CN116269597A - Polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wound - Google Patents
Polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wound Download PDFInfo
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- CN116269597A CN116269597A CN202310348494.1A CN202310348494A CN116269597A CN 116269597 A CN116269597 A CN 116269597A CN 202310348494 A CN202310348494 A CN 202310348494A CN 116269597 A CN116269597 A CN 116269597A
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- Prior art keywords
- air bag
- inflation
- perihepatic
- pipe
- air
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- 230000023597 hemostasis Effects 0.000 title claims abstract description 23
- 210000004185 liver Anatomy 0.000 title abstract description 21
- 238000012856 packing Methods 0.000 title description 3
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 27
- 206010052428 Wound Diseases 0.000 claims abstract description 26
- 210000000683 abdominal cavity Anatomy 0.000 claims abstract description 15
- 230000002440 hepatic effect Effects 0.000 claims abstract description 11
- 230000002439 hemostatic effect Effects 0.000 claims description 17
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 8
- 239000000741 silica gel Substances 0.000 claims description 8
- 229910002027 silica gel Inorganic materials 0.000 claims description 8
- 229920000742 Cotton Polymers 0.000 claims description 5
- 239000007788 liquid Substances 0.000 claims description 2
- 239000002245 particle Substances 0.000 claims description 2
- 230000000740 bleeding effect Effects 0.000 abstract description 11
- 238000000034 method Methods 0.000 abstract description 7
- 230000002093 peripheral effect Effects 0.000 abstract description 7
- 230000006378 damage Effects 0.000 abstract description 5
- 208000015181 infectious disease Diseases 0.000 abstract description 4
- 238000013461 design Methods 0.000 abstract description 3
- 210000004303 peritoneum Anatomy 0.000 abstract description 3
- 230000000638 stimulation Effects 0.000 abstract description 3
- 210000001015 abdomen Anatomy 0.000 abstract description 2
- 210000001835 viscera Anatomy 0.000 abstract description 2
- 208000032843 Hemorrhage Diseases 0.000 description 12
- 210000000056 organ Anatomy 0.000 description 5
- 238000001179 sorption measurement Methods 0.000 description 4
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 206010039203 Road traffic accident Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000008187 granular material Substances 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 210000004712 air sac Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000002498 deadly effect Effects 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000003533 narcotic effect Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- Y—GENERAL 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
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Abstract
The invention discloses a polymorphic conformal perihepatic tamponade air bag for rapid hemostasis of hepatic wounds, which belongs to the technical field of medical appliances and comprises: the gasbag, inflation pipe and abdominal cavity drainage pipe, the gasbag with inflation pipe intercommunication, abdominal cavity drainage pipe pass through the wire harness cover with inflation pipe ligature is in the same place, the gasbag includes: crescent-shaped airbags, oblate airbags, and sheet airbags. Compared with the traditional gauze filling hemostasis method, the operation is simpler, the air bag is filled in the subdiaphragmatic gap and the subhepatic gap under the condition of opening the abdomen, the shape-following design enables the air bag to be better close to the surface of the liver bleeding part, continuous and controllable pressure can be provided for the wound surface of the liver wound after the air bag is inflated, so that the effective hemostasis is realized, and the damage of the air bag to peripheral viscera is reduced; the arrangement of the abdominal cavity drainage catheter can reduce effusion in the abdominal cavity, thereby reducing the stimulation of the peritoneum and effectively reducing the infection chance.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a polymorphic conformal perihepatic tamponade air bag for rapid hemostasis of hepatic wounds.
Background
With the improvement of the living standard of people, the maintenance quantity of motor vehicles is rapidly increased, and the occurrence rate of traffic accidents is also improved, wherein liver wounds are particularly common in the traffic accidents, and the most direct deadly cause of the liver wounds is massive hemorrhage and hemorrhagic shock, so that rapid and effective hemostasis is the key for saving lives of wounded persons.
At present, in the treatment of liver wounds, gauze is generally filled around the liver to achieve the effect of compression hemostasis, but in practical application, continuous compression hemostasis during massive hemorrhage of the liver cannot be achieved due to the fact that the gauze loses elasticity after blood dipping. In addition, serious infection is very easy to happen after gauze is filled, and especially, the gauze is filled when first-line treatment is carried out. In addition, the removal of gauze often causes great pain to the wounded, sometimes requiring manipulation under narcotic pain conditions. Therefore, a need exists for a tamponade balloon that is simple to operate and that can continuously compress hemostasis to address this problem.
In the existing liver hemostatic air bags, the shape is round or square, the wound cannot be well attached under certain pressure when the air is inflated, and other normal organs are often damaged by compression due to the fixed shape, so that how to provide a perfect wound attaching, quickly stopping bleeding and reducing damage to peripheral organs becomes a problem to be solved by the person skilled in the art.
Disclosure of Invention
In view of the above problems, the present invention aims to provide a polymorphic conformal perihepatic tamponade balloon for rapid hemostasis of liver wounds, which achieves perfect fit to the wound, rapid hemostasis and reduced damage to peripheral organs by shaping the balloon.
In order to achieve the aim of the invention, the invention adopts the following technical scheme:
a polymorphic conformal perihepatic tamponade balloon for rapid hemostasis of hepatic wounds, comprising: the gasbag, inflation pipe and abdominal cavity drainage pipe, the gasbag with inflation pipe intercommunication, abdominal cavity drainage pipe pass through the wire harness cover with inflation pipe ligature is in the same place, the gasbag includes: crescent-shaped airbags, oblate airbags, and sheet airbags.
Preferably, the part of the inflatable catheter extending into the air bag comprises a main pipe and a plurality of branch pipes, a plurality of mutually independent chambers are arranged in the air bag, and the main pipe is correspondingly communicated with each chamber through the branch pipes.
Preferably, the airbag includes: the hemostatic surface is a smooth and flat surface, and a plurality of rubber or silica gel particles are arranged on the friction surface.
Preferably, a circle of effusion adsorption cotton is further arranged at the junction of the friction surface and the hemostatic surface.
Preferably, the method further comprises: the air pressure measuring device comprises an air pressure measuring meter and an air inflation control valve, wherein the air pressure measuring meter is arranged on the air inflation guide pipe, and the air inflation control valve is communicated with the air bag through the air inflation guide pipe.
Preferably, the inflation control valve includes: the valve is arranged on the outer wall of the communicating pipe.
The polymorphic conformal perihepatic tamponade air bag for rapid hemostasis of hepatic wounds provided by the invention has the following advantages compared with the prior art:
compared with the traditional gauze-packed hemostatic method, the polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wounds is simpler to operate, the crescent-shaped air bag is packed in the subdiaphragmatic gap under the condition of opening an abdomen, the oblate-shaped air bag is packed in the subhepatic gap, the air bag can be better close to the surface of a liver bleeding part through shape following design, and continuous and controllable pressure can be provided for the wound surface of the liver wounds after the air bag is inflated, so that the effective hemostasis is realized, and the damage of the air bag to peripheral viscera is reduced;
the arrangement of the abdominal cavity drainage catheter can reduce effusion in the abdominal cavity, thereby reducing the stimulation of the peritoneum and effectively reducing the infection chance; after bleeding control and injury stabilization, the hemostatic air bag is deflated and pulled out, so that huge pain caused by pulling out the hemostatic air bag after gauze is stuffed in the prior art is avoided.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings that are required to be used in the embodiments or the description of the prior art will be briefly described below, and it is obvious that the drawings in the following description are only embodiments of the present invention, and that other drawings can be obtained according to the provided drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of the overall structure of the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1 at A;
FIG. 3 is a detailed view of the construction of the air bag of the present invention;
FIG. 4 is a cross-sectional view of an airbag of the present invention;
fig. 5 is a schematic layout diagram of the present invention in practical application.
In the figure: 1-air bag, 101-crescent-shaped air bag, 102-oblate air bag, 103-sheet air bag, 104-hemostatic surface, 105-friction surface, 106-effusion adsorption cotton, 2-inflation catheter, 201-main pipe, 202-branch pipe, 3-abdominal cavity drainage catheter, 4-air pressure measuring meter, 5-inflation control valve, 501-valve seat, 502-communicating pipe, 503-valve, 504-air tap.
Detailed Description
The technical scheme of the invention is further described below with reference to the accompanying drawings and examples:
referring to fig. 1-5, the present invention provides a polymorphic conformal perihepatic tamponade balloon for rapid hemostasis of hepatic wounds, comprising: the utility model provides a gasbag 1, inflation pipe 2 and abdominal cavity drainage pipe 3, gasbag 1 with inflation pipe 2 intercommunication, abdominal cavity drainage pipe 3 pass through the wire harness cover with inflation pipe 2 ligature together, gasbag 1 includes: a crescent-shaped balloon 101, an oblate balloon 102 and a sheet balloon 103. The gap between the human liver and the diaphragm is generally crescent-shaped, so the crescent-shaped balloon 101 is used for filling and stopping bleeding in the subdiaphragmatic gap; the gaps between the liver, the liver-stomach ligament and the liver-duodenum ligament of a human body are generally oblate, so the oblate air bag 102 is used for filling and stopping bleeding of the subgerminal gap; finally, the sheet-like air bag 103 is used for filling and stopping bleeding in other gaps around the liver due to the difference of the gaps between different human organs.
As a preferred embodiment, the portion of the inflatable catheter 2 extending into the air bag comprises a main pipe 201 and a plurality of branch pipes 202, a plurality of mutually independent chambers are arranged inside the air bag 1, and the main pipe 201 is correspondingly communicated with each chamber through the branch pipes 202. It should be noted here that the gasbag material chooses for use rubber or silica gel material that elasticity is better, divide into upper and lower two-layer in the gasbag, separate a plurality of independent cavities through rubber/silica gel again between every layer, design the purpose of a plurality of mutually independent cavities, after the gasbag local emergence breaks, place cavity pressure reduces, peripheral cavity pressure is great, peripheral cavity rubber/silica gel wall extrudees to the cavity that breaks to slow down the flat rate of gasbag, the medical personnel of being convenient for discover and change promptly, avoided because of the gasbag is flat rapidly, threaten patient life safety.
As a preferred embodiment, the airbag 1 includes: the hemostatic surface 104 and the friction surface 105, hemostatic surface 104 is smooth level surface, and the better laminating liver surface of a wound of gasbag of being convenient for is equipped with a plurality of rubber or silica gel granule on the friction surface 105, is convenient for gasbag 1 increases friction with peripheral organ, prevents that the gasbag from droing to the frictional force between gasbag 1 and doctor's rubber glove still can be increased in setting up of rubber/silica gel granule, the medical personnel of being convenient for is right gasbag 1 adjustment position.
As a preferred embodiment, a circle of liquid accumulation adsorption cotton 106 is further arranged at the junction of the friction surface 105 and the hemostatic surface 104. The effusion adsorption cotton 106 is used for absorbing the effusion in the abdominal cavity at the initial stage of the air sac placement and is matched with the effusion drainage of the abdominal cavity drainage catheter 3 to reduce the stimulation of the peritoneum and reduce the probability of infection.
As a preferred embodiment, further comprising: the air pressure measuring meter 4 and the air inflation control valve 5, wherein the air pressure measuring meter 4 is arranged on the air inflation conduit 2, and the air inflation control valve 5 is communicated with the air bag 1 through the air inflation conduit 2. The medical staff can monitor the air pressure in the air bag in real time through the air pressure measuring meter 4, so that the phenomenon that the operation effect is not timely influenced due to air leakage of the air bag is avoided.
As a preferred embodiment, the inflation control valve 5 includes: valve seat 501, communicating pipe 502, valve 503 and air cock 504, communicating pipe 502 passes through valve seat 501 and air cock 504 intercommunication, valve 503 installs on the outer wall of communicating pipe 502. The air tap 504 is used for connecting with an inflating device, and the valve 503 is used for controlling the air pressure in each air bag.
The working principle of the invention is as follows:
first, the air tap 504 is connected with an inflation device, the valve 503 is opened, and the airbag 1 is lightly inflated through the inflation conduit 2, so that the airbag is kept in a certain shape. Then the palm surface of the doctor is attached to the balloon friction surface 105, the balloon is placed at the liver bleeding part, the balloon hemostatic surface 104 is aligned with the liver wound surface, and meanwhile, the abdominal cavity drainage catheter 3 is properly placed. The air bag is further inflated through the inflation conduit 2, the air pressure measuring meter 4 is observed, the inflation is stopped after the air bag is inflated to a proper degree, and the valve 503 is closed. In the rescuing process, the bleeding condition is closely observed, and the inflation degree is adjusted.
According to different liver bleeding positions, a hemostatic air bag is filled in a proper perihepatic gap, for example, a crescent-shaped air bag 101 is adopted in a subdiaphragmatic gap, an oblate air bag 102 is adopted in the subhepatic gap, a sheet-shaped air bag 103 is adopted in other gaps, and the like. Because the hemostatic air bag is made of rubber/silica gel, the hemostatic air bag has elasticity, and can be self-adaptive in shape to completely fill and sufficiently stop bleeding in the inflation process.
In this specification, for the apparatus disclosed in the embodiments, since it corresponds to the method disclosed in the embodiments, the description is relatively simple, and the relevant points refer to the description of the method section. The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to the embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
Claims (6)
1. A polymorphic conformal perihepatic tamponade balloon for rapid hemostasis of hepatic wounds, comprising: gasbag (1), inflation pipe (2) and abdominal cavity drainage pipe (3), gasbag (1) with inflation pipe (2) intercommunication, abdominal cavity drainage pipe (3) pass through the wire harness cover with inflation pipe (2) ligature together, gasbag (1) include: a crescent-shaped air bag (101), an oblate-shaped air bag (102) and a sheet-shaped air bag (103).
2. A polymorphic conformable perihepatic tamponade balloon for rapid hemostasis of hepatic wounds according to claim 1, characterized in that the portion of the inflation catheter (2) extending into the balloon comprises a main tube (201) and a plurality of branch tubes (202), the balloon (1) being internally provided with a plurality of mutually independent chambers, the main tube (201) being in corresponding communication with each chamber via a branch tube (202).
3. A polymorphic conformal perihepatic tamponade balloon for rapid hemostasis of hepatic wounds according to claim 1, wherein the balloon (1) comprises: the hemostatic device comprises a hemostatic surface (104) and a friction surface (105), wherein the hemostatic surface (104) is a smooth and flat surface, and a plurality of rubber or silica gel particles are arranged on the friction surface (105).
4. A polymorphous conformable perihepatic tamponade balloon for rapid hemostasis of hepatic wounds according to claim 3, characterized in that the interface of the friction surface (105) and the hemostatic surface (104) is further provided with a ring of liquid-loaded absorbent cotton (106).
5. A polymorphic, conformable perihepatic tamponade balloon for rapid hemostasis of hepatic wounds of claim 1, further comprising: the air pressure measuring device comprises an air pressure measuring meter (4) and an air inflation control valve (5), wherein the air pressure measuring meter (4) is arranged on the air inflation guide pipe (2), and the air inflation control valve (5) is communicated with the air bag (1) through the air inflation guide pipe (2).
6. A polymorphous conformable perihepatic tamponade balloon for rapid hemostasis of hepatic wounds according to claim 1, characterized in that the inflation control valve (5) comprises: valve seat (501), communicating pipe (502), valve (503) and air cock (504), communicating pipe (502) through valve seat (501) with air cock (504) intercommunication each other, valve (503) install on the outer wall of communicating pipe (502).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310348494.1A CN116269597A (en) | 2023-04-04 | 2023-04-04 | Polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wound |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310348494.1A CN116269597A (en) | 2023-04-04 | 2023-04-04 | Polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wound |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN116269597A true CN116269597A (en) | 2023-06-23 |
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ID=86825762
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202310348494.1A Pending CN116269597A (en) | 2023-04-04 | 2023-04-04 | Polymorphic conformal perihepatic packing air bag for rapid hemostasis of liver wound |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN116269597A (en) |
-
2023
- 2023-04-04 CN CN202310348494.1A patent/CN116269597A/en active Pending
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