CN104921775B - Tourniquet is used after percutaneous coronary artery intervention - Google Patents

Tourniquet is used after percutaneous coronary artery intervention Download PDF

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Publication number
CN104921775B
CN104921775B CN201510306902.2A CN201510306902A CN104921775B CN 104921775 B CN104921775 B CN 104921775B CN 201510306902 A CN201510306902 A CN 201510306902A CN 104921775 B CN104921775 B CN 104921775B
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China
Prior art keywords
fixed plate
tourniquet
main fixed
coronary artery
supporting plate
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CN201510306902.2A
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Chinese (zh)
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CN104921775A (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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    • 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 present invention relates to tourniquet, including main fixed plate is used after a kind of percutaneous coronary artery intervention, hemostasis module is set, and the main fixed plate both sides are connected to fixation adhesive tape in the main fixed plate;Hemostasis module includes supporting plate and the hemostatic material bed of material, and the supporting plate is arranged in main fixed plate, and the described hemostatic material bed of material is arranged on supporting plate, and the described hemostatic material bed of material includes two PVA layers and the collagen layer being arranged between two PVA layers.The present invention tourniquet can comparatively fast the time stop blooding, mitigation medical personnel's workload replaceable simple hemostat device.Easy to use, hemostatic material uses intumescent material, can intelligently press, and without carrying out pressure regulation, avoids the generation of operational error, must reduce oozing of blood to greatest extent.

Description

Tourniquet is used after percutaneous coronary artery intervention
Technical field
The present invention relates to one kindThroughTourniquet is used after skin coronary intervention.
Background technology
Currently, as the fast development of China's economy, people's living standard steadily improve, the incidence of disease of China's coronary heart disease Gradually increase.The best means for treating severe coronary heart disease are interventional therapies, and its general principle is to wear foley's tube by blood vessel Thorn is inserted narrow intravascular, in vitro by sacculus pressurized expansion, struts narrow vascular wall, lesion vesselses is recovered unimpeded. Including:1. PTCA;2. coronary plaque rotary-cut art;3. coronary plaque turnery art;4. it is preced with Shape artery plaque cuts suction art;5. percutaneous coronary angioplasty;6. intracoronary stent etc..At present, it is widely used Interventional therapeutic technique is PTCA and Coronary stenting.
Percutaneous femoral artery puncture is the classical pathway of patients with coronary heart disease row Percutantnoeus coronary intervention diagnosis and treatment, but it is postoperative patient to be present Bed rest time is long, position is limited more, and the complication rate such as groin hemotoncus, arteriovenous fistula, skin diabrosis, thrombus is up to (2% ~8%), and with the increase at age, success rate and security be gradually lowered the deficiencies of.Recently as cardiac catheter apparatus Miniaturization, trans-radial row calcification score diagnosis and treatment have been increasingly becoming a kind of beneficial replacement.
After percutaneous coronary intervention (PCI), after point of puncture hemostasis is typically using artificial pressing, then pressurizeed with bandage Processing, possible compressing time are up to more than 10 hours, because the finger pressure of long period can cause hand fatigue or feel decline, from And make medical worker to applying pressure mitigation or uneven at puncture, therefore bleeding is easily caused, oozing of blood or hemotoncus, brought to patient Unnecessary pain or other serious consequences, while the labor intensity of medical worker is big, cost of labor is high, therefore, for oppressing The apparatus of hemostasis constantly comes out.
Prior art typically by pressurizeing to sacculus or providing pressure by screw, needs constantly to adjust in use Pressure is saved, medical personnel's working strength increases.A whole set of hemostat device is essentially disposable, causes the waste of material.Hemostasis Material is mainly carried out by pressuring method, and can not play hemoglutination, causes the clotting time longer, and being brought to patient need not The injury wanted.
The content of the invention
The technical problem to be solved in the present invention is:Overcome the deficiencies in the prior art, there is provided a kind ofThroughSkin Percutantnoeus coronary intervention Tourniquet is used after iatrotechnics.
The technical solution adopted for the present invention to solve the technical problems is:Used after a kind of percutaneous coronary artery intervention Tourniquet, including main fixed plate, hemostasis module is set, and the main fixed plate both sides are connected to fixation in the main fixed plate Adhesive tape;
Described hemostasis module includes supporting plate and the hemostatic material bed of material, and the supporting plate is arranged in main fixed plate, and described stops Blood material layer is arranged on supporting plate, and the described hemostatic material bed of material includes two PVA layers and the collagen egg being arranged between two PVA layers White.
Further, the both sides of the main fixed plate are connected to secondary fixed plate, the both ends difference of the secondary fixed plate Be provided with hinge, one end of the secondary fixed plate is formed through hinge and main fixed plate to be rotatablely connected, the secondary fixed plate it is another End forms through hinge and fixation adhesive tape and is rotatablely connected.
Further, described secondary fixed plate bends to arcuation.
Further, phase clamping connects between described supporting plate and main fixed plate.
Further, described fixation adhesive tape is elastic band or seta skin.
The beneficial effects of the invention are as follows:The present invention tourniquet can comparatively fast the time stop blooding, mitigation medical personnel's workload Replaceable simple hemostat device.Easy to use, hemostatic material uses intumescent material, can intelligently press, without carrying out pressure Regulation, avoids the generation of operational error, must reduce oozing of blood to greatest extent.
Collagen hemostatic material can be with rapid blood coagulation.
The modularized processing of hemostatic material, it is possible to reduce the waste of material, and make its update easier.
Brief description of the drawings
The present invention is further described below in conjunction with the accompanying drawings.
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 fixed plate, 24, secondary fixed plate, 27, supporting plate, 28, hemostatic material Layer, 11, PVA layers, 12, collagen layer.
Embodiment
Presently in connection with specific embodiment, the present invention is further illustrated.These accompanying drawings be simplified schematic diagram only with Illustration illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
As shown in Figure 1 to Figure 3, tourniquet, including main fixed plate 23 are used after a kind of percutaneous coronary artery intervention, it is main Hemostasis module is set in fixed plate 23, and the main both sides of fixed plate 23 are connected to fixation adhesive tape 21.
Hemostasis module includes supporting plate 27 and the hemostatic material bed of material 28, and supporting plate 27 is arranged in main fixed plate 23, the hemostatic material bed of material 28 are arranged on supporting plate 27, and the hemostatic material bed of material 28 includes two PVA layers 11 and the collagen layer being arranged between two PVA layers 11 12。
PVA layers 11 are adopted as water swelling type PVA, and PVA layers 11 can substitute for argentiferous (ionic state or crystalline state) PVA materials, strengthen its anti-microbial property.
Collagen layer 12 is using other biological materials such as collagen mixed transparent matter acid sodium, for increasing dilation; The clotting time can be shortened by increasing the biomass such as fibrin ferment in collagen layer 12;Increase the materials such as chitosan in collagen layer 12 Expect it is compound, can increase hemostasis and anti-microbial property.
The both sides of main fixed plate 23 are connected to secondary fixed plate 24, and the both ends of secondary fixed plate 24 are respectively arranged with hinge 22, one end of secondary fixed plate 24 is formed through hinge 22 and main fixed plate 23 to be rotatablely connected, and the other end of secondary fixed plate 24 is through hinge 22 form rotation connection with fixation adhesive tape 21.
Secondary fixed plate 24 bends to arcuation.So as to preferably adapt to wrist.
Phase clamping connects between supporting plate 27 and main fixed plate 23.Connected using the clamping between supporting plate 27 and main fixed plate 23 Connect, it is possible to achieve the modularized processing of hemostatic material, it is possible to reduce the waste of material, and make its update easier.
Fixation adhesive tape 21 is elastic band or seta skin.So that fixation adhesive tape 21 is more convenient to use.
After PCI operations terminate, the hemostatic material bed of material 28 is bonded and wound with tourniquet, and takes out and fastens, a small amount of When oozing of blood occurs, the hemostatic material bed of material 28 expands, and intelligence pressure so that reduce oozing of blood to greatest extent.Collagen energy simultaneously Enough play a part of quick-acting haemostatic powder, PVA layers 11 can intelligently expand in the process, while play the effect of physics cut-off.
It is complete by above-mentioned description, relevant staff using the above-mentioned desirable embodiment according to the present invention as enlightenment Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property scope is not limited to the content on specification, it is necessary to determines its technical scope according to right.

Claims (5)

1. use tourniquet after a kind of percutaneous coronary artery intervention, it is characterized in that, including main fixed plate (23), the master consolidate Hemostasis module is set on fixed board (23), and main fixed plate (23) both sides are connected to fixation adhesive tape (21);
Described hemostasis module includes supporting plate (27) and the hemostatic material bed of material (28), and the supporting plate (27) is arranged on main fixed plate (23) On, the described hemostatic material bed of material (28) is arranged on supporting plate (27), the described hemostatic material bed of material (28) include two PVA layers (11) with And it is arranged on the collagen layer (12) between two PVA layers (11).
2. tourniquet is used after percutaneous coronary artery intervention according to claim 1, it is characterized in that, the main fixation The both sides of plate (23) are connected to secondary fixed plate (24), and the both ends of the secondary fixed plate (24) are respectively arranged with hinge (22), One end of the secondary fixed plate (24) forms through hinge (22) and main fixed plate (23) and is rotatablely connected, the secondary fixed plate (24) The other end is formed through hinge (22) and fixation adhesive tape (21) and is rotatablely connected.
3. tourniquet is used after percutaneous coronary artery intervention according to claim 2, it is characterized in that, described pair is consolidated Fixed board (24) bends to arcuation.
4. tourniquet is used after percutaneous coronary artery intervention according to claim 1, it is characterized in that, described supporting plate (27) phase clamping is connected between main fixed plate (23).
5. tourniquet is used 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)

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CN104921775B true CN104921775B (en) 2017-11-21

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Families Citing this family (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
CN109938795B (en) * 2019-03-25 2022-02-08 南京医科大学第二附属医院 Radial artery hemostasis device after 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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CN201286796Y (en) * 2008-08-01 2009-08-12 杭州协合医疗用品有限公司 Anti-blocking hemostasia film with multi-layer composite structure
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

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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
IL114739A (en) * 1995-07-26 2005-06-19 Porat Michael System for prevention of blood spurts from blood vessels during removal of needle
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Publication number Priority date Publication date Assignee Title
CN201286796Y (en) * 2008-08-01 2009-08-12 杭州协合医疗用品有限公司 Anti-blocking hemostasia film with multi-layer composite structure
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

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