CN114904124B - Pressure sore prevention pipeline fixing device and fixing method - Google Patents

Pressure sore prevention pipeline fixing device and fixing method Download PDF

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Publication number
CN114904124B
CN114904124B CN202210392339.5A CN202210392339A CN114904124B CN 114904124 B CN114904124 B CN 114904124B CN 202210392339 A CN202210392339 A CN 202210392339A CN 114904124 B CN114904124 B CN 114904124B
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skin
region
patient
tube
layer
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CN114904124A (en
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王硕
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Xuanwu Hospital
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Xuanwu Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • A61F13/00063Accessories for dressings comprising medicaments or additives, e.g. odor control, PH control, debriding, antimicrobic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • A61F13/0246Adhesive bandages or dressings characterised by the skin-adhering layer
    • A61F13/0253Adhesive bandages or dressings characterised by the skin-adhering layer characterized by the adhesive material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00387Plasters use skin protection
    • A61F2013/00404Plasters use skin protection against blisters or bed sores
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00412Plasters use for use with needles, tubes or catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00544Plasters form or structure
    • A61F2013/00604Multilayer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00902Plasters containing means
    • A61F2013/00906Plasters containing means for transcutaneous or transdermal drugs application
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0253Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Vascular Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention relates to a pressure sore prevention pipeline fixing device and a fixing method. The fixing device at least comprises a far skin area and near skin areas arranged on two sides of the far skin area. The distal skin region is for connecting tubing. The near skin region, by contacting the patient's skin, effects a relative fixation of the tube to the patient's skin. The tube can be wrapped inside by the distal skin region with the two skin proximal regions being in close proximity to each other. The near skin region is configured to: with the tube relatively fixed to the patient's skin, the near-skin region is capable of administering to the patient's skin in contact therewith. The near skin region enables sustained administration.

Description

Pressure sore prevention pipeline fixing device and fixing method
Technical Field
The invention relates to the technical field of medical equipment, in particular to a pressure sore prevention pipeline fixing device and a fixing method.
Background
Pressure sores are caused by long-term compression of local tissues, continuous ischemia, hypoxia and malnutrition, which cause tissue ulceration and necrosis, and the patients under anesthesia have the problems that the body is completely or partially unconscious, muscles lose self-regulating ability, skin injury is more easily caused, and the chance of acute pressure sores in the surgery is relatively increased. Once pressure sores occur, they not only exacerbate the condition, delay treatment, but also cause infection and death of the patient. Skin pressure sore is a common problem in rehabilitation and nursing, so the prevention of pressure sore has very important medical significance. At present, the medical pipeline is very common in the hospital for treating patients, such as a catheter, a gastric tube, a nasal feeding tube and the like, and the pipeline is usually fixed by using a pipeline fixing patch when the pipeline is used, and the pipeline can cause certain influence on the skin of a person due to long-time contact with the skin of the patient, so that the skin of the patient is very easy to produce pressure sores.
The patent publication No. CN113440416A discloses an adjustable nose oxygen tube and stomach tube fixing device for preventing pressure sores, which is characterized in that: including the stomach tube fixed band, the stomach tube fixed band is convex, is equipped with the stomach tube card hole structure that is used for installing the nasogastric tube on the stomach tube fixed band and is used for fixed part that is located the stomach tube of face, and the both ends of stomach tube fixed band are fixed through connecting portion connection.
The utility model discloses a prevent pressing fixed pad pasting of sore pipeline of publication number CN214858240U, including pad pasting, silica gel circle, the pad pasting is fixed to be pasted in upper end one side of silica gel circle, be provided with the anti-sticking mould on the both ends inside wall of pad pasting, the silica gel circle is unsealed circular tube, a port inside of silica gel circle is opened and is provided with the holding chamber, the one end of fixed pipe of a port fixed connection of silica gel circle, the inside of fixed pipe is the hollow tube, a helical hole has respectively been seted up to both sides face about the central point of fixed pipe, the screw is fixed with the lead screw on the helical hole, a side central point of screw upper end fixed connection dog lower surface central point is passed to the lower extreme of lead screw, the length and the width of another port of silica gel circle laminate mutually with the holding chamber.
The invention provides a pressure sore prevention pipeline fixing device and a fixing method, which can realize the fixation of the pressure sore prevention pipeline and can simultaneously administer medicine to the skin of a patient contacted with the fixing device.
Furthermore, there are differences in one aspect due to understanding to those skilled in the art; on the other hand, since the applicant has studied a lot of documents and patents while making the present invention, the text is not limited to details and contents of all but it is by no means the present invention does not have these prior art features, but the present invention has all the prior art features, and the applicant remains in the background art to which the right of the related prior art is added.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a pressure sore prevention pipeline fixing device. The fixing device at least comprises a far skin area and near skin areas arranged on two sides of the far skin area. The distal skin region is for connecting tubing. The near skin region, by contacting the patient's skin, effects a relative fixation of the tube to the patient's skin. The tube can be wrapped inside by the distal skin region with the two skin proximal regions being in close proximity to each other. The near skin region is configured to: with the tube relatively fixed to the patient's skin, the near-skin region is capable of administering to the patient's skin in contact therewith. The near skin region enables sustained administration.
Preferably, the fixing device is connected with the pipe fitting through the far skin region, and the fixing device is connected with the skin of the patient through the near skin region, so that the pipe fitting and the skin of the patient are relatively fixed.
According to a preferred embodiment, the fixing means comprise at least: a shielding layer, a structural layer, a gel layer and an adhesion layer. The structural layer connects the distal skin region and the proximal skin region. The skin-distal region includes the structural layer and the adhesive layer. The skin-near area is sequentially provided with an adhesion layer, a gel layer, a structural layer and a shielding layer according to the distance from the skin. The adhesive layer comprises a first adhesive layer arranged in the skin-proximal area and a second adhesive layer arranged in the skin-distal area.
According to a preferred embodiment, the shielding layer, the structural layer and the gel layer constitute a drug storage side of the skin proximal region. The drug in the drug storage side is administered to the skin via the first adhesive layer.
Preferably, the gel layer arranged in the skin-proximal region can disperse and buffer pressure, reduce friction force and shearing force, and reduce the occurrence risk of pressure sores, thereby realizing pressure sores prevention while realizing pipeline fixation. The invention can eliminate other adverse reactions by administering to the skin in contact with the immobilization device by adding a drug solution to the gel layer. Preferably, the present invention can add the dissolved antiallergic drug to the gel layer, and the gel layer diffuses the dissolved antiallergic drug to the skin of the patient during the use of the fixing tube of the present invention, thereby preventing the allergic reaction.
According to a preferred embodiment, the second adhesion layer is in contact with the pipe. The second adhesion layer is configured to: in the case of a fixed line, the connection of the pipe to the fixing device is achieved by means of an adhesive bond with the pipe.
According to a preferred embodiment, the first adhesive layer is in contact with the skin. The first adhesion layer is configured to: in case a fastening line is required, the fastening device is attached to the skin by means of an adhesive bond with the skin.
According to a preferred embodiment, one side of the shielding layer is connected to the structural layer and the shielding layer can be turned around it.
According to a preferred embodiment, the surface of the structural layer opposite the second adhesive layer and in the portion corresponding to the skin-distal region is provided with a sealing layer.
The invention also provides a method for fixing the pressure sore prevention pipeline, which at least comprises the following steps:
a skin far area of the connecting pipe fitting is arranged, and skin near areas are arranged on two sides of the skin far area;
the two skin-approaching areas are close to each other, so that the far skin area wraps the connecting pipe fitting inside;
The skin proximal region is in contact with the patient's skin to effect a relative securement of the tube to the patient's skin;
With the tube relatively fixed to the patient's skin, the near-skin region is capable of administering to the patient's skin in contact therewith.
The invention also provides a pipeline fixing device. The fixing device at least comprises a far skin area and near skin areas arranged on two sides of the far skin area. The distal skin region is for connecting tubing. The near skin region, by contacting the patient's skin, effects a relative fixation of the tube to the patient's skin. The distal skin region extends along a side where the proximal skin region is not disposed to form a separate tubing connection region. The part of the tube corresponding to the skin-proximal region can be wrapped inside by the skin-distal region in the case where the two skin-proximal regions are close to each other. The pipeline connecting area can wrap a part of the pipe fitting corresponding to the pipeline connecting area. The near skin region is configured to: with the tube relatively fixed to the patient's skin, the near-skin region is capable of administering to the patient's skin in contact therewith. The near skin region enables sustained administration.
The invention also provides a pipeline fixing method, which at least comprises the following steps:
Setting a skin far area, and setting skin near areas on two sides of the skin far area;
The distal skin region extends along a side where the proximal skin region is not disposed to form a separate tubing connection region;
The skin proximal region is in contact with the patient's skin to effect a relative securement of the tube to the patient's skin;
the two skin-approaching areas are close to each other, so that the part of the pipe fitting corresponding to the skin-approaching area is wrapped inside by the skin-far area;
The pipeline connecting area wraps a part of the pipe fitting corresponding to the pipeline connecting area;
the skin proximal region being capable of administering to the skin of a patient in contact therewith with the tube relatively secured to the skin of the patient;
the near skin region enables sustained administration.
Drawings
FIG. 1 is a simplified schematic illustration of a preferred embodiment of a securing device provided by the present invention;
FIG. 2 is a simplified schematic illustration of the use of a preferred embodiment of the securing device provided by the present invention;
FIG. 3 is a simplified schematic structural view of a preferred embodiment of the fixing device provided by the present invention;
FIG. 4 is a simplified schematic illustration of a skin proximal region of a preferred embodiment provided by the present invention;
FIG. 5 is a simplified schematic illustration of a preferred embodiment of the securing device provided in example 3 of the present invention;
Fig. 6 is a schematic view of a part of a fixing device according to a preferred embodiment of embodiment 3 of the present invention.
List of reference numerals
100: A fixing device; 101: a shielding layer; 102: a structural layer; 103: a gel layer; 104: a first adhesion layer; 105: a second adhesive layer; 110: a distal skin region; 120: a near skin region; 200: a pipe fitting; 300: skin.
Detailed Description
The following is a detailed description with reference to fig. 1 to 6.
The invention provides a pressure sore prevention pipeline fixing device. The fixing device comprises a distal skin area for connecting the tube and a proximal skin area arranged on two sides of the distal skin area and connected with the skin of the patient. The fixing device is connected with the pipe fitting through the far skin area and is connected with the skin of a patient through the near skin area, so that the pipe fitting is relatively fixed on the skin of the patient. The skin-proximal area is provided with a gel layer to which medical personnel can add solution through the structural layer. Preferably, the gel layer is capable of forming a hydrogel in the event of contact of a solution, in particular an aqueous solution. Preferably, the hydrogel formed by the gel layer is capable of dispersing and cushioning the pressure applied by the immobilization device to the patient's skin, reducing friction and shear forces, thereby reducing the risk of pressure sores occurring. Preferably, the gel layer forms a hydrogel with an increased thickness, which increases the distance between the tube and the fastening means and the skin of the patient, and reduces the possibility of allergic reactions. Preferably, upon completion of the solution addition, medical personnel will attach the barrier layer to the structural layer to slow down the evaporation of moisture from the gel layer, thereby extending the maintenance time of the hydrogel. Preferably, the barrier layer also prevents foreign matter from entering the gel layer and contaminating the hydrogel during use of the immobilization device. Preferably, for patients prone to allergic reactions, medical personnel may add dissolved anti-allergic drugs to the gel layer when using the immobilization device, the gel layer diffusing the dissolved anti-allergic drugs to the patient's skin, thereby avoiding allergic reactions in the patient.
Example 1
In order to overcome the shortcomings of the prior art, the present embodiment provides a pressure sore prevention pipe fixing device 100. Referring to fig. 1, the fixation device 100 preferably includes at least a distal skin region 110 and proximal skin regions 120 disposed on either side of the distal skin region 110. A distal skin region 110 for attachment of tubing 200. The near skin region 120, by contact with the patient's skin 300, effects a relative fixation of the tube 200 to the patient's skin 300. The tube 200 can be wrapped inside by the distal skin region 110 with the two proximal skin regions 120 being in close proximity to each other. The near skin region 120 is configured to: with the tube 200 relatively secured to the patient's skin 300, the near skin region 120 is capable of administering to the patient's skin in contact therewith. The near skin region 120 enables sustained administration.
Preferably, the fixation device 100 is connected to the tube 200 through the distal skin region 110 and the fixation device 100 is connected to the patient's skin 300 through the proximal skin region 120, thereby achieving a relative fixation of the tube 200 to the patient's skin 300.
Preferably, the fixing device 100 includes at least: a barrier layer 101, a structural layer 102, a gel layer 103, and an adhesive layer. The structural layer 102 connects the distal skin region 110 and the proximal skin region 120. The distal skin region 110 includes the structural layer 102 and the adhesive layer. The skin-proximal region 120 is, in order of distance from the skin 300, an adhesive layer, a gel layer 103, a structural layer 102, and a barrier layer 101. The adhesive layer includes a first adhesive layer 104 disposed in the near skin region 120 and a second adhesive layer 105 disposed in the far skin region 110.
Preferably, the barrier layer 101, structural layer 102 and gel layer 103 constitute the drug storage side of the skin proximal region 120. The drug in the drug storage side is administered to the skin via the first adhesive layer 104.
Preferably, the gel layer 103 disposed in the skin proximal region 120 is capable of dispersing and cushioning pressure, reducing friction and shear forces, and reducing the risk of pressure sores, thereby achieving pressure sores prevention while achieving line fixation. The present invention can eliminate other adverse reactions by administering the drug solution to the skin 300 in contact with the immobilization device 100 by adding the drug solution to the gel layer 103. Preferably, the present invention can add a dissolved anti-allergic drug to the gel layer 103, and the gel layer 103 diffuses the dissolved anti-allergic drug to the skin of the patient during the use of the fixing tube 200 of the present invention, thereby preventing the occurrence of allergic reactions.
Preferably, the second adhesive layer 105 is in contact with the tube 300. The second adhesion layer 105 is configured to: in case of fixing the pipe, the pipe 200 is connected to the fixing device 100 by bonding with the pipe 200. Preferably, the first adhesive layer 104 is in contact with the skin 300. The first adhesion layer 104 is configured to: in the case where a fastening line is required, the fastening device 100 is attached to the skin by being adhered to the skin 300.
Preferably, one side of the shielding layer 101 is connected to the structural layer 102, and the shielding layer 101 can be turned around it. Preferably, the surface of the structural layer 102 opposite the second adhesive layer 105 and corresponding to the distal skin region 110 is provided with a sealing layer.
Referring to fig. 2, preferably, when the distal skin region 110 wraps the tube 200 and the proximal skin region 120 is adhered to the skin 300 of the patient, the two proximal skin regions 120 are close to each other, so that a gap exists between the tube 200 and the skin 300, thereby avoiding contact between the tube 200 and the skin 300 and further reducing the probability of pressure sores.
Referring to fig. 3, the fixing device 100 preferably includes at least: a barrier layer 101, a structural layer 102, a gel layer 103, and an adhesive layer. The structural layer 102 and the adhesive layer are formed to connect the distal skin region 110 of the tube 200. The adhesive layer, gel layer 103, structural layer 102 and barrier layer 101 constitute a near skin region 120 for contacting the patient's skin 300. Two near skin regions 120 are connected on opposite sides of the far skin region 110. The tube 200 can be wrapped inside by the distal skin region 110 with the two proximal skin regions 120 being proximate to each other to achieve a relative fixation of the tube 200 to the patient's skin 300. Preferably, the fixture 100 is arranged in a rectangular shape. Preferably, the distal skin region 110 is the same width as the proximal skin region 120. Preferably, the distal skin region 110 is longer than the proximal skin region 120.
Preferably, the adhesive layers include a first adhesive layer 104 disposed in the near skin region 120 and a second adhesive layer 105 disposed in the far skin region 110. A distal skin region 110 connected to the tube 200 by a second adhesive layer 105. The near skin region 120, which is in contact with the patient's skin 300 through the first adhesive layer 104, effects a relative fixation of the tube 200 to the patient's skin 300.
Preferably, the skin proximal region 120 is, in order of distance from the skin 300, a first adhesive layer 104, a gel layer 103, a structural layer 102, and a barrier layer 101. Preferably, the first adhesive layer 104 may be in contact with the patient's skin 300 to positionally fix the fixation device 100 relative to the patient's skin 300. Preferably, the gel layer 103 is capable of acting as a cushioning substance between the immobilization device 100 and the patient's skin 300. The structural layer 102 has good solution passage properties, particularly in the portion corresponding to the near-skin region 120. Preferably, the shielding layer 101 has good sealability.
Preferably, the shielding layer 101 corresponds to the projected pattern of the gel layer 103 in a direction perpendicular to the plane of the skin 300. Preferably, the projected patterns of the first adhesive layer 104, the gel layer 103 and the shielding layer 101 in the direction perpendicular to the plane of the skin 300 correspond to each other. Preferably, the projected patterns of the first adhesive layer 104, the gel layer 103, the shielding layer 101 and the structural layer 102, which correspond to the skin-proximal region 120, in the direction perpendicular to the plane of the skin 300, correspond to each other.
Referring to fig. 4, it is preferable that one side of the shielding layer 101 is connected with the structural layer 102, and the shielding layer 101 can be turned around it. Preferably, the structural layer 102 is provided with through holes allowing water molecules to pass through. Preferably, the gel layer 103 is provided with a hydrophilic polymer material.
Preferably, with the barrier layer 101 inverted, medical personnel can add solution to the gel layer 103 through the structural layer 102. Preferably, the gel layer 103 is capable of forming a hydrogel in the event of contact of a solution, in particular an aqueous solution. Preferably, the hydrogel formed by the gel layer 103 is capable of dispersing and cushioning the pressure applied by the immobilization device 100 to the patient's skin 100, reducing friction and shear forces, thereby reducing the risk of pressure sores occurring. Preferably, the gel layer 103 forms a hydrogel having an increased thickness, which increases the distance between the tube 200 and the fixture 100 and the patient's skin 300, and reduces the likelihood of allergic reactions. Preferably, upon completion of the solution addition, medical personnel will attach the barrier layer 101 to the structural layer 102 to slow the evaporation of the moisture in the gel layer 103, thereby extending the maintenance time of the hydrogel. Preferably, the barrier layer 101 also prevents foreign substances from entering the gel layer 103 and contaminating the hydrogel during use of the immobilization device 100. Preferably, for patients who are prone to allergic reactions, medical personnel may add dissolved anti-allergic drugs to the gel layer 103 while using the immobilization device 100, and the gel layer 103 diffuses the dissolved anti-allergic drugs to the patient's skin, thereby avoiding allergic reactions in the patient. Preferably, medical personnel can dissolve and add a drug that does not chemically react with the substance in the gel layer 103 to administer the drug to the patient's skin 300 while securing the tube 200 using the securing apparatus 100.
Preferably, the shielding layer 101 may be made of polyurethane material. The polyurethane material can be prepared from the following components in parts by weight through a low-temperature foaming process: 90 parts of polyether polyol, 30 parts of polyisocyanate, 30 parts of foaming agent, 1 part of catalyst, 0.5 part of foam stabilizer and 1.3 parts of antibacterial agent.
Preferably, the first adhesive layer 104 may be an emulsion type acrylate pressure sensitive adhesive. The emulsion type acrylic pressure-sensitive adhesive is prepared by emulsion polymerization of the following components in parts by weight: 80 parts of butyl acrylate, 16 parts of methyl methacrylate, 6 parts of hydroxyethyl acrylate, 90 parts of deionized water, 0.7 part of an initiator, 4 parts of an emulsifier and 0.5 part of a buffer. Preferably, the emulsifier consists of a surfactant and a reactive emulsifier, wherein the molar ratio of the surfactant to the reactive emulsifier is 2:1, and the reactive emulsifier is a polyoxyethylene ether type emulsifier.
Preferably, the gel layer 103 is prepared from 15-73% of hydrophilic polymer material and 27-85% of water by mass percent through any one or a combination of a plurality of physical methods, chemical methods or radiation methods. The hydrophilic polymer material of the hydrogel functional layer can be natural hydrophilic polymer material, synthetic hydrophilic polymer material, or a mixture of natural hydrophilic polymer material and synthetic hydrophilic polymer material. The natural hydrophilic polymer material can be polysaccharides and proteins. The polysaccharide is one or more of starch, methylcellulose, carboxymethyl cellulose, hydroxypropyl cellulose, agar, acacia, pectin, xanthan gum, carrageenan, alginic acid and hyaluronic acid. The proteins are selected from one or more of gelatin, bone gelatin, polyglutamic acid, polylysine, fibrin, elastin and keratin. The synthetic hydrophilic polymer material is one or more than two of polyacrylamide, polyacrylic acid, polyacrylate, polyvinyl pyridine, polyvinylpyrrolidone, polyvinyl alcohol, polymaleic anhydride, polyquaternium, polyethylene glycol and polyethylene oxide.
Preferably, a sealing layer is provided on the surface of the structural layer 102 opposite the second adhesive layer 105 in the portion corresponding to the skin-distal region 110. Preferably, the sealing layer can prevent foreign substances from contaminating the second adhesive layer 105, so that the second adhesive layer 105 loses tackiness.
Example 2
The present embodiment is a method embodiment corresponding to embodiment 1, and repeated descriptions are omitted.
The embodiment provides a method for fixing a pressure sore prevention pipeline, which at least comprises the following steps:
a distal skin region 110 of the connection tube 200 is provided, and a proximal skin region 120 is provided at both sides of the distal skin region 110;
the two skin proximal regions 120 are close to each other, so that the distal region 110 wraps the connecting tube 200 inside;
the skin proximal region 120 is in contact with the patient's skin 300 to effect a relative fixation of the tube 200 to the patient's skin 300;
With the tube 200 relatively secured to the patient's skin 300, the near skin region 120 is capable of administering to the patient's skin in contact therewith.
The method further comprises the steps of:
opening the barrier layer 101, adding a solution to the gel layer 104 such that the gel layer 104 forms a hydrogel;
Upon completion of the solution addition, the barrier layer 101 is closed, such that the gel layer 104 forms a hydrogel that slowly diffuses moisture to the patient's skin 300.
Preferably, in case of the need for administration to the patient's skin 300, the medical staff is administered to the skin 300 in contact with the immobilization device 100 by adding a drug solution to the gel layer 103, thereby eliminating other adverse reactions.
Preferably, medical personnel can add dissolved anti-allergic drugs to the gel layer 103, and during use of the fixing tube 200 of the present invention, the gel layer 103 diffuses the dissolved anti-allergic drugs to the skin of the patient, thereby preventing allergic reactions from occurring.
Example 3
This embodiment is a further improvement of embodiment 1, and the repeated contents are not repeated.
The present embodiment provides a pipe fixing device 100. The fixation device 100 includes at least a distal skin region 110 and proximal skin regions 120 disposed on opposite sides of the distal skin region 110. The distal skin region 110 is used to attach the tubing 200. The skin proximal region 120, by contact with the patient's skin 300, effects a relative fixation of the tube 200 to the patient's skin 300. The distal skin region 110 extends along a side where the proximal skin region 120 is not disposed to form a separate tubing connection region. The portion of the tube member 200 corresponding to the skin proximal region 120 can be wrapped inside by the skin distal region 110 in a case where two of the skin proximal regions 120 are close to each other. The pipe connection region can wrap a portion of the pipe 200 corresponding thereto. The near skin region 120 is configured to: with the tube 200 relatively secured to the patient's skin 300, the near skin region 120 is capable of administering to the patient's skin in contact therewith. The near skin region 120 enables sustained administration.
Preferably, the gel layer 103 disposed in the skin proximal region 120 is capable of dispersing and cushioning pressure, reducing friction and shear forces, and reducing the risk of pressure sores, thereby achieving pressure sores prevention while achieving line fixation. The present invention can eliminate other adverse effects by administering the drug solution to the skin 300 in contact with the immobilization device 100 by adding the drug solution to the gel layer 103. Preferably, the present invention can add a dissolved anti-allergic drug to the gel layer 103, and the gel layer 103 diffuses the dissolved anti-allergic drug to the skin of the patient during the use of the fixing tube 200 of the present invention, thereby preventing the occurrence of allergic reactions. Preferably, the two skin proximal regions 120 may be added with different drug solutions.
Referring to fig. 5, the fixation device 100 preferably includes at least a distal skin region 110 and proximal skin regions 120 disposed on either side of the distal skin region 110. A distal skin region 110 for attachment of tubing 200. The near skin region 120, by contact with the patient's skin 300, effects a relative fixation of the tube 200 to the patient's skin 300. The distal skin region 110 extends along a side where the proximal skin region 120 is not disposed to form a separate tubing connection region. Preferably, the fixing device 100 has an "H" shape, which may be divided into two long sides and one short side. Preferably, one of the two long sides is the distal skin region 110, the distal skin region 110 is flanked by the proximal skin regions 120, and the other long and short sides are both distal skin regions 110. The connecting areas of the tubing are the long side and the short side of the distal skin area 110. Preferably, the short side length may approach 0. Preferably, the portion of the tube 200 corresponding to the skin proximal region 120 can be wrapped inside by the skin distal region 110 with the two skin proximal regions 120 being in close proximity to each other. The pipe connection region can wrap a portion of the pipe 200 corresponding thereto.
Preferably, the fixing device 100 includes at least: a barrier layer 101, a structural layer 102, a gel layer 103, and an adhesive layer. The structural layer 102 connects the distal skin region 110 and the proximal skin region 120. The distal skin region 110 includes the structural layer 102 and the adhesive layer. The skin-proximal region 120 is, in order of distance from the skin 300, an adhesive layer, a gel layer 103, a structural layer 102, and a barrier layer 101. The adhesive layer includes a first adhesive layer 104 disposed in the near skin region 120 and a second adhesive layer 105 disposed in the far skin region 110.
Referring to fig. 6, the tube 200 is preferably wrapped around the long side of the all-distal skin region 110 and bonded by the second adhesive layer 105. Preferably, the long side of the all-distal skin region 110 overlaps at its ends and is bonded by the second adhesive layer 105 when its length is greater than the circumference of the tube 200.
Example 4
The present embodiment is a method embodiment corresponding to embodiment 3, and repeated details are not repeated.
The embodiment provides a pipeline fixing method, which at least comprises the following steps:
a skin far region 110 is arranged, and skin near regions 120 are arranged on two sides of the skin far region 110;
the distal skin region 110 extends along a side where the proximal skin region 120 is not disposed to form a separate tubing connection region;
the skin proximal region 120 is in contact with the patient's skin 300 to effect a relative fixation of the tube 200 to the patient's skin 300;
the two skin-proximal regions 120 are adjacent to each other, so that the portion of the tube 200 corresponding to the skin-proximal region 120 is wrapped inside by the skin-distal region 110;
The pipe connection area wraps a part of the pipe fitting 200 corresponding to the pipe connection area;
the skin proximal region 120, with the tube 200 relatively secured to the patient's skin 300, the skin proximal region 120 is capable of administering to the patient's skin in contact therewith;
the near skin region 120 enables sustained administration.
The fixing method of the present embodiment further includes:
opening the barrier layer 101, adding a solution to the gel layer 104 such that the gel layer 104 forms a hydrogel;
Upon completion of the solution addition, the barrier layer 101 is closed, such that the gel layer 104 forms a hydrogel that slowly diffuses moisture to the patient's skin 300.
Preferably, in case of the need for administration to the patient's skin 300, the medical staff is administered to the skin 300 in contact with the immobilization device 100 by adding a drug solution to the gel layer 103, thereby eliminating other adverse reactions.
Preferably, medical personnel can add dissolved anti-allergic drugs to the gel layer 103, and during use of the fixing tube 200 of the present invention, the gel layer 103 diffuses the dissolved anti-allergic drugs to the skin of the patient, thereby preventing allergic reactions from occurring.
A preferred embodiment is provided wherein the fixation device further comprises a variable attachment lumen, at least a portion of the sidewall of which is surrounded by the distal skin region 110. The variable connecting chamber is constructed in a structure capable of changing at least the chamber volume thereof, and a typical example is a spherical or olive-shaped chamber structure constructed of an elastic material. The variable connecting cavity is provided with at least two opening channels communicated with the internal cavity, and the two opening channels are respectively coupled with the upstream and downstream ports of the pipeline to form a circulating pipeline path. When the inside of the variable connecting cavity is in an empty state, namely the variable connecting cavity is in natural elasticity, the volume of the variable connecting cavity is called a first volume at the moment; when the variable connection chamber is filled with a filler conforming to the volume of the first volume and continues to fill so that the variable connection chamber itself deforms to expand to a volume greater than the first volume, the parameter greater than the first volume is referred to as the second volume. It will be appreciated that when the variable connection chamber is in the second volume, its external volume increases, i.e. it expands. In this case, the two open channels of the variable connection chamber are divided into an upstream channel and a downstream channel according to the position of the pipe in which they are coupled in the flow line, wherein the downstream channel is configured to be openable at least in the event of a change of the variable connection chamber from the first volume to the second volume by the filling being fed in, so that the filling can be discharged by the downstream channel to bring the variable connection chamber back to the first volume from the second volume deformation. Depending on the context of use of the device, the filler is typically a substance having fluid properties, such as urine from the patient, nutrient solution to be fed to the patient, etc. The above-described selective opening of the downstream channel under certain conditions may be achieved based on a correlation between a varying pressure of the variable connection chamber at the interface of the downstream channel and an opening pressure selected when the downstream channel is constructed. A typical example is that the downstream channel is configured as a valve, e.g. a duckbill valve, that is automatically openable based on a certain pressure, and that the opening pressure of the downstream channel is configured to be at least greater than the pressure generated at the interface of the downstream channel when the first volume of the variable connection chamber is filled. Further, the downstream channel may also be configured to be able to close slowly, e.g. by selecting some valve structures with pre-stress, so that the variable connection chamber can slowly decrease from the second volume to the first volume after the downstream channel is opened. When the variable connection chamber is at the second volume, the first pressure at which the variable connection chamber is in contact with the skin increases, thereby causing the near-skin region 120, which is separated on either side of the variable connection chamber, to relieve its own second pressure on the patient's skin due to the variable connection chamber being recessed into the patient's skin to a greater extent.
The pipeline fixing device provided by the arrangement realizes that the part of the pipeline fixing device, which is contacted with the skin of the patient, is periodically subjected to pressure change massage by utilizing certain events which are periodically generated in the life of the patient and are utilized to the drainage tube, so that the pressure sore of the patient can be prevented and treated under the condition that any external power source is not introduced. For example, in the case of a medical professional injecting a nutritional liquid into a patient's nasal feeding tube, the variable connection chamber is filled with the filling material and the volume is increased, and the provision of the downstream channel ensures that the variable connection chamber can expand to a significant change in pressure against the patient's skin, which is indicative of the variable connection chamber transitioning from an original only slight contact to the patient's skin to compression against the patient's skin, in which case the pressure of the skin proximal regions 120 on either side of the variable connection chamber is relatively reduced due to the shift in the center of gravity of the overall pressure of the fastening device, the patient's skin is in a concave middle, a U-shaped state with the ends deflected, and thus the patient's skin compressed by the skin proximal regions 120 over a prolonged period of time can be alleviated by the reduced second pressure. Further, since the flow rate of the filler entering the variable connecting chamber is different and the flow rate is different, the downstream channel is arranged at the same time, so that the volume of the variable connecting chamber can be slowly reduced, and the pressure of the skin of the patient on the middle part contacted with the variable connecting chamber and the two side parts contacted with the skin near area 120 is changed at any time, thereby forming the massage effect. The scheme does not introduce any external power source, but only relies on the filler passing through the pipeline connected to the patient as power, and the filler is used as a substance which is necessary to participate in the flow for recycling. It should be noted that, the additional power equipment, such as a motor and an air charging device, which are provided for generating the variable pressure at the pipeline fixing device, further aggravate the pressure of the pipeline fixing device at the skin of the patient, but the pressure of the pipeline fixing device may not be reimbursed.
It should be noted that the above-described embodiments are exemplary, and that a person skilled in the art, in light of the present disclosure, may devise various solutions that fall within the scope of the present disclosure and fall within the scope of the present disclosure. It should be understood by those skilled in the art that the present description and drawings are illustrative and not limiting to the claims. The scope of the invention is defined by the claims and their equivalents. Throughout this document, the word "preferably" is used in a generic sense to mean only one alternative, and not to be construed as necessarily required, so that the applicant reserves the right to forego or delete the relevant preferred feature at any time. The description of the invention encompasses multiple inventive concepts, such as "preferably," "according to a preferred embodiment," or "optionally," all means that the corresponding paragraph discloses a separate concept, and that the applicant reserves the right to filed a divisional application according to each inventive concept.

Claims (10)

1. The pressure sore prevention pipeline fixing device is characterized by at least comprising a skin far area (110), skin near areas (120) arranged on two sides of the skin far area (110) and a variable connecting cavity with at least one part of side wall surrounded by the skin far area (110);
-said distal skin area (110) for connecting a tube (200);
-said near skin region (120) being in contact with the patient's skin (300) to achieve a relative fixation of said tube (200) on the patient's skin (300);
The variable connecting cavity is provided with two opening channels communicated with the internal cavity of the variable connecting cavity, and the two opening channels are divided into an upstream channel and a downstream channel according to the position of a pipeline which is coupled and connected with the opening channels in a streamline;
Wherein the tube (200) can be wrapped inside by the distal skin region (110) with the two skin proximal regions (120) close to each other,
Wherein the near skin region (120) is configured to: the skin proximal region (120) is capable of administering to the patient's skin (300) in contact therewith with the tube (200) relatively secured to the patient's skin (300);
Wherein the near skin region (120) is capable of sustained administration;
Wherein the downstream channel is configured to open at least in case the variable connection chamber is filled with a filling material to change from a first volume to a second volume, such that the filling material is able to be expelled by the downstream channel to restore the variable connection chamber from said second volume to the first volume, thereby massaging the portion of the line fixture in contact with the patient's skin for pressure changes.
2. The pressure sore line preventing line fixture of claim 1, wherein the fixture comprises at least: a shielding layer (101), a structural layer (102), a gel layer (103) and an adhesive layer;
wherein the structural layer (102) connects the distal skin region (110) and the proximal skin region (120);
-the skin-distal region (110) comprises the structural layer (102) and the adhesive layer;
The skin-near area (120) is sequentially provided with the adhesion layer, the gel layer (103), the structural layer (102) and the shielding layer (101) according to the distance from the skin (300);
wherein the adhesive layer comprises a first adhesive layer (104) arranged in the skin proximal region (120) and a second adhesive layer (105) arranged in the skin distal region (110).
3. The pressure sore line fixture of claim 2, wherein the second adhesive layer (105) is in contact with the tube (200); the second adhesion layer (105) is configured to: in the case of a fixed line, the connection of the pipe (200) to the fixing device is achieved by means of an adhesive bond with the pipe (200).
4. The pressure sore line fixture of claim 2, wherein the first adhesive layer (104) is in contact with the skin (300); the first adhesion layer (104) is configured to: in case a fastening line is required, the fastening device is attached to the skin (300) by being glued to the skin (300).
5. The pressure sore line preventing fixing apparatus as claimed in claim 2, wherein,
The shielding layer (101), the structural layer (102) and the gel layer (103) form a drug storage side of the skin-proximal region (120), wherein the drug in the drug storage side is administered to the skin (300) via the first adhesive layer (104).
6. The pressure sore line preventing pipe fixing apparatus as claimed in claim 2, wherein one side of the shielding layer (101) is connected with the structural layer (102), and the shielding layer (101) can be turned around it.
7. The pressure sore line preventing tube securing device according to claim 2, characterized in that the surface of the structural layer (102) opposite the second adhesive layer (105) and the portion corresponding to the skin distal region (110) are provided with a sealing layer.
8. The method for fixing the pressure sore prevention pipeline is characterized by at least comprising the following steps:
A skin-far area (110) of the connecting pipe fitting (200) is arranged, and skin-near areas (120) are arranged on two sides of the skin-far area (110);
The two skin-proximal regions (120) are close to each other, so that the skin-distal region (110) wraps the connecting tube (200) inside;
the skin proximal region (120) is in contact with the patient's skin (300) to effect a relative fixation of the tube (200) to the patient's skin (300);
The skin proximal region (120) is capable of administering to the patient's skin (300) in contact therewith with the tube (200) relatively secured to the patient's skin (300);
And (2) introducing the filler into a variable connecting cavity at least a part of the side wall of which is surrounded by the skin-far area (110), wherein the variable connecting cavity is provided with two opening channels communicated to the inner cavity of the variable connecting cavity, the two opening channels are divided into an upstream channel and a downstream channel according to the position of a pipeline which is coupled and connected with the opening channels in a streamline, and the downstream channel is configured to be opened at least when the variable connecting cavity is introduced with the filler and is changed from a first volume to a second volume, so that the filler can be discharged through the downstream channel to enable the variable connecting cavity to be restored to the first volume from the second volume deformation, and thus the pressure change massage is carried out on the part of the pipeline fixing device which is contacted with the skin of a patient.
9. A line fixation device, characterized in that the fixation device comprises at least a distal skin area (110), a proximal skin area (120) arranged on both sides of the distal skin area (110), and a variable connection chamber with at least a part of the side wall surrounded by the distal skin area (110);
-said distal skin area (110) for connecting a tube (200);
-said near skin region (120) being in contact with the patient's skin (300) to achieve a relative fixation of said tube (200) on the patient's skin (300);
wherein the distal skin region (110) extends along a side where the proximal skin region (120) is not disposed to form a separate tubing connection region;
The variable connecting cavity is provided with two opening channels communicated with the internal cavity of the variable connecting cavity, and the two opening channels are divided into an upstream channel and a downstream channel according to the position of a pipeline which is coupled and connected with the opening channels in a streamline;
Wherein a portion of the tube (200) corresponding to the skin proximal region (120) is capable of being wrapped inside by the skin distal region (110) with the two skin proximal regions (120) being proximate to each other; the pipe connection region is capable of wrapping a portion of the pipe (200) corresponding thereto;
Wherein the near skin region (120) is configured to: the skin proximal region (120) is capable of administering to the patient's skin (300) in contact therewith with the tube (200) relatively secured to the patient's skin (300);
Wherein the near skin region (120) is capable of sustained administration;
Wherein the downstream channel is configured to open at least in case the variable connection chamber is filled with a filling material to change from a first volume to a second volume, such that the filling material is able to be expelled by the downstream channel to restore the variable connection chamber from said second volume to the first volume, thereby massaging the portion of the line fixture in contact with the patient's skin for pressure changes.
10. A method of securing a pipeline, the method comprising: a skin far area (110) is arranged, and skin near areas (120) are arranged on two sides of the skin far area (110);
the distal skin region (110) extends along a side where the proximal skin region (120) is not disposed to form a separate tubing connection region;
the skin proximal region (120) is in contact with the patient's skin (300) to effect a relative fixation of the tube (200) to the patient's skin (300);
The two skin-proximal regions (120) are close to each other, so that the part of the tube (200) corresponding to the skin-proximal region (120) is wrapped inside by the skin-distal region (110);
The pipeline connecting area wraps a part of the pipe fitting (200) corresponding to the pipeline connecting area;
The skin proximal region (120) being capable of administering a drug to the skin (300) of a patient in contact therewith, with the tube (200) relatively secured to the skin (300) of the patient;
Wherein the near skin region (120) is capable of sustained administration;
And (2) introducing the filler into a variable connecting cavity at least a part of the side wall of which is surrounded by the skin-far area (110), wherein the variable connecting cavity is provided with two opening channels communicated to the inner cavity of the variable connecting cavity, the two opening channels are divided into an upstream channel and a downstream channel according to the position of a pipeline which is coupled and connected with the opening channels in a streamline, and the downstream channel is configured to be opened at least when the variable connecting cavity is introduced with the filler and is changed from a first volume to a second volume, so that the filler can be discharged through the downstream channel to enable the variable connecting cavity to be restored to the first volume from the second volume deformation, and thus the pressure change massage is carried out on the part of the pipeline fixing device which is contacted with the skin of a patient.
CN202210392339.5A 2022-04-13 2022-04-13 Pressure sore prevention pipeline fixing device and fixing method Active CN114904124B (en)

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