TW202241536A - Latch device for chest tube capable of immediately sealing chest tube to buy more rescue time for patient - Google Patents
Latch device for chest tube capable of immediately sealing chest tube to buy more rescue time for patient Download PDFInfo
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Abstract
Description
本發明是有關於一種用於引流管之器械,特別是指一種用於胸管之引流控制的閉鎖裝置。The invention relates to a device for drainage tube, in particular to a blocking device for chest tube drainage control.
外傷相關死亡率逐年攀升,且外傷就醫人次與醫療費用也提升許多,其中,胸部外傷致死率約占外傷死亡病例的20~25%,胸部外傷也是外傷死因的第二位。大多數胸部外傷的患者都會出現呼吸急促、呼吸困難等症狀,且在接受治療及檢查的過程中,常會引起疼痛及焦慮等諸多不適,有時連最基本的生理需求皆受影響。對於此類患者在病情出現變化時,應即早積極治療。Trauma-related mortality is increasing year by year, and the number of trauma-related medical visits and medical expenses have also increased a lot. Among them, the mortality rate of chest trauma accounts for about 20-25% of traumatic deaths, and chest trauma is also the second cause of traumatic death. Most patients with chest trauma will experience shortness of breath, dyspnea and other symptoms, and in the process of receiving treatment and examination, it often causes pain and anxiety and many other discomforts, and sometimes even the most basic physiological needs are affected. For such patients, when their condition changes, they should be actively treated as soon as possible.
常見治療方式,是透過胸管進行引流,將氣體或液體引流出來,藉以重建胸腔的負壓狀態,使塌陷的肺臟能重新擴張。放置胸管進行引流的患者在活動時,必須使胸管引流系統保持通暢,且保持相對外界密閉,若胸管斷裂或連接於該胸管的接頭不慎滑脫時,須立即使用止血鉗夾住胸管或重新接上接頭,以免氣體進入胸腔。然而,因為患者不會隨身攜帶止血鉗,一旦發生前述胸管破裂等緊急狀況時,經常無法及時夾住胸管,而須緊急請附近的醫療人員協助處理,此過程相當危急且十分耗時,處理不慎易造成病情嚴重加劇。所以這種透過止血鉗來封閉胸管的醫療處置方式確實存在一定的安全疑慮,而有待改進。The common treatment method is to perform drainage through a chest tube to drain air or liquid, so as to restore the negative pressure state in the chest cavity, so that the collapsed lung can be re-expanded. Patients with chest tube drainage must keep the chest tube drainage system unobstructed and sealed relative to the outside world during activities. If the chest tube breaks or the joint connected to the chest tube accidentally slips off, hemostatic forceps must be used immediately Hold the chest tube or reconnect the connector to prevent air from entering the chest cavity. However, because patients do not carry hemostatic forceps with them, in the event of an emergency such as a chest tube rupture, they often cannot clamp the chest tube in time, and must urgently ask nearby medical personnel for assistance. This process is very critical and time-consuming. Careless handling can easily lead to serious exacerbation of the condition. Therefore, this medical treatment method of closing the chest tube through a hemostat does have certain safety concerns, and needs to be improved.
因此,本發明的目的,即在提供一種能改善先前技術的至少一個缺點的胸管閉鎖裝置。Accordingly, it is an object of the present invention to provide a chest tube closure device which overcomes at least one of the disadvantages of the prior art.
於是,本發明胸管閉鎖裝置,適用於連通組接在一個胸管與一引流管間。該胸管閉鎖裝置包含一個連通管,及一個安裝在該連通管的閉鎖機構。Therefore, the chest tube locking device of the present invention is suitable for connecting and connecting between a chest tube and a drainage tube. The chest tube locking device includes a connecting tube and a locking mechanism installed on the connecting tube.
該連通管包括一個中心管部、兩個自該中心管部往外延伸且用以分別連通安裝在該胸管與該引流管的連接管部,及一個自該中心管部往外延伸的調節管部。該閉鎖機構包括一個設置在該中心管部內且氣密擋阻在該等連接管部與該調節管部間的活塞,及一個連結於該活塞且沿該調節管部軸向延伸穿出該調節管部外的調節單元,該調節單元可被操作而傳動該活塞在一個氣密擋阻在該等連接管部與該調節管部間的閉鎖位置,及一個位移進入該調節管部而使該等連接管部連通的開啟位置間變化。The connecting tube includes a central tube part, two connecting tube parts extending outward from the central tube part and used to connect and install the chest tube and the drainage tube respectively, and an adjusting tube part extending outward from the central tube part . The locking mechanism includes a piston arranged in the central tube part and airtightly blocked between the connecting tube parts and the adjusting tube part, and a piston connected to the piston and extending out of the adjusting tube along the axial direction of the adjusting tube part. An adjustment unit outside the tube, which can be operated to drive the piston in a closed position airtightly blocked between the connecting tubes and the adjustment tube, and a displacement into the adjustment tube to make the The open position of the connecting pipe is changed.
本發明之功效在於:透過該胸管閉鎖裝置之該連通管與該閉鎖機構的結構設計,醫護人員可透過轉動該調節單元的方式,迅速將該活塞調整至該閉鎖位置而立即封閉該胸管,為患者爭取更多搶救時間。The effect of the present invention is: through the structural design of the connecting tube and the locking mechanism of the chest tube locking device, the medical staff can quickly adjust the piston to the locking position by rotating the adjustment unit to immediately close the chest tube , to strive for more rescue time for patients.
在本發明被詳細描述前,應當注意在以下的說明內容中,類似的元件是以相同的編號來表示。Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same numerals.
參閱圖1、2、3,本發明胸管閉鎖裝置200的一個第一實施例,適用於連通組接在一個胸管901與一個引流管902間。該胸管閉鎖裝置200包含一個連通管3,及一個設置在該連通管3中的閉鎖機構4。為方便說明,以下是以圖2之左右側與上下側分別定義為該胸管閉鎖裝置之左右側與上下側。Referring to FIGS. 1 , 2 and 3 , a first embodiment of a chest
該連通管3包括一個中心管部31、兩個自該中心管部31左右相背往外延伸的連接管部32,及一個自該中心管部31往上突伸的調節管部33。The
該中心管部31內周面設置有一上下螺旋延伸的螺牙結構311,並具有一個相對該等連接管部32徑向往下外凸的外凸段312,該外凸段312內部界定出一個開口朝向該調節管部33之嵌置槽313。The inner peripheral surface of the
該等連接管部32是用以分別插裝在該胸管901與該引流管902,每一連接管部32外周面設置有用以供對應之該胸管901或該引流管902套接卡抵之鋸齒狀的止退結構321。The connecting
該調節管部33內周面設置有一上下延伸,且與該中心管部31之該螺牙結構311一體相連的螺牙結構331。The inner peripheral surface of the regulating
該閉鎖機構4包括一個氣密設置在該中心管部31中的活塞5、一個穿設在該調節管部33中並固接於該活塞5的調節單元6,及一個可撓曲變形地套設在該調節管部33與該調節單元6間的防污套43。The
該活塞5是可相對該中心管部31與該調節管部33上下螺轉位移地氣密螺接於該等螺牙結構311、331。該調節單元6具有穿設在該調節管部33中且與該活塞5連結之調節件61。該調節件61具有一個以其底端固接於該活塞5並往上延伸穿出該調節管部33外的調節桿部611,及一個固接於該調節桿部611頂端而外露在該調節管部33外之十字形的操作部612。該防污套43是以其底端部氣密套接固定在該調節管部33外,而以其頂端部可轉動地套接在該調節桿部611外,可用以防止污染物進入該調節管部33中。The
該調節件61被驅動而相對該連通管3轉動時,會同步驅轉該活塞5,而驅使該活塞5相對該連通管3在一個閉鎖位置與一個開啟位置間上下螺轉位移變化。當該活塞5位於該閉鎖位置時,該活塞5是螺設在該中心管部31中,並往下嵌置定位在嵌置槽313內,而氣密封閉該中心管部31,也就是氣密阻塞在該等連接管部32與該調節管部33間。當驅轉該調節單元6而傳動該活塞5螺轉位移進入該調節管部33內時,該等連接管部32可經由該中心管部31相連通時,該活塞5即位於該個開啟位置。When the regulating
本發明胸管閉鎖裝置200使用時,是將該連通管3之該等連接管部32分別氣密插裝在該胸管901與該引流管902,可藉由該等連接管部32之該等止退結構321,使該等連接管部32分別插裝固定在該胸管901與該引流管902而不易脫落。然後,就可操作轉動該調節件61,將該活塞5調節至該開啟位置,使該胸管901經由該連通管3連通該引流管902。When the chest
當該引流管902發生破損、脫落,或者是與該引流管902連通組接之呼吸器設備受損故障時,可透過操作調轉該調節件61的方式,快速地驅使該活塞5封閉該連通管3,進而封閉該胸管901。此外,實施時,也可透過調整控制該活塞5上移至該調節管部33的幅度,控制該等連接管部32間的連通幅度。When the
參閱圖4、5、6、7,本發明胸管閉鎖裝置200之一個第二實施例與該第一實施例差異處在於:該調節單元6結構設計。為方便說明,以下將僅針對本第二實施例與該第一實施例差異處進行描述。4, 5, 6, 7, a second embodiment of the chest
該調節單元6包括一個設置定位在該調節管部33中之定位模組62,及一個沿該調節管部33軸向上下延伸穿設在該定位模組62並連結於該活塞5的調節件61。The adjusting
該定位模組62具有沿該調節管部33軸向由外往內間隔設置的一個第一定位件621與一個第二定位件624。該第一定位件621具有一個背向該第二定位件624而朝向該調節管部33開口之第一定位面622,且具有一個沿該調節管部33軸向貫穿的第一穿孔623。該第二定位件624具有一個背向該第一定位件621而朝向該中心管部31之第二定位面625,且具有一個沿該調節管部33軸向貫穿並與該第一穿孔623上下對應的第二穿孔626。The
該調節件61具有一個沿該調節管部33軸向延伸貫穿該第一穿孔623與該第二穿孔626而連結於該活塞5的調節桿部611、一個固定在該調節桿部611頂端且位於該調節管部33外的操作部612,及一個徑向突設在該調節桿部611周側的凸卡部613。The adjusting
該調節桿部611是可轉動與軸向位移地穿設在該第一穿孔623與該第二穿孔626,並可轉動地連結於該活塞5,該操作部612可供操作以驅轉和推拉調移該調節桿部611。該凸卡部613可被該調節桿部611連動而相對該定位模組62旋轉,並可被該調節桿部611連動而軸向位移通過該第一穿孔623與該第二穿孔626。The adjusting
當該調節件61被操作以相對該定位模組62軸向位移時,可傳動該活塞5在該開啟位置與該閉鎖位置間位移。此外,該調節件61可被操作以相對該定位模組62轉動,而在一個使該凸卡部613對準該第一穿孔623與該第二穿孔626,並能被該調節桿部611連動位移通過該第一定位件621與該第二定位件624之可調位置,及一個使該凸卡部613卡抵在該第一定位面622,而使該活塞5定位在該開啟位置之第一卡抵位置,或一個使該凸卡部613卡抵在該第二定位面625,而使該活塞5定位在該閉鎖位置之第二卡抵位置間變化。When the
本發明胸管閉鎖裝置200安裝在該胸管901與該引流管902間使用時,若要將該活塞5自該開啟位置調整至該閉鎖位置,可操作轉動該調節件61,藉以驅使該調節件61自以該凸卡部613卡抵在該第一定位面622之該第一卡抵位置,旋轉位移至使該凸卡部613對準該第一穿孔623之可調位置,然後,再相對該調節管部33軸向推移該調節件61,驅使該凸卡部613位移通過該第一穿孔623與該第二穿孔626,此時,該活塞5就已被該調節件61推移至該閉鎖位置。最後,再相對該調節管部33驅轉該調節件61,藉以驅使該調節件61變化至以該凸卡部613卡抵在該第二定位件624之該第二定位面625之第二卡抵位置,就可使該活塞5穩固定位在該閉鎖位置。When the chest
當要將該活塞5自該閉鎖位置調移至該開啟位置時,則以相反步驟操作該調節件61,先驅使該調節件61自該第二卡抵位置變化至該可調位置,將該調節件61往外抽拉至該凸卡部613通過該第一穿孔623,此時,該活塞5就已位於該開啟位置。最後,再驅使該調節件61旋轉至該第二卡抵位置,就可將該活塞5穩固定位在該開啟位置。When the
在本第二實施例中,該定位模組62是由相間隔之該第一定位件621與該第二定位件624分別界定出該第一定位面622與該第二定位面625,但實施時,在本發明之其它實施態樣中,也可將該定位模組62設計成具有相背的該第一定位面622與該第二定位面625的單一構件。此外,在本發明之另一實施態樣中,該第一定位件621之該第一穿孔623與該第二定位件624之該定二穿孔626不以軸向相對應為必要,也可設計成軸向錯位之態樣,且該第一穿孔623與該第二穿孔626外形不以圖示樣式為限,也可設計成分別延伸至該第一定位件621與該第二定位件624之周緣,並可進一步設計成沿其周緣延伸開闊成扇形狀,只要能夠供該凸卡部643軸向位移通過即可。In the second embodiment, the
綜上所述,透過該胸管閉鎖裝置200之該連通管3可用以連通組接該胸管901與該引流管902間的結構設計,以及該閉鎖機構4之該調節單元6可被操作,而傳動該活塞5在氣密封閉該連通管3之該閉鎖位置,以及使該連通管3連通該胸管901與該引流管902的開啟位置間變化的設計,一旦連通於該連通管3下游之該引流管902或其它管路結構發生破損情況時,醫護人員可透過轉動該調節單元6的方式,迅速將該活塞5調整至該閉鎖位置而立即封閉該胸管901,可用以避免患者病情加劇惡化,為患者爭取更多搶救時間,且該胸管引流裝置200的設置,也有助於提升醫療人員之照護效率。因此,本發明胸管閉鎖裝置200確實一種相當方便實用的創作,而能達成本發明的目的。To sum up, the connecting
惟以上所述者,僅為本發明的實施例而已,當不能以此限定本發明實施的範圍,凡是依本發明申請專利範圍及專利說明書內容所作的簡單的等效變化與修飾,皆仍屬本發明專利涵蓋的範圍內。But the above-mentioned ones are only embodiments of the present invention, and should not limit the scope of the present invention. All simple equivalent changes and modifications made according to the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of the present invention.
200:胸管引流裝置 3:連通管 31:中心管部 311:螺牙結構 312:外凸段 313:嵌置槽 32:連接管部 321:止退結構 33:調節管部 331:螺牙結構 4:閉鎖機構 5:活塞 6:調節單元 61:調節件 611:調節桿部 612:操作部 613:凸卡部 62:定位模組 621:第一定位件 622:第一定位面 623:第一穿孔 624:第二定位件 625:第二定位面 626:第二穿孔 7:防污套 901:胸管 902:引流管 200: chest tube drainage device 3: connecting pipe 31: Central tube 311: screw tooth structure 312: Convex segment 313: Embedded groove 32: Connecting pipe part 321: Backstop structure 33: Regulating tube 331: screw tooth structure 4: Locking mechanism 5: Piston 6: Adjustment unit 61:Adjustment piece 611: Adjusting rod 612: Operation Department 613: convex card part 62: Positioning module 621: The first positioning part 622: The first positioning surface 623: First piercing 624: The second positioning part 625: Second positioning surface 626:Second perforation 7: Anti-fouling sleeve 901: chest tube 902: drainage tube
本發明的其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是本發明胸管閉鎖裝置的一個第一實施例的立體圖; 圖2是該第一實施例的安裝在一個胸管與一個引流管間的不完整的側剖視圖,並說一個活塞位在一個閉鎖位置時的情況; 圖3是類似圖2之視圖,說明該活塞位於一個開啟位置時的情況; 圖4是本發明胸管閉鎖裝置的一個第二實施例的立體圖; 圖5是該第二實施例的立體分解圖; 圖6是該第二實施例的側剖視圖,說明該活塞位於該開啟位置時的情況;及 圖7是類似圖6之視圖,說明該活塞位於該閉鎖位置時的情況。 Other features and effects of the present invention will be clearly presented in the implementation manner with reference to the drawings, wherein: Fig. 1 is a perspective view of a first embodiment of the chest tube locking device of the present invention; Figure 2 is a fragmentary side sectional view of the first embodiment installed between a chest tube and a drainage tube, with a piston in a locked position; Figure 3 is a view similar to Figure 2 illustrating the piston in an open position; Fig. 4 is a perspective view of a second embodiment of the chest tube locking device of the present invention; Fig. 5 is a three-dimensional exploded view of the second embodiment; Figure 6 is a side sectional view of the second embodiment, illustrating the situation when the piston is in the open position; and Figure 7 is a view similar to Figure 6, illustrating the piston in the blocked position.
200:胸管引流裝置 200: chest tube drainage device
3:連通管 3: connecting pipe
31:中心管部 31: Central tube
311:螺牙結構 311: screw tooth structure
312:外凸段 312: Convex section
313:嵌置槽 313: Embedded groove
32:連接管部 32: Connecting pipe part
321:止退結構 321: Backstop structure
33:調節管部 33: Regulating tube
331:螺牙結構 331: screw tooth structure
4:閉鎖機構 4: Locking mechanism
5:活塞 5: Piston
6:調節單元 6: Adjustment unit
61:調節件 61:Adjustment piece
611:調節桿部 611: Adjusting rod
612:操作部 612: Operation Department
7:防污套 7: Anti-fouling sleeve
901:胸管 901: chest tube
902:引流管 902: drainage tube
Claims (10)
Priority Applications (1)
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TW110115140A TWI760198B (en) | 2021-04-27 | 2021-04-27 | chest tube locking device |
Applications Claiming Priority (1)
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TW110115140A TWI760198B (en) | 2021-04-27 | 2021-04-27 | chest tube locking device |
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Publication Number | Publication Date |
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TWI760198B TWI760198B (en) | 2022-04-01 |
TW202241536A true TW202241536A (en) | 2022-11-01 |
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TW110115140A TWI760198B (en) | 2021-04-27 | 2021-04-27 | chest tube locking device |
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Country | Link |
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TW (1) | TWI760198B (en) |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN2894709Y (en) * | 2006-02-24 | 2007-05-02 | 刘建明 | Disposable pleuroperitoneal cavity puncture tapping device |
TWM520904U (en) * | 2015-11-20 | 2016-05-01 | Univ Chang Gung Science & Technology | Improved drainage tube structure |
CN206120816U (en) * | 2016-08-09 | 2017-04-26 | 王雪 | Drainage device for thoracic surgery |
EP4252824A3 (en) * | 2017-03-02 | 2023-11-08 | White Swell Medical Ltd | Systems and methods for reducing pressure at outflow of a duct |
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