RU62504U1 - Medium draining device - Google Patents

Medium draining device Download PDF

Info

Publication number
RU62504U1
RU62504U1 RU2006143450/22U RU2006143450U RU62504U1 RU 62504 U1 RU62504 U1 RU 62504U1 RU 2006143450/22 U RU2006143450/22 U RU 2006143450/22U RU 2006143450 U RU2006143450 U RU 2006143450U RU 62504 U1 RU62504 U1 RU 62504U1
Authority
RU
Russia
Prior art keywords
tube
cuff
cavity
drainage
mediastinum
Prior art date
Application number
RU2006143450/22U
Other languages
Russian (ru)
Inventor
Юрий Павлович Савченко
Виталий Павлович Элозо
Дмитрий Петрович Пузанов
Анастасия Александровна Кононкова
Original Assignee
Юрий Павлович Савченко
Виталий Павлович Элозо
Дмитрий Петрович Пузанов
Анастасия Александровна Кононкова
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Юрий Павлович Савченко, Виталий Павлович Элозо, Дмитрий Петрович Пузанов, Анастасия Александровна Кононкова filed Critical Юрий Павлович Савченко
Priority to RU2006143450/22U priority Critical patent/RU62504U1/en
Application granted granted Critical
Publication of RU62504U1 publication Critical patent/RU62504U1/en

Links

Abstract

The proposed utility model relates to medicine, namely to surgery and can be used to treat upper mediastinitis. The essence of the model is that an elastic cuff is installed on the outer tube with the ability to move it along the axial line of the tube, equipped with a device for pumping air into it. Above the cuff, a vacuum device and a monovacuum meter are connected to the tube by means of a tee to monitor the negative pressure created in the purulent cavity of the mediastinum. A perforated drainage ring is installed above the cuff on the outer tube to evacuate the pathological exudate that accumulates here. The end of this drainage is attached to the vacuum pump. The device provides a vacuum in the cavity of the mediastinum with constant aspiration of purulent discharge, washing and monitoring negative pressure in this cavity. The proposed device allows more efficient drainage of the mediastinum compared with other drains and contributes to the faster recovery of the patient, reduces mortality, increases the degree of medical and social rehabilitation.

Description

The proposed utility model relates to medicine, namely to surgery and can be used to treat upper mediastinitis.
Prevention of the spread of pus on the mediastinum with upper mediastinitis largely depends on the effectiveness of removing pus from the mediastinal cavity and washing it with antiseptics. Evacuation from a closed cavity is most optimal in conditions of its tightness. Therefore, the creation of double-lumen drainage with sealing in the region of the upper thoracic opening with a cuff that prevents the development of pressure sores of soft tissues and blood vessels, as well as constant controlled evacuation, significantly increases the efficiency of drainage compared to known methods.
It is known that glass drainage was proposed by N. Lilientahl in 1923 (I. A. Yeryukhin, B. R. Gelfand “Surgical infection”, St. Petersburg 2003, chapter 9, p. 528). A drainage tube is inserted through the upper thoracic opening into the purulent cavity of the mediastinum. In this case, the tube is connected to an aspirator. For tightness, the author used a gauze swab that fits tightly around the drainage tube.
Disadvantages:
1. The introduction of glass drains is dangerous due to the possibility of tube damage to surrounding tissues.
2. A single-lumen tube is less effective than a double-lumen, since it does not provide for continuous infusion of antiseptic solutions into the purulent cavity.
3. Gauze swab can contribute to the formation of pressure sores of the walls of blood vessels in the upper thoracic opening.
The closest analogue of the proposed device is the drainage of N.N. Kanshin developed in 1971 (I.I. Grekov "Surgical Gazette", article by N.N. Kanshin "Comparative evaluation of various methods of mediastinal drainage in the treatment of posterior purulent mediastinitis", volume No. 4 , pp. 7-11, 1978). Drainage consists in the fact that a 2-lumen tube with channel diameters of 1 and 6 mm is introduced into the mediastinal cavity. Antiseptics are infused into the purulent cavity through a channel of a smaller diameter, and constant aspiration is performed through a channel of a larger diameter. Tightness is achieved by suturing soft tissues around a 2-lumen tube.
Disadvantages:
1. Sewing soft tissues with ligatures to create tightness around the tube in the upper thoracic opening creates a risk of iatrogenic damage to the vessels and organs of the neck passing here.
2. The tight fit of the tissues to the drainage tube creates conditions for ischimization and favors the development of surgical infection, especially anaerobic non-clostridial flora.
3. The method does not provide for continuous monitoring of the negative pressure in the mediastinal cavity. TASKS.
1. The creation of a constant negative pressure in the cavity of the mediastinum, which prevents the spread of purulent process to the underlying departments.
2. Adequate removal of pus.
3. The implementation of continuous monitoring of pressure in the purulent cavity and patency of the drainage.
4. Prevention of necrosis of the walls of blood vessels in the upper thoracic opening.
5. Creating a reliable barrier for the flow of pus from the interfascial spaces of the neck into the mediastinum.
The essence of the model is that an elastic cuff is installed on the outer tube with the ability to move it along the axial line of the tube, equipped with a device for pumping air into it. Above the cuff, by means of a tee, a vacuum pump and a monovacuum meter are connected to the tube to control the negative pressure created in the purulent cavity of the mediastinum. A perforated drainage ring is installed above the cuff on the outer tube to evacuate the pathological exudate that accumulates here. The end of this drainage is attached to the vacuum pump.
TECHNICAL RESULT.
The device provides a vacuum in the cavity of the mediastinum with constant aspiration of purulent discharge, washing and monitoring negative pressure in this cavity. The proposed device allows more efficient drainage of the mediastinum compared with other drains and contributes to the faster recovery of the patient, reduces mortality, increases the degree of medical and social rehabilitation.
The device for better understanding is schematically depicted in the figure, where: 1-double-lumen silicone drainage tube (where “A” is a larger diameter lumen for aspirating the pathological discharge and creating negative pressure, the small-diameter “B” lumen is used as a microirrigator); 2-movable rubber cuff (provides tightness between the soft tissues of the upper thoracic opening and the drainage tube); 3-vacuum pump; four-
monovacuum meter (used to control negative pressure in the mediastinal cavity); 5-drainage ring, designed to evacuate pathological discharge accumulating above the cuff; 6-tee.
The device is used as follows:
the drainage tube (1), after establishing the size and depth of the purulent cavity, is inserted through the lower pole of the surgical wound (cervical mediastinotomy). Preliminarily, the cuff (2) is set correspondingly to the upper thoracic opening at such a distance that the distal end of the tube is located at the bottom of the purulent cavity. Air is injected into the cuff with a syringe until a reliable tightness is created between the drainage tube and the walls of the upper thoracic opening. A tee (6) is connected to the proximal end of the tube, one end of which goes to the vacuum pump (3), the other to the mono-vacuum meter (4). A drainage ring (5) is installed above the cuff, the end of which is connected to a vacuum pump. Through a channel of larger diameter, pus is constantly removed from the mediastinum, through a channel of a smaller diameter, the purulent cavity is periodically washed with antiseptics. Reliable fixation of the double-lumen tube is carried out by sewing it to the skin edges of the surgical wound of the neck.
EXAMPLE.
Patient M., 36 years old, IB No. 975, was admitted to the State Clinical Hospital of KKB on 08/20/2005 with a diagnosis of anaerobic non-clostridial tonsilogenic neck phlegmon. Rear upper mediastinitis.
On August 15, 2005, a paratonsillar abscess was opened in a community hospital. However, the patient’s condition did not improve, swelling of the neck increased, pain behind the sternum appeared, and the patient was urgently sent to
KKB them. S.V. Ochapovsky. Surgical treatment of phlegmon of the neck was performed with an urgent procedure, turning the skin flaps to the sides and opening the phlegmon of the mediastinum through the upper thoracic opening. It is stated that pus spreads along the posterior mediastinum to the level of the 4th thoracic vertebra.
For the treatment of mediastinitis, the proposed device was used. Tightness was achieved using a cuff mounted at the level of the upper thoracic opening. Negative pressure was constantly monitored by a monovacuum meter and maintained at a level of 70 mm The tightness of the cuff was not corrected and persisted for 2 days. After 3 days, due to a decrease in the size of the purulent cavity, the cuff was shifted down, and the tube was located at the level of the bottom of the cavity. Subsequently, the pressure in the cuff was corrected once a day; cuff displacement was not required.
After 2 weeks, the mediastinal cavity was almost completely obliterated to the drainage tube, and after 8 days the tube was removed. By this time, the wound in the neck was covered with granulation tissue and on September 13, 2005, secondary surgical treatment was performed with complete closure of the wound with skin flaps. On September 19, 2005, the sutures were removed and a control radiography of the chest cavity was performed. Organs of the chest cavity with no apparent pathology and the patient was discharged for outpatient treatment.

Claims (1)

  1. A device for drainage of the mediastinum containing a double-lumen tube, characterized in that an elastic cuff is installed on the larger tube with the ability to move it along the axial line of the tube, equipped with a device for pumping air into it, above the cuff, a vacuum pump and a mono-vacuum gauge are connected to the larger tube to control negative pressure, an additional drainage ring is installed directly above the cuff, having perforation along the ring and connecting to the vacuum pump.
    Figure 00000001
RU2006143450/22U 2006-12-07 2006-12-07 Medium draining device RU62504U1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2006143450/22U RU62504U1 (en) 2006-12-07 2006-12-07 Medium draining device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2006143450/22U RU62504U1 (en) 2006-12-07 2006-12-07 Medium draining device

Publications (1)

Publication Number Publication Date
RU62504U1 true RU62504U1 (en) 2007-04-27

Family

ID=38107163

Family Applications (1)

Application Number Title Priority Date Filing Date
RU2006143450/22U RU62504U1 (en) 2006-12-07 2006-12-07 Medium draining device

Country Status (1)

Country Link
RU (1) RU62504U1 (en)

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2612529C2 (en) * 2011-02-04 2017-03-09 Юниверсити Оф Массачусетс Wound closing device creating negative pressure
RU2628061C2 (en) * 2012-09-25 2017-08-14 Пауль Хартманн Аг System for treatment of the ras
US10117782B2 (en) 2012-05-24 2018-11-06 Smith & Nephew, Inc. Devices and methods for treating and closing wounds with negative pressure
US10124098B2 (en) 2013-03-13 2018-11-13 Smith & Nephew, Inc. Negative pressure wound closure device and systems and methods of use in treating wounds with negative pressure
US10159771B2 (en) 2013-03-14 2018-12-25 Smith & Nephew Plc Compressible wound fillers and systems and methods of use in treating wounds with negative pressure
US10179073B2 (en) 2014-01-21 2019-01-15 Smith & Nephew Plc Wound treatment apparatuses
US10201642B2 (en) 2014-01-21 2019-02-12 Smith & Nephew Plc Collapsible dressing for negative pressure wound treatment
US10220125B2 (en) 2012-02-03 2019-03-05 Smith & Nephew Plc Apparatuses and methods for wound therapy
US10245185B2 (en) 2011-06-07 2019-04-02 Smith & Nephew Plc Wound contacting members and methods
US10299964B2 (en) 2012-05-15 2019-05-28 Smith & Nephew Plc Negative pressure wound therapy apparatus
US10507141B2 (en) 2012-05-23 2019-12-17 Smith & Nephew Plc Apparatuses and methods for negative pressure wound therapy
US10660992B2 (en) 2013-10-21 2020-05-26 Smith & Nephew, Inc. Negative pressure wound closure device
US10667955B2 (en) 2012-08-01 2020-06-02 Smith & Nephew Plc Wound dressing and method of treatment
US10682446B2 (en) 2014-12-22 2020-06-16 Smith & Nephew Plc Dressing status detection for negative pressure wound therapy
US10695472B2 (en) 2008-03-13 2020-06-30 Smith & Nephew Plc Vacuum closure device
US10702420B2 (en) 2012-05-22 2020-07-07 Smith & Nephew Plc Wound closure device

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695472B2 (en) 2008-03-13 2020-06-30 Smith & Nephew Plc Vacuum closure device
RU2612529C2 (en) * 2011-02-04 2017-03-09 Юниверсити Оф Массачусетс Wound closing device creating negative pressure
US10245185B2 (en) 2011-06-07 2019-04-02 Smith & Nephew Plc Wound contacting members and methods
US10220125B2 (en) 2012-02-03 2019-03-05 Smith & Nephew Plc Apparatuses and methods for wound therapy
US10702418B2 (en) 2012-05-15 2020-07-07 Smith & Nephew Plc Negative pressure wound therapy apparatus
US10299964B2 (en) 2012-05-15 2019-05-28 Smith & Nephew Plc Negative pressure wound therapy apparatus
US10702420B2 (en) 2012-05-22 2020-07-07 Smith & Nephew Plc Wound closure device
US10507141B2 (en) 2012-05-23 2019-12-17 Smith & Nephew Plc Apparatuses and methods for negative pressure wound therapy
US10117782B2 (en) 2012-05-24 2018-11-06 Smith & Nephew, Inc. Devices and methods for treating and closing wounds with negative pressure
US10667955B2 (en) 2012-08-01 2020-06-02 Smith & Nephew Plc Wound dressing and method of treatment
USD914887S1 (en) 2012-08-01 2021-03-30 Smith & Nephew Plc Wound dressing
RU2628061C2 (en) * 2012-09-25 2017-08-14 Пауль Хартманн Аг System for treatment of the ras
US10124098B2 (en) 2013-03-13 2018-11-13 Smith & Nephew, Inc. Negative pressure wound closure device and systems and methods of use in treating wounds with negative pressure
US10159771B2 (en) 2013-03-14 2018-12-25 Smith & Nephew Plc Compressible wound fillers and systems and methods of use in treating wounds with negative pressure
US10660992B2 (en) 2013-10-21 2020-05-26 Smith & Nephew, Inc. Negative pressure wound closure device
US10201642B2 (en) 2014-01-21 2019-02-12 Smith & Nephew Plc Collapsible dressing for negative pressure wound treatment
US10179073B2 (en) 2014-01-21 2019-01-15 Smith & Nephew Plc Wound treatment apparatuses
US10737002B2 (en) 2014-12-22 2020-08-11 Smith & Nephew Plc Pressure sampling systems and methods for negative pressure wound therapy
US10780202B2 (en) 2014-12-22 2020-09-22 Smith & Nephew Plc Noise reduction for negative pressure wound therapy apparatuses
US10682446B2 (en) 2014-12-22 2020-06-16 Smith & Nephew Plc Dressing status detection for negative pressure wound therapy
US10973965B2 (en) 2014-12-22 2021-04-13 Smith & Nephew Plc Systems and methods of calibrating operating parameters of negative pressure wound therapy apparatuses

Similar Documents

Publication Publication Date Title
RU62504U1 (en) Medium draining device
EP1572286B1 (en) Endoscopic wound care treatment system
CN205235135U (en) Double cannula washes drainage tube for surgery
GB2125296A (en) Wound irrigator
CN204133597U (en) A kind of Flexible ureteroscope attraction channel sheath with a scale
CN106552312A (en) Negative-pressure irrigation device
CN2619659Y (en) Irrigating drainage tube with sleeve for abdominal cavity
CN201631763U (en) Irrigating tube
CN201337742Y (en) Multifunctional peritoneal cavity drainage tube
RU126587U1 (en) Device for active aspiration of abdominal liquid
CN2532857Y (en) Disposable aerothorax therapy apparatus
RU150872U1 (en) Device for draining push cavities
RU2630356C2 (en) Set of surgical instruments for liver echinococcosis treatment and method for liver echinococcosis surgical treatment
RU2549489C1 (en) Method for colonic decompression in obturation obstruction
CN107670160A (en) The drainage tube of surrounding tissue is destroyed when preventing from extracting
CN209060136U (en) Hypohydrops synthetic therapy equipment
Ladlow Surgical drains in wound management and reconstructive surgery
RU58365U1 (en) Drainage for draining abcesses of the abdominal cavity and foreign space
RU205045U1 (en) DRAINING DEVICE
RU55269U1 (en) Device for temporary two-cylinder endoscopic obturation of stomach perforation
CN213667163U (en) Suppurative arthritis continuous negative pressure drainage irrigator
CN209033292U (en) A kind of pleural/abdominal cavity drainage tube
Zhao et al. Negative pressure drainage‐assisted irrigation for maxillofacial space infection
CN212235451U (en) Special drainage tube of breast cancer postoperative
CN210186225U (en) Drainage tube and lavage device

Legal Events

Date Code Title Description
MM1K Utility model has become invalid (non-payment of fees)

Effective date: 20071208