CN114010254A

CN114010254A - Cardiovascular internal medicine operation is with pressing hemostasis equipment

Info

Publication number: CN114010254A
Application number: CN202111254705.2A
Authority: CN
Inventors: 王永顺; 刘华东; 张转转; 袁杰; 刘惊今; 孙鑫
Original assignee: Shenzhen Peoples Hospital
Current assignee: Shenzhen Peoples Hospital
Priority date: 2021-10-27
Filing date: 2021-10-27
Publication date: 2022-02-08

Abstract

The invention discloses a pressing hemostasis device for cardiovascular internal medicine operation, which comprises: a restraining strap that can restrain a leg of a patient; the air cushion is connected to the bottom of the binding belt, a dressing sheet for stopping bleeding after being extruded to a skin pinhole position is arranged at the bottom of the air cushion, and a diaphragm for separating the dressing sheet from the air cushion is arranged between the dressing sheet and the air cushion; the air cushion comprises an extrusion part used for connecting dressing pieces, the hemostasis structure of the invention realizes hemostasis by the air cushion, the hemostasis mode is simple, the air cushion can be operated by a single person, the air cushion and the dressing pieces have good sealing performance, the dressing pieces do not need to be replaced within 24 hours, and gauze can be replaced after skin outside the dressing pieces is disinfected during replacement after 24 hours, so that the operation is simple.

Description

Cardiovascular internal medicine operation is with pressing hemostasis equipment

Technical Field

The invention relates to the technical field of medical instruments, in particular to a pressing hemostasis device for cardiovascular internal medicine operations.

Background

With the development of medical technology, interventional procedures have been widely applied to clinical treatment of cardiovascular and cerebrovascular diseases, peripheral vascular diseases and the like, and are called as the gold standard for diagnosing vasculopathy, wherein the femoral artery is relatively thick and relatively fixed in position, and is easy to puncture successfully, so the femoral artery puncture has the advantages of being easy to master and suitable for large interventional instruments, and gradually becomes an important approach for interventional procedures. After the femoral artery puncture operation, a large needle hole is reserved in the femoral artery blood vessel wall of the puncture point, blood pressure of the puncture point is high, the problem of difficulty in hemostasis exists, clinical data show that complications of improper hemostasis after the femoral artery puncture operation are high, and physiological and psychological rehabilitation of patients is seriously damaged. Traditional hemostasis device needs many people to operate and operates to waste time and energy, and the integration degree is lower for the hemostatic gauze on the wound is difficult to obtain effective regular change, leads to breeding of wound department bacterium easily, has also increased medical staff's work burden. To this end, we propose a compression hemostasis device for cardiovascular medical surgery.

Disclosure of Invention

The invention aims to provide a pressing hemostasis device for cardiovascular internal medicine operation, so as to solve the problems in the background technology.

In order to achieve the purpose, the invention provides the following technical scheme: a compression hemostasis device for cardiovascular medical procedures, comprising:

a restraining strap that can restrain a leg of a patient;

the air cushion is connected to the bottom of the binding belt, a dressing sheet for stopping bleeding after being extruded to a skin pinhole position is arranged at the bottom of the air cushion, and a diaphragm for separating the dressing sheet from the air cushion is arranged between the dressing sheet and the air cushion;

an inflation connector mounted at one side of the air cushion, the inflation connector flushing air into or discharging air from the air cushion,

the air cushion comprises a pressing part used for being connected with the dressing piece, two positioning parts are arranged on two sides of the pressing part, the two positioning parts position the side faces of the legs of the patient, and the binding belts bind the positioning parts on the two sides, so that the pressing part is pressed to the wound of the patient when the air cushion is inflated.

Preferably, a sealing mechanism for preventing gas from leaking outwards is arranged inside the inflation connector, the sealing mechanism comprises a sealing ring arranged inside the inflation connector, a rubber pad is arranged on one side, close to the air cushion, of the sealing ring, one side of the rubber pad is connected with the inflation connector, and the rubber pad is in contact with the side face of the sealing ring.

Preferably, the outside of air cushion is equipped with the air pump, one side of air pump is equipped with the trachea, tracheal tip is equipped with the connector, the connector can insert in the inflation joint.

Preferably, the connector is including installing the thread bush in the trachea outside, the thread groove that is used for being connected with the thread bush is seted up in the outside of inflating joint, the outside of thread bush is equipped with the apical ring that promotes the rubber pad and open, apical ring and the inside intercommunication of trachea.

Preferably, one side of the air cushion is also provided with a pulse detector, the pulse detector is wound on the foot surface of the patient, and the pulse detector is connected with the air pump through a lead.

Preferably, the constraint area includes the connecting portion of being connected with the air cushion, the both ends of connecting portion are equipped with two portions of pasting tight with patient's shank, two paste through the magic subsides connection between the portion.

Preferably, a plurality of long-strip-shaped convex strips are arranged on the inner side of the positioning part, and each convex strip is fixedly connected to the positioning part.

Preferably, one side of the binding belt close to the skin of the patient is provided with a plurality of bulges, and the bulges are fixedly connected to the binding belt.

Preferably, still include the control system to patient's wound extrusion control, control system includes PLC, PLC and air pump both way junction, PLC and pulse detector one way connection, one side of PLC is connected with pressure sensor, pressure sensor connects on the constraint area, pressure sensor is located the telecentric terminal in constraint area.

The invention has at least the following beneficial effects:

compared with the prior art, the traditional hemostatic device needs to be operated by multiple people, time and labor are wasted in operation, the integration degree is low, hemostatic gauze on a wound is difficult to replace effectively and regularly, bacteria on the wound are easy to breed, and the work burden of medical staff is increased.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a block diagram of another embodiment of the present invention;

FIG. 3 is a view of the structure of FIG. 2 from another perspective;

FIG. 4 is a partial cross-sectional view of another embodiment of the present invention;

FIG. 5 is an enlarged view of area A in FIG. 4;

FIG. 6 is a block diagram of another embodiment of the present invention;

FIG. 7 is a system diagram of another embodiment of the present invention;

FIG. 8 is a schematic view of the present invention under a comforter;

fig. 9 is a schematic view of the screw hemostat under a quilt.

In the figure: 1-an inflation joint; 2-air cushion; 21-an extrusion part; 22-a positioning section; 23-convex strips; 3-binding belt; 31-a connecting portion; 32-a sticking part; 33-protrusions; 4-dressing sheet; 5-a separator; 6-a sealing mechanism; 61-a sealing ring; 62-rubber pad; 7-an air pump; 8-trachea; 9-a connector; 91-thread bush; 92-a top ring; 10-pulse detector; 11-a wire; 12-PLC; 13-quilt; 14-pressure sensor.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-9, the present invention provides a technical solution: a compression hemostasis device for cardiovascular medical procedures, comprising:

a binding belt 3, wherein the binding belt 3 can bind the leg of the patient, and the binding belt 3 is used for binding the leg of the patient;

the air cushion 2 is connected to the bottom of the binding belt 3, a dressing sheet 4 for stopping bleeding after being extruded to the position of a skin pinhole is arranged at the bottom of the air cushion 2, the dressing sheet 4 is made of an existing sheet material, the dressing sheet 4 can directly stop bleeding after being pressed to a wound of a patient, the bleeding of the patient is facilitated, a diaphragm 5 for separating the dressing sheet 4 from the air cushion 2 is arranged between the dressing sheet 4 and the air cushion 2, one side of the diaphragm 5 is attached to the air cushion 2 through a non-setting adhesive, the other side of the diaphragm 5 is attached to the dressing sheet 4 through the non-setting adhesive, after the wound of the patient is pressed for stopping bleeding for 24 hours, the air cushion 2 is released, when the wound of the patient does not bleed any more, the hands of medical staff press the protruding positions at the two sides of the diaphragm 5, the air cushion 2 is taken down from the leg of the patient, the diaphragm 5 is torn down from the top of the dressing sheet 4, and finally, the gauze and the dressing sheet 4 are continuously adhered to the leg of the patient by using an adhesive tape, the air cushion 2 is a transparent plastic air cushion 2. The bleeding condition at the position of the dressing sheet 4 can be conveniently and visually observed by medical staff;

the inflatable joint 1 is arranged at one side of the air cushion 2, the inflatable joint 1 is used for flushing air into the air cushion 2 or discharging the air from the air cushion 2, the inflatable joint 1 is used for inflating and deflating the air cushion 2, so that the effect of the pressure of the dressing sheet 4 of a patient and the wound can be conveniently changed, after the wound of the leg of the patient is extruded for 2 hours, partial air of the air cushion 2 is discharged from the inflatable joint 1, the pressure of the air cushion 2 is reduced, after 24 hours, the air cushion 2 is loosened to observe whether the position of the dressing sheet 4 bleeds, if no bleeding happens, the air of the air cushion 2 can be completely discharged from the inflatable joint, and then the restraining belt 3 is loosened,

the air cushion 2 comprises a pressing part 21 used for connecting the dressing sheet 4, the pressing part 21 is directly contacted with the legs of a patient, the pressing part 21 presses the dressing sheet 4 to the wound of the patient, two positioning parts 22 are arranged on two sides of the pressing part 21, the two positioning parts 22 are in a protruding shape, the two positioning parts 22 and the pressing part 21 are in an M shape, the two positioning parts 22 position the side surfaces of the legs of the patient, the two positioning parts 22 and the pressing part 21 are integrally formed, one sides of the positioning parts 22 and the pressing part 21, which are close to the legs of the patient, can expand and press the legs of the patient after being introduced with air, the restraining belt 3 restrains the positioning parts 22 on the two sides, so that the pressing part 21 is pressed to the wound of the patient when the air cushion 2 is inflated, when the patient needs to apply dressing to the wound, the restraining belt 3 firstly bypasses the legs of the patient, the restraining belts 3 on the two sides are connected through magic tapes, and then the inflated interface is inflated, extrusion portion 21 and location portion 22 inflation simultaneously, extrusion portion 21 drives the shank wound department that applies 4 extrusion patients of piece, location portion 22 is under the constraint effect of constraint area 3, to the outside laminating of patient's shank, extrusion portion 21 is with the wound department of the inseparable extrusion of piece of dressing 4, the wound has not bled after being extrudeed completely this moment, if patient's instep department has the pulse in addition, stop filling gas in the air cushion 2 this moment, if the instep does not have the pulse then stop to aerify the release part gas, reduce the limbs and lack the possibility of blood necrosis, this kind of mode is through filling the pressure that the gassing just can direct control 4 positions of piece of patient and locate, the operation is comparatively simple, it is convenient to stanch to patient wound department.

The sealing mechanism 6 for preventing gas from leaking outwards is arranged in the inflation connector 1, the sealing mechanism 6 comprises a sealing ring 61 arranged in the inflation connector 1, the sealing ring 61 is fixedly connected with the inner wall of the inflation connector 1, a rubber pad 62 is arranged on one side, close to the air cushion 2, of the sealing ring 61, one side of the rubber pad 62 is fixedly connected with the inflation connector 1, the rubber pad 62 is in contact with the side face of the sealing ring 61, when the air cushion 2 is inflated, the air bag is held by hands to squeeze the air bag, gas in the air bag directly pushes the rubber pad 62 away through the inflation connector 1, the rubber pad 62 is separated from the sealing ring 61, at the moment, the gas directly enters the air cushion 2, the dressing sheet 4 is squeezed to the wound of a patient after the air cushion 2 is inflated, after the inflation is finished, the air bag is loosened, at the moment, the rubber pad 62 is directly attached to the sealing ring 61 under the action of self elasticity, and the air pressure in the air cushion 2 also pushes the rubber pad 62 to be attached to the sealing ring 61, thereby facilitating the maintenance of the inflated air cushion 2.

Constraint area 3 includes the connecting portion 31 of being connected with air cushion 2, and connecting portion 31 is fixed with two location portion 22 of air cushion 2, the both ends of connecting portion 31 are equipped with two portions of pasting 32 of binding up patient's shank tightly, two paste through the magic subsides connection between the portion 32, two portions of pasting 32 can be fixed respectively in two positions of patient's shank, and then convenient location to air cushion 2, guarantee the stability that air cushion 2 is fixed.

The inboard of location portion 22 is equipped with a plurality of long banding sand grips 23, every the equal fixed connection of sand grip 23 is on location portion 22, can strut location portion 22 and patient's shank through sand grip 23, and the circulation of the air of position is extruded to patient's shank to the convenience, reduces the possibility of pressing the sore, and then makes things convenient for patient's use.

One side that the constraint area 3 is close to patient's skin is equipped with a plurality of archs 33, and is a plurality of the equal fixed connection of arch 33 is on constraint area 3, and the arch 33 of constraint area 3 conveniently fixes the constraint area 3 on patient's leg on the one hand, and the heat dissipation of patient's shank can be made things convenient for to the protruding 33 of on the other hand, makes things convenient for patient's breathing freely, and then promotes patient's comfort level.

Aiming at the above embodiment, please refer to fig. 2, 3, 4 and 5, another embodiment of the present invention further includes that an air pump 7 is disposed at the outer side of the air cushion 2, an air pipe 8 is disposed at one side of the air pump 7, the air pipe 8 is fixedly connected with the air pump 7, a connector 9 is disposed at the end of the air pipe 8, the connector 9 is fixedly connected with the air pipe 8, the connector 9 can be inserted into the inflation connector 1, after the air pump 7 is powered on, the air pump 7 supplies air into the air cushion 2 through the air pipe 8 and the connector 9, and the air pump 7 can adjust the pressure of the supplied air, which is more convenient for medical staff to use.

Connector 9 is including installing the thread bush 91 in the trachea 8 outside, thread bush 91 and trachea 8 fixed connection, the thread groove that is used for being connected with thread bush 91 is offered in the outside of inflation joint 1, the outside of thread bush 91 is equipped with the apical ring 92 that promotes rubber pad 62 and open, apical ring 92 and thread bush 91 fixed connection, thread bush 91 and inflation joint 1 threaded connection, apical ring 92 and the inside intercommunication of trachea 8 make things convenient for and inflate in the air pump 7 to the air cushion 2 through being connected between connector 9 convenience and the inflation joint 1.

Referring to fig. 6 and 7, according to another embodiment of the present invention, a pulse detector 10 is further disposed on one side of the air cushion 2, the pulse detector 10 is wound on the instep of the patient, and the pulse detector 10 detects the pulse of the instep of the patient, so as to ensure that the blood of the patient can better circulate after the air cushion 2 presses the leg of the patient, which is convenient for the patient to use, and the pulse detector 10 is connected to the air pump 7 through a wire 11.

Still include the control system to patient's wound extrusion control, control system includes PLC12, PLC12 and air pump 7 both way junction, PLC12 and pulse detector 10 one way connection, one side of PLC12 is connected with pressure sensor 14, pressure sensor 14 is connected on the constraint area 3, pressure sensor 14 is located the telecentric end of constraint area 3.

When medical personnel needs to stop bleeding of the artery of a patient, the pulse detector 10 is wound on the palm of the foot of the patient, the restraining belt 3 is wound on the leg of the patient, the dressing sheet 4 of the air cushion 2 is aligned with the wound of the leg of the patient, the air pump 7 is communicated with the inflation interface, at the moment, the pressure sensor 14 is attached to the leg of the patient, the air pump 7 starts to inflate under the control of the PLC12, the pulse detector 10 detects the pulse of the sole of the foot of the patient, when the air cushion 2 inflates until the pulse detector 10 detects that the pulse disappears, the air pump 7 stops inflating the air cushion 2 at the moment, the air pump 7 slowly discharges the air in the air cushion 2, when the pulse detector 10 continues to generate the pulse, the air pump 7 stops to deflate, at the moment, on the premise of ensuring the blood circulation of the foot of the patient, the extrusion force at the wound reaches a larger value, the bleeding stopping of the wound is more convenient, the PLC12 controls the air pump 7 to stop bleeding of the wound for 2 hours, emit the partial gas in the air cushion 2, do not need medical personnel to come again to air cushion 2 gassing on time this moment, PLC12 control 24 hours back air pump 7 sends the police dispatch newspaper after, medical personnel catch up to patient's back, air pump 7 time delay gassing, medical personnel observes the wound and whether continues to bleed this moment, if the portion is bled, then take off air cushion 2 from dressing piece 4, the patient stops blooding and finishes, carry out intelligent control through PLC12, and then make things convenient for medical personnel's operation, reduce medical personnel and aerify on one side still must the complicated operation degree of difficulty of perception instep pulse, and then make things convenient for medical personnel's use.

In addition, referring to fig. 8 and 9, fig. 9 shows a conventional screw hemostat, when a patient needs to cover a quilt 13 after an operation or the patient moves his legs, the screw and the knob at the top may be pressed against the quilt 13 or a hospital bed, which may cause the dressing sheet 4 at the wound to move relative to the skin, which may cause the patient to bleed again, thereby causing secondary injury to the patient, but in fig. 8, when the air cushion 2 moves relative to the quilt 13 or the air cushion 2 is pressed against the hospital bed, the dressing sheet 4 under the air cushion 2 is not easily moved relative to the skin, which reduces the possibility of bleeding at the wound of the patient, and facilitates the patient to use.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides a cardiovascular internal medicine operation is with pressing hemostasis equipment which characterized in that: the method comprises the following steps:

a restraining strap (3), the restraining strap (3) being capable of restraining a leg of a patient;

the air cushion (2) is connected to the bottom of the binding belt (3), a dressing sheet (4) for stopping bleeding after being extruded to a skin pinhole position is arranged at the bottom of the air cushion (2), and a diaphragm (5) for separating the dressing sheet (4) from the air cushion (2) is arranged between the dressing sheet (4) and the air cushion (2);

the inflatable joint (1) is arranged at one side of the air cushion (2), the inflatable joint (1) flushes air into the air cushion (2) or discharges the air from the air cushion (2),

the air cushion (2) comprises a pressing part (21) used for being connected with a dressing sheet (4), two positioning parts (22) are arranged on two sides of the pressing part (21), the two positioning parts (22) position the side faces of the legs of a patient, and the restraining belts (3) restrain the positioning parts (22) on the two sides, so that the pressing part (21) is pressed to the wound of the patient when the air cushion (2) is inflated.

2. A compression hemostasis device for cardiovascular medical procedures, according to claim 1, wherein: the inside of inflation joint (1) is equipped with prevents that gas outwards leaks sealing mechanism (6), sealing mechanism (6) are including installing sealing ring (61) inside inflation joint (1), one side that sealing ring (61) are close to air cushion (2) is equipped with rubber pad (62), one side and inflation joint (1) of rubber pad (62) are connected, the side contact of rubber pad (62) and sealing ring (61).

3. A compression hemostasis device for cardiovascular medical procedures, as claimed in claim 2, wherein: the outside of air cushion (2) is equipped with air pump (7), one side of air pump (7) is equipped with trachea (8), the tip of trachea (8) is equipped with connector (9), connector (9) can insert in inflatable joint (1).

4. A compression hemostasis device for cardiovascular medical procedures, according to claim 3, wherein: connector (9) are including installing thread bush (91) in trachea (8) outside, the thread groove that is used for being connected with thread bush (91) is offered in the outside of inflating joint (1), the outside of thread bush (91) is equipped with apical ring (92) that promote rubber pad (62) and open, apical ring (92) and trachea (8) inside intercommunication.

5. A compression hemostasis device for cardiovascular medical procedures, according to claim 3, wherein: one side of the air cushion (2) is also provided with a pulse detector (10), the pulse detector (10) is wound on the foot surface of a patient, and the pulse detector (10) is connected with the air pump (7) through a wire (11).

6. A compression hemostasis device for cardiovascular medical procedures, according to claim 1, wherein: constraint area (3) are including connecting portion (31) be connected with air cushion (2), the both ends of connecting portion (31) are equipped with two portions of pasting (32) of binding up patient's shank tightly, two paste through the magic subsides between portion (32) and connect.

7. A compression hemostasis device for cardiovascular medical procedures, according to claim 1, wherein: the inner side of the positioning part (22) is provided with a plurality of strip-shaped convex strips (23), and each convex strip (23) is fixedly connected to the positioning part (22).

8. A compression hemostasis device for cardiovascular medical procedures, according to claim 6, wherein: one side of the binding belt (3) close to the skin of a patient is provided with a plurality of bulges (33), and the bulges (33) are all fixedly connected on the binding belt (3).

9. A compression hemostasis device for cardiovascular medical procedures, according to claim 5, wherein: still include the control system to patient's wound extrusion control, control system includes PLC (12), PLC (12) and air pump (7) both way junction, PLC (12) and pulse detector (10) one way connection, one side of PLC (12) is connected with pressure sensor (14), pressure sensor (14) are connected on constraint area (3), pressure sensor (14) are located the telecentric end of constraint area (3).