CN104921775A - Postoperative tourniquet for percutaneous coronary intervention treatment - Google Patents

Postoperative tourniquet for percutaneous coronary intervention treatment Download PDF

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Publication number
CN104921775A
CN104921775A CN201510306902.2A CN201510306902A CN104921775A CN 104921775 A CN104921775 A CN 104921775A CN 201510306902 A CN201510306902 A CN 201510306902A CN 104921775 A CN104921775 A CN 104921775A
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CN
China
Prior art keywords
fixing head
tourniquet
main fixing
percutaneous coronary
hemostasis
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CN201510306902.2A
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Chinese (zh)
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CN104921775B (en
Inventor
钱陈
高坚杰
曹艳
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CHANGZHOU INSTITUTE OF MATERIA MEDICA Co Ltd
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CHANGZHOU INSTITUTE OF MATERIA MEDICA Co Ltd
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Priority to CN201510306902.2A priority Critical patent/CN104921775B/en
Publication of CN104921775A publication Critical patent/CN104921775A/en
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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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • A61M35/003Portable hand-held applicators having means for dispensing or spreading integral media
    • A61M35/006Portable hand-held applicators having means for dispensing or spreading integral media using sponges, foams, absorbent pads or swabs as spreading means
    • 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
    • A61B2017/12004Surgical 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
    • 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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018Elastic band ligators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Reproductive Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a postoperative tourniquet for percutaneous coronary intervention treatment. The postoperative tourniquet for percutaneous coronary intervention treatment comprises a main fixing plate, wherein a hemostasis module is arranged on the main fixing plate, and fixing adhesive tapes are respectively connected to two sides of the main fixing plate. The hemostasis module comprises a supporting plate and a hemostasis material layer, wherein the supporting plate is arranged on the main fixing plate, the hemostasis material layer is arranged on the supporting plate and comprises two PVA layers and a collagen layer arranged between the PVA layers. The postoperative tourniquet for percutaneous coronary intervention treatment can achieve quick hemostasis, the working amount of mecical workers can be reduced, and a simple hemostasis device can be replaced. The postoperative tourniquet is convenient to use, a hemostasis material is made of an expansible material, can intelligently exert pressure without pressure regulation, misoperation is avoided, and errhysis is decreased to the most degree.

Description

Tourniquet is used after percutaneous coronary artery intervention
Technical field
The present invention relates to one warptourniquet is used after skin coronary intervention.
Background technology
Current, along with the fast development of China's economy, people's living standard steadily improves, and the sickness rate of China's coronary heart disease also increases gradually.The best means for the treatment of severe coronary heart disease is interventional therapy, and its ultimate principle is that foley's tube is inserted narrow Ink vessel transfusing by vascular puncture, in vitro by sacculus pressurized expansion, struts narrow blood vessel wall, makes lesion vessels recover unimpeded.Comprise: 1. percutaneous tranluminal coronary angioplasty; 2. coronary plaque rotary-cut art; 3. coronary plaque turnery art; 4. coronary plaque cuts suction art; 5. PCLA; 6. intracoronary stent etc.At present, widely used interventional therapeutic technique is percutaneous tranluminal coronary angioplasty and Coronary stenting.
Percutaneous femoral artery puncture is the classical pathway of the capable Percutantnoeus coronary intervention diagnosis and treatment of patients with coronary heart disease, but have that patient's postoperative bedrest is long, position is limited many, the complication rate such as groin hematoma, arteriovenous fistula, skin diabrosis, thrombosis is up to (2% ~ 8%), and along with the increase at age, success rate and safety such as also to reduce gradually at the deficiency.In recent years along with the miniaturization of cardiac catheter apparatus, the diagnosis and treatment of trans-radial capable calcification score become a kind of useful substituting gradually.
After percutaneous coronary intervention (PCI), after the artificial pressing of the general employing of point of puncture hemostasis, use binder pressurized treatments again, possible compressing time reaches more than 10 hours, finger pressure due to the long period can cause hand fatigue or sensation decline, thus make medical worker apply pressure relieve or inequality to puncture place, therefore easily cause hemorrhage, oozing of blood or hematoma, bring unnecessary misery or other serious consequences to patient, the labor intensity of medical worker is large simultaneously, and cost of labor is high, therefore, the apparatus for hemostasis by compression constantly comes out.
Prior art generally by pressurizeing to sacculus or providing pressure by screw, in use needs constantly to regulate pressure, and medical personnel's working strength strengthens.A whole set of hemostat device is single use substantially, causes the waste of material.Hemostatic material carries out mainly through pressuring method, and cannot play Blood clotting, causes clotting time longer, brings unnecessary injury to patient.
Summary of the invention
The technical problem to be solved in the present invention is: overcome the deficiencies in the prior art, provides a kind of warptourniquet is used after skin coronary intervention.
The technical solution adopted for the present invention to solve the technical problems is: with tourniquet after a kind of percutaneous coronary artery intervention, comprise main fixing head, described main fixing head arranges hemostasis module, described main fixing head both sides are connected to fixation adhesive tape;
Described hemostasis module comprises supporting plate and the hemostatic material bed of material, and described supporting plate is arranged on main fixing head, and the described hemostatic material bed of material is arranged on supporting plate, the collagen layer that the described hemostatic material bed of material comprises two PVA layers and is arranged between two PVA layers.
Further, the both sides of described main fixing head are connected to secondary fixing head, the two ends of described secondary fixing head are respectively arranged with hinge, and one end of described secondary fixing head is formed through hinge and main fixing head and is rotationally connected, and the other end of described secondary fixing head is formed through hinge and fixation adhesive tape and is rotationally connected.
Further, described secondary fixing head bends to arcuation.
Further, between described supporting plate with main fixing head, phase clamping is connected.
Further, described fixation adhesive tape is elastic band or seta skin.
The invention has the beneficial effects as follows: tourniquet of the present invention can comparatively fast the time stops blooding, and alleviates the replaceable simple and easy hemostat device of medical personnel's workload.Easy to use, hemostatic material adopts intumescent material, intelligence can exert pressure, without the need to carrying out pressure adjustment, avoiding the generation of operate miss, must reduce oozing of blood to greatest extent.
Collagen protein hemostatic material can rapid blood coagulation.
The modularized processing of hemostatic material, can reduce the waste of material, and it is easier to make it update.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the present invention is further described.
Fig. 1 is the schematic diagram of tourniquet of the present invention;
Fig. 2 is the schematic diagram of the hemostatic material bed of material;
Fig. 3 is the lateral plan of tourniquet;
Wherein, 21, fixation adhesive tape, 22, hinge, 23, main fixing head, 24, secondary fixing head, 27, supporting plate, 28, the hemostatic material bed of material, 11, PVA layer, 12, collagen layer.
Detailed description of the invention
The present invention is further illustrated in conjunction with specific embodiments now.The schematic diagram that these accompanying drawings are simplification only illustrates basic structure of the present invention in a schematic way, and therefore it only shows the formation relevant with the present invention.
As shown in Figure 1 to Figure 3, with tourniquet after a kind of percutaneous coronary artery intervention, comprise main fixing head 23, main fixing head 23 arranges hemostasis module, main fixing head 23 both sides are connected to fixation adhesive tape 21.
Hemostasis module comprises supporting plate 27 and the hemostatic material bed of material 28, and supporting plate 27 is arranged on main fixing head 23, and the hemostatic material bed of material 28 is arranged on supporting plate 27, the collagen layer 12 that the hemostatic material bed of material 28 comprises two PVA layers 11 and is arranged between two PVA layers 11.
PVA layer 11 is adopted as imbibition type PVA, and PVA layer 11 can substitute for argentiferous (ionic state or crystalline state) PVA material, strengthens its anti-microbial property.
Collagen layer 12 adopts the other biological materials such as collagen protein mixed transparent matter acid sodium, for increasing swelling degree; Increase the biomass such as thrombin in collagen layer 12 and can shorten clotting time; Increase the Material claddings such as chitosan in collagen layer 12, hemostasis and anti-microbial property can be increased.
The both sides of main fixing head 23 are connected to secondary fixing head 24, the two ends of secondary fixing head 24 are respectively arranged with hinge 22, one end of secondary fixing head 24 is formed through hinge 22 and main fixing head 23 and is rotationally connected, and the other end of secondary fixing head 24 is formed through hinge 22 and fixation adhesive tape 21 and is rotationally connected.
Secondary fixing head 24 bends to arcuation.Thus better can adapt to wrist.
Between supporting plate 27 with main fixing head 23, phase clamping is connected.Utilize the clamping between supporting plate 27 with main fixing head 23 to be connected, the modularized processing of hemostatic material can be realized, the waste of material can be reduced, and it is easier to make it update.
Fixation adhesive tape 21 is elastic band or seta skin.Thus make fixation adhesive tape 21 more convenient to use.
After PCI operation terminates, fitted and wound by the hemostatic material bed of material 28, and take out and fasten with tourniquet, when a small amount of oozing of blood occurs, namely the hemostatic material bed of material 28 expands, and intelligence is exerted pressure thus reduced oozing of blood to greatest extent.Collagen protein can play the effect of quick-acting haemostatic powder simultaneously, and PVA layer 11 can intelligence expand in the process, plays the effect of physics partition simultaneously.
With above-mentioned according to desirable embodiment of the present invention for enlightenment, by above-mentioned description, relevant staff in the scope not departing from this invention technological thought, can carry out various change and amendment completely.The technical scope of this invention is not limited to the content in description, must determine its technical scope according to right.

Claims (5)

1. use tourniquet after a percutaneous coronary artery intervention, it is characterized in that, comprise main fixing head (23), described main fixing head (23) arranges hemostasis module, described main fixing head (23) both sides are connected to fixation adhesive tape (21);
Described hemostasis module comprises supporting plate (27) and the hemostatic material bed of material (28), described supporting plate (27) is arranged on main fixing head (23), the described hemostatic material bed of material (28) is arranged on supporting plate (27), the collagen layer (12) that the described hemostatic material bed of material (28) comprises two PVA layers (11) and is arranged between two PVA layers (11).
2. use tourniquet after percutaneous coronary artery intervention according to claim 1, it is characterized in that, the both sides of described main fixing head (23) are connected to secondary fixing head (24), the two ends of described secondary fixing head (24) are respectively arranged with hinge (22), one end of described secondary fixing head (24) is formed through hinge (22) and main fixing head (23) and is rotationally connected, and the other end of described secondary fixing head (24) is formed through hinge (22) and fixation adhesive tape (21) and is rotationally connected.
3. use tourniquet after percutaneous coronary artery intervention according to claim 2, it is characterized in that, described secondary fixing head (24) bends to arcuation.
4. use tourniquet after percutaneous coronary artery intervention according to claim 1, it is characterized in that, described supporting plate (27) is connected with phase clamping between main fixing head (23).
5. use tourniquet after percutaneous coronary artery intervention according to claim 1, it is characterized in that, described fixation adhesive tape (21) is elastic band or seta skin.
CN201510306902.2A 2015-06-05 2015-06-05 Tourniquet is used after percutaneous coronary artery intervention Active CN104921775B (en)

Priority Applications (1)

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CN104921775B CN104921775B (en) 2017-11-21

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108201463A (en) * 2016-12-16 2018-06-26 美敦力公司 A kind of pressurized hemostasis device
CN109938795A (en) * 2019-03-25 2019-06-28 南京医科大学第二附属医院 The postoperative radial artery hemostatic device of coronary angiography
CN112957095A (en) * 2021-02-11 2021-06-15 冯祝干 Hemostasis by compression subassembly and clinical laboratory's haemostat

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3954109A (en) * 1974-08-02 1976-05-04 The Kendall Company Bandage to prevent local hematoma
DE3907522C1 (en) * 1989-03-08 1990-04-05 Matthias Dr. 8000 Muenchen De Weiler Compression bandage cushioning
US5507721A (en) * 1994-03-18 1996-04-16 Shippert; Ronald D. Medical apparatus and method for applying pressure and absorbing fluid
US5873890A (en) * 1995-07-26 1999-02-23 Porat; Michael System for prevention of blood spurts from blood vessels during removal of needle
CN2562735Y (en) * 2002-08-22 2003-07-30 杨观清 Disposable pressor hemostatic wound protective belt
US20050165445A1 (en) * 2003-02-04 2005-07-28 Damage Control Surgical Technologies, Inc. Method and apparatus for hemostasis
CN201175359Y (en) * 2008-02-18 2009-01-07 叶永强 Artery compression hemostasis device
CN201286796Y (en) * 2008-08-01 2009-08-12 杭州协合医疗用品有限公司 Anti-adhesion hemostatic membrane with multilayer composite structure
CN201831922U (en) * 2010-11-03 2011-05-18 深圳市保安医疗用品有限公司 Venous tourniquet
CN201959088U (en) * 2011-02-24 2011-09-07 北京利明达医药科技有限公司 Chitosan first aid hemostasis device
CN203263477U (en) * 2013-04-11 2013-11-06 广东省医疗器械研究所 Disposable radial artery hemostat
CN204723126U (en) * 2015-06-05 2015-10-28 常州药物研究所有限公司 Tourniquet is used after percutaneous coronary artery intervention

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3954109A (en) * 1974-08-02 1976-05-04 The Kendall Company Bandage to prevent local hematoma
DE3907522C1 (en) * 1989-03-08 1990-04-05 Matthias Dr. 8000 Muenchen De Weiler Compression bandage cushioning
US5507721A (en) * 1994-03-18 1996-04-16 Shippert; Ronald D. Medical apparatus and method for applying pressure and absorbing fluid
US5873890A (en) * 1995-07-26 1999-02-23 Porat; Michael System for prevention of blood spurts from blood vessels during removal of needle
CN2562735Y (en) * 2002-08-22 2003-07-30 杨观清 Disposable pressor hemostatic wound protective belt
US20050165445A1 (en) * 2003-02-04 2005-07-28 Damage Control Surgical Technologies, Inc. Method and apparatus for hemostasis
CN201175359Y (en) * 2008-02-18 2009-01-07 叶永强 Artery compression hemostasis device
CN201286796Y (en) * 2008-08-01 2009-08-12 杭州协合医疗用品有限公司 Anti-adhesion hemostatic membrane with multilayer composite structure
CN201831922U (en) * 2010-11-03 2011-05-18 深圳市保安医疗用品有限公司 Venous tourniquet
CN201959088U (en) * 2011-02-24 2011-09-07 北京利明达医药科技有限公司 Chitosan first aid hemostasis device
CN203263477U (en) * 2013-04-11 2013-11-06 广东省医疗器械研究所 Disposable radial artery hemostat
CN204723126U (en) * 2015-06-05 2015-10-28 常州药物研究所有限公司 Tourniquet is used after percutaneous coronary artery intervention

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108201463A (en) * 2016-12-16 2018-06-26 美敦力公司 A kind of pressurized hemostasis device
CN109938795A (en) * 2019-03-25 2019-06-28 南京医科大学第二附属医院 The postoperative radial artery hemostatic device of coronary angiography
CN112957095A (en) * 2021-02-11 2021-06-15 冯祝干 Hemostasis by compression subassembly and clinical laboratory's haemostat

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