CN209951327U

CN209951327U - Upper limb blood vessel hemostat

Info

Publication number: CN209951327U
Application number: CN201920393135.7U
Authority: CN
Inventors: 杨大浩; 何鹏程; 刘远辉
Original assignee: 杨大浩
Current assignee: Fuwai Hospital of CAMS and PUMC
Priority date: 2019-03-22
Filing date: 2019-03-22
Publication date: 2020-01-17
Anticipated expiration: 2029-03-22

Abstract

The utility model relates to an upper limb blood vessel hemostat, which comprises a base for placing upper limbs of a patient, a hemostasis unit movably arranged on the base, and a guide component arranged on the base and arranged along a first direction to guide the hemostasis unit to move; the base is provided with a limit groove for placing the upper limb of the patient so as to limit the upper limb of the patient; openings for the upper limbs of the patient to extend into are arranged at the two ends of the limiting groove; the hemostasis unit is arranged in the limiting groove and moves towards the limiting groove relatively; the guide assembly comprises guide rails which are arranged on the base along a first direction and are positioned on two sides of the limiting groove, and sliding blocks which are arranged on the hemostasis unit and are correspondingly arranged with the guide rails so as to slide in the guide rails. This upper limbs vascular haemostat can adjust this hemostasis unit according to the position of actual oppression, and then can improve medical personnel's work efficiency, reduces patient's uncomfortable and feels.

Description

Upper limb blood vessel hemostat

Technical Field

The utility model relates to the technical field of medical equipment, more specifically say, relate to an upper limbs blood vessel haemostat.

Background

The incidence of coronary heart disease in China is higher and higher, and with the technical progress, coronary intervention diagnosis and treatment are more and more commonly developed. The radial artery puncture approach has the advantages of small wound, less complications, quick postoperative recovery, no need of braking and the like, is the first-choice puncture approach of coronary intervention diagnosis and treatment, and inevitably generates hematoma complications at a radial artery puncture part, the incidence rate of radial artery hematoma is about 1% according to statistics, the surgical quantity of radial artery and ulnar artery compression hemostasis in the interventional operation in one year in China is more than 60 ten thousands of cases at present, the surgical quantity is increased by 10% every year, and accordingly, the number of patients with radial artery puncture hematoma is more and more. At present clinical compressor all is designed to normal radial artery puncture mouth, can only oppress local radial artery puncture point, in case the radial artery hematoma condition appears, the position that the radial artery need oppress changes, need adjust the oppression position toward the end of the heart of being close to, and current haemostat can not adjust the oppression position on a large scale, has consequently lost hemostatic function, and clinician then can only carry out artifical bare-handed oppression, perhaps relies on experience and uses bandage etc. to oppress. It not only brings uncomfortable sense for the patient, moreover, still consumes medical personnel's a large amount of time, reduces medical personnel's work efficiency.

In addition, the effect of bare-handed oppression hematoma or bandage hemostasis oppression is also not ideal, appears hematoma for the first time and handles the back through the doctor, because action such as patient's upper limbs elbow joint is crooked, the patient can appear hematoma progress again, needs medical personnel to oppress many times repeatedly, increases patient's harm, has increased medical personnel's work load simultaneously.

SUMMERY OF THE UTILITY MODEL

The to-be-solved technical problem of the utility model is to provide an improved hemostat.

The utility model provides a technical scheme that its technical problem adopted is: constructing an upper limb vascular hemostat, which comprises a base for placing an upper limb of a patient, a hemostasis unit movably arranged on the base, and a guide component arranged on the base and arranged along a first direction to movably guide the hemostasis unit;

the base is provided with a limit groove for placing the upper limb of the patient so as to limit the upper limb of the patient; openings for the upper limbs of the patient to extend into are arranged at the two ends of the limiting groove; the hemostasis unit is arranged in the limiting groove and moves towards the limiting groove relatively;

the guide assembly comprises guide rails which are arranged on the base along a first direction and are positioned on two sides of the limiting groove, and sliding blocks which are arranged on the hemostasis unit and are correspondingly arranged with the guide rails so as to slide in the guide rails.

Preferably, the hemostatic unit comprises a mounting frame, a pressure plate, a lifting assembly, and a hemostatic pad; the mounting rack is movably arranged on the base, and two ends of the mounting rack are connected with the guide rails; the pressure plate is arranged on the mounting frame in a telescopic manner; the lifting assembly is arranged on the mounting frame and connected with the pressing plate to drive the pressing plate to lift; the hemostatic pad is arranged on one surface of the pressing plate, which is opposite to the lifting assembly;

the slider sets up the mounting bracket with the relative one side that sets up of base just is located the both sides of clamp plate.

Preferably, the lifting assembly comprises a press rod which penetrates through the mounting frame and is connected with the press plate, a connecting piece which is movably arranged on the mounting frame along a second direction and is connected with the press rod, and a knob which is arranged at one end of the press rod far away from the press plate;

the connecting piece is provided with a through hole which is connected with the pressure lever and through which the pressure lever passes;

the outer side wall of the pressure lever is provided with an external thread; and the inner side of the through hole is provided with an internal thread which is correspondingly arranged with the external thread.

Preferably, the mounting rack is provided with a yielding hole for the compression bar to pass through;

the abdicating hole is a strip-shaped hole arranged in the second direction.

Preferably, the length of the base is adapted to the length of the patient's upper limb when extended, to brake the patient's elbow joint;

the first direction is the length direction of the base, and the second direction is the width direction of the base.

Preferably, a pressure detection unit is further included; the pressure detection unit is arranged on the pressing plate.

Preferably, the pressure detection unit includes a pressure sensor.

Preferably, the device further comprises a display unit connected with the pressure detection unit to display the pressure information of the pressure plate;

the display unit comprises a display arranged on the lifting component.

Preferably, the cross section of the limiting groove is U-shaped.

Preferably, the inner side wall of the limiting groove is provided with a cushion.

Implement the utility model discloses an upper limbs vascular haemostat has following beneficial effect: this upper limbs vascular haemostat, it is through setting up portable setting and can be towards the hemostasis unit of relative motion in the spacing groove on this base, through setting up this direction subassembly along this first direction in order to remove the direction for this hemostasis unit, should stanch and can slide in setting up the guide rail along this first direction and being located this spacing groove both sides on this base through the slider that sets up on it, and then can adjust this hemostasis unit according to the position of actual oppression, and then can improve medical personnel's work efficiency, reduce patient's uncomfortable sense.

Drawings

The invention will be further explained with reference to the drawings and examples, wherein:

fig. 1 is a schematic structural diagram of the upper limb blood vessel hemostat of the utility model.

Detailed Description

In order to clearly understand the technical features, objects, and effects of the present invention, embodiments of the present invention will be described in detail with reference to the accompanying drawings.

Fig. 1 shows a preferred embodiment of the upper limb vascular hemostat of the present invention. This upper limbs vascular haemostat can be used for the hemostasis by compression of patient radial artery, ulnar artery, can adjust this hemostasis unit according to the position of actual oppression, and then can improve medical personnel's work efficiency, reduces medical personnel's work load to reduce patient's uncomfortable and feel.

As shown in fig. 1, the upper limb vascular hemostat comprises a base 10, a hemostasis unit 20, a guide assembly 30, a pressure detection unit 40 and a display unit 50; this base 10, it can supply the patient upper limbs to place, and this hemostasis unit 20 is movably set up on this base 10, and it can oppress the position according to actual need and carry out position adjustment, and this guide assembly 300 sets up on this base 10, and it can set up along first direction, and it can move the direction for this hemostasis unit 20, is convenient for this hemostasis unit 20's removal to and be convenient for adjust this hemostasis unit 20's position. The pressure detecting unit 40 may be disposed on the hemostatic unit 20, which may detect the pressure applied when the hemostatic unit 20 is compressed, and the display unit 50 may display information on the pressure applied by the hemostatic unit 20, which is disposed on the hemostatic unit 20. The range that this haemostat covered is enough big, can carry out effective oppression to upper limbs blood vessel whole journey, has carried out the braking to the elbow joint simultaneously, has reduced because the radial artery that the patient elbow joint is autonomic bending leads to is hemorrhage again. Simultaneously it can show dynamic display hemostat when hemostasis by compression pressure size, be convenient for to the regulation of pressure, can overcome not enough, the reduction radial artery of current radial artery hemostat blocks up the incidence, increases patient's comfort level, the medical personnel operation of being convenient for, be convenient for improve medical personnel's efficiency, and radial artery hemostat that use cost is low.

In this embodiment, the base 10 may be rectangular parallelepiped, and the length thereof is adapted to the length of the patient's upper limbs when they are extended. Specifically, the length of this base 10 is longer, and it can be convenient for place of this patient's upper limbs, and brakes patient's elbow joint, increases the control range, avoids patient's upper limbs to remove, and then avoids the oppression point to change to improve the accuracy of oppression. In this embodiment, the first direction is a length direction of the base, and the second direction is a width direction of the base.

In this embodiment, the base 10 is provided with a limiting groove 11; this spacing groove 11 can supply the patient upper limbs to place, and it can carry on spacingly to the patient upper limbs. Two ends of the limiting groove 11 are provided with openings 111; the opening 111 is disposed along the length of the base 10, and allows the upper limb of the patient to extend into the opening. The cross section of the limiting groove 11 can be U-shaped, and the bending amplitude of the limiting groove is matched with the amplitude of the upper limb, so that the upper limb of a patient can be conveniently placed and limited. In this embodiment, a cushion 60 is further disposed inside the limiting groove 1; the cushion 60 may be a sponge, which may prevent discomfort to the patient from standing for a long period of time. Of course, it is understood that the cushion 60 may be omitted.

The hemostatic unit 20 is disposed on the limiting groove 11, can move relatively towards the limiting groove 11, and includes a mounting frame 21, a pressing plate 22, a lifting assembly 23, and a hemostatic pad; the mounting frame 21 is movably disposed on the base 10, and both ends of the mounting frame are connected to the guide assembly 30. The mounting frame 21 is disposed in the second direction, and may be a cross bar, which can be used for mounting the pressing plate 22 and the lifting assembly 23, and can drive the pressing plate 22 to move through movement. The pressing plate 22 is telescopically disposed on the mounting frame 21, and can perform telescopic movement toward the limiting groove 11, so as to press the puncture point of the upper limb of the patient. The lifting component 23 is disposed on the mounting frame 21 and connected to the pressing plate 22, and can drive the pressing plate 22 to move up and down, so as to achieve hemostasis by compression. The hemostatic pad is disposed on a side of the pressure plate 22 opposite to the lifting member 23, and can be used for hemostasis.

The length of the mounting bracket 21 is greater than the width of the base 10, and the mounting bracket 21 is disposed above the limiting groove 11 along the second direction, and the mounting bracket 21 is provided with an abdicating hole 211 for the lifting assembly 23 to pass through; this hole 211 of stepping down is the bar hole that sets up in the second direction, and through this bar hole, this lifting unit 23 can remove along the second direction in this bar hole, and then drives this clamp plate 22 and remove on the second direction.

In this embodiment, the pressing plate 22 may be made of a transparent material, and specifically, it may be made of a transparent PVC material, so that the medical staff can observe the bleeding of the radial artery and ulnar artery puncture site during the pressure adjustment process.

The lifting assembly 23 comprises a pressure lever 231, a connecting piece 233 and a knob 232; the pressing rod 231 penetrates through the mounting frame 21 to be connected with the pressing plate 22, and specifically, the pressing rod 231 penetrates through the receding hole 211 and can move in the receding hole 211. The knob 232 is disposed at an end of the pressing rod 231 away from the pressing plate 22, and the pressing rod 231 can be driven to move up and down by rotating the knob 232. In this embodiment, the outer side wall of the pressing rod 231 is provided with an external thread. In this embodiment, the connecting block 233 is movably disposed on the mounting frame 21 along the second direction, and is connected to the pressing rod 231, and cooperates with the pressing rod 231 to facilitate the lifting of the pressing rod 231. In this embodiment, the connecting member 233 has a through hole disposed opposite to the receding hole 211, which can connect the pressing rod 231 and facilitate the pressing rod 231 to pass through. The inner side of the through hole is provided with an internal thread corresponding to the external thread of the pressing rod 231, so that the pressing rod 231 can make telescopic movement towards the direction of the limiting groove 11 by rotating the knob 232.

In the present embodiment, the guide assembly 30 includes a guide rail 31 and a slider 32; the guide rail 31 is disposed on the base 10 along a first direction and located at two sides of the limiting groove 11, and two ends of the mounting frame 21 can be connected to the guide rail 31. The sliding block 32 is disposed on the hemostatic unit 10 and corresponding to the guide rail 31, and can slide in the guide rail 31. In this embodiment, specifically, the sliding blocks 32 are disposed on a surface of the mounting frame 21 opposite to the base 10 and located on two sides of the pressing plate 22, and the sliding blocks 32 may be integrally formed with the mounting frame 31. When adjusting the pressing position, the mounting frame 21 may be moved on the guide rail 31 in the first direction by pushing the mounting frame 21.

When the compression hemostasis is performed on the upper limb of a patient, the compression degree is usually adjusted only by observing the existence of the blood leakage at the puncture point and the existence of the artery pulsation at the far-end touch, the magnitude of the compression pressure cannot be objectively evaluated, and the pressure magnitude is adjusted by the experience of a doctor. In clinical work, a large compression pressure is often adopted to achieve a hemostatic effect. The occlusion rate of the radial artery after compression hemostasis can reach up to 10%, and meanwhile, excessive pressure causes the radial artery occlusion of patients, vein reflux obstruction, palm swelling, numbness, wrist pain, palm blood supply influence, puncture pain, local skin injury and the like. Too little compression pressure can cause arterial bleeding, cause hematoma in the arms, seriously can cause avascular necrosis of the limbs, cause amputation and even endanger the life of the patient. In this embodiment, by providing the pressure detection unit 40, it can detect the pressure applied by the pressure plate 22, so as to facilitate the medical staff to observe the compression effect. In the present embodiment, the pressure detecting unit 40 is disposed on the pressing plate 22, and can be detachably connected to the pressing plate 22. In the present embodiment, the pressure detecting unit 40 may include a pressure sensor. Of course, it is understood that in other embodiments, the pressure detection unit 40 is not limited to a pressure sensor.

The display unit 50 may be disposed on the lifting assembly 23, and particularly, the display unit 50 may be disposed on the connecting member 233, which may display pressure information of the pressing plate 22. In the present embodiment, the display unit 50 includes a display provided on the elevating assembly 23. The display can be connected with the pressure detection unit through a wire for data transmission, and of course, it can be understood that in other embodiments, it can also be connected with the pressure detection unit through a wireless transmission module.

It is to be understood that the foregoing examples merely represent preferred embodiments of the present invention, and that the description thereof is more specific and detailed, but not intended to limit the scope of the invention; it should be noted that, for those skilled in the art, the above technical features can be freely combined, and several modifications and improvements can be made without departing from the concept of the present invention, which all belong to the protection scope of the present invention; therefore, all changes and modifications that come within the meaning and range of equivalency of the claims are to be embraced within their scope.

Claims

1. An upper limb blood vessel hemostat is characterized by comprising a base (10) for placing an upper limb of a patient, a hemostasis unit (20) movably arranged on the base (10), and a guide component (30) which is arranged on the base (10) and arranged along a first direction to movably guide the hemostasis unit (20);

the base (10) is provided with a limit groove (11) for placing the upper limb of the patient to limit the upper limb of the patient; openings (111) for the upper limbs of the patient to extend into are arranged at the two ends of the limiting groove (11); the hemostasis unit (20) is arranged in the limiting groove (11) and moves towards the limiting groove (11) relatively;

the guide assembly (30) comprises guide rails (31) which are arranged on the base (10) along a first direction and located on two sides of the limiting groove (11), and sliding blocks (32) which are arranged on the hemostasis unit (20) and correspond to the guide rails (31) and slide in the guide rails (31).

2. The upper extremity vascular hemostat according to claim 1, wherein the hemostasis unit (20) comprises a mounting frame (21), a pressure plate (22), a lifting assembly (23), and a hemostatic pad; the mounting frame (21) is movably arranged on the base (10) and two ends of the mounting frame are connected with the guide rail (31); the pressure plate (22) is arranged on the mounting frame (21) in a telescopic manner; the lifting assembly (23) is arranged on the mounting frame (21) and connected with the pressing plate (22) to drive the pressing plate (22) to lift; the hemostatic pad is arranged on the surface of the pressing plate (22) opposite to the lifting component (23);

the sliding blocks (32) are arranged on one face, opposite to the base (10), of the mounting frame (21) and located on two sides of the pressing plate (22).

3. The upper limb vascular hemostat of claim 2, wherein the lifting assembly (23) comprises a compression bar (231) connected with the compression plate (22) through the mounting frame (21), a connecting member (233) movably arranged on the mounting frame (21) and connected with the compression bar (231) along the second direction, and a knob (232) arranged at one end of the compression bar (231) far away from the compression plate (22);

the connecting piece (233) is provided with a through hole which is connected with the pressure lever (231) and through which the pressure lever (231) passes;

the outer side wall of the pressure lever (231) is provided with an external thread; and the inner side of the through hole is provided with an internal thread which is correspondingly arranged with the external thread.

4. The upper limb vascular hemostat of claim 3, wherein the mounting bracket (21) is provided with a relief hole (211) for the compression bar (231) to pass through;

the abdicating hole (211) is a strip-shaped hole arranged in the second direction.

5. Upper limb vascular hemostat according to claim 3, characterized in that the length of the base (10) is adapted to the length of the patient's upper limb when extended to brake the elbow joint of the patient;

the first direction is the length direction of the base (10), and the second direction is the width direction of the base (10).

6. The upper limb vascular hemostat of claim 2, further comprising a pressure detection unit (40); the pressure detection unit (40) is disposed on the pressure plate (22).

7. The upper limb vascular hemostat according to claim 6, wherein the pressure detection unit (40) comprises a pressure sensor.

8. The upper limb vascular hemostat according to claim 6, further comprising a display unit (50) connected with the pressure detection unit (40) to display pressure information of the pressure plate (22);

the display unit (50) comprises a display arranged on the lifting assembly (23).

9. Upper extremity vascular hemostat according to claim 1, characterized in that the cross section of the limit groove (11) is U-shaped.

10. The upper limb vascular hemostat according to claim 1, wherein the inner side wall of the limit groove (11) is provided with a soft pad (60).