CN115462977B - Wound protection device for thoracic surgery - Google Patents

Wound protection device for thoracic surgery Download PDF

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Publication number
CN115462977B
CN115462977B CN202211341277.1A CN202211341277A CN115462977B CN 115462977 B CN115462977 B CN 115462977B CN 202211341277 A CN202211341277 A CN 202211341277A CN 115462977 B CN115462977 B CN 115462977B
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China
Prior art keywords
patient
rod
protective cover
protection device
opening
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CN202211341277.1A
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Chinese (zh)
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CN115462977A (en
Inventor
张予卓
涂恒嘉
林江鹏
李佳荣
崔飞
霍震宇
许沁怡
王治朝
任妍冰
金娜
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Guangzhou Medical University
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Guangzhou Medical University
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Priority to CN202211341277.1A priority Critical patent/CN115462977B/en
Publication of CN115462977A publication Critical patent/CN115462977A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/0501Bed-clothes supports to alleviate the weight of the bed-clothes on the patient

Abstract

The invention relates to a thoracic surgery wound protection device, which comprises a protective cover for covering a wound of a patient, wherein an opening and a plate body are arranged at the position of the protective cover corresponding to the wound, the plate body is in sliding fit with the protective cover and can be switched between a state of covering and a state of exposing the opening, the protective cover is also provided with two positioning components, the two positioning components are abutted against two sides of the body of the patient, a sliding component and a traction component are also arranged between the positioning components and the protective cover, and the thoracic surgery wound protection device comprises: the sliding assembly is used for adjusting the distance between the protective cover and the body of the patient; the traction assembly is used for pulling the plate body to move in the process that the protective cover is far away from the body of the patient, so that the opening is exposed. It makes use of the locating component to lean on the both sides of patient's health, does not need the patient to stand up or overturn the health, can avoid pulling patient's wound. In addition, adjust the distance between protection casing and the patient health, can be convenient for medical personnel clear up remaining medicine and the bloodstain on patient's health surface, alleviate the risk that the patient wound took place to infect.

Description

Wound protection device for thoracic surgery
Technical Field
The invention relates to the field of wound recovery in thoracic surgery, in particular to a wound protection device in thoracic surgery.
Background
Thoracic surgery is a specialized medical department, which is specialized in the diagnosis and treatment of thoracic organs, mainly including esophageal, pulmonary and mediastinal lesions, and mammary gland surgery is also included in the specialized department. After the patient is subjected to the thoracic surgery, the medicine is applied to the wound and gauze is covered, and a protection device is used for protecting the operation wound and promoting the wound to heal.
The existing protection device is generally bound on the body of a patient in a wearing manner, an opening is arranged at a position corresponding to a wound, an openable covering structure is arranged at the opening, when the patient needs to replace dressing and new gauze, the covering structure is opened, and the gauze at the wound is replaced with the dressing.
However, when the existing protective device is worn or taken off, the patient needs to stand up or rotate the body to complete the wearing or taking off procedure, and the patient who just has performed an operation is easy to pull the wound, which is not beneficial to wound healing. In the process of changing dressing and new gauze, the residual medicine and bloodstain on the contact part of the edge of the opening and the body of a patient are not convenient to clean and remain on the surface of the body of the patient, thus easily causing infection.
Disclosure of Invention
The invention solves the problems that a patient can wear a protection device only by rising or rotating the body after a thoracic surgery, the wound is easy to pull, and the residual medicines and blood stains on the surface of the patient body are inconvenient to clean.
In order to realize the purpose, the technical scheme of the invention is as follows:
the utility model provides an thoracic surgery wound protection device, its characterized in that, is including the protection casing that is used for shroud patient's wound, the position department that the protection casing corresponds the wound is equipped with the opening, the bottom surface of protection casing corresponds the opening and is provided with the plate body with protection casing sliding fit to can cover and expose switch between the open-ended state, protection device still has two locating component, two locating component is used for leaning on patient's health both sides, still be equipped with between locating component and the protection casing and slide the subassembly and pull the subassembly, wherein:
the sliding assembly is used for adjusting the distance between the protective cover and the body of the patient;
and the traction assembly is used for pulling the plate body to move in the process that the sliding assembly adjusts the protective cover to be far away from the body of the patient, so that the opening is exposed.
Preferably, the sliding assembly comprises a guiding structure, a connecting rod, a sliding piece and a screw rod, wherein:
the guide structure comprises a first part and a second part which are matched with each other in a sliding way, and the first part and the second part are respectively fixedly connected with the protective cover and the positioning assembly;
the first end of the connecting rod is hinged with the bottom of the positioning assembly or the second part, the second end of the connecting rod is hinged with a sliding piece, and the sliding piece abuts against the bottom surface of the protective cover and can slide on the bottom surface of the protective cover;
the screw rod is in threaded fit with the sliding part so as to drive the sliding part to move when the screw rod rotates, and further drive the connecting rod to rotate around the first end.
Preferably, the traction assembly comprises a section of rod body, one end of the rod body is hinged to the positioning assembly, the other end of the rod body is hinged to the plate body, and the rod body is configured as follows: when the protective cover is far away from the positioning assembly, the rod body pulls the plate body to be separated from the opening.
Preferably, the traction assembly comprises two sections of rod bodies which are rotatably connected, two sections of hinged rod bodies integrally formed are hinged and installed between the plate body and the positioning assembly, and the two sections of rod bodies are configured as follows: in the process that the protective cover is far away from the positioning assembly, the two-section type rod is firstly straightened, and then the plate body is pulled to be separated from the opening.
Further preferably, the hinge point between the two sections of rod bodies is located at one side of the connecting line of the two ends of the two sections of rods, which is close to the protective cover.
Further preferably, the positioning device further comprises a limiting structure arranged on the plate body or the positioning assembly, and the two-segment rod is configured as follows: in the process that the protective cover is close to the positioning assembly, the two sections of rod bodies firstly rotate relatively to at least one section of rod body to be abutted against the limiting structure, and then the plate body is pushed to slide towards the direction of covering the opening.
Preferably, the traction assembly comprises at least three sections of rod bodies which are sequentially hinged, a multi-section rod integrally formed by multiple sections of the rod bodies which are sequentially hinged is hinged between the plate body and the positioning assembly, and in the process that the protective cover is far away from the positioning assembly, the multi-section rod is firstly straightened and then pulled to separate the plate body from the opening.
Preferably, the pulling assembly comprises a pulling rope of flexible material configured to: during the process that the protective cover is far away from the positioning assembly, the traction rope is firstly straightened, and then the plate body is pulled to be separated from the opening.
Preferably, locating component includes the body and passes the screw rod of body, this body coupling is in the subassembly bottom that slides, screw rod with screw-thread fit between the body, when the body was located one side of patient's health, the side of the directional patient's health of one end of screw rod is connected with the setting element, locating component passes through the setting element supports and leans on patient's health side.
Preferably, the part of the positioning component, which is in contact with the body of the patient, is provided with a medical rubber layer, and the medical rubber layer is further coated with a sponge.
The technical scheme of the invention has the beneficial technical effects that:
when the wound protection device is used for protecting the wound of a patient, the two positioning assemblies are respectively abutted against two sides of the body of the patient, the protective cover can be stably arranged on the body of the patient, the patient does not need to stand up or turn over the body in the process, and the wound of the patient can be prevented from being pulled.
The subassembly that slides can change the distance between protection casing and the patient health through the distance between adjustment protection casing and the locating component, and the subassembly that slides drives the protection casing and when being close to the patient health, covers the plate body at the opening part, and the gauze department with the patient wound is located to the bottom surface of plate body, can provide the protection to the wound of patient, promotes wound healing. When the subassembly that slides drives the protection casing and keeps away from patient's health, pull the subassembly pulling plate body and slide, expose the opening simultaneously, medical personnel can change dressing and new gauze to patient's wound through the opening, because protection casing and plate body break away from patient's health, and medical personnel can be convenient for clear up remaining medicine and blood stain in patient's health surface, alleviate the risk that patient's wound took place to infect.
The traction assembly is a rod body, when the protective cover moves relative to the positioning assembly, the rod body rotates around one end of the rod body connected with the positioning assembly, the plate body can be pulled or pushed to slide, so that the plate body is pulled to be separated from the opening when the protective cover is away from the positioning assembly, the opening is exposed, and medical workers can replace the wound dressing and the gauze of a patient through the opening and clean the residual medicine and blood stain on the body surface of the patient conveniently. When the protection casing was close to locating component, the body of rod can promote the plate body and slide until covering the opening, realized the automatic switching of open-ended.
The (III) pulling assembly is preferably a two-piece rod that is first straightened when the shield is moved away from the positioning assembly, i.e., away from the patient's body. In the process of straightening the two-section type rod, the plate body is separated from the gauze at the wound of the patient, and then the two-section type rod is straightened to pull the plate body to separate from the opening, so that the plate body is not pulled when being contacted with the gauze, the wound of the patient can be prevented from being pulled when the plate body moves, and the wound of the patient can be recovered.
And (IV) the hinge point between the two sections of rod bodies is positioned on one side of the connecting line of the two ends of the two sections of rod bodies close to the protective cover, when the protective cover moves close to the positioning components, the two sections of rod bodies rotate relatively, and the hinge point between the two sections of rod bodies moves upwards, so that the space between the two positioning components below the protective cover can be saved, the body of a patient can be conveniently accommodated, and the comfort degree of the patient when the patient uses the wound protection device is improved.
(V) limit structure installs on plate body or locating component, and when the protection casing was close to locating component and is removed, two sections body of rod rotated relatively, treated a certain section body of rod and rotated to offseting with limit structure, then this body of rod can't take place the rotation again, can only be rotated by another section body of rod to promote the plate body to slide until covering the opening, also can realize the automatic switching of open-ended.
And (VI) the traction assembly is a multi-section rod, and in the process that the protective cover is far away from the positioning assembly, the multi-section rod is firstly straightened, and then the plate body is pulled to be separated from the opening, so that the plate body can be pulled after the plate body is separated from the gauze. The bending performance of the multi-section rod is good, the multi-section rod can be fully folded, the space between two positioning components below the protective cover is saved, and the comfort degree of a patient when the patient uses the wound protection device is improved.
(seven) traction assembly is the haulage rope, keep away from positioning assembly's in-process at the protection casing, the haulage rope is at first straightened, the pull plate body breaks away from the opening again, can realize the effect that the plate body time delay slided, and haulage rope occupation space is little, the protection casing is close to patient's health after, the haulage rope becomes lax state, can increase the space between two positioning assembly of protection casing below, and lax haulage rope can not press against patient's health, comfort level when can improving the patient and use this wound protection device.
(eight) locating component leans on the side back of patient's health through the medical rubber layer that the cladding has the sponge, medical rubber layer and sponge can be along horizontal or vertical emergence elastic deformation, take place to fluctuate with the thorax when the mild action such as adaptation patient breathes, diastole or shrink, ensure that locating component stably supports and leans on patient's health, and allow this wound protection device to move along with patient's thorax fluctuation, guarantee that the plate body keeps the laminating with the gauze of patient wound department, can reduce the hindrance when this wound protection device carries out mild action to the patient, uncomfortable sense when lightening patient uses wound protection device.
Drawings
Fig. 1 shows a schematic view of a thoracic surgical wound protection device, according to an embodiment of the invention;
FIG. 2 is a schematic structural diagram of a shield according to a first embodiment of the present invention;
FIG. 3 is a schematic view of the plate body and the opening in accordance with one embodiment of the present invention;
FIG. 4 is a schematic view showing the connection between the positioning assembly and the guiding structure in the second embodiment of the present invention;
fig. 5 is a schematic view showing the connection of the traction assembly with the plate body and the guide structure in the third embodiment of the invention;
fig. 6 shows a schematic view of the connection of the traction assembly with the plate body and the guiding structure in the fourth embodiment of the invention;
fig. 7 shows a schematic connection diagram of the traction assembly, the plate body and the guide structure in the fifth embodiment of the invention.
In the drawings, the reference numbers:
1-a protective cover; 11-an opening; 12-a plate body; 13-a cylinder body; 14-a guide rod; 141-bumps; 15-a screw rod; 16-a bump; 2-a guiding structure; 3-a connecting rod; 31-a slide; 4-a positioning assembly; 41-a body; 411-screw rod; 42-a positioning member; 43-medical rubber layer; 5-a rod body; 6-two-section type rods; 7-a multi-section rod; 8-a traction rope.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, a thoracic surgical wound protection device according to the present invention will be described in further detail with reference to the accompanying drawings and embodiments. The advantages and features of the present invention will become more apparent from the following description. It is to be noted that the drawings are in a very simplified form and are all used in a non-precise scale for the purpose of facilitating and distinctly aiding in the description of the embodiments of the present invention. To make the objects, features and advantages of the present invention comprehensible, reference is made to the accompanying drawings. It should be understood that the structures, ratios, sizes, and the like shown in the drawings and described in the specification are only used for matching with the disclosure of the specification, so as to be understood and read by those skilled in the art, and are not used to limit the implementation conditions of the present invention, so that the present invention has no technical significance, and any structural modification, ratio relationship change or size adjustment should still fall within the scope of the present invention without affecting the efficacy and the achievable purpose of the present invention.
Example one
The technical scheme of the thoracic surgical wound protection device of the invention is explained in detail with reference to the accompanying drawings 1 to 3 and specific embodiments.
As shown in fig. 1 to 3, the thoracic surgical wound protection device of this embodiment includes a protection cover 1 for covering a wound of a patient, the protection cover 1 is provided with an opening 11 at a position corresponding to the wound, a plate 12 is slidably engaged with a bottom surface of the protection cover 1, and the plate 12 can be switched between a state of covering the opening 11 and a state of exposing the opening 11 as the plate 12 slides. The bottom surface below of protection casing 1 still is equipped with two locating component 4, and two locating component 4 are located opening 11's both sides respectively, and when using this wound protection device, two locating component 4 support respectively and lean on in patient's health both sides to adorn protection casing 1 on patient's health steadily, this in-process does not need the patient to stand up or overturn the health, avoids pulling patient's wound. In addition, still be equipped with between locating component 4 and protection casing 1 and slide the subassembly and pull the subassembly, wherein:
the sliding component is used for adjusting the distance between the protective cover 1 and the body of the patient;
a pulling assembly for pulling the plate body 12 to move in the process of the shield 1 moving away from the patient body, so as to expose the opening 11.
When the wound protector is attached to the patient, the sliding direction of the plate 12 is parallel to the width direction of the patient's body with reference to the length direction X and the width direction Y of the patient's body when the patient lies down.
In this embodiment, the quantity of plate body 12 is two, and when two plate bodies 12 amalgamate, can cover opening 11 completely, the subassembly that pulls also corresponds and is equipped with two, and two pull the subassembly and pull two plate bodies 12 respectively and slide for protection casing 1, and the direction that plate body 12 slided for protection casing 1 is on a parallel with the width direction of parallel patient's health.
Specifically, two cylinder bodies 13 with openings in the width direction Y and central hole axes parallel to the body of the patient are fixedly mounted on the bottom surface of the protective cover 1, each cylinder body 13 is provided with a guide rod 14 in a penetrating manner, the guide rods 14 are in sliding fit with the cylinder bodies 13, the two guide rods 14 are connected with a plate body 12 respectively, and the plate body 12 is in sliding fit with the protective cover 1 through the sliding fit between the guide rods 14 and the cylinder bodies 13.
Preferably, the sliding assembly comprises a guide structure 2, a connecting rod 3 and a screw 15, wherein:
the guiding structure 2 comprises a first part and a second part which are matched with each other in a sliding way, and the first part and the second part are fixedly connected to the protective cover 1 and the positioning assembly 4 respectively. In this embodiment, the first portion is a sleeve, the protection cover 1 is indirectly and fixedly connected to the bottom surface of the cylinder 13, the second portion is rod-shaped, the second portion can be inserted into the inner hole of the first portion and is in sliding fit with the first portion, and the direction of relative sliding between the first portion and the second portion is perpendicular to the plate surface of the protection cover 1. It should be understood that the guiding structure 2 is only used for guiding the protective cover 1 and the positioning assembly 4 to slide relatively, and other relative sliding mechanisms, such as sliding rails and sliding blocks in sliding fit, may also be used for the first portion and the second portion;
connecting rod 3, equal indirect rotating turret is equipped with connecting rod 3 on two locating component 4, and the first end of connecting rod 3 is articulated with the bottom that the second portion is close to locating component 4, and the second end of two connecting rods 3 rotates and is connected with same slider 31, and slider 31 and the laminating of the bottom surface of protection casing 1 to support protection casing 1, and the bottom surface sliding fit of slider 31 and protection casing 1. The rotation axes between the two connecting rods 3 and the positioning assembly 4 are coincident, the rotation axes between the two connecting rods 3 and the sliding piece 31 are also coincident, the rotation axes between the connecting rods 3, the positioning assembly 4 and the sliding piece 31 are parallel to the width direction of the body of the patient, the sliding piece 31 is arranged along the width direction of the body of the patient, two ends of the sliding piece 31 are respectively hinged with the two connecting rods 3, and the sliding direction of the sliding piece 31 relative to the protective cover 1 is parallel to the length direction of the body of the patient;
the bottom surface of the protective cover 1 is fixedly provided with a bulge 16, a screw rod 15 penetrates through the bulge 16 and is in rotary fit with the bulge 16, and the axis of the screw rod 15 is parallel to the length direction of the body of a patient. The screw rod 15 is in threaded fit with the sliding piece 31, and when the screw rod 15 rotates, the sliding piece 31 can be driven to move relative to the protective cover 1 along the length direction parallel to the body of the patient. When the sliding part 31 moves, the connecting rod 3 can be driven to rotate around the hinge axis of the first end of the connecting rod 3, the second part of the guide structure 2 is driven to slide in the sleeve along with the rotation of the connecting rod 3, the height of the second end of the connecting rod 3 changes, and the protective cover 1 can be pushed to move upwards through the sliding part 31, or the protective cover 1 can fall down. It should be noted that, in order to slide the sliding member 31 by using the screw rod 15, the screw rod 15 may be rotatably engaged with the sliding member 31 and threadedly engaged with the protrusion 16.
In this embodiment, one end of the screw rod 15 extends to protrude out of the side surface of the protective cover 1, and is connected with a handle, so that the medical staff can rotate the screw rod 15 by using the handle. During the in-service use, a motor and a transmission module can be arranged on the protective cover 1, the motor is used for driving the screw rod 15 to rotate, and the workload of medical workers can be reduced.
Preferably, the traction assembly comprises a section of rod body 5, one end of the rod body 5 is hinged to the bottom of the second part close to the positioning assembly 4, the other end of the rod body is hinged to the plate body 12 or a position of the guide rod 14 close to the plate body 12, and the hinge axes of the two ends of the rod body 5 are parallel to the axis of the screw rod 15. When the protective cover 1 moves relative to the positioning component 4, the rod body 5 rotates around itself and one end close to the positioning component 4, and the plate body 12 can be pulled or pushed to slide. In this embodiment, the rod body 5 pulls the plate body 12 to be separated from the opening 11 when the protection cover 1 is far away from the positioning assembly 4, so as to expose the opening 11, thereby facilitating medical staff to replace wound dressing and gauze of a patient and clean residual medicine and bloodstain on the surface of the body of the patient through the opening 11; when the protective cover 1 is close to the positioning component 4, the rod body 5 can push the plate body 12 to slide until covering the opening 11, so that the opening 11 can be automatically opened and closed. In this scheme, because the protection casing 1 begins to keep away from locating component 4, when plate body 12 still is very close to the gauze of wound department promptly, body of rod 5 also begins to draw plate body 12 simultaneously and slides, should guarantee that the direction of sliding of plate body 12 is on a parallel with the direction of wound to pull the wound when plate body 12 slides, hinder wound healing.
It should be noted that, for the sake of processing convenience and saving space occupied by the drawing assembly, the two ends of the drawing assembly are respectively hinged to the guide rod 14 and to the second portion of the guide structure 2, but since the guide rod 14 is fixedly connected to the plate body 12 and the second portion of the guide structure 2 is fixedly connected to the positioning assembly 4, it should be considered that the two ends of the drawing assembly are actually equivalent to being respectively hinged to the plate body 12 and the positioning assembly 4. Furthermore, the first end of the link 3 is also hingedly mounted on the second portion of the guide structure 2, but is substantially identical to the first end of the link 3 being hingedly connected to the positioning assembly 4.
In this embodiment, the positioning component 4 is a strip-shaped structure parallel to the length direction of the patient's body, a medical rubber layer 43 is attached to one side of the positioning component 4 close to the patient's body, and a sponge (not shown in the figure) is further wrapped in the medical rubber layer 43. The positioning component 4 abuts against the side face of the body of the patient through the medical rubber layer 43 coated with the sponge, when the patient breathes and the like to enable the thoracic cavity to retract or relax, the medical rubber layer 43 and the sponge can transversely elastically deform, and the positioning component 4 is ensured to stably abut against the body of the patient; when the thorax of the patient fluctuates, the medical rubber layer 43 and the sponge can also generate longitudinal dislocation deformation, so that the wound protection device moves along with the fluctuation of the thorax of the patient, and the plate body 12 is ensured to be attached to the gauze at the wound of the patient.
When the wound protection device is installed on the body of a patient, the body of the patient is positioned between the two positioning components 4 below the protective cover 1, namely, the open space formed by the bottom surface of the protective cover 1 and the positioning components 4 on the two sides is a space for accommodating the body of the patient.
The thoracic surgical wound protection device of this embodiment is used as follows:
firstly, the patient lies down, the distance between the protection cover 1 and the positioning component 4 is adjusted to be close to the positioning component 4, and the plate body 12 is pushed by the positioning component 4 to slide to the covering opening 11. The protective cover 1 is then placed over the patient's body so that the plate 12 covers the gauze at the wound site of the patient, and the wound protection device is mounted on the patient's body by the two positioning members 4 abutting against the two sides of the patient's body, respectively.
When needs change dressings to the patient, rotate lead screw 15, drive protection casing 1 and slide a section distance towards the direction of keeping away from patient's health, this in-process body of rod 5 pulling plate body 12 slides, exposes opening 11. The medical staff then changes the gauze and the dressing at the wound of the patient through the opening 11 and cleans the residual medicine and bloodstain on the surface of the body of the patient. After the operation, the lead screw 15 is rotated reversely to drive the protective cover 1 to be close to the body of the patient until the two plate bodies 12 are spliced to cover the opening 11, and meanwhile, the plate bodies 12 are attached to the gauze at the wound of the patient. Generally, dressing change is carried out once in 5-7 days, after dressing change is carried out for three times, the wound of a patient basically heals, and the wound protection device can be removed.
The second embodiment:
referring to fig. 4, the present embodiment is different from the first embodiment in that the positioning assembly 4 includes a body 41, the body 41 is fixedly connected with the second part of the guiding structure 2, and the connection of the body 41 with the connecting rod 3 and the traction assembly is realized through the second part of the guiding structure 2, and the two bodies 41 are respectively located on two sides of the patient's body. Body 41 is equipped with two screw rods 411, screw rod 411 passes body 41 and with body 41 screw-thread fit, the length direction of two screw rods 411 along patient's health arranges, and the axis of two screw rods 411 all is on a parallel with patient's health's width direction, screw rod 411 is connected with setting element 42 near patient's health's one end, through precession screw rod 411, can drive setting element 42 and be close to patient's health's side, locating component 4 can support the health side that leans on the patient through setting element 42, when revolving and moving back screw rod 411, then can make setting element 42 break away from patient's health side.
In this embodiment, the positioning element 42 is further provided with a bearing (not shown), and the screw 411 is inserted into an inner hole of the bearing, so that the screw 411 is rotatably engaged with the positioning element 42. In order to facilitate the medical staff to rotate the screw 411, a hand wheel is further installed at one end of the screw 411 far away from the positioning member 42.
Preferably, a medical rubber layer 43 is attached and fixed on one side of the positioning member 42 close to the patient body, and a sponge (not shown in the figure) is wrapped in the medical rubber layer 43. The positioning piece 42 abuts against the side face of the body of the patient through the medical rubber layer 43 coated with the sponge, when the patient breathes and the like to enable the thoracic cavity to retract or relax, the medical rubber layer 43 and the sponge can transversely elastically deform, and the positioning assembly 4 is ensured to stably abut against the body of the patient; when the patient has an undulating chest, the medical rubber layer 43 and the sponge can also be longitudinally dislocated and deformed, so that the wound protection device moves along with the patient's chest, and the plate body 12 is ensured to be attached to the gauze at the wound of the patient. In the above process, the medical rubber layer 43 and the sponge are deformed transversely or longitudinally, so that the obstruction of the wound protection device on slight movement of a patient can be reduced, and the discomfort of the patient when using the wound protection device can be reduced.
EXAMPLE III
Referring to fig. 5, the difference between the present embodiment and the first embodiment is that the pulling assembly includes two sections of rod bodies 5 rotatably connected, the two sections of hinged rod bodies 5 integrally form a two-section rod 6, and two ends of the two-section rod 6 are hinged between the guide rod 14 and the second portion of the guiding structure 2. The wound protection device is arranged on the body of a patient, when the plate body 12 is attached to gauze at the wound of the body of the patient, a certain included angle is formed between the two rod bodies 5, and the hinged point between the two rod bodies 5 is positioned at one side of the connecting line of the two ends of the two rod sections 6, which is close to the protective cover 1. When the dressing and gauze are required to be replaced on the wound of the patient, the protective cover 1 is controlled to move away from the positioning component 4, the two-section rod 6 is firstly straightened, and then the plate body 12 is pulled to be separated from the opening 11. In the process that two segmentation poles 6 were straightened, plate body 12 breaks away from the contact with the gauze of patient wound department, and two segmentation poles 6 of straightening later stimulate plate body 12 again and break away from opening 11, can guarantee can not be by the pulling when plate body 12 and gauze contact to pulling patient's wound when avoiding plate body 12 to remove is favorable to patient's wound to be resumeed.
It should be noted that, after the wound protection device is installed on the body of a patient, for the two-segment rod 6 that is straightened, in order to avoid that the distance between the two ends of the two-segment rod 6 is shortened to cause the hinge point between the two-segment rod 5 to move towards one side of the two-end connecting line of the two-segment rod 6, which is close to the body of the patient, a limiting part can be arranged at the hinge position of the two-segment rod 5, so as to limit the relative rotation angle range between the two-segment rod 5, and prevent the hinge point between the two-segment rod 5 from moving towards one side of the two-end connecting line of the two-segment rod 6, which is close to the body of the patient. An elastic part can be arranged between the two sections of rod bodies 5, the two sections of rod bodies 5 are tensioned by the elastic part, so that the two sections of rod bodies 5 have a rotation trend meeting requirements, the two sections of rod bodies 5 rotate relative to each other according to the rotation trend, and a hinge point between the two sections of rod bodies 5 can move towards one side of a connecting line of two ends of the two sections of rod 6, which is close to the protective cover 1.
Because this wound protection device installs the back on patient's health, two segmentation poles 6 are in fold condition, can avoid pulling the subassembly and occupy the space that holds patient's health excessively to in the health that holds patient, thereby improve the comfort level when patient uses this wound protection device.
Preferably, the protection device further comprises a limiting structure arranged on the bottom surface of the guide rod 14, and the two rod bodies 5 firstly rotate relative to each other in the process that the protection cover 1 approaches the positioning assembly 4. After the rod body 5 hinged with the guide rod 14 rotates to abut against the limiting structure, the rod body 5 cannot rotate any more, and as the protective cover 1 continues to approach the positioning assembly 4, the rod body 5 hinged with the second part of the guide structure 2 continues to rotate, so that the two-section rod 6 integrally pushes the guide rod 14 and the plate body 12 to slide towards the direction close to the opening 11, and finally the two plate bodies 12 are spliced to cover the opening 11.
In this embodiment, the limiting structure is a protrusion 141 disposed on the bottom surface of the guide rod 14, and actually, the bottom surface of the guide rod 14 may also be used as the limiting structure, and when the rod body 5 hinged to the guide rod 14 rotates to abut against the bottom surface of the guide rod 14 in the process that the protective cover 1 approaches the positioning assembly 4, the rod body 5 may also stop rotating. It should be noted that, the limiting structure may also be installed on the second portion of the guiding structure 2, and in the process that the protection cover 1 is close to the positioning assembly 4, the guiding structure 2 blocks the rotation of any one section of the rod body 5 of the two-section rod 6, and the purpose of pushing the plate body 12 to slide can be achieved by means of the other section of the rotating rod body 5.
Example four
Referring to fig. 6, the present embodiment is different from the first embodiment in that the pulling assembly includes at least three segments of rod bodies 5 hinged in sequence, in the present embodiment, the number of the rod bodies 5 is four, the multi-segment rod 7 integrally formed by the four segments of rod bodies 5 hinged in sequence is hinged between the guide rod 14 and the second portion of the guiding structure 2, and in the process of moving the protective cover 1 away from the positioning assembly 4, the multi-segment rod 7 is firstly straightened, and then the plate body 12 is pulled to be separated from the opening 11. The articulated body of rod 5 in proper order can't push plate body 12 at the in-process that protection casing 1 is close to locating component 4 and slide and cover opening 11, in order to cover opening 11, needs medical personnel to promote the removal of plate body 12. When this wound protection device's plate body 12 and the gauze laminating of patient wound department, multistage formula pole 7 can fully be folded to make the multistage body of rod 5 laminate in patient's health, be difficult for pressing against patient's health, comfort level when improving this wound protection device of patient use.
EXAMPLE five
Referring to fig. 7, the present embodiment is different from the first embodiment in that the pulling assembly comprises a pulling rope 8 made of a flexible material, and in the process that the protection cover 1 is far away from the positioning assembly 4, the pulling rope 8 is firstly straightened, then the plate body 12 is pulled to be separated from the opening 11, the pulling rope 8 cannot be used for pushing the plate body 12 to slide, and in order to cover the opening 11, a medical staff is required to push the plate body 12 to move. When the plate body 12 of the wound protection device is attached to the gauze at the wound of a patient, the traction rope 8 is in a loose state, the body of the patient is not pressed, and the comfort degree of the patient when the wound protection device is used is improved.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (10)

1. The utility model provides an thoracic surgery wound protection device, its characterized in that, is including the protection casing that is used for shroud patient's wound, the position department that the protection casing corresponds the wound is equipped with the opening, the bottom surface of protection casing corresponds the opening and is provided with the plate body with protection casing sliding fit to can cover and expose switch between the open-ended state, protection device still has two locating component, two locating component is used for leaning on patient's health both sides, still be equipped with between locating component and the protection casing and slide the subassembly and pull the subassembly, wherein:
the sliding assembly is used for adjusting the distance between the protective cover and the body of the patient;
and the traction assembly is used for pulling the plate body to move in the process that the sliding assembly adjusts the protective cover to be far away from the body of the patient, so that the opening is exposed.
2. The thoracic surgical wound protection device of claim 1 wherein the glide assembly includes a guide structure, a link, a slide, and a lead screw, wherein:
the guiding structure comprises a first part and a second part which are in sliding fit with each other, and the first part and the second part are respectively fixedly connected with the protective cover and the positioning assembly;
the first end of the connecting rod is hinged with the bottom of the positioning component or the second part, the second end of the connecting rod is hinged with a sliding piece, and the sliding piece abuts against the bottom surface of the protective cover and can slide on the bottom surface of the protective cover;
the screw rod is in threaded fit with the sliding part so as to drive the sliding part to move when the screw rod rotates, and further drive the connecting rod to rotate around the first end.
3. The thoracic surgical wound protection device of claim 1, wherein the retractor assembly includes a rod body having one end hinged to the positioning assembly and another end hinged to the plate body, the rod body configured to: when the protective cover is far away from the positioning assembly, the rod body pulls the plate body to be separated from the opening.
4. The thoracic surgical wound protection device of claim 1 wherein the retractor assembly includes at least two pivotally connected rods hingedly mounted between the plate and the positioning assembly as a multi-section rod integrally formed from hinged segments, the multi-section rod configured to: when the protective cover is far away from the positioning assembly, the multi-section rod is firstly straightened, and then the plate body is pulled to be separated from the opening.
5. The thoracic surgical wound protection device of claim 4 wherein the retraction assembly includes two rod bodies pivotally connected to each other, and wherein the hinge point between the two rod bodies is located on a side of the two rod bodies that is closer to the shield than the line connecting the two ends of the two rod bodies.
6. The thoracic surgical wound protection device of claim 4, wherein the retraction assembly includes two rod segments rotatably coupled to each other, and further including a stop structure disposed on the plate or the positioning assembly, the two rod segments configured to: in the process that the protective cover is close to the positioning assembly, the two sections of rod bodies firstly rotate relatively to at least one section of rod body to be abutted against the limiting structure, and then the plate body is pushed to slide towards the direction of covering the opening.
7. The thoracic surgical wound protection device of claim 1 wherein the pull assembly includes a pull cord of flexible material configured to: during the process that the protective cover is far away from the positioning assembly, the traction rope is firstly straightened, and then the plate body is pulled to be separated from the opening.
8. The thoracic surgical wound protection device of claim 1 wherein the number of the plate bodies is two, the two plate bodies can completely cover the opening when being combined in the width direction of the patient's body, the two traction assemblies are correspondingly provided and include two cylinder bodies and two guide rods, wherein the two cylinder bodies are fixedly mounted on the bottom surface of the protection cover, an opening is formed in the width direction of the patient's body, the axis of the central hole is parallel to the width direction of the patient's body, one guide rod is respectively arranged on each cylinder body in a penetrating manner, the guide rods are slidably matched with the cylinder bodies, and the two guide rods are respectively connected with one plate body.
9. The thoracic surgical wound protection device of claim 1 wherein the positioning assembly includes a body and a threaded rod passing through the body, the body is connected to a bottom of the sliding assembly, the threaded rod and the body are in threaded engagement, when the body is located on one side of the patient's body, one end of the threaded rod points to the side of the patient's body and is connected to a positioning member, and the positioning assembly abuts against the side of the patient's body through the positioning member.
10. A thoracic surgical wound protection device according to claim 1 wherein the portion of the positioning assembly in contact with the patient's body is provided with a medical rubber layer, the medical rubber layer further being covered with a sponge.
CN202211341277.1A 2022-10-31 2022-10-31 Wound protection device for thoracic surgery Active CN115462977B (en)

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