CN203564282U - Relaxation suture device for skin - Google Patents

Relaxation suture device for skin Download PDF

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Publication number
CN203564282U
CN203564282U CN201320639007.9U CN201320639007U CN203564282U CN 203564282 U CN203564282 U CN 203564282U CN 201320639007 U CN201320639007 U CN 201320639007U CN 203564282 U CN203564282 U CN 203564282U
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CN
China
Prior art keywords
skin
wound
hole
relaxation
layer
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Withdrawn - After Issue
Application number
CN201320639007.9U
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Chinese (zh)
Inventor
王宇翀
薛春雨
吕川
戴海英
朱吉
赵辉
范勇杰
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CN201320639007.9U priority Critical patent/CN203564282U/en
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Publication of CN203564282U publication Critical patent/CN203564282U/en
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Abstract

The utility model belongs to the technical field of medical instruments, and provides a relaxation suture device for the skin. The relaxation suture device for the skin is a rounded cuboid and comprises a relaxation layer (1), an absorption layer (2), suturing holes (3) and observation holes (4). The relaxation layer (1) is arranged on the absorption layer (2), and the relaxation layer (1) and the absorption layer (2) are closely combined. The suturing holes (3) and the observation holes (4) respectively penetrate through the relaxation layer (1) and the absorption layer (2); the suturing holes (3) are arranged in two rows and are symmetrical left and right. The relaxation suture device can simplify the skin relaxation suture technique and exert appropriate pressure on a wound to reduce oozing of blood when the intracutaneous wound is fully sutured. Furthermore, it is guaranteed that the distances between all stitches in the manually interrupted suture process are equal, and therefore scar hypertrophy and suture cutting due to overlarge skin tension are prevented. According to the relaxation suture device for the skin, wound closure is promoted finally, the dressing change and observation of the wound are convenient, and scar hypertrophy can be prevented.

Description

A kind of skin tension reducing stitching devices
Technical field
This utility model belongs to technical field of medical instruments, is specifically related to a kind of skin tension reducing medical apparatus for operative incision sewing process.
Background technology
At present operative incision is more than 10cm and irregular otch, otch tension force is larger, exist hypoproteinemia and diabetes etc. to affect the factor of wound healing, neonate, gerontal patient, likely there is the high risk patient of abdominal wound disruption, all can after sewing up the incision, form larger tension force, easily occur to the situation such as uneven, scar hyperplasia or even wound dehiscence.If prolongation clearing time, cannot avoid chronic dissection and suture that suture produces wound to be absorbed in skin histology and to cause the difficult situation of taking out stitches.
Reduce at present wound tension force and mainly contain two kinds of methods: improve suture way and use the auxiliary prop tool that subtracts.Improved suture way, mainly contain vertical holostrome interrupted suture, vertical cotton-padded mattress formula interrupted suture, horizontal cotton-padded mattress formula interrupted suture etc., although all assist, used silica gel tube or rubber tube to make liner, but the tension force of vertical holostrome interrupted suture, vertical cotton-padded mattress formula interrupted suture otch acts in the local organization of small size under suture, organize lifting surface area little, skin and subcutaneous tissue are cut and to make to subtract bracing cable loosening, have so just lost introfaction.Although horizontal cotton-padded mattress formula interrupted suture has strengthened the contact area of suture and tissue, reduced tissue cutting, owing to subtracting a suture, there is tension force, affect blood fortune and the healing of incisxal edge, even cause margin tissue necrosis.
The auxiliary prop tool that subtracts of current clinical use, mainly contains skin slide fastener, butterfly-shaped adhesive, skin wound closure device etc., and object is all needleless closure of wound, is convenient to wound drainage and changes dressings the effect of observing.For example: Chinese patent CN87108125, utility model name is called " a kind of utensil of closure of wound and use the method for this utensil ", publication number is CN87108125, a kind of utensil that is particularly substantially microscler surgical wound for closure of wound is disclosed, it comprises a slide fastener, this slide fastener is by two retinaculums, and the mosaic tooth grate on retinaculum and a pull head form; Chinese patent CN03117364.0, utility model name is called " skin wound closure device ", publication number is CN1524507, a kind of skin wound closure device that promotes wound normal healing is disclosed, this skin wound closure device comprises two bar shaped retinaculum and base band of along skin wound both sides, arranging respectively, base band is arranged on the retinacular upper surface of bar shaped, is provided with secondary or many secondary locking devices that connect base band in base band; Chinese patent CN200820005373.8, utility model name is called: " a kind of new pattern compress of subsidiary wound closure function ", notification number is CN201244126, discloses a kind of new pattern compress of subsidiary wound closure function, by supporting paster, connecting line and covering paster jointly to form; Chinese patent CN200920129390.7, utility model name is called " a kind of utensil of closure of wound ", notification number is CN201346221, a kind of utensil of closure of wound is disclosed, comprise: slide fastener portion and fixed part, described slide fastener portion comprises: retinaculum, be embedded in the tooth row on described retinaculum and be arranged on the pull head portion on described tooth row; Described fixed part comprises paste section, and described retinaculum and described paste section are fastenedly connected; Chinese patent CN201020569683.X, utility model name is called " skin relaxation device " and discloses a kind of skin relaxation device that reduces wound edge skin tension, comprise fixed part and the formula latch part of can loosening, fixed part is two bar shaped adhesive tapes of placing along skin wound both sides respectively; Latch part comprises support base band, is embedded in secondary or many secondary snap close and unidirectional and two-way lock straps that connect support base band in described support base band
These auxiliary main purpose functions that subtract prop tool are closure of wound above, have the effect of a little minimizing skin tension concurrently; When clinical use, skin slide fastener easily causes wound drainage not smooth when closed, and the inconvenience of changing dressings; And skin wound closure device locking device is sealed for loosening, and press close to skin across wound, also can cause wound drainage not smooth, the inconvenience of changing dressings, is difficult to be used in rugged position, as wound and the cicatrix higher than skin surface of caving in; Although skin relaxation device has overcome inadequate drainage, the inconvenient shortcoming of changing dressings, but cannot avoid chronic dissection and suture that suture produces wound to be absorbed in skin histology and to cause the difficult situation of taking out stitches, and not absorb wound and oozed out, simplified Tension-reduced suture, given the suitable pressure of wound to reduce the effects such as oozing of blood.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, provide one can when wound Intradermal is fully sewed up, simplify skin tension reducing suturing skill, give the suitable pressure of wound simultaneously and reduce oozing of blood, guaranteed that in manual interrupted suture process, the distance between every pin equates, prevent the scar hyperplasia and the suture dissection that because skin tension is excessive, cause, finally reach the auxiliary prop tool that subtracts that promotes wound closure, is convenient to Wound during Dressing Change and observation, uses in the operation stitching of prevention of scar hypertrophy.
For solving the problems of the technologies described above, this utility model provides a kind of skin tension reducing stitching devices, also claims skin relaxation device, and it is fillet cuboid, comprises and subtracts a layer, adsorption layer, stitch hole and observation hole; Subtract the top that a layer is positioned at adsorption layer, two-layer combining closely; Stitch hole all runs through and subtracts a layer and adsorption layer with observation hole; Stitch hole is two rows and symmetrical.
Preferably, observing hole is positioned in the middle of two row's stitch holes.
Preferably, the spacing between symmetrical stitch hole equates with the spacing of adjacent stitch hole in a row, and spacing is advisable with 5mm-20mm, and the best is 10mm.
The described material that subtracts a layer can be selected medical polyethylene; The material of described adsorption layer can be selected the absorbent cotton of non-woven fabrics parcel; Two-layer bonding mutually.
Described medical polyethylene, can select Low Density Polyethylene, the product of Beijing Yanshan Petrochemical Company of China Petrochemical Industry, and the trade mark is LD100AC etc.
Described non-woven fabrics is medical spun-laced nonwoven fabric.
Described Cotton Gossypii is medical absorbent cotton.
Described adsorption layer is pressed close to operative incision.
Described observation port hole dia is advisable with 3mm-15mm, and effect is to observe.
This utility model can be according to the size of clinical operation otch, prepares the auxiliary prop tool that subtracts of different size, as large size: long is 24cm, and wide is 4cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 20mm; Observing hole is 9, and diameter is 15mm.Medium size: long is 12cm, and wide is 2cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 10mm; Observing hole is 9, and diameter is 6mm.Small size: long is 6cm, and wide is 1cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 5mm; Observing hole is 9, and diameter is 3mm.
Length of the present utility model can be pruned according to needing in art.For example operative incision is 10cm, and the auxiliary length that subtracts prop tool of the present utility model is 12cm, and wide is 2cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 10mm; Observing hole is 9, and diameter is 6mm.
A material that subtracts of selecting due to this utility model is polyethylene, milky, tasteless, odorless and nontoxic.Be characterized in low price, better performances, is the ideal material being widely used at present in medical apparatus and instruments, as subtracting a material, can resist suture cutting force, give wound pressure simultaneously, be conducive to hemostasis, middle hole facilitate in art to and skin, clinical follow wound and changing dressings.
The adsorbing material of selecting due to this utility model is the absorbent cotton of non-woven fabrics parcel, has stronger absorption Absorption, coordinates medicine to spread upon on non-woven fabrics can play the bactericidal action to antibacterial and microorganism according to the concrete condition of wound.Adsorption layer adsorption capacity of the present utility model is large, adsorption efficiency is high, can guarantee the dry of wound, and after absorbent cotton absorbs oozing of blood, expansion compressing wound can promote hemostasis.For the absorption of later stage wound fluid, store and can guarantee that again wound is under certain humidity environment.This utility model adopts medical spun-laced nonwoven fabric parcel absorbent cotton, can avoid absorbent cotton directly to contact with wound surface, forms flocculence foreign body or debris influence wound surface and recovers.
The medical spun-laced nonwoven fabric that this utility model adopts, take viscose and terylene as raw material, is laid into net by waterpower straight line and makes.Sanitation and hygiene, and flexibility is good.Certain viscose accounting, gives the water absorption that spun-laced nonwoven fabric is good, mesh-structuredly gives again the water penetration that spun-laced nonwoven fabric is good.
This utility model is comprehensively brought into play the adsorption of polythene material minimizing wound tension force and non-woven fabrics parcel absorbent cotton.Product is possessed simultaneously subtract and absorbability.
The beneficial effects of the utility model are, can when fully sewing up, simplify wound Intradermal skin tension reducing suturing skill, give the suitable pressure of wound simultaneously and reduce oozing of blood, guaranteed that in manual interrupted suture process, the distance between every pin equates, prevent the scar hyperplasia and the suture dissection that because skin tension is excessive, cause, finally reach promote wound closure, be convenient to Wound during Dressing Change and observation, the skin relaxation device of prevention of scar hypertrophy.This utility model has met wound and suture material has been subtracted to the requirement of opening and adsorbing.And can produce by batch and meet the need of market.
This utility model cost is low, and function is strong, and application prospect is wide, is expected to industrialization in the future and produces, and solve clinical practice requirements of one's work.Be specially adapted to the operative incision of the surgery section office such as plastic surgery, general surgery, cardiothoracic surgery, Urology Surgery more than 10cm, irregular otch, otch tension force is larger, exist hypoproteinemia and diabetes etc. to affect the factor of wound healing,, likely there is the high risk patient's of abdominal wound disruption wound suture in neonate, gerontal patient.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model,
Wherein: 1 for subtracting a layer; 2 is adsorption layer; 3 is stitch hole; 4 for observing hole.
The specific embodiment
Below in conjunction with drawings and Examples, this utility model is described in further detail, but enforcement of the present utility model is not limited only to this.
Embodiment 1:
As shown in the figure, a kind of skin tension reducing stitching devices, it is fillet cuboid, comprises and subtracts a layer 1, adsorption layer 2, stitch hole 3 and observe hole 4; Subtract the top that a layer 1 is positioned at adsorption layer 2, two-layer combining closely; Stitch hole 3 all runs through and subtracts a layer 1 and adsorption layer 2 with observation hole 4; Stitch hole is two rows and symmetrical.
Embodiment 2:
A kind of skin tension reducing stitching devices, all the other are observed hole 4 and are positioned in the middle of two row's stitch holes 3 with embodiment 1.
Spacing between symmetrical stitch hole 3 equates with the spacing of adjacent stitch hole 3 in a row, and spacing is 10mm.
The described material that subtracts a layer 1 or select medical polyethylene; The material of described adsorption layer 2 can be selected the absorbent cotton of non-woven fabrics parcel; Two-layer bonding mutually.
Described medical polyethylene, can select Low Density Polyethylene, the product of Beijing Yanshan Petrochemical Company of China Petrochemical Industry, and the trade mark is LD100AC.
Described non-woven fabrics is medical spun-laced nonwoven fabric.
Described Cotton Gossypii is medical absorbent cotton.
Embodiment 3:
A kind of skin tension reducing stitching devices of the present utility model, during clinical use, first from side stitch hole 3 inserting needles during operation stitching, after skin suture, from another paired stitch hole 3, go out pin again, after having operated successively, press apparatus of the present utility model to wound top, after tie a knot all sutures trimming, complete stitching.Can reach the double effects that wound subtracts and absorption is oozed out.
Clinical use embodiment of the present utility model:
Patient 1, the operative incision of the sufferer I type of hypoproteinemia type, and operative incision is 10cm, and the auxiliary length that subtracts prop tool of the present utility model is 12cm, and wide is 2cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 10mm; Observing hole is 9, and diameter is 6mm.
Patient 2, and skin excised the operative incision of eurypalynous sufferer I type, and operative incision is 5cm, and the auxiliary length that subtracts prop tool of the present utility model is 6cm, and wide is 1cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 5mm; Observing hole is 9, and diameter is 3mm.
Patient 3, the operative incision of the sufferer I type of diabetes type, and operative incision is 20cm, and the auxiliary length that subtracts prop tool of the present utility model is 24cm, and wide is 4cm; Stitch hole is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 20mm; Observing hole is 9, and diameter is 15mm.
Below the preferred embodiment of this utility model having been created illustrates, but this utility model is created and is not limited to described embodiment, those of ordinary skill in the art also can make all modification being equal to or replacement under the prerequisite without prejudice to this utility model creative spirit, and the modification that these are equal to or replacement are all included in the application's claim limited range.

Claims (7)

1. a skin tension reducing stitching devices, is characterized in that, it is fillet cuboid, comprises and subtracts a layer (1), adsorption layer (2), stitch hole (3) and observe hole (4); Subtract the top that a layer (1) is positioned at adsorption layer (2), two-layer combining closely; Stitch hole (3) and observe hole (4) and all run through and subtract a layer and adsorption layer; Stitch hole (3) is two rows and symmetrical.
2. a kind of skin tension reducing stitching devices according to claim 1, is characterized in that, observes hole (4) and is positioned in the middle of two row's stitch holes (3).
3. a kind of skin tension reducing stitching devices according to claim 1, is characterized in that, the spacing between symmetrical stitch hole (3) equates with the spacing of adjacent stitch hole (3) in a row, and spacing is 5mm-20mm.
4. according to a kind of skin tension reducing stitching devices described in claim 1,2 or 3, it is characterized in that,
Described observation hole (4) diameter is 3mm-15mm.
5. according to a kind of skin tension reducing stitching devices described in claim 1,2 or 3, it is characterized in that, described skin tension reducing stitching devices is long is 24cm, and wide is 4cm; Stitch hole (3) is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 20mm; Observing hole (4) is 9, and diameter is 15mm.
6. according to a kind of skin tension reducing stitching devices described in claim 1,2 or 3, it is characterized in that, described skin tension reducing stitching devices is long is 12cm, and wide is 2cm; Stitch hole (3) is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 10mm; Observing hole (4) is 9, and diameter is 6mm.
7. according to a kind of skin tension reducing stitching devices described in claim 1,2 or 3, it is characterized in that, described skin tension reducing stitching devices is long is 6cm, and wide is 1cm; Stitch hole (3) is two rows, 10 of every rows, and the spacing of adjacent stitch hole is 5mm; Observing hole (4) is 9, and diameter is 3mm.
CN201320639007.9U 2013-10-16 2013-10-16 Relaxation suture device for skin Withdrawn - After Issue CN203564282U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201320639007.9U CN203564282U (en) 2013-10-16 2013-10-16 Relaxation suture device for skin

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201320639007.9U CN203564282U (en) 2013-10-16 2013-10-16 Relaxation suture device for skin

Publications (1)

Publication Number Publication Date
CN203564282U true CN203564282U (en) 2014-04-30

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103519856A (en) * 2013-10-16 2014-01-22 中国人民解放军第二军医大学 Auxiliary relaxation instrument used in surgical suturing
CN103876895A (en) * 2014-03-11 2014-06-25 朱新生 Liquid absorption wound dressing enabling wound surface to be observable
CN109893185A (en) * 2019-03-08 2019-06-18 中南大学湘雅三医院 Stitching devices

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103519856A (en) * 2013-10-16 2014-01-22 中国人民解放军第二军医大学 Auxiliary relaxation instrument used in surgical suturing
CN103519856B (en) * 2013-10-16 2016-09-28 中国人民解放军第二军医大学 The auxiliary used in a kind of operation stitching subtracts prop tool
CN103876895A (en) * 2014-03-11 2014-06-25 朱新生 Liquid absorption wound dressing enabling wound surface to be observable
CN109893185A (en) * 2019-03-08 2019-06-18 中南大学湘雅三医院 Stitching devices
CN109893185B (en) * 2019-03-08 2024-04-02 中南大学湘雅三医院 Suturing device

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20140430

Effective date of abandoning: 20160928

C25 Abandonment of patent right or utility model to avoid double patenting