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WO2009110864A1 - Dispositif de chirurgie ouverte et de premiers soins pour une blessure par balle bouchée par une balle - Google Patents

Dispositif de chirurgie ouverte et de premiers soins pour une blessure par balle bouchée par une balle Download PDF

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Publication number
WO2009110864A1
WO2009110864A1 PCT/US2008/002951 US2008002951W WO2009110864A1 WO 2009110864 A1 WO2009110864 A1 WO 2009110864A1 US 2008002951 W US2008002951 W US 2008002951W WO 2009110864 A1 WO2009110864 A1 WO 2009110864A1
Authority
WO
WIPO (PCT)
Prior art keywords
wound
bullet
gunshot
tunnel
aid device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2008/002951
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English (en)
Inventor
Bradford T. Sorensen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to PCT/US2008/002951 priority Critical patent/WO2009110864A1/fr
Publication of WO2009110864A1 publication Critical patent/WO2009110864A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0293—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with ring member to support retractor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect

Definitions

  • the current invention provides first aid for a gunshot bullet wound.
  • the current invention provides a device that plugs a bullet hole (BulletPLUG) by creating a clear expanded tunnel with which to open the cylindrical hole from a bullet wound to expose the bullet's location and provide a clear, light illuminated, open tunnel to facilitate removal of the bullet, while a local coagulant coating on the outside surface of the tunnel reduces the bleeding of the bullet wound into the hole, while a local anesthetic reduces the pain of the wound.
  • a plug is inserted within the open tunnel to stop bleeding as well as stop air from going into the bullet hole.
  • the current invention also provides an open operation (OpenO) device that spreads open an incision to aid in a surgical operation by providing a clear, light illuminated, open tunnel to facilitate sub-dermal access, while a local coagulant coating on the outside surface of the tunnel reduces the bleeding of the incision, while a local anesthetic reduces the pain of the incision.
  • OpenO open operation
  • the current invention provides a gunshot bullet wound first aid device (BulletPLUG) that consists of a spiral roll of flexible, durable, clear, sheet material that is coated with a local anesthetic and a blood coagulant and is inserted into the bullet wound and is unrolled by a drive mechanism to form a clear cylindrical tunnel which opens up to expose and give easy access to the bullet at the end of the tunnel and displays the lining of the bullet wound through the clear walls of the tunnel to the doctor during an exam or to the gunshot victim or to the person giving first aid.
  • the current invention allows 360 degree viewing of the interior of the gunshot wound for improved diagnosis and direct, open, cylindrical, access to the bullet deep inside the wound for removal.
  • the drive mechanism has the multi-functions of providing controlled opening and closing of the clear tunnel, providing a ratchet mechanism that locks the tunnel at any desired diameter and provides an automatic enlargement and reduction of the tunnel maintaining a slightly larger interior diameter than exterior diameter truncated conical shape for conical tunnel retention in the wound.
  • first aid of gunshot wounds has involved applying pressure to the bullet wound to reduce the bleeding, or the wound is stuffed full of cotton or cloth to slow down the loss of blood until the gunshot victim can be rushed to a hospital for an emergency operation.
  • the current invention is the first portable, coagulant, anesthetic, gunshot wound first aid device.
  • the bullet plug gunshot wound first aid device kit also includes a liquid inside the sterile wrapper that is an anesthetic to reduce pain and a coagulant to reduce bleeding.
  • the anesthetic / coagulant liquid can be applied to the surface of the wound to reduce pain and/or squeezed down the tunnel to reduce the bleeding at the end of the tunnel before or after the bullet is removed. If the gunshot victim is unconscious or unable to open the sterile wrapper or insert the first aid device himself, a doctor or other person may be available to administer the bullet plug gunshot wound first aid device for the victim following the symbolic instructions printed on the sterile wrapper.
  • a bullet wound extends all the way through the body and exits the body leaving an entry hole and an exit hole.
  • the entry hole is typically smaller than the exit hole.
  • the current invention creates a conical shaped tunnel, which automatically seals both the entry hole and the exit hole and all punctured tissue in between.
  • the cone shape is coated with blood coagulant and anesthetic to reduce the bleeding and the pain of both the entry hole and the exit hole.
  • the bullet plug product will come packaged in a variety of sizes to accommodate small caliber bullets, large caliber bullets, shotgun pellets, shallow wounds, deep wounds, and through-hole wounds. In the case of shotgun pellet wounds, multiple small diameter plugs are provided to plug the large number of individual pellet holes caused by a shotgun blast.
  • the current invention may be enhanced with the use of a cylindrical balloon concentric with the center of the spiral clear material with an internal pressurized CO2 capsule and a button.
  • the button moves a pointed item that can pierce the capsule, causing the expansion of the cylindrical balloon inside the spiral clear material, which causes an instant filling of the gunshot wound to form a bullet plug.
  • the current invention is also a sterile, surgical incision-opening device for open Operations (OpenO).
  • OpenO open Operations
  • This device can be adapted to examine all bodily orifices, punctures, lacerations, incisions or wounds.
  • This device can be adapted to become a retractor to hold tissue open during a sub dermal operation.
  • This device can be adapted to become a substantially circular expanding or retracting ring or tunnel that holds tissue open during an operation.
  • This device can also be adapted to become a flexible, circular expanding or retracting ring or tunnel that controls bleeding and pain during an operation.
  • an anti-biotic or soap coating can be added to combat the infection and germ problems and aid the healing process.
  • U.S. Pat. No. 6,334,870 issued on January 1 , 2002, to Timothy Ehr, teaches an expandable spiral stent that includes uncoiling spiral members that form a generally tubular body that keeps arteries open by spiral spring pressure to prevent heart disease.
  • the current invention provides a completely different and novel way of using an expandable spiral roll of clear material coated with a coagulant and an anesthetic to form an open tunnel to remove a bullet from a gunshot wound while providing control of bleeding and pain.
  • previous art relating to devices that open incisions during surgical operations include devices known as retractors.
  • Several previous art surgical retractor devices relate in a peripheral way to the current invention, but do not address the novel concept of an open operation device using a spiral of material coated with blood coagulant and anesthetic that expands to create an open tunnel to access the interior of the body.
  • One such related previous art device includes, U.S. Pat. No. 6,264,605 to Scirica on July 24, 2001 , which shows a typical surgical retractor with a support frame and adjustable tissue retraction clamps and grips.
  • Such previous retractors simply spread open incisions or wounds for sub dermal access without the accommodation for blood coagulation, pain reduction or antibiotic healing functions offered by the current invention.
  • the current invention places even pressure around the circular opening instead of point pressures caused by retractor clamps.
  • the present invention bullet plug comes packaged in sterile combination coagulant, anesthetic and lubrication. This healing lubrication aids the insertion and expansion of the bullet plug first aid device to form a cylindrical or conical seal that stops bleeding and pain.
  • the present open operation invention provides innovative improvements over the previous art by introducing a more effective and functional device and method for opening, examining and performing sub-dermal operations with pain reduction and control over bleeding.
  • the first object of the present invention is to provide first aid for a gunshot bullet wound.
  • the second object of the present invention is to provide a gunshot bullet wound first aid device that creates a clear expanded tunnel with which to open the cylindrical hole from a bullet wound to expose the bullet's location.
  • the third object of the present invention is to provide a gunshot bullet wound first aid device that has a clear, light illuminated, open tunnel to facilitate the removal of the bullet.
  • the fourth object of the present invention is to provide a gunshot bullet wound first aid device with a local coagulant coating on the outside surface of the tunnel that reduces the bleeding of the bullet wound into the hole.
  • the fifth object of the present invention is to provide a gunshot bullet wound first aid device with a local anesthetic on the outside surface of the tunnel that reduces the pain of the wound.
  • the sixth object of the present invention is to provide a gunshot bullet wound first aid device with an anti-biotic or soap on the outside surface of the tunnel to reduce the infection and germ problems associated with a gunshot wound.
  • the seventh object of the present invention is to provide a gunshot bullet wound first aid device with a rolled up, spiral, tunnel that is inserted into the bullet wound and unrolled by a drive mechanism to form a clear cylindrical tunnel.
  • the eighth object of the present invention is to provide a gunshot bullet wound first aid device with a rolled up tunnel that opens up to expose and give easy access to the bullet at the end of the tunnel.
  • the ninth object of the present invention is to provide a gunshot bullet wound first aid device with a transparent tunnel that displays the lining of the bullet wound through the clear walls of the tunnel to the doctor during an exam or to the gunshot victim or to the person giving first aid.
  • the tenth object of the present invention is to provide a gunshot bullet wound first aid device with a transparent tunnel that allows 360 degree viewing of the interior of the gunshot wound for improved diagnosis.
  • the eleventh object of the present invention is to provide a gunshot bullet wound first aid device with a transparent tunnel that allows direct viewing of the interior of the gunshot wound for direct, open, cylindrical, access to the bullet deep inside the wound for removal.
  • the twelfth object of the present invention is to provide a gunshot bullet wound first aid device with an interior diameter that grows slightly larger than the outer diameter, which naturally holds the truncated conical shaped tunnel inside the body at the opening of the wound.
  • the thirteenth object of the present invention is to provide a gunshot bullet wound first aid device that provides controlled opening and closing of the clear tunnel.
  • the fourteenth object of the present invention is to provide a gunshot bullet wound first aid device providing a ratchet mechanism that locks the tunnel size at any desired diameter.
  • the fifteenth object of the present invention is to provide a gunshot bullet wound first aid device with a vacuum fluid removal and suction function.
  • the sixteenth object of the present invention is to provide a gunshot bullet wound first aid device that consists of a spiral roll of flexible, durable, clear, sheet material with a concentric balloon containing a pressurized CO2 capsule and a button provided with a sharp item for piercing the capsule for instantaneously expanding the balloon which unrolls the spiral cone inside the wound and applies coagulant and anesthetic while sealing the bullet hole.
  • the seventeenth object of the present invention is to provide gunshot bullet wound first aid device with an automatic enlargement and reduction of the tunnel maintaining a slightly larger interior diameter than exterior diameter truncated conical shape for conical tunnel retention in the wound.
  • the eighteenth object of the present invention is to provide a gunshot bullet wound first aid device that conforms to the normal configuration of a bullet wound wherein the hole is small at the surface and expands in diameter as it enters the body using an interior diameter that grows slightly larger than the outer diameter which naturally holds the truncated conical shaped tunnel inside the body at the opening of the wound.
  • the nineteenth object of the present invention is to provide an alternative to stuffing the bullet wound full of cotton or cloth to slow down the loss of blood until the gunshot victim can be rushed to a hospital for an emergency operation.
  • the twentieth object of the present invention is to provide an alternative to applying pressure to the bullet wound to reduce the bleeding before emergency help is obtained.
  • the twenty-first object of the present invention is to provide a gunshot bullet wound first aid device that is small and portable.
  • the twenty-second object of the present invention is to provide a gunshot bullet wound first aid device that is individually wrapped in a sterilized convenient package.
  • the twenty-third object of the present invention is to provide a gunshot bullet wound first aid device that includes clear symbolic instructions printed on the sterile wrapper that provides any person with the knowledge to administer the bullet plug gunshot wound first aid device.
  • the twenty-fourth object of the present invention is to provide a device that spreads open an incision to aid in a surgical operation by providing a clear, light illuminated, open tunnel to facilitate sub-dermal access, while a local coagulant coating on the outside surface of the tunnel reduces the bleeding of the incision, while a local 20 anesthetic reduces the pain of the incision while an anti-biotic or soap kills germs.
  • Preferred Embodiment component list Preferred Embodiment component list
  • FIG. 1 shows a perspective view of an embodiment of the present invention bullet plug gunshot wound first aid device in use by a victim of a gunshot wound.
  • FIG. 2 is a section view of a typical gun barrel firing a bullet into a cross section of a typical human arm with the bullet piercing the skin and striking the bone of the victim.
  • FIG. 3 is a section view of an embodiment of the present invention bullet plug in a rolled configuration being inserted into the bleeding bullet hole of the victim.
  • FIG. 4 is a section view of an embodiment of the present invention bullet plug being unrolled by the drive mechanism and expanding in diameter to fill bleeding bullet hole of the victim while causing desired coagulant and anesthetic contact and pressure to shut off the bleeding and reduce the pain of the wound.
  • FIG. 5 is a section view of an embodiment of the present invention bullet plug in a fully unrolled configuration having the open tunnel plugged by the expandable plunger stick.
  • FIG. 6 is a perspective view of the current invention Open-0 (Open Operation Device) about to be inserted into a typical incision cut by a typical scalpel.
  • Open-0 Open Operation Device
  • FIG. 7 is a perspective view of the rolled spiral cylinder inserted into the typical incision.
  • FIG. 8 is a perspective view of the expanding unrolled spiral cone starting to enlarge the typical incision.
  • FIG. 9 is a perspective view of the fully expanded spiral cone as it exposes the sub dermal organs of the body with in the circle of the spiral cone.
  • FIG. 1 shows the present invention 10 bullet plug device being utilized by a 11 typical bullet wound victim to provide first aid for a gunshot wound by inserting the 10 bullet plug device into the 12 bullet wound hole holding the 13 bullet plug left handle and the 14 bullet plug right handle which guides the 15 bullet plug rolled spiral cylinder into the 12 bullet wound hole in the 20 bullet impact point on a 19 typical section of a body part.
  • the 26 bullet plug unrolling spiral cone portion of the 10 bullet plug device is inserted into the 24 bleeding bullet wound hole at the 25 bullet plug entry point.
  • FIG. 2 illustrates a 16 typical gun barrel firing a 23 bullet with a 17 explosive propellant burst along an 18 bullet acceleration path into a 19 typical section of a body part at a 20 bullet impact point where the 21 bullet entering body part causes a 24 bleeding bullet wound hole that gets bigger as the bullet goes deeper into the body causing the 22 bullet impacting bone decelerating and coming to a stop in a fixed position as the 38 bullet at the end of the wound.
  • FIG. 3 shows an embodiment of the present invention 10 bullet plug device in a rolled configuration being inserted through the 12 bullet wound hole in the 19 typical section of a body part into the 24 bleeding bullet wound hole of the 11 typical bullet wound victim.
  • the 15 bullet plug rolled spiral cylinder which has a 27 coagulant coating for stopping bleeding and a 28 anesthetic coating for reducing pain contacts the 24 bleeding bullet wound hole and starts to have immediate first-aid healing effects at the 25 bullet plug entry point.
  • FIG. 4 shows an embodiment of the present invention 10 bullet plug device in the 12 bullet wound hole of the 19 typical section of a body part being unrolled by the drive mechanism actuated by the 13 bullet plug left handle and the 14 bullet plug right handle causing the enlarging of the 31 expanding unrolling spiral cone in diameter to fill the 24 bleeding bullet wound hole of the 11 typical bullet wound victim while the 27 coagulant coating and the 28 anesthetic coating on the 31 expanding unrolling spiral cone is causing the desired coagulant and anesthetic contact and pressure to shut off the bleeding and reduce the pain of the wound.
  • the second part of the first aid system is the tunnel seal system.
  • the second system includes the flexible 34 plunger seal that allows air to escape but not blood when the 35 plunger expansion screw is rotated by the 36 plunger stick causing the diameter of the 35 plunger to enlarge to fill the 37 wound seal area close to the 38 bullet at the end of the wound to stop the bleeding and fill the bullet wound so that the victim does not immediately die because of loss of blood.
  • FIG. 5 shows an embodiment of the present invention 10 bullet plug device in a fully unrolled configuration with the 33 fully expanded spiral cone lodged inside the 32 compressed wound hole wall of the 11 typical bullet wound victim with the 29 bullet wound hole touching coagulant and the 30 bullet wound hole touching anesthetic providing a reduction in bleeding and a reduction in pain.
  • the 24 bleeding bullet wound hole has been filled and pressure has been applied to all of the interior, cone shaped, surfaces of the 12 bullet wound hole with 27 coagulant coating and 28 anesthetic coating touching and compressed into the cone providing an instant blood shut off and a reduction of pain.
  • the 38 bullet at the end of the wound can now be easily accessed for removal.
  • the 34 plunger on the end of the 36 plunger stick is inserted into the tunnel allowing air to escape, but not blood, until the 34 plunger reaches the bottom of the tunnel, where the 35 plunger expansion screw is rotated causing the diameter of the 34 plunger to enlarge and provide a 37 wound seal area.
  • the bullet wound victim would seek out secondary medical attention for the bullet wound.
  • FIG. 6 shows the current invention 50 Open-O (Open Operation Device) 15 rolled spiral cylinder about to be inserted into a 42 typical incision, cut by a 40 typical scalpel.
  • The15 rolled spiral cylinder has a 43 expansion ratchet handle that serves as a mechanical drives to open and close the spiral.
  • the 43 expansion ratchet handle may be equipped with a 44 light attached in order to illuminate the edges of the incision for ease of diagnosis and treatment.
  • FIG. 7 shows the 15 rolled spiral cylinder inserted into the 42 typical incision with the 41 inner transparent walls of the spiral cone coming in contact with the 42 typical incision, which starts to apply he 27 coagulant coating in order to reduce the bleeding of the incision as well it starts to apply the 28 anesthetic coating in order to reduce the pain of the 42 typical incision.
  • FIG. 8 shows the 31 expanding unrolled spiral cone starting to enlarge the 42 typical incision as the 41 inner transparent walls of the spiral cone expand, driven by the 43 expansion ratchet handle and 44 light the 32 compressed wound hole wall, which illuminates the 37 wound seal area to give the surgeon an unprecedented amount of visual input.
  • FIG. 9 shows the 33 fully expanded spiral cone providing support to the 32 compressed wound hole wall in a 360 degree even pressured support that eliminates the points of pressure of previous art retractors.
  • the 33 fully expanded spiral cone exposes the sub dermal organs of the body with in the circle of the 41 inner transparent walls of spiral cone, which are holding open the 42 typical incision in a circular, wide open manor, which allows a clean blood free open operation area that is illuminated by the 44 light.
  • the 50 Open-O Device is rewound into the 15 rolled spiral cylinder and removed leaving the edges of the incision with none of the bruises inherent with previous art retractors.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif de premiers soins pour une blessure par balle bouchée par une balle (BulletPLUG) dont la taille peut être proportionnée pour une insertion dans une blessure par balle, qui se transforme depuis un cylindre enroulé d’un matériau transparent souple durable en un tunnel se dilatant d’un matériau déroulé transparent pour ouvrir le trou d’une blessure par balle afin d’exposer l’emplacement de la balle à l’extrémité du tunnel et de former un tunnel ouvert éclairé transparent afin de faciliter le retrait de la balle, pendant qu’un revêtement de coagulant local sur la surface externe du tunnel arrête le saignement de la blessure par balle dans le trou de la balle, pendant qu’un puissant anesthésique local réduit la douleur de la blessure. La présente invention concerne également un dispositif de chirurgie ouverte (OpenO) qui ouvre par écartement une incision pour aider une opération chirurgicale en formant un tunnel ouvert éclairé transparent afin de faciliter un accès sous-dermique, pendant qu’un revêtement de coagulant local sur la surface externe du tunnel réduit le saignement de l’incision et qu’un anesthésiant local réduit la douleur de l’incision.
PCT/US2008/002951 2008-03-06 2008-03-06 Dispositif de chirurgie ouverte et de premiers soins pour une blessure par balle bouchée par une balle Ceased WO2009110864A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/US2008/002951 WO2009110864A1 (fr) 2008-03-06 2008-03-06 Dispositif de chirurgie ouverte et de premiers soins pour une blessure par balle bouchée par une balle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2008/002951 WO2009110864A1 (fr) 2008-03-06 2008-03-06 Dispositif de chirurgie ouverte et de premiers soins pour une blessure par balle bouchée par une balle

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WO2009110864A1 true WO2009110864A1 (fr) 2009-09-11

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2513336A (en) * 2013-04-23 2014-10-29 52 Vbl Ltd Device and method for reducing blood flow from a bullet wound
CN110960286A (zh) * 2020-01-21 2020-04-07 福建骏格科技有限公司 一种便携式枪弹伤弹道内大出血快速止血装置
CN113100862A (zh) * 2021-04-08 2021-07-13 苏坤雄 一种具有按压止血功能的卧躺装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5263922A (en) * 1991-08-26 1993-11-23 Plasco, Inc. Valved bandage
US6264605B1 (en) * 1998-01-23 2001-07-24 United States Surgical Corporation Surgical instrument
US20070010716A1 (en) * 2005-07-11 2007-01-11 Malandain Hugues F Surgical access device, system, and methods of use

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5263922A (en) * 1991-08-26 1993-11-23 Plasco, Inc. Valved bandage
US6264605B1 (en) * 1998-01-23 2001-07-24 United States Surgical Corporation Surgical instrument
US20070010716A1 (en) * 2005-07-11 2007-01-11 Malandain Hugues F Surgical access device, system, and methods of use

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2513336A (en) * 2013-04-23 2014-10-29 52 Vbl Ltd Device and method for reducing blood flow from a bullet wound
CN110960286A (zh) * 2020-01-21 2020-04-07 福建骏格科技有限公司 一种便携式枪弹伤弹道内大出血快速止血装置
CN113100862A (zh) * 2021-04-08 2021-07-13 苏坤雄 一种具有按压止血功能的卧躺装置

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