CN110538024B - Portable medical pressurizing application device, use method and application - Google Patents

Portable medical pressurizing application device, use method and application Download PDF

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Publication number
CN110538024B
CN110538024B CN201910825462.XA CN201910825462A CN110538024B CN 110538024 B CN110538024 B CN 110538024B CN 201910825462 A CN201910825462 A CN 201910825462A CN 110538024 B CN110538024 B CN 110538024B
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dressing
opening
sterile
openings
adhesive tape
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CN110538024A (en
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王征
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Chongqing Fws Medical Device Co ltd
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Yubei District People's Hospital Of Chongqing
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • A61F13/0259Adhesive bandages or dressings characterised by the release liner covering the skin adhering layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00463Plasters use haemostatic
    • A61F2013/00468Plasters use haemostatic applying local pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00902Plasters containing means
    • A61F2013/0091Plasters containing means with disinfecting or anaesthetics means, e.g. anti-mycrobic

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  • Health & Medical Sciences (AREA)
  • Dermatology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention belongs to the technical field of clinical application and discloses a portable medical pressure application device and a use method and application thereof.A longitudinal dressing opening is arranged on the side surface of the pressure application surface, the top, the body and the bottom of the pressure application surface are connected at the dressing opening, the edge at the dressing opening is connected with an adhesive tape attachment area at the dressing opening, the inner layer at the dressing opening is a sterile gauze layer, the bottommost end of the sterile gauze is a transparent sterile film which exceeds the bottom edge by 2cm and is integrated with the adhesive tape attachment area at the dressing opening. The invention is simple and portable, has low cost and high quality, and is convenient for nursing, preventing and controlling infection of the needle passage after external fixation of a patient. The local use of the sterile gauze has no interference to the organism, does not worry about the influence of oral and intravenous antibiotics on the whole body of a patient, and promotes the clinical scientific and reasonable use of the antibiotics.

Description

Portable medical pressurizing application device, use method and application
Technical Field
The invention belongs to the technical field of clinical application, and particularly relates to a portable medical pressurizing application device, a use method and application thereof.
Background
Currently, the closest prior art: medical staff are trimmed into a fork shape by using sterile gauze or wound silver ion application and wrapped around a needle channel; the hemostatic bag is not beautiful, can not be pasted with a needle channel, and can not achieve the function of local pressurization hemostasis; firstly, the method comprises the following steps: the sterile gauze and the nano silver ions are respectively in one shape and size due to different modes of applying and trimming by operators, and the sterile gauze and the nano silver ions are not uniform and not attractive; secondly, the method comprises the following steps: the bandaging mode only covers the needle channel but does not really stick to the wound, and can not generate pressure on the local needle channel to achieve the effects of hemostasis and the like, so the needle channel is easy to loosen and fall off, and finally frequent replacement is caused, thereby not only increasing the workload of medical staff, but also increasing the medical expense of a patient, increasing the chance of needle channel infection, undoubtedly increasing the pain of the patient and even leading to tension of the relationship between the patient and the patient; aiming at the discharged patients, the patients cannot be replaced in time, so that a series of complications and the like occur;
in summary, the problems of the prior art are as follows:
(1) the sterile gauze and the nano silver ion are respectively in one shape and size due to different modes of applying and trimming by operators, and the sterile gauze and the nano silver ion are not uniform and are not beautiful.
(2) The bandaging mode only covers the needle channel but does not really stick to the wound, and can not generate pressure on the local needle channel to achieve the effects of hemostasis and the like, so the needle channel is easy to loosen and fall off, and finally frequent replacement is caused, thereby not only increasing the workload of medical staff, but also increasing the medical expense of a patient, increasing the chance of needle channel infection, undoubtedly increasing the pain of the patient and even leading to tension of the relationship between the patient and the patient; for the discharged patients, the patients can not be replaced in time, and a series of complications and the like occur.
(3) At present, some dressings with antibacterial materials are expensive, and are easy to generate local drug resistance, so that the medical cost of patients is increased.
The difficulty of solving the technical problems is as follows:
the problem of applying the proper pressurization effect is solved, the price is low, the operation is simple, the use of local antibiotics is reduced, and the like.
The significance of solving the technical problems is as follows: solves the problems of inconvenient nursing, high price, easy infection, tension medical relationship and the like of the needle path of the external fixing bracket in the clinical orthopedics department, thereby bringing gospel to patients and medical staff!
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a portable medical pressurizing and applying device, a use method and application.
The present invention is achieved as described above, and a portable medical pressure application device is provided with:
pressing the application surface;
the side of the pressure application surface is provided with a longitudinal dressing opening, the dressing opening is connected with the top, the body and the bottom of the pressure application surface, the edge of the dressing opening is connected with a dressing opening adhesive tape attachment area, the inner layer of the dressing opening is an aseptic gauze layer and is attached to the outside of the dressing opening, the inner side of the dressing opening adhesive tape attachment area is adhered to the bottom end of aseptic gauze, the bottommost end of the aseptic gauze is a transparent aseptic film, and the transparent aseptic film is integrated with the dressing opening adhesive tape attachment area.
Further, the adhesive tape attachment area at the dressing opening exceeded the edge of the bottom end of the sterile gauze by a width of 2 cm.
Further, the portable medical pressure application device is in a triangular pyramid shape.
Further, the portable medical pressure application device uses a surface layer applied by nano silver ions, and is an adhesive tape attachment area at a dressing opening of the surface; the inside of the adhesive plaster is adhered with the sterile dressing, and the bottom end of the sterile gauze is a layer of transparent sterile film which exceeds the bottom edge by 2cm and is integrated with the adhesive plaster attachment area at the dressing opening.
Another object of the present invention is to provide a method of using the portable medical pressure application device, including:
the first step, tearing the adhesive tape outside the side dressing opening of the pressure application surface, the entire triangular pyramid being opened from the side, including the film of the bottom surface;
and secondly, wrapping the sterile dressing inside the needle passage with a need of separation, then downwardly sticking the dressing to the skin, pulling the adhesive cloth at the opening of the dressing to be stuck, and simultaneously, wrapping the adhesive cloth at the top with a needle to be stuck.
The invention also aims to provide application of the portable medical pressure application device in the nursing for preventing needle passage infection after orthopedic external fixation.
The invention also aims to provide application of the portable medical pressure application device in the nursing for preventing needle passage infection after orthopedic external fixation: when the three-side triangular pyramid applicator is used, the adhesive plaster outside the applied side fork opening is torn, the whole triangular pyramid is opened from the side, the adhesive plaster on the bottom surface is torn off, after the sterile dressing inside the opening is wrapped around the external fixing needle channel, the bottom surface is firstly adhered with the skin, then the sterile dressing is downward inferior to the skin and the applied plaster on the side surface is adhered, and meanwhile, the adhesive plaster on the top is also wrapped around the needle to be adhered, so that the body pressurization state is kept, and the pressurization purpose is achieved.
In summary, the advantages and positive effects of the invention are: the common needle tract infection strain after the orthopedic external fixation is found out by a mode of combining clinic and laboratory. The design and research of the antibacterial nursing material for preventing needle tract infection after the orthopedic external fixation. Including materials, forms, fillers, compression devices, and the like. And (5) observing clinical application. The novel orthopedic external fixation postoperative needle channel nursing material is used for local exudation culture of bacteria and conventional disinfection, and does not use a novel material to treat wounds, and the comparison of the types and time limits of bacteria produced by exudate culture, the amount of exudate and the comparison of patient satisfaction are carried out. The number of hospitalization days of the patient is reduced by 5-30 days, 5000 yuan is saved for each patient on average, 50 patients are nursed every year, and the economic burden of the patient can be reduced by about 25 ten thousand yuan. Meanwhile, the turnover utilization rate of the hospital orthopedic beds is improved.
The invention is simple and portable, has low cost and high quality, and is convenient for nursing, preventing and controlling infection of the needle passage after external fixation of a patient. The local use of the sterile gauze has no interference to the organism, does not worry about the influence of oral and intravenous antibiotics on the whole body of a patient, and promotes the clinical scientific and reasonable use of the antibiotics. No related product reports exist in China, the blank of the same type of products in China is filled, and the method has good application and popularization values.
Drawings
FIG. 1 is a schematic structural view of a portable medical compression applicator according to an embodiment of the present invention;
in the figure: 1. pressing the application surface; 2. a dressing opening; 3. an adhesive attachment area at the dressing opening; 4. a sterile gauze layer; 5. the bottom end of the sterile gauze; 6. sterile film with 2cm higher than bottom.
FIG. 2 is a flow chart of a method of using the portable medical pressure application device according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
The following detailed description of the principles of the invention is provided in connection with the accompanying drawings.
The portable medical pressure applying device provided by the embodiment of the invention comprises the following main components: sterile gauze and sterile adhesive materials for surfaces (currently widely used surface materials for application); the whole application shape is designed to be triangular pyramid, one surface of the package is a convex surface, the outer surface is a conventional application surface layer, the inner layer is sterile gauze and is adhered with an outer adhesive plaster, the adhesive plaster exceeds the width of 2cm of the edge of the bottom end of the sterile dressing, and the bottom end is a layer of sterile adhesive paper at the bottom end and is adhered with the adhesive plaster; the preparation process comprises the following steps: the contact manufacturer manufactures the triangular pyramid-like sterile dressing, and the side surface of the dressing is provided with a fork opening.
As shown in fig. 1, a portable medical pressure application device according to an embodiment of the present invention includes: the pressure is applied ointment or plaster surface 1, dressing opening 2, dressing opening adhesive tape attaching area 3, aseptic gauze layer 4, bottom end 5 of aseptic gauze, aseptic sticker 6 of bottom end.
The pressurizing application surface 1 is in a triangular pyramid shape, the side surface of the pressurizing application surface 1 is provided with a longitudinal dressing opening 2, the dressing opening 2 is connected with the top, the body and the bottom of the pressurizing application surface 1, the edge of the dressing opening 2 is connected with a dressing opening adhesive tape attachment area 3, the inner layer of the dressing opening 2 is an aseptic gauze layer 4 and is attached to the outer surface of the dressing opening 2, the inner side of the dressing opening adhesive tape attachment area 3 is adhered to the bottom end 5 of aseptic gauze, the dressing opening adhesive tape attachment area 3 exceeds the aseptic paster with the width of 2cm of the edge of the bottom end of the aseptic gauze 5, and the dressing opening adhesive tape attachment area 6 is adhered to the dressing opening adhesive tape attachment area 3.
As shown in FIG. 2, the use method of the portable medical pressure application device provided by the embodiment of the invention comprises the following steps:
s201: tearing the adhesive tape outside the side dressing opening of the pressure application surface, the entire triangular pyramid being opened from the side, including the film of the bottom surface;
s202: after the sterile dressing in the dressing is wrapped by the needle channel and needs to be separated from the needle channel, the dressing is stuck to the skin downwards, the adhesive cloth at the opening of the dressing is pulled and stuck, and meanwhile, the adhesive cloth at the top is also wrapped by the needle and stuck.
The portable medical pressure application device provided by the embodiment of the invention uses the surface layer applied by nano silver ions, which is the adhesive tape attachment area at the dressing opening of the surface; the inside is sterile gauze, the bottom end is a layer of transparent sterile film which exceeds the bottom edge by 2cm and is integrated with the adhesive tape attachment area at the opening of the dressing;
the technical solution of the present invention is further described with reference to the following specific examples.
Clinical application observation:
the novel orthopedic external fixation needle path nursing material is used for local exudation culture of bacteria and conventional disinfection, and does not use novel materials to treat wounds, and the comparison of the types and time limits of bacteria produced by exudate culture and the comparison of the amount of exudate are carried out.
(1) Subject selection: patients with diabetes, malignant tumor, severe blood infectious diseases, long-term bed rest, poor local soft tissue condition, local skin diseases, and systemic infection are excluded from the age below 65 years. The above subjects perfected the relevant procedures under the condition of soliciting their consent without violating medical ethics.
(2) The clinical application operation flow comprises the following steps: all patients perform standard operation, the fixing needles or screws are firm and are not loosened, after operation, the operation lasts for 24-48 h, after disinfection of conventional hands, a control group is dipped with ethanol by a cotton swab, the skin at the local part of a needle channel and around the needle channel is disinfected and cleaned for 2 times/day, and wounds are still wrapped by a sterile external dressing in a conventional mode; cleaning the skin of the local part of the needle channel and the periphery of the needle channel with normal saline, opening the adhesive film after drying, removing the release paper with the adhesive surface, aligning the center of the functional pad with the needle channel, annularly wrapping the functional pad around the needle channel into a tower shape by taking the fixed needle as the center, covering the dressing on the skin downwards, overlapping two ends of the opening of the dressing, removing the release paper with the back surface, and firmly adhering the periphery and the bottom. The two groups take exudates for culture at 1 day, 1 week, 2 weeks, 4 weeks and 6 weeks after operation, and the application of the control group is changed for 1 time every 5-7 days. After discharge, the responsible nurse visits 1 time per week, and if abnormal, the responsible nurse comes to the hospital in time. Two groups of bacteria culture, needle tract infection, needle tract pain, blood leakage around the needle tract and patient satisfaction conditions are compared.
(3) Operation and therapeutic effect determination standard:
bacterial culture: and (3) strictly executing a sterile operation principle for specimen collection, reserving secretion at a needle passage for bacterial culture, observing and judging according to a culture result, and executing the operation according to national clinical examination operating regulations (5 th edition) (people health publishing agency).
② infection of needle tract: the international Checketts-Otterburns infection grading system standard is adopted, and the specific judgment standard is as follows:
degree I: redness around the needle track;
II degree: the red swelling and pain around the infected needle track are obvious;
and (3) III degree: there are oozing, pus flowing out and necrosis around the needle channel.
And (3) observing time limit: the external fixation bracket is removed after operation until the external fixation is removed. Infection occurred in 1 needle tract, which is a positive case of needle tract infection. The incidence of infection was the percentage of positive needle tracks to the total number of needle tracks in the group.
③ pain in the needle tract: the degree of pain is numerically expressed by 0 to 10 using Numerical Rating Scale (NRS). The degree of pain of different degrees is indicated, 0 is no pain; 1-3 are mild pain (no effect on sleep); 4-6 are moderate pain; 7-9 are severe pain (inability to sleep or sleep interruption); 10 is severe pain. The wound exudate is obtained by subtracting the weight before dressing change from the weight of the dressing after dressing change;
fourthly, the satisfaction of the patient: the 'satisfaction questionnaire' is designed by self, and is divided into very satisfactory, general and unsatisfactory, wherein the satisfaction is (very satisfactory + satisfactory)/total case number x 100%. Statistical methods statistical analysis of the data was performed using SPSS13.0 statistical software. The measurement data is expressed by mean number + -standard deviation (-x + -s), and t test is adopted; the counting data were examined by X2. P <0.05 indicates that the difference is statistically significant, and thus the therapeutic effect is judged according to the final result.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.

Claims (1)

1. A portable medical pressure application device characterized by being provided with:
pressing the application surface;
the side surface of the pressure application surface is provided with longitudinal dressing openings, the dressing openings are connected with the top, the body and the bottom of the pressure application surface, the edges of the dressing openings are connected with adhesive tape attachment areas at the dressing openings, the inner layer of the dressing openings is a sterile gauze layer and is attached to the outer surface of the dressing openings, and the bottommost end of the sterile gauze is a layer of transparent sterile film which exceeds the bottom edge by 2cm and is integrated with the adhesive tape attachment areas at the dressing openings;
the adhesive tape attachment area at the dressing opening exceeds the edge of the bottom end of the sterile gauze by 2 cm;
the portable medical pressurizing and applying device is in a triangular pyramid shape;
when the aseptic dressing is used, the adhesive plaster outside the side fork opening of the dressing is torn, the whole triangular pyramid is opened from the side, the adhesive plaster on the bottom surface is torn off, the aseptic dressing inside the opening is wrapped around the external fixed needle channel, the bottom surface is firstly adhered with the skin, then the aseptic dressing is pressed downwards on the skin, the application plaster on the side surface is adhered, and the adhesive plaster on the top is also wrapped around the needle and adhered;
the portable medical pressure applying device uses the surface layer applied by nano silver ions, and is an adhesive tape attaching area at the dressing opening of the surface; the adhesive plaster is adhered with the sterile dressing, the adhesive plaster exceeds the edge of the bottom end of the sterile dressing by 2cm, and the surface is attached by a film.
CN201910825462.XA 2019-09-03 2019-09-03 Portable medical pressurizing application device, use method and application Active CN110538024B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113907951B (en) * 2020-07-09 2023-05-23 四川大学华西医院 External support needle tract opening negative pressure suction sealing device and use method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6638296B2 (en) * 2001-11-13 2003-10-28 Scion Cardiovascular, Inc. Hemostasis pad and method
CN201912322U (en) * 2011-01-05 2011-08-03 贾文波 Wound dressing sticker used with orthopedic external fixation support
US9539148B2 (en) * 2011-01-02 2017-01-10 Omnitek Partners Llc Shape and pressure adjustable dressing
CN209107786U (en) * 2018-06-27 2019-07-16 江南大学附属医院 A kind of Novel drainage notch dressing

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6638296B2 (en) * 2001-11-13 2003-10-28 Scion Cardiovascular, Inc. Hemostasis pad and method
US9539148B2 (en) * 2011-01-02 2017-01-10 Omnitek Partners Llc Shape and pressure adjustable dressing
CN201912322U (en) * 2011-01-05 2011-08-03 贾文波 Wound dressing sticker used with orthopedic external fixation support
CN209107786U (en) * 2018-06-27 2019-07-16 江南大学附属医院 A kind of Novel drainage notch dressing

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Effective date of registration: 20230904

Address after: Building 18, No. 399 Jingdongfang Avenue, Beibei District, Chongqing, 400000

Patentee after: CHONGQING FWS MEDICAL DEVICE CO.,LTD.

Address before: 401120 No.62 Jianshe Road, Yubei District, Chongqing

Patentee before: YUBEI DISTRICT PEOPLE'S HOSPITAL OF CHONGQING

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