RU100712U1 - DEVELOPMENT OF SOFTWARE BARBOTAGE SANITATION - Google Patents

Abstract

 A device for carrying out bubbling sanitation of purulent wounds, fistulas and treatment of isolated parts of the body, including a bubbling chamber, an inlet, outlet and central aperture, a compressor, characterized in that it has a regulator for changing the bubbling modes - a rheostat, a regulator of the inner section of the hose, a reliable fixing device for fixing on the surface of the body.

Description

The utility model relates to medical devices, can be used in surgery, traumatology, physiotherapy, dermatology, cosmetology and bed care or in gerontology. The device can be used for the repair of purulent wounds, fistulas, as well as for the isolated treatment of body areas with a sparged solution.

To date, medical, in particular in surgical practice, methods of physical antiseptics are common in the form of sanations, based on the effect on the affected area of antiseptic fluid pre-saturated with a certain gas. The technique allows you to enhance the effect of an antiseptic due to the formation of gas bubbles and the mechanical separation of dense and viscous necrotic masses, detritus, sequesters from the site of inflammation or the wound surface. Various hypergas solutions have been developed. (Pat (RU) 2006147055/15 HYPERGASED AND HYPEROSMOTIC ANTISEPTIC MEDICINE Chereshnev VA, Strelkov NS, Urakov AL, Urakova NA, Mikhailov NA, Vatulin. A method for processing with a special solution is proposed. consisting of a 2.7-3.3% solution of hydrogen peroxide, 0.9-10% solution of sodium chloride and hydrogen dioxide to create an overpressure of 0.2 atm at 8 C. The solution can be used in the treatment of wound surfaces, fistulous passages, purulent cavities. reduces tissue hydration, carbon dioxide saturation with a stroke with the affected tissues leads to a gradual degassing of the solution and the active removal of purulent masses, detritus from the affected surface. However, the activity of the solution is limited by the time of its degassing, not exceeding several minutes. To inject the solution, use syringes or compressor equipment, which partially degasses it outside the therapeutic effect Developed and proposed (application RU 2003130945/14 METHOD FOR TREATING PURFUL INFLAMMATORY PROCESSES IN CLOSED CAVITIES AND WOUNDED INFECTIONS.) The method involves the use of as an antiseptic solution of an aqueous solution of chlorhexidine, which is saturated with carbon dioxide, then it is fed into the wound, followed by the simultaneous evacuation of the solution with toxic metabolic products of the purulent-inflammatory process from the wound, effecting carbon dioxide mechanically on the products of purulent-inflammatory processes, decontamination of toxic products of purulent -inflammatory process, a change in the acid-base balance towards the alkaline environment of the intra-abdominal infection and the infection closed by and the simultaneous supply of an antiseptic with evacuation provides a high rate of renewal of the wash liquid flow through the unit of the peritoneum treated with an antiseptic solution and prevents microbial dissemination in case of damage to the distal extremities, for example, feet with diabetes. For the preparation of an antiseptic solution of 500 ml. a hermetically sealed 0.05% aqueous solution of chlorhexidine is bubbled with carbon dioxide for 5 minutes. However, the method is not without drawbacks. The time of the procedure is limited by the time of degassing the solution, not exceeding several minutes, certain difficulties arise when treating surface wounds that do not have a "cavity".

One of the ways to optimize the treatment with a bubbling solution is to force the solution to be sparged with a compressor through special drainage devices. Developed and proposed (Pat 2234254 (RU) METHOD OF SANITATION OF THE ABDOMINAL CAVITY IN ACUTE DISTRIBUTED PERITONITIS Glukhov A.A., Parkhisenko Yu.A., Lokhachev S.S.) The device described can be used for sanitation of the abdominal cavity in acute peritonitis. Install drainage in the upper and lower floors of the abdominal cavity. Five multiperforated irrigation tubes are installed with distally expanding holes and plugged distal ends, in the right and left side channels, in the right and left mesenteric sinuses, and also zigzag along the surface of the loops of the small intestine. Fix them to the anterior abdominal wall using a silicone ring. An antiseptic solution is introduced in the volume of 2.0-2.5 l at the first stage of rehabilitation, carried out 3-4 hours after the operation, into the abdominal cavity under a pressure of 6-7 atm. At the second stage of sanitation, an antiseptic solution is bubbled out from the abdominal cavity for 3-5 minutes by supplying, through tubes placed in the mesenteric sinuses, carbon dioxide passed through a bacteriological filter, and after bubbling, the spent solution from the abdominal cavity is removed by gravity under gas pressure pillows formed in the abdominal cavity through drainages installed in the lateral canals and pelvis. At the third stage, the antihypoxant solution "Mafusol" is introduced into the abdominal cavity in a volume of 0.8-1.0 liters. Sanitation of the abdominal cavity is carried out 2-3 times a day, for 2-4 days. The method provides uniform irrigation of all parts of the abdominal cavity.

This method is acceptable only in the treatment of common peritonitis and cannot be used in the treatment of purulent-inflammatory diseases of soft tissues and skin.

The technical result of the utility model is the creation of a device that allows sanitizing procedures to be carried out with a sparged solution in an arbitrarily selected part of the body with constant sparging of the treatment solution, without limiting the duration of the procedure to the time of degassing of the treatment solution, equipped with a reliable fixation mechanism and isolated solution effect on the selected area.

A device for conducting program bubble reorganization (FIG. 1) consists of a bubble chamber (1), an inlet aperture (2), an outlet aperture (3), a central aperture (4), a compressor (5) with a rheostat (6), an inlet connecting hose (7), the regulator of the inner section of the hose (8), the perforated plate (9), the locking ring (10).

An AQUAEL AR-100 industrial compressor (5) was used (mains voltage 220v, power 2.5 W, maximum pressure up to 0.03 MPa.). At the inlet, a filter is installed to clean the air used during compressor operation. A rheostat (6) is installed on the compressor to adjust the engine speed and, as a consequence, the air pressure at the compressor outlet. Purified air under pressure in the range of 0.01-0.03 mPa is fed through a flexible polypropylene hose (7) into the bubble chamber. On the hose, a regulator of the inner section of the hose (8) is installed for dosing the transmission of air. Using a compressor rheostat and a dispenser on the hose, it is possible to reproduce bubbling sanitation modes (modes 0.01 MPa, 0.015 MPa, 0.02 MPa, 0.025 MPa, 0.03 MPa). The bubble chamber (1) is a polymer cylinder with a diameter of 8-10 cm, height is 8-10 cm. There is no wall on the lower side of the cylinder, there is a fixation ring (10) from the same circumference of the same material 1-1.5 cm wide, with a glued strip of double-sided tape with a protective coating of one surface, it is also possible to use a silicone strip. A strip of silicone or double-sided tape is designed to be tightly fixed to the surface of the body around the pathological focus. To fix to the patient’s body, the skin around the wound surface is treated with an antiseptic solution, dried with a dry dressing. Remove the protective layer from the adhesive, fix the device to the body. The fixation method is similar to fixation to the body of the kalopriemnik in patients with gastrointestinal cancer. In the presence of a silicone strip, the surface of the body around the pathological focus must be treated with oil for sealing, for example, petroleum jelly. There are three holes on the top wall of the cylinder. A hose (7) from the compressor (5) passes through the central aperture into the chamber cavity. The inner diameter of the aperture corresponds to the outer diameter of the hose so that, after holding the hose, this connection is tight. The hose is connected to a special perforated plate (9) whose diameter is 1.0-2.0 cm smaller than the diameter of the bubble chamber having a diameter of 8-10 cm. The perforated plate has numerous holes with a diameter of 0.3-0.5 mm in the amount of 10 per 1 cm2 . The plate is located parallel to the diameter of the chamber, departing 2-3 cm from the upper wall. The holes are located on one side and directed towards the bottom of the camera, to the place of attachment to the body. The plate may be made of polymer or metal. On the side wall of the chamber 1 cm below the upper wall there is an aperture (2) with a hermetically sealed lid. The inner opening of the aperture in diameter corresponds to the cannula of the Janet syringe, the aperture is used to fill the container with an antiseptic solution. After filling the chamber, the hole is closed with a sealed lid. In the side of the upper wall of the chamber there is an aperture (3) for communication with the external environment and evacuation of air during the filling of the chamber with a solution and sparging. After the procedure, the antiseptic solution is poured out or pumped out of the chamber, the chamber is disconnected from the body, the inlet hose and the perforated plate are disconnected. The camera is used once and disposed of after processing. The perforated plate and hose are cold sterilized and reused. Depending on the localization of the pathological focus, the device can be installed on the scalp (FIG. 5), (FIG. 6), on the upper limb (FIG. 4), in the back (FIG. 7), (FIG. 8).

Thus, the device for carrying out bubbling reorganization provides the bubbling of the drug solution throughout the procedure, is equipped with regulators for changing the modes of bubbling, namely a rheostat and a regulator of the inner cross section of the hose, is equipped with a reliable fastening device for fixing on the surface of the body. The economic feasibility of using the device is ensured by using atmospheric air passed through a filter as a working gas.

Clinical example.

Patient K., born in 1978, medical history No. 1024. Received November 21, 2009. Diagnosis: Abscessing boil of the left forearm. The operation was performed: Autopsy and drainage of the purulent focus on 11/21/09.

In the postoperative complex treatment (antibiotic therapy, immunotherapy, symptomatic treatment) also for local treatment, bubble reorganization by the proposed device with an aqueous solution of chlorhexidine 0.05% was used. Processing was carried out daily once for 5 days. After removing the dressing, the wound and toilet were examined with a solution of hydrogen peroxide 3%, then the device was fixed on the near-wound surface and the procedure was carried out for 5 minutes. Acceleration of wound cleansing from purulent-necrotic masses, rapid and pronounced filling of the defect with granulation tissue was noted.

Discharged for work on 12/01/09 with signs of wound epithelization on the 11th day from the onset of the disease, which is 2 days less than the established period of temporary disability with a boil (13-15 days), according to the recommendations for healthcare facility managers and treating physicians, medical specialists Executive bodies of the Social Insurance Fund of the Russian Federation “Estimated Dates of Temporary Disability in the Most Common Diseases and Injuries” of the Ministry of Health of the Russian Federation and the Social Insurance Fund of the Russian Federation of 2000

Description to figures

Figure 1 General diagram of the device

1 - bubble chamber

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

4 - handle for holding

5 - compressor

6 - rheostat

7 - hose for air supply to the bubble chamber

8 - valve for regulating the air supply

9 - perforated plate

10 - fixing ring

Figure 2 Top view

1 - bubble chamber

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

10 - perforated plate

Figure 3 Side view

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

7 - hose for air supply to the bubble chamber

9 - perforated plate

10 - fixing ring

Figure 4 Option installation device on a limb

1 - bubble chamber

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

7 - hose for air supply to the bubble chamber

9 - perforated plate

10 - fixing ring

Figure 5 Installation option of the device on the scalp

A - view from the right, B - view from the left

1 - bubble chamber

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

7 - hose for air supply to the bubble chamber

9 - perforated plate

10 - fixing ring

6. Option to install the device in the back

A - view from the right, B - view from the left

1 - bubble chamber

2 - input aperture for filling the chamber with a solution

3 - aperture for air removal

7 - hose for air supply to the bubble chamber

9 - perforated plate

10 - fixing ring

Claims (1)

A device for carrying out bubbling sanitation of purulent wounds, fistulas and treatment of isolated parts of the body, including a bubbling chamber, an inlet, outlet and central aperture, a compressor, characterized in that it has a regulator for changing the bubbling modes - a rheostat, a regulator of the inner section of the hose, a reliable fixing device for fixing on the surface of the body.