CN215194846U - Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall - Google Patents

Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall Download PDF

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Publication number
CN215194846U
CN215194846U CN202120935392.6U CN202120935392U CN215194846U CN 215194846 U CN215194846 U CN 215194846U CN 202120935392 U CN202120935392 U CN 202120935392U CN 215194846 U CN215194846 U CN 215194846U
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China
Prior art keywords
locking ring
sleeve
drainage tube
hard sleeve
inner locking
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CN202120935392.6U
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Chinese (zh)
Inventor
李帅
陈彦宇
谭智仁
李熠
曾奕珂
王敏璐
冯籽言
刘睿夕
佘朝民
杨毅
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University of South China
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University of South China
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Abstract

An abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall comprises a drainage tube; the device also comprises a hard sleeve, a flexible sleeve, an inner locking ring and an outer locking ring; one end of the hard sleeve is provided with a buckle, the other end of the hard sleeve is provided with a slideway extending along the axial direction, and a bayonet communicated with the slideway is arranged in the slideway; the flexible sleeve is provided with a plurality of axially extending waist-shaped holes, strip-shaped flaps are formed between the adjacent waist-shaped holes by the flexible sleeve, and the flexible sleeve is movably sleeved on the hard sleeve; the outer circular surface of the inner locking ring is provided with external threads, the inner hole of the inner locking ring is provided with convex teeth which extend towards the radial inner side, and the inner locking ring is movably sleeved on the hard sleeve through the inner hole; one end of the outer locking ring is provided with a radially extending annular flange, and an inner hole of the outer locking ring is provided with an inner thread which is matched with the outer thread of the inner locking ring in a rotating manner. The utility model provides a current peritoneal cavity drainage tube fixed mode fixed insecure, cause the problem of harm easily to wound and outside skin.

Description

Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall
Technical Field
The utility model relates to the technical field of medical supplies, in particular to an abdominal cavity drainage tube fixing component for joint clamping inside and outside a abdominal wall.
Background
The abdominal cavity drainage tube is one of the most commonly used medical supplies in abdominal surgery, and is widely used in general surgery, but in the clinical practice process, the drainage tube is frequently fallen off from the abdominal cavity or enters the abdominal cavity to cause the adverse events of infection, which is usually related to the weak fixation of the drainage tube in the abdominal cavity of a patient.
According to literature investigation, the fatality rate of patients needing to be subjected to intubation replacement after accidental intubation is up to 25%, and the secondary infection rate of intubation replacement is obviously higher than that of patients subjected to planned intubation.
The conventional fixing method of the clinical abdominal cavity drainage tube at present is to sew the drainage tube on the skin of a patient by using a suture, and has the following defects:
1. the patient's postoperative activity often causes the traction displacement of the drainage tube, suture fracture, slippage, the above-mentioned condition of fixing not firmly is unfavorable for the patient's postoperative early stage to get out of bed activity, thus make the peristaltic function of gastrointestinal tract of the patient resume the speed to slow down, and increase the risk of infection, even lead to the abdominal cavity to accumulate pus or abscess to form;
2. the traction of the suture line easily causes pain at the intubation part of a patient, the patient easily becomes fussy and irritable under the driving of the pain, and the overstimulation of the autonomous tube drawing action is adopted, so that the tube needs to be replaced, and the infection is easily caused.
The external fixing mode of the Simle button or the 3M adhesive tape is adopted on the market, the defects existing in the mode of fixing the drainage tube by a suture can be overcome to a certain degree, but the fixing mode can cause certain damage to the wound and the external skin, the abdominal cavity drainage tube cannot be completely and effectively prevented from slipping, and a serious patient can cause infection, so that the external fixing mode is not used in a large range in the current market.
Disclosure of Invention
The utility model aims at overcoming the defects of the prior art, providing a abdominal cavity drainage tube fixing component with joint clamping inside and outside the abdominal wall, solving the problems that the fixing mode of the prior abdominal cavity drainage tube is not firm and the damage is easily caused to the wound and the external skin.
The technical scheme of the utility model is that: an abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall comprises a drainage tube; the device also comprises a hard sleeve, a flexible sleeve, an inner locking ring and an outer locking ring;
one end of the hard sleeve is provided with a buckle, the other end of the hard sleeve is provided with a slide way extending along the axial direction, a bayonet communicated with the slide way is arranged in the slide way, the outer wall of the hard sleeve close to one end of the buckle is provided with a positioning step, the hard sleeve is sleeved on the drainage tube and is switched between a locking state and an unlocking state by operating the buckle, when the hard sleeve is in the locking state, the hard sleeve hoops the drainage tube by the buckle, and when the hard sleeve is in the unlocking state, the hard sleeve and the drainage tube can slide relatively;
the flexible sleeve is provided with a plurality of axially extending waist-shaped holes, a strip-shaped flap is formed between the adjacent waist-shaped holes of the flexible sleeve, the flexible sleeve is movably sleeved on the hard sleeve, the two ends of the flexible sleeve are respectively a first end and a second end, and the end part of the first end is abutted against the positioning step of the hard sleeve;
the inner locking ring is in a sleeve shape with openings at two ends, the outer circular surface of the inner locking ring is provided with external threads, the inner hole of the inner locking ring is internally provided with convex teeth which extend to the radial inner side, the inner locking ring is movably sleeved on the hard sleeve through the inner hole, the end part of the inner locking ring is abutted against the end part of the second end of the flexible sleeve, and the convex teeth of the inner locking ring extend into a slideway or a bayonet of the hard sleeve; when the convex teeth of the inner locking ring extend into the slide way of the hard sleeve, the circumferential rotation of the inner locking ring is limited, and when the convex teeth of the inner locking ring extend into the bayonet of the hard sleeve, the axial movement of the inner locking ring is limited;
the outer locking ring is in a sleeve shape with openings at two ends, one end of the outer locking ring is provided with an annular flange which extends out in the radial direction, an inner thread which is matched with the outer thread of the inner locking ring in a rotating mode is arranged in an inner hole of the outer locking ring, the outer locking ring is connected to the outer thread of the inner locking ring through the inner thread in a threaded mode, and one end, provided with the annular flange, of the outer locking ring is relatively close to the first end of the flexible sleeve.
The utility model discloses further technical scheme is: a plurality of convex teeth are arranged in the inner hole of the inner locking ring, and all the convex teeth are arranged at intervals along the axial direction of the inner locking ring; correspondingly, the quantity of the bayonets on the hard sleeve is consistent with that of the convex teeth, and each bayonet corresponds to one convex tooth.
The utility model discloses still further technical scheme is: the number of the waist-shaped holes of the flexible sleeve is four, and correspondingly, the number of the strip-shaped petals is four.
The utility model discloses a further technical scheme is: all positions on the hard sleeve and the buckle are not provided with sharp edges.
Compared with the prior art, the utility model have following advantage:
1. the fixing effect is good, the abdominal wall can be clamped between the strip-shaped flap arched by the flexible sleeve and the annular flange of the outer locking ring, the risk that the drainage tube is separated from the patient in the moving process of turning over and the like is greatly reduced, and the damage and the burden of the patient caused by re-intubation are avoided.
2. The wound is fixed without wound, the suture of the drainage tube is not needed to be sewed on the abdominal wall, the wound of the suture of the needle and the thread around the incision is avoided, the recovery and the healing of the postoperative wound of a patient are facilitated, and meanwhile, the postoperative scar is also reduced.
3. The security is high, when preventing that the drainage tube from outwards slipping out, still can prevent that the drainage tube from deepening the abdominal cavity inside under the exogenic action, avoids taking place dangerous condition such as abdominal cavity internal organs contused wound, twist reverse, obstruction, in addition, the flexible sleeve that is located the patient internal does not have sharp-pointed edges and corners, can not contuse abdominal internal organs.
4. The use is simple and convenient, it improves on the basis of current peritoneal cavity drainage tube and gets, and the operation of putting and pulling out the drainage tube is comparatively simple, and the clinician only need try several times just can master.
5. The drainage tube has good commercial application prospect, adopts the model sleeved outside the common drainage tube, has easily obtained materials and easily controlled cost, can be manufactured in a matched mode according to the corresponding model of the drainage tube, does not need to carry out high-cost transformation on the original drainage tube, and can realize mass production in the prior art.
The invention is further described below with reference to the figures and examples.
Drawings
FIG. 1 is a schematic structural view of the present invention in a tube drawing state;
FIG. 2 is a schematic structural view of the present invention in a tube-placing state;
FIG. 3 is a schematic structural diagram of a hard sleeve;
fig. 4 is a schematic structural view of an inner locking ring.
Illustration of the drawings: a drainage tube 1; a liquid inlet end 11; a liquid discharge end 12; a hard sleeve 2; a buckle 21; a chute 22; a bayonet 23; a positioning step 24; a flexible sleeve 3; a waist-shaped hole 31; a strip-shaped flap 32; a first end 33; a second end 34; an inner locking ring 4; an external thread 41; the convex teeth 42; an outer locking ring 5; an annular flash 51.
Detailed Description
Example 1:
as shown in figures 1-4, the abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall comprises a drainage tube 1, a hard sleeve 2, a flexible sleeve 3, an inner locking ring 4 and an outer locking ring 5.
The drainage tube 1 is a silica gel drainage tube commonly used in clinical medical treatment, and one end of the drainage tube is a liquid inlet end 11, and the other end of the drainage tube is a liquid discharge end 12.
One end of the hard sleeve 2 is provided with a buckle 21, the other end of the hard sleeve is provided with a slide way 22 extending along the axial direction, a bayonet 23 communicated with the slide way 22 is arranged in the slide way 22, the outer wall of one end, close to the buckle 21, of the hard sleeve 2 is provided with a positioning step 24, the hard sleeve 2 is sleeved on the drainage tube 1 and is switched between a locking state and an unlocking state through operating the buckle, when the hard sleeve 2 is in the locking state, the drainage tube 1 is hooped through the buckle 21, and when the hard sleeve 2 is in the unlocking state, the hard sleeve 2 and the drainage tube 1 can slide relatively.
The flexible sleeve 3 is provided with a plurality of axially extending waist-shaped holes 31, the flexible sleeve 3 forms strip-shaped flaps 32 between the adjacent waist-shaped holes 31, the flexible sleeve 3 is movably sleeved on the hard sleeve 2, the two ends of the flexible sleeve are respectively a first end 33 and a second end 34, and the end part of the first end 33 is abutted to the positioning step 24 of the hard sleeve 2.
The inner locking ring 4 is in a sleeve shape with two open ends, the outer circular surface of the inner locking ring is provided with external threads 41, the inner hole of the inner locking ring is provided with convex teeth 42 extending towards the radial inner side, the inner locking ring 4 is movably sleeved on the hard sleeve 2 through the inner hole, the end part of the inner locking ring is abutted against the end part of the second end 34 of the flexible sleeve 3, and the convex teeth 42 of the inner locking ring extend into the slideway 22 of the hard sleeve 2 or the bayonet 23. When the convex teeth 42 of the inner locking ring 4 extend into the slide ways 22 of the hard sleeve 2, the circumferential rotation of the inner locking ring 4 is limited, and at the moment, the inner locking ring 4 can only move along the axial direction of the hard sleeve 2 and cannot rotate circumferentially. When the teeth 42 of the inner locking ring 4 extend into the bayonet 23 of the hard sleeve 2, the axial movement of the inner locking ring 2 is limited.
The outer locking ring 5 is in a sleeve shape with two open ends, one end of the outer locking ring is provided with an annular flange 51 which extends out in the radial direction, an inner hole of the outer locking ring is provided with an inner thread 52 which is matched with the outer thread 41 of the inner locking ring 4 in a rotating mode, the outer locking ring 5 is connected to the outer thread 41 of the inner locking ring 4 through the inner thread 52 in a threaded mode, and one end of the outer locking ring provided with the annular flange 51 is relatively close to the first end 33 of the flexible sleeve 3.
Preferably, two convex teeth 42 are provided in the inner hole of the inner locking ring 4, and the two convex teeth 42 are arranged at intervals along the axial direction of the inner locking ring 4. Correspondingly, the hard sleeve 2 is provided with two bayonets 23, and each bayonet 23 corresponds to one convex tooth 42. I.e. the teeth 42 in the inner locking ring 4 will simultaneously enter or exit the corresponding bayonet 23.
Preferably, the kidney apertures 31 of the flexible sleeve 3 are four in number and correspondingly the strip-shaped petals 32 are four in number.
Brief description use the utility model discloses put method of pipe:
1. the hard sleeve 2 is sleeved on the drainage tube 1, one end provided with the buckle 21 is relatively close to the liquid inlet end of the drainage tube 1, and then the buckle 21 is locked, so that the hard sleeve 2 hoops the drainage tube 1 through the buckle 21.
2. The flexible sleeve 3 is sleeved on the hard sleeve 2, and the end part of the first end 33 of the flexible sleeve 3 is ensured to be abutted against the positioning step 24 of the hard sleeve 2.
3. And guiding the drainage tube 1 to be delivered into the abdominal cavity along the incision of the abdominal wall by using toothless forceps, and stopping the inward delivery of the drainage tube 1 when the other end of the flexible sleeve 3 is only exposed out of the abdominal wall by 2-4 cm.
4. The inner locking ring 4 is sleeved on the hard sleeve 2, the end part of the inner locking ring is enabled to be abutted against the end part of the second end 34 of the flexible sleeve 3, the outer locking ring 5 is connected to the inner locking ring 4 in a threaded mode, and the end, provided with the annular flange 51, of the outer locking ring 5 is enabled to be relatively close to the first end 33 of the flexible sleeve 3.
5. An operator holds the drainage end of the drainage tube 1 with one hand and slightly pulls the drainage tube towards the outside of the abdominal cavity, holds the outer locking ring 5 with the other hand and pushes the drainage tube towards the inside of the abdominal cavity, when the convex teeth 42 of the inner locking ring 4 are pushed to a position between the slide way 22 and the bayonet 23, the inner locking ring 4 is rotated in the circumferential direction, the convex teeth 42 of the inner locking ring 4 extend into the bayonet 23, and the axial movement of the inner locking ring 2 is limited.
In this step, the outer locking ring 5 moves to drive the inner locking ring 4 to move synchronously, the inner locking ring 4 pushes the flexible sleeve 3, so that the distance between the two ends of the flexible sleeve 3 is shortened, and further all the strip-shaped petals 32 on the flexible sleeve 3 gradually arch out from the middle part to the radial outer side of the drainage tube 1 and abut against the abdominal inner wall, so that the abdominal wall is positioned between the strip-shaped petals 32 arched out from the flexible sleeve 3 and the annular flash 51 of the outer locking ring 5.
6. The outer locking ring 5 is screwed so that the annular fins 51 of the outer locking ring 5 abut against the outer wall of the abdomen, i.e. the abdominal wall is clamped between the arched strip flaps 32 of the flexible sleeve 3 and the annular fins 51 of the outer locking ring 5.
Brief description use the utility model discloses method of tube drawing:
1. the outer locking ring 5 is unscrewed from the inner locking ring 4, the inner locking ring 4 is rotated in the circumferential direction, the convex teeth 42 of the inner locking ring 4 are withdrawn into the slide ways 22 of the hard sleeve 2, then the inner locking ring 4 is moved along the slide ways 22 of the hard sleeve 2 by holding with hands, and the inner locking ring 4 is detached from the hard sleeve 2.
2. Disinfecting the skin around the incision of the abdominal wall and a small segment of drainage tube 1 exposed outside the abdominal wall.
3. The operator holds the liquid discharge end of the flexible sleeve 3 with one hand and slightly pushes the drainage tube 1 towards the abdominal cavity with the other hand to extend the distance between the two ends of the flexible sleeve 3, so that all the arched strip-shaped flaps 22 on the flexible sleeve 3 gradually retract and are attached to the outer wall of the hard sleeve 2.
4. Carefully and lightly pulling the drainage tube 1 to the outside of the abdominal wall to expose the second end 34 of the flexible sleeve 3 from the abdominal wall incision, then pinching the second end 34 of the flexible sleeve 3, and pulling the drainage tube 1, the flexible sleeve 3 and the hard sleeve 2 out of the abdominal wall incision together to finish tube drawing.

Claims (4)

1. An abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall comprises a drainage tube; the method is characterized in that: the device also comprises a hard sleeve, a flexible sleeve, an inner locking ring and an outer locking ring;
one end of the hard sleeve is provided with a buckle, the other end of the hard sleeve is provided with a slide way extending along the axial direction, a bayonet communicated with the slide way is arranged in the slide way, the outer wall of the hard sleeve close to one end of the buckle is provided with a positioning step, the hard sleeve is sleeved on the drainage tube and is switched between a locking state and an unlocking state by operating the buckle, when the hard sleeve is in the locking state, the hard sleeve hoops the drainage tube by the buckle, and when the hard sleeve is in the unlocking state, the hard sleeve and the drainage tube can slide relatively;
the flexible sleeve is provided with a plurality of axially extending waist-shaped holes, a strip-shaped flap is formed between the adjacent waist-shaped holes of the flexible sleeve, the flexible sleeve is movably sleeved on the hard sleeve, the two ends of the flexible sleeve are respectively a first end and a second end, and the end part of the first end is abutted against the positioning step of the hard sleeve;
the inner locking ring is in a sleeve shape with openings at two ends, the outer circular surface of the inner locking ring is provided with external threads, the inner hole of the inner locking ring is internally provided with convex teeth which extend to the radial inner side, the inner locking ring is movably sleeved on the hard sleeve through the inner hole, the end part of the inner locking ring is abutted against the end part of the second end of the flexible sleeve, and the convex teeth of the inner locking ring extend into a slideway or a bayonet of the hard sleeve; when the convex teeth of the inner locking ring extend into the slide way of the hard sleeve, the circumferential rotation of the inner locking ring is limited, and when the convex teeth of the inner locking ring extend into the bayonet of the hard sleeve, the axial movement of the inner locking ring is limited;
the outer locking ring is in a sleeve shape with openings at two ends, one end of the outer locking ring is provided with an annular flange which extends out in the radial direction, an inner thread which is matched with the outer thread of the inner locking ring in a rotating mode is arranged in an inner hole of the outer locking ring, the outer locking ring is connected to the outer thread of the inner locking ring through the inner thread in a threaded mode, and one end, provided with the annular flange, of the outer locking ring is relatively close to the first end of the flexible sleeve.
2. An abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall as claimed in claim 1, which is characterized in that: a plurality of convex teeth are arranged in the inner hole of the inner locking ring, and all the convex teeth are arranged at intervals along the axial direction of the inner locking ring; correspondingly, the quantity of the bayonets on the hard sleeve is consistent with that of the convex teeth, and each bayonet corresponds to one convex tooth.
3. An abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall as claimed in claim 2, which is characterized in that: the number of the waist-shaped holes of the flexible sleeve is four, and correspondingly, the number of the strip-shaped petals is four.
4. An abdominal cavity drainage tube fixing component jointly clamped inside and outside the abdominal wall as claimed in claim 3, which is characterized in that: all positions on the hard sleeve and the buckle are not provided with sharp edges.
CN202120935392.6U 2021-05-05 2021-05-05 Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall Active CN215194846U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202120935392.6U CN215194846U (en) 2021-05-05 2021-05-05 Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202120935392.6U CN215194846U (en) 2021-05-05 2021-05-05 Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall

Publications (1)

Publication Number Publication Date
CN215194846U true CN215194846U (en) 2021-12-17

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202120935392.6U Active CN215194846U (en) 2021-05-05 2021-05-05 Abdominal cavity drainage tube fixing assembly for joint clamping inside and outside abdominal wall

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Country Link
CN (1) CN215194846U (en)

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