WO2013082884A1 - Cut, catheter infusion wound protecting device wound, - Google Patents

Cut, catheter infusion wound protecting device wound, Download PDF

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Publication number
WO2013082884A1
WO2013082884A1 PCT/CN2012/071202 CN2012071202W WO2013082884A1 WO 2013082884 A1 WO2013082884 A1 WO 2013082884A1 CN 2012071202 W CN2012071202 W CN 2012071202W WO 2013082884 A1 WO2013082884 A1 WO 2013082884A1
Authority
WO
WIPO (PCT)
Prior art keywords
wound
cavity
dimensional hollow
protection device
protective pad
Prior art date
Application number
PCT/CN2012/071202
Other languages
French (fr)
Chinese (zh)
Inventor
唐二虎
蒋琼橙
唐伊娜
Original Assignee
Tang erhu
Jiang Qiongcheng
Tang Yina
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tang erhu, Jiang Qiongcheng, Tang Yina filed Critical Tang erhu
Publication of WO2013082884A1 publication Critical patent/WO2013082884A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00412Plasters use for use with needles, tubes or catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0266Holding devices, e.g. on the body using pads, patches, tapes or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0266Holding devices, e.g. on the body using pads, patches, tapes or the like
    • A61M2025/0273Holding devices, e.g. on the body using pads, patches, tapes or the like having slits to place the pad around a catheter puncturing site

Definitions

  • the invention relates to the technical field of medical auxiliary equipment, in particular to a wound and catheter infusion wound protection device.
  • some treatments are to use a transparent application without a pad, directly bonded to the medical puncture catheter through the adhesive layer provided on the wound and the catheter, and bonded The catheter is fixed to the skin.
  • the treatment method is transparent, easy to observe, and enables the relevant personnel to handle it in time, the adhesive is easy to cause wounds and skin allergies, contact dermatitis such as flushing, swelling, itching, eczema.
  • An inflammatory reaction such as vesicles can cause complications of blood infection in severe cases.
  • the dressing when it is clinically necessary to re-disinfect and debride a wound or a catheter for re-sterilization and debridement, the dressing must be replaced as a whole, which increases the medical burden on the patient.
  • the existing protective nursing techniques and methods for wounds cannot prevent wound tearing and cracking caused by external force or tension.
  • the wounds and tears should be clinically dealt with.
  • the improved wound protection device can effectively prevent tearing and cracking of wounds (including surgical suture wounds, traumatic wounds, catheter infusion wounds and some high-tension wounds), avoiding wound skin movement wrinkles and wound damage and wounds Wound damage caused by relative movement friction with the dressing.
  • wounds including surgical suture wounds, traumatic wounds, catheter infusion wounds and some high-tension wounds
  • the improved wound protection device is transparent and prevents the adhesive from directly bonding the wound, the skin around the wound and the surface of the catheter adjacent to the wound.
  • the improved wound protection device is transparent and visible, and does not directly contact and compress the wound.
  • the improved wound protection device can easily disinfect, debride, drain, and use anti-infective and wound-healing-resistant drugs at any time without the need for the entire replacement. 5.
  • the improved wound protection device is convenient to keep the wound moist and to keep the wound dry.
  • the improved wound protection device does not need to be replaced frequently, reducing medical costs.
  • the improved wound protection device can be waterproof and breathable, and is convenient for patients' daily life. Summary of the invention
  • the present invention adopts the following technical solutions:
  • a wound and catheter infusion wound protection device comprises a three-dimensional hollow protective pad and a fixing layer for fixing a three-dimensional hollow protective pad, wherein the three-dimensional hollow protective pad is provided with a cavity in a longitudinal direction, the cavity at least a lower port and a three-dimensional hollow protection The bottom end of the cavity is electrically connected, and the lower port of the cavity surrounds the wound or catheter infusion wound in the cavity, so that the three-dimensional hollow protective pad limits the cracking of the wound and the skin wrinkles of the wound surface, and the fixed layer is provided with Adhesive layer bonded to the skin and the three-dimensional hollow protective pad.
  • the cavity provided in the three-dimensional hollow protective pad enables the wound to be in a separate space to avoid foreign matter repelling inflammatory reaction and mechanical damage caused by foreign matter contact, friction and compression, and avoids dressing and
  • the re-injury of the wound caused by the bonding of the wound surface also enables the three-dimensional hollow protective pad to limit the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface.
  • the fixing layer is made of or partially made of a transparent, waterproof and breathable film material, which is convenient for observing the wound at any time, and can also be manufactured by using a non-woven fabric, a foam, or a hydrocolloid as a substrate.
  • the bonding layer is disposed on a side of the fixed layer that is outside the position corresponding to the cavity. This arrangement prevents the adhesive layer from sticking to the wound in case of accident.
  • an area of the fixing layer corresponding to the cavity is provided with an opening.
  • This opening is visually accessible to the wound surface, providing a passage for the doctor to treat the wound surface. Due to the opening or/and the passageway that can be opened and closed, different treatments are required for various openings or passages.
  • the fixing layer is disposed above the solid hollow protective pad, and an opening is provided at the opening to close or open the opening.
  • the seal can be opened and closed repeatedly. It can be made of transparent and breathable dressing material. When the top opening is closed, it can be used to observe the healing of the wound at any time.
  • the area of the closure member that corresponds to the opening does not contain an adhesive to prevent possible adhesive sticking to the wound surface, the surface of the catheter, or other surfaces in the space to avoid damage to the wound or pulling of the catheter.
  • the sealing member is detachably fixed to the fixing layer. This arrangement facilitates the closure and opening of the closure at the opening of the fixed layer.
  • the fixation layer is disposed below the solid hollow protective pad, the edge of the opening surrounding the wound or catheter infusion wound.
  • the arrangement enables the three-dimensional hollow protective pad with a cavity to be adhered to the upper surface of the fixed layer, and the fixed layer can be a transparent flexible film (PU or ruthenium film), and then the upper surface of the solid hollow protective pad with the cavity is further disposed.
  • a fixed layer with or without an opening is bonded to cover the solid hollow protective pad and bonded to the surface of the fixed layer below the solid hollow protective pad, so that the fixation of the solid hollow protective pad on the wound is stronger.
  • the upper port of the cavity is electrically connected to the outside, and the upper port of the cavity is provided with an opening to close or open the upper port of the cavity.
  • the sealing member is detachably fixed to an upper portion of the three-dimensional hollow protective pad. It is convenient to open and close the opening repeatedly. It is convenient to open and close the opening repeatedly.
  • the edge of the sealing member is further provided with a protruding wing.
  • the protruding wings are provided to make the force application more convenient when the sealing member is pulled, and the utility model can be more labor-saving and time-saving.
  • the three-dimensional hollow protective pad has a trapezoidal longitudinal section.
  • the three-dimensional hollow protective pad structure in the technical solution enables the fixing layer to better bond the edge of the solid hollow protective pad and the skin interface for optimal fitting and fixing effect.
  • the three-dimensional hollow protective pad is further provided with a passage for the object to enter and exit the cavity through the cavity and the outside.
  • the set channel allows passage of a medical catheter such as a central venous catheter or a drainage tube.
  • the three-dimensional hollow protective pad is formed by stacking at least two sub-pads, and at least one of the fixing layers is disposed between each of the two sub-pads.
  • the combined three-dimensional hollow protection pad can be provided with a highly absorbent sub-pad, a sub-pad with antibacterial function and a pad with a moist function, a sub-pad with iodophor, and a pad with different functions can be provided as needed.
  • the combined three-dimensional hollow protective pad can increase the overall height of the three-dimensional hollow protective pad, and is suitable for a larger area of the wound surface.
  • a U-shaped notch is provided at an edge of the fixing layer.
  • the U-shaped notch allows the fixed layer to more effectively secure the central venous catheter, drainage tube, and the like through the adhesive layer.
  • a support body is further included, the support body being at least fixed to an upper portion of the solid hollow protective pad.
  • the support body is arranged to hold and support the three-dimensional hollow protection pad, the fixing layer and the sealing member without deformation and collapse.
  • the support body is a support strip or a support piece or a support block or a support frame.
  • the present invention provides a three-dimensional hollow protective pad with a cavity, a fixed layer, and injects the wound and the catheter into the wound to protect the space in which the foreign body contacts the wound and restricts the cracking of the wound and the skin wrinkles on the wound surface.
  • the resulting wound damage, and the three-dimensional hollow protective pad in contact with the skin around the wound has a large surface area, and the lower surface can be provided with no adhesive layer, thereby effectively overcoming the direct application of a transparent film dressing containing a sensitizable adhesive.
  • an opening is arranged on the fixed layer, and a sealing member which can be repeatedly opened and closed is provided at the opening.
  • the structure can facilitate the medical staff to care for the wound or the catheter infusion wound, without the need to replace the protective device as a whole.
  • Different treatment methods for wound or catheter infusion wounds for debridement, drainage, topical drugs, physics, nutrition, growth factors, negative pressure, etc. while creating specific environments that promote healing, such as aerobic and anaerobic, for wounds of different characteristics.
  • the dry, wet, sterile and sterilizing environment promotes the rapid healing of the wound, so the protective device is used for a long time and saves the cost of medical care.
  • the sealing member is made of a transparent material, so that the wound and the catheter infusion wound are transparent and visible, so that the medical staff or the patient can observe the wound at any time without opening the sealing member. Changes in the wound infusion.
  • the three-dimensional hollow protective pad comprises a plurality of sub-pads, each of which is made of different functional materials, so as to bring different functions to the wound protection, and enhance the protective effect, such as the protective pad with iodophor can provide the wound and the surrounding A bactericidal environment, with a hydrocolloid protective pad that provides a moist environment for wound healing and promotes healing.
  • FIG. 1 is a perspective view of a first embodiment of a wound and catheter infusion wound protection device of the present invention
  • FIG. 2 is a perspective view of the exploded structure of the wound and catheter infusion wound protection device of the present invention
  • Figure 4 is a schematic view of the structure of the fixed layer of Figure 3
  • Figure 5 is a schematic view of the structure of the sealing member of Figure 3
  • Figure 7 is a schematic view of the structure of the sealing member
  • Figure 3a is a perspective view of a third embodiment of the wound and catheter infusion wound protection device of the present invention
  • Figure 9b is a perspective view of another structure of the wound and catheter infusion wound protection device of the present invention
  • 10 is a perspective view of the fourth embodiment of the wound and catheter infusion wound protection device of the present invention
  • FIG. 1 is a perspective view of a first embodiment of a wound and catheter infusion wound protection device of the present invention
  • FIG. 2 is a perspective view of the exploded structure of the wound and catheter infusion wound protection device of the present
  • FIG. 11 is a perspective view of the exploded structure of the wound and catheter infusion wound protection device of the present invention
  • Figure 13 is a perspective view of the sixth embodiment of the wound and catheter infusion wound protection device of the present invention
  • Figure 14 is a perspective view of the seventh embodiment of the wound and catheter infusion wound protection device of the present invention
  • Figure 16 is a structural exploded view of the ninth embodiment of the wound and catheter infusion wound protection device of the present invention
  • Figure 17 is a structural exploded view of the tenth embodiment of the wound and catheter infusion wound protection device of the present invention
  • Figure 18 is a view showing the wound and catheter of the present invention.
  • Figure 19 is a structural exploded view of the twelfth embodiment of the wound and catheter infusion wound protection device of the present invention.
  • Figure 20 is a structural exploded view of the thirteenth embodiment of the wound and catheter infusion wound protection device of the present invention.
  • 1 one-dimensional hollow protective pad 11 one channel; 12, 13-partition pad; 2 - fixed layer;
  • the basic idea of the present invention is to provide a wound and catheter infusion wound protection device, which provides a wound for injecting a wound into a wound or a medical infusion catheter, avoiding direct contact of the dressing, pressing the wound, and preventing the adhesive from directly bonding the wound and the skin around the wound.
  • the protective structure and can limit wound damage caused by wound rupture and skin wrinkles on the wound surface.
  • the wound and catheter infusion wound protection device of the embodiment includes a three-dimensional hollow protective pad 1 and a fixed layer 2, and the fixed layer 2 is disposed above the three-dimensional hollow protective pad 1 and with the three-dimensional hollow protective pad 1
  • the three-dimensional hollow protective pad 1 is provided with a through hole in the longitudinal direction, so that a cavity 3 which is electrically connected to the upper and lower end faces of the three-dimensional hollow protective pad is formed on the three-dimensional hollow protective pad, and the area of the lower port of the cavity 3 is The area of the wound is adapted so that the wound and its surrounding skin can be enclosed within the boundary of the cavity, so that the three-dimensional hollow protective pad limits the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface, avoiding the three-dimensional hollow protective pad
  • the solid part directly contacts the wound surface, so that the wound is located in the cavity without any material contact, and the skin surface around the wound is covered by the lower surface of the three-dimensional hollow protective pad 1 without adhesive,
  • the shape of the three-dimensional hollow protective pad 1 is a truncated cone shape, that is, the diameter thereof is gradually increased from top to bottom, and the structure enables the fixing layer to fully contact the side wall of the three-dimensional hollow protective pad, and the three-dimensional hollow is well
  • the protective pad is covered and adhered well to the skin surface, thereby firmly and effectively fixing the solid hollow protective pad to the wound.
  • An adhesive layer 21 is provided at the lower edge of the fixing layer 2 for fixing the fixing layer and the three-dimensional hollow protective pad to the human skin.
  • the fixed layer is made of transparent, waterproof and breathable film, which is convenient for observing the wound at any time and convenient for life.
  • the fixed layer can also be made by using a non-woven fabric as a substrate.
  • the adhesive layer of the lower surface of the fixing layer and the upper surface of the solid hollow protective pad may be integrally bonded, and the solid hollow protective pad is fixed at the middle of the lower surface of the fixed layer, and the adhesive layer is fixed on the lower surface of the fixed layer. Sticking with release paper or release paper is easy to use.
  • the wound and catheter infusion wound protection device in this embodiment is provided with a fixed layer and a standing Hollow protective pad, the three-dimensional hollow protective pad is provided with a cavity for infusing a wound or a catheter to infuse a wound, so that the three-dimensional hollow protective pad limits the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface, and at the same time causes the wound or the catheter to lose.
  • the mouthpiece can be protected from direct contact with any foreign matter, avoiding inflammation of the wound or catheter infusion port caused by foreign body contact, allowing the wound to heal faster.
  • the shape of the three-dimensional hollow protective pad 1 is a truncated cone shape, that is, from top to bottom, the diameter thereof is gradually increased, and the structure enables the fixing layer to fully contact the side wall of the three-dimensional hollow protective pad, The three-dimensional hollow protective pad is covered and adhered to the skin surface, thereby firmly and effectively fixing the three-dimensional hollow protective pad to the wound.
  • the shape of the three-dimensional hollow protective pad 1 in this embodiment is a truncated cone shape, which is only one of the preferred embodiments of the present invention. Of course, in other embodiments, other shapes such as a cylindrical shape and the like may be employed.
  • the shape of the cavity is a cylindrical shape. In actual implementation, it may not be limited to this shape, and any regular and irregular shape may be adapted to the shape of the wound of different shapes.
  • the cavity is a through hole that is vertically connected.
  • the cavity may be a half through hole, that is, a port close to human skin is conductive.
  • the protective device with no opening on the fixed layer of the embodiment is suitable for use in a small wound or short-term indwelling CVC central venous catheter, a PACC peripheral central venous catheter infusion wound, and a position on the fixed layer corresponding to the port on the cavity.
  • Embodiment 2 Referring to FIG. 3, FIG. 4, FIG. 5, FIG. 6, FIG. 7, and FIG. 8, the difference between this embodiment and the first embodiment is that a fixed layer on the fixed layer of the embodiment is provided at a position corresponding to the port on the cavity.
  • the opening 22 is further covered with an opening member 4 on the opening 22, and the sealing member 4 and the fixing layer 2 are fixed by an adhesive layer 42 disposed at the lower edge of the sealing member, under the action of an external force, the sealing member portion or All are separated from the fixed layer 2, so that the upper port of the cavity 3 is exposed and exposed to the outside.
  • a protruding wing 41 is further disposed at the edge of the sealing member 4, and the protruding wing is disposed so that the human hand or other instruments can easily apply force to the sealing member.
  • the human hand can act on the protruding wing, and the opening member is Pull up and let go.
  • the sealing member is made of a transparent material, so that the medical staff or the patient can conveniently view the healing changes of the wound and the catheter infusion port without uncovering the sealing member.
  • the upper surface of the three-dimensional hollow protective pad is bonded to the adhesive layer 21 of the lower surface of the hollow fixed layer 2.
  • the sealing member 4 provided in this embodiment is fixed to the fixing layer in an adhesive manner.
  • other detachable connection manners such as a gripping manner or a hook and a suede, may be used.
  • the connection method can be any connection method capable of repeatedly opening and closing the sealing member and the fixing layer.
  • the shape of the opening member in this embodiment is substantially square, as shown in FIG. 7 and FIG. 8. In other embodiments, it may be circular or elliptical or other shapes, and details are not described herein again.
  • the wound and catheter infusion port protection device in this embodiment is provided with a fixed layer and a three-dimensional hollow protective pad, and the three-dimensional hollow protective pad is provided with a cavity for accommodating a wound or a catheter infusion port, thereby enabling the wound or catheter infusion port to be Protected from direct contact with any foreign matter and allows the three-dimensional hollow protective pad to limit wound damage caused by wound rupture and skin wrinkles on the wound surface, and at the same time, the cavity can be connected to the outside world by providing a transparent sealing member.
  • the wound can be debrided, partially disinfected, drained, smeared with therapeutic drugs and some functional dressings temporarily placed on the wound surface, or liquid disinfectant
  • the hollow three-dimensional hollow protective pad absorbing layer is injected to provide an antibacterial and anti-virus closed space environment for the closed wound. Therefore, the protective device for setting the sealing member can be used for a long time, which greatly saves the medical cost.
  • This type of protection device for the closure is especially suitable for infusion of cvc central venous catheters requiring long-term care protection or long-term indwelling, and PACC peripheral central venous catheter infusion wounds.
  • a channel 11 is defined in the sidewall of the three-dimensional hollow protective pad 1 in the embodiment, and the channel 11 has the inside of the cavity 3 and the outside.
  • a medical catheter such as a central venous catheter, a peripheral central venous catheter, a venous indwelling needle catheter, a drainage tube or a drainage strip can be passed through during treatment.
  • the fixing layer 2 provided with a hollow opening can be disposed under the three-dimensional hollow protective pad, and covers the adhesive catheter and the skin to fix the catheter to the skin, and is provided with a hollow opening.
  • the opening of the fixation layer 2 is infused with the catheter to infuse the wound, and then the cavity of the solid hollow protective pad 1 is aligned with the wound, and the lower surface thereof is bonded to the fixation layer 2 to be fixed to the wound.
  • the hollow fixing layer 2 can be disposed above the three-dimensional hollow protective pad 1 to cover and adhere the solid hollow protective pad and the catheter together to the skin.
  • Its closure member 4 is placed at the top for closing and opening the opening for the doctor to handle the wound at any time.
  • the support body 5 is further provided in this embodiment.
  • the support body 5 is a strip-shaped body disposed above the three-dimensional hollow protective pad 1 and extending to the side wall of the three-dimensional hollow protective pad and fixed thereto.
  • the support body 5 is composed of a material having a certain hardness which is not easily deformed, such as silicone or PVC material or other plastics.
  • the purpose of the support body 5 is to strengthen the fixed three-dimensional hollow protective pad to prevent the sealing member from collapsing and contacting the wound or Catheter infusion port. Especially for larger wounds, it is especially necessary to provide a support.
  • the fixing layer has no opening and the opening member is not provided, and the supporting body may be disposed to prevent the fixing layer from collapsing to contact the wound or the catheter infusion port.
  • the support body only one structural form of the support body is given. In other embodiments, it is not limited to such a strip-shaped body, and may be a larger-sized sheet-like body, a block-shaped body or a more complicated structure.
  • the frame may be a larger-sized sheet-like body, a block-shaped body or a more complicated structure.
  • the difference between the embodiment and the fourth embodiment is that the opening layer and the sealing member are not disposed on the fixing layer 2 in the embodiment, and the rest are the same as those in the fourth embodiment, and details are not described herein again.
  • the difference between the embodiment and the foregoing embodiment is that the three-dimensional hollow protection pad comprises two sub-pads 12, 13, and the fixing layer is disposed between the two sub-pads.
  • the sub-pad 12 located above is in the shape of a truncated cone, and the sub-pad 13 located below is in the shape of a cylinder.
  • the closure member is disposed above the sub-pad 12 to cover the upper port of the cavity 3 in the sub-pad 12.
  • two sub-pads can be added to increase the application height.
  • the sub-pads can be made of materials of different materials and capable of different functions as needed.
  • This embodiment is suitable for catheter infusion wounds requiring a longer period of care, a larger wound surface, in which case two or more three-dimensional hollow solid hollow cushion assemblies are required to increase the height.
  • the fixed layer is located on the upper surface of the sub-pad close to the wound surface, so that the fixing layer is located at a lower position, so as to facilitate the best adhesion to the skin.
  • This embodiment is only a preferred embodiment of the present invention. In other embodiments of the present invention, more spacers having different shapes and materials may be disposed.
  • a rigid fixing layer 6 (a material composed of a non-woven fabric, a foam or a hydrocolloid) is disposed above the three-dimensional hollow protective pad, and a flexible opening with an opening 22 is disposed under the three-dimensional hollow protective pad.
  • the fixed layer 2 (made of an ultra-thin transparent film) is provided corresponding to the opening 22, and the rigid fixing layer 6 covers the solid hollow protective pad 1 and is bonded to the upper surface of the flexible fixing layer 2. .
  • the double-layer fixing layer provided with different materials does not completely overlap the adhesive fixing protection, so that the three-dimensional hollow protective pad 1 can be more firmly fixed on the wound, and can limit the cracking of the wound and the wrinkle of the skin on the wound surface. Better protect the wound.
  • this embodiment differs from the seventh embodiment in that an opening 61 is further disposed on the rigid fixing layer 6, and the opening 61 is covered with a starting member 4.
  • the difference between the embodiment and the eighth embodiment is that the rigid fixing layer 6 (composite of a non-woven fabric, a foam or a hydrocolloid) is disposed under the three-dimensional hollow protective pad 1, and the flexible fixing layer 2 is provided. (The ultra-thin transparent film is formed) is disposed above the three-dimensional hollow protective pad, and the rigid fixing layer 6 is further provided with an opening 61 and a notch 62, so that the opening 61 thereof passes through the notch 62 to the central venous catheter, the PACC peripheral central venous catheter, and the vein.
  • the rigid fixing layer 6 composite of a non-woven fabric, a foam or a hydrocolloid
  • this embodiment differs from the embodiment 9 in that another notch 23 is provided at the edge of the fixed layer 2 so that the catheter can be more smoothly attached when the catheter is fixed.
  • a support body 5 is provided on the solid hollow protective pad 1 for supporting the fixed layer 2 and the three-dimensional hollow protective pad 1 so as not to collapse and come into contact with the wound.
  • this embodiment differs from the eleventh embodiment in that the fixed layer 2 is provided with an opening 22, and the opening 22 is covered with an opening member 4.
  • the cavity in the three-dimensional hollow pad is connected to the upper and lower ends thereof.
  • the cavity of the three-dimensional hollow pad can also be set to be electrically connected only to the lower port thereof, without The upper port is turned on.

Abstract

A cut and a catheter infusion wound protecting device, comprising a three-dimensional hollow protecting pad (1) and a fixing layer (2) for fixing the three-dimensional hollow protecting pad (1). The three-dimensional hollow protecting pad (1) is longitudinally provided with a cavity (3). At least a lower port of the cavity (3) communicates with one end of the three-dimensional hollow protecting pad (1). The lower port of the cavity (3) surrounds the cut or the catheter infusion port in the cavity (3), so that the three-dimensional hollow protecting pad (1) limits splitting of the wound and wrinkles incurred by movement of the skin on the surface of the wound. The fixing layer (2) is provided with a bonding layer (21) capable of being fixed on the skin and the three-dimensional hollow protecting pad (1) by bonding. The three-dimensional hollow protecting pad (1) having the cavity (3) is provided, so as to avoid the foreign object rejection inflammatory reaction and wound tissue blood circulation disorders incurred by direct contact and compression of the physical part of the protecting pad (1) to the wound, and effectively prevent relative movement and friction between the dressing and the wound surface and re-injury incurred by adhesion between the dressing and wound secretions to the wound.

Description

创口、 导管输注伤口保护装置 本申请要求于 2011 年 12 月 7 日提交中国专利局、 申请号为 201120506203.X, 发明名称为"创口、 导管输注伤口保护装置"的中国专利 申请的优先权, 其全部内容通过引用结合在本申请中。 技术领域  Wound and catheter infusion wound protection device The present application claims priority to Chinese patent application filed on December 7, 2011, Chinese Patent Office, application number 201120506203.X, entitled "Chongkou, catheter infusion wound protection device" The entire contents of which are incorporated herein by reference. Technical field
本发明涉及一种医用辅助设备技术领域, 特别是涉及一种创口、 导管 输注伤口保护装置。  The invention relates to the technical field of medical auxiliary equipment, in particular to a wound and catheter infusion wound protection device.
背景技术 Background technique
随着当今世界医疗科技的迅猛发展, 临床上使用敷料对伤口、 医疗穿 刺导管输注伤口的护理技术也有了很大长足的发展, 从传统的纱棉敷料、 胶布固定发展到现在的透明薄膜敷料、 泡沫材料、 水胶体敷料及功能性敷 料等, 这些敷料有的吸收性强, 有的透明可视、 贴服顺应性良好、 防水及 抗菌等。 但这些技术中大多数需要敷料中的护垫或村垫机械性地贴服创面 并通过固定层粘合剂层粘合护垫、 村垫及皮肤而被固定, 这些护垫或村垫 可由不同功能的敷料材料制造, 如收水性强的护垫、 不粘的护垫、 抗菌护 垫等。 在导管输注伤口的护理保护中, 一些处理方法是使用不带护垫的透 明敷帖, 通过其上设置的粘合剂层直接粘合到医疗穿刺导管输注伤口和导 管上面, 并粘结到皮肤上而将导管固定, 这种护理方法虽然透明可视、 便 于观察、 使得相关人员能够及时处理, 但粘合剂易导致伤口及皮肤过敏、 接触性皮炎如潮红、 肿痛、 瘙痒、 湿疹样水疱等炎症反应, 严重时可发生 血液感染并发症。 另一些处理手段是: 使用带有护垫或村垫的透明或不透 明敷贴, 虽然避免了粘胶剂直接接触伤口及伤口周围皮肤, 但这些敷料将 使含有坏死组织的伤口分泌物和护垫或村垫粘连,当更换或去除敷料时会 造成创面再次损伤,延緩愈合, 同时又因为不透明而不便于及时观察处理。 目前, 随着技术的发展, 也有一些防组织粘连的敷料或"非接触 "的伤口护 理装置, 如"罩"、 "框架 "等伤口护理技术出现, 但这些防组织粘连材料不 能完全防止粘连以及组织对异物产生的排斥炎症反应, 而这些 "罩"或"框 架"伤口护理装置通过底部直接粘合固定到皮肤上,缺乏有效的固定,很难 稳定, 容易移动塌陷以至造成伤口再破坏, 延緩其愈合, 也不能应用到中 心静脉导管、 经外周静脉中心静脉导管、 静脉留置针导管的固定及导管输 注伤口的护理, 并且在制造和应用上也较为复杂, 所以临床上很难推广应 用。 With the rapid development of medical technology in the world today, the clinical use of dressings for the wound and medical puncture catheter infusion wound care technology has also greatly developed, from the traditional yarn cotton dressing, tape fixed development to the current transparent film dressing , foam materials, hydrocolloid dressings and functional dressings, etc., these dressings have strong absorption, some transparent, good compliance, waterproof and antibacterial. However, most of these techniques require the pads or mats in the dressing to mechanically coat the wound and are secured by a fixed layer of adhesive layer to bond the pads, the mat and the skin. These pads or mats can be different. Functional dressing materials are manufactured, such as water-retaining pads, non-stick pads, antibacterial pads, and the like. In the care protection of catheter infusion wounds, some treatments are to use a transparent application without a pad, directly bonded to the medical puncture catheter through the adhesive layer provided on the wound and the catheter, and bonded The catheter is fixed to the skin. Although the treatment method is transparent, easy to observe, and enables the relevant personnel to handle it in time, the adhesive is easy to cause wounds and skin allergies, contact dermatitis such as flushing, swelling, itching, eczema. An inflammatory reaction such as vesicles can cause complications of blood infection in severe cases. Other treatments are: use a transparent or opaque applicator with a pad or mat, although these are avoided by direct contact between the adhesive and the skin surrounding the wound, but these dressings will The wound secretion containing the necrotic tissue is adhered to the pad or the village mat. When the dressing is replaced or removed, the wound is damaged again, the healing is delayed, and it is not convenient to observe the treatment in time because of opacity. At present, with the development of technology, there are also some anti-tissue dressings or "non-contact" wound care devices, such as "cover", "frame" and other wound care technologies, but these anti-tissue adhesion materials can not completely prevent adhesion and The tissue repels the inflammatory response to foreign bodies, and these "hood" or "frame" wound care devices are directly bonded to the skin through the bottom, lacking effective fixation, difficult to stabilize, easy to move and collapse, and cause wound re-destruction, delay It can not be applied to the central venous catheter, the peripheral venous catheter, the fixation of the intravenous indwelling needle catheter, and the care of the catheter infusion wound, and it is also complicated in manufacturing and application, so it is difficult to promote it in clinical practice.
在临床实践中, 重症监护和长期化疗的病人以及需要长时间静脉营养 支持的病人都需要中心静脉导管、 经外周静脉中心静脉导管、 静脉留置针 导管输液来进行治疗, 都必须使用敷料来覆盖导管输注伤口并固定这些导 管, 因此输注伤口的护理和输注导管的固定是否有效、 合理以避免伤口感 染而导致的病人静脉发炎、 血液感染等严重并发症, 将是影响整体治疗效 果及病人愈合情况的重要因素, 为了避免这些并发症的发生, 早期临床上 采取输注前彻底消毒, 然后用普通胶布及敷料覆盖固定, 这种传统的方法 无法随时观察输注口是否有感染的变化, 同时普通胶布贴服性差, 4艮难有 效固定这些凸在皮肤表面的导管, 因此目前较普遍使用透明薄膜敷料覆盖 粘贴来进行护理和固定, 其优点是透明可视、 贴服性良好, 但由于为了可 视而去掉了护垫, 使整块敷料变成一块完全透明的薄膜, 使致敏的粘合剂 层紧贴导管输注口和凸起的导管表面再粘合至皮肤表面, 临床证明, 采用 透明薄膜这种敷贴方法会造成皮肤表面和透明薄膜之间汗液积聚, 促使细 菌繁殖, 这些因素都易引起输注伤口炎症反应, 并有带来血液感染等严重 并发症的风险, 因此需要经常频繁地更换敷料甚至输注部位, 增加了病人 痛苦和医疗成本。 In clinical practice, patients with intensive care and long-term chemotherapy, as well as patients requiring long-term intravenous nutritional support, require central venous catheters, peripheral venous catheters, and intravenous indwelling needle catheters for treatment. All must be covered with a dressing. Infusion of the wound and fixation of these catheters, so the care of the infusion wound and the fixation of the infusion catheter are effective and reasonable to avoid serious complications such as venous inflammation and blood infection caused by wound infection, which will affect the overall treatment effect and the patient. An important factor in the healing situation, in order to avoid the occurrence of these complications, early clinically thoroughly disinfected before infusion, and then covered with ordinary tape and dressing, this traditional method can not always observe whether the infusion has infection changes, At the same time, the ordinary adhesive tape is poorly applied, and it is difficult to effectively fix the catheters protruding on the skin surface. Therefore, it is more common to use a transparent film dressing to cover and paste for care and fixation, and the advantages are transparent visibility and good adhesion, but due to Remove the pad for visibility, Monolithic dressings became a completely transparent film, the adhesive layer of the sensitized against the infusion port and the convex surface of the conduit and then adhered to the surface of the skin, clinically proven, using The application method of transparent film causes the accumulation of sweat between the skin surface and the transparent film to promote the growth of bacteria. These factors are easy to cause inflammation of the wound infusion, and there is a risk of serious complications such as blood infection, so it is often necessary Frequent changes to dressings and even infusion sites increase patient suffering and medical costs.
此外, 目前临床上需要给伤口或穿刺导管留置伤口进行再消毒和清创 处理时, 都必须整体更换敷料, 这会增加病人医疗负担。  In addition, when it is clinically necessary to re-disinfect and debride a wound or a catheter for re-sterilization and debridement, the dressing must be replaced as a whole, which increases the medical burden on the patient.
以上这些对伤口现有的保护护理技术和方法除了所述的缺陷以外,也 都不能防止伤口在遇到外力或张力作用下引起的伤口撕裂和裂开, 目前临 床上应对伤口撕裂和裂开尚没有一种有效的方法和技术,尤其是位于腹部、 关节活动部位的手术伤口和外伤伤口, 由于咳嗽、 术后腹胀、 用力大小便、 关节移动等引起撕裂和裂开, 严重影响伤口愈合并引发感染等并发症。  In addition to the above-mentioned defects, the existing protective nursing techniques and methods for wounds cannot prevent wound tearing and cracking caused by external force or tension. Currently, the wounds and tears should be clinically dealt with. There is no effective method and technique, especially for surgical wounds and traumatic wounds located in the abdomen and joints. It is caused by coughing, postoperative abdominal distension, forced bowel movements, joint movement, etc., causing tears and cracks. Heal and cause complications such as infection.
因此, 有必要对创口、 导管输注伤口护理及保护治疗技术进行改进, 以满足以下需求;  Therefore, it is necessary to improve wounds, catheter infusion wound care and protective treatment techniques to meet the following needs;
一、 改进后的伤口保护装置能够有效防止伤口 (包括手术缝合伤口、 外伤伤口、 导管输注伤口以及一些高张力伤口) 的撕裂和裂开, 避免伤口 皮肤移动皱褶对伤口的损害以及伤口和敷料之间的相对移动摩擦所造成的 伤口损害。  1. The improved wound protection device can effectively prevent tearing and cracking of wounds (including surgical suture wounds, traumatic wounds, catheter infusion wounds and some high-tension wounds), avoiding wound skin movement wrinkles and wound damage and wounds Wound damage caused by relative movement friction with the dressing.
二、 改进后的伤口保护装置透明可视, 又避免粘合剂直接粘合伤口、 伤口周围皮肤及邻近伤口的导管表面。  Second, the improved wound protection device is transparent and prevents the adhesive from directly bonding the wound, the skin around the wound and the surface of the catheter adjacent to the wound.
三、 改进后的伤口保护装置透明可视, 又不直接接触和压迫伤口。 四、改进后的伤口保护装置不需要整个更换就能随时方便地对伤口进 行消毒、 清创、 引流, 以及使用抗感染、 促伤口生长愈合的药物。 五、 改进后的伤口保护装置既方便保持伤口湿润, 也方便保持伤口干 燥。 Third, the improved wound protection device is transparent and visible, and does not directly contact and compress the wound. Fourth, the improved wound protection device can easily disinfect, debride, drain, and use anti-infective and wound-healing-resistant drugs at any time without the need for the entire replacement. 5. The improved wound protection device is convenient to keep the wound moist and to keep the wound dry.
六、 改进后的伤口保护装置无需频繁更换, 降低医疗成本。  Sixth, the improved wound protection device does not need to be replaced frequently, reducing medical costs.
七、 改进后的伤口保护装置能防水、 透气, 方便病人日常生活。 发明内容  7. The improved wound protection device can be waterproof and breathable, and is convenient for patients' daily life. Summary of the invention
本发明的目的在于, 提供一种创口、 导管输注伤口保护装置, 避免异 物直接接触创口、 导管输注伤口, 进而改善对创口、 导管输注伤口的保护 效果。  SUMMARY OF THE INVENTION It is an object of the present invention to provide a wound and catheter infusion wound protection device which prevents foreign matter from directly contacting the wound and injecting a wound into the catheter, thereby improving the protective effect on wounds and catheter infusion wounds.
为了解决上述问题, 本发明采用如下技术方案:  In order to solve the above problems, the present invention adopts the following technical solutions:
一种创口、导管输注伤口保护装置, 包括立体空心保护垫以及固定立 体空心保护垫的固定层, 所述立体空心保护垫沿纵向设有一空腔, 所述空 腔至少下端口与立体空心保护垫一端导通, 所述空腔的下端口将创口或导 管输注伤口围设在空腔内使立体空心保护垫限制伤口裂开和伤口表面皮肤 移动皱褶, 所述固定层上设有用于与皮肤及立体空心保护垫粘结固定的粘 结层。 本技术方案中, 在立体空心保护垫中设置的空腔能够使伤口处在一 个独立的空间中以避免受到异物接触、 摩擦和压迫所产生的异物排斥炎性 反应和机械损伤, 避免了敷料和创面的粘合而导致的创面再损伤, 也能使 立体空心保护垫限制伤口裂开和伤口表面皮肤移动皱褶所导致的伤口损 害。  A wound and catheter infusion wound protection device comprises a three-dimensional hollow protective pad and a fixing layer for fixing a three-dimensional hollow protective pad, wherein the three-dimensional hollow protective pad is provided with a cavity in a longitudinal direction, the cavity at least a lower port and a three-dimensional hollow protection The bottom end of the cavity is electrically connected, and the lower port of the cavity surrounds the wound or catheter infusion wound in the cavity, so that the three-dimensional hollow protective pad limits the cracking of the wound and the skin wrinkles of the wound surface, and the fixed layer is provided with Adhesive layer bonded to the skin and the three-dimensional hollow protective pad. In the technical solution, the cavity provided in the three-dimensional hollow protective pad enables the wound to be in a separate space to avoid foreign matter repelling inflammatory reaction and mechanical damage caused by foreign matter contact, friction and compression, and avoids dressing and The re-injury of the wound caused by the bonding of the wound surface also enables the three-dimensional hollow protective pad to limit the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface.
优选地, 固定层采用或部分采用透明、 防水和透气的薄膜材料制造, 便于随时观察伤口, 也可使用无纺布、 泡棉、 水胶体为基材来制造。 优选地,所述粘结层设置在固定层一面上与空腔对应的位置以外的区 域。 这种设置可防止在意外情况下粘结层粘到伤口。 Preferably, the fixing layer is made of or partially made of a transparent, waterproof and breathable film material, which is convenient for observing the wound at any time, and can also be manufactured by using a non-woven fabric, a foam, or a hydrocolloid as a substrate. Preferably, the bonding layer is disposed on a side of the fixed layer that is outside the position corresponding to the cavity. This arrangement prevents the adhesive layer from sticking to the wound in case of accident.
优选地, 所述固定层上与所述空腔对应的区域设有一开口。 这一开口 以便与伤口面导通可视, 提供医生对创面进行处理的通道, 由于设置有可 开闭的开口或 /和通道,所以通过可开闭的开口或通道对各种需要不同治疗 方法的伤口或导管输注伤口进行清创、 引流、 局部药物、 物理、 营养、 生 长因子、 负压等治疗, 同时给不同特性的伤口创造促进愈合的特定环境, 如有氧、 无氧、 干性、 湿性、 无菌和杀菌环境, 促进伤口快速愈合。  Preferably, an area of the fixing layer corresponding to the cavity is provided with an opening. This opening is visually accessible to the wound surface, providing a passage for the doctor to treat the wound surface. Due to the opening or/and the passageway that can be opened and closed, different treatments are required for various openings or passages. Wounds or catheter infusion wounds for debridement, drainage, topical medications, physiology, nutrition, growth factors, negative pressure, etc., while creating specific environments that promote healing, such as aerobic, anaerobic, and dry, for wounds of different characteristics. , wet, sterile and bactericidal environment to promote rapid healing of wounds.
优选地,所述固定层设置在所述立体空心保护垫上方,所述开口处设 有一封启件,将所述开口封闭或打开。设置的此封启件可反复打开和关闭, 可以使用透明透气的敷料材料制成, 当封闭顶层开口后, 有利于随时能够 观察创口的愈合情况。 封启件上对应开口的区域不含有粘合剂, 以防止可 能出现的粘合剂粘到创面、 导管表面或空间内其它表面而避免损伤创面或 牵拉导管移动。  Preferably, the fixing layer is disposed above the solid hollow protective pad, and an opening is provided at the opening to close or open the opening. The seal can be opened and closed repeatedly. It can be made of transparent and breathable dressing material. When the top opening is closed, it can be used to observe the healing of the wound at any time. The area of the closure member that corresponds to the opening does not contain an adhesive to prevent possible adhesive sticking to the wound surface, the surface of the catheter, or other surfaces in the space to avoid damage to the wound or pulling of the catheter.
优选地,所述封启件与固定层可拆卸地固定。这种设置方式便于封启 件在固定层开口处关闭和打开。  Preferably, the sealing member is detachably fixed to the fixing layer. This arrangement facilitates the closure and opening of the closure at the opening of the fixed layer.
优选地,所述固定层设置在所述立体空心保护垫的下方,所述开口的 边缘包围伤口或导管输注伤口。 这种设置可使带空腔的立体空心保护垫粘 结在固定层上表面, 其固定层可采用透明柔性薄膜(PU或 ΡΕ膜), 然后 在带空腔的立体空心保护垫上表面再设置另一带开口或不带开口的固定层 粘结覆盖立体空心保护垫并粘结到立体空心保护垫下方的固定层表面上, 使伤口上立体空心保护垫的固定更牢固。 优选地,所述空腔的上端口与外界导通,所述空腔的上端口设有一封 启件, 将所述空腔的上端口封闭或打开。 Preferably, the fixation layer is disposed below the solid hollow protective pad, the edge of the opening surrounding the wound or catheter infusion wound. The arrangement enables the three-dimensional hollow protective pad with a cavity to be adhered to the upper surface of the fixed layer, and the fixed layer can be a transparent flexible film (PU or ruthenium film), and then the upper surface of the solid hollow protective pad with the cavity is further disposed. A fixed layer with or without an opening is bonded to cover the solid hollow protective pad and bonded to the surface of the fixed layer below the solid hollow protective pad, so that the fixation of the solid hollow protective pad on the wound is stronger. Preferably, the upper port of the cavity is electrically connected to the outside, and the upper port of the cavity is provided with an opening to close or open the upper port of the cavity.
优选地, 所述封启件与立体空心保护垫的上部可拆卸地固定。 便于反 复打开和关闭开口。 便于反复打开和关闭开口。  Preferably, the sealing member is detachably fixed to an upper portion of the three-dimensional hollow protective pad. It is convenient to open and close the opening repeatedly. It is convenient to open and close the opening repeatedly.
优选地,所述封启件的边缘还设有一突出翼。设置的突出翼使得拉动 封启件时施力更为方便, 使用时能够更加省力、 省时。  Preferably, the edge of the sealing member is further provided with a protruding wing. The protruding wings are provided to make the force application more convenient when the sealing member is pulled, and the utility model can be more labor-saving and time-saving.
优选地,所述立体空心保护垫的纵向截面为梯形。本技术方案中的这 种立体空心保护垫结构, 使固定层能更好粘合立体空心保护垫边缘和皮肤 交界处, 以达到最佳的贴服和固定效果。  Preferably, the three-dimensional hollow protective pad has a trapezoidal longitudinal section. The three-dimensional hollow protective pad structure in the technical solution enables the fixing layer to better bond the edge of the solid hollow protective pad and the skin interface for optimal fitting and fixing effect.
优选地,所述立体空心保护垫还设有将空腔与外界贯通的、供物件进 出空腔的通道。 设置的通道允许中心静脉导管、 引流管等医用导管通过。  Preferably, the three-dimensional hollow protective pad is further provided with a passage for the object to enter and exit the cavity through the cavity and the outside. The set channel allows passage of a medical catheter such as a central venous catheter or a drainage tube.
优选地,所述立体空心保护垫由至少两个分垫叠置形成, 固定层至少 为一个, 设置在每两个分垫之间。 这种组合式的立体空心保护垫可以设置 高吸收性的分垫、 具有抗菌功能的分垫和带湿性功能的分垫、 含有碘伏的 分垫, 可以根据需要设置不同功能的分垫, 此外这种组合式的立体空心保 护垫又能增加立体空心保护垫整体高度, 适合于较大面积的创口表面。  Preferably, the three-dimensional hollow protective pad is formed by stacking at least two sub-pads, and at least one of the fixing layers is disposed between each of the two sub-pads. The combined three-dimensional hollow protection pad can be provided with a highly absorbent sub-pad, a sub-pad with antibacterial function and a pad with a moist function, a sub-pad with iodophor, and a pad with different functions can be provided as needed. The combined three-dimensional hollow protective pad can increase the overall height of the three-dimensional hollow protective pad, and is suitable for a larger area of the wound surface.
优选地, 所述固定层的边缘处设有 U形缺口。 设置的 U形缺口使固 定层通过粘结层能更有效地固定中心静脉导管、 引流管等医用管道。  Preferably, a U-shaped notch is provided at an edge of the fixing layer. The U-shaped notch allows the fixed layer to more effectively secure the central venous catheter, drainage tube, and the like through the adhesive layer.
优选地,还包括支撑体,所述支撑体至少与所述立体空心保护垫的上 部固定。 设置的支撑体用以保持和支撑立体空心保护垫、 固定层和封启件 不会变形、 塌陷。  Preferably, a support body is further included, the support body being at least fixed to an upper portion of the solid hollow protective pad. The support body is arranged to hold and support the three-dimensional hollow protection pad, the fixing layer and the sealing member without deformation and collapse.
优选地, 所述支撑体为支撑条或支撑片或支撑块或支撑框架。 与现有技术比较, 本发明由于设置具有空腔的立体空心保护垫、 固定 层, 将创口、 导管注入伤口保护在一个无异物接触伤口的空间中并限制伤 口裂开和伤口表面皮肤移动皱褶而导致的伤口损害, 且与伤口周围皮肤相 接触的立体空心保护垫表面面积宽大, 且下表面可不设置粘合剂层, 因而 能有效克服使用含有可致敏粘合剂的透明薄膜敷料直接粘合敷盖中心静脉 导管输注伤口所导致的局部皮肤过敏、 汗液在薄膜下输注伤口处积聚, 从 而避免炎症反应和降低放置血管导管后并发导管相关血液感染 ( CRBSI ) 并发症的发生; 避免现有技术中那种罩、 框架因接触面小直接压迫创口周 围皮肤而影响局部血液循环; 还能避免直接接触和压迫伤口引起的异物排 斥反应和伤口周围血液循环的障碍; 能有效防止敷料和伤口分泌物粘连带 来的伤口再损伤。 Preferably, the support body is a support strip or a support piece or a support block or a support frame. Compared with the prior art, the present invention provides a three-dimensional hollow protective pad with a cavity, a fixed layer, and injects the wound and the catheter into the wound to protect the space in which the foreign body contacts the wound and restricts the cracking of the wound and the skin wrinkles on the wound surface. The resulting wound damage, and the three-dimensional hollow protective pad in contact with the skin around the wound, has a large surface area, and the lower surface can be provided with no adhesive layer, thereby effectively overcoming the direct application of a transparent film dressing containing a sensitizable adhesive. Local skin allergies caused by infusion of a central venous catheter infusion, and accumulation of sweat at the infusion wound under the membrane, thereby avoiding inflammatory reactions and reducing complications of concurrent catheter-related blood infection (CRBSI) after placement of the vascular catheter; In the prior art, the cover and the frame directly affect the skin around the wound due to the small contact surface, thereby affecting local blood circulation; and avoiding the foreign body rejection caused by direct contact and compression of the wound and the blood circulation around the wound; effectively preventing the dressing and Wounds caused by adhesions from wound secretions are re-injured.
进一步地, 固定层上设置开口, 开口处设有可反复开、 闭的封启件, 这种结构可以方便医护人员对创口或导管输注伤口进行护理, 而不需要整 体更换保护装置就能随时方便进行清创、 再消毒、 引流和在伤口上使用抗 感染、 促伤口生长愈合的药物, 由于设置有可开闭的开口或 /和通道, 所以 通过可开闭的开口或通道对各种需要不同治疗方法的伤口或导管输注伤口 进行清创、 引流、 局部药物、 物理、 营养、 生长因子、 负压等治疗, 同时 给不同特性的伤口创造促进愈合的特定环境, 如有氧、 无氧、 干性、 湿性、 无菌和杀菌环境, 促进伤口快速愈合, 因而这种保护装置使用时间长, 节 约医护成本。  Further, an opening is arranged on the fixed layer, and a sealing member which can be repeatedly opened and closed is provided at the opening. The structure can facilitate the medical staff to care for the wound or the catheter infusion wound, without the need to replace the protective device as a whole. Convenient for debridement, re-sterilization, drainage, and the use of anti-infective, wound-promoting healing drugs on wounds. Due to the presence of openable openings or/and channels, various openings are required through openable openings or channels. Different treatment methods for wound or catheter infusion wounds for debridement, drainage, topical drugs, physics, nutrition, growth factors, negative pressure, etc., while creating specific environments that promote healing, such as aerobic and anaerobic, for wounds of different characteristics. The dry, wet, sterile and sterilizing environment promotes the rapid healing of the wound, so the protective device is used for a long time and saves the cost of medical care.
进一步地, 封启件采用透明材料制成, 使得创口、 导管输注伤口透明 可视, 便于医护人员或患者自己随时地、 不用打开封启件就能观察创口及 输注伤口的变化情况。 Further, the sealing member is made of a transparent material, so that the wound and the catheter infusion wound are transparent and visible, so that the medical staff or the patient can observe the wound at any time without opening the sealing member. Changes in the wound infusion.
进一步地, 立体空心保护垫包括多个分垫, 各分垫使用不同功能材料 制成, 以便给创口保护带来不同的功能, 加强保护效果, 如带碘伏的保护 垫能给伤口及周围提供一个杀菌的环境, 带水胶体的保护垫能提供伤口一 个湿性的环境而促进其生长愈合。  Further, the three-dimensional hollow protective pad comprises a plurality of sub-pads, each of which is made of different functional materials, so as to bring different functions to the wound protection, and enhance the protective effect, such as the protective pad with iodophor can provide the wound and the surrounding A bactericidal environment, with a hydrocolloid protective pad that provides a moist environment for wound healing and promotes healing.
附图说明 DRAWINGS
图 1是本发明创口、 导管输注伤口保护装置实施例一的透视图; 图 2是图 1的分解结构示意图; 图 3是本发明创口、 导管输注伤口保护装置实施例二的透视图; 图 4是图 3的分解结构示意图; 图 5是图 3中固定层的结构示意图; 图 6是图 3中封启件的结构之一示意图; 图 7是封启件结构之二示意图; 图 8是封启件结构之三示意图; 图 9a是本发明创口、 导管输注伤口保护装置实施例三的透视图; 图 9b是本发明创口、 导管输注伤口保护装置另一种结构的透视图; 图 10是本发明创口、 导管输注伤口保护装置实施例四的透视图; 图 11是图 10的分解结构示意图; 图 12是本发明创口、 导管输注伤口保护装置实施例五的透视图; 图 13是本发明创口、 导管输注伤口保护装置实施例六的透视图; 图 14是本发明创口、 导管输注伤口保护装置实施例七的透视图; 图 15是本发明创口、导管输注伤口保护装置实施例八的结构分解图; 图 16是本发明创口、导管输注伤口保护装置实施例九的结构分解图; 图 17是本发明创口、导管输注伤口保护装置实施例十的结构分解图; 图 18是本发明创口、 导管输注伤口保护装置实施例十一的结构分解 图; 1 is a perspective view of a first embodiment of a wound and catheter infusion wound protection device of the present invention; FIG. 2 is a perspective view of the exploded structure of the wound and catheter infusion wound protection device of the present invention; Figure 4 is a schematic view of the structure of the fixed layer of Figure 3; Figure 5 is a schematic view of the structure of the sealing member of Figure 3; Figure 7 is a schematic view of the structure of the sealing member; Figure 8 Figure 3a is a perspective view of a third embodiment of the wound and catheter infusion wound protection device of the present invention; Figure 9b is a perspective view of another structure of the wound and catheter infusion wound protection device of the present invention; 10 is a perspective view of the fourth embodiment of the wound and catheter infusion wound protection device of the present invention; FIG. 11 is a perspective view of the exploded structure of the wound and catheter infusion wound protection device of the present invention; Figure 13 is a perspective view of the sixth embodiment of the wound and catheter infusion wound protection device of the present invention; Figure 14 is a perspective view of the seventh embodiment of the wound and catheter infusion wound protection device of the present invention; Exploded view of the structure of eight, infusion wound protector embodiment; Figure 16 is a structural exploded view of the ninth embodiment of the wound and catheter infusion wound protection device of the present invention; Figure 17 is a structural exploded view of the tenth embodiment of the wound and catheter infusion wound protection device of the present invention; Figure 18 is a view showing the wound and catheter of the present invention. An exploded view of the structure of the infusion wound protection device of the eleventh embodiment;
图 19是本发明创口、 导管输注伤口保护装置实施例十二的结构分解 图;  Figure 19 is a structural exploded view of the twelfth embodiment of the wound and catheter infusion wound protection device of the present invention;
图 20是本发明创口、 导管输注伤口保护装置实施例十三的结构分解 图;  Figure 20 is a structural exploded view of the thirteenth embodiment of the wound and catheter infusion wound protection device of the present invention;
图中, 有关附图标记如下:  In the figure, the relevant reference numerals are as follows:
1一立体空心保护垫; 11一通道; 12、 13—分垫; 2—固定层;  1 one-dimensional hollow protective pad; 11 one channel; 12, 13-partition pad; 2 - fixed layer;
21—粘结剂层; 22—开口; 23—— U形缺口; 3—空腔; 4一封启件; 41一突出翼; 42—粘结剂层; 5—支撑体; 6—硬性固定层; 7——被 固定物。 具体实施方式  21—adhesive layer; 22—opening; 23——U-shaped notch; 3—cavity; 4 one opening piece; 41 one protruding wing; 42—adhesive layer; 5—support body; 6—hard fixing Layer; 7 - being fixed. detailed description
本发明的基本构思为, 提供一种创口、 导管输注伤口保护装置, 为创 口或医疗输注导管注入伤口提供一个避免敷料直接接触、 压迫创面, 避免 粘合剂直接粘合创面和创面周围皮肤的保护结构, 并能限制伤口裂开和伤 口表面皮肤移动皱褶所导致的伤口损害。  The basic idea of the present invention is to provide a wound and catheter infusion wound protection device, which provides a wound for injecting a wound into a wound or a medical infusion catheter, avoiding direct contact of the dressing, pressing the wound, and preventing the adhesive from directly bonding the wound and the skin around the wound. The protective structure and can limit wound damage caused by wound rupture and skin wrinkles on the wound surface.
为了使本领域的技术人员更好地理解本发明的技术方案, 下面结合附 图和具体实施例对本发明作进一步的详细说明。  In order to make those skilled in the art better understand the technical solutions of the present invention, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
实施例一 参见图 1、 图 2, 本实施例的创口、 导管输注伤口保护装置包括立体空 心保护垫 1及固定层 2, 固定层 2设置在立体空心保护垫 1的上方, 并与 立体空心保护垫 1通过粘结层固定,立体空心保护垫 1沿纵向设有一通孔, 使得在立体空心保护垫上形成一与立体空心保护垫上下端面导通的空腔 3,该空腔 3的下端口的面积与创面的面积相适应,使得创面及其周边皮肤 能被包围在空腔的边界内, 而使立体空心保护垫限制伤口裂开和伤口表面 皮肤移动皱褶而导致的伤口损害, 避免立体空心保护垫的实体部分直接接 触创面, 使创口位于无任何物质接触的空腔中, 且创口周边的皮肤表面是 由立体空心保护垫 1无粘合剂的下表面所垫村, 所以能有效避免粘合剂导 致的过敏、 瘙痒、 湿疹等炎症反应。 Embodiment 1 Referring to FIG. 1 and FIG. 2, the wound and catheter infusion wound protection device of the embodiment includes a three-dimensional hollow protective pad 1 and a fixed layer 2, and the fixed layer 2 is disposed above the three-dimensional hollow protective pad 1 and with the three-dimensional hollow protective pad 1 The three-dimensional hollow protective pad 1 is provided with a through hole in the longitudinal direction, so that a cavity 3 which is electrically connected to the upper and lower end faces of the three-dimensional hollow protective pad is formed on the three-dimensional hollow protective pad, and the area of the lower port of the cavity 3 is The area of the wound is adapted so that the wound and its surrounding skin can be enclosed within the boundary of the cavity, so that the three-dimensional hollow protective pad limits the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface, avoiding the three-dimensional hollow protective pad The solid part directly contacts the wound surface, so that the wound is located in the cavity without any material contact, and the skin surface around the wound is covered by the lower surface of the three-dimensional hollow protective pad 1 without adhesive, so the adhesive can be effectively avoided Causes inflammatory reactions such as allergies, itching, and eczema.
其中, 立体空心保护垫 1的形状为圓台体形, 即从上到下, 其直径逐 渐增大, 这种结构使得固定层能够与立体空心保护垫的侧壁充分接触, 很 好地将立体空心保护垫包覆在内, 并很好地贴服粘结到皮肤表面, 从而牢 固有效的将立体空心保护垫固定到伤口上。  Wherein, the shape of the three-dimensional hollow protective pad 1 is a truncated cone shape, that is, the diameter thereof is gradually increased from top to bottom, and the structure enables the fixing layer to fully contact the side wall of the three-dimensional hollow protective pad, and the three-dimensional hollow is well The protective pad is covered and adhered well to the skin surface, thereby firmly and effectively fixing the solid hollow protective pad to the wound.
固定层 2的下方边缘处设有粘结剂层 21 , 用于将固定层及立体空心保 护垫与人体皮肤固定。  An adhesive layer 21 is provided at the lower edge of the fixing layer 2 for fixing the fixing layer and the three-dimensional hollow protective pad to the human skin.
其中, 固定层采用透明、 防水和透气的薄膜制造, 便于随时观察伤口、 方便生活, 固定层也可使用无纺布为基材来制造。 在制造过程中可将固定 层的下表面的粘合剂层和立体空心保护垫上表面粘合成为一体, 使立体空 心保护垫固定在固定层下表面中间位置, 在固定层下表面粘合剂层贴加防 粘纸或离型纸便于使用。  Among them, the fixed layer is made of transparent, waterproof and breathable film, which is convenient for observing the wound at any time and convenient for life. The fixed layer can also be made by using a non-woven fabric as a substrate. In the manufacturing process, the adhesive layer of the lower surface of the fixing layer and the upper surface of the solid hollow protective pad may be integrally bonded, and the solid hollow protective pad is fixed at the middle of the lower surface of the fixed layer, and the adhesive layer is fixed on the lower surface of the fixed layer. Sticking with release paper or release paper is easy to use.
本实施例中的创口、 导管输注伤口保护装置由于设置一固定层以及立 体空心保护垫, 立体空心保护垫设有容纳伤口或导管输注伤口的空腔, 使 立体空心保护垫限制伤口裂开和伤口表面皮肤移动皱褶所导致的伤口损 害, 同时使得创口或导管输注口能够在不直接接触任何异物的情况下被保 护, 避免异物接触所造成的创面或导管输注口的炎症, 使得创口能够更快 地愈合。 The wound and catheter infusion wound protection device in this embodiment is provided with a fixed layer and a standing Hollow protective pad, the three-dimensional hollow protective pad is provided with a cavity for infusing a wound or a catheter to infuse a wound, so that the three-dimensional hollow protective pad limits the wound damage caused by the cracking of the wound and the wrinkles of the skin on the wound surface, and at the same time causes the wound or the catheter to lose. The mouthpiece can be protected from direct contact with any foreign matter, avoiding inflammation of the wound or catheter infusion port caused by foreign body contact, allowing the wound to heal faster.
其中, 立体空心保护垫 1的形状为圓台体形, 也即从上到下, 其直径 逐渐增大, 这种结构使得固定层能够与立体空心保护垫的侧壁充分接触, 4艮好地将立体空心保护垫包覆在内, 并 4艮好地贴服粘结到皮肤表面, 从而 牢固有效地将立体空心保护垫固定到伤口上。  Wherein, the shape of the three-dimensional hollow protective pad 1 is a truncated cone shape, that is, from top to bottom, the diameter thereof is gradually increased, and the structure enables the fixing layer to fully contact the side wall of the three-dimensional hollow protective pad, The three-dimensional hollow protective pad is covered and adhered to the skin surface, thereby firmly and effectively fixing the three-dimensional hollow protective pad to the wound.
本实施例中的立体空心保护垫 1的形状为圓台体形, 这仅是本发明的 其中一种优选方案, 当然, 在其他实施方式中, 也可采用其他的形状, 如 圓柱体形等等。  The shape of the three-dimensional hollow protective pad 1 in this embodiment is a truncated cone shape, which is only one of the preferred embodiments of the present invention. Of course, in other embodiments, other shapes such as a cylindrical shape and the like may be employed.
本实施例中, 空腔的形状为圓柱体形, 在实际实施过程中, 可不限于 此形状, 任何规则的、 不规则的形状, 只要能适应不同形状创口的形状均 可。  In this embodiment, the shape of the cavity is a cylindrical shape. In actual implementation, it may not be limited to this shape, and any regular and irregular shape may be adapted to the shape of the wound of different shapes.
本实施例中, 空腔为上下导通的通孔, 在其他实施例中, 也可为半通 孔, 即靠近人体皮肤的端口是导通的即可。  In this embodiment, the cavity is a through hole that is vertically connected. In other embodiments, the cavity may be a half through hole, that is, a port close to human skin is conductive.
本实施例的这种固定层上无开口的保护装置适于一些小创口或短期留 置的 CVC中心静脉导管、 PACC外周中心静脉导管输注伤口上使用, 固定 层上与空腔上端口对应的位置处不设粘结剂, 能防止可能出现的粘合剂粘 到创面、 导管表面或空间内其它表面, 避免损伤创面或牵拉导管移动。  The protective device with no opening on the fixed layer of the embodiment is suitable for use in a small wound or short-term indwelling CVC central venous catheter, a PACC peripheral central venous catheter infusion wound, and a position on the fixed layer corresponding to the port on the cavity. There is no adhesive at all, which prevents possible adhesive sticking to the wound surface, the surface of the catheter or other surfaces in the space, to avoid damage to the wound or pulling the catheter.
实施例二 参见图 3、 图 4、 图 5、 图 6、 图 7、 图 8 , 本实施例与实施例一的区别 之处在于, 本实施例的固定层上与空腔上端口对应的位置处设有一开口 22, 在开口 22上还覆盖一封启件 4, 封启件 4与固定层 2通过设置在封启 件下部边缘处的粘结剂层 42固定,在外力作用下,封启件部分或全部与固 定层 2脱离, 使得空腔 3的上端口露出, 曝于外界。 封启件 4的边缘处还 设置一突出翼 41 , 此突出翼的设置, 使得人手或其他器械能够方便地向封 启件施力, 使用时, 人手可作用于此突出翼, 将封启件拉起、 放下。 本实 施例中, 封启件由透明材料制成, 便于医护人员或病患自己不用揭开封启 件就能方便地查看创口和导管输注口的愈合变化情况。 Embodiment 2 Referring to FIG. 3, FIG. 4, FIG. 5, FIG. 6, FIG. 7, and FIG. 8, the difference between this embodiment and the first embodiment is that a fixed layer on the fixed layer of the embodiment is provided at a position corresponding to the port on the cavity. The opening 22 is further covered with an opening member 4 on the opening 22, and the sealing member 4 and the fixing layer 2 are fixed by an adhesive layer 42 disposed at the lower edge of the sealing member, under the action of an external force, the sealing member portion or All are separated from the fixed layer 2, so that the upper port of the cavity 3 is exposed and exposed to the outside. A protruding wing 41 is further disposed at the edge of the sealing member 4, and the protruding wing is disposed so that the human hand or other instruments can easily apply force to the sealing member. When in use, the human hand can act on the protruding wing, and the opening member is Pull up and let go. In this embodiment, the sealing member is made of a transparent material, so that the medical staff or the patient can conveniently view the healing changes of the wound and the catheter infusion port without uncovering the sealing member.
其中, 立体空心保护垫的上表面和空心的固定层 2的下表面的粘合剂 层 21粘合。  The upper surface of the three-dimensional hollow protective pad is bonded to the adhesive layer 21 of the lower surface of the hollow fixed layer 2.
本实施例中设置的封启件 4是以粘合的方式与固定层固定, 在其他实 施例中, 也可采用其他的可拆卸地连接方式, 如握扣贴方式或粘钩与绒面 配合的连接方式, 只要是能够使封启件与固定层能够反复打开闭合的连接 方式都可以。  The sealing member 4 provided in this embodiment is fixed to the fixing layer in an adhesive manner. In other embodiments, other detachable connection manners, such as a gripping manner or a hook and a suede, may be used. The connection method can be any connection method capable of repeatedly opening and closing the sealing member and the fixing layer.
本实施例中的封启件形状大体为方形, 如图 7、 图 8所示, 在其他实 施例中, 也可为圓形或橢圓形或者其他形状, 此处不再赘述。  The shape of the opening member in this embodiment is substantially square, as shown in FIG. 7 and FIG. 8. In other embodiments, it may be circular or elliptical or other shapes, and details are not described herein again.
本实施例中的创口、 导管输注口保护装置由于设置一固定层以及立体 空心保护垫, 立体空心保护垫设有容纳创口或导管输注口的空腔, 因而使 得创口或导管输注口能够在不直接接触任何异物的情况下被保护并能使立 体空心保护垫限制伤口裂开和伤口表面皮肤移动皱褶所导致的伤口损害, 同时由于设置透明的封启件, 能够将空腔与外界导通、 关闭, 所以能够随 时观察创口的变化情况, 打开后, 能够在不整体更换的情况下对创口进行 清创、 局部消毒、 引流、 涂抹治疗药物和将一些功能性敷料临时置于创口 表面, 或将液体消毒杀菌剂注入空心立体空心保护垫吸收层, 给封闭创口 提供一个抗菌、 抗病毒的封闭空间环境, 因而, 设置封启件的这种保护装 置能够长时间使用, 大大节约了医护成本。 设置封启件的这种保护装置尤 其适于一些需长期护理保护创口或长期留置的 cvc中心静脉导管、 PACC 外周中心静脉导管输注伤口上。 The wound and catheter infusion port protection device in this embodiment is provided with a fixed layer and a three-dimensional hollow protective pad, and the three-dimensional hollow protective pad is provided with a cavity for accommodating a wound or a catheter infusion port, thereby enabling the wound or catheter infusion port to be Protected from direct contact with any foreign matter and allows the three-dimensional hollow protective pad to limit wound damage caused by wound rupture and skin wrinkles on the wound surface, and at the same time, the cavity can be connected to the outside world by providing a transparent sealing member. Turn on, off, so can When observing the change of the wound, after opening, the wound can be debrided, partially disinfected, drained, smeared with therapeutic drugs and some functional dressings temporarily placed on the wound surface, or liquid disinfectant The hollow three-dimensional hollow protective pad absorbing layer is injected to provide an antibacterial and anti-virus closed space environment for the closed wound. Therefore, the protective device for setting the sealing member can be used for a long time, which greatly saves the medical cost. This type of protection device for the closure is especially suitable for infusion of cvc central venous catheters requiring long-term care protection or long-term indwelling, and PACC peripheral central venous catheter infusion wounds.
实施例三  Embodiment 3
参见图 9a、 图 9b, 本实施例与实施例二的不同之处在于, 本实施例中 的立体空心保护垫 1的侧壁上还开设一通道 11 , 该通道 11将空腔 3内部 与外界导通, 在治疗中可以使中心静脉导管、 外周中心静脉导管、 静脉留 置针导管、 引流管或引流条等医用导管通过。 在本实施例的应用中, 如图 9a所示, 设有空心开口的固定层 2可设置于立体空心保护垫下方, 并覆盖 粘贴导管和皮肤而将导管固定到皮肤上, 设有空心开口的固定层 2的开口 对准导管输注伤口, 然后立体空心保护垫 1的空腔对准伤口, 其下表面粘 结到固定层 2上而被固定在伤口上。 当然, 如图 9b所示, 空心的固定层 2 可设置于立体空心保护垫 1的上方而将立体空心保护垫、 导管一起覆盖粘 结到皮肤上。 其封启件 4设置于最上方用于关闭和打开开口便于医生随时 处理伤口。  Referring to FIG. 9a and FIG. 9b, the difference between the embodiment and the second embodiment is that a channel 11 is defined in the sidewall of the three-dimensional hollow protective pad 1 in the embodiment, and the channel 11 has the inside of the cavity 3 and the outside. In the treatment, a medical catheter such as a central venous catheter, a peripheral central venous catheter, a venous indwelling needle catheter, a drainage tube or a drainage strip can be passed through during treatment. In the application of the embodiment, as shown in FIG. 9a, the fixing layer 2 provided with a hollow opening can be disposed under the three-dimensional hollow protective pad, and covers the adhesive catheter and the skin to fix the catheter to the skin, and is provided with a hollow opening. The opening of the fixation layer 2 is infused with the catheter to infuse the wound, and then the cavity of the solid hollow protective pad 1 is aligned with the wound, and the lower surface thereof is bonded to the fixation layer 2 to be fixed to the wound. Of course, as shown in Fig. 9b, the hollow fixing layer 2 can be disposed above the three-dimensional hollow protective pad 1 to cover and adhere the solid hollow protective pad and the catheter together to the skin. Its closure member 4 is placed at the top for closing and opening the opening for the doctor to handle the wound at any time.
实施例四  Embodiment 4
参见图 10、 图 11 , 本实施例与实施例三的不同之处在于, 本实施例中 还设置有支撑体 5。 其中, 支撑体 5为带状体, 设置在立体空心保护垫 1的上方并延伸至 立体空心保护垫的侧壁并与之固定。 该支撑体 5由不易变形的具有一定硬 度的材料构成,如可选用硅胶或 PVC材料或其他塑料,设置支撑体 5的目 的是加强固定立体空心保护垫, 防止封启件塌陷而接触到创口或导管输注 口。 特别是对于较大的创面, 设置支撑体尤其需要。 Referring to FIG. 10 and FIG. 11, the difference between this embodiment and the third embodiment is that the support body 5 is further provided in this embodiment. The support body 5 is a strip-shaped body disposed above the three-dimensional hollow protective pad 1 and extending to the side wall of the three-dimensional hollow protective pad and fixed thereto. The support body 5 is composed of a material having a certain hardness which is not easily deformed, such as silicone or PVC material or other plastics. The purpose of the support body 5 is to strengthen the fixed three-dimensional hollow protective pad to prevent the sealing member from collapsing and contacting the wound or Catheter infusion port. Especially for larger wounds, it is especially necessary to provide a support.
在其他的实施方式中, 如实施例一中那种固定层没有开口、 没设封启 件的结构,也可设置此支撑体, 防止固定层塌陷而接触创口或导管输注口。  In other embodiments, as in the first embodiment, the fixing layer has no opening and the opening member is not provided, and the supporting body may be disposed to prevent the fixing layer from collapsing to contact the wound or the catheter infusion port.
本实施例中只给出了支撑体的一种结构形式, 在其他实施例中, 不局 限于这种带状体, 也可以为面积较大的片状体、 块状体或者结构更为复杂 的框体。  In this embodiment, only one structural form of the support body is given. In other embodiments, it is not limited to such a strip-shaped body, and may be a larger-sized sheet-like body, a block-shaped body or a more complicated structure. The frame.
实施例五  Embodiment 5
参见图 12, 本实施例与实施例四的不同之处在于, 本实施例中的固定 层 2上没有设置开口以及封启件,其余均与实施例四一致,此处不再赘述。  Referring to FIG. 12, the difference between the embodiment and the fourth embodiment is that the opening layer and the sealing member are not disposed on the fixing layer 2 in the embodiment, and the rest are the same as those in the fourth embodiment, and details are not described herein again.
实施例六  Embodiment 6
参见图 13、 图 14, 本实施例与前述实施例的不同之处在于, 立体空心 保护垫包括两个分垫 12、 13 , 固定层设置在两个分垫之间。 其中位于上方 的分垫 12的形状为圓台体形, 位于下方的分垫 13为圓柱体形。 封启件设 置在分垫 12的上方, 将分垫 12中的空腔 3的上端口覆盖。  Referring to Fig. 13, Fig. 14, the difference between the embodiment and the foregoing embodiment is that the three-dimensional hollow protection pad comprises two sub-pads 12, 13, and the fixing layer is disposed between the two sub-pads. The sub-pad 12 located above is in the shape of a truncated cone, and the sub-pad 13 located below is in the shape of a cylinder. The closure member is disposed above the sub-pad 12 to cover the upper port of the cavity 3 in the sub-pad 12.
本实施例中,设置两个分垫可以增加敷贴高度,这种组合式的结构中, 分垫可以根据需要可由不同材质的、 能带来不同功能的材料制成。  In this embodiment, two sub-pads can be added to increase the application height. In the combined structure, the sub-pads can be made of materials of different materials and capable of different functions as needed.
本实施例适于需较长时间护理的导管输注伤口、 较大的创口表面, 这 种情况下需要使用二个或以上的立体空心立体空心保护垫组合体来增加高 度, 固定层位于紧贴创面的分垫上表面, 使固定层位于较低的位置, 以利 于与皮肤的粘合处于最佳的贴服状态。 This embodiment is suitable for catheter infusion wounds requiring a longer period of care, a larger wound surface, in which case two or more three-dimensional hollow solid hollow cushion assemblies are required to increase the height. Degree, the fixed layer is located on the upper surface of the sub-pad close to the wound surface, so that the fixing layer is located at a lower position, so as to facilitate the best adhesion to the skin.
本实施例仅为本发明的一个优选方案, 在本发明的其他实施方式中, 也可设置更多个形状、 材质不同的分垫。  This embodiment is only a preferred embodiment of the present invention. In other embodiments of the present invention, more spacers having different shapes and materials may be disposed.
实施例七  Example 7
参见图 15 ,本实施例中,在立体空心保护垫上方设有硬性固定层 6 (无 纺布、 泡棉或水胶体等材料组成), 在立体空心保护垫下方设置带有开口 22的柔性的固定层 2 (超薄透明薄膜制成), 立体空心保护垫 1与开口 22 对应地设置, 硬性固定层 6将立体空心保护垫 1包覆, 并与柔性的固定层 2的上表面粘结固定。  Referring to FIG. 15 , in the embodiment, a rigid fixing layer 6 (a material composed of a non-woven fabric, a foam or a hydrocolloid) is disposed above the three-dimensional hollow protective pad, and a flexible opening with an opening 22 is disposed under the three-dimensional hollow protective pad. The fixed layer 2 (made of an ultra-thin transparent film) is provided corresponding to the opening 22, and the rigid fixing layer 6 covers the solid hollow protective pad 1 and is bonded to the upper surface of the flexible fixing layer 2. .
本实施例中, 设置不同材质的双层固定层不完全重叠粘结固定保护, 使得立体空心保护垫 1能够更稳固地固定在伤口上, 并能限制伤口裂开和 伤口表面皮肤移动皱褶, 更好地保护伤口。  In this embodiment, the double-layer fixing layer provided with different materials does not completely overlap the adhesive fixing protection, so that the three-dimensional hollow protective pad 1 can be more firmly fixed on the wound, and can limit the cracking of the wound and the wrinkle of the skin on the wound surface. Better protect the wound.
实施例八  Example eight
参见图 16, 本实施例与实施例七的不同之处在于, 硬性固定层 6上还 设置一开口 61 , 开口 61上覆盖有一封启件 4。  Referring to Fig. 16, this embodiment differs from the seventh embodiment in that an opening 61 is further disposed on the rigid fixing layer 6, and the opening 61 is covered with a starting member 4.
实施例九  Example nine
参见图 17, 本实施例与实施例八的不同之处在于, 硬性固定层 6 (无 纺布、 泡棉或水胶体等材料组成)设置在立体空心保护垫 1的下方, 柔性 的固定层 2 (超薄透明薄膜构成)设置在立体空心保护垫上方, 硬性固定 层 6上还设置一开口 61和一缺口 62, 以便其开口 61通过其缺口 62将中 心静脉导管、 PACC 外周中心静脉导管、 静脉留置针导管等输注伤包围并 粘结在输注伤口周围皮肤上, 同时导管体放置于硬性固定层 6上表面, 能 避免被固定物 7—导管压迫皮肤。 这样使导管、 立体空心保护垫 1被固定 在导管输注伤口上, 有效地保护伤口。 Referring to FIG. 17, the difference between the embodiment and the eighth embodiment is that the rigid fixing layer 6 (composite of a non-woven fabric, a foam or a hydrocolloid) is disposed under the three-dimensional hollow protective pad 1, and the flexible fixing layer 2 is provided. (The ultra-thin transparent film is formed) is disposed above the three-dimensional hollow protective pad, and the rigid fixing layer 6 is further provided with an opening 61 and a notch 62, so that the opening 61 thereof passes through the notch 62 to the central venous catheter, the PACC peripheral central venous catheter, and the vein. Indwelling a needle catheter and other infusion wounds and The adhesive is adhered to the skin around the infusion wound, and the catheter body is placed on the upper surface of the rigid fixation layer 6, so that the skin can be prevented from being pressed by the fixation material 7-catheter. In this way, the catheter, the three-dimensional hollow protective pad 1 is fixed on the catheter infusion wound, effectively protecting the wound.
实施例十  Example ten
参见图 18, 本实施例与实施例九的不同之处在于, 固定层 2的边缘处 设有另一缺口 23 , 使得固定导管时能够更加顺畅贴服。  Referring to Fig. 18, this embodiment differs from the embodiment 9 in that another notch 23 is provided at the edge of the fixed layer 2 so that the catheter can be more smoothly attached when the catheter is fixed.
实施例十一  Embodiment 11
参见图 19, 本实施例中, 在立体空心保护垫 1上设有一支撑体 5 , 用 以支撑固定层 2和立体空心保护垫 1 , 使其不会塌陷而与伤口接触。  Referring to Fig. 19, in the present embodiment, a support body 5 is provided on the solid hollow protective pad 1 for supporting the fixed layer 2 and the three-dimensional hollow protective pad 1 so as not to collapse and come into contact with the wound.
实施例十二  Example twelve
参见图 20, 本实施例与实施例十一的不同之处在于, 固定层 2上设 有开口 22, 在开口 22上覆盖一封启件 4。  Referring to Fig. 20, this embodiment differs from the eleventh embodiment in that the fixed layer 2 is provided with an opening 22, and the opening 22 is covered with an opening member 4.
以上实施例中,立体空心护垫中的空腔都是将其上下两端导通,在实 施过程中, 也可将立体空心护垫的空腔设置成只与其下端口导通, 而不与 上端口导通。  In the above embodiment, the cavity in the three-dimensional hollow pad is connected to the upper and lower ends thereof. During the implementation process, the cavity of the three-dimensional hollow pad can also be set to be electrically connected only to the lower port thereof, without The upper port is turned on.
以上对本发明进行了详细介绍, 文中应用具体个例对本发明的原理及 实施方式进行了阐述, 以上实施例的说明只是用于帮助理解本发明的方法 及其核心思想。 应当指出, 对于本技术领域的普通技术人员来说, 在不脱 离本发明原理的前提下, 还可以对本发明进行若干改进和修饰, 这些改进 和修饰也落入本发明权利要求的保护范围内。  The present invention has been described in detail above, and the principles and embodiments of the present invention have been described by way of specific examples. The description of the above embodiments is only for the purpose of understanding the method of the present invention and its core idea. It should be noted that those skilled in the art can make various modifications and changes to the present invention without departing from the spirit and scope of the invention.

Claims

1、 一种创口、 导管输注伤口保护装置, 其特征在于, 包括立体空心 保护垫以及固定立体空心保护垫的固定层, 所述立体空心保护垫沿纵向设 有一空腔, 所述空腔至少下端口与立体空心保护垫一端导通, 所述空腔的 下端口将创口或导管输注伤口围设在空腔内使立体空心保护垫限制伤口裂 开和伤口表面皮肤移动皱褶, 所述固定层上设有用于与皮肤及立体空心保 护垫粘结固定的粘结层。  1 . A wound and catheter infusion wound protection device, comprising: a three-dimensional hollow protective pad and a fixing layer for fixing a three-dimensional hollow protective pad, wherein the three-dimensional hollow protective pad is provided with a cavity in a longitudinal direction, and the cavity is at least The lower port is electrically connected to one end of the three-dimensional hollow protective pad, and the lower port of the cavity surrounds the wound or catheter infusion wound in the cavity such that the three-dimensional hollow protective pad restricts the wound from splitting and the wound surface skin wrinkles, The fixing layer is provided with an adhesive layer for bonding and fixing to the skin and the three-dimensional hollow protective pad.
2、 根据权利要求 1 所述的保护装置, 其特征在于, 所述粘结层设置 在固定层一面上与空腔对应的位置以外的区域。  The protection device according to claim 1, wherein the adhesive layer is provided on a surface of the fixed layer other than a position corresponding to the cavity.
3、 根据权利要求 1 所述的保护装置, 其特征在于, 所述固定层上与 所述空腔对应的区域设有一开口。  3. The protection device according to claim 1, wherein an area of the fixed layer corresponding to the cavity is provided with an opening.
4、 根据权利要求 3 所述的保护装置, 其特征在于, 所述固定层设置 在所述立体空心保护垫上方, 所述开口处设有一封启件, 将所述开口封闭 或打开。  4. The protection device according to claim 3, wherein the fixing layer is disposed above the three-dimensional hollow protection pad, and an opening is provided at the opening to close or open the opening.
5、 根据权利要求 4所述的保护装置, 其特征在于, 所述封启件与固 定层可拆卸地固定。  The protection device according to claim 4, wherein the sealing member and the fixing layer are detachably fixed.
6、 根据权利要求 3 所述的保护装置, 其特征在于, 所述固定层设置 在所述立体空心保护垫的下方,所述开口的边缘包围伤口或导管输注伤口。  6. Protection device according to claim 3, characterized in that the fixing layer is arranged below the solid hollow protective pad, the edge of the opening surrounding the wound or the catheter infusion wound.
7、 根据权利要求 6所述的保护装置, 其特征在于, 所述空腔的上端 口与外界导通, 所述空腔的上端口设有一封启件, 将所述空腔的上端口封 闭或打开。  7. The protection device according to claim 6, wherein the upper port of the cavity is electrically connected to the outside, and the upper port of the cavity is provided with an opening member for closing the upper port of the cavity. Or open.
8、 根据权利要求 7所述的保护装置, 其特征在于, 所述封启件与立 体空心保护垫的上部可拆卸地固定。 8. The protection device according to claim 7, wherein the sealing member and the standing member The upper portion of the hollow body pad is detachably fixed.
9、 根据权利要求 4或 7所述的保护装置, 其特征在于, 所述封启件 的边缘还设有一突出翼。 9. Protection device according to claim 4 or 7, characterized in that the edge of the closure member is further provided with a protruding wing.
10、 根据权利要求 1 所述的保护装置, 其特征在于, 所述立体空心 保护垫的纵向截面为梯形。 10. The protection device according to claim 1, wherein the three-dimensional hollow protective pad has a trapezoidal longitudinal section.
11、 根据权利要求 1 所述的保护装置, 其特征在于, 所述立体空心 保护垫还设有将空腔与外界贯通的、 供物件进出空腔的通道。 11. The protection device according to claim 1, wherein the three-dimensional hollow protection pad is further provided with a passage for the object to enter and exit the cavity through the cavity and the outside.
12、 根据权利要求 1 所述的保护装置, 其特征在于, 所述立体空心 保护垫由至少两个分垫叠置形成, 固定层至少为一个, 设置在每两个分垫 之间。 12. The protection device according to claim 1, wherein the three-dimensional hollow protective pad is formed by stacking at least two sub-pads, and at least one of the fixing layers is disposed between each of the two sub-pads.
13、 根据权利要求 1 所述的保护装置, 其特征在于, 所述固定层的 边缘处设有 U形缺口。 13. The protection device according to claim 1, wherein a U-shaped notch is provided at an edge of the fixing layer.
14、 根据权利要求 1所述的保护装置, 其特征在于, 还包括支撑体, 所述支撑体至少与所述立体空心保护垫的上部固定。 14. The protection device according to claim 1, further comprising a support body, wherein the support body is at least fixed to an upper portion of the three-dimensional hollow protective pad.
15、根据权利要求 14所述的保护装置, 其特征在于, 所述支撑体为支 撑条或支撑片或支撑块或支撑框架。  15. Protection device according to claim 14, characterized in that the support body is a support strip or a support piece or a support block or a support frame.
PCT/CN2012/071202 2011-12-07 2012-02-16 Cut, catheter infusion wound protecting device wound, WO2013082884A1 (en)

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