Background technology
Under emergency in war, because condition is limited, for the soldier of abdominal injury, abdominal cavity can be opened and carry out simple process, but for the operation mouth in abdominal cavity, without effective emergent management treatment way, namely cannot keep the vital signs stable of soldier, also just cannot ensure that the rear of sending to that soldier can be safe is further treated.Present stage in battlefield etc. in emergency circumstances, is adopt some operative incision place temporarily to be clamped by pliers folder mostly, so not only increases the misery of soldier, and easily cause wound infection, also not easily observe Intraabdominal situation simultaneously.
In the middle of surgical operation, usually can run into uncertain operation needs repeatedly to carry out Repeated Operation to intraperitoneal, such as severe pancreatitis operation.Surgical wound is sewed up or is adopted the fillings such as gauze by traditional way exactly repeatedly, so not only increase operating difficulty, and increase the misery of patient, and the wound after sewing up, doctor cannot observe the situation of pathological changes, often after the vital sign of patient changes, could find, patient risk increases.
In sum, there is following defect in these ways existing:
1. operation is wasted time and energy, and needs repeatedly operation technique thus cause great misery to sufferer and add the risk of patient infection;
2. the usual abdominal pressure of sufferer is higher, and traditional way does not give patient the space discharging abdominal pressure accordingly, thus can cause discomfort to sufferer;
3. many probabilistic operations need the development of monitoring the sufferer intraperitoneal state of an illness constantly, and the opportunity of second operation is held according to the state of an illness constantly, traditional way all cannot accomplish the situation of change of observing the state of an illness in body whenever and wherever possible, thus cannot hold the opportunity of operation well.
Summary of the invention
The object of the invention is to: provide a kind of without the need to operation technique namely can at any time opening and closing abdominal cavity, can abdominal pressure be discharged and the abdominal cavity closing device of abdominal cavity situation can be observed at any time.
The present invention is achieved through the following technical solutions: a kind of abdominal cavity closing device, is characterized in that: it comprises the first ring for fixing, the second ring for fixing and enclosed switch device;
First ring for fixing, the second ring for fixing sequential from top to bottom, and be equipped with the first hyaline membrane structure between the first ring for fixing, the second ring for fixing, the top edge of the first hyaline membrane structure and lower limb are tightly connected with the first ring for fixing, the second ring for fixing respectively;
The perforate of the first ring for fixing is coated with the second hyaline membrane structure, and the second hyaline membrane structure and the first ring for fixing are tightly connected, and the second hyaline membrane structure is provided with the first opening and the edge of the first opening and enclosed switch device are tightly connected.
Technology comparatively, beneficial effect of the present invention is:
1, change the mode previously needed by operation technique opening and closing abdominal incisions completely, make use of enclosed switch device and carry out Non-surgical opening and closing, alleviate operation technique difficulty greatly, reduce the misery of sufferer and decrease infection risk;
2, between enclosed switch device and the first ring for fixing, be provided with certain confined space, because this space is directly communicated with surgical wound place, therefore can effectively cushion Intraabdominal pressure;
3, healthcare givers can observe the situation of sufferer abdominal cavity constantly through hyaline membrane structure.
Detailed description of the invention
Illustrate below in conjunction with accompanying drawing and the present invention elaborated:
Embodiment 1:
As shown in Figures 1 to 4, the present invention it comprise the first ring for fixing 1, second ring for fixing 2 and enclosed switch device;
First ring for fixing 1, second ring for fixing 2 sequential from top to bottom, and be equipped with the top edge of the first hyaline membrane structure 8, first hyaline membrane structure 8 between the first ring for fixing 1, second ring for fixing 2 and lower limb is tightly connected with the first ring for fixing 1, second ring for fixing 2 respectively;
The perforate of the first ring for fixing is coated with the second hyaline membrane structure 9, second hyaline membrane structure 9 and the first ring for fixing is tightly connected, the second hyaline membrane structure 9 is provided with the first opening and the edge of the first opening and enclosed switch device are tightly connected.
Further, described enclosed switch device comprises rotating seal ring 4, fixed seal ring 6 and tertiary membrane structure 10;
Fixed seal ring 6 is positioned at below rotating seal ring 4, and the edge seal of the first opening of the second hyaline membrane structure 9 is connected on fixed seal ring 6;
Described tertiary membrane structure 10 ring is located between rotating seal ring 4 and fixed seal ring 6, and the top edge of tertiary membrane structure 10 and lower limb are tightly connected with rotating seal ring 4, fixed seal ring 6 respectively; Rotating seal ring 4 can make the inwall of tertiary membrane structure 10 formation seal bonded to each other after rotating.
Here, the first ring for fixing 1, second ring for fixing 2 and the first hyaline membrane structure 8 between them together constitute an operation opening fixation kit; During installation, first ring for fixing 1 and the second ring for fixing 2 are placed on the operation opening place outside intraperitoneal respectively, two ring for fixings and between the first hyaline membrane structure 8 formed and the clamping action of abdominal wall be fixed on abdominal cavity and construct a shape, operation opening that structure is all stable.
Meanwhile, fixed seal ring 6 to be positioned at above the first ring for fixing 1 and jointly to construct an airtight pressure reduction space by the second hyaline membrane structure 9 three.Pressure reduction space is communicated with the operation opening of below, and therefore when Intraabdominal pressure becomes large, Intraabdominal tissue or tissue fluid will be discharged into pressure reduction space, so both can alleviate the misery of patient, is also convenient to the observation of healthcare givers simultaneously; And there is prejudice and always suppress abdominal pressure in medical way previously, be all adopt fill out, fill in, stifled or similar means treat, so both increase the misery of patient, when abdominal pressure is excessive, Intraabdominal tissue or tissue fluid are also easy causes infection from operation opening spilling is external.
Rotating seal ring 4 realizes the open and close of junctional membrane passage by rotating tertiary membrane structure 10, switch here as No operation formula opening and closing surgical wound uses, allow that the arm of healthcare givers extend into inside and performs the operation carrying out intra-operative, after operation simultaneously terminates by rotating seal ring 4 after a direction rotates and makes tertiary membrane structure 10 inwall formation seal bonded to each other, the medically common fixture of recycling is fixed, opening is closed completely and ensure that operation opening place is in the state be isolated from the outside constantly, prevent postoperative wound infection.Such as clip, medical adhesive tape, card article etc. all can be used as fixture and use.
The present embodiment is easy to use, during operation, directly the present embodiment is placed into operation opening place, and the second ring for fixing 2 is inserted abdominal cavity completes fixing, under the effect of natural resiliency that is organized near operation opening, automatic tightening reaches the effect of sealing on ring for fixing.Meanwhile, in order to avoid the place of contact is infected, can also smear antibacterial isolation medicine in the edge of the first ring for fixing 1 further, such as vaseline, biogel etc. reach anti-infective effect further.
Here, the second hyaline membrane structure 9 possesses certain elasticity usually, can hold the dirty body that intraperitoneal overflows so preferably.
Further, it also comprises comprehensive monitoring induction apparatus, and comprehensive monitoring induction apparatus is arranged in the first ring for fixing 1 or the second ring for fixing 2 or the first hyaline membrane structure 8.
Comprehensive monitoring induction apparatus is integrated with many vital sign electronic induction elements, such as the sensing element of blood glucose, blood oxygen, abdominal pressure etc.Thus further medical assistance patient monitored by personnel health constantly.
Further, the shape of described first ring for fixing 1 and the second ring for fixing 2 is oval.
Oval ring for fixing can better bear the pressure that stomach wall brings, and maintains the stable of operation opening shape.
Further, described first hyaline membrane structure 8 and the second hyaline membrane structure 9 are made up of water-mist-proof material.
Thus on the inner surface of the first hyaline membrane structure 8 and the second hyaline membrane structure 9, easily produce water smoke due to the very warm and humidity of intraperitoneal thus affect the sight line that healthcare givers observes abdominal cavity of patients inside, and the first hyaline membrane structure 8 adopting water-mist-proof material to make and the second hyaline membrane structure can well overcome this defect.
Embodiment 2:
As shown in Figure 5 and Figure 6, on the basis of embodiment 1, the difference of the present embodiment is that described enclosed switch device comprises opening ring for fixing 3, pressure-sealing zipper 5 and the 4th membrane structure 11;
In described second hyaline membrane structure 9, the edge seal of the first opening is connected on opening ring for fixing 3, and the 4th membrane structure 11 is provided with the second opening and the edge of the second opening and pressure-sealing zipper 5 are tightly connected.
Compared to embodiment 1, the production cost of the present embodiment is lower, and structure is more simple, can range of application wider, can be used as replacement scheme and use.
Embodiment 3:
As shown in Figure 7, on the basis of embodiment 1, the difference of the present embodiment is that described enclosed switch device is blue butterfly 7.
Here, blue butterfly 7 is a kind of peritoneoscope hand-actuated accelerator, clutch and brakes produced by Johson & Johnson, and we it can be used as switch to use here, have good seal performance, the feature of folding with convenience.Can be used as prepreerence embodiment to implement.
Although the present invention adopts specific embodiment and alternative thereof illustrate to the present invention and illustrate, only to should be appreciated that otherwise the variations and modifications deviated from scope of the present invention all can be implemented.Therefore, except being to be understood that the restriction of claim except being enclosed and condition of equivalent thereof, the present invention is not by the restriction of going up in all senses.