CN112082995A - An integrated microscopic examination device for urinary sediment in nephrology - Google Patents
An integrated microscopic examination device for urinary sediment in nephrology Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及医疗用具领域,具体的涉及一种肾内科尿沉渣一体化显微检查装置。The invention relates to the field of medical appliances, in particular to an integrated microscopic examination device for urinary sediment in nephrology.
背景技术Background technique
尿沉渣(urinary sediment)检查是用显微镜对尿沉淀物进行检查,是为了识别尿液中细胞、管、结晶、细菌、寄生虫等各种病理成分;辅助对泌尿系统疾病作出的诊断、定位、鉴别及预后判断的重要常规试验项目。在一般性状检查或化学试验中不能发现的变化,可通过沉淀检查来发现,如尿蛋白检查为阴性者而镜检却可查见少量的红细胞。说明在判断尿沉淀结果时,必须与物理、化学检查结果相互参照,并结合临床资料等进行综合分析判断。Urinary sediment examination is the examination of urine sediment with a microscope, in order to identify various pathological components such as cells, tubes, crystals, bacteria, parasites, etc. Important routine test items for identification and prognosis judgment. Changes that cannot be found in general physical examinations or chemical tests can be found by sedimentation examination. For example, if the urine protein examination is negative, a small amount of red blood cells can be found in the microscopic examination. It shows that when judging the results of urine sedimentation, it must be cross-referenced with the results of physical and chemical examinations, and comprehensive analysis and judgment should be carried out in combination with clinical data.
随着尿液分析仪在尿常规检查中的普及,部分检验人员过于依赖仪器而忽视了尿沉渣镜检的重要性,特别对尿液分析仪检测结果均为阴性的尿标本,就照报不误,未做尿沉渣镜检,把可能存在的管型,红、白细胞,上皮细胞,结晶等有形成分漏报了。而且试纸条常会受到尿液中一些药物等化学因素的干扰,而出现一些假阴性结果。尿沉渣镜检能及时发现尿液分析仪的部分错误报告而及时纠正。然而常规的尿沉渣检查操作繁琐、效率低。现需要一种能够集中一体化操作,既能提高工作效率又能保证准确度,并减轻医务人员工作量的装置。With the popularization of urine analyzers in routine urine examination, some inspectors rely too much on instruments and ignore the importance of urine sediment microscopy. By mistake, the urine sediment microscopic examination was not done, and the possible casts, red and white blood cells, epithelial cells, crystals and other formed elements were underreported. Moreover, the test strips are often interfered by chemical factors such as some drugs in the urine, and some false negative results appear. Urine sediment microscopy can detect and correct some errors reported by the urine analyzer in time. However, conventional urine sediment examination is cumbersome and inefficient. There is a need for a device capable of centralized and integrated operation, which can not only improve work efficiency, but also ensure accuracy, and reduce the workload of medical staff.
发明内容SUMMARY OF THE INVENTION
1.要解决的技术问题1. Technical problems to be solved
本发明要解决的技术问题在于提供一种肾内科尿沉渣一体化显微检查装置,其将尿沉渣镜检的离心处理和显微检查所需要的装置器械一体化,能够集中一体化操作,且便于尿沉渣的取样和输送,还便于尿液废液的收集,既能提高工作效率又能保证准确度,还能减轻医务人员的工作量。The technical problem to be solved by the present invention is to provide an integrated microscopic examination device for urinary sediment in nephrology, which integrates the centrifugal treatment of urine sediment microscopic examination and the devices and instruments required for microscopic examination, and can be operated in a centralized and integrated manner. The utility model facilitates the sampling and transportation of urine sediment, and also facilitates the collection of urine waste liquid, which can improve work efficiency and ensure accuracy, and can also reduce the workload of medical staff.
2.技术方案2. Technical solutions
为解决上述问题,本发明采取如下技术方案:In order to solve the above problems, the present invention adopts the following technical solutions:
一种肾内科尿沉渣一体化显微检查装置,包括底座和分别安装在底座上的离心机构和显微检测机构,所述显微检测机构包括固定在底座上的显微镜;所述离心机构包括通过支杆支撑在底座上的外固定筒和可转动式设于外固定筒内部的离心转盘,所述外固定筒的上端面敞口设置,所述外固定筒的下方设有固定在底座上的电机,所述电机的输出轴竖直向上贯穿外固定筒底部并与离心转盘的底部固定连接,所述离心转盘的外侧壁完全贴附在外固定筒的内壁上,且离心转盘的底部与外固定筒的内底部之间留有间隙;An integrated microscopic examination device for urinary sediment in nephrology, comprising a base, a centrifugal mechanism and a microscopic detection mechanism respectively installed on the base, the microscopic detection mechanism including a microscope fixed on the base; The outer fixing cylinder supported by the strut on the base and the centrifugal turntable rotatably arranged inside the outer fixing cylinder, the upper end face of the outer fixing cylinder is open, and the lower part of the outer fixing cylinder is fixed on the base. The motor, the output shaft of the motor runs vertically upward through the bottom of the outer fixing cylinder and is fixedly connected with the bottom of the centrifugal turntable, the outer side wall of the centrifugal turntable is completely attached to the inner wall of the outer fixing cylinder, and the bottom of the centrifugal turntable is fixed to the outer There is a gap between the inner bottom of the cylinder;
所述离心转盘内部等间距开设有至少一个呈圆形分布的用于盛装尿液的容腔,且每个容腔均包括贯通离心转盘上端面的上容腔,贯通于上容腔底部的中间容腔,以及贯通于中间容腔底部的下容腔,所述中间容腔的宽度大于上容腔和下容腔的宽度,所述上容腔的高度大于下容腔的高度,所述中间容腔内设有用于封堵中间容腔的上端口或下端口的封堵块,所述封堵块由关于其水平中心面对称设置的两个圆台体固定在一起形成,且封堵块的端面直径小于中间容腔相应侧的端口直径,封堵块的中部直径大于中间容腔上下端口的直径,所述封堵块的底部中心处固定有一根竖直向下贯穿离心转盘底部的升降杆,所述下容腔一侧的离心转盘上开设有与下容腔底部连通并贯通离心转盘外侧面的排液通道;The interior of the centrifugal turntable is equally spaced with at least one circularly distributed cavity for holding urine, and each cavity includes an upper cavity penetrating through the upper end face of the centrifugal turntable and passing through the middle of the bottom of the upper cavity. a chamber, and a lower chamber that penetrates through the bottom of the middle chamber, the width of the middle chamber is greater than the width of the upper chamber and the lower chamber, the height of the upper chamber is greater than the height of the lower chamber, the middle chamber A blocking block for blocking the upper port or the lower port of the intermediate cavity is arranged in the cavity, and the blocking block is formed by fixing two circular truncated bodies symmetrically arranged about its horizontal center plane, and the blocking block is formed. The diameter of the end face of the block is smaller than the diameter of the port on the corresponding side of the intermediate cavity, the diameter of the middle of the blocking block is larger than the diameter of the upper and lower ports of the intermediate cavity, and the bottom center of the blocking block is fixed with a vertical downward through the bottom of the centrifugal turntable. a rod, the centrifugal turntable on one side of the lower chamber is provided with a drainage channel that communicates with the bottom of the lower chamber and runs through the outer side of the centrifugal turntable;
所述外固定筒的两侧分别开设有能与排液通道连通的尿沉渣通口和废液排出口,所述外固定筒的内底部对应尿沉渣通口所在侧固定有第一电磁铁,所述升降杆的底部高于第一电磁铁并固定有与第一电磁铁磁性相斥的第一永磁铁;所述外固定筒的内底部对应废液排出口所在侧穿设有竖直设置的顶触杆,且顶触杆的底部位于外固定筒的下方并固定有宽度大于顶触杆的限位块,所述限位块上固定有第二永磁铁,所述外固定筒的底面上固定有位于第二永磁铁正上方的第二电磁铁,且第二永磁铁与第二电磁铁磁性相吸,所述限位块的上端面上固定有连接到外固定筒底面上的第一弹簧;当第二电磁铁通电吸附第二永磁铁后,所述封堵块位于中间容腔的中部,且中间容腔的上下端口均处于开通状态;所述尿沉渣通口和废液排出口的外端口处均设有固定在外固定筒上的管连接头,所述尿沉渣通口对应的管连接头外侧连接有通向显微检测机构的送检软管,所述底座上固定有集废液筒,所述废液排出口对应的管连接头外侧连接有与集废液筒连通的废液排出管。Both sides of the outer fixing cylinder are respectively provided with a urine sediment port and a waste liquid discharge port which can be communicated with the drainage channel, and a first electromagnet is fixed on the inner bottom of the outer fixing cylinder corresponding to the side where the urine sediment port is located, The bottom of the lifting rod is higher than the first electromagnet and is fixed with a first permanent magnet that magnetically repels the first electromagnet; the inner bottom of the outer fixing cylinder is provided with a vertical arrangement corresponding to the side where the waste liquid discharge port is located. the top contact rod, and the bottom of the top contact rod is located below the outer fixing cylinder and is fixed with a limit block whose width is larger than that of the top contact rod, a second permanent magnet is fixed on the limit block, and the bottom surface of the outer fixing cylinder is A second electromagnet located directly above the second permanent magnet is fixed thereon, and the second permanent magnet and the second electromagnet attract each other magnetically. a spring; when the second electromagnet is energized to adsorb the second permanent magnet, the blocking block is located in the middle of the intermediate cavity, and the upper and lower ports of the intermediate cavity are in an open state; the urine sediment port and the waste liquid discharge The outer port of the outlet is provided with a pipe connection head fixed on the outer fixing cylinder, and the outer side of the pipe connection head corresponding to the urine sediment port is connected with a test delivery hose leading to the microscopic detection mechanism, and the base is fixed with The waste liquid collecting cylinder is connected with a waste liquid discharging pipe which is communicated with the waste liquid collecting cylinder on the outside of the pipe connecting head corresponding to the waste liquid discharge port.
进一步地,所述离心转盘的顶端设有用于封堵上容腔上端口的密封盖,且密封盖上设有与上容腔上端口相适配的密封胶层。密封盖盖在上容腔的上端口处,并通过密封胶层密封该端口,在离心转盘转动对容腔内的尿液进行离心处理时,可有效防止尿液飞溅。Further, the top of the centrifugal turntable is provided with a sealing cover for blocking the upper port of the upper chamber, and the sealing cover is provided with a sealant layer adapted to the upper port of the upper chamber. The sealing cover covers the upper port of the upper chamber, and seals the port through a sealant layer, which can effectively prevent the urine from splashing when the centrifugal turntable rotates to centrifuge the urine in the chamber.
进一步地,所述离心转盘上供升降杆穿过的位置处设有密封胶圈。密封胶圈可防止尿沉渣或尿液上清液从离心转盘上供升降杆穿过的位置处泄露,从而可保障尿液进入排液通道。Further, a sealing rubber ring is provided on the centrifugal turntable at the position where the lifting rod passes through. The sealing rubber ring prevents leakage of urine sediment or urine supernatant from the position on the centrifugal turntable where the lift rods pass through, thus ensuring that urine enters the drainage channel.
进一步地,所述外固定筒上供电机的输出轴穿过的位置处设有套装在该输出轴上的轴承。轴承可较好的限定电机的输出轴保持竖直状态,且不影响电机的输出轴的转动,其较好的实现了电机的输出轴与外固定筒的转动连接。Further, a bearing sleeved on the output shaft is provided on the outer fixing cylinder at the position where the output shaft of the electric motor passes through. The bearing can better limit the output shaft of the motor to maintain a vertical state, and does not affect the rotation of the output shaft of the motor, which better realizes the rotational connection between the output shaft of the motor and the outer fixed cylinder.
进一步地,所述升降杆的下端套设有固定在离心转盘底面上的第二弹簧。在第一电磁铁对第一永磁铁的磁斥力的作用下,第一永磁铁可推动升降杆上升,第二弹簧被压缩,至封堵块封堵中间容腔的上端口;在第一电磁铁断电后,第一永磁铁和升降杆在第二弹簧的复位作用下可快速复位至初始状态,此时,封堵块较好的封堵中间容腔的下端口。Further, the lower end of the lift rod is sleeved with a second spring fixed on the bottom surface of the centrifugal turntable. Under the action of the magnetic repulsion force of the first electromagnet to the first permanent magnet, the first permanent magnet can push the lift rod to rise, and the second spring is compressed until the blocking block blocks the upper port of the intermediate cavity; in the first electromagnet After the iron is powered off, the first permanent magnet and the lifting rod can be quickly reset to the initial state under the reset action of the second spring. At this time, the blocking block can better block the lower port of the intermediate cavity.
进一步地,所述显微镜包括固定在底座上的显微镜底座,固定在显微镜底座上的固定板,以及用于压在固定板上的升降板,所述升降板的一侧设有竖直固定在显微镜底座上的导杆,所述导杆上滑动套设有与升降板固定连接的第二滑块;所述显微检测机构包括连接在送检软管输出端的导流管,且导流管横向设置,所述导流管的下方设有固定在底座上的小支撑台,所述小支撑台的上端面设有滑轨,所述导流管连接送检软管的一端固定有滑动连接在滑轨上的第一滑块,所述第一滑块与第二滑块之间连接有铰接板,且铰接板的两端分别与相应侧的滑块铰接,所述第二滑块始终高于第一滑块。在对尿沉渣检测时,将第一滑块沿滑轨向显微镜所在侧移动,带动导流管向固定板中部移动;同时,第一滑块通过铰接板推动第二滑块沿导杆向上移动,其可带动升降板向上移动,从而便于安装载玻片和盖玻片;待尿沉渣通过送检软管进入导流管,并沿导流管滴落在载玻片上后,推动第一滑块向背向显微镜的一侧移动,带动导流管移动至固定板之外,同时,第一滑块通过铰接板推动第二滑块沿导杆向下移动,其可带动升降板向下移动,至压在固定板上,使得盖玻片压在载玻片上,之后便可通过显微镜对尿沉渣进行观察。Further, the microscope includes a microscope base fixed on the base, a fixed plate fixed on the microscope base, and a lift plate for pressing on the fixed plate, one side of the lift plate is provided with a vertical fixed plate on the microscope. A guide rod on the base, the guide rod is slidably sleeved with a second slider that is fixedly connected to the lifting plate; the microscopic detection mechanism includes a guide tube connected to the output end of the hose for inspection, and the guide tube is horizontal It is arranged that a small support table fixed on the base is arranged below the guide tube, the upper end surface of the small support table is provided with a slide rail, and one end of the guide tube connected to the inspection hose is fixed with a sliding connection on the bottom. The first slider on the slide rail, a hinge plate is connected between the first slider and the second slider, and the two ends of the hinge plate are respectively hinged with the sliders on the corresponding sides, and the second slider is always high on the first slider. When the urine sediment is detected, move the first slider along the slide rail to the side where the microscope is located to drive the guide tube to move to the middle of the fixed plate; at the same time, the first slider pushes the second slider through the hinge plate to move up along the guide rod , it can drive the lifting plate to move upward, so as to facilitate the installation of glass slides and cover glass; after the urine sediment enters the guide tube through the inspection hose, and drops on the slide along the guide tube, push the first slide The block moves to the side facing away from the microscope, which drives the guide tube to move outside the fixed plate. At the same time, the first sliding block pushes the second sliding block to move down along the guide rod through the hinge plate, which can drive the lifting plate to move down. The urine sediment can be observed under the microscope until it is pressed on the fixing plate so that the cover glass is pressed against the glass slide.
更进一步地,所述固定板的上端面开设有内凹的用于卡装载玻片的下嵌装槽,所述升降板的下端面开设有内凹的用于卡装盖玻片的上嵌装槽,且升降板的上部开设有连通上嵌装槽的缺口。通过下嵌装槽可较为稳定的安装载玻片,通过上嵌装槽可较为稳定的安装盖玻片,通过缺口可便于对夹持于载玻片和盖玻片之间的尿沉渣进行观察。Further, the upper end face of the fixing plate is provided with a concave lower embedding groove for clamping and loading glass slides, and the lower end face of the lifting plate is provided with a concave upper embedding groove for clamping the cover glass. The upper part of the lifting plate is provided with a gap that communicates with the upper embedding groove. The slide glass can be installed stably through the lower embedding groove, the cover glass can be installed stably through the upper embedding groove, and the urine sediment clamped between the slide glass and the cover glass can be easily observed through the gap .
3.有益效果3. Beneficial effects
(1)本发明的离心机构设有带有容腔的离心转盘,且容腔包括依次贯通的上容腔、中间容腔及下容腔,中间容腔的宽度大于上容腔和下容腔,且中间容腔内设有封堵块,封堵块的底部连接有升降杆,初始状态下,封堵块封堵中间容腔的下端口,此时,将待检测的尿液倒入容腔内,尿液不会进入下容腔,通过电机带动离心转盘转动后,尿液会出现分层现象,上清液全部位于上容腔内,尿沉渣大都位于中间容腔内,且部分位于上容腔下端,此时,通过升降杆推动封堵块上移,可封堵中间容腔的上端口,并打开中间容腔的下端口,则中间容腔内的尿沉渣会进入下容腔内,即有效分离出尿沉渣,便于对尿沉渣进行取样检测;还在离心转盘外贴附式设有外固定筒,且外固定筒上开设有尿沉渣通口,下容腔的底部一侧设有能与尿沉渣通口连通的排液通道,尿沉渣通口外侧连接有通向显微检测机构的送检软管,使得下容腔内的尿沉渣可依次通过排液通道、尿沉渣通口及送检软管送往显微检测机构进行检测,避免了检测的尿沉渣与尿液二次混合导致的检测结果出现较大的误差。(1) The centrifugal mechanism of the present invention is provided with a centrifugal turntable with a cavity, and the cavity includes an upper cavity, a middle cavity and a lower cavity which are connected in sequence, and the width of the intermediate cavity is larger than that of the upper cavity and the lower cavity. , and there is a blocking block in the middle cavity, and the bottom of the blocking block is connected with a lifting rod. In the initial state, the blocking block blocks the lower port of the middle cavity. At this time, the urine to be detected is poured into the container. In the cavity, the urine will not enter the lower cavity. After the centrifugal turntable is driven by the motor to rotate, the urine will be layered. The supernatant is all located in the upper cavity, and the urine sediment is mostly located in the middle cavity, and some of it is located in the middle cavity. At the lower end of the upper chamber, at this time, the blocking block is pushed up by the lifting rod, which can block the upper port of the middle chamber and open the lower port of the middle chamber, and the urine sediment in the middle chamber will enter the lower chamber. In addition, there is an external fixing cylinder attached to the outside of the centrifugal turntable, and a urine sediment port is opened on the outer fixing cylinder, and the bottom side of the lower chamber is There is a drainage channel that can be communicated with the urine sediment port, and the outer side of the urine sediment port is connected with a testing hose leading to the microscopic detection mechanism, so that the urine sediment in the lower chamber can pass through the drainage channel and the urine sediment in sequence. The port and the inspection hose are sent to the microscopic inspection agency for inspection, which avoids large errors in the inspection results caused by the secondary mixing of the detected urine sediment and urine.
(2)本发明在外固定筒的内底部对应尿沉渣通口所在侧固定有第一电磁铁,升降杆的底部高于第一电磁铁并固定有与第一电磁铁磁性相斥的第一永磁铁,当相应容腔的排液通道与尿沉渣通口连通时,给第一电磁铁通电,通过第一电磁铁产生对其正上方的第一永磁铁的磁斥力,就能实现相应的升降杆和封堵块的上移,使得封堵块封堵中间容腔的上端口,由于封堵块的移动仅在尿沉渣内进行,可防止搅浑尿液上清液和尿沉渣;并打开中间容腔的下端口,中间容腔内的尿沉渣进入下容腔内,之后依次进入相应的排液通道、尿沉渣通口及送检软管,则本发明在对尿液进行离心分层处理后,通过给第一电磁铁通电就能实现对尿沉渣的取样并导向显微检测机构,操控简单,便于应用。(2) In the present invention, a first electromagnet is fixed on the inner bottom of the outer fixing cylinder corresponding to the side where the urine sediment passage is located, and the bottom of the lifting rod is higher than the first electromagnet and is fixed with a first permanent magnet which is magnetically repelled with the first electromagnet. Magnet, when the drainage channel of the corresponding cavity is connected to the urine sediment port, the first electromagnet is energized, and the first electromagnet generates a magnetic repulsion force on the first permanent magnet directly above it, so that the corresponding lifting can be realized. The upward movement of the rod and the blocking block makes the blocking block block the upper port of the intermediate cavity. Since the movement of the blocking block is only carried out in the urine sediment, it can prevent the urine supernatant and urine sediment from being turbid; and open the middle The lower port of the chamber, the urine sediment in the middle chamber enters the lower chamber, and then enters the corresponding drainage channel, the urine sediment port and the inspection hose in turn, and the present invention is used for centrifugal stratification of urine. Then, the urine sediment can be sampled and guided to the microscopic detection mechanism by energizing the first electromagnet, and the operation is simple and convenient for application.
(3)本发明设有集废液筒,并在外固定筒的一侧开设有废液排出口,且其外侧连接有连通集废液筒的废液排出管,外固定筒的内底部对应废液排出口所在侧穿设有竖直设置的顶触杆,顶触杆的底部固定有限位块,限位块上固定有第二永磁铁,外固定筒的底面上固定有正对于第二永磁铁的第二电磁铁,且第二永磁铁与第二电磁铁磁性相吸,在相应容腔的排液通道与废液排出口连通时,各第二电磁铁通电,其可吸附第二永磁铁,带动限位块和顶触杆上升,顶触杆推动第一永磁铁和升降杆上升,至封堵块位于中间容腔的中部,此时中间容腔的上下端口均处于打开状态,容腔内剩余的尿沉渣和上清液均能进入排液通道内,之后依次通过废液排出口和废液排出管进入集废液筒,实现对尿液废液的收集,且只需通过给第二电磁铁通电即可达到废液收集目标,操控简单,便于应用。(3) The present invention is provided with a waste liquid collecting cylinder, and a waste liquid discharge port is opened on one side of the outer fixing cylinder, and the outer side is connected with a waste liquid discharging pipe that communicates with the waste liquid collecting cylinder, and the inner bottom of the outer fixing cylinder corresponds to the waste liquid discharge pipe. The side where the liquid discharge outlet is located is provided with a vertically arranged top contact rod, a limit block is fixed on the bottom of the top contact rod, a second permanent magnet is fixed on the limit block, and a second permanent magnet is fixed on the bottom surface of the outer fixing cylinder. The second electromagnet of the magnet, and the second permanent magnet and the second electromagnet attract each other magnetically. When the liquid discharge channel of the corresponding cavity is connected with the waste liquid discharge port, each second electromagnet is energized, which can attract the second permanent magnet. The magnet drives the limit block and the top contact rod to rise, and the top contact rod pushes the first permanent magnet and the lift rod to rise until the blocking block is located in the middle of the intermediate cavity, and the upper and lower ports of the intermediate cavity are both open. The remaining urine sediment and supernatant in the cavity can enter the drainage channel, and then enter the waste liquid collection cylinder through the waste liquid discharge port and the waste liquid discharge pipe in turn, so as to realize the collection of urine waste liquid, and only need to pass through the waste liquid. When the second electromagnet is energized, the waste liquid collection target can be achieved, the control is simple, and the application is convenient.
综上,本发明将尿沉渣镜检的离心处理和显微检查所需要的装置器械一体化,能够集中一体化操作,且便于尿沉渣的取样和输送,还便于尿液废液的收集,既能提高工作效率又能保证准确度,还能减轻医务人员的工作量。To sum up, the present invention integrates the centrifugal treatment of urine sediment microscopic examination and the devices and equipment required for microscopic examination, which can be operated in a centralized manner, facilitates the sampling and transportation of urine sediment, and facilitates the collection of urine waste liquid. It can improve work efficiency and ensure accuracy, and can also reduce the workload of medical staff.
附图说明Description of drawings
图1为本发明的结构示意主视图;1 is a schematic front view of the structure of the present invention;
图2为图2中区域A的结构放大示意图;Fig. 2 is the structural enlargement schematic diagram of area A in Fig. 2;
图3为固定板18及升降板17的截面结构示意图;FIG. 3 is a schematic cross-sectional structure diagram of the fixing
图4为离心机构的结构示意俯视图;4 is a schematic top view of the structure of the centrifugal mechanism;
图5为外固定筒4和离心转盘5在图3中A-A截面的结构示意图;Fig. 5 is the structural representation of the A-A section in Fig. 3 of the outer
图6为外固定筒4和离心转盘5在图3中B-B截面的结构示意图。FIG. 6 is a schematic structural diagram of the
附图标记:1、底座;2、电机;3、集废液筒;4、外固定筒;5、离心转盘;6、密封盖;7、管连接头;8、送检软管;9、显微镜;10、小支撑台;11、滑轨;12、第一滑块;13、导流管;14、铰接板;15、导杆;16、第二滑块;17、升降板;18、固定板;19、显微镜底座;20、排液通道;21、废液排出口;22、废液排出管;23、尿沉渣通口;24、第一永磁铁;25、密封胶圈;26、下容腔;27、中间容腔;28、上容腔;29、密封胶层;30、封堵块;31、升降杆;32、第一电磁铁;33、轴承;34、缺口;35、上嵌装槽;36、下嵌装槽;37、顶触杆;38、第二电磁铁;39、第二永磁铁;40、第一弹簧;41、限位块;42、第二弹簧。Reference numerals: 1. Base; 2. Motor; 3. Waste liquid collecting cylinder; 4. External fixing cylinder; 5. Centrifugal turntable; 6. Sealing cover; 7. Pipe connector; Microscope; 10. Small support table; 11. Slide rail; 12. The first sliding block; 13. Guide tube; 14. Hinged plate; 15. Guide rod; 16. The second sliding block; 17. Lifting plate; Fixing plate; 19. Microscope base; 20. Liquid drainage channel; 21. Waste liquid discharge port; 22. Waste liquid discharge pipe; 23. Urine sediment port; 24. First permanent magnet; 25. Sealing rubber ring; 26, Lower chamber; 27, Middle chamber; 28, Upper chamber; 29, Sealant layer; 30, Blocking block; 31, Lifting rod; 32, First electromagnet; 33, Bearing; 34, Gap; 35, Upper embedded groove; 36, lower embedded groove; 37, top contact rod; 38, second electromagnet; 39, second permanent magnet; 40, first spring; 41, limit block; 42, second spring.
具体实施方式Detailed ways
下面结合附图和实施例对本发明作进一步详细的说明。The present invention will be described in further detail below with reference to the accompanying drawings and embodiments.
实施例Example
如图1所示的一种肾内科尿沉渣一体化显微检查装置,包括底座1和分别安装在底座1上的离心机构和显微检测机构,所述显微检测机构包括固定在底座1上的显微镜9;所述离心机构包括通过支杆支撑在底座1上的外固定筒4和可转动式设于外固定筒4内部的离心转盘5,所述外固定筒4的上端面敞口设置,所述外固定筒4的下方设有固定在底座1上的电机2,如图5及图6所示,所述电机2的输出轴竖直向上贯穿外固定筒4底部并与离心转盘5的底部固定连接,所述离心转盘5的外侧壁完全贴附在外固定筒4的内壁上,且离心转盘5的底部与外固定筒4的内底部之间留有间隙;As shown in FIG. 1 , an integrated microscopic examination device for urinary sediment in nephrology includes a
如图5、图6及图4所示,所述离心转盘5内部等间距开设有至少一个呈圆形分布的用于盛装尿液的容腔(图3中示出了四个容腔),且每个容腔均包括贯通离心转盘5上端面的上容腔28,贯通于上容腔28底部的中间容腔27,以及贯通于中间容腔27底部的下容腔26,所述中间容腔27的宽度大于上容腔28和下容腔26的宽度,所述上容腔28的高度大于下容腔26的高度,所述中间容腔27内设有用于封堵中间容腔27的上端口或下端口的封堵块30,所述封堵块30由关于其水平中心面对称设置的两个圆台体固定在一起形成,且封堵块30的端面直径小于中间容腔27相应侧的端口直径,封堵块30的中部直径大于中间容腔27上下端口的直径,所述封堵块30的底部中心处固定有一根竖直向下贯穿离心转盘5底部的升降杆31,所述下容腔26一侧的离心转盘5上开设有与下容腔26底部连通并贯通离心转盘5外侧面的排液通道20;As shown in Fig. 5, Fig. 6 and Fig. 4, the
如图4所示,所述外固定筒4的两侧分别开设有能与排液通道20连通的尿沉渣通口23和废液排出口21,如图5所示,所述外固定筒4的内底部对应尿沉渣通口23所在侧固定有第一电磁铁32,所述升降杆31的底部高于第一电磁铁32并固定有与第一电磁铁32磁性相斥的第一永磁铁24;如图6所示,所述外固定筒4的内底部对应废液排出口21所在侧穿设有竖直设置的顶触杆37,且顶触杆37的底部位于外固定筒4的下方并固定有宽度大于顶触杆37的限位块41,所述限位块41上固定有第二永磁铁39,所述外固定筒4的底面上固定有位于第二永磁铁39正上方的第二电磁铁38,且第二永磁铁39与第二电磁铁38磁性相吸,所述限位块41的上端面上固定有连接到外固定筒4底面上的第一弹簧40;当第二电磁铁38通电吸附第二永磁铁39后,所述封堵块30位于中间容腔27的中部,且中间容腔27的上下端口均处于开通状态;如图1及图4所示,所述尿沉渣通口23和废液排出口21的外端口处均设有固定在外固定筒4上的管连接头7,所述尿沉渣通口23对应的管连接头7外侧连接有通向显微检测机构的送检软管8,所述底座1上固定有集废液筒3,所述废液排出口21对应的管连接头7外侧连接有与集废液筒3连通的废液排出管22。As shown in FIG. 4 , the two sides of the
在本实施例中,如图1及图4所示,所述离心转盘5的顶端设有用于封堵上容腔28上端口的密封盖6,如图5所示,且密封盖6上设有与上容腔28上端口相适配的密封胶层29。密封盖6盖在上容腔28的上端口处,并通过密封胶层29密封该端口,在离心转盘5转动对容腔内的尿液进行离心处理时,可有效防止尿液飞溅。In this embodiment, as shown in FIG. 1 and FIG. 4 , the top of the
在本实施例中,如图5所示,所述离心转盘5上供升降杆31穿过的位置处设有密封胶圈25。密封胶圈25可防止尿沉渣或尿液上清液从离心转盘5上供升降杆31穿过的位置处泄露,从而可保障尿液进入排液通道20。In this embodiment, as shown in FIG. 5 , a sealing
在本实施例中,如图5所示,所述外固定筒4上供电机2的输出轴穿过的位置处设有套装在该输出轴上的轴承33。轴承33可较好的限定电机2的输出轴保持竖直状态,且不影响电机2的输出轴的转动,其较好的实现了电机2的输出轴与外固定筒4的转动连接。In this embodiment, as shown in FIG. 5 , a bearing 33 sleeved on the output shaft is provided on the
在本实施例中,如图5及图6所示,所述升降杆31的下端套设有固定在离心转盘5底面上的第二弹簧42。在第一电磁铁32对第一永磁铁24的磁斥力的作用下,第一永磁铁24可推动升降杆31上升,第二弹簧42被压缩,至封堵块30封堵中间容腔27的上端口;在第一电磁铁32断电后,第一永磁铁24和升降杆31在第二弹簧42的复位作用下可快速复位至初始状态,此时,封堵块30较好的封堵中间容腔27的下端口。In this embodiment, as shown in FIGS. 5 and 6 , the lower end of the
在本实施例中,如图2所示,所述显微镜9包括固定在底座1上的显微镜底座19,固定在显微镜底座19上的固定板18,以及用于压在固定板18上的升降板17,所述升降板17的一侧设有竖直固定在显微镜底座19上的导杆15,所述导杆15上滑动套设有与升降板17固定连接的第二滑块16;所述显微检测机构包括连接在送检软管8输出端的导流管13,且导流管13横向设置,所述导流管13的下方设有固定在底座1上的小支撑台10,所述小支撑台10的上端面设有滑轨11,所述导流管13连接送检软管8的一端固定有滑动连接在滑轨11上的第一滑块12,所述第一滑块12与第二滑块16之间连接有铰接板14,且铰接板14的两端分别与相应侧的滑块铰接,所述第二滑块16始终高于第一滑块12。在对尿沉渣检测时,将第一滑块12沿滑轨11向显微镜9所在侧移动,带动导流管13向固定板18中部移动;同时,第一滑块12通过铰接板14推动第二滑块16沿导杆15向上移动,其可带动升降板17向上移动,从而便于安装载玻片和盖玻片;待尿沉渣通过送检软管8进入导流管13,并沿导流管13滴落在载玻片上后,推动第一滑块12向背向显微镜9的一侧移动,带动导流管13移动至固定板18之外,同时,第一滑块12通过铰接板14推动第二滑块16沿导杆15向下移动,其可带动升降板17向下移动,至压在固定板18上,使得盖玻片压在载玻片上,之后便可通过显微镜9对尿沉渣进行观察。In this embodiment, as shown in FIG. 2 , the
在本实施例中,如图3所示,所述固定板18的上端面开设有内凹的用于卡装载玻片的下嵌装槽36,所述升降板17的下端面开设有内凹的用于卡装盖玻片的上嵌装槽35,且升降板17的上部开设有连通上嵌装槽35的缺口34。通过下嵌装槽36可较为稳定的安装载玻片,通过上嵌装槽35可较为稳定的安装盖玻片,通过缺口34可便于对夹持于载玻片和盖玻片之间的尿沉渣进行观察。In this embodiment, as shown in FIG. 3 , the upper end surface of the fixing
上述肾内科尿沉渣一体化显微检查装置的具体应用过程为:The specific application process of the above-mentioned integrated microscopic examination device for urinary sediment in the department of nephrology is as follows:
初始状态下,封堵块30位于较低处,且其封堵中间容腔27的下端口;要检测尿液时,先打开密封盖6,将待检测尿液导入容腔内,由于中间容腔27的下端口被封堵,尿液仅存留在上容腔28和中间容腔27内,然后启动电机2,带动离心转盘5转动,可实现对容腔内尿液的离心处理,待电机2停转,离心转盘5静置后,尿液产生分层现象,上清液全部位于上容腔28内,尿沉渣大都位于中间容腔27内,且部分位于上容腔28下端,之后将导流管13移动至固定板18与升降板17之间,并装好载玻片和盖玻片,再转动离心转盘5,使得装有尿液的容腔转动至尿沉渣通口23所在侧,使得相应的排液通道20与尿沉渣通口23连通,并给第一电磁铁32通电,第一电磁铁32产生对其正上方的第一永磁铁24的磁斥力,推动相应的升降杆31和封堵块30向上移动,至封堵块30封堵中间容腔27的上端口,由于封堵块30的移动仅在尿沉渣内进行,可防止搅浑尿液上清液和尿沉渣;在封堵块30封堵中间容腔27的上端口的同时,中间容腔27的下端口被打开,中间容腔27内的尿沉渣进入下容腔26内,并依次进入相应的排液通道20和尿沉渣通口23内,最终通过送检软管8和导流管13滴落在载玻片上,且通过在导流管13或送检软管8上设置开关阀可用来控制取用的尿沉渣的量;此时,反向移动第一滑块12,带动导流管13复位,同时,第一滑块12通过铰接板14带动第二滑块16下降,从而可带动升降板17下降至压在固定板18上,使得盖玻片压在载玻片上,最后通过显微镜9从缺口34处观察尿沉渣即可。In the initial state, the blocking
检测结束后,转动离心转盘5,至容腔移动至废液排出口21所在侧,并使得相应的排液通道20与废液排出口21连通,在此过程中,由于离心转盘5的外周侧完全贴附着外固定筒4的内周侧,排液通道20和下容腔26内残留的尿沉渣不会意外流出;之后给第二电磁铁38通电,第二电磁铁38吸附第二永磁铁39,带动限位块41和顶触杆37向上移动,第一弹簧40被压缩,顶触杆37推动第一永磁铁24和升降杆31上升,至封堵块30位于中间容腔27的中部,此时中间容腔27的上下端口均处于打开状态,容腔内剩余的尿沉渣和上清液均能进入排液通道20内,之后依次通过废液排出口21和废液排出管22进入集废液筒3,实现对尿液废液的收集;直接推动第二滑块16向上移动,可便于拆下载玻片和盖玻片;通过管连接头7可将送检软管8和废液排出管22从外固定筒4上拆下,从而便于清洗或更换各部件。After the detection, the
由上述内容可知,本发明将尿沉渣镜检的离心处理和显微检查所需要的装置器械一体化,能够集中一体化操作,且便于尿沉渣的取样和输送,还便于尿液废液的收集,既能提高工作效率又能保证准确度,还能减轻医务人员的工作量。As can be seen from the above content, the present invention integrates the centrifugal treatment of urine sediment microscopic examination and the devices and equipment required for microscopic examination, which enables centralized and integrated operation, facilitates the sampling and transportation of urine sediment, and facilitates the collection of urine waste liquid. , not only can improve work efficiency and ensure accuracy, but also reduce the workload of medical staff.
本技术领域中的普通技术人员应当认识到,以上的实施例仅是用来说明本发明,而并非用作为对本发明的限定,只要在本发明的实质精神范围内,对以上所述实施例的变化、变型都将落在本发明的权利要求范围内。Those of ordinary skill in the art should realize that the above embodiments are only used to illustrate the present invention, but not to limit the present invention. Changes and modifications will fall within the scope of the claims of the present invention.
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| CN115975791A (en) * | 2022-12-16 | 2023-04-18 | 河北明志康华生物科技有限公司 | A device for enriching and detecting urine exfoliated cells |
| CN119510735A (en) * | 2025-01-20 | 2025-02-25 | 杭州市中医院(浙江中医药大学附属杭州市中医院) | A clinical urine collection and testing device |
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