SU1243708A1 - Arrangement for bringing wound edges closer - Google Patents
Arrangement for bringing wound edges closer Download PDFInfo
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- SU1243708A1 SU1243708A1 SU853852101A SU3852101A SU1243708A1 SU 1243708 A1 SU1243708 A1 SU 1243708A1 SU 853852101 A SU853852101 A SU 853852101A SU 3852101 A SU3852101 A SU 3852101A SU 1243708 A1 SU1243708 A1 SU 1243708A1
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Description
Изобретение относитс к медицинской технике , а именно к устройствам, нримен емым при хирургическом лечении ран и зв.The invention relates to medical technology, namely to devices used in the surgical treatment of wounds and stars.
Целью изобретени вл етс снижение травматичности и обеснечение более плотного контакта краев раны.The aim of the invention is to reduce the trauma and to provide a more intimate contact of the wound edges.
На фиг. 1 представлено устройство дл сближени краев раны., общий вид; на фиг. 2 - нат жной механизм; на фиг. 3 и 4 - устройство на начальном и конечном этапах применени соответственно, сечение А-А на ю фиг. 1.FIG. 1 shows a device for bringing the wound edges together., General view; in fig. 2 - tensioning mechanism; in fig. 3 and 4 —the device at the initial and final stages of application, respectively, section A-A and 4 of FIG. one.
Устройство состоит из двух параллельно установленных пластин 1 и 2 с отверсти ми 3 и 4 соответственно. Причем отверсти 3 в пластине 1 расположены поперечно , а отверсти 4 - под углом к плоскости пластины 2. Пластины 1 и 2 соединены между собой двум направл ющими 5. На пластине 2 установлена опора 6 нат жного механизма, который состоит из барабана 7, храпового колеса 8, фиксирующего диска 9 с прорез ми и защелки 10. На барабане установлена ручка II дл осуществлени его вращени .The device consists of two parallel-mounted plates 1 and 2 with holes 3 and 4, respectively. Moreover, the holes 3 in the plate 1 are transversely arranged, and the holes 4 are at an angle to the plane of the plate 2. The plates 1 and 2 are interconnected by two guides 5. The plate 2 has a support 6 of a tension mechanism, which consists of a drum 7, a ratchet wheel 8, a slotted locking disc 9 and a latch 10. A knob II is mounted on the drum to carry out its rotation.
В отверсти х 3 и 4 пластин 1 и 2 расположены шовные нити 12, которые служатIn the holes 3 and 4 of the plates 1 and 2 are suture thread 12, which serve
ства. Затем устанавливают устройство в раздвинутом виде на рану, пропускают концы нитей (проведенных по возможности параллельно ) через ближайшие отверсти 3 пластины 1, концы нитей 12 зав зывают 1-2 узлами 14 во избежание выскальзывани нитей из отверстий 3. Противоположные концы нитей 12 пропускают через соответствующие отверсти 4 пластины 2 и каждую нить против часовой стрелки наматывают на 1-2 оборота на барабан 7, а их концы завод т в пазы фиксирующего диска 9, где они и фиксируютс небольщим нат жением. После того, как все нити 12 зафиксированы подобным образом, начинают вращать ручку 11 против часовой стрелки. При этом 5 происходит наматывание нитей 12 на барабан 7. Обратному вращению барабана 7 преп тствует занхелка 10, упирающа с в зубцы храпового колеса 8. По мере накручивани нитей 12 на барабан 7 происходит сближение пластин 1 и 2 по направл ющим 5 и в конечном положении пластины займут положение, показанное на фиг. 4 - положение сомкнутой раны. Силу сдавливани краев раны подбирают таким образом, чтобы кровотечение прекратилось, посколькуproperties. The device is then placed in a widened form onto the wound, the ends of the threads are passed (held as parallel as possible) through the nearest holes 3 of the plate 1, the ends of the threads 12 are tied with 1-2 nodes 14 to prevent the threads from slipping out of the holes 3. The opposite ends of the threads 12 pass through the corresponding The holes 4 of the plate 2 and each thread are counter-clockwise wound 1-2 turns on the drum 7, and their ends are pushed into the slots of the fixing disk 9, where they are fixed with a slight tension. After all the threads 12 are fixed in this way, they begin to rotate knob 11 counterclockwise. In this case, 5 threads winding 12 onto the drum 7. Zanchalka 10 prevents the rotation of the drum 7, which rests against the teeth of the ratchet wheel 8. As the threads 12 wind over the drum 7, plates 1 and 2 come closer along the guides 5 and in the final position the plates will occupy the position shown in FIG. 4 - the position of a closed wound. The force of squeezing the edges of the wound is selected so that the bleeding stops, because
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элементами дл захвата краев раны. Концы 25 кра раны оказываютс прижатыми другelements to grip the edges of the wound. The ends 25 of the wound edge are pressed against each other.
нитей 12 закреплены на пластине 1 и на барабане 7 нат жного механизма соответственно .The threads 12 are fixed on the plate 1 and on the drum 7 of the tensioning mechanism, respectively.
Устройство дл сближени краев раны используетс следующим образом.A device for bringing the edges of the wound closer together is used as follows.
Кра раны 13 в нескольких местах прокалываютс хирургической иглой с шовной нитью 12 (по возможности большого диаметра - 1 -1,5 мм), длина которой на 15- 20 см больще ширины раздвинутого устрой30The wound edges 13 are punctured in several places with a surgical needle with a suture thread 12 (as large as possible - 1 -1.5 mm), the length of which is 15-20 cm longer than the width of the spread device30
к другу. После полного гемостаза иссекаютс скальпелем кра раны, некротические и рубцовоизменные ткани в области дефекта. Кра раны затем послойно ушиваютс , а устройство после отрезани узлов 14 удал етс с операционного пол .to friend. After complete hemostasis, wounds are excised with a scalpel, necrotic and scar tissue in the area of the defect. The wound edges are then sutured in layers, and the device, after cutting the nodes 14, is removed from the surgical field.
Применение предложенного устройства позвол ет исключить опасность повреждени основных нервных узлов сосудов, обеспечивает плотное прилегание краев раны, необходимое при остановке кровотечени .The use of the proposed device eliminates the danger of damage to the main vascular nerve glands, ensures that the wound edges fit snugly when the bleeding stops.
ства. Затем устанавливают устройство в раздвинутом виде на рану, пропускают концы нитей (проведенных по возможности параллельно ) через ближайшие отверсти 3 пластины 1, концы нитей 12 зав зывают 1-2 узлами 14 во избежание выскальзывани нитей из отверстий 3. Противоположные концы нитей 12 пропускают через соответствующие отверсти 4 пластины 2 и каждую нить против часовой стрелки наматывают на 1-2 оборота на барабан 7, а их концы завод т в пазы фиксирующего диска 9, где они и фиксируютс небольщим нат жением. После того, как все нити 12 зафиксированы подобным образом, начинают вращать ручку 11 против часовой стрелки. При этом происходит наматывание нитей 12 на барабан 7. Обратному вращению барабана 7 преп тствует занхелка 10, упирающа с в зубцы храпового колеса 8. По мере накручивани нитей 12 на барабан 7 происходит сближение пластин 1 и 2 по направл ющим 5 и в конечном положении пластины займут положение, показанное на фиг. 4 - положение сомкнутой раны. Силу сдавливани краев раны подбирают таким образом, чтобы кровотечение прекратилось, посколькуproperties. The device is then placed in a widened form onto the wound, the ends of the threads are passed (held as parallel as possible) through the nearest holes 3 of the plate 1, the ends of the threads 12 are tied with 1-2 nodes 14 to prevent the threads from slipping out of the holes 3. The opposite ends of the threads 12 pass through the corresponding The holes 4 of the plate 2 and each thread are counter-clockwise wound 1-2 turns on the drum 7, and their ends are pushed into the slots of the fixing disk 9, where they are fixed with a slight tension. After all the threads 12 are fixed in this way, they begin to rotate knob 11 counterclockwise. When this occurs, the threads 12 are wound onto the drum 7. The zanchle 10 prevents the rotating rotation of the drum 7, which abut against the teeth of the ratchet wheel 8. As the threads 12 wind over the drum 7, plates 1 and 2 come closer along the guides 5 and in the final position of the plate will occupy the position shown in FIG. 4 - the position of a closed wound. The force of squeezing the edges of the wound is selected so that the bleeding stops, because
кра раны оказываютс прижатыми другthe wound edges are pressed against each other
кра раны оказываютс прижатыми другthe wound edges are pressed against each other
к другу. После полного гемостаза иссекаютс скальпелем кра раны, некротические и рубцовоизменные ткани в области дефекта. Кра раны затем послойно ушиваютс , а устройство после отрезани узлов 14 удал етс с операционного пол .to friend. After complete hemostasis, wounds are excised with a scalpel, necrotic and scar tissue in the area of the defect. The wound edges are then sutured in layers, and the device, after cutting the nodes 14, is removed from the surgical field.
Применение предложенного устройства позвол ет исключить опасность повреждени основных нервных узлов сосудов, обеспечивает плотное прилегание краев раны, необходимое при остановке кровотечени .The use of the proposed device eliminates the danger of damage to the main vascular nerve glands, ensures that the wound edges fit snugly when the bleeding stops.
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SU853852101A SU1243708A1 (en) | 1985-02-04 | 1985-02-04 | Arrangement for bringing wound edges closer |
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SU853852101A SU1243708A1 (en) | 1985-02-04 | 1985-02-04 | Arrangement for bringing wound edges closer |
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