CN201308520Y - Temporary abdominal closing device - Google Patents
Temporary abdominal closing device Download PDFInfo
- Publication number
- CN201308520Y CN201308520Y CNU2008201243034U CN200820124303U CN201308520Y CN 201308520 Y CN201308520 Y CN 201308520Y CN U2008201243034 U CNU2008201243034 U CN U2008201243034U CN 200820124303 U CN200820124303 U CN 200820124303U CN 201308520 Y CN201308520 Y CN 201308520Y
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- gasbag
- elastic ring
- abdominal cavity
- abdominal
- inflation
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Abstract
The utility model relates to a temporary abdominal closing device which comprises an elastic ring (5), an upper gasbag (4), a lower gasbag (6), a transparent bag (2), an upper gasbag inflation tube (3), a drainage tube mouth (1) and a lower gasbag inflation tube (7) a gasbag inflation tube (3) or a gasbag inflation tube (3'), wherein the elastic ring (5) can be stretched and retracted; the upper gasbag (4) and the lower gasbag (6) form an annular gasbag after inflation and are respectively stacked on the upper surface and the lower surface of the elastic ring (5) and connected with the same; the transparent bag (2) is tightly connected to the inner side surface of the elastic ring (5) and covers an space surrounded by the elastic ring (5) along with the stretching of the elastic ring; the upper gasbag inflation tube (3), the lower gasbag inflation tube (7) or the gasbag inflation tube (3) are arranged on the elastic ring (5), wherein the upper gasbag inflation tube (3) and the lower gasbag inflation tube (7) respectively inflate the upper gasbag (4) and the lower gasbag (6), and the gasbag inflation tube (3) inflates both the upper gasbag (4) and the lower gasbag (6) simultaneously; and the drainage tube mouth (1) is arranged on the transparent bag (2). The temporary abdominal closing device can effectively and rapidly achieve the aim of temporarily closing the abdominal cavity, provides an observation window of abdominal viscera, prevents the abdominal membrane retraction and the conglutination of abdominal viscera and the abdominal wall and provides conditions for after abdominal closure.
Description
Technical field
This utility model relates to a kind of temporary abdominal cavity shutoff device, is specifically related to a kind of can be used for can't close the novel temporary abdominal cavity shutoff device that the abdominal cavity maybe needs the case of open abdominal cavity management by first phase after the trauma of abdomen.
Background technology
All previous war midriff war wound accounts for 5%～8% of sick and wounded's sum, and injure the serious trauma of abdomen sickness rate that reasons such as natural disaster such as earthquake cause at ordinary times owing to traffic then high.Abdominal part war wound and serious at ordinary times trauma of abdomen with visceral organ injury in bigger abdominal-wall defect and the serious abdomen, are one of major reasons that causes sick and wounded's death often.The flat first aid in wartime of abdominal-wall defect is now still continued to use traditional steel helmet, bowl, hemostasis bag etc. and is covered temporarily, but its poor compliance, aseptic condition is poor, very easily cause internal organs exposure in the abdomen, pollution and secondary damage, and can't effectively handle during to the first aid of mortality intra-abdominal hemorrhage, still depend on merely the treatment of a large amount of fluid infusion, shock and fast after give, easily forfeiture is hindered back gold and is handled opportunity.
Along with domestic living standard improves gradually, the sickness rate of the serious abdominal cavity infection that acute critical pancreatitis, mesenteric embolism etc. causes is also rising year by year simultaneously.At present along with injury control surgery (damage control surgery, DCS) and gap, abdominal cavity syndrome (abdominalcompartment syndrome, ACS) theory is widely accepted, and now clearly adopts DCS to treat serious trauma of abdomen and serious abdominal cavity infection patient can reduce the patient mortality rate.But DCS emphasizes to finish as early as possible operation, the conventional abdomen means of closing waste time and energy, and often because of stomach wall is more damaged, shock and reperfusion injury cause internal organs and retroperitoneal edema in the abdomen, close abdomen by force and be easy to cause reasons such as ACS and MOFE to cause the abdominal cavity not close by first phase behind the severe trauma.Simultaneously the DCS main purpose only is hemostasis and limit pollution, and because the particularity of the state of an illness such as severe abdominal trauma and abdominal cavity severe infections often needs close observation intraperitoneal situation, and implements secondary even definitiveness abdominal repeatedly.Therefore the surgeon more and more tends to take temporary abdominal cavity opening management means when cases such as treatment abdominal part war wound, serious trauma of abdomen and serious abdominal cavity infection at present.At present external open abdominal cavity managing patient has accounted for the 10%-25% of emergency treatment abdominal after the wound, but it is with Bogota bag (be cut into lamellar with the aseptic plastic transfusion bag then be sutured in fascia or skin edge), absorbability surgical patch, pig dermis collagen, operation towel sealing etc. that its temporary abdominal cavity is closed then mostly, complicated operation, function singleness, being unsuitable for the first aid condition uses, can't satisfy multiple needs, and there are not the molding auxiliary products, operation is comparatively complicated, cause operating time to prolong, increase wounded's risk.Factors such as internal organs and adhesion of abdominal wall often cause the later stage abdominal cavity to close difficulty in the caused peritoneum retraction in open simultaneously abdominal cavity, the abdomen, the doctor often can only adopt means such as abdominal part skin-grafting to come the final plant closure abdominal cavity to form planned abdominal hernia, the result has to carry out second operation and repairs abdominal hernia, and potential, more risk and complication are arranged.
Therefore press for the apparatus research and development of carrying out novel temporary pass abdomen and the early stage treatment of intraperitoneal hemorrhage at present.
The utility model content
The purpose of this utility model provides a kind of novel temporary abdominal cavity shutoff device, be applicable to different big or small wounds, can reach temporary purpose of closing the abdominal cavity effectively quickly, and can provide the hemostasis means of intraperitoneal active hemorrhage in emergency situations, and provide the watch window of internal organs in the abdomen to reach easily operation path once more, prevent internal organs and adhesion of abdominal wall near the abdomen of peritoneum retraction and otch, for closing the condition that provides in the later stage abdominal cavity.
For achieving the above object, this utility model adopts following technical scheme:
A kind of temporary abdominal cavity shutoff device is characterized in that this device comprises: elastic ring 5, upper gasbag 4, lower gasbag 6, transparent capsule 2, and wherein: described elastic ring 5 has and opens and shrink two states; Described upper gasbag 4 inflation backs are annular air-pocket, are stacked in described elastic ring 5 upper surfaces and coupled; Described lower gasbag 6 inflation backs are annular air-pocket, are stacked in described elastic ring 5 lower surfaces and coupled; Described transparent capsule 2 is sealedly attached to the inner surface of described elastic ring 5, opening and be covered in described elastic ring 5 enclosed spaces with elastic ring.
Wherein, described device also comprises: upper gasbag gas tube 3, be arranged at described elastic ring 5 inwalls, and communicate with described upper gasbag 4, and extend inflation inlet with described elastic ring 5 joints from described upper gasbag 4, be described upper gasbag 4 inflations; Lower gasbag gas tube 7 is arranged at described elastic ring 5 inwalls, communicates with described lower gasbag 6, and extends inflation inlet from described upper gasbag 4 with described elastic ring 5 joints, is described lower gasbag 6 inflations.
Wherein, described device also comprise airbag inflation pipe 3 ', be arranged at described elastic ring 5 inwalls, all communicate with described upper gasbag 4, lower gasbag 6, and extending inflation inlet from described upper gasbag 4 with described elastic ring 5 joints, is described upper gasbag 4, lower gasbag 6 inflations simultaneously.
Wherein, described upper gasbag gas tube 3, lower gasbag gas tube 7 and described airbag inflation pipe 3 ' inflation inlet be unidirectional conducting orifice.
Wherein, described device also comprises the drain mouth of pipe 1, is arranged on the described transparent capsule 2.
Wherein, described upper gasbag 4 outer side edges are along being provided with circular fiber grid 8.
Wherein, described transparent capsule 2 is made by the high tissue compatibility material.Beneficial effect:
1, this device is serial aseptic packaging product, and cost is low, can equip army and use at ordinary times;
2, finished product is easy to carry, and uses simply, is suitable for different big or small abdominal-wall defect cases, can the effectively temporary abdominal cavity of closing, and the interior internal organs of protection abdomen;
3, effectively stop the intraperitoneal active hemorrhage under the emergency situations;
4, provide bigger space, abdominal cavity, prevent the generation of ACS, reduce mortality rate;
5, means are closed in temporary easily abdominal cavity, avoid abdominal cavity heat and fluid loss;
6, provide situation watch window in the abdomen, be convenient to the early discovery severe complication and handle;
7, provide easily operation once more to go into the abdomen approach;
8, can avoid otch peritoneum retraction and adhesion on every side, the later stage can be by the negative pressure of vacuum supplementary means to promote wound healing, and the generation that reduces abdominal hernia reaches prosthesis probability once more;
9, have a good application prospect at aspects such as serious symptom treatment such as abdominal cavity serious symptom illness such as mesenteric embolism at ordinary times, severe pancreatitis, serious abdominal part traffic accident injuries.
Description of drawings
Fig. 1 is a temporary abdominal cavity of the present utility model shutoff device structural representation;
Structural representation when Fig. 2 has unique airbag inflation pipe for this utility model device;
Fig. 3 is the sketch map that is provided with of this utility model device fiber mesh.
Among the figure: 1, the drain mouth of pipe; 2, transparent capsule; 3, upper gasbag gas tube; 4, upper gasbag; 5, elastic ring; 6, lower gasbag; 7, lower gasbag gas tube; 8, fiber mesh; 3 ' airbag inflation pipe.
The specific embodiment
The temporary abdominal cavity shutoff device that the utility model proposes is described in detail as follows in conjunction with the accompanying drawings and embodiments.
Embodiment 1
As shown in Figure 1, the temporary abdominal cavity shutoff device of present embodiment comprises: elastic ring 5 has and opens and shrink two states, when making finished product, be retractable into minimum volume, be easy to carry, can open rapidly during application, and the transparent capsule 2 that is connected with its inner surface is launched; Transparent capsule 2, make by material such as polypropylene that histocompatibility is good, be sealedly attached to the inner surface of elastic ring 5, opening and be covered in described elastic ring 5 enclosed spaces with elastic ring, be used for covering and close the wound chamber, the interior organ protection of abdomen is provided and prevents heat and fluid loss, and watch window is provided; Upper gasbag 4, the inflation back is an annular air-pocket, is stacked in described elastic ring 5 upper surfaces and coupled, be used for fixing device and prevent from or fall into the abdominal cavity, and the hemostasis of compressing wound; Lower gasbag 6, the inflation back is an annular air-pocket, is stacked in described elastic ring 5 lower surfaces and coupled, is used for fixing device and prevents from or fall into the abdominal cavity, can push internal organs in the abdomen open, prevents internal organs and wound adhesion in the abdomen; The drain mouth of pipe 1 is reserved on transparent capsule 2, is used to provide drainage channel, and provides means such as inflate in the abdomen to stop the intraperitoneal active hemorrhage when first aid; Upper gasbag gas tube 3 is arranged at elastic ring 5 inwalls, communicates with upper gasbag 4, and extends inflation inlet from upper gasbag 4 and elastic ring 5 joints, is upper gasbag 4 inflations; Lower gasbag gas tube 7, be arranged at elastic ring 5 inwalls, communicate with lower gasbag 6, and extend inflation inlet from upper gasbag 4 and elastic ring 5 joints, be lower gasbag 6 inflations, the inflation inlet of upper gasbag gas tube 3, lower gasbag gas tube 7 and described airbag inflation pipe is unidirectional conducting orifice, makes inflation back gas can initiatively not overflow.
Be example based on using in the abdominal part open injury of hollow organ damage, this type of case is based on intra-abdominal contamination, when using this device in the treatment, at first this device elastic ring 5 is unclamped, transparent capsule 2 opens thereupon, elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon; Through upper gasbag inflation inlet 3,7 inflations of lower gasbag inflation inlet, upper and lower air bag 4,6 is opened; Insert drainage tube through the drain mouth of pipe 1 and connect external drainage bag drain.
Embodiment 2
Present embodiment is this utility model device based on the application in the abdominal part open injury of substantial viscera damage.The device that present embodiment provided is compared with the apparatus structure among the embodiment 1 as shown in Figure 2, have unique airbag inflation pipe 3 '.With the hollow organ damage for this type of case of abdominal part open injury of living based on intraperitoneal hemorrhage, when in treatment, using this device, at first this device elastic ring 5 is unclamped, transparent capsule 2 opens thereupon; Elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon; Through airbag inflation pipe 3 ' inflation, upper and lower air bag 4,6 is opened simultaneously; Through 1 inflation of the drain mouth of pipe, improve intra-abdominal pressure to stop active hemorrhage.
Embodiment 3
Present embodiment is the application of this utility model device in temporary abdominal cavity, abdominal injury controlled operation back is closed, the temporary abdominal cavity shutoff device that is applied to this type of case as shown in Figure 3 is except that the ingredient that device comprised of embodiment 1, also comprise the fiber mesh 8 that is arranged at upper gasbag 4 outer side edges edges, be used for tentatively fixedly peritoneum, prevent the peritoneum retraction.During use, at first this device elastic ring 5 is unclamped, transparent capsule 2 opens thereupon; Elastic ring 5 is inserted the abdominal cavity along wound, and elastic ring 5 is fixed in the stomach wall inboard naturally, and transparent capsule 2 covers whole wound chamber thereupon and the abdominal cavity watch window is provided; Through airbag inflation pipe 7 inflations, lower gasbag 6 is opened, and upper gasbag 4 need not to open; Insert drainage tube through the drain mouth of pipe 1 and connect external drainage bag drain; Peritoneum interrupted suture around the otch is fixed in circular fiber grid 8, to prevent the peritoneum retraction; Patient can change the ICU monitoring and therapeutic over to immediately.
Device in the present embodiment also can be applicable to in the big damaged abdominal operation that can't close abdomen of stomach wall, embodiment is identical with the application in temporary abdominal cavity, abdominal injury controlled operation back is closed, but can utilize this device to carry out the negative pressure of vacuum auxiliary treatment in the later stage in treatment, solve the problem that the traditional treatment mode need be gone secondary such as skin-grafting, hernia repairing even repeatedly be performed the operation: on transparent capsule 2, do several diameters 1～2mm aperture with knife blade to promote the abdominal cavity closed voluntarily; Dressing (aseptic operation towel or gauze pad) is folded into damaged size, is laid on the aseptic polypropylene film; Place 2 drain urinary catheters at the dressing superficial surface, the drain urinary catheter is parallel with the wound direction, stabs window through subcutaneous tissue in the other normal skin of wound and draws; Paste film (operation protecting film) with polyester plastics and cover wound surface formation one closed chamber, drainage tube connects vacuum suction, and vacuum suction is about 100～150mmHg (1mmHg=0.133kPa); After vacuum suction, wound can be drawn close gradually voluntarily, may ultimately reach healing voluntarily or only goes simple purpose of repairing.
Above embodiment only is used to illustrate this utility model; and be not to restriction of the present utility model; the those of ordinary skill in relevant technologies field; under the situation that does not break away from spirit and scope of the present utility model; can also make various variations and modification; therefore all technical schemes that are equal to also belong to category of the present utility model, and scope of patent protection of the present utility model should be defined by the claims.
Claims (7)
1, a kind of temporary abdominal cavity shutoff device is characterized in that this device comprises: elastic ring (5), upper gasbag (4), lower gasbag (6), transparent capsule (2), wherein:
Described elastic ring (5) has and opens and shrink two states;
Described upper gasbag (4) inflation back is an annular air-pocket, is stacked in described elastic ring (5) upper surface and coupled;
Described lower gasbag (6) inflation back is an annular air-pocket, is stacked in described elastic ring (5) lower surface and coupled;
Described transparent capsule (2) is sealedly attached to the inner surface of described elastic ring (5), opening and be covered in described elastic ring (5) enclosed space with elastic ring.
2, temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that described device also comprises:
Upper gasbag gas tube (3) is arranged at described elastic ring (5) inwall, communicates with described upper gasbag (4), and extends inflation inlet from described upper gasbag (4) and described elastic ring (5) joint, is described upper gasbag (4) inflation;
Lower gasbag gas tube (7) is arranged at described elastic ring (5) inwall, communicates with described lower gasbag (6), and extends inflation inlet from described upper gasbag (4) and described elastic ring (5) joint, is described lower gasbag (6) inflation.
3, temporary abdominal cavity as claimed in claim 1 shutoff device, it is characterized in that, described device also comprises airbag inflation pipe (3 '), be arranged at described elastic ring (5) inwall, all communicate with described upper gasbag (4), lower gasbag (6), and extending inflation inlet from described upper gasbag (4) and described elastic ring (5) joint, is described upper gasbag (4), lower gasbag (6) inflation simultaneously.
4, as claim 2 or 3 described temporary abdominal cavity shutoff devices, it is characterized in that the inflation inlet of described upper gasbag gas tube (3), lower gasbag gas tube (7) and described airbag inflation pipe (3 ') is unidirectional conducting orifice.
5, temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that described device also comprises the drain mouth of pipe (1), is arranged on the described transparent capsule (2).
6, temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that, described upper gasbag (4) outer side edges is along being provided with circular fiber grid (8).
7, temporary abdominal cavity as claimed in claim 1 shutoff device is characterized in that described transparent capsule (2) is made by the high tissue compatibility material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNU2008201243034U CN201308520Y (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal closing device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNU2008201243034U CN201308520Y (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal closing device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN201308520Y true CN201308520Y (en) | 2009-09-16 |
Family
ID=41105773
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNU2008201243034U Expired - Lifetime CN201308520Y (en) | 2008-12-04 | 2008-12-04 | Temporary abdominal closing device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN201308520Y (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114869595A (en) * | 2022-04-08 | 2022-08-09 | 英集安全技术(太仓)有限公司 | Emergency injury treatment device for field war wound abdominal wall defect |
| RU2792718C1 (en) * | 2022-04-26 | 2023-03-23 | Федеральное государственное автономное образовательное учреждение высшего образования "Белгородский государственный национальный исследовательский университет" (НИУ "БелГУ") | Method for forming controlled laparostomy with controlled intra-abdominal pressure |
-
2008
- 2008-12-04 CN CNU2008201243034U patent/CN201308520Y/en not_active Expired - Lifetime
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114869595A (en) * | 2022-04-08 | 2022-08-09 | 英集安全技术(太仓)有限公司 | Emergency injury treatment device for field war wound abdominal wall defect |
| RU2792718C1 (en) * | 2022-04-26 | 2023-03-23 | Федеральное государственное автономное образовательное учреждение высшего образования "Белгородский государственный национальный исследовательский университет" (НИУ "БелГУ") | Method for forming controlled laparostomy with controlled intra-abdominal pressure |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20090916 Effective date of abandoning: 20081204 |