SU1243708A1 - Arrangement for bringing wound edges closer - Google Patents

Arrangement for bringing wound edges closer

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Publication number
SU1243708A1
SU1243708A1 SU853852101A SU3852101A SU1243708A1 SU 1243708 A1 SU1243708 A1 SU 1243708A1 SU 853852101 A SU853852101 A SU 853852101A SU 3852101 A SU3852101 A SU 3852101A SU 1243708 A1 SU1243708 A1 SU 1243708A1
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SU
USSR - Soviet Union
Prior art keywords
wound
edges
wound edges
arrangement
drum
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Application number
SU853852101A
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Russian (ru)
Unknown language (xx)
Inventor
Геннадий Алексеевич Измайлов
Евгений Сергеевич Зеленов
Original Assignee
Научно-производственное объединение "Мединструмент"
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Application filed by Научно-производственное объединение "Мединструмент" filed Critical Научно-производственное объединение "Мединструмент"
Priority to SU853852101A priority Critical patent/SU1243708A1/en
Application granted granted Critical
Publication of SU1243708A1 publication Critical patent/SU1243708A1/en

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Изобретение относитс к медицинской технике , а именно к устройствам, нримен емым при хирургическом лечении ран и зв. The invention relates to medical equipment, namely to devices nrimen emym in the surgical treatment of wounds and ulcers.

Целью изобретени вл етс снижение травматичности и обеснечение более плотного контакта краев раны. The aim of the invention is to reduce the trauma and obesnechenie more intimate contact of the wound edges.

На фиг. FIG. 1 представлено устройство дл сближени краев раны., общий вид; 1 shows an apparatus for Approximation wound edges, perspective view.; на фиг. FIG. 2 - нат жной механизм; 2 - tensioning mechanism; на фиг. FIG. 3 и 4 - устройство на начальном и конечном этапах применени соответственно, сечение А-А на ю фиг. 3 and 4 - the device at the initial and final stages of use, respectively, the cross section A-A in FIG w. 1. one.

Устройство состоит из двух параллельно установленных пластин 1 и 2 с отверсти ми 3 и 4 соответственно. The apparatus consists of two parallel set of plates 1 and 2 with the apertures 3 and 4 respectively. Причем отверсти 3 в пластине 1 расположены поперечно , а отверсти 4 - под углом к плоскости пластины 2. Пластины 1 и 2 соединены между собой двум направл ющими 5. На пластине 2 установлена опора 6 нат жного механизма, который состоит из барабана 7, храпового колеса 8, фиксирующего диска 9 с прорез ми и защелки 10. На барабане установлена ручка II дл осуществлени его вращени . 3 wherein the apertures in the plate 1 are arranged transversely, and the apertures 4 - at an angle to the plane of the plate 2. The plates 1 and 2 are interconnected by two guides 5. The plate 2 is mounted reliance 6 zhnogo tensioning mechanism comprises a drum 7, the ratchet wheel 8, the locking disc 9 with slots and pawl 10. On the drum set II handle for effecting rotation thereof.

В отверсти х 3 и 4 пластин 1 и 2 расположены шовные нити 12, которые служат The openings 3 and 4 of plates 1 and 2 are arranged sutures 12 which are

ства. Properties. Затем устанавливают устройство в раздвинутом виде на рану, пропускают концы нитей (проведенных по возможности параллельно ) через ближайшие отверсти 3 пластины 1, концы нитей 12 зав зывают 1-2 узлами 14 во избежание выскальзывани нитей из отверстий 3. Противоположные концы нитей 12 пропускают через соответствующие отверсти 4 пластины 2 и каждую нить против часовой стрелки наматывают на 1-2 оборота на барабан 7, а их концы завод т в пазы фиксирующего диска 9, где они и фиксируютс небольщим нат жением. Then install the device in an extended form of the wound yarn ends pass (possibly held in parallel) over the next 3 orifice plate 1, the ends of yarns 12 the head 1-2 binding sites 14 to avoid slippage of the filaments holes 3. The opposite ends of filaments 12 are passed through the respective opening 4 of the plate 2 and each filament is wound counterclockwise 1-2 turns on the drum 7, plant and their ends into grooves of the locking disc 9, where they are fixed nebol'shchikh tension. После того, как все нити 12 зафиксированы подобным образом, начинают вращать ручку 11 против часовой стрелки. After all of the threads 12 are fixed in this way, begin to rotate the handle 11 counterclockwise. При этом 5 происходит наматывание нитей 12 на барабан 7. Обратному вращению барабана 7 преп тствует занхелка 10, упирающа с в зубцы храпового колеса 8. По мере накручивани нитей 12 на барабан 7 происходит сближение пластин 1 и 2 по направл ющим 5 и в конечном положении пластины займут положение, показанное на фиг. When this occurs the winding 5 of threads 12 on drum 7. Drum 7 reverse rotation prevents zanhelka 10 upirayuscha in tine with the ratchet wheel 8. As the yarn winding 12 on the drum 7, a convergence plates 1 and 2 along the rails 5 and in the end position plate will occupy the position shown in FIG. 4 - положение сомкнутой раны. 4 - position of the closeness of the wound. Силу сдавливани краев раны подбирают таким образом, чтобы кровотечение прекратилось, поскольку Force squeezing the wound edges are selected in such a way that the bleeding has stopped, because the

20 20

элементами дл захвата краев раны. elements for gripping the edges of the wound. Концы 25 кра раны оказываютс прижатыми друг The ends of the edges 25 pressed against each wound okazyvayuts

нитей 12 закреплены на пластине 1 и на барабане 7 нат жного механизма соответственно . yarns 12 are fixed to the plate 1 and on the drum 7, the tensioner mechanism, respectively.

Устройство дл сближени краев раны используетс следующим образом. An apparatus for Approximation wound edges is used as follows.

Кра раны 13 в нескольких местах прокалываютс хирургической иглой с шовной нитью 12 (по возможности большого диаметра - 1 -1,5 мм), длина которой на 15- 20 см больще ширины раздвинутого устрой30 The edges of the wound 13 are punctured in several places with a surgical suture needle 12 (on the large diameter possibilities - 1 -1.5 mm), a length of 15 to 20 cm width Large Live telescoped ustroy30

к другу. to friend. После полного гемостаза иссекаютс скальпелем кра раны, некротические и рубцовоизменные ткани в области дефекта. After complete hemostasis issekayuts scalpel wounds edges, and rubtsovoizmennye necrotic tissue in the defect area. Кра раны затем послойно ушиваютс , а устройство после отрезани узлов 14 удал етс с операционного пол . The edges of the wound then ushivayuts layers, and after cutting unit assemblies 14 is removed from the operating floor.

Применение предложенного устройства позвол ет исключить опасность повреждени основных нервных узлов сосудов, обеспечивает плотное прилегание краев раны, необходимое при остановке кровотечени . Application of the apparatus avoids the risk of damage to basic nerve vessels nodes provides a snug fit the wound edges, when necessary hemostasis.

ства. Properties. Затем устанавливают устройство в раздвинутом виде на рану, пропускают концы нитей (проведенных по возможности параллельно ) через ближайшие отверсти 3 пластины 1, концы нитей 12 зав зывают 1-2 узлами 14 во избежание выскальзывани нитей из отверстий 3. Противоположные концы нитей 12 пропускают через соответствующие отверсти 4 пластины 2 и каждую нить против часовой стрелки наматывают на 1-2 оборота на барабан 7, а их концы завод т в пазы фиксирующего диска 9, где они и фиксируютс небольщим нат жением. Then install the device in an extended form of the wound yarn ends pass (possibly held in parallel) over the next 3 orifice plate 1, the ends of yarns 12 the head 1-2 binding sites 14 to avoid slippage of the filaments holes 3. The opposite ends of filaments 12 are passed through the respective opening 4 of the plate 2 and each filament is wound counterclockwise 1-2 turns on the drum 7, plant and their ends into grooves of the locking disc 9, where they are fixed nebol'shchikh tension. После того, как все нити 12 зафиксированы подобным образом, начинают вращать ручку 11 против часовой стрелки. After all of the threads 12 are fixed in this way, begin to rotate the handle 11 counterclockwise. При этом происходит наматывание нитей 12 на барабан 7. Обратному вращению барабана 7 преп тствует занхелка 10, упирающа с в зубцы храпового колеса 8. По мере накручивани нитей 12 на барабан 7 происходит сближение пластин 1 и 2 по направл ющим 5 и в конечном положении пластины займут положение, показанное на фиг. Thus there is a filament winding 12 on the drum 7. The reverse rotation of the drum 7 prevents zanhelka 10 upirayuscha in tine with the ratchet wheel 8. As the yarn winding 12 on the drum 7, a convergence plates 1 and 2 along the rails 5 and in the final position of the plate occupy the position shown in FIG. 4 - положение сомкнутой раны. 4 - position of the closeness of the wound. Силу сдавливани краев раны подбирают таким образом, чтобы кровотечение прекратилось, поскольку Force squeezing the wound edges are selected in such a way that the bleeding has stopped, because the

кра раны оказываютс прижатыми друг wound edges pressed against each okazyvayuts

кра раны оказываютс прижатыми друг wound edges pressed against each okazyvayuts

к другу. to friend. После полного гемостаза иссекаютс скальпелем кра раны, некротические и рубцовоизменные ткани в области дефекта. After complete hemostasis issekayuts scalpel wounds edges, and rubtsovoizmennye necrotic tissue in the defect area. Кра раны затем послойно ушиваютс , а устройство после отрезани узлов 14 удал етс с операционного пол . The edges of the wound then ushivayuts layers, and after cutting unit assemblies 14 is removed from the operating floor.

Применение предложенного устройства позвол ет исключить опасность повреждени основных нервных узлов сосудов, обеспечивает плотное прилегание краев раны, необходимое при остановке кровотечени . Application of the apparatus avoids the risk of damage to basic nerve vessels nodes provides a snug fit the wound edges, when necessary hemostasis.

SU853852101A 1985-02-04 1985-02-04 Arrangement for bringing wound edges closer SU1243708A1 (en)

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