CN205649584U - Disposable external application hemostasis check hydraulic device - Google Patents
Disposable external application hemostasis check hydraulic device Download PDFInfo
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- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 claims description 4
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械领域,涉及一种一次性外用止血止液装置。The utility model belongs to the field of medical equipment, and relates to a disposable external hemostatic and liquid stopper.
背景技术Background technique
在临床护理工作中,常常会遇到患者因病情变化或术后并发症等各种原因出现伤口持续渗血渗液的现象,如引流管拔除后伤口渗液,中心静脉导管拔管后渗液等。伤口持续渗液不仅增加患者的不适感,减弱患者的治疗信心,还增加医务人员的工作量,甚至引发医疗纠纷,目前临床上常用的止血、止液方法五花八门,但具体行之有效又物美价廉却未曾出现过。具体说明目前临床上常用的止血、止液方法:In clinical nursing work, it is often encountered that patients have continuous bleeding and exudation from wounds due to various reasons such as changes in the condition or postoperative complications, such as wound exudation after drainage tube removal, exudation after central venous catheter extubation, etc. Wait. Continuous wound exudation not only increases the patient's discomfort and weakens the patient's confidence in treatment, but also increases the workload of medical staff and even causes medical disputes. Currently, there are various methods of hemostasis and hemostasis commonly used in clinical practice, but they are effective and inexpensive Lian never showed up. Specifically explain the commonly used hemostasis and hemostasis methods in clinical practice:
1、更换敷料:是目前临床上最传统也是使用最广泛的方法之一。传统敷料包括纱布、棉垫、绷带等基本材料,。主要通过频繁的更换伤口敷料,保持伤口干燥,直到伤口愈合为止。由于伤口渗血、渗液时间不固定,经常在患者更换体位时明显,而临床医生又因工作量大,事情多,不能做到及时换药。持续渗液的伤口不仅容易引起患者感染,还使患者有湿冷、肮脏的感觉,同时由于湿透的伤口敷料粘性差,较易脱落,患者不敢随意更换体位,躯体处于僵硬状态,不仅影响患者休息还容易发生压疮事件,频繁更换伤口敷料增加医护人员工作量和患者经济负担。1. Dressing replacement: It is one of the most traditional and widely used methods in clinical practice. Traditional dressings include basic materials such as gauze, cotton pads, and bandages. Mainly by changing the wound dressing frequently, keep the wound dry until the wound heals. Due to wound bleeding and exudation time is not fixed, it is often obvious when the patient changes position, and clinicians cannot change the dressing in time due to heavy workload and many things. Wounds with continuous exudation not only easily lead to infection, but also make patients feel clammy and dirty. At the same time, because the wet wound dressing has poor viscosity and is easy to fall off, patients dare not change positions at will, and the body is in a stiff state, which not only affects the Patients are also prone to pressure sores while resting, and frequent dressing changes increase the workload of medical staff and the economic burden of patients.
2、造口袋:此方法可以将外渗液引流到造口袋内,避免外渗液污染患者衣服和床单,减少了医护人员的工作量,让患者感觉相对舒适。但此方法解决不了伤口渗液的根本问题,外渗液会因患者更换体位随时渗出,伤口长期处渗液状态,致使伤口不能愈合。长时间的渗液不仅增加患者心理负担还容易引发患者感染。2. Ostomy bag: This method can drain the extravasation into the ostomy bag, avoid the extravasation from contaminating the patient's clothes and sheets, reduce the workload of the medical staff, and make the patient feel relatively comfortable. However, this method cannot solve the fundamental problem of wound exudate. Extravasation will ooze out at any time due to the patient's changing position. Long-term exudate not only increases the psychological burden of patients, but also easily leads to infection of patients.
3、液体胶(耳脑胶):该药物开封后要及时使用,不然会自然凝固。为一次性耗材品,规格较大,但使用剂量却不多,每次只需几滴,剩余量容易浪费,且价格昂贵,不进医保。该药物在粘补伤口时,因为是液体结构,不易被控制,往往会粘到周围皮肤,尤其是在皮肤褶皱处,容易导致上下皮肤粘连不易分开。对肝硬化伴顽固性腹水的患者来说,因穿刺口持续性渗液,在液体胶还没有完全变成固体时,往往已被腹水稀释或随着腹水渗出而流失,止液效果不理想。3. Liquid glue (ear brain glue): The medicine should be used in time after opening, otherwise it will solidify naturally. It is a disposable consumable product with a large specification, but the dosage is not much, only a few drops each time, the remaining amount is easy to waste, and the price is expensive, and it is not covered by medical insurance. When the drug sticks to the wound, because it is a liquid structure, it is not easy to be controlled, and it tends to stick to the surrounding skin, especially in the skin folds, which easily leads to the adhesion of the upper and lower skin and is difficult to separate. For patients with liver cirrhosis and refractory ascites, due to the continuous seepage of the puncture site, the liquid glue is often diluted by ascites or lost with ascites oozing before the liquid glue becomes solid, and the hemostatic effect is not ideal .
4、橡皮塞:是临床上采用的一个小技巧。将软橡皮塞对准伤口,然后按压橡皮塞顶部,在橡皮塞回弹的时候用医用纸胶把软橡皮塞固定住,约48小时后取下,查看伤口愈合情况。此方法简单实用,效果明显,但缺点也很多。首先,因患者的伤口位置各有不同,橡皮塞的妥善固定就存在问题。对于邻近关节部位的伤口橡皮塞往往不易被固定,密封性差,容易发生血液、体液外漏。对于经常被摩擦到的部位,即便是用纸胶妥善固定,在患者不经意地碰触或更换更换体位时也容易发生橡皮塞移位或滑脱,导致血液、体液外漏。长时间反复用纸胶固定,容易造成患者皮肤受损。其次,因橡皮塞为不透明材质,肉眼看不到伤口的愈合情况,只能根据经验在48小时左右取下橡皮塞查看伤口愈合情况,然后决定是否继续治疗。由此一来,不仅不能正确判断伤口愈合情况,还可能因长时间的压迫造成伤口周围皮肤坏死而不被发现。再者,橡皮塞为就地取材,没有严格的消毒处理,容易导致伤口感染。4. Rubber stopper: It is a small technique used clinically. Align the soft rubber stopper with the wound, then press the top of the rubber stopper, fix the soft rubber stopper with medical paper glue when the rubber stopper rebounds, take it off after about 48 hours, and check the wound healing. This method is simple and practical, and the effect is obvious, but there are many shortcomings. First, proper fixation of the rubber stopper is problematic because the location of the wound varies from patient to patient. The rubber stoppers for wounds adjacent to the joints are often not easy to be fixed, have poor sealing performance, and are prone to leakage of blood and body fluids. For parts that are often rubbed, even if they are properly fixed with paper glue, the rubber stopper is prone to shift or slip when the patient inadvertently touches or changes positions, resulting in leakage of blood and body fluids. Repeatedly fixing with paper glue for a long time may easily cause skin damage of the patient. Secondly, because the rubber stopper is made of opaque material, the healing of the wound cannot be seen with the naked eye. Based on experience, the rubber stopper can only be removed in about 48 hours to check the wound healing, and then decide whether to continue the treatment. As a result, it is not only impossible to correctly judge the wound healing situation, but also the skin necrosis around the wound may not be discovered due to long-term compression. Furthermore, the rubber stoppers are local materials without strict disinfection treatment, which can easily lead to wound infection.
发明内容Contents of the invention
本实用新型的目的是克服现有技术存在的不足,提供一种一次性外用止血止液装置,由半圆形底部、两端开口的中空圆柱体、单向阀门和含黏胶的宽边缘组成,半圆形底部为球形切面,圆柱体的下端与半圆形底部的开口连接,圆柱体的上端开口连接一个含黏胶的宽边缘,单向阀门设置在圆柱体的一侧,通过注射器向外抽吸空气后,该阀门能自动关闭,防止空气流通,保持内部负压状态。本装置形状似宽边的圆形遮阳帽。在含黏胶的宽边缘上贴有一层保护纸。The purpose of the utility model is to overcome the deficiencies in the prior art and provide a disposable external hemostatic device, which is composed of a semicircular bottom, a hollow cylinder with openings at both ends, a one-way valve and a wide edge containing glue , the semicircular bottom is a spherical cut surface, the lower end of the cylinder is connected to the opening of the semicircular bottom, the upper opening of the cylinder is connected to a wide edge containing glue, and the one-way valve is set on one side of the cylinder. After the air is sucked from the outside, the valve can be automatically closed to prevent air circulation and maintain the internal negative pressure state. The device is shaped like a round sun hat with a broad brim. There is a protective paper on the wide edge with adhesive.
所述装置材料选用透明的乳胶或硅胶材质。整个装置用环氧乙烷消毒包装。The device material is made of transparent latex or silica gel. The entire unit is packaged sterile with ethylene oxide.
本实用新型具有以下优点:(1)选用透明材质可以清楚地看到伤口愈合情况,根据伤口愈合程度决定治疗时间。同时也可以观察到伤口及其周围皮肤变化情况,避免皮肤压疮或坏死的发生。柔软的乳胶材质可以适当的变形来适应人体的碰触,且体积小方便病人自我管理。(2)单向阀门设计可以随时调整装置内的气压状态。抽吸空气,装置内处于负压状态,通过形成局部缺氧状态促进毛细血管的生长,提高伤口局部的含氧量。同时负压对创面边缘形成自然物理牵拉力,这种力量会促进成纤维细胞的分裂繁殖,加速表皮爬行,加快伤口愈合。在抽吸空气时,伤口皮肤向外收拢,伤口闭合,液体也不再渗出。(3)宽边缘附防水的粘性贴膜可以很好地与患者皮肤接触,即便是在关节部位也能很好的粘附,方便医护人员操作。防水设计还可以避免血液、体液外漏的发生。此宽边设计不仅可以确保粘贴的牢固性还可以维持患者皮肤的完整性。(4)用环氧乙烷消毒单独包装,杜绝了因装置的问题引发感染。(5)还可以根据临床常见伤口类型,设计成不同形状及规格的装置。The utility model has the following advantages: (1) The healing condition of the wound can be clearly seen by using transparent materials, and the treatment time is determined according to the degree of wound healing. At the same time, it can also observe the changes of the wound and its surrounding skin, so as to avoid the occurrence of skin pressure sores or necrosis. The soft latex material can be properly deformed to adapt to the touch of the human body, and the small size is convenient for patients to manage themselves. (2) The one-way valve design can adjust the air pressure state in the device at any time. The air is sucked, and the device is in a negative pressure state, which promotes the growth of capillaries by forming a local hypoxia state, and increases the oxygen content of the local wound. At the same time, the negative pressure forms a natural physical pulling force on the edge of the wound, which will promote the division and reproduction of fibroblasts, accelerate the crawling of the epidermis, and accelerate wound healing. When the air is sucked, the skin of the wound is pulled outward, the wound is closed, and the fluid no longer seeps out. (3) The waterproof adhesive film attached to the wide edge can be in good contact with the patient's skin, and can be well adhered even to the joints, which is convenient for medical staff to operate. The waterproof design can also avoid the occurrence of blood and body fluid leakage. This wide edge design not only ensures the firmness of the paste but also maintains the integrity of the patient's skin. (4) Sterilized and individually packaged with ethylene oxide to prevent infection caused by device problems. (5) Devices of different shapes and specifications can also be designed according to common clinical wound types.
美国造口治疗师Fumbull提出要提高患者的生存质量,患者不仅要活着,还要活得愉快和有尊严。本装置就是在这一理念指导下,将伤口护理升级为患者品质生活护理。本实用新型设计合理,具有体积小巧,成本低廉,完全不影响病人穿着衣服和盖被子、更加人性化的优点,不仅节省了卫生资源,还提高了患者的生存质量,且材料便宜,效果明显,降低了住院成本,提高了患者满意度。Fumbull, an American ostomy therapist, proposed to improve the quality of life of patients. Patients should not only live, but also live happily and with dignity. Under the guidance of this concept, this device upgrades wound care to patient quality life care. The utility model has the advantages of reasonable design, small size, low cost, no influence on patients wearing clothes and quilts at all, more humane advantages, not only saves health resources, but also improves the quality of life of patients, and the materials are cheap, and the effect is obvious. Reduced hospital costs and improved patient satisfaction.
附图说明Description of drawings
图1是本实用新型剖视结构示意图。Fig. 1 is a schematic cross-sectional structure diagram of the utility model.
具体实施方式detailed description
本实用新型结合附图和实施例,做进一步的说明。The utility model is further described in conjunction with the accompanying drawings and embodiments.
实施例1Example 1
参见图1,一种一次性外用止血止液装置,由半圆形底部1、两端开口的中空圆柱体2、单向阀门3和含黏胶的宽边缘4组成,半圆形底部1为球形切面,圆柱体2的下端与半圆形底部1的开口连接,圆柱体2的上端开口连接一个含黏胶的宽边缘4,单向阀门3设置在圆柱体1一侧,通过注射器向外抽吸空气后,该阀门能自动关闭,防止空气流通,保持内部负压状态。本装置形状似宽边的圆形遮阳帽。在含黏胶的宽边缘4上贴有一层保护纸。Referring to Fig. 1, a disposable external hemostasis device is composed of a semicircular bottom 1, a hollow cylinder 2 with two ends open, a one-way valve 3 and a wide edge 4 containing glue, the semicircular bottom 1 is Spherical cut surface, the lower end of the cylinder 2 is connected to the opening of the semicircular bottom 1, the upper opening of the cylinder 2 is connected to a wide edge 4 containing glue, and the one-way valve 3 is set on the side of the cylinder 1, through the syringe to the outside After the air is sucked, the valve can be automatically closed to prevent air circulation and maintain the internal negative pressure state. The device is shaped like a round sun hat with a broad brim. A layer of protective paper is pasted on the wide edge 4 containing glue.
所述装置材料选用透明的乳胶或硅胶材质。整个装置用环氧乙烷消毒包装。The device material is made of transparent latex or silica gel. The entire unit is packaged sterile with ethylene oxide.
实施例2使用方法Embodiment 2 usage method
第一步:消毒患者伤口,待干;Step 1: Disinfect the patient's wound and wait for it to dry;
第二步:将本装置宽边缘4上的黏胶保护纸撕开,装置中心对准患者伤口,缓慢放下,使得宽边缘4与皮肤粘贴,切勿牵拉伤口周围皮肤,使皮肤处于自然松弛状态,保持粘贴边缘平整。Step 2: Tear off the adhesive protective paper on the wide edge 4 of the device, align the center of the device with the patient's wound, and lower it slowly so that the wide edge 4 sticks to the skin. Do not pull the skin around the wound, so that the skin is naturally loose state, keep the pasted edges flat.
第三步:用注射器从单向阀门3外侧抽吸空。Step 3: Use a syringe to suck air from the outside of the one-way valve 3.
使用本实用新型,减轻了患者的经济负担,渗出过多导致频繁更换敷料,增加了治疗和敷料费用,也易并发感染,增加住院时间和费用。如果患者需要频繁换药,按照目前的做法,即费时又费料,既加重患者经济负担,又增加医护人员的劳动强度,创面愈合时间长,胶布粘贴固定会引起皮肤过敏,绷带包扎过紧会影响肢端血液循环及肉芽组织生长,过松容易使敷料、脱落致污染。而使用本装置后,由于选用的材料特性,密闭性保湿敷料有较强的自粘性,对皮肤无刺激无过敏反应,即防水,又允许水蒸气透过,而不允许液态水通过,患者可自由洗浴。The use of the utility model reduces the economic burden of the patient, and excessive exudation leads to frequent dressing changes, which increases the cost of treatment and dressing, is also prone to concurrent infection, and increases hospitalization time and expenses. If the patient needs to change the dressing frequently, according to the current practice, it is time-consuming and expensive, which not only increases the economic burden of the patient, but also increases the labor intensity of the medical staff. It will affect the blood circulation of the extremities and the growth of granulation tissue. If it is too loose, it will easily cause the dressing to fall off and cause pollution. After using this device, due to the characteristics of the selected materials, the airtight moisturizing dressing has strong self-adhesiveness, no irritation and no allergic reaction to the skin, it is waterproof, and allows water vapor to pass through, but does not allow liquid water to pass through. Free bathing.
本实用新型通过形成局部乏氧状态促进毛细血管的生长,提高伤口局部氧含量。同时负压对创面边缘形成自然物理牵拉力,这种力量会促进成纤维细胞的分裂繁殖,加速表皮爬行。此外由于渗液被吸引管及时清除不易造成伤口周围组织的浸渍,减了换药次数,为患者和医护人员都带来便捷。The utility model promotes the growth of capillaries by forming a local anoxic state, and improves the local oxygen content of the wound. At the same time, the negative pressure forms a natural physical pulling force on the edge of the wound, which will promote the division and reproduction of fibroblasts and accelerate the crawling of the epidermis. In addition, because the exudate is removed by the suction tube in time, it is not easy to cause impregnation of the tissues around the wound, which reduces the number of dressing changes and brings convenience to both patients and medical staff.
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CN105411748A (en) * | 2015-12-28 | 2016-03-23 | 浙江大学 | Externally-used disposable bleeding and fluid effusion stopping device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105411748A (en) * | 2015-12-28 | 2016-03-23 | 浙江大学 | Externally-used disposable bleeding and fluid effusion stopping device |
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