CN106175866A - A kind of carotid artery art district operative incision compression apparatus - Google Patents

A kind of carotid artery art district operative incision compression apparatus Download PDF

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Publication number
CN106175866A
CN106175866A CN201610638665.4A CN201610638665A CN106175866A CN 106175866 A CN106175866 A CN 106175866A CN 201610638665 A CN201610638665 A CN 201610638665A CN 106175866 A CN106175866 A CN 106175866A
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China
Prior art keywords
carotid artery
neck brace
brace plate
gasbag
compression apparatus
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CN201610638665.4A
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CN106175866B (en
Inventor
韩潜
刘昭
刘长建
章文文
姜贝
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of carotid artery art district operative incision compression apparatus, including neck brace plate, transparency window, gasbag, air bag, connecting tube, Pressure gauge, check valve, buffer part, attachment means.Neck brace plate includes first half and latter half, transparency window is arranged at the carotid artery district of neck brace plate and covers carotid artery traveling district, gasbag is arranged on the inwall of transparency window, air bag can be placed in gasbag, air bag is connected with Pressure gauge by connecting tube, connecting tube far-end is provided with check valve, and buffer part is arranged at the upper and lower marginal area of neck brace plate first half and latter half, and attachment means is for connecting first half and the latter half of neck brace plate.This compression apparatus can overcome the deficiency of existing neck brace, meet medical worker to patient's carotid artery safety, precisely, stable, effective hemostasis by compression demand, and be provided with buffer part and skin-friendly layer, greatly improve the comfort level that user wears.

Description

A kind of carotid artery art district operative incision compression apparatus
Technical field
The present invention relates to a kind of medical aid, particularly a kind of carotid artery art district operative incision compression apparatus.
Background technology
The operation postoperative wound in carotid artery region out of shape is both needed to the hemostasis by compression treatment of different pressures, as carotid artery intima is shelled De-art, excision of carotid body tumor etc..If postoperative wound compression therapeutic pressure is too small, hemorrhage, the false tremulous pulse of carotid artery can occur The post-operative complication such as tumor, second operation may;If postoperative wound compression therapeutic pressure is excessive, carotid artery stenosis can be occurred even to close The post-operative complication such as plug, jugular vein narrow even obturation, cerebral ischemia, thrombosis, cerebral infarction may.Carotid artery art the most clinically The neck brace of the postoperative use in district is the traditional neck brace for treating cervical spondylosis, there is no and is exclusively used in carotid artery otch compressorium.Face Bed doctor relies on the fixing and traditional neck brace external pressurized in a large amount of gauze local, art district thus reaches the hemostasis by compression of otch and avoid The purpose of the strong bilateral common carotid artery of compressing.It has a following major defect: (one) Compressive Hemostasis.1, fixing due to a large amount of gauzes local Rhizoma Atractylodis Macrocephalae district, causes otch compressing impetus dispersion, therefore cannot ensure effective Compressive Hemostasis.2, clinician often relies on Experience subjective judgment place gauze number, thus reach certain pressure, and in view of patient individual difference, therefore cannot Guarantee is accurate, stablize Compressive Hemostasis.3, owing to cervical region mobility is relatively big, organize the factors such as relatively soft, perspiration, art district glue Cloth is fixing more difficult, often leads to gauze displacement, therefore cannot ensure effective, stablize Compressive Hemostasis.(2) otch feelings are checked Condition.Postoperative clinician need to repeatedly check carotid artery otch with or without hemorrhage, infect and wound healing situation, clinician need to open Neck brace also removes gauze, just can check otch, and after processing otch, a large amount of gauzes are fixed in local again, adjust and fix neck brace.Should Process wastes time and energy expense gauze, and because checking otch, causes the otch cannot persistent pressure.If additionally, otch has hemorrhage or sense The problems such as dye, clinician cannot find in time and process.(3) operation easier.Prior art need clinician fix gauze and Neck brace, and patient and family members cannot complete independently operations.(4) comfort level.Because existing neck brace is original design for cervical spondylosis, limit Cervical vertebra moving processed, so non-cervical spondylosis patient is extremely uncomfortable after wearing this neck brace, as led because of restriction cervical region and mandibular bone activity Cause diet difficulty;Because of existing neck brace, especially neck brace latter half, material is harder, structure design is unreasonable, if patient lies supine position Time, item back is the most uncomfortable, causes dyskoimesis.(5) mental health.Because comfort level is relatively low and aesthetic property is poor, increase patient Mental pressure.
Summary of the invention
For solving the problems referred to above, the present invention proposes a kind of carotid artery art district operative incision compression apparatus, this hemostasis by compression Device can overcome the deficiency of existing neck brace, to patient's carotid artery safety, compressing accurate, stable, effective only meets medical worker Blood demand.
For reaching above-mentioned purpose, the present invention proposes a kind of carotid artery art district operative incision compression apparatus, including neck brace plate, thoroughly Bright window, gasbag, air bag, connecting tube, Pressure gauge, check valve, buffer part and attachment means.Neck brace plate include first half and after Half part, transparency window is arranged at the carotid artery district of neck brace plate and covers carotid artery traveling district, and gasbag is arranged at the interior of observation window On wall, air bag can be placed in gasbag, and air bag is connected with Pressure gauge by connecting tube, and connecting tube far-end is provided with check valve, slow The portion of punching is arranged at the upper and lower marginal area of neck brace plate first half and latter half, and attachment means is before connecting neck brace plate Half part and latter half.
Further, the quantity of above-mentioned transparency window is two, is respectively arranged at two bilateral common carotid artery districts of neck brace first half, clinical doctor Air bag can be placed in the gasbag of correspondence by life according to corrective surgery position.
Further, above-mentioned transparency window is a parallelogram, should cover carotid artery traveling district, and big I varies with each individual, long About 7~9cm, wide about 4~6cm.
Further, above-mentioned gasbag is a parallelogram transparent bag, invests transparency window inwall, slightly larger than transparency window, long About 7~9cm, wide about 6~7cm, walk crosswise opening below for internal airbag, be about 1.5~2.5cm, described gasbag The limit of longitudinal and transverse two directions is almost parallel with the leading edge of neck brace plate first half and top edge respectively, the horizontal stroke of described gasbag To the length of side be about the half of neck brace plate first half width.
Further, above-mentioned air bag uses the transparent rubber of soft type inflatable or synthetic to make, in unaerated state Under be positioned over correspondence otch side gasbag in, after inflation, air bag is about 7~9cm, diameter about 5~6cm.
Further, above-mentioned connecting tube uses rubber or synthetic to make, and is connected to air bag, is about 5~6cm, and diameter is about 0.5cm。
Further, above-mentioned Pressure gauge is pointer indicator type Pressure gauge.
Further, above-mentioned check valve is available for syringe and inserts, and injects air to air bag.Syringe inserts during check valve unidirectional Valve is opened, and pulls out syringe closed check valve.Compared with external valve, check valve can avoid opening by mistake valve, keeps air pressure steady Fixed.
Further, neck brace plate inwall is provided with skin-friendly layer.
Further, neck brace plate is to design according to neck anatomical structure, and attachment means is to paste fixing band.
In sum, there is advantages that and first can cross by transparency window, transparent air sac belt and air bag Check otch situation, immediate observation wound is time saving and energy saving;And gasbag pressure, clinician can be precisely controlled by Pressure gauge It is possible to notify that patient and family members' force value, patient and family members can be easy to operate according to force value complete independently air bag pressurized operation Fast;Neck brace is provided with buffer part, and structure meets human anatomic structure, improves the comfort level that user wears.
Accompanying drawing explanation
Fig. 1 is the structural representation of the carotid artery art district operative incision compression apparatus of the embodiment of the present invention.
Detailed description of the invention
In order to know more about the technology contents of the present invention, especially exemplified by specific embodiment and coordinate institute's accompanying drawings to be described as follows.
Fig. 1 is the structural representation of the carotid artery art district operative incision compression apparatus of the present embodiment, as it is shown in figure 1, neck Tremulous pulse art district operative incision compression apparatus include neck brace plate 10,20, transparency window 11, gasbag 12, air bag 13, connecting tube 14, Pressure gauge 15, check valve 16, buffer part 17, buffer part 21, stickup fixing band 30.Neck brace plate includes first half 10 and latter half of Dividing 20, transparency window 11 is arranged at the carotid artery district of neck brace plate and covers carotid artery traveling district, and gasbag 12 is arranged at transparency window 11 Inwall on, air bag 13 can be placed in gasbag 12, and air bag 13 is connected with Pressure gauge 15 by connecting tube, connecting tube 14 far-end Being provided with check valve 16, buffer part 17 is arranged at the upper and lower edge of neck brace plate first half 10, after buffer part 21 is arranged at neck brace plate The half upper and lower edge of part 20, the elastomeric material that buffer part 17 and buffer part 21 use hardness relatively low, comfortable is made, and passes through colloid First half 10 and latter half 20 with neck brace plate bond respectively.
Transparency window 11 is positioned at two bilateral common carotid artery districts of neck brace plate first half.Transparency window 11 is made for transparent material and has one Determine hardness, its profile can be met and do not change with gasbag pressure.It should cover carotid artery traveling district, and big I varies with each individual, and is about 7 ~9cm, wide about 5~6cm.
Gasbag 12 is a parallelogram transparent bag, invests inside transparency window 11, is about 7~9cm, wide about 6~7cm, Walk crosswise open S below, be about 1.5~2.5cm, can internal airbag 14, and the horizontal length of side of gasbag 12 be about The half of neck brace plate first half width, the limit of gasbag 12 longitudinal and transverse two directions respectively with neck brace plate first half 10 before Edge and top edge are almost parallel.Gasbag 12 can tolerate air bag 13 pressure and be without prejudice.
Air bag 14 uses the transparent rubber of the type inflatable of softness or synthetic to make, and it is right to be positioned under unaerated state In the gasbag 12 of the otch side answered, after inflation, air bag 13 is about 7~9cm, diameter about 5~6cm, can cover and uniformly oppress Carotid artery otch.Inflation rear gasbag 13 diameter is more than gasbag 12 Opening length, during therefore air bag 14 is securable to gasbag 12.
Above-mentioned connecting tube 14 uses rubber or synthetic to make, and is connected to air bag 13, is about 5~6cm, and diameter is about 0.5cm。
Above-mentioned Pressure gauge 15 is pointer indicator type Pressure gauge, Pressure gauge dial plate diameter about 2~3cm, is connected with connecting tube Connect, gasbag pressure can be recorded.In other embodiments, described Pressure gauge 15 can also be digital pressure gauge.
Above-mentioned check valve 16 is the switch of air bag, is positioned at connecting tube 15 far-end, diameter about 1cm, is wrapped in outward connecting tube 15, Ensure the sealing of connecting tube 15.Available syringe inserts check valve and injects air to air bag, when syringe inserts check valve 16 Check valve 16 is opened, and pulls out syringe check valve 16 and closes.Compared with external valve, check valve 16 can be avoided opening by mistake valve, Keep stable gas pressure.
Check valve 16 in the present embodiment is similar with the check valve used in catheter, and concrete structure is retouched the most in detail State.
Above-mentioned fixing band 30 of pasting is positioned at the first part 10 of neck brace plate, can be fixed on outside the two of first half 10 Face, plays fixation to neck brace plate in hemostasis.
The concrete operation step when carotid artery art district operative incision compression apparatus uses of the present embodiment is as follows:
First, advise patient lies supine position, seat or erect position, select the carotid artery pressure of suitable types according to patient's neck feature Compel haemostat, other according to corrective surgery side, unaerated air bag is inserted in the other gasbag of respective side.
Secondly, the latter half of haemostat neck brace plate is placed on patient's napex, according to transparency window and surgical incision site, By the first half of neck brace plate by pasting fixing band to being fixed on latter half of neck brace, it is ensured that air bag can fully and incision contacts.
Then, insert check valve with the syringe removing syringe needle, inject air, be repeated several times, while add flanging by transparent Window checks otch situation, until otch obtains effective haemostatic pressure, extracts syringe, recording manometer force value, entrusts disease People and family members notice observation Pressure gauge numerical value.
To sum up, the present invention uses transparency window, transparent gasbag and air bag, and clinician, patient and family members can be timely Find that otch is hemorrhage, infect and wound healing situation etc., time saving and energy saving province gauze.Use pointer indicator type Pressure gauge, clinical doctor Life can be precisely controlled gasbag pressure and inform patient and family members' force value;Syringe is used to pressurize to airbag aeration through check valve, The most attractive in appearance, convenient to operation, and do not affect daily routines, effective, stable Compressive Hemostasis can be obtained.It addition, Patient and family members can independently adjust gasbag pressure according to force value.
Further, the present invention uses air bag to carry out the hemostasis by compression treatment of carotid artery art district, it is possible to provide uniform, stable, effective Local pressure;There is preset gasbag the neck brace both sides that the present invention uses, and clinician can be according to corrective surgery position by gas Capsule is placed in the gasbag of correspondence, and therefore fixation balloon can reduce production cost;The neck brace plate that the present invention uses is according to people Body neck dissection structure designs, and is divided into former and later two parts, with paste fixing band connect, after wearing to patient's cervical region and under Jawbone activity is unaffected.The neck brace that the present invention uses is provided with buffer part and neck brace plate inner face is provided with skin-friendly layer, greatly enhances Wearing comfort, and the neck brace that the present invention uses has certain degree of hardness can maintain its shape, is not changed by gasbag pressure, therefore The pressure of neck brace will not tracheas suppressed and strong bilateral common carotid artery region.The neck brace that the present invention uses is pasted fixing band and is positioned at neck brace plate Two lateral surface, are conducive to wearing and installing the air bag of corresponding side.Tailored appearance of the present invention, comfortable wearing, can alleviate patients ' psychological Pressure.
Although the present invention is disclosed above with preferred embodiment, so it is not limited to the present invention.Skill belonging to the present invention Art field has usually intellectual, without departing from the spirit and scope of the present invention, when being used for a variety of modifications and variations.Cause This, protection scope of the present invention is when being as the criterion depending on those as defined in claim.

Claims (10)

1. a carotid artery art district operative incision compression apparatus, it is characterised in that include neck brace plate, transparency window, gasbag, gas Capsule, connecting tube, Pressure gauge, check valve, buffer part and attachment means, neck brace plate includes first half and latter half, transparency window Being arranged at the carotid artery district of neck brace plate and cover carotid artery traveling district, gasbag is arranged on the inwall of observation window, and air bag can Being placed in gasbag, air bag is connected with Pressure gauge by connecting tube, and connecting tube far-end is provided with check valve, and buffer part is arranged at neck brace Plate first half and the upper and lower edge of latter half, attachment means is for connecting first half and the latter half of neck brace plate.
Carotid artery art district the most according to claim 1 operative incision compression apparatus, it is characterised in that above-mentioned transparency window Quantity is two, is respectively arranged at two bilateral common carotid artery districts of neck brace first half.
Carotid artery art district the most according to claim 2 operative incision compression apparatus, it is characterised in that above-mentioned transparency window is One parallelogram, covers carotid artery traveling district, and it is about 7~9cm, wide about 5~6cm.
Carotid artery art district the most according to claim 3 operative incision compression apparatus, it is characterised in that above-mentioned gasbag is One parallelogram transparent bag, invests inside transparency window, more than transparency window, is about 7~9cm, and wide about 6~7cm have one below Walk crosswise opening for internal airbag, be about 1.5~2.5cm, and the limit of described gasbag longitudinal and transverse two directions respectively with neck brace plate Leading edge and the top edge of first half are almost parallel, and the horizontal length of side of described gasbag is about neck brace plate first half width The half of degree.
Carotid artery art district the most according to claim 3 operative incision compression apparatus, it is characterised in that above-mentioned air bag uses Transparent rubber or the synthetic of soft type inflatable are made, and are positioned over the gasbag of the otch side of correspondence under unaerated state In, after inflation, air bag is about 7~9cm, diameter about 5~6cm.
Carotid artery art district the most according to claim 3 operative incision compression apparatus, it is characterised in that above-mentioned connecting tube is adopted Make with rubber or synthetic, be connected to air bag, be about 5~6cm, diameter about 0.5cm.
Carotid artery art district the most according to claim 3 operative incision compression apparatus, it is characterised in that above-mentioned Pressure gauge is Pointer indicator type Pressure gauge.
Carotid artery art district the most according to claim 3 operative incision compression apparatus, it is characterised in that above-mentioned check valve can Insert for syringe, inject air to air bag.
Carotid artery art district the most according to claim 1 operative incision compression apparatus, it is characterised in that neck brace plate inwall sets There is skin-friendly layer.
Carotid artery art district the most according to claim 1 operative incision compression apparatus, it is characterised in that before neck brace plate Half part and latter half are to design according to neck anatomical structure, and attachment means is to paste fixing band.
CN201610638665.4A 2016-08-05 2016-08-05 A kind of arteria carotis art area operative incision compression apparatus Active CN106175866B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107307931A (en) * 2017-08-01 2017-11-03 华北理工大学 Multifunctional cervical vertebra tractor
CN110495859A (en) * 2019-09-24 2019-11-26 广州市妇女儿童医疗中心 Jugular vein compression device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201642182U (en) * 2010-03-12 2010-11-24 唱荣艳 Elastic fixing strap for neck disease after operation
CN203234781U (en) * 2013-03-04 2013-10-16 李艳明 Elastic tourniquet for neck
EP2662034A1 (en) * 2012-05-11 2013-11-13 Michael Zhadkevich Anti-embolic device
CN204092097U (en) * 2014-09-18 2015-01-14 苏州大学附属第二医院 A kind of wound dressing device being applicable to wound first aid
CN204364064U (en) * 2014-12-10 2015-06-03 三峡大学人民医院 Carotid compressing haemostat
CN204708924U (en) * 2015-06-12 2015-10-21 中国人民解放军第三军医大学第三附属医院 Cuff type radial artery haemostat

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201642182U (en) * 2010-03-12 2010-11-24 唱荣艳 Elastic fixing strap for neck disease after operation
EP2662034A1 (en) * 2012-05-11 2013-11-13 Michael Zhadkevich Anti-embolic device
CN203234781U (en) * 2013-03-04 2013-10-16 李艳明 Elastic tourniquet for neck
CN204092097U (en) * 2014-09-18 2015-01-14 苏州大学附属第二医院 A kind of wound dressing device being applicable to wound first aid
CN204364064U (en) * 2014-12-10 2015-06-03 三峡大学人民医院 Carotid compressing haemostat
CN204708924U (en) * 2015-06-12 2015-10-21 中国人民解放军第三军医大学第三附属医院 Cuff type radial artery haemostat

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107307931A (en) * 2017-08-01 2017-11-03 华北理工大学 Multifunctional cervical vertebra tractor
CN110495859A (en) * 2019-09-24 2019-11-26 广州市妇女儿童医疗中心 Jugular vein compression device

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