CN103705286B - Permanent pacemaker implant site compression hemostatic fixation device - Google Patents
Permanent pacemaker implant site compression hemostatic fixation device Download PDFInfo
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- CN103705286B CN103705286B CN201410037276.7A CN201410037276A CN103705286B CN 103705286 B CN103705286 B CN 103705286B CN 201410037276 A CN201410037276 A CN 201410037276A CN 103705286 B CN103705286 B CN 103705286B
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- 230000006835 compression Effects 0.000 title claims abstract description 28
- 238000007906 compression Methods 0.000 title claims abstract description 28
- 230000002439 hemostatic effect Effects 0.000 title claims description 16
- 239000007943 implant Substances 0.000 title claims description 13
- 230000001105 regulatory effect Effects 0.000 claims abstract description 30
- 230000023597 hemostasis Effects 0.000 claims abstract description 26
- 238000002513 implantation Methods 0.000 claims abstract description 14
- 230000035515 penetration Effects 0.000 claims abstract description 7
- 229940079593 drug Drugs 0.000 claims description 6
- 239000003814 drug Substances 0.000 claims description 6
- 229920001296 polysiloxane Polymers 0.000 claims description 3
- 239000000203 mixture Substances 0.000 claims 1
- 229940030225 antihemorrhagics Drugs 0.000 abstract description 8
- 239000002874 hemostatic agent Substances 0.000 abstract description 8
- 230000000694 effects Effects 0.000 abstract description 3
- 208000027418 Wounds and injury Diseases 0.000 description 23
- 206010052428 Wound Diseases 0.000 description 22
- 238000000034 method Methods 0.000 description 9
- 208000032843 Hemorrhage Diseases 0.000 description 5
- 208000002847 Surgical Wound Diseases 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 210000003414 extremity Anatomy 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 230000004308 accommodation Effects 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 150000003839 salts Chemical class 0.000 description 2
- 239000004576 sand Substances 0.000 description 2
- 206010051055 Deep vein thrombosis Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 208000010378 Pulmonary Embolism Diseases 0.000 description 1
- 206010047249 Venous thrombosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000036558 skin tension Effects 0.000 description 1
- 210000004003 subcutaneous fat Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M35/00—Devices for applying media, e.g. remedies, on the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
永久起搏器植入部位压迫止血固定装置，包括截面呈弧形的支撑板、安装在该支撑板上的调压环、及与所述调压环通过螺纹相配合的调压螺杆、呈中空状的拱形压板、固定带，所述的支撑板上设有耳缝，所述的固定带安装在所述的耳缝上，该拱形压板设置在所述的调压螺杆底端，所述的拱形压板内设容置腔，且其背离所述调压螺杆一端面上设有若干渗透孔，所述的永久起搏器植入部位压迫止血固定装置还包括一止血药剂包和一导管，该止血药剂包通过所述的导管与所述拱形压板的容置腔相连通。本发明的一种永久起搏器植入部位压迫止血固定装置其使用舒适方便、且止血效果好。
The permanent pacemaker implantation site compression hemostasis fixation device includes a support plate with an arc-shaped cross section, a pressure regulating ring installed on the support plate, and a pressure regulating screw that is threadedly matched with the pressure regulating ring, and is hollow. shaped arched pressure plate and fixing belt, the support plate is provided with ear seams, the fixed belt is installed on the ear seams, the arched pressure plate is arranged at the bottom end of the pressure regulating screw, the The above-mentioned arched pressure plate is provided with an accommodating cavity, and a number of penetration holes are provided on the end surface of the pressure-regulating screw. Conduit, the hemostatic agent package communicates with the accommodating cavity of the arched pressing plate through the conduit. The permanent pacemaker implantation site compression and hemostasis fixing device of the present invention is comfortable and convenient to use, and has good hemostasis effect.
Description
技术领域 technical field
本发明属于一种医疗器械，尤其涉及一种能用于永久性心脏起搏器或心脏复律除颤器植入术后压迫止血固定装置。 The invention belongs to a medical device, in particular to a compression hemostasis fixation device which can be used for permanent cardiac pacemaker or cardioverter defibrillator implantation.
背景技术 Background technique
目前，公知的永久性心脏起搏器或心脏复律除颤器植入术后防止手术切口出血或囊袋积血及导管电极移位的方法是：切口局部以无菌敷料包扎后置以砂袋或市售食盐袋(0.5-1.5kg)压迫6-24小时，嘱病人绝对卧床24-72小时，同时要求术侧肢体绝对制动，24小时后可取半卧位，3天后可床边轻微活动，但术侧上肢7天以内应限制活动。 At present, the known method to prevent surgical incision bleeding or pocket hemorrhage and catheter electrode displacement after implantation of a permanent cardiac pacemaker or cardioverter defibrillator is: the incision is partially wrapped with a sterile dressing and then placed with sand bag or commercially available salt bag (0.5-1.5kg) for 6-24 hours, instruct the patient to stay in bed for 24-72 hours, and at the same time require the limbs on the operation side to be absolutely immobilized. After 24 hours, the semi-recumbent position can be taken, and after 3 days, the bedside can be lightly Activities, but the upper limbs on the operated side should be restricted within 7 days.
由于医护人员无法对上述医嘱在执行过程中进行有效监控，而实际执行情况几乎完全取决于病人配合程度，故上述医嘱往往很难执行到位。例如医嘱要求手术切口包扎后置砂袋或食盐袋压之，但实际执行中医嘱对施压部位范围、重量及时间均无量化操作标准，即使最初施压部位正确，但在施压过程中稍不留意(如盖被等)仍可造成压袋移位，一旦压袋移位极易形成囊袋积血。对于体质消瘦或胸部皮下脂肪少的患者，即使患者完全遵守医嘱，由于起搏器植入后囊袋局部皮肤张力大，如果囊袋部位不能较长时间持续加压固定，仍可引起局部组织缺血缺氧坏死，造成切口难以愈合，以致起搏器移位漏出皮肤。此外，人体若较长时间卧位特别是肢体绝对制动易使病人产生下肢深静脉血栓，从而可致致死性肺栓塞，少数病人因术侧肢体制动还可出现肩关节粘连。 Since the medical staff cannot effectively monitor the above-mentioned doctor's orders during the execution process, and the actual implementation depends almost entirely on the patient's cooperation, it is often difficult to implement the above-mentioned doctor's orders in place. For example, the doctor's order requires that the surgical incision should be bandaged and then pressed with a sand bag or a salt bag, but the actual implementation of the doctor's order has no quantitative operation standard for the range, weight and time of the pressure applied. Carelessness (such as covering the quilt, etc.) can still cause the displacement of the pressure bag, and once the pressure bag is displaced, it is easy to cause hemorrhage in the capsule bag. For patients with thin physique or less subcutaneous fat in the chest, even if the patient fully complies with the doctor's advice, local tissue defects may still occur if the pocket cannot be pressurized and fixed for a long time due to the high local skin tension after pacemaker implantation. Blood hypoxia and necrosis make the incision difficult to heal, so that the pacemaker is displaced and leaks out of the skin. In addition, if the human body is lying down for a long time, especially if the limbs are absolutely immobilized, the patient may develop deep vein thrombosis of the lower extremities, which may lead to fatal pulmonary embolism.
由此可见，现有方法存在操作不方便等诸多难以克服的缺陷及潜在医疗风险，在中国专利CN200420013203.6提供了一种永久性心脏起搏器植入术后压迫止血及囊袋保护装置，包括与心脏起搏器囊袋外形相应的气囊袋、与气囊袋相连接的送排气装置及固定气囊袋于人体的固定装置，虽然其能够解决起搏器移位的问题，但是，由于其止血的方式仅仅是采用的气囊压迫止血，因此止血效果不佳，且当需要对手术伤口敷药或者换药时，必须将压迫止血及囊袋保护装置卸下，手动对伤口换药或敷药，操作使用很不方便。 It can be seen that the existing methods have many insurmountable defects such as inconvenient operation and potential medical risks. Chinese patent CN200420013203.6 provides a device for compressing hemostasis and capsular bag protection after implantation of a permanent cardiac pacemaker. It includes an air bag corresponding to the shape of the pacemaker bag, an air supply and exhaust device connected to the air bag, and a fixing device for fixing the air bag to the human body. Although it can solve the problem of pacemaker displacement, due to its The only way to stop bleeding is to use airbag compression to stop bleeding, so the hemostatic effect is not good, and when it is necessary to apply or change dressings on surgical wounds, the compression hemostasis and pouch protection device must be removed, and the wound dressing or dressing must be manually changed , It is very inconvenient to operate and use.
发明内容 Contents of the invention
为解决上述技术问题，本发明的目的在于提供一种使用舒适方便、且止血效果好的永久起搏器植入部位压迫止血固定装置。 In order to solve the above technical problems, the object of the present invention is to provide a permanent pacemaker implantation site compression hemostatic fixation device that is comfortable and convenient to use and has a good hemostatic effect.
为实现上述目的，本发明之一种永久起搏器植入部位压迫止血固定装置，包括截面呈弧形的支撑板、安装在该支撑板上的调压环、及与所述调压环通过螺纹相配合的调压螺杆、呈中空状的拱形压板、固定带，所述的支撑板上设有耳缝，所述的固定带安装在所述的耳缝上，该拱形压板设置在所述的调压螺杆底端，其特征在于：所述的拱形压板内设容置腔，且其背离所述调压螺杆一端面上设有若干渗透孔，所述的永久起搏器植入部位压迫止血固定装置还包括一止血药剂包和一导管，该止血药剂包通过所述的导管与所述拱形压板的容置腔相连通。 In order to achieve the above object, a permanent pacemaker implantation site compression hemostasis fixation device of the present invention includes a support plate with an arc-shaped cross section, a pressure regulating ring installed on the support plate, and the pressure regulating ring passing through A pressure-adjusting screw with matching threads, a hollow arched pressure plate, and a fixing belt. The support plate is provided with an ear seam, and the fixing belt is installed on the ear seam. The arched pressure plate is set on the The bottom end of the pressure-regulating screw is characterized in that: the arched pressure plate is provided with an accommodating cavity, and a number of penetration holes are provided on the end surface of the arch-shaped pressure plate away from the pressure-regulating screw, and the permanent pacemaker implant The hemostatic fixation device for compression at the entry site further includes a hemostatic agent package and a conduit, and the hemostatic agent package communicates with the accommodating cavity of the arched pressing plate through the conduit.
在上述方案的基础上优选，所述的固定带包括胸带和肩带，所述的支撑板上设有三个耳缝，所述的胸带一端与所述耳缝相连，其另一端设有连接装置，所述的肩带一端通过所述耳缝与支撑板相连，其另一端与所述胸带相连。 Preferably on the basis of the above scheme, the fixed strap includes a chest strap and a shoulder strap, and the support plate is provided with three ear seams, one end of the chest strap is connected to the ear seams, and the other end is provided with As for the connection device, one end of the shoulder belt is connected with the support plate through the ear seam, and the other end is connected with the chest belt.
在上述方案的基础上优选，所述的支撑板上还设有一备用耳缝，该备用耳缝呈三棱形，且该棱的三面有缝。 Preferably, on the basis of the above solution, a spare ear seam is further provided on the support plate, the spare ear seam is in the shape of a triangular prism, and there are slits on three sides of the ridge.
在上述方案的基础上优选，所述永久起搏器植入部位压迫止血固定装置还包括一缓冲装置，该缓冲装置包括一呈环状的气囊袋、及与气囊袋相连的送排气装置，该气囊袋环绕在所述的拱形压板上。 Preferably, on the basis of the above solution, the permanent pacemaker implant site compression hemostasis fixation device also includes a buffer device, the buffer device includes a ring-shaped air bag, and an air supply and exhaust device connected with the air bag, The air bag surrounds the arched pressing plate.
在上述方案的基础上优选，所述的送排气装置由导气管顺序相连的一压力显示器、气压调节阀、充气球及进气阀组成。 Preferably, on the basis of the above solution, the air supply and exhaust device is composed of a pressure indicator, an air pressure regulating valve, an inflatable ball and an air intake valve connected in sequence by an air guide tube.
在上述方案的基础上优选，所述的气囊袋与患者接触一侧设有压力感应器，所述的压力感应器与所述的压力显示器相连。 Preferably, on the basis of the above solution, a pressure sensor is provided on the side of the air bag in contact with the patient, and the pressure sensor is connected to the pressure display.
在上述方案的基础上优选，所述的进气阀为电磁控制阀，该电磁控制阀与一充气泵相连，该充气泵和电磁控制阀由一PC控制器控制。 On the basis of the above solution, preferably, the air intake valve is an electromagnetic control valve, and the electromagnetic control valve is connected with an air pump, and the air pump and the electromagnetic control valve are controlled by a PC controller.
在上述方案的基础上优选，所述的拱形压板为软硅胶压板。 Preferably on the basis of the above scheme, the arched pressing plate is a soft silicone pressing plate.
在上述方案的基础上优选，所述的拱形压板设有渗透孔一侧端面上还设有止血纱布。 Preferably, on the basis of the above solution, the end surface of the arched pressing plate provided with the penetration hole is further provided with a hemostatic gauze.
本发明与现有技术相比，其有益效果是：本发明采用截面呈弧形的支撑板、并在该支撑板上装设有通过螺纹配合的调压环和调压螺杆，该调压螺杆的底端设有拱形压板，实现通过拧动调压环带动调压螺杆底端的拱形压板上下运动，完成对手术伤口的压迫止血；同时，在截面呈弧形的支撑板和拱形压板的作用下，使本发明的装置紧密贴合在患者伤口上，并在固定带的作用下，可有效确保拱形压板与伤口的对位稳定性；拱形压板内置容置腔，并在拱形压板背离所述调压螺杆一端面设置若干渗透孔，容置腔通过导管与止血药剂包相连，使用时，存储在止血药剂包内的止血药剂，可通过导管进入容置腔内，经渗透孔与患者伤口接触，从而通过止血药剂进一步加强止血效果，缩短患者康复时间，由于本发明的对患者伤口上药过程中，无需拆卸本发明的固定带，可有效避免在更换药剂时，触碰伤口，造成患者痛苦，并避免了使用的繁琐性。 Compared with the prior art, the present invention has the beneficial effects that: the present invention adopts a support plate with an arc-shaped cross section, and is provided with a pressure regulating ring and a pressure regulating screw threaded on the support plate. There is an arched pressure plate at the bottom, which can drive the arched pressure plate at the bottom of the pressure regulating screw to move up and down by twisting the pressure regulating ring, so as to complete the compression and hemostasis of the surgical wound; at the same time, the curved support plate and the arched pressure plate Under the action, the device of the present invention is closely attached to the wound of the patient, and under the action of the fixing belt, the alignment stability between the arched pressing plate and the wound can be effectively ensured; the arched pressing plate has a built-in accommodation cavity, and the arched pressing plate A number of permeation holes are set on the end surface of the pressure plate away from the pressure regulating screw, and the accommodation chamber is connected to the hemostatic agent pack through a catheter. In contact with the patient's wound, the hemostatic agent can further enhance the hemostatic effect and shorten the patient's recovery time. Since the present invention does not need to disassemble the fixing belt of the present invention during the process of applying the drug to the patient's wound, it can effectively avoid touching the wound when changing the agent. , causing pain to patients, and avoiding the cumbersomeness of use.
附图说明 Description of drawings
图1是本发明的永久起搏器植入部位压迫止血固定装置的俯视图。 Fig. 1 is a top view of a permanent pacemaker implantation site compression hemostasis fixation device of the present invention.
图2是本发明的永久起搏器植入部位压迫止血固定装置的立体图。 Fig. 2 is a perspective view of the permanent pacemaker implantation site compression hemostasis fixation device of the present invention.
图3是本发明的永久起搏器植入部位压迫止血固定装置的剖视图。 Fig. 3 is a cross-sectional view of the permanent pacemaker implantation site compression hemostasis fixation device of the present invention.
具体实施方式 Detailed ways
为详细说明本发明之技术内容、构造特征、所达成目的及功效，以下兹例举实施例并配合附图详予说明。 In order to describe the technical content, structural features, goals and effects of the present invention in detail, the following examples are given to describe the embodiments in conjunction with the accompanying drawings.
请参阅图1，并结合参阅图2至3所示，本发明提供一种永久起搏器植入部位压迫止血固定装置，包括截面呈弧形的支撑板10、安装在该支撑板10上的调压环20、及与调压环20通过螺纹相配合的调压螺杆30、呈中空状的拱形压板40、固定带50，支撑板10上设有耳缝11，固定带50安装在耳缝11上，该拱形压板40设置在调压螺杆30底端，拱形压板40内设容置腔41，且其背离所述调压螺杆30一端面上设有若干渗透孔42，本发明一种永久起搏器植入部位压迫止血固定装置还包括止血药剂包60和导管70，该止血药剂包60通过所述的导管70与所述拱形压板40的容置腔41相连通；其中，固定带50包括两个胸带51和肩带52，支撑板10上设有三个耳缝11，两个胸带51一端与其中两个耳缝11相连，其另一端设有连接装置，两个胸带51通过连接装置相互连接，肩带52一端通过所述的三个耳缝11中的其中一个与支撑板10相连，肩带52的另一端与胸带51相连。 Please refer to Fig. 1, and refer to Figs. 2 to 3, the present invention provides a permanent pacemaker implant site compression hemostasis fixation device, including a support plate 10 with an arc-shaped cross section, a support plate installed on the support plate 10 Pressure regulating ring 20, and pressure regulating screw rod 30 matched with pressure regulating ring 20 through threads, hollow arched pressure plate 40, fixing belt 50, ear seam 11 is provided on support plate 10, fixing belt 50 is installed on the ear On the slit 11, the arched pressure plate 40 is arranged at the bottom end of the pressure regulating screw 30, and the arched pressure plate 40 is provided with an accommodating cavity 41, and a plurality of penetration holes 42 are provided on the end surface of the arched pressure plate 40 away from the pressure regulating screw 30, the present invention A permanent pacemaker implant site compression hemostatic fixation device also includes a hemostatic drug pack 60 and a catheter 70, and the hemostatic drug pack 60 communicates with the accommodating chamber 41 of the arched pressure plate 40 through the catheter 70; wherein , the fixing belt 50 includes two chest straps 51 and shoulder straps 52, the support plate 10 is provided with three ear seams 11, one end of the two chest straps 51 is connected with two of the ear seams 11, and the other end is provided with a connecting device. The chest straps 51 are connected to each other through the connecting device, one end of the shoulder strap 52 is connected to the support plate 10 through one of the three ear seams 11, and the other end of the shoulder strap 52 is connected to the chest strap 51.
使用时，医护人员或者护理者可将本发明的拱形压板40对准患者伤口，将截面呈弧形的支撑板10与患者的胸部贴合，并通过两个胸带51将本发明的装置牢固的固定在患者身上，然后将肩带52穿过患者肩膀与胸带51相连，以有效确保在患者运动过程中，拱形压板与患者伤口相对位置不发生变化，而后，拧动调压环20，使调压螺杆30螺旋转动，以带动拱形压板上下运动，实现对患者伤口的压迫止血，同时，在护理人员的或医护人员的调节下，将止血药剂包60内的止血剂通过导管70流入容置腔41内，通过拱形压板的渗透孔42与患者伤口接触，以实现止血药剂对患者伤口治愈作用，缩短患者伤口治愈时间，由于在对患者伤口添加止血药剂过程中，无需拆卸本发明的支撑板10等部件，不仅使用方便快捷，而且，还可以避免在拆卸支撑板10等部件时，造成支撑板10或拱形压板与患者伤口的触碰，导致患者的伤情更加严重。 During use, the medical staff or the caregiver can align the arched pressing plate 40 of the present invention to the patient's wound, attach the support plate 10 with an arc-shaped cross section to the chest of the patient, and attach the device of the present invention through two chest straps 51. Firmly fix it on the patient, then pass the shoulder strap 52 through the patient's shoulder and connect with the chest strap 51, so as to effectively ensure that the relative position of the arched pressure plate and the patient's wound does not change during the patient's movement, and then, twist the pressure regulating ring 20. Make the pressure regulating screw 30 spirally rotate to drive the arched pressure plate to move up and down to achieve compression and hemostasis on the patient's wound. At the same time, under the adjustment of the nursing staff or medical staff, the hemostatic agent in the hemostatic agent pack 60 is passed through the catheter 70 flows into the accommodating cavity 41, and contacts the patient's wound through the permeable hole 42 of the arched pressure plate, so as to realize the healing effect of the hemostatic agent on the patient's wound and shorten the healing time of the patient's wound. The support plate 10 and other components of the present invention are not only convenient and fast to use, but also can avoid the contact between the support plate 10 or the arched pressure plate and the patient’s wound when the support plate 10 and other components are disassembled, resulting in more serious injuries of the patient. .
请继续参阅图3所示，为了保证患者使用舒适性，该拱形压板40为软硅胶压板，且在该拱形压板40设有渗透孔42一侧端面上还设有止血纱布43，在止血纱布43的作用下，拱形压板40可吻合患者手术部位弧度，使患者更舒适；同时，该调压螺杆30的截面是由一优弧和连接该优弧两自由端的直线段所构成，使得调压螺杆30的外圆面带有一铣削平台，从而调压螺杆30与调压环20相互有效咬合螺纹更多，使用时咬合力更大，稳定性更好。 Please continue to refer to Figure 3, in order to ensure the comfort of the patient, the arched pressing plate 40 is a soft silicone pressing plate, and a hemostatic gauze 43 is also provided on the end surface of the arched pressing plate 40 with the penetration hole 42. Under the action of the gauze 43, the arched pressing plate 40 can match the radian of the patient's surgical site, making the patient more comfortable; meanwhile, the cross section of the pressure regulating screw 30 is composed of a superior arc and a straight line connecting the two free ends of the superior arc, so that The outer circular surface of the pressure regulating screw 30 is provided with a milling platform, so that the pressure regulating screw 30 and the pressure regulating ring 20 can effectively engage with each other with more threads, greater occlusal force and better stability during use.
请参阅图2所示，为了避免在使用时患者伤口过大，使用上述耳缝11安装固定带50不方便，在该的支撑板10上还设有一备用耳缝12，该备用耳缝12呈三棱形，且该棱的三面有缝，固定带50可从两棱边缝中穿出，使用更加方便快捷。 Please refer to Fig. 2, in order to avoid the patient's wound being too large during use, it is inconvenient to use the above-mentioned ear seam 11 to install the fixing belt 50, and a spare ear seam 12 is also provided on the support plate 10, and the spare ear seam 12 is in the shape of Triangular, and three sides of the edge have seams, the fixing belt 50 can pass through the seams of the two edges, which is more convenient and quick to use.
请继续参阅图2所示，本发明一种永久起搏器植入部位压迫止血固定装置还包括一缓冲装置，该缓冲装置包括呈环状的气囊袋81、及与气囊袋81相连的送排气装置82，该气囊袋81环绕在拱形压板40上，其中，该送排气装置82由导气管顺序相连的一压力显示器83、气压调节阀84、充气球85及进气阀86组成，且在气囊袋81与患者接触一侧设有压力感应器，且该进气阀86为电磁控制阀，该电磁控制阀与充气泵相连，该充气泵和电磁控制阀由PC控制器控制。 Please continue to refer to Figure 2, a permanent pacemaker implant site compression hemostasis fixation device of the present invention also includes a buffer device, the buffer device includes a ring-shaped air bag 81, and a delivery and discharge device connected to the air bag 81. Air device 82, the airbag bag 81 is surrounded on the arched pressing plate 40, wherein, the air supply and exhaust device 82 is composed of a pressure display 83, an air pressure regulating valve 84, an inflatable ball 85 and an air intake valve 86 connected in sequence by the air guide tube, And a pressure sensor is provided on the side where the air bag 81 is in contact with the patient, and the intake valve 86 is an electromagnetic control valve, which is connected to an air pump, and the air pump and the electromagnetic control valve are controlled by a PC controller.
当患者需要将本发明的拱形压板与患者伤口分离时，通过PC控制器控制电磁控制阀打开，充气泵经充气球85向气囊袋81内充入气体，当气囊袋81膨胀时，将拱形压板与患者伤口换面分离，由于采用PC控制器控制，因此，可有效确保气囊袋81与患者接触处的压力大小，防止气囊袋81所产生的压力过大，导致患者伤口崩裂，影响其康复；当然，用户也可以采用手工对气囊袋81充入气体，即将该进气阀86打开，压迫充气球85向气囊袋81内鼓入空气，使气囊袋81充入气体，在气囊袋81膨胀过程中，可通过压力传感器及压力显示器83，实时显示气囊袋81所产生的压力大小。由于在此过程中，拱形压板与患者伤口的分离是采用气囊袋81缓慢顶开，与传统的止血装置拆卸方式相比较，作用力更加柔和，可有效防止在拆卸过程中，患者伤口二次崩裂，影响伤口康复。 When the patient needs to separate the arched pressure plate of the present invention from the patient's wound, the electromagnetic control valve is controlled by the PC controller to open, and the air pump fills the air bag 81 with gas through the inflatable ball 85. When the air bag 81 expands, the arch will The shaped pressure plate is separated from the patient's wound. Because it is controlled by a PC controller, it can effectively ensure the pressure at the contact point between the air bag 81 and the patient, and prevent the excessive pressure generated by the air bag 81 from causing the patient's wound to burst and affect other patients. Rehabilitation; of course, the user can also manually fill the air bag 81 with gas, that is, to open the air intake valve 86, and press the inflatable ball 85 to blow air into the air bag 81, so that the air bag 81 is filled with gas. During the inflation process, the pressure generated by the air bag 81 can be displayed in real time through the pressure sensor and the pressure display 83 . During this process, the separation between the arched pressure plate and the patient's wound is slowly opened by the air bag 81. Compared with the traditional disassembly method of the hemostatic device, the force is softer, which can effectively prevent the patient's wound from being damaged twice during the disassembly process. Crack, affecting wound recovery.
本发明通过截面呈弧形的支撑板10及拱形压板40与肩带52、胸带51的配合，可最大限度的防止拱形压板40与患者伤口相互错位，减轻患者因长期卧位及肢体制动造成的心理负担，并采用压迫止血与药剂止血两种方式相结合，可有效缩短患者伤口的康复时间，使用方便快捷。 The present invention cooperates with the support plate 10 with an arc-shaped cross section and the arched pressing plate 40 with the shoulder belt 52 and the chest belt 51, so as to prevent the arched pressing plate 40 from being misaligned with the patient's wound to the greatest extent, and alleviate the patient's long-term lying position and limb pain. The psychological burden caused by braking, and the combination of compression hemostasis and drug hemostasis can effectively shorten the recovery time of the patient's wound, and it is convenient and quick to use.
综上所述，仅为本发明之较佳实施例，不以此限定本发明的保护范围，凡依本发明专利范围及说明书内容所作的等效变化与修饰，皆为本发明专利涵盖的范围之内。 In summary, it is only a preferred embodiment of the present invention, and does not limit the protection scope of the present invention. All equivalent changes and modifications made according to the scope of the patent of the present invention and the content of the specification are all covered by the patent of the present invention. within.
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| CN109011154B (en) * | 2018-07-27 | 2024-08-06 | 杭州市第一人民医院 | Cardiac pacemaker system |
| CN109998622A (en) * | 2019-04-16 | 2019-07-12 | 常州市武进人民医院 | A kind of fixed compression device of permanent pacemaker |
| CN110179583B (en) * | 2019-05-05 | 2024-04-30 | 郑州大学第一附属医院 | A pacemaker postoperative fixation device and use method thereof |
| CN115778468B (en) * | 2023-02-09 | 2023-04-28 | 阜外华中心血管病医院 | Cardiac pacing postoperative pressurization fixing device |
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| CN2766801Y (en) * | 2004-12-31 | 2006-03-29 | 田亚华 | Permanent cardiac pacemaker implanting surgery post compression hemostasis and sac bag protection device |
| CN201790855U (en) * | 2010-09-06 | 2011-04-13 | 张武宁 | Screw rod type compression apparatus adopting universal press plate and magnetic needle for indication |
| CN203710068U (en) * | 2014-01-26 | 2014-07-16 | 费叶萍 | Compression-hemostasis fixing device at implanting part of permanent pacemaker |
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| CN2623262Y (en) * | 2003-06-27 | 2004-07-07 | 刘子会 | Quick haemostat for anus and intestine |
| CN2766801Y (en) * | 2004-12-31 | 2006-03-29 | 田亚华 | Permanent cardiac pacemaker implanting surgery post compression hemostasis and sac bag protection device |
| CN201790855U (en) * | 2010-09-06 | 2011-04-13 | 张武宁 | Screw rod type compression apparatus adopting universal press plate and magnetic needle for indication |
| CN203710068U (en) * | 2014-01-26 | 2014-07-16 | 费叶萍 | Compression-hemostasis fixing device at implanting part of permanent pacemaker |
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