CN103519856B - The auxiliary used in a kind of operation stitching subtracts prop tool - Google Patents

The auxiliary used in a kind of operation stitching subtracts prop tool Download PDF

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Publication number
CN103519856B
CN103519856B CN201310484768.6A CN201310484768A CN103519856B CN 103519856 B CN103519856 B CN 103519856B CN 201310484768 A CN201310484768 A CN 201310484768A CN 103519856 B CN103519856 B CN 103519856B
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CN
China
Prior art keywords
hole
layer
wound
stitch
subtracts
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Expired - Fee Related
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CN201310484768.6A
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Chinese (zh)
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CN103519856A (en
Inventor
薛春雨
吕川
王宇翀
戴海英
朱吉
赵辉
范勇杰
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CN201310484768.6A priority Critical patent/CN103519856B/en
Publication of CN103519856A publication Critical patent/CN103519856A/en
Application granted granted Critical
Publication of CN103519856B publication Critical patent/CN103519856B/en
Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery

Abstract

The invention belongs to technical field of medical instruments, the invention provides the auxiliary used in a kind of operation stitching and subtract prop tool, for fillet cuboid, including subtracting a layer (1), adsorption layer (2), stitch hole (3) and observation hole (4);Subtracting a layer (1) and be positioned at the top of adsorption layer (2), two-layer is combined closely;Stitch hole (3) and observe hole (4) and all run through and subtract a layer and adsorption layer;Stitch hole (3) is two rows and symmetrical.The present invention is when wound Intradermal is fully sewed up, simplify skin tension reducing suturing skill, give the suitable pressure of wound simultaneously and reduce oozing of blood, during ensure that manual interrupted suture, the distance between every pin is equal, prevent scar hyperplasia and the suture dissection caused because skin tension is excessive, be finally reached promotion wound closure, be easy to Wound during Dressing Change and observation, the skin relaxation device of prevention of scar hypertrophy.

Description

The auxiliary used in a kind of operation stitching subtracts prop tool
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of for operative incision sewing process In skin tension reducing medical apparatus.
Background technology
Operative incision is at more than 10cm and irregular otch at present, and otch tension force is relatively big, there is low albumen Mass formed by blood stasis and diabetes etc. affect the factor of wound healing, neonate, gerontal patient, it is possible to abdomen occurs The high risk patient of wall disruption of wound, all can form bigger tension force after sewing up the incision, and it is right to be susceptible to With situations such as uneven, scar hyperplasia even wound dehiscences.If prolongation clearing time, then cannot avoid Chronic dissection and suture that wound is produced by suture are absorbed in skin histology and cause the feelings of difficulty of taking out stitches Condition.
Reduce wound tension force at present and mainly have two kinds of methods: improve suture way and use auxiliary to subtract prop Tool.The suture way improved, mainly has vertical holostrome interrupted suture, vertical matress interrupted suture, water Flat cotton-padded mattress formula interrupted suture etc., although all assist and employ silica gel tube or liner made by rubber tube, but the most complete Layer interrupted suture, the tension force of vertical matress interrupted suture otch act on the local group of little area under suture Knitting, tissue lifting surface area is little, and skin and subcutaneous tissue are cut and make to subtract bracing cable and loosen, thus Lose introfaction.Although horizontal mattress interrupted suture increases the contact area of suture and tissue, Decrease tissue cutting, but tensioned owing to subtracting a suture, affect blood fortune and the healing of incisxal edge, very To causing margin tissue downright bad.
The auxiliary of Clinical practice subtracts prop tool at present, mainly has skin slide fastener, butterfly-shaped adhesive, skin to hinder Mouth closure devices etc., purpose is all needleless Guan Bi wound, is easy to wound drainage and the effect observed of changing dressings. It is such as: Chinese patent CN87108125, invention entitled that " a kind of utensil closing wound and use should The method of utensil ", Publication No. CN87108125, disclose a kind of the biggest for closing wound In the utensil of elongated surgical wound on body, it includes a slide fastener, and this slide fastener is supported band by two, At the mosaic tooth grate supported on band and a pull head composition;Chinese patent CN03117364.0, invention Entitled " skin wound closure device ", Publication No. CN1524507, disclose a kind of promotion wound certainly So skin wound closure device of healing, this skin wound closure device includes two respectively along skin wound two The bar shaped support band of side layout and base band, base band is arranged on the upper surface of bar shaped support band, in base band It is provided with secondary or many secondary locking devices connecting base band;Chinese patent CN200820005373.8, sends out Bright entitled: " new pattern compress of a kind of subsidiary wound closure function ", notification number is CN201244126, Disclose the new pattern compress of a kind of subsidiary wound closure function, by supporting paster, connecting line and covering patch Sheet collectively constitutes;Chinese patent CN200920129390.7, invention entitled " a kind of wound that closes Utensil ", notification number is CN201346221, discloses a kind of utensil closing wound, including: slide fastener Portion and fixed part, described slide fastener portion includes: support band, be embedded in described support band on tooth row and It is arranged on the pull head portion on described tooth row;Described fixed part includes paste section, and described support band is with described Paste section is fastenedly connected;Chinese patent CN201020569683.X, invention entitled " skin relaxation device " Disclose a kind of skin relaxation device reducing wound edge skin tension, including fixed part and formula lock of can loosening Button portion, fixed part is two bar shaped adhesive tapes placed along skin wound both sides respectively;Latch part includes Support base band, be embedded in described support base band and secondary or many secondary connections to support the snap close of base band and unidirectional With two-way lock strap ...
The above auxiliary subtracts the main purpose function of prop tool and is to close wound, has a little minimizing concurrently The effect of skin tension;When Clinical practice, easily cause wound drainage during skin slide fastener Guan Bi not smooth, And inconvenience of changing dressings;And skin wound closure device locking device is sealed for loosening, and press close to skin Skin, across wound, will also result in wound drainage not smooth, inconvenience of changing dressings, it is difficult to be used in rugged portion Position, such as wound and the cicatrix higher than skin surface of caving in;Although skin relaxation device overcome inadequate drainage, Change dressings the shortcoming of inconvenience, but chronic dissection that wound produces by suture and suture cannot be avoided sunken Enter skin histology and cause the situation of difficulty of taking out stitches, and do not absorb wound and ooze out, simplify and subtract seam Conjunction technology, give the suitable pressure of wound to reduce the effect such as oozing of blood.
Summary of the invention
It is an object of the invention to overcome the deficiencies in the prior art, it is provided that one can be filled at wound Intradermal Simplify skin tension reducing suturing skill when parting closes, give the suitable pressure of wound simultaneously and reduce oozing of blood, protect During having demonstrate,proved manual interrupted suture, the distance between every pin is equal, prevents from causing because skin tension is excessive Scar hyperplasia and suture dissection, be finally reached promotion wound closure, be easy to Wound during Dressing Change and sight The auxiliary examine, used in the operation stitching of prevention of scar hypertrophy subtracts prop tool.
For solving above-mentioned technical problem, the invention provides the auxiliary used in a kind of operation stitching and subtract Apparatus, also referred to as skin tension reducing stitching devices or skin relaxation device, it is fillet cuboid, opens including subtracting Layer, adsorption layer, stitch hole and observation hole;Subtracting a layer and be positioned at the top of adsorption layer, two-layer is tight In conjunction with;Stitch hole and observe hole and all run through and subtract a layer and adsorption layer;Stitch hole is two rows and a left side Right symmetry.
It is positioned in the middle of two row's stitch holes it is preferred that observe hole.
It is preferred that spacing between the symmetrical stitch hole stitch hole adjacent with a row Spacing is equal, and spacing is advisable with 5mm-20mm, most preferably 10mm.
The described material subtracting a layer can be selected for medical polyethylene;The material of described adsorption layer can be selected for The absorbent cotton of non-woven wraps;Two-layer is binded mutually.
Described medical polyethylene, can be selected for Low Density Polyethylene, middle petrochemical industry Beijing Yanshan Petrochemical Company Product, the trade mark is LD100AC etc..
Described non-woven fabrics is medical spun-laced nonwoven fabric.
Described Cotton Gossypii is medical absorbent cotton.
Described adsorption layer presses close to operative incision.
Described observation port hole dia is advisable with 3mm-15mm, and effect is to observe.
The present invention can be according to the size of clinical operation otch, and the auxiliary preparing different size subtracts prop Tool, such as large size: a length of 24cm, a width of 4cm;Stitch hole is two rows, and often row 10, adjacent The spacing of stitch hole be 20mm;Observing hole is 9, a diameter of 15mm.Medium size: a length of 12cm, a width of 2cm;Stitch hole is two rows, often row 10, and the spacing of adjacent stitch hole is 10mm;Observing hole is 9, a diameter of 6mm.Small size: a length of 6cm, a width of 1cm;Seam Closing hole is two rows, often row 10, and the spacing of adjacent stitch hole is 5mm;Observing hole is 9 Individual, a diameter of 3mm.
The length of the present invention can be pruned according to needing in art.Such as operative incision is 10cm, this The auxiliary of invention subtracts a length of 12cm, a width of 2cm of prop tool;Stitch hole is two rows, often arranges 10 Individual, the spacing of adjacent stitch hole is 10mm;Observing hole is 9, a diameter of 6mm.
The material that subtracts selected due to the present invention is polyethylene, milky, tasteless, odorless and nontoxic. It is characterized in low price, better performances, is the preferable material being widely used today in medical apparatus and instruments Material, can resist suture cutting force as subtracting a material, give wound pressure simultaneously, is conducive to hemostasis, Middle hole facilitate in art to and skin, clinical follow wound and changing dressings.
The absorbent cotton that adsorbing material is non-woven wraps selected due to the present invention, has stronger absorption to inhale Adduction, according to the concrete condition of wound coordinate medicine spread upon can play on non-woven fabrics antibacterial and The bactericidal action of microorganism.The adsorption layer adsorption capacity of the present invention is big, adsorption efficiency is high, it is ensured that Being dried of wound, absorbent cotton expands compressing wound after absorbing oozing of blood can promote hemostasis.Later stage is hindered The storage that absorbs of mouth transudate can guarantee that again wound is under certain humidity environment.The present invention uses doctor Wrap up absorbent cotton with spun-laced nonwoven fabric, absorbent cotton can be avoided directly to contact with wound surface, form flocculence different Thing or chip affect wound surface and recover.
The medical spun-laced nonwoven fabric that the present invention uses is with viscose and terylene as raw material, by waterpower straight line It is laid into net to prepare.Sanitation and hygiene, and flexibility is good.Certain viscose accounting, gives spun lacing nonwoven The water absorption that cloth is good, the water penetration that the mesh-structured spun-laced nonwoven fabric of imparting again is good.
The present invention comprehensively plays polythene material and reduces wound tension force and the absorption of non-woven wraps absorbent cotton Effect.Product is made to be provided simultaneously with subtracting and absorbability.
The invention has the beneficial effects as follows, skin tension reducing can be simplified when wound Intradermal is fully sewed up and sew up Technology, gives the suitable pressure of wound simultaneously and reduces oozing of blood, it is ensured that be every during manual interrupted suture Distance between pin is equal, prevents scar hyperplasia and the suture dissection caused because skin tension is excessive, It is finally reached promotion wound closure, is easy to Wound during Dressing Change and observation, the skin tension reducing of prevention of scar hypertrophy Device.Present invention accomplishes wound and suture material is subtracted the requirement opened and adsorb.And can produce by batch full The foot market demand.
Low cost of the present invention, function is strong, and application prospect is wide, is expected to industrialization in the future and produces, and solves Clinical practice requirements of one's work.It is particularly well-suited to plastic surgery, general surgery, cardiothoracic surgery, urinary system The operative incision of the surgical team such as surgery is at more than 10cm, and irregular otch, otch tension force is relatively big, deposits Affect the factor of wound healing, neonate, gerontal patient in hypoproteinemia and diabetes etc., having can The wound suture of the high risk patient of abdominal wound disruption can occur.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention,
Wherein: 1 for subtracting a layer;2 is adsorption layer;3 is stitch hole;4 for observing hole.
Detailed description of the invention
With embodiment, the present invention is described in further detail below in conjunction with the accompanying drawings, but the enforcement of the present invention It is not limited only to this.
Embodiment 1:
As it can be seen, the auxiliary used in a kind of operation stitching subtracts prop tool, it is fillet cuboid, Including subtracting a layer 1, adsorption layer 2, stitch hole 3 and observing hole 4;Subtract a layer 1 and be positioned at adsorption layer The top of 2, two-layer is combined closely;Stitch hole 3 and observe hole 4 and all run through and subtract a layer 1 and absorption Layer 2;Stitch hole is two rows and symmetrical.
Embodiment 2:
The auxiliary used in a kind of operation stitching subtracts prop tool, and remaining observes hole 4 with embodiment 1 It is positioned in the middle of two row's stitch holes 3.
The spacing of the stitch hole 3 that the spacing between symmetrical stitch hole 3 is adjacent with a row Equal, spacing is 10mm.
The described material subtracting a layer 1 or selection medical polyethylene;The material of described adsorption layer 2 can Select the absorbent cotton of non-woven wraps;Two-layer is binded mutually.
Described medical polyethylene, can be selected for Low Density Polyethylene, middle petrochemical industry Beijing Yanshan Petrochemical Company Product, the trade mark is LD100AC.
Described non-woven fabrics is medical spun-laced nonwoven fabric.
Described Cotton Gossypii is medical absorbent cotton.
Embodiment 3:
The auxiliary used in a kind of operation stitching of the present invention subtracts prop tool, during Clinical practice, and operation seam First from side stitch hole 3 inserting needle during conjunction, go out from another paired stitch hole 3 again after skin suture Pin, after having operated successively, the apparatus of the pressing present invention to above wound, all sutures cutting of tiing a knot Complete after line to sew up.The double effects that wound subtracts and absorption is oozed out can be reached.
The Clinical practice of the present invention is implemented:
Patient 1, the operative incision of sufferer I type of hypoproteinemia type, and operative incision is 10cm , the auxiliary of the present invention subtracts a length of 12cm of prop tool, a width of 2cm;Stitch hole is two rows, often Arranging 10, the spacing of adjacent stitch hole is 10mm;Observing hole is 9, a diameter of 6mm.
Patient 2, and skin excision crosses the operative incision of eurypalynous sufferer I type, and operative incision is 5cm , the auxiliary of the present invention subtracts a length of 6cm of prop tool, a width of 1cm;Stitch hole is two rows, often Arranging 10, the spacing of adjacent stitch hole is 5mm;Observing hole is 9, a diameter of 3mm.
Patient 3, the operative incision of sufferer I type of diabetes type, and operative incision is 20cm, The auxiliary of the present invention subtracts a length of 24cm of prop tool, a width of 4cm;Stitch hole is two rows, often arranges 10 Individual, the spacing of adjacent stitch hole is 20mm;Observing hole is 9, a diameter of 15mm.
Below preferred embodiment to the invention is illustrated, but the invention is also Being not limited to described embodiment, those of ordinary skill in the art are before the invention spirit Putting modification or the replacement that also can make all equivalents, modification or the replacement of these equivalents are all contained in In the application claim limited range.

Claims (7)

1. the auxiliary used in an operation stitching subtracts prop tool, it is characterised in that it is fillet cuboid, Including subtracting a layer (1), adsorption layer (2), stitch hole (3) and observing hole (4);Subtract a layer (1) Being positioned at the top of adsorption layer (2), two-layer is combined closely;Stitch hole (3) and observation hole (4) All run through and subtract a layer and adsorption layer;Stitch hole (3) is two rows and symmetrical;Described subtracts a layer (1) material is medical polyethylene;The defat that material is non-woven wraps of described adsorption layer (2) Cotton;Two-layer is binded mutually.
The auxiliary used in a kind of operation stitching the most according to claim 1 subtracts prop tool, and its feature exists In, observe hole (4) and be positioned in the middle of two row's stitch holes (3).
The auxiliary used in a kind of operation stitching the most according to claim 1 subtracts prop tool, and its feature exists In, the stitch hole (3) that the spacing between symmetrical stitch hole (3) is adjacent with a row Spacing equal, spacing is 5mm-20mm.
4. subtract prop tool according to the auxiliary used in a kind of operation stitching described in claim 1,2 or 3, It is characterized in that, described observation hole (4) a diameter of 3mm-15mm.
5. subtract prop tool according to the auxiliary used in a kind of operation stitching described in claim 1,2 or 3, It is characterized in that, described auxiliary subtracts a length of 24cm of prop tool, a width of 4cm;Stitch hole (3) Being two rows, often row 10, the spacing of adjacent stitch hole is 20mm;Observing hole (4) is 9 Individual, a diameter of 15mm.
6. subtract prop tool according to the auxiliary used in a kind of operation stitching described in claim 1,2 or 3, It is characterized in that, described auxiliary subtracts a length of 12cm of prop tool, a width of 2cm;Stitch hole (3) Being two rows, often row 10, the spacing of adjacent stitch hole is 10mm;Observing hole (4) is 9 Individual, a diameter of 6mm.
7. subtract prop tool according to the auxiliary used in a kind of operation stitching described in claim 1,2 or 3, It is characterized in that, described auxiliary subtracts a length of 6cm of prop tool, a width of 1cm;Stitch hole (3) is Two rows, often row 10, the spacing of adjacent stitch hole is 5mm;Observing hole (4) is 9, A diameter of 3mm.
CN201310484768.6A 2013-10-16 2013-10-16 The auxiliary used in a kind of operation stitching subtracts prop tool Expired - Fee Related CN103519856B (en)

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CN103892880A (en) * 2014-04-03 2014-07-02 上海世立国际贸易有限公司 Leather button for wound healing
US9622844B2 (en) 2014-10-31 2017-04-18 Prevent Patch, LLC Devices and methods for preventing incisional hernias
US9895212B2 (en) * 2014-10-31 2018-02-20 Prevent Patch LLC Devices and methods for preventing incisional hernias
FR3032344B1 (en) * 2015-02-06 2020-11-13 Medical Innovation Dev SKIN EXPANSION SYSTEM
US10603154B2 (en) 2015-03-31 2020-03-31 Prevent Patch, LLC Devices and methods for preventing incisional hernias
CN108852439A (en) * 2018-07-27 2018-11-23 谭雄进 A kind of suture tissue fixation device
CN109171853B (en) * 2018-09-30 2021-03-16 温学辉 Skin protector for preventing suture line from rolling scar
CN109480931A (en) * 2018-12-26 2019-03-19 武汉大学中南医院 A kind of beauty treatment suturing instrument
CN111248959B (en) * 2020-03-17 2023-05-09 保定盖尔医疗科技有限公司 Medical suture line

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