CN105919646B - Automatic alarm device for compression bandaging hemostasis and monitoring - Google Patents

Automatic alarm device for compression bandaging hemostasis and monitoring Download PDF

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Publication number
CN105919646B
CN105919646B CN201610351110.1A CN201610351110A CN105919646B CN 105919646 B CN105919646 B CN 105919646B CN 201610351110 A CN201610351110 A CN 201610351110A CN 105919646 B CN105919646 B CN 105919646B
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China
Prior art keywords
compression
hemostasis
pressurizing
binding belt
fixing
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CN201610351110.1A
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CN105919646A (en
Inventor
梁春
吴宗贵
贺治青
丁茹
伍锋
黄志刚
杨晓敏
丛晓亮
张家友
潘晓明
任雨笙
王家美
华丽
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Shanghai Changzheng Hospital
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Shanghai Changzheng Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1325Tourniquets comprising a flexible encircling member with means for applying local pressure
    • 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

Abstract

The invention relates to a compression binding hemostasis and monitoring automatic alarm device, which comprises a first flexible binding belt and a second flexible binding belt, wherein a fixed back support and a detachable compression tourniquet fixing section are connected between the first flexible binding belt and the second flexible binding belt, and the first flexible binding belt, the back support and the compression tourniquet fixing section are connected to form a closed ring; the compression tourniquet fixing section is provided with a screwing pressurizing device, the screwing pressurizing device is provided with a movable pressurizing connecting rod, and the bottom of the movable pressurizing connecting rod is sequentially connected with a compression hemostasis rigid bottom and a compression hemostasis flexible bottom; the monitoring automatic alarm device comprises a sensor and an information transmitting module, wherein the sensor is arranged below the screwing pressurizing device, and the information transmitting module is arranged on the fixing section of the compression tourniquet. The improved compression bandaging hemostatic device remarkably improves venous return of the limb at the distal end of compression hemostasis of a patient and reduces the possibility of local tissue edema caused by the compression hemostasis.

Description

Automatic alarm device for compression bandaging hemostasis and monitoring
Technical Field
The invention relates to the technical field of clinical medical auxiliary devices, in particular to an automatic alarm device for compression bandaging hemostasis and monitoring.
Background
The existing coronary heart disease interventional therapy mostly adopts the intervention of the access way through radial artery operation, the postoperative needs to be packed and hemostasis by pressurization, the hemostatic device adopted at present mostly adopts flexible materials to be connected with the fixed part which is made of plastic and can change the pressurizing force by nylon fastener tape, but the hemostatic device has the following problems: 1) Because the wrist part is wrapped by flexible materials and is not provided with an acoustic window capable of accommodating an ultrasonic probe for probing, the ultrasonic evaluation of local blood flow condition can not be carried out while the pressurization and the dressing are used for hemostasis, and the conventional clinical operations such as intravenous transfusion can not be carried out; 2) The pressurizing and wrapping device is made of flexible materials and surrounds the wrist for a week, the hemostatic artery is excluded in the pressurizing process, venous drainage disorder of the wrist part is caused, the edema of the limb at the far end of the patient is easily induced, the movement of the original pressed part is caused by the edema limb, and the operation complications such as subcutaneous hematoma and the like are easily caused by the blood leakage of the vascular leak needing to be pressed, so that the related pressurizing and wrapping hemostatic device can not meet related clinical requirements more and more.
Disclosure of Invention
The invention aims to provide an improved automatic alarm device for compression bandaging hemostasis and monitoring, which can overcome the defects that in the prior art, in addition to the hemostasis artery required in the compression process, vein drainage disorder at the wrist part is caused, and edema of a limb at the far end of the bandaged patient is easy to cause.
In order to achieve the above object, the technical scheme of the present invention is as follows: the utility model provides a hemostasis and monitoring automatic alarm device are wrapped in pressurization which characterized in that: the device comprises a compression binding hemostasis device and a monitoring automatic alarm device; the compression binding hemostasis device comprises a first flexible binding belt and a second flexible binding belt, a fixed back hand support and a detachable compression hemostasis belt fixing section are connected between the first flexible binding belt and the second flexible binding belt, and a closed circular ring is formed after the first flexible binding belt and the back hand support and the compression hemostasis belt fixing section are connected; the compression tourniquet fixing section is arc-shaped, a screwing pressurizing device is arranged on the compression tourniquet fixing section, and the bottom of the screwing pressurizing device is sequentially connected with a compression hemostasis rigid bottom and a compression hemostasis flexible bottom; the automatic monitoring alarm device comprises a sensor and an information transmitting module, wherein the sensor is arranged below the screwing pressurizing device, and the information transmitting module is arranged on the fixing section of the compression tourniquet.
Preferably, the back support is of a hollow protruding structure, the back support comprises two groups of V-shaped support frames, an included angle between two connecting rods of the V-shaped support frames is 30-60 degrees, two connecting rods are arranged between the two groups of V-shaped support frames, and end-to-end closed connection is formed between the two groups of V-shaped support frames and the two connecting rods;
further, the bottom of each group of V-shaped supporting frames is respectively provided with a rigid connection part of a hand and back pressurizing and fixing module, a radial pressurizing and fixing module is connected below the rigid connection part of one hand and back pressurizing and fixing module, and the radial pressurizing and fixing module is connected with a first flexible binding belt through a first fixing buckle; the lower part of the rigid connecting part of the other hand back pressurizing and fixing module is connected with a ruler side pressurizing and fixing module, the ruler side pressurizing and fixing module is connected with a second flexible binding belt, and one side of the second flexible binding belt is provided with a second fixing buckle.
When the compression bandaging hemostatic device is used, the existing compression bandaging hemostatic device is improved, on one hand, the venous return of a limb at the distal end of compression hemostasis of a patient can be obviously improved, the possibility of local tissue edema caused by compression hemostasis is reduced, and the clinical compliance of the patient is improved; on the other hand, the related compression bandaging device is also provided with a necessary window for subsequent interventional operation and examination, so that the detection rate of clinical compression hemostasis failure can be remarkably improved, and the clinical operation feasibility can be improved; in addition, the device also provides a matched monitoring miniature probe, and is communicated with a monitoring device of a nurse station in a hospital or a mobile phone of a doctor in charge through an app program in a communication mode such as Bluetooth, 2.4G, a wireless network and the like, so that medical staff can be warned and reminded to intervene in time when severe bleeding and leakage occur to a patient, and the risk of severe bleeding complications caused by insufficient compression hemostasis after the intervention operation is fundamentally reduced.
The invention has the beneficial effects that: 1) On one hand, the compression hemostasis structure optimized by human engineering design can realize more targeted compression hemostasis and simultaneously reduce compression of drainage veins; 2) The special design structure provides necessary window channels for ultrasonic examination and various examinations, thereby facilitating clinical real-time monitoring and timely intervention; 3) The automatic monitoring device based on the miniature probe can remarkably improve the detection rate of the accidental bleeding risk after the interventional operation, and reminds an on-duty nurse or a tube bed doctor through the alarm device, so that the risk of related bleeding complications is fundamentally reduced; 4) The device is divided into two parts, wherein the compression hemostasis part is a disposable device, the monitoring and alarming part is a reusable part, and the risk of cross infection among patients is reduced while the related medical expenses are compressed as much as possible.
Drawings
Fig. 1 is a schematic structural diagram of an embodiment of the present invention.
FIGS. 2-4 are enlarged schematic views of three alternative working light paths of a sensor for monitoring bleeding according to the present invention;
fig. 5-9 are partial top views of the sensor of the present invention.
Fig. 10 is a schematic working cross-section of a further embodiment of the present invention.
Fig. 11 is a schematic view of the structure of the back support of the present invention.
Fig. 12 is a side view of fig. 11.
Fig. 13 is a usage state reference diagram of the present invention.
Detailed Description
The invention is further described below with reference to the drawings and examples.
The device comprises a compression tourniquet buckle, a compression tourniquet fixing section, a screwing pressurizing device, a movable pressurizing connecting rod, an information transmitting module, a connecting buckle, a first flexible binding belt, a first fixing buckle, a back support, a radial side pressurizing fixing module, a second flexible binding belt, a second fixing buckle, a radial side fixing module, a flexible bottom, a rigid bottom, a sensor, blood permeation, a wrist palm surface, a back vein and a lymphatic pipeline, a back vein, a rigid connecting part, a 26V-shaped supporting frame and a connecting rod.
The invention relates to a compression bandaging hemostasis and monitoring automatic alarm device, which is different from the prior art in that: the device comprises a compression binding hemostasis device and a monitoring automatic alarm device;
further, the compression binding hemostasis device comprises a first flexible binding belt and a second flexible binding belt, a fixed back hand support and a detachable compression hemostasis belt fixing section are connected between the first flexible binding belt and the second flexible binding belt, and a closed circular ring is formed after the first flexible binding belt and the back hand support and the compression hemostasis belt fixing section are connected;
further, the compression tourniquet fixing section is arc-shaped, a screwing pressurizing device is arranged on the compression tourniquet fixing section, a movable pressurizing connecting rod is arranged at the bottom of the screwing pressurizing device, and the bottom of the movable pressurizing connecting rod is sequentially connected with a compression hemostasis rigid bottom and a compression hemostasis flexible bottom;
further, the automatic monitoring alarm device comprises a sensor and an information transmitting module, wherein the sensor is arranged below the screwing pressurizing device, and the information transmitting module is arranged on the fixing section of the compression tourniquet.
Preferably, the back support is of a hollow protruding structure, the back support comprises two groups of V-shaped support frames, an included angle between two connecting rods of the V-shaped support frames is 30-60 degrees, two connecting rods are arranged between the two groups of V-shaped support frames, and end-to-end closed connection is formed between the two groups of V-shaped support frames and the two connecting rods;
preferably, the bottom of each group of V-shaped supporting frames is respectively provided with a rigid connection part of a hand back pressurizing and fixing module, a radial pressurizing and fixing module is connected below the rigid connection part of one hand back pressurizing and fixing module, and the radial pressurizing and fixing module is connected with the first flexible binding belt through a first fixing buckle; the lower part of the rigid connecting part of the other hand back pressurizing and fixing module is connected with a ruler side pressurizing and fixing module, the ruler side pressurizing and fixing module is connected with a second flexible binding belt, and one side of the second flexible binding belt is provided with a second fixing buckle.
Optionally, one side of the fixed section of the compression tourniquet is connected with the first flexible binding belt through a connecting buckle, the other side of the fixed section of the compression tourniquet is provided with a compression tourniquet buckle matched with the second fixing buckle, and the lower part of the fixed section of the compression tourniquet is provided with a radial side fixing module for fixing the wrist part.
Optionally, the sensor is a micro sensor for monitoring subcutaneous hemorrhage, and the sensor is connected with the light source device;
still further, the information transmitting module is detachably connected with the compression tourniquet fixing section.
Still further, the bottom of the compression hemostasis rigidity is round, square or oval, and the sensors are distributed around the bottom of the compression hemostasis rigidity.
In practice, the two sides of the wrist portion are respectively connected with the first flexible binding belt 7 and the second flexible binding belt 12 through the compression tourniquet buckle 1 and the connecting buckle 6, the base is the compression tourniquet fixing portion 2 which is in arc shape and is adhered to the palm surface of the wrist, the compression tourniquet fixing portion is provided with a screwing pressurizing device 3, the pressurizing device can move up and down through rotating the movable pressurizing pressure rod 4 left and right, the bottom of the movable pressurizing pressure rod is connected with the compression hemostasis rigid bottom 16 and the compression hemostasis flexible bottom 15 which is adhered with the movable pressurizing pressure rod, the flexible portion can select different cross sections (round, rectangle or square) according to the actual use, the bending surface of the flexible portion is shown in fig. 2, the round compression block can obviously reduce excessive extrusion of unnecessary tissues except for the range of bleeding points, in addition, the side surface of the flexible bottom can be plane or center protuberance (can be square or trapezoid) as shown in fig. 3, and the bottom surface can provide stronger hemostasis support for compression hemostasis for clinic.
Around the periphery of the rigid bottom 16 for hemostasis by compression, there is arranged a sensor 17 (which may be a disposable power pack or a detachable repetitive loading device) for monitoring bleeding, which integrates a monitoring and communication module, the former is emitted by an internal LED light source and is filtered to allow a specific wavelength (mainly visible near infrared light) with a certain intensity to irradiate the skin around the compression point, the change of the absorption rate of irradiated light is caused by the increase of the content of oxyhemoglobin in the tissue after the subcutaneous fresh bleeding, and the comprehensive evaluation of the change of the skin color after the subcutaneous bleeding is combined to judge whether the subcutaneous bleeding occurs, and meanwhile, the change of the characteristic absorption peak wavelength and absorption intensity (the change of 500-800nm is most remarkable) is distinguished from the acute fresh bleeding by considering that hemoglobin in blood is changed into deoxyhemoglobin due to oxygen loss in the old bleeding state.
The adjustable movable compression rod 4 and the direct compression hemostasis part are arranged outside the inner side of the compression tourniquet fixing part 2 attached to the palm surface of the wrist part, and the radial fixing module 14 fixed on the wrist part is further arranged to provide an additional fulcrum for the whole compression device, so that compression stability is improved, and compression of unnecessary tissues is reduced.
2-4 are enlarged schematic views of three alternative working light paths of an LED light source sensing integrated unit in a sensor for monitoring bleeding, the sensor comprises one or more integrated units, and the unit can emit oblique light through LED light sources at two ends to focus on subcutaneous bleeding 18, and the oblique light is reflected and converged to a light sensing unit at the middle end; or the light emitted by the LED light source at one end is reflected by the subcutaneous hemorrhage 18 and then perceived by the light sensing unit at the other end; or the LED light source at the middle end vertically emits detection light, and the detection light is perceived by the light sensing units at the two ends after being reflected by the subcutaneous hemorrhage 18. The angles of the emitted light and the reflected light are correspondingly changed according to the difference of the lengths of the units on the x axis;
as shown in fig. 5-9, which are schematic diagrams of a top-down view of the sensor 17 for monitoring bleeding along the edge of the rigid part of the compression hemostasis, the sensor 17 is distributed differently according to the cross section of the rigid bottom 16 of the compression hemostasis, for example, the sensor 17 can be two or more symmetrically distributed units when the cross section is round, and at least one or more units are distributed on each side when the cross section is quadrilateral;
as shown in fig. 10, which is a schematic diagram of an operation cross section of the embodiment of the present invention, the whole hemostasis by compression device surrounds the wrist, the compression rod on the palm side compresses the bleeding artery 24 located on the puncture palm surface 21 through the rigid and flexible parts at the bottom, the bleeding point is provided with the bleeding 18, the sensor located on the periphery of the compression rod bottom can monitor and activate the outward transmission alarm system in real time to prompt medical intervention, and the compression fixation module 10 on the radius side and the compression fixation module 11 on the ulnar side of the puncture wrist back 23 due to the depending on the osseous protuberance structure can realize effective hemostasis by compression without compressing the bleeding point of the palm artery of the puncture hand vein and the lymphatic channel 22, and meanwhile, the hollow hand back support 9 provides a proper position support for the patient, so as to reduce discomfort caused by a certain time for braking compression of the puncture arm of the patient after the intervention operation.
As shown in fig. 11 and 12, which are schematic diagrams of the front and top views of the hollow back hand support according to the embodiment of the present invention, the back hand support is made of flexible materials (sponge, soft resin, etc.) by the radial pressurizing and fixing module 10 and the ulnar pressurizing and fixing module 11, which may be square, wedge-shaped or cuboid, on one hand, the contact area with the ulnar radial protrusion may be increased, the stability of the whole device may be increased, on the other hand, the discomfort of the patient due to the circumferential compression of the wrist may be reduced, the bottom of the module is the rigid connection portion 25 of the back hand pressurizing and fixing module, which is connected to the two V-shaped support rods 26 located on the radial side of the back hand, the V-shaped support rods on both sides are connected by the connecting rod 27, so as to integrally form a hollow support structure located on the back hand of the patient, the V-shaped support rods may have an included angle between 45 and 120 degrees, and the included angle between positive and negative 60 degrees, and the hollow portion of the support may facilitate non-invasive ultrasound examination and invasive intravenous infusion. The support bar 26 and the connecting bar 27 may be of an integrated design or of an arc-shaped design in order to reduce the difficulty of the process and to allow for ease of use for the patient.
Fig. 13 is a schematic diagram of the overall operation of the device according to an embodiment of the present invention for alarming and reminding the external medical intervention, in which a sensor 17 for monitoring bleeding is disposed around the compression hemostasis rigid bottom 16, and after detecting the active bleeding 18 beside the puncture artery 24, a detachable information transmitting module 5 located in the fixed portion 2 attached to the palm surface of the wrist is activated through a communication module inside the sensor, and the module can remind a nurse or activate a doctor's mobile phone/tablet computer depending on wifi/4G/mobile phone app level through wifi or bluetooth in a working computer system attached to the intensive care unit CCU, send out alarm information, prompt the medical intervention in time, and avoid further expansion of the bleeding area and occurrence of serious complications such as subsequent myofascial compression syndrome and shock caused by serious blood loss.
The foregoing is a further detailed description of the invention in connection with the preferred embodiments, and it is not intended that the invention be limited to the specific embodiments described above. It will be apparent to those skilled in the art that several simple deductions or substitutions may be made without departing from the spirit of the invention, and these should be considered to be within the scope of the invention.

Claims (4)

1. The utility model provides a hemostasis and monitoring automatic alarm device are wrapped in pressurization which characterized in that: the device comprises a compression binding hemostasis device and a monitoring automatic alarm device;
the compression binding hemostasis device comprises a first flexible binding belt and a second flexible binding belt, a fixed back hand support and a detachable compression hemostasis belt fixing section are connected between the first flexible binding belt and the second flexible binding belt, and a closed circular ring is formed after the first flexible binding belt and the back hand support and the compression hemostasis belt fixing section are connected;
the compression tourniquet fixing section is arc-shaped, a screwing pressurizing device is arranged on the compression tourniquet fixing section, a movable pressurizing connecting rod is arranged at the bottom of the screwing pressurizing device, and the bottom of the movable pressurizing connecting rod is sequentially connected with a compression hemostasis rigid bottom and a compression hemostasis flexible bottom;
the automatic monitoring alarm device comprises a sensor and an information transmitting module, wherein the sensor is arranged below the screwing pressurizing device, and the information transmitting module is arranged on the fixed section of the compression tourniquet; the back of hand support is hollow protruding structure, and the back of hand support includes two sets of V-arrangement support frames, the contained angle between two connecting rods of V-arrangement support frame be 30-60 degrees, be equipped with two connecting rods between two sets of V-arrangement support frames, form the end to end and seal the connection between two sets of V-arrangement support frames and two connecting rods;
the bottom of each group of V-shaped supporting frames is respectively provided with a rigid connecting part of a hand and back pressurizing and fixing module, a radial pressurizing and fixing module is connected below the rigid connecting part of one hand and back pressurizing and fixing module, and the radial pressurizing and fixing module is connected with a first flexible binding belt through a first fixing buckle; the lower part of the rigid connecting part of the other hand back pressurizing and fixing module is connected with a ruler side pressurizing and fixing module, the ruler side pressurizing and fixing module is connected with a second flexible binding belt, and one side of the second flexible binding belt is provided with a second fixing buckle.
2. A compression wrap hemostasis and monitoring automatic alarm device in accordance with claim 1 and characterized in that: one side of the compression tourniquet fixing section is connected with the first flexible binding belt through a connecting buckle, and the other side of the compression tourniquet fixing section is provided with a compression tourniquet buckle matched with the second fixing buckle.
3. A compression wrap hemostasis and monitoring automatic alarm device in accordance with claim 1 and characterized in that: the sensor is a miniature sensor for monitoring subcutaneous hemorrhage and is connected with the light source device;
the information transmitting module is detachably connected with the compression tourniquet fixing section.
4. A compression wrap hemostasis and monitoring automatic alarm device in accordance with claim 1 and characterized in that: the flexible bottom of the compression hemostasis is round, square or oval, and the sensors are distributed around the flexible bottom of the compression hemostasis.
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CN107693078B (en) * 2017-10-17 2018-11-09 吴红葵 Compression type hemostat for intervention treatment of arteria femoralis
CN110547844A (en) * 2019-10-14 2019-12-10 南京市第一医院 wound fixed compressor suitable for cervical vertebra operation
CN216876486U (en) * 2021-11-02 2022-07-05 深圳市人民医院 Bracelet type anterior wall artery puncture postoperative wrapping device with blood flow monitoring function

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