DE19838899A1 - Medical apparatus for pressure relief in subungual haematoma - Google Patents
Medical apparatus for pressure relief in subungual haematomaInfo
- Publication number
- DE19838899A1 DE19838899A1 DE1998138899 DE19838899A DE19838899A1 DE 19838899 A1 DE19838899 A1 DE 19838899A1 DE 1998138899 DE1998138899 DE 1998138899 DE 19838899 A DE19838899 A DE 19838899A DE 19838899 A1 DE19838899 A1 DE 19838899A1
- Authority
- DE
- Germany
- Prior art keywords
- heat source
- hole
- heat
- lighter
- pressure relief
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 206010044522 Traumatic haematoma Diseases 0.000 title description 2
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 3
- 230000006378 damage Effects 0.000 claims abstract description 3
- 208000014674 injury Diseases 0.000 claims abstract description 3
- 238000010438 heat treatment Methods 0.000 claims description 10
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 claims description 3
- 229910000831 Steel Inorganic materials 0.000 claims description 3
- 239000004020 conductor Substances 0.000 claims description 3
- 239000010949 copper Substances 0.000 claims description 3
- 229910052802 copper Inorganic materials 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 239000010959 steel Substances 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 2
- 229910052751 metal Inorganic materials 0.000 claims description 2
- 206010018852 Haematoma Diseases 0.000 claims 1
- 239000013078 crystal Substances 0.000 abstract description 3
- 235000019504 cigarettes Nutrition 0.000 abstract 1
- 210000000282 nail Anatomy 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 238000003825 pressing Methods 0.000 description 3
- 210000004904 fingernail bed Anatomy 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 206010048629 Wound secretion Diseases 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 210000003746 feather Anatomy 0.000 description 1
- 229910002804 graphite Inorganic materials 0.000 description 1
- 239000010439 graphite Substances 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/54—Chiropodists' instruments, e.g. pedicure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/06—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating caused by chemical reaction, e.g. moxaburners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00747—Dermatology
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Finger-Pressure Massage (AREA)
- Lighters Containing Fuel (AREA)
Abstract
Description
Die Erfindung bezieht sich auf die Methode herkömmlicher Art, bei subungualen Hämatomen einen Druckausgleich mittels Locherzeugung im Nagel durch den Einsatz einer heißen Nadel oder einer erhitzten Büroklammer herzustellen.The invention relates to the method conventional type, for subungual hematomas a pressure compensation by means of hole generation in the Nail through the use of a hot needle or a heated paper clip.
Diese müssen mit einem Greifwerkzeug festgehalten werden. Aus der DE Schrift 37 66 923 ist eine wesentlich verbesserte Methode bekannt, in welcher die Locherzeugung mit einem Handgerät geschieht. Hier ist das Gerät so konzipiert, daß es mit einem Ziel und Abstandshalter einsetzbar ist.These must be held with a gripping tool become. From DE document 37 66 923 is one much improved method known in which the hole is made with a handheld device. Here the device is designed so that it can be used with a Target and spacer can be used.
In beiden Methoden wird die Lochbohrung mittels Hitze durch Schmelzung eines Loches in das Nagelmaterial erzeugt. Dadurch kann das durch die Quetschung entstandene Wundsekret abfliessen, der Druckschmerz verschwindet und das Nagelgewebe kommt wieder am Nagelbett zum Anliegen und der Nagel bleibt meist erhalten.In both methods, the hole is drilled using Heat from melting a hole in it Nail material generated. This can be done through the Any wound secretion that has been squeezed will flow away Pressure pain disappears and the nail tissue comes back to the nail bed and the Nail usually remains.
Die Methode mit der erhitzten Büroklammer entbehrt eines professionellen Anblickes, die den Patienten verunsichern kann und die Handhabung für den Anwender ist sehr kompliziert durchzuführen. Die Anwendung des bekannten Handgerätes ist wegen der mangelnden Verbreitung und wegen der teueren Anschaffung mit anschliessender Entsorgung, wegen der Nichterstattungsfähigkeit der Behandlung durch die Krankenkassen, für den Anwender nicht problemlos. Zudem wird die Führung des Gerätes, wegen seiner minimalen Größe sehr anstrengend und unübersichtlich. Zu diesen Faktoren kommt noch, daß die Heizquelle zur Erwärmung der Durchdring ungsspitzen bei beiden Methoden extra aufzustellen oder von einer dritten Person zu halten ist (Kerzen oder Feuerzeug), oder bei Einsatz im stationären Bereich (Heizofen) aufgesucht werden muß. Dabei kühlt der Rückweg das Werkzeug ab.The heated paperclip method is not necessary a professional sight that the Patients may feel unsure and handling it is very complicated for the user to carry out. The application of the known handheld device is because of the lack of distribution and because of the expensive purchase with subsequent disposal, because of the ineligibility of treatment by the health insurance companies, not for the user no problem. In addition, the guidance of the device, because of its minimal size and very tiring confusing. In addition to these factors that the heating source for heating the penetration peaks with both methods or to be held by a third party (Candles or lighter), or when used in stationary area (heating furnace) got to. The way back cools the tool.
Der im Patentanspruch 1 angegebenen Erfindung liegt das Problem zugrunde, eine leichte, schnelle kostengünstige und dabei Keim- und Virenfreie Anwendungsmöglichkeit in der Erstversorgung anzu bieten.The invention specified in claim 1 the underlying problem is an easy, quick one Inexpensive and germ-free and virus-free Possible application in primary care Offer.
Dieses Problem wird durch die im Patentanspruch 1 aufgeführten Merkmale gelöst.This problem is solved by the in claim 1 listed features solved.
Die mit der Erfindung erzielten Vorteile bestehen insbesondere darin, daß statt einer festen Verbindung der Nadel mit dem Handgriff, eine leicht lösbare und doch wirksame Feststellung der Stifte sicherzustellen ist. Dabei ist die Heizquelle und die Stifthalterung in einem Geräteblock (Fig. 1/1), der mit Aufnahme bohrungen (Fig. 1/2, 3) für beide Teile versehen ist, so angebracht, daß die Anwendung mit einer Hand ergonomisch und ohne Assistenz sicher ist. Die Anheizphase wird durch das ständige Vorhandensein der Heizquelle (Fig. 3, 4, 5) im Gerät selbst um den Gang zur Heizquelle oder zum Heizofen verkürzt. Diese Hitzeerhaltung ohne Abkühlung ermöglicht eine schnelle und kurze Durchdringzeit durch den Nagel. Die Verwendung eines lösbaren Stiftes (Fig. 2/4), welcher nach der Behandlung schnell und kostengünstig einfach durch Drücken der (Fig. 2/8) abnehmbaren Kappe ersetzt werden kann, erleichtert die sterile Behandlung.The advantages achieved by the invention are, in particular, that instead of a fixed connection of the needle to the handle, an easily detachable but effective locking of the pins is to be ensured. Here, the heat source and the pin holder in a housing block (Fig. 1/1), the holes with recording (Fig. 1/2, 3) is provided for both parts, mounted so that the application with a hand ergonomic and without assistance that's for sure. The heating phase is shortened by the constant presence of the heating source ( Fig. 3, 4, 5) in the device itself by the walk to the heating source or to the heating furnace. This heat retention without cooling enables a quick and short penetration time through the nail. The use of a detachable pin (Fig. 2/4) which is easily removable cap can be replaced after the treatment quickly and inexpensively by pressing the (8 Fig. 2 /) facilitates the sterile handling.
Der Mechanismus in der Vorrichtung (Fig. 2) ist im Wesentlichen aufgebaut wie ein herkömmlicher Minenbleistift. Statt Graphitminen sind Stifte (Stahl, Kupfer oder andere wärmeleitfähigen Materialien) mit konischer Spitze (Fig. 6) im Einsatz. Der ganze Halteapparat ist aus Metall gefertigt ist, um einer steril machenden Prozedur zu widerstehen. Die Heizquelle (Fig. 3, 4, 5) selbst ist im wesentlichen von herkömmlichen Einwegfeuerzeugen abgeleitet, die mittels des (Fig. 3/9) Ventiles wiederauffüllbar gestaltet sind. Der Zündmechanismus ist wegen der Problematik mit den Feuerzeugzündsteinen mit einer Piezokristall Elektronik ausgestattet. Hiermit wird einfach durch Drücken des (Fig. 3/12) Druck kontaktes ein Funken erzeugt, der das durch Drücken des (Fig. 3/12) Druckkontaktes ausgelöste ausströmende Feuerzeuggas entzündet.The mechanism in the device ( Fig. 2) is essentially constructed like a conventional pencil. Instead of graphite leads, pins (steel, copper or other thermally conductive materials) with a conical tip ( Fig. 6) are used. The whole holding device is made of metal to withstand a sterile procedure. The heat source (Fig. 3, 4, 5) itself is essentially derived from conventional disposable lighters (9 Fig. 3 /) the valve is designed by means of the refillable. The ignition mechanism is equipped with a piezo crystal electronics because of the problem with the lighter flints. Hereby of (Fig. 3/12) pressure contact, a spark is generated simply by pressing, which ignites the pressing of the pressure contact-induced (Fig. 3 12 /) flowing lighter gas.
In (Fig. 3+4) werden weitere Modelle der Wärme erzeugung gezeigt, die über strombetriebene Glühwendel (Fig. 4+5/19) eine Hitze erzeugen, die geeignet ist, die (Fig. 2/4) Spitze des Stiftes glühendheiß zu machen.In (Fig. 3 + 4) further models the heat are shown generation, which generate a heat over-powered incandescent filament (19 Fig. 4 + 5 /) which is suitable (Fig. 2/4) tip of the pen red hot to do.
Dabei ist die Anordnung der Bohrungen im (Fig. 1) Block so gelegt, daß die unter der Stiftführung liegenden Heizquellen zuverlässig über die aufsteigende Wärme die Stiftspitze erhitzen. Die Haltung in der Hand, mitsamt der ganzen Gerätschaft, ist in dieser Heizstellung so, daß der weitere Einsatz zur Locherzeugung im Nagel, ohne eine Drehung oder Umsetzung des Gerätes stattfinden kann.The arrangement of the holes in the ( Fig. 1) block is placed in such a way that the heat sources under the pen guide reliably heat the pen tip via the rising heat. The position in the hand, together with the whole device, is in this heating position so that the further use for creating holes in the nail can take place without turning or moving the device.
Die Ausgestaltung des Blockes ist anatomisch in der Formgebung und der Handhaltung angepasst. Dies ermöglicht ein ermüdungsfreies Arbeiten. Die Spitzen der Stift Einsätze sind konisch gestaltet (Fig. 6) und verhindern weitgehend eine Verletzung des Nagelbettes nach dem Durchdringen des Nagel gewebes. The design of the block is anatomically adapted in shape and hand position. This enables fatigue-free work. The tips of the pin inserts are conical ( Fig. 6) and largely prevent injury to the nail bed after penetrating the nail tissue.
11
Block aus festem Material, welches als Träger fungiert
Block of solid material that acts as a support
22nd
Lochbohrung zur Aufnahme von Hole for receiving
Fig.Fig.
2 geeignet
2 suitable
33rd
Lochbohrung zur Aufnahme von Hole for receiving
Fig.Fig.
3 oder 3 or
Fig.Fig.
4
geeignet
4 suitable
44th
Konische Spitze am Stift aus geeignetem Material (Stahl, Kupfer
oder andere leitfähige Materialien)
Conical tip on the pin made of a suitable material (steel, copper or other conductive materials)
55
Feder zur Rückführung des Stiftschiebers
Spring for returning the pen slide
66
Kanal zur Führung des Stiftes
Channel for guiding the pen
77
Druckmechanismus für Stiftschieber
Push mechanism for pen slide
88th
Kappe abnehmbar zur Nachladung der Stifte
Removable cap for reloading the pens
99
Ventil zur Nachladung von Gas
Valve for reloading gas
1010th
Gastank
Gas tank
1111
Piezokristall zur Erzeugung von Hochspannung
für die Zündvorrichtung
Piezo crystal for generating high voltage for the ignition device
1212th
Druckkontakt zur Auslösung des Zündfunkens
Pressure contact to trigger the ignition spark
1313
Gasaustrittsöffnung
Gas outlet opening
1414
Kontakte für die Wiederaufladestation
Contacts for the recharge station
1515
Akkuelement
Battery element
1616
Feder
feather
1717th
Betätigungsknopf
Control button
1818th
Kontaktschalter
Contact switch
1919th
Heizelement
Heating element
2020th
Batterien 1,5 Volt
1.5 volt batteries
2121
Deckel verschraubbar mit Federelement
Screw-on lid with spring element
Claims (9)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE1998138899 DE19838899C2 (en) | 1997-11-07 | 1998-08-27 | Device for medical use in the field of nail hematoma for pressure relief by means of thermal hole drilling in the injury area |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19749278 | 1997-11-07 | ||
| DE1998138899 DE19838899C2 (en) | 1997-11-07 | 1998-08-27 | Device for medical use in the field of nail hematoma for pressure relief by means of thermal hole drilling in the injury area |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE19838899A1 true DE19838899A1 (en) | 1999-10-07 |
| DE19838899C2 DE19838899C2 (en) | 2000-12-28 |
Family
ID=26041414
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE1998138899 Expired - Fee Related DE19838899C2 (en) | 1997-11-07 | 1998-08-27 | Device for medical use in the field of nail hematoma for pressure relief by means of thermal hole drilling in the injury area |
Country Status (1)
| Country | Link |
|---|---|
| DE (1) | DE19838899C2 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE202011003971U1 (en) | 2011-03-15 | 2011-05-12 | Kraft, Franz | Medical device for treating a subungual hematoma |
| CN102641151A (en) * | 2012-05-07 | 2012-08-22 | 南京大学医学院附属鼓楼医院 | Medical direct-current miniature electrotome |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2009562A (en) * | 1932-12-23 | 1935-07-30 | Okumura Yasujiro | Stimulus acupuncturator |
| US3030959A (en) * | 1959-09-04 | 1962-04-24 | Praemeta | Surgical lancet for blood sampling |
| US3766923A (en) * | 1972-04-03 | 1973-10-23 | Us Health Education & Welfare | Device for treating sub-unqual hematoma |
| US3875944A (en) * | 1974-02-04 | 1975-04-08 | Philip M Toyama | Heated acupuncture needle and method of using the same |
| US5645554A (en) * | 1996-05-14 | 1997-07-08 | Hugh; Donald C. | Trephinator for treating subungual hematomas |
-
1998
- 1998-08-27 DE DE1998138899 patent/DE19838899C2/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2009562A (en) * | 1932-12-23 | 1935-07-30 | Okumura Yasujiro | Stimulus acupuncturator |
| US3030959A (en) * | 1959-09-04 | 1962-04-24 | Praemeta | Surgical lancet for blood sampling |
| US3766923A (en) * | 1972-04-03 | 1973-10-23 | Us Health Education & Welfare | Device for treating sub-unqual hematoma |
| US3875944A (en) * | 1974-02-04 | 1975-04-08 | Philip M Toyama | Heated acupuncture needle and method of using the same |
| US5645554A (en) * | 1996-05-14 | 1997-07-08 | Hugh; Donald C. | Trephinator for treating subungual hematomas |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE202011003971U1 (en) | 2011-03-15 | 2011-05-12 | Kraft, Franz | Medical device for treating a subungual hematoma |
| DE102012004850A1 (en) | 2011-03-15 | 2012-09-20 | Franz Kraft | Medical device for treating a subungual hematoma |
| DE102012004850B4 (en) * | 2011-03-15 | 2013-11-07 | Franz Kraft | Medical device for treating a subungual hematoma |
| CN102641151A (en) * | 2012-05-07 | 2012-08-22 | 南京大学医学院附属鼓楼医院 | Medical direct-current miniature electrotome |
Also Published As
| Publication number | Publication date |
|---|---|
| DE19838899C2 (en) | 2000-12-28 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| OP8 | Request for examination as to paragraph 44 patent law | ||
| D2 | Grant after examination | ||
| 8364 | No opposition during term of opposition | ||
| 8339 | Ceased/non-payment of the annual fee |