CN205163388U - Dressing device that infection of incisional wound of heart bridging postoperative is split - Google Patents

Dressing device that infection of incisional wound of heart bridging postoperative is split Download PDF

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Publication number
CN205163388U
CN205163388U CN201520872933.XU CN201520872933U CN205163388U CN 205163388 U CN205163388 U CN 205163388U CN 201520872933 U CN201520872933 U CN 201520872933U CN 205163388 U CN205163388 U CN 205163388U
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CN
China
Prior art keywords
sponge
tube
drainage tube
applicator
splits
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Expired - Fee Related
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CN201520872933.XU
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Chinese (zh)
Inventor
杨薛康
赵辉
李志强
陈俏华
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201520872933.XU priority Critical patent/CN205163388U/en
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Publication of CN205163388U publication Critical patent/CN205163388U/en
Expired - Fee Related legal-status Critical Current
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Abstract

The utility model discloses a dressing device that infection of incisional wound of heart bridging postoperative is split, including connecting pipe, attraction pipe, drainage tube and liquid collection bottle, the connecting pipe, attract pipe and drainage tube to pass through the three way connection intercommunication, the free end of connecting pipe passes through liquid collection bottle and negative pressure center intercommunication, the free end department that attracts the pipe is equipped with the sucking disc, and the sucking disc bottom is equipped with the top layer sponge, the outer cladding of the pipe wall of the free end of the drainage tube layer sponge of knowing how things stand and feel confident, and place in and offer a plurality of side openings on the drainage tube pipe wall in the bottom sponge, still insert in the feed liquor of the drainage tube end and be equipped with lavage tube, and arrange in and be provided with a plurality of side openings on the lavage tube pipe wall in the drainage tube, the bottom sponge is sealed through first pellicle, and it is sealed that the top layer sponge passes through the second pellicle. The device has fast closed wound, reduces the surface of a wound, high -efficient drainage, promotes newborn vascularization, accelerates granulation tissue regeneration, resists the infection, urgees healing, the painless characteristics of waiting bitterly for.

Description

The applicator that heart pass postoperative wound infection splits
Technical field
This utility model relates to medical dressing field, particularly the applicator that splits of a kind of heart pass postoperative wound infection.
Background technology
Heart pass art is one of modal operation of cardiothoracic surgery.It is the common complication of heart pass art that infection of incisional wound is split, incidence rate about 7%.This otch is chest median incision, and this otch tension force is large, blood fortune is poor; In addition, the breastbone of riving in art is by fixation with steel wire, and steel wire belongs to wound foreign body.So this wound anti-infection ability extreme difference.
The way processing such wound first-selection exposes in time to change dressings, but traditional drainage effect of changing dressings is bad, easily causes infecting spreading to deep, and invasion and attack breastbone causes osteomyelitis, and even cause the infection in thoracic cavity, mortality rate is high; Even if local infection does not spread, but because this wound tension force is too greatly so within a very long time, wound can be increasing; In addition this otch blood fortune is poor, and granulation tissue growth difficulty, so healing is extremely slow.
Utility model content
The purpose of this utility model is to provide the applicator that a kind of heart pass postoperative wound infection splits, and this therapy equipment has quick closure wound, reduces wound surface, efficient drain, promote that new vessels is formed, accelerate granulation tissue regeneration, infection, promoting healing, painlessly wait bitterly for feature.
For achieving the above object, this utility model adopts following technological means:
The applicator that heart pass postoperative wound infection splits, comprises connection tube, suction catheter, drainage tube and liquid-collecting bottle; Connection tube, suction catheter are communicated with by three way cock with drainage tube, and the free end of connection tube is communicated with negative pressure center by liquid-collecting bottle;
The free end of suction catheter is provided with sucker, is provided with top layer sponge bottom sucker; The tube wall of the free end of drainage tube is coated with bottom sponge, and is placed on the drainage tube tube wall in bottom sponge and offers multiple side opening; Also be inserted with irrigating tube in the liquid feeding end of drainage tube, and be placed on the irrigating tube tube wall in drainage tube and be provided with multiple side opening; Bottom sponge is by the first semipermeable membrane sealing, and top layer sponge is by the second semipermeable membrane sealing.
Early stage at Wound treatment, bottom sponge is placed in otch, covers bottom sponge upper surface with the first semipermeable membrane sealing.Top layer sponge area is greater than bottom sponge, covers on the first semipermeable membrane, covers on top layer sponge with the second semipermeable membrane sealing; In the Wound treatment later stage, top layer sponge is directly placed on wound surface, covers top layer sponge with the second semipermeable membrane sealing.
Described bottom sponge is compounded with sponge layer, and compounded with sponge layer is made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, and drainage tube is arranged in the polyurethane foam sponge layer of bottom sponge.
All containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer.
Described bottom sponge is inverted trapezoidal structure.
Described top layer sponge is polyurethane foam lamellar sponge, and top layer sponge (8) floor space is greater than bottom sponge topside area.。
Described suction catheter is provided with Pressure gauge, and during work, the pressure of applicator is 60 ~ 100mmHg.
The drainage tube being placed in bottom sponge is apart from 2mm bottom bottom sponge.
Described liquid-collecting bottle is that transparent material is made.
Connection tube is two sections, and what be connected with three way cock is the first connection tube, and the liquid outlet of the first connection tube stretches in liquid-collecting bottle, and liquid-collecting bottle is connected with central negative pressure by the second connection tube.
Relatively and prior art, this utility model has the following advantages:
The applicator that disclosed in this utility model, heart pass postoperative wound infection splits, adopt the first semipermeable membrane seal suction disc and bottom sponge, split under the suction function that continues to heart pass postoperative wound infection, because top layer sponge efficiently shrinks, obviously can alleviate otch tension force, reduce wound; Carried out the cleaning of drainage tube by irrigating tube, then by the abundant drain wound secretion of drainage tube, keep wound surface to clean; The negative pressure continued in bottom sponge can also promote new vessels to be formed and granulation tissue regeneration, promotes wound healing.Meanwhile, this utility model adopts liquid-collecting bottle collection suction catheter water conservancy diversion to go out the secretions of wound surface, judges the situation of wound surface.Change dressings relative to exposure of the prior art, this therapy equipment has quick closure wound, reduces wound surface, efficient drain, promote that new vessels is formed, accelerate granulation tissue regeneration, infection, promoting healing, painlessly wait bitterly for advantage.
Further, this device effectively can treat Wound treatment early stage and Wound treatment later stage, and early stage for treatment Wound treatment, bottom sponge is arranged in wound, and the first semipermeable membrane seals and covers bottom sponge outer surface, and top layer sponge covers on the first semipermeable membrane; For the Wound treatment later stage, sponge is arranged on wound surface top layer.Select different drug of topical application means according to the pathology of different times, effectively ensure that therapeutic effect and the treatment cycle of wound.The top region of the first semipermeable membrane and bottom sponge (sandwich sponge) is in the same size, is attached to the top of sandwich sponge, prevents the sepage in sandwich sponge from entering top layer sponge, stimulates surrounding normal skin.
Further, the liquid-collecting bottle of transparent material contributes to the situation of directly observing liquid in liquid-collecting bottle, contributes to the situation understanding wound surface fast.
Further, compounded with sponge layer of the present utility model is " sandwich " shape, internal layer is wide-aperture polyurethane foam sponge, have drain better, not susceptible to plugging feature, both sides are polyvinylalcohol sponge layer, drainage effect is slightly poor compared with the polyurethane foam sponge of internal layer, but more easily promotes new vessels to be formed and granulation tissue regeneration.During use, by the vacuum suction continued, the polyvinylalcohol sponge layer of both sides and operative incision both sides tissue tight are attached, effectively can promote revascularization, and contribute to wound granulation organization formation; The vacuum suction continued makes to attach closely bottom middle polyurethane foam sponge layer and operative incision, contributes to the drain of wound secretion, keeps wound surface to clean.
Further, be all rich in zinc ion composition in polyurethane foam sponge layer and polyvinylalcohol sponge layer in compounded with sponge layer, can effectively sterilize, not easily drug resistance, and there is the effect promoting tissue repair.
Further, experiment proves that the pressure in suction catheter is that 60-100mmHg helps lend some impetus to revascularization, also contributes to wound granulation organization formation.
Accompanying drawing explanation
Fig. 1 is that the applicator that this utility model heart pass postoperative wound infection splits puts schematic diagram.
In figure, 1. connection tube, 1-1. first connection tube, 1-2. second connection tube, 2. suction catheter, 3. Pressure gauge, 4. sucker, 5. bottom sponge, 6. liquid-collecting bottle, 7. three way cock, 8. top layer sponge, 9. the first semipermeable membrane, 10. irrigating tube, 11. drainage tubes, 12. second semipermeable membranes.
Detailed description of the invention
Be described further this utility model below in conjunction with the drawings and specific embodiments, this utility model is not limited to following examples.
As shown in Figure 1, the applicator that a kind of heart pass postoperative wound infection of this utility model splits, comprises connection tube 1, suction catheter 2, Pressure gauge 3, sucker 4, bottom sponge 5, liquid-collecting bottle 6, three way cock 7, top layer sponge 8, first semipermeable membrane 9, irrigating tube 10, drainage tube 11 and the second semipermeable membrane 12.Connection tube 1 adopts soft material to make, flexible, be divided into two sections (that be connected with the port A of three way cock 7 is the first connection tube 1-1, and the liquid outlet of the first connection tube 1-1 rises up in liquid-collecting bottle 6, and liquid-collecting bottle 6 is connected with central negative pressure by the second connection tube 1-2).Two other port B, C of three way cock 7 connect suction catheter 2 and drainage tube 11 respectively, suction catheter 2 other end connecting sucker 4.Suction catheter 2 is provided with Pressure gauge 3, by Pressure gauge 3 adjustable pressure size, maintains pressure at 60-100mmHg.The oral area of sucker 4 attracts to be connected with top layer sponge 8 upper surface.The other end of drainage tube 11 is arranged in bottom sponge 5,2mm bottom bottom sponge 5, and the pipeline be arranged in bottom sponge 5 is provided with multiple side opening.Irrigating tube 10 one end penetrates in bottom sponge 5, and it is inner to be arranged on drainage tube 11, and irrigating tube 10 is arranged on drainage tube 11 interior conduit and is provided with multiple side opening.
Also comprise the first semipermeable membrane 9, first semipermeable membrane 9 and can carry out oxygen exchange, but antibacterial cannot pass through, and for wound surface provides good aerobic environment, is conducive to wound healing.First semipermeable membrane 9 is in the same size with the B district, top of bottom sponge 5 (sandwich sponge), and sealing paste is attached to the top of sandwich sponge 5, prevents the sepage in sandwich sponge 5 from entering top layer sponge, stimulates surrounding normal skin.
Wherein, liquid-collecting bottle 6 is transparent material, by color and the turbidity of transparent liquid-collecting bottle observable drainage-fluid, contribute to judging wound surface situation (with or without hemorrhage, infect whether control, slough increase and decrease etc.).
Top layer sponge 8 (being positioned at the top of sandwich sponge and the first semipermeable membrane 9) is polyurethane foam sponge, and area is greater than bottom sponge 5.Under the suction function continued, sponge efficiently shrinks, and obviously can alleviate otch tension force, reduce wound.
Bottom sponge 5 is compounded with sponge layer, and compounded with sponge layer is made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, and one end that drainage tube 11 is provided with side opening is placed in the polyurethane foam sponge layer of sponge 5,2mm bottom sponge.And all containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer.In polyurethane foam sponge layer and polyvinylalcohol sponge layer, be all added with zinc ion composition, can effectively sterilize, not easily drug resistance, and there is the effect promoting tissue repair.Compared with traditional polyvinylalcohol sponge, compounded with sponge layer has the advantages that aperture is larger, drain better, not easily blocks, contractility is stronger.In a contracted state, obviously can alleviate otch tension force, reduce wound; Effective absorption otch secretions; The negative pressure continued can also promote new vessels to be formed and granulation tissue regeneration, and promotes wound healing.
Using method of the present utility model is as follows:
Wound treatment early stage (wound surface exists obviously infection), bottom sponge 5 is filled otch, utilizes the first semipermeable membrane 9 wound closure, top layer sponge 8 covers on the first semipermeable membrane 9; Top layer sponge 8 (being positioned at the top of bottom sponge 5 and the first semipermeable membrane 9) produces negative pressure by sucker 4, and top layer sponge 8 shrinks, and effectively can alleviate the tension force of otch, reduce wound.
Bottom sponge 5 attracts to produce negative pressure by the drainage tube 11 of band side opening, under the lasting attraction of negative pressure, bottom sponge 5 (width 1cm) and wound surface closely attach, (drainage tube 11 is positioned at bottom sponge 5 intermediate urethane sponge to coated drainage tube 11,2mm bottom bottom sponge 5) be wide-aperture polyurethane foam sponge layer, have drain better, not susceptible to plugging feature; Also arrange layer of polyethylene alcohol spongy layer respectively in these polyurethane foam sponge layer both sides, drainage effect is slightly poor compared with the polyurethane foam sponge of internal layer, but more easily promotes new vessels to be formed and granulation tissue regeneration.
Preferably, bottom sponge 5 is inverted trapezoidal structure, and bottom sponge 5 is filled otch, utilize the first semipermeable membrane wound closure, drainage tube is under the lasting attraction of central negative pressure, and bottom sponge 5 and wound surface closely attach, contribute to the abundant drain of wound secretion, keep wound surface to clean; Negative pressure also can promote revascularization and wound granulation organization formation; The zinc ion be rich in sponge can also effectively sterilize.Top layer sponge 8 is positioned at outside otch, and area is greater than bottom sponge 5, utilizes the second semipermeable membrane 12 to close, effectively can alleviate the tension force of otch, reduce wound.
Carry out Irrigation by irrigating tube 10, the wound secretion in sponge can be diluted, reach the object of abundant drain.
Wound treatment later stage (without obviously infecting), bottom sponge 5 and drainage tube 11 can be removed, by top sponge 8 directly flap coverage; Utilize the second semipermeable membrane 12 wound closure, directly connect central negative pressure by sucker 4.Under the lasting attraction of central negative pressure, in otch granulation tissue grow fast, gradually otch is filled and led up; The epithelial tissue of otch both sides starts to creep under the effect of negative pressure, wound healing.

Claims (10)

1. the applicator that splits of heart pass postoperative wound infection, is characterized in that: comprise connection tube (1), suction catheter (2), drainage tube (11) and liquid-collecting bottle (6); Connection tube (1), suction catheter (2) are communicated with by three way cock (7) with drainage tube (11), and the free end of connection tube (1) is communicated with negative pressure center by liquid-collecting bottle (6);
The free end of suction catheter (2) is provided with sucker (4), and sucker (4) bottom is provided with top layer sponge (8); The tube wall of the free end of drainage tube (11) is coated with bottom sponge (5), and is placed on drainage tube (11) tube wall in bottom sponge (5) and offers multiple side opening; Also be inserted with irrigating tube (10) in the liquid feeding end of drainage tube (11), and be placed on irrigating tube (10) tube wall in drainage tube (11) and be provided with multiple side opening; Bottom sponge (5) is by the first semipermeable membrane (9) sealing, and top layer sponge (8) is sealed by the second semipermeable membrane (12).
2. the applicator that splits of heart pass postoperative wound infection according to claim 1, it is characterized in that: early stage at Wound treatment, bottom sponge (5) is placed in otch, bottom sponge (5) upper surface is covered with the first semipermeable membrane (9) sealing, top layer sponge (8) covers on the first semipermeable membrane (9), covers on top layer sponge (8) with the second semipermeable membrane (12) sealing; In the Wound treatment later stage, top layer sponge (8) is placed on wound surface, covers on top layer sponge (8) with the second semipermeable membrane (12) sealing.
3. the applicator that splits of heart pass postoperative wound infection according to claim 1, it is characterized in that: described bottom sponge (5) is compounded with sponge layer, compounded with sponge layer is made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, and drainage tube (11) is arranged in the polyurethane foam sponge layer of bottom sponge (5).
4. the applicator that splits of heart pass postoperative wound infection according to claim 3, is characterized in that, all containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer.
5. the applicator that splits of heart pass postoperative wound infection according to claim 1, is characterized in that: described bottom sponge (5) is inverted trapezoidal structure.
6. the applicator that splits of heart pass postoperative wound infection according to claim 1, it is characterized in that: described top layer sponge (8) is polyurethane foam lamellar sponge, and top layer sponge (8) floor space is greater than bottom sponge (5) topside area.
7. the applicator that splits of heart pass postoperative wound infection according to claim 1, it is characterized in that: described suction catheter (2) is provided with Pressure gauge (3), during work, the pressure of applicator is 60 ~ 100mmHg.
8. the applicator that splits of heart pass postoperative wound infection according to claim 1, is characterized in that: be placed in the drainage tube (11) of bottom sponge (5) apart from bottom sponge (5) bottom 2mm.
9. the applicator that splits of heart pass postoperative wound infection according to claim 1, is characterized in that: described liquid-collecting bottle (6) is made for transparent material.
10. the applicator that splits of heart pass postoperative wound infection according to claim 1, it is characterized in that: connection tube (1) is two sections, that be connected with three way cock (7) is the first connection tube (1-1), the liquid outlet of the first connection tube (1-1) stretches in liquid-collecting bottle (6), and liquid-collecting bottle (6) is connected with central negative pressure by the second connection tube (1-2).
CN201520872933.XU 2015-11-03 2015-11-03 Dressing device that infection of incisional wound of heart bridging postoperative is split Expired - Fee Related CN205163388U (en)

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Application Number Priority Date Filing Date Title
CN201520872933.XU CN205163388U (en) 2015-11-03 2015-11-03 Dressing device that infection of incisional wound of heart bridging postoperative is split

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Application Number Priority Date Filing Date Title
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105250077A (en) * 2015-11-03 2016-01-20 中国人民解放军第四军医大学 Dressing device for infected dehiscent incisional wound after heart bypass surgery
CN106620905A (en) * 2016-12-23 2017-05-10 新乡医学院第附属医院 Postoperative wound surface auxiliary improving device
CN108079390A (en) * 2017-12-28 2018-05-29 广州润虹医药科技股份有限公司 A kind of negative pressure drainage device
CN108211025A (en) * 2018-03-09 2018-06-29 溧阳市人民医院 Wound-surface negative pressure irrigation and drainage device
CN112040915A (en) * 2018-03-26 2020-12-04 帝皇工业有限公司 Multi-lumen bridge for negative pressure wound therapy system

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105250077A (en) * 2015-11-03 2016-01-20 中国人民解放军第四军医大学 Dressing device for infected dehiscent incisional wound after heart bypass surgery
CN105250077B (en) * 2015-11-03 2018-08-14 中国人民解放军第四军医大学 A kind of applicator that heart pass postoperative wound infection splits
CN106620905A (en) * 2016-12-23 2017-05-10 新乡医学院第附属医院 Postoperative wound surface auxiliary improving device
CN108079390A (en) * 2017-12-28 2018-05-29 广州润虹医药科技股份有限公司 A kind of negative pressure drainage device
CN108211025A (en) * 2018-03-09 2018-06-29 溧阳市人民医院 Wound-surface negative pressure irrigation and drainage device
CN108211025B (en) * 2018-03-09 2024-01-05 溧阳市人民医院 Wound surface negative pressure flushing drainage device
CN112040915A (en) * 2018-03-26 2020-12-04 帝皇工业有限公司 Multi-lumen bridge for negative pressure wound therapy system

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160420

Termination date: 20161103

CF01 Termination of patent right due to non-payment of annual fee