CN104523314A - Kidney canula device for treating kidney rupture and using method thereof - Google Patents
Kidney canula device for treating kidney rupture and using method thereof Download PDFInfo
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- CN104523314A CN104523314A CN201410812675.6A CN201410812675A CN104523314A CN 104523314 A CN104523314 A CN 104523314A CN 201410812675 A CN201410812675 A CN 201410812675A CN 104523314 A CN104523314 A CN 104523314A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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Abstract
The invention discloses a kidney canula device for treating kidney rupture and a using method of the device. The kidney canula device comprises a kidney canula used for wraping the outer surface of the kidney. Reinforcing bands are arranged on the portions, along the inner side part and the outer side part of the kidney structure, of the outer surface of the kidney canula respectively, wherein the reinforcing bands prevent the kidney from shrinking or sinking inwards when the kidney canula is tightened. The reinforcing bands are cooperatively provided with one fastening device used for tightening the kidney canula. The fastening device comprises a plurality of lug rings, fastening ropes arranged into the lug rings in a threaded mode, and fixing clamps used for clamping and fixing the fastening ropes. The fastening ropes are no-end ropes and are already threaded into all the lug rings in sequence, and therefore the step and time for threading the fastening ropes in the using process are omitted. The kidney canula can effectively carry out hemostasis on the ruptured kidney, the ruptured kidney can be healed through natural recovery of the human body, and the situation that due to kidney rupture, the whole kidney tissue is excised is avoided.
Description
Technical field
What the present invention relates to is area of medical devices, is more particularly a kind of kidney covering device and using method thereof for the treatment of renal rupture.
Background technology
What renal rupture referred to that kidney occurs because of certain reason breaks, comprise the damage of blood vessel in kidney peplos, excess of the kidney matter and the kidney base of a fruit and break, in the kidney base of a fruit, the damage or break of blood vessel is seldom shown in, the overwhelming majority for kidney peplos, excess of the kidney matter damage or break, be common in wound, minority is also shown in after pathology kidney or medical care precess.Kidney belongs to parenchymal viscera, damage or very easily hemorrhage after breaking, and its quality is more crisp, the wound local edema caused after hemorrhage makes it become fragile further, cause the cutting that it is difficult to bear suture, therefore there is damage or after breaking in kidney peplos or excess of the kidney matter, medical personnel is often difficult to, by operation, kidney wound is carried out Suture hemostasis, patient can only be avoided to occur life danger by the transfusion even method of the expectant treatment such as blood transfusion, require patient's strict bed rest simultaneously, forbid firmly 1-3 month, but then medical personnel will be forced to carry out hands art when patient is in peril of one's life, but the method hemostasis be usually difficult to owing to performing the operation by sewing up, therefore most situation menisectomy need by whole kidney excision in order to avoid haemophilia.Even if patient is avoided by expectant treatment and occurs life danger, kept kidney here, but the large volume clot outside kidney will cause very long convalescent period and larger sequela occurrence probability.
So develop a kind of novel kidney surgery equipment, make the wound of kidneys of patients no longer hemorrhage, then healed by self-recovery function, avoid because of kidney peplos, excess of the kidney matter damage or break and cause excision kidney, although or avoid excision kidney but need the very long convalescent period in the face of the outer large volume clot of kidney brings and larger sequela occurrence probability, have very important significance concerning patient, and concerning the medical personnel of this area, there is innovative meaning.
Summary of the invention
The present invention is to provide a kind of kidney covering device and using method thereof for the treatment of renal rupture, its main purpose is to overcome prior art above shortcomings and shortcoming, make kidney peplos, the damage of excess of the kidney matter or break without the need to excising kidney, or the very long convalescent period brought without the need to large volume clot outside kidney and larger sequela occurrence probability, by making the wound of kidneys of patients no longer hemorrhage, then healed by self-recovery function, effectively can protect the kidney of patient, the misery that minimizing patient brings because kidney is cut and health problem, and the kidney adopting Medical absorbable material to make overlap each parts will progressively disintegrate being absorbed by the body after a certain time, finally disappear completely.
The technical solution used in the present invention is as follows:
A kind of kidney covering device for the treatment of renal rupture, comprise the kidney cover for being coated on kidney outer surface, this kidney cover outer surface along the medial part of Renal Structure and lateral part be respectively equipped with one prevent from kidney to be locked restrainting time the kidney reinforcing band that inside contracts or cave in, this reinforcing band coordinates and is provided with one for tightly restrainting the clamp device of this kidney cover, this clamp device comprises several earrings, is arranged in the fastening rope in this earrings and the fixation clamp for this fastening rope clamping.
Further, described fastening rope is without string for binding a plait, and penetrates each earrings according to the order of sequence.
Further, described in be in the reinforcing band of kidney lateral part medium position be also connected with two stiffeners, this stiffener be positioned at the kidney lateral part back of a bow middle part, for preventing described clamp device from tightly restrainting kidney cover time the inside contracting or cave in of kidney.
Further, described kidney cover has mesh-structured netting layer by one and the water proof theca interna of being located at this netting layer inside forms, and this netting layer is all located at by described reinforcing band, stiffener and earrings, and this water proof theca interna is that a transparent and fluid-tight material is formed; This kidney cover comprises pole cover, middle part cover and lower pole cover, and the upper pole piece that on this, pole cover is applicable to being set in kidney divides; In the middle part of this cover be applicable to the middle part being set in kidney, and the medial part overlapped in the middle part of this have one for make kidney base of a fruit tissue through opening; The lower pole piece that this lower pole cover is applicable to being set in kidney divides.
Further, pole cover, middle part cover and lower pole are sheathed on kidney outer surface and strain after fastening rope completes tight bundle on described, upper pole is overlapped and middle part overlap between form overlapping portion, the kidney base of a fruit a little more than kidney inside overlapping portion on this organizes upper end; Described middle part cover and lower pole form time overlapping portion between overlap, organize lower end inside this lower overlapping portion a little less than the kidney base of a fruit of kidney, and on this, overlapping portion, lower overlapping portion and the opening part that overlaps in the middle part of this bond respectively by the absorbable medical glue of human body.
Further, the structure of described reinforcing band is that eight interconnective class fusiformis connect belt body, and each class fusiformis is between two described earrings, the structure of described stiffener is a class fusiformis, such fusiformis is between two described earrings, and after the structure of such fusiformis can guarantee to prune adjustment kidney cover, stiffener and reinforcing band still can play its effect preventing kidney from inside contracting or caving in when fastening rope is tightly restrainted.
Further, described earrings number is 16, and wherein every side of kidney cover is all respectively equipped with eight earrings, and it overlaps outer surface in both sides, front and back at kidney is that near symmetrical distributes, is almost fan distribution in inside and outside both sides; Upper pole cover and lower pole cover respectively have four earrings, and middle part cover has eight earrings.
Further, described kidney cover, reinforcing band, stiffener, earrings, fastening rope and fixation clamp all adopt Medical absorbable material to make.
The using method of the kidney covering device of above-mentioned treatment renal rupture, comprises following concrete steps:
(1) first by provisional not damaged block kidney base of a fruit tissue or renal blood vessels control kidney wound hemorrhage after, then remove blood clot and clean oozing of blood and the sepage at kidney wound place, by large ends of vessels absorbable thread ligation or tie, then sew up with absorbable thread if any the aggregation system of breaking; Again along wound wound surface uniform application absorbable medical glue and place some hemostatic materials as hemostatic gauze, gelfoam, rent wound surface is maintained apposition 5-60 second, as more in rent nephridial tissue defect, fat or muscle etc. can be used to fill;
(2) kidney cover is compared with kidney, then on-the-spot pruning is carried out to kidney cover, make shape and the size of its this operation kidney adaptive;
(3) the upper pole cover overlapped by kidney, middle part cover and lower pole are sheathed on kidney outer surface, lateral part fastening rope in straining respectively or simultaneously, makes kidney cover tighten, then sandwiched fixation clamp on fastening rope, the tight bundle completing kidney cover is fixed, and cuts off unnecessary fastening rope; Then smear absorbable medical glue respectively at the upper overlapping portion of kidney cover, lower overlapping portion and kidney base of a fruit circumferential openings place, and the place of cutting of cutting of upper pole cover, lower pole cover also needs to smear absorbable medical glue and bonds.
Further, the kidney cover trim mode of described step (two) comprises following two kinds:
(1) longitudinally the mode of cutting is cut
(1). upper pole cover or cutting of lower pole cover are cut: an otch is cut off in the direction, longitudinal cross-section along upper pole cover or cover inner side, lower pole, then inside retracted incisions size or open size incision, make pole cover or lower pole cover coordinate the actual size of kidney, make it can closely be sleeved on kidney after tension fastening rope is tightened;
(2). cutting of middle part cover is cut: the forward and backward side longitudinal shear of side opening in the cover of middle part, makes openings of sizes be applicable to kidney the base of a fruit position, prevents it from after tension fastening rope is tightened, blocking or oppressing the kidney base of a fruit;
(2) laterally the mode of cutting is cut
Cutting of upper pole cover is cut: according to the actual size of kidney, the lower surface overlapped along upper pole is sheared;
Cutting of middle part cover is cut: according to the actual size of kidney, and the upper/lower terminal face respectively along middle part cover is sheared;
Cutting of lower pole cover is cut: according to the actual size of kidney, the upper surface overlapped along lower pole is sheared; Cut by the above-mentioned transverse direction to upper pole cover, middle part cover, lower pole cover and cut, make it after tension fastening rope is tightened, the kidney base of a fruit be blocked or be oppressed to upper pole cover inside lower end and lower pole cover inner top side can not, and guarantee that middle part cover can overlap with upper pole respectively and lower pole is overlapped and formed overlapping portion and lower overlapping portion.
Known by the above-mentioned description of this invention, compared to the prior art, the invention has the advantages that:
1, the present invention is avoided by kidney cover and carries out unworkable Suture hemostasis to kidney wound, but effective hemostasis by compression is carried out to it, make the wound of kidneys of patients no longer hemorrhage, then healed by self-recovery, make kidney restore funcitons, both without the need to excising kidney, also without the need in the face of very long convalescent period that the outer large volume clot of kidney brings and larger sequela occurrence probability.
2, the outer netting layer of kidney cover of the present invention adopts mesh-structured, theca interna is transparent material, be conducive to medical personnel and observe kidney and wound in the process using kidney cover, and theca interna is waterproof, prevent blood to ooze out, effective compressing can be formed at hemorrhage wound place.
3, under reinforcing band of the present invention and stiffener can avoid the tight pencil state of fastening rope effectively, kidney inside contracts or caves in, and it is also class fusiformis between earrings, can guarantee that pruning regulates the rear stiffener of kidney cover and reinforcing band still can play its effect preventing kidney from inside contracting or caving in when fastening rope is tightly restrainted.
4, fastening rope of the present invention is without string for binding a plait, and penetrates each earrings according to the order of sequence, wears step and the time of fastening rope, and fixes with fixation clamp after tightening up, avoid knotting when eliminating use, time saving and energy saving.
5, clamp device of the present invention can guarantee that kidney wound is effectively oppressed, and it is stressed uniformly that it farthest ensure that together with reinforcing band, stiffener kidney obtains.
6, kidney cover of the present invention adopts split-type design and can prune at scene; be easy to the shape and the size that adapt to different kidney; its cut mode is very simple and practical; the suitability is very strong; and its design and trim mode have all fully taken into account the protection to the kidney base of a fruit; in order to avoid occur that kidney cover blocks or oppress blood vessel or renal pelvis, ureteral situation in the kidney base of a fruit, thus cause renal ischaemia or the disease such as blood stasis, hydronephrosis.
7, all objects of the present invention are all adopt Medical absorbable material to be made, can progressively disintegrate being absorbed by the body after operation certain hour, finally disappear completely.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the structural representation of kidney of the present invention cover.
Fig. 3 is the cross-sectional view along A-A direction in Fig. 2.
Fig. 4 is that in the embodiment of the present invention one, the structural representation cut longitudinally cut by kidney cover.
Fig. 5 is that in the embodiment of the present invention two, the structural representation cut transversely cut by kidney cover.
Detailed description of the invention
Come with reference to the accompanying drawings further the specific embodiment of the present invention to be described.
Embodiment one
As shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 4, a kind of kidney covering device for the treatment of renal rupture, comprise the kidney cover 1 for being coated on kidney outer surface, this kidney overlap 1 outer surface along the medial part of Renal Structure and lateral part be respectively equipped with one prevent kidney overlap 1 tightly restraint time the kidney reinforcing band 2 that inside contracts or cave in, this reinforcing band 2 coordinates and is provided with one for tightly restrainting the clamp device of this kidney cover 1, this clamp device comprises several earrings 31, is arranged in the fastening rope 32 in this earrings 31 and the fixation clamp 33 for this fastening rope 32 clamping.Wherein, this fastening rope 32 is without string for binding a plait, and penetrates each earrings 31 according to the order of sequence, wears step and the time of fastening rope 32 when eliminating use, and fixes with fixation clamp 33 after tightening up, and avoids knotting, time saving and energy saving; This earrings 31 number is 16, wherein every side of kidney cover 1 is all respectively equipped with eight earrings 31, it overlaps 1 outer surface in both sides, front and back at kidney is that near symmetrical distributes, is almost fan distribution in inside and outside both sides, can guarantee that kidney wound is effectively oppressed like this, and be conducive to stressed even.The described medium position being in the reinforcing band 2 of kidney lateral part is also connected with two stiffeners 4, this stiffener 4 be positioned at the kidney lateral part back of a bow middle part, for preventing described clamp device from tightly restrainting caving inward of kidney when kidney overlaps 1.The structure of described reinforcing band 2 is that eight interconnective class fusiformis connect belt body, and each class fusiformis is between two described earrings 31, the structure of described stiffener 4 is a class fusiformis, such fusiformis is between two described earrings 31, and after the structure of such fusiformis can guarantee to prune adjustment kidney cover 1, stiffener 2 and reinforcing band 4 still can play its effect preventing kidney from inside contracting when the tight bundle of fastening rope 32 or cave in.
As shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 4, described kidney cover 1 has mesh-structured netting layer 11 by one and forms with the water proof theca interna 12 being located at this netting layer 11 inside, described reinforcing band 2, stiffener 4 and earrings 31 are all positioned at this netting layer 11, and this water proof theca interna 12 is that a transparent and fluid-tight material is formed.Kidney cover netting layer 11 adopts mesh-structured, its theca interna 12 is transparent material, be conducive to medical personnel and observe kidney and wound in the process using kidney cover 1, and theca interna 12 is waterproof, prevent blood to ooze out, effective compressing can be formed at hemorrhage wound place.This kidney cover 1 comprises pole cover 13, middle part cover 14 and lower pole cover 15, upper pole cover 13 and lower pole cover 15 respectively have four earrings 31, middle part cover 14 has eight earrings 31, the upper pole piece that on this, pole cover 13 is applicable to being set in kidney divides, overlap 14 in the middle part of this and be applicable to the middle part being set in kidney, and the medial part overlapping 14 in the middle part of this has an opening 141 for making kidney base of a fruit tissue 6 pass, this lower pole is overlapped 15 lower pole pieces being applicable to being set in kidney and is divided.Pole cover 13, middle part cover 14 and lower pole cover 15 are sheathed on kidney outer surface and strain after fastening rope 32 completes tight bundle on described, and upper pole cover 13 and middle part form overlapping portion 51 between overlapping 14, and the kidney base of a fruit a little more than kidney inside overlapping portion 51 on this organizes 6 upper ends; Described middle part cover 14 and lower pole form lower overlapping portion 52 between overlapping 15, organize 6 lower ends a little less than the kidney base of a fruit of kidney inside this lower overlapping portion 52, net and net, net and kidney outer surface bond respectively by the absorbable medical glue of human body by overlapping portion 51 on this, lower overlapping portion 52 and the opening part 141 overlapping 14 in the middle part of this.This kind of split-type design is easy to the shape and the size that adapt to different kidney; and the protection fully taken into account kidney base of a fruit tissue 6; in order to avoid occur kidney cover 1 13 lower end inside are overlapped in upper pole, 14 medial part openings 141 are overlapped at middle part or lower pole is overlapped and to be blocked inside 15 upper ends or to oppress blood vessel or renal pelvis, ureteral situation in kidney base of a fruit tissue 6, thus cause renal ischaemia or the disease such as blood stasis, hydronephrosis.
As shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 4, described kidney cover 1(comprises netting layer 11 and water proof theca interna 12), reinforcing band 2, stiffener 4, earrings 31, fastening rope 32 and fixation clamp 33 all adopt Medical absorbable material to make, can progressively disintegrate being absorbed by the body after operation certain hour, finally disappear completely.
Using method of the present invention: comprise following concrete steps:
(1) by provisional not damaged block kidney base of a fruit tissue or renal blood vessels control kidney wound hemorrhage after, first remove blood clot and clean oozing of blood and the sepage at kidney wound place, by large ends of vessels absorbable thread ligation or tie, then sew up with absorbable thread if any the aggregation system of breaking, again along wound wound surface uniform application absorbable medical glue and place some hemostatic materials (as hemostatic gauze, gelfoam etc.), rent wound surface is maintained apposition 5-60 second, as more in rent nephridial tissue defect, fat or muscle etc. can be used to fill;
(2) compared with kidney by kidney cover, then prune by longitudinally cutting the mode of cutting kidney cover is on-the-spot, make shape and the size of its this operation kidney adaptive, this longitudinal trim mode comprises following concrete steps:
1. go up cutting and cutting of pole cover or lower pole cover: an otch is cut off in the direction, longitudinal cross-section along upper pole cover or cover inner side, lower pole, then inside retracted incisions size or open size incision, make pole cover or lower pole cover coordinate the actual size of kidney, make it can closely be sleeved on kidney after tension fastening rope is tightened;
2. in the middle part of, cutting of cover is cut: the forward and backward side longitudinal shear of side opening in the cover of middle part, makes openings of sizes be applicable to kidney the base of a fruit position, prevents it from after tension fastening rope is tightened, blocking or oppressing the kidney base of a fruit.
(3) upper pole cover kidney overlapped, middle part cover and lower pole are sheathed on kidney outer surface, lateral part fastening rope in straining respectively or simultaneously, kidney cover is tightened, then sandwiched fixation clamp on fastening rope, the tight bundle completing kidney cover is fixed, cut off unnecessary fastening rope, then in the upper overlapping portion of kidney cover, absorbable medical glue is smeared at lower overlapping portion and kidney base of a fruit circumferential openings place respectively, as above pole cover, lower pole cover has carried out longitudinal direction and has cut and cut, then go up pole cover, the longitudinal direction of lower pole cover is cut the place of cutting and is also smeared absorbable medical glue, the object of smearing medical glue is to make net and net, net and kidney outer surface bond.
The present invention is avoided by kidney cover and carries out unworkable Suture hemostasis to kidney wound, but effective hemostasis by compression is carried out to it, make the wound of kidneys of patients no longer hemorrhage, then healed by self-recovery, make kidney restore funcitons, both without the need to excising kidney, also without the need in the face of very long convalescent period that the outer large volume clot of kidney brings and larger sequela occurrence probability.
Embodiment two:
As shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 5, the difference of the present embodiment and embodiment one is: the present embodiment laterally cuts the mode of cutting carrying out kidney cover adopting when scene is pruned, and its concrete steps are as follows:
Cutting of upper pole cover is cut: according to the actual size of kidney, the lower surface overlapped along upper pole is sheared;
Cutting of middle part cover is cut: according to the actual size of kidney, and the upper/lower terminal face respectively along middle part cover is sheared;
Cutting of lower pole cover is cut: according to the actual size of kidney, the upper surface overlapped along lower pole is sheared, cut by the above-mentioned transverse direction to upper pole cover, middle part cover, lower pole cover and cut, make it after tension fastening rope is tightened, the kidney base of a fruit be blocked or be oppressed to upper pole cover inside lower end and lower pole cover inner top side can not, and guarantee that middle part cover can overlap with upper pole respectively and lower pole is overlapped and formed overlapping portion and lower overlapping portion.
Other structure and method are identical with embodiment one, just no longer repeat at this.
Meanwhile, the method when carrying out on-the-spot pruning to kidney cover of this embodiment one and embodiment two also can use simultaneously.
Above are only the specific embodiment of the present invention, but design concept of the present invention be not only confined to this, everyly utilize this design to improve with carrying out unsubstantiality the present invention, the behavior of infringement scope all should be belonged to.
Claims (10)
1. treat the kidney covering device of renal rupture for one kind, it is characterized in that: comprise the kidney cover for being coated on kidney outer surface, this kidney cover outer surface along the medial part of Renal Structure and lateral part be respectively equipped with one prevent from kidney to be locked restrainting time the kidney reinforcing band that inside contracts or cave in, this reinforcing band coordinates and is provided with one for tightly restrainting the clamp device of this kidney cover, this clamp device comprises several earrings, is arranged in the fastening rope in this earrings and the fixation clamp for this fastening rope clamping.
2. a kind of kidney covering device for the treatment of renal rupture according to claim 1, is characterized in that: described fastening rope is without string for binding a plait, and penetrates each earrings according to the order of sequence.
3. a kind of kidney covering device for the treatment of renal rupture according to claim 2, it is characterized in that: described in be in the reinforcing band of kidney lateral part medium position be also connected with two stiffeners, this stiffener be positioned at the kidney lateral part back of a bow middle part, for preventing described clamp device from tightly restrainting kidney cover time the inside contracting or cave in of kidney.
4. a kind of kidney covering device for the treatment of renal rupture according to claim 3, it is characterized in that: described kidney cover has mesh-structured netting layer by one and forms with the water proof theca interna being located at this netting layer inside, this netting layer is all located at by described reinforcing band, stiffener and earrings, and this water proof theca interna is that a transparent and fluid-tight material is formed; This kidney cover comprises pole cover, middle part cover and lower pole cover, and the upper pole piece that on this, pole cover is applicable to being set in kidney divides; In the middle part of this cover be applicable to the middle part being set in kidney, and the medial part overlapped in the middle part of this have one for make kidney base of a fruit tissue through opening; The lower pole piece that this lower pole cover is applicable to being set in kidney divides.
5. a kind of kidney covering device for the treatment of renal rupture according to claim 4, it is characterized in that: pole cover, middle part cover and lower pole are sheathed on kidney outer surface and strain after fastening rope completes and tightly restraint on described, upper pole cover and middle part form overlapping portion between overlapping, and the kidney base of a fruit a little more than kidney inside overlapping portion on this organizes upper end; Described middle part cover and lower pole form time overlapping portion between overlap, organize lower end inside this lower overlapping portion a little less than the kidney base of a fruit of kidney, and on this, overlapping portion, lower overlapping portion and the opening part that overlaps in the middle part of this bond respectively by the absorbable medical glue of human body.
6. a kind of kidney covering device for the treatment of renal rupture according to claim 3, it is characterized in that: the structure of described reinforcing band is that eight interconnective class fusiformis connect belt body, and each class fusiformis is between two described earrings, the structure of described stiffener is a class fusiformis, such fusiformis is between two described earrings, and after the structure of such fusiformis can guarantee to prune adjustment kidney cover, stiffener and reinforcing band still can play its effect preventing kidney from inside contracting or caving in when fastening rope is tightly restrainted.
7. a kind of kidney covering device for the treatment of renal rupture according to claim 3, it is characterized in that: described earrings number is 16, wherein every side of kidney cover is all respectively equipped with eight earrings, and it overlaps outer surface in both sides, front and back at kidney is that near symmetrical distributes, is almost fan distribution in inside and outside both sides; Upper pole cover and lower pole cover respectively have four earrings, and middle part cover has eight earrings.
8. a kind of kidney covering device for the treatment of renal rupture according to arbitrary claim of claim 3 to 7, is characterized in that: described kidney cover, reinforcing band, stiffener, earrings, fastening rope and fixation clamp all adopt Medical absorbable material to make.
9. the using method of the kidney covering device of above-mentioned treatment renal rupture, is characterized in that: comprise following concrete steps:
(1) first by provisional not damaged block kidney base of a fruit tissue or renal blood vessels control kidney wound hemorrhage after, then remove blood clot and clean oozing of blood and the sepage at kidney wound place, by large ends of vessels absorbable thread ligation or tie, then sew up with absorbable thread if any the aggregation system of breaking; Again along wound wound surface uniform application absorbable medical glue and place some hemostatic materials as hemostatic gauze, gelfoam, rent wound surface is maintained apposition 5-60 second, as more in rent nephridial tissue defect, fat or muscle etc. can be used to fill;
(2) kidney cover is compared with kidney, then on-the-spot pruning is carried out to kidney cover, make shape and the size of its this operation kidney adaptive;
(3) the upper pole cover overlapped by kidney, middle part cover and lower pole are sheathed on kidney outer surface, lateral part fastening rope in straining respectively or simultaneously, makes kidney cover tighten, then sandwiched fixation clamp on fastening rope, the tight bundle completing kidney cover is fixed, and cuts off unnecessary fastening rope; Then smear absorbable medical glue respectively at the upper overlapping portion of kidney cover, lower overlapping portion and kidney base of a fruit circumferential openings place, and the place of cutting of cutting of upper pole cover, lower pole cover also needs to smear absorbable medical glue and bonds.
10. a kind of using method for the treatment of the kidney covering device of renal rupture according to claim 9, is characterized in that: the kidney cover trim mode of described step (two) comprises following two kinds:
(1) longitudinally the mode of cutting is cut
(1). upper pole cover or cutting of lower pole cover are cut: an otch is cut off in the direction, longitudinal cross-section along upper pole cover or cover inner side, lower pole, then inside retracted incisions size or open size incision, make pole cover or lower pole cover coordinate the actual size of kidney, make it can closely be sleeved on kidney after tension fastening rope is tightened;
(2). cutting of middle part cover is cut: the forward and backward side longitudinal shear of side opening in the cover of middle part, makes openings of sizes be applicable to kidney the base of a fruit position, prevents it from after tension fastening rope is tightened, blocking or oppressing the kidney base of a fruit;
(2) laterally the mode of cutting is cut
Cutting of upper pole cover is cut: according to the actual size of kidney, the lower surface overlapped along upper pole is sheared;
Cutting of middle part cover is cut: according to the actual size of kidney, and the upper/lower terminal face respectively along middle part cover is sheared;
Cutting of lower pole cover is cut: according to the actual size of kidney, the upper surface overlapped along lower pole is sheared; Cut by the above-mentioned transverse direction to upper pole cover, middle part cover, lower pole cover and cut, make it after tension fastening rope is tightened, the kidney base of a fruit be blocked or be oppressed to upper pole cover inside lower end and lower pole cover inner top side can not, and guarantee that middle part cover can overlap with upper pole respectively and lower pole is overlapped and formed overlapping portion and lower overlapping portion.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410812675.6A CN104523314B (en) | 2014-12-24 | 2014-12-24 | A kind of kidney covering device treating renal rupture and using method thereof |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410812675.6A CN104523314B (en) | 2014-12-24 | 2014-12-24 | A kind of kidney covering device treating renal rupture and using method thereof |
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| CN104523314A true CN104523314A (en) | 2015-04-22 |
| CN104523314B CN104523314B (en) | 2016-06-08 |
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| US7174896B1 (en) * | 2002-01-07 | 2007-02-13 | Paracor Medical, Inc. | Method and apparatus for supporting a heart |
| CN201108468Y (en) * | 2007-06-15 | 2008-09-03 | 张卫红 | Disposal medical crackdown hemostasia bag |
| FR2931353A1 (en) * | 2008-05-20 | 2009-11-27 | Christophe Binelli | Uterus mechanically compressing device i.e. hemostatic uterine bag, for patient, has prosthesis equipped with vertical wires, horizontal wires and circular wires, where wires are passed through mesh and exert compression on uterus |
| CN204364058U (en) * | 2014-12-24 | 2015-06-03 | 葛亮 | A kind of kidney covering device for the treatment of renal rupture |
-
2014
- 2014-12-24 CN CN201410812675.6A patent/CN104523314B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7174896B1 (en) * | 2002-01-07 | 2007-02-13 | Paracor Medical, Inc. | Method and apparatus for supporting a heart |
| CN201108468Y (en) * | 2007-06-15 | 2008-09-03 | 张卫红 | Disposal medical crackdown hemostasia bag |
| FR2931353A1 (en) * | 2008-05-20 | 2009-11-27 | Christophe Binelli | Uterus mechanically compressing device i.e. hemostatic uterine bag, for patient, has prosthesis equipped with vertical wires, horizontal wires and circular wires, where wires are passed through mesh and exert compression on uterus |
| CN204364058U (en) * | 2014-12-24 | 2015-06-03 | 葛亮 | A kind of kidney covering device for the treatment of renal rupture |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104523314B (en) | 2016-06-08 |
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