CN217040502U - Prevent special application of internal fistula infection - Google Patents

Prevent special application of internal fistula infection Download PDF

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Publication number
CN217040502U
CN217040502U CN202122750053.3U CN202122750053U CN217040502U CN 217040502 U CN217040502 U CN 217040502U CN 202122750053 U CN202122750053 U CN 202122750053U CN 217040502 U CN217040502 U CN 217040502U
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absorption pad
special application
infection
internal fistula
type
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袁静
陈江华
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Zhejiang University ZJU
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Zhejiang University ZJU
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Abstract

The utility model provides a prevent special application of internal fistula infection comprises from type paper, prevent that to infect drug absorption pad, glue water proof material, glue back lining paste by the one deck in proper order, prevents that to infect drug absorption pad and water proof material size the same, and the viscose back lining is greater than and prevents that to infect drug absorption pad nevertheless is less than from type paper. The anti-infection drug absorption pad is divided into a cotton piece absorption pad or a gel absorption pad, so that the type A special application and the type B special application respectively contain 2% of glucose chlorhexidine, 5% of iodophor and 75% of alcohol, and the type of each application is 3. The utility model relates to a rationally, be disposable aseptic external dressing, can smooth subsides in the ventilative and compliance of skin selection material good after the use, have with skin contact low sensitization, low amazing and the few characteristics of cull to viscosity moderate degree is used comfortablely. Prevent that internal fistula puncture point from being infected, especially in going the internal fistula of buttonhole puncture and maintaining, guarantee the unblocked of this lifeline of hemodialysis patient's vascular route, guarantee hemodialysis patient's treatment.

Description

Prevent special application of internal fistula infection
Technical Field
The utility model belongs to medical dressing relates to a prevent special application of internal fistula infection, is the special application of a disposable hemodialysis patient internal fistula puncture point, is applicable to hemodialysis's vascular access-nursing of internal fistula blood vessel puncture point prevention infection.
Background
Hemodialysis is one of the major renal treatments for patients with renal failure. When a patient is dialyzed, a doctor firstly establishes a vascular access of the patient, then connects a pre-filled dialyzer and a vascular tube with the vascular access of the patient, and establishes extracorporeal circulation to start dialysis treatment. The blood vessel access comprises a central venous hemodialysis catheter and an arteriovenous internal fistula, and the arteriovenous internal fistula is the most commonly used blood vessel access and is a life line of a hemodialysis patient. Both AVF and AVG infections are reported in domestic and foreign literature to be a major clinical problem, often leading to increased hospitalization and mortality. KDOQI-2019 reports that the incidence rate of AVG infection of hemodialysis patients is as high as 1.6% to 35%, and other studies show that the incidence rate of AVF infection is 11.7%, while the incidence rate of AVF patients undergoing buttonhole puncture infection is 17%. The occurrence of infection is closely related to the maintenance of the puncture point of the internal fistula, and currently, the puncture point is only nursed by using a cotton ball or a common plaster.
The current nursing tool has serious defects in use: the application of 1 division of 3 or woundplasts is used in the nursing of patient's puncture point in hemodialysis process, but some patients of this kind of nursing instrument often take place skin allergy at present, cause internal fistula side skin itch even skin breakage, thereby cause the internal fistula to infect thereby influence the life of vascular access. Patient hemodialysis after and the dialysis interval also have a lot of problems at the house to the nursing of puncture point, and patient oneself does not pay attention to on the one hand, and on the other hand does not have good nursing material to be used for the processing of puncture point to lead to the internal fistula to infect the life that influences the internal fistula and cause the patient to die even.
Disclosure of Invention
The utility model aims at providing a prevent special application of internal fistula infection is one kind and prevents infecting waterproof and not irritating the special application that can not take place to irritate to skin. The utility model discloses a special application is laminated by the viscose back lining of one deck from type paper, prevent infecting the drug absorption pad, water proof material, high gas permeability semi-permeability in proper order and is constituteed. The anti-infection drug absorption pad and the waterproof material have the same size and are positioned in the middle of the release paper, and the diameter of the adhesive backing is larger than that of the anti-infection drug absorption pad and the waterproof material but smaller than that of the release paper.
The special application for preventing internal fistula infection is classified into a class A special application or a class B special application. The A-type special application is a square application, and the anti-infection drug absorption pad is an anti-infection drug cotton piece absorption pad; the B-type special application is a round application, and the infection-preventing medicine absorption pad is an infection-preventing medicine gel absorption pad. Gel used in the B-type special application is carbomer or polysaccharides selected from cross-linked sodium hyaluronate or hydroxypropyl cellulose.
The water-proof material is polyurethane or EVA or TPU skin-friendly material.
The anti-infection drug absorption pad in the special application contains 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol respectively, so that the A-type special application and the B-type special application have 3 types respectively, and can be selected according to the specific conditions of patients in clinic.
The 6 types of the application pastes are respectively and independently placed in an outer packaging bag for sterilization treatment so as to be convenient for clinical selection and use.
The special application of A class is used for protecting the puncture point of the internal fistula after puncture of the arteriovenous internal fistula and during hemodialysis interval, the applied absorption pad part is pasted on the puncture point of the internal fistula, the viscose back lining is larger than the absorption pad part and is flatly pasted on the skin around the puncture point, and the absorption pad is fixed. The absorbent pad of the cotton tablet containing 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol can be selected according to the requirement. The adhesive backing is made of a high-permeability semi-permeable polyurethane film, can effectively prevent water, bacteria and viruses and provide a safe sterile barrier, and the adhesive is an acrylic medical adhesive and has the characteristics of low sensitization, low stimulation and less adhesive residue, and is moderate in viscosity and better in comfort level of patient experience.
The B-type special application is used for protecting an internal fistula puncture point when the arteriovenous internal fistula puncture needle is pulled out after hemodialysis and during hemodialysis, and the applied absorption pad part is attached to the internal fistula puncture point; the adhesive backing is larger than the absorption pad part and is flatly stuck on the skin around the puncture point to fix the absorption pad. The medicinal gel absorption pad can be selected from 2% chlorhexidine gluconate, 5% iodophor, and 75% alcohol according to requirement. The adhesive backing can be made of a highly breathable semi-permeable polyurethane film, can effectively prevent water, bacteria and viruses and provide a safe sterile barrier, is an acrylic medical adhesive, has the characteristics of low sensitization, low stimulation and less residual adhesive, and has moderate viscosity and better patient experience comfort.
Because the individual difference of the skin is large, the utility model selects the anti-infection drugs of 2 percent of glucose chlorhexidine, 5 percent of iodophor and 75 percent of alcohol respectively. The medical personnel can choose according to the skin characteristics of the patient.
Because to patient's internal fistula particular case, the utility model discloses the infection-preventing material of selection also divide into two kinds, one kind is infection-preventing cotton piece absorbing pad (comprises anti-infective medicine and cotton piece), and another kind is infection-preventing gel absorbing pad (comprises anti-infective medicine and gel).
The utility model discloses a disposable aseptic external dressing prevents that patient's internal fistula puncture point from being infected by virus bacterium, and has the effect of softening puncture point crust skin. The blood vessel access of the hemodialysis patient is ensured to be smooth, and then the treatment of the hemodialysis patient is ensured. Especially, the internal fistula maintenance of the row buttonhole puncture can have better advantages. The utility model discloses the special application of infection is prevented to internal fistula of product design uses very simple and convenient safety, greatly reduced the chance that the internal fistula infects moreover. The utility model has the specific characteristics that: (1) can play the prevention effect to the relevant blood stream infection that arteriovenous internal fistula puncture point arouses, reduce the incidence of arteriovenous internal fistula infection to prolong the life of arteriovenous internal fistula, guarantee hemodialysis patient's dialysis treatment. (2) Play the guard action to the internal fistula puncture point, promote hemodialysis patient's nursing quality. (3) Reduce the hospitalization rate and medical cost of patients due to internal fistula infection. (4) Reduce the occurrence of allergic dermatitis of patients, and the application covers the skin around the puncture point to reduce the infection risk of the skin around the puncture point. (5) Providing comfort to the patient: the utility model discloses an aseptic dressing structural design is reasonable, can smooth subsides in the ventilative and compliance of skin selection material good after the use, and skin contact be high ventilative semi-permeable polyurethane film, have low sensitization, low amazing and the few characteristics of cull to viscosity moderate degree is used comfortablely.
Drawings
Fig. 1 is a structural schematic diagram of the special application for class a infection prevention of the present invention.
Fig. 2 is a schematic structural diagram of the type B infection-preventing special application of the present invention.
Detailed Description
Example 1
Referring to fig. 1, the utility model discloses a disposable special application of preventing infecting, for A type special application, for square application, in proper order by the one deck from type paper 1, prevent infecting medicine absorption pad 4, water barrier material 3, the laminating of the viscose back lining 2 of high gas permeability semi-permeability is constituteed, prevent infecting medicine absorption pad 4 and water barrier material 3 size the same and lie in from type paper 1 middle part, the viscose back lining 2 diameter is greater than prevents infecting medicine absorption pad and water barrier material 3 but is less than from type paper 1. The viscose that the laminating was used is the medical viscose of acrylic acid, has low sensitization, low stimulation, the characteristics that the cull is few to viscosity is moderate, and patient experience comfort level is better.
The anti-infection drug absorption pad 4 of the A-type special application is a cotton piece absorption pad containing 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol respectively, so that the A-type special application has 3 types.
Referring to fig. 2, the type B special application is a circular application, and is formed by sequentially attaching a layer of release paper 1, an anti-infection drug gel absorption pad 4, a water-proof material 3 and a viscose back lining 2. The anti-infection drug absorption pad 4 and the waterproof material 3 are the same in size and are positioned in the middle of the release paper 1, and the diameter of the adhesive backing 2 is larger than that of the anti-infection drug absorption pad and the waterproof material 3 but smaller than that of the release paper 1.
The infection-preventing medicine absorption pad 4 of the B-type special application is a gel absorption pad containing 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol respectively, so that the B-type special application has 3 types. Gel used in the B-type special application is carbomer or polysaccharides selected from cross-linked sodium hyaluronate or hydroxypropyl cellulose.
The adhesive backing 2 of the A-type special application or the B-type special application can be a highly breathable semi-permeable polyurethane film, can effectively prevent water, bacteria and viruses, provides a safe sterile barrier, and has moderate viscosity and better patient experience comfort. The adhesive used for bonding is acrylic medical adhesive and has the characteristics of low sensitization, low stimulation and less residual adhesive. The water-proof material 3 is polyurethane or EVA or TPU.
And placing the type A special application plaster and the type B special application plaster in an outer packaging bag for sterilization treatment respectively.
Example 2
Referring to fig. 1, the special application of class a is used for protecting the puncture point of the internal fistula after puncture of the arteriovenous internal fistula and during hemodialysis, and the drug absorption pad can be a cotton piece absorption pad containing 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol according to requirements. Firstly, after hemodialysis arteriovenous internal fistula puncture succeeds or hemodialysis finishes the arteriovenous internal fistula pjncture needle and extracts the back, open according to clinical demand the utility model discloses a kind of external packaging bag that applies ointment or plaster in the A class is applied ointment or plaster, takes out and applies ointment or plaster, and aseptic peeling off is from type paper 1, and it pastes on internal fistula puncture point to absorb 4 parts of pad with the medicine, then surpasss the viscose back lining 2 and subsides on the skin around puncture point in that the pad part is leveled to absorption pad part for it is fixed. Secondly, in hemodialysis interphase, when the patient causes puncture point pollution or buttonhole puncture point's maintenance needs to use this application plaster because of various reasons, at first clean the internal fistula side limbs and wipe up, disinfect with antiseptic solutions such as iodophor or alcohol and wait to dry, then open the utility model discloses a class A applies ointment or plaster's an outer packaging bag takes out the application plaster, and aseptic peeling off is from type paper 1, pastes the medicine absorption pad 4 part that will apply ointment or plaster on the internal fistula puncture point, then levelly and smoothly pastes on the skin around the puncture point with viscose back lining 2 surpassing the absorption pad part, is used for fixing, accomplishes the operation that class A applied ointment or plaster.
Referring to fig. 2, the B-type application is used for protecting the puncture point of the internal arteriovenous fistula when the puncture needle is pulled out after hemodialysis and during hemodialysis, and the medicinal gel absorption pad can be selected from gel absorption pads respectively containing 2% of chlorhexidine gluconate, 5% of iodophor and 75% of alcohol. Put first after hemodialysis internal arteriovenous fistula puncture succeeds or hemodialysis finishes the internal arteriovenous fistula pjncture needle and extracts the back, open the utility model discloses a kind of external packaging bag who applies ointment or plaster in B class is applied ointment or plaster, takes out and applies ointment or plaster, and aseptic peeling off is from type paper 1, and the medicine that will apply ointment or plaster absorbs pad 4 parts and pastes on internal fistula puncture point, then surpasss the absorption pad part with viscose back lining 2 and levels on pasting in puncture point skin on every side for it is fixed. ② in hemodialysis interval, the patient causes puncture point pollution or buttonhole puncture point's maintenance need to use when should applying ointment or plaster because of various reasons, at first clean the internal fistula side limbs and wipe dry, treat futilely with antiseptic disinfection such as iodophor or alcohol disinfection, then open the utility model discloses a class B applies ointment or plaster's an outer packaging bag, takes out and applies ointment or plaster, and aseptic peeling type paper 1 is from type paper, and the medicine that will apply ointment or plaster absorbs 4 parts and pastes on the internal fistula puncture point, then surpasss the back of the viscose lining 2 and subsides on puncture point skin on every side more than the absorption pad part is leveled for fixing. And finishing the operation of B-type application.

Claims (6)

1. The utility model provides a prevent special application of internal fistula infection which characterized in that, in proper order by the one deck from type paper (1), prevent infecting medicine absorption pad (4), glue water barrier material (3), glue backing (2) are pasted and are constituteed, prevent infecting medicine absorption pad (4), water barrier material (3) and glue backing (2), water barrier material (3) are located from type paper (1) middle part, prevent infecting medicine absorption pad (4) and water barrier material (3) size the same, glue backing (2) are greater than prevent infecting medicine absorption pad (4) but are less than from type paper (1).
2. The special application for preventing internal fistula infection according to claim 1, wherein the special application for preventing internal fistula infection is classified into a type A special application and a type B special application, the type A special application is a square application, an anti-infection medicine absorption pad (4) of the square application is an anti-infection medicine cotton piece absorption pad, the type B special application is a round application, and the anti-infection medicine absorption pad (4) of the round application is an anti-infection medicine gel absorption pad.
3. The special application for preventing internal fistula infection as set forth in claim 1, wherein the water-barrier material (3) is selected from polyurethane, EVA or TPU.
4. The special application for preventing internal fistula infection as set forth in claim 1, wherein the adhesive backing (2) is a highly breathable semi-permeable polyurethane film.
5. The special application for preventing internal fistula infection as set forth in claim 1, wherein the adhesive used for adhesion is acrylic medical adhesive.
6. The patch according to claim 1, wherein the gel used in the type B patch is carbomer or polysaccharides selected from cross-linked sodium hyaluronate or hydroxypropyl cellulose.
CN202122750053.3U 2021-11-11 2021-11-11 Prevent special application of internal fistula infection Active CN217040502U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202122750053.3U CN217040502U (en) 2021-11-11 2021-11-11 Prevent special application of internal fistula infection

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202122750053.3U CN217040502U (en) 2021-11-11 2021-11-11 Prevent special application of internal fistula infection

Publications (1)

Publication Number Publication Date
CN217040502U true CN217040502U (en) 2022-07-26

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202122750053.3U Active CN217040502U (en) 2021-11-11 2021-11-11 Prevent special application of internal fistula infection

Country Status (1)

Country Link
CN (1) CN217040502U (en)

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