CN112604128A

CN112604128A - Chest wall sinus guide of thoracic closed drainage

Info

Publication number: CN112604128A
Application number: CN202011502108.2A
Authority: CN
Inventors: 周卧龙; 李曦哲; 张春芳; 高阳; 常睿敏; 程远大
Original assignee: Xiangya Hospital of Central South University
Current assignee: Xiangya Hospital of Central South University
Priority date: 2020-12-17
Filing date: 2020-12-17
Publication date: 2021-04-06
Anticipated expiration: 2040-12-17
Also published as: CN112604128B

Abstract

The invention discloses a chest wall sinus guide device for closed thoracic drainage, which mainly comprises: a guide strip; the elastic soft guide sleeve is arranged on the guide strip and extends along the length direction of the guide strip, and two ends of the elastic soft guide sleeve are opened; and the fixing structure is arranged on the guide strip so as to fix the guider on the hemostatic forceps. The thoracic closed drainage sinus guider fills the blank that the conventional thoracic closed drainage does not have a special thoracic sinus guider, has a simple structure and is convenient to operate, and is particularly suitable for being more conveniently, efficiently and safely placed into a thoracic closed drainage tube for patients with chest wall thickness or patients with subcutaneous emphysema.

Description

Chest wall sinus guide of thoracic closed drainage

Technical Field

The invention relates to the technical field of medical instruments, in particular to a chest wall sinus guide for closed thoracic drainage.

Background

At present, the closed thoracic drainage is to perform 1-2 cm incision on the skin of the chest, blunt-separate subcutaneous tissues, muscles, pleura and the like by using hemostatic forceps, and then hold a drainage tube by using the hemostatic forceps and place the drainage tube into the chest along the blunt-separated sinus.

However, in patients with thick chest wall (obese, female, patient with developed muscles) and patients with subcutaneous emphysema, because of the long sinus path, the sinus path in blunt dissection is often blocked by the displacement of muscle fibers or fascial tissue following the removal of the hemostats and is difficult to track again due to respiratory movement or slight muscular activity of the patient.

Moreover, because the diameter of the drainage tube is thick, the drainage tube is difficult to place for patients with thick chest wall and subcutaneous emphysema in clinical work, thereby delaying the closed thoracic drainage emergency operation time. Forced recanalization can cause a patient a tremendous pain sensation and increase surgical risks and trauma. The guiding device for placing the tube in the closed thoracic drainage is only provided with a hemostatic forceps at present, and no other special device is provided.

Disclosure of Invention

The invention mainly aims to provide a chest wall sinus guide for closed thoracic drainage, which aims to solve the technical problem that partial patients are difficult to place tubes in closed thoracic drainage.

In order to achieve the above object, the present invention provides a thoracic sinus guide for closed thoracic drainage, comprising:

a guide strip;

the elastic soft guide sleeve is arranged on the guide strip and extends along the length direction of the guide strip, and two ends of the elastic soft guide sleeve are opened;

and the fixing structure is arranged on the guide strip so as to fix the guider on the hemostatic forceps.

Further, still include:

the soft sealing bag is arranged on the guide strip and integrally wraps the elastic soft guide sleeve, and a sealing bag tearing structure for tearing the soft sealing bag is arranged on the soft sealing bag.

Further, medical sterile lubricating oil is filled in the elastic soft guide sleeve.

Further, the capsule tear structure includes:

the opening dovetail is arranged at one end of the soft sealing bag close to the tail part of the guide strip;

and the tearing guide line extends along the length direction of the soft sealing capsule and is arranged on the soft sealing capsule, and one end of the tearing guide line is connected with the opening of the open dovetail.

Further, the soft sealing bag is a plastic film sealing bag.

Furthermore, the fixing structure comprises a forceps head pocket, the forceps head pocket is arranged at the head part of the guide strip, and a forceps head sleeve inlet is formed in the forceps head pocket.

Furthermore, the fixing structure also comprises a fixing paste which is arranged at the tail part of the guide strip.

Furthermore, a curled edge is arranged at one end of the elastic soft guide sleeve close to the tail part of the guide strip.

Further, the guide strip is a member having flexibility and support such as a rubber strip.

Furthermore, the elastic soft guide sleeve is a soft material component with elasticity and toughness, such as a latex sleeve.

By applying the technical scheme of the invention, the guide strip is arranged, the elastic soft guide sleeve is arranged on the guide strip, and the fixing structure is arranged on the guide strip; after the conventional skin opening of the closed thoracic drainage, the guiding device is fixed on a forceps handle of the hemostatic forceps through a fixing structure, and when the hemostatic forceps are separated from the chest wall in a blunt manner, the guiding device is placed into the sinus of the chest wall along with the hemostatic forceps; after the guiding device is placed, the fixing structure is unfastened, the guiding strip is fixed, and the hemostatic forceps are drawn out; and inserting the closed thoracic drainage tube into the elastic soft guide sleeve and extending into the thoracic cavity, fixing the drainage tube after the closed thoracic drainage tube is inserted to a preset depth, drawing out the guide device, and shearing the elastic soft guide sleeve by using scissors to complete closed thoracic drainage tube placement operation. The thoracic closed drainage tube sinus guider for thoracic closed drainage has the advantages of simple structure and convenient operation, and is particularly suitable for being conveniently, safely and efficiently placed into a thoracic closed drainage tube for patients with chest wall thickness or patients with subcutaneous emphysema.

The present invention will be described in further detail below with reference to the accompanying drawings.

Drawings

The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention. In the drawings:

fig. 1 is a schematic structural view of the guide of the present invention.

Fig. 2 is an enlarged cross-sectional view of the middle portion of the introducer of the present invention.

Fig. 3 is a front view of the soft sealing bag in the introducer of the invention.

Fig. 4 is a schematic view of the introducer of the invention when secured to a hemostat.

Fig. 5 is a schematic structural view of the introducer of the invention inserted into the duct after placement in the thoracic cavity.

Wherein the figures include the following reference numerals:

1. a guide strip; 2. an elastic soft guide sleeve; 4. a soft sealing bag; 21. curling; 31. a forceps head pocket; 32. fixing and sticking; 41. a capsule tear structure; 100. a hemostatic forceps; 110. a chest wall; 120. drainage incision; 130. a drainage tube; 311. an inlet of the forceps head sleeve; 411. a split dovetail; 412. the guide wire is torn.

Detailed Description

In order to facilitate an understanding of the invention, the invention will be described more fully and in detail below with reference to the accompanying drawings and preferred embodiments, but the scope of the invention is not limited to the specific embodiments below. It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict.

Unless otherwise defined, all terms of art used hereinafter have the same meaning as commonly understood by one of ordinary skill in the art. The use of the words "a" or "an" and the like in the description and claims of the present patent application do not denote a limitation of quantity, but rather denote the presence of at least one. The terms "connected" and "coupled" and the like are not restricted to direct connections, but may be indirectly connected through other intermediate connections. "upper", "lower", "left", "right", and the like are used merely to indicate relative positional relationships, and when the absolute position of the object being described is changed, the relative positional relationships are changed accordingly.

Referring to fig. 1 to 5, the thoracic sinus guide for closed thoracic drainage according to an embodiment of the present invention mainly includes a guide strip 1, a flexible and soft guide sleeve 2, and a fixing structure. Wherein, the elastic soft guide sleeve 2 is arranged on the guide strip 1 and extends along the length direction of the guide strip 1; the two ends of the elastic soft guide sleeve 2 are open, and the inner part of the elastic soft guide sleeve 2 is provided with an inner cavity for accommodating the drainage tube 130; a fixing structure is provided on the guide strip 1 for fixing the introducer on the hemostatic forceps 100.

According to the thoracic sinus guider for the closed thoracic drainage, the guide strip 1 is arranged, and the elastic soft guide sleeve 2 is arranged on the guide strip 1; the two ends of the elastic soft guide sleeve 2 are opened and are used for inserting the closed thoracic drainage tube 130; a fixing structure is arranged on the guide strip 1; after the conventional skin is incised to form a drainage incision 120 by closed thoracic drainage, the guider is fixed on one forceps handle of the hemostatic forceps 100 through a fixing structure, and when the hemostatic forceps 100 is separated from the chest wall 110 in a blunt manner, the guider is placed into the sinus of the chest wall 110 along with the hemostatic forceps 100; after the guiding device is placed, the fixing structure is released, the guiding strip 1 is fixed by hands, and the hemostatic forceps 100 are drawn out; the closed thoracic drainage tube 130 is inserted into the soft elastic guide sleeve 2 and extends into the thoracic cavity, after the closed thoracic drainage tube 130 is inserted to a preset depth, the drainage tube 130 is fixed, the guide is drawn out, the soft elastic guide sleeve 2 is cut open by scissors, and the closed thoracic drainage tube placing operation is completed. Because the elastic soft guide sleeve 2 is made of soft material, the diameter of the guide is much smaller than that of the closed thoracic drainage tube 130 during the insertion, and the guide can be easily inserted even for patients with thick chest wall 110 or patients with subcutaneous emphysema. The thoracic wall sinus guide for the closed thoracic drainage has a simple structure and is convenient to operate, and the drainage tube 130 can be conveniently placed in a patient with a part of thick thoracic wall 110 (a patient with obesity, women and developed muscles) or a patient with subcutaneous emphysema.

Referring to fig. 1, 2 and 3, in the present embodiment, the guider further includes a soft sealing bag 4, the soft sealing bag 4 is disposed on the guiding strip 1, and the soft sealing bag 4 entirely wraps the elastic soft guiding sleeve 2; the soft capsule 4 is further provided with a capsule tearing structure 41 for tearing the soft capsule 4. With such arrangement, the soft sealing bag 4 integrally seals the elastic soft guide sleeve 2 before inserting the drainage tube 130; when the drainage tube 130 needs to be inserted, the sealing bag tearing structure 41 is torn, and the drainage tube 130 is inserted into the elastic soft guide sleeve 2.

Further, in this embodiment, the elastic soft guide sleeve 2 is filled with medical sterile lubricating oil. In the process of inserting the drainage tube 130 into the thoracic cavity from the elastic soft guide sleeve 2, the resistance received by the drainage tube 130 can be reduced by the lubricating oil, so that the drainage tube 130 is inserted into the thoracic cavity more smoothly. The lubricating oil can be kept in the elastic soft guide sleeve 2 through the sealing bag tearing structure 41, and the lubricating oil is prevented from leaking outside under the condition of not using.

Specifically, referring to fig. 3, in this embodiment, the capsule tear structure 41 includes an open dovetail 411 and a tear guide line 412. Wherein, the open dovetail 411 is arranged at one end of the soft sealing capsule 4 close to the tail part of the guide strip 1; a tear guide line 412 is provided on the soft capsule 4 so as to extend along the longitudinal direction of the soft capsule 4, and one end of the tear guide line 412 is connected to the mouth of the open dovetail 411. With such an arrangement, when the drainage tube 130 needs to be inserted, only one opening is needed to be torn at the end of the soft sealing bag 4 through the open dovetail 411, then the drainage tube 130 is inserted into the elastic soft guide sleeve 2, and as the drainage tube 130 extends into the thoracic cavity, the tearing guide line 412 is gradually spread, so that the soft sealing bag 4 is torn along the tearing guide line 412, and the whole soft sealing bag 4 is gradually opened.

Referring to fig. 1, 4 and 5, in the present embodiment, the fixing structure includes a jaw pocket 31, the jaw pocket 31 being mounted on the head of the guide bar 1, and a jaw housing inlet 311 being formed on the jaw pocket 31. When the guiding device is used, one binding clip of the hemostatic forceps 100 is inserted into the binding clip pocket 31 from the binding clip sleeving opening 311, so that the guiding device can be conveniently placed into the chest cavity when the hemostatic forceps 100 is used for separating the chest wall 110 in a blunt manner.

Further, referring to fig. 1, 4 and 5, in the present embodiment, the fixing structure further includes a fixing patch 32, and the fixing patch 32 is disposed at the tail of the guide strip 1. After one binding clip of the hemostatic forceps 100 is inserted into the binding clip pocket 31, the other end of the guide is wound and fixed on the handle of the same one of the hemostatic forceps 100 by the fixing tape 32, so that the guide is more stably fixed on the hemostatic forceps 100. In addition, the number of the fixing patches 32 may be plural, and in this case, the plural fixing patches 32 are disposed at intervals along the guide strip 1.

It should be noted that the specific form of the fixing structure is not limited to the above-mentioned head pocket 31 and the fixing patch 32, and other fixing forms are possible as long as the guide can be fixed on the hemostatic forceps 100 and the guide can be inserted into the thoracic cavity together with the hemostatic forceps 100. For example, the guide strip 1 may be provided with adhesive portions integrally or intermittently on the back surface thereof, and the guide may be fixed to the hemostatic forceps 100 by these adhesive portions.

Referring to fig. 5, in this embodiment, a curled edge 21 is further provided at an end of the flexible guiding sleeve 2 near the tail of the guiding strip 1. By the arrangement, the hardness of one end of the elastic soft guide sleeve 2 inserted into the drainage tube 130 can be improved, and the drainage tube 130 can be more conveniently held and inserted into the elastic soft guide sleeve 2. Further, the end of the elastic soft guide sleeve 2 where the bead 21 is provided may be set slightly larger to facilitate the insertion of the drainage tube 130.

Specifically, in this embodiment, the guide strip 1 is a rubber strip, is relatively smooth and has a certain supporting property, and can play a role in supporting the whole guide; other types of materials that are somewhat flexible and somewhat supportive may also be used. The elastic soft guide sleeve 2 is a latex sleeve, is smooth and elastic, the elastic soft guide sleeve 2 can be connected with the guide strip 1 to form a guide sinus, and the elastic soft guide sleeve 2 plays a skeleton supporting role through the guide strip 1; the elastic soft guide sleeve 2 provides a sinus for the placement of the drainage tube 130; the elastic soft guide sleeve 2 can also adopt other types of soft materials with certain elasticity and toughness. The elastic soft guide sleeve 2 is in a shrinking state in the soft sealing bag 4 and is soaked in medical sterile lubricating oil, and when the soft sealing bag 4 is opened, the elastic soft guide sleeve 2 is unfolded to form a guide sinus with two open ends. The soft sealing bag 4 is a plastic film sealing bag, the soft sealing bag 4 can be connected with the guide strip 1 to form a sealed strip-shaped bag, and the flexible guide sleeve 2 and the lubricating oil are arranged in the soft sealing bag. The jaw pocket 31 is made of a thin plastic material having certain elasticity and toughness, and is fixed to the back side of the guide bar 1. The fixing paste 32 is an adhesive tape, the outer side surface of the fixing paste is smooth, the inner side surface of the fixing paste is provided with adhesive glue, and the adhesive glue on the inner side surface is covered and protected by smooth film paper; one end of the fixing paste 32 is connected to the guide bar 1 and fixed to the back side of the guide bar 1, and the other end is a free end. The entire introducer may be packaged in a sterile, sealed package. The length of the guide strip 1 is more than 10cm, the length of the elastic soft guide sleeve 2 is more than 8cm, the diameter of the elastic soft guide sleeve 2 after being unfolded is about 1.5cm, and the length of the forceps head pocket 31 is about 1 cm.

The use method of the thoracic wall sinus guide for the closed thoracic drainage comprises the following steps:

after the conventional skin of closed thoracic drainage is cut to form a drainage incision 120, taking out the sterile guider, sleeving a binding clip of the hemostatic forceps with a binding clip pocket 31 at the head of the guider, tearing off the film paper on the inner side surface of a fixed sticker 32 at the tail of the guider, and winding the fixed sticker 32 on a forceps handle of the hemostatic forceps 100, which is sleeved on the same side of the binding clip pocket 31; then, blunt separation of the chest wall 110 by the hemostat 100, while the introducer is placed into the chest cavity with the hemostat 100; the fixing paste 32 at the tail part of the guider is unfastened, the guide strip 1 of the guider is fixed by hands, the hemostatic forceps 100 are drawn out, and the guider is kept in the sinus of the chest wall 110 at the moment; tearing open the dovetail 411 at the end of the soft sealing sac 4, opening the soft sealing sac 4, unfolding the opening at the end with the curled edge 21 of the elastic soft guide sleeve 2, inserting the closed thoracic drainage tube 130 (the soft tube can be held by a hemostatic clamp and inserted, and the hard tube can be directly inserted) into the elastic soft guide sleeve 2, and extending into the thoracic cavity along the elastic soft guide sleeve 2; after the drainage tube 130 is inserted to a predetermined depth, the drainage tube 130 is fixed, the whole guide is drawn out along the drainage tube 130 through the guide strip 1, and then the elastic soft guide sleeve 2 is cut off by scissors, thus completing the closed thoracic drainage tube placement operation. Aiming at the operation habits of different doctors, the guiding device can be fixed on middle curved forceps or straight forceps, and enters the sinus of the chest wall 110 after blunt separation from the beginning; or fixed on a large curved clamp after blunt separation of the sinus 110 of the chest wall by a middle curved clamp or a straight clamp, and the large curved clamp is left in the sinus of the chest wall 110 after the sinus flaring is finished.

The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. A thoracic sinus guide for closed thoracic drainage, comprising:

a guide strip (1);

the elastic soft guide sleeve (2) is arranged on the guide strip (1) and extends along the length direction of the guide strip (1), and two ends of the elastic soft guide sleeve (2) are opened;

a fixing structure arranged on the guide strip (1) to fix the guider on the hemostatic forceps (100).

2. The chest wall sinus guide of claim 1, further comprising:

soft sealing bag (4), soft sealing bag (4) set up on guide strip (1), and whole parcel the soft guide pin bushing of elasticity (2), be equipped with on soft sealing bag (4) and be used for tearing sealing bag tear structure (41) of soft sealing bag (4).

3. The thoracic sinus guide of closed thoracic drainage of claim 2, wherein the elastic soft guide sleeve (2) is filled with medical sterile lubricant.

4. The chest wall sinus guide of claim 2, wherein the sealing pouch tear structure (41) comprises:

the open dovetail (411) is arranged at one end, close to the tail part of the guide strip (1), of the soft sealing bag (4);

and the tearing guide line (412) extends along the length direction of the soft sealing capsule (4) and is arranged on the soft sealing capsule (4), and one end of the tearing guide line (412) is connected with the opening of the open dovetail (411).

5. The chest wall sinus guide of closed thoracic drainage of claim 2, wherein the soft sealing balloon (4) is a plastic film sealing balloon.

6. The sinus guide of thoracic closed drainage technique of any one of claims 1 to 5, wherein the fixing structure comprises a jaw pocket (31), the jaw pocket (31) is installed at the head of the guide bar (1), and the jaw pocket (31) has a jaw inlet (311).

7. The chest wall sinus guide of the closed thoracic drainage of claim 6, wherein the fixing structure further comprises a fixing patch (32), and the fixing patch (32) is disposed at the tail of the guide strip (1).

8. The sinus guide of thoracic closed drainage of any of claims 1 to 5, wherein the flexible guiding sleeve (2) has a curled edge (21) at an end near the tail of the guiding strip (1).

9. The chest wall sinus guide of closed thoracic drainage of any of claims 1 to 5, wherein the guide strip (1) is a flexible and supportive member.

10. The sinus guide of thoracic closed drainage of any of claims 1 to 5, wherein the flexible elastic guide sleeve (2) is a flexible material member with elasticity and toughness.