The bionical Cesarean esction Wound protector of leech
Technical field
The present invention relates to a kind of Wound protector, especially a kind of bionical Cesarean esction Wound protector of leech, belong to medical treatment
The technical field of apparatus.
Background technology
Cesarean esction originates in 1610, at that time surgeon's Richard Trautmann and Gu Si(Trautmann and Gusth)For the first time
Cesarean section is carried out to puerpera, but puerpera is in postoperative death in 25 days.
With the improvement and control of anesthesiology, blood transfusion, transfusion, fluid and electrolyte balance knowledge and modus operandi, operation oversewing material
The progress of the measures such as system infection, Cesarean esction turns into solves difficult labour and some obstetrics' complication, saves puerpera and peri-natal infant life
Effective means.
In caesarean section for reduce amniotic fluid, placenta, the intrauterine contents such as endometrium pollute abdominal cavity or otch cause it is various
Complication, isolation cut internal and external environment need to be carried out using Wound protector, reduce dirt of the intrauterine contents to puerpera abdominal cavity or otch
Dye.The Wound protector used at present is universal surgical incision protector, and isolation effect is poor, it is impossible to is played well
Protecting effect.
Clinic needs a kind of special incision protective sleeve designed according to Cesarean operation feature, and to Cesarean esction, puerpera has implemented
Kind otch internal and external environment isolation effect, avoids pollution of the intrauterine contents to abdominal cavity and otch, avoids various complication, especially
Make the generation of endometriosis.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art, there is provided a kind of bionical Cesarean esction incision protection of leech
Device, the bionical class Ring like suction disc cushion of leech is set in incision protection film internal orifice, negative pressure is utilized in Cesarean operation by the bionical class of leech
Ring like suction disc cushion is absorbed and fixed at Cesarean esction and is fixed on around the uterus surface of uterine incision, the incision protection film of sealed connection
On operation underpad outside otch, isolate otch internal and external environment, avoid intrauterine contents(Especially amniotic fluid and the intrauterine to come off
Film)Complication is caused into puerpera abdominal cavity or contact puerpera's otch, it is sealed off, and effect is good, and simple in construction, cost is low, fixed
It is convenient, securely and reliably.According to technical scheme provided by the invention, a kind of bionical Cesarean esction Wound protector of leech is set including middle part
Internal orifice is put to be used for the incision protection film of Cesarean esction otch internal and external environment isolation and be arranged on incision protection film internal orifice edge and be used for
The bracing ring that internal orifice is strutted, set the bionical sucker of class annular leech soft around incision protection film internal orifice edge seal connection
Pad.The bionical sucker cushion of leech includes and surround the class annular base that uterus outer wall shape is bonded substantially on the outside of uterine incision
With the bionical class annular of the leech for being used for and surrounding uterus outer wall close contact on the outside of uterine incision for being arranged on matrix underpart top layer
Sucker.Class Ring like suction disc inner chamber connection, which is provided for providing negative pressure for class Ring like suction disc, to be adsorbed class Ring like suction disc and seals
It is fixed on the suction pipe on uterus outer wall top layer.
Class Ring like suction disc inner ring edge part sets the inner ring diaphragm seal circle of soft quality class annular.
Class Ring like suction disc outer ring edge part sets the outer ring diaphragm seal circle of soft quality class annular.
Class Ring like suction disc includes the cellular annular circle for setting the solid netted class sponge structure for being arranged on matrix underpart surface
Body, the cellular annular circle body are arranged on the midline position of matrix class annular major axis, and the width of cellular annular circle body is less than matrix
The width of class annular lower surface.
Class Ring like suction disc includes some be recessed and is arranged on the sucker mouth on matrix underpart top layer, and each sucker mouth is around class annular
The hollow internal orifice parallel arranged of matrix, is mutually isolated;Each sucker mouth connects with suction pipe.
Sucker mouth includes class Ring like suction disc mouth, and the annular major axis of all kinds of Ring like suction disc mouths and the matrix of class annular is arranged parallel
Row, are mutually isolated.
Sucker mouth includes strip sucker mouth, matrix skin and the matrix of class annular of each strip sucker mouth in class annular
Annular major axis parallel arranged, is mutually isolated.
External margin of the incision protection film in relative class Ring like suction disc the same side is provided for pasting incision protection film admittedly
It is scheduled in draping surgery and pastes bar.
The hardness of matrix and class Ring like suction disc material is less than the hardness on human uterine's human body top layer, including silica gel, gel etc..
Matrix underpart is outer with class ring-shaped depression groove along annular major axis setting class ring-shaped depression groove, the cellular annular circle body
Shape and size matching, cellular annular circle body can be assemblied in the inner suction pipe and suction pipe by being arranged in matrix in class ring-shaped depression groove
Connection.
Advantages of the present invention:In Cesarean esction otch uterine incision by the bionical Cesarean esction Wound protector of the leech
The bionical sucker cushion of bracing ring and leech of mouth is inserted in Cesarean esction otch, the bionical sucker cushion of leech is looped around uterine cervix
Otch periphery.The mesometrium table for making the bionical sucker cushion of leech be absorbed and fixed at outside uterine incision by connecting negative pressure
Face, otch internal and external environment is completely cut off using incision protection film, avoids intrauterine contents(Especially amniotic fluid and the intrauterine to come off
Film)Complication is caused into puerpera abdominal cavity or contact puerpera's otch, it is sealed off, and effect is good, and simple in construction, cost is low, fixed
It is convenient, securely and reliably.
Brief description of the drawings
Fig. 1 is the overlooking the structure diagram of the present invention;
Fig. 2 is the side structure schematic view of the present invention;
Fig. 3 is the present invention looks up structural representation that class Ring like suction disc of the present invention is arranged to cellular annular circle body;
If Fig. 4 is the present invention looks up structural representation that class Ring like suction disc of the present invention is arranged to Ganlei's Ring like suction disc mouth;
Fig. 5 is the present invention looks up structural representation that class Ring like suction disc of the present invention is arranged to some strip sucker mouths.
Description of reference numerals:The bionical sucker cushion of 1- incision protections film, 11- internal orifices, 12- bracing rings, 2- leech, 3- bases
Body, 4- classes Ring like suction disc, 41- inner rings diaphragm seal, 42- outer rings diaphragm seal, 5- suction pipes, 51- inner suction pipes, 6- cellular annulars circle body,
7- suckers mouth, 71- class Ring like suction disc mouths and 72- strip sucker mouths.
Embodiment
With reference to specific accompanying drawing, the invention will be further described.
As depicted in figs. 1 and 2, the bionical Cesarean esction Wound protector of leech sets internal orifice 11 to be used for Cesarean esction including middle part
The incision protection film 1 of otch internal and external environment isolation is used for strut internal orifice 11 with the edge of 1 internal orifice of incision protection film 11 is arranged on
Bracing ring 12.Around the edge seal of 1 internal orifice of incision protection film 11 connection, the bionical sucker cushion 2 of class annular leech, water are set
The bionical sucker cushion 2 of leech includes and surround the class annular base 3 that uterus outer wall shape is bonded substantially on the outside of uterine incision and sets
The bionical class Ring like suction disc 4 of leech being used for surrounding uterus outer wall close contact on the outside of uterine incision on the bottom top layer of matrix 3,
The inner chamber of class Ring like suction disc 4 connection is provided for adsorbing class Ring like suction disc 4 for the offer of class Ring like suction disc 4 negative pressure and sealed solid
It is scheduled on the suction pipe 5 on uterus outer wall top layer.
Wherein, the incision protection film 1 of internal orifice 11 is set and the bracing ring 12 for strutting internal orifice 11 is set at the edge of internal orifice 11
For the apokoinou construction of current Wound protector.Bracing ring 12 is the elastic circle body that can be deformed, and material includes:Metal, plastics, rubber
Glue and silica gel etc..Compression inserts the abdominal cavity in deep or pelvic cavity in otch by operative incision during use, and branch is unclamped after inserting
Support ring 12, the absent-mindedness of bracing ring 12 are expanded, are fixed in abdominal cavity or pelvic cavity.The internal orifice 11 of incision protection film 1 connects with the sealing of bracing ring 12
Connect, incision protection film 1 is extended to outside otch by otch, so as to which the internal and external environment of operative incision be separated, avoids operative incision
Interior dirt contamination otch simultaneously reduces dirt in abdominal cavity or the pollution range of pelvic cavity.
, can not because the internal organs profile around bracing ring 12 is changeable and irregular in the abdominal cavity of majority or operation on pelvis
Accomplish the completely isolated of operative incision internal and external environment.But in Cesarean operation, due to the mesometrium around uterine incision outside
Wall is bright and clean and regular, can accomplish completely cut uterus, take out fetus, clear up uterine cavity during operative incision internal and external environment it is complete
Full isolation.
In order that the bracing ring 12 of the internal orifice 11 of operative incision diaphragm 1 connects with the uterus outer wall sealing outside uterine incision
Connect, the bionical sucker cushion 2 of class annular leech is set around the edge seal of 1 internal orifice of incision protection film 11 connection.The leech
Bionical sucker cushion 2 includes and surround the class annular base 3 and be arranged on that uterus outer wall shape is bonded substantially on the outside of uterine incision
The bottom top layer of matrix 3 is used for and the bionical class Ring like suction disc 4 of leech around uterus outer wall close contact on the outside of uterine incision.
The profile of matrix 3 and internal orifice bracing ring 12 should paste substantially with the profile of the uterus outer wall around uterine incision periphery
Close, the internal orifice 11 of incision protection film 1 is inserted pelvic cavity and make internal orifice 11 after operative incision, under the bionical sucker cushion 2 of leech
Portion surface is bonded substantially with around uterus outer wall on the outside of uterine incision.In order to reach suitable sealing, described matrix 3 and class ring
The hardness of the material of shape sucker 4 is less than the hardness on human uterine's human body top layer, including silica gel, gel etc., relatively soft matrix 3 and class
The material of Ring like suction disc 4 can be more preferably fitted in around uterus outer wall on the outside of uterine incision.
In order to further improve the bionical sucker cushion 2 of leech and the sealing around uterus wall contacts on the outside of uterine incision
Property, absorption is provided on the bottom top layer of matrix 3 and is surrounding uterus outer wall on the outside of uterine incision and the water of enough sealings is provided
The bionical class Ring like suction disc 4 of leech, the inner chamber of class Ring like suction disc 4 connection are provided for making class ring for the offer of class Ring like suction disc 4 negative pressure
Shape sucker 4 adsorbs and sealed the suction pipe 5 for being fixed on uterus outer wall top layer.
In use, suction pipe 5 is connected into Medical negative pressure, negative pressure conducts the class Ring like suction disc 4 set to the bottom top layer of matrix 2,
Class Ring like suction disc 4 under suction function tightly be attracted to the uterus outer wall on the outside of the uterine incision, make in class Ring like suction disc 4
Outer ring, which, not to be set the matrix 4 of sucker mouth to deform and is close to around uterus outer wall on the outside of uterine incision, so that incision protection film 1
Environment inside and outside internal orifice 11 completely cuts off completely.
When it is implemented, the bionical lower surface of sucker cushion 2 of leech around uterus outer wall construction on the outside of uterine incision with pasting
Right higher, the pressure of negative pressure is bigger, and class Ring like suction disc 4 and matrix 3 are more soft, and the bionical sucker cushion 2 of leech just can be otch
Diaphragm 1 provides more superior sealing.When it is implemented, the hardness of the class Ring like suction disc 4 and the material of matrix 3 is preferably small
In the hardness of uterus outer wall, including silica gel, gel etc..So, under negative-pressure adsorption, the class Ring like suction disc 4 on the bottom top layer of matrix 3
Deformation absorption is on the outer wall of uterus, rather than outer wall deformation lifting in uterus abuts in the surface of class Ring like suction disc 4, avoids or mitigates negative
Pressure causes to damage to uterus outer wall.
It is worth noting that, in order that the bionical sucker cushion 2 of leech reaches preferable sealing, the class Ring like suction disc 4
The class annular axis coil position on the bionical bottom top layer of sucker cushion 2 of leech should be arranged on, the width of class Ring like suction disc 4 should be less than
The width of the bionical sucker cushion 2 of leech, the leech that making the interior outside of 4 any position of class Ring like suction disc has convenient width are imitated
Raw sucker cushion 2 does not set class Ring like suction disc mouth 4.
Certainly, the actual bracing ring 12 when implementing can sucker cushion 2 bionical with leech be androgynous sets, i.e.,:Leech is imitated
Raw sucker cushion 2 itself has enough elasticity and styling, can play the function of the bracing ring 12.
Suction pipe 5 can be free on incision protection film 1 and set, and can be also wholely set with incision protection film 1 or half free partly connects
Setting is connect, here is omitted.Connector can be set in the tail end of suction pipe 5, for being connected with the Medical negative pressure seal of tube.
As shown in Fig. 2, Fig. 3 Fig. 4 and Fig. 5, the inner ring edge part of class Ring like suction disc 4 sets the inner ring of soft quality class annular close
Sealer circle 41.
The meaning of the inner ring diaphragm seal circle 41 of soft quality class annular is set to be in the inner ring edge part of class Ring like suction disc 4:Use
When, if the inner edge edge of class Ring like suction disc 4 gap occurs with uterus outer wall on the outside of circular uterine incision, because of uterine incision and the external world
Environmental communication, it is an atmospheric pressure, and the inside of class Ring like suction disc 4 is negative pressure, the liquidity preference of gas or liquid is out of otch
The one lateral side of class Ring like suction disc 4 flowing.Now under the effect of the pressure differential of atmospheric pressure and the negative pressure of class Ring like suction disc 4, it is arranged on
The deformation of inner ring diaphragm seal circle 41 closure at the inner ring edge of class Ring like suction disc 4 is in class Ring like suction disc 4 and the son on the outside of uterine incision
At the gap opening that palace outer wall occurs, the leakage in otch once the lateral side of class Ring like suction disc 4 is set not to be released from still.When
The premise that right inner ring diaphragm seal circle 41 works is that class Ring like suction disc 4 is surrounding uterus outer wall on the outside of uterine incision around absorption,
And the suction that provides of negative pressure makes that the fixation of class Ring like suction disc 4 and uterus outer wall is safe, and this is to lift easily.
The inner ring diaphragm seal circle 41 provides enough sealing effectiveness and depended on:The thickness of inner ring diaphragm seal circle 41, inner ring
The material softness degree of diaphragm seal circle 41, the width of inner ring diaphragm seal circle 41.Inner ring diaphragm seal 41 thickness of circle are thinner, and material is more soft
Soft, width is wider to provide more superior sealing effectiveness.But inner ring diaphragm seal 41 thickness of circle are thinner, more soft material, width
Wider, the 41 easier curling of inner ring diaphragm seal circle, causes sealing property to decline during actual use.Can be according to reality during specific manufacture
The parameters of border experiment effect regulation inner ring diaphragm seal circle 41, make the sealing effectiveness of inner ring diaphragm seal circle 41 reach optimal.
Similarly, the sealing that the bionical sucker cushion 2 of leech provides when being used further to improve, the class Ring like suction disc 4
Outer ring edge part sets the outer ring diaphragm seal circle 42 of soft quality class annular.
The outer ring edge part of class Ring like suction disc 4 sets the meaning of the outer ring diaphragm seal circle 42 of soft quality class annular to be:Make
Used time, if the outer rim edge of class Ring like suction disc 4 with when there is gap in uterus outer wall on the outside of the uterine incision, because pelvic cavity with it is extraneous even
Logical to be equal to atmospheric pressure, and the inside of class Ring like suction disc 4 is negative pressure, the liquidity preference of gas or liquid is one lateral outside pelvic cavity otch
Flow the side of class Ring like suction disc 4.Now under the effect of the pressure differential of atmospheric pressure and the negative pressure of class Ring like suction disc 4, class annular is arranged on
The deformation closure of outer ring diaphragm seal circle 42 of the external margin of sucker 4 is in class Ring like suction disc 4 with surrounding uterus outer wall on the outside of uterine incision
At the gap opening of appearance, the outer leakage once the lateral side of class Ring like suction disc 4 of pelvic cavity otch is set not to be released from still.
Substantially the leakage of the outer lateral class Ring like suction disc 4 of pelvic cavity otch to the sealing of the bionical sucker cushion 2 of leech simultaneously
It is noiseless, but the leakage of the outer lateral class Ring like suction disc 4 of pelvic cavity otch makes class Ring like suction disc 4 with surrounding uterus on the outside of uterine incision
Outer wall sticks degree decline, and then class Ring like suction disc 4 is declined with the sealing around uterus outer wall on the outside of uterine incision.Cause
This, leech bionical suction when the outer ring edge part of class Ring like suction disc 4 sets the outer ring diaphragm seal circle 42 of soft quality class annular to use improving
The sealing of disk cushion 2 is beneficial.
As shown in Figures 2 and 3, the class Ring like suction disc 4 includes setting the solid netted class for being arranged on the lower surface of matrix 3
The cellular annular circle body 6 of sponge structure.The cellular annular circle body 6 is arranged on the midline position of the class annular major axis of matrix 3, honeycomb
The width of annular body 6 is less than the width of the class annular lower surface of matrix 3.
The cellular annular circle body 6 is logical to be connected with the suction pipe 5 being used for and the Medical negative pressure seal of tube connects.Certainly, honeycomb ring
The outer edge of shape circle body 6 should set indwelling part of matrix 3, the part of indwelling after suction pipe 5 connects with the Medical negative pressure seal of tube
Matrix 3 is avoided that gas leakage, reduces the cellular space deformation under suction function of cellular annular circle body 6, makes cellular annular
The sunken contraction of circle body 6 is close to around uterus outer wall surface on the outside of uterine incision, plays preferable sealing function.
The cellular annular circle body 6 is preferably provided at 2 times long axis of spindle positions of category annular of the bionical sucker cushion of leech
Put, the width of cellular annular circle body 6 is less than the width of the bionical class annular lower surface of sucker cushion 2 of leech, and the bionical sucker of leech
The class annular lower surface of cushion 2 outside indwelling proper width in cellular annular circle body 6.So, cellular annular during actual use
Circle body 6 is attracted to around during the outer wall surface of uterus, the internal orifice 11 of incision protection film 1 is located around uterine incision on the outside of uterine incision
The position of peripheral uterus outer wall, the cushion top layer of the bionical lower surface of sucker cushion 2 of leech outside indwelling in cellular annular circle body 6
It can be pulled and stick on around uterus outer wall surface on the outside of uterine incision, play good sealing function.
When it is implemented, the more soft material of the cellular annular circle body 6, cellular space is finer and closely woven, provides during use
Sealing property it is better.Be worth remind be:, can be pre- along annular major axis in the bionical bottom of sucker cushion 2 of leech during actual fabrication
First indwelling class ring-shaped depression groove, then the assembling of cellular annular circle body 6 that profile size matches is fixed in class ring-shaped depression groove.
Set inner suction pipe 51 and suction pipe 5 close in the intramarginal matrix 3 in inner ring connected in star outer ring of the bionical bottom of sucker cushion 2 of leech
Envelope connection, conducting path is provided for negative pressure.
As shown in Figures 4 and 5, the class Ring like suction disc 4 includes the sucker mouth that some depressions are arranged on the bottom top layer of matrix 3
7, each sucker mouth 7 is mutually isolated, each sucker mouth 7 connects with suction pipe 5 around the hollow parallel arranged of internal orifice 11 of the matrix 3 of class annular
It is logical.
Some sucker mouths 7 that the class Ring like suction disc 4 is set connect with the inner suction pipe 51 being arranged in matrix 3, interior suction
Pipe 51 goes out the suction pipe 5 that the tail end of matrix 3 is connected to connect with negative-pressure suction pipe.During actual use, palace is cutd open when the leech is bionical
Production Wound protector position is suitable and after fixing, and suction pipe 5 connects vacuum suction.Some sucker mouths 7 are adsorbed under suction function
Uterine incision periphery uterus outer wall is being surround, and then the bionical sucker cushion 2 of the leech is tightly adsorbed around uterine incision
Peripheral uterus outer wall, enough sealings are provided for the isolation of operative incision internal and external environment.
As shown in figure 4, the sucker mouth 7 includes class Ring like suction disc mouth 71, all kinds of Ring like suction disc mouths 71 and the base of class annular
The annular major axis parallel arranged of body 3, is mutually isolated.
Two circle class Ring like suction disc mouths 71 are provided with this diagram, class Ring like suction disc mouth 71 is often enclosed and surrounds the bionical sucker of leech
The internal orifice 11 of operative incision diaphragm 1 of the inside of cushion 2.Each parallel arranged of class Ring like suction disc mouth 71, from each other completely every
From.When in use, it is only to the internal orifice 11 of operative incision diaphragm 1 of the bionical sucker cushion 2 of leech often to enclose class Ring like suction disc mouth 71
Sealing effectiveness is erected, when the class Ring like suction disc 4 of the formation of class ring sucker mouth 71 of multi-turn adds actual use in operative incision
The isolating seal of external environment.The width of the class Ring like suction disc mouth 71 set during specific implementation is preferred in 3mm-5mm or so, number
It is The more the better.But limited by the width of class Ring like suction disc 4, the Limited Number of class Ring like suction disc mouth 71.
As shown in figure 5, the sucker mouth 7 includes strip sucker mouth 72, matrix 3 table of each strip sucker mouth 72 in class annular
The annular major axis parallel arranged of layer and the matrix 3 of class annular, is mutually isolated.
In this set, the structure of the similar Fig. 5 of the interrupted formation of multiple strip sucker mouths 72 class Ring like suction disc mouth 71.
Simply in the specific implementation, influence from each other reduces the strip sucker mouth 72 of intermittent intervals, and sealing is more during use
Reliably.Multiple strip sucker mouths 72 form the structure of the similar Fig. 5 of two circles class Ring like suction disc mouth 71 in this figure.It is of course possible to set
The structure of more multiple class Ring like suction disc mouth is put, sealing is stronger.
Each depth of sucker mouth 7 is preferably smaller than 1cm, and the purpose of the depth of control sucker mouth 7 is to avoid mesometrium outer wall
It is excessive to be attracted drawing stress, causes mesometrium outer wall congested red and swollen.The depth of sucker mouth 7 is smaller, mesometrium outer wall stress
Deform it is smaller, infringement it is smaller.But the depth of sucker mouth 7 is too small, sealing may decline.During actual implementation, the bionical sucker of leech is soft
The material of pad 2 should be sufficiently flexible, is reduced when on the one hand can reach use and facial skin is damaged, on the other hand can increase ventilation
When air-tightness.
For the ease of using when by the edge of incision protection film 1 be fixed on operative incision periphery operation underpad on, avoid
Operative incision diaphragm moving influence using effect, operation is interfered.The incision protection film 1 is in relative class Ring like suction disc
The external margin of 4 the same sides, which is provided for pasting incision protection film 1 being fixed in draping surgery, pastes bar 13.In use,
Part of the operative incision diaphragm 1 outside the operative incision is paved, and is pasted by pasting bar 13 and is fixed on operation underpad
It is upper.
The bionical Cesarean esction Wound protector of leech is to fetus is taken out, placenta takes before uterine incision is cut using opportunity
Go out, uterine cavity is cleared up and Uterine repair is finished.When needing to remove the bionical Cesarean esction Wound protector of leech, suction pipe 5 is connected
The medical negative pressure suction connect is withdrawn, and the negative pressure of class Ring like suction disc 4 disappears, and class Ring like suction disc 4 disappears to the absorption affinity of uterus outer wall,
The bionical Cesarean esction Wound protector of the leech can easily be removed.When it is implemented, the embodiment of class Ring like suction disc 4 has perhaps
It is a variety of, belong to the scope of this patent.
In a word:The present invention is simple in construction, and it is i.e. reachable to be connected lasting negative pressure by the suction pipe 5 connected with class Ring like suction disc 4
It is simple in construction to the bionical sucker cushion 2 of leech during Cesarean esction and the superior sealing property of uterus outer wall, securely and reliably.