CN111839636B

CN111839636B - Debridement suturing device for surgical wound treatment

Info

Publication number: CN111839636B
Application number: CN202010868875.9A
Authority: CN
Inventors: 杨德
Original assignee: Guizhou Provincial Peoples Hospital
Current assignee: Guizhou Provincial Peoples Hospital
Priority date: 2020-08-25
Filing date: 2020-08-25
Publication date: 2021-04-23
Anticipated expiration: 2040-08-25
Also published as: CN111839636A

Abstract

The invention discloses a debridement suturing device for surgical wound treatment, which comprises a device box, a wound cleaning assembly and a suturing auxiliary assembly, wherein the lower end of the device box is provided with a base, the wound cleaning assembly comprises a guide frame, a washing arc plate and a resection knife ring, the guide frame is arranged at the upper end of the device box in a sliding manner, the washing arc plate is arranged on the guide frame in a sliding manner, the lower end of the washing arc plate is provided with an atomizing spray head and a drying lamp plate, the resection knife ring is movably arranged on the guide frame, the suturing auxiliary assembly comprises a movable arc plate and a clamping arc plate, the movable arc plate is arranged at the bottom of the device box in a sliding manner, the movable arc plate is provided with a push rod, the clamping arc plate is arranged on the movable arc plate in a sliding manner and is; the invention has reasonable structural design, can greatly relieve the pain of a patient in the wound suturing process, can promote the healing of the wound of the patient, and is suitable for mass popularization.

Description

Debridement suturing device for surgical wound treatment

Technical Field

The invention relates to the technical field of medical appliances, in particular to a debridement suturing device for surgical wound treatment.

Background

Surgery is a subject of modern medicine, and is mainly used for treating patients by means of surgical methods to eliminate their pathogens, and as with all clinical medicine, surgery requires understanding of disease definition, etiology, manifestation, diagnosis, staging, treatment, and prognosis, and places more importance on surgical problems related to surgical indications, pre-operative assessment and care, surgical techniques and methods, post-operative care, surgical complications and prognosis, and the like. The surgical wound debridement and suture is to use the surgical operation method to remove foreign matters in an open wound, cut necrotic, inactivated or severely polluted tissues and suture the wound, so that the pollution is reduced as much as possible and the wound healing is promoted.

However, the following defects are commonly existed in the existing wound debridement and suture device for upper limbs in surgery: 1. the lack of special supporting parts is not beneficial to the debridement; 2. the cleaning liquid splashes in the debridement process, so that the surgical environment is easily polluted; 3. the wound clamping and closing part is lacked, the skin tissues on two sides of the wound need to be pulled manually, and the development of the wound suturing work is not facilitated.

Disclosure of Invention

In view of the above technical problems, the present invention provides a debridement suturing device for surgical wound treatment, which can relieve the pain of patients and effectively promote the healing of wounds.

The technical scheme of the invention is as follows: a debridement suturing apparatus for surgical wound management comprising an apparatus box, a wound debriding assembly and a suture assist assembly; the lower end of the device box is provided with a base through a telescopic adjusting rod, the upper end of the device box is provided with an opening, arc-shaped grooves are arranged on two sides of the opening, a through groove is arranged on one side of the device box and is positioned at the lower end of one of the arc-shaped grooves, and a first sliding groove is arranged at the bottom end in the device box; the wound cleaning assembly comprises a guide frame, a washing arc plate and a cutting knife ring, the guide frame comprises two guide rods and two guide arc plates, the two guide rods are respectively horizontally arranged at an opening at the upper end of the device box and are parallel to a horizontal connecting line of the two arc grooves, two ends of each guide arc plate are respectively connected with the two guide rods in a sliding manner through sliding sleeves, a second sliding groove is arranged on each guide arc plate along the length direction of the guide arc plate, the upper end of each washing arc plate is movably clamped on the second sliding groove through a mounting sleeve, a threaded sleeve is rotatably clamped at the upper end of the mounting sleeve, a clamping groove is vertically arranged on the inner wall of the mounting sleeve and is positioned at the lower end of the threaded sleeve, the washing arc plate is connected with external washing liquid through a guide pipe, an atomizing nozzle and a drying nozzle are arranged on the lower end face of the washing arc plate, the cutting knife ring of the lamp plate is an elliptical ring, a connecting screw, the connecting screw rod is movably clamped with the clamping groove through a clamping block; the sewing auxiliary component comprises a movable arc plate and a clamping arc plate, the movable arc plate and the clamping arc plate are respectively provided with two, the bottoms of the two movable arc plates are respectively provided with a first slide block, the upper ends of the two movable arc plates are respectively provided with a third slide groove, the insides of the two movable arc plates are respectively provided with a through groove in a penetrating way, the two movable arc plates are respectively connected with the first slide grooves in a sliding way through the first slide blocks, the length direction of the first slide grooves is vertical to the length direction of the guide rod, the two first slide blocks are respectively and rotatably clamped with a push rod, the two push rods respectively penetrate through the device box and are respectively in threaded connection with the device box, the bottoms of the two clamping arc plates are respectively provided with a second slide block, the second slide blocks are respectively provided with a connecting rod, the clamping arc plates are respectively connected with the third slide grooves in a sliding way through the second slide blocks, the connecting rods penetrate, the top end of the telescopic supporting rod is rotatably clamped with the lower end face of the groove plate.

Further, the movable guide plate that pegs graft in device case upper end has, and the guide plate is located two arc wall lower extremes, is provided with the water conservancy diversion hole on the guide plate, and the water conservancy diversion hole passes through the pipe to be connected with outside collection device, through setting up the guide plate, is convenient for collect and the water conservancy diversion wound washing liquid after the use, avoids the wound washing liquid to fall into device incasement portion bottom and causes the pollution to the seam auxiliary assembly.

Furthermore, the bottom of the guide plate is of a conical structure, the guide holes are located at the lowest point of the conical structure, and the guide plate with the conical structure is arranged, so that the guide efficiency of the wound cleaning liquid is improved, and the bacteria mixed in the wound cleaning liquid are prevented from polluting the operation environment.

Further, the inside level of device case is provided with the baffle, the baffle is two cavitys about divideing into the device case, first sliding tray sets up on the baffle, be provided with the ultraviolet ray disinfection lamp in the cavity of device incasement portion lower extreme, device case side activity articulates there is the chamber door, the chamber door corresponds with the cavity of device incasement portion lower extreme, through setting up two cavitys at device incasement portion, the utilization ratio of device incasement space has been improved, simultaneously can place used apparatus in the operation process in the cavity of device incasement portion lower extreme, and use the ultraviolet ray disinfection lamp to disinfect to the apparatus, medical personnel's medical instrument of having made things convenient for promptly takes, and the work efficiency is improved, and the safety of apparatus use has been guaranteed again.

Further, the joint all can be rotated at both ends about excision sword ring is inside has the pull rod, even a pull rod passes through adjusting collar threaded connection, adjusting collar both sides horizontal joint has first spring beam, two first spring beams respectively with the rotatable joint of excision sword ring left and right sides inner wall, through setting up pull rod and first spring beam, utilize the adjusting collar to make two pull rods be close to each other or keep away from, make the width increase of excision sword ring lower extreme on the horizontal plane or reduce, be favorable to excision sword ring can with the laminating of patient's wound, and then effectively excise infectious agents such as the pustule on the wound, improve the healing effect of patient's wound.

Furthermore, a second spring rod is arranged at the joint of the excising knife ring and the connecting screw rod, and the second spring rod is arranged, so that certain downward pressure is achieved when the excising knife ring is in contact with the wound of a patient, and the excising effect of the excising knife ring is improved.

Furthermore, the anti-slip stripes are arranged on the two clamping arc plates, and the clamping arc plates are convenient to tighten the skin tissues on two sides of the wound of the patient, so that the wound can be sutured smoothly.

Further, be provided with the guard ring on the arc wall, through setting up the guard ring, can form the protection to skin around the patient's wound.

The working principle of the invention is as follows: when in use, the device is moved to an operating room, and each electric device of the device is connected with an external power supply; the patient sits on the operating chair, the device box is adjusted to a proper height through the telescopic adjusting rod, after the patient injects anesthetic, the arm is horizontally placed on the two arc-shaped grooves of the device box, the position of the installation sleeve on the second sliding groove is moved according to the position of the wound of the patient, the flushing arc plate is opposite to the wound of the patient, the threaded sleeve is rotated, the connecting screw rod is made to move downwards in the clamping groove, the excising knife ring is pushed to be close to the wound of the patient, the two pull rods are made to be close to or far away from each other through the adjustment sleeve according to the depth and the width of the wound of the patient, the width of the lower end of the excising knife ring on the horizontal plane is made to be increased or reduced and attached to the wound of the patient, then the excising knife ring is cut through the excising knife ring by pulling the installation; pulling the mounting sleeve to enable the flushing arc plate and the guide arc plate to move on the guide rod together, flushing the wound of the patient by using the atomizing nozzle on the flushing arc plate, and enabling the used flushing liquid to fall on the guide plate and enter external collection equipment through the guide hole for collection; after finishing washing, remove the guide plate, two catch bars of rotation make two removal arc boards be close to each other, utilize two centre gripping arc board centre gripping wound outside skins, at last through flexible bracing piece with frid jack-up, connecting rod on two centre gripping arc boards is above-mentioned and be close to, make patient's wound both sides cutaneous tissue be close to each other, make the wound laminating, carry out the wound and sew up the work, sew up the back, utilize the stoving lamp plate that washes the arc board lower extreme to drying process the wound after sewing up, remove the device at last can.

Compared with the prior art, the invention has the beneficial effects that: the invention has reasonable structural design, can effectively reduce the pain of the patient in the debridement and suturing process, is beneficial to the smooth operation and is also beneficial to the rapid healing of the wound of the patient; the device box with the supporting function is arranged to support the upper limbs of the patient, so that the wound of the patient can be better exposed in the visual field of medical staff, and favorable conditions are provided for wound debridement and suturing work; the arrangement of the flushing arc plate and the excision knife ring with two degrees of freedom for adjustment greatly improves the practicability of the device and simultaneously leads the wound debridement work to be more efficient and thorough; the clamping arc plate with the clamping function can be rotated to enable skin tissues at two sides of the wound of a patient to be close to each other, so that the wound suturing work is facilitated to be carried out, the wound suturing time is greatly shortened, the pain of the patient is relieved, and meanwhile, the beauty of the healed wound is favorably improved,

drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a top view of the present invention;

FIG. 3 is a schematic view showing the external structure of the apparatus case of the present invention;

FIG. 4 is a schematic view of the connection of the baffle of the present invention to the equipment cabinet;

FIG. 5 is an enlarged schematic view at A of FIG. 1 of the present invention;

FIG. 6 is a schematic structural view of a flushing arc plate of the present invention;

FIG. 7 is an enlarged schematic view of the invention at B of FIG. 1;

FIG. 8 is a schematic view of the attachment of the clamping arc plate and the moving arc plate of the present invention;

wherein, 1-device box, 10-telescopic adjusting rod, 11-base, 12-arc groove, 13-through groove, 14-guide plate, 140-guide hole, 15-first sliding groove, 16-clapboard, 17-ultraviolet disinfection lamp, 18-box door, 2-wound cleaning component, 20-guide frame, 200-guide rod, 201-guide arc plate, 2010-second sliding groove, 202-sliding sleeve, 21-flushing arc plate, 210-mounting sleeve, 2100-clamping groove, 211-thread sleeve, 212-atomizing nozzle, 213-drying lamp plate, 22-excising knife ring, 220-connecting screw rod, 221-second spring rod, 23-pull rod, 230-adjusting sleeve, 231-first spring rod, 3-sewing auxiliary component, 30-moving arc plate, 300-first slide block, 301-third slide groove, 302-through groove, 303-push rod, 31-clamping arc plate, 310-second slide block, 311-connecting rod, 312-groove plate, 313-telescopic supporting rod and 314-anti-skid stripe.

Detailed Description

Example (b): a debridement suturing device for surgical wound treatment as shown in fig. 1, 2, 3 and 4, comprising a device case 1, a wound debridement assembly 2 and a suturing assistance assembly 3; the lower end of the device box 1 is provided with a base 11 through a telescopic adjusting rod 10, the upper end of the device box 1 is provided with an opening, arc-shaped grooves 12 are formed in two sides of the opening, and a protective ring is arranged on each arc-shaped groove 12 and can protect skin around a wound of a patient through the arrangement of the protective ring; a through groove 13 is formed in one side of the device box 1, the through groove 13 is located at the lower end of one arc-shaped groove 12, and a first sliding groove 15 is formed in the bottom end of the interior of the device box 1; the upper end of the device box 1 is movably inserted with a guide plate 14, the guide plate 14 is positioned at the lower ends of the two arc-shaped grooves 12, the guide plate 14 is provided with guide holes 140, the guide holes 140 are connected with an external collecting device through a guide pipe, and the guide plate 14 is arranged, so that the wound cleaning liquid after use can be conveniently collected and guided, and the wound cleaning liquid is prevented from falling into the bottom end inside the device box 1 to pollute the auxiliary seaming component 3; the bottom of the guide plate 14 is of a conical structure, the guide holes 140 are positioned at the lowest point of the conical structure, and the guide plate 14 with the conical structure is arranged, so that the guide efficiency of the wound cleaning liquid is improved, and bacteria mixed in the wound cleaning liquid are prevented from polluting the operation environment; the device box 1 is internally and horizontally provided with a partition plate 16, the partition plate 16 divides the device box 1 into an upper cavity and a lower cavity, a first sliding groove 15 is formed in the partition plate 16, an ultraviolet disinfection lamp 17 is arranged in the cavity at the lower end in the device box 1, the side surface of the device box 1 is movably hinged with a box door 18, the box door 18 corresponds to the cavity at the lower end in the device box 1, the utilization rate of the inner space of the device box 1 is improved by arranging the two cavities in the device box 1, meanwhile, instruments used in the operation process can be placed in the cavity at the lower end in the device box 1, and the instruments are disinfected by using the ultraviolet disinfection lamp 17, so that medical personnel can take the medical instruments conveniently, the working efficiency is improved, and the safety of the;

as shown in fig. 1, 2, 5, 6, and 7, the wound cleansing assembly 2 includes a guiding frame 20, a washing arc plate 21 and a cutting knife ring 22, the guiding frame 20 includes two guiding rods 200 and two guiding arc plates 201, the two guiding rods 200 are horizontally disposed at an opening at the upper end of the device case 1 respectively and are parallel to a horizontal connection line of the two arc-shaped grooves 12, two ends of the guiding arc plate 201 are slidably connected with the two guiding rods 200 through sliding sleeves 202 respectively, a second sliding groove 2010 is disposed on the guiding arc plate 201 along the length direction thereof, the upper end of the washing arc plate 21 is movably clamped on the second sliding groove 2010 through a mounting sleeve 210, a threaded sleeve 211 is rotatably clamped at the upper end of the mounting sleeve 210, a clamping groove 2100 is vertically disposed on the inner wall of the mounting sleeve 210 and is located at the lower end of the threaded sleeve 211, the washing arc plate 21 is connected with an external washing liquid storage tank through a conduit, the washing liquid is hydrogen peroxide, the lower end surface of the washing arc plate 21 is, the cutting knife ring 22 is an elliptical ring, the upper end of the cutting knife ring 22 is provided with a connecting screw rod 220, the cutting knife ring 22 is in threaded connection with the threaded sleeve 211 through the connecting screw rod 220, and the connecting screw rod 220 is movably clamped with the clamping groove 2100 through a clamping block; the upper end and the lower end of the interior of the excision cutter ring 22 can be rotatably clamped with pull rods 23, the pull rods 23 are connected through the adjusting sleeve 230 in a threaded manner, first spring rods 231 are horizontally clamped on two sides of the adjusting sleeve 230, the two first spring rods 231 are respectively rotatably clamped with the inner walls of the left side and the right side of the excision cutter ring 22, and through the arrangement of the pull rods 23 and the first spring rods 231, the adjusting sleeve 230 is utilized to enable the two pull rods 23 to be close to or away from each other, so that the width of the lower end of the excision cutter ring 22 on the horizontal plane is increased or reduced, the excision cutter ring 22 can be attached to a wound of a patient, infected matters such as pus on the wound can be effectively excised, and the; the second spring rod 221 is arranged at the joint of the excision knife ring 22 and the connecting screw rod 220, and the second spring rod 221 is arranged, so that a certain downward pressure is provided when the excision knife ring 22 is in contact with the wound of a patient, and the excision effect of the excision knife ring 22 is improved;

as shown in fig. 1, 3 and 8, the suture assisting assembly 3 comprises two moving arc plates 30 and two clamping arc plates 31, two moving arc plates 30 and two clamping arc plates 31 are provided, the bottom of each of the two moving arc plates 30 is provided with a first slide block 300, the upper end of each of the two moving arc plates is provided with a third slide groove 301, the inside of each of the two moving arc plates is provided with a through groove 302 in a penetrating manner, the two moving arc plates 30 are respectively connected with the first slide groove 15 in a sliding manner through the first slide block 300, the length direction of the first slide groove 15 is perpendicular to the length direction of the guide rod 200, the two first slide blocks 300 are rotatably clamped with push rods 303, the two push rods 303 penetrate through the device box 1 and are respectively connected with the device box 1 in a threaded manner, the bottom of each of the two clamping arc plates 31 is provided with a second slide block 310, the second slide block 310 is provided with a connecting rod 311, the clamping arc plates 31 are respectively connected with the third slide grooves 301 in a, the end parts of the two connecting rods 311 are connected through a groove plate 312, a telescopic supporting rod 313 is vertically arranged on the side wall of the device box 1, and the top end of the telescopic supporting rod 313 is rotatably clamped with the lower end surface of the groove plate 312; all be provided with anti-skidding stripe 314 on two centre gripping arc boards 31, through setting up anti-skidding stripe 314, the centre gripping arc board 31 of being convenient for tightens up patient's wound both sides cutaneous tissue, is convenient for sew up going on of work.

When in use, the device is moved to an operating room, and each electric device of the device is connected with an external power supply; the patient sits on the operation chair, adjusts the device box 1 to a proper height through the telescopic adjusting rod 10, after the patient injects anesthetic, the arm is horizontally placed on the two arc-shaped grooves 12 of the device box 1, according to the position of the wound of the patient, the position of the mounting sleeve 210 on the second sliding groove 2010 is moved, so that the flushing arc plate 21 is opposite to the wound of the patient, the threaded sleeve 211 is rotated, causing the connecting screw 220 to move downward within the catch 2100, pushing the resecting knife ring 22 closer to the patient's wound, according to the depth and width of the wound of the patient, the two pull rods 23 are close to or far away from each other by the adjusting sleeve 230, so that the width of the lower end of the excising knife ring 22 on the horizontal plane is increased or reduced, and the excising knife ring is attached to the wound of the patient, then, the mounting sleeve 210 is pulled, the incising knife ring 22 is used for incising the pustules or other infected objects at the wound of the patient, and after the incising is finished, the incising knife ring 22 is reset by using the thread sleeve 211; the installation sleeve 210 is pulled to enable the flushing arc plate 21 and the guide arc plate 201 to move together on the guide rod 200, the atomizing spray nozzle 212 on the flushing arc plate 21 is utilized to flush the wound of the patient, the used flushing liquid falls on the guide plate 14 and enters external collection equipment through the guide hole 140 to be collected; wash the back that finishes, remove guide plate 14, two rotatory catch bars 303, make two removal arc boards 30 be close to each other, utilize two centre gripping arc boards 31 centre gripping wound outside skin, at last through flexible bracing piece 313 with frid 312 jack-up, connecting rod 311 on two centre gripping arc boards 31 is above-mentioned and close to, make patient's wound both sides skin tissue be close to each other, make the wound laminating, carry out the wound and sew up the work, sew up the back that finishes, the stoving lamp plate 213 of utilizing washing arc board 21 lower extreme is to the wound after sewing up drying process, remove the device at last can.

Claims

1. A debridement suturing device for surgical wound treatment, characterized by comprising a device case (1), a wound debridement assembly (2) and a suturing assistance assembly (3); the lower end of the device box (1) is provided with a base (11) through a telescopic adjusting rod (10), the upper end of the device box (1) is open, arc-shaped grooves (12) are formed in two sides of the opening, a through groove (13) is formed in one side of the device box (1), the through groove (13) is located at the lower end of one arc-shaped groove (12), and a first sliding groove (15) is formed in the bottom end of the interior of the device box (1); the wound cleaning assembly (2) comprises a guide frame (20), a washing arc plate (21) and a cutting knife ring (22), wherein the guide frame (20) comprises guide rods (200) and two guide arc plates (201), the two guide rods (200) are respectively horizontally arranged at an opening at the upper end of the device box (1) and are parallel to a horizontal connecting line of the two arc-shaped grooves (12), two ends of each guide arc plate (201) are respectively connected with the two guide rods (200) in a sliding mode through sliding sleeves (202), a second sliding groove (2010) is arranged on each guide arc plate (201) along the length direction of the guide arc plate, the upper end of each washing arc plate (21) is movably clamped on the second sliding groove (2010) through a mounting sleeve (210), the upper end of each mounting sleeve (210) is rotatably clamped with a threaded sleeve (211), a clamping groove (2100) is vertically arranged on the inner wall of each mounting sleeve (210), and is located at the lower end of each threaded sleeve (211), the washing arc plate (21) is connected with an external washing liquid storage tank through a guide pipe, an atomizing spray head (212) and a drying lamp plate (213) are arranged on the lower end face of the washing arc plate (21), the cutting knife ring (22) is an elliptical ring, a connecting screw rod (220) is arranged at the upper end of the cutting knife ring (22), the cutting knife ring (22) is in threaded connection with the threaded sleeve (211) through the connecting screw rod (220), and the connecting screw rod (220) is movably clamped with the clamping groove (2100) through a clamping block; the sewing auxiliary assembly (3) comprises two movable arc plates (30) and two clamping arc plates (31), the bottoms of the two movable arc plates (30) are respectively provided with a first sliding block (300), the upper ends of the two movable arc plates are respectively provided with a third sliding groove (301), the insides of the two movable arc plates are respectively provided with a through groove (302) in a penetrating manner, the two movable arc plates (30) are respectively connected with the first sliding groove (15) in a sliding manner through the first sliding block (300), the length direction of the first sliding groove (15) is vertical to the length direction of the guide rod (200), the two first sliding blocks (300) are respectively rotatably clamped with a push rod (303), the two push rods (303) respectively penetrate through the device box (1) and are respectively in threaded connection with the device box (1), the bottoms of the two clamping arc plates (31) are respectively provided with a second sliding block (310), the second sliding block (310) is respectively provided with a connecting rod (311), centre gripping arc board (31) are respectively through second slider (310) and third sliding tray (301) sliding connection, just connecting rod (311) run through logical groove (302) and run through groove (13), and the tip of two connecting rod (311) passes through frid (312) and connects, vertically on device case (1) lateral wall is provided with flexible bracing piece (313), the terminal surface rotation joint under the top of flexible bracing piece (313) and frid (312).

2. The debridement suturing device for surgical wound treatment according to claim 1, characterized in that a guide plate (14) is movably inserted into the upper end of the device box (1), the guide plate (14) is located at the lower end of the two arc-shaped grooves (12), a guide hole (140) is arranged on the guide plate (14), and the guide hole (140) is connected with an external collecting device through a conduit.

3. A debridement stitching device for surgical wound treatment according to claim 2, characterized in that the bottom of the deflector (14) is a conical structure, the deflector hole (140) being located at the lowest point of the conical structure.

4. The debridement suturing device for surgical wound treatment according to claim 1, characterized in that a partition plate (16) is horizontally arranged inside the device box (1), the partition plate (16) divides the device box (1) into an upper cavity and a lower cavity, the first sliding groove (15) is arranged on the partition plate (16), an ultraviolet disinfection lamp (17) is arranged in the cavity at the lower end inside the device box (1), a box door (18) is movably hinged on the side of the device box (1), and the box door (18) corresponds to the cavity at the lower end inside the device box (1).

5. The debridement suturing device for surgical wound treatment according to claim 1, wherein the upper end and the lower end of the inside of the excision knife ring (22) are rotatably clamped with pull rods (23), the two pull rods (23) are connected through a regulating sleeve (230) in a threaded manner, the two sides of the regulating sleeve (230) are horizontally clamped with first spring rods (231), and the two first spring rods (231) are respectively rotatably clamped with the inner walls of the left side and the right side of the excision knife ring (22).

6. A debridement suturing device for surgical wound treatment according to claim 1, characterized in that a second spring rod (221) is provided at the connection of the excising knife ring (22) and the connecting screw (220).

7. A debridement stitching device for surgical wound treatment according to claim 1, characterized in that both clamping arc plates (31) are provided with anti-slip strips (314).