技术领域technical field
本实用新型涉及一种敷贴，特别是一种防压疮留置针敷贴，属于医疗器械领域。The utility model relates to an applicator, in particular to an indwelling needle applicator for preventing pressure sores, which belongs to the field of medical equipment.
背景技术Background technique
现有技术情况，现有技术的缺陷或不足：State of the art, defects or deficiencies in the art:
静脉留置针又称套管针，是头皮针换代产品，操作简单，使用方便，能够保护血管，减少患者因反复穿刺造成的痛苦，提高护士工作效率，已被广泛引用于临床。但临床中常遇到留置针针柄固定处压疮问题，尤其头皮静脉留置处容易发生压疮。留置针压疮问题既增加了护理人员的困扰，又增加了患者的痛苦，造成患者及家属对医疗质量的不满意，引起医疗投诉。极端的情况下，甚至可能会引发不良事件，是社会不和谐问题的潜在诱因。Indwelling catheters, also known as trocars, are replacement products for scalp needles. They are easy to operate and easy to use. They can protect blood vessels, reduce patients’ pain caused by repeated punctures, and improve nurses’ work efficiency. They have been widely used in clinical practice. However, in clinical practice, pressure sores are often encountered at the fixed part of the needle handle of the indwelling needle, especially the place where the scalp vein is placed is prone to pressure sores. The problem of indwelling needle pressure sores has not only increased the distress of nursing staff, but also increased the pain of patients, resulting in dissatisfaction of patients and their families with the quality of medical care, and causing medical complaints. In extreme cases, it may even lead to adverse events, which is a potential cause of social disharmony.
由于透明敷贴和胶布固定过紧，是造成压疮的根本原因，又以留置针尾部及肝素帽贴近皮肤处最为容易出现压疮。无论手背、足部、头部都可能会有压疮发生。针对患者在静脉留置针留置过程中发生局部压疮的不良反应，相关护理人员通过改良护理措施来达到预防压疮的发生。The root cause of pressure sores is the overtight fixation of the transparent applicator and adhesive tape, and pressure sores are most likely to occur at the end of the indwelling needle and the heparin cap close to the skin. Pressure sores can occur on the back of the hands, feet, or head. In view of the adverse reactions of patients with local pressure sores during the indwelling of intravenous indwelling needles, relevant nursing staff improved nursing measures to prevent the occurrence of pressure sores.
各级医疗机构都在为防止压疮做出一系列的防护措施，同时，防压疮敷料市场也不断被开发。叶安然等，通过应用无菌棉片预防静脉留置针引起的压痕；吴建萍等通过应用无菌棉球预防静脉留置针引起的皮肤压疮；赵宝春等通过应用无菌纱布预防静脉留置针引起的皮肤压疮；陈慧艳等在针柄下垫泡沫敷料的护理方法进行压疮干预。经过临床观察，在使用上述各种材料后还存在诸多问题，如：棉球移位，创口贴过敏，纱布潮湿至透明敷料卷边，使用自制泡沫敷料繁琐等，故本申请将有机研究、分析、整合以上等诸多功能的优缺点，研究出一种新型防压疮留置针敷贴。Medical institutions at all levels are taking a series of protective measures to prevent pressure sores. At the same time, the market for pressure sore dressings is constantly being developed. Ye Anran et al. used sterile cotton pads to prevent pressure ulcers caused by intravenous indwelling needles; Wu Jianping et al. used sterile cotton balls to prevent skin pressure ulcers caused by intravenous indwelling needles; Zhao Baochun et al. used sterile gauze to prevent pressure ulcers caused by intravenous indwelling needles. Skin pressure sores; Chen Huiyan et al. used foam dressing under the needle handle as a nursing method for pressure sore intervention. After clinical observation, there are still many problems after using the above-mentioned materials, such as: cotton ball displacement, allergy to the wound dressing, gauze wet to the edge of the transparent dressing, cumbersome use of self-made foam dressing, etc., so this application will organically research and analyze , Integrating the advantages and disadvantages of the above functions, a new type of indwelling needle application for preventing pressure sores has been developed.
另外，一些专利文献中也有关于防止留置针压疮的研究产品公布，例如以下专利文献。In addition, some patent documents also publish research products on the prevention of indwelling needle pressure sores, such as the following patent documents.
中国专利CN 204484938U公开一种带有敷贴的留置针，利用敷贴结合周边设置的泡沫材料起到加强粘贴效果，吸收汗液，防止敷贴卷边。其设计的敷贴结构可以在一定程度上减少压疮的发生，但是对于留置针的固定效果并不突出，需要采用传统的固定方式对留置针进行固定，所以依然存在压疮发生的风险。Chinese patent CN 204484938U discloses an indwelling needle with an applicator, which uses the applicator in combination with the surrounding foam material to enhance the sticking effect, absorb sweat, and prevent the applicator from curling. The designed application structure can reduce the occurrence of pressure sores to a certain extent, but the fixation effect on indwelling needles is not outstanding. Traditional fixation methods are required to fix indwelling needles, so there is still a risk of pressure sores.
中国专利CN 203861688 U公开一种留置针固定贴，该固定贴采用中央镂空的结构实现留置针的固定，避免固定贴过分压紧皮肤引起压疮。但是其中央镂空的结构使得固定贴的应用较为复杂，医护人员工作量增加，且复杂的结构容易出错，维护也较为困难。Chinese patent CN 203861688 U discloses a fixation patch for indwelling needles. The fixation patch adopts a central hollow structure to fix the indwelling needles, so as to avoid pressure sores caused by excessive compression of the skin by the fixation patch. However, the hollowed-out structure in the center makes the application of the fixing sticker more complicated, and the workload of medical staff increases, and the complex structure is prone to errors and difficult to maintain.
实用新型内容Utility model content
本实用新型的发明目的在于：针对现有技术存在的留置针固定贴引起压疮的问题，提供一种防压疮留置针敷贴。本实用新型提供的新型留置针敷贴，主要目的是在于为患者提供安全，舒适，预防留置针引起的压疮发生，减少不良事件的发生。The purpose of the invention of the present utility model is to provide a pressure sore-preventing indwelling needle application for the problem of pressure sores caused by the indwelling needle fixation in the prior art. The main purpose of the new indwelling needle application provided by the utility model is to provide safety and comfort for patients, prevent pressure sores caused by indwelling needles, and reduce the occurrence of adverse events.
为了实现上述目的，本实用新型采用的技术方案为：In order to achieve the above object, the technical solution adopted by the utility model is:
一种防压疮留置针敷贴，包括敷贴主体，所述敷贴主体是单面粘胶材质，在敷贴主体的底侧设置有凹槽，凹槽内是针柄固定贴，针柄固定贴一侧和敷贴连接在一起。所述针柄固定贴是具有弹性的网格材料，针柄固定贴具有粘性。在敷贴主体的顶侧设置有肝素帽固定网层，所述肝素帽固定网层一侧和敷贴主体连接，所述肝素帽固定网层的其余部分和敷贴主体断层结合。所述断层结合是指能够撕裂断开的连接。An anti-pressure sore indwelling needle applicator, comprising an applicator main body, the applicator main body is made of single-sided adhesive material, a groove is arranged on the bottom side of the applicator main body, and a needle handle is fixed in the groove, and the needle handle One side of the fixing paste is connected with the application. The needle handle fixing sticker is an elastic grid material, and the needle handle fixing sticker is sticky. A heparin cap fixing mesh layer is arranged on the top side of the application body, one side of the heparin cap fixing mesh layer is connected to the application body, and the rest of the heparin cap fixing mesh layer is fault-bonded with the application body. The fault bond refers to a connection capable of tearing apart.
本实用新型的敷贴结构设计了两处改进，主要是产生压疮的针柄部位和肝素帽部分的辅助固定结构，通过虚线压痕或类似的结合结构使得两部分和敷贴主体结合在一起，在制造和储备的时候表现为一体化的结构。即针柄固定贴、肝素帽固定网层和敷贴主体为一体结构，其连接部位是虚线压痕，能够通过撕扯实现部分断裂。The application structure of the utility model has two improvements, mainly the auxiliary fixing structure of the needle handle part and the heparin cap part where the pressure sore is generated, and the two parts are combined with the application body through a dotted line indentation or a similar combination structure , which is shown as an integrated structure when manufacturing and storing. That is, the needle handle fixed patch, the heparin cap fixed mesh layer, and the main body of the patch are integrated in one structure, and the connection part is a dotted line indentation, which can be partially broken by tearing.
当使用的时候可以快速轻松的撕开辅助固定部分（针柄固定贴、肝素帽固定网层），便于对针柄、肝素帽加以固定，固定以后，相对于敷贴主体辅助固定部分是较为灵活的，不产生过大的压力，减少了压疮出现。特别是底侧的凹槽内设计的固定贴，底侧凹槽结构为一缺口结构，缺口使得敷贴主体的粘在皮肤上的时候不会直接压在针柄固定贴上，与此同时针柄固定贴又可以实现柔和的粘接固定。所述敷贴主体是平薄的单面粘胶材质，敷贴主体厚度为0.1-3mm，优选为0.2-1mm。When in use, you can quickly and easily tear off the auxiliary fixing part (needle handle fixing sticker, heparin cap fixing mesh layer), which is convenient for fixing the needle handle and heparin cap. After fixing, the auxiliary fixing part is more flexible than the main body of the application , without excessive pressure, reducing the appearance of pressure sores. Especially the fixed paste designed in the groove on the bottom side, the groove structure on the bottom side is a notch structure, the gap prevents the main body of the application from directly pressing on the needle handle fixed paste when it sticks to the skin, and at the same time the needle The handle fixing sticker can realize gentle adhesive fixing again. The applicator body is a flat and thin single-sided adhesive material, and the thickness of the applicator body is 0.1-3 mm, preferably 0.2-1 mm.
作为本实用新型的优选方案，敷贴主体是3M透明敷贴材料。可以采用与3M透明敷贴材料相类似的材料，敷贴主体主要是提供基本的粘接固定作用，应当具有适宜的粘性，同时又应当能够较为容易的取下。As a preferred solution of the present utility model, the applicator main body is a 3M transparent applicator material. Materials similar to 3M transparent applicator materials can be used. The main body of the applicator mainly provides basic bonding and fixing functions, and should have suitable stickiness, and at the same time, it should be easy to remove.
作为本实用新型的优选方案，针柄固定贴采用丝薄、透气、软性棉质材料，或者聚乙烯微格网层结构。所述针柄固定贴两面具有离型纸、隔离纸、防粘纸或硅油纸作为保护层。在保护层揭开以后，针柄固定贴具有粘性，可以有效的固定留置针针柄，同时又不会导致留置针针柄被过度紧迫的压在皮肤表面，避免压疮。优选地，针柄固定贴的左侧和敷贴主体的底侧凹槽左侧边连接在一起。As a preferred solution of the utility model, the needle handle fixing sticker adopts silk thin, breathable, soft cotton material, or a polyethylene microgrid layer structure. Both sides of the needle handle fixing sticker have release paper, release paper, anti-adhesive paper or silicone oil paper as protective layers. After the protective layer is uncovered, the needle handle fixation patch is sticky, which can effectively fix the indwelling needle handle, and at the same time, it will not cause the indwelling needle handle to be pressed too tightly on the skin surface to avoid pressure sores. Preferably, the left side of the needle handle fixing patch is connected with the left side of the groove on the bottom side of the applicator main body.
作为本实用新型的优选方案，肝素帽固定网层也是丝薄、透气、软性棉质材料，或者聚乙烯微格网层结构。As a preferred solution of the present invention, the heparin cap fixing mesh layer is also a thin silk, breathable, soft cotton material, or a polyethylene microgrid layer structure.
作为本实用新型的优选方案，肝素帽固定网层和敷贴主体的部分连接位置是虚线压痕结构。虚线压痕结构是断层结合，可以通过手撕断开，根据使用者具体情况选择揭开面积大小、断开长度，使得肝素帽固定网层和肝素帽配合更加紧密，实现良好的固定作用。用于固定肝素帽的网层结构，表面保护膜是断层结合（虚线压痕），可根据使用者具体情况选择揭开面积大小；同时该处网层结构可随意移动粘于皮肤处。虚线压痕可以通过压痕机快速压制，具有敷贴主体和固定网层一体化的特点，便于整块生产制造。As a preferred solution of the present invention, part of the connection position between the heparin cap fixing net layer and the applicator main body is a dotted line indentation structure. The dotted line indentation structure is a combination of faults, which can be torn apart by hand. According to the specific situation of the user, the size of the uncovered area and the length of the disconnection can be selected, so that the heparin cap fixing mesh layer and the heparin cap can cooperate more closely to achieve a good fixation effect. The mesh structure used to fix the heparin cap, the surface protection film is fault bonded (dotted line indentation), and the size of the uncovered area can be selected according to the specific situation of the user; at the same time, the mesh structure can be moved freely and stick to the skin. The dotted line indentation can be quickly pressed by an indentation machine, and has the characteristics of integration of the main body of the application and the fixed mesh layer, which is convenient for the production and manufacture of the whole piece.
综上所述，由于采用了上述技术方案，本实用新型的有益效果是：In summary, due to the adoption of the above technical solution, the beneficial effects of the utility model are:
1、本实用新型留置针敷贴能有效的预防留置针引起的压疮，减少留置针引起的压疮发生，降低不良事件发生率，为患者提供舒适、安全，减少医疗投诉，改善医患关系。1. The indwelling needle application of the utility model can effectively prevent pressure sores caused by indwelling needles, reduce the occurrence of pressure sores caused by indwelling needles, reduce the incidence of adverse events, provide comfort and safety for patients, reduce medical complaints, and improve doctor-patient relationship .
2、本实用新型留置针敷贴可以提高日常工作效率，便于病房管理，使物品规范化、管理规范化。2. The indwelling needle application of the utility model can improve daily work efficiency, facilitate ward management, and standardize items and management.
3、本实用新型预防压疮留置针敷贴可适用于医院所有需要静脉输液科室，尤其儿科、老年科、营养缺乏、水肿患者。3. The application of the indwelling needle for the prevention of pressure sores of the utility model is applicable to all departments of the hospital that need intravenous infusion, especially pediatrics, geriatrics, and patients with nutritional deficiency and edema.
4、本实用新型预防压疮留置针敷贴成本低、与目前临床使用的一般敷贴几乎无价别差，推广后收益可，所有需要留置针的患者均可以使用，可以在科室、全院、全省、全国推广。4. The application cost of the indwelling needle for the prevention of pressure sores of the utility model is low, and there is almost no price difference with the general application currently used clinically. , Provincial and national promotion.
附图说明Description of drawings
图1是本实用新型的留置针敷贴结构示意图。Fig. 1 is a schematic diagram of the application structure of the indwelling needle of the present invention.
图2是常见的留置针示意图。Figure 2 is a schematic diagram of a common indwelling needle.
图3是本实用新型的留置针敷贴和留置针配合应用的示意图。Fig. 3 is a schematic diagram of application of the indwelling needle and cooperating application of the indwelling needle of the present invention.
图中标记：1-敷贴主体，2-凹槽，3-针柄固定贴，4-肝素帽固定网层，5-针柄，6-单手夹，7-肝素钠端帽。Markings in the figure: 1-application body, 2-groove, 3-needle handle fixing patch, 4-heparin cap fixing mesh layer, 5-needle handle, 6-one-hand clip, 7-heparin sodium end cap.
具体实施方式Detailed ways
下面结合附图，对本实用新型作详细的说明。Below in conjunction with accompanying drawing, the utility model is described in detail.
为了使本实用新型的目的、技术方案及优点更加清楚明白，以下结合附图及实施例，对本实用新型进行进一步详细说明。应当理解，此处所描述的具体实施例仅用以解释本实用新型，并不用于限定本实用新型。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the utility model, and are not intended to limit the utility model.
实施例]Example]
如图1所示防压疮留置针敷贴，包括敷贴主体1，是3M透明敷贴材料，具有平薄的单面粘胶性质。在敷贴主体的底侧设置有凹槽2，凹槽内是针柄固定贴3，针柄固定贴3一侧和敷贴1连接在一起。所述针柄固定贴3采用丝薄、透气、软性棉质材料，或者聚乙烯微格网层结构。针柄固定贴3是具有弹性、网格结构并兼具粘性。针柄固定贴3两面具有离型纸作为保护层，在使用的时候撕开离型纸实现保护作用。As shown in Figure 1, the anti-pressure sore indwelling needle applicator includes the applicator main body 1, which is a 3M transparent applicator material and has the property of flat and thin single-sided adhesive. A groove 2 is provided on the bottom side of the applicator main body, and inside the groove is a needle handle fixing sticker 3 , one side of the needle handle fixing sticker 3 is connected with the applicator 1 . The needle handle fixing patch 3 adopts silk thin, breathable, soft cotton material, or a polyethylene microgrid layer structure. The needle handle fixing sticker 3 has elasticity, grid structure and stickiness. Both sides of the needle handle fixing sticker 3 have a release paper as a protective layer, and the release paper is torn off to realize the protective effect when in use.
在敷贴主体1的顶侧设置有肝素帽固定网层4，所述肝素帽固定网层4一侧和敷贴主体连接，所述肝素帽固定网层4的其余部分和敷贴主体1一体成型，在其结合部有虚线压痕，构成断层结合，能够部分撕裂断开。所述虚线压痕通过压痕刀刻压形成，虚线部分是可以容易断裂的结合，另一部分是结合强度较高的结合部分。A heparin cap fixed mesh layer 4 is arranged on the top side of the application body 1, one side of the heparin cap fixed mesh layer 4 is connected to the application body, and the rest of the heparin cap fixed mesh layer 4 is integrated with the application body 1 Forming, there is a dotted line indentation at its junction, which constitutes a fault junction and can be partially torn off. The dotted indentation is formed by indentation with an indentation knife, the dotted line part is a bond that can be easily broken, and the other part is a bonded part with higher bonding strength.
本实用新型的敷贴和如图2所示的留置针具有良好的配合关系。在使用的时候，先将敷贴的凹槽中的留置针固定贴3撕开，然贴于留置针侧，图1所示的正是留置针固定贴3撕开以后的示意样式。如图3所示，先将留置针安置好，然后使得留置针针柄5位于敷贴的凹槽2位置，然后将留置针固定贴3轻柔的贴在留置针针柄5上，完成对于针柄5的固定。在留置针针柄粘贴固定以后，由医护人员根据使用者具体情况选择揭开适宜大小，将肝素帽固定网层4部分撕开，使得肝素帽固定网层4和敷贴主体1部分分开，撕掉固定网层4的离型纸，将肝素帽7折回置于固定网层4之下，然后将固定网层4轻压在肝素帽7上，形成固定。对针柄5、肝素帽7的固定是通过半固定或具有一定弹性的粘贴结构3,4加以固定的，相对于敷贴主体1直接粘贴固定具有更好的灵活性，不产生过大的压力，减少了压疮出现。The applicator of the utility model has a good cooperative relationship with the indwelling needle as shown in FIG. 2 . When in use, first tear off the indwelling needle fixing sticker 3 in the applied groove, and then stick it on the side of the indwelling needle. What is shown in Figure 1 is the schematic pattern after the indwelling needle fixing sticker 3 is torn off. As shown in Figure 3, the indwelling needle is placed first, and then the indwelling needle handle 5 is located at the position of the groove 2 of the application, and then the indwelling needle fixing sticker 3 is gently attached to the indwelling needle handle 5, and the indwelling needle handle 5 is completed. Fixing of handle 5. After the needle handle of the indwelling needle is pasted and fixed, the medical staff chooses to uncover the appropriate size according to the specific situation of the user, and tears off the 4 part of the heparin cap fixing mesh layer, so that the heparin cap fixing mesh layer 4 is separated from the main body 1 of the applicator. Remove the release paper of the fixed mesh layer 4, fold back the heparin cap 7 and place it under the fixed mesh layer 4, and then lightly press the fixed mesh layer 4 on the heparin cap 7 to form a fixation. The needle handle 5 and the heparin cap 7 are fixed by semi-fixed or elastic sticking structures 3 and 4, which have better flexibility than the direct sticking and fixing of the application body 1 without excessive pressure , reducing the appearance of pressure sores.
以上所述仅为本实用新型的较佳实施例而已，并不用以限制本实用新型，凡在本实用新型的精神和原则之内所作的任何修改、等同替换和改进等，均应包含在本实用新型的保护范围之内。The above descriptions are only preferred embodiments of the present utility model, and are not intended to limit the present utility model. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present utility model shall be included in this utility model. within the scope of protection of utility models.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720710722.5UCN207627680U (en) | 2017-06-16 | 2017-06-16 | A kind of pressure sore prevention remaining needle plaster |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720710722.5UCN207627680U (en) | 2017-06-16 | 2017-06-16 | A kind of pressure sore prevention remaining needle plaster |
| Publication Number | Publication Date |
|---|---|
| CN207627680Utrue CN207627680U (en) | 2018-07-20 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720710722.5UActiveCN207627680U (en) | 2017-06-16 | 2017-06-16 | A kind of pressure sore prevention remaining needle plaster |
| Country | Link |
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| CN (1) | CN207627680U (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111870772A (en)* | 2020-07-15 | 2020-11-03 | 中国科学院大学宁波华美医院 | Anti-roll indwelling needle applicator |
| CN112274727A (en)* | 2020-10-30 | 2021-01-29 | 连云港三瑞医疗器械制造有限公司 | One-piece indwelling needle fixer |
| CN112843383A (en)* | 2020-12-25 | 2021-05-28 | 南京市中心医院(南京市市级机关医院) | Improved venous indwelling needle protection net cover device |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111870772A (en)* | 2020-07-15 | 2020-11-03 | 中国科学院大学宁波华美医院 | Anti-roll indwelling needle applicator |
| CN112274727A (en)* | 2020-10-30 | 2021-01-29 | 连云港三瑞医疗器械制造有限公司 | One-piece indwelling needle fixer |
| CN112843383A (en)* | 2020-12-25 | 2021-05-28 | 南京市中心医院(南京市市级机关医院) | Improved venous indwelling needle protection net cover device |
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| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant |