CN209107458U - Wound closure - Google Patents

Abstract

The utility model relates to a kind of wound closures, especially a kind of to be related to the wound closure in skin wound suture field.The technical scheme adopted by the utility model to solve the technical problem is as follows: a kind of wound closure, including forms, pull-shut appliance and fixator, the forms include the window to be opened/closed being arranged on forms body wall, forms roof and forms roof, the two sides of forms are arranged in the pull-shut appliance, one end of the pull-shut appliance is connect with fixator, the other end is connect with forms, and the bottom surface of the fixator towards skin is provided with fixed adhered layer.The wound closure of the utility model enables Wound healing and bone regeneration required function module is reliable, lasting, direct to continuingly act on wound healing region, effectively avoid sepage gather cause stitching devices to fall off, secondary wound infection, wound suture failure, wound staggered floor malunion, realize better wound physiological regenerative healing.

Description

Wound closure

Technical field

The utility model relates to a kind of wound closures, especially a kind of to be related to the wound closure in skin wound suture field Device.

Background technique

In human medical dissection and tissue repair field, skin histology is that inside of human body and outside are most basic and most important Barrier enclosed construction, skin histology include skin epidermis, skin corium, hypodermic layer.When this barrier is by surgical cut or outer After wound is destroyed, it is necessary to by operation stitching, the free skin edge of wound be made to restore original layering as early as possible by skin original anatomical structure Pairing, and by skin tissue regeneration, restore the barrier structure and physiological function of former skin.To promote wound free skin fate layer Pairing, wound skin edge horizontal axis, vertical axial accurate pairing and it is smooth it is particularly important to wound healing, be wound physiology The basis of property regenerative healing.On this basis, in wound healing part as can effectively providing the various functional treatments for promoting healing Module, such as setting wound exudate absorption module, wound hemostasis module, wound bacteriostasis antibiosis module, the biography for acquiring wound information Sensor module, the cell tissue regeneration module for promoting wound healing etc., will accelerate wound physiological healing and improve wound physiology The quality of healing.

The current prior art mainly solves the problems, such as that wound two sides pairing is closed up using various types of pairing devices. But current existing various pairing devices, it can only simply realize the function that wound is drawn over to one's side in the pairing of horizontal axis, together When because the drawing structure of various complexity is directly across above wound, medical staff can not be again in the wound being located among wound Healing area, complete or independent interference-free use have the various functional treatment modules of important facilitation to wound healing Or unit: as wound exudate absorption module, wound skin edge pairing base modules, wound hemostasis module, wound bacteriostasis antibiosis module, It acquires the sensor module of wound information, promote the cell tissue regeneration module of wound healing.Therefore, existing various right at present It attaches together and sets in practical clinical, still inevitable to occur as following drawbacks: one, shortage is independent efficiently timely clears up wound Oozing of blood, sepage module, largely occur sepage gather secondary wound infection, sepage gather cause stitching devices fall off, wound suture lose It loses, wound healing delay, non-healing wounds.Two, the vertical pairing for lacking continuous and effective forces mechanism or pairing base modules, nothing Method guarantees that wound skin edge is smooth in vertical axial pairing, is unable to complete skin and is layered accurate pairing, a large amount of staggered floor deformities occurs and be cured Close (such as step-like staggered floor healing, knob-like healing, the healing of bad scar body).Three, wound healing region lacks effective wound Stop blooding the continuous actions such as module, wound bacteriostasis antibiosis module, regeneration promotion module, or practical it cannot be guaranteed that above-mentioned module is Reliably lasting to directly act on wound healing region, the efficiency actually played is extremely low or practical missing.It is difficult to realize good Good wound physiological regenerative healing.

Utility model content

The technical problem to be solved by the utility model is to provide a kind of more effective wound closures, in being located at wound Between wound healing region, construction one is complete or independent interference-free treatment unit, makes Wound healing and bone regeneration required function mould Block energy is reliable, lasting, directly continuingly acts on wound healing region, effectively avoids sepage from gathering and causes stitching devices de- It falls, secondary wound infection, wound suture failure, wound staggered floor malunion, realizes better wound physiological regenerative healing.

The utility model solves the used technical solution of its technical problem are as follows: a kind of wound closure, including forms, drawing Device and fixator, the forms include the window to be opened/closed being arranged on forms body wall, forms roof and forms roof, the drawing The two sides of forms are arranged in clutch, and one end of the pull-shut appliance is connect with fixator, and the other end is connect with forms, the fixator The bottom surface of skin is provided with fixed adhered layer.

Further, pairing benchmark support module is provided in the forms, the pairing benchmark support module face The bottom surface of wound is rigid datum plane.

Further, further including first area negative-pressure dense sealer and second area negative-pressure dense sealer, the first area Negative-pressure dense sealer and forms body wall surround forms negative-pressure sealing chamber, the outer wall and wound of second area the sealing film and forms Periphery skin surrounds peripheral negative-pressure sealing chamber, and the fixator is located at peripheral negative-pressure sealing chamber.

Further, the forms body wall is the isolation rail of annular closure.

Further, being attached with moulding body in the isolation rail, the geometry of moulding body determines isolation rail Final geometry, the geometry of moulding body are made as extending closing for certain distance along practical wound longitudinal axis both sides in advance Cyclization shape.

Further, the forms roof is a kind of flexible material and can settle downwards under the action of negative pressure.It is described On forms roof, it is provided with the window that can be opened and closed, the sash that can be opened and closed is provided on window, sash closure closing forms Roof, sash unlatching communicate forms inner space with exterior space.

Further, the pull-shut appliance includes that lock and spine bar, the lock are connect with fixator, there is spine in lock Tooth, spine bar one end are connected and fixed with forms, in other end insertion lock.Further, the pull-shut appliance may be configured as frenulum, Frenulum reflexed at connection forms forms reflexed part, and the invayination of frenulum, which sets up separately, to be set paste area and fixator surface and be The band back side is connected and fixed.

Further, the two sides of forms are arranged in the fixator, the bottom surface of fixator towards skin is provided with stickup Layer, is pasted and fixed on the skin surface of wound two sides periphery.Fixator is parallel to corresponding window towards the setting of wound inside edge The base band of external wall.

Further, stating functional module is that wound exudate absorption module and/or wound hemostasis module and/or wound are antibacterial Antibacterial module and/or wound information acquisition module and/or cell tissue regeneration module.

Further, further include negative pressure line, the negative pressure line is by internal negative pressure sealed chamber and peripheral negative-pressure dense Envelope chamber is in communication with the outside.

The beneficial effects of the utility model are: wound functional union region locating for free skin edge among wound, wound The property made is provided with a kind of window structure corresponding to wound skin edge healing area, by the way that window structure is arranged, in wound function Between healing area, with the non-functional healing area in wound periphery, it is structural to realize a kind of effective, reliable, stable entity Isolation therefore more effectively guarantee in window structure that various important treatment modules can be more reliable, stable, directly Wound healing region is continuingly acted on, gives full play to the function of the treatment module without by extraneous bad interference, energy Preferably promote the good physiological healing of wound.Prefabricated moulding body is provided on window structure simultaneously, it can further satisfaction clinic It the functional union area of various random geometry wounds precision customized and is effectively isolated, further solves clinical irregular The suture problem of special-shaped geometry wound.

Detailed description of the invention

Fig. 1 is the main view of the application.

Fig. 2 is the schematic diagram that the application is used for random geometry wound.

Fig. 3 is that the drawing part of the application uses the schematic diagram of ratchet structure.

Fig. 4 is that the drawing part of the application uses the schematic diagram of tether construction.

In the figure, it is marked as forms 1, pull-shut appliance 2, fixator 3, first area negative-pressure dense sealer 4, second area negative-pressure sealing Film 5, forms negative-pressure sealing chamber 6, peripheral negative-pressure sealing chamber 7, pairing benchmark support module 8, rigid datum plane 9, moulding Body 10, base band 11, lock 12, spine bar 13, frenulum 14, skin 15, window 16.

Specific embodiment

The present invention will be further described with reference to the accompanying drawing.

As shown in Figure 1, Figure 2, Fig. 3 institute and wound closure shown in Fig. 4, including forms 1, pull-shut appliance 2 and fixator 3, it is described Forms 1 include the window to be opened/closed 16 being arranged on forms body wall, forms roof and forms roof, and the setting of pull-shut appliance 2 exists One end of the two sides of forms 1, the pull-shut appliance 2 is connect with fixator 3, and the other end is connect with forms 1,3 direction of fixator The side of skin 15 is provided with fixed adhered layer.

Wound functional union region locating for free skin edge of the application among wound is provided with a kind of corresponding to wound The forms 1 of skin edge healing area, by the way that 1 structure of forms is arranged, in the functional union region of wound skin edge, with wound periphery NOT function Between energy healing area, a kind of isolation that effective, reliable, stable entity is structural is realized, therefore setting can be made to exist Various important functional modules in 1 structure of forms more reliable, stable, direct can continuingly act on wound healing area Domain more effectively plays the function of the functional module without can preferably promote wound good by extraneous bad interference Physiological healing.

Fixator 3 is located at the skin 15 of wound middle line two sides, by the skin 15 of the fixed wound middle line two sides of adhered layer, Gu Determine after device 3 connect with pull-shut appliance 2, pull-shut appliance 2 is drawn fixator 3 and wound two sides skin 15 over to one's side to forms 1 by drawing, is driven Wound two sides skin edge is to wound intermediate closed.

1 roof of forms is a kind of flexible material and can settle downwards under the action of negative pressure.On the forms roof, setting There is the window 16 that can be opened and closed.When window 16 is in the open state, 1 inner open of forms is visual, can be included in or replace positioned at window Functional module in 1 device of body, solve the hemostasis of visual open processing 15 wound of skin of wound area, sepage and Wound skin edge to flat.

When forms roof window 16 is in the open state, pairing benchmark support module can be accurately placed in wound surface 8, the bottom surface of the 8 face wound of pairing benchmark support module is rigid datum plane 9.It can guarantee to allow in pull-shut appliance 2 in this way While wound skin edge is to wound middle line horizontal axis pairing, under the synergistic effect of 1 negative pressure of forms, 1 roof of forms is to sinking Drop, makes wound skin edge in wound vertical axial, and do not misplace the void-free rigid benchmark for being closely affixed to pairing benchmark support module 8 Plane 9, pressure makes wound skin edge in wound vertical axial flat layered pairing, and the standard for reaching rigid datum plane 9 is smooth State, can guarantee simultaneously wound skin edge horizontal axis and vertical axial can by the former anatomical structure layering pairing of skin 15 and To smooth.Wherein, the opening and closing structure of window 16 can use, the sash that can be flipped open, the window cover slidably opened, can be with Dismantling the window cover opened, the lid that can be fastened or adopting zipper etc. is convenient for the structure of opening and closing operations to realize.The shape of window 16, The difference that treatment module can be placed according to the length and shape of wound or needs of wound is designed as rectangle, circle or adapts to wound Profiled shape.The opening and closing mode of window 16 can flexibly be set as monoblock type opening and closing according to actual needs or segmented is only Vertical opening and closing.

It further include first area negative-pressure dense sealer 4 and second area negative-pressure dense sealer 5, the first area negative-pressure dense sealer 4 surround forms negative-pressure sealing chamber 6, the outer wall and periphery skin 15 of second area the sealing film and forms 1 with 1 body wall of forms Peripheral negative-pressure sealing chamber 7 is surrounded, the fixator 3 is located at peripheral negative-pressure sealing chamber 7.The application especially utilizes first area Negative-pressure dense sealer 4 and second area negative-pressure dense sealer 5 form two mutual independent double negative-pressure sealing chambers.It is convenient for doctor with this Different independent operations is realized in different regions and realizes different functional treatment purposes.In independent forms negative-pressure sealing chamber In room 6, doctor only passes through opening and closing window 16, that is, can easily achieve functional module, according to needed for Wound healing and bone regeneration, successively orderly Or it is knockdown be directly anchored to therapeutic wound healing region, enable module needed for Wound healing and bone regeneration it is more stable, it is more reliable, more hold The continuous function for effectively playing the functional module with this without can preferably promote wound good by extraneous bad interference Good physiological healing.In peripheral negative pressure chamber region, the frenulum 14 or spine bar 13 of the independently operable pull-shut appliance 2 of doctor adjust outer perithelium The drawing of skin 15.It will not be influenced because of the releasing of whole negative pressure sealed in the associated treatment operation for independently implementing wound healing area The drawing state of device application wound.Pairing base in 1 negative pressure chamber of forms will not be influenced when individually implementing the adjusting of locking force In the maintained wound apposition of quasi- support module 8 and forms 1 described in the continual and steady performance of Wound healing and bone regeneration functional module Treat function and therapeutic effect.The wound closure of double negative pressure chamber can guarantee that the sepage of wound oozing of blood can be excluded in time comprehensively, be protected Card pairing reference platform is close under negative pressure continuous action and is oppressed in the upper surface of wound skin edge, and it is de- to avoid stitching devices It falls, suture failure, secondary wound infection is gathered in sepage.

1 body wall of forms is the isolation rail of annular closure in the application.Isolation rail can prevent wound exudate from flowing out, leaching Moisten the structures such as the fixator 3 outside forms 1, causing stitching devices to fall off, suture fails, secondary wound infection is gathered in sepage.It causes Disunion or healing delay.

The application is also especially attached with modeling physique structure in isolation rail, and the geometry of moulding body can be according to wound True form is prefabricated, can further flexibly be made as extending the adaptation of certain distance to wound both sides along the practical middle line of wound in advance The close ring shape of wound true form, the geometry of moulding body determine the final geometry of isolation rail, can essence with this True prefabricated wound functional union of various shapes area realizes the precision customized of wound functional union region and is effectively isolated.It protects Demonstrate,prove the treatment module that is arranged in functional union region, can it is more effective, more reliable, more stable, more it is direct it is lasting play described in The function of functional module is without can preferably promote the good physiological healing of wound by extraneous bad interference.Pass through realization simultaneously The geometry of prefabricated moulding body can preferably adapt to clinical a large amount of existing nonlinear type wounds, such as " bending-type, S type, L It the functional union area of the various irregular shape wounds such as type, Z-type " precision customized and is effectively isolated.It is practical beneficial the result is that The scope of application for greatly extending product treatment clinic wound, the suture for further solving clinical irregular shape wound are difficult Topic.

The pull-shut appliance 2 of the application is 14 structure of ratchet structure or frenulum, and the ratchet structure includes 12 Hes of lock Spine bar 13, the lock 12 are connect with fixator 3, have ratchet in lock 12, and 13 one end of spine bar is connect with forms 1, and the other end is inserted Entering in lock 12 has ratchet limitation spine bar 13 unidirectionally to slide in and out in lock 12,13 one end of spine bar is connect with forms 1, and the other end is inserted Enter in lock 12.The ratchet of lock 12 can limit spine bar 13 and unidirectionally slide in and out.For 12 and spine can also will be latched convenient for operation Item 13 passes through second area negative-pressure dense sealer 5 and is located at outside sealing film.Spine bar 13 is pulled, the skin 15 of wound two sides can be driven Close up to centre.14 structure of frenulum includes frenulum 14, and frenulum 14 forms reflexed part, frenulum with reflexed at forms 1 is connect at it 14 reflexed part is connected and fixed by setting paste area with 3 surface of fixator and 14 back side of frenulum.Frenulum 14 reversely pulls can To drive skin 15 to close up to centre, the paste area of frenulum 14 can be at an arbitrary position and on 14 back side of frenulum and fixator 3 The bonded structure of surface setting is adhesively fixed mutually, with this any adjusting drawing distance, makes to operate simpler convenience.

Wherein frenulum 14 can further use flat thin structure, and because space limitation is smaller, flat frenulum 14 is easier Setting is located in peripheral negative pressure chamber.

Wherein the two sides of forms 1 are arranged in fixator 3, and the bottom surface of fixator 3 towards skin 15 is provided with adhered layer, paste It is fixed on 15 surface of wound two sides periphery skin.Fixator 3 is parallel to corresponding forms 1 towards the edge setting on the inside of wound The base band 11 of outer wall.

Clinically a large amount of existing preferably to suture, conventional suture is difficult to the irregular wound of nonlinear type handled, example Such as " bending-type, S type, L-type, Z-type " various irregular shape wounds, fixator 3 can be further arranged to independent segmented formula , and by the inside base band 11 of each independent segmented fixator 3, it is parallel to corresponding 1 external wall section of forms.

Wherein, the base band 11 is a kind of rigid linear backbone, and base band 11 can uniformly draw wound two sides skin in parallel Skin 15 is closed to the midline, also can guarantee that each independent segmented wound skin edge can pairing when suturing the wound of irregular shape It is uniformly concordant；Base band 11 collects each independent segmented drawing power, passes to 1 section of corresponding forms by pull-shut appliance 2.Base band 11 The higher drawing power that will also converge between forms 1 and fixator 3 simultaneously is uniformly distributed to fixation along base band 11 with linear Device 3 and its stickup 15 surface of skin, avoid the higher drawing stress of closer from excessively concentrating or focus on wound local skin 15, And corresponding stress skin 15 is caused to damage.Such as suture pulling force when needlework suture is the puncture for concentrating on skin 15 Point necessarily causes 15 cutting damage of skin even suture to deviate to suture to fail；Simple subtracts a butterfly-shaped adhesive drawing wound, must So the damage of the skins 15 such as serious Tension Vesicle occur in the wing root portion of wing causes treatment to stop.Therefore the setting of base band 11 The suture failure or treatment that wound can preferably be avoided stop.

Functional treatment module is provided in 1 inner space of forms, the functional module is that can absorb wound exudate in time Wound exudate absorption module, can help wound quick-acting haemostatic powder wound hemostasis module, it is possible to prevente effectively from bacteria breed Wound bacteriostasis antibiosis module can use sensor and acquire the wound information acquisition module of real-time wound information, can promote to hurt The cell tissue regeneration module of mouth healing.The sash of forms 1 is arranged, very convenient and can sufficiently meet doctor according to the reality of wound Needed for the situation of border, or according to clinical practice needs or the actual functional capability needs of wound healing different phase, pressed according to needed for treatment The treatment module that sequence uses needed for being used singly or in combination gives full play to the function of the treatment module, improves Wound healing and bone regeneration efficiency realizes the reasonable customization of the different function treatment module operational version in wound healing process, because disease treats With precisely treat, preferably promote the good physiological healing of wound.

It further include negative pressure line, the negative pressure line is by forms negative-pressure sealing chamber 6 and peripheral negative-pressure sealing chamber 7 and outside Boundary's connection.It is provided with valve in negative pressure line and is connected to the outside of negative-pressure dense sealer.To guarantee that the sepage of wound oozing of blood can arrange in time It removes；Guarantee that pairing reference platform can be close under the action of negative pressure and oppress in the upper surface of wound skin edge, the wound of double negative pressure chamber Mouthful closer can more preferably guarantee to be close to wound skin 15 without departing from.

In conclusion the utility model passes through in wound functional union region, the isolation provided with a kind of stable entity 1 structure of forms guarantees that build-in function treatment module more effective, more reliable, more stable, more direct can persistently play the function Therapeutic effect.The setting of pairing benchmark support module 8 is further ensured that wound skin edge can be by skin in horizontal axis and vertical axial The former anatomical structure layering horizontal alignment of skin 15 and vertical pairing are smooth.The setting of window 16 to be opened/closed, further satisfaction on forms 1 The functional module that use is used alone or in combination in doctor according to needed for the actual conditions of wound, realizes wound healing scheme Personalized customization and because disease treats and precisely treats.Moulding body is prefabricated on forms 1, can more preferably meet various random geometries It wound functional union area precision customized and is effectively isolated, the suture for further solving clinical random geometry wound is difficult Topic.Can effectively avoid sepage existing for other closers gather cause stitching devices to fall off, wound suture failure, secondary wound sense Adverse consequences or the secondary lesions such as dye.Good wound physiological regenerative healing can be realized with higher efficiency and better effect.

This application provides a kind of devices of more effectively closure wound, and important is be cured in the wound being located among wound Close region, construction one is complete or independent interference-free treatment unit, enable Wound healing and bone regeneration required function module reliably, It is lasting, directly continuingly act on wound healing region.1 structure of forms for specifically using a kind of entity, among wound Functional union region be isolated with the stickup fixed area of wound periphery, realize in 1 structure of forms, be independently arranged it is various can promote Into the important functional module of the good physiological healing of wound, the 1 each functional module in inside of forms is isolated without by periphery The interference effect in region, and it is reliable, stable, directly continuingly act on wound healing region.Effectively avoid sepage collection It is poly- cause stitching devices to fall off, secondary wound infection, wound suture failure, wound staggered floor malunion.It further realizes more preferable Wound physiological regenerative healing.

Claims (10)

1. wound closure, it is characterised in that: including forms (1), pull-shut appliance (2) and fixator (3), the forms (1) include The window to be opened/closed (16) being arranged on forms body wall, forms roof and forms roof, the pull-shut appliance (2) are arranged in forms (1) one end of two sides, the pull-shut appliance (2) is connect with fixator (3), and the other end is connect with forms (1), the fixator (3) bottom surface of skin (15) is provided with fixed adhered layer.

2. wound closure as described in claim 1, it is characterised in that: be provided with the support of pairing benchmark in the forms (1) Module (8), the bottom surface of pairing benchmark support module (8) the face wound are rigid datum plane (9).

3. wound closure as described in claim 1, it is characterised in that: further include first area negative-pressure dense sealer (4) and Two zone negative pressures seal film (5), and the first area negative-pressure dense sealer (4) and forms body wall surround forms negative-pressure sealing chamber (6), the second area sealing film and the outer wall and wound periphery skin (15) of forms (1) surround peripheral negative-pressure sealing chamber (7), the fixator (3) is located at peripheral negative-pressure sealing chamber (7).

4. wound closure as described in claim 1, it is characterised in that: the forms body wall is that the isolation of annular closure is enclosed Column.

5. wound closure as claimed in claim 4, it is characterised in that: be attached with modeling in the isolation rail of the forms (1) Body (10).

6. wound closure as described in claim 1, it is characterised in that: being provided on the window (16) of the forms (1) can With the sash of opening and closing.

7. wound closure as described in claim 1, it is characterised in that: the pull-shut appliance (2) is ratchet structure or frenulum (14) structure, the ratchet structure include that lock (12) and spine bar (13), the lock (12) connect with fixator (3), are latched (12) there is ratchet in, spine bar (13) one end is connect with forms (1), in other end insertion lock (12), frenulum (14) structure Including frenulum (14), frenulum (14) forms reflexed part with reflexed at forms (1) is connect at it, and the reflexed part of frenulum (14) is logical Setting paste area is crossed to be connected and fixed with fixator (3) surface and frenulum (14) back side.

8. wound closure as described in claim 1, it is characterised in that: the fixator (3) is towards the edge on the inside of wound The base band (11) for being parallel to corresponding forms (1) outer wall is set.

9. wound closure as described in claim 1, it is characterised in that: be arranged in forms (1) inner space functional Module, the functional module be wound exudate absorption module and/or wound hemostasis module and/or wound bacteriostasis antibiosis module and/ Or wound information acquisition module and/or cell tissue regeneration module.

10. wound closure as claimed in claim 3, it is characterised in that: further include negative pressure line, the negative pressure line will be interior Portion's negative-pressure sealing chamber and peripheral negative-pressure sealing chamber (7) are in communication with the outside.