CN220967789U - Double-sleeve continuous flushing negative pressure suction tube penetration surrounding seepage collection device - Google Patents
Double-sleeve continuous flushing negative pressure suction tube penetration surrounding seepage collection device Download PDFInfo
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- 238000011010 flushing procedure Methods 0.000 title claims abstract description 29
- 230000035515 penetration Effects 0.000 title 1
- 239000000853 adhesive Substances 0.000 claims abstract description 25
- 230000001070 adhesive effect Effects 0.000 claims abstract description 25
- 239000007788 liquid Substances 0.000 claims abstract description 15
- 229920000742 Cotton Polymers 0.000 claims abstract description 11
- 238000007789 sealing Methods 0.000 claims abstract description 10
- 230000002093 peripheral effect Effects 0.000 claims abstract 3
- 239000004745 nonwoven fabric Substances 0.000 claims description 5
- 239000011229 interlayer Substances 0.000 claims description 4
- 239000010410 layer Substances 0.000 claims description 4
- 230000001681 protective effect Effects 0.000 claims description 4
- 239000012780 transparent material Substances 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims 2
- 239000012945 sealing adhesive Substances 0.000 claims 1
- 238000005259 measurement Methods 0.000 abstract 1
- 210000000416 exudates and transudate Anatomy 0.000 description 28
- 238000000034 method Methods 0.000 description 6
- 238000001804 debridement Methods 0.000 description 4
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- 238000003973 irrigation Methods 0.000 description 4
- 230000001338 necrotic effect Effects 0.000 description 4
- 206010048984 Pancreatic abscess Diseases 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 208000001875 irritant dermatitis Diseases 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 241001631457 Cannula Species 0.000 description 2
- 208000033809 Suppuration Diseases 0.000 description 2
- 206010000269 abscess Diseases 0.000 description 2
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- 102100026388 L-amino-acid oxidase Human genes 0.000 description 1
- 206010033645 Pancreatitis Diseases 0.000 description 1
- 206010033647 Pancreatitis acute Diseases 0.000 description 1
- 101100012902 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) FIG2 gene Proteins 0.000 description 1
- 101100233916 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) KAR5 gene Proteins 0.000 description 1
- 241000973497 Siphonognathus argyrophanes Species 0.000 description 1
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- 201000003229 acute pancreatitis Diseases 0.000 description 1
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Abstract
Description
技术领域Technical Field
本实用新型涉及医疗器械技术领域,具体涉及一种双套管持续冲洗负压吸引管穿刺周围渗液收集装置。The utility model relates to the technical field of medical devices, in particular to a double-tube continuous flushing negative pressure suction tube puncture surrounding exudate collection device.
背景技术Background technique
感染性胰腺坏死(infectiouspancrealicnecrosis,IPN)属于深部软组织脓肿,既往亦称为胰腺脓肿,它是导致重症急性胰腺炎患者“第二个死亡高峰”的主要原因。目前,随着医学证据的陆续发布,微创“step-up”方式已经成为IPN的首选治疗策略。采取双套管持续负压冲洗引流为“step-up”方式的第二阶梯,多采用M10双套管持续负压冲洗引流。5-7d后评估患者一般状况,如一般状况不能改善或出现病情加重的表现, 下一步经双套管冲洗后形成的窦道行内镜下清创术。内镜下清创术治疗结束后,再次经窦道放双套管继续行持续负压冲洗引流,抑或外科干预。Infectious pancrealic necrosis (IPN) is a deep soft tissue abscess, also known as pancreatic abscess in the past. It is the main cause of the "second peak of death" in patients with severe acute pancreatitis. At present, with the continuous release of medical evidence, the minimally invasive "step-up" method has become the preferred treatment strategy for IPN. Double-cannula continuous negative pressure irrigation and drainage is the second step of the "step-up" method, and M10 double-cannula continuous negative pressure irrigation and drainage is often used. After 5-7 days, the patient's general condition is evaluated. If the general condition cannot be improved or the condition worsens, the next step is to perform endoscopic debridement of the sinus formed after double-cannula irrigation. After the endoscopic debridement treatment is completed, double-cannula is placed through the sinus again to continue continuous negative pressure irrigation and drainage, or surgical intervention is performed.
近两年,已实施胰腺脓肿清创外引流术近百例,根据胰腺脓肿清创引流升阶梯治疗原则,在治疗过程中,会采用双套管持续冲洗负压吸引使部分坏死组织液化稀释并清除术后残留或新产生的坏死组织。方法为双套管置入后,为防止管道滑脱,会在穿刺处给予缝线。然而,脓腔内的脓液含有大量消化酶的坏死物,因高腹内压、液化坏死物多等原因,常常会出现脓液腐蚀引流管口皮肤的现象,缝线处的皮肤也无法幸免,周围组织会被腐蚀脱线,同时渗液较多也会使引流管周围刺激性皮炎的发生率显著增加。In the past two years, nearly 100 cases of pancreatic abscess debridement and external drainage have been performed. According to the principle of step-by-step treatment of pancreatic abscess debridement and drainage, during the treatment process, double cannulas are used for continuous flushing and negative pressure suction to liquefy and dilute some necrotic tissue and remove residual or newly generated necrotic tissue after surgery. The method is that after the double cannulas are inserted, sutures are given at the puncture site to prevent the tube from slipping. However, the pus in the abscess cavity contains a large amount of necrotic products of digestive enzymes. Due to high intra-abdominal pressure and a large amount of liquefied necrotic products, pus often corrodes the skin at the drainage tube mouth. The skin at the suture is also not immune, and the surrounding tissue will be corroded and desuckered. At the same time, more exudate will also significantly increase the incidence of irritant dermatitis around the drainage tube.
对于上述现存现象,临床采取措施如下:For the above existing phenomena, the clinical measures are as follows:
(1)需频繁换药换衣服:频繁换药会致护理工作量大大增加,不利于临床工作。且渗液外渗至纱布敷料、衣服、床单时,无法准确记录渗液的量。而渗液较多时需协助反复更换潮湿的床垫、衣裤等,使病人无法安心休息,增加心理负担,不利于疾病恢复。(1) Frequent dressing and clothing changes: Frequent dressing changes will greatly increase the nursing workload, which is not conducive to clinical work. When exudate seeps into gauze dressings, clothes, and bed sheets, the amount of exudate cannot be accurately recorded. When there is a lot of exudate, it is necessary to assist in repeatedly changing wet mattresses, clothes, etc., which makes it impossible for patients to rest at ease, increases psychological burden, and is not conducive to disease recovery.
(2)使用多种护肤品:刺激性皮炎需要多次换药,为防止皮肤腐蚀严重,减少渗液与皮肤的直接接触,多使用皮肤保护剂,这大大增加了患者的经济负担。(2) Use of multiple skin care products: Irritant dermatitis requires multiple dressing changes. In order to prevent severe skin corrosion and reduce direct contact between exudate and skin, more skin protectants are used, which greatly increases the financial burden on patients.
现有的造瘘袋多为泌尿科专用、粪便收集类等,若使用在该处,常需要将造瘘袋开窗,穿出引流管后再用无菌贴膜外贴。这样使用后,患者怕渗漏而不敢移动、翻身,且不能保证每次修剪的完美或不渗漏,贴膜会受渗液影响而失去粘贴意义,因此需要时时刻刻观察有无渗漏,此法在换药的基础上减少了渗液与皮肤直接接触的时间,并不方便。Most of the existing ostomy bags are used for urology and feces collection. If used in this area, it is often necessary to open a window in the ostomy bag, pass the drainage tube through it, and then apply a sterile film on the outside. After using it, the patient is afraid of leakage and dare not move or turn over, and it cannot be guaranteed that the trimming is perfect or leak-free every time. The film will be affected by the exudate and lose its meaning of sticking. Therefore, it is necessary to observe whether there is leakage at all times. This method reduces the time when the exudate is in direct contact with the skin on the basis of changing the dressing, which is not convenient.
现有专利CN 215900689 U,CN 218515955 U均是将引流管末端放在造瘘袋内实现真空。而双套管具有内外两层管道,且质地较硬且长,管道末端需要连接负压吸引装置,在0.02-0.04MPa负压下持续低负压吸引,无法像上述公开专利技术一样,将双套管的末端放在袋内实现真空,也无法用于双套管冲洗时穿刺处周围的渗液收集。Existing patents CN 215900689 U and CN 218515955 U both place the end of the drainage tube in the ostomy bag to achieve vacuum. The double cannula has two layers of inner and outer pipes, and the texture is hard and long. The end of the pipe needs to be connected to a negative pressure suction device, which continuously suctions at a low negative pressure of 0.02-0.04MPa. It is impossible to place the end of the double cannula in the bag to achieve vacuum like the above-mentioned patented technology, and it cannot be used to collect exudate around the puncture site during double cannula flushing.
实用新型内容Utility Model Content
1.所要解决的技术问题:1. Technical problems to be solved:
针对上述技术问题,本实用新型提供一种双套管持续冲洗负压吸引管穿刺周围渗液收集装置。In view of the above technical problems, the utility model provides a double-tube continuous flushing negative pressure suction tube puncture surrounding exudate collection device.
2.技术方案:2. Technical solution:
一种双套管持续冲洗负压吸引管穿刺周围渗液收集装置,包括双套管和袋体,袋体上设有可粘贴在患者穿刺口周围皮肤上的底盘,底盘上设有开口连通袋体内部,袋体的底部设有袋口,经穿刺口引出患者体外的双套管从底盘上的开口、袋口穿出后能够连接负压装置,双套管的外管和袋口通过扎带扎紧,外管和袋口以及袋口和扎带之间均设有粘贴棉,粘贴棉粘贴在外管上或者袋口的外侧面上;袋体上设有排液管,排液管上设有密封盖。A double-tube continuous flushing negative pressure suction tube puncture periphery exudate collection device comprises a double-tube and a bag body, wherein the bag body is provided with a bottom plate which can be adhered to the skin around the patient's puncture port, the bottom plate is provided with an opening which is connected to the inside of the bag body, and the bottom of the bag body is provided with a bag opening, and the double-tube which is led out of the patient's body through the puncture port can be connected to a negative pressure device after passing through the opening on the bottom plate and the bag opening, the outer tube of the double-tube and the bag opening are fastened by a cable tie, and adhesive cotton is provided between the outer tube and the bag opening as well as between the bag opening and the cable tie, and the adhesive cotton is adhered to the outer tube or the outer side surface of the bag opening; the bag body is provided with a drainage pipe, and the drainage pipe is provided with a sealing cover.
进一步地,所述袋口前沿和外管的连接处缠绕有多圈密封胶带。Furthermore, a plurality of circles of sealing tape are wrapped around the connection between the front edge of the bag opening and the outer tube.
进一步地,所述双套管还包括内管,内管和外管尾端封口,内管和外管靠近其尾端的位置均设有均匀孔;内管的前端口用于连接负压装置,内管的尾端从外管前端口插入外管底部,外管的前端口通过密封件密封,密封件上设有通气口和冲洗口,通气口和冲洗口连通内管和外管之间的夹层。Furthermore, the double sleeve also includes an inner tube, the tail ends of the inner tube and the outer tube are sealed, and uniform holes are provided near the tail ends of the inner tube and the outer tube; the front port of the inner tube is used to connect the negative pressure device, the tail end of the inner tube is inserted into the bottom of the outer tube from the front port of the outer tube, and the front port of the outer tube is sealed by a seal, and a vent and a flushing port are provided on the seal, and the vent and the flushing port are connected to the interlayer between the inner tube and the outer tube.
优选地,袋体采用透明材质。Preferably, the bag body is made of transparent material.
进一步地,所述密封件包括设置在内管中部的内螺纹套件,外管的前端口设有外螺纹套件,外螺纹套件和内螺纹套件通过螺纹连接。Furthermore, the sealing member comprises an internal threaded sleeve arranged at the middle part of the inner tube, and an external threaded sleeve is arranged at the front end of the outer tube, and the external threaded sleeve and the internal threaded sleeve are connected by threads.
进一步地,所述底盘的外圈设有一圈无纺布粘边,无纺布粘边上设有一层保护贴膜,底盘上涂覆有粘贴型敷料,粘贴型敷料上设有剥离纸。Furthermore, the outer circle of the chassis is provided with a circle of non-woven adhesive edge, the non-woven adhesive edge is provided with a layer of protective film, the chassis is coated with an adhesive dressing, and the adhesive dressing is provided with a release paper.
进一步地,所述排液管连通袋体内部的集液管,集液管紧贴袋体内侧壁设置,集液管的两端分别设置在袋体的两个内侧壁中段以上高度位置,集液管上均匀的设置有多个小孔。Furthermore, the drainage pipe is connected to the collecting pipe inside the bag body, the collecting pipe is arranged close to the inner wall of the bag body, the two ends of the collecting pipe are respectively arranged at a height above the middle section of the two inner walls of the bag body, and a plurality of small holes are evenly arranged on the collecting pipe.
3.有益效果:3. Beneficial effects:
(1)可有效收集穿刺处周围渗液,便于观察渗液变化情况,且计量准确。(1) It can effectively collect exudate around the puncture site, facilitate observation of exudate changes, and measure accurately.
(2)通过袋体收集渗液,渗液与皮肤无法直接接触,大大减少了局部刺激性皮炎的发生,大大减轻了护理工作量。(2) The exudate is collected by the bag, and the exudate cannot come into direct contact with the skin, which greatly reduces the occurrence of local irritant dermatitis and greatly reduces the workload of nursing.
(3)明显减少医护换药频次,为临床工作节约了很多时间。(3) It significantly reduces the frequency of dressing changes by medical staff, saving a lot of time for clinical work.
(4)患者翻身等不影响局部渗液渗漏等,减少了更换潮湿衣裤的频次,患者感舒适。也减少了多种皮肤保护剂使用的费用,减轻了患者心理、经济负担。(4) Turning over of the patient does not affect local exudate leakage, etc., which reduces the frequency of changing wet clothes and makes the patient feel comfortable. It also reduces the cost of using a variety of skin protectants and alleviates the psychological and economic burden on patients.
(5)通过设置内部集液管收集渗液,不受患者体位影响,无论袋体贴的方向是与人体平行还是垂直,倾倒或者吸取渗液时都可以正常流出,不用反复挤压袋体内渗液至出口,从而减少感染几率。(5) An internal collecting tube is set up to collect exudate, which is not affected by the patient's body position. Regardless of whether the bag is parallel or vertical to the human body, the exudate can flow out normally when it is poured or sucked. There is no need to repeatedly squeeze the exudate in the bag to the outlet, thereby reducing the chance of infection.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本实用新型渗液收集装置的正视图;FIG1 is a front view of the seepage collection device of the utility model;
图2为本实用新型渗液收集装置的后视剖视图;FIG2 is a rear cross-sectional view of the seepage collection device of the present invention;
图3为本实用新型双套管的结构示意图。FIG3 is a schematic diagram of the structure of the double sleeve of the utility model.
具体实施方式Detailed ways
下面结合附图对本实用新型进行具体的说明。The utility model is described in detail below in conjunction with the accompanying drawings.
如附图1至附图3所示,As shown in Figures 1 to 3,
具体实施例:一种双套管持续冲洗负压吸引管穿刺周围渗液收集装置,包括双套管1和袋体2,袋体2上设有可粘贴在患者穿刺口周围皮肤上的底盘3,底盘3的外圈设有一圈透气性好的无纺布粘边4,无纺布粘边4上设有一层保护贴膜,底盘3上涂覆有粘贴型敷料,该敷料可采用水胶,水胶可以吸收少量渗液、加速伤口、皮肤的修复和愈合。粘贴型敷料上设有剥离纸;底盘3上设有开口5连通袋体2内部,袋体2的底部设有袋口6,经穿刺口引出患者体外的双套管1从底盘3上的开口5、袋口6穿出后能够连接负压装置,双套管1的外管1-1和袋口6通过扎带7扎紧,外管1-1和袋口6以及袋口6和扎带7之间均设有粘贴棉8,粘贴棉8粘贴在外管1-1上或者袋口6的外侧面上;粘贴棉8设置在外管1-1和袋口6之间更便于扎带7扎紧,减少渗液泄漏;粘贴棉8设置在袋口6和扎带7之间可以避免剪去扎带7(一般为塑料材质)时伤及袋口6或外管1-1。袋口6前沿和外管1-1的连接处缠绕有多圈密封胶带9,进一步地防止渗液泄漏。Specific embodiment: A double-tube continuous flushing negative pressure suction tube puncture surrounding exudate collection device, including a double tube 1 and a bag body 2, the bag body 2 is provided with a base 3 that can be adhered to the patient's skin around the puncture site, the outer circle of the base 3 is provided with a circle of non-woven fabric adhesive edge 4 with good air permeability, the non-woven fabric adhesive edge 4 is provided with a layer of protective film, the base 3 is coated with an adhesive dressing, the dressing can be made of water gel, the water gel can absorb a small amount of exudate, accelerate the repair and healing of wounds and skin. The adhesive dressing is provided with a release paper; the bottom plate 3 is provided with an opening 5 connected to the inside of the bag body 2, and the bottom of the bag body 2 is provided with a bag opening 6. The double sleeve 1 led out of the patient's body through the puncture port can be connected to the negative pressure device after passing through the opening 5 and the bag opening 6 on the bottom plate 3. The outer tube 1-1 of the double sleeve 1 and the bag opening 6 are fastened by a tie 7. Adhesive cotton 8 is provided between the outer tube 1-1 and the bag opening 6 and between the bag opening 6 and the tie 7. The adhesive cotton 8 is adhered to the outer tube 1-1 or the outer surface of the bag opening 6; the adhesive cotton 8 is arranged between the outer tube 1-1 and the bag opening 6, which makes it easier to fasten the tie 7 and reduce the leakage of exudate; the adhesive cotton 8 is arranged between the bag opening 6 and the tie 7 to avoid damaging the bag opening 6 or the outer tube 1-1 when the tie 7 (generally made of plastic) is cut off. The connection between the front edge of the bag opening 6 and the outer tube 1-1 is wrapped with multiple turns of sealing tape 9 to further prevent leakage of exudate.
袋体2上设有排液管10,排液管10上设有密封盖11,排液管10连通袋体2内部的集液管12,集液管12紧贴袋体2内侧壁设置,集液管12的两端分别设置在袋体2的两个内侧壁中段以上高度位置,集液管12上均匀的设置有多个小孔13。集液管12可以从左、右、下三个方向上收集袋体2内的渗液,以方便渗液从排液管10倒出或者吸出。The bag body 2 is provided with a drain pipe 10, and a sealing cover 11 is provided on the drain pipe 10. The drain pipe 10 is connected to a collecting pipe 12 inside the bag body 2. The collecting pipe 12 is arranged close to the inner wall of the bag body 2, and the two ends of the collecting pipe 12 are respectively arranged at a height position above the middle section of the two inner walls of the bag body 2. A plurality of small holes 13 are evenly arranged on the collecting pipe 12. The collecting pipe 12 can collect the seepage in the bag body 2 from three directions: left, right, and bottom, so as to facilitate the seepage to be poured out or sucked out from the drain pipe 10.
本实用新型采用的双套管1还包括内管1-2,内管1-2和外管1-1尾端封口,内管1-2和外管1-1靠近其尾端的位置均设有均匀孔1-6;内管1-2的前端口用于连接负压装置,内管1-2的尾端从外管1-1前端口插入外管1-1底部,外管1-1的前端口通过密封件1-3密封,密封件1-3上设有通气口1-4和冲洗口1-5,通气口1-4和冲洗口1-5连通内管1-2和外管1-1之间的夹层。冲洗时,在内管1-2的前端口连接负压装置,负压装置从冲洗口1-5吸入冲洗液,冲洗液进入内管1-2和外管1-1之间的夹层并通过外管1-1上的均匀孔进行冲洗,冲洗结束后,停止通入冲洗液,负压装置从通气口1-4吸气并吸取冲洗后形成的液体。The double sleeve 1 adopted in the utility model also includes an inner tube 1-2, the tail ends of the inner tube 1-2 and the outer tube 1-1 are sealed, and the inner tube 1-2 and the outer tube 1-1 are both provided with uniform holes 1-6 near their tail ends; the front port of the inner tube 1-2 is used to connect the negative pressure device, the tail end of the inner tube 1-2 is inserted into the bottom of the outer tube 1-1 from the front port of the outer tube 1-1, and the front port of the outer tube 1-1 is sealed by a seal 1-3, and the seal 1-3 is provided with a vent 1-4 and a flushing port 1-5, and the vent 1-4 and the flushing port 1-5 are connected to the interlayer between the inner tube 1-2 and the outer tube 1-1. When flushing, the negative pressure device is connected to the front port of the inner tube 1-2, and the negative pressure device sucks the flushing liquid from the flushing port 1-5, and the flushing liquid enters the interlayer between the inner tube 1-2 and the outer tube 1-1 and flushes through the uniform holes on the outer tube 1-1. After the flushing is completed, the flushing liquid is stopped, and the negative pressure device sucks air from the vent 1-4 and absorbs the liquid formed after flushing.
具体的,密封件1-3包括设置在内管1-2中部的内螺纹套件1-51,外管1-1的前端口设有外螺纹套件1-52,外螺纹套件1-52和内螺纹套件1-51通过螺纹连接。Specifically, the seal 1-3 includes an internal threaded sleeve 1-51 arranged in the middle of the inner tube 1-2, and the front end of the outer tube 1-1 is provided with an external threaded sleeve 1-52, and the external threaded sleeve 1-52 and the internal threaded sleeve 1-51 are connected by threads.
实际使用时,先将经穿刺口引出患者体外的双套管1的前端口穿过底盘3上的开口5、袋体2和下方的袋口6,再撕掉无纺布粘边4上的保护贴膜和粘贴型敷料上的剥离纸,将其贴在患者的皮肤上固定,在外管1-1和袋口6表面粘上粘贴棉19,用扎带7扎紧外管1-1和袋口6,患者穿刺口处的渗液进入袋体2内收集,收集的渗液可从排液管10倒出或者吸出,由于设置有集液管12通过上面的小孔13从不同角度收集渗液,无论患者保持站姿或者睡姿,都能收集到袋体2内的渗液,受患者体位影响小,便于操作,不用反复挤压袋体内渗液至排液管10,减少感染几率。During actual use, the front end of the double sleeve 1 that is led out of the patient's body through the puncture port is first passed through the opening 5 on the bottom plate 3, the bag body 2 and the bag opening 6 at the bottom, and then the protective film on the non-woven fabric adhesive edge 4 and the release paper on the adhesive dressing are torn off, and the dressing is fixed on the patient's skin, and adhesive cotton 19 is adhered to the surface of the outer tube 1-1 and the bag opening 6, and the outer tube 1-1 and the bag opening 6 are fastened with a cable tie 7. The exudate at the patient's puncture port enters the bag body 2 for collection, and the collected exudate can be poured out or sucked out from the drainage pipe 10. Since a collecting pipe 12 is provided to collect exudate from different angles through the small holes 13 above, the exudate in the bag body 2 can be collected regardless of whether the patient is standing or sleeping, and the patient's body position has little influence on the operation, which is convenient for operation. There is no need to repeatedly squeeze the exudate in the bag body to the drainage pipe 10, thereby reducing the chance of infection.
虽然本实用新型已以较佳实施例公开如上,但它们并不是用来限定本实用新型的,任何熟习此技艺者,在不脱离本实用新型之精神和范围内,自当可作各种变化或润饰,因此本实用新型的保护范围应当以本申请的权利要求保护范围所界定的为准。Although the present invention has been disclosed as above in terms of preferred embodiments, they are not intended to limit the present invention. Anyone skilled in the art can make various changes or modifications without departing from the spirit and scope of the present invention. Therefore, the scope of protection of the present invention shall be based on the scope of protection defined by the claims of this application.
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