Device for connection of wound edges

 

(57) Abstract:

Usage: in medicine. The inventive device includes a flexible lock in the form of load-bearing tapes with drainage holes, with a series of connected links and slide, and part of its width carrier tape associated with adhesive tapes, which are made exposed and provided with a non-irritating adhesive layer, in this series of links made of a complex of the polyester or polyamide, carrier tapes are located in one plane in the form of a flat tape opposite the adhesive tape and the carrier tape at a distance from the rows of links made remote strip in the form of elastic foam adhesive strips of microporous patch. 11 C.p. f-crystals, 4 Il.

The invention relates to a device for connection of the wound edges, containing flexible lock, made in the form of two carrier tapes are placed on them by a series of links and slider, and carrier tapes are connected with adhesive tapes, at least part of their width, adhesive tapes made at a distance from the rows of links with non-irritating adhesive layer and protrude above the rows of links, and in the supporting tapes made of the drainage area in the form of perforations.

And the Onna wounds, which is a device with clasp type "lightning".

In the known device, the zipper has a separate fastener elements made of metal, which can cause allergic reactions. Under the series of links clasp "lightning" is a strip of celluloid, so when opening and closing the zipper can not be trapped by the slide fastener "meat" of the wound. But this strip of celluloid lies on the wound and closes it, so that lack of guaranteed access to the wound of air needed for a quick healing process. In other known devices "lightning" is a special lock that cannot normally used in textile production, with a special way made bearing tapes containing adhesive pads. Such locks are not used in clinical practice because of their special manufacture is very difficult, and not used for jointing the edges of the wound with the help of load-bearing tapes and/or connecting links, because there is not challenge to stand out from the wound secretion. Often the adhesive connection prematurely departs together with skin. If you are working with a special attached to one of the bear the AET in the wound or forms a fold. In the case of formation of folds the edges of the wound in this area are not more than one plane and converging with the formation of an unsightly scar. To improve connections with skin use is also known in practice locks "zip" intended for closing wounds, in which case bearing

strips contain located in the same row having the form of needles pins, which when the lock is opened "zip" pressed along the edges of a wound in the skin of the patient or animal, that is a difficult operation and determines the occurrence of the additional RAS and clearly visible scarring. Within the last of these measures with the aim of closing the wound the wound edges pre-compressed by hand, then closes castle "lightning". All this is the reason why the well-known measures previously used exclusively in the abdomen.

The basis of the invention is to create such a device for closing the wound edges, which in a simple and convenient construction would reduce the invasiveness when closing passing in the forward direction wounds.

Underlying the invention the problem is solved according to the proposed device C are located in one plane in the form of a flat tape, moreover, the series of links attached to the sides of the carrier tape opposite the adhesive tape and the carrier tape at a distance from the rows of links made remote strip in the form of elastic foam adhesive strips of microporous patch.

The device according to the invention, is implemented in such a way that the operating wound in the closed position of the lock "lightning" is precisely as possible under the Central line of the castle "lightning". Due to the combination of the described characteristics is achieved that on the wound edges, which are evenly shifted by closing a castle "lightning" effect due to the adhesive strips efforts with uniform distribution and plots without a single load, which hold the wound edges relative to each other, and United series of connecting links at the same time create the effect of the tire, as they are made with resistance to deformation under torsion. When the wound edges are located in free space with sufficient flexibility that allows the extraction of the secret, the access of air to the wound and promotes the healing process. In addition, due to the location of free space prevents ingrowth of connective the any state is on the lower side, optionally including a carrier tape, 't have irritant effects on the wound layers of silicone mass. Finally, due to the presence of free space is achieved that the slider can move when closing wounds without entering in interfering contact with the edges of the wound, and eliminates the danger that in the process connection series connection of the links of the wound edges will fall into the latter. In the region of the wound to heal much better and without interfering side effects compared with the case of using conventional sutures or brackets. The process of treatment and appearance are not hindering the effects of using distributed along the length of the wound sutures or staples. All the described advantages are, in particular, if the operational seam before implementing the device according to the invention, multiple subject, for example, with the aid of a surgical seizure, the tensile strength in the longitudinal direction, as explained below. In the rest of the conditions on the basis of employee benefits are identical if the proposed device is not used when located longitudinally of the operating wound, and when the defective wound.

In addition, the th node.

Relative to the series connection of the links of one of the preferred forms of the structural embodiment of the invention is characterized by the fact that the rows of coupling links, and carrier tape interconnected weaving connection, with adhesive tapes made in the form of elastic foam adhesive strips in the form of microporous patch with the transition distance of the strip, and the thickness of the fiber plastic monopoloy series of links has a thickness of 0.5 mm or less, the width of the rows of coupling links in the United state has a value of about 5 mm

Carrier tape can be made of different materials which are usual for textile machinery and, in particular, in the technique of dressing materials. In accordance with a preferred form of execution of the invention the bearing strips consist of polyamide or a complex of the polyester.

In the proposed device forming a free space wounds remote strip should be located away from the midline of the United ranks of the connecting links on the distance from 4 to 10 mm, preferably a distance of about 7 mm, Forming a free space wounds remote strip in the appropriate case, have a thickness ottem, that make up the free space wounds distance of the strip and made a sticky on the side of applying to the skin, resulting in improved already described the conditions at the closing of the castle "zip" according to the invention, as well as conditions with a closed lock "lightning".

Closed wound often allocates a secret. This does not have a disturbing effect when using the device, because the secret flow through the free space of the wound. Regarding outflows secret is provided to the carrier tape in the area between the rows of coupling links and forming a free space wounds remote stripes were made in the form of drainage areas, for example, include perforations. When considering from the material applied to the binding free space wounds distance bands can be implemented with a variety of materials. Also in this case it is recommended, however, to use only those materials that already have proved in practice dressing techniques. In this relationship it is recommended to perform forming a free space wounds remote bands in the form of elastic foam glue the first material comprises PVC closed cell or plastic cells.

Adhesive tape is made for securing the supporting tape along the edges of the wound in the form of flexible strips of plastic foam, in particular in the form of microporous patch. A single band can be used as a remote strip, and adhesive tapes. Such foam strips are stretching characteristics similar to the characteristics of the stretching of the skin. There is also the possibility of such a choice constructive solutions, in which adhesive tapes for fixing the carrier tape along the edge of the wound made in the form of adhesive on the lower side of dressing gauze strips, which are relatively castle "zip" characterized by low tensile strength in the longitudinal direction and stretching in the transverse direction. Needless to say that the carrier tape must be connected with adhesive tapes. This connection may be effected in various ways, for example by gluing, welding, using a sewing seam or mitts or using combinations of these methods.

In case of realization of the device and closing the wounds described by means of the closing of the castle "zip" arising acting in the longitudinal direction of the castle "is Rotel, diverted. To this end it is recommended that the carrier tape on one and/or both ends of the castle contained a retaining loop, which is used to receive loads of tension when closing or opening of the lock, "lightning". Transverse forces are perceived adhesive tapes.

Carrier tape lock "zip" can be in the form of flat strips and arranged in the same plane, and a series of connecting links from the skin equally padded carrying straps. There is also the opportunity to work with so-called hidden castles "lightning". This form of execution is characterized by the fact that the carrier tape in the zone series of connecting links of the V-shaped bent around the longitudinal axis, the rows of connectors are located on the V-shaped section and that the V-shaped sections contribute to the thickness of the remote bands or form. Achieved benefits should be seen in summary form in that the device can be used for closing wounds, and in the process of treatment and leads to significantly better results than the classical closing the wound by sutures or staples. This holds, in particular, in the case if the implementation in relation to prohodyathij thus, the operating wound, for example, using a surgical gripping stretched in the longitudinal direction and as a result decreases the wound that along the edge of the reduced surface wounds on the skin is glued with adhesive tape when the lock is opened "lightning", namely in such a way that the distance from the wound edges to edge distance of the strip is approximately half the value of the width of the available space wounds that along the opposite edge of the reduced surface wounds on the skin appropriately glued another adhesive tape, and that afterwards the castle "lightning" is closed by means of the slide and as a result, the wound edges are pressed to each other. It is recommended to work with the device, the length of the lock "lightning" which is approximately 4 cm greater than the length of the wound, and set it so that the "lightning" on both ends of the wounds were approximately 2 cm needless to say that in the case of a defective RAS act in a similar way, that is, the wound edges are also closed by closing of the castle "lightning". While the treatment process may be carried out in several stages from stage to stage can be a new implementation of the device.

On Crysania wound using the proposed device.

The proposed device is designed for closing wounds, in particular, taking place predominantly in the forward direction of the wound. The basic design consists of consisting of two textile carrier tapes 1 and placed them on series 2 of the connecting elements and the closing of the slide 3 castle "lightning" and the device 4 for fixing the carrier tape 1 of the castle "lightning" and the device 4 for fixing the carrier tape 1 of the castle "zip" skin of the patient or animal along the edges of the wounds.

From a comparative consideration of Fig. 1-3, it follows that the "lightning" is a relative series 2 connectors and carrier tapes 1 conventional for service flexible lock "lightning" with low tensile carrier tapes 1 and characterized by resistance to deformation by bending in the United state series 2 connectors. In Fig. 2 and 3 shows that recourse to the wound lower sides at a distance from series 2 connectors on the carrier tape 1 are forming a free space wounds remote strip 5. The device for fastening the supporting tape along the edges of the wound comprises carrier tapes 1 adhesive tapes 4 are printed on the side, the mi tapes 1. Carrier tape 1 padded adhesive tapes 4, at least part of their width and adhesive tapes 4 are on their face the skin area width capable of receiving the efforts of the transverse tension when closing wounds and closed with a padlock "zip" wound.

In the case of the exemplary embodiment in accordance with the preferred form of the invention, the series 2 connectors made in the form of a continuous series of connecting links from a plastic monofilament and are the preferred case of polyamide or a complex of the polyester. The thickness of the thread plastic monofilament may be approximately 0.5 mm In the rest of series 2 connectors are connected with bearing ribbons woven through the connection. In the United state they have a width of about 5 mm Carrier tape 1 can be composed of polyamide or a complex of the polyester.

Forming a free space wounds remote strips 5 are located remote from the midline of the United series 2 connectors, namely the distance from 4 to 6 mm In the case of the exemplary embodiment, the distance may be about 7 mm, Forming a free space wounds remote strips 5 have remained in the are adhesive on the lower side.

It is evident from Fig. 1 and 4 shows that the carrier tape 1 in the area between rows 2 connecting links to form a free space wounds remote strips 5 made in the form of drainage areas and to this end is equipped with perforations 6.

In the case of the form of execution according to Fig. 1 and 2 forming a free space wounds remote strip 5 is made in view of the elastic adhesive foam strips in the form of microporous patch, the usual dressing techniques. The microporous material is, for example, from polyvinyl chloride cells. The selected design in the details so that the carrier tape 1 is put foam strips 5, which in addition to located in the skin adhesive layer contain located on the side of the carrier strip adhesive layer, namely, at least in the area of carrier tape, and which is facing away from the skin side of the foam strips 5 pasted the following foam strip, which otlivaet carrier tape 1 until the drainage area with the holes 6. The design selected in Fig. 1 and 2, so that the adhesive tapes 4 for mounting the carrier tape 1 along the edge of the wound made in the form of elastic foam strips in the form of micropores is execution, in which adhesive tapes 4 for mounting the carrier tape 1 along the edge of the wound made in the form of adhesive on the lower side of dressing gauze strips, which are relatively castle "zip" characterized by low tensile strength in the longitudinal direction and stretching in the transverse direction.

In the exemplary embodiment of the carrier tape 1 and the adhesive tape 4 are interconnected by means of glue. They can be combined with adhesive tapes, however, or in addition with the help of sewing the seam or mitts.

In Fig. 1 shows that the carrier tape at the closed end can be equipped with a retaining loop 7, which is designed to receive loads of longitudinal stretching while closing the lock, "lightning", and the operator grasps this retaining loop 7 if he on the other hand actuates the closing of the slider 3 castle "lightning" with the aim of closing the wounds.

It is evident from Fig. 4 shows how is the device described construction, in the case of passing predominantly in the longitudinal direction of the operating wound W with original open surface wounds. The operating wound W was stretched in the longitudinal direction with the aid of a surgical gripping N. Thus was 4 devices when the lock is opened "zip", namely, in such a way that the distance from the edge R of the wound to edge distance band 5 corresponds to approximately half the width of the free space wounds distance between the strips 5. Then along the opposite edge R of wounds with reduced surface on the skin appropriately was pasted another adhesive tape 4. In Fig. 4 shows the steps immediately before the closing of the wound W by moving the closing of the slider. The operating wound W thereby closes when you move the slider 3 in the direction of Fig. 4 from the bottom up. This results in a mutual clamping of the edges R of the wound. In the rest of Fig. 4 shows that the castle "zip" device is approximately 4 cm long wound W and is approximately 2 cm up and down. Needless to say, designed for mounting fixtures on the skin adhesive surface as usual closed the film, and this film is removed immediately prior to installation of fixtures.

1. DEVICE FOR connection of the WOUND EDGES, containing flexible lock, made in the form of two carrier tapes are placed on them by a series of links and slider, and carrier tapes are connected with adhesive tape at least yaytsa over the rows of links, and in the supporting tapes made of the drainage area in the form of perforations, wherein, to reduce trauma to the closing of passing in the forward direction RAS, rows of links made of continuous complex polyester or polyamide, carrier tapes are located in one plane in the form of flat strips, and a series of links attached to the sides of the carrier tape opposite the adhesive tape and the carrier tape at a distance from the rows of links made remote strip in the form of elastic foam adhesive strips of microporous patch.

2. The device under item 1, characterized in that the rows of links and carrier tapes are connected loom connection.

3. The device under item 1, characterized in that the adhesive tapes made in the form of elastic foam adhesive strips in the form of microporous patch with the transition in remote strips.

4. The device under item 1, characterized in that the thickness of the plastic fibers monopoloy series of links of 0.5 mm or less.

5. The device under item 1, characterized in that the width of the rows of coupling links in the United state for about 5 mm.

6. The device under item 1, characterized in that distanciation fact, the remote strips have a thickness of 0.5 - 1.5 mm

8. The device according to PP.1 to 3, characterized in that the bearing adhesive tapes are interconnected by adhesive or welded connection.

9. The device according to PP.1 and 3, characterized in that the carrier and adhesive tapes are interconnected by sewing a seam or tacks.

10. The device according to PP.1, 2, 9, characterized in that the adhesive tape is made stretchable in relation to the supporting strips in the transverse direction.

11. The device according to PP.1 to 10, characterized in that the carrier tapes contain one and/or two ends of the retaining loop.

12. The device according to PP.1 - 11, characterized in that the carrier tape in the area of the rows of links are made V-shaped relative to the longitudinal axis, and the rows of links are located on the V-shaped section.

 

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