The device information of the edges of a wound of the abdominal wall

 

(57) Abstract:

Usage: in medicine for connecting tissues. The inventive device is installed on the wound by means of supporting elements, which are connected to the actuator, then the wound edges closer together, the supporting elements are fixed by the stopper and the drive is removed. 1 Il.

The invention relates to medicine, namely to devices for connecting tissues.

A device on the bus. St. USSR N 1165376, class. And 61, 17/10, 1985, which is used for a long degirolami stop bleeding, containing movable and stationary support elements made from oriented towards each other limiters tissues and connected by a removable stopper and removable drive attached to the bases of the supporting elements by means of connectors, made in the form of channels with rectangular cross sections and response tabs.

However, the known device in the application to ensure that the edges of the wounds of the abdominal wall does not guarantee convergence of the edges of musculoaponeurotic layer as supporting elements in the form of studs have a limited length, the elongation unsafe possibility of perforation in the absence of the cops, United brackets, make up design with lack of mobility, which limits physical activity of patients.

The purpose of the invention is the guaranteed convergence of the edges of musculoaponeurotic layer of the abdominal wall, increasing the safety of the device and increased motor activity of patients.

The goal is achieved in that the device for the information of the edges of the wounds of the abdominal wall that contains movable and stationary support elements made from oriented towards each other limiters fabric and connected by a removable stopper and removable drive attached to the bases of the supporting elements by means of connectors, made in the form of channels with rectangular cross sections and response pads, has the drive, made in the form of a threaded plunger and cylindrical threaded bridge associated with an auxiliary input with a fixed response foot, and the stopper is made in the form of identical slats, connected by the axis with stop motion and made with open slots for curly screws, which are mounted on the support elements and is provided with an axial parts, nuts and additional limiters, when econosto fixation and two longitudinal grooves under drainage tube or antiseptics.

The drawing shows a device for the information of the edges of the wounds of the abdominal wall, a front view and cross-sections A-a and B-B.

The device information of the edges of a wound of the abdominal wall contains mobile 1 and 2 fixed supporting elements made with oriented towards each other limiters fabric 3 and connected by a removable stopper 4 and the removable drive 5, is fixed on the basis of supporting elements by means of connectors, made in the form of channels with rectangular cross sections 6 and response of the legs 7 and 8, the actuator is made in the form of a threaded plunger 9 and a cylindrical threaded bridge 10, the associated additional connector 11 and the stationary response foot 7, and the stopper is made in the form of identical slats 12, interconnected axis 13 with stop motion and made with open slits 14, under curly screws 15, which are mounted on the support elements and is provided with an axial parts, nuts and additional limiters, each supporting element is made in the form of a flat plug 16 with the outer movable clamp 17 set to lock and two longitudinal grooves under drainage tube or antiseptics.

The device is following the us plug 16 supporting elements 1 and 2 are held in the preperitoneal tissue or vagina straight muscle limiters fabric 3 should be placed under transverse fascia or front sheet of the vagina and to be directed towards each other, then the clamps 17 are lowered to the level of the skin and then locked in this position, further supporting elements 1 and 2 are connected to the actuator 5 via the return legs 7 and 8, which are inserted in channels of rectangular cross-section 6, located on the grounds of supporting elements and by means of a threaded plunger 9 of the wound edges closer step or simultaneously, then the supporting elements are fixed on the stopper 4, in this figure the screws 15 are inserted in the open slot 14 of the slats 12, and the drive is removed.

According to this method is the approximation of the wound edges in the following. When approaching the edges of the wound until it touches the device fixes them to heal or removed and is promptly correct the defect.

The device does not prevent the local treatment of wounds, as the supporting elements are located outside of the wound, and trims the stopper to close the wound slightly.

The use of the device for the information of the edges of the wounds of the abdominal wall allows to improve the immediate and remote results of treatment of large defects, especially in persons with high risk of inih wounds of the abdominal wall.

The DEVICE INFORMATION of the EDGES of a WOUND of the ABDOMINAL WALL that contains movable and stationary support elements made from oriented towards each other limiters tissues and connected by a removable stopper and removable drive attached to the bases of the supporting elements by means of connectors, made in the form of channels with rectangular cross sections and response pads, characterized in that the actuator is made in the form of a threaded plunger and cylindrical threaded bridge associated with an auxiliary input with a fixed response foot, and the stopper is made in the form of identical slats connected by the axis with stop motion and made with open slots for curly screws, which are mounted on the support elements and is provided with an axial parts, nuts and additional limiters, each supporting element is made in the form of a flat plug with outer movable clamp set to lock, and two longitudinal grooves under drainage tube or antiseptics.

 

Same patents:
The invention relates to medicine, namely to surgery, and can be used during operations on the gastrointestinal tract

The invention relates to medicine, namely to surgery

The invention relates to medical equipment and can be used in surgery, traumatology

The invention relates to medical equipment, in particular, to devices for approximation of wound edges

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

The invention relates to medicine, namely to devices for connecting tendons

The invention relates to medicine, namely to surgery, and can be used for suturing wounds

The invention relates to surgery and can be used when stamie hollow organs

The invention relates to medicine, namely to surgery

FIELD: medical engineering.

SUBSTANCE: device has elongated body having operation end engageable with ligature loop, lateral slit for ligature to exit and movable rod, mounted in the device body, having operation end for holding the ligature. The elongated body has special purpose design to match endosurgical port or trocar lumen. The rod is spring-loaded and has nonworking end projecting from the device body as handle. The rod operation end is hook arranged in front of the lateral slit for ligature to exit and making displacement at a distance minimum equal to distance from operation body end to end face of slit for ligature to exit, oriented towards the handle.

EFFECT: improved tissue and organ engagement conditions; simplified maintenance procedure; accelerated operation process.

3 cl, 2 dwg

FIELD: medical engineering.

SUBSTANCE: method involves mounting implant on supporting platform. The platform is turned and moved about and along its longitudinal axis to enable one to arrange needle in any given position on implant surface. The needle is controllable in a way that the first thread is brought through the implant wall from the first side of the wall. The first loop is formed from the first loop on the second implant wall. The thread is brought through the loop. The loop is tightened to produce a stitch. The stage the thread is passed through the loop is carried out by means of device movable back and forth along longitudinal implant axis. The device additionally has at least one driving mechanism for turning and moving transplant platform about and along its longitudinal axis to enable one to arrange needle in any given position on implant surface and additional driving mechanism for passing thread through the loop back and forth along longitudinal implant axis. Main device head piece is movable into any required position as a result of implant-carrying cylinder rotation or axial displacement on implant surface.

EFFECT: wide range of functional applications; enabled fitting of anatomical tubes of different diameters in several points arranged on an axis.

11 cl, 7 dwg

FIELD: medical engineering.

SUBSTANCE: device has handle having reel inside and casing having end for capturing needle. The handle has transverse reels and is connected to the hollow casing. Longitudinal bed bearing manipulation plate having lock and manipulation hook. The manipulation plate becomes a rod in its frontal part. Adaptation spring and eccentric pressed cone are put-on over the rod. The cone serves for fixing needle and reaches casing rest member. The rod comes in into opening of the rest member being convex ahead of it. Transverse concave groove is available near the rest member base for receiving curved surgical needle. The eccentric pressed cone base and the adaptation spring are covered with stabilizing buckle. Holes for passing thread ends are available above the buckle. Members for fixing ends of threads, coming from the reels placed in the handles, are arranged near the holes.

EFFECT: accelerated suturing process; retained suture material sterility; reduced thread consumption.

4 cl, 4 dwg

FIELD: medicine, abdominal surgery.

SUBSTANCE: one should perform marginal serous-muscular-submucous suturing for every wall of intestinal wound in oblique direction against cross-sectional intestinal axis being parallel to lateral branches of intraparietal intestinal vessels at an angle being opened towards mesenteric edge. Puncturing in and puncturing out of stitches at the serous membrane of every further suture should be performed being on the same line with puncturing in and puncturing out of stitches at the border of submucous and mucous layers of previous suture. Sutures should be tightened at forming the knots at serous membrane. The innovation suggested enables to decrease the frequency in developing failed sutures.

EFFECT: higher efficiency.

1 dwg

FIELD: general surgery methods and facilities.

SUBSTANCE: material for various genesis, localization, and configuration defect grafting is made from thin (up to 100 mcm in diameter) titanium nickelid wire weaved into porous-permeable structure according to knitted-fabric and textile technology or by felting. Thanks to plasticity of titanium nickelid and quasiplasticity of woven structure, effective plasticity of material is many times superior to that in nonwoven porous sheet materials and meets requirements of congruent disposition of materials in organs and tissues to be operated.

EFFECT: increased plasticity of grafting material.

7 dwg

FIELD: medicine, surgery.

SUBSTANCE: one should apply a P-shaped suture, then it is necessary to form a V-shaped suture: one of the free ends of a ligature should be applied under the one that forms the top of letter P, then this ligature should be tightened and thrown over the wound as a Latin letter V. Then free ends of ligature should be tightened into the knot. The method enables to improve hemostasis and increase reliability of sutures.

EFFECT: higher efficiency.

3 dwg, 1 ex

FIELD: medicine; traumatic surgery; orthopedics; neuron-surgery.

SUBSTANCE: device can also be used in rehabilitation surgery for curing nerve pipes. Extension has drive mechanism and traction unit, both disposed inside cylindrical case onto vertical axis. Case and cap have cylindrical shape. Drive mechanism is made in form of spring-loaded unit which has crown-shaped ring with beveled teeth and double-teeth pusher with single-sided beveled teeth connected by compression-torsion spring. Drive mechanism is installed of form of horizontal protrusions inside guides onto internal surface of case to provide movement of rest pins along circle onto horizontal arms of which pins it is placed. Under pressure applied to cap of case, reciprocal motion of cap transforms to interrupted rotational motion of coil in cheek of which coil the rest pins are fixed. Coil has flexible link fastened onto hub. Free end of flexible link is drawn outside through the hole in wall of case. Coil and hub compose traction unit being rigidly connected with axis of the extension. Lugs provided with holes are made in bottom of case.

EFFECT: reduced traumatism of surgical operation; better results of cure.

4 dwg

FIELD: medicine; medical engineering.

SUBSTANCE: method involves implanting a ribbon into the body on each side of the urethra between the vaginal wall and abdominal wall. The ribbon is drawn above the pubic bone. The ribbon is introduced on both sides of the urethra to make a loop around the urethra. It is arranged on each side of the urethra between the vaginal wall and abdominal wall and stretched by pulling its ends brought outside of the abdominal wall. The ribbon is introduced pulling it inside through two holes produced in soft tissues with needle-shaped member using tubular envelope prefitted on the needle-shaped member. The tubular envelope is left in the hole when pulling the needle-shaped member from the hole in the direction reversed with respect to PIERCE direction. Ribbon is pulled into the hole in the introduced tubular envelope drawing the corresponding end. Then the tubular envelope is removed from the body in the direction of ribbon end. Surgical instrument has implantable ribbon and rod having handle on the first end with curved needle-shaped member on the second end and through hole on the free end with an ear which sizes are enough for passing from the internal surface of the vagina wall above the posterior back side of the pubic bone to the external surface of the abdominal wall. The instrument additionally has removable tubular envelope which dimensions allow the ribbon under implantation, moving through the hole. The removable tubular envelope is fittable over curved needle-shaped member as far as possible from the rod side to the prominent free end of the curved needle-shaped member projecting from the tubular envelope.

EFFECT: enhanced effectiveness of treatment; reduced instrument production costs; simplified design.

23 cl, 8 dwg

FIELD: medicine, surgery.

SUBSTANCE: one should apply a single-row uninterrupted suture upon skin and subcutaneous fiber, fix ligature in subcutaneous fiber in one of the wound's corners, apply a subcutaneous-intracutaneous suture up to the wound's opposite corner, form a knot in subcutaneous fiber with the help of terminal ligature of aponeurosis suture. The method enables to prevent purulent complications and provide the development of valuable cicatrix.

EFFECT: higher efficiency of suturing in post-operational wound.

1 dwg, 2 ex

FIELD: medicine, surgery.

SUBSTANCE: one should dissect epidermis up to derma along pre-set lines, perform deepidermization of the stripe of 55 mm width from the side of removed skin section, dissect derma as it is along stripe's edge and then - fatty fiber, apply subcutaneous buried interrupted sutures onto deepidermized stripe of derma by the following technique: perform puncture in into deepidermized skin stripe of one of the edges of skin wound from the side of subcutaneous fiber followed by puncture out at the distance of 1 mm against the edge of dissected epidermis. At another edge of skin wound one should make puncture in with a needle into deepidermized skin stripe at the distance of 1 mm against the edge of dissected epidermis and puncture out from the side of subcutaneous fiber. Then one should apply removable intracutaneous suture. The innovation enables to increase quality of derma healing.

EFFECT: decreased risk for skin deformation.

2 dwg, 1 ex

Up!