JPS6244501B2 - - Google Patents

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Publication number
JPS6244501B2
JPS6244501B2 JP57204441A JP20444182A JPS6244501B2 JP S6244501 B2 JPS6244501 B2 JP S6244501B2 JP 57204441 A JP57204441 A JP 57204441A JP 20444182 A JP20444182 A JP 20444182A JP S6244501 B2 JPS6244501 B2 JP S6244501B2
Authority
JP
Japan
Prior art keywords
container
valve
conduit
foil
secretions
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.)
Expired
Application number
JP57204441A
Other languages
English (en)
Other versions
JPS5894856A (ja
Inventor
Ibu Jatsuku Rukureeruku Roran
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Intermedicat GmbH
Original Assignee
Intermedicat GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Intermedicat GmbH filed Critical Intermedicat GmbH
Publication of JPS5894856A publication Critical patent/JPS5894856A/ja
Publication of JPS6244501B2 publication Critical patent/JPS6244501B2/ja
Granted legal-status Critical Current

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Classifications

    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/64—Containers with integrated suction means
    • A61M1/68—Containers incorporating a flexible member creating suction

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Description

【発明の詳細な説明】 本発明は、分泌物吸収性材料が充填されかつ逆
止め弁を介して分泌物生成身体空隙に接続される
可撓性材料製の吸収可能容器を含む医療用吸引ド
レナージ装置に関する。
即ち分泌される体液、例えば傷口からの分泌液
の受容器となりかつ手動操作によつて低圧貯蔵器
として使用できる容器および装置に関する。可撓
性袋状容器内の吸収性または吸着性材料は物理的
な毛細管活性または収着活性によつて、その都度
もたらされる低圧のもとでおこなわれる浸出物ド
レナージを補助促進する。
手術後の創傷ドレナージの場合は、傷の治療中
に生じる分泌液を排出させるためにカテーテル
を、例えば縫合糸または創傷箝搾子によつて囲ま
れた手術による創傷の適切な組織内に挿入し、治
療後に抜去するのが普通である。この場合、その
長さ方向の一部にわたつてしばしば穿孔された可
撓性ドレナージカテーテルに低圧を作用させて、
まず第１に生じる浸出物をできるだけすばやく除
去し、ついで手術創傷の切開面を一緒に押しつけ
た状態に保ち、早期の肉芽組織発生
（Gewebsgranulation）と創傷治瘉をおこなうの
が好ましいとされている。しばしばカテーテル壁
が穿孔された可撓性ドレナージ管およびこれに接
続されて前排気された低圧受容器から成るシステ
ムは例えばレドンドレナージシステム
（Redondrainagesysteme）としても知られてい
る。
これらのドレナージシステムは数回使用または
衛生上および作業経済上の理由から好ましい１回
使用に用いられるのが普通で、真空源としては例
えば0.1barのような所定の前真空に排気されたガ
ラスびんを備えている。生起する真空は多くの場
合、真空表示器から定量的に読み取ることができ
る。この非定置システムは外来患者が携帯できる
ものであるが、ガラス容器の砕け易さ、重さおよ
び幾何学的に不都合な形状のために好適ではな
く、特に、高真空下での形状安定性に必要な管壁
厚は不体裁で、比較的硬直した管誘導システムを
もたらす。１回使用のために常法によりプラスツ
チクスから製造された装置は、少なくとも軽くて
こわれにくいのでこの点からしばしば好都合であ
る。この種の装置は、例えば可撓性で、アコーデ
イオン風に圧縮でき、弾力によつて膨張される容
器から成り、該容器内には例えば圧縮によつて真
空の内部空間が生じ、またドレナージカテーテル
を接続した後は設置された膨張補助手段によつて
必要な吸引力が該容器内に形成される。
真空源を比較的高度な低圧に保持することは創
傷の治瘉が早められるので適当であるが、次の点
で不利である。即ち、高真空下においては創傷中
のカテーテルの外部隣接組織が、特に悩や哺乳器
官の手術において、カテーテルの穿孔内に吸引さ
れ、該組織はカテーテルの抜去時に再び切開さ
れ、先の創傷中に新たな外傷をもたらす。浸出物
は容器内では流動性の液体として存在するので、
この点にも次のような欠点がある。即ち、操作不
注意の場合には、事情によつては感染された浸出
物が再びカテーテル内へ逆流し、あるいはガラス
びんを使用する場合には、びんの破損に際して外
部へ流出して周囲や看護人を汚す。
体積膨張下に分泌物を吸収する材料を充填した
可撓性材料製の排気可能な袋状容器から成る既知
の装置（米国特許第3572340号明細書参照）はこ
れらの欠点を除去する。この容器の２つの対置し
た縁部の中央には、分泌物導入口および空気排出
口となる、短い接合管を備えた開口部が形成され
る。分泌物導入口は、分泌物の患者への逆流を防
ぐ球形弁を備える。創傷から吸い取られる分泌物
はコロイド含有蛋白質溶液から成つており、該溶
液には球形弁を膠着によつて塞ぐという不都合が
あり、特に袋状容器は体温のもとで保持されるの
で分泌物の凝固はこの温度では容易におこる。こ
の容器は２つの中心に配置された短い接合管のた
めに大きなロール長さにわたつて丸めることがで
きないので、充分排気できずまた分泌物を吸収す
るための充填材料の体積膨張能を完全に利用でき
ない。容器はこれに応じてたびたび交換しなけれ
ばならない。導入口用接合管のみを設置する場合
には、球形弁を作動させないようにして空気を逃
がさなければならないので排気に際して困難が生
ずる。このためには、排気後に導入口用接合管と
共に差し込まれる離れた部材内にこれを収納す
る。この部材は装置を高価にするので一回使用に
は不適である。球形弁としての弁の形成はさらに
装置を高価なものにする。
従つて、分泌物吸収材料の吸収作用を最大限に
利用するのに必要な真空度を手動で発生させるた
め素早く簡単に操作できる、創傷ドレナージ用に
適した安価な一回使用装置を作ることが課題とな
る。
この課題は本発明によつて解決された。フオイ
ル弁として弁を形成させることによつて比較的長
い巻き距離にわたつて容器を丸めることができる
ので、排気が非常に良好となり、充填材料の吸収
作用が最大限に利用される。さらにこの弁は凝固
性の分泌物の導入によつては膠着されない。なか
んずく臭を漏らさず、細菌を通さない透明なプラ
スチツク製フオイルから溶接法によつて作られた
袋状容器内に、開口多孔を有し、多量の流体を吸
収する海綿状材料が充填され、該材料は創傷分泌
物を吸収でき、創傷分泌物の存在下では圧縮され
た容器の固有弾性によつて吸収作用を発揮して直
立し、膨張する。これと同じ作用をする、流体を
吸収して体積を増大させる反応性素材も適当な材
料である。
海綿状構造を有する開口多孔性充填材料として
は例えば適当な回復弾性を有するポリウレタン製
発泡材料が挙げられ、また反応性の体積増大吸収
材料としては例えばストツクハウゼン社（Firma
Stockhausen）から「Favor」の名称で市販され
ている吸収材料が挙げられる。もちろん両方の材
料を組み合せてもよい。殺菌剤を発泡材料に加
え、伝染病等の場合の細菌の生長とそれに併うガ
ス発生を防いでもよい。
容器を形成する２枚のフオイルの間に溶接され
たチユーブは容器内部への導管となり、容器が完
全に充填されたときは吸収性または流体吸収性媒
体と共に毛細管作用に必要な流体輸送手段を形成
する。
体積が小さいのでドレナージ導管としては、創
傷領域に設置してドレナージを確実に保持した際
に比較的大きな可撓性を示すシヨアー硬度の小さ
なチユーブを使用するのが好ましい。毛細管作用
を惹起させるのに必要な流体カラムは、一時的に
作用する低真空を作り出すこと、例えば排気され
た閉鎖容器を巻きあげることによつて形成され、
これによつて吸収媒体上へ導かれる。チユーブは
その端部に、取り外し可能な継手に必要な常套の
取付け具を備えていてもよく、該取付け具上には
ねじこみ式または差し込み式の雄型および雌型の
円錐状取付け具（Kegelansatz）から成る継手を
設けて容器の交換をおこなうことができる。
ドレナージを輸送する吸引作用を中断するため
に、この袋状容器のチユーブ状入口に遮断装置が
設けられる。該装置は最も簡単な場合には所謂す
ベリクランプとしてチユーブを包囲し、移動の際
は、鋭角状に形成された空間によつてチユーブの
内径を連続的に締めつける。別の遮断手段として
は、ケースと弁軸から成り、チユーブに接続され
た針状弁が挙げられる。必要に応じてその長さが
決定されるチユーブ片を取り外し可能な継手の位
置へ接続し、創傷内に配置されるドレナージカテ
ーテルに接続され得るチユーブ取付け具までのば
してもよい。容器上部の固定リングは、該容器を
適当な懸垂手段または固定手段を用いて外来患者
自身または外部装置へ固定できるようにする。容
器は使用場所に応じ、解剖学的に適合した形態
で、分泌物の量に相応した大きさにすればよい。
治療に適合した創傷分泌物ドレナージに必要な
低圧または吸引力は本発明による容器を用い、そ
の中に形成される。即ち簡単な方法は、例えば容
器を折り畳むか巻き上げることによつて容器内の
空気は除去され、圧縮された容器は遮断装置によ
つて一時的に閉鎖され、カテーテルに接続後、ド
レナージの全流路が開放される。低圧並びに容器
内の充填材料の毛細管作用または吸収特性は、容
器の膨張下に容器への分泌物の念入りな輸送と収
容を自動的にもたらす。必要な場合には、外部真
空源を用いる排気によつて真空を生じさせてもよ
い。
フオイル弁を有した導管は容器縁部の中央部ま
たは側部に設けてもよい。従つて袋状容器は、導
管を横切る縁部と向かい合つた縁部または導管と
平行な縁部から巻くことによつて排気されるの
で、容器を巻く距離は常に長くなる。フオイル弁
は安価で、それが固定された導管と共に容器へ接
続される。この目的のためには、導管が突出した
容器端部を溶接するだけである。細い管を導管と
フオイル弁を通して容器内へ挿入することによつ
てフオイル弁を無効にして容器を排気する。容器
を巻く際に空気は細管を通つて漏れ、該細管を抜
去するやいなやフオイル弁は閉じて容器への空気
の浸入と容器からの分泌物の逆流を阻止する作用
をする。これによつてこの装置の衛生的で確実な
機能が保証される。
以下、本発明による容器の実施態様につき添付
図面に基づいて説明する。
第１図は開放容器を備えた本発明による装置の
斜視図である。
第２図は本発明による装置の容器の排気を開始
する様子を示す斜視図である。
第３図は本発明による装置の容器を巻いて閉鎖
した状態を示す斜視図である。
第４図は本発明による別態様の装置の斜視図で
ある。
第５図は第４図の装置の巻いた状態を示す斜視
図である。
第６図は第４図の−線に沿つた断面図であ
る。
第７図は閉鎖した逆止め弁の縦断面図である。
本発明による装置は平たいフオイル状袋の形態
を有した容器１から実質上成り立ち、該容器の内
部空間は厚い材料ストリツプ状の吸収性材料２が
完全に充填される。容器１はその周囲を閉鎖され
ており、その１つの縁部上に２つの固定用の穴６
を備え、該穴によつて患者または支持装置に掛け
られる。
縁部の中央部においては導管５が容器１内へ挿
入されており、該導管は体腔に挿入されたカテー
テルに接続するための差し込み継手用のソケツト
７を有する。導管５は容器縁部へ溶接され、常套
のすべりクランプ４によつて遮断または閉塞され
る。その他の排出口または導入口は容器１には設
けられない。
容器１を巻くことにより（第２図および第３図
参照）、開放容器１内の空気は押し出される。次
いで容器１はすべりクランプ４によつて閉鎖さ
れ、カテーテルに接続後は再び開放される。低圧
と充填材料２の毛管作用は分泌物を排出させ、こ
れを容器１内へ導入させることによつて該容器を
膨張させる。
充填材料２としては、適当な発泡材料の代りに
ラミナリア（Laminaria）（海草）を粒状で使用
するか、発泡成形材料（Schaumstoff−
Formteilen）に配合して使用してもよい。ラミ
ナリアは液体を吸収して膨潤し、液体を再び放出
しない。この材料の吸収作用は著しいので、吸引
を補助するための低圧は不要である。
第４図に示す態様の場合、導管１１は容器１２
の縁部１３の側部に設けられ、該縁部に溶接され
る。縁部１３には、患者の身体に容器を固定する
ための穴１７が設けられる。導管１１の外部端に
はドレナージ管に接続するための差し込み継手用
のソケツト１５が固定され、一方、導管１１の内
部端にはフラツター弁１０が設けられる。フラツ
ター弁１０は２枚の重なり合つたフオイルから成
つており、該フオイルはそれらの長手方向に沿つ
た縁で接合し、容器内の縁部で開放するようにな
つている。この場合、第１図〜第３図のようにし
て容器１２を巻くことは、巻く距離が短くなつて
実際的ではないので、容器１２は導管１１に平行
に矢印Ａの方向へ巻く。この場合、フラツター弁
１０を遮断するには、ソケツト１５、導管１１お
よびフラツター弁１０を通して細管１４を挿入す
る。該細管の内部端１４ａはフラツター弁１０か
ら容器１２へ突出し、容器１２から空気を排出さ
せる。容器１２を充分排気した後、細管１４を抜
去してフラツター弁１０や閉じ、容器１２内の低
圧は、体腔からの分泌物をフオイル材料製容器内
部の吸収性材料１６に吸収させるのに利用し尽く
すことができる。低圧の吸引作用は分泌物吸収材
料１６の毛細管作用によつて促進される。
【図面の簡単な説明】
第１図は開放容器を備えた本発明による装置の
斜視図である。第２図は本発明による装置の容器
の排気を開始する様子を示す斜視図である。第３
図は本発明による装置の容器を巻いて閉鎖した状
態を示す斜視図である。第４図は本発明による別
態様の装置の斜視図である。第５図は第４図の装
置の巻いた状態を示す斜視図である。第６図は第
４図の−線に沿つた断面図である。第７図は
閉鎖したもどり弁の縦断面図である。 １および１２は容器、２および１６は吸収性材
料、４はすべりクランプ、５および１１は導管、
６および１７は穴、７および１５はソケツト、１
０はフラツター弁、１３は縁部、１４は細管を示
す。

Claims (1)

  1. 【特許請求の範囲】 １ 分泌物吸収性材料１６が充填され、かつ分泌
    物を生成する体腔部に接続される可撓性材料製容
    器１２を含み、該接続部に逆止め弁を備えた医療
    用吸引ドレナージ装置において、該容器が巻き込
    み可能な容器として形成され、該逆止め弁がフラ
    ツター弁１０として形成されて該容器内部に設け
    られ、該フラツター弁を開くために、該弁を有し
    た導管１１よりも長くかつ該弁と該導管から抜去
    可能な細管１４が設けられたことを特徴とする吸
    引ドレナージ装置。 ２ 巻き込み可能な容器が巻き込み可能な折り目
    付容器、扁平容器、フオイル袋またはフオイル管
    である第１項記載の装置。 ３ 吸収性材料１６が回復可能な圧縮性の開口多
    孔性材料である第１項記載の装置。 ４ 吸収性材料１６が開口多孔性で、乾燥状態で
    は硬い媒体で、分泌物吸収に際しては体積膨張を
    伴つて柔軟可撓性になるものである第１項記載の
    装置。 ５ 吸収性材料１６が、体積膨張を伴つて分子結
    合力によつて分泌物を吸収する材料である第１項
    記載の装置。 ６ 開口多孔性の硬い媒体および分子結合力によ
    つて分泌物を吸収する媒体を容器１２内に存在さ
    せた第１項から第５項いずれかに記載の装置。 ７ 殺菌剤を分泌物吸収性材料１６に加えた第１
    項から第６項いずれかに記載の装置。 ８ 吸収性材料１６が粒状ラミナリアまたはラミ
    ナリアを配合した開口多孔性発泡材料を含有した
    ものである第１項から第７項いずれかに記載の装
    置。 ９ 容器材料がガス不透過性ポリマーの単層フオ
    イルまたはラミネートフオイルを含む第１項から
    第８項いずれかに記載の装置。 １０ 容器材料が金属化ポリマーの単層フオイル
    またはラミネートフオイルを含む第１項から第８
    項いずれかに記載の装置。 １１ 吸引ドレナージのために殺菌可能な第１項
    から第１０項いずれかに記載の装置。 １２ 導管１１が低シヨア硬度の材料から成る第
    １項から第１１項いずれかに記載の装置。 １３ 導管１１の周囲に連続的に作用する遮断装
    置が設けられた第１項から第１２項いずれかに記
    載の装置。 １４ 導管１１が容器１２の縁部１３の側部に設
    けられた第１項から第１３項いずれかに記載の装
    置。 １５ 容器１２が矩形に形成され、導管１１が容
    器１２の縦側部に設けられた第１項記載の装置。
JP57204441A 1981-11-21 1982-11-20 医療用吸引ドレナ−ジ装置 Granted JPS5894856A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19813146266 DE3146266A1 (de) 1981-11-21 1981-11-21 Kombinierte vorrichtung fuer eine medizinische saugdrainage
DE31462669 1981-11-21

Publications (2)

Publication Number Publication Date
JPS5894856A JPS5894856A (ja) 1983-06-06
JPS6244501B2 true JPS6244501B2 (ja) 1987-09-21

Family

ID=6146943

Family Applications (1)

Application Number Title Priority Date Filing Date
JP57204441A Granted JPS5894856A (ja) 1981-11-21 1982-11-20 医療用吸引ドレナ−ジ装置

Country Status (8)

Country Link
US (1) US4525166A (ja)
EP (1) EP0080179B1 (ja)
JP (1) JPS5894856A (ja)
AT (1) ATE13490T1 (ja)
CA (1) CA1189414A (ja)
DE (2) DE3146266A1 (ja)
ES (1) ES8308218A1 (ja)
ZA (1) ZA828464B (ja)

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JP2024515050A (ja) * 2021-04-09 2024-04-04 ピュアウィック コーポレイション 少なくとも１つの管路多孔性材料を含む管路

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JPS5894856A (ja) 1983-06-06
ATE13490T1 (de) 1985-06-15
EP0080179B1 (de) 1985-05-29
EP0080179A1 (de) 1983-06-01
US4525166A (en) 1985-06-25
ZA828464B (en) 1983-09-28
ES8308218A1 (es) 1983-08-16
CA1189414A (en) 1985-06-25
DE3146266A1 (de) 1983-06-01
DE3263931D1 (en) 1985-07-04

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