CN112022255A - Closed straining device of tracheotomy postoperative incision - Google Patents
Closed straining device of tracheotomy postoperative incision Download PDFInfo
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- CN112022255A CN112022255A CN202010927446.4A CN202010927446A CN112022255A CN 112022255 A CN112022255 A CN 112022255A CN 202010927446 A CN202010927446 A CN 202010927446A CN 112022255 A CN112022255 A CN 112022255A
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- limiting
- tensioning
- clamping
- telescopic
- pressing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
Abstract
The invention discloses a post-tracheotomy incision closing and tensioning device, which comprises closing and tensioning units which are connected in sequence, wherein two adjacent closing and tensioning units are connected through a telescopic connecting mechanism; the closed tensioning unit comprises two compression seats which are symmetrically distributed, a limiting frame is arranged on the periphery of each compression seat, an elastic connecting belt is arranged on the outer side of each limiting frame, the tail end of each elastic connecting belt is connected with a flexible skin-friendly pad, two clamping seats are symmetrically arranged on the surfaces of the compression seats, and a tensioning limiting part is arranged between the two clamping seats. Through scientific and reasonable structural design, the invention can effectively close and tighten the incision after operation, ensures the safe and stable closing of the incision, is suitable for tightening and closing the incisions with different angles, is also suitable for patients with different body types, has very wide application range, simple structure and convenient operation, and has good practical and popularization values.
Description
Technical Field
The invention belongs to the field of rehabilitation after tracheotomy, and particularly relates to a device for closing and tensioning an incision after tracheotomy.
Background
Tracheotomy is a common operation of cutting the neck trachea, placing a metal tracheal cannula and a silica gel cannula, and is used for relieving dyspnea caused by laryngeal dyspnea, respiratory dysfunction or lower respiratory secretion retention. Need put into the trachea cover in order to realize patient's respiration to patient's trachea opening part when carrying out the tracheotomy, need carry out meticulous nursing to the patient after the tracheotomy. Incision department often adopts butterfly adhesive tape to take up it and seals after traditional tracheotomy, but can appear the emergence that the incision closed and lead to the gas leakage phenomenon untight when simple butterfly adhesive tape uses, consequently how to carry out effectual taut closure to the incision of postoperative becomes the technical problem that awaits a urgent need to be solved.
Disclosure of Invention
The invention aims to overcome the problems in the prior art and provides a device for closing and tensioning an incision after tracheotomy.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
a cut closure tensioning device after tracheotomy comprises closure tensioning units which are connected in sequence, wherein two adjacent closure tensioning units are connected through a telescopic connecting mechanism;
the closed tensioning unit comprises two pressing seats which are symmetrically distributed, a limiting frame is arranged on the periphery of each pressing seat, an elastic connecting belt is arranged on the outer side of each limiting frame, the tail end of each elastic connecting belt is connected with a flexible skin-friendly pad, two clamping seats are symmetrically arranged on the surfaces of the pressing seats, and a tensioning limiting part is arranged between the two clamping seats;
the pressing seat comprises a pressing top plate and a rectangular pressing table arranged at the bottom of the pressing top plate, a finger-pulling sheet is vertically arranged in the center of one side of the surface of the pressing top plate, finger-pulling anti-skidding grooves are uniformly distributed in the surface of the finger-pulling sheet, a limiting through groove is formed in the bottom end of the finger-pulling sheet, two first limiting columns are symmetrically arranged on the outer side of the finger-pulling sheet, and second limiting columns are symmetrically arranged at two ends of the other side of the surface of the pressing top plate; the tail end of the outer surface of the elastic connecting band is provided with a magic tape stabbing rough surface, and a magic tape round rough surface matched with the magic tape stabbing rough surface is arranged in the middle of the outer surface of the elastic connecting band; the bottom of the rectangular pressing table is connected with a plaster, clamping lugs are distributed on the periphery of the plaster, and the clamping lugs are fixedly clamped and installed on the outer side of the rectangular pressing table through a limiting frame;
the clamping seat comprises a rotating limiting sleeve matched with the first limiting column, clamping strips are arranged on the periphery of the rotating limiting sleeve in the tangential direction, clamping teeth are uniformly distributed on the inner surface of each clamping strip in the linear direction, a clamping jacking plate is horizontally arranged at the top of each clamping strip, semi-cylinders are vertically arranged in the center of the inner side of each clamping jacking plate and are tightly attached to each other, fixing clamping sleeves are arranged on the outer sides of the two semi-cylinders, and the top end of the first limiting column sequentially penetrates through the rotating limiting sleeve and the annular wear-resistant sheet to be connected with the positioning pressing sleeve; the tensioning limiting part comprises a tensioning limiting strip matched with the limiting through groove, tensioning wafers are symmetrically arranged at two ends of the tensioning limiting strip, a tensioning clamping hole is formed in the center of each tensioning wafer, and clamping tooth grooves matched with the clamping teeth are uniformly distributed on two side surfaces of each tensioning limiting strip along the linear direction; both sides of the tensioning limiting strip are tangent with the outer side of the rotating limiting sleeve;
the flexible skin-friendly pad comprises a skin-friendly arc-shaped curved surface and transition connecting surfaces symmetrically arranged on two sides of the skin-friendly arc-shaped curved surface, and the two transition connecting surfaces are connected through an outer connecting curved surface; a fillet is arranged between the skin-friendly arc-shaped curved surface and the transition connecting surface, and a clamping belt groove matched with the elastic connecting belt is arranged between the transition connecting surface and the outer connecting curved surface in a penetrating way;
the telescopic connecting mechanism comprises a telescopic adjusting part and telescopic connecting parts symmetrically arranged at two ends of the telescopic adjusting part, each telescopic connecting part comprises a telescopic limiting sleeve matched with the second limiting column, threaded connecting pipes are arranged on the peripheral sides of the telescopic limiting sleeves, and the top ends of the second limiting columns penetrate through the telescopic limiting sleeves and are connected with the telescopic limiting sleeves; the telescopic adjusting piece comprises a telescopic adjusting block, and a positive threaded rod and a negative threaded rod which are matched with the threaded connecting pipe are arranged at two ends of the telescopic adjusting block respectively.
Furthermore, limit frame and elastic connection area formula structure as an organic whole.
Furthermore, the second limit column is in threaded fit with the telescopic limit sleeve.
Furthermore, the outer curved surfaces of the two semi-cylinders are provided with external threads matched with the fixing clamping sleeves.
Furthermore, the first limiting column is in threaded fit with the positioning pressing sleeve, and the annular wear-resistant piece is connected with the rotary limiting sleeve and the positioning pressing sleeve in a sliding contact mode.
The invention has the beneficial effects that:
when the neck trachea cannula is used specifically, the neck trachea cannula is assembled according to the structure, the closed tensioning units are used as minimum unit bodies and are sequentially arranged at the cut of the neck trachea and are finally connected through the telescopic connecting mechanism; firstly, two application pastes in a closed tensioning unit are respectively and tightly adhered and distributed on two sides of a trachea cut, then the tail end of an elastic connecting band is pulled and is primarily limited by a magic tape burr surface and a magic tape round burr surface, then one fixing clamping sleeve is taken down in a rotating mode, the two corresponding clamping seats are opened in a rotating mode, at the moment, after the limiting effect of clamping teeth of the two clamping seats is separated, a tensioning wafer on one side is pulled by one hand, two finger shifting pieces are pinched by the other hand with thumb and forefinger, after the cut is tensioned, the two clamping seats are closed by the hand pulling the tensioning wafer, therefore, a tensioning limiting piece is limited and fixed, the tensioning state of the cut is kept, and finally the taken-down fixing clamping sleeve is fixed again; when the incision direction is nonlinear, the two telescopic adjusting pieces between two adjacent closed tensioning units are rotationally adjusted, so that the distance between two ends between the two adjacent closed tensioning units is different, a certain oblique cutting angle is formed, and the incisions with different angles are tensioned and clamped; through scientific and reasonable's structural design, can effectively carry out closed take-up to the incision department of postoperative, guarantee that the safety and stability of incision department are closed, the incision that can be applicable to different angles simultaneously takes up closedly, also can be applicable to the patient of different sizes and use, application scope is very extensive, simple structure, convenient operation has good practicality and spreading value.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the invention without limiting the invention. In the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of a portion of the present invention;
FIG. 3 is an exploded view of a portion of the structure of the present invention;
FIG. 4 is an exploded view of a portion of the structure of the present invention;
FIG. 5 is a schematic view of a portion of the present invention;
FIG. 6 is a schematic view of a partial structure of the present invention;
fig. 7 is an exploded view of a partial structure of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "opening," "upper," "lower," "thickness," "top," "middle," "length," "inner," "peripheral," and the like are used in an orientation or positional relationship that is merely for convenience in describing and simplifying the description, and do not indicate or imply that the referenced component or element must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be considered as limiting the present invention.
The incision closing and tensioning device after tracheotomy comprises closing and tensioning units 10 which are connected in sequence, wherein two adjacent closing and tensioning units 10 are connected through a telescopic connecting mechanism 20;
as shown in fig. 2, the closed tensioning unit 10 includes two pressing bases 1 which are symmetrically distributed, a limiting frame 2 is installed around the pressing base 1, an elastic connecting band 3 is arranged outside the limiting frame 2, the tail end of the elastic connecting band 3 is connected with a flexible skin-friendly pad 4, two clamping bases 5 are symmetrically installed on the surface of the pressing base 1, and a tensioning limiting member 6 is installed between the two clamping bases 5;
as shown in fig. 3, the pressing base 1 includes a pressing top plate 11 and a rectangular pressing table 12 arranged at the bottom of the pressing top plate 11, a finger-moving plate 13 is vertically arranged at the center of one side of the surface of the pressing top plate 11, finger-holding anti-slip grooves 14 are uniformly distributed on the surface of the finger-moving plate 13, a limiting through groove 15 is arranged at the bottom end of the finger-moving plate 13, two first limiting posts 16 are symmetrically arranged at the outer side of the finger-moving plate 13, and second limiting posts 17 are symmetrically arranged at two ends of the other side of the surface of the pressing; the tail end of the outer surface of the elastic connecting band 3 is provided with a magic tape stabbing rough surface 31, and a magic tape round rough surface matched with the magic tape stabbing rough surface 31 is arranged in the middle of the outer surface of the elastic connecting band 3; the bottom of the rectangular pressing table 12 is connected with an application 21, clamping lugs 22 are distributed on the periphery of the application 21, and the clamping lugs 22 are fixedly clamped and installed on the outer side of the rectangular pressing table 12 through a limiting frame 2;
as shown in fig. 4 and 5, the clamping holder 5 includes a rotating limiting sleeve 51 matched with the first limiting column 16, a clamping strip 52 is arranged on the periphery of the rotating limiting sleeve 51 along the tangential direction, clamping teeth 53 are uniformly distributed on the inner surface of the clamping strip 52 along the linear direction, a clamping top pressure plate 54 is horizontally arranged on the top of the clamping strip 52, a semi-column 55 is vertically arranged in the center of the inner side of the clamping top pressure plate 54, the two semi-columns 55 are tightly attached, a fixing clamping sleeve 7 is arranged on the outer side of the two semi-columns 55, and the top end of the first limiting column 16 sequentially penetrates through the rotating limiting sleeve 51 and the annular wear-resistant sheet 8 to be connected with the positioning pressure sleeve; the tensioning limiting part 6 comprises a tensioning limiting strip 61 matched with the limiting through groove 15, tensioning wafers 62 are symmetrically arranged at two ends of the tensioning limiting strip 61, a tensioning clamping hole 63 is formed in the center of each tensioning wafer 62, and clamping tooth grooves 64 matched with the clamping teeth 53 are uniformly distributed on two side faces of the tensioning limiting strip 61 along the linear direction; two sides of the tensioning limiting strip 61 are tangent with the outer side of the rotary limiting sleeve 51;
as shown in fig. 6, the flexible skin-friendly pad 4 includes a skin-friendly curved surface 41 and transition connection surfaces 42 symmetrically disposed at two sides of the skin-friendly curved surface 41, and the two transition connection surfaces 42 are connected by an outer connection curved surface 43; a fillet 44 is arranged between the skin-friendly arc-shaped curved surface 41 and the transition connecting surface 42, and a clamping band groove 45 matched with the elastic connecting band 3 is arranged between the transition connecting surface 42 and the outer connecting curved surface 43 in a penetrating way;
as shown in fig. 7, the telescopic connection mechanism 20 includes a telescopic adjustment member 201 and telescopic connection members 202 symmetrically installed at two ends of the telescopic adjustment member 201, the telescopic connection member 202 includes a telescopic stop collar 2021 matched with the second stop post 17, a threaded connection pipe 2022 is arranged around the telescopic stop collar 2021, and the top end of the second stop post 17 is connected to a telescopic stop collar 203 through the telescopic stop collar 2021; the telescopic adjusting piece 201 comprises a telescopic adjusting block 2011, and a positive threaded rod 2012 and a negative threaded rod 2013 matched with a threaded connecting pipe 2022 are respectively arranged at two ends of the telescopic adjusting block 2011.
Wherein, spacing frame 2 and elastic connection area 3 formula structure as an organic whole, be screw-thread fit between second spacing post 17 and the flexible stop collar 203, the outer curved surface of two semicylinders 55 is equipped with jointly and fixes cutting ferrule 7 matched with external screw thread, be screw-thread fit between first spacing post 16 and the location pressure cover 9, annular wear pad 8 with rotate stop collar 51, the location is pressed and is linked to each other for sliding contact between the cover 9.
When the neck trachea cannula is used, the closing tensioning units 10 are assembled according to the structure, are used as minimum unit bodies and are sequentially arranged at the cut of the neck trachea and are finally connected through the telescopic connecting mechanism 20; firstly, two application pastes 21 in a closed tensioning unit 10 are respectively adhered and distributed on two sides of a trachea cut, then the tail end of an elastic connecting band 3 is pulled and is bound tightly through a magic tape stabbing surface 31 and a magic tape round hair surface for preliminary limitation, then one fixing clamping sleeve 7 is taken down in a rotating mode, the corresponding two clamping bases 5 are opened in a rotating mode, at the moment, after the limiting effect of clamping teeth 53 of the two clamping bases 5 is separated, one hand pulls a tensioning wafer 62 on one side, the other hand pinches two finger shifting pieces 13 with thumb and forefinger, after the cut is tensioned, the hand pulling the tensioning wafer 62 is used for closing the two clamping bases 5, therefore, the tensioning limiting piece 6 is limited and fixed, the tensioning state of the cut is kept, and finally the taken-down fixing clamping sleeve 7 is fixed again; when there is a non-straight line in the incision direction, two telescopic adjusting pieces 201 between two adjacent closed tensioning units 10 are rotationally adjusted, so that the distance between two ends between two adjacent closed tensioning units 10 is different, a certain oblique cutting angle is formed, and the tensioned clamping of the incisions with different angles is realized.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed.
Claims (5)
1. The utility model provides a closed straining device of incision after tracheotomy which characterized in that: the tensioning device comprises closing tensioning units (10) which are connected in sequence, wherein two adjacent closing tensioning units (10) are connected through a telescopic connecting mechanism (20);
the closed tensioning unit (10) comprises two symmetrically distributed pressing seats (1), a limiting frame (2) is arranged on the periphery of each pressing seat (1), an elastic connecting belt (3) is arranged on the outer side of each limiting frame (2), the tail end of each elastic connecting belt (3) is connected with a flexible skin-friendly pad (4), two clamping seats (5) are symmetrically arranged on the surface of each pressing seat (1), and a tensioning limiting part (6) is arranged between the two clamping seats (5);
the pressing seat (1) comprises a pressing top plate (11) and a rectangular pressing table (12) arranged at the bottom of the pressing top plate (11), a finger shifting piece (13) is vertically arranged in the center of one side of the surface of the pressing top plate (11), finger-pinch anti-slip grooves (14) are uniformly distributed in the surface of the finger shifting piece (13), a limiting through groove (15) is formed in the bottom end of the finger shifting piece (13), two first limiting columns (16) are symmetrically arranged on the outer side of the finger shifting piece (13), and second limiting columns (17) are symmetrically arranged at two ends of the other side of the surface of the pressing top plate (11); the tail end of the outer surface of the elastic connecting belt (3) is provided with a magic tape stabbing rough surface (31), and a magic tape round rough surface matched with the magic tape stabbing rough surface (31) is arranged in the middle of the outer surface of the elastic connecting belt (3); the bottom of the rectangular pressing table (12) is connected with an application patch (21), clamping lugs (22) are distributed on the periphery of the application patch (21), and the clamping lugs (22) are fixedly clamped and installed on the outer side of the rectangular pressing table (12) through a limiting frame (2);
the clamping seat (5) comprises a rotating limiting sleeve (51) matched with the first limiting column (16), a clamping strip (52) is arranged on the periphery of the rotating limiting sleeve (51) in the tangential direction, clamping teeth (53) are uniformly distributed on the inner surface of the clamping strip (52) in the linear direction, a clamping top pressure plate (54) is horizontally arranged at the top of the clamping strip (52), semi-columns (55) are vertically arranged in the center of the inner side of the clamping top pressure plate (54), the two semi-columns (55) are tightly attached to each other, a fixed clamping sleeve (7) is arranged on the outer sides of the two semi-columns (55), and the top end of the first limiting column (16) sequentially penetrates through the rotating limiting sleeve (51) and the annular wear-resistant piece (8) to be connected; the tensioning limiting part (6) comprises a tensioning limiting strip (61) matched with the limiting through groove (15), tensioning wafers (62) are symmetrically arranged at two ends of the tensioning limiting strip (61), a tensioning clamping hole (63) is formed in the center of each tensioning wafer (62), and clamping tooth grooves (64) matched with the clamping teeth (53) are uniformly distributed on two side faces of the tensioning limiting strip (61) along the linear direction; two sides of the tensioning limiting strip (61) are tangent to the outer side of the rotary limiting sleeve (51);
the flexible skin-friendly pad (4) comprises a skin-friendly arc-shaped curved surface (41) and transition connecting surfaces (42) symmetrically arranged on two sides of the skin-friendly arc-shaped curved surface (41), and the two transition connecting surfaces (42) are connected through an outer connecting curved surface (43); a fillet (44) is arranged between the skin-friendly arc-shaped curved surface (41) and the transition connecting surface (42), and a clamping belt groove (45) matched with the elastic connecting belt (3) is arranged between the transition connecting surface (42) and the outer connecting curved surface (43) in a penetrating way;
the telescopic connecting mechanism (20) comprises a telescopic adjusting part (201) and telescopic connecting parts (202) symmetrically arranged at two ends of the telescopic adjusting part (201), the telescopic connecting parts (202) comprise telescopic limiting sleeves (2021) matched with the second limiting columns (17), threaded connecting pipes (2022) are arranged on the peripheral sides of the telescopic limiting sleeves (2021), and the top ends of the second limiting columns (17) penetrate through the telescopic limiting sleeves (2021) to be connected with telescopic limiting sleeves (203); the telescopic adjusting piece (201) comprises a telescopic adjusting block (2011), and a positive threaded rod (2012) and a negative threaded rod (2013) which are matched with the threaded connecting pipe (2022) are respectively arranged at the two ends of the telescopic adjusting block (2011).
2. The post-tracheotomy incision closure tensioning device of claim 1, wherein: the limiting frame (2) and the elastic connecting band (3) are of an integrated structure.
3. The post-tracheotomy incision closure tensioning device of claim 1, wherein: the second limit column (17) is in threaded fit with the telescopic limit sleeve (203).
4. The post-tracheotomy incision closure tensioning device of claim 1, wherein: the outer curved surfaces of the two semi-cylinders (55) are provided with outer threads matched with the fixed clamping sleeve (7) together.
5. The post-tracheotomy incision closure tensioning device of claim 1, wherein: the first limiting column (16) is in threaded fit with the positioning pressing sleeve (9), and the annular wear-resistant piece (8) is connected with the rotary limiting sleeve (51) and the positioning pressing sleeve (9) in a sliding contact manner.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202010927446.4A CN112022255A (en) | 2020-09-07 | 2020-09-07 | Closed straining device of tracheotomy postoperative incision |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN202010927446.4A CN112022255A (en) | 2020-09-07 | 2020-09-07 | Closed straining device of tracheotomy postoperative incision |
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CN202010927446.4A Pending CN112022255A (en) | 2020-09-07 | 2020-09-07 | Closed straining device of tracheotomy postoperative incision |
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US20200146679A1 (en) * | 2011-11-01 | 2020-05-14 | Zipline Medical, Inc. | Surgical incision and closure apparatus |
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US20200146679A1 (en) * | 2011-11-01 | 2020-05-14 | Zipline Medical, Inc. | Surgical incision and closure apparatus |
CN104755033A (en) * | 2012-10-31 | 2015-07-01 | 奇普林医药公司 | Surgical incision and closure apparatus |
CN103690207A (en) * | 2014-01-07 | 2014-04-02 | 镇江恒生涓恩医疗器械有限公司 | Stepless adjustable skin stapler |
CN107252331A (en) * | 2017-06-11 | 2017-10-17 | 周臣 | A kind of fine-tuning Skin sewing needle |
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Application publication date: 20201204 |