SU1324650A1 - Устройство дл обеспечени гемостаза при ранени х сердца - Google Patents

Устройство дл обеспечени гемостаза при ранени х сердца Download PDF

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Publication number
SU1324650A1
SU1324650A1 SU864005591A SU4005591A SU1324650A1 SU 1324650 A1 SU1324650 A1 SU 1324650A1 SU 864005591 A SU864005591 A SU 864005591A SU 4005591 A SU4005591 A SU 4005591A SU 1324650 A1 SU1324650 A1 SU 1324650A1
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heart
wound
olive
working
jaws
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SU864005591A
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Петр Николаевич Замятин
Николай Константинович Голобородько
Борис Иванович Бабынкин
Владимир Николаевич Бурцев
Валерий Николаевич Бурцев
Виктор Сергеевич Пронин
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Харьковский научно-исследовательский институт общей и неотложной хирургии
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Изобретение относитс  к медицинской технике. Цель изобретени  - уменьшение кровопотери при фиксации краев раны сердца. Устройство состоит из двух шарнирно закрепленных бранш 1 с кольцами 2 дл  пальцев и рабочими губками 3, на концах которых закреплены две .вакуумные присоски 4 с иголь- чатьми захватами. Присоски 4 имеют щелевидное сечение и св заны с источником вакуума посредством штуцера и трубопровода 7. На оси шарнира установлена трубчата  изогнута  направл юща  8, внутри которой размещен гибкий толкатель 9. Фиксаци  работающего сердца на оливе и захватами позвол ет стабилизировать положение раны дл  последующего наложени  швов. 11 ил. (Л С Фиг,1

Description

Изобретение относитс  к медицине и может быть использовано при хирургических операци х.
Целью изобретени   вл етс  уменьшение кровопотери при фиксации краев раны сердца.
На фиг. 1 изображено устр.ойство, общий вид; на фйг. 2 - разрез А-А на фиг, 1; на фиг, 3 - конструкци  гибкого толкател ; на фиг, 4 - вид Б на фиг. 2; на фиг, 5 - вид А на фиг, 3j на фиг, 6-11 - по снение работы устройства,
Устрбйство состоит из двух шарнир но закрепленных бранш 1 с кольцами 2 дл  пальцев и рабочими губками 3 изонутой формы, на концах которых закреплены две вакуумные присоски 4 с игольчатыми захватами 5.
Вакуумш е 1 присоски 4 имеют щеле- видное сечение и св заны с источнико вакуума (хирургическим электроотсосом ) посредством штуцера 6 и трубопрвода 7, На оси шарнира установлена трубчата  изогнута  направл юща  8, внутри которой размещен гибкий толкатель 9, на одном Конце его закреплено кольцо 10, а на втором - рабоча  часть, вьтолненна  в виде крючка с оливой 11.
Устройство работает следующим образом .
Рабочую часть с оливой 11 посредством кольца 10 и толкател  9 выдвигают из направл ющей 8 так, чтобы она вышла за уровень игольчатых захватов 5. После выполнени  торакото- мии, рассечени  перикарда в раневой канал 12 ввод т оливу 11 и, поворачива  все устройство по кривизне оливы 11, добиваютс  входа оливы в полость сердца так, чтобы олива 11 бьша повернута к эндокарду. Затем пальцем . нат гивают кольцо 10, при этом оливу
11 перемещают вверх, а губки с игольчатыми захватами 5 - вниз, при этом губки раздвинуты. Включают вакуум-отсос и после вкола игл захвата 5 в эпикард и миокард вакуумные присоски 4 прижимаютс  к поверхности сердца, губки свод т, кра  раны при этом сближаютс .
Подт гива  устройство кверху с одновременным вывихиванием сердца в операционную рану, добиваютс  деформации раневого канала 12 вокруг оливы 11, дополн емой сведением , краев раны 12. Фиксаци  работающего сердца на оливе 11 и захватами 5 позвол ет стабилизировать положение раны дл  последующего наложени  швов иглой 13 с лигатурой 14.
С целью профилактики прорезывани  швов на лигатуру предварительно нанизываетс  прокладка из тефлоново- го войлока. После наложени  шва ли- гутуру 14 слегка нат гивают, кольцо 10 ослабл ютJ отсос отключают, извлека  из раны оливу 11, зав зывают шов.
Формула, и-зобретени 
Устройство дл  обеспечени  гемостаза при ранени х сердца, содержащее две шарнирно закрепленные бранши с Кольцами и рабочими губками,- снабженными игольчатыми захватами, отличающеес  тем, что, с целью уменьшени  кровопотери при фиксации краев раны сердца, между рабочими губками установлена трубчата  направл юща , в которой размещен гибкий толкатель с кольцом на одном конце и оливой на другом, бранши выполнены изогнутыми, а рабочие губки снабжены вакуумными присосками.
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Редактор П. Гереши
Составитель В. Ваганов .,
Техред И.Попович Корректор Л. Пилипенко
Заказ 2987/3 Тираж 595Подписное
БНИИПИ Государственного комитета СССР
по делам изобретений и открытий . 113035, Москва Ж-35, Раушска  наб., д„ 4/5
Производственно-полиграфическое предпри тие, г.Ужгород, ул. Проектна , 4

Claims (1)

  1. Формула, изобретения
    Устройство для обеспечения гемостаза при ранениях сердца, содержащее две шарнирно закрепленные бранши с кольцами и рабочими губками,- снабженными игольчатыми захватами, отличающееся тем, что, с целью уменьшения кровопотери при фиксации краев раны сердца, между рабочими губками установлена трубчатая направляющая, в которой размещен гибкий толкатель с кольцом на одном конце и оливой на другом, бранши выполнены изогнутыми, а рабочие губки снабжены вакуумными присосками.
    Фи 2 6
SU864005591A 1986-01-03 1986-01-03 Устройство дл обеспечени гемостаза при ранени х сердца SU1324650A1 (ru)

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SU864005591A SU1324650A1 (ru) 1986-01-03 1986-01-03 Устройство дл обеспечени гемостаза при ранени х сердца

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US7828817B2 (en) 2000-01-05 2010-11-09 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
US7841502B2 (en) 2007-12-18 2010-11-30 Abbott Laboratories Modular clip applier
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