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    • 4. 发明申请
    • APPARATUS FOR MONITORING INTRA-ABDOMINAL PRESSURE
    • 监测内压力的装置
    • WO2004078235A3
    • 2007-02-22
    • PCT/US2004006409
    • 2004-03-01
    • WOLFE TORY MEDICAL INCCHRISTENSEN MARK CWOLFE TIMOTHY RCROLL PERRY WDENTON MARSHALL TKIMBALL EDWARD J
    • CHRISTENSEN MARK CWOLFE TIMOTHY RCROLL PERRY WDENTON MARSHALL TKIMBALL EDWARD J
    • A61B5/00A61B5/03
    • A61B5/412A61B5/205
    • An improved apparatus (200) for monitoring the intra-abdominal pressure of a hospitalized patient includes a urinary catheter (102) connected to a urine valve (290) having selectable communication positions between a discharge end of the urinary catheter and either a drain (106B) or a fluid source (104). Preferably, the urine valve (290) has a housing adapted to resist patient discomfort from leg-valve contact. One operable protective housing may be embodied as a separate tray component. Plumbing structure desirably maintains fluid supply (120) and drain conduits (106B) in a substantially parallel arrangement to assist routing those conduits between a patent's legs. When the urine valve (290) is oriented for communication to the fluid source (104), an infusion pump (116) may be used to introduce a known quantity of fluid through the urine valve (290) and into the patent's bladder where the fluid's pressure can be measured. Desirably, a double check valve (202) is included in a fluid supply path and arranged to permit repetitive operation of a syringe (116) to inject a bolus of fluid into the patent's bladder. Subsequent to making a pressure measurement, the urine valve (290) is returned to the bladder draining position.
    • 用于监测住院患者的腹内压力的改进的装置(200)包括连接到尿液阀(290)的导尿管(102),所述尿液导管(102)具有在所述导尿管的排出端和排出口(106B)之间的可选择的连通位置 )或流体源(104)。 优选地,尿液阀(290)具有适于阻止患者腿部接触不适的壳体。 一个可操作的保护壳体可以被实现为单独的托盘部件。 管道结构理想地保持基本上平行布置的流体供应(120)和排水管道(106B),以帮助在专利的腿之间路由这些管道。 当尿液阀(290)定向成与流体源(104)连通时,输液泵(116)可以用于将已知量的流体通过尿液阀(290)引入专利的膀胱中,其中流体 压力可以测量。 期望地,双重止回阀(202)包括在流体供应路径中并且被布置成允许注射器(116)的重复操作以将大量的流体注入到专利的膀胱中。 在进行压力测量之后,尿液阀(290)返回到排气位置。
    • 10. 发明专利
    • INTRA-ABDOMINAL PRESSURE MONITORING DEVICE AND METHOD
    • CA2581629A1
    • 2006-04-20
    • CA2581629
    • 2004-10-11
    • WOLFE TORY MEDICAL INC
    • KIMBALL EDWARD JWOLFE TIMOTHY RCHRISTENSEN MARK CDENTON MARSHALL TCROLL PERRY W
    • A61B5/00
    • An apparatus for monitoring the intra-abdominal pressure of a patient includes a urinary catheter (102) connected to a urine valve (250) providing selectable communication between a discharge end of the urinary catheter (102) and either a drain (224) or a fluid source (104). Preferably, the urine valve (250) is adapted for remote actuation and has a housing adapted to resist patient discomfort from leg-valve (250) contact. Plumbing structure desirably maintains fluid supply (225) and drain (223) conduits in a substantially parallel arrangement to assist routing those conduits (225, 223) between a patient's legs. When the urine valve (250) is oriented to permit communication with the fluid source (104), an infusion pump (116′) may be used to infuse a known quantity of fluid through the urine valve (250) and into the patient's bladder (216). A pressure transducer (218) desirably is connected in-circuit to indicate the fluid's pressure and avoid pressure fluctuations induced by system components. To facilitate the infusion process, an automatic flow control device may be included in a fluid supply path (225) and arranged to permit repetitive operation of a syringe (116′) to inject a bolus of fluid into the patient's bladder (216). Subsequent to making a pressure measurement, the urine valve (250) is returned to the bladder (216) draining position.