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CN104887398A - Fixing device for medical dressing sensor - Google Patents

Fixing device for medical dressing sensor Download PDF

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Publication number
CN104887398A
CN104887398A CN201510221926.8A CN201510221926A CN104887398A CN 104887398 A CN104887398 A CN 104887398A CN 201510221926 A CN201510221926 A CN 201510221926A CN 104887398 A CN104887398 A CN 104887398A
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Prior art keywords
fixing device
medical dressing
sensor
medical
dressing
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郑军
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Guangdong Sitelin Medical Equipment Co ltd
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Guangdong Sitelin Medical Equipment Co ltd
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Priority to CN201510221926.8A priority Critical patent/CN104887398A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36Surgical swabs, e.g. for absorbency or packing body cavities during surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Epidemiology (AREA)
  • Human Computer Interaction (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention discloses a medical dressing and a fixing device of a sensor system of the medical dressing. The dressing is combined with a fixing device, a sensor is attached to the inside of the fixing device, the fixing device is a T-shaped locking device, and the medical dressing is self-locked and embedded into the fixing device through the joint openings of the two components. The whole fixed system consists of a medical dressing body and a fixing device attached with a sensor. The fixing device is simple, quick and low in cost, and is suitable for disposable use. The fixing device of the invention can meet various sterilization requirements of medical dressings. The sensor system has a unique ID address, and can be identified and read and write related data through radio signals, so that dressing is effectively prevented from being left in a patient body in an operation, medical accidents of operation left objects are reduced, and safety of the patient is effectively guaranteed.

Description

一种医用敷料传感器的固定设备Fixing device for medical dressing sensor

技术领域technical field

本发明涉及医疗器械技术领域,特别是一种医用敷料传感器,包括但不限于电子标签的固定设备。The invention relates to the technical field of medical devices, in particular to a medical dressing sensor, including but not limited to a fixing device for an electronic label.

背景技术Background technique

手术敷料是外科手术中必用的医用敷料。据2008年《美国外科学院报》(Cima RR,Kollengode A,Garnatz J,et al.Incidence and characteristics of potential and actual retained foreignobject events in surgical patients.J Am Coll Surg 2008;207:80-87.)发布的研究显示,在腹部手术中,异物残留于体内的机率较高,约为1,000至1,500分之1。《新英格兰医学杂志》(GawandeAA,Studdert DM,Orav EJ,et al.Risk factors forretained instruments and sponges after surgery.NEngl J Med 2003;348:229-235.)也曾发表重要文章,显示异物残留体内的研究案例中,敷料占69%。纱布或毛巾等纤维组织来源的异物往往会形成肿块,即纱布瘤(gossypiboma/textiloma/gauzoma)。其主要危害,一方面对患者造成极大的身心伤害,有纱布残留的患者可能罹患下列并发症:疼痛、感染、脓肿后肉芽肿、瘘或者肠梗阻,异物的取出往往需要进行二次手术。如大多数腹腔残留异物都是经剖腹取出,尤其是纱布瘤。若长期未取出,则会造成组织不可逆坏死,甚至威胁患者生命。另一方面对实施手术的外科团队来说,需要面临相关的医疗事故赔偿和诉讼。Surgical dressings are necessary medical dressings in surgical operations. According to the 2008 "Journal of the American College of Surgeons" (Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 2008; 207: 80-87.) According to a recent study, in abdominal surgery, the probability of foreign bodies remaining in the body is relatively high, about 1 in 1,000 to 1,500. "New England Journal of Medicine" (GawandeAA, Studdert DM, Orav EJ, et al. Risk factors for retained instruments and sponges after surgery. NEngl J Med 2003; 348: 229-235.) has also published important articles showing that foreign bodies remain in the body Dressings accounted for 69% of the cases studied. Foreign bodies of fibrous tissue origin, such as gauze or towels, tend to form lumps known as gossypiboma/textiloma/gauzoma. Its main harm, on the one hand, causes great physical and mental harm to patients. Patients with gauze residue may suffer from the following complications: pain, infection, post-abscess granuloma, fistula or intestinal obstruction. The removal of foreign bodies often requires a second operation. For example, most residual foreign bodies in the abdominal cavity are removed by laparotomy, especially gauze tumors. If it is not removed for a long time, it will cause irreversible necrosis of the tissue and even threaten the life of the patient. On the other hand, the surgical team that performs the operation needs to face related medical malpractice compensation and lawsuits.

手术敷料遗留的关键原因是清点及辨识的失误。同样在上述《美国外科学院报》文章中显示,在34例异物残留中,有21例是被认为器械清点正确的(62%)。手术中敷料在浸透血液后难以肉眼辨识其存在,加之在手术过程中需要用到各种各样的手术器械与大量的敷料,及手术中其他因素的影响,如医护人员此时的心理素质、手术的时长等,都可能造成手术敷料的清点失误。医护人员误认为一切医用器械、敷料都已取出,因而造成患者体内异物遗留物。为解决这一安全隐患,亟需发展一种新技术,使医用敷料具有可探测、可追踪、可进行电子设备辅助计数的功能,实现可靠的手术辅料防遗留监控。The key reason for leftover surgical dressings is errors in counting and identification. Also in the aforementioned JACS article it was shown that of 34 cases of foreign body residues, 21 cases were considered correct (62%). It is difficult to recognize the existence of the dressing with the naked eye after the dressing is soaked in blood. In addition, various surgical instruments and a large number of dressings are needed during the operation, and other factors in the operation, such as the psychological quality of the medical staff at this time, The length of the operation, etc., may cause errors in the counting of surgical dressings. The medical staff mistakenly believed that all medical instruments and dressings had been taken out, thus causing foreign bodies left in the patient's body. In order to solve this potential safety hazard, it is urgent to develop a new technology so that medical dressings can be detected, traced, and counted by electronic equipment, so as to realize reliable anti-surgical auxiliary monitoring.

医用敷料附上传感器,使每一块医用敷料具有唯一的标识码,极好的解决了普通医用敷料因繁琐的清点过程与无法辨识而导致敷料遗留于患者体内的问题。一方面实现医用敷料的手术前、手术中、手术后的实时、精确、智能化的清点;极大的降低了手术中医护人员的工作强度,使医用工作人员更多的精力投入到手术本身。另一方面,在手术切口缝合前可通过相应的探测器对手术区域进行探测,以再次确认有无敷料遗留于患者体内。通过上述双重保险方式,杜绝纱布遗留,极大提高患者手术的安全性,促进缓解国内日益紧张的医患关系。Medical dressings are attached with sensors, so that each piece of medical dressing has a unique identification code, which perfectly solves the problem of common medical dressings being left in the patient's body due to the cumbersome counting process and unrecognizable. On the one hand, it realizes the real-time, accurate and intelligent counting of medical dressings before, during and after the operation; it greatly reduces the work intensity of the medical staff during the operation, and enables the medical staff to devote more energy to the operation itself. On the other hand, before the surgical incision is sutured, the corresponding detector can be used to detect the surgical area to reconfirm whether there is any dressing left in the patient's body. Through the above-mentioned double insurance method, the leftover of gauze is eliminated, the safety of patients' operations is greatly improved, and the increasingly tense relationship between doctors and patients in China is promoted.

将具有识别功能的传感器固定于敷料的内部或外表面,是一个很具挑战性的任务。一方面,用于手术中的医用敷料都是经过严格灭菌的,因此传感器系统必须满足各种灭菌需求。另一方面,手术敷料是直接与人体组织、血液接触,依附于敷料上的传感器系统也必须考虑生物相容性,不能发生过敏、细胞毒害性等。同时,还要保证传感器不影响手术辅料的传统性能、使用方式及使用者的习惯。本发明完美的解决了传感器与普通医用敷料的结合的问题,从而有效解决了医用敷料遗留于患者体内的问题。Fixing sensors with recognition functions to the inner or outer surface of dressings is a challenging task. On the one hand, the medical dressings used in surgery are strictly sterilized, so the sensor system must meet various sterilization requirements. On the other hand, surgical dressings are in direct contact with human tissue and blood, and the sensor system attached to the dressing must also consider biocompatibility, and allergies, cytotoxicity, etc. must not occur. At the same time, it is also necessary to ensure that the sensor does not affect the traditional performance, usage and user habits of surgical accessories. The invention perfectly solves the problem of the combination of the sensor and the common medical dressing, thereby effectively solving the problem of the medical dressing remaining in the patient's body.

发明内容Contents of the invention

本发明创新之处在于:将具有识别功能的传感器安全、有效、简洁的固定于医用敷料的内部或外表面,从而解决了医用敷料的手术遗留问题,实现医用敷料安全智能化管理,且不对传感器及医用敷料造成损害。The innovation of the present invention lies in: the sensor with identification function is safely, effectively and concisely fixed on the inner or outer surface of the medical dressing, thereby solving the problem left over from the operation of the medical dressing, realizing the safe and intelligent management of the medical dressing, and not affecting the sensor and medical dressings.

为实现上述目的,本发明提供有一种医用敷料传感器的固定设备,并采用以下技术方案:In order to achieve the above purpose, the present invention provides a fixing device for medical dressing sensors, and adopts the following technical solutions:

所述医用敷料与其传感器系统的固定设备,是由医用敷料与内部附有传感器的固定设备组成。The medical dressing and the fixing device of the sensor system are composed of a medical dressing and a fixing device with sensors inside.

进一步地,传感器是预置于固定设备内部的任意部位,通过敷料与固定设备的相嵌合,将传感器固定于敷料一侧。Furthermore, the sensor is pre-installed at any position inside the fixing device, and the sensor is fixed on one side of the dressing by fitting the dressing with the fixing device.

一种实施方式中,固定设备是T型锁合器,由两个构件组成的。In one embodiment, the fixation device is a T-lock, consisting of two components.

进一步地,一构件是有圆柱形孔,圆孔内部有相应的有两根弹簧式横柱;另一构件有与之相匹配的圆柱轴。当圆柱轴插入圆柱孔时,弹簧式横柱直接把圆柱锁紧。Further, one component has a cylindrical hole, and there are correspondingly two spring-type horizontal columns inside the circular hole; the other component has a matching cylindrical shaft. When the cylinder shaft is inserted into the cylinder hole, the spring type cross column directly locks the cylinder.

固定设备的材料是生物相容性的,可以是医用级硅胶、医用塑料,如PVC、PET、陶瓷等,但不限于这几种。若传感器没有预封装,直接置于固定设备内,所使用的固定设备材料必须是能有效防止体液等对传感器的损害。The material of the fixture is biocompatible, and can be medical-grade silicone, medical plastic, such as PVC, PET, ceramics, etc., but not limited to these types. If the sensor is not pre-packaged and placed directly in a fixed device, the material used for the fixed device must be able to effectively prevent damage to the sensor by body fluids.

进一步地,医用敷料质地轻、薄,施加稍大的压力便将其透过。将医用敷料置于固定设备的两构件接合口处,通过附有传感器的固定设备的两构件自锁嵌合,便可将传感器固定于敷料体的一侧。Furthermore, the medical dressing is light and thin, and can be penetrated by applying a little pressure. The medical dressing is placed at the junction of the two components of the fixing device, and the sensor can be fixed on one side of the dressing body through the self-locking fit of the two components of the fixing device with the sensor.

本发明的有益效果:Beneficial effects of the present invention:

1.普通的医用敷料因繁锁的清点过程与无法辨识,导致敷料极易遗留于患者体内。通过将具有识别功能的传感器固定于医用敷料体的一侧,实现敷料的电子设备辅助计数及实时人体无损探测,有效杜绝了医用敷料遗留于人体内类似的医疗事故发生,有效保障了患者及医护人员的权益。1. Ordinary medical dressings are easily left in the patient's body due to the cumbersome inventory process and unrecognizable. By fixing the sensor with identification function on one side of the medical dressing body, electronic equipment-assisted counting of the dressing and real-time non-destructive detection of the human body are realized, which effectively prevents the occurrence of similar medical accidents where the medical dressing is left in the human body, and effectively protects patients and medical care rights of personnel.

2.与传统的识别技术相比,本发明更具安全、前瞻、无差错、全程溯踪及电子计数等特点。具体可见表1。2. Compared with the traditional identification technology, the present invention is more secure, forward-looking, error-free, full traceability and electronic counting. See Table 1 for details.

3.本发明的固定设备体积小巧,很容易固定在医用敷料上,操作方便,更加切实可行。3. The fixing device of the present invention is small in size, easy to fix on the medical dressing, easy to operate, and more practical.

4.本发明将传感器包封于T型锁合器内,对传感器形成保护屏障,不受体液等的影响以满足不同的医疗环境需求。4. In the present invention, the sensor is encapsulated in a T-shaped locker to form a protective barrier for the sensor and not be affected by body fluids to meet the needs of different medical environments.

表1.几种医用敷料优缺点比较Table 1. Comparison of advantages and disadvantages of several medical dressings

附图说明Description of drawings

为了使发明的内容更容易被清晰的理解,下面根据发明的具体实施例并结合附图,对本发明作进一步详细的说明In order to make the content of the invention easier to understand clearly, the present invention will be described in further detail below according to specific embodiments of the invention in conjunction with the accompanying drawings

图1是本发明的医用敷料的结构示意图;Fig. 1 is the structural representation of medical dressing of the present invention;

图2是本发明的传感器固定设备示意图。Fig. 2 is a schematic diagram of the sensor fixing device of the present invention.

具体实施方式Detailed ways

下面通过具体实施方式结合附图时一步说明本发明。The present invention will be further described below through specific embodiments in conjunction with the accompanying drawings.

如图1所示,医用敷料1、传感器2、传感器固定设备3;所述敷料1通过与固定设备的自锁嵌合,将传感器固定于敷料体一侧。As shown in FIG. 1 , a medical dressing 1 , a sensor 2 , and a sensor fixing device 3 ; the dressing 1 fixes the sensor on one side of the dressing body through self-locking fit with the fixing device.

如图2所示,固定设备T型锁合器的两构件4、5;固定设备是由两个构件组成,里面附有传感器,传感器可置于固定设备任一构件内部。若传感器是预封装的则固定设备仅起固定作用,材料可根据临床需要选择;若传感器未预封装,则固定设备不仅起固定作用,并对传感器起一定防护作用,固定设备使用材料能避免外界因素对传感器的损害。As shown in Figure 2, the two components 4 and 5 of the T-lock of the fixed equipment; the fixed equipment is composed of two components, with sensors attached inside, and the sensors can be placed inside any component of the fixed equipment. If the sensor is pre-packaged, the fixing device only plays a role of fixing, and the material can be selected according to clinical needs; if the sensor is not pre-packaged, the fixing device not only plays a role of fixing, but also protects the sensor to a certain extent. The material used for the fixing device can avoid external Factors that damage the sensor.

医用敷料质地较薄、轻,施加稍大压力便可透过,使用时将医用敷料置于两构件接合口处,通过T型锁合器的两构件自锁嵌合,便可轻易的将各种所需的医用敷料契合入固定设备中,从而可使医用敷料携带上具有识别功能的传感器。The medical dressing is thin and light, and can pass through with a little pressure. When in use, the medical dressing is placed at the junction of the two components, and the two components of the T-locker are self-locking and fitted, and each component can be easily attached. A required medical dressing fits into the fixture, so that the medical dressing can carry a sensor with identification function.

固定设备可根据传感器的大小,确定其尺寸。Fixtures can be dimensioned according to the size of the sensor.

附有传感器的医用敷料,与智能化管理系统配套使用,可实现在手术前、手术中、手术后敷料的清点。同时,在手术切口缝合前,可探测有无敷料遗留于患者体内,从而杜绝敷料遗留类似的医疗事故。The medical dressings with sensors are used together with the intelligent management system to realize the counting of dressings before, during and after surgery. At the same time, before the surgical incision is sutured, it can detect whether there is any dressing left in the patient's body, so as to prevent similar medical accidents caused by the dressing.

上述具体实施方式只是对本发明的技术方案进行详细解释,本发明并不仅仅局限于上述实施例,本领域技术人员应该明白,凡是依据上述原理及精神在本发明基础上的改进、替代,都应在本发明的保护范围之内。The above-mentioned specific implementation is only a detailed explanation of the technical solutions of the present invention, and the present invention is not limited to the above-mentioned embodiments. Those skilled in the art should understand that all improvements and substitutions based on the above-mentioned principles and spirits on the basis of the present invention should be Within the protection scope of the present invention.

Claims (9)

1.一种医用敷料传感器的固定设备,其特征在于:由医用敷料与内部附有传感器的固定设备组成。1. A fixing device for a medical dressing sensor, characterized in that: it is composed of a medical dressing and a fixing device with a sensor inside. 2.根据权利要求1所述的一种医用敷料传感器的固定设备,其特征在于:所述敷料与固定设备相嵌合,所述固定设备内部附有传感器,包括但不限于电子标签,从而将传感器与医用敷料结合。2. A medical dressing sensor fixing device according to claim 1, characterized in that: the dressing is fitted with the fixing device, and sensors are attached inside the fixing device, including but not limited to electronic tags, so that the The sensor is combined with a medical dressing. 3.根据权利要求1所述的一种医用敷料传感器的固定设备,其特征在于:传感器预置于固定设备内部的任意部位。3. A fixing device for a medical dressing sensor according to claim 1, wherein the sensor is preset at any position inside the fixing device. 4.根据权利要求1所述的一种医用敷料传感器的固定设备,其特征在于:固定设备是T型锁合器,由两构件组成,两构件可以互相嵌合,紧密相扣。4. A fixing device for a medical dressing sensor according to claim 1, characterized in that the fixing device is a T-shaped lock, which is composed of two components, and the two components can be fitted with each other and tightly interlocked. 5.根据权利要求4所述的一种医用敷料传感器的固定设备,其特征在于:一构件是有圆柱形孔,圆孔内部有相应的有两根弹簧式横柱;另一T型构件有与之相匹配的圆柱轴。5. A fixing device for a medical dressing sensor according to claim 4, characterized in that: one component has a cylindrical hole, and there are two corresponding spring-type horizontal columns inside the circular hole; the other T-shaped component has Matching cylinder shaft. 6.根据权利要求5所述的一种医用敷料传感器的固定设备,其特征在于:T型构件,可嵌入另一匹配的构件中,通过两弹簧式将其锁紧。6. A fixing device for a medical dressing sensor according to claim 5, characterized in that: the T-shaped member can be embedded in another matching member and locked by two springs. 7.根据权利要求6所述的一种医用敷料传感器的固定设备,其特征在于:涉及一种固定方法:医用敷料置于固定设备接合口处,通过T型锁合器自锁嵌合,将医用敷料与传感器组合在一起。7. A fixing device for a medical dressing sensor according to claim 6, which is characterized in that it involves a fixing method: the medical dressing is placed at the joint of the fixing device, and the T-shaped lock is self-locking and fitted, and the The medical dressing is combined with the sensor. 8.根据权利要求4所述的种医用敷料传感器的固定设备,其特征在于:固定设备的材料是生物相容性的,可以是医用级硅胶、医用级塑料,包括但不限于PVC、PET、陶瓷、钛合金。8. The fixing device for a medical dressing sensor according to claim 4, characterized in that: the material of the fixing device is biocompatible, and can be medical grade silicone, medical grade plastic, including but not limited to PVC, PET, ceramics, titanium alloys. 9.根据权利1所述的一种医用敷料,其特征在于:所指医用敷料为:各种规格、样式的手术用纱布;各种规格、样式的手术用无纺布;各种规格、样式的手术用棉垫,包括但不限于脑棉片;各种规格、样式的手术用非降解、非留置于体内的其它材质敷料。9. A medical dressing according to claim 1, characterized in that: the medical dressing referred to is: surgical gauze of various specifications and styles; surgical non-woven fabrics of various specifications and styles; various specifications and styles Surgical cotton pads, including but not limited to brain cotton sheets; various specifications and styles of non-degradable surgical dressings of other materials that are not left in the body.
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Application publication date: 20150909