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CN201370801Y - One-piece closed chest drainage device - Google Patents

One-piece closed chest drainage device Download PDF

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Publication number
CN201370801Y
CN201370801Y CN200920032245U CN200920032245U CN201370801Y CN 201370801 Y CN201370801 Y CN 201370801Y CN 200920032245 U CN200920032245 U CN 200920032245U CN 200920032245 U CN200920032245 U CN 200920032245U CN 201370801 Y CN201370801 Y CN 201370801Y
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drainage
tube
drainage tube
bottle
thoracic
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赵璧君
易定华
金振晓
俞世强
杨剑
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Air Force Medical University
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Fourth Military Medical University FMMU
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Abstract

本实用新型公开了一种一体式胸腔闭式引流器,包括引流瓶、连接管和引流管,所述的引流瓶通过连接管与引流管形成倒Y型连接,在引流管内部装有针芯,连接管上安装有限流夹。所述引流瓶中装入适量的生理盐水,引流瓶上方一侧设有一个带螺帽的排气孔,在引流管顶部开有一个正孔,引流管上端两侧开有两个侧孔,在两个侧孔下方设有气囊,该气囊与引流管下方的单向阀门连通,引流管末端设有外螺纹,引流管下方还通过牵引线与引流瓶上的排气孔上的螺帽连接。由于将引流瓶、引流管和连接管很好地连接在一起,便于统一包装消毒,携带方便,满足了急救环境下的胸腔闭式引流术器械一体化手术操作需要。

Figure 200920032245

The utility model discloses an integrated thoracic closed drainage device, which comprises a drainage bottle, a connecting tube and a drainage tube. The drainage bottle forms an inverted Y-shaped connection with the drainage tube through the connecting tube, and a needle core is arranged inside the drainage tube. , A limiting clip is installed on the connecting pipe. An appropriate amount of physiological saline is put into the drainage bottle, a vent hole with a screw cap is provided on the upper side of the drainage bottle, a positive hole is opened on the top of the drainage tube, and two side holes are opened on both sides of the upper end of the drainage tube. There is an air bag under the two side holes, the air bag communicates with the one-way valve under the drainage tube, the end of the drainage tube is provided with an external thread, and the bottom of the drainage tube is also connected to the nut on the vent hole on the drainage bottle through a traction line . Since the drainage bottle, the drainage tube and the connecting tube are well connected together, it is convenient for unified packaging and disinfection, and is convenient to carry, which meets the operation needs of integrated thoracic drainage devices in the first aid environment.

Figure 200920032245

Description

一体式胸腔闭式引流器 One-piece closed chest drainage device

技术领域 technical field

本实用新型属于医疗器械领域,特别涉及一种用于胸部外伤后血气胸的现场急救的一体式胸腔闭式引流器,该装置结构简单,便于携带。The utility model belongs to the field of medical devices, in particular to an integrated thoracic closed drainage device used for on-site first aid of pneumothorax after chest trauma. The device has a simple structure and is easy to carry.

背景技术 Background technique

胸外伤是战争、自然灾害和意外事件中发生率较高的创伤,据统计,美国每年15万例创伤致死患者中,胸部创伤致死患者占25%。申请人参加了5.12四川抗震救灾,据所在医疗机构统计,送达的伤员有10%合并有胸外伤。胸外伤主要有肋骨骨折和肺挫裂伤,这二者会造成血气胸。安装胸腔闭式引流是治疗血气胸主要的急救措施和治疗手段,大多数的胸外伤患者在安装胸腔闭式引流后,经过抗感染和一般支持治疗即可治愈,只有少数患者需要手术和呼吸机支持等进一步治疗。Thoracic trauma is a trauma with a high incidence rate in wars, natural disasters and accidents. According to statistics, among the 150,000 cases of trauma-related deaths in the United States every year, thoracic trauma-related deaths account for 25%. The applicant participated in the 5.12 Sichuan Earthquake Relief. According to the statistics of the medical institution, 10% of the wounded who were delivered had chest trauma. Thoracic trauma mainly includes rib fractures and lung contusions, both of which can cause pneumothorax. Installing closed thoracic drainage is the main first aid measure and treatment for hemopneumothorax. Most patients with chest trauma can be cured after installing closed thoracic drainage, after anti-infection and general supportive treatment. Only a few patients need surgery and ventilator support for further treatment.

胸腔闭式引流术是一种简单的手术,然而能否及时实施手术是决定急救成功的关键。由于手术涉及手术器械、引流管、引流瓶、接头、接管等多样器材和耗材,不便携带,因而手术很难在急救现场进行操作。一般都是随后将伤员送到医院或急救中心才进行胸腔闭式引流术,从而造成很多患者死于送往医院或急救中心的途中,或者造成患者病情加重。Closed thoracic drainage is a simple operation, but whether the operation can be performed in time is the key to the success of emergency rescue. Since the operation involves a variety of equipment and consumables such as surgical instruments, drainage tubes, drainage bottles, connectors, and tubes, which are inconvenient to carry, it is difficult to perform the operation at the emergency scene. Generally, closed chest drainage is performed after the wounded are sent to the hospital or emergency center, resulting in many patients dying on the way to the hospital or emergency center, or causing the patient's condition to worsen.

在国内,很多厂家对胸腔闭式引流管和引流瓶进行了不断的改进,其改进主要表现在:胸腔闭式引流管主要是由切开置入式改为穿刺置入式;引流瓶的主要是由玻璃的引流瓶改为塑料引流瓶,或者将引流瓶改为引流袋,或在引流袋上加装了手动负压装置。但是上述这些改进没有从根本上满足胸腔闭式引流术仪器实现一体化包装、一次性使用、便携、成本低等现场急救的需要。In China, many manufacturers have continuously improved closed chest drainage tubes and drainage bottles. Change the drainage bottle from glass to a plastic drainage bottle, or change the drainage bottle to a drainage bag, or install a manual negative pressure device on the drainage bag. But above-mentioned these improvements do not fundamentally meet the needs of on-the-spot first aid such as integrated packaging, disposable use, portability, and low cost of thoracic drainage instruments.

在国外,对胸腔闭式引流装置改进主要是美国士兵配备的急救包中有一个穿刺套管针,这个穿刺套管末端带有单向活瓣,穿刺入胸腔后,拔除金属针芯,留置塑料套管,可以排出胸腔内的积液和积气,但是这个装置的缺点:一是没有固定,容易脱落,二是口径太小,容易被血凝块或破碎组织堵塞。因此,这些上述这些改进虽然具有一定的优点,但还未达到理想的程度。In foreign countries, the improvement of closed thoracic drainage devices is mainly that there is a puncture trocar in the first aid kit equipped by American soldiers. The end of the puncture cannula has a one-way valve. After puncturing into the chest cavity, the metal needle core is removed and the plastic sleeve is left The tube can discharge fluid and air in the chest cavity, but the disadvantages of this device are: first, it is not fixed, and it is easy to fall off; second, the caliber is too small, and it is easy to be blocked by blood clots or broken tissues. Therefore, although these above-mentioned improvements have certain advantages, they have not yet reached the desired level.

发明内容 Contents of the invention

为了解决上述现有技术存在的缺陷或者不足,本实用新型的目的在于,提供一体式胸腔闭式引流器,该胸腔闭式引流器操作简单,可以一次性使用,且经济成本低廉。In order to solve the defects or deficiencies of the above-mentioned prior art, the purpose of this utility model is to provide an integrated closed chest drainage device, which is easy to operate, can be used once, and has low economic cost.

为了实现上述任务,本实用新型采取如下的技术解决方案:In order to achieve the above tasks, the utility model takes the following technical solutions:

一种一体式胸腔闭式引流器,包括引流瓶、连接管和引流管,其特征在于,所述的引流瓶通过连接管与引流管形成倒Y型连接,在引流管内部装有针芯,连接管上安装有限流夹。An integrated thoracic closed drainage device, comprising a drainage bottle, a connecting tube and a drainage tube, characterized in that the drainage bottle forms an inverted Y-shaped connection with the drainage tube through the connecting tube, and a needle core is arranged inside the drainage tube, Install the restrictor clamp on the connecting pipe.

本实用新型的其他特点是,所述的引流瓶上方一侧设有一个带螺帽的排气孔。Another feature of the utility model is that a vent hole with a screw cap is provided on the upper side of the drainage bottle.

在引流管顶部开有一个正孔,引流管上端两侧开有两个侧孔,在两个侧孔下方设有气囊,该气囊与引流管下方的单向阀门连通,引流管末端设有外螺纹,引流管下方还通过牵引线与引流瓶排气孔上的螺帽连接。There is a positive hole on the top of the drainage tube, two side holes are opened on both sides of the upper end of the drainage tube, and an air bag is arranged under the two side holes. The air bag communicates with the one-way valve under the drainage tube. Thread, the bottom of the drainage tube is also connected with the nut on the vent hole of the drainage bottle through the pulling wire.

所述的连接管的长度为1.0~1.5m。The length of the connecting pipe is 1.0-1.5m.

在所述的引流管的外壁上设有刻度。A scale is provided on the outer wall of the drainage tube.

在所述的单向阀门上有注气孔。An air injection hole is arranged on the one-way valve.

所述的引流管末端的外螺纹与引流瓶上的排气孔上的螺帽相匹配。The external thread at the end of the drainage tube matches the screw cap on the vent hole on the drainage bottle.

所述的引流瓶中装有生理盐水。Physiological saline is housed in the described drainage bottle.

本实用新型的一体式胸腔闭式引流急救器,由于将引流瓶、引流管和连接管很好地连接在一起,满足了急救环境下的胸腔闭式引流术器械一体化手术操作需要。同时将此胸腔闭式引流急救器与一次性手术刀、塑料镊子、密封的碘伏棉球袋、一个无纺布手术洞巾、一双无菌手套、一个装有5毫升2%利多卡因的注射器这些配件一起包装,配置成一次性胸腔闭式引流手术包,能够更好地满足胸腔闭式引流手术现场急救过程中手术的方便使用和携带,减少手术器械的成本,在紧急情况下为治疗胸外伤患者赢得时间。The integrated thoracic drainage first aid device of the utility model satisfies the operating needs of integrated thoracic drainage equipment in the first aid environment because the drainage bottle, drainage tube and connecting tube are well connected together. At the same time, put this closed chest drainage first aid kit together with a disposable scalpel, plastic tweezers, a sealed bag of iodophor cotton balls, a non-woven surgical drapes, a pair of sterile gloves, and a bag containing 5ml of 2% lidocaine. The syringes and other accessories are packaged together and configured as a one-time closed chest drainage operation kit, which can better meet the convenience of operation and portability during on-site emergency treatment of closed chest drainage surgery, reduce the cost of surgical instruments, and provide medical treatment in emergency situations. Thoracic trauma patients gain time.

附图说明 Description of drawings

图1是本实用新型的结构示意图;Fig. 1 is a structural representation of the utility model;

以下结合附图对本实用新型做进一步的详细说明。Below in conjunction with accompanying drawing, the utility model is described in further detail.

具体实施方式 Detailed ways

参见图1,本实用新型的一体式胸腔闭式引流器,包括引流瓶1、连接管4和引流管5,引流瓶1通过连接管4与引流管5形成倒Y型连接,在引流管5内部装有针芯9,连接管4上安装有限流夹3。Referring to Fig. 1, the integrated thoracic cavity drainage device of the present utility model comprises a drainage bottle 1, a connecting tube 4 and a drainage tube 5, the drainage bottle 1 forms an inverted Y-shaped connection with the drainage tube 5 through the connecting tube 4, and the drainage tube 5 A needle core 9 is installed inside, and a flow-limiting clamp 3 is installed on the connecting pipe 4 .

引流管5外壁上设有刻度(图中未示出),在引流管5的顶部开有一个正孔14,分别距引流管5顶部1cm、2cm处的两侧开设侧孔(8、9),在距引流管5正孔14下方5cm处设有气囊6,该气囊6与引流管5下方的单向阀门10连通,该单向阀门10上有注气孔13,引流管5末端设有外螺纹12。Scale (not shown) is provided on the outer wall of the drainage tube 5, and a positive hole 14 is arranged on the top of the drainage tube 5, and side holes (8, 9) are provided on both sides of the top of the drainage tube 5 at 1 cm and 2 cm respectively. An air bag 6 is arranged at 5 cm below the positive hole 14 of the drainage tube 5, and the air bag 6 communicates with the one-way valve 10 below the drainage tube 5. There is an air injection hole 13 on the one-way valve 10, and an external valve is arranged at the end of the drainage tube 5. Thread 12.

引流瓶1中装有生理盐水,连接管4通过引流瓶1的瓶口伸入到距引流瓶1的底部2-3cm处。引流瓶1上方一侧设有一个带螺帽的排气孔2,该排气孔上的螺帽与引流管5末端的外螺纹12相匹配,同时引流管5下方还通过牵引线11与引流瓶1上的排气孔2上的螺帽连接。上述引流瓶1可以是塑料瓶,也可以是塑料引流袋。Physiological saline is housed in the drainage bottle 1, and the connecting pipe 4 extends into the bottom 2-3 cm from the bottom of the drainage bottle 1 through the mouth of the drainage bottle 1. A vent hole 2 with a nut is provided on the upper side of the drainage bottle 1. The nut on the vent hole matches the external thread 12 at the end of the drainage tube 5. At the same time, the bottom of the drainage tube 5 is connected with the drainage tube 11 through a traction wire 11. Screw cap connection on vent 2 on bottle 1. Above-mentioned drainage bottle 1 can be plastic bottle, also can be plastic drainage bag.

连接管4的长度为1.0~1.5m,其中伸入到引流瓶1中的部分是硬塑料,以确保其在瓶内的强度。连接管4上安装有限流夹3,该限流夹3的材质可以是塑料,也可以是金属,但是都要确保夹子具有良好的弹性和易操作性,以确保限流夹3在使用过程中对连接管4内的积气、积血流量的控制。The length of the connecting pipe 4 is 1.0-1.5m, and the part extending into the drainage bottle 1 is made of hard plastic to ensure its strength in the bottle. A limiting current clamp 3 is installed on the connecting pipe 4. The material of the current limiting clamp 3 can be plastic or metal, but it must be ensured that the clamp has good elasticity and easy operability, so as to ensure that the current limiting clamp 3 is in use. To the control of gas accumulation and blood accumulation flow in the connecting pipe 4.

本实用新型的工作原理及使用方法是:Working principle and using method of the present utility model are:

本实用新型的一体式胸腔闭式引流器可以与一次性手术刀(塑料刀炳上安装金属刀片,带保护套)、塑料镊子、密封的碘伏棉球袋、一个无纺布手术洞巾、一双无菌手套、一个装有5毫升10%利多卡因的注射器,这些器械同时放入一个薄的塑料盘中,包装制成一次性使用的胸腔闭式引流手术包,可方便的携带,便于急救紧急情况下的胸腔闭式引流手术实时操作。The integrated thoracic cavity drainage device of the present utility model can be combined with a disposable scalpel (a metal blade is installed on the plastic knife with a protective cover), plastic tweezers, a sealed iodophor cotton ball bag, a non-woven surgical hole towel, A pair of sterile gloves, a syringe containing 5ml of 10% lidocaine, these instruments are put into a thin plastic tray at the same time, packaged into a single-use closed chest drainage operation bag, which is convenient to carry and convenient Real-time operation of closed thoracotomy in emergency situations.

其具体操作使用如下:Its specific operation is as follows:

在患者胸腔上选好放置引流管的位置并做好标志,打开急救包,戴上无菌手套,用塑料镊子夹碘伏棉球消毒皮肤,铺开无纺布手术洞巾,用注射器注射利多卡因局部麻醉,然后用一次性手术刀切开皮肤约0.5cm,将引流管5穿刺入胸腔,固定针芯9,向前推送引流管5,引流管5送入一半以上后,用注射器吸取空气通过与气囊6连接的单向阀门10上的注气孔13向气囊6注气5ml,同时沿外径方向拉引流管5,感觉到气囊6卡住胸壁内口为止。此时旋下引流瓶1上方一侧排气孔2上的螺帽,拔出针芯9,然后将该螺帽拧在引流管末段的外螺纹12上,与此同时,调整连接管4上的限流夹3,使胸腔内的积气和积血排出。当搬运患者的过程时,可以将限流夹3调整至关闭状态,以防意外。Select and mark the location of the drainage tube on the patient's chest, open the first aid kit, put on sterile gloves, use plastic tweezers to clamp the iodophor cotton ball to disinfect the skin, spread out the non-woven surgical drapes, and inject lidocaine with a syringe Due to local anesthesia, cut the skin about 0.5 cm with a disposable scalpel, puncture the drainage tube 5 into the chest cavity, fix the needle core 9, and push the drainage tube 5 forward. Inject 5 ml of air into the air bag 6 through the air injection hole 13 on the one-way valve 10 connected to the air bag 6, and simultaneously pull the drainage tube 5 along the outer diameter direction until the air bag 6 is felt to block the inner opening of the chest wall. Now unscrew the nut on the vent hole 2 on the top side of the drainage bottle 1, pull out the needle core 9, then screw the nut on the external thread 12 of the end section of the drainage tube, at the same time, adjust the connecting pipe 4 The upper flow limiting clip 3 is used to discharge the accumulated gas and accumulated blood in the pleural cavity. When carrying the patient, the restrictor clamp 3 can be adjusted to a closed state to prevent accidents.

本实用新型的一体式胸腔闭式引流急救器将胸腔闭式引流手术现场需要连接的装置预先制成一体,便于统一包装消毒,携带方便。同时引流管中用来封闭气体的生理盐水可以预先装入,不致泄漏,便于紧急急救情况下使用。The integrated closed thoracic drainage first aid device of the utility model integrates the devices that need to be connected on the site of closed thoracic drainage operation in advance, which is convenient for unified packaging and disinfection, and is convenient to carry. Simultaneously, the physiological saline used to seal the gas in the drainage tube can be loaded in advance to prevent leakage, which is convenient for use in emergency situations.

Claims (8)

1、一种一体式胸腔闭式引流器,包括引流瓶(1)、连接管(4)和引流管(5),其特征在于,所述的引流瓶(1)通过连接管(4)与引流管(5)形成倒Y型连接,在引流管(5)内部装有针芯(9),连接管(4)上安装有限流夹(3)。1. An integrated thoracic cavity drainage device, comprising a drainage bottle (1), a connecting tube (4) and a drainage tube (5), characterized in that the drainage bottle (1) is connected with the connecting tube (4) The drainage tube (5) forms an inverted Y-shaped connection, a needle core (9) is installed inside the drainage tube (5), and a flow-limiting clip (3) is installed on the connecting tube (4). 2、如权利要求1所述的一体式胸腔闭式引流急救器,其特征在于:所述的引流瓶(1)上方一侧设有一个带螺帽的排气孔(2)。2. The integrated thoracic drainage first aid device according to claim 1, characterized in that a vent hole (2) with a screw cap is provided on the upper side of the drainage bottle (1). 3、如权利要求1所述的一体式胸腔闭式引流急救器,其特征在于,在引流管(5)顶部开有一个正孔(14),引流管(5)上端两侧开有两个侧孔(8、9),在两个侧孔(8、9)下方设有气囊(6),该气囊(6)与引流管(5)下方的单向阀门(10)连通,引流管(5)末端设有外螺纹(12),引流管(5)下方还通过牵引线(11)与引流瓶(1)上的排气孔(2)上的螺帽连接。3. The integrated thoracic closed drainage emergency device according to claim 1, characterized in that there is a positive hole (14) on the top of the drainage tube (5), and two holes are opened on both sides of the upper end of the drainage tube (5). The side holes (8, 9) are provided with an air bag (6) below the two side holes (8, 9), the air bag (6) communicates with the one-way valve (10) below the drainage tube (5), and the drainage tube ( 5) The end is provided with an external thread (12), and the bottom of the drainage tube (5) is also connected with the nut on the vent hole (2) on the drainage bottle (1) through a pulling wire (11). 4、如权利要求1所述的一体式胸腔闭式引流急救器,其特征在于,所述的连接管(4)的长度为1.0~1.5m。4. The integrated thoracic drainage emergency device according to claim 1, characterized in that the length of the connecting pipe (4) is 1.0-1.5m. 5、如权利要求1或3所述的一体式胸腔闭式引流急救器,其特征在于,所述的引流管(5)的外壁上设有刻度。5. The integrated thoracic closed drainage emergency device according to claim 1 or 3, characterized in that a scale is provided on the outer wall of the drainage tube (5). 6、如权利要求3所述的一体式胸腔闭式引流急救器,其特征在于,所述的单向阀门(10)上有注气孔(13)。6. The integrated closed thoracic drainage first aid device according to claim 3, characterized in that there is an air injection hole (13) on the one-way valve (10). 7、如权利要求3所述的一体式胸腔闭式引流急救器,其特征在于,所述的引流管(5)末端的外螺纹(12)与引流瓶(1)上的排气孔(2)上的螺帽相匹配。7. The integrated closed thoracic drainage first aid device according to claim 3, characterized in that the external thread (12) at the end of the drainage tube (5) is connected with the vent hole (2) on the drainage bottle (1). ) to match the nuts on the 8、如权利要求1或2所述的一体式胸腔闭式引流急救器,其特征在于,所述的引流瓶(1)中装有生理盐水。8. The integrated thoracic drainage first aid device according to claim 1 or 2, characterized in that the drainage bottle (1) is filled with physiological saline.
CN200920032245U 2009-03-19 2009-03-19 One-piece closed chest drainage device Expired - Fee Related CN201370801Y (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111821527A (en) * 2020-07-29 2020-10-27 中国人民解放军联勤保障部队第九二〇医院 A portable pneumothorax exhaust device and method of using the same

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111821527A (en) * 2020-07-29 2020-10-27 中国人民解放军联勤保障部队第九二〇医院 A portable pneumothorax exhaust device and method of using the same
CN111821527B (en) * 2020-07-29 2024-02-09 中国人民解放军联勤保障部队第九二〇医院 Portable pneumothorax exhaust device

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