The invention relates to a medical vacuum sealing drainage device, which is suitable for drainage of wounds on the body surface and for vacuum sealing drainage in a body cavity.
A vacuum sealing drainage technology (VSD for short) was invented by Dr. Wim Fleischman at the University of Ulm Germany in 1992 and theory thereof has been formed, and it is for drainage of wound surface of limbs. In 1994, Chinese professor Qiu Huade first applied the VSD technology to general surgical departments, and initiated application of the VSD technology in the general surgical departments.
A basic configuration of the conventional VSD technology includes a vacuum source (including a medical suction unit, a central vacuum unit, or a vacuum drainage bottle used in a hospital), a drainage pipe, polyvinyl alcohol foams orother medical multi-hole foams, sponges or gauzes (a multi-hole foam cushion for short), a breathable film for adhesion and sealing (a sealing film for short), and a drainage container. The vacuum source is connected for drainage, whereby conducting liquefaction materials of body tissues such as exudation, cataclysm, liquefaction necrosis tissue fragments, pus and so on into the drainage container.
In use, the drainage pipe with multiple side holes is wrapped with the multi-hole foam cushion, and disposed on the wound surface or in a wound cavity. The sealing film is used to tightly seal the multi-hole foam cushion and an outlet of the drainage pipe whereby separating them from the outside. Then the drainage container is connected, and finally the vacuum source is connected, and thus a drainage system is formed. Since vesicles in the multi-hole foam cushion are connected to each other and are rich in flexibility, negative pressure can reach every point of a targeted drainage area whereby forming omnibearing drainage. Under the action of the negative pressure, comparatively big, tender and blocky educts are cut and molded into granules, which enter the drainage pipe via openings of the multi-hole foam cushion or vesicles connected to each other, and then are quickly inhaled into the drainage container. Big educts that may block the drainage pipe are stopped by the multi-hole foam cushion, adhered to the surface of the multi-hole foam cushion, and left a body of the device along with the multi-hole foam cushion as drain is removed or replaced. Closing of the sealing film is a critical factor to maintain negative pressure operating as drainage force, and to separate the drainage area from the outside, which effectively prevent pollution and cross infection.
However, during use of the conventional VSD technology in drainage of a surface wound tissue, several problems exist: 1) sealing thereof is inconvenient. Good sealing is a key for ensuring drainage effect and the most difficult step during the whole vacuum sealing drainage. Common-used sealing methods include: a method of stabbing holes, a mesentery method, a suture method, a dumpling method, and so on. However, the above-mentioned methods are very complex during practical operation, and operative doctors can grasp them after repeated operations and practices. In addition, infirm sealing often causes air leakage, and further decreasing of treatment effect or even treatment failure of the VSD system. 2) VSD materials would be dehydrated and become dried and hard, if being under a negative pressure for a long time. 3) Sealing cannot be achieved, when the system is used for the drainage of orthopedics or perineum.
In view of the above-described problems, it is one objective of the invention to provide a medical vacuum sealing drainage device. The medical vacuum sealing drainage device is good in sealing effect and simple in structure, convenient to use, and not only suitable for drainage of wounds on the body surface, but also suitable for vacuum sealing drainage in a body cavity.
To achieve the above objective, in accordance with one embodiment of the invention, there is provided a medical vacuum sealing drainage device, comprising: a porous foam soft pad, and a drainage tube arranged in the porous foam soft pad and provided with a tail end extending outside the porous foam soft pad. An elastic sealing rubber film is arranged on an outer side of the porous foam soft pad; a sealing opening for allowing the drainage tube to extend out is formed on the elastic sealing rubber film; a diameter of an opening part of the sealing opening is less than an outer diameter of a corresponding extending pipe.
In a class of this embodiment, the sealing opening used for allowing the drainage tube to extend out and formed on the elastic sealing rubber film is a circle hole, the diameter of which is 0.3-4 mm less than the outer diameter of the corresponding extending pipe.
In a class of this embodiment, the sealing opening used for allowing the drainage tube to extend out and formed on the elastic sealing rubber film is a pipe orifice, and the diameter of the opening part of the pipe orifice is 0.3-2 mm less than the outer diameter of the corresponding extending pipe.
In a class of this embodiment, when the sealing opening used for allowing tubes to extend out and formed on the elastic sealing rubber film is a pipe orifice, the pipe orifice takes a shape of an inverted horn, the diameter of the opening part of the pipe orifice is 1-2 mm less than the outer diameter of the drainage tube, and the diameter of the bottom of the pipe orifice is 2-6 mm more than the outer diameter of the drainage tube.
In a class of this embodiment, when the sealing opening used for allowing tubes to extend out and formed on the elastic sealing rubber film is a pipe orifice, an included angle between the sealing opening and a main body of the elastic sealing rubber film is between 15 and 90°.
In a class of this embodiment, a plurality of small holes is formed on the side wall of the drainage tube.
In a class of this embodiment, a single or a plurality of drainage tubes are employed; the plurality of drainage tubes are arranged evenly with a distance of 25-35 mm between each other, and connected through a multi-way connector in the tail end.
In a class of this embodiment, a flushing pipe is arranged in the drainage tube, one end of the flushing pipe extends to the inside of the drainage tube, the other end of the flushing pipe is led out from the side wall at the tail end of the drainage tube, and a sealing cover is arranged at the tail end of the flushing pipe.
In another embodiment of the invention, there provided is an orthopedic vacuum sealing drainage device, comprising: a porous foam soft pad, and a drainage tube arranged in the porous foam soft pad and provided with a tail end extending outside the porous foam soft pad. A first elastic sealing rubber film is arranged on the outer side of the porous foam soft pad, a sealing opening for allowing the drainage tube to extend out is formed on the first elastic sealing rubber film, the diameter of the opening part of the sealing opening is smaller than the outer diameter of the corresponding drainage tube; a second elastic sealing rubber film and a third elastic sealing rubber film are arranged at puncture needles connected with an orthopedics external fixation device, vertical pipe orifice shaped sealing openings are formed on the second and third elastic sealing rubber films, and sleeved on the two puncture needles respectively; the second and the third elastic sealing rubber films are placed on the first elastic sealing rubber film or directly placed on the porous foam soft pad for sealing in a covering manner.
In a class of this embodiment, when the sealing opening used for allowing the drainage tube to extend out and formed on the first elastic sealing rubber films is a pipe orifice, an included angle between the pipe orifice and a main body of the elastic sealing rubber film is between 15 and 90°.
In a class of this embodiment, the vertical pipe orifice shaped sealing opening on the second and the third elastic sealing rubber films takes a shape of an inverted horn, the diameter of the opening part of the pipe orifice is 0.3-2 mm less than the outer diameter of the puncture needles, and the diameter of the bottom of the pipe orifice is 2-6 mm more than the outer diameter of the corresponding puncture needles.
In a class of this embodiment, a flushing pipe is arranged in the drainage tube, one end of the flushing pipe extends to the inside of the drainage tube, the other end of the flushing pipe is led out from the side wall at the tail end of the drainage tube, and a sealing cover is arranged at the tail end of the sealing cover.
In another aspect, the invention provides a vacuum sealing drainage device used at the perineum, comprising a porous foam soft pad, and a drainage tube arranged in the porous foam soft pad and provided with a tail end extending outside the porous foam soft pad. A first elastic sealing rubber film is arranged on the outer side of the porous foam soft pad, a sealing opening for allowing the drainage tube to extend out is formed on the first elastic sealing rubber film, and the diameter of the opening part of the sealing opening is smaller than the outer diameter of the corresponding drainage tube; the vacuum sealing drainage device used at the perineum further comprises an anus inserting catheter, a second elastic sealing rubber film is arranged at the position where the anus inserting catheter penetrates a vacuum area of the vacuum sealing drainage device, and provided with a vertical pipe orifice shaped sealing opening, the vertical pipe orifice shaped sealing opening is sleeved on the anus inserting catheter, and the second elastic sealing rubber film is placed on the first elastic sealing rubber film or directly placed on the porous foam soft pad for sealing in a covering manner.
In a class of this embodiment, an annular rubber air-filled or liquid-filled bag is arranged on the outer side at the front end of the anus inserting catheter; an air or liquid guide pipe parallel to the anus inserting catheter is also arranged; the front end of the air or liquid guide pipe is communicated with the rubber air-filled or liquid-filled bag, the rear end of the air or liquid guide pipe extends outside the rear end of the anus inserting catheter, and a sealing cover is arranged at the rear end of the air or liquid guide pipe.
In a class of this embodiment, a flushing pipe is arranged in the drainage tube, one end of the flushing pipe extends to the inside of the drainage tube, the other end of the flushing pipe is led out from the side wall at the tail end of the drainage tube, and a sealing cover is arranged at the tail end of the flushing pipe.
Advantages of the invention are summarized below:
The invention is described hereinbelow with reference to accompanying drawings, in which:
For further illustrating the invention, experiments detailing a vacuum sealing drainage device are described below. It should be noted that the following examples are intended to describe and not to limit the invention.
a porous foam soft pad 1, a drainage tube 2 arranged in the porous foam soft pad 1 and provided with a tail end extending outside the porous foam soft pad 1, and an elastic sealing rubber film 3 for allowing tubes to extend out is arranged on the outer side of the porous foam soft pad 1. A sealing opening 3a for allowing the drainage tube 2 to extend out is a circular hole and formed on the elastic sealing rubber film 3.
Due to the elasticity of the elastic sealing rubber film, the sealing opening 3a is tightened on the drainage tube 2 for sealing. During the using process, a sealing film 8 is resealed on the elastic sealing rubber film 3 and the porous foam soft pad 1. The tail end of the drainage tube 2 is connected with a drainage container 5 and a vacuum source 6 through a catheter 4. The tail end of the drainage tube 2 extends out from the upper side of the porous foam soft pad 1.
A flushing pipe 7 is arranged in the drainage tube 2, one end of the flushing pipe 7 extends to the inside of the drainage tube 2, the other end of the flushing pipe 7 is led out from the side wall at the tail end of the drainage tube 2, and a sealing cover 7a is arranged at the tail end of the flushing pipe 7.
As shown in
A plurality of small holes 2a is formed on the side wall of the drainage tube 2. A plurality of drainage tubes are connected with a multi-way connector 2b, and the multi-way connector 2b is connected with the catheter 4. The drainage tubes are suitable for massive trauma. The plurality of the drainage tubes 2 are connected through the multi-way connector and then converged to enter the drainage container 5, and the operation is simple and convenient. For the use inside the body, a tube is lead out, thus the wound is small.
The structure solves the problem of sealing, thus the stable vacuum sealing drainage can be kept.
When the medical vacuum sealing drainage device is used for wounds on the body surface, as shown in
The example adopts the structure form that one end of the drainage tubes 2 is positioned in the porous foam soft pad 1, and the other end of the drainage tubes 2 is led out from the upper end of the porous foam soft pad 1. When the medical vacuum sealing drainage device is used in the body cavity, after the porous foam soft pad 1 is placed in the body cavity, the elastic sealing rubber film 3 is attached outside the body to provide an effective support (carrier) for the sealing film 8, and the sealing opening 3a is tightened on the drainage tube 2 for sealing due to the elasticity of the elastic sealing rubber film, thus the sealing effect is achieved. The sealing film 8 covers the elastic sealing rubber film 3, and the periphery of the elastic sealing rubber film 3 is sealed with the body surface.
When the small holes of the drainage tube 2 are blocked, a vacuum system is closed, the sealing cover 7a at the tail end of the flushing pipe 7 is opened, an irrigator is accessed, and normal saline is injected, so that stagnant blood clots are diluted and dissolved. After stopping washing, the vacuum system is opened, and the diluted stagnant blood clots are drawn out.
The current commonly-used washing method is as follows: (1) a rubber hose is additionally arranged at the wound, but the lead-out position of the rubber hose is also required to be sealed by a film sticking method, thus the possibility of air leakage and the sealing difficulty are increased; (2) when flushing fluid is retrogradely injected from the original drainage tube, the drained exudate may be reinjected to the wound to lead to retrograde infection; (3) when flushing fluid is injected through holes perforated on the porous foam soft pad, the sealing film is only required to be restuck at the perforated hole on the porous foam soft pad, thus the operating difficulty is increased.
In the medical vacuum sealing drainage device, the blocked pipe is conveniently flushed, the phenomenon of retrograde infection is avoided, and the flushing pipe does not occupy the space of the drainage tube. The sealing cover 7a is arranged at the tail end of the flushing pipe 7, and when the flushing pipe 7 is not used, the sealing cover is closed, so as to ensure the normal work of the drainage tube 2. The flushing pipe 7 also can be used as a sampling opening, and the drainage fluid is tested as the reference for medication for doctors.
A plurality of drainage tubes 2 are connected through a multi-way connector, when one drainage tube is blocked, observation can be carried out conveniently from a catheter connector, so that the blocked drainage tube is conveniently flushed in time through a flushing pipe, other drainage tubes can be continued to conduct drainage, and the phenomenon that the vacuum sealing drainage device cannot work normally after one drainage tube is blocked is avoided.
The orthopaedic vacuum sealing drainage device has the basically same structure as the basic vacuum sealing drainage devices, and comprises a porous foam soft pad 1, and a drainage tube 2 arranged in the porous foam soft pad 1 and provided with a tail end extending outside the porous foam soft pad 1, a first elastic sealing rubber film 3 is arranged on the outer side of the porous foam soft pad 1, a sealing opening 3a for allowing the drainage tube 2 to extend out is formed on the first elastic sealing rubber film 3, the diameter D of the opening part of the sealing opening 3a is smaller than the outer diameter of the corresponding drainage tube 2, a second elastic sealing rubber film 3 and a third elastic sealing rubber film 3 are arranged at puncture needles 9a connected with an orthopaedic external fixation device 9, vertical pipe orifice shaped sealing openings 3a are formed on the second elastic sealing rubber film 3 and the third elastic sealing rubber film 3, and sleeved on the two puncture needles 9a respectively, and the second and the third elastic sealing rubber films 3 are placed on the first elastic sealing rubber film 3 or directly placed on the porous foam soft pad 1 for sealing in a covering manner. A flushing pipe 7 is arranged in the drainage tube 2, one end of the flushing pipe 7 extends to the inside of the drainage tube 2, the other end of the flushing pipe 7 is led out from the side wall at the tail end of the drainage tube 2, and a sealing cover 7a is arranged at the tail end of the sealing cover 7a. The second and the third elastic sealing rubber films 3 are used to adapt the distance change of the two puncture needles 9a. When the sealing opening 3a used for allowing the drainage tube 2 to extend out and formed on the first elastic sealing rubber films 3 is a pipe orifice, the included angle α between the pipe orifice and a main body of the elastic sealing rubber film 3 is between 15 and 90°, and preferably 30-45°.
The pipe orifice shaped sealing opening 3a preferably takes the shape of an inverted horn. The diameter dl of the opening part of the pipe orifice is 1-2 mm less than the outer diameter of the drainage tube 2, and the diameter d2 of the bottom of the pipe orifice is 2-6 mm more than the outer diameter of the drainage tube 2.
The sealing openings 3a on the second and the third elastic sealing rubber films 3 are vertical pipe orifice shaped sealing openings 3a shown in
The vacuum sealing drainage device used at the perineum has the basically same structure as the basic vacuum sealing drainage devices, and comprises a porous foam soft pad 1, and a drainage tube 2 arranged in the porous foam soft pad 1 and provided with a tail end extending outside the porous foam soft pad 1, a first elastic sealing rubber film 3 is arranged on the outer side of the porous foam soft pad 1, a sealing opening 3a for allowing the drainage tube 2 to extend out is formed on the first elastic sealing rubber film 3, and the diameter of the opening part of the sealing opening 3a is smaller than the outer diameter of the corresponding drainage tube 2. The vacuum sealing drainage device used at the perineum further comprises an anus inserting catheter 11, a second elastic sealing rubber film 3 is arranged at the position where the anus inserting catheter 11 penetrates a vacuum area of the vacuum sealing drainage device, and provided with a vertical pipe orifice shaped sealing opening 3a, the vertical pipe orifice shaped sealing opening 3a is sleeved on the anus inserting catheter 11, and the second elastic sealing rubber film 3 is placed on the first elastic sealing rubber film 3 or directly placed on the porous foam soft pad 1 for sealing in a covering manner. A flushing pipe 7 is arranged in the drainage tube 2, one end of the flushing pipe 7 extends to the inside of the drainage tube 2, the other end of the flushing pipe 7 is led out from the side wall at the tail end of the drainage tube 2, and a sealing cover 7a is arranged at the tail end of the flushing pipe 7.
The pipe orifice shaped sealing opening 3a of the second elastic sealing rubber film 3 preferably takes the shape of an inverted horn, the diameter d1 of the opening part of the pipe orifice is less than 1-2 mm less than the outer diameter of the anus inserting catheter 11, and the diameter d2 of the bottom of the pipe orifice is 2-6 mm more than the corresponding anus inserting catheter 11.
As shown in
In conclusion, skillfully solving the difficult problem (air leakage) unsolved for a long time through sealing the puncture tube part of the vacuum sealing drainage device under the elasticity of an elastic material is the core of the vacuum sealing drainage device. In a set of the vacuum sealing drainage devices, one or more can be used as required, and the vacuum sealing drainage devices with different sizes and shapes can be used alternately, thus the vacuum sealing drainage device is extremely flexible to use. Therefore, under the premise of without changing the principle of the vacuum sealing drainage device, any changes or deformations fall within the protection scope of the invention.
Number | Date | Country | Kind |
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201010132585.4 | Mar 2010 | CN | national |
201010221569.2 | Jun 2010 | CN | national |
201020252540.6 | Jun 2010 | CN | national |
201120005386.7 | Jan 2011 | CN | national |
This application is a continuation-in-part of International Patent Application No. PCT/CN2011/072066 with an international filing date of Mar. 23, 2011, designating the United States, now pending, and further claims priority benefits to Chinese Patent Application No. 201010132585.4 filed Mar. 23, 2010, Chinese Patent Application No. 201020252540.6 filed Jun. 29, 2010, Chinese Patent Application No. 201010221569.2 filed Jun. 29, 2010, and to Chinese Patent Application No. 201120005386.7 filed Jan. 10, 2011, the contents of which, including any intervening amendments thereto, are incorporated herein by reference. Inquiries from the public to applicants or assignees concerning this document or the related applications should be directed to: Matthias Scholl P.C., Attn.: Dr. Matthias Scholl Esq., 14781 Memorial Drive, Suite 1319, Houston, Tex. 77079.
Number | Date | Country | |
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Parent | PCT/CN2011/072066 | Mar 2011 | US |
Child | 13625024 | US |