CN106039486A - PICC (peripherally inserted central catheter) puncture fixation method - Google Patents
PICC (peripherally inserted central catheter) puncture fixation method Download PDFInfo
- Publication number
- CN106039486A CN106039486A CN201610511302.4A CN201610511302A CN106039486A CN 106039486 A CN106039486 A CN 106039486A CN 201610511302 A CN201610511302 A CN 201610511302A CN 106039486 A CN106039486 A CN 106039486A
- Authority
- CN
- China
- Prior art keywords
- pressure
- microprocessor
- oversleeve
- annular
- puncture
- Prior art date
- 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
-
- 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
- A61B17/132—Tourniquets
- A61B17/1322—Tourniquets comprising a flexible encircling member
-
- 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
- A61B17/132—Tourniquets
- A61B17/135—Tourniquets inflatable
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/42—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
- A61M5/425—Protruding skin to facilitate piercing, e.g. vacuum cylinders, vein immobilising means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0247—Pressure sensors
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Hematology (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Anesthesiology (AREA)
- Dermatology (AREA)
- Biophysics (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention discloses a PICC (peripherally inserted central catheter) puncture fixation method. A required pressure value is inputted by virtue of a remote controller and the remote controller is started; by virtue of a wireless transmitting part on the remote controller piece, a signal is transmitted to a wireless transmitting module; a pressure regulating device, which is controlled by the microprocessor, is used for inflating an adjustable inflatable pad in an annular sleeve; the pressure regulating device stops pressurizing the inflatable pad when a preset pressure value is reached and constantly keeps the pressure at a preset value; vein puncture of a catheter can be conducted after conducting conventional disinfection; and a medical detection instrument, which is arranged on the inner side of the annular sleeve, is used for picking up signals from a human body surface and for detecting heart rates and blood pressures. The catheter disclosed by the invention can directly sleeve an upper arm and cannot be constantly nursed by medical personnel in a puncture process; the catheter is larger in contact area with an arm, and the catheter, in the combination with a pressure sensor, can precisely sense a pressure on the arm; the phenomenons of slipping and displacing can be avoided in the case that blood vessels stand up after it adjusts and pressurizes to an appropriate pressure; and the medical personnel can observe blood pressure and heart rate information of a patient in real time and can adopt measures timely, so that the smooth implementation of the puncture process is guaranteed.
Description
Technical field
The present invention relates to the fixing means that a kind of PICC punctures.
Background technology
Being to utilize conduit to puncture from the vein of periphery arm through periphery venipuncture central vein catheter, conduit goes directly
Near the big vein of heart, chemotherapeutics can be avoided to contact with the direct of arm vein, add the blood flow rate of big vein very
Hurry up, dilute chemotherapeutics can be rushed rapidly, prevent the medicine stimulation to blood vessel, therefore, it is possible to effectively protect veins of upper extremity, reduce quiet
The generation that arteries and veins is scorching, alleviates the pain of patient, improves the quality of life of patient.Current piercing method is, first uses tape measuring
Patient to superior vena caval length, after ancon chooses site of puncture, pricks vein tourniquet, after routine disinfection from site of puncture
Carry out the venipuncture of conduit, according to the situation retention catheter length of patient, determine after superior vena cava after puncture
Use.Finding when reality is applied, some elderly patients' build is thin and weak, blood vessel is very thin, and common vein tourniquet is pricked patient
Upper arm after, be difficult to find accurately the position of acupuncture treatment, need repeatedly to puncture, add the misery of sufferer；On the other hand, piercing process pair
Technology in operation requires higher, uses the blood vessel of patient in common tourniquet piercing process to be easy to slide, and needs are many
Secondary repeated puncture could be successful, brings the biggest misery to patient.
Summary of the invention
The problem existed for above-mentioned prior art, it is an object of the invention to provide a kind of piercing process be easily controlled, time
Between short, can effectively reduce the fixing means that the PICC that patient is painful, facilitate doctor to operate punctures.
For achieving the above object, the technical solution used in the present invention is: the fixing means that a kind of PICC punctures, including as follows
Step:
(1) first use tape measuring patient from site of puncture to superior vena caval length, choose site of puncture at ancon
After, annular oversleeve is enclosed within the upper arm of patient；
(2) needed the pressure value reached by remote controller input, and input enabling signal, wireless on remote control device
Penetrate part and signal is reached the wireless transport module controlling to be connected with microprocessor in cavity on annular oversleeve surface, be wirelessly transferred
Signal is reached in microprocessor by module, and microprocessor controls in pressure regulation device adjustable inflatable pad in annular oversleeve
Inflation, the pressure transducer of adjustable inflatable pad inner peripheral surface detects the pressure that adjustable inflatable pad contacts with arm in real time, pressure
When power reaches default force value, microprocessor automatic pressure control adjusting apparatus stops pressurization, and keeps adjustable inflatable pad
The pressure all-the-time stable of inner peripheral surface and arm, at default numerical value, can carry out the venipuncture of conduit after routine disinfection；
(3), in piercing process, the medical detector arranged inside annular oversleeve is in real time from body surface pickoff signals, by arteries and veins
Fight signal and heartbeat time the pressure signal of blood vessel wall be converted to the signal of telecommunication export to microprocessor, obtain blood pressure and the heart
Rate, storage is got off, and is shown by the display unit controlling housing surface；
(4), when in piercing process, pressure declines, microprocessor controls pressure regulation device and automatically starts pressurization, makes pressure begin
The most constant；
(5), after puncturing, by the instruction of remote controller input aerofluxus, the wireless transmit part on remote control device is by signal
Reaching the wireless transport module being connected with microprocessor, signal is reached in microprocessor by wireless transport module, microprocessor control
Pressing pressure adjusting apparatus aerofluxus, can take off annular oversleeve after the gas discharge in adjustable aerated cushion, complete to puncture through
Journey.
Preferably, described pressure regulation device is inflatable and aerofluxus EAP Electronic Air Pump.
Preferably, described display unit is LED display.
Preferably, operating for convenience, the control cavity on annular oversleeve surface is provided with input module, and input module is tactile
Touch formula control panel.
Preferably, described annular oversleeve is made up of antistatic sterile-cloth.
Annular oversleeve of the present invention can be directly sleeved on patient's upper arm, does not has external pipeline, it is to avoid occurs in operation each
Plant the problem interfered between conduit, on the other hand, it is not necessary to medical personnel nurse in piercing process all the time, save
The time of medical personnel, improve work efficiency, annular oversleeve compressing face width and soft, it is ensured that during use, patient's arm is applied
Pressure uniform, owing to arm is wrapped by annular oversleeve, bigger with the contact area of arm, can essence in conjunction with pressure transducer
The really perception pressure to arm, adjust blood vessel when being pressurized to suitable pressure the most cruelly rise and blood vessel cruelly rise after do not have slip
The phenomenon of displacement, facilitates being smoothed out of piercing process；The medical detector arranged inside annular oversleeve is in real time from body
Table pickoff signals, medical personnel can see blood pressure and the heart rate information of patient in real time, it is to avoid the health of patient in piercing process
There is fluctuation in situation, and medical personnel can take measures according to emergency case in time, it is ensured that the safety of piercing process is smoothed out；
Can remotely control pressure regulation device, it is also possible to regulate pressure the most at any time, it is the most convenient to control, and uses safety；Hold
Easily finding the position of acupuncture treatment accurately, through test of many times, only need a pin can find targeted vein accurately, piercing process is easily controlled, and the time is short,
Further mitigate the misery of sufferer.
Accompanying drawing explanation
Fig. 1 is the structural representation of the used device of the present invention；
Fig. 2 is the control principle drawing of device in Fig. 1.
Detailed description of the invention
Below in conjunction with the accompanying drawings the present invention is described in further detail.
As depicted in figs. 1 and 2, the device that the present invention uses includes that annular oversleeve 1, described annular oversleeve 1 are to be highly 10
± 2cm, the cylindrical shape of a diameter of 8 ± 1cm, it is provided with adjustable in being provided with medical detector, and annular oversleeve 1 inside annular oversleeve 1
Joint inflatable packer, described adjustable inflatable pad inner peripheral surface is provided with pressure transducer, and annular oversleeve 1 is externally provided with control cavity 2, described
Control cavity 2 is provided with pressure regulation device, wireless transport module and microprocessor, control cavity 2 surface and be provided with display unit
4, pressure regulation device is connected to adjustable inflatable pad by pipeline, and described medical detector, pressure transducer, pressure adjust dress
Put, wireless transport module, display unit 4 are connected with microprocessor respectively.
During use, first use tape measuring patient from site of puncture to superior vena caval length, choose puncture at ancon
Behind position, being enclosed within the upper arm of patient by the annular oversleeve 1 of the present invention, medical personnel's hand-held remote controller, input needs reach
Pressure value, and input enabling signal, the wireless transmit part on remote control device signal is reached in control cavity 2 with micro-process
The wireless transport module that device is connected, signal is reached in microprocessor by wireless transport module, and microprocessor controls pressure and adjusts dress
Putting and inflate in adjustable inflatable pad, adjustable inflatable pad inner peripheral surface pressure transducer detects adjustable inflatable pad and hands in real time
The pressure of arm contact, when pressure reaches default force value, microprocessor automatic pressure control adjusting apparatus stops pressurization, and protects
Hold the pressure all-the-time stable of adjustable inflatable pad inner peripheral surface and arm at default numerical value, conduit after routine disinfection, can be carried out
Venipuncture, now relatively big with the contact area of arm due to annular oversleeve 1, and the pressure producing upper arm is uniform, blood vessel
Will not slide easily after sudden and violent, can keep stable in whole piercing process, facilitate being smoothed out of piercing process.Puncture
During, pulse signal and heart, in real time from body surface pickoff signals, are fought by the medical detector arranged inside annular oversleeve 1
Time dynamic, pressure signal to blood vessel wall is converted to the signal of telecommunication and exports to microprocessor, obtains blood pressure and heart rate, and storage is got off, and leads to
Crossing display unit 4 to show, medical personnel can see blood pressure and the heart rate information of self in real time, it is to avoid sick in piercing process
There is fluctuation in the health of people, and medical personnel can take measures according to emergency case in time, it is ensured that the safety of piercing process
It is smoothed out.When in piercing process, pressure declines, microprocessor controls pressure regulation device and automatically starts pressurization, makes pressure all the time
Constant.During practical operation, can change, by remote controller, the pressure value preset, to reach more preferable effect as required.
After puncture, by the instruction of remote controller input aerofluxus, signal is passed by the wireless transmit part on remote control device
To the wireless transport module being connected with microprocessor, signal is reached in microprocessor by wireless transport module, and microprocessor controls
Pressure regulation device aerofluxus, can take off annular oversleeve 1 after the gas discharge in adjustable aerated cushion, complete to puncture through
Journey.
Preferably, above-mentioned pressure regulation device is inflatable and aerofluxus EAP Electronic Air Pump.
Preferably, described display unit 4 is LED display.
Preferably, operating for convenience, the control cavity 2 on annular oversleeve 1 surface is provided with input module 3, input module 3
For touch control panel.Being provided with input module 3 owing to controlling cavity 2 surface, medical personnel can directly pass through input module 3
Input instruction, closely controls the charge, exhaust of device.
Preferably, described annular oversleeve 1 is made up of antistatic sterile-cloth.
Claims (5)
1. the fixing means that a PICC punctures, it is characterised in that comprise the steps:
(1) first use tape measuring patient from site of puncture to superior vena caval length, after ancon chooses site of puncture, will
Annular oversleeve is enclosed within the upper arm of patient；
(2) needed the pressure value reached by remote controller input, and input enabling signal, the wireless transmission section on remote control device
Divide the wireless transport module controlling to be connected in cavity that signal is reached annular oversleeve surface, wireless transport module with microprocessor
Being reached by signal in microprocessor, microprocessor controls to fill in pressure regulation device adjustable inflatable pad in annular oversleeve
Gas, the pressure transducer of adjustable inflatable pad inner peripheral surface detects the pressure that adjustable inflatable pad contacts with arm, pressure in real time
When reaching default force value, microprocessor automatic pressure control adjusting apparatus stops pressurization, and in keeping adjustable inflatable pad
The pressure all-the-time stable of circle surface and arm, at default numerical value, can carry out the venipuncture of conduit after routine disinfection；
(3), in piercing process, pulse from body surface pickoff signals, is believed by medical detector in real time that arrange inside annular oversleeve
Number and during heartbeat pressure signal to blood vessel wall be converted to the signal of telecommunication and export to microprocessor, obtain blood pressure and heart rate, storage
Leave, and shown by the display unit controlling housing surface；
(4), when in piercing process, pressure declines, microprocessor controls pressure regulation device and automatically starts pressurization, makes pressure the most permanent
Fixed；
(5), after puncturing, by the instruction of remote controller input aerofluxus, signal is reached by the wireless transmit part on remote control device
The wireless transport module being connected with microprocessor, signal is reached in microprocessor by wireless transport module, and microprocessor controls pressure
Force adjusting device aerofluxus, can take off annular oversleeve after the gas discharge in adjustable aerated cushion, complete piercing process.
The fixing means that PICC the most according to claim 1 punctures, it is characterised in that described pressure regulation device is for filling
Gas and the EAP Electronic Air Pump of aerofluxus.
The fixing means that PICC the most according to claim 1 punctures, it is characterised in that described display unit is that LED shows
Screen.
The fixing means that PICC the most according to claim 1 punctures, it is characterised in that the control cavity on annular oversleeve surface
Being provided with input module, input module is touch control panel.
PICC the most according to claim 1 puncture fixing means, it is characterised in that described annular oversleeve by antistatic without
Bacterium cloth is made.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610511302.4A CN106039486A (en) | 2016-07-01 | 2016-07-01 | PICC (peripherally inserted central catheter) puncture fixation method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610511302.4A CN106039486A (en) | 2016-07-01 | 2016-07-01 | PICC (peripherally inserted central catheter) puncture fixation method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106039486A true CN106039486A (en) | 2016-10-26 |
Family
ID=57201559
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610511302.4A Pending CN106039486A (en) | 2016-07-01 | 2016-07-01 | PICC (peripherally inserted central catheter) puncture fixation method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106039486A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108938054A (en) * | 2018-06-06 | 2018-12-07 | 王燕青 | A kind of blood vessel deviation-rectifying system and blood vessel are rectified a deviation method of adjustment |
| CN111419328A (en) * | 2020-03-11 | 2020-07-17 | 西北妇女儿童医院 | Puncture tourniquet |
-
2016
- 2016-07-01 CN CN201610511302.4A patent/CN106039486A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108938054A (en) * | 2018-06-06 | 2018-12-07 | 王燕青 | A kind of blood vessel deviation-rectifying system and blood vessel are rectified a deviation method of adjustment |
| CN111419328A (en) * | 2020-03-11 | 2020-07-17 | 西北妇女儿童医院 | Puncture tourniquet |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20161026 |
|
| WD01 | Invention patent application deemed withdrawn after publication |