CN216628623U - Wound closure device - Google Patents
Wound closure device Download PDFInfo
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- CN216628623U CN216628623U CN202123181668.5U CN202123181668U CN216628623U CN 216628623 U CN216628623 U CN 216628623U CN 202123181668 U CN202123181668 U CN 202123181668U CN 216628623 U CN216628623 U CN 216628623U
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
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- Orthopedics, Nursing, And Contraception (AREA)
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Abstract
本实用新型公开了一种伤口闭合器,属于医疗用品领域,提供一种不易造成皮肤损伤且不易脱落的伤口闭合器,所述伤口闭合器,包括两个用于与伤口两侧的皮肤表面连接的皮肤粘贴件和设置于两个皮肤粘贴件之间并分别与两个皮肤粘贴件连接的伤口拉合器,所述皮肤粘贴件包括与伤口拉合器连接的主体粘贴层和连接在主体粘贴层的外周部分边缘或者整圈边缘的柔性粘贴部。本实用新型解决了皮肤粘贴件既要有良好的拉力承受和分散性能,同时又能柔性的适应伤口的多个弯曲表面的复杂程度的动态变化,保持粘贴的有效性和牢固性;因此,特别适用于粘贴由多个弯曲表面或拼接平面组成的人体特殊活动部位伤口。
The utility model discloses a wound closure device, which belongs to the field of medical supplies, and provides a wound closure device which is not easy to cause skin damage and is not easy to fall off. A skin adhesive piece and a wound closure device arranged between the two skin adhesive components and connected with the two skin adhesive components respectively, the skin adhesive component includes a main body adhesive layer connected with the wound closure device and a The flexible adhesive portion of the peripheral edge of the layer or the entire circumference of the edge. The utility model solves the problem that the skin sticker not only has good tensile force bearing and dispersing properties, but also can flexibly adapt to the dynamic changes of the complexity of the multiple curved surfaces of the wound, so as to maintain the effectiveness and firmness of the sticking; therefore, especially It is suitable for sticking wounds on special active parts of the human body composed of multiple curved surfaces or splicing planes.
Description
技术领域technical field
本实用新型涉及医疗用品领域,尤其涉及一种伤口闭合器。The utility model relates to the field of medical supplies, in particular to a wound closure device.
背景技术Background technique
伤口闭合器,又可称为伤口缝合器、伤口愈合器或者伤口拉合器等,是用于对伤口进行拉拢,以促进伤口愈合的装置。常见的伤口闭合器为采用在伤口两侧对拉的拉紧件将粘贴在伤口两侧皮肤的皮肤粘贴件拉拢,进而带动伤口两侧皮肤的伤口皮缘向中间拉拢对合。但是,常规的伤口闭合器仅适用于人体腹部和背部等伤口两侧皮肤表面大致处于同一个相对静止的平面内伤口的粘贴闭合;不适用于粘贴面由多个弯曲表面或多个不在同一个平面内的拼合表面组成的伤口,例如人体特殊部位伤口:如颌面部、头颈部、乳腺,腋窝、膝盖、肘弯部、四肢关节等活动部位伤口。因为这类人体特殊部位伤口两侧的皮肤粘贴面,通常是由多个弯曲表面或多个不在同一个平面内的拼合表面组合而成,因此切口两侧的皮肤粘贴面无法纳入同一个静态的单一整体平面内。而且每个单独的拼合表面在人体运动时的相对位置、运动方向、角度变化各不相同均处于高频次的不同步的运动变化中,导致单一结构组成的整张皮肤粘贴件,无法适应多个独立拼合表面之间的不同步运动,当任意两个相邻的拼合表面之间的运动方向不同步时,会造成位于这两个相邻拼合表面上的皮肤粘贴件产生局部的剥离,起翘,脱落,粘贴失效。此时单一结构组成的整张皮肤粘贴件如果设置为柔性很大,则其承受、分散和传递拉合器拉力的作用将明显减弱;如果柔性消失,则更无法适应或缓冲多个独立拼合表面之间的不同步运动,更容易造成皮肤粘贴件从相邻拼合表面上剥离或脱落,更无法保证粘贴的有效性和牢固性,极易脱落失效。同时由于其承受的拉合力不能均匀分散或适当缓冲,导致拉力局部聚集,极容易造成皮肤拉伤、张力性皮肤水泡等皮肤损伤问题;因此,单一结构组成的普通皮肤粘贴件已无法满足人体特殊部位伤口的临床有效闭合。A wound closure device, also known as a wound stapler, a wound healing device or a wound closure device, is a device used to close a wound to promote wound healing. A common wound closure device uses a tensioning member that is pulled on both sides of the wound to draw together the skin stickers attached to the skin on both sides of the wound, thereby driving the wound skin edges of the skin on both sides of the wound to draw and close to the middle. However, the conventional wound closure device is only suitable for the adhesive closure of wounds on both sides of the wound, such as the abdomen and back of the human body, which are roughly in the same relatively static plane; Wounds composed of flattened surfaces in a plane, such as wounds in special parts of the human body: such as maxillofacial, head and neck, breast, armpit, knee, elbow, limb joints and other active site wounds. Because the skin adhesive surfaces on both sides of the wound in such special parts of the human body are usually composed of multiple curved surfaces or multiple flat surfaces that are not in the same plane, the skin adhesive surfaces on both sides of the incision cannot be included in the same static in a single overall plane. Moreover, the relative position, movement direction, and angle changes of each individual pieced surface are different when the human body moves, all of which are in high-frequency asynchronous movement changes, resulting in the entire skin sticker composed of a single structure. Asynchronous movement between two independent splicing surfaces, when the direction of movement between any two adjacent splicing surfaces is not synchronized, it will cause local peeling of the skin stickers on the two adjacent splicing surfaces, resulting in Warping, falling off, pasting failure. At this time, if the whole skin sticker composed of a single structure is set to be very flexible, its function of bearing, dispersing and transmitting the pulling force of the puller will be significantly weakened; if the flexibility disappears, it will not be able to adapt or buffer multiple independent splicing surfaces. The asynchronous movement between them is more likely to cause the skin paste to peel off or fall off from the adjacent spliced surfaces, and it is impossible to ensure the effectiveness and firmness of the paste, and it is easy to fall off and fail. At the same time, due to the fact that the tensile force it bears cannot be uniformly dispersed or properly buffered, the tensile force is locally gathered, which is very likely to cause skin injuries such as skin strain and tension skin blisters. Clinically effective closure of site wounds.
实用新型内容Utility model content
本实用新型解决的技术问题是提供一种不易造成皮肤牵拉损伤且不易起翘、脱落的伤口闭合器。The technical problem solved by the utility model is to provide a wound closure device that is not easy to cause skin pulling damage, and is not easy to lift and fall off.
本实用新型解决其技术问题所采用的技术方案是:伤口闭合器,包括两个用于与伤口两侧的皮肤表面连接的皮肤粘贴件和设置于两个皮肤粘贴件之间并分别与两个皮肤粘贴件连接的伤口拉合器,所述皮肤粘贴件包括与伤口拉合器连接的主体粘贴层和连接在主体粘贴层的外周部分边缘或者整圈边缘的柔性粘贴部。The technical scheme adopted by the utility model to solve the technical problem is: a wound closure device, comprising two skin stickers for connecting with the skin surfaces on both sides of the wound, and two skin stickers arranged between the two skin stickers and connected to the two skin stickers respectively. A wound closure connected with a skin adhesive member, the skin adhesive member comprising a main body adhesive layer connected with the wound closure device and a flexible adhesive part connected at the edge of the outer peripheral part of the main body adhesive layer or the edge of the whole circle.
进一步的是:所述主体粘贴层为非柔性粘贴层。Further, the main body adhesive layer is an inflexible adhesive layer.
进一步的是:所述主体粘贴层为片状,主体粘贴层在平面方向抗拉伸,在平面垂直方向能够弯曲。Further, the main body adhesive layer is in a sheet shape, the main body adhesive layer is resistant to stretching in the plane direction, and can be bent in the plane vertical direction.
进一步的是:主体粘贴层的结构包括一块主体粘贴层和向外侧方向延伸的指状粘贴部,主体粘贴层呈条带状,其长轴平行于伤口;指状粘贴部的一端与主体粘贴层的边缘连接,指状粘贴部的另一端朝向远离伤口侧的方向向外延伸设置,指状粘贴部沿主体粘贴层的背向伤口侧边缘成间隔分布设置。Further, the structure of the main body sticking layer includes a main body sticking layer and a finger-like sticking part extending in the outer direction, the main body sticking layer is in the shape of a strip, and its long axis is parallel to the wound; The other ends of the finger-like sticking parts are arranged to extend outward toward the direction away from the wound side, and the finger-like sticking parts are arranged at intervals along the edge of the main body sticking layer facing away from the wound side.
进一步的是:所述柔性粘贴部为沿主体粘贴层的外周部分边缘或者整圈边缘分布的裙带结构,并且柔性粘贴部与主体粘贴层的连接方式为粘接、拼接或包覆式一体成型。Further, the flexible sticking portion is a skirt structure distributed along the outer peripheral edge of the main body sticking layer or the entire edge, and the flexible sticking portion and the main body sticking layer are connected by bonding, splicing or wrapping integrated molding.
进一步的是:所述皮肤粘贴件还包括柔性粘贴层,所述柔性粘贴层的面积大于主体粘贴层的面积并延伸超出主体粘贴层的外周边缘;所述柔性粘贴部是由柔性粘贴层延伸超出主体粘贴层的部分构成。Further: the skin sticking piece further includes a flexible sticking layer, the area of the flexible sticking layer is larger than the area of the main sticking layer and extends beyond the outer peripheral edge of the sticking layer of the main body; the flexible sticking part is extended beyond the flexible sticking layer. Part of the main body adhesive layer.
进一步的是:主体粘贴层相贴设置于柔性粘贴层的上表面;或者主体粘贴层相贴设置于柔性粘贴层的下表面;或者主体粘贴层被夹设在两层柔性粘贴层之间;或者柔性粘贴层被夹设在两层主体粘贴层之间。Further: the main body adhesive layer is arranged on the upper surface of the flexible adhesive layer; or the main body adhesive layer is arranged on the lower surface of the flexible adhesive layer; or the main body adhesive layer is sandwiched between two flexible adhesive layers; or The flexible adhesive layer is sandwiched between the two main body adhesive layers.
进一步的是:所述柔性粘贴层为水凝胶、硅胶、橡胶材料或具有拉伸弹性和弯曲变形能力的聚氨酯材料的柔性粘贴膜。Further, the flexible adhesive layer is a flexible adhesive film of hydrogel, silica gel, rubber material or polyurethane material with tensile elasticity and bending deformation ability.
进一步的是:在主体粘贴层上设置有硬化基带,硬化基带设置于主体粘贴层靠近伤口侧,硬化基带与伤口拉合器连接。Further, a hardened base tape is arranged on the main body sticking layer, the hardened base tape is arranged on the side of the main body sticking layer close to the wound, and the hardened base tape is connected with the wound puller.
进一步的是:柔性粘贴部的设置包括如下三种:Further, the settings of the flexible sticking part include the following three types:
第一种、仅在主体粘贴层的伤口远侧边缘设置有柔性粘贴部;The first type is that a flexible sticking part is only provided on the distal edge of the wound of the sticking layer of the main body;
第二种、仅在主体粘贴层的伤口远侧和伤口近侧边缘设置有柔性粘贴部,并且位于伤口远侧的柔性粘贴部的宽度不小于位于伤口近侧的柔性粘贴部的宽度,同时位于伤口远侧的柔性粘贴部的厚度不大于位于伤口近侧的柔性粘贴部的厚度;In the second type, flexible sticking parts are only provided on the wound distal and proximal wound edges of the adhesive layer of the main body, and the width of the flexible sticking part located on the far side of the wound is not less than the width of the flexible sticking part located on the proximal side of the wound; The thickness of the flexible sticking portion on the far side of the wound is not greater than the thickness of the flexible sticking portion on the proximal side of the wound;
第三种、在主体粘贴层的外周整圈边缘设置一圈柔性粘贴部,并且位于伤口远侧的柔性粘贴部的宽度不小于位于伤口近侧的柔性粘贴部的宽度,位于伤口近侧的柔性粘贴部的宽度不小于位于其余两侧边的柔性粘贴部的宽度;同时位于伤口远侧的柔性粘贴部的厚度不大于位于伤口近侧的柔性粘贴部的厚度。The third type is to set a circle of flexible sticking parts on the outer periphery of the main body sticking layer, and the width of the flexible sticking part located on the far side of the wound is not less than the width of the flexible sticking part located on the proximal side of the wound. The width of the sticking portion is not smaller than the width of the flexible sticking portion located on the remaining two sides; meanwhile, the thickness of the flexible sticking portion located on the far side of the wound is not greater than the thickness of the flexible sticking portion located on the proximal side of the wound.
进一步的是:所述伤口拉合器包括中置固定件、侧置固定件和拉紧件;侧置固定件设置有两个,两个侧置固定件分别与两个皮肤粘贴件连接一一对应连接;中置固定件设置于两个侧置固定件之间且位于伤口上方;通过拉紧件将中置固定件和两侧的侧置固定件连接在一起;所述拉紧件包括拉条和拉条固定件;其中,拉条的一端为固定端,拉条的另一端为自由端,所述固定端设置在中置固定件或侧置固定件上,所述自由端能够通过拉条固定件固定到中置固定件、侧置固定件或皮肤粘贴件上;所述拉紧件还包括拉条导向限位件和/或拉条折返限位件设置在中置固定件或侧置固定件上;所述拉条导向限位件设置有“门框形”或“扁口形”的贯通的导向限位结构,所述拉条的自由端穿过所述导向限位结构;所述拉条的自由端绕拉条折返限位件翻转180度后折返。Further, the wound closure device includes a central fixing piece, a side fixing piece and a tensioning piece; two side fixing pieces are provided, and the two side fixing pieces are respectively connected with the two skin sticking pieces one by one. Correspondingly connected; the middle fixing piece is arranged between the two side fixing pieces and is located above the wound; the middle fixing piece and the side fixing pieces on both sides are connected together by a tensioning piece; the tensioning piece includes a tensioning piece A strip and a brace fastener; wherein one end of the brace is a fixed end, and the other end of the brace is a free end, the fixed end is arranged on a central fastener or a side fastener, and the free end can be pulled The strip fixing member is fixed to the middle fixing member, the side fixing member or the skin sticking member; the tensioning member further includes a pulling rod guiding limiter and/or a pulling rod turning limiter which is arranged on the middle fixing member or the side fixing member. is placed on the fixing member; the guide limiter of the stay is provided with a “door frame-shaped” or “flat-mouth” through guide limit structure, and the free end of the stay passes through the guide limit structure; the The free end of the stay is turned 180 degrees around the turn-back limiter of the stay and then folded back.
进一步的是:两个侧置固定件分别为第一侧的侧置固定件和第二侧的侧置固定件;拉紧件的设置至少包括如下四种:Further, the two side fixing pieces are respectively the side fixing piece on the first side and the side fixing piece on the second side; the setting of the tension piece includes at least the following four types:
第一种,拉条的固定端设置在第一侧的侧置固定件上,拉条的自由端通过设置在中置固定件上的拉条导向限位件和设置在第二侧的侧置固定件上的拉条导向限位件后,被拉条固定件固定到第二侧的侧置固定件或该侧的皮肤粘贴件上;In the first type, the fixed end of the brace is arranged on the side fixing member on the first side, and the free end of the brace is guided to the limiter by the brace arranged on the middle fixing member and the side fixing member arranged on the second side. After the brace on the fixing piece guides the limiting piece, the brace fixing piece is fixed to the side fixing piece on the second side or the skin sticking piece on the side;
第二种,拉条的固定端设置在第一侧的侧置固定件上,拉条的自由端通过设置在中置固定件上的拉条导向限位件后,再通过设置在第二侧的侧置固定件上的拉条折返限位件折返方向180度后,再次通过设置在中置固定件上的拉条导向限位件,最后再通过设置在第一侧的侧置固定件上的拉条导向限位件后,被拉条固定件固定到第一侧的侧置固定件或该侧的皮肤粘贴件上;In the second type, the fixed end of the stay is set on the side fixing member on the first side, and the free end of the stay is guided to the limiter by the stay on the middle fixing member, and then passes through the fixing member on the second side. After the pull bar on the side fixing member is turned back by 180 degrees, it guides the limiting member again through the pull bar arranged on the middle fixing member, and finally passes through the side fixing member arranged on the first side. After the pull bar is guided to the limiting piece, the pull bar fixing piece is fixed to the side fixing piece on the first side or the skin sticking piece on the side;
第三种,在中置固定件的两侧分别设置有拉条,与第一侧的侧置固定件对应的设置有第一侧的拉条,与第二侧的侧置固定件对应的设置有第二侧的拉条;第一侧的拉条的固定端设置在第一侧的侧置固定件上,第一侧的拉条的自由端通过设置在中置固定件上的拉条折返限位件折返方向180度后,再通过设置在第一的侧置固定件上的拉条导向限位件后被拉条固定件固定到第一侧的侧置固定件或该侧的皮肤粘贴件上;第二侧的拉条的固定端设置在第二侧的侧置固定件上,第二侧的拉条的自由端通过设置在中置固定件上的拉条折返限位件折返方向180度后,再通过设置在第二侧的侧置固定件上的拉条导向限位件后被拉条固定件固定到第二侧的侧置固定件或该侧的皮肤粘贴件上;The third type is that the two sides of the central fixing member are respectively provided with braces, the braces corresponding to the side fasteners on the first side are provided with the braces on the first side, and the braces corresponding to the side fasteners on the second side are arranged There is a brace on the second side; the fixed end of the brace on the first side is arranged on the side fixing piece on the first side, and the free end of the brace on the first side is folded back through the brace arranged on the middle fixing piece After the limiter is folded back 180 degrees, it is guided to the limiter by the braces arranged on the first side fasteners, and then fixed to the side fasteners on the first side or the skin on the side by the brace fasteners. The fixed end of the brace on the second side is arranged on the side fastener on the second side, and the free end of the brace on the second side is folded back through the brace foldback limiter provided on the middle fastener. After 180 degrees, it is guided to the limiter by the pull bar arranged on the side fixing piece on the second side, and then fixed to the side fixing piece on the second side or the skin sticking piece on the side by the pulling bar fixing piece;
第四种,在中置固定件的两侧分别设置有拉条,与第一侧的侧置固定件对应的设置有第一侧的拉条,与第二侧的侧置固定件对应的设置有第二侧的拉条;第一侧的拉条的固定端设置在中置固定件上,拉条的自由端通过设置在第一侧的侧置固定件上的拉条折返限位件折返方向180度后,再通过设置在中置固定件上的拉条导向限位件后被拉条固定件固定到中置固定件上;第二侧的拉条的固定端设置在中置固定件上,第二侧的拉条的自由端通过设置在第二侧的侧置固定件上的拉条折返限位件折返方向180度后,再通过设置在中置固定件上的拉条导向限位件后被拉条固定件固定到中置固定件上。The fourth type is that the two sides of the central fixing piece are respectively provided with a tie bar, the side fixing piece corresponding to the first side is provided with a tie bar on the first side, and the side fixing piece corresponding to the second side is provided with a tie bar. There is a brace on the second side; the fixed end of the brace on the first side is set on the middle fixing piece, and the free end of the brace is folded back through the brace turn-back limiter arranged on the side fixing piece on the first side After the direction is 180 degrees, it is guided to the limiter by the draw bar set on the central fixing piece, and then fixed to the central fixing piece by the draw bar fixing piece; On the other hand, after the free end of the brace on the second side is folded back 180 degrees through the brace turn-back limiter provided on the side fixing member on the second side, it is then guided to the limit by the brace provided on the central fastener. After the positioning piece is fixed to the central fixing piece by the brace fixing piece.
进一步的是:在中置固定件的下表面设置连接有长条形状的敷料支撑架,在敷料支撑架的底部沿其长轴方向设置有滑槽,在所述滑槽上滑动配合地设置有滑块,在滑块的底部设置有敷料本体。Further: a long-shaped dressing support frame is arranged on the lower surface of the central fixing member, a chute is provided at the bottom of the dressing support frame along its long axis direction, and a sliding groove is provided on the slide groove. The sliding block is provided with a dressing body at the bottom of the sliding block.
进一步的是:所述中置固定件正中对应伤口的区域设置有上下贯穿的通孔,在中置固定件的上表面设置有片状的敷料支架,在敷料支架下表面对应于中置固定件的上表面实体区域设置有粘贴固定层,使敷料支架与中置固定件上表面实体区域粘贴固定;在敷料支架下表面对应于中置固定件正中通孔的区域设置有敷料本体,敷料本体穿过通孔并且敷料本体厚度大于通孔的侧壁高度。Further: a through hole penetrating up and down is provided in the area corresponding to the wound in the middle of the middle fixing piece, a sheet-shaped dressing support is arranged on the upper surface of the middle fixing piece, and the lower surface of the dressing support corresponds to the middle fixing piece. The upper surface solid area of the dressing support is provided with a sticking and fixing layer, so that the dressing support and the upper surface solid area of the middle fixing piece are glued and fixed; a dressing body is arranged on the lower surface of the dressing support corresponding to the central through hole of the middle fixing piece, and the dressing body passes through it. Through the through hole and the dressing body thickness is greater than the side wall height of the through hole.
本实用新型的有益效果是:本实用新型采用了一种新型的二元架构的皮肤粘贴件结构设计,即由主体粘贴层和柔性粘贴部组合而成,特别适用于粘贴由多个弯曲表面或多个不在同一个平面内的拼接粘贴表面组成的伤口,避免皮肤粘贴件因粘贴不牢从拼接的粘贴表面上剥离、脱落。更具体的,主体粘贴层还设置为一种类似章鱼足指状延伸的结构,即由一块主体粘贴部和延伸的指状粘贴部组成,拉合器产生的缝合拉力在第一级传递到主体粘贴部,在第二级传递分散到指状粘贴部,指状粘贴部可将缝合拉力分散延伸传递至更大范围的皮肤表面,使伤口两侧皮肤表面在单位面积内分配的缝合拉力梯级分散并降低;同时第二级分散的各指状粘贴部可以产生不同程度的表面弯曲,可以使每个不同的指状粘贴部,分别独立的适应其对应的皮肤粘贴面,在人体运动时指状粘贴部可分别独立的随其运动变化而跟随变化,进一步避免粘贴件在运动时起翘,剥离,脱落和粘贴不牢。而且,通过在主体粘贴层外周边缘还特别的设置有一种类似甲鱼软边缘的柔性粘贴部结构粘贴皮肤表面,柔性粘贴部相对于主体粘贴层具有更接近皮肤的柔性并在皮肤表面的平面方向和垂直方向均具有更好的拉伸弹性和弯曲变形能力,更加柔软的柔性粘贴部在粘贴由多个弯曲表面或由多个不在同一个平面内的拼接表面组成的伤口时,例如颌面部、头颈部、乳腺,腋窝、膝盖、肘弯部、四肢关节等活动部位粘贴面不能全部位于同一平坦静止平面的伤口,柔性粘贴部则能更好的缓冲不同拼接表面之间的不同步运动,柔性粘贴部与柔性的皮肤表面之间能够实现良好的顺应性和良好的边缘密合效果,增加皮肤的粘贴牢固性,避免了边缘起翘,剥离,脱落。同时柔性粘贴部与皮肤的交界面之间形成的柔性“张力缓冲区”,还可避免聚集的局部张力直接作用在与皮肤交界的皮肤表面,避免造成皮肤拉伤、张力性皮肤水泡等皮肤损伤。本实用新型解决了皮肤粘贴件既要具有良好的拉力承受和分散性能,同时又能柔性的适应伤口的多个弯曲表面或多个不在同一个平面内的运动的拼接粘贴表面,获得更好的粘贴的有效性和牢固性。因此特别适用于粘贴例如颌面部、头颈部、乳腺,腋窝、膝盖、肘弯部、四肢关节等活动部位且粘贴面不能全部位于同一平坦静止平面的伤口,解决了上述人体特殊活动部位伤口不易粘贴、运动时易起翘,剥离,脱落和粘贴不牢的难题。The beneficial effects of the present invention are as follows: the present invention adopts a novel structure design of the skin sticker with a dual structure, that is, it is composed of a main body sticking layer and a flexible sticking part, and is especially suitable for sticking a plurality of curved surfaces or a flexible sticking part. A wound composed of multiple splicing and pasting surfaces that are not in the same plane can prevent the skin adhesive from peeling off and falling off from the splicing and pasting surfaces due to poor adhesion. More specifically, the main body sticking layer is also set to a structure similar to the finger-like extension of octopus feet, that is, it is composed of a main body sticking part and an extended finger-like sticking part, and the suture tension generated by the puller is transmitted to the main body in the first stage. The sticking part, in the second stage, transmits and disperses to the finger sticking part, and the finger sticking part can spread the suture tension to a wider range of skin surface, so that the suture tension distributed on the skin surface on both sides of the wound in a unit area is distributed in steps At the same time, each finger-like sticking part dispersed in the second stage can produce different degrees of surface curvature, so that each different finger-like sticking part can independently adapt to its corresponding skin sticking surface, and the finger-like sticking part can be adjusted when the human body moves. The sticking parts can follow changes independently with their movement changes, further avoiding warping, peeling, falling off and poor sticking of the sticking pieces during movement. Moreover, the outer peripheral edge of the main body sticking layer is specially provided with a flexible sticking part structure similar to the soft edge of soft-shelled turtle to stick to the skin surface, the flexible sticking part has flexibility closer to the skin than the main body sticking layer, and is more flexible in the plane direction of the skin surface and It has better tensile elasticity and bending deformation ability in the vertical direction, and the softer flexible adhesive part is used to paste wounds composed of multiple curved surfaces or multiple splicing surfaces that are not in the same plane, such as the maxillofacial region, Head and neck, breast, armpits, knees, elbows, joints of limbs and other active parts can not all be located on the same flat static plane. The flexible adhesive part can better buffer the asynchronous movement between different splicing surfaces. The flexible sticking part and the flexible skin surface can achieve good compliance and good edge adhesion effect, increase the sticking firmness of the skin, and avoid edge warping, peeling, and falling off. At the same time, the flexible "tensile buffer zone" formed between the interface between the flexible adhesive part and the skin can also prevent the accumulated local tension from directly acting on the skin surface at the interface with the skin, and avoid skin injuries such as skin strain and tension skin blisters. . The utility model solves the problem that the skin sticker should not only have good tensile force bearing and dispersing performance, but also can flexibly adapt to multiple curved surfaces of the wound or multiple splicing and pasting surfaces that are not in the same plane, so as to obtain better Effectiveness and firmness of the paste. Therefore, it is especially suitable for sticking wounds such as maxillofacial, head and neck, breast, armpits, knees, elbows, limb joints and other active parts and the sticking surfaces cannot all be located on the same flat static plane. It is not easy to stick, and it is easy to warp, peel off, fall off and stick not firmly during exercise.
附图说明Description of drawings
图1为本实用新型所述的一种实施例的立体示意图;1 is a schematic perspective view of an embodiment of the present utility model;
图2为图1的俯视图;Fig. 2 is the top view of Fig. 1;
图3为图2中A-A截面的剖视图;Fig. 3 is the sectional view of A-A section in Fig. 2;
图4为图3中局部区域B的放大示意图;Fig. 4 is the enlarged schematic diagram of partial area B in Fig. 3;
图5为本实用新型所述的另外一种实施例的俯视图;5 is a top view of another embodiment of the utility model;
图6为图5中A1-A1截面的剖视图;Fig. 6 is the sectional view of A1-A1 section in Fig. 5;
图7为图6中局部区域C的放大示意图;Fig. 7 is the enlarged schematic diagram of partial area C in Fig. 6;
图8为单侧的皮肤粘贴件的示意图;8 is a schematic diagram of a unilateral skin patch;
图9为伤口拉合器的第一种具体结构的示意图;Fig. 9 is the schematic diagram of the first specific structure of the wound closure device;
图10为伤口拉合器的第二种具体结构的示意图;10 is a schematic diagram of a second specific structure of the wound closure device;
图11为伤口拉合器的第三种具体结构的示意图;Figure 11 is a schematic diagram of the third specific structure of the wound closure device;
图中标记为:柔性粘贴层1、主体粘贴层2、柔性粘贴部3、硬化基带4、通孔5、主体粘贴部6、指状粘贴部7、中置固定件8、侧置固定件9、拉紧件10、敷料支撑架11、拉条 12、锁扣13、拉条导向限位件14、拉条固定件15、导向限位结构16、拉条折返限位件17、滑槽18、滑块19、敷料本体20、敷料支架21、拉条让位凹槽22。Marked as: flexible adhesive layer 1, main
具体实施方式Detailed ways
下面结合附图和具体实施方式对本实用新型进一步说明。The present utility model will be further described below with reference to the accompanying drawings and specific embodiments.
需要说明,若本实用新型中有涉及方向性指示用语,如上、下、左、右、前、后的方向、方位用语,是为了利于构件间相对位置联系的描述,非为相关构件、构件间位置关系的绝对位置特指,仅用于解释在某一特定姿态下各部件之间的相对位置关系、运动情况等,如果该特定姿态发生改变时,则该方向性指示也相应地随之改变。若本实用新型中有涉及数量的用语,如“多”、“多个”、“若干”等,具体指的是两个及两个以上。It should be noted that if there are directional indication terms in this utility model, such as up, down, left, right, front and back, the direction and orientation terms are for the description of the relative position relationship between the components, not for the related components and the components. The absolute position of the positional relationship is specifically used to explain the relative positional relationship, motion, etc. between the components under a certain posture. If the specific posture changes, the directional indication also changes accordingly. . If there are terms related to quantity in this utility model, such as "many", "multiple", "several", etc., it specifically refers to two or more.
本实用新型所述的伤口闭合器,包括两个用于与伤口两侧的皮肤表面连接的皮肤粘贴件和设置于两个皮肤粘贴件之间并分别与两个皮肤粘贴件连接的伤口拉合器,所述皮肤粘贴件包括与伤口拉合器连接的主体粘贴层2和连接在主体粘贴层2的外周部分边缘或者整圈边缘的柔性粘贴部3。The wound closure device of the utility model comprises two skin stickers for connecting with the skin surfaces on both sides of the wound, and a wound puller arranged between the two skin stickers and connected to the two skin stickers respectively The skin adhesive component includes a main
其中,柔性粘贴部3指的是比主体粘贴层2更具柔性;即柔性粘贴部3为相对主体粘贴层2更柔软的粘贴部件,这样柔性粘贴部3为位于主体粘贴层2的外周部分边缘或者整圈边缘向外延伸拓展形成的外周更柔性的粘贴结构,柔性粘贴部3采用更接近皮肤表面柔性并在皮肤表面的平面方向和垂直方向均具有更好的拉伸弹性和弯曲变形能力的柔性材料制作,增加了皮肤粘贴件与柔性皮肤表面之间良好的顺应性和良好的边缘密合效果,增加了皮肤的粘贴牢固性,避免了皮肤粘贴件边缘起翘,剥离,脱落。同时柔性粘贴部3与皮肤的交界面之间还可形成一个柔性的“张力缓冲区”,可避免聚集的局部张力直接作用在皮肤交界的皮肤表面,避免造成皮肤表面拉伤、张力性皮肤水泡等皮肤损伤。更具体的,所述柔性粘贴部3可优选水凝胶、硅胶、橡胶材料或具有拉伸弹性和弯曲变形能力的柔性聚氨酯材料制成的柔性粘贴膜。Among them, the
更具体的,所述主体粘贴层2为非柔性粘贴层;所谓非柔性粘贴层并非完全没有柔性,而指的是柔性相对于柔性粘贴部3而言更“硬”的不易被牵拉变形的材料层,例如设置为一层致密高分子的塑料片状材料,这样可以通过非柔性粘贴层起到传导分散伤口拉合作用力的目的,使得拉合作用力更均匀的分散到主体粘贴层2的外侧边缘,再传导到对应的柔性粘贴部 3上,然后再通过柔性粘贴部3传导到对应的柔性皮肤表面。这样,能更加均匀的分散对皮肤的拉合力,避免皮肤张拉力过度集中产生皮肤拉伤、张力性皮肤水泡等皮肤损伤。More specifically, the main
更具体的,所述主体粘贴层2可优选设置为片状,同时片状的主体粘贴层2在平面方向抗拉伸,在片状平面的垂直方向能够弯曲。这样设置的好处是使得主体粘贴层2能在传导分散伤口拉合作用力的目的的同时还能够适当的弯曲变形以适应皮肤粘贴部位的弯曲表面。具体的,主体粘贴层2可以采用材料为聚酯、聚碳酸酯、聚乙烯、聚丙烯、聚酰胺等材料制成厚度适中的卡片结构。More specifically, the main
更具体的,主体粘贴层2的结构还可采取如下设置:其包括一块主体粘贴部6和向外侧方向延伸的指状粘贴部7,主体粘贴部6呈条带状,其长轴平行于伤口,具体可参照附图中所示;指状粘贴部7的一端与主体粘贴部6的边缘连接,指状粘贴部7的另一端朝向远离伤口侧的方向向外延伸设置,指状粘贴部7沿主体粘贴部6的背向伤口侧边缘成间隔分布设置有若干。各指状粘贴部7的设置和分布也可参照附图中所示,其大致可形成类似于章鱼爪的放射分散结构。这样设置的目的,使得主体粘贴层2形成一种有类似章鱼足指状延伸的骨架延伸结构,可将拉合器产生的缝合拉力在第一级传递到主体粘贴层2的主体粘贴部6,在第二级传递分散到两侧的指状粘贴部7,指状粘贴部7可将缝合拉力分散延伸传递至更大范围的皮肤表面,使伤口两侧皮肤表面在单位面积内分配的缝合拉力梯级分散并降低;同时第二级分散的各指状粘贴部7的片状表面可以产生不同程度的弯曲,可以使每个不同弯曲程度的指状粘贴部7分别独立的适应其对应的弯曲的皮肤粘贴面,或分散的指状粘贴部7可以各自独立的适应不在同一个整体平面内的分散的拼接表面;在人体运动时片状的指状粘贴部可分别独立的随其运动变化而跟随变化,避免粘贴件在运动时起翘,剥离,脱落和粘贴不牢。More specifically, the structure of the main
更具体的,在主体粘贴层2的主体粘贴部6和延伸的指状粘贴部7的外周边缘,同时还可设置有柔性粘贴部3形成的一种类似甲鱼软边缘的柔性的软边缘结构;这样皮肤粘贴件在粘贴由多个弯曲表面或由多个不在同一个平面内的拼接表面组成的伤口时,例如在粘贴颌面部、头颈部、乳腺,腋窝、膝盖、肘弯部、四肢关节等活动部位伤口且粘贴面不能全部位于同一平坦静止平面的伤口时:一方面,皮肤粘贴件可将拉合器产生的缝合拉力在第一级传递到主体粘贴层2的主体粘贴部6,在第二级传递分散到两侧的指状粘贴部7,指状粘贴部7可将缝合拉力分散延伸传递至更大范围的皮肤表面,使伤口两侧皮肤表面在单位面积内分配的缝合拉力梯级分散并降低;此时,皮肤粘贴件具有良好的整体承受拉合器拉力的性能和有效的拉力传递分散性能。由于第二级分散的各指状粘贴部7表面可以分别独立产生不同程度的弯曲,可以使每个不同弯曲程度的指状粘贴部7,分别独立的适应其对应的弯曲的皮肤粘贴面或不在同一个平面内的拼接表面,在人体运动时指状粘贴部可分别独立的随其运动变化而跟随变化,还可进一步避免粘贴件在运动时起翘,剥离,脱落和粘贴不牢。另一方面,存在于所有皮肤粘贴件外侧周边,包括存在于所有主体粘贴部6和延伸指状粘贴部7的外则边缘处的类似甲鱼软边缘的柔性粘贴部3,由于具有更接近皮肤的柔性并在皮肤表面的平面方向和垂直方向均具有更好的拉伸弹性和弯曲变形能力,能更好的缓冲不同拼接表面之间的不同步运动;在粘贴由多个弯曲表面或由多个不在同一个平面内的拼接表面组成的伤口时,极大的增加了皮肤粘贴件的粘贴有效性和牢固性,避免了皮肤粘贴件边缘起翘,剥离,脱落,因此,皮肤粘贴件同时又具有良好的柔性性能,具有良好的皮肤表面顺应性和良好的边缘密合效果。由于柔性粘贴部3与皮肤的交界面之间可形成柔性“张力缓冲区”,还可避免聚集的局部张力直接作用在与皮肤交界的皮肤表面,避免造成皮肤表面拉伤、张力性皮肤水泡等皮肤损伤。因此,特别适用于粘贴例如颌面部、头颈部、乳腺,腋窝、膝盖、肘弯部、四肢关节等活动部位且粘贴面不能全部位于同一平坦静止平面的伤口,解决了上述人体特殊活动部位伤口不易粘贴、运动时易起翘,剥离,脱落和粘贴不牢的难题。More specifically, on the outer peripheral edges of the main body sticking part 6 and the extended finger-like sticking part 7 of the main
更具体的,对于指状粘贴部7的具体设置数量,理论上并没有限制,如附图中所示的实例中为设置有三个指状粘贴部7;若主体粘贴部6的尺寸相对较大时,则可设置更多数量的指状粘贴部7。More specifically, there is no theoretical limit to the specific number of finger-like sticking parts 7 . For example, in the example shown in the accompanying drawings, there are three finger-like sticking parts 7 ; if the size of the main body sticking part 6 is relatively large, , a larger number of finger-like sticking parts 7 can be provided.
更具体的,对于柔性粘贴部3的具体设置形成方式,本实用新型中至少可采用如下设置:More specifically, for the specific setting and forming method of the
第一种、设置所述皮肤粘贴件还包括柔性粘贴层1,所述柔性粘贴层1的面积大于主体粘贴层2的面积并延伸超出主体粘贴层2的外周边缘;所述柔性粘贴部3是由柔性粘贴层1 延伸超出主体粘贴层2的部分构成。当然,上述的柔性粘贴层1为一层相对较柔软的粘贴件,如采用柔性薄膜粘胶布或者柔性软胶粘贴带,其柔性应当比主体粘贴层2更“柔软”,这样所形成的柔性粘贴部3相对于主体粘贴层2更“柔软”,更接近皮肤表面柔性。更具体的,在上述设置有柔性粘贴层1和主体粘贴层2的层叠方式时,二者的位置关系可设置主体粘贴层2 相贴设置于柔性粘贴层1的上表面;或者设置主体粘贴层2相贴设置于柔性粘贴层1的下表面;或者可设置主体粘贴层2被夹设在两层柔性粘贴层1之间,又或者可设置柔性粘贴层1 被夹设在两层主体粘贴层2之间。First, the skin sticking member further includes a flexible sticking layer 1, the area of the flexible sticking layer 1 is larger than the area of the
第二种、设置柔性粘贴部3为沿主体粘贴层2的外周部分边缘或者整圈边缘设置的裙带结构,并且柔性粘贴部3连接主体粘贴层2。所谓裙带,指的只沿主体粘贴层2的外周部分边缘或者整圈边缘而设置的呈现条带状的延伸结构,如当沿主体粘贴层2的外周整圈边缘设置有裙带时,该裙带大致为一个闭环的带状结构。并且,对于裙带与主体粘贴层2的连接方式可以设置为粘接、拼接或包覆式一体成型等;如设置二者为一体结构时,可直接通过将主体粘贴层2的相应边缘向外进一步延伸出一定宽度的结构后形成裙带,并且该进一步延伸出的裙带由于需要形成相对主体粘贴层2为更柔软的柔性粘贴部3,因此可通过设置裙带比主体粘贴层2更薄的结构来实现,或者使用比主体粘贴层2更柔的材质并通过一种类似“双色注塑”工艺的方法一体注塑成型来实现。另外,也可裙带的部分与主体粘贴层2重叠相连,即通过裙带的部分与主体粘贴层2的边缘的部分进行重叠,并在重叠部分进行连接后实现二者的连接传力。如主体粘贴层2设置为塑料片结构,而裙带设置为薄膜粘胶层,并且该薄膜粘胶层的其中一侧为用于粘贴到皮肤上的粘贴面,薄膜粘胶层的另一侧则为背面,通过将薄膜粘胶层的背面的其中相应边缘部分与塑料片的主体粘贴层2的边缘部分进行粘贴即可实现二者的连接。The second type is that the
另外,本实用新型中当皮肤粘贴件为柔性粘贴层1和主体粘贴层2的层叠结构时,柔性粘贴层1和主体粘贴层2均可设置为包括主体粘贴部6和指状粘贴部7的结构;而当皮肤粘贴件为主体粘贴层2和裙带组成的结构时,主体粘贴层2可设置为包括主体粘贴部6和指状粘贴部7的结构,裙带则可为沿主体粘贴部6和指状粘贴部7二者整体的边缘设置后形成柔性粘贴部3。In addition, in the present invention, when the skin adhesive member is a laminated structure of the flexible adhesive layer 1 and the main
更具体的,柔性粘贴部3作为一个专门设置的受力分散过渡“缓冲区”结构,其设置部位包括如下三种不同的方案;More specifically, the
第一种、仅在主体粘贴层2的伤口远侧设置有柔性粘贴部3;当然,在设置有指状粘贴部7的情况时,可在指状粘贴部7的边缘对应形成柔性粘贴部3。上述在主体粘贴层2位于伤口远侧的柔性粘贴部3,主要承担的是将缝合拉力“梯级降低”均匀分散到较大范围的皮肤面上,因此在该部位的柔性粘贴部3的结构宽度会设置相对更宽大,而厚度较薄;并且在主体粘贴层2位于伤口远侧的边缘对应的柔性粘贴部3为必须设置。The first is that the
第二种、除了在主体粘贴层2的伤口远侧设置有柔性粘贴部3外,还在主体粘贴层2位于伤口近侧也设置有柔性粘贴部3;并且位于伤口远侧的柔性粘贴部3的宽度不小于位于伤口近侧的柔性粘贴部3的宽度,同时位于伤口远侧的柔性粘贴部3的厚度不大于位于伤口近侧的柔性粘贴部3的厚度。其中,位于主体粘贴层2伤口近侧的柔性粘贴部3主要承担的是将拉合器产生的缝合力通过硬化基带4(在设置有硬化基带4的情况时)、主体粘贴层2、主体粘贴层2的伤口近侧的“柔性粘贴部”平行推挤传递到伤口皮缘处的皮肤表面,使伤口皮缘闭合,因此在该部位的柔性粘贴部3承受的是推挤压力,因此该处的结构宽度优选设置为相对于位于伤口远侧的柔性粘贴部3更窄,且设置更厚。Second, in addition to the
第三种、为在主体粘贴层2的外周整圈边缘形成一圈柔性粘贴部3,及在上述第二种的基础上,还在主体粘贴层2上其余两侧边设置有柔性粘贴部3,即可理解为主体粘贴层2的伤口近侧、伤口远侧以及其余两侧边所围成的一圈边缘均设置有柔性粘贴部3;具体可参照附图8所示的示意图中,其中伤口近侧指的是图8中的上边对应的侧边,伤口远侧指的是图 8中下边缘对应的侧边,并且在设置有指状粘贴部7时,也包括指状粘贴部7的相应边缘部分,而其余两侧边则为图8中左右两侧对应边缘。并且在该种结构中,进一步可优选设置位于伤口远侧的柔性粘贴部3的宽度不小于位于伤口近侧的柔性粘贴部3的宽度,位于伤口近侧的柔性粘贴部3的宽度不小于位于其余两侧边的柔性粘贴部3的宽度;同时位于伤口远侧的柔性粘贴部3的厚度小于位于伤口近侧的柔性粘贴部3的厚度。The third type is to form a circle of
另外,如上分析所知,柔性粘贴部3的作用可用于提高边缘部分与皮肤之间的粘贴效果,同时避免皮肤受力过度集中等,因此,本实用新型中进一步可优选设置柔性粘贴部3的宽度为1-10mm,具体可根据伤口的形状或长度的不同,按实际需要进行合理设置,如可在不同的具体部位设置其宽度为1mm、5mm或8mm;厚度为0.1mm、0.5mm等不同具体尺寸;这样可在确保边缘部分与皮肤之间的粘贴效果的同时,进一步降低这部分皮肤的褶皱情况,提高对拉合作用力的分散效果。另外,本实用新型中当设置有柔性粘贴层1和主体粘贴层2的层叠结构时,也可通过设置主体粘贴层2面积相对于柔性粘贴层1面积占比50%-99%来控制相应的柔性粘贴部3的尺寸;如具体设置上述面积占比为90%,同时通过合理设置主体粘贴层 2位于柔性粘贴层1的中部位置,即可同样形成一圈宽度尺寸适宜的柔性粘贴部3。当然,上述柔性粘贴部3的宽度,指的是柔性粘贴部3与主体粘贴层2的边缘接触的边界线至柔性粘贴部3的边缘对应的边界线之间的尺寸,厚度是指“柔性粘贴部”柔性粘贴层1的最高厚度,并且“柔性粘贴部”的厚度还可以设置为沿“柔性粘贴部”宽度方向向外延伸而逐渐递减的设置。In addition, as known from the above analysis, the function of the
更为具体的,本实用新型中进一步还在主体粘贴层2的上设置有硬化基带4,硬化基带4 设置于主体粘贴层2靠近伤口侧的边缘上并沿该侧边缘设置。设置硬化基带4的目的主要是使得主体粘贴层2靠近伤口侧的边缘形成受力强度更高的较硬的平行于伤口的侧边带状结构,这样在拉合伤口的过程中可通过硬化基带4进一步增强对伤口边缘整体、统一的平移拉动,以提高伤口拉拢的对齐效果。不失一般性的,硬化基带4应当选择一种硬度相对主体粘贴层2更“硬”的材料制成,如采用高密度高分子塑料片或者其他硬质材料制成;同时在设置有硬化基带4时,可进一步将伤口拉合器直接与硬化基带4连接并通过硬化基带4与主体粘贴层2连接传力。More specifically, in the present invention, a
另外,为避免皮肤粘贴件存在尖锐的拐角结构构成拉力聚集点造成对皮肤的拉伤,本实用新型中进一步优选设置皮肤粘贴件上各处的边缘转角及边缘连接部位均呈圆弧状平滑过渡;即对相应的位置在边缘的切线方向圆滑过渡,具体可参照附图2中所示的各转角位置处的倒圆角结构。In addition, in order to prevent the skin sticking piece from having a sharp corner structure to form a tensile force gathering point and causing the skin to be pulled, it is further preferred in the present invention to set the edge corners and edge connection parts on the skin sticking piece to be arc-shaped and smooth transition. ; That is, for a smooth transition in the tangential direction of the edge for the corresponding position, the specific reference may be made to the rounded corner structure at each corner position shown in FIG. 2 .
本实用新型中的伤口拉合器,其作用是用于向两侧的皮肤粘贴件提供拉合作用力,并最终实现将伤口两侧的皮肤向伤口中间拉拢,以使得伤口被拉拢闭合。更为具体的,本实用新型中的伤口拉合器具体可包括中置固定件8、侧置固定件9和拉紧件10;其中侧置固定件9 设置有两个,两个侧置固定件9分别与两个皮肤粘贴件连接一一对应连接;中置固定件8设置于两个侧置固定件9之间且位于伤口上方;通过拉紧件10将中置固定件8和两侧的侧置固定件9连接在一起。如在中置固定件8和两侧的侧置固定件9之间分别设置有拉紧件10进行连接或者两侧的侧置固定件9之间设置有穿过中置固定件8的拉紧件10进行连接。通过上述设置,即可通过张拉拉紧件10实现对两侧的皮肤粘贴件的拉合作用。The wound closure device in the utility model is used to provide pulling force to the skin stickers on both sides, and finally pulls the skin on both sides of the wound to the middle of the wound, so that the wound is drawn and closed. More specifically, the wound closure device in the present invention may specifically include a
另外,本实用新型中的侧置固定件9,其作用为用于与拉紧件10进行配合,以向皮肤粘贴件施加伤口拉合作用力,即伤口的缝合拉力。不失一般性的,侧置固定件9可以为单独的构件,如附图4中所示,其可设置为粘贴到主体粘贴层2上的一层结构件;当然,侧置固定件9也可以设置为与主体粘贴层2融合为一体的结构,即在主体粘贴层2上设置有用于与拉紧件10进行配合的局部结构作为侧置固定件9。另外,拉紧件10也可与侧置固定件9融合为一体结构,如附图4中所示的具体实例中即为拉紧件10与侧置固定件9为一体的带状结构,该一体的带状结构的其中一端的部分结构形成侧置固定件9并直接粘贴到主体粘贴层2上,该一体的带状结构的另外一端的部分结构形成带状的拉紧件10。另外,若进一步设置有硬化基带4的情况下,侧置固定件9还可与硬化基带4融合为一体的结构或者侧置固定件9与硬化基带4连接。In addition, the
另外,所述拉紧件10包括拉条12和拉条固定件15;其中,拉条12的一端为固定端,所述固定端设置在中置固定件8或侧置固定件9上,拉条12的另一端为自由端,所述自由端能够通过拉条固定件15固定到中置固定件8、侧置固定件9或皮肤粘贴件上。如设置拉条12为条带状的拉带以及所述拉条固定件15为设置于拉条12的自由端的粘贴层。或者又如所述拉条12为棘条以及所述拉条固定件15为锁扣13,在棘条上设置有棘齿,在锁扣13内设置有棘爪,棘条穿过锁扣13时通过棘爪与棘齿实现单方向限制锁定;即实现棘爪棘齿的单向锁定结构,这样棘条只能单方向拉动,可便于对伤口拉合的过程中防止伤口崩开。In addition, the tensioning
另外,所述拉紧件10还可包括拉条导向限位件14和/或拉条折返限位件17;所述拉条导向限位件14设置有“门框形”或“扁口形”的贯通的导向限位结构,拉条12的自由端穿过所述导向限位结构;所述拉条折返限位件17设置在中置固定件8或侧置固定件9上,拉条12的自由端绕拉条折返限位件17翻转180度后折返设置。In addition, the
其中,通过设置拉条导向限位件14可起到对拉条12的限位导向作用,及拉条12被限位导向后只能沿拉条12的长轴方向拉动,当然拉条12的拉动方向应当大致垂直于伤口的走向,以此才能使得通过拉条12的拉合作用使伤口被更有利地向中间拉拢对合。具体的,如拉条导向限位件14可设置为一层塑料卡片通过点粘贴方式间隔粘贴到皮肤粘贴件上后通过相邻两个粘贴点之间的间隔与皮肤粘贴件之间形成一个“扁口形”的通孔结构作为导向限位结构。Wherein, by providing the stay
其中,拉条折返限位件17可设置为轴结构,该轴通过必要的安装座安装到相应结构上,或者拉条折返限位件17可设置为一个穿翻折通孔结构,如附图1以及附图5中所示的即为设置拉条折返限位件17为一个翻折通孔结构,并且附图1和附图5中所示的实施例中为进一步将拉条折返限位件17和中置固定件8融合为一体的结构。Wherein, the
至于本实用新型中的拉紧件10的具体结构形成,可采用如下若干类的不同具体方案实现,其中为便于表述,设置两个侧置固定件9分别为第一侧的侧置固定件9和第二侧的侧置固定件9:As for the specific structure formation of the tensioning
第一种,拉条12的固定端设置在第一侧的侧置固定件9上,拉条12的自由端通过设置在中置固定件8上的拉条导向限位件14和设置在第二侧的侧置固定件9上的拉条导向限位件 14后,被拉条固定件15固定到第二侧的侧置固定件9或该侧的皮肤粘贴件上;First, the fixed end of the
第二种,拉条12的固定端设置在第一侧的侧置固定件9上,拉条12的自由端通过设置在中置固定件8上的拉条导向限位件14后,再通过设置在第二侧的侧置固定件9上的拉条折返限位件17折返方向180度后,再次通过设置在中置固定件8上的拉条导向限位件14,最后再通过设置在第一侧的侧置固定件9上的拉条导向限位件14后,被拉条固定件15固定到第一侧的侧置固定件9或该侧的皮肤粘贴件上;In the second type, the fixed end of the
第三种,在中置固定件8的两侧分别设置有拉条12,与第一侧的侧置固定件9对应的设置有第一侧的拉条12,与第二侧的侧置固定件9对应的设置有第二侧的拉条12;第一侧的拉条12的固定端设置在第一侧的侧置固定件9上,第一侧的拉条12的自由端通过设置在中置固定件8上的拉条折返限位件17折返方向180度后,再通过设置在第一的侧置固定件9上的拉条导向限位件14后被拉条固定件15固定到第一侧的侧置固定件9或该侧的皮肤粘贴件上;第二侧的拉条12的固定端设置在第二侧的侧置固定件9上,第二侧的拉条12的自由端通过设置在中置固定件8上的拉条折返限位件17折返方向180度后,再通过设置在第二侧的侧置固定件9上的拉条导向限位件14后被拉条固定件15固定到第二侧的侧置固定件9或该侧的皮肤粘贴件上;In the third type, braces 12 are provided on both sides of the
第四种,在中置固定件8的两侧分别设置有拉条12,与第一侧的侧置固定件9对应的设置有第一侧的拉条12,与第二侧的侧置固定件9对应的设置有第二侧的拉条12;第一侧的拉条12的固定端设置在中置固定件8上,拉条12的自由端通过设置在第一侧的侧置固定件9 上的拉条折返限位件17折返方向180度后,再通过设置在中置固定件8上的拉条导向限位件 14后被拉条固定件15固定到中置固定件8上;第二侧的拉条12的固定端设置在中置固定件 8上,第二侧的拉条12的自由端通过设置在第二侧的侧置固定件9上的拉条折返限位件17 折返方向180度后,再通过设置在中置固定件8上的拉条导向限位件14后被拉条固定件15 固定到中置固定件8上。In the fourth type, braces 12 are provided on both sides of the
另外,当拉条12为棘条以及所述拉条固定件15为锁扣13的结构时,拉紧件10的设置还可包括如下集中具体方案:In addition, when the
第一种,锁扣13固定设置在中置固定件8上,拉条12的固定端固定在侧置固定件9上,拉条12的自由端向中置固定件8方向穿过锁扣13并被棘爪限制锁定;The first type is that the lock 13 is fixed on the
第二种,锁扣13固定设置在侧置固定件9上,拉条12的固定端固定在中置固定件8上,拉条12的自由端向侧置固定件9方向穿过锁扣13并被棘爪限制锁定;In the second type, the lock 13 is fixed on the
第三种,锁扣13固定设置在其中一侧的侧置固定件9上,同时拉条12的固定端固定在另一侧的侧置固定件9上,拉条12的自由端穿过设置在中置固定件8上的导向孔或导向槽结构后再穿过对侧侧置固定件9上的锁扣13并被棘爪限制锁定。The third type is that the lock 13 is fixedly arranged on the
另外,参照附图6中所示,还可在中置固定件8的下表面设置连接有长条形状的敷料支撑架11,在敷料支撑架11的底部沿其长轴方向设置有滑槽18,在所述滑槽18上滑动配合地设置有滑块19,在滑块19的底部设置有敷料本体20。这样设置的好处是,可通过滑槽18与滑块19的滑动配合,实现便捷、快速的滑动更换敷料本体20;并且其敷料本体20可直接通过粘贴的方式被固定在滑块19的底部。其中,敷料支撑架11与中置固定件8还可设置为一体结构。In addition, as shown in FIG. 6 , a long-shaped
另外,参照附图1所示,还可在中置固定件8正中对应伤口的区域设置有上下贯穿的通孔5,在中置固定件8的上表面设置有片状的敷料支架21,在敷料支架21下表面对应于中置固定件8的上表面实体区域设置有粘贴固定层,使敷料支架21与中置固定件8上表面实体区域粘贴固定;在敷料支架21下表面对应于中置固定件8正中通孔5的区域设置有敷料本体 20,敷料本体20穿过通孔5并且敷料本体20厚度大于通孔5的侧壁高度。In addition, as shown in FIG. 1 , a through
其中,敷料本体20实际为一种能够提高伤口止血、抗感染、促愈合、减少疤痕作用或者治疗效果等的敷料,如止血海绵、壳聚糖抗感染敷料、海藻酸盐敷料、含碘吸水棉敷料等医用敷料。Wherein, the dressing
一种具体的实施例1:A specific embodiment 1:
参照附图1至4中所示的一种具体结构的示意图,其中具体设置所述伤口拉合器包括中置固定件8、拉条导向限位件14和拉条12,中置固定件8设置于两个皮肤粘贴件之间,在中置固定件8与两侧的皮肤粘贴件之间分别设置有一组拉条12进行连接,每组拉条12包括三根拉条12;所述中置固定件8正中对应伤口的区域设置有上下贯穿的通孔5,在中置固定件 8的上表面设置有片状的敷料支架21,在敷料支架21下表面对应于中置固定件8的上表面实体区域设置有粘贴固定层,使敷料支架21与中置固定件8上表面实体区域粘贴固定;在敷料支架21下表面对应于中置固定件8正中通孔5的区域设置有敷料本体20,敷料本体20穿过通孔5并且敷料本体20厚度大于通孔5的侧壁高度;这样可通过敷料支架21覆盖在通孔5上,以起到对放入的敷料本体20的限位和密封作用。同时,在中置固定件8的外周设置有与各拉条12对应的穿孔结构作为拉条折返限位件17;在两个皮肤粘贴件上分别设置有一个拉条导向限位件14,拉条导向限位件14为设置为一层塑料卡片通过点粘贴方式间隔粘贴到皮肤粘贴件上后通过相邻两个粘贴点之间的间隔与皮肤粘贴件之间形成一个“扁口形”的通孔结构作为导向限位结构;每个拉条12的一端为固定端,且拉条12的另一端为自由端,在拉条 12的自由端设置有粘贴层结构作为拉条固定件15;拉条12的固定端固定在其中一个皮肤粘贴件上,其具体的固定方式可以为直接粘贴固定在皮肤粘贴件上,拉条12的自由端穿过中置固定件8上对应的穿孔结构并翻折180度折返,并在折返后穿过拉条导向限位件14上的导向限位结构16后能够通过拉条固定件15固定在与其固定端同侧的皮肤粘贴件上。Referring to the schematic diagrams of a specific structure shown in FIGS. 1 to 4 , wherein the wound closure device is specifically arranged to include a
另外一种具体的实施例2:Another specific embodiment 2:
参照附图5至7中所示的一种具体结构的示意图,其中具体设置所述伤口拉合器包括中置固定件8、拉条导向限位件14和拉条12,中置固定件8设置于两个皮肤粘贴件之间,在中置固定件8与两侧的皮肤粘贴件之间分别设置有一组拉条12进行连接,每组拉条12包括三根拉条12;在中置固定件8的下部设置有敷料支撑架11,所述敷料支撑架11呈长条形状,具体形状可参照附图中所示,在敷料支撑架11的底部沿其长轴方向设置有滑槽18,在所述滑槽18上滑动配合地设置有滑块19,在滑块19的底部设置有敷料本体20;位于中置固定件8两侧的两组拉条12中的各拉条12一一成对设置,如附图中所示形成三队拉条12,并在中置固定件8上为每对拉条12设置一个穿孔结构作为拉条折返限位件17,即同一对拉条12从同一个拉条折返限位件17对应的穿孔结构穿过后进行折返,在中置固定件8的下表面上与穿孔结构对应的部位设置有拉条让位凹槽22,这样可通过拉条让位凹槽22使得在敷料支撑架11与中置固定件8的底部表面贴合后能够形成一个允许拉条12活动穿过并能够拉动调节的通道;在两个皮肤粘贴件上分别设置有一个拉条导向限位件14,在拉条导向限位件14上设置有“门框型”或“扁口形”的导向限位结构16,拉条导向限位件14可采用与上述对附图1至4中的方案相同的结构。每个拉条12的一端为固定端,且拉条12的另一端为自由端,在拉条12的自由端设置有粘贴层结构作为拉条固定件15;拉条12的固定端固定在其中一个皮肤粘贴件上,拉条12的自由端通过拉条让位凹槽22后再穿过中置固定件8上对应的穿孔结构并翻折180度折返,并在折返后穿过拉条导向限位件14上的导向限位结构16后能够通过拉条固定件15固定在与其固定端同侧的皮肤粘贴件上。Referring to the schematic diagrams of a specific structure shown in FIGS. 5 to 7 , wherein the wound closure device is specifically arranged to include a
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