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WO2013122348A1 - Brain cooling device having condensation prevention function used on patient after open-skull surgery - Google Patents

Brain cooling device having condensation prevention function used on patient after open-skull surgery Download PDF

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Publication number
WO2013122348A1
WO2013122348A1 PCT/KR2013/000956 KR2013000956W WO2013122348A1 WO 2013122348 A1 WO2013122348 A1 WO 2013122348A1 KR 2013000956 W KR2013000956 W KR 2013000956W WO 2013122348 A1 WO2013122348 A1 WO 2013122348A1
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Prior art keywords
brain
cooling device
fluid transfer
transfer pipe
cooling fluid
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Ceased
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PCT/KR2013/000956
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French (fr)
Korean (ko)
Inventor
박재찬
석경호
한형수
이동익
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Industry Academic Cooperation Foundation of KNU
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Industry Academic Cooperation Foundation of KNU
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    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/10—Cooling bags, e.g. ice-bags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001—Body part
    • A61F2007/0002—Head or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
    • A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/12—Devices for heating or cooling internal body cavities
    • A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels

Definitions

  • the present invention relates to a brain cooling device, and more particularly to a brain cooling device for cooling the brain of the surgical site to suppress edema and damage of the brain in a patient immediately after the cranial surgery.
  • Various brain injuries such as cerebral infarction, cerebral hemorrhage, and head trauma, may cause therapeutic effects to alleviate cerebral edema and increased cerebral pressure due to diseases during hypothermic treatment, which lowers the temperature of the brain.
  • the present invention installs a cooling device through the surgical site during cranial surgery and lowers the body temperature of the brain for the required period after surgery, so that the cooling device inserted into the skull from the bed can be easily removed from the bed without reoperation after the treatment period is over. It is.
  • the moisture generated during the cooling of the surgical site is to reduce the inconvenience caused to fall to the patient.
  • Brain cooling apparatus for use in a patient after a craniotomy operation having a condensation prevention function is a cooling device for cooling the brain is placed in the brain or dura mat, one end and the other end is in communication with the tube
  • Cooling fluid transfer pipe is formed in the shape and has a contact portion embedded in contact with the brain or dura, and disposed on both sides of the contact portion, wraps the cooling fluid transfer pipe, one end is sealed in contact with one side of the cooling fluid transfer pipe, the other end is the cooling fluid It is preferable to include a heat insulation tube sealed to the other side of the pipe.
  • the heat insulation tube is preferably exposed to the outside through the scalp and skull, the contact portion is preferably bent in a zigzag shape.
  • physiological saline is introduced into the cooling fluid transfer pipe, and a temperature sensor is installed at one end and the other end of the cooling fluid transfer pipe to sense the temperature of physiological saline flowing into the cooling fluid transfer pipe and the temperature of physiological saline flowing out.
  • the brain cooling apparatus for cranial surgery patients according to the present invention, by providing a contact portion in direct contact with the brain or the dura mater, by using a cooling material flowing inside the contact portion effectively cooling the brain or dura can do. It is also easy to remove these cooling units from the bed. In addition, it is possible to reduce the inconvenience of generating moisture on the surface of the fluid transfer pipe by installing an insulation tube.
  • FIG. 1 is a plan view of a brain cooling apparatus for use in a patient after a cranial surgery with a condensation prevention function according to an embodiment of the present invention.
  • FIG. 2 is a conceptual diagram illustrating an installation state of a brain cooling device used in a patient after a craniotomy operation having a condensation prevention function shown in FIG. 1.
  • FIG. 3 is a cross-sectional view of the brain cooling device shown in FIG.
  • FIG. 4 is a conceptual diagram of a state in which the skull is fixed after completion of the installation of the brain cooling device used in the patient after the craniotomy with condensation prevention function shown in FIG.
  • FIG. 5 is a conceptual diagram of the removal after completion of the installation of the brain cooling device for use in a patient after a craniotomy with condensation prevention function.
  • FIG. 6 is a plan view and a cross-sectional view of a brain cooling device for a cranial surgery patient with a condensation prevention function according to another embodiment of the present invention.
  • brain cooling device for a cranial surgery patient with a condensation prevention function according to the present invention.
  • FIG. 1 is a plan view of a brain cooling device for a cranial surgery patient with a condensation prevention function according to an embodiment of the present invention
  • Figure 2 is a brain cooling device for a cranial surgery patient with a condensation prevention function shown in
  • Figure 1 3 is a conceptual diagram illustrating an installation state
  • FIG. 3 is a cross-sectional view of the brain cooling apparatus shown in FIG. 2.
  • FIG. 4 is a conceptual diagram of a state in which a skull is fixed after completion of installation of a brain cooling device for a cranial surgery patient having a condensation prevention function shown in FIG. 2, and FIG. 5 is a brain cooling for cranial surgery patient having a condensation prevention function.
  • the conceptual diagram at the time of removal after completion of installation of a device.
  • Brain cooling apparatus is a cooling device for cooling the brain is arranged in the brain or dura, as shown in Figure 1, formed in a tubular shape in which one end and the other end in communication with the contact portion buried to contact the brain or dura ( It is disposed on both sides of the cooling fluid transfer pipe 100 and the contact portion 110 having a 110, and surrounds the cooling fluid transfer pipe 100, one end is sealed in contact with one side of the cooling fluid transfer pipe 100 and the other end is cooled It includes a heat insulating tube 200 is sealed to the other side of the fluid transfer pipe (100).
  • Fluid transfer pipe 100 is a cooling water, such as physiological saline flows, one end and the other end is open, the cooling water is introduced through one end and is discharged to the other end.
  • the fluid transfer tube 100 has a contact portion 110 is bent in a zigzag shape as shown in Figure 1, this contact portion 100 is bent in a zigzag shape as shown in Figure 2
  • the scalp 10 and the skull 20 are incised and placed in contact with the brain or dura in an open state.
  • the insulating tube 200 is spaced apart from the incision as shown in Figure 4 is preferably exposed to the outside through the scalp (10) using a trocar (trocar), scalp and surgical needles and threads It is preferable to fix using.
  • Cooling fluid transfer tube 100 as described above is preferably formed in a rectangular cross section as shown in Figure 3 so as to be in close contact with the brain or dural, the heat insulating tube 200 is not in close contact with the brain or dura It can be formed in various shapes without being restrained.
  • FIG 4 shows a state in which the secondary skull is completed to complete the installation of the brain cooling apparatus according to an embodiment of the present invention.
  • the temperature sensor 120 is installed at one end and the other end of the cooling fluid transfer pipe 100 to sense the temperature of physiological saline flowing into the cooling fluid transfer pipe 100 and the temperature of physiological saline flowing out to cool the brain or dura mater. It is desirable to be able to monitor.
  • Figure 5 is a conceptual diagram at the time of separation after installing the brain cooling device to the heat insulating tube 200 on one side of the fluid transfer pipe 100 After cutting, pull the other side of the fluid transfer pipe 100 to remove it.
  • the bent fluid transfer pipe 100 is made of a soft material so as to be smoothly discharged through the perforations 21 of the skull 20, when the other side of the fluid transfer pipe 100 is pulled, the bent fluid transfer pipe 100 ) Is smoothly stretched and discharged through the perforations 21 of the skull 20.
  • FIG. 6 is a plan view and a cross-sectional view of a brain cooling device for a cranial surgery patient having a condensation prevention function according to another embodiment of the present invention
  • a cooling device disposed in the brain or the dura mater to cool the brain one end and the other end of which is Cooling fluid transfer pipe 100 is formed in a communication tube shape having a contact portion 110 to be buried in contact with the brain or dural, and the drain pipe 310 has a drain hole 310 formed on the lower surface of the cooling fluid transfer pipe 100 ( 300).
  • the drainage pipe 300 may be formed integrally with the cooling fluid transfer pipe 100, as shown in Figure 6 (b) is a cross-sectional view, it may be coupled to a separate tube to the lower portion of the cooling fluid transfer pipe (100).
  • the present invention can be effectively used for hypothermic therapy to alleviate cerebral edema and increased cerebral pressure in cranial surgery. It can be easily removed from the bed. In addition, it is possible to reduce the inconvenience of generating moisture on the surface of the fluid transfer pipe by installing an insulation pipe.
  • craniotomy for the treatment of brain injury, it can be used in the field of medical devices that locally lower the temperature of the brain, not the whole body, and increase the efficiency of treatment.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Thermal Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)

Description

결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치Brain cooling system for patients after craniotomy with condensation prevention

본 발명은 뇌 냉각 장치에 관한 것으로, 보다 상세하게는 개두 수술 직후의 환자를 대상으로 뇌의 부종과 손상을 억제하기 위하여 수술 부위의 뇌를 냉각시키는 뇌 냉각장치에 관한 것이다. The present invention relates to a brain cooling device, and more particularly to a brain cooling device for cooling the brain of the surgical site to suppress edema and damage of the brain in a patient immediately after the cranial surgery.

뇌경색, 뇌출혈, 두부 외상 등 각종 뇌손상의 경우 뇌의 온도를 강하시키는 저체온 치료시에 질병으로 인한 뇌부종과 뇌압 상승 등을 완화시키는 치료 효과를 일으킬 수 있다. Various brain injuries, such as cerebral infarction, cerebral hemorrhage, and head trauma, may cause therapeutic effects to alleviate cerebral edema and increased cerebral pressure due to diseases during hypothermic treatment, which lowers the temperature of the brain.

일반적으로 뇌의 온도를 강하시키기 위해서는 전신의 체온을 강하시켜 뇌의 온도를 떨어뜨릴 수 있으며 두부를 직접 체온 강하를 시키는 것은 뇌를 감싸고 있는 두개골과 두피 등으로 인해 효과적인 뇌의 온도 강하가 불가능하다.In general, to lower the temperature of the brain can lower the temperature of the brain by lowering the temperature of the whole body, and to directly lower the temperature of the head is impossible to effectively lower the temperature of the brain due to the skull and scalp surrounding the brain.

그러나, 상기 질병으로 인해 개두 수술을 시행하는 경우에는 수술 부위를 이용하여 전신이 아닌 뇌의 온도만 국소적으로 강하시킬 수 있다.However, when the craniotomy is performed due to the disease, only the temperature of the brain, not the whole body, can be locally lowered using the surgical site.

따라서 본 발명은 개두 수술 시에 수술 부위를 통해 냉각 장치를 설치하고 수술 후 필요한 기간 동안 뇌의 체온을 강하시키며, 치료 기간이 종료되면 재수술 없이 침상에서 쉽게 두개골 내에 삽입된 냉각 장치를 제거할 수 있도록 하는데 있다. Therefore, the present invention installs a cooling device through the surgical site during cranial surgery and lowers the body temperature of the brain for the required period after surgery, so that the cooling device inserted into the skull from the bed can be easily removed from the bed without reoperation after the treatment period is over. It is.

아울러 수술 부위를 냉각시키는 과정에서 발생되는 수분이 환자에게 떨어져 발생되는 불편을 감소시킬 수 있도록 하는데 있다.In addition, the moisture generated during the cooling of the surgical site is to reduce the inconvenience caused to fall to the patient.

본 발명의 해결과제는 이상에서 언급된 것들에 한정되지 않으며, 언급되지 아니한 다른 해결과제들은 아래의 기재로부터 당업자에게 명확하게 이해되어 질 수 있을 것이다.The problem of the present invention is not limited to those mentioned above, and other problems not mentioned will be clearly understood by those skilled in the art from the following description.

이러한 목적을 달성하기 위한 본 발명의 실시예에 따른 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치는 뇌 또는 경막에 배치되어 뇌를 냉각시키는 냉각장치로서, 일단과 타단이 연통된 관 형상으로 형성되어 뇌 또는 경막과 접촉하도록 매립되는 접촉부를 구비한 냉각유체이송관과, 접촉부의 양측에 배치되며, 냉각유체이송관을 감싸며 일단이 냉각유체이송관의 일측면에 맞닿아 밀폐되고 타단이 냉각유체이송관의 타측면에 밀폐되는 단열관을 포함하는 것이 바람직하다. Brain cooling apparatus for use in a patient after a craniotomy operation having a condensation prevention function according to an embodiment of the present invention for achieving this purpose is a cooling device for cooling the brain is placed in the brain or dura mat, one end and the other end is in communication with the tube Cooling fluid transfer pipe is formed in the shape and has a contact portion embedded in contact with the brain or dura, and disposed on both sides of the contact portion, wraps the cooling fluid transfer pipe, one end is sealed in contact with one side of the cooling fluid transfer pipe, the other end is the cooling fluid It is preferable to include a heat insulation tube sealed to the other side of the pipe.

여기서 단열관은 두피와 두개골을 관통하여 외부로 노출되는 것이 바람직하며, 접촉부는 지그재그 형상으로 절곡형성되는 것이 바람직하다. Here, the heat insulation tube is preferably exposed to the outside through the scalp and skull, the contact portion is preferably bent in a zigzag shape.

또한, 냉각유체이송관에는 생리식염수가 유입되는 것이 바람직하며, 냉각유체이송관의 일단과 타단에는 온도센서가 설치되어 냉각유체이송관으로 유입되는 생리식염수의 온도와 유출되는 생리식염수의 온도를 센싱하는 것이 바람직하다. In addition, it is preferable that physiological saline is introduced into the cooling fluid transfer pipe, and a temperature sensor is installed at one end and the other end of the cooling fluid transfer pipe to sense the temperature of physiological saline flowing into the cooling fluid transfer pipe and the temperature of physiological saline flowing out. Do.

상술한 바와 같이 본 발명에 따른 개두 수술 환자를 위한 뇌 냉각 장치에 의하면, 뇌나 경막에 직접적으로 접촉되는 접촉부를 설치하고, 이러한 접촉부의 내부를 흐르는 냉각 물질을 이용함으로써 뇌 또는 경막의 냉각을 효과적으로 수행할 수 있다. 또한 이러한 냉각부를 침상에서 쉽게 제거할 수 있다. 아울러 단열관을 설치하여 유체이송관의 표면에 습기가 발생되는 불편함을 감소시킬 수 있다. As described above, according to the brain cooling apparatus for cranial surgery patients according to the present invention, by providing a contact portion in direct contact with the brain or the dura mater, by using a cooling material flowing inside the contact portion effectively cooling the brain or dura can do. It is also easy to remove these cooling units from the bed. In addition, it is possible to reduce the inconvenience of generating moisture on the surface of the fluid transfer pipe by installing an insulation tube.

본 발명의 효과는 이상에서 언급된 것들에 한정되지 않으며, 언급되지 아니한 다른 효과들은 아래의 기재로부터 당업자에게 명확하게 이해되어 질 수 있을 것이다.The effects of the present invention are not limited to those mentioned above, and other effects that are not mentioned will be clearly understood by those skilled in the art from the following description.

도 1은 본 발명의 일 실시예에 따른 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치의 평면도이다. 1 is a plan view of a brain cooling apparatus for use in a patient after a cranial surgery with a condensation prevention function according to an embodiment of the present invention.

도 2는 도 1에 도시된 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치의 설치상태를 도시한 개념도이다. FIG. 2 is a conceptual diagram illustrating an installation state of a brain cooling device used in a patient after a craniotomy operation having a condensation prevention function shown in FIG. 1.

도 3은 도 2에 도시된 뇌 냉각장치의 단면도이다. 3 is a cross-sectional view of the brain cooling device shown in FIG.

도 4는 도 2에 도시된 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치의 설치 완료 후 두개골을 고정한 상태의 개념도이다.4 is a conceptual diagram of a state in which the skull is fixed after completion of the installation of the brain cooling device used in the patient after the craniotomy with condensation prevention function shown in FIG.

도 5는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치의 설치를 완료한 후 제거시의 개념도이다. 5 is a conceptual diagram of the removal after completion of the installation of the brain cooling device for use in a patient after a craniotomy with condensation prevention function.

도 6은 본 발명의 다른 실시예에 따른 결로 방지 기능을 가진 개두 수술 환자를 위한 뇌 냉각 장치의 평면도 및 단면도이다. 6 is a plan view and a cross-sectional view of a brain cooling device for a cranial surgery patient with a condensation prevention function according to another embodiment of the present invention.

이하에서는 도면을 참조하면서 본 발명에 따른 결로 방지 기능을 가진 개두 수술 환자를 위한 뇌 냉각 장치(이하 '뇌 냉각장치'라 함)에 관하여 구체적으로 설명하겠다. Hereinafter, with reference to the drawings will be described in detail with respect to the brain cooling device (hereinafter referred to as "brain cooling device") for a cranial surgery patient with a condensation prevention function according to the present invention.

도 1은 본 발명의 일 실시예에 따른 결로 방지 기능을 가진 개두 수술 환자를 위한 뇌 냉각 장치의 평면도이며, 도 2는 도 1에 도시된 결로 방지 기능을 가진 개두 수술 환자를 위한 뇌 냉각 장치의 설치상태를 도시한 개념도이고, 도 3은 도 2에 도시된 뇌 냉각장치의 단면도이다. 1 is a plan view of a brain cooling device for a cranial surgery patient with a condensation prevention function according to an embodiment of the present invention, Figure 2 is a brain cooling device for a cranial surgery patient with a condensation prevention function shown in Figure 1 3 is a conceptual diagram illustrating an installation state, and FIG. 3 is a cross-sectional view of the brain cooling apparatus shown in FIG. 2.

또한, 도 4는 도 2에 도시된 결로 방지 기능을 가진 개두 수술환자를 위한 뇌 냉각 장치의 설치 완료후 두개골을 고정한 상태의 개념도이며, 도 5는 결로 방지 기능을 가진 개두 수술환자를 위한 뇌 냉각 장치의 설치를 완료한 후 제거시의 개념도이다. 4 is a conceptual diagram of a state in which a skull is fixed after completion of installation of a brain cooling device for a cranial surgery patient having a condensation prevention function shown in FIG. 2, and FIG. 5 is a brain cooling for cranial surgery patient having a condensation prevention function. The conceptual diagram at the time of removal after completion of installation of a device.

본 발명에 따른 뇌 냉각장치는 도 1에 도시된 바와 같이 뇌 또는 경막에 배치되어 뇌를 냉각시키는 냉각장치로서, 일단과 타단이 연통된 관 형상으로 형성되어 뇌 또는 경막과 접촉하도록 매립되는 접촉부(110)를 구비한 냉각유체이송관(100)과, 접촉부(110)의 양측에 배치되며, 냉각유체이송관(100)을 감싸며 일단이 냉각유체이송관(100)의 일측면에 맞닿아 밀폐되고 타단이 냉각유체이송관(100)의 타측면에 밀폐되는 단열관(200)을 포함한다. Brain cooling apparatus according to the present invention is a cooling device for cooling the brain is arranged in the brain or dura, as shown in Figure 1, formed in a tubular shape in which one end and the other end in communication with the contact portion buried to contact the brain or dura ( It is disposed on both sides of the cooling fluid transfer pipe 100 and the contact portion 110 having a 110, and surrounds the cooling fluid transfer pipe 100, one end is sealed in contact with one side of the cooling fluid transfer pipe 100 and the other end is cooled It includes a heat insulating tube 200 is sealed to the other side of the fluid transfer pipe (100).

유체이송관(100)은 생리식염수와 같은 냉각수가 유동하는 것으로, 일단과 타단이 개방되어 냉각수가 일단을 통해 유입되어 타단으로 배출된다. Fluid transfer pipe 100 is a cooling water, such as physiological saline flows, one end and the other end is open, the cooling water is introduced through one end and is discharged to the other end.

이러한 유체이송관(100)은 도 1에 도시된 바와 같이 지그재그 형상으로 절곡형성되는 접촉부(110)를 갖으며, 이러한 접촉부(100)는 도 2에 도시된 바와 같이 는 지그재그 형상으로 절곡형성되어 환자의 두피(10) 및 두개골(20)을 절개하여 개방된 상태에서 뇌 또는 경막에 접촉되도록 배치된다. The fluid transfer tube 100 has a contact portion 110 is bent in a zigzag shape as shown in Figure 1, this contact portion 100 is bent in a zigzag shape as shown in Figure 2 The scalp 10 and the skull 20 are incised and placed in contact with the brain or dura in an open state.

단열관(200)은 도 1 및 도 2에 도시된 바와 같이 유체이송관(100)의 접촉부(110)의 양측면에 배치되어, 두피(10)와 두개골(20)을 관통하여 외부로 노출될 수 있도록 하는 것이 바람직하다. 1 and 2 are disposed on both sides of the contact portion 110 of the fluid transfer pipe 100, so as to penetrate the scalp 10 and the skull 20 to be exposed to the outside. It is desirable to.

이때 단열관(200)은 도 4에 도시된 바와 같이 절개된 부위와 이격하여 두관침(trocar)을 이용하여 두피(10)를 관통하여 외부로 노출되는 것이 바람직하며, 두피와 수술용 바늘과 실을 이용하여 고정하는 것이 바람직하다. At this time, the insulating tube 200 is spaced apart from the incision as shown in Figure 4 is preferably exposed to the outside through the scalp (10) using a trocar (trocar), scalp and surgical needles and threads It is preferable to fix using.

앞에서 살펴본 냉각유체이송관(100)은 뇌 또는 경막에 밀착될 수 있도록 도 3에 도시된 바와 같이 단면이 장방형 형상으로 형성되는 것이 바람직하며, 단열관(200)은 뇌 또는 경막에 밀착되지 않으므로 형상에 구속되지 않고 다양한 형상으로 형성할 수 있다. Cooling fluid transfer tube 100 as described above is preferably formed in a rectangular cross section as shown in Figure 3 so as to be in close contact with the brain or dural, the heat insulating tube 200 is not in close contact with the brain or dura It can be formed in various shapes without being restrained.

도 4는 본발명의 일 실시예에 따른 뇌 냉각장치의 설치를 완료한 부 두개골을 봉합한 상태를 나타낸다. 도시한 바와 같이 개방되었던 두개골(20)을 폐쇄하고 별도로 구비되는 결합부재(22)를 이용하여 개방되었던 두개골(20)을 폐쇄하면 단열관(200)은 두개골(20)의 천공부(21)을 통해 두개골 바깥으로 노출된다.Figure 4 shows a state in which the secondary skull is completed to complete the installation of the brain cooling apparatus according to an embodiment of the present invention. Closing the skull 20, which was opened as shown, and closing the skull 20, which was opened using the coupling member 22 provided separately, the heat insulation tube 200 opens the perforations 21 of the skull 20. Through out the skull is exposed.

이때, 냉각유체이송관(100)의 일단과 타단에는 온도센서(120)를 설치하여 냉각유체이송관(100)으로 유입되는 생리식염수의 온도와 유출되는 생리식염수의 온도를 센싱하여 뇌 또는 경막의 냉각상태를 모니터링할 수 있도록 하는 것이 바람직하다. At this time, the temperature sensor 120 is installed at one end and the other end of the cooling fluid transfer pipe 100 to sense the temperature of physiological saline flowing into the cooling fluid transfer pipe 100 and the temperature of physiological saline flowing out to cool the brain or dura mater. It is desirable to be able to monitor.

결로 방지 기능을 가진 개두 수술환자를 위한 뇌 냉각 장치의 설치를 완료한 후 분리시의 개념도인 도 5를 참조하면 뇌 냉각장치를 설치한 후 유체이송관(100)의 일측의 단열관(200)을 잘라낸 후 유체이송관(100)의 타측을 잡아당겨 제거한다. After completing the installation of the brain cooling device for cranial surgery patients with condensation prevention function, referring to Figure 5 which is a conceptual diagram at the time of separation after installing the brain cooling device to the heat insulating tube 200 on one side of the fluid transfer pipe 100 After cutting, pull the other side of the fluid transfer pipe 100 to remove it.

이때 절곡된 유체이송관(100)이 두개골(20)의 천공부(21)를 통해 원활하게 배출될 수 있도록 연질의 재질로 이루어져 유체이송관(100)의 타측을 잡아당기는 경우, 절곡된 유체이송관(100)이 부드럽게 펴지며 두개골(20)의 천공부(21)를 통해 배출된다. At this time, when the bent fluid transfer pipe 100 is made of a soft material so as to be smoothly discharged through the perforations 21 of the skull 20, when the other side of the fluid transfer pipe 100 is pulled, the bent fluid transfer pipe 100 ) Is smoothly stretched and discharged through the perforations 21 of the skull 20.

본 발명의 다른 실시예에 따른 결로 방지 기능을 가진 개두 수술 환자를 위한 뇌 냉각 장치의 평면도 및 단면도인 도 6을 참조하면, 뇌 또는 경막에 배치되어 뇌를 냉각시키는 냉각장치로서, 일단과 타단이 연통된 관 형상으로 형성되어 뇌 또는 경막과 접촉하도록 매립되는 접촉부(110)를 구비한 냉각유체이송관(100)과, 냉각유체이송관(100)의 하면에는 하부에 드레인 홀(310)이 형성된 배액관(300)으로 이루어진다. Referring to FIG. 6, which is a plan view and a cross-sectional view of a brain cooling device for a cranial surgery patient having a condensation prevention function according to another embodiment of the present invention, a cooling device disposed in the brain or the dura mater to cool the brain, one end and the other end of which is Cooling fluid transfer pipe 100 is formed in a communication tube shape having a contact portion 110 to be buried in contact with the brain or dural, and the drain pipe 310 has a drain hole 310 formed on the lower surface of the cooling fluid transfer pipe 100 ( 300).

따라서 뇌 또는 경막에 혈액 등이 고이는 경우 배액관(300)의 하부 드레인 홀(310)을 통해 배출할 수 있도록 한다. Therefore, when blood or the like accumulates in the brain or dura mat, it is possible to discharge through the lower drain hole 310 of the drainage pipe 300.

이러한 배액관(300)은 단면도인 도 6(b)에 도시된 바와 같이 냉각유체이송관(100)과 일체로 형성될 수도 있으며, 별도의 관을 냉각유체이송관(100)의 하부에 결합시킬 수도 있다. The drainage pipe 300 may be formed integrally with the cooling fluid transfer pipe 100, as shown in Figure 6 (b) is a cross-sectional view, it may be coupled to a separate tube to the lower portion of the cooling fluid transfer pipe (100).

본 명세서에서 설명되는 실시예와 첨부된 도면은 본 발명에 포함되는 기술적 사상의 일부를 예시적으로 설명하는 것에 불과하다. 따라서, 본 명세서에 개시된 실시예들은 본 발명의 기술적 사상을 한정하기 위한 것이 아니라 설명하기 위한 것이므로, 이러한 실시예에 의하여 본 발명의 기술 사상의 범위가 한정되는 것은 아님은 자명하다. 본 발명의 명세서 및 도면에 포함된 기술적 사상의 범위 내에서 당업자가 용이하게 유추할 수 있는 변형 예와 구체적인 실시 예는 모두 본 발명의 권리범위에 포함되는 것으로 해석되어야 할 것이다.The embodiments described in the present specification and the accompanying drawings merely illustrate some of the technical ideas included in the present invention. Therefore, since the embodiments disclosed herein are not intended to limit the technical spirit of the present invention but to explain, it is obvious that the scope of the technical spirit of the present invention is not limited by these embodiments. Modifications and specific embodiments that can be easily inferred by those skilled in the art within the scope of the technical idea included in the specification and drawings of the present invention should be construed as being included in the scope of the present invention.

뇌경색, 뇌출혈, 두부 외상 등 각종 뇌손상의 경우 개두 수술을 시행함에 있어서 뇌부종과 뇌압 상승 등을 완화시키는 저체온 치료에 본 발명을 활용하게 되면 효과적인 뇌 또는 경막의 냉각을 수행할 수 있게 되고, 냉각부를 침상에서 쉽게 제거할 수 있게 된다. 또한 단열관을 설치하여 유체이송관의 표면에 습기가 발생되는 불편함을 감소시킬 수 있다. 뇌손상 치료를 위한 개두 수술 시행에 있어서 전신이 아닌 뇌의 온도만 국소적으로 강하시키고 치료의 효율성을 높이는 의료 장치 분야에 이용될 수 있다.In the case of various brain injuries, such as cerebral infarction, cerebral hemorrhage, and head trauma, the present invention can be effectively used for hypothermic therapy to alleviate cerebral edema and increased cerebral pressure in cranial surgery. It can be easily removed from the bed. In addition, it is possible to reduce the inconvenience of generating moisture on the surface of the fluid transfer pipe by installing an insulation pipe. When performing craniotomy for the treatment of brain injury, it can be used in the field of medical devices that locally lower the temperature of the brain, not the whole body, and increase the efficiency of treatment.

Claims (6)

뇌 또는 경막에 배치되어 뇌를 냉각시키는 냉각장치로서, A cooling device arranged in the brain or dura to cool the brain, 일단과 타단이 연통된 관 형상으로 형성되어 뇌 또는 경막과 접촉하도록 매립되는 접촉부(110)를 구비한 냉각유체이송관(100); 및A cooling fluid transport tube (100) having a contact portion (110) formed in a tubular shape in which one end and the other end is in communication with the brain or the dura mat to be buried; And 상기 접촉부(110)의 양측에 배치되며, 상기 냉각유체이송관(100)을 감싸며 일단이 상기 냉각유체이송관(100)의 일측면에 맞닿아 밀폐되고 타단이 상기 냉각유체이송관(100)의 타측면에 밀폐되는 단열관(200)을 포함하는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치.It is disposed on both sides of the contact portion 110, surrounds the cooling fluid transfer pipe 100, one end is sealed in contact with one side of the cooling fluid transfer pipe 100 and the other end is on the other side of the cooling fluid transfer pipe 100 Brain cooling apparatus for use in a patient after a cranial surgery with a condensation prevention function, characterized in that it comprises a sealed insulated tube (200). 제1항에 있어서, The method of claim 1, 상기 단열관(200)은 두피(10)와 두개골(20)을 관통하여 외부로 노출되는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치.The thermal insulation pipe 200 is a brain cooling device for use in a patient after a cranial surgery with a condensation prevention function, characterized in that exposed to the outside through the scalp (10) and the skull (20). 제1항에 있어서, The method of claim 1, 상기 접촉부(110)는 지그재그 형상으로 절곡형성되는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치. The contact unit 110 is a brain cooling device for use in a patient after a craniotomy surgery with a condensation prevention function, characterized in that formed in a zigzag shape. 제1항에 있어서, The method of claim 1, 상기 냉각유체이송관(100)에는 생리식염수가 유입되는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치. The cooling fluid transfer pipe 100 is a brain cooling device for use in a patient after a craniotomy surgery with a condensation prevention function, characterized in that the physiological saline is introduced. 제4항에 있어서, The method of claim 4, wherein 상기 냉각유체이송관(100)의 일단과 타단에는 온도센서(120)가 설치되어 냉각유체이송관(100)으로 유입되는 생리식염수의 온도와 유출되는 생리식염수의 온도를 센싱하는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치. One end and the other end of the cooling fluid transfer pipe 100 is installed with a temperature sensor 120 to sense the temperature of the physiological saline flowing into the cooling fluid transfer pipe 100 and the temperature of the physiological saline flowing out Brain cooling device used in patients after cranial surgery with a. 뇌 또는 경막에 배치되어 뇌를 냉각시키는 냉각장치로서, A cooling device arranged in the brain or dura to cool the brain, 일단과 타단이 연통된 관 형상으로 형성되어 뇌 또는 경막과 접촉하도록 매립되는 접촉부(110)를 구비한 냉각유체이송관(100); 및 A cooling fluid transport tube (100) having a contact portion (110) formed in a tubular shape in which one end and the other end is in communication with the brain or the dura mat to be buried; And 상기 냉각유체이송관(100)의 하면에는 형성되고, 하부에 드레인 홀(310)이 형성된 배액관(300)을 포함하는 것을 특징으로 하는 결로 방지 기능을 가진 개두 수술 후 환자에 사용하는 뇌 냉각 장치. The cooling fluid transfer pipe (100) is formed on the lower surface of the brain cooling device for use after a craniotomy operation with a condensation prevention function, characterized in that it comprises a drainage pipe (300) having a drain hole (310) formed on the bottom.
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