CN209996696U - Combined body position pad for minimally invasive cardiac surgery of children through chest wall side incision - Google Patents

Abstract

The utility model provides an children chest wall side incision minimal access cardiac surgery combination formula position pad, including chest abdomen lower bolster, belly and back supporting pad, right arm and first ear pad and conventional pad, chest abdomen lower bolster, belly and back supporting pad, right arm and first ear pad and conventional pad be elastomeric structure, chest abdomen lower bolster, belly and back supporting pad be the cylinder, right arm and first ear pad be the spheroid, conventional pad be the cylindroid, cylindroid top is provided with the concave surface, the utility model discloses a children chest wall side incision minimal access cardiac surgery combination formula position pad material soft and flexible, position pad specification size not only satisfies the support of children chest wall side incision minimal access cardiac surgery position and uses to also can provide standard, convenient, efficient operation support for relevant operation, reduce patient's bedsore incidence.

Description

Children's chest wall side incision minimally invasive cardiac surgery combined body position pad

technical field

The utility model relates to an auxiliary appliance for clinical operation, in particular to a surgical position pad, in particular to a combined position pad for minimally invasive cardiac surgery for children's chest wall side incision.

Background technique

The placement of the surgical position is the key to the success of an operation. After the patient is anesthetized, the patient's muscles relax, and the patient loses his or her autonomy. Therefore, the surgical position should not only ensure that the surgical field of view can be fully exposed, so that the operation can be carried out smoothly, but also take care of the patient's normal breathing and circulatory function, avoiding limbs, joints or Complications caused by nerve compression, so the operating room needs to use some auxiliary tools to meet these needs, to provide good, comfortable and stable postural fixation for surgical patients, not only need to maximize the exposure of the surgical field, reduce the operation time, but also need to maximize Disperses the pressure on the patient and reduces the occurrence of pressure ulcers and nerve damage.

At present, there are more and more minimally invasive cardiac surgeries for children with congenital heart disease. There are more than 30,000 such surgeries every year. Different from traditional heart surgeries, the incisions in this type of surgeries are mainly located under the armpit of the right chest wall. Placement has special requirements. At present, we mainly rely on self-made methods such as folding and curling of wrapping cloth, rubber gloves and water balloons as temporary position pads in clinical practice. The folding and curling of the wrapping cloth is a cushion made of a surgical towel. If it is rolled tightly, it will be hard, and if it is not rolled tightly enough, it will not achieve satisfactory supporting force. It is difficult to unify the manual operation methods, so the shape is not uniform, and the strength and hardness are not uniform; Water balloons made from surgical gloves are often too soft and are limited by the size of the gloves.

For pediatric patients, homemade surgical pads of this type have the following problems. First of all, the shape is simple, the shape and size are not uniform, and it is difficult to achieve the precision and effect required by the operation; secondly, due to the smooth and delicate skin of children, the material of this kind of body position pad is uncomfortable, and it cannot effectively relieve the children caused by the long operation time. Third, this kind of position pad is not only time-consuming and labor-intensive to make, but also cannot be reused.

Utility model content

The purpose of this utility model is to provide a child chest wall side incision minimally invasive cardiac surgery combined body position pad, so as to solve the problem that the existing self-made surgical pad cannot fully meet the needs of children's minimally invasive cardiac surgery, is prone to bedsores after prolonged use and cannot be reused The problem.

In order to achieve the above purpose, the present invention provides a combined body position pad for minimally invasive cardiac surgery with side incision in the chest wall for children, including a chest-abdominal lower pad, an abdomen and back support pad, a right arm, head and ear pad, and a conventional pad, which is characterized in that : the described chest and abdomen lower pad, abdomen and back support pads are all cylinders; the described right arm and head and ear pads are spheres; the described conventional pads are elliptical cylinders, and the top of the elliptical cylinder is provided with a concave surface; The thoracic and abdominal lower pads, the abdomen and back support pads, the right arm and head and ear pads and the conventional pads are all elastic body structures.

Preferably, the height of the above-mentioned cylinder is 30-40 cm, and the diameter is 15-22 cm.

Preferably, the diameter of the above-mentioned sphere is 10-20 cm.

Preferably, the ratio of the major and minor axis diameters of the above-mentioned elliptical cylinder is 1.25-1.5:1.

Preferably, the concave surface of the conventional pad is 1-3 cm lower than the top surface of the elliptical cylinder. The setting of the concave surface on the conventional pad can form a sunken cavity on the top of the conventional pad, which can be used to put the patient's ankle, knee, iliac and other parts into the cavity according to different surgical conditions to protect the ankle and knee of the child. , iliac and other parts.

Preferably, the above-mentioned elastomer is a hydrogel. Hydrogel is currently the closest to the touch of human skin, and is the most comfortable in contact with human skin. At the same time, the hydrogel of elastomer has a certain degree of resilience after being pressed, which can be fully matched and supported with the patient's posture.

Compared with the prior art, the utility model has the following advantages and effects.

The utility model is a child chest wall side incision minimally invasive cardiac surgery combined body position pad, which includes a chest and abdomen lower pad, an abdomen and back support pad, a right arm, head and ear pads, and a conventional pad. The back support pad is a cylinder; the right arm and head and ear pads are spheres; the conventional pad is an elliptical cylinder, and the top of the elliptical cylinder is provided with a concave surface; the chest and abdomen lower pad, abdomen and back support pads , Right arm and head ear pads and conventional pads are all elastomer structures. In this way, the elastic body structure is adopted, which is soft and elastic when in contact with the human body, and can provide long-term support and protection for the human body position; at the same time, the shape and specifications of each position pad are designed according to the position of the human body, and the shape and size of the position pad at each position are uniform, which can be Provide standardized, convenient and efficient surgical support for related operations, reduce the incidence of bedsores, and each position pad can be reused.

Description of drawings

FIG. 1 is a schematic diagram of the structure of the lower thoracic and abdominal pad of the combined posture pad for minimally invasive cardiac surgery for children with side incision on the chest wall of the present invention.

FIG. 2 is a schematic structural diagram of the abdomen and back support pads of the combined posture pad for minimally invasive cardiac surgery with side incision on the chest wall for children according to the present invention.

3 is a schematic structural diagram of the right arm and head and ear pads of the combined body position pad for minimally invasive cardiac surgery with side incision on the chest wall for children according to the present invention.

FIG. 4 is a schematic structural diagram of a conventional pad of the present invention of a combined body position pad for minimally invasive cardiac surgery with side incision on the chest wall for children.

FIG. 5 is a schematic cross-sectional structural diagram of a conventional pad of the present invention of a child chest wall side incision minimally invasive cardiac surgery combined body position pad.

FIG. 6 is a cross-sectional view taken along the line A-A in FIG. 5 .

In the picture: 1- chest and abdomen lower pad, 2- abdomen and back support pad, 3- right arm and head ear pad, 4- regular pad, 41- concave surface.

Detailed ways

The present utility model will be described in further detail below in conjunction with the accompanying drawings. Elements and features described in one figure or embodiment of the present invention may be combined with elements and features shown in one or more other figures or embodiments. It should be noted that representations and descriptions of components or processes known to those of ordinary skill in the art that are unrelated to the present invention are omitted from the drawings and description for the purpose of clarity.

See Figures 1-4. A child chest wall side incision minimally invasive cardiac surgery combined body position pad, comprising a chest and abdomen lower pad 1, an abdomen and back support pad 2, a right arm and head and ear pads 3 and a conventional pad 4. The chest and abdomen lower pad 1 , Abdominal and back support pads 2, right arm and head ear pads 3 and conventional pads 4 are all elastomer structures made of hydrogel, because the surface of the hydrogel is soft and smooth, each position pad made with it is easy to disinfect and clean , which can realize the reuse of each body position pad. As shown in FIG. 1 , the thoracic and abdominal lower pad 1 has a cylindrical structure, and the height of the cylinder is 30-40 cm and the diameter is 15-22 cm. The main function of the chest and abdomen pad 1 is to support the side between the chest and abdomen of the body and the operating bed, so that the right surgical incision can be exposed better, and the fissure gap is larger, which is convenient for the doctor's surgical operation. As shown in FIG. 2 , the abdominal and back support pads 2 are also cylindrical structures, with a height of 30-40 cm and a diameter of 15-22 cm. The abdominal and back support pads 2 can be placed on the front and back of the patient's abdomen. The main function is to maintain the stability of the patient's position on both sides, so that the body will not shake during the operation. According to the age and weight of different children, the size of the chest and abdomen pad 1, abdomen and back support pad 2 are set according to three specifications: diameter 15cm, height 30cm, diameter 18cm, height 35cm and diameter 22, height 40cm.

As shown in FIG. 3 , the right arm and head and ear pads 3 of the combined body position pad for minimally invasive cardiac surgery with side incision on the chest wall for children of the present invention are spherical structures with a diameter of 10-20 cm. The main function of the right arm and head and ear pad 3 is to prevent the occurrence of bedsores between the right arm and the head and ear during long-term surgery. During the operation, the size of the right arm and head and ear pads can be selected according to the different distances between the right arm and the head and ears fixed by the patient's head frame. According to the age and weight of different children, the diameters of the right arm and head and ear pads 3 are set according to three specifications of 10cm, 15cm and 20cm.

As shown in Fig. 4-Fig. 6, the conventional pad 4 of the child chest wall side incision minimally invasive cardiac surgery combined body position pad of the present invention is an elliptical cylinder structure, and the long axis of the ellipse is 30-50cm in diameter, and the long axis and the short axis are The diameter ratio is 1.25-1.5:1. The top of the elliptical cylinder is provided with a concave surface 41, and after the concave surface 41 is set downward, the top of the elliptical cylinder forms a concave cavity structure, which is convenient for protecting the ankle, knee, iliac and other parts of the child during surgery. In order to facilitate better matching with the surgeon's ankle, knee, iliac and other parts and make the patient's posture more stable, the middle part of the concave surface is a plane, and the plane is an arc surface that transitions to the top surface of the elliptical cylinder to form a dish. Planar structure, the plane is 2cm away from the top surface of the elliptical cylinder, and the plane is 5cm away from the bottom end surface of the elliptical cylinder.

When the child chest wall side incision minimally invasive cardiac surgery combined body position pad of the utility model is in use, after the child lies on the side steadily, the chest and abdomen lower pad 1 is first placed on the child's chest and abdomen, and the right surgical incision is exposed. Place the abdomen and back support pads 2 in front of the abdomen and on the back to keep the position of the patient on both sides stable, and then place the right arm and head and ear pads 3 to prevent the occurrence of pressure ulcers on the arms and head and ears caused by long-term surgery , and finally use the conventional pad 4 as appropriate according to the situation of the child's ankle, knee, iliac and other parts to make the child's position more stable.

The chest-abdominal lower pad and the abdomen and back support pads of the minimally invasive cardiac surgery combined body position pad for the side incision of the child's chest wall of the utility model are selected according to the weight of the child.

The child weighs 6-10kg. The diameter of the chest and abdomen lower pad 1 and the abdomen and back support pad 2 are both 15cm in diameter and 30cm in height; the diameter of the right arm and head and ear pads 3 is 10cm.

The child weighs 10-15kg. The diameter of the chest and abdomen pad 1 and the abdomen and back support pad 2 are both 18 cm in diameter and 35 cm in height; the diameter of the right arm and head and ear pad 3 is 15 cm.

The patient weighed more than 15 kg. The diameter of the chest and abdomen lower pad 1 and the abdomen and back support pad 2 are both 22 cm and 40 cm in height; the diameter of the right arm and head and ear pad 3 is 20 cm.

Although the present invention and its advantages have been described in detail, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims. Furthermore, the scope of the present application is not limited to the specific embodiments of the processes, devices, means, methods and steps described in the specification. Those of ordinary skill in the art will readily appreciate from the disclosure of the present invention that existing and A process, apparatus, means, method or step to be developed in the future. Accordingly, the appended claims are intended to include within their scope such processes, apparatus, means, methods, or steps.

Claims (6)

1. a child chest wall side incision minimally invasive cardiac surgery combined body position pad, comprises a chest and abdomen lower pad, abdomen and back support pad, right arm and head and ear pads and a conventional pad, it is characterized in that: the described chest and abdomen lower The pad, abdomen and back support pads are all cylinders; the right arm and head and ear pads are spheres; the conventional pads are elliptical cylinders, and the top of the elliptical cylinder is provided with a concave surface; the chest and abdomen lower pads, Abdominal and back support pads, right arm and head ear pads, and regular pads are all elastomeric constructions. 2 . The minimally invasive cardiac surgery combined body position pad for children's chest wall side incision according to claim 1 , wherein the cylinder has a height of 30-40 cm and a diameter of 15-22 cm. 3 . 3. The child chest wall side incision minimally invasive cardiac surgery combined body position pad according to claim 1, wherein the diameter of the sphere is 10-20 cm. 4 . The child chest wall side incision minimally invasive cardiac surgery combined body position pad according to claim 1 , wherein the ratio of the major and minor axis diameters of the elliptical cylinder is 1.25-1.5:1. 5 . 5 . The minimally invasive cardiac surgery combined body position pad for children's chest wall side incision according to claim 4 , wherein the concave surface is 1-3 cm lower than the top surface of the elliptical cylinder. 6 . 6 . The child chest wall side incision minimally invasive cardiac surgery combined body position pad according to claim 1 , wherein the elastic body is a hydrogel body. 7 .

Images