CN109498098A - A kind of postoperative pressing system of femoral artery puncture - Google Patents
A kind of postoperative pressing system of femoral artery puncture Download PDFInfo
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- CN109498098A CN109498098A CN201811602370.7A CN201811602370A CN109498098A CN 109498098 A CN109498098 A CN 109498098A CN 201811602370 A CN201811602370 A CN 201811602370A CN 109498098 A CN109498098 A CN 109498098A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical 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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Abstract
A kind of postoperative pressing system of femoral artery puncture, including the elevation base plate facing upward the fixed plate for one upper side of plate lain for patient and being arranged in below fixed plate by a lifting cylinder is arranged in, the connection of the piston rod of the elevation base plate and lifting cylinder, to pass through the telescopic adjustment elevation base plate of raise-lower hydraulic cylinder piston rod and the spacing of plate upper surface, puncture orifice press device is provided in elevation base plate.Press head of the invention has hemispherical press surface, can be good at the physiological structure for being bonded thigh root, and synchronize pressing to point of puncture and its peripheral extent, improves pressing effect, additionally it is possible to prevent the movement of body from leading to the offset of pressing position；Meanwhile by the way that cold compress auxiliary body is arranged in the front of press head, the cold air generated after storage chamber using gas cools down to cold compress metal tape, reduces the skin shrouded by it velocity of blood flow in the stimulation of cold air, and then shorten compressing time.
Description
Technical field
The present invention relates to the femoral artery puncture surgical instrument in medical instruments field, specifically a kind of femoral artery is worn
Pierce postoperative pressing system.
Background technique
Femoral artery puncture is a kind of surgical operation, mainly there is following purpose: 1, acquiring arterial blood sample or certain spies
It is different to check；2, pressurized blood transfusion infusion when first aid；3, it is used for regional chemotherapy；In addition to this, when treating cardiovascular disease, than
Such as interventional cardiac procedures also may require that femoral artery puncture.
After femoral artery puncture, need to press point of puncture the hemostasis and healing in order to puncture orifice.It is existing
Pressing mode be generally divided into the artificial pressing of healthcare givers and by mechanical simple and mechanical pressing, although artificial pressing reaches
Certain effect, but consume more manpower, occupy medical care resource, and pressing dynamics also compare and depend on
The experience of medical staff cannot keep same posture and pressing dynamics for a long time；
Exist to solve the problems, such as manually to press, so some simple machinery have been invented to press puncture orifice:
Such as, application No. is 2018200567044 utility model patent disclose after a kind of cardiovascular intervention site of puncture by
Pressure device, the core of the device be actually be utilized the flexible drive arc-shaped limit plate of electric telescopic rod to puncture orifice by
Although pressure, this press device solve the problems, such as to replace manually pressing with mechanical force, but due to the arc-shaped limit plate of use
Puncture orifice is pressed, and in femoral artery puncture, point of puncture is located at thigh root, since the special structure in human thigh root is led
Causing this pressing mode, the effect is unsatisfactory；
For another example, application No. is 2016201567555 utility model patents to also disclose puncture portion after a kind of cardiovascular intervention
Position press device, the device are driven a sliding block to adjust height, claw are arranged on sliding block, is pressed from both sides using claw also with telescopic rod
Cotton balls is held to press site of puncture；The patent has problems in that, since claw clamping cotton balls carries out site of puncture
The site area of pressing is smaller, lacks effectively to the fixation of patient body, once unusual fluctuation occurs in patient, will lead to pressing position
Deviation, pressing effect it is unsatisfactory in practical applications；
In addition, application No. is 992046076 utility model patents to disclose a kind of Cardioangiography pressing apparatus, the core of the patent
The heart is to drive pressure plate to press site of puncture using sliver-pressurizing bar；The patent still remains that press effect undesirable
Problem.
Summary of the invention
The object of the present invention is to provide a kind of postoperative pressing system of femoral artery puncture, press for femoral artery puncture to be postoperative
Pressure there is pressing to work well, the short effect of compressing time.
Used technological means is the present invention to realize the above-mentioned technical purpose: a kind of postoperative pressing system of femoral artery puncture
System faces upward the fixed plate for one upper side of plate lain for patient and by lifting cylinder setting below fixed plate including being arranged in
Elevation base plate, the piston rod of the elevation base plate and lifting cylinder connects, to pass through the flexible of raise-lower hydraulic cylinder piston rod
The spacing of elevation base plate and plate upper surface is adjusted, is provided with puncture orifice press device in the elevation base plate, puncture pressing
Device includes a mounting plate connecting with elevation base plate, and the lower surface of mounting plate is provided with a blind hole, passes through in the blind hole
Compressed spring is provided with connecting pin, and the end of connecting pin is stretched out blind hole and connect with a press head with hemisphere press surface, leads to
The stretching for crossing raise-lower hydraulic cylinder piston rod drives elevation base plate and mounting plate decline, and then drives connecting pin by compressed spring
Pressing is synchronized to puncture orifice and its periphery 1-2cm range with press head；
Press head forward position is provided with cold compress auxiliary body on the mounting plate, and when the press head compressing on mounting plate is being worn
When piercing mouth and periphery 1-2cm range, which is covered on puncture position on the skin of heart side 5-10cm；
The cold compress auxiliary body includes the arc cover plate made of symmetrically arranged two silica gel materials in slab length direction, and two
Arc cover plate is spliced to form semicircle, and the two sides inward flange position of each piece of arc cover plate length direction is provided with the silicon of protrusion
Shelves item is sealed made of glue material, several cold compress metal tapes is distributed between both sides sealing shelves item, these cold compress metal tapes
For hollow structure, one end extends to the bottom of arc cover plate and has opening, and the other end extend into setting on a mounting board two
Between a arc cover plate in the closed air chamber of position, the closed air chamber is connected to by tracheae with a storage chamber, and storage chamber and
The air outlet of air blower is connected to, so that the gas of air blower blowout enters in storage chamber by wherein stored ice block cooling
Afterwards, then transtracheal and closed air chamber enter in cold compress metal tape and carry out cooling down, and the cold compress metal to cold compress metal tape
Band is adjacent to puncture position and carries out cold compress to body part close to the skin surface of heart side 5-10cm, reduces blood flow speed
Degree, and then shorten compressing time.
A kind of preferred embodiment of the invention is that the fixed plate is pacified by two fixed columns that one side bottom is arranged
Dress is fixed on one upper side of plate, and the bottom of two fixed columns is fixedly connected with the side of plate.
Another preferred embodiment of the invention is that the press head has the hemispherical pressing of a pressing puncture orifice
Face is provided with the bulge that upward diameter gradually expands on the hemispherical press surface top, and bulge bottom minimum diameter with
The diameter of hemispherical press surface is equal；Hemostasis cotton yarn is coated on the hemispherical press surface of press head.
Another preferred embodiment of the invention is that the mounting plate is connect by an adjusting screw with elevation base plate,
And the bottom end of adjusting screw is rotatablely connected by the upper surface of rolling bearing and mounting plate, the through hole on top and elevation base plate
Mating connection forms screw slider structure, and the adjusting block for rotating adjusting screw is provided on adjusting screw, passes through rotation
Adjusting block finely tunes the position of mounting plate, and press head thereon is made to compress puncture orifice and its periphery 1-2cm range.
Another preferred embodiment of the invention is that the outer cover of the press head is equipped with the set that extends, which is
Bottom diameter is less than the hollow funnel-form of top end diameter, and its bottom end is set in the junction of bulge Yu hemispherical press surface,
And bulge is included in inside it, to hemostasis cotton yarn is fixed on hemispherical press surface, the side wall and half of the set that extends
Ball-shaped press face forms 100-120 ° of angle.
Another preferred embodiment of the invention is, before the front and back of blind hole is respectively arranged on the mounting plate
Pressing structure and rear auxiliary pressing structure are assisted, and preceding auxiliary pressing structure and rear auxiliary pressing structure include perpendicular to plate
The strip groove of length direction distribution is provided with blood vessel pressing by several compressed springs in the strip groove of preceding auxiliary pressing structure
Plate I is provided with the arc convex portion of pressing thigh root in the center bottom that blood vessel pressing plate I protrudes from strip groove；After described
It assists that several compressed springs are provided with blood vessel pressing plate II in the strip groove of pressing structure, is protruded from blood vessel pressing plate II
The center bottom of strip groove is provided with the arc-shaped recess portion of pressing thigh blood vessel, the blood vessel pressing plate II and blood vessel pressing plate I
Bottom edge be downwardly convex arc smooth transition.
Another preferred embodiment of the invention is that the bottom of the mounting plate is provided with is enclosed with two arc cover plates
At semicircle arc-shaped recess in the same direction, the upper end of described two arc cover plates is arranged by connecting substrate in arc-shaped recess respectively
It is interior, so as to there is gap, in order to by compressing rear arc cover plate between the outer wall of arc cover plate and the side wall of arc-shaped recess
It extends out；The closed air chamber is fixed in the arc-shaped recess between two pieces of connecting substrates.
Another preferred embodiment of the invention is that the rear of puncture orifice press device passes through one in the elevation base plate
Adjusting screw is provided with a big leg restraint gear vertically downward, and affiliated big leg restraint gear includes a fixed substrate, in fixation
The arc folder that several compressed springs of the underrun of substrate are provided with a compressing thigh and raise upward, the bottom of the adjusting screw
End is rotatablely connected by the upper surface of rolling bearing and fixed substrate, and top is cooperatively connected to be formed with the through hole in elevation base plate
Screw slider structure is provided with the adjusting block for rotating adjusting screw on adjusting screw, solid by rotation adjusting block fine tuning
The position for determining substrate makes arc clip hold-down puncture orifice thigh below thereon, so that thigh be gripped.
Another preferred embodiment of the invention is to be provided on the plate for gripping to patient's waist
Waist fixed mechanism, which includes the track groove for being arranged on plate and running through its width direction, in the track
A geared worm is provided in slot, the both ends of geared worm are symmetrically arranged with fixed fixture block, the two are fixed fixture block and pass through its bottom
The threaded hole in portion is threadedly engaged with geared worm, so that two fixed fixture blocks are opposite or run counter to fortune in geared worm rotation process
It is dynamic, and then the waist of patient is gripped or is detached from clamp position；It is symmetrical on two opposite surfaces of fixed fixture block
It is provided with the clamping watt of arc-shaped recess shape；The both ends of the geared worm are fixed in track groove by rolling bearing, are being driven
Position on worm screw between side rolling bearing and fixed fixture block is provided with transmission gear, the transmission gear and minitype motor driving
Speed reducer output shaft on gear be meshed, drive geared worm with different direction of rotation by the positive and negative rotation of micromotor
Rotation, and then realize the opposite of two fixed fixture blocks or run counter to movement.
Compared with prior art, the invention has the following beneficial effects:
1) in the present invention, by the elevation base plate that side setting is driven by raise-lower hydraulic oil cylinder on plate, and in lifting base
It installs on plate and puncture orifice and its periphery 1-2cm range synchronization is pressed by the press head that compressed spring and connecting pin drive, due to
There is hemispherical press surface on press head, which can be good at the physiological structure for being bonded thigh root,
And pressing is synchronized to point of puncture and its peripheral extent, pressing effect is improved, but also can prevent the movement of body from leading
Cause the offset of pressing position；
Meanwhile the present invention has silica gel material in the cold compress auxiliary body by the way that cold compress auxiliary body is arranged in the front of press head
The arc cover plate for expecting support, can be adjacent to skin surface under pressure, cold compress metal tape is provided in arc cover plate, benefit
The cold air generated after storage chamber with gas cools down to cold compress metal tape, simultaneously as the opening of cold compress metal tape
In arc cover plate, therefore its cold air generated is also in arc cover plate, to make the skin shrouded by it in cold air
Velocity of blood flow reduces in stimulation, and then shortens compressing time；
2) mounting plate of present invention connection press head is connect by adjusting screw with elevation base plate, thus by stirring adjusting screw
To realize the fine tuning of pressing grease head highness, and then the adjustment of realization compressing dynamics；
3) press head of the invention has hemispherical press surface, the expansion that there is diameter gradually to expand on hemispherical press surface top
Portion is covered by being arranged hollow funnelform extension in position of the bulge in conjunction with press surface, so that the cotton yarn that will stop blooding is very light
Be fixed on hemispherical press surface, and replace hemostasis cotton yarn it is also more convenient；Importantly, depositing due to press pressure
And the height of hemispherical press surface be only 1.5cm, the outer wall for the set that extends in this way can also connect the skin around point of puncture
Touching, increases pressing area, point of puncture is made to not readily disengage from pressing range；
4) auxiliary pressing structure and rear auxiliary pressing structure before the present invention is respectively set by the front and back in press head, and
And the arc-shaped recess portion in convex arc convex portion and fovea superior is respectively provided with down on preceding auxiliary pressing structure and rear auxiliary pressing structure,
This two parts mutually agrees with physiological structure respectively, to carry out auxiliary pressing to point of puncture front side and posterior region, not only acts as
The fixed effect for preventing puncture orifice mobile, more important is, blood vessel can be oppressed, reduce blood flow velocity, so as to shorten
Compressing time；
5) present invention is by being respectively set waist fixed mechanism and the fixed machine of thigh in the front and back of puncture orifice press device
Structure is fixed come the waist to patient with thigh is punctured, it is therefore prevented that press head caused by the movement of patient deviates puncture orifice, separately
Outside, it can also prevent the overturning due to plate from patient being caused to generate displacement.
Detailed description of the invention
Fig. 1 is overall structure diagram of the invention；
Fig. 2 is the structural schematic diagram of puncture orifice press device；
Fig. 3 is the structural schematic diagram of press head；
Fig. 4 is the structural schematic diagram covered that extends；
Fig. 5 is the structural schematic diagram of cold compress auxiliary body；
Fig. 6 is the structural schematic diagram of blood vessel pressing plate I；
Fig. 7 is the structural schematic diagram of blood vessel pressing plate II；
Fig. 8 is the structural schematic diagram of big leg restraint gear；
Fig. 9 is the structural schematic diagram of waist fixed mechanism；
Figure 10 is the schematic top plan view of waist fixed mechanism；
Appended drawing reference: 1, plate, 2, fixed plate, 201, raise-lower hydraulic oil cylinder, 202, fixed column, 203, elevation base plate, 204, tune
Section lead screw, 205, adjusting block, 3, puncture orifice press device, 301, mounting plate, 302, strip groove, 303, blood vessel pressing plate II,
3031, arc-shaped recess portion, 304, press head, 3041, bulge, 305, connecting pin, 306, blind hole, 307, blood vessel pressing plate I,
3071, arc convex portion, 308, hemostasis cotton yarn, 309, extension set, 3010, arc-shaped recess, 4, waist fixed mechanism, 401, fixation
Fixture block, 402, track groove, 403, geared worm, 404, transmission gear, 405, speed reducer, 406, clamping watt, 5, the fixed machine of thigh
Structure, 501, fixed substrate, 502, compressed spring, 503, arc folder, 6, cold compress auxiliary body, 601, arc cover plate, 602, sealing
Shelves item, 603, cold compress metal tape, 604, closed air chamber, 605, connecting substrate, 606, tracheae, 607, storage chamber, 608, air blower.
Specific embodiment
Technical solution of the present invention is further elaborated combined with specific embodiments below.Front rear in the present invention
Definition be it is defined when being lain on plate 1 based on patient, front is the side towards patients head, and rear is i.e. towards patient's foot
One side in portion.
Embodiment 1
As shown in Fig. 1,2,3 and 5, a kind of postoperative pressing system of femoral artery puncture, including the plate 1 one faced upward and lain for patient is arranged in
The fixed plate 2 of upper side and the elevation base plate 203 below fixed plate 2, the elevation base plate are arranged in by a lifting cylinder 201
203 connect with the piston rod of lifting cylinder 201, to pass through the telescopic adjustment elevation base plate 203 of 201 piston rod of raise-lower hydraulic oil cylinder
With the spacing of 1 upper surface of plate, puncture orifice press device 3 is provided in the elevation base plate 203, the puncture press device 3 packet
A mounting plate 301 connecting with elevation base plate 203 is included, the lower surface of mounting plate 301 is provided with a blind hole 306, in the blind hole
Connecting pin 305 is provided with by compressed spring in 306, the end of connecting pin 305 stretches out blind hole 306 and with one there is hemisphere to press
The press head 304 in face connects, and is driven under elevation base plate 203 and mounting plate 301 by the stretching of 201 piston rod of raise-lower hydraulic oil cylinder
Drop, and then drive connecting pin 305 and press head 304 to synchronize puncture orifice and its periphery 1-2cm range by compressed spring
Pressing；
304 forward position of press head is provided with cold compress auxiliary body 6 on the mounting plate 301, and when the pressing on mounting plate 301
In puncture orifice and periphery 1-2cm range, which is covered on puncture position close to heart side for first 304 compressing
On the skin of 5-10cm, it means that cold compress auxiliary body 6 is covered on apart from puncture position 5-10cm and towards heart
On the skin of side；The cold compress auxiliary body 6 includes made of symmetrically arranged two silica gel materials of 1 length direction of plate
Arc cover plate 601, and two arc cover plates 601 are spliced to form semicircle, in the two sides of each piece of 601 length direction of arc cover plate
Inward flange position, which is provided with, seals shelves item 602 made of the silica gel material of protrusion, if being distributed between both sides sealing shelves item 602
Dry cold compress metal tape 603, these cold compress metal tapes 603 are hollow structure, and one end extends to the bottom of arc cover plate 601 simultaneously
With opening, the other end, which is extend into, to be arranged on mounting plate 301 between two arc cover plates 601 in the closed air chamber 604 of position,
The closed air chamber 604 is connected to by tracheae 606 with a storage chamber 607, and the air outlet of storage chamber 607 and air blower 608 connects
It is logical, so that after the gas that air blower 608 is blown out enters the interior ice block cooling by stored by wherein of storage chamber 607, then transtracheal
606 and closed air chamber 604 enter in cold compress metal tape 603 and cooling down, and the cold compress metal carried out to cold compress metal tape 603
Puncture position is adjacent to 603, cold compress is carried out to body part close to the skin surface of heart side 5-10cm, reduce blood flow
Speed, and then shorten compressing time.
In the present embodiment, the storage chamber 607 is openable, in order to which medical staff is placed in ice cube thereto；Storage chamber 607
It is to be arranged on mounting plate 301 with air blower 608, or in openable chamber thereon；The cold compress metal tape 603 uses
Metal with fine elasticity is made, for example, using with a thickness of two pieces of metal steel straps no more than 1mm as raw material, and metallic steel
The side edge of band has small fin, to make two pieces of metal steel straps when being made integrated using hot-working or cold working mode
Middle part has hollow.
When the present embodiment is in use, patient, which faces upward, lies on plate 1, femoral artery puncture to be done is postoperative need to puncture orifice into
When row pressing, adjustment thigh first makes its puncture orifice be located at the lower section of puncture orifice press device 3, restarts raise-lower hydraulic oil cylinder
201 stretch out its piston rod, and then elevation base plate 203 and puncture orifice press device 3 thereon is driven to move downward, make puncture by
The press head 304 of pressure device 3 moves downward and is pressed on puncture orifice and its 1-2cm range, and hemostasis is wrapped up outside press head 304
Cotton yarn 308；Since press head 304 is arranged in blind hole 306 by compressed spring, which plays storage power
The effect of buffering, so that medical staff be enable to observe and judge the length of 305 retraction blind hole 306 of connecting pin preferably to judge
Pressure testing dynamics；
At this point, the arc cover plate 601 of cold compress auxiliary body 6 is close to skin, storage chamber 607 is opened, medical staff is placed in thereto
Ice cube；Air blower 608 is opened later, and the wind for blowing out it enters cold compress through closed air chamber 604 after storage chamber 607 is cooling
In metal tape 603, cold compress metal tape 603 is close to skin and carries out cold compress cooling to subcutaneous tissue, reduces velocity of blood flow.
The above are basic embodiments of the invention, further can be improved, optimized and limited on the basis of above, from
And obtain following embodiment:
Embodiment 2
The present embodiment is a kind of limits scheme done on the basis of embodiment 1, as shown in Figure 1, the fixed plate 2 passes through it
Two fixed columns 202 of one side bottom setting are fixed on 1 one upper side of plate, and the bottom of two fixed columns 202 and flat
The side of plate 1 is fixedly connected.
Embodiment 3
The present embodiment is a kind of improvement project done on the basis of embodiment 1, as shown in Figures 2 and 3, the press head 304
With one pressing puncture orifice hemispherical press surface, the hemispherical press surface top be provided with upward diameter gradually expand it is swollen
Swollen portion 3041, and 3041 bottom minimum diameter of bulge is equal with the diameter of hemispherical press surface；In the hemispherical of press head 304
Hemostasis cotton yarn 308 is coated on press surface.
When the present embodiment is in use, same as Example 1.
Embodiment 4
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Figure 1, the mounting plate 301 is logical
It crosses an adjusting screw 204 to connect with elevation base plate 203, and the bottom end of adjusting screw 204 passes through rolling bearing and mounting plate 301
Upper surface rotation connection, top is cooperatively connected to form screw slider structure with the through hole in elevation base plate 203, in adjusting screw
It is provided with the adjusting block 205 for rotating adjusting screw 204 on 204, the position of mounting plate 301 is finely tuned by rotation adjusting block 205
It sets, press head 304 thereon is made to compress puncture orifice and its periphery 1-2cm range.
When the present embodiment is in use, puncture press device 3 is first dropped to close to such as the mode of embodiment 1 height of puncture orifice
Degree rotates adjusting screw 204 by rotating adjusting block 205 later, and then drives mounting plate 301 and the decline of press head 304 simultaneously
It is pressed on puncture orifice and its 1-2cm range, in the process, is observed when rotating adjusting block 205, to determine suitable pressure
Power.
Embodiment 5
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Fig. 2,3 and 4, the press head
304 outer cover is equipped with the set 309 that extends, and extension set 309 is less than the hollow funnel-form of top end diameter, and its bottom for bottom diameter
End cap is located at the junction of bulge 3041 Yu hemispherical press surface, and bulge 3041 is included in inside it, thus will hemostasis
Cotton yarn 308 is fixed on hemispherical press surface, and the side wall and hemispherical press surface of the set 309 that extends form 100-120 ° of folder
Angle.The angle is actually to extend to cover 309 folders formed with the tangent line of hemispherical press surface contact position and 309 side walls of set that extend
Angle, the height of the hemispherical press surface on press head 304 are 1.5cm, that is, its height for being higher by 309 lowest parts of set that extend is
1.5cm, due to the presence of pressure, can be such that the outer wall of extension set 309 also presses skin in this way in actually pressing,
Not only prevent the movement of patient, and increase pressing area, make puncture orifice more not readily disengage from press head 304 by
Pressure.
When the present embodiment is in use, same as Example 1.
Embodiment 6
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Fig. 2,6 and 7, the mounting plate
Auxiliary pressing structure and rear auxiliary pressing structure before the front and back of blind hole 306 is respectively arranged on 301, and preceding auxiliary presses
Structure and rear auxiliary pressing structure include the strip groove 302 perpendicular to the distribution of 1 length direction of plate, in preceding auxiliary pressing structure
Strip groove in several compressed springs are provided with blood vessel pressing plate I 307, protrude from strip groove in blood vessel pressing plate I 307
302 center bottom is provided with the arc convex portion 3071 of pressing thigh root；After described in the strip groove of auxiliary pressing structure
Several compressed springs are provided with blood vessel pressing plate II 303, protrude from the bottom end of strip groove 302 in blood vessel pressing plate II 303
Middle part is provided with the arc-shaped recess portion 3031 of pressing thigh blood vessel, the blood vessel pressing plate II 303 and blood vessel pressing plate I 307
Bottom edge is downwardly convex arc smooth transition.The spacing of preceding auxiliary pressing structure and press head 304 is 2-3cm, rear to assist
The spacing of pressing structure and press head 304 is 3-5cm.
When the present embodiment is in use, same as Example 1.
Embodiment 7
The present embodiment is the further improvement project done on the basis of embodiment 6, as shown in figure 5, the mounting plate 301
Bottom be provided with and surround semicircle arc-shaped recess 3010 in the same direction, so-called to refer in the same direction, the two with two arc cover plates 601
Axial direction it is identical, and the radius of curvature of arc-shaped recess 3010 be greater than two surrounded semicircles of arc cover plate 601 curvature
Radius, the upper end of described two arc cover plates 601 passes through connecting substrate 605 respectively and is arranged in arc-shaped recess 3010, so that arc
There is gap, in order to by compressing rear arc cover plate 3010 between the outer wall of shape cover plate 601 and the side wall of arc-shaped recess 3010
Extend out；The closed air chamber 604 is fixed in the arc-shaped recess 3010 between two pieces of connecting substrates 605.In order to make two
The distance between a arc cover plate 601 is adjustable, by with the axially vertical direction of arc-shaped recess 3010 be arranged two it is arranged side by side
Screw rod, the both ends of this two screw rods are fixed on the bottom of mounting plate 301 by bearing rotation, and institute is run through at the middle part of this two screw rods
Closed air chamber 604 is stated, and it does not have helix through the part of closed air chamber 604, thus running through 604 side wall of closed air chamber
Place is sealed using wear-resistant seal circle；The connecting substrate 605 of two arc cover plates 601 is connected by threaded hole and this two screw rod cooperations
Connect, and be respectively at 604 two sides of closed air chamber, by rotating two screw rods, thus make two arc cover plates 601 synchronize it is opposite or
Movement is runed counter to, to adjust the spacing of the two.
Embodiment 8
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in figs. 1 and 8, the elevation base plate
The rear of puncture orifice press device 3 is provided with a big leg restraint gear 5 vertically downward, institute by an adjusting screw 204 on 203
Shu great leg restraint gear 5 includes a fixed substrate 501, is provided in several compressed springs 502 of the underrun of fixed substrate 501
One compressing thigh and the arc to raise upward press from both sides 503, and the bottom end of the adjusting screw 204 passes through rolling bearing and fixed substrate
501 upper surface rotation connection, top is cooperatively connected to form screw slider structure, adjust with the through hole in elevation base plate 203
It is provided with the adjusting block 205 for rotating adjusting screw 204 on section lead screw 204, fixed substrate is finely tuned by rotation adjusting block 205
501 position makes arc thereon press from both sides 503 compression puncture orifice thighs below, so that thigh be gripped.Thigh fixes machine
The distance between structure 5 and puncture orifice press device 3 are generally 15-20cm.
When the present embodiment is in use, substantially the same manner as Example 1, difference is: so that press head 304 is compressed puncture orifice,
Adjusting arc folder 503 using adjusting screw 204 later makes it clamp thigh.
Embodiment 9
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Fig. 1,9 and 10, the plate 1
On be provided with waist fixed mechanism 4 for gripping to patient's waist, which includes being arranged in plate 1
Track groove 402 that is upper and running through its width direction, is provided with a geared worm 403, geared worm 403 in the track groove 402
Both ends be symmetrically arranged with fixed fixture block 401, the two are fixed fixture blocks 401 and pass through the threaded hole of its bottom and geared worm 403
It is threadedly engaged, so that two fixed fixture blocks 401 are opposite or run counter to movement, and then to patient's in 403 rotation process of geared worm
Waist is gripped or is detached from clamp position；It is recessed that arc is symmetrically arranged on two opposite surfaces of fixed fixture block 401
The clamping watt 406 of shape is fallen into, the two clampings watt 406 and the shape of patient's waist fit, in order to preferably clamp；The biography
The both ends of dynamic worm screw 403 are fixed in track groove 402 by rolling bearing, side rolling bearing and are consolidated on geared worm 403
Determine the position between fixture block 401 and be provided with transmission gear 404, the speed reducer 405 of the transmission gear 404 and minitype motor driving is defeated
Gear on shaft is meshed, and drives geared worm 403 to rotate with different direction of rotation by the positive and negative rotation of micromotor, into
And it realizes the opposite of two fixed fixture blocks 401 or runs counter to movement.
When the present embodiment is in use, substantially the same manner as Example 1, difference is: so that press head 304 is compressed puncture orifice,
Start micromotor later, makes it that speed reducer 405 be driven to rotate, and then impart power to geared worm 403, geared worm
Two fixed fixture blocks 401 are driven to move toward one another in 403 rotation processes, and then by the waist clamping fixed of patient.
Claims (9)
1. a kind of postoperative pressing system of femoral artery puncture faces upward the fixation for (1) one upper side of plate lain including being arranged in for patient
Plate (2) and the elevation base plate (203) being arranged below fixed plate (2) by a lifting cylinder (201), the elevation base plate
(203) it is connect with the piston rod of lifting cylinder (201), to be gone up and down by the telescopic adjustment of raise-lower hydraulic oil cylinder (201) piston rod
The spacing of substrate (203) and plate (1) upper surface, it is characterised in that: puncture orifice pressing is provided on the elevation base plate (203)
Device (3), which includes a mounting plate (301) connecting with elevation base plate (403), in mounting plate (301)
Lower surface be provided with a blind hole (306), connecting pin (305), connecting pin are provided with by compressed spring in the blind hole (306)
(305) end is stretched out blind hole (306) and is connect with a press head (304) with hemisphere press surface, and raise-lower hydraulic oil is passed through
The stretching of cylinder (201) piston rod drives elevation base plate (203) and mounting plate (301) decline, and then is driven and connected by compressed spring
Outbound (305) and press head (304) synchronize pressing to puncture orifice and its periphery 1-2cm range；
Press head (304) forward position is provided with cold compress auxiliary body (6) on the mounting plate (301), and works as mounting plate (301)
On press head (304) oppress in puncture orifice and periphery 1-2cm range, which is covered on puncture position
On the skin of heart side 5-10cm；The cold compress auxiliary body (6) includes symmetrically arranged along plate (1) length direction
Arc cover plate (601) made of two silica gel materials, and two arc cover plates (601) are spliced to form semicircle, in each piece of arc
The two sides inward flange position of shape cover plate (601) length direction is provided with made of the silica gel material of protrusion and seals shelves item (602),
Several cold compress metal tapes (603) are distributed between both sides sealing shelves item (602), these cold compress metal tapes (603) are hollow knot
Structure, one end extend to the bottom of arc cover plate (601) and have opening, and the other end, which is extend into, to be arranged on mounting plate (301)
Between two arc cover plates (601) in the closed air chamber (604) of position, the closed air chamber (604) passes through tracheae (606) and one
Storage chamber (607) connection, and storage chamber (607) is connected to the air outlet of air blower (608), so that air blower (608) blowout
After gas enters the interior ice block cooling by stored by wherein of storage chamber (607), then transtracheal (606) and closed air chamber (604)
It enters in cold compress metal tape (603) and cooling down is carried out to cold compress metal tape (603), and the cold compress metal tape (603) is adjacent to
Puncture position carries out cold compress to body part close to the skin surface of heart side 5-10cm, reduces blood flowing speed, in turn
Shorten compressing time.
2. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the fixed plate (2)
(1) one upper side of plate, and two fixed columns are fixed on by two fixed columns (202) that one side bottom is arranged
(202) bottom is fixedly connected with the side of plate (1).
3. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the press head
(304) the hemispherical press surface with a pressing puncture orifice, it is gradually swollen to be provided with upward diameter on the hemispherical press surface top
Big bulge (3041), and bulge (3041) bottom minimum diameter is equal with the diameter of hemispherical press surface；In press head
(304) hemostasis cotton yarn (308) is coated on hemispherical press surface.
4. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the mounting plate
(301) it is connect by an adjusting screw (204) with elevation base plate (203), and the bottom end of adjusting screw (204) passes through rolling bearing
It is rotatablely connected with the upper surface of mounting plate (301), the through hole on top and elevation base plate (203) is cooperatively connected to form lead screw cunning
Block structure is provided with the adjusting block (205) for rotating adjusting screw (204) on adjusting screw (204), is adjusted by rotation
Block (205) finely tunes the position of mounting plate (301), and press head (304) thereon is made to compress puncture orifice and its periphery 1-2cm range.
5. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the press head
(304) outer cover is equipped with the set (309) that extends, which is the hollow funnel-form that bottom diameter is less than top end diameter,
And its bottom end is set in the junction of bulge (3041) and hemispherical press surface, and bulge (3041) is included in inside it,
To stop blooding, cotton yarn (308) is fixed on hemispherical press surface, the side wall of the set (309) that extends and hemispherical press surface shape
At 100-120 ° of angle.
6. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the mounting plate
(301) auxiliary pressing structure and rear auxiliary pressing structure before the front and back of blind hole (306) is respectively arranged on, and preceding auxiliary
Pressing structure and rear auxiliary pressing structure include the strip groove (302) perpendicular to the distribution of plate (1) length direction, in preceding auxiliary
Several compressed springs are provided with blood vessel pressing plate I (307) in the strip groove of pressing structure, it is prominent in blood vessel pressing plate I (307)
The arc convex portion (3071) of pressing thigh root is provided with for the center bottom of strip groove (302)；Auxiliary pressing after described
Several compressed springs are provided with blood vessel pressing plate II (303) in the strip groove of structure, it is prominent in blood vessel pressing plate II (303)
The center bottom of strip groove (302) is provided with the arc-shaped recess portion (3031) of pressing thigh blood vessel, the blood vessel pressing plate II
(303) and the bottom edge of blood vessel pressing plate I (307) is downwardly convex arc smooth transition.
7. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the mounting plate
(301) bottom, which is provided with, surrounds semicircle arc-shaped recess (3010) in the same direction with two arc cover plates (601), described two
The upper end of arc cover plate (601) passes through connecting substrate (605) setting in arc-shaped recess (3010) respectively, so that arc cover plate
(601) there is gap, in order to by compressing rear arc cover plate (3010) between the side wall of outer wall and arc-shaped recess (3010)
Extend out；The closed air chamber (604) is fixed at the arc-shaped recess (3010) between two pieces of connecting substrates (605) Nei.
8. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: the elevation base plate
(203) rear of puncture orifice press device (3) is provided with the fixed machine of a thigh vertically downward by an adjusting screw (204) on
Structure (5), the big leg restraint gear (5) include a fixed substrate (501), in fixed substrate (501) if underrun dry-pressing
The bottom end of the arc folder (503) that contracting spring (502) is provided with a compressing thigh and raises upward, the adjusting screw (204) is logical
The upper surface for crossing rolling bearing and fixed substrate (501) is rotatablely connected, and the through hole on top and elevation base plate (203), which cooperates, to be connected
It connects to form screw slider structure, the adjusting block (205) for rotating adjusting screw (204) is provided on adjusting screw (204),
By the position of rotation adjusting block (205) fine tuning fixed substrate (501), arc thereon is made to press from both sides (503) compression puncture orifice or less
Thigh, so that thigh be gripped.
9. the postoperative pressing system of a kind of femoral artery puncture according to claim 1, it is characterised in that: on the plate (1)
It is provided with the waist fixed mechanism (4) for gripping to patient's waist, which includes being arranged in plate
(1) track groove (402) on and through its width direction is provided with a geared worm (403) in the track groove (402), is passed
The both ends of dynamic worm screw (403) are symmetrically arranged with fixed fixture block (401), the two fix the screw thread that fixture block (401) pass through its bottom
Hole is threadedly engaged with geared worm (403) so that in geared worm (403) rotation process, two fixed fixture blocks (401) it is opposite or
Movement is runed counter to, and then the waist of patient is gripped or is detached from clamp position；It is opposite in two fixed fixture blocks (401)
The clamping watt (406) of arc-shaped recess shape is symmetrically arranged on surface；The both ends of the geared worm (403) are solid by rolling bearing
It is scheduled in track groove (402), the position setting on geared worm (403) between side rolling bearing and fixed fixture block (401)
There are transmission gear (404), which mutually nibbles with the gear on speed reducer (405) output shaft of minitype motor driving
It closes, drives geared worm (403) to rotate with different direction of rotation by the positive and negative rotation of micromotor, and then realize two fixations
Fixture block (401) opposite runs counter to movement.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811602370.7A CN109498098A (en) | 2018-12-26 | 2018-12-26 | A kind of postoperative pressing system of femoral artery puncture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811602370.7A CN109498098A (en) | 2018-12-26 | 2018-12-26 | A kind of postoperative pressing system of femoral artery puncture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109498098A true CN109498098A (en) | 2019-03-22 |
Family
ID=65754752
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811602370.7A Withdrawn CN109498098A (en) | 2018-12-26 | 2018-12-26 | A kind of postoperative pressing system of femoral artery puncture |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109498098A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111449710A (en) * | 2020-04-02 | 2020-07-28 | 西安交通大学第二附属医院 | Multi-point pressing type radial artery compressor used after cardiovascular intervention |
| CN112515728A (en) * | 2020-12-17 | 2021-03-19 | 中国人民解放军陆军军医大学第一附属医院 | Automatic artery pressing device |
| CN114699133A (en) * | 2022-04-18 | 2022-07-05 | 阜外华中心血管病医院 | Multi-angle femoral artery puncture opening compression device |
-
2018
- 2018-12-26 CN CN201811602370.7A patent/CN109498098A/en not_active Withdrawn
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111449710A (en) * | 2020-04-02 | 2020-07-28 | 西安交通大学第二附属医院 | Multi-point pressing type radial artery compressor used after cardiovascular intervention |
| CN111449710B (en) * | 2020-04-02 | 2022-12-06 | 西安交通大学第二附属医院 | Multi-point pressing type radial artery compressor used after cardiovascular intervention |
| CN112515728A (en) * | 2020-12-17 | 2021-03-19 | 中国人民解放军陆军军医大学第一附属医院 | Automatic artery pressing device |
| CN114699133A (en) * | 2022-04-18 | 2022-07-05 | 阜外华中心血管病医院 | Multi-angle femoral artery puncture opening compression device |
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Application publication date: 20190322 |
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