CN103611211B - Internal drainage device special for upper limb lymphedema of postoperative complications of breast cancer and use method thereof - Google Patents

Internal drainage device special for upper limb lymphedema of postoperative complications of breast cancer and use method thereof Download PDF

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CN103611211B
CN103611211B CN201310677504.2A CN201310677504A CN103611211B CN 103611211 B CN103611211 B CN 103611211B CN 201310677504 A CN201310677504 A CN 201310677504A CN 103611211 B CN103611211 B CN 103611211B
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storage bag
liquid storage
liquid
bag pump
upper limb
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CN103611211A (en
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罗中尧
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    • 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
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002Implant devices for drainage of body fluids from one part of the body to another
    • 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0405Lymph

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Otolaryngology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
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Abstract

The invention relates to a special internal drainage device for upper limb lymphedema of postoperative complications of breast cancer and a using method thereof, and the internal drainage device comprises a hollow soft tube body, wherein the surface of the tube body is provided with a plurality of fixing rings; the liquid storage bag pump is hollow, two ends of the liquid storage bag pump are respectively connected with the liquid inlet pipe and the liquid outlet pipe, the liquid storage bag pump is gradually enlarged from two ends to the middle, and the liquid storage bag pump has elasticity and is inwards compressed by external force; the tube body is made of medical silica gel. The invention has reasonable structural design, and the tissue fluid in the upper limb is sucked into the abdomen through the drainage device by the natural movement of the upper limb, thereby effectively relieving the edema of the upper limb.

Description

Internal drainage device special for upper limb lymphedema of postoperative complications of breast cancer and use method thereof
Technical Field
The invention relates to an in-vivo drainage device, in particular to an in-vivo drainage device special for upper limb lymphedema of postoperative complications of breast cancer and a using method thereof, which are mainly used for leading out tissue fluid deposited in the upper limb after the postoperative complications of the breast cancer, and belong to the technical field of medical instruments.
Background
The upper limb lymphedema after the breast cancer improvement radical operation is one of the most serious operation complications, and the reason is that the edema is caused because the axillary lymph is cut and cleaned and the lymph cannot normally flow back after the breast cancer operation, thereby bringing great limb pain and mental trauma to patients. The edema often causes the limitation of shoulder joint movement, for example, the actions of lifting hands, combing hair and the like can not be normally carried out, and brings much inconvenience to the daily life of patients. Arm edema is actually a form of lymphedema, which is caused by axillary cleaning of some breast cancer patients, ablation of some lymph tissue, and accumulation of lymph fluid in subcutaneous tissue due to "blocked" access to the lymph fluid.
At present, no effective radical treatment method for upper limb edema exists, normal reflux of upper limb lymph is recovered by raising the arms generally, but the patients cannot persist for a long time generally. Or the air pressure therapeutic apparatus is used, the lymphatic return and metabolism are assisted by sequential inflation and pressurization, the return of limb venous blood from the far end to the near heart end is promoted, the pressure at the capillary vein end is effectively reduced, and the generation of edema fluid is reduced. However, the therapeutic apparatus is generally only equipped in large hospitals, has a small application range, is inconvenient for most patients to use, and cannot fundamentally solve the problem.
Chinese patent publication No.: 202515835 discloses an adjustable arm bracket for recovery after breast cancer operation, fixes patient's arm on the bracket, raises patient's arm through the bracket and fixes, can alleviate affected limb edema, promotes affected limb venous return. The bracket can relieve edema to a certain degree, but is not easy to carry about and can not be used at any time; it is inconvenient to use, and even though the arm is supported by the bracket, the patient can not feel comfortable in maintaining one posture for a long time, and the movement of the patient is influenced.
Disclosure of Invention
The invention aims to solve the technical problem of overcoming the defects in the prior art, and designs the in-vivo drainage device which is special for the upper limb lymphedema of the postoperative complication of breast cancer, has a reasonable structure, can be used at any time, and can effectively drain the edema part, and the use method thereof.
The technical scheme adopted by the invention for solving the technical problems is as follows: the utility model provides a be exclusively used in internal drainage ware of breast cancer postoperative complication upper limbs lymphedema which characterized in that: the drainage device comprises a hollow soft pipe body, wherein a plurality of fixing rings are arranged on the surface of the pipe body, the pipe body comprises a liquid inlet pipe, a liquid storage bag pump and a liquid outlet pipe which are sequentially connected, a plurality of drainage holes are formed in the liquid inlet pipe and the liquid outlet pipe, and a plurality of one-way drainage valve clacks are arranged in the pipe body; the liquid storage bag pump is hollow, two ends of the liquid storage bag pump are respectively connected with the liquid inlet pipe and the liquid outlet pipe, the liquid storage bag pump is gradually increased from two ends to the middle, and the liquid storage bag pump has elasticity and is inwards compressed by external force; the tube body is made of medical silica gel. After the breast cancer operation is finished, the tube body is implanted into a human body, and the tissue fluid in the upper limb can be led into the abdomen; the one-way drainage valve clack can prevent tissue fluid from flowing back into upper limbs from the abdomen; the tissue recovered after the operation can grow into the fixing ring, so that the drainage device is fixed in the body and cannot move; the liquid storage bag pump is gradually enlarged from two ends to the middle, can be conveniently extruded, has elasticity, can be compressed under the action of external force, and can be restored after the external force is removed.
The one-way drainage valve clack is arranged at the joint of the liquid inlet pipe and the liquid storage bag pump, and the one-way drainage valve clack is arranged at the joint of the liquid outlet pipe and the liquid storage bag pump. The one-way drainage valve clack can prevent tissue fluid from flowing back into upper limbs from the abdomen.
The length of the liquid inlet pipe is 10-20 cm, the length of the liquid outlet pipe is 40-60 cm, the inner diameter of the liquid inlet pipe is 1-3 mm, the inner diameter of the liquid outlet pipe is 2-4 mm, and the thickness of the pipe wall of the pipe body is 0.5-1 mm. The size design accords with the space size of upper limbs, armpits and abdomen of the human body and the firmness degree of the tube body in the human body; can be used for a long time without influencing the daily activities of people. For patients with different body types, the length of the tube body can be properly adjusted.
The liquid storage bag pump is in a hollow discus shape, the number of the liquid inlet pipes is two, the two liquid inlet pipes are both connected with the liquid storage bag pump, and the number of the liquid outlet pipes is one. The two liquid inlet pipes can effectively increase the effect of sucking the tissue fluid.
The diameter of the discus-shaped liquid storage bag pump is 2-4 cm, the hollow part is an inner cavity, and the thickness of the middle part of the inner cavity is 4-10 mm.
The middle of the liquid storage bag pump is bent to form an included angle of 30-90 degrees so as to be suitable for the activities of upper limbs and armpits of a human body; the bent part is provided with a notch, so that the liquid storage bag pump is easier to extrude when the upper limb moves, and meanwhile, the liquid storage bag pump is prevented from being damaged.
The liquid storage bag pump with the middle bent part has the thickness of 4-6 mm and the width of 1-3 cm at the middle part. The design accords with the activity range of the upper limbs of the human body and is matched with the flow of the tissue fluid sucked every time.
For a discus-shaped liquid storage bag pump, the invention provides a using method of an in-vivo drainage device special for upper limb lymphedema of postoperative complications of breast cancer, which comprises the following operation steps:
(1) After the comprehensive treatment of the breast cancer is finished, local anesthesia is carried out on a patient with side upper limb edema, a tube body is implanted into a human body, a liquid inlet tube is positioned in the swollen upper limb, a liquid storage bag pump is positioned below axillary skin folds, and a liquid outlet tube is directly communicated to the abdomen from the subcutaneous part of the human body and positioned in a subcutaneous fat layer;
(2) After operation, after a period of recovery, tissues around the tube body can grow into the fixing ring on the surface of the tube body, so that the tube body is fixed in the body and cannot move;
(3) The patient just can extrude the deposit liquid bag pump at daily activity upper limbs, armpit, inhales the feed liquor pipe with the tissue liquid in the upper limbs from the drainage hole on the feed liquor pipe, through one-way drainage valve clack, gets into and deposits liquid bag pump, through one-way drainage valve clack, gets into the drain pipe, leads to the belly from the drainage hole on the drain pipe.
For a middle bent liquid storage bag pump, the invention provides a using method of an in-vivo drainage device special for upper limb lymphedema of postoperative complications of breast cancer, which comprises the following operation steps:
(1) After the comprehensive treatment of the breast cancer is finished, local anesthesia is carried out on a patient with side upper limb edema, a tube body is implanted into a human body, a liquid inlet tube is positioned in the swollen upper limb, a liquid storage bag pump is positioned in the underarm skin, a notch is just clamped at the turning position from the upper limb to the underarm, and a liquid outlet tube is directly communicated with the abdomen from the subcutaneous part of the human body and positioned in the subcutaneous fat layer;
(2) After operation, after a period of recovery, tissues around the tube body can grow into the fixing ring on the surface of the tube body, so that the tube body is fixed in the body and cannot move;
(3) The patient just can extrude the deposit liquid bag pump at daily activity upper limbs, armpit, inhales the feed liquor pipe with the tissue liquid in the upper limbs from the drainage hole on the feed liquor pipe, through one-way drainage valve clack, gets into and deposits liquid bag pump, through one-way drainage valve clack, gets into the drain pipe, leads to the belly from the drainage hole on the drain pipe.
The body is implanted into the human body, the daily life cannot be influenced, and the patient only needs to naturally move the upper limb, so that the tissue fluid in the upper limb can be sucked into the abdomen, can be carried out at any time, does not need to use other instruments, and is very convenient and practical.
Compared with the prior art, the invention has the following obvious effects: structural design is reasonable, through upper limbs natural movement, inhales the belly with the interstitial fluid in the upper limbs through the drainage ware to alleviate upper limbs edema effectively.
Drawings
Fig. 1 is a schematic structural diagram of embodiment 1 of the present invention.
Fig. 2 is a sectional view schematically showing the liquid storage bladder pump of fig. 1.
Fig. 3 is a schematic structural view of the implant of fig. 1 implanted in a human body.
Fig. 4 is a schematic structural diagram of embodiment 2 of the present invention.
Fig. 5 is a schematic view of the pump of the liquid storage bladder in fig. 4 in the direction of direction a.
Fig. 6 is a schematic structural view of the implant of fig. 4 implanted in a human body.
Detailed Description
The invention is further illustrated by the following examples in conjunction with the accompanying drawings.
Example 1:
referring to fig. 1 to 3, the present embodiment includes a hollow soft tube 1, a plurality of fixing rings 2 are disposed on the surface of the tube 1, the tube 1 includes a liquid inlet tube 11, a liquid storage bag pump 12 and a liquid outlet tube 13 which are connected in sequence, a plurality of drainage holes 3 are disposed on the liquid inlet tube 11 and the liquid outlet tube 13, and a plurality of one-way drainage valve flaps 4 are disposed in the tube 1; the liquid storage bag pump 12 is hollow, two ends of the liquid storage bag pump 12 are respectively connected with the liquid inlet pipe 11 and the liquid outlet pipe 13, the liquid storage bag pump 12 is gradually enlarged from two ends to the middle, and the liquid storage bag pump 12 has elasticity and is inwards compressed by external force; the tube body 1 is made of medical silica gel.
In this embodiment, a one-way drainage valve flap 4 is disposed at a connection between the liquid inlet pipe 11 and the liquid storage bag pump 12, and a one-way drainage valve flap 4 is disposed at a connection between the liquid outlet pipe 13 and the liquid storage bag pump 12.
In this embodiment, the liquid storage bag pump 12 is in the shape of a hollow discus, the number of the liquid inlet pipes 11 is two, the two liquid inlet pipes 11 are both connected with the liquid storage bag pump 12, and the number of the liquid outlet pipe 13 is one.
In this embodiment, the length of the liquid inlet pipe 11 is 15cm, the length of the liquid outlet pipe 13 is 50cm, the inner diameter of the liquid inlet pipe 11 is 2mm, the inner diameter of the liquid outlet pipe 13 is 3mm, and the thickness of the pipe wall of the pipe body 1 is 0.5mm.
In this embodiment, the diameter D of the discus-shaped liquid storage bag pump 12 is 3cm, the hollow portion is the inner cavity 5, and the thickness H of the middle portion of the inner cavity 5 is 4 to 10mm.
The application method of the embodiment comprises the following steps:
(1) After the comprehensive treatment of the breast cancer is finished, local anesthesia is carried out on a patient with obvious edema of a lateral upper limb 6, a tube body 1 is implanted into a human body 9, a liquid inlet tube 11 is positioned in the swollen upper limb 6, a liquid storage bag pump 12 is positioned below skin folds of an armpit 7, and a liquid outlet tube 13 is communicated from the subcutaneous part of the human body 9 to an abdomen 8 and positioned in a subcutaneous fat layer;
(2) After operation, after a period of recovery, tissues around the tube body 1 can grow into the fixing ring 2 on the surface of the tube body 1, so that the tube body 1 is fixed in the body and cannot move;
(3) The patient just can extrude deposit liquid bag pump 12 at daily activity upper limbs 6, armpit 7, inhales the feed liquor pipe 11 with the tissue liquid in the upper limbs 6 from drainage hole 3 on the feed liquor pipe 11, through one-way drainage valve clack 4, gets into deposit liquid bag pump 12, through one-way drainage valve clack 4, gets into drain pipe 13, leads to belly 8 from drainage hole 3 on drain pipe 13.
The body 1 is implanted into a human body 9, daily life cannot be influenced, and a patient only needs to move the upper limb 6 naturally, so that tissue fluid in the upper limb 6 can be sucked into the abdomen 8 at any time, other instruments are not needed, and the device is very convenient and practical.
Example 2:
referring to fig. 4 to 6, the present embodiment includes a hollow soft tube 1, a plurality of fixing rings 2 are disposed on the surface of the tube 1, the tube 1 includes a liquid inlet tube 11, a liquid storage bag pump 12 and a liquid outlet tube 13 which are connected in sequence, a plurality of drainage holes 3 are disposed on the liquid inlet tube 11 and the liquid outlet tube 13, and a plurality of one-way drainage valve flaps 4 are disposed in the tube 1; the liquid storage bag pump 12 is hollow, two ends of the liquid storage bag pump 12 are respectively connected with the liquid inlet pipe 11 and the liquid outlet pipe 13, the liquid storage bag pump 12 is gradually enlarged from two ends to the middle, and the liquid storage bag pump 12 has elasticity and is inwards compressed by external force; the tube body 1 is made of medical silica gel.
In this embodiment, a one-way drainage valve flap 4 is disposed at a connection position of the liquid inlet pipe 11 and the liquid storage bag pump 12, and a one-way drainage valve flap 4 is disposed at a connection position of the liquid outlet pipe 13 and the liquid storage bag pump 12.
In this embodiment, the middle of the liquid storage bag pump 12 is bent to form an included angle α of 60 ° to fit the movement of the upper limbs 6 and the armpits 7 of the human body; the curved portion is provided with a notch 10, so that the liquid storage bag pump 12 can be more easily squeezed when the upper limb 6 moves, and the liquid storage bag pump 12 can be prevented from being damaged.
In this embodiment, the length of the liquid inlet pipe 11 is 15cm, the length of the liquid outlet pipe 13 is 50cm, the inner diameter of the liquid inlet pipe 11 is 2mm, the inner diameter of the liquid outlet pipe 13 is 3mm, and the thickness of the pipe wall of the pipe body 1 is 0.5mm.
In this embodiment, the center of the curved bladder pump 12 has a thickness h of 5mm and a width L of 2cm. The design conforms to the activity range of the upper limb 6 of the human body and is matched with the flow of the tissue fluid sucked every time.
The application method of the embodiment comprises the following steps:
(1) After the comprehensive treatment of the breast cancer is finished, local anesthesia is carried out on a patient with obvious edema of a lateral upper limb 6, a tube body 1 is implanted into a human body 9, a liquid inlet tube 11 is positioned in the swollen upper limb 6, a liquid storage bag pump 12 is positioned in the skin of an armpit 7, a notch 10 is just clamped at the turning position from the upper limb 6 to the armpit 7, and a liquid outlet tube 13 is directly communicated with an abdomen 8 from the subcutaneous part of the human body 9 and positioned in a subcutaneous fat layer;
(2) After operation, after a period of recovery, tissues around the tube body 1 can grow into the fixing ring 2 on the surface of the tube body 1, so that the tube body 1 is fixed in the body and cannot move;
(3) The patient just can extrude deposit liquid bag pump 12 at daily activity upper limbs 6, armpit 7, inhales the feed liquor pipe 11 with the tissue liquid in the upper limbs 6 from drainage hole 3 on the feed liquor pipe 11, through one-way drainage valve clack 4, gets into deposit liquid bag pump 12, through one-way drainage valve clack 4, gets into drain pipe 13, leads to belly 8 from drainage hole 3 on drain pipe 13.
The body 1 is implanted into a human body 9, daily life cannot be influenced, and a patient only needs to move the upper limb 6 naturally, so that tissue fluid in the upper limb 6 can be sucked into the abdomen 8 at any time, other instruments are not needed, and the device is very convenient and practical.
Further, it should be noted that the specific embodiments described in this specification may have any shape and size suitable for their structure, as long as the specific shape and size of the parts are not specified; also, the names of the parts may be different. All equivalent or simple changes in the structure, characteristics and principles of the invention which are described in the patent conception are included in the protection scope of the invention.

Claims (5)

1. The utility model provides a be exclusively used in internal drainage ware of breast cancer postoperative complication upper limbs lymphedema, its characterized in that: the drainage device comprises a hollow soft pipe body, wherein a plurality of fixing rings are arranged on the surface of the pipe body, the pipe body comprises a liquid inlet pipe, a liquid storage bag pump and a liquid outlet pipe which are sequentially connected, a plurality of drainage holes are formed in the liquid inlet pipe and the liquid outlet pipe, and a plurality of one-way drainage valve clacks are arranged in the pipe body; the liquid storage bag pump is hollow, two ends of the liquid storage bag pump are respectively connected with the liquid inlet pipe and the liquid outlet pipe, the liquid storage bag pump is gradually increased from two ends to the middle, and the liquid storage bag pump has elasticity and is inwards compressed by external force; the tube body is made of medical silica gel; after the comprehensive treatment of the breast cancer is finished, aiming at a patient with upper limb edema on the affected side, the tube body is implanted into the human body, the liquid inlet tube is positioned in the swollen upper limb, the liquid storage bag pump is positioned in the underarm skin, the middle of the liquid storage bag pump is bent into an included angle of 30-90 degrees, a notch is arranged at the bent part and is just clamped at the turning part from the upper limb to the underarm, and the liquid outlet tube is directly communicated with the abdomen from the subcutaneous part of the human body and is positioned on the subcutaneous fat layer.
2. The in vivo flow diverter special for upper limb lymphedema of postoperative complication of breast cancer as claimed in claim 1, characterized in that: the liquid inlet pipe is connected with the liquid storage bag pump through a one-way drainage valve clack, and the liquid outlet pipe is connected with the liquid storage bag pump through a one-way drainage valve clack.
3. The in vivo flow diverter specialized for upper limb lymphedema of postoperative complications of breast cancer according to claim 1 or 2, characterized in that: the length of the liquid inlet pipe is 10-20 cm, the length of the liquid outlet pipe is 40-60 cm, the inner diameter of the liquid inlet pipe is 1-3 mm, the inner diameter of the liquid outlet pipe is 2-4 mm, and the thickness of the pipe wall of the pipe body is 0.5-1 mm.
4. The in-vivo flow diverter special for upper limb lymphedema of postoperative complication of breast cancer according to claim 3, characterized in that: the liquid inlet pipe has two, and two liquid inlet pipes all are connected with the liquid storage bag pump, and the drain pipe has one.
5. The in vivo flow diverter special for upper limb lymphedema of postoperative complication of breast cancer as claimed in claim 1, characterized in that: the thickness of the middle part of the liquid storage bag pump is 4-6 mm, and the width of the liquid storage bag pump is 1-3 cm.
CN201310677504.2A 2013-12-13 2013-12-13 Internal drainage device special for upper limb lymphedema of postoperative complications of breast cancer and use method thereof Active CN103611211B (en)

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CN114904127A (en) * 2021-02-07 2022-08-16 浙江清华柔性电子技术研究院 Drainage device for relieving lymphedema
CN114082001B (en) * 2021-10-27 2024-03-26 浙江清华柔性电子技术研究院 Implantable fluid transfer device and fluid transfer control system

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US3994301A (en) * 1975-04-14 1976-11-30 S & S Medical Products Co., Inc. Submammary dissector
CN2041179U (en) * 1988-04-15 1989-07-19 尹春来 Suction and drainage device for air and liquid in thoracic cavity
CN2172646Y (en) * 1992-11-15 1994-07-27 索占海 Once-used negtive-pressure gastrointestinal decompression tube
CN100387311C (en) * 2005-05-09 2008-05-14 中国人民解放军第三军医大学第一附属医院 Leakage-preventing fixation-free bead string type drainage tube
CN108992767A (en) * 2010-03-19 2018-12-14 华盛顿大学 drainage system for excess body fluid
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CN203694372U (en) * 2013-12-13 2014-07-09 罗中尧 In vivo drainage device specially used for breast cancer postoperative complication-upper limb lymphedema

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