CN115154851B - Chest heart surgery puncture drainage tube fixing device - Google Patents

Chest heart surgery puncture drainage tube fixing device Download PDF

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Publication number
CN115154851B
CN115154851B CN202210858844.4A CN202210858844A CN115154851B CN 115154851 B CN115154851 B CN 115154851B CN 202210858844 A CN202210858844 A CN 202210858844A CN 115154851 B CN115154851 B CN 115154851B
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drainage tube
base
boss
clamping block
puncture
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CN115154851A (en
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蒙延海
张燕搏
王水云
徐冕
王萍
王瑜
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Fuwai Hospital of CAMS and PUMC
Fuwai Yunnan Cardiovascular Hospital
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Fuwai Hospital of CAMS and PUMC
Fuwai Yunnan Cardiovascular 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
    • 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
    • A61M2025/024Holding devices, e.g. on the body having a clip or clamp system
    • 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
    • A61M2025/028Holding devices, e.g. on the body having a mainly rigid support structure
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a puncture drainage tube fixing device for chest and heart surgery, and relates to the technical field of auxiliary medical appliances for chest and heart surgery. Comprises a base; the two sides of the base are provided with binding bands for fixing the base to the body; a boss is arranged on one side of the top of the base; a clamping block is arranged on one side of the top of the base opposite to the boss in a sliding manner; a drainage tube through groove is formed between the clamping block and the boss; a plurality of support plates are arranged at the bottom of the clamping block; a sliding rod is arranged on one side of the supporting plate away from the boss; the top of the base is correspondingly provided with a plurality of sliding grooves matched with the supporting plate; a spring is arranged in the chute; the spring is sleeved outside the slide bar; one end of the spring is abutted with the supporting plate, and the other end of the spring is abutted with the side wall of the chute; one side of the base, which is far away from the boss, is correspondingly provided with a plurality of slide holes which are matched with the slide bars. According to the invention, the rapid installation and disassembly of the drainage tube are realized through the clamping blocks which are arranged in a sliding manner; meanwhile, the base is positioned below the puncture position, so that the puncture position is yielded, and the puncture position is convenient to clean.

Description

一种胸心外科穿刺引流管固定装置A puncture and drainage tube fixing device for thoracic and cardiothoracic surgery

技术领域technical field

本发明涉及胸心外科辅助医疗器械技术领域,特别是涉及一种胸心外科穿刺引流管固定装置。The invention relates to the technical field of auxiliary medical instruments for thoracic and cardiac surgery, in particular to a puncture and drainage tube fixing device for thoracic and cardiac surgery.

背景技术Background technique

胸心外科包含了心脏外科和普胸外科的疾病,心外科研究心脏大血管创伤、心包疾病、先天性心脏病、后天性心脏瓣膜病、缺血性心脏病、心脏肿瘤、大血管疾病、介入性治疗技术、心律失常的外科治疗、心脏起搏和植入式除颤复律器、动力性心肌成形术、心脏、肺和心肺移植等方面,在治疗手术时,会经常应用到引流管。Cardiothoracic surgery includes diseases of cardiac surgery and general thoracic surgery. Cardiovascular surgery studies heart and great vessel trauma, pericardial disease, congenital heart disease, acquired heart valve disease, ischemic heart disease, heart tumor, great vessel disease, intervention Drainage tubes are often used in therapeutic procedures, surgical treatment of cardiac arrhythmias, cardiac pacing and implantable defibrillators, dynamic cardiomyoplasty, heart, lung, and heart-lung transplantation.

目前,引流管作为胸心外科手术过程中的常规的辅助工具,现有的引流管其在使用过程中,多是通过外部胶布对进行引流管的位置进行定位,由于出汗胶布易松脱,且不便对穿刺处清理。除此之外,也有一些专门的定位装置,如专利号为202122704460.0的中国专利,公开了一种胸心外科穿刺引流管固定装置,在使用时,通过卡位块与对接块卡合,从而使得绑带与人体之间进行固定,则使得该装置的位置有效地进行定位,有效地避免病人活动松脱的现象,引流时,将引流管穿过圆环,再通过夹块进行固定,当需要进行角度调整时,则可以将定位螺母拧松即可进行调整,调整完毕后,则进行固位即可;此装置,虽能实现定位,但其高度过于突出,引流管安装不便,极易产生误碰,且导管柱的底端的防滑垫作用于穿丝位置正上方,不便于清理,而且会对穿丝位置带来负担。因此,亟需一种便于引流管安装方便,且不影响穿丝位置清理的定位装置。At present, the drainage tube is used as a conventional auxiliary tool in the process of thoracic and cardiac surgery. The existing drainage tube is mostly positioned through the external adhesive tape during use. Because the adhesive tape is easy to loose due to sweating, And it is inconvenient to clean up the puncture. In addition, there are also some special positioning devices, such as the Chinese patent No. 202122704460.0, which discloses a puncture and drainage tube fixing device for thoracic surgery. When in use, the locking block is engaged with the docking block, so that Fixing between the strap and the human body enables the position of the device to be effectively positioned, effectively avoiding the phenomenon of loosening of the patient's activities. During drainage, the drainage tube is passed through the ring, and then fixed by the clamp block. When adjusting the angle, you can loosen the positioning nut to adjust, and after the adjustment, you can fix it; although this device can achieve positioning, its height is too prominent, and the installation of the drainage tube is inconvenient, which is easy to cause If it is accidentally touched, and the anti-slip pad at the bottom of the catheter string acts directly above the threading position, it is not easy to clean and will bring a burden to the threading position. Therefore, there is an urgent need for a positioning device that is convenient for the installation of the drainage tube and does not affect the cleaning of the threading position.

发明内容Contents of the invention

本发明主要目的在于提供一种胸心外科穿刺引流管固定装置,以解决上述问题。The main purpose of the present invention is to provide a puncture and drainage tube fixation device for thoracic surgery to solve the above problems.

为达上述目的,本发明提供一种胸心外科穿刺引流管固定装置,包括底座;所述底座两侧均设置有用于将底座固定到身体上的绑带;所述底座顶部一侧设置有凸台;所述底座顶部与凸台相对的一侧滑动设置有夹持块;所述夹持块与凸台之间形成引流管通过槽;所述夹持块底部设置有多个支撑板;所述支撑板远离凸台的一侧设置有滑杆;所述底座顶部对应设置有多个与支撑板相适配的滑槽;所述滑槽内设置有弹簧;所述弹簧套设于滑杆外部;所述弹簧一端与支撑板抵接,另一端与滑槽侧壁抵接;所述底座远离凸台的一侧对应设置有多个与滑杆相适配的滑孔。In order to achieve the above purpose, the present invention provides a puncture and drainage tube fixing device for thoracic surgery, including a base; both sides of the base are provided with straps for fixing the base to the body; one side of the top of the base is provided with a convex platform; the top of the base is slidably provided with a clamping block on the side opposite to the boss; a drainage tube passing groove is formed between the clamping block and the boss; a plurality of support plates are arranged at the bottom of the clamping block; The side of the support plate away from the boss is provided with a slide bar; the top of the base is correspondingly provided with a plurality of chutes matching the support plate; a spring is arranged in the chute; the spring is sleeved on the slide bar Outside: one end of the spring is in contact with the support plate, and the other end is in contact with the side wall of the chute; the side of the base away from the boss is correspondingly provided with a plurality of sliding holes matched with the sliding bar.

进一步的,所述底座远离穿刺位置的一端设置有引流管夹。Further, the end of the base away from the puncture position is provided with a drainage tube clip.

进一步的,所述夹持块靠近凸台的一侧转动设置有两个导向轮;所述导向轮的边缘部分位于引流管通过槽内;所述夹持块顶部设置有第一盖板。Further, the side of the clamping block close to the boss is provided with two guide wheels for rotation; the edge part of the guide wheels is located in the passage groove of the drainage tube; the top of the clamping block is provided with a first cover plate.

进一步的,所述凸台顶部开设有凹槽;所述凹槽内倾斜设置有齿条;所述齿条上啮合有齿轮;所述凸台顶部设置有第二盖板;所述第二盖板将引流管通过槽顶部封闭;当齿轮位于凹槽靠近穿刺位置的一端时,所述齿轮与靠近穿刺位置的导向轮相对,且两者之间的间距等于引流管的直径;当齿轮位于凹槽远离穿刺位置的一端时,所述齿轮与远离穿刺位置的导向轮相对,且两者之间的间距等于引流管壁厚的两倍。Further, a groove is opened on the top of the boss; a rack is obliquely arranged in the groove; a gear is meshed on the rack; a second cover is provided on the top of the boss; the second cover The plate seals the drainage tube through the top of the groove; when the gear is located at one end of the groove near the puncture position, the gear is opposite to the guide wheel near the puncture position, and the distance between the two is equal to the diameter of the drainage tube; When the groove is away from one end of the puncture position, the gear is opposite to the guide wheel away from the puncture position, and the distance between the two is equal to twice the wall thickness of the drainage tube.

进一步的,所述齿条和齿轮的材料均为铁;所述齿条远离穿刺位置的一端设置有磁铁。Further, the material of the rack and the gear is iron; the end of the rack far away from the puncture position is provided with a magnet.

本发明通过滑动设置的夹持块,实现对引流管的快速安装与拆卸;同时,由于底座位于穿刺位置下方,让出了穿刺位置,便于对穿刺位置进行清理。The invention realizes quick installation and disassembly of the drainage tube through the clamping block provided by sliding; at the same time, since the base is located below the puncture position, the puncture position is freed, which is convenient for cleaning the puncture position.

附图说明Description of drawings

图1为本发明一种胸心外科穿刺引流管固定装置整体示意图。Fig. 1 is an overall schematic diagram of a puncture and drainage tube fixing device for thoracic and cardiac surgery according to the present invention.

图2为本发明一种胸心外科穿刺引流管固定装置去除盖板后的示意图。Fig. 2 is a schematic diagram of a puncture and drainage tube fixing device for thoracic surgery according to the present invention after the cover plate is removed.

图3为本发明一种胸心外科穿刺引流管固定装置爆炸图。Fig. 3 is an exploded view of a puncture and drainage tube fixing device for thoracic surgery according to the present invention.

其中,1-底座;2-绑带;3-引流管;4-夹持块;5-第一盖板;6-第二盖板;7-引流管夹;11-齿轮;12-凹槽;13-齿条;14-磁铁;15-滑槽;16-滑孔;41-导向轮;42-弹簧;43-滑杆;44-支撑板。Among them, 1-base; 2-bandage; 3-drainage tube; 4-clamping block; 5-first cover plate; 6-second cover plate; 7-drainage tube clamp; 11-gear; 12-groove 13-rack; 14-magnet; 15-chute; 16-sliding hole; 41-guiding wheel;

具体实施方式Detailed ways

为达成上述目的及功效,本发明所采用的技术手段及构造,结合附图就本发明较佳实施例详加说明其特征与功能。In order to achieve the above purpose and effects, the technical means and structures adopted in the present invention will be described in detail in terms of the features and functions of the preferred embodiments of the present invention in conjunction with the accompanying drawings.

如图1-3所示,本发明中提供了一种胸心外科穿刺引流管固定装置,包括底座1;所述底座1两侧均设置有用于将底座固定到身体上的绑带2;所述底座1顶部一侧设置有凸台;所述底座1顶部与凸台相对的一侧滑动设置有夹持块4;所述夹持块4与凸台之间形成引流管通过槽;所述夹持块4底部设置有多个支撑板44;所述支撑板44远离凸台的一侧设置有滑杆43;所述底座1顶部对应设置有多个与支撑板44相适配的滑槽15;所述滑槽15内设置有弹簧42;所述弹簧42套设于滑杆43外部;所述弹簧42一端与支撑板44抵接,另一端与滑槽15侧壁抵接;所述底座1远离凸台的一侧对应设置有多个与滑杆43相适配的滑孔16。使用时,通过绑带2将底座固定在使用者身体上,使底座位于穿刺位置下方;用手向外侧滑动夹持块4,再将引流管3置入夹持块4与凸台之间的引流管通过槽内,然后松开夹持块4,在弹簧42作用下,夹持块4自动回弹,将引流管3夹紧。As shown in Figures 1-3, the present invention provides a puncture and drainage tube fixing device for thoracic surgery, including a base 1; both sides of the base 1 are provided with straps 2 for fixing the base to the body; One side of the top of the base 1 is provided with a boss; the side of the top of the base 1 opposite to the boss is slidably provided with a clamping block 4; a drainage tube passing groove is formed between the clamping block 4 and the boss; The bottom of the clamping block 4 is provided with a plurality of support plates 44; the side of the support plate 44 away from the boss is provided with a slide bar 43; the top of the base 1 is correspondingly provided with a plurality of chutes matching the support plates 44 15; the chute 15 is provided with a spring 42; the spring 42 is sleeved outside the slide bar 43; one end of the spring 42 abuts against the support plate 44, and the other end abuts against the side wall of the chute 15; The side of the base 1 away from the boss is correspondingly provided with a plurality of sliding holes 16 matched with the sliding rods 43 . When in use, fix the base on the user's body through the strap 2, so that the base is located below the puncture position; slide the clamping block 4 outward by hand, and then place the drainage tube 3 into the space between the clamping block 4 and the boss. The drainage tube passes through the groove, and then the clamping block 4 is released. Under the action of the spring 42, the clamping block 4 rebounds automatically, and the drainage tube 3 is clamped.

在另一实施例中,所述底座1远离穿刺位置的一端设置有引流管夹7。当不要引流时,使用引流管夹7将引流管3夹住,防止继续引流。In another embodiment, the end of the base 1 away from the puncture position is provided with a drainage tube clip 7 . When the drainage is not needed, use the drainage tube clamp 7 to clamp the drainage tube 3 to prevent further drainage.

在另一实施例中,所述夹持块4靠近凸台的一侧转动设置有两个导向轮41;所述导向轮41的边缘部分位于引流管通过槽内;所述夹持块4顶部设置有第一盖板5。通过导向轮41将引流管3夹紧,避免引流管3过度摩擦。In another embodiment, the side of the clamping block 4 close to the boss is provided with two guide wheels 41 for rotation; the edge part of the guide wheels 41 is located in the passage groove of the drainage tube; the top of the clamping block 4 A first cover plate 5 is provided. The drainage tube 3 is clamped by the guide wheel 41 to avoid excessive friction of the drainage tube 3 .

在另一实施例中,所述凸台顶部开设有凹槽12;所述凹槽12内倾斜设置有齿条13;所述齿条13上啮合有齿轮11;所述凸台顶部设置有第二盖板6;所述第二盖板6将引流管通过槽顶部封闭,以防止引流管3从引流管通过槽内脱出;当齿轮11位于凹槽12靠近穿刺位置的一端时,所述齿轮11与靠近穿刺位置的导向轮41相对,且两者之间的间距等于引流管3的直径;当齿轮11位于凹槽12远离穿刺位置的一端时,所述齿轮11与远离穿刺位置的导向轮41相对,且两者之间的间距等于引流管3壁厚的两倍。通过以上设置,当引流管3向穿刺位置运动时,带动齿轮11向穿刺位置运动,进而使齿轮11让出引流管通过槽位置,便于引流管3运动,当引流管3向远离穿刺位置运动时,带动齿轮11向远离穿刺位置运动,进而使齿轮11逐渐占用引流管通过槽空间,以限制引流管3运动进而防止引流管3脱出。In another embodiment, a groove 12 is opened on the top of the boss; a rack 13 is obliquely arranged in the groove 12; a gear 11 is engaged on the rack 13; Two cover plates 6; the second cover plate 6 seals the drainage tube through the top of the groove to prevent the drainage tube 3 from coming out of the drainage tube through the groove; when the gear 11 is positioned at the end of the groove 12 near the puncture position, the gear 11 is opposite to the guide wheel 41 close to the puncture position, and the distance between the two is equal to the diameter of the drainage tube 3; 41 opposite, and the spacing between the two is equal to twice the wall thickness of the drainage tube 3 . Through the above settings, when the drainage tube 3 moves to the puncture position, the gear 11 is driven to move to the puncture position, and then the gear 11 is moved out of the drainage tube to pass through the groove position, which facilitates the movement of the drainage tube 3. When the drainage tube 3 moves away from the puncture position , drive the gear 11 to move away from the puncture position, and then make the gear 11 gradually occupy the space where the drainage tube passes through the groove, so as to limit the movement of the drainage tube 3 and prevent the drainage tube 3 from coming out.

在另一实施例中,所述齿条13和齿轮11的材料均为铁;所述齿条13远离穿刺位置的一端设置有磁铁14,以便于为齿轮11提供向远离穿刺位置运动的力,提供更好的限制效果。In another embodiment, the materials of the rack 13 and the gear 11 are both iron; the end of the rack 13 away from the puncture position is provided with a magnet 14 so as to provide the gear 11 with a force to move away from the puncture position, Provide better restriction effect.

以上所述仅为本发明较佳实施例而已,非全部实施例,任何人应该得知在本发明的启示下做出的结构变化,凡是与本发明具有相同或者相近似的技术方案,均属于本发明的保护范围。The above is only a preferred embodiment of the present invention, not all embodiments, anyone should know that the structural changes made under the inspiration of the present invention, all technical solutions that are the same as or similar to the present invention belong to protection scope of the present invention.

Claims (3)

1. The utility model provides a chest heart surgery puncture drainage tube fixing device which is characterized by comprising a base; the two sides of the base are provided with binding bands for fixing the base to the body; a boss is arranged on one side of the top of the base; a clamping block is arranged on one side, opposite to the boss, of the top of the base in a sliding manner; a drainage tube through groove is formed between the clamping block and the boss; a plurality of support plates are arranged at the bottom of the clamping block; a sliding rod is arranged on one side of the supporting plate, which is far away from the boss; the top of the base is correspondingly provided with a plurality of sliding grooves matched with the supporting plate; a spring is arranged in the chute; the spring is sleeved outside the sliding rod; one end of the spring is abutted with the supporting plate, and the other end of the spring is abutted with the side wall of the chute; a plurality of sliding holes matched with the sliding rods are correspondingly formed in one side, away from the boss, of the base; two guide wheels are rotatably arranged on one side, close to the boss, of the clamping block; the edge part of the guide wheel is positioned in the drainage tube passing groove; the top of the clamping block is provided with a first cover plate; the top of the boss is provided with a groove; a rack is obliquely arranged in the groove; a gear is meshed with the rack; the top of the boss is provided with a second cover plate; the drainage tube is sealed through the top of the groove by the second cover plate; when the gear is positioned at one end of the groove close to the puncture position, the gear is opposite to the guide wheel close to the puncture position, and the distance between the gear and the guide wheel is equal to the diameter of the drainage tube; when the gear is positioned at one end of the groove far away from the puncture position, the gear is opposite to the guide wheel far away from the puncture position, and the distance between the gear and the guide wheel is equal to twice the wall thickness of the drainage tube.
2. The thoracic surgery puncture drainage tube fixing device according to claim 1, wherein the end of the base away from the puncture site is provided with a drainage tube clamp.
3. The thoracic surgery puncture drainage tube fixing device of claim 1 wherein the rack and the pinion are both made of iron; one end of the rack, which is far away from the puncture position, is provided with a magnet.
CN202210858844.4A 2022-07-21 2022-07-21 Chest heart surgery puncture drainage tube fixing device Active CN115154851B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210858844.4A CN115154851B (en) 2022-07-21 2022-07-21 Chest heart surgery puncture drainage tube fixing device

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Application Number Priority Date Filing Date Title
CN202210858844.4A CN115154851B (en) 2022-07-21 2022-07-21 Chest heart surgery puncture drainage tube fixing device

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