Negative Pressure Sealing Drainage System for Surgical Treatment of Deep Cavity Wound
20200171221 ยท 2020-06-04
Assignee
Inventors
Cpc classification
A61M2205/3344
HUMAN NECESSITIES
A61M27/00
HUMAN NECESSITIES
A61F13/05
HUMAN NECESSITIES
A61M1/60
HUMAN NECESSITIES
International classification
Abstract
A negative pressure sealing drainage system for surgical treatment of deep cavity wound includes: a columnar porous foam drainage piece, a wave-form sealing cover which is extendable and retractable, a medical film, a drainage tube, a fluid storage container, and a negative pressure source. The columnar porous foam drainage piece is a hydrophilic foam, and is enclosed within the wave-form sealing cover. One end of the drainage tube is inserted into an upper portion of the columnar porous foam drainage piece. A flap provided along a circumference of the bottom-most end of the wave-form sealing cover adheres to skin surrounding a deep cavity wound. An upper end of the wave-form sealing cover is provided with a tube-shaped connection opening sealingly connected to the drainage tube communicating with a connection tube via a straight-tube fitting and inserted into the fluid storage container. The fluid storage container communicates with the negative pressure source via a connection tube.
Claims
1. A negative pressure sealing drainage system for surgical treatment of deep cavity wound, comprising a porous foam, a medical film, a drainage tube, a fluid storage container, and a negative pressure source, wherein the porous foam is a columnar porous foam drainage piece, one end of the drainage tube is inserted into an upper end of the columnar porous foam drainage piece, the columnar porous foam drainage piece is covered by a wave-form sealing cover which is extendable and retractable, an upper end of the wave-form sealing cover is provided with a tube-shape connection port hermetically connected to the drainage tube, a lower end of the wave-form sealing cover is provided with an outer-edge flap, and the medical film covers the outer-edge flap.
2. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein the columnar porous foam drainage piece has a cross-sectional area of 0.8 cm.sup.23 cm.sup.2.
3. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein the columnar porous foam drainage piece has a length of 10 cm28 cm.
4. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein the columnar porous foam drainage piece has foam pores.
5. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein a material of the columnar porous foam drainage piece is hydrophilic foam.
6. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein a length of the wave-form sealing cover in a natural state is less than a length of the columnar porous foam drainage piece by 20 mm50 mm.
7. (canceled)
8. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 6, wherein the wave-form sealing cover is a wave-form adhesive-film sealing cover which is extendable and retractable.
9. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 8, wherein the wave-form adhesive-film sealing cover has a wall thickness of 0.81 mm.
10. (canceled)
11. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 8, wherein the tube-shape connection port at an upper end of the wave-form adhesive-film sealing cover has a wall thickness of 2 mm4 mm.
12. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 6, wherein the wave-form sealing cover is a plastic corrugated-tube sealing cover which is extendable and retractable.
13. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 12, wherein the plastic corrugated-tube sealing cover has a wall thickness of 0.3 mm0.6 mm.
14. (canceled)
15. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 12, wherein the tube-shape connection port at an upper end of the plastic corrugated-tube sealing cover has a wall thickness of 1 mm3 mm.
16. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 1, wherein the drainage tube comprises a connection tube segment and a drainage segment interconnected with each other, the connection tube segment is connected to the fluid storage container, an end of the drainage segment away from the connection tube segment is connected to the columnar porous foam drainage piece, the connection tube segment has a hollow inner chamber, the drainage segment has an inner chamber, and the drainage segment is provided with a notch communicating with the inner chamber.
17. (canceled)
18. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 16, wherein the notch is a groove provided on a tube wall of the drainage segment.
19. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 18, wherein grooves are in number of four, and the drainage segment is partitioned by the grooves into four portions.
20. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 19, wherein the inner chamber of the drainage segment is provided with a cross supporting rib for supporting the tube wall of the drainage segment, and four ends of the cross supporting rib are connected to the four portions of the grooves, respectively.
21. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 16, wherein the drainage tube is a diameter-variable tube, and the diameter-variable segment of the diameter-variable tube has a diameter of 12 mm-24 mm.
22. (canceled)
23. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 21, wherein the notch is a side hole provided on the tube wall of the drainage segment.
24. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to claim 23, wherein the inner chamber of the drainage segment is provided with a sawtooth-shape supporting rib for supporting the tube wall of the drainage segment, the sawtooth-shape supporting rib is located on an upper wall of the inner chamber, and tooth tips of the sawtooth-shape supporting rib are oriented towards a tube axis of the diameter-variable tube.
25. The negative pressure sealing drainage system for surgical treatment of deep cavity wound according to any one of claim 16, wherein at the connection tube segment, one flushing tube is inserted into the hollow inner chamber, and when approaching the drainage segment, the flushing tube is drawn out of the hollow inner chamber, and the flushing tube drawn out of the hollow inner chamber runs parallel to the drainage segment.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0038]
[0039]
[0040]
[0041]
[0042]
[0043]
[0044]
[0045]
[0046]
[0047]
[0048]
[0049] In the drawings: 1columnar porous foam drainage piece; 2wave-form sealing cover which is extendable and retractable; 2atube-shape connection port; 2bouter-edge flap; 3medical film; 4drainage tube; 4adrainage segment; 4bconnection tube segment; 4cgroove; 4dside hole; 4esawtooth-shape supporting rib; 4fcross supporting rib; 5straight-tube fitting; 6connecting tube; 6afirst connection tube; 6bsecond connection tube; 7fluid storage container; 8negative pressure source; 9flushing tube.
DETAILED DESCRIPTION OF EMBODIMENTS
[0050] The implementation situation of the present disclosure is described in detail below in combination with accompanying drawings, while they do not constitute limitation to the disclosure, but merely as examples illustrated. Meanwhile, advantages of the present disclosure will become much clearer and liable to be understood according to the description.
[0051] As in
[0052]
[0053] The columnar porous foam drainage piece 1 has a sectional area of 0.83 cm.sup.2, a length of 1028 cm, and a foam pore diameter of 12 mm, and a material of the columnar porous foam drainage piece 1 is hydrophilic foam.
[0054]
[0055] The drainage tube 4 has an outer diameter of 6 mm, and an inner diameter of 4 mm, and includes a connection tube segment 4b and a drainage segment 4a. On a tube wall of the drainage segment 4a thereof, there are four grooves 4c communicating with an inner chamber, respectively. The connection tube segment 4b has a hollow inner chamber. At the connection tube segment 4b, one flushing tube 9 is inserted into the hollow inner chamber, and when approaching the drainage segment 4a, the flushing tube 9 is drawn out of the hollow inner chamber, and runs parallel to the drainage segment 4a.
[0056] As in
[0057]
[0058] The drainage tube 4 containing side holes has an outer diameter of 6 mm, and an inner diameter of 4 mm. On the tube wall of the drainage segment 4a thereof, there are side holes 4d communicating with the inner chamber. The connection tube segment 4b has a hollow inner chamber. At the connection tube segment 4b, one flushing tube 9 is inserted into the hollow inner chamber, and when approaching the drainage segment 4a, the flushing tube 9 is drawn out of the hollow inner chamber, and runs parallel to the drainage segment 4a.
[0059]
[0060] The drainage segment 4a of the drainage tube 4 with a variable diameter has a diameter of 12 mm-24 mm. On the tube wall of the drainage segment 4a, there are side holes 4d communicating with the inner chamber. The connection tube segment 4b has a hollow inner chamber, with an outer diameter of 6 mm, and an inner diameter of 4 mm. At the connection tube segment 4b, one flushing tube 9 is inserted into the hollow inner chamber, and when approaching the drainage segment 4a, the flushing tube 9 is drawn out of the hollow inner chamber, and runs parallel to the drainage segment 4a.
[0061]
[0062] On an upper wall of the inner chamber of the drainage segment 4a of the drainage tube 4 with a variable diameter, there is a sawtooth-shape supporting rib 4e, preventing the drainage tube 4 from being deflated by negative pressure in a process of being sucked by a negative pressure.
[0063]
[0064] When the wave-form sealing cover 2 is the wave-form adhesive-film sealing cover which is extendable and retractable, the wave-form adhesive-film sealing cover has a wall thickness of 0.81 mm, a length H of the wave-form adhesive-film sealing cover in a natural state is less than a length of the columnar porous foam drainage piece 1 by 2050 mm, a gap between an inner chamber of the wave-form adhesive-film sealing cover in a natural state and the columnar porous foam drainage piece 1 is 2 mm<S<8 mm, a tube-shape connection port 2a at an upper end of the wave-form adhesive-film sealing cover has a wall thickness of 24 mm, and a diameter D matched with that of the drainage tube 4, and an outer-edge flap 2b at a lower end of the wave-form adhesive-film sealing cover has a radial width R of 1020 mm.
[0065]
[0066] When the wave-form sealing cover 2 is a plastic corrugated-tube sealing cover which is extendable and retractable, the plastic corrugated-tube sealing cover has a wall thickness of 0.30.6 mm, a length of the plastic corrugated-tube sealing cover in a natural state is less than a length of the columnar porous foam drainage piece 1 by 2050 mm, a minimum gap between an inner chamber of the plastic corrugated-tube sealing cover in a natural state and the columnar porous foam drainage piece 1 is 2 mm8 mm, a tube-shape connection port 2a at an upper end of the plastic corrugated-tube sealing cover has a wall thickness of 13 mm, and an outer-edge flap 2b at a lower end of the plastic corrugated-tube sealing cover has a radial width of 1020 mm.
[0067]
[0068] In use, the columnar porous foam drainage piece 1 is placed in a deep cavity wound to-be-drained area, then is connected to the wave-form sealing cover 2 through the drainage tube 4, and is closely fitted to skin surrounding the deep cavity wound through the medical film 3, forming a hermetic environment. The negative pressure source is turned on, to suck exudate of the deep cavity wound out of body.
[0069] A working process: according to analysis of the negative pressure drainage process for the deep cavity wound, with growth of granulation tissues, the wound heals gradually, and an inner volume of a chamber passage is also correspondingly reduced, therefore, ensuring that the foam material can be pulled out through several operations without destroying airtightness of the system is a main function of the present disclosure. An operating process thereof is as follows.
[0070] Firstly, the deep cavity wound is detected for size and depth, and a suitable columnar porous foam drainage piece is chosen according to the size and depth thereof, and trimmed. Use requirement: the columnar porous foam drainage piece should be, in length, longer than the deep cavity wound by 3-5 cm.
[0071] Then, the columnar porous foam drainage piece covered by a thread-type sealing cover which is extendable and retractable, together with the drainage tube, is placed into the deep cavity wound, and the thread-type sealing cover is fitted to skin surrounding the wound with the medical film, forming a closed system. Requirement: the porous foam need to penetrate into a deepest position of the deep cavity wound, with an object thereof being sucking out interstitial fluid in the deepest position of the deep cavity wound through the negative pressure source, so as to achieve an anaerobic environment where microorganism propagation is undermined, to prevent microorganisms from continuing to propagate in the wound cavity.
[0072] Finally, the negative pressure source is turned on, and the porous foam is adsorbed inside the deep cavity wound through negative pressure attraction, to fill the wound cavity. Healing capability of the patient's wound cavity is observed, to determine time point of each pull-out and number of times of pull-out. Requirement: in order to avoid occurrence of a situation of slippage of the porous foam in the pull-out process, in operation, operating forceps are needed to simultaneously clamp one end of the thread-type sealing cover and the columnar porous foam drainage piece, and then pull out a part. Taking full advantage of the extendable and retractable function of the thread-type sealing cover which is extendable and retractable, the porous foam is under hermetic protection.
[0073] Working principle: in the present disclosure, the columnar porous foam drainage piece is utilized as a medium between the negative pressure drainage tube and the deep cavity wound, and the negative pressure is transmitted through the drainage tube to the columnar porous foam drainage piece, and is uniformly distributed on a surface of the columnar porous foam drainage piece. Due to high plasticity of the columnar porous foam drainage piece, the negative pressure can reach every point of a drained area of the deep cavity wound, forming all-around drainage. Under the effect of the negative pressure, the interstitial fluid drained out enters the drainage tube through pores of the columnar porous foam drainage piece, and is quickly absorbed into the fluid storage container. The system is isolated from outside by sealing the wound, preventing pollution and cross infection, and ensuring continuous existence of the negative pressure. The continuous negative pressure enables exudate of the wound cavity to be immediately absorbed away, so as to effectively maintain the wound clean and inhibit bacteria growth.
Embodiments
[0074] Referring to
[0075] The columnar porous foam drainage piece 1 is covered by a wave-form sealing cover which is extendable and retractable 2, and an upper end of the wave-form sealing cover which is extendable and retractable 2 is hermetically connected to the drainage tube 4. A lower end of the wave-form sealing cover which is extendable and retractable 2 is connected with an outer-edge flap 2b. A lower end of the columnar porous foam drainage piece 1 is placed in a deep cavity wound to-be-drained area. The outer-edge flap 2b is fitted to skin surrounding the deep cavity wound, and the medical film is covered on the outer-edge flap 2b, forming a hermetic environment.
[0076] An end of a flushing tube 9 is inserted into the drainage tube 4.
[0077] Referring to
[0078] Referring to
[0079] Referring to
[0080] Referring to
[0081] Referring to
[0082] Referring to
[0083] Referring to
[0084] Referring to
[0085] It is also feasible to use common drainage tubes in the present disclosure, and the above is merely optimal embodiments.
[0086] To sum up: the core of the present disclosure is taking advantage of the extendable and retractable effect of the wave-form sealing cover itself to pull out the foam from the deep cavity wound through several operations, thus ensuring the airtightness of the system. Therefore, on the basis of the principle of the present disclosure, all solutions with negative pressure sealing drainage through the wave-form sealing cover which is extendable and retractable fall into the scope of protection of the present disclosure.