CN213554288U - Single-tube flushing device for treating early infection of lumbar vertebra postoperative incision - Google Patents
Single-tube flushing device for treating early infection of lumbar vertebra postoperative incision Download PDFInfo
- Publication number
- CN213554288U CN213554288U CN202021184740.2U CN202021184740U CN213554288U CN 213554288 U CN213554288 U CN 213554288U CN 202021184740 U CN202021184740 U CN 202021184740U CN 213554288 U CN213554288 U CN 213554288U
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- Prior art keywords
- flushing
- catheter
- tube
- drainage
- tail end
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- Expired - Fee Related
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- 238000011010 flushing procedure Methods 0.000 title claims abstract description 59
- 208000015181 infectious disease Diseases 0.000 title claims abstract description 17
- 230000002980 postoperative effect Effects 0.000 title claims description 8
- 239000007788 liquid Substances 0.000 claims abstract description 20
- 238000004519 manufacturing process Methods 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 2
- 238000005406 washing Methods 0.000 description 13
- 238000001804 debridement Methods 0.000 description 6
- 208000002193 Pain Diseases 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 230000036407 pain Effects 0.000 description 3
- 108010074051 C-Reactive Protein Proteins 0.000 description 2
- 102100032752 C-reactive protein Human genes 0.000 description 2
- 241001484259 Lacuna Species 0.000 description 2
- 206010067268 Post procedural infection Diseases 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 229940088710 antibiotic agent Drugs 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000003743 erythrocyte Anatomy 0.000 description 2
- 210000000265 leukocyte Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 238000004062 sedimentation Methods 0.000 description 2
- 208000000094 Chronic Pain Diseases 0.000 description 1
- CEAZRRDELHUEMR-URQXQFDESA-N Gentamicin Chemical compound O1[C@H](C(C)NC)CC[C@@H](N)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](NC)[C@@](C)(O)CO2)O)[C@H](N)C[C@@H]1N CEAZRRDELHUEMR-URQXQFDESA-N 0.000 description 1
- 229930182566 Gentamicin Natural products 0.000 description 1
- 208000034486 Multi-organ failure Diseases 0.000 description 1
- 208000010718 Multiple Organ Failure Diseases 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000004820 blood count Methods 0.000 description 1
- 230000036760 body temperature Effects 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 229960002518 gentamicin Drugs 0.000 description 1
- 239000003589 local anesthetic agent Substances 0.000 description 1
- 239000004005 microsphere Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 1
- 239000004926 polymethyl methacrylate Substances 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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Abstract
A single-tube flushing device for treating early infection of incision after lumbar vertebra operation comprises a flushing liquid bottle, a flushing catheter, a single-tube flushing main tube, a three-way valve, a drainage catheter, a negative pressure suction ball and a drainage bag; the three-way valve is respectively connected with the top ends of the flushing catheter, the single-tube flushing main pipe and the drainage catheter; the tail end of the flushing catheter is connected with a flushing liquid bottle; the tail end of the drainage catheter is connected with the top end of the negative pressure suction ball; the tail end of the negative pressure suction ball is connected with the drainage bag; the utility model discloses only need the single tube, implement under the single channel and wash and the drainage just can reach fully wash and drainage deep surface of a wound to reach the effect of control infection, do not need double-barrelled binary channels or get into the operating room and debride, and have simple structure, set up reasonable, cost of manufacture low grade advantage.
Description
Technical Field
The utility model relates to a backbone postoperative infects incision and handles field, concretely relates to single tube washing unit who treats early infection of lumbar vertebrae postoperative incision.
Background
Lumbar vertebra postoperative infection is one of the more serious complications of lumbar vertebra operation, and because of the structural particularity of an operation area and deeper parts, dead spaces after decompression exist, and the infection incidence rate is higher. Once the lumbar vertebra is infected after operation, if the lumbar vertebra is not properly treated in time, a series of problems such as chronic pain, internal fixation failure and permanent nerve dysfunction can be caused, and even serious consequences such as sepsis and multiple organ failure can be caused. At present, the treatment of lumbar vertebra postoperative infection mainly comprises the use of broad-spectrum antibiotics and early operation debridement, and the debridement operation method comprises the following steps: 1. continuously sucking and flushing after debridement of the operating room for many times; 2. sealing negative pressure assisted incision closure; 3. local tissue flap coverage; 4. implanting polymethyl methacrylate microspheres containing antibiotics; 5. complete focal clearance of the endoprosthesis. Debridement is an effective means to control infection, but increases the risk of anesthesia, debridement bleeding, surgical pain and hospitalization costs; how to avoid secondary operations and effectively control infection is a great problem for spinal surgeons.
Disclosure of Invention
An object of the utility model is to prior art's defect and not enough, provide a simple structure, reasonable in design, convenient to use's treatment lumbar vertebrae postoperative incision early infection's single tube washing unit, can be better wash and the drainage to infecting the lacuna, showing and reducing going secondary focus and driving the operation probability, safe in utilization, simple, swift, the expense is low, can in time handle lumbar vertebrae postoperative early infection, avoid infecting and further aggravate.
In order to achieve the above object, the utility model adopts the following technical scheme: it comprises a washing liquid bottle, a washing catheter, a single-tube washing main pipe, a three-way valve, a drainage catheter, a negative pressure suction ball and a drainage bag; the three-way valve is respectively connected with the top ends of the flushing catheter, the single-tube flushing main pipe and the drainage catheter; the tail end of the flushing catheter is connected with a flushing liquid bottle; the tail end of the drainage catheter is connected with the top end of the negative pressure suction ball; the tail end of the negative pressure suction ball is connected with the drainage bag;
furthermore, the tail end of the single-tube flushing main pipe is provided with a plurality of side holes;
furthermore, a flow rate regulator is arranged on the flushing catheter.
After the structure is adopted, the utility model discloses beneficial effect does: a treatment lumbar vertebrae postoperative incision early infection's single tube washing unit, only need the single tube, implement under the single channel and wash and the drainage just can reach fully wash and drainage deep surface of a wound to reach the effect of control infection, do not need double-barrelled binary channels or get into the operating room and debride, and have simple structure, set up reasonable, cost of manufacture low grade advantage.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without inventive exercise.
Fig. 1 is a schematic structural diagram of the present invention.
Description of reference numerals:
1. a drainage bag; 2. a negative pressure suction ball; 3. a drainage catheter; 4. a three-way valve; 5. a washing liquid bottle; 6. flushing the catheter; 7. the single tube flushes the main tube.
Detailed Description
The present invention will be further described with reference to the accompanying drawings.
Referring to fig. 1, the technical solution adopted by the present embodiment is: it comprises a washing liquid bottle 5, a washing catheter 6, a single-tube washing main pipe 7, a three-way valve 4, a drainage catheter 3, a negative pressure suction ball 2 and a drainage bag 1; the three-way valve 4 adopts a medical three-way valve with the model number of 409511 CN; the three-way valve 4 is respectively connected with the top ends of the flushing catheter 6, the single-tube flushing main pipe 7 and the drainage catheter 3; the tail end of the flushing catheter 6 is connected with a flushing liquid bottle 5; a flow rate regulator is arranged on the flushing catheter 6; the tail end of the single-tube flushing main pipe 7 is provided with a plurality of side holes; the tail end of the drainage catheter 3 is connected with the top end of the negative pressure suction ball 2; the tail end of the negative pressure suction ball 2 is connected with the drainage bag 1.
The application steps are as follows:
firstly, preparing a debridement suture package and a proper local anesthetic, and performing the following operations in a treatment room: carrying out conventional disinfection and drape at the infected incision exudation part in the early stage after lumbar vertebra operation, slightly opening the incision skin by about 1cm at the incision exudation part or the part with obvious incision swelling and pain by using a straight vascular clamp, taking the exudation in the incision, and carrying out exudate culture and drug sensitivity examination; the person who does not pull out the drainage tube can directly use the drainage tube as a single-tube washing main tube 7;
secondly, a cut built-in tube: the single-tube flushing main pipe 7 is made by subtracting two ends of a 4mm blood transfusion pipe, and the tail end of the single-tube flushing main pipe 7 is provided with a plurality of side holes for facilitating flushing; the tail end of the single-tube flushing main pipe 7 is gently arranged below the deep fascia, and is easy to drain, such as two sides of the spinous process, and then the skin around the drainage tube is sutured in a full layer to avoid water leakage and liquid seepage;
thirdly, connecting the flushing catheter 6 and the drainage catheter 3: after the sterile single-tube flushing main pipe 7 is successfully inserted, the top end of the single-tube flushing main pipe is connected with a medical three-way valve 4 with the model of 409511CN, the other two ports of the three-way valve 4 are respectively connected with a flushing catheter 6 and a drainage catheter 3, and the tail end of the flushing catheter 6 is connected with a flushing liquid bottle 5; the tail end of the drainage catheter 3 is connected with the top end of the negative pressure suction ball 2; the tail end of the negative pressure suction ball 2 is connected with the drainage bag 1;
fourthly, incision flushing: rotating the three-way valve 4, opening the flushing catheter end and the single-tube flushing main pipe end, and closing the drainage catheter end to enable drainage to be in a closed state; the flushing liquid bottle 5 contains normal saline of gentamicin, and approximately 15 ml of flushing liquid is filled into the incision along the flushing catheter 6 sequentially through the three-way valve 4 and the single-tube flushing main pipe 7 at the speed of approximately 40-60 drops/minute; after waiting for 3 minutes, the three-way valve 4 is rotated again, the drainage catheter end and the single-tube flushing main pipe end are opened, and the flushing catheter end is closed, so that flushing is in a closed state; flushing fluid in the incision is guided into the drainage bag 1 through the negative pressure suction ball 2 along the single-tube flushing main pipe 7, the three-way valve 4 and the drainage catheter 3 under negative pressure, and the operation is repeated for 4 times per hour; in the night, in order to ensure the sleep of patients and family members, only the negative pressure drainage state is kept; regularly monitoring the blood routine, erythrocyte sedimentation rate, C-reactive protein and other infection monitoring indexes of the patient;
recording the liquid drained by washing, observing the color and the property of the drainage liquid, taking the drainage liquid at night as a drainage liquid routine, and counting the white blood cells in the drainage liquid; when the infection symptoms of the patient disappear, the hemogram and the body temperature are recovered to be normal, the erythrocyte sedimentation rate and the C-reactive protein are obviously reduced to be normal or close to be normal, the color and the property of the liquid entering and exiting the tube are similar, the conventional white blood cell count of the drainage liquid is obviously reduced, and the washing is stopped.
The single-tube flushing device for treating the early infection of the incision after the lumbar vertebra operation has simple structure and low production cost; through simple operation in a treatment room, a single-tube flushing main pipe is arranged in a natural channel at the exudation part of the incision, and the incision for early lumbar vertebra infection is flushed; after flushing, the affected lacuna can be better flushed and drained, the probability of secondary focus clearing operation is obviously reduced, and the anesthesia risk, bleeding, operation pain and anesthesia operation treatment cost of secondary operation are avoided.
The above description is only for the purpose of illustrating the technical solutions of the present invention and not for the purpose of limiting the same, and other modifications or equivalent replacements made by those of ordinary skill in the art to the technical solutions of the present invention should be covered within the scope of the claims of the present invention as long as they do not depart from the spirit and scope of the technical solutions of the present invention.
Claims (1)
1. A single-tube flushing device for treating early infection of a lumbar vertebra postoperative incision is characterized by comprising a flushing liquid bottle, a flushing catheter, a single-tube flushing main tube, a three-way valve, a drainage catheter, a negative pressure suction ball and a drainage bag; the three-way valve is respectively connected with the top ends of the flushing catheter, the single-tube flushing main pipe and the drainage catheter; the tail end of the single-tube flushing main pipe is provided with a plurality of side holes; the tail end of the flushing catheter is connected with a flushing liquid bottle; the flushing catheter is provided with a flow rate regulator; the tail end of the drainage catheter is connected with the top end of the negative pressure suction ball; the tail end of the negative pressure suction ball is connected with the drainage bag.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202021184740.2U CN213554288U (en) | 2020-06-24 | 2020-06-24 | Single-tube flushing device for treating early infection of lumbar vertebra postoperative incision |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202021184740.2U CN213554288U (en) | 2020-06-24 | 2020-06-24 | Single-tube flushing device for treating early infection of lumbar vertebra postoperative incision |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN213554288U true CN213554288U (en) | 2021-06-29 |
Family
ID=76522244
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202021184740.2U Expired - Fee Related CN213554288U (en) | 2020-06-24 | 2020-06-24 | Single-tube flushing device for treating early infection of lumbar vertebra postoperative incision |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN213554288U (en) |
-
2020
- 2020-06-24 CN CN202021184740.2U patent/CN213554288U/en not_active Expired - Fee Related
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20210629 |