CN109172894B - Medical closed negative pressure drainage bag - Google Patents

Medical closed negative pressure drainage bag Download PDF

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Publication number
CN109172894B
CN109172894B CN201811258936.9A CN201811258936A CN109172894B CN 109172894 B CN109172894 B CN 109172894B CN 201811258936 A CN201811258936 A CN 201811258936A CN 109172894 B CN109172894 B CN 109172894B
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Prior art keywords
negative pressure
drainage
bag
capacity
drainage bag
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CN201811258936.9A
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CN109172894A (en
Inventor
陈伟权
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Zhanjiang Jianliyuan Medical Supplies Co ltd
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Zhanjiang Jianliyuan Medical Supplies Co ltd
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    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/69Drainage containers not being adapted for subjection to vacuum, e.g. bags
    • A61M1/0023

Abstract

The invention discloses a medical closed negative pressure drainage bag which comprises a drainage tube (1), a capacity bag (2) and a negative pressure source (3), wherein the negative pressure source (3) is a hollow negative pressure bottle and is sealed in the capacity bag (2). The drainage bag belongs to a closed system, can effectively prevent infection, and has the advantages of being convenient to use, high in drainage efficiency, capable of fully utilizing the capacity of the bag body, accurately measuring the accumulated liquid amount of single drainage, promoting the rehabilitation of patients and the like.

Description

Medical closed negative pressure drainage bag
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a medical closed negative pressure drainage bag.
Background
The medical negative pressure drainage device is mainly used for drainage of hydrotropy after thoracic and celiac diseases or operations, and clinically commonly used drainage devices, drainage bags, drainage bottles and the like are arranged, wherein the drainage bags are wider in use due to small size and low cost. The drainage bag can be divided into an internal negative pressure and an external negative pressure.
The negative pressure outside the bag is that a negative pressure source is outside the liquid storage bag, and the negative pressure generator is arranged outside the liquid storage bag, so that the accumulated liquid is drained into the bag after the negative pressure is generated in the bag, but the product is inconvenient to use and operate, and the negative pressure generator needs to be cleaned before and after the product is used, so that inconvenience is brought to nursing work. CN2066745U discloses an improved negative pressure drainage bag, which comprises a negative pressure bag, a liquid storage bag and a connecting piece for enabling the two bags to be communicated unidirectionally, wherein an elastomer (such as foam plastic or a sponge body) is placed in the negative pressure bag, air is extruded by compression deformation of the elastomer, and negative pressure is generated after rebound, so that the purpose of drainage to the liquid storage bag is achieved. However, there are significant disadvantages to such drainage bags, including: the split type negative pressure product outside the bag occupies large space and is limited in use environment; the operation convenience is poor, and two hands are needed to enable the elastomer to achieve a satisfactory compression deformation effect; the negative pressure generated by the characteristics of the foam plastic or the sponge is insufficient, the drainage efficiency is low, and the efficacy is gradually reduced particularly after the foam plastic or the sponge is soaked by the effusion; the accumulated liquid volume of single drainage cannot be accurately measured; in the process of circularly generating negative pressure, the gas entering the liquid storage bag cannot be discharged, the subsequent drainage efficiency is affected, and the capacity of the liquid storage bag cannot be fully utilized.
The negative pressure in the bag is that a negative pressure source is in the bag, and the accumulated liquid is directly led into the bag. Most of negative pressure sources of the existing negative pressure drainage bags in the bags adopt springs, negative pressure is generated by utilizing the elasticity of the springs, and the negative pressure drainage bag is complex in structure and high in cost. The drainage bags are all open, and the negative pressure source is directly communicated with the liquid collecting cavity. CN204601184U discloses a medical negative pressure drainage bag, the negative pressure generator in the bag is formed by butt joint of two V-shaped plastic shrapnel, the cavity lower extreme formed between the two shrapnel is open and communicates with the cavity of the drainage bag. The drainage bag has the following defects: the drainage device is inconvenient to use, the drainage interface is required to be plugged in advance before drainage to ensure that negative pressure is generated, and then the drainage tube is connected, so that a non-closed drainage system is adopted, and the risk of infection is increased; in continuous use, the effusion in the drainage bag can not fully squeeze the negative pressure generator, the negative pressure is insufficient to influence drainage efficiency, and the risk of squeezing the effusion in the bag into the drainage tube exists; the cavity of the negative pressure generator is communicated with the cavity of the drainage bag, and the running space of the negative pressure generator is limited due to the existence of effusion in the bag, so that the capacity of the bag body cannot be fully utilized.
Disclosure of Invention
Aiming at the defects of the prior art and clinical application requirements, the invention aims to provide a medical closed negative pressure drainage bag, which takes a built-in hollow negative pressure bottle as a negative pressure source, is provided with a one-way valve, a ventilation water blocking device and other parts, belongs to a closed system, has the advantages of convenient use, high drainage efficiency, full utilization of bag body capacity, accurate measurement of the accumulated liquid of single drainage and the like, can effectively reduce the incidence rate of complications, promote the rehabilitation of patients and improve the treatment effect.
In order to achieve the above object, the present invention has the following technical scheme.
The utility model provides a medical closed negative pressure drainage bag, includes drainage tube (1), capacity bag (2) and negative pressure source (3), its characterized in that:
the negative pressure source (3) is a hollow negative pressure bottle which is sealed in the capacity bag (2), and the upper port (31) of the negative pressure bottle is a liquid inlet;
the lower port of the drainage tube (1) is connected with a one-way valve (4), and the one-way valve (4) is inserted into the negative pressure bottle along with the drainage tube (1) from the liquid inlet of the negative pressure bottle;
the lower port (32) of the negative pressure bottle is a liquid outlet, the liquid outlet is fixedly connected with another one-way valve (4), and when the two one-way valves of the liquid inlet and the liquid outlet are closed, the negative pressure bottle forms a closed hollow container;
the upper end of the capacity bag (2) is provided with a ventilation water-blocking device (5) for exhausting.
In the medical closed negative pressure drainage bag, the drainage tube can be made of a clinically common material; the volume bag can also be a common material for clinical drainage bags, such as transparent medical polymer material.
As a preferred embodiment of the present invention, the negative pressure bottle is blow molded from rigid PVC, and transparent rigid PVC is particularly preferred.
The surfaces of the capacity bag (2) and the negative pressure bottle are marked with capacity scales, so that the liquid accumulation in the bag and the liquid accumulation of single drainage in the negative pressure bottle can be conveniently measured.
Preferably, the left and right sides of the negative pressure bottle are provided with elastic reinforcing protrusions (33) which are outwards protruded and extend towards the two ends.
The one-way valve is made of PVC film; the breathable water-blocking device (5) is made of a hydrophobic material film.
Optionally, a liquid discharge valve (6) is arranged at the lower end of the capacity bag (2), and the liquid discharge valve (6) is connected with a liquid discharge pipe (7).
As an alternative to the medical closed negative pressure drainage bag described above, a portion of the negative pressure bottle may be exposed from the upper end of the capacity bag (2), provided that a closed system is formed between the negative pressure bottle and the capacity bag (2).
The operation principle of the medical closed negative pressure drainage bag of the invention is as follows: when the operation is performed, the negative pressure bottle is extruded, positive pressure is generated in the bottle, the upper one-way valve is automatically closed, the lower one-way valve is opened, and gas in the bottle is discharged from the lower one-way valve; stopping extrusion, automatically recovering the bottle body by utilizing self elasticity, so that negative pressure is generated in the bottle, closing the lower one-way valve, opening the upper one-way valve, and draining accumulated liquid into the negative pressure bottle through the drainage tube under the action of pressure difference; when the negative pressure bottle is squeezed again, positive pressure is generated in the bottle again, the upper one-way valve is automatically closed, the lower one-way valve is opened, and liquid in the bottle is discharged into the capacity bag from the lower one-way valve. In operation, as the liquid product is discharged into the capacity bag, the gas in the bag is discharged from the breathable water-blocking device. The cyclic operation can fill the capacity bag with the effusion.
The beneficial effects of the invention are mainly represented in the following aspects:
1. the medical closed negative pressure drainage bag is a complete closed system, can effectively reduce the infection risk of the medical staff and patients in operation, and has high safety;
2. the structure is reasonable, the operation is simple and convenient, and the purpose of continuous drainage can be realized only by extruding the negative pressure bottle by one hand;
3. the negative pressure bottle can reach the initial empty state during each extrusion, and the drainage performance is stable and always kept at a high level;
4. because the space in the negative pressure bottle is relatively independent of the space in the capacity bag, and the gas in the capacity bag can be discharged through the breathable water-blocking valve, the capacity of the capacity bag can be fully utilized, and the capacity bag can be filled with liquid;
5. each time of negative pressure drainage operation, the accumulated liquid amount of single drainage can be accurately measured through the scales on the surface of the negative pressure bottle, so that a more comprehensive and fine basis is provided for disease diagnosis;
6. can effectively reduce the incidence rate of complications, promote the rehabilitation of patients and promote the treatment effect.
Drawings
FIG. 1 is a schematic cross-sectional view of a medical closed negative pressure drainage bag of the present invention, with a negative pressure bottle completely sealed within a capacity bag;
FIG. 2 is a schematic cross-sectional view of a medical closed negative pressure drainage bag (part of which is not shown in FIG. 1), wherein part of the negative pressure bottle is exposed out of the upper end of the capacity bag;
wherein, 1-drainage tube, 2-capacity bag, 3-negative pressure source, 4-check valve, 5-ventilative water blocking ware, 6-flowing back valve, 7-flowing back pipe, 31-upper port, 32-lower port, 33-elasticity strengthen protruding.
Detailed Description
The present invention is described in further detail below with reference to examples, which should not be construed as limiting the scope of the present invention.
Examples
As shown in fig. 1, a medical closed negative pressure drainage bag comprises a drainage tube 1, a transparent capacity bag 2 and a negative pressure source 3.
The negative pressure source 3 is a hollow negative pressure bottle which is formed by blow molding of transparent hard PVC, and the negative pressure bottle is sealed in the capacity bag 2. The upper port 31 of the negative pressure bottle is a liquid inlet, the lower port of the drainage tube 1 is connected with a one-way valve 4, and the one-way valve 4 is inserted into the negative pressure bottle along with the drainage tube 1 from the liquid inlet of the negative pressure bottle. The lower port 32 of the negative pressure bottle is a liquid outlet, and the liquid outlet is fixedly connected with another one-way valve 4; when the two one-way valves of the liquid inlet and the liquid outlet are closed, the negative pressure bottle forms a closed hollow container. The left and right sides of the negative pressure bottle are provided with elastic reinforcing protrusions 33 which are outwards protruded and extend towards the two ends.
The upper end of the capacity bag 2 is provided with a ventilation water-blocking device 5 for exhausting, the lower end is provided with a liquid discharge valve 6, and the liquid discharge valve 6 is connected with a liquid discharge pipe 7.
The volume of the volume bag 2 was 500mL, the volume of the negative pressure bottle was 150mL, and volume scales (not shown) were marked on both surfaces.
Application examples
Total knee arthroplasty is one of the effective means for treating severe knee osteoarthritis, and in order to prevent hematoma and infection from bleeding from the postoperative incision, placement of drainage tubes on the postoperative wound has become conventional. The management of the postoperative drainage tube is directly related to success and failure of the operation, curative effect and rehabilitation progress of the patient. In clinical practice, the existing spring type negative pressure drainage bag has the defects of complex operation, inaccurate negative pressure control, difficulty in maintaining, risk of positive pressure generation and the like.
In order to verify the technical effect advantage of the medical closed negative pressure drainage bag compared with the prior art, 120 cases of patients with knee osteoarthritis after parallel unilateral total knee replacement operation are divided into two groups at random for application comparison observation during 2017 to 2018, and the application comparison observation is specifically as follows.
Application unit
Orthopedics department of five-yi middle hospital in Jiangmen city
2. Application object
During 2017 to 2018, in orthopaedics of Wuyi Hospital in Jiangmen, 120 cases of patients with knee osteoarthritis, which are subjected to parallel unilateral total knee arthroplasty and are free from complications, are randomly divided into 2 groups of 60 patients. Wherein,
observation group (using the drainage bag in the above embodiment of the invention): 20 men and 40 women, age 40-82 years, 32 left knees and 28 right knees;
control group (using commercially available spring negative pressure drainage bag): 21 men and 39 women, ages 42-80, 35 left knees and 25 right knees.
The gender, age and disease condition of the two groups of patients have no significant difference.
Application method
(1) The treatment method comprises the following steps:
observation group (using the drainage bag in the above embodiment of the invention): after unilateral total knee replacement, a drainage tube is reserved, and the drainage tube is clamped by a clamp. After 4h, squeezing the negative pressure bottle to discharge the gas in the bottle as much as possible, then opening the clamp and stopping squeezing the negative pressure bottle to conduct negative pressure drainage. Recording the accumulated liquid in the negative pressure bottle every 2 hours within 6 hours from the beginning of drainage, and immediately performing negative pressure drainage operation (namely squeezing the negative pressure bottle to discharge the accumulated liquid in the bottle into a capacity bag, and then stopping squeezing to continue negative pressure drainage); recording the accumulated liquid in the negative pressure bottle every 6 hours between 6 hours and 24 hours from the beginning of drainage, and immediately performing negative pressure drainage operation once after recording; after 24 hours from the start of drainage, the amount of accumulated liquid in the negative pressure bottle was recorded every 12 hours, and a negative pressure drainage operation was performed immediately after the recording. In principle, the drainage bag is replaced every 24 hours, but if the drainage bag is full in 24 hours, the drainage bag is replaced at any time. Measuring and recording the total amount of effusion drained every 24 hours from the beginning of drainage (opening a drain valve at the bottom of a capacity bag, collecting and measuring by using a measuring cup); when the drainage rate is lower than 50mL in 24h, the drainage tube is pulled out, and drainage is finished.
Control group (model A1000 ml … …, manufactured by Hua Kangwei Material Co., ltd., new county, using a commercially available spring negative pressure drainage bag): after unilateral total knee replacement, a drainage tube is reserved, and the drainage tube is clamped by a clamp. After 4h, the spring is extruded until the spring is completely deformed, the clamp is opened, the spring is loosened, and negative pressure drainage is carried out. From the beginning of drainage, the accumulated liquid volume is recorded at fixed time (note: because the spring negative pressure drainage bag can not measure in real time, the medical staff judges approximate quantity based on visual inspection by experience), and the recorded time interval is the same as that of the observation group. In principle, the drainage bag is replaced every 24 hours, but the drainage bag is replaced at any time if the drainage bag is full or the negative pressure of the drainage bag is lost in 24 hours. Measuring and recording the total amount of effusion drained every 24 hours from the beginning of drainage (opening a drain valve at the bottom of a drainage bag, collecting and measuring by using a measuring cup); when the drainage rate is lower than 50mL in 24h, the drainage tube is pulled out, and drainage is finished.
Both groups of patients after operation are treated with conventional hemostasis, pain relieving, anti-infection, antithrombotic and the like, and conventional negative pressure drainage nursing is carried out during drainage. The operation methods, postoperative drug treatment, nursing and rehabilitation training of the two groups of patients are not significantly different.
(2) And (3) observing the indexes: observing and comparing two groups of indexes such as total drainage volume, continuous drainage time, average hospitalization days and the like; comparing the treatment effectiveness of the two groups of patients with the satisfaction of the patients; and comparing the complications of infection, drainage blood loss, neurovascular injury, joint swelling and the like of the two groups of patients within 5 days after operation.
(3) Evaluation of curative effect: the short-term efficacy was evaluated at an active knee flexion angle of the knee joint 5 days after surgery. Improvement: the active knee bending angle of the knee joint is more than or equal to 45 degrees; the method is effective: the active knee bending angle of the knee joint is less than 45 degrees but more than or equal to 30 degrees; invalidation: the active knee bending angle of the knee joint is smaller than 30 degrees.
Application results
The results are shown in tables 1-3.
The results show that the drainage effect after the joint replacement operation of the observation group is better than that of the control group. The total drainage amount of the patients in the observation group is smaller than that of the patients in the control group, the drainage duration is also shorter, the average hospitalization time of the patients is shortened, the hospitalization cost is saved, and most of the patients are satisfied with the evaluation of the treatment. From the aspect of clinical treatment effect and complications, the total clinical effective rate of the observation group is 95.00 percent, which is far higher than that of the control group, the total occurrence rate of the observation group complications is 6.67 percent, which is obviously lower than that of the control group, thus the invention is safe and effective and is more economical than the spring negative pressure drainage bag.
It is worth mentioning that the negative pressure drainage bag is more convenient and accurate in observing the drainage quantity of 6 hours after operation, and is helpful for medical staff to judge the bleeding condition of patients after operation timely and accurately.

Claims (9)

1. The utility model provides a medical closed negative pressure drainage bag, includes drainage tube (1), capacity bag (2) and negative pressure source (3), its characterized in that:
the negative pressure source (3) is a hollow negative pressure bottle which is sealed in the capacity bag (2), and the upper port (31) of the negative pressure bottle is a liquid inlet;
the lower port of the drainage tube (1) is connected with a one-way valve (4), and the one-way valve (4) is inserted into the negative pressure bottle along with the drainage tube (1) from the liquid inlet of the negative pressure bottle;
the lower port (32) of the negative pressure bottle is a liquid outlet, the liquid outlet is fixedly connected with another one-way valve (4), and when the two one-way valves of the liquid inlet and the liquid outlet are closed, the negative pressure bottle forms a closed hollow container;
the upper end of the capacity bag (2) is provided with a ventilation water-blocking device (5) for exhausting.
2. The medical closed negative pressure drainage bag according to claim 1, wherein: the negative pressure bottle is formed by adopting hard PVC blow molding.
3. The medical closed negative pressure drainage bag according to claim 2, wherein: the negative pressure bottle is formed by adopting transparent hard PVC blow molding.
4. The medical closed negative pressure drainage bag according to claim 1, wherein: the surfaces of the capacity bag (2) and the negative pressure bottle are marked with capacity scales.
5. The medical closed negative pressure drainage bag according to claim 1, wherein: the left side and the right side of the negative pressure bottle are provided with elastic reinforcing protrusions (33) which are outwards protruded and extend towards the two ends.
6. The medical closed negative pressure drainage bag according to claim 1, wherein: the one-way valve is made of PVC film.
7. The medical closed negative pressure drainage bag according to claim 1, wherein: the breathable water-blocking device (5) is made of a hydrophobic material film.
8. The medical closed negative pressure drainage bag according to claim 1, wherein: the lower end of the capacity bag (2) is provided with a liquid discharge valve (6).
9. The medical closed negative pressure drainage bag of claim 8, wherein: the liquid discharge valve (6) is connected with a liquid discharge pipe (7).
CN201811258936.9A 2018-10-26 2018-10-26 Medical closed negative pressure drainage bag Active CN109172894B (en)

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CN109172894B true CN109172894B (en) 2024-03-01

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1082304A (en) * 1964-03-19 1967-09-06 Eschmann Bros & Walsh Ltd Bedside drainage bag
CN2066745U (en) * 1990-04-28 1990-12-05 李广宇 Negative pressure drainage bag
FR2677254A1 (en) * 1991-06-10 1992-12-11 Gadrat Francis Medical device for recovery and retransfusion of blood
CN2478595Y (en) * 2001-04-30 2002-02-27 张涛 Closed thoracic drainage device
KR200355714Y1 (en) * 2004-04-09 2004-07-07 이진명 closed suction drain set
CN201768203U (en) * 2010-07-26 2011-03-23 孙东 Medical negative-pressure flow diverter
CN204745101U (en) * 2015-06-05 2015-11-11 王晨峰 Drainage bag is against current prevented to disposable little negative pressure
WO2016056841A1 (en) * 2014-10-08 2016-04-14 재단법인 아산사회복지재단 Drainage bag
CN205586279U (en) * 2016-03-19 2016-09-21 孙盼盼 Primary and secondary formula thorax closed drainage device
CN206355371U (en) * 2016-10-21 2017-07-28 江苏汇锦然医疗器械有限公司 Disposable primary-secondary type urine collection bag
CN207575473U (en) * 2017-02-27 2018-07-06 浙江汉禾医疗器械有限公司 Depression drainage device

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9498605B2 (en) * 2014-03-31 2016-11-22 DePuy Synthes Products, Inc. External volume-limiting CSF drainage system

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1082304A (en) * 1964-03-19 1967-09-06 Eschmann Bros & Walsh Ltd Bedside drainage bag
CN2066745U (en) * 1990-04-28 1990-12-05 李广宇 Negative pressure drainage bag
FR2677254A1 (en) * 1991-06-10 1992-12-11 Gadrat Francis Medical device for recovery and retransfusion of blood
CN2478595Y (en) * 2001-04-30 2002-02-27 张涛 Closed thoracic drainage device
KR200355714Y1 (en) * 2004-04-09 2004-07-07 이진명 closed suction drain set
CN201768203U (en) * 2010-07-26 2011-03-23 孙东 Medical negative-pressure flow diverter
WO2016056841A1 (en) * 2014-10-08 2016-04-14 재단법인 아산사회복지재단 Drainage bag
CN204745101U (en) * 2015-06-05 2015-11-11 王晨峰 Drainage bag is against current prevented to disposable little negative pressure
CN205586279U (en) * 2016-03-19 2016-09-21 孙盼盼 Primary and secondary formula thorax closed drainage device
CN206355371U (en) * 2016-10-21 2017-07-28 江苏汇锦然医疗器械有限公司 Disposable primary-secondary type urine collection bag
CN207575473U (en) * 2017-02-27 2018-07-06 浙江汉禾医疗器械有限公司 Depression drainage device

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