data through the MCU, and transmits data to the hospital operation system through the RJ45 communication module.
由于宫腔实际产生的生物组织废物量较少也较小,实际能够通过废液管直接排出并且不会造成堵塞,有概率会影响电磁式流量计的精度,但是本系统的处理方法会对这种扰动进行消除。Since the actual amount of biological tissue waste produced in the uterine cavity is relatively small, it can be directly discharged through the waste liquid pipe without causing blockage. There is a probability that it will affect the accuracy of the electromagnetic flowmeter, but the processing method of this system will eliminate this disturbance.
一种手术废液集中处理系统判定方法,A method for determining a centralized surgical waste fluid treatment system.
设使用废液吸引管包括三个阶段,包括:废液吸引管插入阶段,手术持续期间,手术结束阶段;The use of the waste liquid suction tube includes three stages, including: the waste liquid suction tube insertion stage, the duration of the operation, and the end of the operation;
判定方法包括以下步骤:The determination method includes the following steps:
步骤1,通过通讯获取医院手术系统信息,登记当前手术废液吸引管使用情况,其中手术室房间序号s={1,2,3……n},对应手术室的废液吸引管使用情况Vs={V1,V2,V3,……Vn},Vs为单位时间内排出的废液量,乘以手术持续时间可以获得总排出量Vsum_s,其中s依旧为手术室房间序号。Step 1, obtain the hospital surgery system information through communication, and register the current use of the surgical waste liquid suction tube, where the operating room room number s = {1, 2, 3...n}, and the corresponding operating room waste liquid suction tube usage Vs = {V1, V2, V3,...Vn}, Vs is the amount of waste liquid discharged per unit time, and multiplying it by the duration of the operation can obtain the total discharge volume Vsum_s, where s is still the operating room room number.
在实际操作中,通过病人的手环确定病人的信息和登记在案的手术室以及对应的手术医护人员,而对应的手术室编号可以是完全随机的,并且会出现单个手术室使用其他手术室均未使用的情况,例,3号手术室使用了本发明的系统,而其他手术室因为做其他的手术而不需要使用本发明,则Vs的使用情况会出现仅有V3是有数值的,其他的Vs均为0。In actual operation, the patient's information, the registered operating room and the corresponding surgical medical staff are determined through the patient's wristband, and the corresponding operating room number can be completely random, and there may be a situation where a single operating room is used while other operating rooms are not used. For example, operating room No. 3 uses the system of the present invention, while other operating rooms do not need to use the present invention because they perform other operations. In the usage of Vs, only V3 has a value, and the other Vs are all 0.
步骤2,由负压管路过滤装置和重式流量传感器组合判断废液流经状态,负压管路过滤装置中的传感器获得到Vs后则在总排出量Vsum_s中加入setV1,结束废液吸引管插入阶段,其中setV1的值为手动输入的,一根废液吸引管内液体的容量。Step 2, the waste liquid flow status is determined by the combination of the negative pressure pipeline filter device and the weight flow sensor. After the sensor in the negative pressure pipeline filter device obtains Vs, setV1 is added to the total discharge volume Vsum_s, ending the waste liquid suction tube insertion stage, where the value of setV1 is manually input, which is the capacity of the liquid in a waste liquid suction tube.
总排出量Vsum_s和单位时间排出量Vs都具有参考意义,总排出量Vsum_s相当于废液回收推车上的刻度表,能够直观的获得手术进行的状态,而单位时间排出量Vs不仅仅是用于计算总排出量Vsum_s的,也可以和膨宫泵的装置提供的数值进行比较来判断当前的输入情况从而确保实际宫腔内膨宫的数值趋势。Both the total discharge volume Vsum_s and the discharge volume per unit time Vs are of reference significance. The total discharge volume Vsum_s is equivalent to the scale on the waste liquid recovery cart, which can intuitively obtain the status of the operation, while the discharge volume per unit time Vs is not only used to calculate the total discharge volume Vsum_s, but can also be compared with the numerical value provided by the uterine distension pump device to determine the current input situation and ensure the actual numerical trend of uterine distension in the uterine cavity.
总排出量Vsum_s采用累计制,例如单位时间为1s,那么总排出量Vsum_s=Vs1*1+Vs2*1……+Vsn*1,其中Vsn代表第n秒时的流量。The total discharge volume Vsum_s is cumulative, for example, if the unit time is 1 second, then the total discharge volume Vsum_s=Vs1*1+Vs2*1…+Vsn*1, where Vsn represents the flow rate at the nth second.
当重式流量传感器内的液体流量增加Vs时判断为s号手术室的废液成功的回收入集中处理装置内;When the liquid flow rate in the heavy flow sensor increases by Vs, it is judged that the waste liquid in the operating room No. s is successfully recovered into the centralized treatment device;
对于单个手术室的情况,重式流量传感器的获得值与Vs应当是相等的,出现不相等的情况以重式流量传感器获得的为准,由于缓冲瓶对气泡的消除作用,重式流量传感器计算值更加准确For a single operating room, the value obtained by the weight flow sensor should be equal to Vs. If they are not equal, the value obtained by the weight flow sensor shall prevail. Due to the elimination of bubbles by the buffer bottle, the value calculated by the weight flow sensor is more accurate
步骤3,手术持续期间通过医院手术系统,为s号手术室提供Vs信息和Vsum_s供手术医生参考;Step 3, during the operation, the hospital operation system is used to provide Vs information and Vsum_s to the operating room s for the surgeon's reference;
步骤4,当手术结束时,由手术医生确定结束,记录当前Vs的快照值,快照值记录为Vs’,当负压管路过滤装置的传感器记录Vs信息为0时,判定已经抽出了废液吸引管;此时允许拆除废液吸引管不允许拆除负压管路过滤装置,当重式流量传感器取得的单位时间流量V减少了Vs’时,判定为手术s至集中处理装置的管路内废液已经排空,正式结束手术。Step 4. When the operation is over, the surgeon determines the end and records the snapshot value of the current Vs, which is recorded as Vs’. When the sensor of the negative pressure pipeline filter device records the Vs information as 0, it is determined that the waste liquid suction tube has been pulled out. At this time, the waste liquid suction tube is allowed to be removed but the negative pressure pipeline filter device is not allowed to be removed. When the unit time flow rate V obtained by the heavy flow sensor decreases by Vs’, it is determined that the waste liquid in the pipeline from the operation s to the centralized treatment device has been emptied, and the operation is officially over.
作为优选,步骤3中包括有校准步骤,校准步骤包括以下子步骤:Preferably, step 3 includes a calibration step, which includes the following sub-steps:
子步骤1,比较手术室负压管路过滤装置的传感器记录废液吸引管使用情况总和与重式流量传感器计算的数值,计算出误差百分比,当误差百分比大于等于2%时则启用子步骤2,误差百分比K的计算公式如下:Sub-step 1, compare the sum of the waste liquid suction tube usage recorded by the sensor of the negative pressure pipeline filter device in the operating room with the value calculated by the weight flow sensor, and calculate the error percentage. When the error percentage is greater than or equal to 2%, sub-step 2 is enabled. The calculation formula of the error percentage K is as follows:
其中Ve是重式流量传感器测得的单位时间流量;Where Ve is the flow rate per unit time measured by the gravity flow sensor;
子步骤2,使用重式流量传感器测得单位时间流量按比例分配给各个手术室,并在触发此步骤期间,使用此步骤提供的Ves数值代替Vs计算累计的总排出量Vsum_s;Sub-step 2, using a heavy flow sensor to measure the flow per unit time and distribute it to each operating room in proportion, and during the triggering of this step, using the Ves value provided in this step instead of Vs to calculate the accumulated total discharge volume Vsum_s;
分配公式如下:The allocation formula is as follows:
其中,Ves中的角标s代表对应的手术室的编号,Ves则代表对应手术室的计算值,Vs为手术室负压管路过滤装置的传感器记录的值。Among them, the subscript s in Ves represents the number of the corresponding operating room, Ves represents the calculated value of the corresponding operating room, and Vs is the value recorded by the sensor of the negative pressure pipeline filter device in the operating room.
步骤3中包括有自动更替集液瓶的子步骤,当第一集液单元中液位传感器反馈数值大于等于高液位设定值时,关闭第一集液单元中第一控制阀,同步开启第二集液单元中第一控制阀;关闭第一集液单元中第二控制阀,打开第一集液单元中的第三控制阀,进行排液;直到第一集液单元中液位传感器反馈数值小于等于低液位设定值,关闭第三控制阀,开启第二控制阀,进入备用状态。Step 3 includes a sub-step of automatically replacing the liquid collecting bottle. When the feedback value of the liquid level sensor in the first liquid collecting unit is greater than or equal to the high liquid level setting value, the first control valve in the first liquid collecting unit is closed, and the first control valve in the second liquid collecting unit is opened synchronously; the second control valve in the first liquid collecting unit is closed, and the third control valve in the first liquid collecting unit is opened to drain the liquid; until the feedback value of the liquid level sensor in the first liquid collecting unit is less than or equal to the low liquid level setting value, the third control valve is closed, the second control valve is opened, and the standby state is entered.
步骤4中还包括了手术结束之后对负压管路过滤装置和预埋管路的临时消毒;Step 4 also includes temporary disinfection of the negative pressure pipeline filter device and the pre-buried pipeline after the operation;
临时消毒的方法包括:预制袋装消毒液,袋装消毒液内包括中性消毒液和酶清洗液;Temporary disinfection methods include: pre-made bagged disinfectant, which includes neutral disinfectant and enzyme cleaning solution;
手术结束后将废液吸引管插入袋装消毒液中,等到袋装消毒液被抽干净,再结束本手术室的废液吸引;After the operation, insert the waste liquid suction tube into the bag of disinfectant, and wait until the bag of disinfectant is completely drained before ending the waste liquid suction in this operating room;
采用1L的袋装,中性消毒液和酶清洗液均采用标准浓度。It is packaged in 1L bags, and both the neutral disinfectant and enzyme cleaning solution are of standard concentration.
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其它实施例中实现。因此,本发明将不会被限制于本文所示的这些实施例,而是要符合与本文所公开的原理和新颖特点相一致的最宽的范围。The above description of the disclosed embodiments enables one skilled in the art to implement or use the present invention. Various modifications to these embodiments will be apparent to one skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the present invention. Therefore, the present invention will not be limited to the embodiments shown herein, but rather to the widest scope consistent with the principles and novel features disclosed herein.
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