CN107296640A - A kind of fixator of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing - Google Patents

A kind of fixator of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing Download PDF

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Publication number
CN107296640A
CN107296640A CN201710482653.1A CN201710482653A CN107296640A CN 107296640 A CN107296640 A CN 107296640A CN 201710482653 A CN201710482653 A CN 201710482653A CN 107296640 A CN107296640 A CN 107296640A
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CN
China
Prior art keywords
urethra
catheter
snap ring
bottom plate
neck
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710482653.1A
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Chinese (zh)
Inventor
丁亚飞
李�昊
贾占奎
杨锦建
金志波
丁映辉
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN201710482653.1A priority Critical patent/CN107296640A/en
Publication of CN107296640A publication Critical patent/CN107296640A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1085Bladder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1089Urethra

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a kind of promotion urethra wound and the fixator of urethra and neck of urinary bladder anastomotic healing, its structure includes shorts, the bottom plate being attached on front side of shorts, the elastic force being connected between shorts and bottom plate and tightens rope, is hinged the rod being arranged on front side of bottom plate, the catheter for being fixed on the catheter buckle of rod front end and being penetrated backward from catheter buckle.The present invention is used in Prostate Cancer after Radical, prostate vaporization electrocision, urethral reunion operation, Radical cystectomy(New bladder in situ)With the Post operation such as ankylurethria art, when urethral injury causes to need outwards to pull catheter after bleeding, make two broken ends of fractured bone or urethra and the connection of neck of urinary bladder previous anastomotic of urethra more close, wound or anastomotic position can be made more to be close to, reduce bleeding, promote wound or anastomotic healing, stopped blooding when can be used for urethral injury by pulling catheter come urethra.

Description

A kind of fixator of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing
Technical field
It is cured the present invention relates to a kind of medicine equipment, more particularly to a kind of promotion urethra wound and urethra with neck of urinary bladder previous anastomotic The fixator of conjunction.
Background technology
Prostate Cancer after Radical, Radical cystectomy(New bladder in situ), TUVP, per urethra Benign prostate enucleation, urethral reunion operation, urethral injury cause to need self retaining catheter when hemorrhage of the urethra, are first urine After road Reconstruction, the suture of two broken ends of fractured bone, because operative space is relatively small in pelvic cavity, pine was pulled during suture in the presence of certain suture Situation, if do not carried out effective prevention to previous anastomotic, easily there is imperfect docking in previous anastomotic, influences anastomotic healing, or even have When there is oozing of blood at previous anastomotic, cause previous anastomotic delayed union, patient is postoperative blood urine occurs, so as to increase Infection probability and aggravate Patients ' psychological is born.Therefore need to apply certain pressure to previous anastomotic after coincideing, make the contact of its two broken ends of fractured bone more close, promote kiss Heal up healing, it is to avoid severe hematuria occur, reduce Infection probability to mitigate patients ' psychological burden.Second be urethral reunion operation, Need to pull urinary catheter during urethral injury, play a part of urethra hemostasis and prevention bleeding.
Current programme is after surgery to insert the ultra-smooth urinary catheter of suitable types in the bladder and urethra of patient, by catheter Bladder end anti-dropout water pocket in fill physiological saline, and fasten gauze in the urinary catheter other end and prop up glans penis(Female patient is supported Firmly urethral orifice).Such a mode presses harder against glans penis, to prevent glans penis necrosis, it is necessary to loosen gauze over time, but loosen There is blood urine immediately in most patients after gauze, it is necessary to fasten gauze again and prop up glans penis.Such a scheme hemostasis is imprecise, and Operation is very inconvenient, now needs to provide the fixing device of a kind of promotion urethra wound or neck of urinary bladder anastomotic healing, is not oppressing tortoise Urinary catheter, harmless to health tissues and convenient operation are outwards pulled in the case of head or urethral orifice.
The content of the invention
Promote urethra wound and urethra and neck of urinary bladder anastomotic healing the technical problem to be solved in the present invention is to provide one kind Fixator, make two broken ends of fractured bone or urethra of urethra and the connection of neck of urinary bladder previous anastomotic more close, wound or anastomotic position can be made More it is close to, reduces bleeding, promotes wound or anastomotic healing, oppressed when can be used for urethral injury by pulling catheter Urethra stops blooding.
To achieve these goals, the technical solution used in the present invention is:One kind promotes urethra wound and urethra and wing The fixator of Guang neck anastomotic healing, its structure includes shorts, the bottom plate being attached on front side of shorts, be connected to shorts and bottom plate it Between elastic force tighten rope, be hinged the rod being arranged on front side of bottom plate, be fixed on the catheter buckle of rod front end and from urethral catheterization The catheter that pipe clamp button is penetrated backward.
As a preferred technical solution of the present invention, the centre of the catheter buckle opens up hole clipping and downward from hole clipping Lead-in groove is opened up, lead-in groove runs through the antetheca and rear wall of catheter buckle, sealed up and down before and after opening up chute, chute to the right from hole clipping Close and left and right opened wide, sliding block is set in chute, sliding block hollow out opens up and spring and jacking block are set in spring frame, spring frame, jacking block with The rear wall of chute is affixed, and the left end of spring and spring frame is affixed, and the left end of sliding block is dynamic snap ring, and hole clipping inwall is provided with and dynamic card The corresponding quiet snap ring of ring, dynamic snap ring docks the snap ring for enclosing circle with quiet snap ring, and the internal diameter of snap ring is less than the internal diameter of hole clipping, card The internal diameter in hole is equal to the external diameter of the catheter, the inwall laying soft silica gel pad of the dynamic snap ring and quiet snap ring, and soft silica gel pad is Point-like, wavy or strip, the right-hand member of sliding block raise up to form shifting block, and the preceding surface of shifting block is not less than before catheter buckle Wall.
As a preferred technical solution of the present invention, dynamic snap ring radian is two to three times of quiet snap ring radian.
As a preferred technical solution of the present invention, the elastic force, which tightens rope, to be included tightening rope and two lower beams on two Tight rope, the upper left corner and the upper right corner that rope is separately fixed at the bottom plate are tightened on two, rope is above tightened and upwardly extends and be fixed on The front side of the shorts, the lower left corner and the lower right corner that rope is separately fixed at bottom plate are tightened under two, under tighten rope first down around The crotch of shorts, then upwardly extend and be fixed on the rear side of shorts.
As a preferred technical solution of the present invention, via is opened up on the shorts, the lower edge of the bottom plate is inside Depression, via is corresponding with the recessed position of bottom plate.
As a preferred technical solution of the present invention, the swing angle of the rod is 180 °.
As a preferred technical solution of the present invention, the back side of the bottom plate is equipped with cushion pad, and cushion pad is using sea Silk floss is made.
It is using the beneficial effect produced by above-mentioned technical proposal:The present invention is used in Prostate Cancer after Radical, prostatitis Gland electrovaporization, urethral reunion operation, Radical cystectomy(New bladder in situ)With the Post operation, urethral injury such as ankylurethria art When causing to need outwards to pull catheter after bleeding, make two broken ends of fractured bone or urethra of urethra and the connection of neck of urinary bladder previous anastomotic more close, Anastomotic position can be made more to be close to, reduce bleeding, promote anastomotic healing, when can be used for urethral injury by pull urinary catheter come Urethra is stopped blooding.
Brief description of the drawings
The present invention is further detailed explanation with reference to the accompanying drawings and detailed description.
Fig. 1 is the front view of the present invention.
Fig. 2 is the three-dimensional structure diagram when present invention is not installed at shorts.
Fig. 3 is the partial sectional view of catheter buckle of the present invention.
Fig. 4 is the front view of catheter buckle of the present invention.
In figure:1st, shorts 2, bottom plate 3, on tighten rope 4, under tighten rope 5, rod 6, catheter buckle 7, via 8th, catheter 61, hole clipping 62, lead-in groove 63, sliding block 64, spring frame 65, spring 66, jacking block 67, dynamic snap ring 68, quiet Snap ring 69, shifting block.
Embodiment
Referring also to accompanying drawing 1-2, the structure of an embodiment of the invention includes shorts 1, is attached to the front side of shorts 1 Bottom plate 2, the elastic force that is connected between shorts 1 and bottom plate 2 tightens rope, is hinged and is arranged on the rod 5 of the front side of bottom plate 2, is fixed on The catheter buckle 6 of the front end of rod 5 and the catheter 8 penetrated backward from catheter buckle 6.
The elastic force tightens rope and includes tightening on two tightening to tighten to restrict on rope 4, two under rope 3 and two 3 to be fixed respectively In the upper left corner and the upper right corner of the bottom plate 2, the front side that rope 3 upwardly extended and be fixed on the shorts 1, two lower beams are above tightened Tight rope 4 is separately fixed at the lower left corner and the lower right corner of bottom plate 2, under tighten crotches of the rope 4 first down around shorts 1, then prolong upwards Stretch and be fixed on the rear side of shorts 1.
Via 7 is opened up on the shorts 1, the lower edge of the bottom plate 2 caves inward, the recessed position of via 7 and bottom plate 1 It is corresponding.
The swing angle of the rod 5 is 180 °.Rod 5 can freely up and down be swung, and be the telotism of male patient When more activity spaces are provided.
The back side of the bottom plate is equipped with cushion pad, and cushion pad is made of sponge.Cushion pad can play buffering left and right Effect, it is to avoid bottom plate 2 directly contradicts at pubic symphysis and causes discomfort.
Again individually referring to accompanying drawing 3, the centre of the catheter buckle 6 opens up hole clipping 61 and opens up importing downwards from hole clipping 61 Groove 62, lead-in groove 62 runs through the antetheca and rear wall of catheter buckle 6, is sealed up and down before and after opening up chute, chute to the right from hole clipping 61 Close and left and right is opened wide, sliding block 63 is set in chute, the hollow out of sliding block 63, which is opened up, sets spring 65 and top in spring frame 64, spring frame 64 Block 66, the rear wall of jacking block 66 and chute is affixed, and the left end of spring 65 and spring frame 64 is affixed, and the left end of sliding block 63 is dynamic snap ring 67, the inwall of hole clipping 61 is provided with quiet snap ring 68 corresponding with moving snap ring 67, and dynamic snap ring 67 is docked with quiet snap ring 68 encloses circle Snap ring, the internal diameter of snap ring is less than the internal diameter of hole clipping 61, and the internal diameter of hole clipping 61 is equal to the external diameter of the catheter 8, the dynamic card The inwall laying soft silica gel pad of ring 67 and quiet snap ring 68, soft silica gel pad is point-like, wavy or strip, and the right-hand member of sliding block 63 is upward Shifting block 69 is convexed to form, the preceding surface of shifting block 69 is not less than the antetheca of catheter buckle 6;The dynamic radian of snap ring 67 is the quiet arc of snap ring 68 Three times of degree.
Shorts 1 are corner shorts or triangular pants.
Rod 5 is two, and two rods 5 are parallel to each other.
The inwall laying soft silica gel pad of dynamic snap ring 67 and quiet snap ring 68, soft silica gel pad is point-like, wavy or strip.It is anti-skidding Line can increase the frictional force between snap ring and catheter 8.
The present invention operation principle be:Patient puts on shorts 1, and bottom plate 2 is propped up at patient's pubic symphysis, male patient need by Penis is passed from via 7 and is placed between bottom plate 2 and catheter buckle 6, and catheter 8 is inwardly penetrated into bladder from patient's urethra, Physiological saline is filled in the anti-dropout water pocket at the bladder end of catheter 8, expands anti-dropout water pocket, the anti-dropout water pocket after expansion Diameter be more than the diameter of neck of urinary bladder and urethra connector, prevent catheter 8 from coming off;Stir shifting block 69 to the right again, make sliding block 63 drive dynamic snap ring 67 to be separated with quiet snap ring 68, and card can be slid upward into from lead-in groove 62 by leading the outer end of now urinary catheter 8 In hole 61, medical personnel outwards tense catheter 8, and the anti-dropout water pocket of catheter 8 drives neck of urinary bladder to be displaced outwardly, hinders urethra Mouth or the previous anastomotic between neck of urinary bladder and urethra are tightly combined, and finally unclamp shifting block 69, sliding under the elastic force effect of spring 65 Block 63 drives dynamic snap ring 67 to left movement, and dynamic snap ring 67 blocks catheter 8 with quiet snap ring 68, remains out catheter 8 and leads The state of drawing.
The present invention can not only ensure that the previous anastomotic between urethra wound or neck of urinary bladder and urethra is tightly combined, in promotion State anastomotic healing, it is to avoid bleeding, and the glans penis because of caused by compressing male patient's glans penis can be avoided downright bad and avoided The sense of discomfort that compressing female patient urethral orifice is caused.
The present invention can make various sizes of product, to adapt to the physiological characteristic of different patients.
Foregoing description only proposes as enforceable technical scheme of the invention, not as to its technical scheme single in itself Restrictive condition.

Claims (7)

1. the fixator of a kind of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing, it is characterised in that:Wrapped in its structure Shorts, the bottom plate being attached on front side of shorts, the elastic force being connected between shorts and bottom plate is included to tighten rope, be hinged and be arranged on front side of bottom plate Rod, the catheter that is fixed on the catheter buckle of rod front end and is penetrated backward from catheter buckle.
2. the fixator of promotion urethra wound according to claim 1 and urethra and neck of urinary bladder anastomotic healing, its feature It is:The centre of the catheter buckle opens up hole clipping and opens up lead-in groove downwards from hole clipping, and lead-in groove runs through catheter buckle Antetheca and rear wall, open up chute to the right from hole clipping, closing and left and right is opened wide up and down, sets sliding block before and after chute in chute, sliding Block hollow out opens up and spring and jacking block is set in spring frame, spring frame, and the rear wall of jacking block and chute is affixed, a left side for spring and spring frame End is affixed, and the left end of sliding block is dynamic snap ring, and hole clipping inwall is provided with quiet snap ring corresponding with moving snap ring, moves snap ring and quiet snap ring pair The snap ring for enclosing circle is connect, the internal diameter of snap ring is less than the internal diameter of hole clipping, and the internal diameter of hole clipping is equal to the external diameter of the catheter, institute The inwall laying soft silica gel pad of snap ring and quiet snap ring is stated, soft silica gel pad is point-like, wavy or strip, and the right-hand member of sliding block is upward Shifting block is convexed to form, the preceding surface of shifting block is not less than the antetheca of catheter buckle.
3. the fixator of promotion urethra wound according to claim 2 and urethra and neck of urinary bladder anastomotic healing, its feature It is:Dynamic snap ring radian is two to three times of quiet snap ring radian.
4. the fixator of promotion urethra wound according to claim 1 and urethra and neck of urinary bladder anastomotic healing, its feature It is:The elastic force, which tightens rope and includes tightening on two tightening under rope and two, tightens on rope, two described in rope is separately fixed at The upper left corner and the upper right corner of bottom plate, above tighten and rope difference are tightened under the front side that rope upwardly extended and be fixed on the shorts, two Be fixed on the lower left corner and the lower right corner of bottom plate, under tighten crotch of the rope first down around shorts, then upwardly extend and be fixed on short The rear side of trousers.
5. the fixator of promotion urethra wound according to claim 1 and urethra and neck of urinary bladder anastomotic healing, its feature It is:Via is opened up on the shorts, the lower edge of the bottom plate caves inward, and via is corresponding with the recessed position of bottom plate.
6. the fixation for promoting urethra wound and urethra and neck of urinary bladder anastomotic healing according to claim any one of 1-5 Device, it is characterised in that:The swing angle of the rod is 180 °.
7. the fixation for promoting urethra wound and urethra and neck of urinary bladder anastomotic healing according to claim any one of 1-5 Device, it is characterised in that:The back side of the bottom plate 2 is equipped with cushion pad, and cushion pad is made of sponge.
CN201710482653.1A 2017-06-22 2017-06-22 A kind of fixator of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing Pending CN107296640A (en)

Priority Applications (1)

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CN201710482653.1A CN107296640A (en) 2017-06-22 2017-06-22 A kind of fixator of promotion urethra wound and urethra and neck of urinary bladder anastomotic healing

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110585600A (en) * 2019-09-06 2019-12-20 洪菲菲 Sit for a long time personnel and use prostate curing means

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2344034Y (en) * 1998-09-29 1999-10-20 满昌强 Eexternal fixing device for urinary catheter
CN201085707Y (en) * 2007-07-25 2008-07-16 薄其芳 Support belt for female perineum
CN203154543U (en) * 2013-01-31 2013-08-28 高明明 Catheter traction fixator
CN203988105U (en) * 2014-08-13 2014-12-10 许忠祥 A kind of cardiovascular and cerebrovascular vessel radiography head supporting structure
CN204797944U (en) * 2015-05-14 2015-11-25 宁波凯生节能环保科技有限公司 Medical treatment anchor clamps
CN106512155A (en) * 2016-11-14 2017-03-22 吉林大学 Transfusion nursing device for children hematology department
CN207970108U (en) * 2017-06-22 2018-10-16 郑州大学第一附属医院 A kind of fixator promoting urethra wound and urethra and neck of urinary bladder anastomotic healing

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2344034Y (en) * 1998-09-29 1999-10-20 满昌强 Eexternal fixing device for urinary catheter
CN201085707Y (en) * 2007-07-25 2008-07-16 薄其芳 Support belt for female perineum
CN203154543U (en) * 2013-01-31 2013-08-28 高明明 Catheter traction fixator
CN203988105U (en) * 2014-08-13 2014-12-10 许忠祥 A kind of cardiovascular and cerebrovascular vessel radiography head supporting structure
CN204797944U (en) * 2015-05-14 2015-11-25 宁波凯生节能环保科技有限公司 Medical treatment anchor clamps
CN106512155A (en) * 2016-11-14 2017-03-22 吉林大学 Transfusion nursing device for children hematology department
CN207970108U (en) * 2017-06-22 2018-10-16 郑州大学第一附属医院 A kind of fixator promoting urethra wound and urethra and neck of urinary bladder anastomotic healing

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110585600A (en) * 2019-09-06 2019-12-20 洪菲菲 Sit for a long time personnel and use prostate curing means
CN110585600B (en) * 2019-09-06 2021-04-13 中南大学湘雅医院 Sit for a long time personnel and use prostate curing means

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Application publication date: 20171027