CN101744646B - Temporary abdominal cavity closing device - Google Patents
Temporary abdominal cavity closing device Download PDFInfo
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- CN101744646B CN101744646B CN2008102390124A CN200810239012A CN101744646B CN 101744646 B CN101744646 B CN 101744646B CN 2008102390124 A CN2008102390124 A CN 2008102390124A CN 200810239012 A CN200810239012 A CN 200810239012A CN 101744646 B CN101744646 B CN 101744646B
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- elastic ring
- gasbag
- air cell
- abdominal cavity
- inflation
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Abstract
The invention relates to a temporary abdominal cavity closing device, comprising an elastic ring (5), an upper air cell (4), a lower air cell (6), a transparent cell (2), an upper air cell inflating tube (3), a lower air cell inflating tube (7) or an air cell inflating tube (3') and a drain tube port (1), wherein the elastic ring (5) has two states of expansion and contraction; the upper air cell(4) and the lower air cell (6) are circular cells after inflation and are respectively stacked at the upper surface and the lower surface of the elastic ring (5) to be connected with the elastic ring(5); the transparent cell (2) is in sealed connection with the inner side surface of the elastic ring (5) and is covered on the space enclosed by the elastic ring (5) following the expansion of the elastic ring; the upper air cell inflating tube (3), the lower air cell inflating tube (7) or the air cell inflating tube (3') are arranged on the inner wall of the elastic ring (5), the upper air cell inflating tube (3) is used for respectively inflating the upper air cell (4) and the lower air cell (6), and the lower air cell inflating tube (7) is used for simultaneously inflating the upper air cell (4) and the lower air cell (6); and the drain tube port (1) is arranged on the transparent cell (2). The device can effectively, rapidly and temporarily close the abdominal cavity, provide an observation window of intra-abdominal organs, prevent peritoneal retraction and adhesion between the intra-abdominal organs and the abdominal wall, and provide conditions for late abdominal closure.
Description
Technical field
The present invention relates to a kind of temporary abdominal cavity shutoff device, be specifically related to a kind of can be used for to close the novel temporary abdominal cavity shutoff device that the case of abdominal cavity management maybe need be opened in the abdominal cavity by first phase after the trauma of abdomen.
Background technology
All previous war midriff war wound accounts for 5%～8% of sick and wounded sum, and injure the serious trauma of abdomen sickness rate that reasons such as natural disaster such as earthquake cause at ordinary times owing to traffic then high.Abdominal part war wound and serious at ordinary times trauma of abdomen with visceral organ injury in bigger abdominal-wall defect and the serious abdomen, are to cause one of dead major reason of the sick and wounded often.The flat first aid in wartime of abdominal-wall defect is still continued to use traditional steel helmet, bowl, hemostasis bag etc. at present and is covered temporarily; But its poor compliance; Aseptic condition is poor, very easily causes internal organs exposure in the abdomen, pollution and secondary damage, and can't effectively handle during to the first aid of mortality intra-abdominal hemorrhage; Still depend on merely the treatment of a large amount of fluid infusion, shock and fast after give, be prone to forfeiture and hinder back gold and handle opportunity.
Along with domestic living standard improves gradually, the sickness rate of the serious abdominal cavity infection that acute critical pancreatitis, mesenteric embolism etc. causes is also rising year by year simultaneously.At present along with injury control surgery (damage control surgery; DCS) and gap, abdominal cavity syndrome (abdominalcompartment syndrome; ACS) widely acceptance of theory quilt clearly adopts DCS to treat serious trauma of abdomen at present and serious abdominal cavity infection patient can reduce the patient mortality rate.But DCS stresses to accomplish as early as possible operation; The conventional abdomen means of closing waste time and energy, and often because of stomach wall is more damaged, shock and reperfusion injury cause internal organs and retroperitoneal edema in the abdomen, close abdomen by force and be easy to cause reasons such as ACS and MOFE to cause the abdominal cavity not close by first phase behind the severe trauma.Simultaneously the DCS main purpose only is hemostasis and limit pollution, and because the particularity of the state of an illness such as severe abdominal trauma and abdominal cavity severe infections often needs close observation intraperitoneal situation, and implements secondary even definitiveness abdominal repeatedly.Therefore the surgeon more and more tends to take temporary abdominal cavity opening management means when cases such as treatment abdominal part war wound, serious trauma of abdomen and serious abdominal cavity infection at present.At present external open abdominal cavity managing patient has accounted for the 10%-25% of emergency treatment abdominal after the wound; But it is with Bogota bag (be cut into lamellar with the aseptic plastic transfusion bag then be sutured in fascia or skin edge), absorbability surgical patch, pig dermis collagen, operation towel sealing etc. that its temporary abdominal cavity is closed then mostly; Complicated operation, function singleness are inappropriate for the first aid condition and use, and can't satisfy multiple needs; And there are not the molding auxiliary products; Operation is comparatively complicated, causes operating time to prolong, and increases wounded's risk.Factors such as internal organs and adhesion of abdominal wall often cause the later stage abdominal cavity to close difficulty in the caused peritoneum retraction in open simultaneously abdominal cavity, the abdomen; The doctor often can only adopt means such as abdominal part skin-grafting to come the final plant closure abdominal cavity to form planned abdominal hernia; The result has to carry out second operation and repairs abdominal hernia, and potential, more risk and complication are arranged.
Therefore press for the apparatus research and development of carrying out novel temporary pass abdomen and the early stage treatment of intraperitoneal hemorrhage at present.
Summary of the invention
The purpose of this invention is to provide a kind of novel temporary abdominal cavity shutoff device; Be applicable to different big or small wounds; Can effectively reach temporary purpose of closing the abdominal cavity quickly, and the hemostasis means of intraperitoneal active hemorrhage can be provided in emergency situations, and provide the watch window of internal organs in the abdomen to reach easily operation path once more; Prevent internal organs and adhesion of abdominal wall near the abdomen of peritoneum retraction and otch, for closing the condition that provides in the later stage abdominal cavity.
For realizing above-mentioned purpose, the present invention adopts following technical scheme:
A kind of temporary abdominal cavity shutoff device is characterized in that this device comprises: elastic ring 5, upper gasbag 4, lower gasbag 6, transparent capsule 2, and wherein: said elastic ring 5 has and opens and shrink two states; Said upper gasbag 4 inflation backs are annular air-pocket, are stacked in said elastic ring 5 upper surfaces and coupled; Said lower gasbag 6 inflation backs are annular air-pocket, are stacked in said elastic ring 5 lower surfaces and coupled; Said transparent capsule 2 is sealedly attached to the inner surface of said elastic ring 5, opening and be covered in said elastic ring 5 enclosed spaces with elastic ring.
Wherein, said device also comprises: upper gasbag gas tube 3, be arranged at said elastic ring 5 inwalls, and communicate with said upper gasbag 4, and extend inflation inlet with said elastic ring 5 joints from said upper gasbag 4, be said upper gasbag 4 inflations; Lower gasbag gas tube 7 is arranged at said elastic ring 5 inwalls, communicates with said lower gasbag 6, and extends inflation inlet from said upper gasbag 4 with said elastic ring 5 joints, is said lower gasbag 6 inflations.
Wherein, Said device also comprise loading line 3 ', be arranged at said elastic ring 5 inwalls, all communicate with said upper gasbag 4, lower gasbag 6; And extending inflation inlet from said upper gasbag 4 and said elastic ring 5 joints, be that said upper gasbag 4, lower gasbag 6 are inflated simultaneously.
Wherein, said upper gasbag gas tube 3, lower gasbag gas tube 7 and said loading line 3 ' inflation inlet be unidirectional conducting orifice.
Wherein, said device also comprises the drain mouth of pipe 1, is arranged on the said transparent capsule 2.
Wherein, said upper gasbag 4 outer side edges are along being provided with circular fiber grid 8.
Wherein, said transparent capsule 2 is processed by the high tissue compatibility material.Beneficial effect:
1, this device is serial aseptic packaging product, and cost is low, can equip army and use at ordinary times;
2, finished product is easy to carry, and uses simply, is suitable for different big or small abdominal-wall defect cases, can the effectively temporary abdominal cavity of closing, and the interior internal organs of protection abdomen;
3, effectively stop the intraperitoneal active hemorrhage under the emergency situations;
4, bigger space, abdominal cavity is provided, prevents the generation of ACS, reduce mortality rate;
5, means are closed in temporary easily abdominal cavity, avoid abdominal cavity heat and fluid loss;
6, situation watch window in the abdomen is provided, is convenient to the early discovery severe complication and handles;
7, provide easily operation once more to go into the abdomen approach;
8, can avoid otch peritoneum retraction and adhesion on every side, the later stage can be through the negative pressure of vacuum supplementary means to promote wound healing, and the generation that reduces abdominal hernia reaches prosthesis probability once more;
9, have a good application prospect at aspects such as serious symptom treatment such as abdominal cavity serious symptom illness such as mesenteric embolism at ordinary times, severe pancreatitis, serious abdominal part traffic accident injuries.
Description of drawings
Fig. 1 is a temporary abdominal cavity of the present invention shutoff device structural representation;
Structural representation during Fig. 2 airbag inflation pipe unique for apparatus of the present invention have;
Fig. 3 is the sketch map that is provided with of apparatus of the present invention fiber mesh.
Among the figure: 1, the drain mouth of pipe; 2, transparent capsule; 3, upper gasbag gas tube; 4, upper gasbag; 5, elastic ring; 6, lower gasbag; 7, lower gasbag gas tube; 8, fiber mesh; 3 ' loading line.
The specific embodiment
The temporary abdominal cavity shutoff device that the present invention proposes specifies as follows in conjunction with accompanying drawing and embodiment.
As shown in Figure 1, the temporary abdominal cavity shutoff device of present embodiment comprises: elastic ring 5 has and opens and shrink two states; When making finished product, be retractable into minimum volume; Be easy to carry, can open rapidly during application, and the transparent capsule 2 that is connected with its inner surface is launched; Transparent capsule 2; Material such as polypropylene by histocompatibility is good are processed; Be sealedly attached to the inner surface of elastic ring 5,, be used for covering and close the wound chamber with the opening and be covered in said elastic ring 5 enclosed spaces of elastic ring; The interior organ protection of abdomen is provided and prevents heat and fluid loss, and watch window is provided; Upper gasbag 4, inflation back be annular air-pocket, are stacked in said elastic ring 5 upper surfaces and coupled, be used for fixing device preventing and deviate from or fall into the abdominal cavity, and the compressing wound stops blooding; Lower gasbag 6, inflation back be annular air-pocket, are stacked in said elastic ring 5 lower surfaces and coupled, are used for fixing device preventing and deviate from or fall into the abdominal cavity, can push internal organs in the abdomen open, prevent interior internal organs of abdomen and wound adhesion; The drain mouth of pipe 1 is reserved on transparent capsule 2, is used to provide drainage channel, and when first aid, provides means such as inflate in the abdomen to stop the intraperitoneal active hemorrhage; Upper gasbag gas tube 3 is arranged at elastic ring 5 inwalls, communicates with upper gasbag 4, and extends inflation inlet from upper gasbag 4 and elastic ring 5 joints, is upper gasbag 4 inflations; Lower gasbag gas tube 7; Be arranged at elastic ring 5 inwalls; Communicate with lower gasbag 6, and extend inflation inlet, be lower gasbag 6 inflations from upper gasbag 4 and elastic ring 5 joints; The inflation inlet of upper gasbag gas tube 3, lower gasbag gas tube 7 and said airbag inflation pipe is unidirectional conducting orifice, makes inflation back gas can initiatively not overflow.
In hollow organ damage to be the example that is used in master's the abdominal part open injury; This type of case is main with intra-abdominal contamination, when using this device in the treatment, at first this device elastic ring 5 is unclamped; Transparent capsule 2 opens thereupon; Elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon; Through upper gasbag inflation inlet 3,7 inflations of lower gasbag inflation inlet, upper and lower air bag 4,6 is opened; Insert drainage tube through the drain mouth of pipe 1 and connect external drainage bag drain.
Present embodiment is the application of apparatus of the present invention in the abdominal part open injury that is the master with the substantial viscera damage.The device that present embodiment provided is as shown in Figure 2, compares with the apparatus structure among the embodiment 1, have unique loading line 3 '.Is main for this type of case of abdominal part open injury of living with intraperitoneal hemorrhage with the hollow organ damage, when in treatment, using this device, at first this device elastic ring 5 is unclamped, and transparent capsule 2 opens thereupon; Elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon; Through loading line 3 ' inflation, upper and lower air bag 4,6 is opened simultaneously; Through 1 inflation of the drain mouth of pipe, improve intra-abdominal pressure to stop active hemorrhage.
Present embodiment is the application of apparatus of the present invention in temporary abdominal cavity, abdominal injury controlled operation back is closed; As shown in Figure 3; The temporary abdominal cavity shutoff device that is applied to this type of case is except that the ingredient that device comprised of embodiment 1; Also comprise the fiber mesh 8 that is arranged at upper gasbag 4 outer side edges edges, be used for tentatively fixedly peritoneum, prevent the peritoneum retraction.During use, at first this device elastic ring 5 is unclamped, transparent capsule 2 opens thereupon; Elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon and the abdominal cavity watch window is provided; Through airbag inflation pipe 7 inflations, lower gasbag 6 is opened, and upper gasbag 4 need not to open; Insert drainage tube through the drain mouth of pipe 1 and connect external drainage bag drain; Peritoneum interrupted suture around the otch is fixed in circular fiber grid 8, to prevent the peritoneum retraction; Patient can change the ICU monitoring and therapeutic over to immediately.
Device in the present embodiment can be applicable to in the big damaged abdominal operation that can't close abdomen of stomach wall; Device constitutes identical with device formation and embodiment thereof among the embodiment 3 basically with embodiment; But carry out the negative pressure of vacuum auxiliary treatment to promote the abdominal cavity closed voluntarily at treatment later stage capable of using device, solve the problem that the traditional treatment mode need be gone secondary such as skin-grafting, hernia repairing even repeatedly performed the operation: on transparent capsule 2, do several diameters 1～2mm aperture with knife blade; Dressing (aseptic operation towel or gauze pad) is folded into damaged size, is laid on the aseptic polypropylene film; Place 2 drain urinary catheters at the dressing superficial surface, the drain urinary catheter is parallel with the wound direction, stabs window through subcutaneous tissue in the other normal skin of wound and draws; Paste film (operation protecting film) with polyester plastics and cover wound surface formation one closed chamber, drainage tube connects vacuum suction, and vacuum suction is about 100～150mmHg (1mmHg=0.133kPa); After vacuum suction, wound can be drawn close gradually voluntarily, may ultimately reach healing voluntarily or only goes simple purpose of repairing.
Above embodiment only is used to explain the present invention; And be not limitation of the present invention; The those of ordinary skill in relevant technologies field under the situation that does not break away from the spirit and scope of the present invention, can also be made various variations and modification; Therefore all technical schemes that are equal to also belong to category of the present invention, and scope of patent protection of the present invention should be defined by the claims.
Claims (6)
1. temporary abdominal cavity shutoff device is characterized in that this device comprises: elastic ring (5), upper gasbag (4), lower gasbag (6), transparent capsule (2), wherein:
Said elastic ring (5) has and opens and shrink two states;
Said upper gasbag (4) inflation back is an annular air-pocket, is stacked in said elastic ring (5) upper surface and coupled;
Said lower gasbag (6) inflation back is an annular air-pocket, is stacked in said elastic ring (5) lower surface and coupled;
Said transparent capsule (2) is sealedly attached to the inner surface of said elastic ring (5), opening and be covered in said elastic ring (5) enclosed space with elastic ring;
Said device also comprises:
Upper gasbag gas tube (3) is arranged at said elastic ring (5) inwall, communicates with said upper gasbag (4), and extends inflation inlet from said upper gasbag (4) and said elastic ring (5) joint, is said upper gasbag (4) inflation; And
Lower gasbag gas tube (7) is arranged at said elastic ring (5) inwall, communicates with said lower gasbag (6), and extends inflation inlet from said upper gasbag (4) and said elastic ring (5) joint, is said lower gasbag (6) inflation;
Or said device also comprises:
Loading line (3 ') is arranged at said elastic ring (5) inwall, all communicates with said upper gasbag (4), lower gasbag (6), and extends inflation inlet from said upper gasbag (4) and said elastic ring (5) joint, is said upper gasbag (4), lower gasbag (6) inflation simultaneously.
2. temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that, the inflation inlet of said upper gasbag gas tube (3) and lower gasbag gas tube (7) is unidirectional conducting orifice.
3. temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that the inflation inlet of said loading line (3 ') is unidirectional conducting orifice.
4. temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that said device also comprises the drain mouth of pipe (1), is arranged on the said transparent capsule (2).
5. temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that, said upper gasbag (4) outer side edges is along being provided with circular fiber grid (8).
6. temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that said transparent capsule (2) is processed by the high tissue compatibility material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008102390124A CN101744646B (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal cavity closing device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008102390124A CN101744646B (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal cavity closing device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101744646A CN101744646A (en) | 2010-06-23 |
| CN101744646B true CN101744646B (en) | 2012-03-07 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008102390124A Expired - Fee Related CN101744646B (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal cavity closing device |
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| Country | Link |
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| CN (1) | CN101744646B (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104161594A (en) * | 2014-08-14 | 2014-11-26 | 上海交通大学医学院附属上海儿童医学中心 | Delayed sternal closure skin incision seal and drainage device and application thereof |
| CN104173082A (en) * | 2014-09-11 | 2014-12-03 | 王雯 | Wound closing device |
| CN112155615B (en) * | 2020-09-29 | 2024-03-26 | 吉林大学 | Medical craniocerebral operation channel closing device |
| CN113633330B (en) * | 2021-09-06 | 2022-09-27 | 温州医科大学附属第二医院（温州医科大学附属育英儿童医院） | Spreading device for open abdomen operation |
| CN116270020B (en) * | 2023-02-25 | 2024-01-16 | 中国人民解放军总医院第一医学中心 | Temporary protective negative pressure closing device for abdominal open wound |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0950376A1 (en) * | 1998-04-07 | 1999-10-20 | Hakko Electric Machine Works, Co., Ltd. | Valved surgical access port |
| US6033426A (en) * | 1997-07-29 | 2000-03-07 | Olympus Optical Co., Ltd. | Access device for surgical treatment |
| CN2489726Y (en) * | 2001-06-07 | 2002-05-08 | 金海明 | Aerated abdominoscope cavity tissue extraction bag |
-
2008
- 2008-12-04 CN CN2008102390124A patent/CN101744646B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6033426A (en) * | 1997-07-29 | 2000-03-07 | Olympus Optical Co., Ltd. | Access device for surgical treatment |
| EP0950376A1 (en) * | 1998-04-07 | 1999-10-20 | Hakko Electric Machine Works, Co., Ltd. | Valved surgical access port |
| CN2489726Y (en) * | 2001-06-07 | 2002-05-08 | 金海明 | Aerated abdominoscope cavity tissue extraction bag |
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| Publication number | Publication date |
|---|---|
| CN101744646A (en) | 2010-06-23 |
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Granted publication date: 20120307 Termination date: 20121204 |