CN107551344B - Rapid drug delivery device and method - Google Patents
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- CN107551344B CN107551344B CN201710953613.0A CN201710953613A CN107551344B CN 107551344 B CN107551344 B CN 107551344B CN 201710953613 A CN201710953613 A CN 201710953613A CN 107551344 B CN107551344 B CN 107551344B
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- 238000012377 drug delivery Methods 0.000 title claims abstract description 13
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- 239000003814 drug Substances 0.000 claims abstract description 19
- 229940079593 drug Drugs 0.000 claims abstract description 12
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- 229920000915 polyvinyl chloride Polymers 0.000 claims description 5
- 238000004891 communication Methods 0.000 claims description 2
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- 238000001990 intravenous administration Methods 0.000 description 11
- 230000006698 induction Effects 0.000 description 10
- 239000007788 liquid Substances 0.000 description 10
- 206010002091 Anaesthesia Diseases 0.000 description 6
- 230000037005 anaesthesia Effects 0.000 description 6
- 238000013461 design Methods 0.000 description 6
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- 206010039897 Sedation Diseases 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
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- 230000005489 elastic deformation Effects 0.000 description 1
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- 238000002695 general anesthesia Methods 0.000 description 1
- 239000003193 general anesthetic agent Substances 0.000 description 1
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- 230000036640 muscle relaxation Effects 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
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Abstract
Description
技术领域technical field
本发明涉及医疗技术领域,具体涉及一种快速给药装置及方法。The invention relates to the field of medical technology, in particular to a rapid drug delivery device and method.
背景技术Background technique
麻醉的快速诱导是麻醉医生做全身麻醉最常用的诱导方法,该诱导方法需要在短时间(约30s)内,通过一条预先建立好的患者静脉通路,依次注入多种(如4~5种)麻醉药物及辅助用药,从而给患者以充分的镇静、镇痛和肌肉松弛,进入麻醉诱导后的可操作状态。The rapid induction of anesthesia is the most commonly used induction method for general anesthesia by anesthesiologists. This induction method needs to inject multiple (such as 4 to 5) sequentially through a pre-established patient intravenous access within a short period of time (about 30s). Anesthesia drugs and auxiliary drugs, so as to provide patients with sufficient sedation, analgesia and muscle relaxation, and enter the operable state after anesthesia induction.
具体操作时,麻醉医生将多个预充好麻醉药物的注射器依次与患者静脉输液通路上的一个三通道旋阀相连接,将多种药物依次注入。但是,由于需要反复连接(取下)多个注射器至三通道旋阀进行给药,导致这种快速诱导过程存在诸多缺陷:During the specific operation, the anesthesiologist will sequentially connect multiple syringes prefilled with anesthetic drugs to a three-channel rotary valve on the patient's intravenous infusion channel, and inject various drugs in sequence. However, due to the need to repeatedly connect (remove) multiple syringes to the three-way rotary valve for administration, this rapid induction process has many drawbacks:
1、给药过程中静脉通路内和注射器内的药液容易外渗;1. The drug solution in the intravenous access and the syringe is easy to extravasate during the administration process;
2、每次连接过程都容易使三通道旋阀内产生小气泡;2. Every time the connection process is easy to make small bubbles in the three-channel rotary valve;
3、麻醉医生在操作上颇为繁琐,增加了作业负担;3. Anesthesiologists are quite cumbersome in operation, which increases the workload;
4、最重要地,反复将注射器连接于三通道旋阀,需要麻醉医生反复接触三通道旋阀,这会增加患者的静脉通路被细菌污染的风险。4. Most importantly, repeatedly connecting the syringe to the three-channel valve requires the anesthesiologist to repeatedly touch the three-channel valve, which will increase the risk of bacterial contamination of the patient's venous access.
目前绝大多数静脉诱导过程均采用上述给药方式,所存在的问题亟待解决。虽然也出现个别装置对给药方式进行了有针对性的改进,但需要将注射器前端进行逐一连接的本质没有改变,操作程序依然繁琐,同时注射器前端被细菌污染的风险依然存在。At present, most of the intravenous induction processes use the above-mentioned administration methods, and the existing problems need to be solved urgently. Although some devices have made targeted improvements to the way of administering drugs, the essence of connecting the front ends of the syringes one by one has not changed, the operating procedures are still cumbersome, and the risk of bacterial contamination of the front ends of the syringes still exists.
发明内容Contents of the invention
有鉴于此,本发明对快速给药装置进行了全新设计,形成一种快速给药装置及方法,利用盒体和活动的盒盖可实现对多个注射器的联合操作,可实现快速、精准、无菌、方便的给药过程,大大降低管路被污染的风险,让患者在围手术期更加安全。In view of this, the present invention carries out a new design on the rapid drug delivery device to form a rapid drug delivery device and method, which can realize the joint operation of multiple syringes by using the box body and the movable box cover, and can realize fast, accurate, The sterile and convenient administration process greatly reduces the risk of pipeline contamination and makes patients safer during the perioperative period.
一方面,本发明提供一种快速给药装置,所述的装置包括注射器托盘和托盘盖;其中,所述注射器托盘上设置有注射器固定位,所述注射器固定位的形状与用于容纳药物的注射器相匹配,以使注射器能够固定在所述注射器固定位中;所述托盘盖的内侧表面上设置有注射器连接件,所述注射器连接件的位置与所述注射器固定位的位置相对应;所述注射器连接件包括连接头以及与连接头相连接的软管,所述连接头与注射器的注射孔相匹配,当所述托盘盖盖合在所述注射器托盘上时,所述连接头能够固定在所述注射器的注射孔上,并且所述连接头内设置有单向活瓣。单向活瓣的作用是防止药液逆流,在静置或操作注射器时,如果远端压力过大有可能导致药液逆流进入其他管道,在连接头内安装单向活瓣可避免这种状况发生,这在麻醉的快速诱导过程中尤为重要。In one aspect, the present invention provides a rapid drug delivery device, which includes a syringe tray and a tray cover; wherein, the syringe tray is provided with a syringe fixing position, and the shape of the syringe fixing position is the same as that used to accommodate the drug. The syringe is matched so that the syringe can be fixed in the syringe fixing position; the inner surface of the tray cover is provided with a syringe connector, and the position of the syringe connector corresponds to the position of the syringe fixing position; the The syringe connector includes a connector and a hose connected to the connector. The connector matches the injection hole of the syringe. When the tray cover is closed on the syringe tray, the connector can be fixed A one-way valve is arranged on the injection hole of the syringe and inside the connecting head. The function of the one-way valve is to prevent the backflow of the liquid medicine. When the syringe is standing or operating, if the pressure at the distal end is too high, it may cause the liquid medicine to flow back into other pipelines. Installing a one-way valve in the connector can avoid this situation occurs, which is especially important during the rapid induction of anesthesia.
根据本发明所述的装置,优选地,所述注射器固定位的数量为至少两个,所述注射器连接件的数量为至少两个,用于实现多种药液(如麻醉诱导中)的快速联合给药;更优选地,所述注射器固定位和所述注射器连接件的数量均为五个,可以不同顺序将最多五种药液先后依次注入患者静脉通路,可以满足大多数静脉快速联合给药的使用需求。According to the device of the present invention, preferably, the number of the syringe fixing positions is at least two, and the number of the syringe connectors is at least two, which are used to realize rapid delivery of various medicinal liquids (such as during anesthesia induction). Combined administration; more preferably, the number of the syringe fixing position and the syringe connector is five, and up to five medicinal liquids can be sequentially injected into the patient's intravenous access in different orders, which can meet the requirements of most intravenous rapid combined administration. drug use needs.
根据本发明所述的装置,优选地,所述注射器托盘为上方敞开的立方体结构,在所述注射器托盘的至少第一侧面具有轨道;所述托盘盖为平板,在所述托盘盖的至少第一边缘具有凸起的凸头;当所述托盘盖安装在所述注射器托盘上时,所述托盘盖的凸头能够置入所述轨道并沿所述轨道滑动。更优选地,与所述第一侧面相对的第二侧面上也具有轨道,且与所述第一边缘相对的第二边缘上也具有凸起的凸头,使托盘盖的滑动过程更为稳定。According to the device of the present invention, preferably, the syringe tray is a cubic structure with an open top, and there is a rail on at least the first side of the syringe tray; the tray cover is a flat plate, and at least the first side of the tray cover One edge has a protruding head; when the tray cover is installed on the syringe tray, the protrusion of the tray cover can be put into the track and slide along the track. More preferably, the second side opposite to the first side also has a track, and the second edge opposite to the first edge also has a raised protrusion, so that the sliding process of the tray cover is more stable .
根据本发明所述的装置,优选地,所述注射器固定位包括用于固定注射器前端的注射器卡位和用于固定注射器后端的注射器卡槽,所述注射器卡位的位置与所述注射器卡槽的位置相对应;其中,所述注射器托盘的后侧面上开有开口,所述开口的下方开有所述注射器卡槽,所述注射器卡槽位于所述注射器托盘的底面上。优选地,所述的注射器卡位位于注射器托盘中部的一块挡板上,在挡板上开若干固定注射器前端的凹槽,将凹槽作为所述的注射器卡位。上述的注射器卡槽和注射器卡位是根据注射器的外形而设置的,将注射器后端结构卡入注射器卡槽中,将注射器的前端结构卡入注射器卡位中,从而将注射器整体固定在注射器托盘中,在使用过程中注射器不容易发生移动,固定效果好。本发明中,所述注射器前端是指靠近注射孔的一端,所述注射器后端是指靠近活塞杆的一端。According to the device of the present invention, preferably, the syringe fixing position includes a syringe clamping position for fixing the front end of the syringe and a syringe clamping slot for fixing the rear end of the syringe, and the position of the syringe clamping position is consistent with the syringe clamping groove Corresponding to the position; wherein, there is an opening on the rear side of the syringe tray, the syringe locking slot is opened below the opening, and the syringe locking slot is located on the bottom surface of the syringe tray. Preferably, the syringe stop is located on a baffle in the middle of the syringe tray, and several grooves are formed on the baffle to fix the front end of the syringe, and the grooves are used as the syringe stop. The above-mentioned syringe clamping slot and syringe clamping position are set according to the shape of the syringe. Insert the rear end structure of the syringe into the syringe clamping slot, and clamp the front structure of the syringe into the syringe clamping position, so as to fix the syringe as a whole on the syringe tray Among them, the syringe is not easy to move during use, and the fixing effect is good. In the present invention, the front end of the syringe refers to the end close to the injection hole, and the rear end of the syringe refers to the end close to the piston rod.
根据本发明所述的装置,优选地,所述注射器连接件还包括总管,每一个注射器连接件的软管均与所述的总管液体连通。更优选地,所述总管的直径为2-4mm,所述软管的直径为2-4mm;更佳地,总管的直径为3mm,软管的直径为2mm,从而有利于注射器内的药液通过软管汇入总管并最终进入静脉通路。According to the device of the present invention, preferably, the syringe connector further includes a manifold, and the hose of each syringe connector is in fluid communication with the manifold. More preferably, the diameter of the main pipe is 2-4mm, and the diameter of the flexible pipe is 2-4mm; more preferably, the diameter of the main pipe is 3mm, and the diameter of the flexible pipe is 2mm, thereby facilitating the liquid medicine in the syringe It joins the main tube through the hose and eventually into the intravenous access.
根据本发明所述的装置,优选地,所述总管内设置有过滤器;所述总管从所述托盘盖穿出,或者从所述注射器托盘的前侧面穿出,从而便于与患者的静脉通路连通。在总管内设置过滤器的作用是过滤管道中存在的空气和杂质,避免静脉通路内小气泡的产生。According to the device of the present invention, preferably, a filter is arranged in the main pipe; the main pipe passes through the tray cover, or passes through the front side of the syringe tray, so as to facilitate the intravenous access with the patient connected. The effect of setting the filter in the main pipe is to filter the air and impurities in the pipeline, and avoid the generation of small air bubbles in the venous access.
根据本发明所述的装置,优选地,所述注射器连接件的连接头为孔套或卡扣,所述孔套的前端内径小于等于所述注射器的注射孔外径,这样的设计使孔套能够密封套设在注射孔的外部;所述卡扣的前端能够卡住所述注射器的注射孔并密封。所述连接头可以为塑料材质,从而可发生一定的弹性形变,有利于密封连接。采用孔套或卡扣的形式将注射器的注射孔固定在所述连接头上,确保固定效果好,在推动注射器的活塞杆时,可方便快速地将药液送入所述注射器连接件的软管中,继而可进入总管和患者的静脉通路。According to the device of the present invention, preferably, the connecting head of the syringe connector is a hole sleeve or a buckle, and the inner diameter of the front end of the hole sleeve is less than or equal to the outer diameter of the injection hole of the syringe. Such a design makes the hole sleeve The sealing sleeve can be arranged outside the injection hole; the front end of the buckle can hold and seal the injection hole of the syringe. The connecting head can be made of plastic material, so that a certain elastic deformation can occur, which is beneficial to the sealed connection. The injection hole of the syringe is fixed on the connector in the form of a hole sleeve or buckle to ensure a good fixing effect. When the piston rod of the syringe is pushed, the liquid medicine can be conveniently and quickly sent to the soft part of the syringe connector. tube, which in turn provides access to the mains and the patient's IV access.
根据本发明所述的装置,优选地,所述托盘盖可滑动地或可翻转地安装在所述注射器托盘上。操作时医生只需要直接滑动托盘盖,或者是将托盘盖翻转盖合再滑动托盘盖,就能快速完成同时连接多个注射器的动作,而不需要手接触注射器前端的注射孔,从根本上改变了注射器的连接方式和操作方式。According to the device of the present invention, preferably, the tray cover is slidably or reversibly mounted on the syringe tray. During operation, the doctor only needs to directly slide the tray cover, or turn the tray cover over and then slide the tray cover, and can quickly complete the action of connecting multiple syringes at the same time, without touching the injection hole at the front of the syringe, which fundamentally changes the How to connect and operate the syringe.
根据本发明所述的装置,优选地,所述注射器托盘以及所述托盘盖采用聚氯乙烯(PVC)材料制成。PVC材料可采用已知的那些材料,所述注射器托盘、所述托盘盖以及注射器均为一次性使用,整个装置无菌。According to the device of the present invention, preferably, the syringe tray and the tray cover are made of polyvinyl chloride (PVC) material. The PVC material can adopt those known materials, and the syringe tray, the tray cover and the syringe are all disposable, and the whole device is sterile.
另一方面,本发明提供一种采用上述的快速给药装置进行快速给药的方法,所述的方法包括:将预定数量的注射器固定在所述注射器托盘的所述注射器固定位中,将所述托盘盖盖合在所述注射器托盘上,移动所述托盘盖以将所述注射器连接件的连接头固定在所述注射器的注射孔上,操作所述注射器进行给药。所述的方法通过简单的步骤、便捷的操作,既可以减轻医生的工作量,又可以降低药物混淆风险,最重要的是克服了以往一直困扰着医生们的难题。In another aspect, the present invention provides a method for rapid drug administration using the above-mentioned rapid drug delivery device, the method comprising: fixing a predetermined number of syringes in the syringe fixing positions of the syringe tray, The tray cover is closed on the syringe tray, the tray cover is moved to fix the connector of the syringe connector on the injection hole of the syringe, and the syringe is operated for administration. Through simple steps and convenient operation, the method can not only reduce the workload of doctors, but also reduce the risk of drug confusion, and most importantly, it overcomes the problems that have plagued doctors in the past.
本发明给出了一种基于托盘(如方形盒体)的注射器可嵌入式设计,可以同时放置固定多个注射器,并且在托盘盖(如平板式盒盖)上对应地设计了多个注射器连接件,通过移动托盘盖间接地移动注射器连接件,从而实现了不需要手接触注射器即可将注射器与注射器连接件相互连接固定,从根本上降低了装置被细菌污染的风险;并且多个注射器连接件与多个注射器的连接是同时完成,不需要逐一连接,避免了繁琐的操作,既可以降低麻醉医生的工作量,又可以降低注射器内药物混淆的风险,具有良好的应用推广价值。The present invention provides an embeddable design of syringes based on a tray (such as a square box), which can place and fix multiple syringes at the same time, and correspondingly designs multiple syringe connections on the tray cover (such as a flat box cover) The syringe connector is indirectly moved by moving the tray cover, so that the syringe and the syringe connector can be connected and fixed without hand contact with the syringe, which fundamentally reduces the risk of bacterial contamination of the device; and multiple syringes are connected The connection between components and multiple syringes is completed at the same time, and there is no need to connect one by one, which avoids cumbersome operations, can not only reduce the workload of anesthesiologists, but also reduce the risk of drug confusion in the syringes, which has good application and promotion value.
附图说明Description of drawings
图1为实施例1的快速给药装置的示意图。FIG. 1 is a schematic diagram of the rapid drug delivery device of Example 1.
图2为实施例5的快速给药装置的示意图。2 is a schematic diagram of the rapid drug delivery device of Example 5.
附图标记说明如下:The reference signs are explained as follows:
1-盒盖,2-凸头,3-转动轴,4-滑行轨道,5-注射器卡位,6-注射器卡槽,7-单向活瓣,8-注射器连接头,9-软管,10-过滤器(位于盒外)。1-box cover, 2-protruding head, 3-rotation shaft, 4-sliding track, 5-syringe card position, 6-syringe card slot, 7-one-way valve, 8-syringe connector, 9-hose, 10 - Filter (located outside the box).
具体实施方式Detailed ways
下面结合具体实施例对本发明作进一步的说明,但本发明的保护范围并不限于此。The present invention will be further described below in conjunction with specific examples, but the protection scope of the present invention is not limited thereto.
本发明利用盒体和活动的盒盖对多个注射器进行快速联合操作,医生可利用术前的药物准备阶段将用于诱导的药液集中预充入注射器中,在术中无需将注射器前端与盒盖上的注射器连接头依次连接,而是可以一次性地将多个注射器连接到连接头上,避免了繁琐的操作,降低了细菌污染的风险。The present invention utilizes the box body and the movable box cover to quickly and jointly operate a plurality of syringes, and the doctor can use the preoperative drug preparation stage to concentrate and pre-fill the medicinal liquid used for induction into the syringes, and there is no need to connect the front end of the syringes to the syringes during the operation. The syringe connectors on the box cover are connected sequentially, but multiple syringes can be connected to the connectors at one time, avoiding cumbersome operations and reducing the risk of bacterial contamination.
实施例1Example 1
图1为本发明一个快速给药装置的结构示意图。该装置主要由全透明聚氯乙烯PVC材料制成,无菌,为一次性使用。该装置主要包括盒体和可滑动的盒盖1两个部分,其中,盒体为立方体结构,盒体内设计有注射器固定位,用于放置并固定注射器。如图所示,共设置有5个注射器固定位,每一个注射器固定位包括位于盒体内部的注射器卡位5和位于盒体后方的注射器卡槽6。注射器卡位5位于盒体中部的一块挡板上,该挡板上开设有5个注射器卡位5,使用时,将注射器前端卡入注射器卡位5中,从而将注射器前端固定住。注射器卡槽6靠近盒体的后侧面,在后侧面上设有5个缺口,在盒体底面靠近后侧面缺口的位置处开有注射器卡槽6,将注射器本体放置在缺口中并将注射器后端卡入注射器卡槽6中,从而将注射器本体和后端固定住。Fig. 1 is a schematic structural view of a rapid drug delivery device of the present invention. The device is mainly made of fully transparent polyvinyl chloride PVC material, which is sterile and disposable. The device mainly includes two parts, a box body and a
本实施例的盒盖1为矩形板,通过转动轴3翻转的方式盖合在盒体上。盒盖1内侧表面上设置有5个相应的圆锥形孔套状的注射器连接头8,注射器连接头8内设置有单向活瓣7(即液体单向阀),防止药液逆流。每个注射器连接头8接有圆柱型软管9(直径2mm),5根软管9在盒盖1内侧汇合至一根总管(直径3mm),总管由盒盖1穿出,并能够与患者静脉输液通路相连,总管内设有过滤器10。The
本实施例的盒盖1两侧边缘上具有突出的凸头2,盒体两侧壁上具有相应的滑行轨道4,当盒盖1关闭时,盒盖1上的凸头2可落入盒体两侧的轨道4中,轻推盒盖1,盒盖可沿轨道4滑动。盒盖1内侧的注射器连接头8可与盒体内固定的注射器的注射孔相连接。注射器连接头8的内径小于等于注射器前端注射孔的外径,确保两者可密封连接。In this embodiment, there are protruding
本实施例的给药装置可最多同时配合5个预充好药液的10ml注射器适用,使用时,先将注射器卡入盒体内的注射器固定位中,而后关闭盒盖1,并将盒盖1向注射器后端轻推,使注射器连接头8与注射器的注射孔相连接,然后将延伸至盒体外部的总管与患者的静脉输液通路相连接即可。适用的场合包括:①麻醉的静脉快速诱导给药;②患者抢救时的快速复合给药;③其他临床工作中需要快速、按顺序、联合给药的场合。The drug delivery device of this embodiment can be used with up to 5 10ml syringes prefilled with medicinal liquid at the same time. Gently push toward the rear end of the syringe to connect the
实施例2Example 2
本实施例的盒盖为滑动式闭合设计,滑动地移动盒盖将盒盖的凸头置入盒体的轨道中,而后继续滑动,将盒盖上的连接头与注射器的注射孔相连接固定,同样也可达到不需要手接触注射器前端而同时连接多个注射器的目的。其余设置与实施例1相同。The box cover of this embodiment is a sliding closed design, and the box cover is slidably moved to put the protrusion of the box cover into the track of the box body, and then continue to slide to connect and fix the connector on the box cover with the injection hole of the syringe , It can also achieve the purpose of connecting multiple syringes at the same time without touching the front end of the syringe with hands. The rest of the settings are the same as in Example 1.
实施例3Example 3
本实施例盒盖上的注射器连接头为卡扣式设计,盒盖关闭时,注射器前端注射孔被连有软管的卡扣卡住密封。其余设置与实施例1相同。The syringe connector on the box cover of this embodiment is a buckle-type design. When the box cover is closed, the injection hole at the front end of the syringe is locked and sealed by the buckle connected with the hose. The rest of the settings are the same as in Example 1.
实施例4Example 4
本实施例的注射器固定位和注射器连接件的数量为10个。其余设置与实施例1相同。The number of syringe fixing positions and syringe connectors in this embodiment is 10. The rest of the settings are the same as in Example 1.
实施例5Example 5
如图2所示,本实施例的给药装置的总管从盒体的前侧面穿出。其余结构与实施例1相同。As shown in Figure 2, the main tube of the drug delivery device of this embodiment passes through the front side of the box body. All the other structures are the same as in Example 1.
本发明并不限于上述实施方式,在不背离本发明的实质内容的情况下,本领域技术人员可以想到的任何变形、改进、替换均落入本发明的范围。The present invention is not limited to the above-mentioned embodiments. Without departing from the essence of the present invention, any deformation, improvement, and replacement conceivable by those skilled in the art fall within the scope of the present invention.
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