CN110638496B - A closed expansion device for delayed chest closure - Google Patents
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- 239000012528 membrane Substances 0.000 claims description 7
- 238000010521 absorption reaction Methods 0.000 claims description 4
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- 239000004033 plastic Substances 0.000 claims description 3
- 210000000416 exudates and transudate Anatomy 0.000 claims description 2
- 208000015181 infectious disease Diseases 0.000 abstract description 5
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- 208000002330 Congenital Heart Defects Diseases 0.000 description 2
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- A—HUMAN NECESSITIES
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- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
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Abstract
本发明公开了一种延迟关胸用的封闭型撑开装置，包括两根直套管以及两根弧形管，弧形管的两端分别插接在两根直套管中，直套管靠近两端插口处螺接有锁紧环，直套管和弧形管围成撑环，直套管的外侧套设有支撑环，相对的两个支撑环之间设有撑杆组件，撑环利用撑杆组件实现撑开口横向长度的调节，利用弧形管外露长度实现撑开口纵向长度的调节，撑环的底侧设有封闭膜，封闭膜的边部翘起，并围绕撑环向内卷贴。本发明撑环的横向、纵向长度均可进行调整，撑杆组件的支撑强度高，满足支撑需求；撑环的外侧覆盖有封闭膜，不影响观察的同时降低感染风险。
The present invention discloses a closed-type expansion device for delayed chest closure, comprising two straight sleeves and two arc-shaped tubes, the two ends of the arc-shaped tube are respectively inserted into the two straight sleeves, the straight sleeves are screwed with locking rings near the two end sockets, the straight sleeves and the arc-shaped tubes form a expansion ring, the outer side of the straight sleeve is provided with a support ring, a support rod assembly is provided between the two opposite support rings, the expansion ring uses the support rod assembly to adjust the horizontal length of the expansion opening, and uses the exposed length of the arc-shaped tube to adjust the longitudinal length of the expansion opening, and the bottom side of the expansion ring is provided with a closed film, the edge of the closed film is tilted, and rolled inward around the expansion ring. The horizontal and longitudinal lengths of the expansion ring of the present invention can be adjusted, the support strength of the support rod assembly is high, and the support requirements are met; the outer side of the expansion ring is covered with a closed film, which does not affect observation while reducing the risk of infection.
Description
技术领域Technical Field
本发明涉及医疗器械技术领域，尤其涉及一种延迟关胸用的封闭型撑开装置。The present invention relates to the technical field of medical devices, and in particular to a closed expansion device for delayed chest closure.
背景技术Background Art
延迟关胸作为心脏围手术期一项重要技术和措施，可以挽救许多患儿的生命。延迟关胸可以帮助部分危重患儿顺利度过血液循环不稳定的围手术期，为进一步的治疗和处理争取了宝贵的时间和机会，从而挽救了众多危重复杂性先天性心脏病患儿的性命。在先天性心脏病手术治疗领域尚缺乏可供小儿心脏外科医师选择的适宜的延迟关胸胸骨撑开器。Delayed chest closure is an important technique and measure during cardiac perioperative period, which can save the lives of many children. Delayed chest closure can help some critically ill children to smoothly pass the perioperative period of unstable blood circulation, gaining precious time and opportunity for further treatment and management, thus saving the lives of many critically ill children with complex congenital heart disease. In the field of surgical treatment of congenital heart disease, there is still a lack of suitable delayed chest closure sternal spreaders for pediatric cardiac surgeons to choose.
为此，公开号为CN105054982B的专利说明书中公开了一种延迟关胸胸骨撑开装置，撑开装置包括底座部和胸骨槽上部，底座部包括弓板部和胸骨槽下部，其中弓板部设置在中间，胸骨槽下部对称的设置在弓板部的两端，胸骨槽下部包括胸骨槽下叶和两个下连接点，胸骨槽上部包括弹簧、横杆、两个上连接点、胸骨槽上叶及胸骨槽上叶尾部构成，上、下连接点上均有一个圆形小孔，上、下连接点通过横杆与胸骨槽下部共同构成胸骨槽，弹簧包括弹簧上臂、弹簧下臂和螺旋部分，弹簧下臂固定于弓板部的弹簧槽内，弹簧上臂固定于胸骨槽尾部的弹簧槽内。但是这种撑开装置存在不足之处，一是其只能进行横向或纵向的单向宽度调整，撑开开口形状难以控制；二是其始终为开口状态，导致感染的风险大。因此，需要对其进行改进。For this reason, the patent specification with the publication number CN105054982B discloses a delayed sternal closure sternal expansion device, the expansion device includes a base part and an upper part of the sternal groove, the base part includes an arch plate part and a lower part of the sternal groove, wherein the arch plate part is arranged in the middle, the lower part of the sternal groove is symmetrically arranged at both ends of the arch plate part, the lower part of the sternal groove includes a lower lobe of the sternal groove and two lower connection points, the upper part of the sternal groove includes a spring, a cross bar, two upper connection points, an upper lobe of the sternal groove and a tail of the upper lobe of the sternal groove, and there is a circular small hole on the upper and lower connection points, the upper and lower connection points form the sternal groove together with the lower part of the sternal groove through the cross bar, the spring includes an upper spring arm, a lower spring arm and a spiral part, the lower spring arm is fixed in the spring groove of the arch plate part, and the upper spring arm is fixed in the spring groove of the tail of the sternal groove. However, this expansion device has shortcomings. First, it can only perform unidirectional width adjustment in the horizontal or longitudinal direction, and the expansion opening shape is difficult to control; second, it is always in an open state, resulting in a high risk of infection. Therefore, it needs to be improved.
发明内容Summary of the invention
本发明的目的在于克服传统技术中存在的上述问题，提供一种延迟关胸用的封闭型撑开装置，不仅能够达到延时关胸的目的，能够根据开口大小进行适度调整，同时还能满足在开胸状态下减少感染的风险的要求。The purpose of the present invention is to overcome the above-mentioned problems existing in traditional technologies and to provide a closed-type expansion device for delayed chest closure, which can not only achieve the purpose of delayed chest closure, but also be appropriately adjusted according to the size of the opening, while also meeting the requirement of reducing the risk of infection in the open chest state.
为实现上述技术目的，达到上述技术效果，本发明是通过以下技术方案实现：In order to achieve the above technical objectives and the above technical effects, the present invention is implemented through the following technical solutions:
一种延迟关胸用的封闭型撑开装置，包括两根并排分布的直套管以及两根插接在两侧的弧形管，所述弧形管的两端分别插接在两根直套管中，所述直套管靠近两端插口处螺接有锁紧环，所述直套管和弧形管围成撑环，所述直套管和弧形管内侧设有渗液吸收孔，与设置在所述直套管或弧形管上的负压吸引管相连；所述直套管的外侧套设有支撑环，相对的两个所述支撑环之间设有撑杆组件，所述撑环利用撑杆组件实现撑开口横向长度的调节，利用弧形管外露长度实现撑开口纵向长度的调节，所述撑环的底侧设有封闭膜，所述封闭膜的边部翘起，并围绕撑环向内卷贴；A closed expansion device for delayed chest closure, comprising two straight sleeves arranged side by side and two arc-shaped tubes plugged on both sides, the two ends of the arc-shaped tube are respectively plugged into the two straight sleeves, the straight sleeves are screwed with locking rings near the two end sockets, the straight sleeves and the arc-shaped tubes form a expansion ring, the inner sides of the straight sleeves and the arc-shaped tubes are provided with exudate absorption holes, which are connected to the negative pressure suction tubes arranged on the straight sleeves or the arc-shaped tubes; the outer sides of the straight sleeves are sleeved with support rings, and a support rod assembly is arranged between the two opposite support rings, the support ring uses the support rod assembly to adjust the horizontal length of the expansion opening, and uses the exposed length of the arc-shaped tube to adjust the longitudinal length of the expansion opening, the bottom side of the support ring is provided with a closed film, the edge of the closed film is tilted, and is rolled inward around the support ring;
所述撑杆组件包括前连接板、后连接板、固定套、活动螺杆、六角台、转头、限位板和螺钉，所述前连接板、后连接板分别与两个支撑环连为一体，所述前连接板的内侧固定有固定套，所述固定套中螺接有活动螺杆，所述活动螺杆位于螺纹的后方依次设有六角台和转头，所述限位板通过螺钉与后连接板固定，所述限位板中开设有能够转动限制转头的转槽。The support rod assembly includes a front connecting plate, a rear connecting plate, a fixed sleeve, a movable screw, a hexagonal table, a swivel, a limit plate and screws. The front connecting plate and the rear connecting plate are respectively connected to two support rings as a whole. A fixed sleeve is fixed to the inner side of the front connecting plate, and a movable screw is threaded in the fixed sleeve. The movable screw is located behind the thread and a hexagonal table and a swivel are sequentially provided. The limit plate is fixed to the rear connecting plate by screws, and a rotating groove that can rotate and limit the swivel is opened in the limit plate.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述前连接板、后连接板均为L形板。Furthermore, in the above-mentioned closed-type expansion device for delayed chest closure, the front connecting plate and the rear connecting plate are both L-shaped plates.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述转头为T形头，所述转槽为开口的T形槽。Furthermore, in the above-mentioned closed-type distraction device for delayed chest closure, the rotating head is a T-shaped head, and the rotating slot is an open T-shaped slot.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述撑杆组件位于封闭膜的外侧。Furthermore, in the above-mentioned closed-type expansion device for delayed chest closure, the expansion rod assembly is located outside the closed membrane.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述直套管、弧形管为医用橡胶管。Furthermore, in the above-mentioned closed-type distraction device for delayed chest closure, the straight sleeve and the arc-shaped tube are medical rubber tubes.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述撑杆组件中各部件由医用塑料材料制成。Furthermore, in the above-mentioned closed-type expansion device for delayed chest closure, each component in the support rod assembly is made of medical plastic material.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述封闭膜为医用手术薄膜；封闭膜为边缘具有与皮肤缝合的缝合边，所述缝合边设有缝合穿针孔。。Furthermore, in the above-mentioned closed expansion device for delayed chest closure, the closed film is a medical surgical film; the closed film has a suture edge for suture with the skin, and the suture edge is provided with a suture needle hole.
进一步地，上述延迟关胸用的封闭型撑开装置中，所述医用手术薄膜为便于观察内部情况的透明膜。Furthermore, in the above-mentioned closed expansion device for delayed chest closure, the medical surgical film is a transparent film that is convenient for observing the internal situation.
本发明的有益效果是：The beneficial effects of the present invention are:
本发明结构设计合理，一方面利用直套管和弧形管围成撑环，撑环的横向长度和纵向长度均可进行一定范围内的调整，且作为主要受力的横向部位利用撑杆组件进行支撑，支撑强度高，满足支撑需求；另一方面撑环的外侧覆盖有封闭膜，不影响观察的同时降低感染风险。The structural design of the present invention is reasonable. On the one hand, a straight sleeve and an arc tube are used to form a support ring, and the horizontal length and the vertical length of the support ring can be adjusted within a certain range. The support rod assembly is used to support the lateral part that is mainly subjected to force, and the support strength is high to meet the support requirements. On the other hand, the outer side of the support ring is covered with a closed film, which does not affect observation while reducing the risk of infection.
当然，实施本发明的任一产品并不一定需要同时达到以上的所有优点。Of course, any product implementing the present invention does not necessarily need to achieve all of the above advantages at the same time.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本发明实施例的技术方案，下面将对实施例描述所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the accompanying drawings required for describing the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other accompanying drawings can be obtained based on these accompanying drawings without paying creative work.
图1为本发明省略封闭膜后的立体结构示意图；FIG1 is a schematic diagram of the three-dimensional structure of the present invention after omitting the sealing film;
图2为本发明省略封闭膜后的俯视结构示意图；FIG2 is a schematic diagram of a top view of the structure of the present invention after omitting the sealing film;
图3为本发明整体的结构示意图；FIG3 is a schematic diagram of the overall structure of the present invention;
图4为本发明中撑杆组件的结构示意图；FIG4 is a schematic structural diagram of a support rod assembly in the present invention;
图5为本发明中限位板的结构示意图；FIG5 is a schematic diagram of the structure of the limiting plate in the present invention;
附图中，各标号所代表的部件列表如下：In the accompanying drawings, the components represented by the reference numerals are listed as follows:
1-直套管，2-弧形管，3-锁紧环，4-渗液吸收孔，5-支撑环，6-撑杆组件，601-连接板，602-后连接板，603-固定套，604-活动螺杆，605-六角台，606-转头，607-限位板，608-螺钉，7-封闭膜。1-straight sleeve, 2-arc tube, 3-locking ring, 4-leakage absorption hole, 5-support ring, 6-support rod assembly, 601-connecting plate, 602-rear connecting plate, 603-fixing sleeve, 604-movable screw, 605-hexagonal table, 606-rotating head, 607-limiting plate, 608-screw, 7-closing membrane.
具体实施方式DETAILED DESCRIPTION
下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例，都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
请参阅图1-5所示，本实施例为一种延迟关胸用的封闭型撑开装置，包括两根并排分布的直套管1以及两根插接在两侧的弧形管2，弧形管2的两端分别插接在两根直套管1中，直套管1靠近两端插口处螺接有锁紧环3。直套管1和弧形管2围成撑环，直套管1和弧形管2各自的管体内侧设有渗液吸收孔4，与设置在直套管或弧形管上的负压吸引管相连（图中未示）。直套管1的外侧套设有支撑环5，相对的两个支撑环5之间设有撑杆组件6，撑环利用撑杆组件6实现撑开口横向长度的调节，利用弧形管2外露长度实现撑开口纵向长度的调节。撑环的底侧设有封闭膜7，封闭膜7的边部翘起，并围绕撑环向内卷贴，撑环与皮缘缝合时将封闭膜也一起缝合。Please refer to Figures 1-5. This embodiment is a closed expansion device for delayed chest closure, including two straight sleeves 1 arranged side by side and two arc-shaped tubes 2 plugged on both sides. The two ends of the arc-shaped tube 2 are respectively plugged into the two straight sleeves 1. The straight sleeve 1 is screwed with a locking ring 3 near the two end sockets. The straight sleeve 1 and the arc-shaped tube 2 form a expansion ring. The inner side of the tube body of each of the straight sleeve 1 and the arc-shaped tube 2 is provided with a liquid absorption hole 4, which is connected to a negative pressure suction tube arranged on the straight sleeve or the arc-shaped tube (not shown in the figure). The outer side of the straight sleeve 1 is sleeved with a support ring 5, and a support rod assembly 6 is arranged between the two opposing support rings 5. The expansion ring uses the support rod assembly 6 to adjust the horizontal length of the expansion opening, and uses the exposed length of the arc-shaped tube 2 to adjust the longitudinal length of the expansion opening. A closed film 7 is arranged on the bottom side of the expansion ring. The edge of the closed film 7 is raised and rolled inward around the expansion ring. When the expansion ring is sutured with the skin edge, the closed film is also sutured together.
本实施例中，撑杆组件6位于封闭膜的外侧。撑杆组件6包括前连接板601、后连接板602、固定套603、活动螺杆604、六角台605、转头606、限位板607和螺钉608。前连接板601、后连接板602分别与两个支撑环5连为一体，前连接板601的内侧固定有固定套，固定套中螺接有活动螺杆604，活动螺杆604位于螺纹的后方依次设有六角台605和转头606，限位板607通过螺钉608与后连接板602固定，限位板607中开设有能够转动限制转头606的转槽。六角台605作为驱动部，利用手指或扳手夹持六角头605旋转即可调整撑杆组件的整体长度。In this embodiment, the support rod assembly 6 is located on the outside of the closed membrane. The support rod assembly 6 includes a front connecting plate 601, a rear connecting plate 602, a fixed sleeve 603, a movable screw 604, a hexagonal table 605, a rotating head 606, a limit plate 607 and a screw 608. The front connecting plate 601 and the rear connecting plate 602 are respectively connected to the two supporting rings 5 as a whole. A fixed sleeve is fixed on the inner side of the front connecting plate 601, and a movable screw 604 is screwed in the fixed sleeve. The movable screw 604 is located behind the thread and a hexagonal table 605 and a rotating head 606 are sequentially provided. The limit plate 607 is fixed to the rear connecting plate 602 by screws 608, and a rotating groove that can rotate and limit the rotating head 606 is opened in the limit plate 607. The hexagonal table 605 serves as a driving part, and the overall length of the support rod assembly can be adjusted by holding the hexagonal head 605 with fingers or a wrench and rotating it.
本实施例中，前连接板601、后连接板602均为L形板。转头606为T形头，转槽为开口的T形槽。In this embodiment, the front connecting plate 601 and the rear connecting plate 602 are both L-shaped plates. The rotating head 606 is a T-shaped head, and the rotating groove is an open T-shaped groove.
本实施例中，直套管1、弧形管2为医用橡胶管。撑杆组件6中各部件由医用塑料材料制成。封闭膜7为医用手术薄膜，医用手术薄膜为便于观察内部情况的透明膜；封闭膜为边缘具有与皮肤缝合的缝合边，缝合边设有缝合穿针孔，也可根据现场缝合需要，通过缝合针直接穿孔缝合。In this embodiment, the straight sleeve 1 and the arc tube 2 are medical rubber tubes. The components in the support rod assembly 6 are made of medical plastic materials. The closing film 7 is a medical surgical film, which is a transparent film for convenient observation of the internal conditions; the closing film has a suture edge for suture with the skin, and the suture edge is provided with a suture needle hole, and can also be directly pierced and sutured by a suture needle according to the needs of on-site suture.
本实施例的一个具体应用为：本实施例结构设计合理，一方面利用直套管1和弧形管2围成撑环，撑环的横向长度和纵向长度均可进行一定范围内的调整，且作为主要受力的横向部位利用撑杆组件6进行支撑，支撑强度高，满足支撑需求；另一方面撑环的外侧覆盖有封闭膜7，不影响观察的同时降低感染风险。A specific application of this embodiment is: this embodiment has a reasonable structural design. On the one hand, a straight sleeve 1 and an arc tube 2 are used to form a support ring. The transverse length and the longitudinal length of the support ring can be adjusted within a certain range, and the support rod assembly 6 is used to support the transverse part that is mainly subjected to force. The support strength is high and meets the support requirements. On the other hand, the outer side of the support ring is covered with a closed membrane 7, which does not affect observation while reducing the risk of infection.
以上公开的本发明优选实施例只是用于帮助阐述本发明。优选实施例并没有详尽叙述所有的细节，也不限制该发明仅为具体实施方式。显然，根据本说明书的内容，可作很多的修改和变化。本说明书选取并具体描述这些实施例，是为了更好地解释本发明的原理和实际应用，从而使所属技术领域技术人员能很好地理解和利用本发明。本发明仅受权利要求书及其全部范围和等效物的限制。The preferred embodiments of the present invention disclosed above are only used to help explain the present invention. The preferred embodiments do not describe all the details in detail, nor do they limit the invention to specific implementation methods. Obviously, many modifications and changes can be made according to the content of this specification. This specification selects and specifically describes these embodiments in order to better explain the principles and practical applications of the present invention, so that those skilled in the art can understand and use the present invention well. The present invention is limited only by the claims and their full scope and equivalents.
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| CN112263339A (en) * | 2020-11-25 | 2021-01-26 | 南京市儿童医院 | ECMO delays closing chest and struts protection device |
| CN113633327B (en) * | 2021-08-13 | 2022-08-26 | 苏州贝诺医疗器械有限公司 | Incision air bag expander special for pleuroperitoneal cavity operation |
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