TWI728793B - Multifunctional pipeline fixing device - Google Patents
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- TWI728793B TWI728793B TW109114473A TW109114473A TWI728793B TW I728793 B TWI728793 B TW I728793B TW 109114473 A TW109114473 A TW 109114473A TW 109114473 A TW109114473 A TW 109114473A TW I728793 B TWI728793 B TW I728793B
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Abstract
一種多功能管路固定裝置,包含一底座、一弧面部,該底座二側設有束腹帶,該底座開有一缺槽,用以供引流管可於該缺槽移動,弧面部以立狀設於該底座並與該缺槽連通,該弧面部內側界定出一彎槽供容置引流管,該弧面部於有該彎槽之開放部設有至少一固定結構,用以止擋、固定該引流管。俾可運用於術後病人如T型引流管(T-tube drain)之固定,達到術後傷口的加壓、針對不同個別病人對管路之固定長度進行調整、防逆角度(如60度)的維持,及分泌溶液的引流之目的,且可降低不必要之護理時數,提升病人生活及自我照護品質。A multifunctional pipeline fixing device includes a base and an arc surface. The base is provided with abdominal straps on two sides. The base has a groove for the drainage tube to move in the groove. The arc surface is in a vertical shape. It is arranged on the base and communicates with the groove, the arc surface defines a curved groove for accommodating the drainage tube, and the arc surface is provided with at least one fixing structure at the open part with the curved groove for stopping and fixing The drainage tube. It can be used to fix postoperative patients such as T-tube drain, to achieve postoperative wound compression, adjust the fixed length of the tube for different individual patients, and prevent reversal angle (such as 60 degrees) The purpose of maintenance and drainage of secreted solution can reduce unnecessary nursing hours and improve the quality of patient’s life and self-care.
Description
本發明係有關於一種固定裝置,特別是指其為一種運用於術後病人如T型引流管(T-tube drain)固定工作之多功能管路固定裝置。The present invention relates to a fixing device, in particular to a multifunctional tube fixing device used for postoperative patients such as T-tube drain fixing work.
發明性質:Nature of invention:
手術後為了引流傷口組織液、血液及避免膿瘍形成,於傷口處放置引流管引流,以利傷口癒合,常見的外科引流管種類有經皮穿肝膽道引流管(PTCD)、豬尾巴(Pig tail)、潘羅氏引流管(Penrose drain)、T型引流管(T-tube drain)。臨床上部分引流管附有原裝置固定底座,而T型引流管(T-tube drain)是以縫線將管路固定於皮膚上,並無任何固定裝置。After surgery, in order to drain wound tissue fluid and blood and avoid abscess formation, a drainage tube is placed at the wound to facilitate wound healing. Common types of surgical drainage tubes include percutaneous transhepatic biliary drainage (PTCD) and pig tail (Pig tail) , Penrose drain, T-tube drain. In clinical practice, part of the drainage tube is attached with the original device fixing base, and the T-tube drain is fixed to the skin with sutures without any fixing device.
當病人無法配合或是未有良好的輔助固定,容易造成管路橫移、外滑及增加管路阻塞機率,不良的管路固定間接發生引流液滲漏浸潤、侵蝕周圍健康組織,導致組織癒合不佳。再者,若管路照護不當,直接造成周圍皮膚之損傷,如移除固定敷料之皮膚撕除傷及管路對於周圍組織直接性的壓傷,不但增加照護困難、延遲組織癒合、延長住院天數,影響病人對醫療品質的信任與安全感甚鉅。When the patient is unable to cooperate or does not have a good auxiliary fixation, it is easy to cause the pipeline to move laterally, slip outside, and increase the probability of pipeline blockage. Poor pipeline fixation indirectly causes drainage fluid leakage and infiltration, erosion of surrounding healthy tissues, and tissue healing Bad. Furthermore, improper care of the tubing can directly cause damage to the surrounding skin, such as skin tears caused by the removal of a fixed dressing, and direct compression of the tubing to the surrounding tissues, which will not only increase the difficulty of care, delay tissue healing, and extend the length of hospital stay , Which greatly affects patients' trust and sense of security in medical quality.
本發明以研發運用於膽管術後病人的T型引流管(T-tube drain)為較佳實施例,以開窗式束腹帶、可調性底座及引流袋等結合達到術後傷口的加壓、個別長度的調整、防逆角度的維持,及分泌溶液的引流之目的。此完善之多功能管路固定裝置可降低不必要之護理時數,提升病人生活及自我照護品質。The present invention takes the development of a T-tube drain for patients after bile duct surgery as a preferred embodiment, and uses a combination of window-opening corsets, adjustable bases, and drainage bags to achieve postoperative wound healing. The purpose of pressure, the adjustment of individual length, the maintenance of the anti-reversal angle, and the drainage of the secreted solution. This complete multifunctional pipeline fixing device can reduce unnecessary nursing hours and improve the quality of patients' lives and self-care.
發明動機:Motivation for invention:
傷口照護為護理人員直接護理工作中的一環,手術後之管路照護,更須要大量照護時數,而高護理時數之病人,於臨床上為影響護理人員之工作壓力之一。再者,高耗用敷料之狀態下,間接影響醫院的營運變動成本。Wound care is a part of the nursing staff's direct nursing work. In-line care after surgery requires a lot of nursing hours. Patients with high nursing hours are clinically one of the work pressures that affect nursing staff. Furthermore, the high consumption of dressings indirectly affects the hospital's operating variable costs.
臨床上T型引流管(T-tube drain)放置於總膽管,是應用在膽道結石手術引流膽汁及預防膽道狹窄,目前T型引流管(T-tube drain)執行照護現況,多為執行管路消毒後,運用Y型紗布及普通白紗覆蓋,為保持管路與皮膚夾角維持60度且避免壓傷發生,需使用大量紗布作為管路與皮膚之間的緩衝,不僅耗費紗布,不透明外觀也不易管路視察,而黏貼的紙膠會因重複照護次數上升,使管路外觀留有殘膠影響清潔,也因管路黏性增加,移除敷料時不慎拉扯管路機率也隨之提升。Clinically, T-tube drain is placed in the common bile duct. It is used to drain bile and prevent biliary tract stricture during biliary calculi surgery. At present, the current status of T-tube drain care is mostly implemented. After the pipeline is disinfected, it is covered with Y-shaped gauze and ordinary white gauze. In order to maintain the angle between the pipeline and the skin at 60 degrees and avoid crushing, a large amount of gauze is needed as a buffer between the pipeline and the skin, which not only consumes gauze, but is opaque. The appearance is not easy to inspect the pipeline, and the pasted paper glue will increase the number of repeated care, leaving residual glue on the appearance of the pipeline, which will affect the cleaning. Also, due to the increased viscosity of the pipeline, the chance of accidentally pulling the pipeline when removing the dressing will also vary. The promotion.
然而,管路通暢度,常因為束腹帶使用及姿勢變化,附加於管路上的壓力使得管路發生扭結,輕則導致皮膚壓傷,重則加重病況危及生命,為確保管路固定正確、引流功能正常並維持病患舒適度,不但過程殫精竭慮,也恐一次疏忽終究導致管路的滑脫,故提供簡易操作,符合經濟效益,且維持高品質護理,及提升病人自我照護能力的膽管多功能引流裝置,為本發明之重點。However, the patency of the pipeline is often due to the use of the abdominal band and changes in posture. The pressure on the pipeline makes the pipeline kinked, which can cause skin pressure injury, and worsen the condition and life-threatening. To ensure that the pipeline is properly fixed and drained Normal function and maintenance of patient comfort, not only the process is exhausted, but also a single negligence will eventually lead to the slippage of the pipeline. Therefore, simple operation is provided, which is economical, and maintains high-quality care and enhances the patient's self-care ability. The drainage device is the focus of the present invention.
文獻查證與學理依據:Literature verification and academic basis:
行政院衛生署自2008年度醫院醫療品質及病人安全工作目標中,已將「提升管路安全」列入第八項之重要目標之一,然而,六年後,「提升管路安全」仍是行政院衛生署列為醫院推動醫療品質及病人安全之重要目標之一。2019年醫策會在台灣病人安全通報系統指出,醫院管路事件共10,587件,最常發生在臥床休息時,有6,721件(佔 63.4%)。事件種類以引流管、胸管、胃造瘻管、T型引流管,有3,260 件(佔7.9%),其中管路錯誤類型多半為脫落為主,而脫落裡以自拔為主。The Department of Health of the Executive Yuan has included "improving pipeline safety" as one of the eighth important goals since the 2008 hospital medical quality and patient safety goals. However, six years later, "improving pipeline safety" is still The Department of Health of the Executive Yuan listed as one of the important goals of hospitals to promote medical quality and patient safety. In 2019, the Medical Policy Council pointed out in the Taiwan Patient Safety Notification System that there were 10,587 cases of hospital pipeline incidents. The most common incident occurred during bed rest, with 6,721 (63.4%). The types of incidents were drainage tubes, chest tubes, gastrostomy tubes, and T-shaped drainage tubes. There were 3,260 cases (7.9%). Among them, most of the tubing errors were shedding, and the shedding was mainly self-extraction.
爰是,本發明人基於產品不斷研究創新之理念,乃本著多年從事產品設計、開發的實務經驗,以及積極潛心研發思考,經由無數次之實際測試、實驗,致有本發明之產生。It is that the inventor of the present invention is based on the concept of continuous product research and innovation, based on years of practical experience in product design and development, and active research and development thinking, through countless actual tests and experiments, leading to the invention of this invention.
本發明之目的,係在提供一種可伸縮、固定、加壓及引流的多功能管路固定裝置。The purpose of the present invention is to provide a multifunctional pipeline fixing device that can be stretched, fixed, pressurized and drained.
為達上述之目的,本發明包含一底座、一弧面部,其中,該底座二側設有束腹帶,該底座開有一缺槽,用以供引流管可於該缺槽移動;該弧面部以立狀設於該底座並與該缺槽連通,該弧面部內側界定出一彎槽供容置引流管,該弧面部於有該彎槽之開放部設有至少一固定結構,用以止擋、固定該引流管。To achieve the above-mentioned purpose, the present invention includes a base and an arc surface, wherein two sides of the base are provided with abdominal straps, and the base has a slot for the drainage tube to move in the slot; the arc surface It is vertically arranged on the base and communicated with the groove. The inner side of the arcuate surface defines a curved groove for accommodating the drainage tube. The arcuate surface is provided with at least one fixing structure on the open part of the curved groove to stop Block and fix the drainage tube.
可運用於術後病人如T型引流管(T-tube drain)之固定,達到術後傷口的加壓、針對不同個別病人對管路之固定長度進行調整、防逆角度(如60度)的維持,及分泌溶液的引流之目的,且可降低不必要之護理時數,提升病人生活及自我照護品質。It can be used to fix postoperative patients such as T-tube drain, to achieve postoperative wound compression, adjust the fixed length of the tube for different individual patients, and prevent reversal angle (such as 60 degrees) The purpose of maintenance and drainage of the secreted solution, and can reduce unnecessary nursing hours, and improve the quality of patient life and self-care.
以下僅藉由具體實施例,且佐以圖式作詳細之說明。The following only uses specific embodiments and drawings for detailed description.
請參閱第1圖、第2圖、第3圖所示,本發明包含一底座10、一弧面部20。下文將詳細說明之:Please refer to FIG. 1, FIG. 2, and FIG. 3. As shown in FIG. 1, the present invention includes a
該底座10二側設有束腹帶30,該底座10開有一缺槽11,用以該底座10朝引流管90移動使引流管90可於該缺槽11形成相對移動。
該弧面部20以立狀設於該底座10並與該缺槽11連通,該弧面部20內側界定出一彎槽供容置引流管90,該弧面部20於該彎槽之開放部設有至少一固定結構,用以止擋、固定該引流管90。The
於一構造實施例,該底座10二側具有二穿孔12,該束腹帶30二端具有黏扣部31(如自黏式魔鬼氈),該束腹帶30二端分別設穿孔12反折後黏扣固定且可調整長度。In a structural embodiment, the
於一構造實施例,該底座10、該弧面部20選自透明材料,用以直接觀察引流管90置放處有無異常分泌物及皮膚變化狀況。In a structural embodiment, the
於一構造實施例,該底座10表面具有數透氣孔13,該底座10內側面具有較高部份,用以減少與皮膚接觸之面積且具有透氣效果。In a structural embodiment, the surface of the
於一構造實施例,該底座10環周具有一突部14,該突部14包覆有一親膚敷料40,該親膚敷料40選自矽膠材料,用以舒適地接觸皮膚。In one structural embodiment, the
於一構造實施例,該底座10環周套設一止擋環50,該止擋環50為C形狀且可轉動,用以藉該止擋環50之封閉段或缺口段對應該底座10之缺槽11形成開啟或閉合狀。In a structural embodiment, a
於一構造實施例,該底座10設有一立狀之C形管15,該C形管15與該缺槽11連通,該C形管15外表具有數凹槽151,該弧面部20之下方內側設有數凸緣21,藉該凸緣21卡掣於該凹槽151使該底座10、該弧面部20相結合固定,且藉該凸緣21卡掣於不同凹槽151位置使該弧面部20可以伸縮調整。In a structural embodiment, the
於一構造實施例,該弧面部20之固定結構係於該弧面部20之下方一側延伸而具有通孔22,該弧面部20之下方另一側延伸一弧形彈性部23,該弧面部20、該弧形彈性部23連接處設有一槽部231,使該弧形彈性部23形成可向內或向外之擺動,據此,可調整該弧形彈性部23緊迫、固定於該C形管15之力量;該弧形彈性部23具有數卡掣部232,用以卡掣入該通孔22而固定該弧形彈性部23,進而使該弧面部20穩固結合在該C形管15;該弧形彈性部23具有一扳動部233,便於手部操控、扳動該弧形彈性部23,進而利於卡掣部232卡掣入該通孔22,或退出該通孔22。In a structural embodiment, the fixing structure of the
於一構造實施例,該弧面部20之固定結構係於該弧面部20之上方一側具有一卡孔24,該弧面部20之上方另一側延伸一束帶25,該束帶25表面具有數卡齒251,用以卡掣入該卡孔24而固定該束帶25且構成束緊該引流管90之作用,且藉該卡齒251卡掣於卡孔24內不同位置使該束帶25可以調整長度,進而可調整束緊度;該弧面部20之上方內側還設有數片體26,用以配合該束帶25之束緊作用以更緊迫抵壓固定該引流管90。In a structural embodiment, the fixing structure of the
上述為本發明之各部構件及其組成方式介紹,接著再將本發明之使用實施例、特點、效益介紹如下:The foregoing is an introduction to the various components of the present invention and their composition methods, and then the use embodiments, features, and benefits of the present invention are introduced as follows:
請參閱第3圖、第4圖、第5圖所示,可藉束腹帶30將本發明配戴於術後病人腹部裝有引流管90處,依循該底座10之缺槽11使引流管90導入該C形管15、該弧面部20內側之彎槽,之後,藉該弧形彈性部23、該束帶25之固定及束緊作用以止擋、固定該引流管90。Please refer to Figures 3, 4, and 5, the present invention can be worn on a postoperative patient’s abdomen with a
同時,轉動該止擋環50使其封閉段對應該底座10之缺槽11使其形成閉合狀。At the same time, the
據此,可運用於術後病人如T型引流管(T-tube drain)之固定,達到術後傷口的加壓、防逆角度(如60度)的維持,及分泌溶液的引流之目的,且可降低不必要之護理時數,提升病人生活及自我照護品質。According to this, it can be used for postoperative patients such as the fixation of T-tube drains, to achieve postoperative wound compression, maintenance of the anti-reverse angle (such as 60 degrees), and drainage of secreted solutions. And it can reduce unnecessary nursing hours and improve the quality of patients' lives and self-care.
請參閱第6圖所示,可藉該凸緣21卡掣於不同凹槽151位置使該弧面部20可以在該C形管15向上或向下伸縮調整。Please refer to FIG. 6, the
據此,可針對配合不同個別病人對管路之固定長度進行調整。Accordingly, the fixed length of the pipeline can be adjusted to suit different individual patients.
請參閱第7圖、第8圖所示,該束帶25除了可構成束緊該引流管90之作用外,且藉該束帶25調整長度後而可調整束緊度。Please refer to FIG. 7 and FIG. 8. In addition to the function of tightening the
據此,本發明適用於不同大小管徑引流管90之固定,實用性更廣。Accordingly, the present invention is suitable for fixing
本發明具有至少以下之效益:The present invention has at least the following benefits:
1.本發明不僅降低敷料支出成本,同時也簡化了傷口護理流程,藉由透明材料設計,可直接觀察管路如引流管90置放處有無異常分泌物及皮膚變化狀況,克服臨床上傷口護理的漫長時數,使照護更加便利。1. The present invention not only reduces the cost of dressing expenditure, but also simplifies the wound care process. With the design of transparent materials, it is possible to directly observe whether there are abnormal secretions and skin changes at the place where the
2.底座10的特殊親膚敷料40,不會像過往,常因撕除膠帶後造成皮膚的撕除傷,並且可合併束腹帶30使用的特性,減少固定管路後因配合束腹帶30使用,導致管路壓迫影響管路引流功能。2. The special skin-
3.透過本發明人性化設計之外觀及功能,病人不僅活動不受限、外出不須遭受異樣眼光,並可獨自完成居家管路照護,昇華患病後住院間及居家生活之品質。3. Through the appearance and function of the humanized design of the present invention, the patient not only has unlimited activities and does not need to suffer from strange eyes when going out, but also can complete the home pipeline care alone, sublimating the quality of life in the hospital room and home after illness.
總之,使用本發明所產生之效益,不僅可釋出更多護理時數及降低耗用敷料之成本開銷,更是顧及安全照護本質及預防不良事件之發生,也增加病人、醫護人員及照顧者對於管路照護的準確度,也降低併發症及再次入院的機率。In short, the benefits of using the present invention can not only release more nursing hours and reduce the cost of dressing consumption, but also take into account the nature of safe care and prevent the occurrence of adverse events, and increase patients, medical staff and caregivers. For the accuracy of pipeline care, it also reduces the chance of complications and re-admission.
於以上為本案所舉之實施例,僅為便於說明而設,當不能以此限制本案之意義,即大凡依所列申請專利範圍所為之各種變換設計,均應包含在本案之專利範圍中。The above examples of this case are provided for the convenience of explanation only, and should not be used to limit the meaning of this case, that is, all the various design changes made in accordance with the scope of the listed patent applications should be included in the scope of patents of this case.
10:底座11:缺槽12:穿孔 13:透氣孔14:突部15:C形管 151:凹槽20:弧面部21:凸緣 22:通孔23:弧形彈性部231:槽部 232:卡掣部233:扳動部24:卡孔 25:束帶251:卡齒26:片體 30:束腹帶31:黏扣部40:親膚敷料 50:止擋環90:引流管 10: Base 11: Notch 12: Perforation 13: vent 14: protrusion 15: C-shaped tube 151: Groove 20: Arc face 21: Flange 22: Through hole 23: Arc elastic part 231: Groove part 232: Snap part 233: Pull part 24: Snap hole 25: strap 251: card tooth 26: sheet body 30: Abdominal belt 31: Velcro 40: Skin-friendly dressing 50: stop ring 90: drainage tube
第1圖係本發明之立體圖。 第2圖係本發明之立體分解圖。 第3圖至第8圖係本發明之使用例圖。 Figure 1 is a perspective view of the present invention. Figure 2 is an exploded perspective view of the present invention. Figures 3 to 8 are diagrams of examples of use of the present invention.
10:底座 10: Base
11:缺槽 11: missing slot
12:穿孔 12: Piercing
13:透氣孔 13: Vent holes
20:弧面部 20: arc face
22:通孔 22: Through hole
23:弧形彈性部 23: Curved elastic part
232:卡掣部 232: Card Control Department
233:扳動部 233: Pulling part
24:卡孔 24: card hole
25:束帶 25: Drawstring
26:片體 26: sheet body
30:束腹帶 30: corset
31:黏扣部 31: Velcro
40:親膚敷料 40: Skin-friendly dressing
50:止擋環 50: stop ring
Claims (8)
Priority Applications (1)
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TW109114473A TWI728793B (en) | 2020-04-30 | 2020-04-30 | Multifunctional pipeline fixing device |
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TW109114473A TWI728793B (en) | 2020-04-30 | 2020-04-30 | Multifunctional pipeline fixing device |
Publications (2)
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TWI728793B true TWI728793B (en) | 2021-05-21 |
TW202142280A TW202142280A (en) | 2021-11-16 |
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TW109114473A TWI728793B (en) | 2020-04-30 | 2020-04-30 | Multifunctional pipeline fixing device |
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TW (1) | TWI728793B (en) |
Citations (8)
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TW201002377A (en) * | 2008-05-30 | 2010-01-16 | Kci Licensing Inc | Reduced-pressure surgical wound treatment systems and methods |
CN202191579U (en) * | 2011-08-02 | 2012-04-18 | 郭宝生 | Drainage tube fixing device |
CN203075432U (en) * | 2013-02-28 | 2013-07-24 | 于晨 | Abdominal drainage tube fixing device |
CN204637258U (en) * | 2015-05-13 | 2015-09-16 | 泰州市众康医疗器械有限公司 | Fixer of drainage tube |
CN206508364U (en) * | 2016-08-23 | 2017-09-22 | 徐士海 | A kind of intraperitoneal drainage pipe fixing device |
WO2018036822A1 (en) * | 2016-08-25 | 2018-03-01 | Paul Hartmann Ag | Device for the vacuum treatment of wounds on the human body |
CN208864900U (en) * | 2018-05-30 | 2019-05-17 | 首都医科大学附属北京同仁医院 | A kind of abdominal cavity drainage tube |
CN209422565U (en) * | 2017-11-23 | 2019-09-24 | 贵州省人民医院 | A kind of fixation device of thoracocentesis abdominocentesis drain equipment |
-
2020
- 2020-04-30 TW TW109114473A patent/TWI728793B/en active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
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TW201002377A (en) * | 2008-05-30 | 2010-01-16 | Kci Licensing Inc | Reduced-pressure surgical wound treatment systems and methods |
CN202191579U (en) * | 2011-08-02 | 2012-04-18 | 郭宝生 | Drainage tube fixing device |
CN203075432U (en) * | 2013-02-28 | 2013-07-24 | 于晨 | Abdominal drainage tube fixing device |
CN204637258U (en) * | 2015-05-13 | 2015-09-16 | 泰州市众康医疗器械有限公司 | Fixer of drainage tube |
CN206508364U (en) * | 2016-08-23 | 2017-09-22 | 徐士海 | A kind of intraperitoneal drainage pipe fixing device |
WO2018036822A1 (en) * | 2016-08-25 | 2018-03-01 | Paul Hartmann Ag | Device for the vacuum treatment of wounds on the human body |
CN209422565U (en) * | 2017-11-23 | 2019-09-24 | 贵州省人民医院 | A kind of fixation device of thoracocentesis abdominocentesis drain equipment |
CN208864900U (en) * | 2018-05-30 | 2019-05-17 | 首都医科大学附属北京同仁医院 | A kind of abdominal cavity drainage tube |
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TW202142280A (en) | 2021-11-16 |
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