CN103705286B - Permanent pacemaker implantation position hemostasis by compression fixture - Google Patents
Permanent pacemaker implantation position hemostasis by compression fixture Download PDFInfo
- Publication number
- 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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- China
- Prior art keywords
- pressing plate
- hemostasis
- implantation position
- compression fixture
- pacemaker implantation
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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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, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- 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
Abstract
Permanent pacemaker implantation position hemostasis by compression fixture, comprise the gripper shoe that cross section is curved, be arranged on the relief frame in this gripper shoe, and the screw press to be matched by screw thread with described relief frame, arch pressing plate in hollow form, fixing band, described gripper shoe is provided with ear seam, described fixing band is arranged on described ear and sews on, this arch pressing plate is arranged on described screw press bottom, containing cavity is established in described arch pressing plate, and it deviates from described screw press one end face and is provided with some permeability holes, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a hemostatic agent bag and a conduit, this hemostatic agent bag is connected by the containing cavity of described conduit with described arch pressing plate.A kind of Permanent pacemaker implantation position hemostasis by compression fixture of the present invention its use comfort and convenient and haemostatic effect is good.
Description
Technical field
The invention belongs to a kind of medical apparatus and instruments, particularly relate to one and can be used for permanent cardiac pacemaker or cardioverter-defibrillator implantation postoperative compression hemostasis fixture.
Background technology
At present, prevent the method for incision bleeding or pocket blood accumulation and catheter electrode displacement from being after known permanent cardiac pacemaker or cardioverter-defibrillator implantation: otch local oppresses 6-24 hour so that aseptic dressing wrapping is rearmounted with sand pocket or commercially available Sal bag (0.5-1.5kg), advise patient's strict bed rest 24-72 hour, require art side limbs absolute brake simultaneously, desirable semireclining position after 24 hours, can bedside light activity after 3 days, but art side upper limb 7 days is with planted agent's restraint.
Because medical personnel cannot carry out effective monitoring in the process of implementation to above-mentioned doctor's advice, and actual implementation status almost depends on patient's cooperate degree completely, thus above-mentioned doctor's advice be often difficult to execution put in place.Such as doctor's advice requires that operative incision wraps up rearmounted sand pocket or it is pressed by Sal bag, but doctor's advice is to exert pressure position scope, weight and time all no quantization operation standard in actual execution, even if exert pressure at first, position is correct, but slightly careless (as cover etc.) still can cause the displacement of pressure bag in course of exerting pressure, once the displacement of pressure bag very easily forms pocket blood accumulation.Body constitution is become thin or patient that chest subcutaneous fat is few, even if patient observes doctor's advice completely, because after Pacemaker implantation, pouch local skin tension force is large, if pouch position can not long period persistent pressure be fixed, local organization hypoxic-ischemic still can be caused downright bad, cause otch to be difficult to healing, so that pacemaker shifting spill skin.In addition, if human body long period clinostatism particularly limbs absolute brake easily make patient produce deep vein thrombosis of lower extremity, thus can cause fatal pulmonary embolism, also can there is shoulder joint adhesion because of art side limb brake in a few patients.
As can be seen here, existing method exist inconvenient operation etc. many be difficult to overcome defect and potential medical-risk, hemostasis by compression and pouch protector after Chinese patent CN200420013203.6 provides a kind of In Implantation of Permanent Cardiac Pacemaker, comprise the gasbag corresponding to cardiac pacemaker pouch profile, what be connected with gasbag send exhaust apparatus and fixed air pouch in the fixture of human body, although it can solve the problem of pacemaker shifting, but, mode due to its hemostasis is only the balloon tamponade hemostasis adopted, therefore haemostatic effect is not good, and when needs are to the surgical wound drug of topical application or when changing dressings, hemostasis by compression and pouch protector must be unloaded, manually to Wound during Dressing Change or the drug of topical application, operation uses very inconvenient.
Summary of the invention
For solving the problems of the technologies described above, the object of the present invention is to provide and a kind ofly use comfort and convenient and the good Permanent pacemaker implantation position hemostasis by compression fixture of haemostatic effect.
For achieving the above object, a kind of Permanent pacemaker implantation position hemostasis by compression fixture of the present invention, comprise the gripper shoe that cross section is curved, be arranged on the relief frame in this gripper shoe, and the screw press to be matched by screw thread with described relief frame, arch pressing plate in hollow form, fixing band, described gripper shoe is provided with ear seam, described fixing band is arranged on described ear and sews on, this arch pressing plate is arranged on described screw press bottom, it is characterized in that: in described arch pressing plate, establish containing cavity, and it deviates from described screw press one end face and is provided with some permeability holes, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a hemostatic agent bag and a conduit, this hemostatic agent bag is connected by the containing cavity of described conduit with described arch pressing plate.
On the basis of such scheme preferably, described fixing band comprises pectoral girdle and shoulder belt, described gripper shoe is provided with three ear seams, described pectoral girdle one end is stitched with described ear and is connected, its other end is provided with connecting device, described shoulder belt one end is connected with gripper shoe by described ear seam, and its other end is connected with described pectoral girdle.
On the basis of such scheme preferably, described gripper shoe is also provided with an ear seam for subsequent use, this ear seam for subsequent use is in prismatic, and three of this rib seamed.
On the basis of such scheme preferably, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a buffer unit, this buffer unit comprise a gasbag in the form of a ring and be connected with gasbag send exhaust apparatus, this gasbag is looped around on described arch pressing plate.
On the basis of such scheme preferably, the described pressure display unit, air pressure regulator, inflatable ball and the intake valve that send exhaust apparatus to be connected by airway order form.
On the basis of such scheme preferably, described gasbag contacts side with patient and is provided with pressure inductor, and described pressure inductor is connected with described pressure display unit.
On the basis of such scheme preferably, described intake valve is solenoid electric valve, and this solenoid electric valve is connected with an inflator pump, and this inflator pump and solenoid electric valve are controlled by a PC controller.
On the basis of such scheme preferably, described arch pressing plate is soft silica gel pressing plate.
On the basis of such scheme preferably, described arch pressing plate is provided with on permeability hole one side end face and is also provided with hemostatic gauze.
The present invention compared with prior art, its beneficial effect is: the gripper shoe that the present invention adopts cross section curved the relief frame be equiped with in this gripper shoe by threaded engagement and screw press, the bottom of this screw press is provided with arch pressing plate, realizing driving the arch pressing plate of screw press bottom to move up and down by turning relief frame, completing the hemostasis by compression to surgical wound, meanwhile, under the effect of the curved gripper shoe in cross section and arch pressing plate, device of the present invention is fitted tightly on patient wound, and under the effect of fixing band, effectively can guarantee the para-position stability of arch pressing plate and wound, the built-in containing cavity of arch pressing plate, and deviate from described screw press one end face at arch pressing plate some permeability holes are set, containing cavity is connected with hemostatic agent bag by conduit, during use, be stored in the hemostatic agent in hemostatic agent bag, enter in containing cavity by conduit, contact with patient wound through permeability hole, thus strengthen haemostatic effect further by hemostatic agent, shorten the Rehabilitation time, due to of the present invention in patient wound's medicine-feeding process, without the need to dismantling fixing band of the present invention, can effectively avoid when changing medicament, touching wound, cause patient suffering, and avoid the triviality of use.
Accompanying drawing explanation
Fig. 1 is the top view of hemostasis by compression fixture in Permanent pacemaker implantation position of the present invention.
Fig. 2 is the axonometric chart of hemostasis by compression fixture in Permanent pacemaker implantation position of the present invention.
Fig. 3 is the sectional view of hemostasis by compression fixture in Permanent pacemaker implantation position of the present invention.
Detailed description of the invention
By describe in detail the present invention technology contents, structural feature, reached object and effect, hereby exemplify embodiment below and coordinate accompanying drawing to be explained in detail.
Refer to Fig. 1, and combination is consulted shown in Fig. 2 to 3, the invention provides a kind of Permanent pacemaker implantation position hemostasis by compression fixture, comprise the curved gripper shoe in cross section 10, be arranged on the relief frame 20 in this gripper shoe 10, and the screw press 30 to be matched by screw thread with relief frame 20, arch pressing plate 40 in hollow form, fixing band 50, gripper shoe 10 is provided with ear seam 11, fixing band 50 is arranged on ear seam 11, this arch pressing plate 40 is arranged on screw press 30 bottom, containing cavity 41 is established in arch pressing plate 40, and it deviates from described screw press 30 1 end face and is provided with some permeability holes 42, a kind of Permanent pacemaker implantation position hemostasis by compression fixture of the present invention also comprises hemostatic agent bag 60 and conduit 70, this hemostatic agent bag 60 is connected by the containing cavity 41 of described conduit 70 with described arch pressing plate 40, wherein, fixing band 50 comprises two pectoral girdles 51 and shoulder belt 52, gripper shoe 10 is provided with three ear seams 11, two pectoral girdle 51 one end and wherein two ears stitch 11 and are connected, its other end is provided with connecting device, two pectoral girdles 51 are interconnected by connecting device, and shoulder belt 52 one end is connected with gripper shoe 10 by one of them in described three ear seams 11, and the other end of shoulder belt 52 is connected with pectoral girdle 51.
During use, arch pressing plate 40 of the present invention can be aimed at patient wound by medical personnel or care-giver, gripper shoe 10 curved for cross section is fitted with the chest of patient, and device of the present invention is firmly fixed on it patient by two pectoral girdles 51, then shoulder belt 52 is connected with pectoral girdle 51 through patient's shoulder, effectively to guarantee in patient moving process, arch pressing plate and patient wound's relative position do not change, then, turn relief frame 20, make screw press 30 helical rotation, move up and down to drive arch pressing plate, realize the hemostasis by compression to patient wound, simultaneously, nursing staff's or under medical personnel's adjustment, hemorrhage in hemostatic agent bag 60 is flowed in containing cavity 41 by conduit 70, contacted with patient wound by the permeability hole 42 of arch pressing plate, to realize hemostatic agent to patient wound's healing effect, shorten patient wound's healing time, owing to adding in hemostatic agent process to patient wound, without the need to dismantling parts such as gripper shoe 10 grade of the present invention, not only convenient to use, and, can also avoid when dismantling gripper shoe 10 parts such as grade, cause the touching of gripper shoe 10 or arch pressing plate and patient wound, cause the traumatic condition of patient more serious.
Shown in Fig. 3, in order to ensure patient's comfort, this arch pressing plate 40 is soft silica gel pressing plate, and be provided with on permeability hole 42 1 side end face at this arch pressing plate 40 and be also provided with hemostatic gauze 43, under the effect of hemostatic gauze 43, arch pressing plate 40 can coincide corrective surgery position radian, makes patient more comfortable; Simultaneously, the cross section of this screw press 30 is made up of with the straightway being connected this major arc two free end a major arc, makes the periphery of screw press 30 with a milling platform, thus screw press 30 and relief frame 20 to be mutually effectively engaged screw thread more, during use, gmatjpdumamics is larger, and stability is better.
Refer to shown in Fig. 2, in order to avoid patient wound is excessive in use, use above-mentioned ear to stitch 11 and fixing band 50 inconvenience is installed, this gripper shoe 10 is also provided with an ear seam 12 for subsequent use, this ear seam 12 for subsequent use is in prismatic, and three of this rib seamed, fixing band 50 can pass from digonous side seam, uses more convenient.
Shown in Fig. 2, a kind of Permanent pacemaker implantation position hemostasis by compression fixture of the present invention also comprises a buffer unit, this buffer unit comprises gasbag 81 in the form of a ring, and to be connected with gasbag 81 send exhaust apparatus 82, this gasbag 81 is looped around on arch pressing plate 40, wherein, this pressure display unit 83 sending exhaust apparatus 82 to be connected by airway order, air pressure regulator 84, inflatable ball 85 and intake valve 86 form, and contact side at gasbag 81 with patient and be provided with pressure inductor, and this intake valve 86 is solenoid electric valve, this solenoid electric valve is connected with inflator pump, this inflator pump and solenoid electric valve are controlled by PC controller.
When arch pressing plate of the present invention is separated with patient wound by needs of patients, control solenoid electric valve by PC controller to open, arch pressing plate to insufflation gas in gasbag 81 through inflatable ball 85, when gasbag 81 expands, is changed face with patient wound and is separated by inflator pump, control owing to adopting PC controller, therefore, effectively can guarantee the pressure size of gasbag 81 and patient contact position, the pressure preventing gasbag 81 from producing is excessive, cause patient wound to be burst apart, affect its rehabilitation; Certainly, user also can adopt manual to gasbag 81 insufflation gas, open by this intake valve 86, compressing inflatable ball 85 blasts air in gasbag 81, make gasbag 81 insufflation gas, in gasbag 81 expansion process, by pressure transducer and pressure display unit 83, show the pressure size that gasbag 81 produces in real time.Due in the process, arch pressing plate is adopt gasbag 81 slowly to back down with being separated of patient wound, compared with dismantling mode with traditional hemostasis device, active force is softer, can effectively prevent in unloading process, patient wound's secondary bursts apart, and affects wound rehabilitation.
The present invention is by the curved gripper shoe 10 in cross section and arch pressing plate 40 and shoulder belt 52, the coordinating of pectoral girdle 51, arch pressing plate 40 and patient wound's mutual dislocation can be prevented to greatest extent, alleviate the psychological burden that patient causes because of long-term clinostatism and limb brake, and adopt hemostasis by compression and medicament two kinds of modes of stopping blooding to combine, effectively can shorten the rehabilitation duration of patient wound, convenient to use.
In sum, be only the preferred embodiment of the present invention, do not limit protection scope of the present invention with this, all equivalence changes done according to the scope of the claims of the present invention and description with modify, be all within scope that patent of the present invention contains.
Claims (8)
1. Permanent pacemaker implantation position hemostasis by compression fixture, comprise the gripper shoe that cross section is curved, be arranged on the relief frame in this gripper shoe, and the screw press to be matched by screw thread with described relief frame, arch pressing plate in hollow form, fixing band, described gripper shoe is provided with ear seam, described fixing band is arranged on described ear and sews on, this arch pressing plate is arranged on described screw press bottom, it is characterized in that: in described arch pressing plate, establish containing cavity, and it deviates from described screw press one end face and is provided with some permeability holes, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a hemostatic agent bag and a conduit, this hemostatic agent bag is connected by the containing cavity of described conduit with described arch pressing plate, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a buffer unit, this buffer unit comprise a gasbag in the form of a ring and be connected with gasbag send exhaust apparatus, this gasbag is looped around on described arch pressing plate.
2. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 1, it is characterized in that: described fixing band comprises pectoral girdle and shoulder belt, described gripper shoe is provided with three ear seams, described pectoral girdle one end is stitched with described ear and is connected, its other end is provided with connecting device, described shoulder belt one end is connected with gripper shoe by described ear seam, and its other end is connected with described pectoral girdle.
3. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 2, is characterized in that: described gripper shoe is also provided with an ear seam for subsequent use, and this ear seam for subsequent use is in prismatic, and three of this rib seamed.
4. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 1, is characterized in that: the described pressure display unit, air pressure regulator, inflatable ball and the intake valve that send exhaust apparatus to be connected by airway order form.
5. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 4, it is characterized in that: described gasbag contacts side with patient and is provided with pressure inductor, described pressure inductor is connected with described pressure display unit.
6. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 5, it is characterized in that: described intake valve is solenoid electric valve, and this solenoid electric valve is connected with an inflator pump, this inflator pump and solenoid electric valve are controlled by a PC controller.
7. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 1, is characterized in that: described arch pressing plate is soft silica gel pressing plate.
8. hemostasis by compression fixture in Permanent pacemaker implantation position as claimed in claim 1 or 2, is characterized in that: described arch pressing plate is provided with on permeability hole one side end face and is also provided with hemostatic gauze.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410037276.7A CN103705286B (en) | 2014-01-26 | 2014-01-26 | Permanent pacemaker implantation position hemostasis by compression fixture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410037276.7A CN103705286B (en) | 2014-01-26 | 2014-01-26 | Permanent pacemaker implantation position hemostasis by compression fixture |
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| Publication Number | Publication Date |
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| CN103705286A CN103705286A (en) | 2014-04-09 |
| CN103705286B true CN103705286B (en) | 2015-12-09 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410037276.7A Active CN103705286B (en) | 2014-01-26 | 2014-01-26 | Permanent pacemaker implantation position hemostasis by compression fixture |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN110179583A (en) * | 2019-05-05 | 2019-08-30 | 郑州大学第一附属医院 | A kind of pacemaker post-surgery fixing device and its application method |
| CN115778468B (en) * | 2023-02-09 | 2023-04-28 | 阜外华中心血管病医院 | Cardiac pacing postoperative pressurization fixing device |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
-
2014
- 2014-01-26 CN CN201410037276.7A patent/CN103705286B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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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| CN103705286A (en) | 2014-04-09 |
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Effective date of registration: 20190129 Address after: 314000 Zhonghuan South Road, Jiaxing City, Zhejiang Province, 1882 Patentee after: Jiaxing City NO.1 Hospital Address before: 310000 No. 329 Hexing South Road, Nanhu District, Jiaxing City, Zhejiang Province Patentee before: Fei Yeping |
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Effective date of registration: 20190715 Address after: 325025 No. five, 758 Binhai, Longwan Binhai Industrial Park, Wenzhou, Zhejiang Patentee after: Zhejiang Kindly Medical Devices Co., Ltd. Address before: 314000 Jiaxing Central Road, Zhejiang, No. 1882 Patentee before: Jiaxing City NO.1 Hospital |
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