The apparatus of one group of surgical drainage
Technical field
The present invention relates to a kind of medical apparatus, especially the apparatus of one group of surgical drainage.
Background technology
Pneumothorax, hydrothorax, seroperitoneum and pericardial effusion are common diseases, and surgical drainage is that it mainly treats measure.Present closed drainage of thoracic cavity operation (method that drainage tube is inserted) is to clamp drainage tube with middle curved forceps to insert in the thoracic cavity, and wound is bigger, and certain operational risk is arranged; Though the use of the drainage tube of built-in steel pipe is arranged clinically, its length is long, front end is sharp, operation is inconvenient, thereby operational risk is bigger.Abdominal cavity or pericardial cavity surgical drainage need incision and drainage successively, and wound is bigger, and the more abdominal cavity liquid of postoperative appearance sometimes oozes out around drainage tube.
Summary of the invention
The objective of the invention is to overcome the defective of prior art, the apparatus of one group of surgical drainage is provided, with the safety of raising operation technique, and minimizing is to patient's wound.
To achieve these goals, the apparatus of one group of surgical drainage of the present invention comprises:
Drainage tube comprises the front end mouth of pipe and rear tab, and is provided with the drainage tube side opening on its front end tube wall;
T type handle comprises guide post and grip part, and the front end of guide portion is streamlined blunt nosed shape, and the grip part is the streamlined hands that is beneficial to and holds;
The incision of skin cutter, it comprises handle of a knife and cutter hub, and this cutter hub comprises the blade of front end and the root of rear end, and this root is fixed on the front end face of this handle of a knife, and forms limited step portion between the front end face of the surface of this root and this handle of a knife;
Seal wire, its length be greater than the length of described drainage tube, and can pass described drainage tube, and this seal wire comprises the hard section of being made by hard material and is located at made by soft material soft section of this hard section front end;
Puncture needle, it comprises needle body and syringe needle, and this needle body is a vertical passage, is provided with the puncture needle side opening that communicates with its vertical passage on the front end side wall of this needle body, and this syringe needle front end seals and is blunt nose;
Fixation clamp is the finger ring shape, and the tooth button is arranged.
Preferably, described drainage tube is a straight tube; Perhaps described drainage tube is " L " shape bend pipe, is provided with the sign that shows its bending direction on the rear tab of this drainage tube; When inflating balloon, inflating catheter and inflation piston were arranged, inflating catheter and inflation piston were for showing the sign of drainage tube bending direction.
Preferably, be provided with inflating balloon, inflating catheter and inflation piston on described drainage tube, this inflating balloon is fixed in the front portion of this drainage tube, and this inflating catheter that passes through of this inflating balloon is communicated with the inflation piston.
Preferably, on the drainage tube of described inflating balloon back, be fixed with clamp.
Preferably, the hardness of described drainage tube and the corresponding part of human body thoracic wall is greater than the hardness of other parts.
Preferably, described fixation clamp is the finger ring shape, and the tooth button is arranged, and there is spot-like projections the inboard of fixation clamp, or the wire projection, and fixation clamp two ends free edge has knot line hole, hole.
Preferably, the point of a knife of before the middle part of described blade is oriented, giving prominence to, or blade is flat.
Preferably, the front end of described cutter hub to the distance of described handle of a knife front end face is 0.2~3.0cm.
Preferably, the length of described cutter hub cross section is L, and 1/2nd of the outer circumference of described drainage tube is M, and 0<L-M<3.0cm.
Preferably, described T type handle, comprise guide post and grip part, the front end of guide portion is streamlined blunt nosed shape, the cross section of the first half of guide portion head end be shaped as ellipse, latter half of cross section is rounded, and carries out the transition to latter half of circle gradually by the ellipse of first half, and the grip part is streamlined being beneficial to and holds.
Preferably, described T type handle, comprise guide post and grip part, the front end of guide portion is streamlined blunt nosed shape, the cross section of the first half of guide portion head end be shaped as ellipse, latter half of cross section is rounded, and the ellipse by first half carries out the transition to latter half of circle gradually, in the guide post guide duct can be arranged, a side opening is in the guide post front end, and opposite side is opened on the grip part; The grip part is streamlined being beneficial to and holds.
Preferably, also comprise lift hook, comprise the pulling part and the hook portion that is positioned at its both sides at middle part.
Compared with prior art, the present invention has the following advantages.
(1) does skin incision with Wicresoft's incision of skin cutter, can reduce skin incision as much as possible, to satisfy the beauty treatment requirement.
(2) drainage tube adopts the fixation of built-in inflating balloon and external clamp to fix, good reliability, and also drainage tube adopts bend pipe, is convenient to carry out the drain of pneumothorax and hydrothorax.During pneumothorax, drainage tube upwards; During hydrothorax, drainage tube is downward.During the drain seroperitoneum, drainage tube can be adjusted to downwards.
(3) adopt T type handle that drainage tube is inserted in the body, can reduce wound, improve the safety of operation technique.
(4) adopt blunt nosed lancet puncture, seal wire guiding, syringe needle is run into internal organs in the time of can avoiding being expert at puncture, causes organ injury.
(5) adopt lift hook to lift stomach wall and carry out the intraperitoneal drainage operation, can reduce the damage abdominal viscera as much as possible.
This shows that the apparatus of one group of surgical drainage of the present invention can improve the safety of operation technique, and reduce wound patient.
Description of drawings
Fig. 1-the 1st, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, clamp, this drainage tube is a straight tube, and points hardness's partial enhanced is arranged.
Fig. 1-2 is the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, clamp, and this drainage tube is a straight tube.
Fig. 1-the 3rd, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, this drainage tube is a straight tube, and points hardness's partial enhanced is arranged.
Fig. 1-the 4th, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, this drainage tube are straight tube.
Fig. 1-the 5th, the schematic perspective view of embodiment of the invention drainage tube, this drainage tube is a straight tube, and points hardness's partial enhanced is arranged.
Fig. 1-the 6th, the schematic perspective view of the drainage tube of the embodiment of the invention, this drainage tube are straight tube.
Fig. 2-the 1st, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, clamp, this drainage tube is a bend pipe, and points hardness's partial enhanced is arranged.
Fig. 2-the 2nd, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, clamp, this drainage tube are bend pipe.
Fig. 2-the 3rd, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, this drainage tube is a bend pipe, and points hardness's partial enhanced is arranged.
Fig. 2-the 4th, the schematic perspective view of the drainage tube of embodiment of the invention band inflating balloon, this drainage tube are bend pipe.
Fig. 2-the 5th, the schematic perspective view of embodiment of the invention drainage tube, this drainage tube is a bend pipe, and points hardness's partial enhanced is arranged.
Fig. 2-the 6th, the schematic perspective view of the drainage tube of the embodiment of the invention, this drainage tube are bend pipe.
Fig. 3-the 1st, the schematic perspective view of the fixation clamp of the embodiment of the invention, the clip inner face has spot-like projections.
Fig. 3-the 2nd, the schematic perspective view of the fixation clamp of the embodiment of the invention, the clip inner face has the wire projection.
Fig. 4-the 1st, the schematic perspective view of the T type handle of the embodiment of the invention.
Fig. 4-the 2nd, the schematic perspective view of the T type handle of the embodiment of the invention has guiding channel in its guide post.
Fig. 4-the 3rd, the head end cross sectional representation is lived in the guiding of the T type handle of the embodiment of the invention.
Fig. 5-the 1st, the schematic perspective view of the incision of skin cutter of the embodiment of the invention, the point of a knife that the oriented pass of blade is outstanding.
Fig. 5-the 2nd, the schematic perspective view of the incision of skin cutter of the embodiment of the invention, blade has straight.
Fig. 6 is the schematic perspective view of embodiment of the invention seal wire.
Fig. 7 is the schematic perspective view of the blunt nosed puncture needle of the embodiment of the invention.
Fig. 8 is the sketch map of embodiment of the invention lift hook.
Description of reference numerals:
11, drainage tube; 111, the front end mouth of pipe; 112, rear tab; 113, side opening; 114, sign; 12, inflating balloon; 121, the opening of airway; 13, clamp; 14, inflating catheter; 141, inflation piston; 20, T type hands handle; 21, the guide post of T type handle; 22, the grip part of T type handle; 211, the head end of T type handle; 213, the guiding channel in the guide post of T type handle; 212, the head end opening of the guiding channel in the guide post of T type handle; 214, the grip part opening of the guiding channel in the guide post of T type handle; 211A, the preceding half section cross section of T type handle head end; The cross section of 211B, T type handle head end second half section; 30, incision of skin cutter; 31, cutter hub; 32, handle of a knife; 33, limited step portion; 35, local incision crop portion of amplifying; 40, seal wire; 41, seal wire hard section; 42, seal wire is soft section; 15, the part of drainage tube increases hard portion; 61, the pipe tunnel in the puncture needle; 62, puncture needle is blunt nosed; 63, the side opening of puncture needle; 64, the tail end opening of puncture needle; 82, crotch portion; 83, pulling part; 90, fixation clamp; 92, the protuberance of tooth button; 93, the depressed part of tooth button; 94, the protruding point of fixation clamp inner face; 95, the flash line of fixation clamp inner face; 96, the binding hole of fixation clamp free edge.
The specific embodiment
Below in conjunction with accompanying drawing embodiments of the invention are elaborated:
As Fig. 1-1 to shown in 8, the apparatus of one group of surgical drainage is made up of drainage tube 11, T type handle 20, fixation clamp 90, seal wire 40, puncture needle 60 and incision of skin cutter 30, drainage tube 11 has the front end mouth of pipe 111 and rear tab 112, and is provided with side opening 113 on its front end tube wall; Drainage tube 11 is straight tube or " L " shape bend pipe, rear tab 112 at bend pipe has the sign 114 (position of sign is opposite with the drainage tube bending direction) that shows bending direction, during if any inflating catheter and inflating balloon, then airway and the position of filling institute's sacculus indicate the direction (position of inflating catheter is opposite with the drainage tube bending direction) of drainage tube bending.Preferably, on drainage tube 11, be fixed with fixture, this fixture comprises inflating balloon 12, reaches clamp 13, inflating balloon 12 links to each other with the inflation piston by filling conduit 14, this inflating balloon 12 is fixed in the front portion of this drainage tube 11, this inflating catheter 14 is located on the tube wall of drainage tube 11, and its front end has inflating catheter opening 121 to be communicated with the inner chamber of inflating balloon 12.Clamp 13 is fixed on the drainage tube 11 of inflating balloon 12 rear sides.There is the part of drainage tube to increase hard portion 15 between inflating balloon 12 and the clamp.
Fixation clamp 90 is the finger ring shape, and its free-end respectively has the protuberance 92 of tooth button and the depressed part 93 of tooth button, but both close up the fastening fixation clamp; Its inner face has protruding point 94 or flash line 95, strengthens its fixation to drainage tube; Its free edge has the tie lines hole, will tie and tie a knot after the hole line passes these two holes, gets loose to prevent fixation clamp.
T type handle 20 comprises guide post 21 and grip part, the head end 211 of its guide post is bullet-headed, the cross section 211A ovalize that head end is preceding half section, the cross section 211B of head end second half section is rounded, in the guide post of T type handle guiding channel 213 can be arranged, guiding channel has head end opening 212 and grip part opening 214.
Seal wire 40 comprises the hard section of being made by hard material 41 and is located at made by soft material soft section 42 of this hard section front end, and this hard section 41 and this diameter of soft section 42 are all less than the aperture of the internal diameter and the front end mouth of pipe 111 thereof of drainage tube 11.
It is hollow-core construction for a puncture needle 60, syringe needle 62 sealings of this pin and be blunt nosed, preferably, for bullet-headed.On the front end side wall of puncture needle 60, be provided with the side opening 63 that is communicated with its pipe tunnel 61.Be provided with the tail end opening 64 of union joint in the rear end of puncture needle 60.
Incision of skin cutter 30 comprises handle of a knife 32 and is located at the cutter hub 31 of these handle of a knife 32 front ends, this cutter hub comprises the blade of front end and the root of rear end, this root is fixed on the front end face of this handle of a knife, and forms limited step portion 33 between the front end face of the surface of this root and this handle of a knife.Like this, when vertical feed, limited step portion 33 can avoid depth of cut too dark, and the skin incision that incision of skin cutter 30 is cut can just be inserted drainage tube 11, to reduce wound, reaches cosmetic result.
Lift hook 80 comprises crotch portion 83 and pulling part 83, inserts in the skin incision, abdominal skin can be mentioned.
Use the operational approach of apparatus of above-mentioned surgical drainage as follows:
One, closed drainage of thoracic cavity operation:
Earlier with ordinary syringe row local anaesthesia, and puncture take out gas or liquid (, can omit above step) as rabat before the art and ultrasonic to confirm diagnosis person; Do a little otch at point of puncture with incision of skin cutter 30 then; T type handle 20 is inserted in the thick drainage tube 11, under the mediation of T type handle 20, thick drainage tube 11 is inserted in the thoracic cavity, and link to each other with the breast bottle; Have inflating balloon 12 as thick drainage tube 11, be close to thoracic wall then with inflating balloon 12 inflations, and with inflating balloon 12; At last with clamp 13 or fixation clamp 90 fixing thick drainage tubes 11.When selecting bend pipe for use, adjust the direction of drainage tube by the outer sign of drainage tube joint, (drainage tube 11 upwards is convenient to drain gas up or down to make drainage tube 11; Drainage tube 11 is downward, is convenient to draining fluids).Also can earlier under the guiding of blunt nosed puncture needle, seal wire be introduced the thoracic cavity, select the T type handle 20 of guiding channel again for use, under the promotion of seal wire mediation and T type handle, drainage tube be inserted in the thoracic cavity.
This shows that present embodiment is inserted method by adopting the drainage tube 11 under 20 mediations of T type handle, can reduce operation wound and reduce operational risk; Adopt inflating balloon 12 to do internal fixation, clamp 13 or fixation clamp 90 are done external fixation, can avoid using sutures, as much as possible Wicresoft; Adopt incision of skin cutter 30 to do skin incision, the skin incision size can just insert selected drainage tube 11 (otch be longer than slightly drainage tube 11 perimeter of section 1/2nd), can dwindle skin incision, and depth controlled be built in only cutting skin, the postoperative cosmetic result is good.
Two, intraperitoneal drainage art:
When carrying out abdominal cavity and pericardial cavity drain, cut skin with the incision of skin cutter after, lift hook can be inserted in the skin incision, on carry lift hook, and then puncture or put the pipe operation, can avoid damaging abdominal viscera.
Be specific embodiments of the invention only below, do not limit protection scope of the present invention with this; Any replacement and the improvement done on the basis of not violating the present invention's design all belong to protection scope of the present invention.