CN114177372A - Incision seals negative pressure drainage device - Google Patents
Incision seals negative pressure drainage device Download PDFInfo
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- CN114177372A CN114177372A CN202111461765.1A CN202111461765A CN114177372A CN 114177372 A CN114177372 A CN 114177372A CN 202111461765 A CN202111461765 A CN 202111461765A CN 114177372 A CN114177372 A CN 114177372A
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- Prior art keywords
- drainage
- hole
- incision
- neck
- tail
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 210000004872 soft tissue Anatomy 0.000 abstract description 12
- 238000007789 sealing Methods 0.000 abstract description 8
- 230000017531 blood circulation Effects 0.000 abstract description 5
- 208000015181 infectious disease Diseases 0.000 abstract description 4
- 230000035876 healing Effects 0.000 abstract description 3
- 230000008859 change Effects 0.000 abstract description 2
- 230000002980 postoperative effect Effects 0.000 abstract description 2
- 231100000241 scar Toxicity 0.000 abstract description 2
- 208000010392 Bone Fractures Diseases 0.000 description 9
- 206010017076 Fracture Diseases 0.000 description 9
- 206010052428 Wound Diseases 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 239000006260 foam Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 241000521257 Hydrops Species 0.000 description 3
- 206010030113 Oedema Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 206010067268 Post procedural infection Diseases 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003195 fascia Anatomy 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 206010063560 Excessive granulation tissue Diseases 0.000 description 1
- 206010016970 Foot fracture Diseases 0.000 description 1
- 206010061599 Lower limb fracture Diseases 0.000 description 1
- 208000002565 Open Fractures Diseases 0.000 description 1
- 206010039203 Road traffic accident Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000008081 blood perfusion Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000000459 calcaneus Anatomy 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 210000001126 granulation tissue Anatomy 0.000 description 1
- 230000010534 mechanism of action Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/05—Bandages or dressings; Absorbent pads specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
Landscapes
- Health & Medical Sciences (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)
- External Artificial Organs (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses an incision sealing negative pressure drainage device, which comprises a sponge dressing and a drainage tube device, wherein a round hole is formed in the center of the sponge dressing, and the lower end of the drainage tube device penetrates through the round hole and is placed into a closed incision after an operation; the drainage tube device comprises a head, a neck and a tail, the neck is connected with the lower end of the head, a middle drainage hole is formed in the middle of the head and is of a bucket-shaped structure, the tail is connected with the bottom of the neck, a central drainage channel is formed in the middle of the neck and the tail, the top of the central drainage channel is communicated with the middle drainage hole, a drainage groove is formed in the outer surface of the tail, a side drainage hole is formed in the drainage groove, and the side drainage hole is communicated with the central drainage channel. The device can solve the drainage problem of operation incision, can improve the blood circulation of operation incision again, reduces the incision scar, promotes soft tissue detumescence and incision healing, avoids the postoperative incision to change dressings, reduces the incision infection, avoids the drainage tube to need additionally put the hole.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an incision sealing negative pressure drainage device.
Background
Vacuum Sealing Drainage (VSD) was first proposed in 1992 by doctor Fleischmann in Germany, and it was covered with medical sponge foam and sealed with a medical film, and the exterior of the wound was connected to a Drainage tube which was connected to a negative pressure source so as to maintain a constant negative pressure and to draw the exudate from the wound. Two researchers in north america in 1997, Morykwas and argentia, first described the mechanism of action of VSDs in the form of a paper, consisting mainly of several aspects: 1. increasing blood perfusion at the incision application and improving local blood supply; 2. the generation of granulation tissues is accelerated; 3. the number of bacteria at the wound is reduced, and the infection probability is reduced; 4. increasing the survival rate of random skin flaps. After professor fur and moral in 1994 is introduced into China, VSD technology is developed in nearly 30 years and is widely applied to general surgery, burn department and traumatic orthopedics department. Briefly, VSD is currently used primarily in the "wound" of complex soft tissue defects and open fractures, rather than "surgical incisions," to provide time for later stage flap transplantation or the next procedure.
With the development of society, traffic accidents are more and more, so that fracture patients and patients who need internal fixation operation of incision reduction are increased. However, due to the selection of the operation time and the characteristics of the fracture part itself, more and more patients are confronted with necrosis, nonunion or infection of the skin soft tissue of the operation incision part after the fracture operation, especially the lower limb fracture and the foot fracture (such as calcaneus). Meanwhile, the development of orthopedic theory from AO to BO (AO means strong internal fixation emphasizes continuity of fracture anatomy and mechanical integrity in early recovery, BO means biological fixation emphasizes fracture treatment concept mainly based on biology for mainly maintaining local soft tissue blood circulation), and also makes people pay more attention to the problem of protecting soft tissue blood circulation. In view of the above problems, foreign researchers have tried to apply VSD technology to surgical incisions after fracture surgery, which indicates that the incidence of postoperative incision complications in patients is significantly reduced.
However, the conventional VSD device is applied to a closed incision of a fracture surgery, and also faces some problems because VSDs on the market are mostly used for open wounds which are difficult to close temporarily, foam dressings can only be externally arranged on superficial wounds, and although various drainage tubes are provided, the VSDs are only limited to be internally or externally arranged relative to the foam dressings, because the fracture surgery part is often deeper, the oozing blood in the deep soft tissue layer after suturing needs to be provided with longer drainage tubes, and the superficial foam dressings can cause insufficient effusion drainage for such closed incisions, so that the dressings are dried and hardened prematurely or the drainage tubes are blocked, and the surgery incision still faces risks of postoperative infection and other complications.
Disclosure of Invention
The invention aims to provide an incision sealing negative pressure drainage device to solve the problems in the background art. In order to achieve the purpose, the invention provides the following technical scheme: an incision sealing negative pressure drainage device comprises a sponge dressing and a drainage tube device, wherein a round hole is formed in the center of the sponge dressing, and the lower end of the drainage tube device penetrates through the round hole and is placed into a closed incision after an operation;
the drainage tube device comprises a head, a neck and a tail, the neck is connected to the lower end of the head, a middle drainage hole is formed in the middle of the head and is of a bucket-shaped structure, the top opening diameter of the middle drainage hole is larger than the bottom opening diameter, the tail is connected to the bottom of the neck, a central drainage channel is formed in the middle of the neck and the middle of the tail, the top of the central drainage channel is communicated with the middle drainage hole, a drainage groove is formed in the outer surface of the tail, a side drainage hole is formed in the drainage groove, and the side drainage hole is communicated with the central drainage channel.
Preferably, the head is provided with external drainage holes, the external drainage holes are of a through hole structure, and the number of the external drainage holes is 5, and the external drainage holes are uniformly distributed along the circumference of the middle drainage hole.
Preferably, the drainage groove is equipped with 5, 5 drainage groove along afterbody circumference evenly distributed, and 5 outside drainage hole dislocation distribution in the drainage groove.
Preferably, a line groove is formed between the edge of the sponge dressing and the round hole.
Preferably, the lower end of the middle drainage hole extends to the top of the neck, the diameter of the bottom opening of the middle drainage hole is the same as that of the central drainage channel, and the middle drainage hole and the central drainage channel are connected in an aligned mode.
Preferably, the head, the neck and the tail of the drainage tube device are of an integral structure.
Preferably, the head is 2mm long, the neck is 20mm long, and the tail is 40cm long.
The invention has the technical effects and advantages that:
1. according to the spliced incision sealing negative pressure drainage device, the neck and the tail of the drainage tube device are arranged in the incision, so that the deep effusion can be fully drained, the problem that the deep drainage is insufficient when the drainage tube of the VSD device is limited in dressing is solved, postoperative infection can be better reduced, blood circulation can be improved, and incision healing is accelerated; the design of a plurality of drainage holes and drainage grooves at the tail part of the drainage tube device can ensure that accumulated liquid is drained sufficiently to the greatest extent, soft tissue compression or seepage thickening caused by small volume in the incision can be avoided, and the design of the long structure at the tail part can be properly trimmed according to the incision part, so that the drainage tube device is wide in applicability; the head, the neck and the tail are integrally formed, so that even if an incision is sutured in the skin, the condition that the drainage tube is broken and left in the body is avoided; the middle drainage hole of the head part is of a bucket-shaped structure, so that the blockage of a drainage port is avoided;
2. the device only has a drainage tube in the center, and the other parts are sponge dressings, so that the problems that certain VSD drainage tubes are designed to be distributed in the sponge, the skin is pressed due to long suction time and the like are avoided due to mutual independence;
3. the device can solve the drainage problem of the operation incision, can improve the blood circulation of the operation incision, reduce the scar of the incision, promote the detumescence of soft tissues and the healing of the incision, avoid the dressing change of the operation incision, reduce the infection of the incision and avoid the need of additionally arranging a hole on the drainage tube;
4. the tail part of the drainage tube device is provided with five drainage grooves, so that the drainage tube can be prevented from being concentrated in stress when being extruded by soft tissues, the drainage tube is deformed, the stress can be dispersed conveniently, and the blockage of the soft tissues can be avoided; the different cross sections of drainage groove are equipped with a drainage hole respectively, and every drainage groove has a plurality of drainage holes like this, and every drainage hole is not at the coplanar again, has both guaranteed the intensity of drainage tube, has guaranteed the drainage effect again, can make central drainage passageway's negative pressure pass to the drainage groove through outside drainage hole simultaneously, can guarantee that the incision is dark to be drawn forth fully around the hydrops, and the drainage tube blocks up the possibility and significantly reduces simultaneously.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the structure of the draft tube device of the present invention;
FIG. 3 is an enlarged view of a portion of FIG. 2 at A;
FIG. 4 is a cross-sectional view of the head and neck of FIG. 2 taken along the direction B-B;
fig. 5 is a cross-section of the tail portion.
In the figure: 1-sponge dressing, 2-drainage tube device, 3-round hole, 4-head, 5-neck, 6-tail, 7-middle drainage hole, 8-central drainage channel, 9-drainage groove, 10-side drainage hole, 11-wire groove, 12-external drainage hole.
Detailed Description
In the description of the present invention, it should be noted that unless otherwise specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly and may be, for example, fixedly connected, detachably connected, integrally connected, mechanically connected, or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements.
Example 1
The incision sealing negative pressure drainage device shown in fig. 1-5 comprises a sponge dressing 1 and a drainage tube device 2, wherein a circular hole 3 is formed in the center of the sponge dressing 1, and the lower end of the drainage tube device 2 is placed into a closed incision after an operation after penetrating through the circular hole 3;
Example 2
The incision sealing negative pressure drainage device shown in fig. 1-3 comprises a sponge dressing 1 and a drainage tube device 2, wherein the sponge dressing 1 is a cuboid with the length of 20cm, the width of 4cm and the thickness of 5mm, a circular hole 3 with the diameter of 6mm is formed in the center of the sponge dressing 1, the lower end of the drainage tube device 2 penetrates through the circular hole 3 and then is placed into a closed incision after an operation, and a wire groove 11 is formed between the edge of the sponge dressing 1 and the circular hole 3 so as to be convenient for opening the sponge dressing 1 and placing the drainage tube device 2;
the drainage tube device 2 comprises a head part 4, a neck part 5 and a tail part 6, the head part 4, the neck part 5 and the tail part 6 of the drainage tube device 2 are of an integral structure, the length of the head part 4 is 2mm, the diameter of the head part 4 is 11mm, the length of the neck part 5 is 20mm, the neck part is of a cylindrical structure, the diameter is 6mm, the length of the tail part 6 is 40cm, the total diameter is 6mm, the lower end of the head part 4 is connected with the neck part 5, a middle drainage hole 7 is formed in the middle of the head part 4, the middle drainage hole 7 is of a bucket-shaped structure, the lower end of the middle drainage hole 7 extends to the top of the neck part 5, the top opening diameter of the middle drainage hole 7 is 3mm, the bottom opening diameter is 2mm, the depth is 4mm, accumulated liquid at the opening at the top can be prevented from being blocked or gathered on the surface of the sponge dressing 1, an external drainage hole 12 is formed in the head part 4, and the external drainage hole 12 is of a through-hole structure with the diameter of 2mm, the outer drainage holes 12 are provided with 5 and are uniformly distributed along the circumference of the middle drainage hole 7, when the drainage device is used, the outer drainage holes 12 are communicated with the sponge dressing 1 to enable the sponge dressing 1 to form uniform negative pressure, the surface of the neck part 5 is smooth, the bottom part is connected with the tail part 6, the middle parts of the neck part 5 and the tail part 6 are provided with a central drainage channel 8 with the diameter of 2mm, the bottom opening diameter of the middle drainage hole 7 is the same as the diameter of the central drainage channel 8, the two are aligned and connected to facilitate effusion dredging, the top of the central drainage channel 8 is communicated with the middle drainage hole 7, the outer surface of the tail part 6 is provided with drainage grooves 9, the number of the drainage grooves 9 is 5, the depth of the grooves is 1mm, the 5 drainage grooves 9 are uniformly distributed along the circumference of the tail part 6, stress concentration when the drainage device 2 is extruded by soft tissues can be avoided, the drainage tube is prevented from being deformed, and stress dispersion is facilitated, and can avoid the soft tissue to block up, it has side drainage hole 10 to open in drainage groove 9, side drainage hole 10 and central drainage channel 8 intercommunication, and the distribution of the dislocation of outside drainage hole 10 in 5 drainage grooves 9 all does not lie in same position face height, has both guaranteed drainage tube device 2's intensity, has guaranteed the drainage effect again, can make central drainage channel 8's negative pressure pass to in drainage groove 9 through outside drainage hole 10 simultaneously, can guarantee that the incision is abundant to be drawn forth around the deep portion hydrops, and drainage tube device 2 blocks up the possibility and significantly reduces simultaneously.
The process flow and the working principle of the invention are as follows: when the preparation suture is completed in the fracture operation, the tail part of the drainage tube device 2 is trimmed to a proper length and placed under a deep fascia in a incision, so that the neck part 5 is placed at the subcutaneous tissue layer, the tail part 6 is placed in the deep fascia, the incision is sutured layer by layer, the intradermal suture can be performed, after the suture is completed, a sponge dressing 1 is prepared, the round hole 3 is sleeved in the neck part 5 of the drainage tube device 2 through a wire groove 11 in the sponge dressing 1, the sponge dressing 1 and the incision form a closed environment after the transparent film is covered, then the transparent film opening is cut at the head part 4 of the drainage tube device 2, an external sucker is pasted, and the negative pressure suction collecting bottle and the negative pressure source are connected.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.
Claims (7)
1. The utility model provides an incision seals negative pressure drainage device, includes sponge dressing and drainage tube device, its characterized in that: a round hole is formed in the center of the sponge dressing, and the lower end of the drainage tube device penetrates through the round hole and is placed into the closed incision after the operation;
the drainage tube device comprises a head, a neck and a tail, the neck is connected to the lower end of the head, a middle drainage hole is formed in the middle of the head and is of a bucket-shaped structure, the top opening diameter of the middle drainage hole is larger than the bottom opening diameter, the tail is connected to the bottom of the neck, a central drainage channel is formed in the middle of the neck and the middle of the tail, the top of the central drainage channel is communicated with the middle drainage hole, a drainage groove is formed in the outer surface of the tail, a side drainage hole is formed in the drainage groove, and the side drainage hole is communicated with the central drainage channel.
2. An incision closure negative pressure drainage device according to claim 1, wherein: the head is provided with external drainage holes which are of a through hole structure, and the number of the external drainage holes is 5, and the external drainage holes are uniformly distributed along the circumference of the middle drainage hole.
3. An incision closure negative pressure drainage device according to claim 1, wherein: drainage groove is equipped with 5, 5 drainage groove is along afterbody circumference evenly distributed, and 5 outside drainage hole dislocation distribution in the drainage inslot.
4. An incision closure negative pressure drainage device according to claim 1, wherein: a wire groove is formed between the edge of the sponge dressing and the round hole.
5. An incision closure negative pressure drainage device according to claim 1, wherein: the lower extreme of middle drainage hole extends to the top of neck, the bottom opening diameter of middle drainage hole is the same with central drainage channel diameter, and both align to be connected.
6. An incision closure negative pressure drainage device according to claim 1, wherein: the head, the neck and the tail of the drainage tube device are of an integrated structure.
7. An incision closure negative pressure drainage device according to claim 6, wherein: the head length is 2mm, the neck length is 20mm, the tail length is 40 cm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202111461765.1A CN114177372A (en) | 2021-12-03 | 2021-12-03 | Incision seals negative pressure drainage device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202111461765.1A CN114177372A (en) | 2021-12-03 | 2021-12-03 | Incision seals negative pressure drainage device |
Publications (1)
Publication Number | Publication Date |
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CN114177372A true CN114177372A (en) | 2022-03-15 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN202111461765.1A Pending CN114177372A (en) | 2021-12-03 | 2021-12-03 | Incision seals negative pressure drainage device |
Country Status (1)
Country | Link |
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CN (1) | CN114177372A (en) |
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2021
- 2021-12-03 CN CN202111461765.1A patent/CN114177372A/en active Pending
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