RU200082U1 - FIXING FOOT STAMP - Google Patents

Abstract

The utility model relates to the field of medicine, in particular to surgery, and more specifically to devices for retaining bandages on the foot stump after metatarsal amputation to protect the wound surface and absorb wound exudate. The fixation bandage on the stump of the foot contains a permanent and replaceable part made of hypoallergenic fabric material; in this case, the permanent part 11 consists of two woven tapes 5, attached with Velcro to each other, one of which circularly encircles the stump of the foot in the tarsal area and is equipped with a Velcro 6, and the other woven tape 3 is made using rubber threads and bends around Achilles tendon, while having an expansion in this area; replaceable part 7 directly closes the bandage with a water-soluble antiseptic on the stump of the foot and is a tissue circle with through semicircular perforated holes and with Velcro fasteners 9 located around the circumference, with which it is attached to the permanent part 11, and the replaceable part 7 is additionally equipped with a PVC tube 1 with perforations 2 and three loops 10 with a diameter of 5 mm, located along its diameter, through which a PVC tube 1 passes, while its end is located in close proximity to the stump, and an antiseptic solution is dripped through the perforation. The use of a fixation bandage on the foot stump will speed up the dressing procedure and improve wound healing on the foot stump by keeping them in a humid environment. 3 ill.

Description

The utility model relates to the field of medicine, in particular to surgery, and more specifically to devices for retaining bandages on the foot stump after metatarsal amputation to protect the wound surface and absorb wound exudate.

Known bandage, cotton-gauze aseptic dressings, which are used in surgery for dressing wounds after metatarsal amputation (General surgery: textbook / G.P. Rychagov, P.V. Garelik and others; under the editorship of G.P. Rychagov, P.V. Garelika - Minsk: Interpressservice; Book House, 2002 - pp. 199-200).

Disadvantages of these dressings: the duration of the application and change of the dressing, insufficient fixation, frequent slippage, inconvenience of use.

Known bandage on the stump of the foot, made of dressing components, sewn in the form of a bag for quick dressing (RF patent No. 1739994, A61F 13/00, 15.02.1992).

The disadvantages of this bandage are poor fixation, lack of size variability, impossibility of wound debridement without removing the bandage.

Known self-adhesive dressing containing a sheet of dressing material with a layer of a skin-friendly adhesive, which has on its surface a base layer located on the side not facing the skin. The dressing also contains a removable flexible backing layer located on the skin-facing surface of the adhesive layer that protects the adhesive layer prior to use of the dressing. The protective layer is attached to the adhesive layer with the possibility of being removed (RF patent No. 2632520, A61F 13/02, 15.10.2017).

The disadvantage of this dressing is their high cost, possible allergic reactions to the adhesive material, the impossibility of sanitation and washing of the postoperative wound.

A device for fixing medical dressings is known, which is a flexible elastic tape with thorns on its lateral edges (RF patent No. 2125862, A61F 13/00, 10.02.1999).

The disadvantages of this device include the length and inconvenience of changing dressings, the need to use bandages, the impossibility of wound debridement.

Known fixing bandage on the stump of the foot, which contains a permanent and replaceable parts made of hypoallergenic woven material; at the same time, the permanent part consists of two woven tapes attached with Velcro fasteners to each other, one of which circularly encircles the stump in the tarsal region and is equipped with a Velcro fastener, while the other is made using rubber threads and bends around the Achilles tendon, having an extension in this area; and the replaceable part directly covers the bandage with a water-soluble antiseptic on the stump of the foot, being a tissue circle with through semicircular perforated holes and Velcro fasteners located around the circumference, with which it is attached to the permanent part (RF patent No. 190714, A61F 13/00, 09.07 .2019).

As disadvantages, it can be noted that it is impossible to maintain a wound in a constant humid environment, which leads to the need for frequent dressings.

The technical result achieved by the utility model, acceleration of the dressing procedure; improving wound healing on the foot stump by keeping them in a humid environment.

The technical result achieved is achieved by the fact that the fixing bandage on the stump of the foot contains a permanent and replaceable part made of hypoallergenic woven material; at the same time, the permanent part consists of two woven tapes, attached with Velcro to each other, one of which circularly encircles the stump of the foot in the tarsal region and is equipped with a Velcro fastener, and the other is made using rubber threads and bends around the Achilles tendon, while having expansion in this area; The removable part directly closes the bandage with a water-soluble antiseptic on the stump of the foot and is a fabric circle with through semicircular perforated holes and with Velcro fasteners located around the circumference, with which it is attached to the permanent part, and the replacement part is additionally equipped with a PVC tube with perforations and three loops with a diameter of 5 mm, located along its diameter, through which a polyvinyl chloride tube passes, while its end is located in close proximity to the stump, and through the perforation, an antiseptic solution is dripped.

The utility model is illustrated by graphic material, where in FIG. 1 shows a General view of the fixing bandage in the initial position; in FIG. 2 shows the permanent part of the bandage, consisting of two bands; in FIG. 3 shows the replacement part of the bandage.

The fixation bandage on the stump of the foot contains a polyvinyl chloride tube 1 with perforations 2; woven tape 3, enveloping the Achilles tendon with Velcro 4; woven tape enveloping the tarsus 5 with Velcro 6; replaceable part of the bandage 7 with perforations 8, Velcro petals 9 and loops 10 for fixing the PVC tubing 1.

Tape 3 wrapping around the Achilles tendon with Velcro 4 and tape 5 wrapping around the tarsus with Velcro, together constitute a permanent part 11.

In practice, the fixation bandage on the stump of the foot is used as follows. First, a permanent part of the bandage 11 is put on the stump of the foot. For this, a woven tape 5 is circularly girded around the stump of the foot in the tarsal region and fixed on the stump with a Velcro fastener 6. Another woven tape 3 is wrapped around the Achilles tendon and connected to the aforementioned tape 5 with a fastener - Velcro 4. A sterile gauze bandage is placed on the wound of the foot stump. Through three loops 10 on the replaceable part of the bandage 7, a PVC tube 1 with perforations is drawn 2. The replaceable part of the bandage 7 is attached to the woven tape 5 using sticky petals 9. A drip system is attached to the PVC tube 1 and a drip feed of an antiseptic solution occurs, while removal of excess antiseptic through perforations 8 of the replaceable part of the dressing 7.

Clinical example.

Patient R., 65 years old, was treated in the vascular department of the Ulyanovsk regional hospital on a vascular bed from 25.03.19 to 05.04.19, the patient was admitted as planned. Diagnosis: Diabetes mellitus type 2, severe course. Diabetic foot syndrome, neuropathic form. Diabetic gangrene of 1, 2, 3, 5 toes of the right foot. Performed metatarsal amputation of the left foot, debridement and drainage of the postoperative wound. A bandage with a water-soluble antiseptic was applied. Over the bandage, a fixing bandage was applied to the stump of the foot. Examination of the patient on the next day: foot edema and pain syndrome decreased, the bandage was moderately wet with hemorrhagic discharge, there was no displacement of the bandage. When replacing the removable part of the fixing bandage, there is no pain syndrome. Change of aseptic dressing. Further dressings at intervals of 2-3 days. Wound sanitation with PVC tubing. No bandage displacement was noted. In case of contamination - replacement of the replacement part of the dressing. She was discharged on the 18th day for outpatient treatment in a satisfactory condition.

The fixation bandage on the stump of the foot will find wide application in the surgical departments of medical institutions.

Claims (1)

Fixation bandage for the stump of the foot, containing permanent and replaceable parts made of hypoallergenic fabric; at the same time, the permanent part consists of two woven tapes, attached with Velcro to each other, one of which circularly encircles the stump of the foot in the tarsal region and is equipped with a Velcro fastener, and the other is made using rubber threads and bends around the Achilles tendon, while having expansion in this area; The removable part directly covers the bandage with a water-soluble antiseptic on the stump of the foot and is a tissue circle with through semicircular perforated holes and with Velcro fasteners located around the circumference, with which it is attached to the permanent part, characterized in that the replacement part is additionally equipped with a PVC tube with perforations and three loops with a diameter of 5 mm, located along its diameter, through which a PVC tube passes, while its end is located in the immediate vicinity of the stump, and an antiseptic solution is dripped through the perforation.

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