WO2018208037A1

WO2018208037A1 - Skin closure maintaining instrument for fixing drainage tube

Info

Publication number: WO2018208037A1
Application number: PCT/KR2018/004958
Authority: WO
Inventors: 한세령; 한문석
Original assignee: 한세령; 한문석
Priority date: 2017-05-11
Filing date: 2018-04-27
Publication date: 2018-11-15
Also published as: KR20180124358A; CN110602996A; KR101993288B1; CN110602996B

Abstract

The present invention relates to a skin closure maintaining instrument for fixing a drainage tube, which is used to close skin and can stably support the drainage tube for discharging blood or exudates before a hole, which is formed to discharge the blood or the exudates which fill the inside of a human body after surgery, is closed.

Description

Skin Suture Retainer for Fixing Drainage Tube

The present invention relates to a skin suture retainer used for skin sutures, and in particular, to stably support the drainage tube inserted to discharge the blood or exudates filled inside the human body after surgery, and non-invasive perforation formed after removal of the drainage tube It is about a skin suture retainer for drainage tube fixation that can be immediately sutured.

In general, wound areas such as cuts in the skin or wounds caused by tearing of the skin and wounds caused by cuts or punctures of the skin by the knife are used for the prevention of over-bleeding through the gaps between the open borders and It should be sutured to prevent bacterial infection.

In order to suture the wound area, the suture is usually sutured using a suture or sutured using a skin stapler. The use of a suture to suture the open boundary of the open wound area depends on the skill of the doctor, but it takes more time to suture than the case of using a skin stapler. Both cases have the disadvantage of leaving scars on the suture after treatment.

Specifically, in the case of skin suture using suture, the procedure takes a relatively long time and a new perforation site (suture hole) is made in the area where the suture is applied, so the risk of infection of the surgical site is relatively high, and the cosmetic side due to the new perforation site Not only does it adversely affect, but also causes pain when removed. Skin stapler treatment time is relatively shorter than that of sutures, but the risk of infection or bad side effects of scarring and scar removal should be taken.

In this regard, in recent years, non-invasive surgical skin closure for the skin closure of the incision by surgical surgery (Non-invasive surgical skin closure) has been applied for medical use. Such non-invasive skin suture retainer has a cosmetic effect is good by minimizing the scar of the patient, not only does not cause pain even when removed, there is an effect that can reduce the risk of surgical site infection. In addition, the operator has an advantage that the procedure time can be shortened than the skin suture using a conventional suture.

In this regard, as a result of examining the prior art related to the skin suture retainer, a number of patent documents were searched, and some of them are as follows.

Patent Literature 1 is a state in which the first skin adhesive tape and the second skin adhesive tape are arranged side by side at a predetermined interval with a gap between the gaps of the wound, that is, the suture, between the skin and the wound. The serrated engagement portions of the first suture bands and the second suture bands fixed on the first skin adhesive tape are hung on corresponding recesses of the first locking devices and the second locking devices fixed on the second skin adhesive tape. Next, the first suture band and the second suture band are pulled to move horizontally from the first skin adhesive tape side toward the second skin adhesive tape so as to seal the open wound portion. 2 The skin is opened by a simple procedure of pulling the suture band horizontally from the first skin adhesive tape side toward the second skin adhesive tape. Disclosed is a suture device that allows the wound to be closed conveniently and quickly to prevent infection and to treat without scarring.

Patent documents 2 and 3 include a left and right base panel, a plurality of sealing components, and a plurality of left axial supports and right axial supports coupled to respective base panels, wherein the sealing components are the left and right bases. The panels are joined laterally relative to each other and include left and right ends coupled to the left and right base panels, respectively, and the closure component is positioned transversely across the left and right panels, and the left axis The directional support is disposed between the pair of left closure component ends, the right axial support is disposed between the pair of right closure component ends, and the left and right axial support are meandering of the continuous closure component and the axial support. Disclosed is a surgical incision and closure device that is offset from each other to form an array.

Patent document 4, The first backing sheet is fixed to the skin; A first adhesive sheet member fixed to an upper surface of the first backing sheet; A second adhesive sheet member connected to the first adhesive sheet member and folded in use and adhered to an upper surface of the first adhesive sheet member; A second backing sheet fixed to the skin opposite the first backing sheet; A backing fixed to the second backing sheet and having an anchor portion for adjoining the second backing sheet to the first backing sheet side when the second adhesive sheet member is tensioned to the first adhesive sheet member side, and a backing attached to the opposite side with a sealing line therebetween Freely narrowing or widening the gap between the seats can increase or decrease the force transmitted to the incision according to the situation, so it has excellent functionality for maintaining the suture, and can be stretched along the longitudinal direction of the suture line, thus preventing movement. When applied to the sutures of the part, the adhesive force does not decrease even after a long time, so it can be used continuously without replacement.It is durable because it is not cut or broken, and it is safe because it does not hurt the skin or sutures even when the material is soft and pressed. And a suture retainer for surgical skin closure.

However, the skin suture retainers disclosed in the above-mentioned patent documents can only be used to suture the skin, and the drainage tube for draining the exudates generated inside the human body during surgical operations such as laparotomy, thoracoscopic surgery, and laparoscopic surgery Not only does not have a means for stably fixing the tube, but also has a problem that it is difficult to immediately apply to the perforations generated by the drainage tube.

Typically, the drainage tube used to discharge the exudate generated inside the human body after surgery is fixed using a suture. Specifically, the skin tissue around the drainage tube is punctured to fix the suture, and the drainage tube is tied and fixed using the suture. As such, since the suture is fixed by puncturing the skin tissue to fix the drainage tube, the patient is in pain during the process of removing the suture to extract the drainage tube.

Then, after the drainage tube is drawn out, the perforated area generated by the drainage tube is sealed, and if the perforated area is stitched using a suture or a skin stapler, an additional perforation is made, which increases the risk of infection and scars remain. It is disadvantageous in terms of pain, causing pain in the process of removing sutures or skin staplers.

Therefore, there is a demand for a mechanism capable of stably fixing the drainage tube, and after removing the drainage tube, can quickly and simply seal the perforated portion by the drainage tube while minimizing the scar.

(Patent Document 1) KR10-1564648 B1

(Patent Document 2) KR10-2015-0058533 A

(Patent Document 3) KR10-2016-0037186 A

(Patent Document 4) KR10-2016-0086464 A

The present invention has been made in order to solve the above problems of the prior art, and to secure the drain tube (Drain tube) applied for the discharge of exudate after surgical operation, and the puncture site generated after removing the drain tube Providing a suture retainer for fixation of the drainage tube, which allows for fast and simple procedure, susceptibility to infection, reduces pain incidence, speeds up recovery and minimizes scarring. Its purpose is to.

The present invention for achieving the above object is a pair of base panels disposed side by side on both sides of the perforated hole for discharging blood or exudates inside the human body after surgery and the adhesive is applied to the back; A fastening member installed to cross the base panels to fix the gap between the base panels and formed of a flexible material; A plurality of fixing members installed on one side of the base panel at predetermined intervals along a length direction to fix one end of the fastening member; A plurality of locking members installed on the other side of the base panel at regular intervals to correspond to the fixing member to restrain the fastening member; A cover film formed of a release paper and detachably attached to an adhesive surface of the base panel, and formed with a hole into which a drainage tube is inserted and divided into both sides based on the hole; And a drainage tube fixture provided on one side of the base panel to fix the drainage tube.

In addition, according to the skin suture retainer of the present invention, the tightening member is formed in a circular or polygonal shape that is formed in a fixed size to form a one end and the fixed end fixed by the fixing member, the other end to hold by hand The gripping portion and the fixing end and the gripping portion is connected by the locking member, characterized in that consisting of the engaging portion formed in a plurality of continuous wedge shape to move only in one direction.

In addition, according to the skin suture retainer of the present invention, the drainage tube fixture is one side is formed of an adhesive surface attached to the release paper, and one end is fixed to the base panel attached band attached to the form surrounding the outer surface of the drainage tube Equipped with a fastener, the hook and the band-shaped latch is a fixed band-type fastener, the band-type fastener is coupled to the hook with the drain pipe in between, the cable tie fastener, the plastic fixture for supporting the drain pipe up and down It is done.

In addition, according to the skin suture retainer of the present invention, the plastic fixture has a seating groove in which a lower portion of the drainage tube is inserted in the upper side is formed and the lower body is installed in the base panel, the lower portion of the upper portion of the drainage tube It is characterized in that it comprises an upper portion which is formed to be inserted groove is inserted and rotatably hinged to the lower body, and the coupling portion formed in the upper body to be coupled to the fixed portion formed in the lower body.

In addition, according to the skin suture retainer of the present invention, the cover film is characterized in that a handle of a predetermined size is formed on at least one side of the outside of the inner end where the hole is formed.

The drainage tube fixing skin suture retainer according to the present invention passes the drainage tube installed in the human body through the hole of the cover film, and can stably fix the drainage tube using the drainage tube fixture provided in the base panel, thereby inserting the drainage tube inserted into the hole formed in the human body. Through the discharge of blood or exudate from inside the human body, the drainage tube can be removed after the discharge of the blood or exudate is completed, and the gap between the base panels can be narrowed by using the fastening member to seal the skin. It is faster, reduces the risk of infection and minimizes scarring.

In addition, according to the skin suture retainer for fixing the drainage tube of the present invention, the wedge-shaped locking portion is provided in the tightening member so that the interval between the base panels is kept constant as the tightening member is restrained by the locking member, so that the time taken for skin closure is maintained. It has the effect of shortening and minimizing scarring.

In addition, according to the skin suture retainer of the present invention, by fixing the drainage tube installed in the human body using a drainage tube fixture of various shapes, the separation of the drainage tube is prevented, as well as the accident due to the movement of the drainage tube.

In addition, according to the skin suture retainer of the present invention, as the handle is provided on the cover film, there is an effect that the cover film can be easily separated in the state where the drainage tube is inserted.

1 is an exploded perspective view of a skin suture retainer for drainage tube fixing according to the present invention.

Figure 2 is a perspective view of the skin suture retainer for drainage tube fixing of the present invention.

Figure 3 is a cross-sectional view showing the middle portion of the drainage tube fixing skin suture retainer of the present invention.

Figure 4 is a block diagram of a tightening member that is the main portion of the present invention.

Figure 5 is a perspective view showing an example of the drainage tube fixture which is the main part of the present invention.

Figure 6 is a cross-sectional view showing a state of use of the drainage tube fixing skin suture retainer of the present invention.

Hereinafter, with reference to the accompanying drawings will be described with respect to the drainage tube fixing skin suture retainer of the present invention.

Drain tube fixing skin suture retainer according to the present invention as shown in Figures 1 to 6, a pair disposed side by side on both sides of the hole formed to discharge the blood or exudates inside the human body after the surgery and the adhesive is applied to the back A base panel 11; A fastening member 12 installed to cross the base panel 11 to fix the gap between the base panel 11 and formed of a flexible material; A plurality of fixing members 13 installed at a predetermined interval along a length direction on one side of the base panel 11 to fix one end of the tightening member 12; A plurality of locking members 14 installed at regular intervals on the other side of the base panel 11 to correspond to the fixing member 12 to restrain the fastening member 12; The cover film 20 is formed of a release paper and detachably attached to the adhesive surface of the base panel 11, and has a hole 25 into which the drainage pipe 50 is inserted and is divided into both sides based on the hole 25. )and; And a drainage tube fixture 30 provided on one side of the base panel 11 to fix the drainage tube 50.

As shown in FIG. 4, the fastening member 12 has a fixed end portion 12a formed at one end and fixed by the fixing member 13, and a circular end formed at a predetermined size so as to be grasped by hand. Or it is formed in a plurality of continuous wedge shape that is connected to the holding portion 12b of the polygonal shape, the fixed end portion 12a and the holding portion 12b and is constrained by the locking member 14 and moved only in one direction. It consists of a locking part 12c.

In addition, the fixing member 13 is installed on one side of the base panel 11 to fix the fixed end portion 12a of the fastening member 12, and the shape is limited to the fastening member 12 as long as it can be fixed. There is no In addition, the locking member 14 is installed at the other base panel 11 to restrain the locking portion 12c of the fastening member 12, and when the fastening member 12 pulls the fastening member 12, The structure is not limited so long as it can be moved and restrained so that its position is fixed when the fastening member 12 is placed.

The drainage tube fixture 30 is to fix the drainage tube 50 installed in the hole formed in the skin, as long as it can support the drainage tube 50 is not limited in its shape. For example, one side is formed of an adhesive surface attached to the release paper, and one end is fixed to the base panel 11 is attached to the band-type fastener attached to the form surrounding the outer surface of the drain pipe 50, hook And a band-type locking hole, the band-type locking device may be used to be coupled to the hook with the drain pipe 50 interposed therebetween, and a cable tie-type fastener for fixing the drain pipe 50 using a cable tie. It is also possible to use a plastic fixture (30 ') for supporting the drain pipe 50 up and down.

Here, as shown in Figure 5, the plastic fixture (30 ') has a seating groove 31' is formed in the upper portion is inserted into the lower portion of the drain pipe 50, the lower body 31 'is fixed to the base panel 11 ), And an upper body 32 formed with a seating groove 32 ′ into which a portion of the upper side of the drainage tube 50 is inserted and rotatably hinged 33 to the lower body 31, and It may be made of a coupling portion 35 formed in the upper body 32 to be fixed to the fixed portion 34 formed in the lower body 31.

And, the cover film 20 is preferably formed with a handle 21 of a predetermined size on at least one of the outer side of the inner end where the hole 25 is formed, the cover film 20 divided in both In the handle 21 is more preferably installed opposite each other.

The skin suture retainer of the present invention configured as described above is attached to a hole formed to discharge the blood or exudate inside the body after surgery to fix the drainage tube and to seal the hole after the discharge of the blood and exudate is completed.

After the surgical or medical operation is completed, the drainage tube 50 is inserted into the hole perforated in the human body to discharge the blood or exudates accumulated in the human body, and then into the hole 25 of the cover film 20. The base panel 11 to which the cover film 20 is attached is brought close to the surgical site while the 50 is fitted. Subsequently, the drainage pipe 50 protruding upward of the base panel 11 is fixed by the drainage pipe fixture 30, and the cover film 20 using the handle 21 provided in the cover film 20. Is separated from the base panel 11, and a pair of base panels 11 are attached to the skin on both sides of the drain tube 50, respectively.

Subsequently, by using a fastening member 12 installed to cross the base panel 11, the gap between the base panels 11 on both sides is narrowed in the remaining region except for the portion where the drainage tube 50 is inserted. Let the skin be sewn first. At this time, since the engaging portion 12c of the fastening member 12 is fixedly coupled to the locking member 14, the gap between the base panels 11 on both sides does not open and of course the skin is kept in close contact with each other. The drainage tube 50 is stably fixed.

As such, when the drainage tube 50 inserted into the human body is fixed by the drainage tube fixture 30, blood or sediment generated in the surgical site is discharged to the body through the drainage tube 50. Thereafter, when both the blood and the exudates are discharged, the drainage tube 50 may be removed and the hole may be sealed.

That is, after the drainage tube 50 is removed, the skin is closed by narrowing the gap between the base panels 11 on both sides so that the skin of the hole portion is in contact with each other by using the tightening member 12. At this time, since the engaging portion 12c of the fastening member 12 is fixedly coupled to the locking member 14, the gap between the base panels 11 on both sides does not open, as well as the skin of the holes in close contact with each other. Sutures while retaining.

As such, the blood or exudates accumulated inside the human body during the surgical operation or internal surgery is discharged to the outside through the drainage tube 50 fixed by the drainage tube fixture 30, so that the recovery speed of the surgical site is increased, and the blood and exudate After the discharge is completed, the hole is sealed by using the fastening member 12, the fixing member 13, and the locking member 14, thereby minimizing the scar according to the surgery and increasing the recovery speed.

As described above and described with reference to some embodiments for illustrating the technical idea of the present invention, the present invention is not limited to the configuration and operation as described above, it deviates from the scope of the technical idea described in the specification It will be appreciated by those skilled in the art that many modifications and variations can be made to the present invention without departing from the scope of the invention. Accordingly, all such suitable changes and modifications and equivalents should be considered to be within the scope of the present invention.

[Description of the code]

11 ... base panel

12 .... Tightening member

12a ... Fixed end

12b ... gripper

12c ...

13 ... fixing member

14 ... locking member

20 ... cover film

21.Handle

25 ... hole

30.Drain tube fixture

30 '... plastic fixture

31.Inferior body

31 '... sitting groove

32.Upper body

32 '... sitting groove

33.Hinge

34 ... Government

35 ... coupling

50.Drain

Claims

A pair of base panels 11 disposed side by side on both sides of the hole formed to discharge blood or exudate from inside the human body after surgery and an adhesive applied to the rear surface thereof;

A fastening member 12 installed to cross the base panel 11 to fix the gap between the base panel 11 and formed of a flexible material;

A plurality of fixing members 13 installed at a predetermined interval along a length direction on one side of the base panel 11 to fix one end of the tightening member 12;

A plurality of locking members 14 installed at regular intervals on the other side of the base panel 11 to correspond to the fixing member 12 to restrain the fastening member 12;

The cover film 20 is formed of a release paper and detachably attached to the adhesive surface of the base panel 11, and has a hole 25 into which the drainage pipe 50 is inserted and is divided into both sides based on the hole 25. )and;

Skin suture retainer comprising a; drainage tube fixture (30) provided on one side of the base panel (11) to fix the drainage tube (50).
The method of claim 1,

The fastening member 12 forms a one end portion and has a fixed end portion 12a fixed by the fixing member 13 and the other end portion and has a circular or polygonal wave formed in a predetermined size to be grasped by hand. A locking portion 12c connecting the branch portion 12b, the fixed end portion 12a, and the grip portion 12b and formed into a plurality of continuous wedge shapes to be constrained by the locking member 14 and moved only in one direction. Skin suture retainer, characterized in that consisting of.
The method of claim 1,

The drainage tube fixture 30 is one side is formed of an adhesive surface is attached to the release paper, and one end is fixed to the base panel 20 is attached to the band-type fastener attached to the form surrounding the outer surface of the drainage tube 50 Is composed of a hook and the band-shaped hook, the fixed band-type fastener, the band-type fastener is coupled to the hook with the drain tube 50 therebetween, a plastic tie for supporting the drain pipe 50 up and down (30) Skin suture retainer, characterized in that any one of ').
The method of claim 3,

The plastic fixture 30 'is provided with a seating groove 31' into which a part of the lower side of the drainage tube 50 is inserted at an upper side thereof, and a lower body 31 'fixed to the base panel 11 and a lower side thereof. A seating groove 32 ′ is formed in which an upper portion of the drain pipe 50 is inserted, and an upper body 32 rotatably hinged to the lower body 31, and the lower body 31. Skin suture retainer, characterized in that it comprises a coupling portion (35) formed in the upper body (32) to be coupled to the fixed portion (34) formed in the fixed.
The method according to any one of claims 1 to 4,

The cover film 20 is a skin suture retainer, characterized in that the handle (21) of a predetermined size is formed on at least one of the outside of the inner end where the hole (25) is formed.