WO2018082178A1 - Dispositif de fermeture sans sutures pour incision chirurgicale - Google Patents

Dispositif de fermeture sans sutures pour incision chirurgicale Download PDF

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Publication number
WO2018082178A1
WO2018082178A1 PCT/CN2016/112826 CN2016112826W WO2018082178A1 WO 2018082178 A1 WO2018082178 A1 WO 2018082178A1 CN 2016112826 W CN2016112826 W CN 2016112826W WO 2018082178 A1 WO2018082178 A1 WO 2018082178A1
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WO
WIPO (PCT)
Prior art keywords
medical tape
stress controller
buckle
tape
beams
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Application number
PCT/CN2016/112826
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English (en)
Chinese (zh)
Inventor
周晓军
林子凯
窦圣博
孟坚
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北京迈迪顶峰医疗科技有限公司
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Publication of WO2018082178A1 publication Critical patent/WO2018082178A1/fr

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/088Sliding fasteners

Definitions

  • the present invention relates to a medical device for non-invasive closure of a surgical incision, and more particularly to a surgical incision-free closure device.
  • the skin is an important protective barrier for the human body. It inhibits the entry of bacteria. However, during surgery, this barrier is destroyed in a certain period of time. Even if it is sutured, it will leave unsightly scars and is not easily accepted by patients. There are many reasons for the formation of scars, such as personal physique, ethnicity, injured parts, treatment timing, treatment methods and suturing techniques, etc., which can affect the formation of scars. Among them, the timing of treatment, treatment methods and suturing techniques are medical reasons, the formation of scars. It has a very close relationship with the suture technique, and the proper method will greatly reduce the formation of scars. How to make patients heal better after surgery has always been a big concern for surgeons.
  • the traditional incision healing method is suture suture or skin suturing suture. Both of these methods are invasive sutures, which are prone to scarring and easy to be infected. Although the price is low, the suture stitching efficiency is low, which improves the labor intensity of the surgeon, and the tension around the incision is caused by the pulling and compression of the suture, which hinders the blood flow and affects the healing of the knife edge; the local cavity foreign body stimulation due to the suture The effect is that the line cavity has different degrees of exudation, and in severe cases, there is purulent exudate; the most important thing is that this method can not effectively transmit and disperse the tension of the epidermal layer of the surgical incision, the tension on both sides of the wound is too large, and it is easy to give the body The wrong bridging instruction is issued to make the wound hyperplasia more serious.
  • this kind of product can quickly achieve non-invasive healing of the incision, high efficiency, but limited valgus effect on the incision, providing little healing tension, almost no elasticity, especially limited longitudinal contraction, tissue activity can lead to degumming , the package, affecting the healing of the tissue; due to the limitations of its structure, its use range is affected, this kind of product is only suitable for the closure of the incision of each part of the body surface or the curvature of not more than 20 degrees or suitable for the curvature Closure of the incision over 20 degrees.
  • the second-generation products are represented by the medical suture pull buckle produced by Beijing Sunshine Yikang Technology Development Co., Ltd., which consists of a single lock, which can be freely stretched in the longitudinal direction.
  • the structure of the product can expand the scope of use: the scope of use of the product is not subject to Limited to the shape of the slit, not limited to the curvature of the slit, but because of the single pull tab, the operation efficiency is low; another disadvantage is that there is no correlation between the individual pull tabs, when the one side of the slit is displaced, pull The buckle cannot effectively balance the displacement, that is to say, the shear force between the slits cannot be effectively decomposed, and the slit cannot be provided with all-round protection.
  • the Chinese utility model patent discloses a suture-free medical zipper comprising a zipper (2) consisting of two zipper tapes (11) and a zipper head (3), and a zipper tape (11)
  • a drain hole (10) is disposed on the end of the zipper (2), and the upper end of the zipper tape (11) is an upper adhesive layer (5), and the lower end of the zipper tape (11) is
  • the absorbent pad (8), the lower end of the absorbent pad (8) is a lower adhesive layer (6); the upper adhesive layer (5), the zipper tape (11), the absorbent pad (8), and the lower adhesive layer ( 6) the overlapping portions are fixed together; the width of the upper adhesive layer (5) is larger than the width of the zipper tape (11), and the width of the lower adhesive layer (6) is larger than the width of the upper adhesive layer (5);
  • the adhesive layer (5) and the lower adhesive layer (6) are bonded to each other beyond the portion of the fastener tape (11) by a double-sided tape (7).
  • the Chinese utility model patent discloses a wound-free medical zipper for healing, which comprises a zipper composed of two zipper tapes (11) and one zipper head (3) ( 2), the end of the zipper (2) is provided with a pull ring (1); the upper end of the zipper tape (11) is an upper adhesive layer (5), and the lower end of the zipper tape (11) is an absorbent pad (8), an absorbent pad The lower end of (8) is a lower adhesive layer (6); the upper adhesive layer (5), the zipper tape (11), the absorbent pad (8), and the lower adhesive layer (6) are partially joined together.
  • the width of the upper adhesive layer (5) is greater than the width of the zipper tape (11)
  • the width of the lower adhesive layer (6) is greater than the width of the upper adhesive layer (5)
  • the upper adhesive layer (5) and the lower layer The adhesive layer (6) is bonded to the portion of the zipper tape (11) by a double-sided tape (7), and a healing healing medical tape is provided under the zipper tape (11).
  • the Chinese invention patent (201410729190.0: medical suture pull buckle) discloses a medical suture pull buckle, which is composed of two substrates which are respectively attached to the two sides of the skin wound and have the same structure, each of which comprises a pull belt (1), a buckle (2) and an adhesive layer (3), characterized in that: the adhesive layer (3) is adhered to the bottom of the buckle (2), and the buckle (2) is disposed at the head of the drawstring (1).
  • the drawstring (1) is provided with a plurality of spaced ratchets (10), the lock (2) is provided with a lock hole (20), and the lock hole (20) is formed to cooperate with the ratchet (10)
  • the pawl (21), the side of the buckle (2) facing the drawstring (1) has a downwardly inclined inner recessed area (22), and the pull straps (1) on the two substrates pass each other's locks (2) Locking and sewing the skin wound adhered to the underside of the two substrates.
  • the suture-free medical zipper disclosed in the above two utility model patents can realize the suture-free function of the wound through the cooperation of the zipper tape and the zipper head structure, and is convenient to use, quick in processing and low in cost, but the zipper is outside the slit.
  • the tumbling effect is limited, providing a small healing tension and almost no elasticity, which affects tissue healing;
  • the above invention patent discloses a medical suture pull buckle, wherein the pull strap, the lock buckle and the adhesive layer are disposed on the substrate, and the two substrates are locked by applying the pulling force to the two pull straps while passing each other. Tight Thereby, the skin wound adhered to the bottom of the substrate is sutured, and the surface suturing function of the wound is realized; however, the pull buckles need to be installed one by one, and the operation efficiency is low; there is no correlation between the buckles, and the transverse between the slits cannot be effectively decomposed. Shear force does not provide full protection for the incision.
  • the present invention provides a surgical incision-free seam closing device, which improves the operation efficiency, improves the product compliance of the product, protects the incision in all directions, and better realizes the eversion of the incision. Heal.
  • the technical solution adopted by the present invention is that the present invention provides a surgical incision-free seam closing device, including a medical tape, a stress controller, and a brace, and the medical tape includes an upper medical tape and a lower medical tape.
  • the upper medical tape and the lower medical tape both include a left medical tape and a right medical tape, and the left medical tape and the right medical tape are symmetrically arranged;
  • the stress controller includes a left stress controller and a right stress controller, and the left stress controller is disposed between the upper left medical tape and the lower left medical tape; the right stress controller is disposed on the upper right medical device Between the tape and the underlying medical tape on the right side;
  • the pull strip is disposed between the right stress controller and the left stress controller.
  • the stress controller is an arcuate structure
  • the arcuate structure includes a plurality of beams and a plurality of longitudinal beams, the plurality of beams are parallel to each other in equal length and the ends are collinear; the plurality of longitudinal beams are disposed between the beams, the longitudinal beams Divided into long beams and short beams, and perpendicular to the beam.
  • the left stress controller is provided with a fastening buckle
  • the right stress controller is provided with a buckle
  • the fastening buckle and the buckle are disposed at equal intervals in the middle of the short beam. Location or both sides.
  • the fastening buckle and the buckle are respectively provided with a limiting hole, and the short axis length of the fastening buckle limiting hole is equal to the short axis length of the locking limiting hole; the fastening buckle limit The length of the long axis of the hole is not less than The length of the long axis of the lock limit hole.
  • an angle between an opening end surface of the fastening buckle and a bottom surface of the left stress controller ranges from 90 to 170 degrees.
  • the angle between the opening end surface of the buckle and the bottom surface of the right stress controller ranges from 90 to 170 degrees.
  • an angle between a central axis of the fastening buckle limiting hole and an end surface of the fastening buckle opening ranges from 10 to 90 degrees.
  • an angle between a central axis of the locking limiting hole and an end surface of the locking opening is in the range of 10 to 90 degrees.
  • the angle between the fastening buckle and the opening end surface of the buckle in the direction of the central axis of the limiting hole and the bottom surface of the corresponding stress controller are in the range of 10 to 170 degrees.
  • each of the beams is provided with 1-3 mutually parallel grooves, and the distance between the grooves and the fastening buckle root or the buckle root is 2 mm, and the depth is 0.3. Mm.
  • the two adjacent beams are arranged equidistantly or not equidistantly; the beam and the longitudinal beam are integrally arranged or divided into a plurality of segments.
  • the stress controller cross-sectional shape is one of a rectangle, a square, a semicircle, an ellipse or an irregular polygon.
  • the left end of the brace is provided with a countersunk head, and an inverted tooth structure is arranged in the middle, and a handle is arranged at the tail end.
  • the material of the brace is nylon or ABS material
  • the brace has a thickness smaller than a width
  • the cross section is rectangular or elliptical.
  • the countersunk head of the brace is fixed to the outer side of the left end of the fastening buckle limiting hole; the tail end of the brace is passed through the limiting hole of the buckle.
  • the inverted tooth shape is a fishbone shape, and a groove is provided at a root portion thereof.
  • the upper or lower surface of the brace handle is wavy, and the side of the brace handle is provided with a groove.
  • the medical tape is an aqueous pressure sensitive adhesive tape which is adhered to the tissue on both sides of the incision.
  • the substrate of the medical tape has a rectangular, arcuate or fish-like shape; the medical tape substrate is composed of a plurality of independent or non-independent segments.
  • the length of the lower medical tape is equal to the length of the upper medical tape, and the width of the lower medical tape is half of the width of the upper medical tape.
  • a layer of release paper is attached to the underside of the lower medical tape for ensuring the integrity of the tape.
  • the surgical incision-free suture closure device provided by the invention has high operation efficiency, improves the tissue compliance of the product, protects the incision in all directions, and better realizes the eversion of the incision;
  • the stress controller of the present invention can effectively decompose the local tension of the slit, so that the slit can freely expand and contract in the longitudinal direction to avoid degumming and bulging; in addition, the stress controller has flexible longitudinal expansion and contraction degrees of freedom, and the stress controller as a whole
  • the design of the structure can inhibit the longitudinal movement of one side of the slit and eliminate the longitudinal shear force between the slits;
  • the stress controller in the present invention provides a continuous healing force in the lateral direction due to the difference in the degree of freedom of expansion and contraction, and promotes the healing of the inversion of the incision; when the incision is stretched, an additional additional is provided on the basis of the lateral lateral healing force.
  • the healing force causes the incision to heal, and the incision will only squeeze each other in the lateral direction and will not tear each other; thus providing lateral and longitudinal protection to the incision, and the incision can be quickly realized under the continuous healing force.
  • Figure 1 is a schematic view of the assembly of the surgical incision-free closure device provided by the present invention
  • Figure 2 is a detailed assembly view of the surgical incision-free closure device provided by the present invention.
  • Figure 3 is a schematic view showing the die cutting of the medical tape of the present invention.
  • Figure 4 is a schematic view showing the assembly of the brace and the left and right stress controller of the present invention.
  • Figure 5 is a schematic view of a pull bar in the present invention.
  • Figure 6 is a front view, a plan view, and a front view of the fastening port and the lock opening in the present invention
  • Figure 7 is a schematic view showing the peeling operation of the release paper in the embodiment of the present invention.
  • Figure 8 is a schematic view of the present invention before the slit is closed
  • Figure 9 is a schematic view of the incision valgus closure of the present invention.
  • Figure 10 is a schematic view of the stress controller before extension
  • Figure 11 is a schematic view of the stress controller after elongation
  • 1 right stress controller; 2: left stress controller; 3: brace; 4: lower medical tape; 5: upper medical tape; 6: lock; 7: fastening buckle; 8: release paper; Pull bar reverse tooth; 10: pull bar countersunk head; 11: pull bar handle; 12: fastening buckle limit hole; 13: lock limit hole; 14: beam groove; 15: beam; 16: stringer; 17: slit; 1a: right stress controller before stretching; 2a: left stress controller before stretching; 1b: right stress controller after stretching; 2b: left stress controller after stretching.
  • FIG. 1 to FIG. 2 are assembly views of the surgical slit-free closing device provided by the present invention
  • FIG. 3 is a schematic view of the medical tape of the present invention
  • FIG. 4 is a drawing of the present invention.
  • the surgical slit-free closing device includes a brace 3, Medical tape and stress controller; medical tape includes lower medical tape 4 and upper medical tape 5, lower medical tape 4 and upper medical tape 5 include left medical tape and right medical tape, left medical tape and right medical tape
  • the symmetric controller is arranged in a symmetrical structure; the stress controller includes a right stress controller 1 and a left stress controller 2, and the right stress controller 1 is disposed between the upper right medical tape and the lower right medical tape, and the left stress controller 2 is disposed on the upper layer.
  • the brace 3 is disposed between the right stress controller 1 and the left stress controller 2;
  • the stress controller is an arcuate structure comprising a plurality of beams 15 and a plurality of longitudinal beams 16, wherein the plurality of beams 15 are parallel to each other in equal length and the ends are collinear; a plurality of longitudinal beams 16 are disposed between the beams 15 and perpendicular to the ends of the beams.
  • the medical tape is divided into an upper medical tape 5 and a lower medical tape 4.
  • the substrate of the medical tape may be the same material or a different material, and may be an elastic body such as IR (iso-amyl). Rubber), TPU (thermoplastic polyurethane elastomer rubber), TPE (thermoplastic elastomer), TPV (thermoplastic vulcanizate), may also be non-elastomers, such as PE (polyethylene), PP (polypropylene), PVC (polyvinyl chloride) , PET (polyester), ABS (acrylonitrile-butadiene-styrene copolymer), PA (nylon), non-woven fabric; in this embodiment, the upper medical tape 5 is preferably a PE-dimensional porous film, the lower medical tape 4 The substrate is preferably a non-woven fabric; in order to increase the tissue compliance of the device, the upper medical tape 5 and the lower medical tape 4 are die-cut into a plurality of non-independent arch
  • the elongated substrate is cut into several small pieces that are joined together to conform to the peristaltic motion of the tissue; of course, the processing method may be one of die cutting or laser engraving.
  • the length of the upper medical tape 5 is equal to the length of the lower medical tape 4, and the width of the lower medical tape 4 is half of the width of the upper medical tape 5; the lower layer of the medical tape 4 is attached with a layer of release paper for ensuring the integrity of the tape.
  • the left stress controller 2 is provided with a fastening buckle 7
  • the right stress controller 1 is provided with a locking buckle 6
  • the fastening buckle 7 and the locking buckle 6 are correspondingly arranged at equal intervals, and the fastening buckle 7 is provided.
  • the buckle 6 is disposed at the middle of the right stress controller longitudinal beam 16;
  • the fastening buckle 7 and the buckle 6 are respectively provided with a limiting hole, and the angle ⁇ ' is an angle between the opening end surface of the fastening buckle 7 and the bottom surface of the left stress controller 2, and the value ranges from 90 to 170 degrees.
  • the angle ⁇ is the angle between the opening end surface of the buckle 6 and the bottom surface of the right stress controller 1, and the value ranges from 90 to 170 degrees, preferably 45 degrees;
  • the angle ⁇ ' is an angle between the central axis of the fastening buckle limiting hole 12 and the opening end surface of the fastening buckle 7, and the value ranges from 10 to 90 degrees, preferably 90 degrees;
  • the angle ⁇ is the angle between the central axis of the latching limiting hole 13 and the opening end surface of the buckle 6, and is in the range of 10 to 90 degrees, preferably 90 degrees.
  • L' is the long axis length of the fastening buckle limiting hole 12
  • W' is the short axis length of the fastening buckle limiting hole 12
  • L is the long axis length of the locking limiting hole 13
  • W is the locking limiting hole
  • the angle between the bottom surface of each of the corresponding stress controllers is preferably It is 90 degrees.
  • 1-3 parallel grooves 14 are formed on the upper surface of each of the beams 15, and the distance between the groove 14 and the root of the fastening buckle 7 or the root of the buckle 6 is 2 mm, and the depth of the groove 14 is 0.3 mm.
  • the shape of the groove is a rectangle.
  • the two adjacent beams 15 are equidistantly disposed or not equidistantly disposed, and the beam 15 and the longitudinal beam 16 are integrally formed.
  • the structure is set or divided into several segment settings; the stress controller cross-sectional shape is one of a rectangle, a square, a semicircle, an ellipse or an irregular polygon.
  • the left end of the brace 3 is provided with a countersunk head 10, and an inverted tooth structure 9 is arranged in the middle, and a handle 11 is arranged at the tail end; the countersunk head 10 of the brace is fixed on the outer side of the left end of the fastening buckle limiting hole 12.
  • the pull end end handle 11 passes through the lock limit hole 13; the pull bar reverse tooth 9 has a fishbone shape and a groove at the root; the pull handle 11 has a wave shape on the or/and the lower surface, and the pull bar
  • the side of the handle 11 is provided with a groove.
  • the brace 3 is made of nylon material or ABS material.
  • the thickness of the brace 3 is smaller than the width, and the cross section is rectangular or elliptical, preferably elliptical. The structure is good and easy to assemble, and can be obtained by injection molding, machining, etc. .
  • the wavy handle 11 of the brace is assembled into the fastening buckle limiting hole 12, and the hand-held brace handle 11 is conveyed to the right until the countersunk head of the brace is 10 cards.
  • the wavy handle 11 of the brace is then assembled into the locking limiting hole 13, and the brace 3 is tightened so that the first inverted tooth on the right side of the brace passes through the locking buckle.
  • the limiting hole 13 stops the tensioning of the brace 3.
  • the release paper 8 of the lower medical double-sided tape is first peeled off, and the medical tapes on the left and right sides are respectively fixed on both sides of the slit 17 and pulled. Tightening the strip 3, the wound is everted, the excess pull handle 11 is removed, and the gauze is wrapped.
  • the medical tape of the device provided by the present invention is fixed to both sides of the slit 17 and the brace 3 is sequentially tightened; wherein d1 is the spacing before the incision is healed.
  • the incision is turned out after the tension brace is closed, and d2 is the distance after the incision 17 is healed after the brace is pulled. Obviously, the distance after the incision is healed is much smaller than the distance before the incision is healed.
  • Figure 10 shows the state before the stress controller is stretched, where 1a is the right stress.
  • the controller 2a is the left stress controller
  • d3 is the distance between the long bow of the right stress controller 1a and the left stress controller 2a before stretching.
  • Figure 11 shows the state after the stress controller is stretched, 1b is the right stress controller, 2b is the left stress controller, and d4 is the distance between the right-handed stress controller 1b and the left-hand stress controller 2b.
  • d4 is obviously smaller than d3.
  • the area covered by the brace 3 has a tendency of lateral contraction, which promotes the inversion of the incision; in addition, both sides of the incision
  • the stress generated is sufficient to suppress the tendency of the movement of the slit 17, thereby avoiding the relative shear between the slits, and providing the lateral and longitudinal slits. All-round protection, under the effect of continuous healing force, the incision 17 can quickly achieve eversion healing.

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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

L'invention concerne un dispositif de fermeture sans sutures pour une incision chirurgicale, comprenant des bandes adhésives médicales (4, 5), des dispositifs de commande de contrainte (1, 2) et des fils de renforcement (3), les bandes adhésives médicales comprenant des bandes adhésives médicales de couche supérieure (5) et des bandes adhésives médicales de couche inférieure (4); les bandes adhésives médicales de couche supérieure (5) et les bandes adhésives médicales de couche inférieure (4) comprennent chacune un ruban adhésif médical côté gauche et un ruban adhésif médical côté droit, et le ruban adhésif médical côté gauche et le ruban adhésif médical côté droit sont agencés dans une structure symétrique; les dispositifs de commande de contrainte comprennent un dispositif de commande de contrainte gauche (2) et un dispositif de commande de contrainte droite (1), et le dispositif de commande de contrainte gauche (2) est disposé entre le ruban adhésif médical côté gauche de couche supérieure et le ruban adhésif médical côté gauche de couche inférieure; le dispositif de commande de contrainte droite (1) est disposée entre le ruban adhésif médical côté droit de couche supérieure et le ruban adhésif médical côté droit de couche inférieure; et le fil de renforcement (3) est disposé entre le dispositif de commande de contrainte droite (1) et le dispositif de commande de contrainte gauche (2). Le dispositif présente une efficacité de fonctionnement élevée, améliore la compliance tissulaire du produit, et peut mieux réaliser une cicatrisation de l'incision.
PCT/CN2016/112826 2016-11-07 2016-12-29 Dispositif de fermeture sans sutures pour incision chirurgicale WO2018082178A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201610974247.2A CN106361393B (zh) 2016-11-07 2016-11-07 手术切口免缝闭合装置
CN201610974247.2 2016-11-07

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Publication Number Publication Date
WO2018082178A1 true WO2018082178A1 (fr) 2018-05-11

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CN111991044A (zh) * 2020-09-02 2020-11-27 常倩 一种剖腹产伤口愈合加压器

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CN106901790A (zh) * 2017-04-07 2017-06-30 姜正旭 一种外科伤口免缝装置
CN109938792A (zh) * 2017-12-20 2019-06-28 朱瀚林 一种一次性高强度无创皮肤闭合器及方法
CN111035424A (zh) * 2018-10-12 2020-04-21 上海市静安区闸北中心医院 一种临时关腹装置

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US3926193A (en) * 1971-12-17 1975-12-16 Harrith M Hasson Surgical closure having ease of assembly
CN104023648A (zh) * 2011-11-01 2014-09-03 奇普林医药公司 具有集成的力分布的手术切割及闭合器械
CN104825200A (zh) * 2012-10-31 2015-08-12 奇普林医药公司 外科切口和闭合设备
US20140236227A1 (en) * 2013-02-15 2014-08-21 Alan E. Nash System for closing a wound
CN104068901A (zh) * 2014-07-22 2014-10-01 许晓曦 可调式硅胶条固定及易更换装置
CN105476680A (zh) * 2016-01-05 2016-04-13 北京迈迪顶峰医疗科技有限公司 一种外科愈合器
CN205307031U (zh) * 2016-01-05 2016-06-15 北京迈迪顶峰医疗科技有限公司 一种外科愈合器

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* Cited by examiner, † Cited by third party
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CN111991044A (zh) * 2020-09-02 2020-11-27 常倩 一种剖腹产伤口愈合加压器
CN111991044B (zh) * 2020-09-02 2022-06-17 常倩 一种剖腹产伤口愈合加压器

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