CN104523314B - Form of kidney sleeve apparatus and method of use of the treatment of kidney rupture - Google Patents

Form of kidney sleeve apparatus and method of use of the treatment of kidney rupture Download PDF

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CN104523314B
CN104523314B CN 201410812675 CN201410812675A CN104523314B CN 104523314 B CN104523314 B CN 104523314B CN 201410812675 CN201410812675 CN 201410812675 CN 201410812675 A CN201410812675 A CN 201410812675A CN 104523314 B CN104523314 B CN 104523314B
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kidney
sleeve
renal
earrings
rope
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CN 201410812675
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CN104523314A (en )
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葛亮
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葛亮
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Abstract

本发明公开的是一种治疗肾脏破裂的肾脏套装置及其使用方法,该肾脏套装置包括用于包覆于肾脏外表面的肾脏套,该肾脏套外表面沿着肾脏结构的内侧部与外侧部分别设有一防止肾脏套紧束时肾脏内缩或内陷的加强带,该加强带上配合设有一用于紧束该肾脏套的紧固装置,该紧固装置包括若干个耳环、穿设于该耳环内的紧固绳以及用于夹固该紧固绳的固定夹,该紧固绳为无头绳,并已按序穿入各耳环,免去了使用时穿紧固绳的步骤和时间。 Disclosed is an apparatus and method of using sets of kidney renal fracture treatment, which comprises a set of devices for renal coated on the outer surface of the sleeve kidney kidney, renal inner portion and the outer structure along the outer surface of the sleeve kidney portions is provided with a sleeve to prevent reduction in kidney or kidney retraction lacing reinforcing strip, the reinforcing strip is provided with a fastening means for lacing the kidney sleeve, the fastening means comprises a plurality of earrings, bored in the eye of the rope and means for securing the clamping rope fastening clip on the fastening rope is no headrope, and has penetrated each sequential earrings, eliminating the step of fastening rope wear and use time. 本发明通过肾脏套可以有效地对破裂肾脏进行止血,然后通过人体的自然恢复使破裂肾脏愈合,无需因肾脏破裂而切除整个肾脏组织。 The present invention can effectively break through the kidneys kidneys hemostasis sheath, and then recovered by breaking so that the body's natural healing kidney, renal without rupture due to removal of the entire kidney tissue.

Description

一种治疗肾脏破裂的肾脏套装置及其使用方法 Form of kidney sleeve apparatus and method of use of the treatment of kidney rupture

技术领域 FIELD

[0001]本发明涉及的是医疗器材领域,更具体地说是一种治疗肾脏破裂的肾脏套装置及其使用方法。 [0001] The present invention relates to the field of medical devices, and more particularly to an apparatus and method of using sets of kidney renal fracture treatment.

背景技术 Background technique

[0002]肾脏破裂是指肾脏因某种原因发生的破裂,包括肾包膜、肾实质和肾蒂内血管的损伤和破裂,肾蒂内血管的损伤或破裂极少见,绝大部分为肾包膜、肾实质的损伤或破裂,常见于外伤,少数还可见于病理肾或医疗操作后。 [0002] kidney rupture means a rupture occurs for some reason the kidney, including renal capsule, renal parenchymal damage and rupture of blood vessels and the renal pedicle, renal pedicle injury or rupture within a rare blood vessel, most of the kidney capsule, renal parenchyma damage or rupture, common in trauma, it can also be seen after a few kidney pathology or medical procedures. 肾脏属于实质性脏器,损伤或破裂后极易出血,且其质地较脆,出血后造成的创口局部水肿使其进一步变脆,致其难以承受缝线的切割,故在肾包膜或肾实质发生损伤或破裂后,医务工作者常难以通过手术将肾脏创口进行缝合止血,只能通过输液甚至输血等保守治疗的方法来避免患者出现生命危险,同时要求患者绝对卧床、禁止用力1-3个月,但在患者有生命危险时则医务工作者将被迫进行手术,但由于手术通常难以通过缝合的方法止血,故绝大部分情况下手术需将整个肾脏切除以免出血不止。 Substantial organ belongs kidney, injury or rupture easily bleeding, and its texture is more brittle, resulting in bleeding wounds local edema which is further brittle, which bear the suture cutting actuator, so in the kidney or renal capsule after the occurrence of the substance of injury or rupture, medical workers often difficult to kidneys through surgery to stop bleeding wound stitching only method by infusion or even blood transfusions and other conservative treatment of patients to avoid life-threatening, but require the patient to absolute bed rest, prohibition of forced 1-3 months, but in patients with life-threatening medical workers will be forced to perform the surgery, but the surgery is often difficult to stop bleeding by means of stitching, so in most cases require surgical removal of the entire kidney in order to avoid bleeding. 即使患者通过保守治疗避免了出现生命危险、留住了肾脏,但肾脏外的大体积血块将导致漫长的恢复期和较大的后遗症发生几率。 Even if patients avoid life-threatening, retain the kidney, but the large volume of blood clots outside the kidney will lead to long recovery period and the greater the chance of conservative treatment sequelae.

[0003] 所以研发出一种新型的肾脏手术器材,让患者肾脏的创口不再出血,然后通过自身恢复功能得到愈合,避免因肾包膜、肾实质的损伤或破裂而造成切除肾脏,或者虽然避免了切除肾脏但却需要面对肾脏外大体积血块带来的漫长的恢复期和较大的后遗症发生几率,对患者来说具有非常重要的意义,而对本领域的医务工作者来说具有革新性的意义。 [0003] Therefore, developed a new type of kidney surgery equipment, let the kidney patient is no longer bleeding wound, and then get healed by itself to restore function to avoid the renal capsule, renal parenchymal damage or breakage caused by the removal of the kidney, or it is avoiding the removal of the kidney but the chance to face the kidney large volume of blood clots caused by a long convalescence and sequelae large, it has a very important meaning for the patient, and innovative medical workers in this art of meaning.

发明内容 SUMMARY

[0004]本发明提供的是一种治疗肾脏破裂的肾脏套装置及其使用方法,其主要目的在于克服现有技术存在的上述不足和缺点,使肾包膜、肾实质的损伤或破裂无需切除肾脏,或者无需面对肾脏外大体积血块带来的漫长的恢复期和较大的后遗症发生几率,通过让患者肾脏的创口不再出血,然后通过自身恢复功能得到愈合,可以有效地保护患者的肾脏,减少患者因为肾脏被切除而带来的痛苦和健康问题,而采用医用可吸收材料制成的肾脏套各部件将在一定时间后逐步崩解并被人体吸收,最终完全消失。 [0004] The present invention provides an apparatus and method of using sets of kidney renal fracture treatment, its main purpose is to overcome the above deficiencies and disadvantages of the prior art, the renal capsule, the renal parenchyma damage or rupture without removal kidney, or without having to face the kidney caused by large volumes of blood clots long recovery period and a greater chance of sequelae, through the patient's kidneys no longer bleeding wound, and then get healed by itself to restore function, can effectively protect patients kidneys, reducing kidney resected patients because of the pain and the health problems, while the use of absorbable medical kidney of each sleeve member made of a material gradually disintegrating and is absorbed by the body after a certain time, finally disappear completely.

[0005]本发明采用的技术方案如下: [0005] The present invention employs the following technical solutions:

[0006] —种治疗肾脏破裂的肾脏套装置,包括用于包覆于肾脏外表面的肾脏套,该肾脏套外表面沿着肾脏结构的内侧部与外侧部分别设有一防止肾脏套紧束时肾脏内缩或内陷的加强带,该加强带上配合设有一用于紧束该肾脏套的紧固装置,该紧固装置包括若干个耳环、穿设于该耳环内的紧固绳以及用于夹固该紧固绳的固定夹。 [0006] - when the therapeutic apparatus sets kidney kidney rupture, comprising a sleeve covering an outer surface of the kidney kidney, the renal outer surface of the sleeve is provided with a not prevent kidney tight sleeve along the inner portion and the outer portion of the renal structure shrinkage or retraction of the kidney reinforcing strip, the reinforcing strip is provided with a fastening means for lacing the kidney sleeve, the fastening means comprises a plurality of earrings, disposed through inside the fastening rope and with the earrings to clamp the rope fastening clip.

[0007]更进一步,所述紧固绳为无头绳,并按序穿入各耳环。 [0007] Furthermore, the fastening rope is no headrope, and washed sequentially penetrate each earring.

[0008]更进一步,所述处于肾脏外侧部的加强带的中部位置还连接设有两条加强条,该加强条位于肾脏外侧部弓背的中部、用于防止所述紧固装置紧束肾脏套时肾脏的内缩或内陷。 [0008] Still further, in the middle position of the reinforcing tape kidney outer portion is further connected with two reinforcing strip, the reinforcing strip arched central portion outside of the kidney, the fastening means for preventing kidney lacing when retraction sleeve retracted or kidney.

[0009]更进一步,所述肾脏套由一具有网孔结构的编网层和设于该编网层内部的隔水内膜层组成,所述加强带、加强条及耳环均设于该编网层,该隔水内膜层为一透明且不透水的材质构成;该肾脏套包括上极套、中部套和下极套,该上极套适合套设在肾脏的上极部分;该中部套适合套设在肾脏的中部,且该中部套的内侧部具有一用于使肾蒂组织穿过的开口;该下极套适合套设在肾脏的下极部分。 [0009] Still further, the kidney by a sleeve having a netting layer and a mesh structure provided on the inner film layer impermeable layer composed of knitting intranet, the reinforcing tape, reinforcing bars are located in the coding and earrings web layer, the impermeable lining layer is a transparent and formed of a material impermeable; the renal pole sleeve includes an upper sleeve, lower sleeve and the central pole sleeve, the sleeve fit over the electrode provided on the pole portion of the kidney; the middle suitable sleeve located in the central sets of kidneys, and the middle portion having an inner sleeve for renal pedicle opening through tissue; the lower electrode provided in the sleeve to fit over the pole section of the kidney.

[0010]更进一步,在所述上极套、中部套和下极套套设于肾脏外表面并拉紧紧固绳完成紧束后,上极套与中部套之间形成上重叠部,该上重叠部内侧略高于肾脏的肾蒂组织上端;所述中部套与下极套之间形成下重叠部,该下重叠部内侧略低于肾脏的肾蒂组织下端,该上重叠部、下重叠部以及该中部套的开口处分别通过人体可吸收的医用胶水进行粘合。 [0010] Still further, the pole sleeve, the sleeve and the central electrode disposed on an outer surface of the kidney condom and tight tension after the completion of fastening rope on the center pole sleeve between the sleeve and the overlapping portion is formed on the upper renal pedicle upper portion slightly above the inner overlapped kidney tissue; and the middle sleeve and the lower sleeve is formed between the lower electrode overlap portion, the lower portion slightly below the lower end of the inner overlapped renal pedicle kidney tissue, the overlapping portion overlapped the central portion of the sleeve and the opening of the medical glue were bonded by the body can absorb.

[0011]更进一步,所述加强带的结构呈八个相互连接的类梭形连接带体,且每个类梭形位于两个所述耳环之间,所述加强条的结构呈一个类梭形,该类梭形位于两个所述耳环之间,该类梭形的结构可确保修剪调节肾脏套后加强条和加强带仍可发挥其在紧固绳紧束时防止肾脏内缩或内陷的作用。 [0011] Furthermore, as a class of the spindle structure with eight interconnected reinforcing belt connected, and each spindle is positioned between two of said class earrings, the structural form of a reinforcing strip bobbin class shaped, positioned between two of said spindle such earrings, such structure ensures trimmed spindle adjusting sleeve kidney reinforcing strip and the reinforcing strip can be exerted within the kidney or shrink when it prevents the fastening rope lacing trapping effect.

[0012]更进一步,所述耳环个数为十六个,其中肾脏套的每侧都分别设有八个耳环,其在肾脏套外表面于前后两侧呈近似对称分布、于内外两侧呈近似扇形分布;上极套和下极套各有四个耳环,中部套有八个耳环。 [0012] Still further, the number of the sixteen earrings, wherein each side kidney sleeve are provided eight earrings, which was in the front and rear sides on the outer surface approximately symmetrical kidney jacket, the inner and outer sides in the form of approximate distribution sector; upper electrode and the lower electrode sets have four sets of earrings, earrings eight central sets.

[0013]更进一步,所述肾脏套、加强带、加强条、耳环、紧固绳及固定夹均采用医用可吸收材料制成。 [0013] Still further, the sleeve kidney, reinforcing strip, the reinforcing strip, earrings, and the fastening rope can be fixed folders are made of medical absorbent material.

[0014]上述治疗肾脏破裂的肾脏套装置的使用方法,包括以下具体步骤: [0014] Using the method of treating renal kidney sleeve means rupture, comprises the following steps:

[0015]( — )先通过临时性无损伤阻断肾蒂组织或肾脏血管控制肾脏创口出血后,然后去除血凝块并擦净肾脏创口处的渗血和渗液,将大的血管断端用可吸收线结扎或缝扎,如有破裂的集合系统则用可吸收线缝合;再沿创口的创面均匀涂抹可吸收医用胶水并放置一些如止血纱布、明胶海绵的止血材料,将破裂处创面维持对合状态5-60秒,如破裂处肾组织缺损较多,可使用脂肪或肌肉等进行填充; [0015] (-) by a first temporary block intact kidney or renal vascular pedicle control kidney tissue wound hemorrhage, clot is then removed and wipe and oozing at the wound exudate kidney, large vascular stump absorbable suture ligation or suture, if the system is set rupture with absorbable suture; then wound evenly along the wound absorbable glue and put some hemostatic gauze, hemostatic gelatin sponge material, rupture the wound maintain the engagement state of 5-60 seconds, such as renal tissue rupture more defects, and the like may be used for filling fat or muscle;

[0016] (二)将肾脏套与肾脏进行比对,然后对肾脏套进行现场的修剪,使其适配该手术肾脏的形状与大小; [0016] (ii) the kidney and renal sleeve are aligned, and then sets the kidneys pruning site, the procedure is adapted so that the kidney shape and size;

[0017](三)将肾脏套的上极套、中部套和下极套套设于肾脏外表面,分别或同时拉紧内外侧部紧固绳,使肾脏套束紧,然后在紧固绳上夹设固定夹,完成肾脏套的紧束固定,剪去多余的紧固绳;然后在肾脏套的上重叠部、下重叠部以及肾蒂周围开口处分别涂抹可吸收医用胶水,且上极套、下极套的切剪处也需涂抹可吸收医用胶水进行粘合。 [0017] (iii) on the pole cover sleeve kidney, central and lower pole condom sheath disposed on an outer surface of the kidney, separately or simultaneously inside and outside of the fastening rope tensioning the tightening sleeve kidney, then the fastening rope sandwiched retaining clip, kidney complete sets tight fixed, cut off excess cord fastener; then on the overlapping portion of the sleeve kidney, renal pedicle and the overlapped portion are applied around the opening absorbable glue, and the electrode sleeve , the pole sleeve at shear also need to apply glue for bonding absorbable.

[0018]更进一步,所述步骤(二)的肾脏套修剪方式包括以下两种: [0018] Furthermore, said step (b) comprises pruning kidneys following two sets:

[0019](一)纵向切剪方式 [0019] (a) longitudinal mode Shear

[0020] (I).上极套或者下极套的切剪:沿着上极套或者下极套内侧的纵向截面方向剪开一个切口,然后向内收缩切口大小或张开切口大小,使上极套或下极套配合肾脏的实际大小,使其在拉紧紧固绳进行束紧后可紧密地套装在肾脏上; . [0020] (I) or the lower electrode pole sleeve jacket Shear: or electrode sets along the longitudinal direction of the cross section of the electrode set inside a notch cut, and then retract inwardly size of the incision or opening size of the incision, so that the pole sleeve or the pole sleeve fit the actual size of the kidneys, so that after tightening the tensioning of the fastening rope can be tightly fitted over the kidney;

[0021] (2).中部套的切剪:沿着中部套内侧开口的前、后侧纵向剪切,使开口大小适合肾蒂部位,防止其在拉紧紧固绳进行束紧后卡住或压迫肾蒂; [0021] (2) the middle sleeve Shear: front opening along the inside of the middle cover, the rear longitudinal shear, the opening sized to renal pedicle portion, prevent the tightening thereof for fastening the tensioning rope jammed or compression of renal pedicle;

[0022] (二)横向切剪方式 [0022] (ii) a transverse manner Shear

[0023]上极套的切剪:根据肾脏的实际大小,沿着上极套的下端面进行剪切; The [0023] pole sleeve Shear: shearing the actual size of the kidney, the upper pole sleeve along the lower end face;

[0024]中部套的切剪:根据肾脏的实际大小,分别沿着中部套的上、下两端面进行剪切; [0024] Shear central sleeve: the actual size of the kidneys, respectively, along the central sleeve, the end faces shearing;

[0025]下极套的切剪:根据肾脏的实际大小,沿着下极套的上端面进行剪切;通过上述对上极套、中部套、下极套的横向切剪,使其在拉紧紧固绳进行束紧后,上极套内侧下端和下极套内侧上端不会卡住或压迫肾蒂,并确保中部套可分别与上极套和下极套形成上重叠部和下重叠部。 [0025] Shear extremely sets: the actual size of the kidney, shearing along the upper end surface of the electrode sleeve; the upper electrode through said sleeve, the central sleeve, the transverse shear with pole sleeve, pulling it rope tightening after the fastening, the upper and lower inner pole sleeve inner sleeve does not catch the lower pole renal pedicle or compression, respectively, and to ensure that the central sleeve with the sleeve and the electrode is formed on the lower electrode sleeve overlapping and overlapped portions unit.

[0026]通过上述对本发明的描述可知,和现有技术相比,本发明的优点在于: [0026] The description of the present invention, the above, and compared to the prior art, the advantages of the present invention:

[0027] 1、本发明通过肾脏套避免了对肾脏创口进行难以操作的缝合止血,而是对其进行有效的压迫止血,让患者肾脏的创口不再出血,然后通过自身恢复得到愈合,使肾脏恢复功能,既无需切除肾脏,也无需面对肾脏外大体积血块带来的漫长的恢复期和较大的后遗症发生几率。 [0027] 1, the present invention avoids the sleeve to the kidneys through the kidney is difficult to operate a wound for hemostasis, but its effective hemostasis, wound so that the patient's kidneys no longer bleeding, and then restore itself to obtain healing by the kidney recovery, both without having to removal of the kidney, the kidney is also not face a large volume of blood clots caused by long recovery period and the greater the chance of sequelae.

[0028] 2、本发明的肾脏套的外编网层采用网孔结构,内膜层为透明的材质,有利于医务工作者在使用肾脏套的过程中对肾脏及创口进行观察,且内膜层不透水,防止了血液渗出,可在出血创口处形成有效压迫。 [0028] 2, the present invention kidney sleeve outer layer is made of mesh netting structure, the intimal layer of a transparent material, medical workers facilitate observation of the wound during use of the kidney and the kidney mantle, and endometrium impermeable layer, to prevent the oozing, bleeding may be formed at the wound site effectively oppressed.

[0029] 3、本发明的加强带和加强条能有效地避免紧固绳紧束状态下肾脏发生内缩或内陷,且其位于耳环之间并呈类梭形,可确保修剪调节肾脏套后加强条和加强带仍可发挥其在紧固绳紧束时防止肾脏内缩或内陷的作用。 [0029] 3, and the reinforcing tape of the present invention can effectively avoid reinforcing strip secured lacing cord retraction or shrinkage occurs in the kidney status, and which was positioned between the class and earrings spindle, ensuring kidney adjustable trim sets after the reinforcing strip and the reinforcing strip can be exerted which prevents shrinkage or retraction role in the kidney fastening rope lacing.

[0030] 4、本发明的紧固绳为无头绳,并已按序穿入各耳环,免去了使用时穿紧固绳的步骤和时间,并在收紧后用固定夹固定,避免了打结,省时省力。 [0030] 4, the present invention is fastened to the rope without headrope, and has penetrated each sequential earrings, eliminating the steps and time when using the fastening rope wear, and a clip for tightening after avoided tie, saving time and effort.

[0031] 5、本发明的紧固装置可确保肾脏创口得到有效的压迫,其与加强带、加强条一起最大程度地保证了肾脏得到均匀的受力。 [0031] 5, the fastening device of the invention ensures effective compression kidney wound, with the reinforcing strip, the reinforcing strip with the maximum degree of the force to obtain a uniform kidney.

[0032] 6、本发明的肾脏套采用分体式设计并可以现场进行修剪,易于适应不同肾脏的形状和大小,其剪切方式非常简单实用,适用性非常强,且其设计及修剪方式均充分考虑到了对肾蒂的保护,以免出现肾脏套卡住或压迫肾蒂内血管或肾盂、输尿管的情况,从而导致肾缺血或瘀血、肾积水等疾病。 [0032] 6, the present invention employs kidney split sleeve design and can be trimmed on-site, is easy to adapt different shapes and sizes of the kidney, which is very simple and practical way to cut, applicability is very strong, and which are designed to fully and pruning Taking into account the protection of the renal pedicle, so as not to get stuck or kidneys sets of oppression within the renal vascular pedicle or renal pelvis, ureter appear, resulting in renal ischemia or bleeding, hydronephrosis and other diseases.

[0033] 7、本发明所有物件都是采用医用可吸收材料制作而成,在手术一定时间后可逐步崩解并被人体吸收,最终完全消失。 [0033] 7, are all made of medical articles of the present invention may be made of absorbent material, a certain time after the operation can be gradually absorbed by the body and disintegration, and ultimately disappears completely.

附图说明 BRIEF DESCRIPTION

[0034]图1是本发明的结构示意图。 [0034] FIG. 1 is a structural diagram of the present invention.

[0035]图2是本发明肾脏套的结构示意图。 [0035] FIG. 2 is a structural diagram of the present invention sets the kidneys.

[0036]图3是图2中沿A—A方向的剖面结构示意图。 [0036] FIG. 3 is a schematic cross-sectional structure of FIG. 2 A-A along the direction.

[0037]图4是本发明实施例一中肾脏套沿纵向切剪的结构示意图。 [0037] FIG. 4 is a longitudinal direction of the sleeve kidney Shear schematic structural diagram of embodiment of the present invention.

[0038]图5是本发明实施例二中肾脏套沿横向切剪的结构示意图。 [0038] FIG. 5 is a schematic structural diagram of the two sets of transversely kidney Shear embodiment of the present invention.

具体实施方式 detailed description

[0039]下面参照附图来进一步地说明本发明的具体实施方式。 [0039] to further illustrate specific embodiments of the present invention are described below with reference to the accompanying drawings.

[0040] 实施例一 [0040] Example a

[0041]如图1、图2、图3及图4所示,一种治疗肾脏破裂的肾脏套装置,包括用于包覆于肾脏外表面的肾脏套1,该肾脏套I外表面沿着肾脏结构的内侧部与外侧部分别设有一防止肾脏套I紧束时肾脏内缩或内陷的加强带2,该加强带2上配合设有一用于紧束该肾脏套I的紧固装置,该紧固装置包括若干个耳环31、穿设于该耳环31内的紧固绳32以及用于夹固该紧固绳32的固定夹33。 [0041] As shown in FIG 1, FIG 2, FIG. 3 and FIG. 4 A set of kidney renal rupture treatment apparatus, comprising means for covering the outer surface of the sleeve 1 kidney kidney, renal outer surface of the sleeve along the I the inner portion and the outer portion are respectively provided with a structure of the kidney to prevent or reduce invagination of the kidney in kidney I tight sleeve reinforcing tape 2, the reinforcing belt 2 is provided with a jacket for lacing the kidney fastening means I, the fastening means 31 comprises a plurality of earrings, earrings disposed through the fixing in the fastening rope 32 and 31 for clamping the tightening cord 32 of clip 33. 其中,该紧固绳32为无头绳,并已按序穿入各耳环31,免去了使用时穿紧固绳32的步骤和时间,并在收紧后用固定夹33固定,避免了打结,省时省力;该耳环31个数为十六个,其中肾脏套I的每侧都分别设有八个耳环31,其在肾脏套I外表面于前后两侧呈近似对称分布、于内外两侧呈近似扇形分布,这样可确保肾脏创口得到有效的压迫,并有利于受力的均匀。 Wherein, the rope 32 is fastened non-headrope and has penetrated each earring 31 sequentially, eliminating the steps and time through the use of fastening rope 32, and tightened after the retaining clips 33, to avoid the fight junction, saving time and effort; the number of sixteen earrings 31, wherein each side of the kidney I sets eight earrings 31 are provided, which has a substantially symmetrical distribution to the front and rear sides on the outer surface of the kidney sets I, inside and outside on both sides has a substantially fan-shaped distribution, which ensures that the kidney effectively wound compression, and facilitates the uniform force. 所述处于肾脏外侧部的加强带2的中部位置还连接设有两条加强条4,该加强条4位于肾脏外侧部弓背的中部、用于防止所述紧固装置紧束肾脏套I时肾脏的向内凹陷。 The outer portion of the kidney in the reinforcing tape 2 is also connected to the central location is provided with two reinforcing strip 4 when the outer reinforcing the kidney located in the middle portion of the arched strips 4, fastening means for preventing said sleeve lacing kidneys I kidney inwardly recessed. 所述加强带2的结构呈八个相互连接的类梭形连接带体,且每个类梭形位于两个所述耳环31之间,所述加强条4的结构呈一个类梭形,该类梭形位于两个所述耳环31之间,该类梭形的结构可确保修剪调节肾脏套I后加强条2和加强带4仍可发挥其在紧固绳32紧束时防止肾脏内缩或内陷的作用。 The belt reinforcing structure of the form of class 2 spindle eight interconnected connector strip, and each type of spindle 31 is located between two of said lug, said reinforcing structure 4 in the form of a bar type spindle, which class spindle 31 is located between the two earrings, such structure ensures spindle adjustable trim the reinforcing strip 2 and the reinforcing belt 4 can be exerted to prevent condensation within the kidney which when tightening the lacing cord 32 sets I kidney or retraction role.

[0042]如图1、图2、图3及图4所示,所述肾脏套I由一具有网孔结构的编网层11和设于该编网层11内部的隔水内膜层12组成,所述加强带2、加强条4及耳环31均位于该编网层11,该隔水内膜层12为一透明且不透水的材质构成。 [0042] 1, 2, 3 and 4, the sleeve kidney layer I consists of a netting having a mesh structure 11 and the impermeable lining layer 11 is provided inside the netting layer 12 composition, the reinforcing tape 2, 4 and reinforcing strip 31 are located in the earrings netting layer 11, the impermeable lining layer 12 is a transparent water-impermeable material and configured. 肾脏套编网层11采用网孔结构,其内膜层12为透明材质,有利于医务工作者在使用肾脏套I的过程中对肾脏及创口进行观察,且内膜层12不透水,防止了血液渗出,可在出血创口处形成有效压迫。 Kidney netting jacket layer 11 takes a mesh structure, which inner film layer 12 of a transparent material, medical workers facilitate observation of the wound in the kidney and renal I procedure using the sleeve, and the impermeable lining layer 12 is prevented oozing, bleeding may be formed at the wound site effectively oppressed. 该肾脏套I包括上极套13、中部套14和下极套15,上极套13和下极套15各有四个耳环31,中部套14有八个耳环31,该上极套13适合套设在肾脏的上极部分,该中部套14适合套设在肾脏的中部,且该中部套14的内侧部有一用于使肾蒂组织6穿过的开口141,该下极套15适合套设在肾脏的下极部分。 The sleeve I includes renal pole sleeve 13, sleeve 14 and the lower electrode central sleeve 15, the sleeve 13 and the lower electrode 15 have four sets of electrode 31 earrings, earrings eight central sets 14 31, 13 for the upper electrode sleeve pole portion sleeved on the kidneys, the middle sleeve 14 located in the central sets for kidney and central portion of the inner sleeve 14 has a tissue 6 for renal pedicle opening 141 through which the sleeve 15 fit over the lower pole located in the extreme part of the kidney. 在所述上极套13、中部套14和下极套15套设于肾脏外表面并拉紧紧固绳32完成紧束后,上极套13与中部套14之间形成上重叠部51,该上重叠部51内侧略高于肾脏的肾蒂组织6上端;所述中部套14与下极套15之间形成下重叠部52,该下重叠部52内侧略低于肾脏的肾蒂组织6下端,该上重叠部51、下重叠部52以及该中部套14的开口处141分别通过人体可吸收的医用胶水将网套与网套、网套与肾脏外表面进行粘合。 The pole sleeve 13, sleeve 14 and the lower electrode central sleeve 15 sleeved on the outer surface of the kidney and the tensioning rope 32 after completing the tight fastening, the sleeve electrode 51 is formed on the overlap portion 14 between the sleeve 13 and the middle, 6 the upper end of the inside of the renal pedicle tissue overlapping portion 51 slightly higher than the kidney; the middle sleeve 14 just below the renal pedicle kidney tissue 6 and the lower electrode 52 overlaps the inner sleeve 52, which is formed at an overlapping portion 15 between the lower end of the overlapping portions 51, 52 and the overlapped portion of the central opening 141 of the sleeve 14 respectively by glue medical absorbent body may be bonded to the mesh with a set of nets, nets with the outer surface of kidney. 此种分体式设计易于适应不同肾脏的形状和大小,且充分考虑到了对肾蒂组织6的保护,以免出现肾脏套I的上极套13下端内侧、中部套14内侧部开口141或下极套15上端内侧卡住或压迫肾蒂组织6内血管或肾盂、输尿管的情况,从而导致肾缺血或瘀血、肾积水等疾病。 Such a split design easily adaptable to different shapes and sizes of the kidney, and sufficiently into account the protection of the renal pedicle tissue 6, the upper set I is to avoid renal pole lower inner sleeve 13, the central portion of the inner sleeve 14 or the electrode sheath opening 141 15 stuck inside upper or pressure vessel or case 6 pelvis, ureter, renal connective tissue, leading to renal ischemia or bleeding, hydronephrosis and other diseases.

[0043]如图1、图2、图3及图4所示,所述肾脏套1(包括编网层11和隔水内膜层12)、加强带 [0043] 1, 2, 3 and 4, the sleeve 1 kidney (including netting layer 11 and the impermeable lining layer 12), reinforcing strip

2、加强条4、耳环31、紧固绳32及固定夹33均采用医用可吸收材料制成,在手术一定时间后可逐步崩解并被人体吸收,最终完全消失。 2, reinforcing strip 4, earrings 31 and rope fastening clips 32 and 33 are fixed to the medical use of absorbable material, a predetermined time after the operation can be gradually absorbed by the body and disintegration, and ultimately disappears completely.

[0044]本发明的使用方法:包括以下具体步骤: [0044] using the method of the invention: comprises the following steps:

[0045]( — )通过临时性无损伤阻断肾蒂组织或肾脏血管控制肾脏创口出血后,先去除血凝块并擦净肾脏创口处的渗血和渗液,将大的血管断端用可吸收线结扎或缝扎,如有破裂的集合系统则用可吸收线缝合,再沿创口的创面均匀涂抹可吸收医用胶水并放置一些止血材料(如止血纱布、明胶海绵等),将破裂处创面维持对合状态5-60秒,如破裂处肾组织缺损较多,可使用脂肪或肌肉等进行填充; [0045] (-) by the temporary blocking intact kidney or renal vascular pedicle control kidney tissue bleeding wound, to remove clots and kidney wipe oozing wound exudate and at the ends with large vessels absorbable suture or suture ligation, if the system is set rupture with absorbable suture, and then the wound is wound evenly along the absorbable glue and place some hemostatic material (hemostatic gauze, gelatin sponge, etc.), the rupture maintaining wound apposition of 5-60 seconds, such as renal tissue rupture more defects, and the like may be used for filling fat or muscle;

[0046] (二)将肾脏套与肾脏进行比对,然后对肾脏套现场按纵向切剪方式进行修剪,使其适配该手术肾脏的形状与大小,该纵向修剪方式包括以下具体步骤: [0046] (ii) the kidney and renal sleeve are aligned, and then sets the field is trimmed by the kidneys longitudinal Shear way as to adapt the shape and size of the kidney surgery, the longitudinal pruning comprises the following steps:

[0047] 1.上极套或者下极套的切剪:沿着上极套或者下极套内侧的纵向截面方向剪开一个切口,然后向内收缩切口大小或张开切口大小,使上极套或下极套配合肾脏的实际大小,使其在拉紧紧固绳进行束紧后可紧密地套装在肾脏上; [0047] 1. pole sleeve or the pole sleeve under Shear: or electrode sets along the longitudinal direction of the cross section of the electrode set inside a notch cut, and then retract inwardly size of the incision or opening size of the incision, the upper electrode the pole sleeve or sheath with the actual size of the kidneys, so that after tightening the tensioning of the fastening rope can be tightly fitted over the kidney;

[0048] 2.中部套的切剪:沿着中部套内侧开口的前、后侧纵向剪切,使开口大小适合肾蒂部位,防止其在拉紧紧固绳进行束紧后卡住或压迫肾蒂。 [0048] 2. The central sleeve Shear: front opening along the inside of the middle cover, the rear longitudinal shear, the opening sized to renal pedicle portion, which is prevented from jamming in the taut rope for tightening the fastening or compression renal pedicle.

[0049](三)将肾脏套的上极套、中部套和下极套套设于肾脏外表面,分别或同时拉紧内外侧部紧固绳,使肾脏套束紧,然后在紧固绳上夹设固定夹,完成肾脏套的紧束固定,剪去多余的紧固绳,然后在肾脏套的上重叠部、下重叠部以及肾蒂周围开口处分别涂抹可吸收医用胶水,如上极套、下极套进行了纵向切剪,则上极套、下极套的纵向切剪处也涂抹可吸收医用胶水,涂抹医用胶水的目的在于使网套与网套、网套与肾脏外表面粘合。 [0049] (iii) on the pole cover sleeve kidney, central and lower pole condom sheath disposed on an outer surface of the kidney, separately or simultaneously inside and outside of the fastening rope tensioning the tightening sleeve kidney, then the fastening rope sandwiched retaining clip, kidney complete sets tight fixed, cut off excess tightening rope, and on the overlapping portion of the sleeve kidneys, and the renal pedicle overlapped portion surrounding each opening absorbable glue applicator, as electrode sets, extreme longitudinal shear was set, then the set of poles, the poles of the longitudinal shear sleeve also absorbable glue applicator, the applicator for medical purpose is to make the glue nets and nets, nets and kidney outer surface of the adhesive .

[0050] 本发明通过肾脏套避免了对肾脏创口进行难以操作的缝合止血,而是对其进行有效的压迫止血,让患者肾脏的创口不再出血,然后通过自身恢复得到愈合,使肾脏恢复功能,既无需切除肾脏,也无需面对肾脏外大体积血块带来的漫长的恢复期和较大的后遗症发生几率。 [0050] The present invention avoids the sleeve to the kidneys through the kidney is difficult to operate a wound for hemostasis, but its effective hemostasis, wound so that the patient's kidneys no longer bleeding and healing obtained through its own recovery, recovery of renal function so that not only do not need removal of the kidney, the kidney is also not face large volumes of blood clots caused by a long convalescence and sequelae greater probability.

[0051] 实施例二: [0051] Example II:

[0052]如图1、图2、图3及图5所示,本实施例与实施例一的不同点在于:本实施例在对肾脏套进行现场修剪时采用横向切剪方式,其具体步骤如下: [0052] As shown in FIG 1, FIG 2, FIG. 3 and FIG. 5, the present embodiment differs from the embodiment in that an embodiment: This embodiment employs a transverse manner Shear kidney sleeve when trimming site, including the following steps as follows:

[0053]上极套的切剪:根据肾脏的实际大小,沿着上极套的下端面进行剪切; The [0053] pole sleeve Shear: shearing the actual size of the kidney, the upper pole sleeve along the lower end face;

[0054]中部套的切剪:根据肾脏的实际大小,分别沿着中部套的上、下两端面进行剪切; [0054] Shear central sleeve: the actual size of the kidneys, respectively, along the central sleeve, the end faces shearing;

[0055]下极套的切剪:根据肾脏的实际大小,沿着下极套的上端面进行剪切,通过上述对上极套、中部套、下极套的横向切剪,使其在拉紧紧固绳进行束紧后,上极套内侧下端和下极套内侧上端不会卡住或压迫肾蒂,并确保中部套可分别与上极套和下极套形成上重叠部和下重叠部。 [0055] Shear extremely sets: the actual size of the kidney, shearing along the upper end surface of the lower electrode sets, the electrode sets of the above, the central sleeve, the transverse shear with pole sleeve, pulling it rope tightening after the fastening, the upper and lower inner pole sleeve inner sleeve does not catch the lower pole renal pedicle or compression, respectively, and to ensure that the central sleeve with the sleeve and the electrode is formed on the lower electrode sleeve overlapping and overlapped portions unit.

[0056]其它结构和方法与实施例一的相同,在此就不再复述。 [0056] The other structure and method of the first embodiment, this will not repeat.

[0057]同时,该实施例一和实施例二的在对肾脏套进行现场修剪时的方法也可以同时使用。 [0057] Meanwhile, this embodiment is an embodiment of a method and field when the trim sleeve to the kidneys for two may be used simultaneously.

[0058]上述仅为本发明的具体实施方式,但本发明的设计构思并不仅局限于此,凡是利用此构思对本发明进行非实质性地改进,均应属于侵犯本发明保护范围的行为。 [0058] The above are merely specific embodiments of the present invention, but the design concept of the present invention is not limited to this, all use this concept of the present invention without substantial modifications can be made infringe the scope of the present invention.

Claims (5)

  1. 1.一种治疗肾脏破裂的肾脏套装置,其特征在于:包括用于包覆于肾脏外表面的肾脏套,该肾脏套外表面沿着肾脏结构的内侧部与外侧部分别设有一防止肾脏套紧束时肾脏内缩或内陷的加强带,该加强带上配合设有一用于紧束该肾脏套的紧固装置,该紧固装置包括若干个耳环、穿设于该耳环内的紧固绳以及用于夹固该紧固绳的固定夹; 所述紧固绳为无头绳,并按序穿入各耳环;所述处于肾脏外侧部的加强带的中部位置还连接设有两条加强条,该加强条位于肾脏外侧部弓背的中部、用于防止所述紧固装置紧束肾脏套时肾脏的内缩或内陷; 所述肾脏套由一具有网孔结构的编网层和设于该编网层内部的隔水内膜层组成,所述加强带、加强条及耳环均设于该编网层,该隔水内膜层为一透明且不透水的材质构成;该肾脏套包括上极套、中部套和下极套,该上极套 An apparatus sets kidney kidney rupture treatment, characterized by: a cover for covering the outer surface of the kidney kidney, the renal outer surface of the sleeve is provided with a not prevent kidney inner portion and the outer sleeve along a portion of the renal structure when the tight shrink kidney or retraction reinforcing strip, the reinforcing strip is provided with a fastening means for lacing the kidney sleeve, the fastening means comprises a plurality of earrings, earrings disposed through the fastening and a fixing rope for clamping the rope fastening clip; the fastening rope is no headrope, and washed sequentially penetrate said eyes; middle position of the reinforcing band in the kidney is also connected to the outer portion is provided with two strengthening strip, the reinforcing strip in the middle of the kidney outer arched portion for preventing kidney tight sheath when retracted kidney or retraction of the fastening means; said kidney sheath layer consists of a netting having a mesh structure and netting is provided inside of the impermeable layer intimal layers of the reinforcing tape, reinforcing bars and earrings are located in the netting layer, and the impermeable lining layer is a transparent and formed of a material impermeable; the kidney pole sleeve includes an upper sleeve, lower sleeve and the central electrode sets, the electrode sets of the 适合套设在肾脏的上极部分;该中部套适合套设在肾脏的中部,且该中部套的内侧部具有一用于使肾蒂组织穿过的开口;该下极套适合套设在肾脏的下极部分。 Suitable pole portion sleeved on the kidney; the central sleeve to fit over the kidney located in the central and the middle portion having an inner sleeve for renal pedicle opening through tissue; the lower electrode provided in the sleeve to fit over the kidney the lower electrode portion.
  2. 2.根据权利要求1所述的一种治疗肾脏破裂的肾脏套装置,其特征在于:在所述上极套、中部套和下极套套设于肾脏外表面并拉紧紧固绳完成紧束后,上极套与中部套之间形成上重叠部,该上重叠部内侧略高于肾脏的肾蒂组织上端;所述中部套与下极套之间形成下重叠部,该下重叠部内侧略低于肾脏的肾蒂组织下端,该上重叠部、下重叠部以及该中部套的开口处分别通过人体可吸收的医用胶水进行粘合。 The apparatus of claim 1 Kidney sleeve of treating renal rupture claim, wherein: the pole sleeve, the sleeve and the central electrode disposed on an outer surface of the condom and the kidney fastening rope tensioning complete lacing after the sleeve between the central electrode is formed on the sleeve and the overlapping portion, the overlapping portion slightly inside the upper end of the renal pedicle kidney tissue; overlapped portion formed between the lower electrode and the middle sleeve jacket, the inner overlapped portion of the lower renal pedicle slightly below the lower end of kidney tissue, the overlapping portion, the overlapping portion and the lower opening of the central sleeve respectively bonded by the body can absorb the medical glue.
  3. 3.根据权利要求1所述的一种治疗肾脏破裂的肾脏套装置,其特征在于:所述加强带的结构呈八个相互连接的类梭形连接带体,且每个类梭形位于两个所述耳环之间,所述加强条的结构呈一个类梭形,该加强带上的类梭形位于两个所述耳环之间,该加强带上的类梭形结构可确保修剪调节肾脏套后加强条和加强带仍可发挥其在紧固绳紧束时防止肾脏内缩或内陷的作用。 The apparatus of claim 1 Renal sleeve of treating renal rupture claim, wherein: said belt reinforcing structure type was spindle eight interconnected connector strip, and each class is located between two spindle between a said lug, the reinforcing strip form a class structure spindle, the reinforcing band is positioned between two of said class spindle earrings, the belt reinforcing structure may ensure shuttle class trim adjustable kidney after the reinforcing bars and reinforcing sleeve can be exerted with a compression or retraction of the kidney during the tightening effect which prevents the rope lacing.
  4. 4.根据权利要求1所述的一种治疗肾脏破裂的肾脏套装置,其特征在于:所述耳环的个数为十六个,其中肾脏套的内、外两侧分别设有八个耳环,其在肾脏套外表面于前后两侧呈近似对称分布、于内外两侧呈近似扇形分布;上极套和下极套各有四个耳环,中部套有八个耳环。 According to claim 1, wherein one of said sleeve means treating kidney kidney rupture, wherein: said lug number sixteen, wherein the inner sleeve of the kidney, the outer sides are respectively provided with eight earrings, its outer jacket surface of the kidney was approximately symmetrically on both sides of the front and rear, in the inside and the outside has a substantially fan-shaped distribution; upper electrode and the lower electrode sets have four sets of earrings, earrings eight central sets.
  5. 5.根据权利要求1至3的任一权利要求所述的一种治疗肾脏破裂的肾脏套装置,其特征在于:所述肾脏套、加强带、加强条、耳环、紧固绳及固定夹均采用医用可吸收材料制成。 The sleeve apparatus according to any one of the kidneys of claims 1 to 3, wherein a treating kidney rupture claim, wherein: said sleeve kidney, reinforcing strip, the reinforcing strip, earrings, and the retaining clips are fastened rope The medical use of absorbable material.
CN 201410812675 2014-12-24 2014-12-24 Form of kidney sleeve apparatus and method of use of the treatment of kidney rupture CN104523314B (en)

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Publication number Priority date Publication date Assignee Title
US7174896B1 (en) * 2002-01-07 2007-02-13 Paracor Medical, Inc. Method and apparatus for supporting a heart
CN201108468Y (en) * 2007-06-15 2008-09-03 张卫红 Disposal medical crackdown hemostasia bag
FR2931353A1 (en) * 2008-05-20 2009-11-27 Christophe Binelli Uterus mechanically compressing device i.e. hemostatic uterine bag, for patient, has prosthesis equipped with vertical wires, horizontal wires and circular wires, where wires are passed through mesh and exert compression on uterus
CN204364058U (en) * 2014-12-24 2015-06-03 葛亮 Kidney cover device for curing kidney rupture

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