JPS5894856A - 医療用吸引ドレナ−ジ装置 - Google Patents

医療用吸引ドレナ−ジ装置

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Publication number
JPS5894856A
JPS5894856A JP57204441A JP20444182A JPS5894856A JP S5894856 A JPS5894856 A JP S5894856A JP 57204441 A JP57204441 A JP 57204441A JP 20444182 A JP20444182 A JP 20444182A JP S5894856 A JPS5894856 A JP S5894856A
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Japan
Prior art keywords
container
conduit
valve
secretions
clauses
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Application number
JP57204441A
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JPS6244501B2 (ja
Inventor
ロラン・イブ・ジヤツク・ルクレエルク
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Intermedicat GmbH
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Intermedicat GmbH
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Publication of JPS5894856A publication Critical patent/JPS5894856A/ja
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/64Containers with integrated suction means
    • A61M1/68Containers incorporating a flexible member creating suction

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 め 撓性材料製の吸引可能容器を含む医療用吸引ドレナージ
装置に関する。
即ち分泌される体液、例えば傷口からの分泌液の受容器
となりかつ手動操作によって低圧貯蔵器として使用でき
る容器および装置に関する。可撓性袋状容器内の吸収性
または吸着性材料は物理的な毛細管活性または収着活性
によって、その都度もたらされる低圧のもとでおこなわ
れる浸出物ドレナージを補助促進する。
手術後の創傷ドレナージの場合は、傷の治療中に生じる
分泌液を排出させるためにカテーテルを、例えば縫合糸
または創傷諸搾子によって囲まれた手術による創傷の適
切な組織内に挿入し、治療後に抜去するのが普通である
。この場合、その長さ方向の一部1こわたってしばしば
穿孔された可撓性ドレナージカテーテルに低圧を作用さ
せclまず第1に生じる浸出物をできるだけすばやく除
去し、ついで手術創傷の切開面を一緒に押しつけた状態
に保ち、早期の肉芽組織発生( Gewebsgran
ulation)と創傷治癒をおこなうのが好ましいと
されている。しばしばカテーテル壁が穿孔された可撓性
ドレナージ管およびこれに接続されて前排気された低圧
受容器から成るシステムは例えばレドンドレナ′ージシ
ステム( Redondrainagesysteme
 )としCも知られCいる。
これらのドレナージ7ステムは数回使用0または衛生上
および作業経済上の理由から好ましい1回使用に用いら
れるのが修道で、真空源としては例えば01barのよ
うな所定の前真空に排気されたガラスびんを備えている
。生起する真空は多くの場合、真空表示器から定量的に
続み取ることができる。この非定置システムは外来患者
が携帯できるものであるが、ガラス容器の砕は易さ、重
さおよび幾何学的に不都合な形状のために好適ではなく
、特に、高真空下での形状安定性に必要な管壁厚は不体
裁で、比較的硬直した管誘導システムをもたらす。1回
使用のために常法によりプラスチックスから構成される
装置は、少なくとも軽くにわれにくいのでこの点からし
ばしば好都合である。この種の装置は、例えば可撓性で
、アコーディオン風に圧縮でき、弾力によって膨張され
る容器から成り、該容器内には例えば圧縮によっ゛C真
空の内部空間が生じ、またドレナージカテーテルを接続
した後は設置された膨張補助手段によって必要な吸引力
が該容器内に形成される。
真空源を比較的高度な低圧に保持することは創傷の治癒
が早められるので適当であるが、次の点で不利である。
即ち、高真空下においては創傷中のカテーテルの外部隣
接組織が、特に悩や補乳器官の手術において、カテーテ
ルの穿孔内に吸引され、該組織はカテーテルの抜去時に
再び切開され、先の創傷中に新たな外傷をもたらす。浸
出物は容器内では流動性の液体として存在するので、こ
の点にも次のような欠点がある。即ち、操作不注意の場
合には、事情によっては感染された浸出物が再びカテー
テル内へ逆流し、あるいはガラスびんを使用する場合に
は、びんの破損に際して外部へ流出して周囲や看護人を
汚す。
体積膨張下に分泌物を吸収する材料を充填した可撓性材
料製の排気可能な袋状容器から成る既知の装置(米国特
許第3572340号明細書参照)はこれらの欠点を除
去する。この容器の2つの対置した縁部の中央には、分
泌物導入口および空気排出口となる、短い接合管を備え
た開口部が形成される。分泌物導入口は、分泌物の患者
への逆流を防ぐ球形弁を備える。創傷から吸い取られる
分泌物はコロイド含有蛋白質溶液から成っており、該溶
液には球形弁を膠着によって塞ぐという不都合があり、
特に袋状容器は体温のもとで保持されるので分泌物の凝
固はこの温度では容易におこる。
この容器は2つの中心に配置された短い接合管のために
大きなロール長さにわたっC丸めることができないので
、充分排気できずまた分泌物を吸収するための充填材料
の体積膨張能を完全に利用できない。容器はこれに応じ
Cたびたび交換しなければならない。導入口用接合管の
みを設置する墳形 かさなければならないので排気に際して困難が生ずる。
このためには、排気後に導入口用接合管と共に差し込ま
れる離れた部材内にこれを収納する。
この部材は装置を高価にするので一回使用には不適であ
る。球形弁としての弁の形成はさらに装置を高価なもの
にする。
従って、分泌物吸収材料の吸収作用を最大限に利用する
のに必要な真空度を手動で発生させるため素早く簡単に
操作できる、創傷ドレナージ用に適した安価な一回使用
装置を作ることが課題となる。
この課題は本発明によって解決された。フォイル弁とし
て弁を形成させることによって比較的長い巻き距離にわ
たって容器を丸めることができるので、排気が非常に良
好となり、充填材料の吸収作用が最大限に利用される。
さらにこの弁は凝固性の分泌物の導入によっては膠着さ
れない。ながんずく臭を漏らさず、細菌を通さない透明
なプラスチック製フォイルから溶接法によって作られた
袋状容器内に、開口多孔を有し、多量の流体を吸収する
海綿状材料が充填され、該材料は創傷分泌物を吸収でき
、創傷分泌物の存在下では圧縮された容器の固有弾性に
よって吸収作用を発揮して直立し、膨張する。これと同
じ作用をする、流体を吸収して体積を増大させる反応性
素材も適当な材料である。
海綿状構造を有する開口多孔性充填材料としては例えば
適当な回復弾性を有するポリウレタン製発泡材料が挙げ
られ、また反応性の体積増大吸収材料としては例えばス
トックハウゼン社(FirmaStockhausen
 )から[Favor Jの名称で市販されでいる吸収
材料が挙げられる。もちろん両方の材料を組み合せても
よい。殺歯剤を発泡材料に加え、伝染病等の場合の細菌
の生長とそれに伴うガス発生を防いでもよい。
容器を形成する2枚のフォイルの間に溶接されたチュー
ブは容器内部への導管となり、容器が完全に充填された
ときは吸収、性または流体吸収性媒体と共に毛細管作用
に必要な流体輸送手段を形成する。
体積が小さいのでドレナージ導管としては、創傷領域に
設置してドレナージを確実に保持した際に比較的大きな
可撓性を示すショアー硬度の小さなチューブを使用する
のが好ましい。毛細管作用を惹起させるのに必要な流体
カラムは、一時的に作用する低真空を作り出すこと、例
えば排気された閉鎖容器を巻きあげることによって形成
され、これによって吸収媒体上へ導かれる。チューブは
その端部に、取り外し可能な継手に必要な常套の取付は
具を備えていてもよく、該取付は真上にはねじこみ式ま
たは差し込み式の雄型および雌型の円錐状取付は具(K
egelansaLz )から成る継手を設けて容器の
交換をおこなうことができる。
ドレナージを輸送する吸引作用を中断するために、この
袋状容器のチューブ状人口に遮断装置が設けられる。該
装置は最も簡単な場合には所謂すベリクランプとしてチ
ューブを包囲し、移動の際は、鋭角状に形成された空間
によってチューブの内径を連続的に締めっける。別の遮
断手段としこは、ケースと弁軸から成り、チューブに接
続された針状弁が挙げられる。必要に応じCその長さが
決定されるチューブ片を取り外し可能な継手の位置へ接
続し、創傷内に配置されるドレナージカテーテルに接続
され得るチューブ取付は具までのばしでもよい。容器上
部の固定リングは、該容器を適当な懸垂手段または固定
手段を用いて外来患者自身ま、たけ外部装置へ固定でき
るよう番とする。容器は使用場所に応じ、解剖学的に適
合した形態で、分泌物の量に相応した大きさにすればよ
い。
治療に適合した創傷分泌物ドレナージに必要な低圧また
は吸引力は本発明による容器を用い、その中に形成され
る。即ち簡単な方法は、例えば容器を折り畳むか巻き上
げることによって容器内の空気は除去され、圧縮された
容器は遮断装置によつC一時的に閉鎖され、カテーテル
に接続後、ドレナージの全流路が開放される。低圧並び
に容器内の充填材料の毛細管作用または吸収特性は、容
器の膨張下に容器への分泌物の倉入すな輸送と収容を自
動的にもたらす。必要な場合には、外部真空源を用いる
排気によつC真空を生じさせてもよい。
フォイル弁を有した導管は容器縁部の中央部または側部
に設けてもよい。従って袋状容器は、導管を横切る縁部
と向かい合った縁部または導管と平行な縁部から巻くこ
とによって排気されるので、容器を巻A距離は常に長く
なる。フォイル弁は安価で、そ・れが固定された導管と
共に容器へ接続される。この目的のためには、導管が突
出した容器縁部を溶接するだけである。細い管を導管と
フォイル弁を通して容器内へ挿入することによってフォ
イル弁を無効にして容器を排気する。容器を巻く際に空
気は細管を通って漏れ、該細管を抜去するやいなやフォ
イル弁は閉じて容器への空気の浸入と容器からの分泌物
の逆流を阻止する作用をする。これによってこの装置の
衛生的で確実な機能が保証される。
以下、本発明による容器の実施態様につき添付図面に基
づいて説明する。
第1図は開放容器を備えた本発明による装置の斜視図で
ある。
第2図は本発明による装置の容器の排気を開始する様子
を示す斜視図である。
第3図は本発明による装置の容器を巻いて閉鎖した状態
を示す斜視図である。
第4図は本発明による別態様の装置の斜視図である。
第5図は第4図の装置の巻いた状態を示す斜視図である
第6図は第4図のVl−VI線に沿った断面図である。
図 第7図は閉鎖した逆止め弁の縦断面である。
△ 本発明による装置は平たいフォイル状袋の形態を有した
容器(1)から実質上成り立ち、該容器の内部空間は厚
い材料ストリップ状の吸収性材料(2)が完全に充填さ
れる。容器(1)はその周囲を閉鎖されCおり、その1
つの縁部上に2つの固定用の穴(6)を備え、紋穴・4
′にLっで患者または支持装置に掛けられる。
縁部の中央部においては導管(5)が容器(1)内へ挿
入されており、該導管は体腔に挿入されたカテーテルに
接続するための差し込み継手用のソケット(7)を有す
る。導管(5)は容器縁部へ溶接され、常套のすべりク
ランプ(4)によって遮断または閉塞される。その他の
排出口または導入口は容器(1)には設けられない。
容器(1)を巻くことにより(第2図および第3図参照
)、開放容器(1)内の空気は押し出される。次いで容
器(1)はすべりクランプ(4)によって閉鎖され、カ
テーテルに接続後は再び開放される。低圧と充填材料(
2)の毛管作用は分泌物を排出させ、これを容器(1)
内へ導入させることによって該容器を膨張させる。
充填材料(2)としては、適当な発泡材料の代りにラミ
ナリア(Lam1naria ) (海草)を粒状で使
用するか、発泡成形材料(Schaumstoff −
Formte−ilen  )に配合して使用してもよ
い。ラミナリアは液体を吸収し゛C膨潤し、液体を再び
放出しない。
これはこの方法によって採取された容゛器(1)内の分
泌物が創傷部または体腔へ逆流するのを逆止め弁なしで
防止できるので好ましい。この材料の吸収作用は著しい
ので、吸引を補助するための低圧は不要である。
第4図に示す態様の場合、導管(Illは容器021の
縁部(131の側部に設けられ、該縁部に溶接される。
縁部03には、患者の身体に容器を固定するための穴L
I71が設けられる。導管(11)の外部端にはドレナ
ージ管に接続するための差し込み継手用のソケットα9
が固定され、一方、導管[1)の内部端にはフラッタ−
弁(101が設けられる。プラッタ−弁f101は2に
の重なり合ったフォイルから成っており、該フォイルは
それらの長手方向に沿った縁で接合し、容器内の縁部で
開放するようになっている。この場合、第1図〜第3図
のようにして容器02)を巻くことは、巻く距離が短く
なつC実際的ではないので、容器(121は導管(1υ
に平行に矢印Aの方向へ巻く。この場合、フラッタ−弁
(1r5を遮断するには、ソケット(15)、導管(1
1)およびフラッタ−弁a〔を通して細管Iを挿入する
。該細管の内部端(14a)はフラッタ−弁110)か
ら容器(121へ突出し、容器O9から空気を排出させ
る。容器(121を充分排気した後、細管Iを抜去しC
フラッタ−弁(1〔や閉じ、容器(121内の低圧は、
体腔からの分泌物をフォイル材料製容器内部の吸収性材
料u61に吸収させるのに利用し尽くすことができる。
低圧の吸引作用は分泌物吸収材料ilBの毛細管作用に
よって促進1れる。
【図面の簡単な説明】
第1図は開放容器を備えた本発明による装置の斜視図で
ある。 第2図は本発明による装置の容器の排気を開始する様子
を示す斜視図である。 第3図は本発明による装置の容器を巻いて閉鎖した状態
を示す斜視図である。 第4図は本発明による別態様の装置の斜視図である。 第5図は第4図の装置の巻いた状態を示す斜視図である
。 第6図は第4図の■−■線に沿った断面図である。 図 第7図は閉鎖したもどり弁の縦断5fある。 (1)およびαりは容器、(2)および[61は吸収性
材料、(4)はすべりクランプ、(5)および(11)
は導管、(6)およびαηは穴、(7)およびαωはソ
ケット、(1〔はフラッタ−弁、u31は縁部、圓は細
管を示す。

Claims (1)

  1. 【特許請求の範囲】 1、分泌物吸収性材料(2)または+161が充填され
    、かつ分泌物を生成する体腔部に接続された可撓性材料
    製容器(1)または(1りを含み、該接続部に逆止め弁
    叫を備えた医療用吸引ドレナージ装置であつ゛C1該容
    器が巻き込み可能な折り目付容器、扁平容器、フォイル
    袋またはフォイル管として形成され、該逆止め弁がフォ
    イル弁〔フラッタ−弁410))として形成されて該容
    器内部に設けられたことを特徴とする吸引ドレナージ装
    置。 2、吸収性材料(2)またはuoが回復可能な圧縮性の
    開口多孔性材料である第1項記載の装置。 3吸収性材料(2)または+161が開口多孔性で、乾
    燥状、轢では硬い媒体で、分泌物吸収に際しでは体積膨
    張を伴って柔軟可撓性になるものである第1項記載の装
    置。 4吸収性材料・(2)またはt16)が、体積膨張を伴
    って分子結合力によって分泌物を吸収する材料である第
    1項記載の装置。 5開口多孔性の硬い媒体および分子結合力によって分泌
    物を吸収する媒体。を容器(1)またはtlZ内に存在
    させた第1項から第4項いずれかに記載の装置°   
       物 第5項いずれかに記載の装置。 7、吸収性材料(2)またはu61が粒状ラミナリアま
    たはラミナリアを配合した開口多孔性発泡材料を含有し
    たものである第1項から第6項いずれかに記載の装置。 8、容器材料がガス不透過性ポリマーの単層フォイルま
    たはラミネートフォイルを含む第1項がら第7項いずれ
    かに記載の装置。 9、容器材料が金属化ポリマーの単層フォイルまたはラ
    ミネートフォイルを含む第1項から第7項いずれかに記
    載の装置。 10、吸引ドレナージのために殺菌可能な第1項から第
    9項いずれかに記載の装置。 11導管(5)が低ショア硬度の材料から成る第1項か
    ら第10項いずれかに記載の装置。 12、導管(5)の周囲に連続的に作用する遮断装置(
    4)が設けられた第1項から第11項いずれかに記載の
    装置。 13、導管(5)が容器(1)の縁部中央部に設けられ
    た第1項から第12項いずれかに記載の装置。 14、導管[11が容器021の縁部t13)の側部に
    設けられた第1項から第12項いずれかに記載の装置。 15フオイル弁〔フラッタ−弁flO) )を開くため
    に、該弁を有した導管(Illよりも長くかつ該弁と該
    導管から抜去可能な細管u4が設けられた第1項記載の
    装置。 16、容器O2が矩形に形成され、導管q11が容器0
    2+の縦側部に設けられた第1項記載の装置。
JP57204441A 1981-11-21 1982-11-20 医療用吸引ドレナ−ジ装置 Granted JPS5894856A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE31462669 1981-11-21
DE19813146266 DE3146266A1 (de) 1981-11-21 1981-11-21 Kombinierte vorrichtung fuer eine medizinische saugdrainage

Publications (2)

Publication Number Publication Date
JPS5894856A true JPS5894856A (ja) 1983-06-06
JPS6244501B2 JPS6244501B2 (ja) 1987-09-21

Family

ID=6146943

Family Applications (1)

Application Number Title Priority Date Filing Date
JP57204441A Granted JPS5894856A (ja) 1981-11-21 1982-11-20 医療用吸引ドレナ−ジ装置

Country Status (8)

Country Link
US (1) US4525166A (ja)
EP (1) EP0080179B1 (ja)
JP (1) JPS5894856A (ja)
AT (1) ATE13490T1 (ja)
CA (1) CA1189414A (ja)
DE (2) DE3146266A1 (ja)
ES (1) ES8308218A1 (ja)
ZA (1) ZA828464B (ja)

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ES517488A0 (es) 1983-08-16
EP0080179A1 (de) 1983-06-01
ZA828464B (en) 1983-09-28
ES8308218A1 (es) 1983-08-16
DE3263931D1 (en) 1985-07-04
EP0080179B1 (de) 1985-05-29
US4525166A (en) 1985-06-25
ATE13490T1 (de) 1985-06-15
JPS6244501B2 (ja) 1987-09-21
DE3146266A1 (de) 1983-06-01
CA1189414A (en) 1985-06-25

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