CN211985498U

CN211985498U - Tape-clamping type pulling device for collecting skin tissue fluid

Info

Publication number: CN211985498U
Application number: CN201921786764.2U
Authority: CN
Inventors: 黄佳; 胡丽华; 姚强; 张鹏
Original assignee: Zhejiang Skin Disease Prevention And Treatment Institute
Current assignee: Zhejiang Skin Disease Prevention And Treatment Institute
Priority date: 2019-10-23
Filing date: 2019-10-23
Publication date: 2020-11-24
Anticipated expiration: 2029-10-23

Abstract

The utility model provides a device is got to pulling of caliper formula skin tissue liquid collection comprises from roller, disposable silica gel cover, time shaped steel, accent handle, fixed silk, rail window, chamber rail, bullet hole, bullet silk, spring, bullet seat, fixed hole, cover, main roll and the skin handle soon. The utility model utilizes the principle of the caliper abutting-ejecting type and the principle design of the roller rolling of the capstan roller, so that the operation force is controllable and adjustable, the pulling effect is obvious by utilizing the friction force between the skin and the roller, especially for infectious disease patients, an operator does not directly contact with the skin of the patient during operation, and the manual operation is realized during tissue scraping, thereby being safe and reliable; effectively solved present bare-handed drawback and not enough of gathering tissue fluid existence, can realize pulling, exerting pressure and fixing corresponding activity skin completely, also filled the blank that relevant field lacks relevant medical instrument simultaneously, gathered for patient's skin tissue fluid and draw and provide auxiliary instrument.

Description

Tape-clamping type pulling device for collecting skin tissue fluid

Technical Field

The utility model belongs to the experimental apparatus relates to an auxiliary instrument of leprosy patient physique inspection, especially relates to a device is got to pulling of caliper formula skin tissue liquid collection, is applicable to the prophase preparation that the tissue liquid of tissues such as human skin gathered, avoids having to create emergence such as operation and infection.

Background

Leprosy patients are the natural host of leprosy bacteria. The leprosy bacillus is widely distributed in the body of a patient and is mainly found in certain cells of the reticuloendothelial system such as skin, mucous membrane, peripheral nerves, lymph nodes, liver and spleen and the like. The leprosy bacillus is mainly discharged out of the body through ulcerated skin and mucous membrane, and other leprosy bacillus exists in milk, tears, semen and vaginal secretion, but the bacterial quantity is very small. The conventional examination means of leprosy patients mainly comprises the regular detection of the content and distribution of leprosy bacillus, and most commonly adopts a tissue fluid scraping and collecting method.

The method mainly comprises the following steps: the materials are mainly taken from skin and mucous membrane, and can be used for lymph node puncture bacteria examination if necessary. Skin fungus checking and material drawing: active skin is selected for treating and disinfecting skin. During examination, the patient was held with a pair of sterilized gloves, and the skin was pinched and lifted with the thumb and index fingers of the left hand to whiten the local skin, then an incision 5 mm long and 3 mm deep was made with the right hand, and the tissue fluid was scraped off with the knife edge, applied to the slide, fixed for acid-fast staining, and examined under the microscope. The incision cotton ball is pressed, and the quantity of the obtained part is determined according to the requirement. The patients with leprosy need to collect specimens regularly, the years are long, and the leprosy pathology damages the skin and nerves of the tissues of the extremities, the hyperplasia of the skin tissues of the body surface is serious, the activity is poor, the body fluid circulation is not good enough, so that great difficulty is increased for the clinical work of medical workers.

The current leprosy patient tissue fluid collection mode has the following defects: (1) skin tissue hyperplasia is serious, and manual pressure application is laborious; (2) the skin activity is poor, and the hand-pulling is difficult; (3) manual pressure is not uniform enough, and bleeding is easy to occur; (4) the operation is fully manual, and the working efficiency is low; (5) pulling, scraping, collecting and the like require that two hands are tightly matched, and the collection success rate is low; (6) the operation is fully manual, and the research and development of related medical appliances are lacked; (7) the operator directly contacts the skin of the patient during operation, so that the infection risk is increased; (8) the safety is not good enough, and the scraper is easy to accidentally injure the operator.

Based on the defects and shortcomings, a new medical instrument for collecting skin tissue fluid of a leprosy patient is urgently needed to be designed.

SUMMERY OF THE UTILITY MODEL

The utility model aims at solving the problem that the skin tissue of leprosy patient was pulled and was got, provide a device is pulled of caliper formula skin tissue liquid collection, by from roller 1, disposable silica gel cover 2, return type steel 3, transfer 4, fixed silk 5, rail window 6, chamber rail 7, bullet hole 8, bullet silk 9, spring 10, bullet seat 11, fixed hole 12, swivel sleeve 13, main roll 14 and roll up skin handle 15 and constitute. The strip-shaped steel clip 3 is hollow to form a cavity rail 7, and the center of the front wall of the cavity rail 7 is partially lost along the longitudinal axis to form a rail window 6; the slave roller 1 is sent out from the rear wall of one end of the cavity rail 7, forms a right angle with the cavity rail 7, is free from the other end of the slave roller 1, the slave roller 1 is sleeved with a disposable silica gel sleeve 2, the rear wall of the other end of the cavity rail 7 is provided with three elastic holes 8, and threads are turned in the elastic holes 8 and meshed with elastic threads 9; the middle part of the upper wall of the cavity rail 7 is provided with a fixed hole 12, and a thread is turned in the hole to be meshed with the fixed wire 5; an elastic seat 11 runs in the cavity rail 7, a rotary sleeve 13 and a regulating handle 4 are arranged at one end of the elastic seat 11, threads are turned in the rotary sleeve 13 and connected with one end of a main roller 14, the other end of the main roller 14 is connected with a skin winding handle 15, a disposable silica gel sleeve is sleeved on the main roller 14, the other end of the elastic seat 11 abuts against a spring 10, the spring 10 runs in the cavity rail 7, and the other end of the spring 10 abuts against an elastic wire 9. The adjusting handle 4 is in an L shape and moves horizontally in the cavity rail 7 to drive the elastic seat 11 to move back and forth.

The spring seat is always in the track cavity, can slide and is controlled by the elastic force of the spring.

When the skin-pulling device is used, the main roller 14 is moved to approach the slave roller 1 to pull the skin, the movement of the main roller 14 is controlled by the bullet seat 11 which is controlled by the elastic force of the spring, the spring is compressed by changing the positions of different bullet holes, the size of the elastic force is changed, the distance between the main roller 14 and the slave roller 1 is adjusted, and the distance between the main roller 14 and the slave roller 1 is adjusted by finely adjusting the distance between the handle 4 and the slave roller 1. The disposable silica gel sleeve 2 on the main roller 14 and the auxiliary roller 1 can protect the skin and help the skin to be pulled, and meanwhile, the disposable silica gel sleeve can be replaced at any time, so that the sanitation is guaranteed.

The utility model discloses mainly adopt slide caliper rule spring extruded principle, be suitable for the pulling of active skin tissue and get pressed fixed etc.. This innovation of this device is the assistance apparatus that leprosy patient's skin tissue liquid gathered and draws. He can completely realize the pulling, pressing and fixing of the corresponding movable skin. The operating force is controllable and adjustable by utilizing the principle of a caliper bullet-resisting type; the design principle of the roller rolling of the capstan roller utilizes the friction force between the skin and the roller to ensure that the pulling effect is obvious; the operator is not in direct contact with the skin of a patient during operation, and the operation is performed manually during tissue scraping, so that the operation is safe and reliable; effectively solves all the defects and shortcomings existing in the prior art of collecting tissue fluid by hands, and fills the gap that related medical instruments are lacked in related fields.

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a rear view of the present invention.

Fig. 3 is a front view of the present invention.

Fig. 4 is a schematic usage diagram.

Detailed Description

The present invention will be further described with reference to the accompanying drawings and examples.

Embodiment 1A fastening device for collecting skin tissue fluid

Referring to fig. 1-3, the device comprises a slave roller 1, a disposable silica gel sleeve 2, a clip steel 3, a regulating handle 4, a fixed wire 5, a rail window 6, a cavity rail 7, an elastic hole 8, an elastic wire 9, a spring 10, an elastic seat 11, a fixed hole 12, a rotary sleeve 13, a master roller 14 and a skin rolling handle 15. The strip-shaped steel clip 3 is hollow to form a cavity rail 7, the center of the front wall of the cavity rail 7 is partially lost along a longitudinal axis to form a rail window 6, the roller 1 is sent out from the rear wall of one end of the cavity rail 7 and forms a right angle with the cavity rail 7, the other end of the roller 1 is free, a disposable silica gel sleeve 2 is sleeved on the roller 1, the disposable silica gel sleeve 2 can be replaced at any time, three elastic holes 8 are formed in the rear wall of the other end of the cavity rail 7, threads are turned in the elastic holes 8 and are meshed with elastic wires 9, and the elastic wires 9 can be meshed with any one of the 3 elastic holes 8 as required to adjust the elasticity of a spring; a fixed hole 12 is formed in the middle of the upper wall of the cavity rail 7, threads are turned in the fixed hole to be meshed with the fixed wire 5, the fixed wire 5 penetrates through the upper wall of the cavity rail 7, and the lower end of the fixed wire 5 is enabled to press the spring seat 11 by rotating the fixed wire 5, so that the spring seat 11 is fixed and cannot move any more; the bullet seat 11 runs in the cavity rail 7, one end of the bullet seat 11 sends out the rotary sleeve 13 and transfers the handle 4, the thread is turned in the rotary sleeve 13 and connected with one end of the main roller 14, another end of the main roller 14 connects the skin-rolling handle 15, drive the free rotation of the main roller 14 through the skin-rolling handle 15, drive the bullet seat 11 to move in the cavity rail 7, the disposable silica gel overcoat is on the main roller 14; the other end of the spring seat 11 is connected with a spring 10, the spring 10 runs in the cavity rail 7, the other end of the spring 10 abuts against the elastic wire 9, the spring is compressed by adjusting the positions of the elastic wires 9 in different elastic holes 8, the elastic force is changed, the trend that the main roller 14 approaches the slave roller 1 is kept, and the distance between the main roller 14 and the slave roller 1 is adjusted; the adjusting handle 4 is in an L shape, moves horizontally in the cavity rail 7, drives the elastic seat 11 to move back and forth, and achieves fine adjustment between the main roller 14 and the auxiliary roller 1.

Example 2 a clip-ruler type pulling device for skin tissue fluid collection uses:

referring to fig. 1-4, the use steps are generally as follows:

1. a preparation stage: the surface of the skin to be tested (taking the upper part of the knee as an example) is sterilized, and referring to fig. 1, the disposable silicone sleeve 2 on the master roll 14 and the slave roll 1 is replaced. The clip steel 3 is held by one hand (right hand), the slave roller 1 and the master roller 14 are separated, the elastic force condition between the two rollers is sensed, if the elastic force is insufficient, the elastic wire 9 is adjusted to be screwed into different elastic holes 8 (the three elastic holes 8 are arranged from the tail end to the middle of the clip steel 3, and the closer to the middle position, the larger the generated elastic force is).

2. Skin pulling stage: the auxiliary roller 1 and the main roller 14 are placed on the skin needing to be pulled, the skin tissue is pulled between the two rollers, the main roller 14 is driven to rotate to slide towards the auxiliary roller 1 through the other hand-rotating skin winding handle 15, the skin is driven to move by the moving main roller 14 due to the friction force between the two rollers, the auxiliary roller 1 keeps still (namely the two rollers are close to each other), and along with the reduction of the space between the two rollers, the skin which is in contact with the two rollers and moves is stacked in the area, and the skin extrudes and protrudes between the two rollers. The front of the spring seat 11 is blocked by the driven roller 1, the back is supported by the spring 10, and the spring seat 11 is always in the cavity rail 7, can slide and is controlled by the elastic force of the spring.

The movement of the main roller 14 is controlled by the elastic seat 11, the elastic seat 11 is controlled by the elastic force of a spring, the spring is compressed by changing the positions of different elastic holes 8, the size of the elastic force is changed, the distance between the main roller 14 and the slave roller 1 is adjusted, and the distance between the main roller 14 and the slave roller 1 is finely adjusted by moving the adjusting handle 4 left and right.

The main roller 14 and the disposable silica gel sleeve 2 on the auxiliary roller 1 play roles in pulling the skin through frictional resistance and protecting the skin from skin necrosis caused by long-time extrusion, and meanwhile, the disposable silica gel sleeve 2 can be replaced at any time, so that sanitation is guaranteed, and cross infection is prevented.

3. A pressed fixing stage: the skin accumulated between the rollers will retract due to the stop of the pressure applied by the rollers, and the fixing wire 5 is needed to fix the pressure applied by the rollers. The fixed wire 5 is rotated to rotate downwards, so that the lower end of the fixed wire 5 compresses the spring seat 11, the friction force between the spring seat 11 and the inner wall of the cavity rail 7 and between the fixed wire 5 is increased along with the increase of the contact force, the spring seat 11 keeps static in the cavity rail 7, and the slave roller 1 and the master roller 14 keep a locking state with unchanged relative displacement. At this time, the skin rolling handle 15 can be rotated, the main roller 14 further presses and accumulates the pressed skin by using the friction force of the disposable silicone sleeve 2, and the pressed skin can whiten the local skin under the control of pressing.

4. A scraping stage: scraping the tissue fluid on the locally pressed and whitened skin with the other hand by holding a scraper, coating the tissue fluid on a slide, and fixing acid-resistant staining and microscopic examination.

5. A loosening stage: referring to fig. 4, after collection, the fixed wire 5 is rotated upwards, the force applied to the bullet seat 11 disappears, the locking state is released, the adjusting handle 4 is pushed towards the spring direction, the slave roller 1 and the master roller 14 are separated, the pulling pressed skin retracts, the skin is successfully loosened, and the force applied to the bullet seat 11 disappears.

Example 3 comparison of Using the device of the present invention with a manual pinching method

Use the utility model discloses the device, with the present manual method of holding between the fingers comparison, the result is seen in table 1.

TABLE 1

	Manual operation	Instrument and method for operating the same
			Pulling method	Lifting device	Wring and press
In a pressurized manner	Surface-shaped pressure	Linear compression
			Difficulty of	In general	Simple and easy
Applicability of the invention	Is not suitable for hyperplastic skin	Is also suitable for hyperplastic skin
			Force control	Spasm easily after long-term exertion	Simple and easy
Safety feature	Easily accidentally injuring the operator	Security
			Infectivity	Large, direct contact with the skin	Small, indirect contact with the skin
Acquisition success rate	Is easy to bleed	Height of
			Degree of labour	Dense and easy to fatigue	Is low in
Stability of	Spasm and instability of fingers due to long-term exertion	Stabilization
			Science of stress	Is more original	Science of

Through the comparison, the existing manual pinching method has the defects that the pressure is laboursome, the manual pressure is not uniform, and bleeding is easy to occur; the operation is fully manual, and the working efficiency is low; pulling, scraping, collecting and the like require that two hands are tightly matched, and the collection success rate is low; the scraper is easy to accidentally injure the operator, the skin tissue proliferation rate is serious, and when the skin activity is worsened, the manual pulling is more difficult. And the utility model discloses the device has solved the manual not enough of getting the existence of holding between the fingers, realizes that safe and reliable's skin is pulled and is got and sample, has effectively solved all drawbacks and not enough that present bare-handed collection tissue liquid exists, has filled the blank that relevant field lacks relevant medical instrument simultaneously.

Claims

1. A tape type pulling device for collecting skin tissue fluid is characterized by comprising a slave roller (1), a disposable silica gel sleeve (2), a clip steel (3), a regulating handle (4), a fixed wire (5), a rail window (6), a cavity rail (7), an elastic hole (8), an elastic wire (9), a spring (10), an elastic seat (11), a fixed hole (12), a rotary sleeve (13), a master roller (14) and a skin winding handle (15), wherein the clip steel (3) is internally hollow to form the cavity rail (7), the center of the front wall of the cavity rail (7) is partially lost along a longitudinal axis to form the rail window (6), the slave roller (1) is sent out from the rear wall of one end of the cavity rail (7) to form a right angle with the cavity rail (7), the other end of the slave roller (1) is free, the disposable silica gel sleeve (2) is sleeved on the slave roller (1), three elastic holes (8) are arranged on the rear wall of the other end of the cavity rail (7), and threads are turned in the elastic holes (8), the spring seat is meshed with an elastic wire (9), a fixed hole (12) is formed in the middle of the upper wall of a cavity rail (7), a thread is turned in the hole and meshed with a fixed wire (5), an elastic seat (11) runs in the cavity rail (7), one end of the elastic seat (11) is provided with a rotary sleeve (13) and a regulating handle (4), the rotary sleeve (13) is internally turned with a thread and connected with one end of a main roller (14), the other end of the main roller (14) is connected with a skin winding handle (15), a disposable silica gel sleeve (2) is sleeved on the main roller (14), the other end of the elastic seat (11) abuts against a spring (10), the spring (10) runs in the cavity rail (7), the other end of the spring (10) abuts against the elastic wire (9), and the regulating handle (4) is L-shaped and moves horizontally in the cavity rail (7) to drive the elastic seat (11) to move back and forth.

2. The tape type pulling device for collecting dermal tissue fluid according to claim 1, wherein the cartridge (11) is stopped by the slave roller (1) in front and supported by the spring (10) in the rear, and the cartridge (11) is always in the cavity rail (7) and controlled by the spring force.