CN204147317U - Nasal cavity is exempted from filling every vacuum extractor - Google Patents
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- CN204147317U CN204147317U CN201420396370.7U CN201420396370U CN204147317U CN 204147317 U CN204147317 U CN 204147317U CN 201420396370 U CN201420396370 U CN 201420396370U CN 204147317 U CN204147317 U CN 204147317U
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- 210000003928 nasal cavity Anatomy 0.000 title claims abstract description 30
- 239000012530 fluid Substances 0.000 claims abstract description 8
- 210000000492 nasalseptum Anatomy 0.000 abstract description 15
- 238000003860 storage Methods 0.000 abstract description 14
- 239000007788 liquid Substances 0.000 abstract description 12
- 230000023597 hemostasis Effects 0.000 abstract description 10
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 210000000988 bone and bone Anatomy 0.000 abstract description 3
- 210000000845 cartilage Anatomy 0.000 abstract description 3
- 230000002757 inflammatory effect Effects 0.000 abstract description 3
- 229920002529 medical grade silicone Polymers 0.000 abstract description 3
- 208000006735 Periostitis Diseases 0.000 abstract description 2
- 210000000416 exudates and transudate Anatomy 0.000 abstract description 2
- 230000000474 nursing effect Effects 0.000 abstract description 2
- 210000003460 periosteum Anatomy 0.000 abstract description 2
- 208000002193 Pain Diseases 0.000 description 9
- 238000012856 packing Methods 0.000 description 6
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- 206010028762 Nasal septum deviation Diseases 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
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- 230000000740 bleeding effect Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
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- 230000003340 mental effect Effects 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 238000005406 washing Methods 0.000 description 2
- 206010051625 Conjunctival hyperaemia Diseases 0.000 description 1
- 206010013082 Discomfort Diseases 0.000 description 1
- 206010013789 Dry throat Diseases 0.000 description 1
- 241000909851 Epiphora Species 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 206010019233 Headaches Diseases 0.000 description 1
- 206010028735 Nasal congestion Diseases 0.000 description 1
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- 238000005516 engineering process Methods 0.000 description 1
- 208000001780 epistaxis Diseases 0.000 description 1
- 210000002388 eustachian tube Anatomy 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 208000016747 lacrimal apparatus disease Diseases 0.000 description 1
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Abstract
本实用新型公开了一种针对鼻中隔手术患者,用于止血和引流积液的医疗护理装置,具体为鼻腔免填塞中隔负压吸引器。包括引流管、负压球和储液室,所述的引流管为医用硅胶软管,分为鼻腔内引流管和鼻腔外导流管,鼻腔内引流管为半椭圆形管,管壁一面为平面,另一面为椭圆形面,管壁内腔为交错式多沟槽结构。插入鼻腔时,管壁平面可更好的紧贴鼻中隔面并避免负压下管腔闭塞,起到负压吸引并借助鼻中隔粘骨膜、粘软骨膜压迫残余中隔软骨与骨质创面达到止血作用;管壁上均匀分布有多个小孔,可有效借助灌洗液冲洗术腔,再负压抽吸以清除淤血及炎性渗出物。
The utility model discloses a medical nursing device for hemostasis and drainage of effusion for patients undergoing nasal septum surgery, in particular to a septum negative pressure suction device without stuffing in the nasal cavity. It includes a drainage tube, a negative pressure ball and a liquid storage chamber. The drainage tube is a medical silicone hose, which is divided into a nasal cavity internal drainage tube and an external nasal cavity drainage tube. The nasal cavity drainage tube is a semi-elliptical tube, and one side of the tube wall is The other side is an elliptical surface, and the inner cavity of the tube wall is a staggered multi-groove structure. When inserted into the nasal cavity, the plane of the tube wall can better adhere to the nasal septum surface and avoid the occlusion of the lumen under negative pressure, which acts as a negative pressure suction and compresses the residual septal cartilage and bone wound surface with the help of nasal septal mucous periosteum and mucous perichondrium to achieve hemostasis. There are many small holes evenly distributed on the tube wall, which can effectively flush the operation cavity with lavage fluid, and then vacuum suction to remove congestion and inflammatory exudate.
Description
技术领域technical field
本实用新型涉及一种鼻中隔偏曲手术后,用于止血和引流积液的医疗护理器械,具体为鼻腔免填塞中隔负压吸引器。The utility model relates to a medical nursing device used for hemostasis and drainage of effusion after nasal septum deviation operation, in particular to a nasal cavity non-stuffing septum negative pressure suction device.
背景技术Background technique
鼻中隔偏曲可由于生长发育、遗传、外伤等因素产生,绝大部分人群都存在鼻中隔偏曲,但多为轻微的偏曲,可不引起任何症状,也无需治疗。但是,部分人群鼻中隔存在明显的偏曲,可产生鼻腔阻塞、头痛、鼻出血等症状。该疾病最为有效的治疗方式是手术治疗。迄今,需要接受此类手术的患者数量众多,稳居绝大多数医院耳鼻喉科鼻部手术第一位。但是,该手术容易出现鼻中隔血肿以及继发鼻中隔脓肿、鼻中隔穿孔等并发症。为了防止上述并发症,手术结束时一般采用在鼻腔内的鼻中隔两侧填塞止血材料进行压迫止血,也有国外及国内少数医疗单位采用鼻腔内多点缝合的方式止血。前者因方法简单易行,为目前最主流的止血方式,后者因操作复杂技术难度极高,难以向广大基层医院推广普及。但前者在手术后一段时间内会给患者身心带来极大的伤害,具体体现在:①由于鼻腔内密集感觉神经末梢,非常敏感,填塞物会引起鼻腔剧烈胀痛;②填塞后鼻腔通气受阻,患者必须经口呼吸,导致咽干咽痛;③填塞物导致咽鼓管阻塞,导致双耳胀痛及闷胀不适感;④填塞后饮食吞咽收到干扰,患者进食困难,短期内营养不足,不利于术后恢复;⑤鼻腔填塞导致的头部牵涉性胀痛;⑥填塞物导致眼泪不能正常流入鼻腔,出现频繁溢泪,结膜充血等不适;⑦由于上述多种不适带来的患者睡眠困难以及精神情绪上的严重不适感;⑧填塞材料抽除时仍会引起剧烈疼痛,甚至出现痛及大脑深部以致疼痛性休克等严重后果;⑨填塞材料带来的感染风险;⑩填塞物抽除后鼻腔产生大量炎性渗出,假膜覆盖创面,导致术后1-2周时间内患者鼻腔阻塞,延长了愈合时间。以上弊端,急需寻求解决方案。Deviated nasal septum can be caused by factors such as growth and development, genetics, trauma, etc. Most people have deviated nasal septum, but most of them are mild deviations that do not cause any symptoms and do not require treatment. However, some people have obvious deviation of the nasal septum, which can cause symptoms such as nasal obstruction, headache, and epistaxis. The most effective treatment for this disease is surgery. So far, there are a large number of patients who need this kind of surgery, and it ranks first in the nasal surgery department of otolaryngology in most hospitals. However, this operation is prone to complications such as septal hematoma, secondary septal abscess, and septal perforation. In order to prevent the above complications, at the end of the operation, hemostasis material is generally used to compress the nasal septum on both sides of the nasal cavity to stop bleeding. There are also a few foreign and domestic medical institutions that use multi-point sutures in the nasal cavity to stop bleeding. The former is currently the most mainstream method of hemostasis due to its simplicity and ease of use, while the latter is difficult to popularize in primary hospitals due to its complex operation and extremely high technical difficulty. However, the former will bring great physical and mental harm to the patient for a period of time after the operation, which is specifically reflected in: ① Due to the dense sensory nerve endings in the nasal cavity, which are very sensitive, the stuffing will cause severe pain in the nasal cavity; ② Nasal ventilation is blocked after stuffing , the patient must breathe through the mouth, resulting in dry throat and sore throat; ③The stuffing causes the blockage of the Eustachian tube, causing pain in both ears and discomfort; , which is not conducive to postoperative recovery; ⑤referred pain in the head caused by nasal packing; ⑥tears cannot flow into the nasal cavity normally due to packing, frequent epiphora, conjunctival congestion and other discomforts; Difficulty and severe mental and emotional discomfort; ⑧When the packing material is removed, it will still cause severe pain, and even the pain will reach the deep part of the brain and cause painful shock and other serious consequences; ⑨The risk of infection caused by the packing material; ⑩Taking out A large amount of inflammatory exudation was produced in the posterior nasal cavity, and the pseudomembrane covered the wound surface, which resulted in nasal obstruction of the patient within 1-2 weeks after operation and prolonged the healing time. The above drawbacks urgently need to find a solution.
发明内容Contents of the invention
本实用新型巧妙利用负压吸引原理,设计了一种免填塞的具有止血和负压引流功能的医疗装置,旨在解除鼻中隔术后患者填塞痛苦,缩短康复时间,且术中埋置安装该装置的技术简单,推广实施。The utility model skillfully utilizes the principle of negative pressure suction to design a medical device with functions of hemostasis and negative pressure drainage without stuffing, aiming at relieving the pain of stuffing after nasal septum surgery, shortening the recovery time, and installing the device during surgery The technology is simple and can be popularized and implemented.
本实用新型的设计方案如下:鼻腔免填塞中隔负压吸引器,包括引流管、负压球和储液室,所述的引流管为一次性使用医用硅胶软管,分为鼻腔内引流管和鼻腔外导流管。鼻腔内引流管为半椭圆形管,管壁一面为平面,另一面为椭圆形面,官腔内壁为交错式多沟槽结构设计,管壁上均匀分布有多个小孔。管壁平面可更好的紧贴残余鼻中隔骨的软骨面,借助负压作用压迫止血,管壁上均匀分布的多个小孔,可以将积液从小孔中引流入引流管中,鼻腔外导流管末端连接在三通阀的上端接口上,三通阀的中部接口与负压球接通,三通阀的底部接口与储液室接通。鼻中隔手术后,将鼻腔免填塞中隔负压吸引器的引流管插入鼻中隔术腔,使鼻内引流管的平面紧贴鼻中隔,起到压迫止血的作用,引流积液时,挤压负压球,产生负压吸引力,将鼻腔中积液顺着引流管抽出,流入用于临时存储积液的储液室内。The design scheme of the present utility model is as follows: a negative pressure suction device for the septum without stuffing in the nasal cavity, including a drainage tube, a negative pressure ball and a liquid storage chamber, and the drainage tube is a disposable medical silicone hose, which is divided into a nasal drainage tube and nasal drainage tubes. The drainage tube in the nasal cavity is a semi-elliptical tube, one side of the tube wall is flat, and the other side is oval-shaped. The plane of the tube wall can be better in close contact with the cartilage surface of the residual nasal septal bone. With the help of negative pressure, the hemostasis can be suppressed. The multiple small holes evenly distributed on the tube wall can drain the effusion from the small holes into the drainage tube. The end of the guide tube is connected to the upper port of the three-way valve, the middle port of the three-way valve is connected to the negative pressure ball, and the bottom port of the three-way valve is connected to the liquid storage chamber. After the nasal septum operation, insert the drainage tube of the nasal cavity non-stuffing septum negative pressure aspirator into the nasal septum operation cavity, so that the plane of the nasal drainage tube is close to the nasal septum, which plays the role of compression and hemostasis. When draining the effusion, squeeze the negative pressure ball , to generate negative pressure suction, the fluid in the nasal cavity is drawn out along the drainage tube, and flows into the fluid storage room for temporary storage of fluid.
所述的引流管上还设置有灌洗口,便于术后冲洗、消毒,引流管延长后可绕经患者面颊,挂于耳后,解决整件装置的固定问题。The drainage tube is also provided with a lavage port, which is convenient for postoperative washing and disinfection. After the drainage tube is extended, it can go around the patient's cheek and hang behind the ear to solve the problem of fixing the whole device.
所述的引流管为防止负压作用导致埋置段官腔鼻塞,特设计了管内逼的交错式多沟槽结构。The drainage tube is specially designed with a staggered multi-groove structure inside the tube to prevent nasal congestion in the embedded section caused by negative pressure.
所述的储液室底部设置有阀门,盛满后可从贮液室阀门放出处理、并清洗储液室,该部件可重复使用。The bottom of the liquid storage chamber is provided with a valve, which can be released from the valve of the liquid storage chamber for processing after it is full, and the liquid storage chamber can be cleaned. This part can be used repeatedly.
本实用新型结构简单,使用方便,不仅具有鼻中隔手术后的止血作用,还具有术腔冲洗与术腔积液引流的作用。可以免除术后填塞痛苦,取出填塞材料的再次伤痛,促进术后愈合缩短术后康复时间。与填塞方式相比,本产品可以保持鼻腔呼吸顺畅,无填塞后带来的痛苦,且操作简便,器件易于组织生产,费用低廉等优点。The utility model has the advantages of simple structure and convenient use. It not only has the function of hemostasis after nasal septum operation, but also has the functions of flushing the operation cavity and draining the effusion in the operation cavity. It can eliminate the pain of postoperative packing, remove the pain of packing material again, promote postoperative healing and shorten postoperative recovery time. Compared with the stuffing method, this product can keep the nasal cavity breathing smoothly, without the pain caused by stuffing, and has the advantages of simple operation, easy organization and production of devices, and low cost.
附图说明Description of drawings
图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;
图2为引流管的剖面示意图;Fig. 2 is the sectional schematic view of drainage tube;
图3为鼻内引流管的内壁结构剖面示意图;3 is a schematic cross-sectional view of the inner wall structure of the nasal drainage tube;
图4为本实用新型插入鼻腔内使用示意图;Fig. 4 is a schematic diagram of the utility model inserted into the nasal cavity for use;
图5为引流管在鼻腔内位置剖面示意图;Fig. 5 is a schematic sectional view of the position of the drainage tube in the nasal cavity;
其中1——引流管,1a——鼻内引流管,1b——鼻外导流管,2——负压球,3——储液室,4——三通阀,4a——上端接口,4b——中部接口,4c——底部接口,5——灌洗口,6——阀门,7——小孔。Among them, 1—drainage tube, 1a—intranasal drainage tube, 1b—external nasal drainage tube, 2—negative pressure ball, 3—liquid storage chamber, 4—three-way valve, 4a—upper port , 4b—middle interface, 4c—bottom interface, 5—lavage port, 6—valve, 7—small hole.
具体实施方式Detailed ways
下面结合具体实施例和说明书附图对本实用新型作进一步说明。此处所描述的具体实施例仅用以解释本实用新型,并不用于限定本实用新型。Below in conjunction with specific embodiment and accompanying drawing, the utility model is further described. The specific embodiments described here are only used to explain the utility model, and are not intended to limit the utility model.
实施例:如图1所示,鼻腔免填塞中隔负压吸引器,由引流管1、负压球2和储液室3通过三通阀4连接构成,引流管1末端连接在三通阀4的上端接口4a上,负压球2连接在三通阀4的中部接口4b上,储液室3连接在三通阀4的底部接口4c上。Embodiment: As shown in Figure 1, a nasal cavity non-stuffing septum negative pressure suction device is composed of a drainage tube 1, a negative pressure ball 2 and a liquid storage chamber 3 connected through a three-way valve 4, and the end of the drainage tube 1 is connected to the three-way valve 4, the negative pressure ball 2 is connected to the middle port 4b of the three-way valve 4, and the liquid storage chamber 3 is connected to the bottom port 4c of the three-way valve 4.
引流管1为一次性使用医用硅胶软管,分为鼻内引流管1a和鼻外导流管1b,如图1、图2所示,鼻内引流管1a为半椭圆形管,直径约5mm,管壁一面为平面,另一面为椭圆形面,管壁上均匀分布有多个直径约1mm的小孔7。如图3所示,为了防止鼻内引流管1a埋置在鼻中隔术腔时由于负压作用导致变形堵塞,特设计了管内壁的交错式多沟槽结构。The drainage tube 1 is a disposable medical silicone hose, which is divided into an intranasal drainage tube 1a and an external nasal drainage tube 1b. As shown in Figure 1 and Figure 2, the intranasal drainage tube 1a is a semi-elliptical tube with a diameter of about 5mm , one side of the tube wall is flat, and the other side is an elliptical surface, and a plurality of small holes 7 with a diameter of about 1 mm are evenly distributed on the tube wall. As shown in Figure 3, in order to prevent the intranasal drainage tube 1a from being deformed and blocked due to negative pressure when it is embedded in the nasal septum operation cavity, a staggered multi-groove structure on the inner wall of the tube is specially designed.
引流管1的末端鼻外导流管1b末端通过三通阀4与储液室3导通。三通阀4中部连接的负压球2用于提供正压冲洗压力或负压吸引力。The end of the drainage tube 1 is communicated with the liquid storage chamber 3 through the three-way valve 4 at the end of the external nasal drainage tube 1b. The negative pressure ball 2 connected in the middle of the three-way valve 4 is used to provide positive pressure flushing pressure or negative pressure suction.
如图4、图5所示,完成鼻中隔手术时,将其插入鼻中隔术腔,在缝线常规缝合鼻内切口时,以缝线固定引出端,埋置段可根据术腔情况剪切多余部,保留合适长度,还可将多余的引流管翻转埋置。鼻内引流管的平面紧贴鼻中隔,可更好的紧贴鼻中隔面,管内壁的交错式多沟槽结构,能够避免负压下管腔闭塞。埋置引流管可起到负压吸引并借助鼻中隔粘骨膜、粘软骨膜压迫残余中隔软骨与骨质创面达到止血作用。同时利用管壁上的小孔,挤压负压球可借助灌洗液冲洗术腔,再负压抽吸以清除淤血及炎性渗出物,抽入储液室内;鼻腔外引流管延长,绕经患者脸颊,可固定于患者耳后;埋置13天后,无引流物引出则可取出该装置。As shown in Figure 4 and Figure 5, when the nasal septum operation is completed, insert it into the nasal septum operation cavity. When suturing the intranasal incision with sutures, fix the leading end with sutures. , keep the appropriate length, and the redundant drainage tube can be turned over and buried. The plane of the intranasal drainage tube is close to the nasal septum, which can better fit the nasal septum surface. The staggered multi-groove structure on the inner wall of the tube can avoid the occlusion of the lumen under negative pressure. Embedded drainage tube can play a negative pressure suction and achieve hemostasis by compressing the residual septal cartilage and bone wound with the help of nasal septal periosteum and perichondrium. At the same time, using the small hole on the tube wall, squeezing the negative pressure ball can flush the operation cavity with lavage fluid, and then vacuum suction to remove congestion and inflammatory exudate, and then pump it into the liquid storage room; the external drainage tube of the nasal cavity is extended, It wraps around the patient's cheek and can be fixed behind the patient's ear; after 13 days of embedding, the device can be taken out if there is no drainage.
由于鼻腔容积有限,并且引流管1管径较大,设计单根引流管,也可根据所需引流量及实际情况调整引流管1的管径和根数。引流管1底面也可采用薄膜性材料,便于与鼻中隔组织紧密贴合,形成负压。Due to the limited volume of the nasal cavity and the large diameter of the drainage tube 1, a single drainage tube is designed, and the diameter and number of the drainage tube 1 can also be adjusted according to the required drainage volume and actual conditions. The bottom surface of the drainage tube 1 can also be made of a thin film material, which is convenient to fit closely with the nasal septum tissue and form a negative pressure.
另外,引流管上设置有灌洗口,用于术后冲洗、消毒,灌洗口装置可以重复使用。储液室底部设置有阀门,盛满后可打开阀门排放并清洗。In addition, a lavage port is provided on the drainage tube for postoperative washing and disinfection, and the lavage port device can be reused. There is a valve at the bottom of the liquid storage chamber, which can be opened to discharge and clean when it is full.
综上所述是本实用新型较佳的实施例,凡依本实用新型技术方案所做的改变,所生产的功能作用未超出本实用新型技术方案的范围时均属于本实用新型的保护范围。To sum up, the above is a preferred embodiment of the utility model, and all changes made according to the technical solution of the utility model, and the produced functional effects do not exceed the scope of the technical solution of the utility model, all belong to the protection scope of the utility model.
Claims (3)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420396370.7U CN204147317U (en) | 2014-07-12 | 2014-07-12 | Nasal cavity is exempted from filling every vacuum extractor |
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| CN201420396370.7U CN204147317U (en) | 2014-07-12 | 2014-07-12 | Nasal cavity is exempted from filling every vacuum extractor |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109394290A (en) * | 2018-12-13 | 2019-03-01 | 赵永宏 | A kind of nasal septum hemostasis flow diverter |
| CN109718399A (en) * | 2019-01-09 | 2019-05-07 | 中国医学科学院北京协和医院 | Tympanum-Eustachian tube drainage device |
| WO2020042316A1 (en) * | 2018-08-28 | 2020-03-05 | 朱学德 | Nasal septum deviation rehabilitation device |
| CN112451370A (en) * | 2020-08-31 | 2021-03-09 | 健联医疗股份有限公司 | Blood purging needle, blood purging needle system and blood purging method |
-
2014
- 2014-07-12 CN CN201420396370.7U patent/CN204147317U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2020042316A1 (en) * | 2018-08-28 | 2020-03-05 | 朱学德 | Nasal septum deviation rehabilitation device |
| CN109394290A (en) * | 2018-12-13 | 2019-03-01 | 赵永宏 | A kind of nasal septum hemostasis flow diverter |
| CN109718399A (en) * | 2019-01-09 | 2019-05-07 | 中国医学科学院北京协和医院 | Tympanum-Eustachian tube drainage device |
| CN109718399B (en) * | 2019-01-09 | 2021-06-11 | 中国医学科学院北京协和医院 | Drainage device for tympanogram |
| CN112451370A (en) * | 2020-08-31 | 2021-03-09 | 健联医疗股份有限公司 | Blood purging needle, blood purging needle system and blood purging method |
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