CN210521516U - Medical closed negative pressure invasive operation cabin - Google Patents

Medical closed negative pressure invasive operation cabin Download PDF

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Publication number
CN210521516U
CN210521516U CN202020191816.8U CN202020191816U CN210521516U CN 210521516 U CN210521516 U CN 210521516U CN 202020191816 U CN202020191816 U CN 202020191816U CN 210521516 U CN210521516 U CN 210521516U
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China
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transparent
operation cabin
negative pressure
transparent plate
opening
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CN202020191816.8U
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吴嘉骏
夏伟梁
盖东海
汤文立
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Shanghai Tsinghua International Innovation Center
Shanghai Jiaotong University
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Shanghai Tsinghua International Innovation Center
Shanghai Jiaotong University
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Abstract

The utility model provides a medical closed negative pressure invasive operation cabin, which comprises an airtight flexible film at the lower layer and a foldable cover bin covered on the film in a sealing manner, wherein the cover bin can be formed by five independent plates, transparent adhesive tapes are pasted on the inner side and the outer side in advance, the cover bin is folded during packaging, the size is small, and the cover bin can be rapidly assembled during use to form an operation space; an opening for exposing the surgical wound surface in the transparent sealed operation cabin is formed in the flexible film, and a circle of adhesive tape close to the edge of the opening is arranged on the lower surface of the flexible film; two operation ports with the same height are formed in the left side and the right side of the transparent sealed operation cabin; the transparent sealed operation cabin is provided with an air inlet, an air outlet and a liquid inlet. The utility model discloses can construct a confined operation space rapidly at simple and easy clinical scene, keep apart pollution such as aerosol, respiratory tract secretion and blood effectively, folding design also is convenient for the proruptive rapid transportation of epidemic situation and launching simultaneously.

Description

Medical closed negative pressure invasive operation cabin
Technical Field
The utility model relates to a medical protection apparatus, concretely relates to medical closed negative pressure has an operation cabin of creating.
Background
In high exposure surgical scenes (such as tracheotomy of patients with new coronavirus pneumonia, chest surgery of patients with tuberculosis, etc.), the surgical operation brings about the risk of aerosol exposure or blood pollution. This situation presents a significant challenge to the safety protection of the surgical procedure, and even with adequate safety protection, the operator may have a significant impact on the surgical field of view due to the need to wear goggles or positive pressure face shields. In a primary hospital, under the condition of insufficient biosafety protection conditions, a patient is likely to lose the chance of performing an operation under the protection conditions; medical personnel are at great risk of infection when emergency surgery has to be performed.
Tracheotomy is an emergency measure for clinically treating critical patients with dyspnea, hypoxia and the like, and at the moment of cutting a trachea and inserting the trachea, trachea stimulation is generated to easily cause reflective choking, respiratory secretion, blood and the like are discharged in a jet shape, aerosol containing potential pathogens is generated, and great infection risk is generated for medical care personnel operating at a short distance. At present, clinically, the infection risk of invasive surgeries is dealt with, the main countermeasure is to strengthen the protection of medical staff and the isolation of surgical operation spaces (including patients and medical staff), and the following protective measures are mainly adopted:
1) protecting medical personnel by using an N95 mask, wearing protective clothing, wearing protective glasses and a positive pressure protective mask;
2) aiming at the isolation of the operation space, medical personnel perform operation on the patient in the negative pressure ward;
3) in the process of curing high-contagious patients with New Coronary Pneumonia (NCP), Sass (SARS), open tuberculosis, multiple drug-resistant bacteria and the like, the two measures are needed to be combined, including using a negative pressure ward, an N95 mask, a protective clothing, a protective glasses/positive pressure protective mask and the like to carry out all-round protection on medical care personnel.
Some of the current prior art uses shielding by means of a shielding enclosure, and the following is a list of some typical prior art:
the protective isolation tent disclosed in the publication No. CN 2652372Y adopts a thin film tent cover, in which the whole body of a patient is placed, but the construction and the like are complicated; the respiratory tract droplet spreading protector disclosed in publication No. CN 2621625Y adopts a design similar to a cover umbrella, has similar action with a range hood, and is connected with negative pressure above a patient to suck pollutants away, but the lower part of the respiratory tract droplet spreading protector is still open; the body fluid protective cover disclosed in the publication No. CN 209899593U adopts a structure similar to a hexagonal umbrella to protect an operation area (such as hip joint replacement operation) and reduce splash pollution; the design is still an open structure; the closed tracheotomy device disclosed in publication No. CN 2659352Y adopts a small transparent cover limited to the throat of a patient, and the intubation device is vertically inserted from the upper opening, which is not favorable for operation and response of complex conditions; a post-tracheotomy antifouling cover and a similar post-tracheotomy sputum splash-proof protective cover (with the publication number of CN 206587252U) disclosed in the publication number of CN 209696010U adopt a transparent cover, are designed with holes or are provided with a tube for collecting liquid, are used for post-operation antifouling effect and are not suitable for use in an operation.
The protective cover of the patent is not suitable for high-risk operations such as trachea insertion operation of patients with high infectivity, such as novel coronavirus pneumonia, because the protective cover does not have an environment causing local negative pressure. In addition, the existing protective cover is large in size, so that the protective cover is not easy to transport and store in a centralized mode, and is difficult to transport to an epidemic situation area rapidly when encountering large-scale epidemic situations.
SUMMERY OF THE UTILITY MODEL
The utility model discloses an effectual airtight operation space of performing the operation is established to the negative pressure cabin, prevent the splash, antifog design has ensured the clarity in the operation field of vision, through providing an effectual safety protection instrument to the high exposure risk incision, it exposes risk and operation doctor's safety protection requirement to show the infection that has reduced in the operation process, under the limited condition of clinical resources, can furthest for operation doctor provides safety protection, improve the maneuverability of operation, reduce the risk of hospital's sense, be particularly useful for basic unit's hospital and use.
The specific scheme is as follows:
a medical closed negative pressure invasive operation cabin comprises a lower layer of air-tight flexible film and a foldable cover cabin which is covered on the film in a sealing way,
the foldable cover bin comprises a rectangular first hard transparent plate in the middle and a rectangular second hard transparent plate in sealing and rotating connection with at least two opposite sides of the first hard transparent plate, when only two opposite sides of the first hard transparent plate are provided with the second hard transparent plates, two rectangular hard transparent side plates are in sealing and rotating connection with two sides of the flexible film, adhesive tapes are arranged on the side edges of the second hard transparent plate and/or the transparent side plates, the second hard transparent plate on the first hard transparent plate and/or the transparent side plates on the flexible film are upwards or downwards folded, and the side edges are adhered by the adhesive tapes to form a transparent sealed operation cabin reversely buckled on the flexible film;
an opening for exposing the surgical wound surface in the transparent sealed operation cabin is formed in the flexible film, and a circle of adhesive tape close to the edge of the opening is arranged on the lower surface of the flexible film;
two operation ports with the same height are formed in the second hard transparent plates or the transparent side plates on the left side and the right side of the transparent sealed operation cabin;
the side wall of the transparent sealed operation cabin is provided with a plurality of interfaces comprising an air inlet, an air outlet, a liquid inlet and a liquid outlet, the air inlet is connected with the conveying pipeline, the air outlet is connected with the negative pressure device or the killing device, and the liquid outlet is arranged at the bottom of the transparent sealed operation cabin.
Furthermore, the first hard transparent plate, the second hard transparent plate and the transparent side plate are made of acrylic materials.
Furthermore, an arch-shaped notch which is attached to the outline of the neck is formed in the lower side edge of the second hard transparent plate on the front side of the transparent sealed operation cabin, a flexible sealing element which extends to the outer side of the operation cabin and is attached to the outline of the neck is arranged on the outer side of the arch-shaped notch, and an adhesive rubber strip is arranged on the edge of the sealing element;
the flexible sealing element is soft rubber or silica gel.
Further, the height of the transparent sealed operation cabin is at least 45 cm.
Furthermore, a glove and a sleeve are arranged at the operation opening on the inner side of the second hard transparent plate, one end of the sleeve is connected with the glove, and the other end of the sleeve is connected with the second hard transparent plate at the edge of the operation opening in a sealing manner.
Furthermore, the opening is a V-shaped or U-shaped opening, and the opening width of the front end of the opening is equivalent to the width of the arch notch.
Further, the flexible film is a rubber pad.
Furthermore, a self-adhesive soft film for sealing and fixing the inlet and outlet pipelines is arranged at the interface of the outer side wall of the transparent sealed operation cabin.
The utility model discloses an operation cabin is created to closed negative pressure adopts collapsible design, can assemble rapidly during the use, forms operation space, and the proruption rapid transportation of epidemic situation of being convenient for is with launching. The utility model discloses a method such as plastic film layer of lower floor's sealed design constructs a relative inclosed space between patient and medical staff, collects through the negative pressure to the pollution source that produces among the operation process such as aerosol, respiratory tract secretion and blood pollution, reduces the infection risk to medical staff, in addition, the utility model discloses combined negative pressure, air inlet, wash, functions such as waste liquid collection, though the structure is simple but multiple functional.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the embodiments or the prior art descriptions will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive labor.
Fig. 1 is an assembled complete diagram of a medical closed negative pressure invasive operating cabin provided by the utility model;
FIG. 2 is an expanded view of the lid compartment of the operator compartment in one embodiment;
FIGS. 3-4 are exploded views of two portions of an alternative embodiment operator station;
FIG. 5 is a schematic view of the transparent side panel of the film folded upward;
fig. 6-8 are schematic views of the openings of the flexible membrane in three embodiments.
Detailed Description
In the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art, that the present invention may be practiced without one or more of these specific details. In other instances, well-known features have not been described in order to avoid obscuring the present invention.
In order to thoroughly understand the present invention, detailed steps and detailed structures will be provided in the following description so as to explain the technical solution of the present invention. The preferred embodiments of the present invention are described in detail below, however, other embodiments of the present invention are possible in addition to these detailed descriptions.
The utility model provides an operation cabin is created to medical closed negative pressure, as shown in figure 1, medical closed negative pressure has the operation cabin of creating and includes the airtight flexible film 20 of lower floor and the folded cascade lid storehouse 10 of sealed cowling on film 20, folded cascade lid storehouse 10 including the first stereoplasm transparent plate 11 of rectangle in the middle and with the sealed rectangle second stereoplasm transparent plate 12 of being connected of rotating of two at least opposite sides of first stereoplasm transparent plate 11, and then sealed the rotation in the both sides of flexible film 20 when first stereoplasm transparent plate 11 only has wherein two opposite sides to be provided with second stereoplasm transparent plate 12 and be connected with two rectangle stereoplasm transparent curb plates 21. The side edges of the second hard transparent plate 12 and/or the transparent side plate 21 are provided with adhesive tapes, and after the second hard transparent plate 12 on the first hard transparent plate 11 and/or the transparent side plate 21 on the flexible film 20 are turned upwards or downwards and the side edges are adhered by the adhesive tapes, a transparent sealed operation cabin which is reversely buckled on the flexible film 20 is formed. Referring to fig. 2, which shows a schematic view of a foldable lid 10 according to an embodiment of the present invention, a second rigid transparent board 12 is rotatably disposed on 4 sides of a first rigid transparent board 11, and the second rigid transparent board 12 is turned downward to form the lid 10, and then the lid is turned over on a film 20. Referring to fig. 3-4, the foldable cover bin 10 is composed of two parts, fig. 3 is a first part, which is composed of a middle rectangular first hard transparent plate 11 and two second hard transparent plates 12 at the front and rear sides, fig. 4 is a second part, two hard transparent side plates 21 are arranged on the upper surface of the film 20, when the foldable cover bin is installed, the second hard transparent plates 12 at the two sides of the first hard transparent plate 11 are firstly turned downwards and erected on the film 20, and then the two hard transparent side plates 21 on the film 20 are turned upwards and combined with the first part to form a closed negative pressure invasive operating cabin. It should be noted that strong adhesive tapes are reserved at the edges and corresponding positions of the second hard transparent plate 12 and the transparent side plate 21, so as to ensure that the assembled operation cabin is sealed completely. And the bonding edge outside the operation cabin can be sealed by rubberized fabric in a reinforcing mode after the operation cabin is assembled.
An opening 22 for exposing the surgical wound surface in the transparent sealed operation cabin is formed in the flexible film 20, and a circle of adhesive tape (not shown) close to the edge of the opening is arranged on the lower surface of the flexible film 20.
(ii) a Two operation ports 15 with the same height are arranged on the second hard transparent plates 12 on the left side and the right side of the transparent sealed operation cabin or the transparent side plate 21; the side wall of the transparent sealed operation cabin is provided with a plurality of interfaces comprising an air inlet 16, an air outlet 17, a liquid inlet 18 and a liquid outlet 19, the air inlet 16 is connected with a conveying pipeline, the air outlet 17 is connected with a negative pressure device or a killing device, and the liquid outlet 19 is arranged at the bottom of the transparent sealed operation cabin and is connected with a medical waste liquid collecting pipeline. In order to meet the requirements of various operations, besides the air inlet 16, the air outlet 17, the liquid inlet 18 and the liquid outlet 19, a plurality of openable reserved interfaces are further formed on the side wall of the transparent sealed operation cabin, so that more operation pipelines can be connected. The interface is connected with the autohension mantle that two symmetries set up respectively outside except sealing the bolt, can provide extra sealing.
When the operation cabin is used, the flexible film 20 is laid on the surface of a patient, the opening 22 of the flexible film 20 exposes out of an operation wound, then the first hard transparent plate 11 and the second hard transparent plate 12 are covered on the film 20 and sealed, the arch-shaped notch 13 of the second hard transparent plate 12 is clamped on the outer surface of the neck to ensure sealing, a negative-pressure wound operation cabin surrounding the wound is formed, and after corresponding air inlet, air exhaust, liquid inlet and liquid outlet pipelines are connected, a doctor extends the hand into the operation cabin to perform operation. After operation, the negative pressure cabin can be disinfected by alcohol spraying through the air inlet and then exhausted by negative pressure (connected with a disinfection and sterilization device).
The utility model discloses the isolation at neck operation position can be applied to the one hand, and the isolation at abdominal cavity operation position can also be applied to on the other hand. It should be noted that, when the utility model is applied to the neck operation site, the lower side of the second hard transparent plate 12a in front of the transparent sealed operation cabin is required to be provided with the arch notch 13 which is attached to the neck contour, the outer side of the arch notch 13 is provided with the flexible sealing element 14 which is extended to the outer side of the operation cabin and is attached to the neck contour, the edge of the sealing element is provided with the adhesive tape, and the chin and the neck below the oral cavity of the patient can be attached to the neck. In an alternative embodiment, the flexible sealing element 14 is soft rubber or silicone rubber, and can better fit with the contour of the neck of the patient, so that the situation that the gap is too large to facilitate negative pressure formation is avoided, and discomfort to the patient is reduced. When the present invention is applied to the abdominal cavity operation site, the opening 22 of the flexible film 20 can be disposed at an intermediate position, as shown in fig. 8.
In order to ensure cleanness and sanitation, the operation cabin isolation device is independently packaged and sterilized in advance.
In an optional embodiment, the first hard transparent plate 11, the second hard transparent plate 12, and the transparent side plate 21 are made of acrylic material, which is low in cost, convenient to clean, and not easy to break, thereby ensuring the transportation safety. Optionally, the first hard transparent board 11 is connected to the second hard transparent board 12 through a strip-shaped rubber strip, so that the second hard transparent board 12 can be turned over up and down.
In an alternative embodiment, the height of the transparent sealed operator compartment is at least 45 cm to ensure adequate visibility for the surgeon.
In an alternative embodiment, a glove and a sleeve are arranged at the operation opening 15 inside the second rigid transparent plate 12, one end of the sleeve is connected with the glove, and the other end of the sleeve is connected with the second rigid transparent plate 12 at the edge of the operation opening 15 in a sealing way.
In an alternative embodiment, as shown in fig. 6-7, the opening 22 is a V-shaped or U-shaped opening, and the opening width of the front end of the opening 22 is equivalent to the width of the arch notch 13.
In an alternative embodiment, the flexible film 20 is a rubber pad, which has certain strength and flexibility, and the film 20 is airtight and has good sealing performance. The lower layer of flexible film 20 can also be provided with an operation pad and integrally packaged, thereby facilitating the collection of the subsequent operation table.
In an alternative embodiment, a self-adhesive soft film for sealing and fixing the inlet and outlet pipelines is arranged at the interface of the outer side wall of the transparent sealed operation cabin, so that the pipelines connected to the side wall of the sealed operation cabin are prevented from slipping, and additional sealing is provided.
The utility model has the advantages that:
(1) the operation cabin and the film which are prepared by transparent hard materials (such as acrylic plates) are designed in an integrated mode, a closed operation space can be quickly constructed in a simple clinical scene, aerosol, respiratory secretion, blood and other pollution can be effectively isolated, and the operation cabin and the film can be applied to operations under conventional conditions to additionally protect medical staff;
(2) the operation cabin can be folded, has small volume, can be rapidly assembled when in use to form an operation space, and is convenient for rapid transportation and use of epidemic situations;
(3) the operation cabin is provided with an operation opening, so that the operation operations such as trachea insertion and the like are facilitated, and meanwhile, the operation opening is provided with a sleeve, so that better sealing can be ensured;
(4) only few parts are left around the operation area (neck, abdomen or other parts) and need to be pasted and sealed, so that the operation preparation process can be accelerated, the preparation time can be shortened, and the air tightness can be improved;
(5) configuring functions of negative pressure, air inlet, flushing, waste liquid collection and the like;
(6) the device has good flexibility and adjustability, and is suitable for various operation scenes such as trachea insertion and the like;
(7) the whole cost is lower, the device can be applied to the operation under simple conditions, and is particularly suitable for the operation protection of patients with high infectious diseases.
The above description is directed to the preferred embodiment of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that devices and structures not described in detail are understood to be implemented in a manner common in the art; without departing from the scope of the invention, it is intended that the present invention shall not be limited to the above-described embodiments, but that the present invention shall include all the modifications and variations of the embodiments. Therefore, any simple modification, equivalent change and modification made to the above embodiments by the technical entity of the present invention all still fall within the protection scope of the technical solution of the present invention, where the technical entity does not depart from the content of the technical solution of the present invention.

Claims (8)

1. A medical closed negative pressure invasive operation cabin is characterized by comprising a lower layer of air-tight flexible film and a foldable cover cabin which is covered on the film in a sealing way,
the foldable cover bin comprises a rectangular first hard transparent plate in the middle and a rectangular second hard transparent plate in sealing and rotating connection with at least two opposite sides of the first hard transparent plate, when only two opposite sides of the first hard transparent plate are provided with the second hard transparent plates, two rectangular hard transparent side plates are in sealing and rotating connection with two sides of the flexible film, adhesive tapes are arranged on the side edges of the second hard transparent plate and/or the transparent side plates, the second hard transparent plate on the first hard transparent plate and/or the transparent side plates on the flexible film are upwards or downwards folded, and the side edges are adhered by the adhesive tapes to form a transparent sealed operation cabin reversely buckled on the flexible film;
an opening for exposing the surgical wound surface in the transparent sealed operation cabin is formed in the flexible film, and a circle of adhesive tape close to the edge of the opening is arranged on the lower surface of the flexible film;
two operation ports with the same height are formed in the second hard transparent plates or the transparent side plates on the left side and the right side of the transparent sealed operation cabin;
the side wall of the transparent sealed operation cabin is provided with a plurality of interfaces comprising an air inlet, an air outlet, a liquid inlet and a liquid outlet, the air inlet is connected with the conveying pipeline, the air outlet is connected with the negative pressure device or the killing device, and the liquid outlet is arranged at the bottom of the transparent sealed operation cabin.
2. The medical closed negative pressure invasive operation cabin according to claim 1, wherein the first rigid transparent plate, the second rigid transparent plate and the transparent side plate are acrylic transparent plates.
3. The medical closed negative pressure invasive operation cabin according to claim 1, wherein an arched notch which is attached to the outline of the neck is arranged on the lower side edge of the second hard transparent plate on the front side of the transparent sealed operation cabin, a flexible sealing element which extends to the outside of the operation cabin and is attached to the outline of the neck is arranged on the outer side of the arched notch, and an adhesive rubber strip is arranged on the edge of the sealing element;
the flexible sealing element is soft rubber or silica gel.
4. The medical sealed negative pressure invasive procedure chamber of claim 1, wherein said transparent sealed procedure chamber has a height of at least 45 cm.
5. The medical closed negative pressure invasive operating room as claimed in claim 1, wherein a glove and a sleeve are arranged at the operating opening inside the second rigid transparent plate, one end of the sleeve is connected with the glove, and the other end of the sleeve is connected with the second rigid transparent plate at the edge of the operating opening in a sealing manner.
6. The medical closed negative pressure invasive operation cabin according to claim 3, wherein the opening is a V-shaped or U-shaped opening, and the opening width at the front end of the opening is equivalent to the width of the arch-shaped notch.
7. The medical sealed negative pressure invasive procedure chamber of claim 1, wherein the flexible membrane is a rubber pad.
8. The medical closed negative pressure invasive operation cabin as claimed in claim 1, wherein a self-adhesive soft membrane for sealing and fixing an inlet and outlet pipeline is arranged at the interface of the outer side wall of the transparent sealed operation cabin.
CN202020191816.8U 2020-02-21 2020-02-21 Medical closed negative pressure invasive operation cabin Active CN210521516U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202020191816.8U CN210521516U (en) 2020-02-21 2020-02-21 Medical closed negative pressure invasive operation cabin

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202020191816.8U CN210521516U (en) 2020-02-21 2020-02-21 Medical closed negative pressure invasive operation cabin

Publications (1)

Publication Number Publication Date
CN210521516U true CN210521516U (en) 2020-05-15

Family

ID=70609623

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202020191816.8U Active CN210521516U (en) 2020-02-21 2020-02-21 Medical closed negative pressure invasive operation cabin

Country Status (1)

Country Link
CN (1) CN210521516U (en)

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