CN101073510B - Disposable arteria femoralis compression hemostat - Google Patents

Disposable arteria femoralis compression hemostat Download PDF

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Publication number
CN101073510B
CN101073510B CN2006100127281A CN200610012728A CN101073510B CN 101073510 B CN101073510 B CN 101073510B CN 2006100127281 A CN2006100127281 A CN 2006100127281A CN 200610012728 A CN200610012728 A CN 200610012728A CN 101073510 B CN101073510 B CN 101073510B
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blood pressure
rod
adjust blood
adjusting screw
fixing band
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CN2006100127281A
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CN101073510A (en
Inventor
邹子扬
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Ailikang Medical Science & Technology Co Ltd Hangzhou
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Ailikang Medical Science & Technology Co Ltd Hangzhou
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1325Tourniquets comprising a flexible encircling member with means for applying local pressure

Abstract

The invention is concerned with the one-off femoral artery oppress hemostat and it includes: the pressure adjusting compasses, the center screw hole with adjustment screw that connects the compression compasses, the two opposite lead back fastener on the adjusting compasses, and the fixation band for the adjustment screw. It improves the quality and efficiency of henostasis dressing and reduces mistakes.

Description

Disposable arteria femoralis compression hemostat
Technical field
The present invention relates to a kind of medical postoperative hemostatic device, specifically a kind of disposable arteria femoralis compression hemostat that hemostasis by compression is used behind the femoral arteriography interventional procedure.
Technical background
At present, very be applied at large in the clinical medicine work, but the compressing of the femoral artery behind the interventional therapy, wrapping hemostasis work still lack a kind of special apparatus through the interventional therapeutic technique of femoral arteriography.Needing femoral artery is implemented hemostasis by compression behind the interventional therapy of femoral arteriography, generally is with " ten " font pressure dressing.The about 10-15 of compressing process minute, finish by the doctor is free-hand.Generally force in point of puncture with left index finger and middle finger when the doctor oppresses, finger is in and forces attitude, will be tired, stiff, numb after very fast even a few minutes, and causing and exerting pressure inhomogeneous or compressing is shifted, thereby ecchymosis etc. occurring.And the bigger doctor of some strength because exert pressure overexertion, also may cause patient's femoral artery bloodstream blocking, even iatrogenic infringements such as arterial occlusion, intra-arterial thrombosis take place, and has increased patient's misery.
When implementing pressure dressing, the material that domestic doctor uses also is not quite similar, as use general binder to need " ten " font to twine multi-turn ability effectively, make the binder skin of tying tight, cause patient's skin and flesh pain, also useful wide and long medical proof fabric " ten " word intersects to be pasted, and this just can't use the cloth hypersensitivity person.The doctor is limited to no equipment special, have to make " pressurization thing " by oneself and fill up on point of puncture.Problem is, one, and homemade pressurization thing size quality differs, and is difficult to guarantee anastalsis; Its two, excessive pressurization thing also can be oppressed adjacent femoral vein, causes venous return obstacle even thrombosis.The disunity of material and the application of non-equipment special can't guarantee wrapping hemostatic effect and quality.
Disclosed femoral artery compressing hemostasis device mainly is divided into stent-type, air bag adding pressure type, belt and four kinds of versions of spring in the Chinese patent storehouse.Stent-type femoral artery compressing hemostasis device generally has base and the support that is fixed on the sick bed, installs downward polishing head on the cantilever arm of support additional and finishes anastalsis.The shortcoming of this class device is that support can't link to each other synchronously with patient, and patient can only submit to support, and relative position slightly moves and will not embody the principle that people-oriented because of displacement influences haemostatic effect.Air bag adding pressure type femoral artery compressing hemostasis device is many to pressurize with ball, attached Pressure gauge accessory, but because the thickness of patient's the bodily form, subcutaneous fat and density etc. all are not quite similar, thus during use can't to certain patient determine one more accurately pressure parameter reach the hemostatic purpose.In addition, if when air bag does not reach certain hemostatic force value, still need doctor's manual operations, therefore auxiliary hemostasis uses inconvenience to some extent, and after the frenulum of fixation balloon is by the bloodstain pollution, also should not be used for other people once more.The design of belt femoral artery compressing hemostasis device is too simple, does not have two substantially with traditional wrapping mode.The design error of spring femoral artery compressing hemostasis device is, can't with one fixedly the spring of elastic force adjust to the required different pressures value of each patient, and the disadvantage of spring is not have enough stability in uses.In recent years, also adopt clinically a kind of blood vessel suture instrument of being produced by U.S. Abbott is arranged.Use this blood vessel suture instrument, can sew up the femoral artery puncture mouth rapidly.Though the result of use of this blood vessel suture instrument is pretty good, its fancy price is not that each patient can bear, and therefore not too is fit to the national conditions of China.
Summary of the invention
Purpose of the present invention just provides the disposable arteria femoralis compression hemostat that a kind of doctor of convenience operates and uses, hemostasis by compression is used behind the femoral arteriography interventional procedure, to reduce the burden of medical and nursing work, improve hemostasis wrapping effect and quality, alleviate patient's misery and financial burden.
The object of the present invention is achieved like this: disposable arteria femoralis compression hemostat is the adjusting screw(rod) that spins in the center screw of adjust blood pressure dish, the lower end of adjusting screw(rod) flexibly connects pressurization disk, cross-under has fixing band on the adjusting screw(rod) on adjust blood pressure dish top, is provided with two and is relatively fixed to take back and wears fastener on the adjust blood pressure dish.
During use, will be placed by the polishing head that adjusting screw(rod), adjust blood pressure dish and pressurization disk constitute on patient's the femoral artery puncture point on the side skin, when carrying out the tube pulling operation, at first, the doctor forces on the adjust blood pressure dish with hands, and polishing head is compressed, and does not make point of puncture hemorrhage.Then, with the socket adjusting screw(rod), between the oblique waist lower limb that is laid in the patient of the fixing band on adjust blood pressure dish top.One end of fixing band is walked around patient's waist, guides the adjust blood pressure dish into after the waist of opposite side is passed, and from the adjust blood pressure dish returns and wears that fastener passes and fixing again.The other end of fixing band walk around the patient the thigh heel, pass from femoribus internus, another from the adjust blood pressure dish is relative again returns and wears that fastener passes and fixing.Can on side skin on patient's the femoral artery puncture point, form " a ten " font and be fastened by the cooperating of fixing band and polishing head thus polishing head.At last, rotate the adjusting screw(rod) on the polishing head, the adjust blood pressure dish that is subjected to fixing band compressing and the distance between the pressurization disk are strengthened gradually, so just can make the power of the tightening increasing of fixing band, its counteracting force just makes pressurization disk that side skin applied pressure on the femoral artery puncture point is progressively increased.(patient's dorsal artery of foot is beaten to adjust the pressurization appropriateness, the color of the leather skin temperature of lower limb is normal substantially) after, the doctor can stop hands to polishing head by the application of force, and then touch patient's dorsal artery of foot, observe color of the leather, the Pi Wen of patient's lower limb, the size of suitably finely tuning polishing head pressure as required gets final product.By using this device and adopting above-mentioned corresponding method of operation, can settle, finish quickly and easily the femoral artery compressing hemostasis operation behind the femoral arteriography interventional procedure at one go.
The design main points of haemostat of the present invention are, the one, by cooperating of fixing band and polishing head, and fixedly take back the setting of wearing fastener on the adjust blood pressure dish, and make and adopt this device can realize " ten " font strong fix quickly and easily polishing head.Through clinic trial, only can finish hemostasis wrapping operation with two minutes, be 1/10 of the existing conventional bandaging hemostasis time spent, its convenient and swift property has some idea of.Owing to there are not parts such as support, base, suitably activity of patient, lean to one side, neither can influence haemostatic effect, alleviate patient again and kept a constant misery of bringing of posture for a long time.The 2nd, by the be threaded setting of adjusting screw(rod) with the adjust blood pressure dish, can carry out the pressure of polishing head simply and easily regulates, all can play essentially identical hemostasis by compression effect to different patients, hemostasis wrapping effect and quality have obviously been improved thus, avoided because of the overexertion of exerting pressure the iatrogenic infringement of the femoral artery bloodstream blocking that may cause the patient, intra-arterial thrombosis etc.The 3rd, but each parts injection mo(u)lding of polishing head, and the cost of fixing band is also very cheap, can realize the disposable use of this device thus.Like this, both can alleviate patient's financial burden, avoid the generation of cross infection again, safe in utilization, and reduced conflict between doctors and patients.
Haemostat of the present invention is with respect to stent-type femoral artery compressing hemostasis device, and it is simple in structure, and is easy to use; With respect to air bag adding pressure type femoral artery compressing hemostasis device, the position of its hemostasis by compression is accurate, and haemostatic effect is good, need not accessories such as Pressure gauge, can disposablely use safety and sanitation; With respect to belt and spring femoral artery compressing hemostasis device, it is the cross locate mode easily, make that the stability of polishing head is the most reasonable, reliable, and the force value of polishing head is adjustable, can adapt to different patients' use needs.
Haemostat of the present invention has overcome design defect or the use deficiency that existing multiple femoral artery compressing hemostasis device exists, embodied the design concept that people-oriented, be that the good of femoral arteriography interventional therapeutic technique improved and replenish, can become a kind of special-purpose femoral hemostasis apparatus of unifying, to reducing medical personnel's work load, improve hemostasis wrapping effect and quality, reduce the generation of operate miss, alleviate patient's misery and medical expense etc., all have positive facilitation.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is a user mode reference diagram of the present invention.
The specific embodiment
As shown in Figure 1, arteria femoralis compression hemostat of the present invention includes polishing head and fixing band two parts.Polishing head partly is the adjusting screw(rod) 4 that spins in the center screw of adjust blood pressure dish 3, and the lower end of adjusting screw(rod) flexibly connects pressurization disk 2, is provided with two and is relatively fixed to take back and wears fastener 6 on adjust blood pressure dish 3.Fixing band 7 is socketed on the adjusting screw(rod) 4 on adjust blood pressure dish 3 tops.
Adjust blood pressure dish 3 may be made in spherical, and its end face projection is convenient to hands and is held; The bottom surface is the plane, is harmonious with the end face with the pressurization disk 2 of bottom.End face at adjust blood pressure dish 3 preferably is provided with the finger pressure groove, to make things convenient for initial operation Shi doctor to the finger pressure location of polishing head part and the colligation operation of fixing band.
What adapt with above-mentioned adjust blood pressure dish 3 shapes is that the end face of pressurization disk 2 is the corresponding plane that is harmonious with the bottom surface of adjust blood pressure dish 3.Can bondingly adhere to a flexible pressure pad 1 in the bottom surface of adjust blood pressure dish 3, after avoiding long-time hemostasis by compression, on patient's skin, stay dark impression, thereby can suitably alleviate patient's misery.
The movable connection method of adjusting screw(rod) 4 and pressurization disk 2 can adopt existing known multiple connected mode.Given a kind of connected mode is to be provided with mandrel 2a at the end face middle part of pressurization disk 2 among Fig. 1, and mandrel is provided with horizontal bulge loop, has the core hole in the lower end of adjusting screw(rod) 4; The mandrel 2a cross-under of pressurization disk 2 is in core hole, the lower end of adjusting screw(rod) 4, and the horizontal bulge loop on the mandrel is connected in the annular groove in the core hole.
On the architecture basics of above-mentioned various compression apparatuses, this device is preferably in the fixing band fastening screw dish 5 that spins on the adjusting screw(rod) 4 on adjust blood pressure dish top.This fastening screw dish of backspin, fixing band 7 can be pressed on the end face of adjustment disk 3, it can not be broken away from or be shifted, thereby make polishing head after fixing band 7 colligations and adjusting the position, therefore can fixedly positioning, patient also can have displacement in a small amount and can not influence the haemostatic effect of this device.
Fixing band 7 in this device can be various bands of being convenient to colligation, best has certain elastic elastic band, can polishing head be realized certain pretightning force after colligation.Have cylindrical void on fixing band 7, its effect one is the cross-under (Fig. 1) that can supply adjusting screw(rod) 4, the 2nd, after colligation, can carry out a spot of position adjustments to polishing head, and make its location more accurately (Fig. 2).
Fixedly taking back on the adjust blood pressure dish 3 worn fastener 6 and can be adopted existing known multiple implementation in this device, and a kind of implementation preferably is to make the form that upwarps ring of stretching out respectively from the both sides of adjust blood pressure dish 3.Upwarp ring and make integrative-structure, be similar to the ears handle of pot or two sides of animal and stretch the wing with adjust blood pressure dish 3.Fastener 6 is worn in returning of this structure, can make things convenient for returning of fixing band to wear, and shortens and wears the band time, increases work efficiency.Simultaneously, fastener is worn in returning that adjust blood pressure dish 3 next doors upwarp, and also can avoid the 7 pairs of femoral venous extruding of fixing band on the adjust blood pressure web with erecting at the fixing band of adjust blood pressure dish next door cross-under, has improved safety in utilization thus.
Planting back therewith and wearing fastener 6 is to be sewed with velcro in the end of fixing band 7 accordingly.Like this, with the end of fixing band 7 pass back wear fastener 6 after, can turn, carry out the end of fixing band 7 by velcro and fix.Fixing band 7 can be made into different length, and is marked on the outer packaging bag of each compression apparatus, forms many specifications product, according to patient's fat or thin difference, selects to use.
Return and wear the form that fastener 6 also can adopt the bracelet on similar student's school bag, so that returning of fixing band worn and direct fixing.

Claims (6)

1. one kind is used for femoral artery compressing hemostatic disposable arteria femoralis compression hemostat behind the interventional procedure, it is characterized in that this haemostat is the adjusting screw(rod) (4) that spins in the center screw of adjust blood pressure dish (3), the lower end of adjusting screw(rod) flexibly connects pressurization disk (2), fixing band (7) is an elastic band, have cylindrical void on the fixing band (7), on adjust blood pressure dish (3), be provided with two and be relatively fixed to take back and wear fastener (6) for adjusting screw(rod) (4) cross-under.
2. disposable arteria femoralis compression hemostat according to claim 1 is characterized in that adjust blood pressure dish (3) for spherical, and end face is provided with the finger pressure groove.
3. disposable arteria femoralis compression hemostat according to claim 1 is characterized in that being provided with mandrel (2a) at pressurization disk (2) end face middle part, and mandrel is provided with horizontal bulge loop, has the core hole in the lower end of adjusting screw(rod) (4); Mandrel (2a) cross-under is in the core hole, lower end of adjusting screw(rod) (4), and the horizontal bulge loop on the mandrel is connected in the annular groove in the core hole.
4. according to claim 1,2 or 3 described disposable arteria femoralis compression hemostats, it is characterized in that on the adjusting screw(rod) (4) on adjust blood pressure dish top, being connected with fixing band fastening screw dish (5).
5. according to claim 1,2 or 3 described disposable arteria femoralis compression hemostats, it is characterized in that it is the ring that upwarps that stretches out from adjust blood pressure dish both sides that fixedly taking back on the adjust blood pressure dish (3) worn fastener (6).
6. disposable arteria femoralis compression hemostat according to claim 1 is characterized in that being sewed with velcro in the end of fixing band (7).
CN2006100127281A 2006-05-19 2006-05-19 Disposable arteria femoralis compression hemostat Active CN101073510B (en)

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CN101073510B true CN101073510B (en) 2011-01-05

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Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102614570B (en) * 2012-02-29 2014-07-16 常州市康心医疗器械有限公司 Cored femoral artery cannula for thoracoscopic heart surgery
CN204445999U (en) * 2015-01-30 2015-07-08 窦志刚 Femoral artery bilateral compression hemostasis device
WO2016123886A1 (en) * 2015-02-07 2016-08-11 窦志刚 Hemostasis device for compressing bilateral femoral artery
GB2552548A (en) * 2016-07-29 2018-01-31 Univ Central Lancashire Tourniquet device
CN107550536B (en) * 2017-09-02 2020-04-28 李晓娜 Gynecological hemostatic device
CN109259815A (en) * 2018-09-18 2019-01-25 兰州大学 Femoral artery compressor
CN113197612A (en) * 2021-05-08 2021-08-03 诸暨市人民医院 Visual pressure-adjustable compression hemostasis device for femoral artery puncture point
CN113693666A (en) * 2021-09-18 2021-11-26 温州市人民医院 Artery compression tourniquet

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB203281A (en) * 1922-05-27 1923-09-06 Wilhelm Haferkorn An improved method of and apparatus for stopping the circulation of blood in the limbs
US5139512A (en) * 1990-10-18 1992-08-18 Dreiling Leo D Semiautomatic compress
CN2256707Y (en) * 1996-04-18 1997-06-25 徐泽昌 Duration compressor for hemostasis after puncture of femoral artery
CN2282858Y (en) * 1997-01-17 1998-06-03 大连市友谊医院 Pressure tourniquet
CN2385679Y (en) * 1999-11-12 2000-07-05 吕柏南 Adjustable femur blood vessel pressure apparatus
CN2756162Y (en) * 2004-11-19 2006-02-08 天津怡美国际贸易有限公司 Artery compression hemostat

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB203281A (en) * 1922-05-27 1923-09-06 Wilhelm Haferkorn An improved method of and apparatus for stopping the circulation of blood in the limbs
US5139512A (en) * 1990-10-18 1992-08-18 Dreiling Leo D Semiautomatic compress
CN2256707Y (en) * 1996-04-18 1997-06-25 徐泽昌 Duration compressor for hemostasis after puncture of femoral artery
CN2282858Y (en) * 1997-01-17 1998-06-03 大连市友谊医院 Pressure tourniquet
CN2385679Y (en) * 1999-11-12 2000-07-05 吕柏南 Adjustable femur blood vessel pressure apparatus
CN2756162Y (en) * 2004-11-19 2006-02-08 天津怡美国际贸易有限公司 Artery compression hemostat

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
JP特开2004-267629A 2004.09.30

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