CN106175866B - A kind of arteria carotis art area operative incision compression apparatus - Google Patents

A kind of arteria carotis art area operative incision compression apparatus Download PDF

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Publication number
CN106175866B
CN106175866B CN201610638665.4A CN201610638665A CN106175866B CN 106175866 B CN106175866 B CN 106175866B CN 201610638665 A CN201610638665 A CN 201610638665A CN 106175866 B CN106175866 B CN 106175866B
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China
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neck brace
gasbag
brace plate
arteria carotis
air bag
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CN201610638665.4A
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CN106175866A (en
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韩潜
刘昭
刘长建
章文文
姜贝
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower 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
    • 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

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

Abstract

The invention discloses a kind of arteria carotis art area operative incision compression apparatus, including neck brace plate, transparency window, gasbag, air bag, connecting tube, pressure gauge, check valve, buffer part, attachment device.Neck brace plate includes first half and latter half, transparency window is set to the arteria carotis area of neck brace plate and covers arteria carotis traveling area, gasbag is set on the inner wall of transparency window, air bag can be placed in gasbag, air bag is connected to by connecting tube with pressure gauge, connecting tube distal end is equipped with check valve, and buffer part is set to the upper and lower fringe region of neck brace plate first half and latter half, and attachment device is used to connect the first half and latter half of neck brace plate.The compression apparatus can overcome the shortcomings of existing neck brace, meet medical worker's hemostasis by compression demand safe to patient's arteria carotis, accurate, stable, effective, and be provided with buffer part and skin-friendly layer, greatly improve the comfort level of user's wearing.

Description

A kind of arteria carotis art area operative incision compression apparatus
Technical field
The present invention relates to a kind of medical aids, especially a kind of arteria carotis art area operative incision compression apparatus.
Background technique
The operation postoperative wound in arteria carotis region out of shape is both needed to the hemostasis by compression treatment of different pressures, as carotid artery intima is shelled De- art, excision of carotid body tumor etc..If postoperative wound compression therapeutic pressure is too small, bleeding, the false artery of arteria carotis can occur The postoperative complications such as tumor, second operation may;If postoperative wound compression therapeutic pressure is excessive, carotid artery stenosis can occur and even close Plug, jugular vein is narrow or even the postoperative complications possibility such as occlusion, cerebral ischemia, thrombosis, cerebral infarction.Current clinically arteria carotis art The postoperative neck brace used in area is traditional neck brace for treating cervical spondylosis, there is no and is exclusively used in arteria carotis notch compressorium.Face Bed doctor is by a large amount of fixed and traditional neck brace external pressurizeds in gauzes part in art area to reach the hemostasis by compression of notch and avoid Oppress the purpose of strong bilateral common carotid artery.It has following major defect: (one) Compressive Hemostasis.1, since a large amount of gauzes are locally fixed Yu Shuqu leads to notch compressing impetus dispersion, therefore not can guarantee effective Compressive Hemostasis.2, clinician often relies on Experience subjective judgement place gauze number, to reach certain pressure, and consider patient individual difference, therefore can not Guarantee accurate, stable Compressive Hemostasis.3, due to the factors such as neck mobility is larger, tissue is relatively soft, perspiration, art area glue Cloth fixation is more difficult, often leads to gauze displacement, therefore not can guarantee effective, stable Compressive Hemostasis.(2) notch feelings are checked Condition.Postoperative clinician need to repeatedly check arteria carotis notch whether there is or not bleeding, infection and wound healing situation, and clinician needs to open Neck brace simultaneously removes gauze, can just check notch, handles after notch the fixed a large amount of gauzes in part again, adjusts simultaneously fixed neck brace.It should Process is time-consuming and laborious to take gauze, and because checking notch, causes notch can not persistent pressure.In addition, if notch has bleeding or sense The problems such as dye, clinician can not have found and handle in time.(3) operation difficulty.The prior art need the fixed gauze of clinician and Neck brace, and patient and family members can not complete independently operations.(4) comfort level.Because existing neck brace original is designed for cervical spondylosis, limit Cervical vertebra moving processed such as is led because limiting neck and mandibular activity so non-cervical spondylosis patient wears extremely uncomfortable after the neck brace Cause diet difficult;Because of existing neck brace, especially neck brace latter half, material is harder, unreasonable structural design, if patient lies supine position When, item back is extremely uncomfortable, leads to dyscoimesis.(5) mental health.Because comfort level is lower and aesthetics is poor, increase patient Psychological pressure.
Summary of the invention
To solve the above problems, the present invention proposes a kind of arteria carotis art area operative incision compression apparatus, the hemostasis by compression Device can overcome the shortcomings of existing neck brace, meet medical worker and stop to patient's arteria carotis safety, accurate, stable, effective oppress Blood demand.
In order to achieve the above object, the present invention proposes a kind of arteria carotis art area operative incision compression apparatus, including neck brace plate, thoroughly Bright window, gasbag, air bag, connecting tube, pressure gauge, check valve, buffer part and attachment device.Neck brace plate includes first half with after Half part, transparency window are set to the arteria carotis area of neck brace plate and cover arteria carotis traveling area, and gasbag is set to the interior of observation window On wall, air bag can be placed in gasbag, and air bag is connected to by connecting tube with pressure gauge, and connecting tube distal end is equipped with check valve, be delayed The portion of punching is set to the upper and lower fringe region of neck brace plate first half and latter half, and attachment device is for before connecting neck brace plate Half part and latter half.
Further, the quantity of above-mentioned transparency window is two, is respectively arranged at two bilateral common carotid artery areas of neck brace first half, clinic doctor Air bag can be placed in corresponding gasbag by life according to patients surgery position.
Further, above-mentioned transparency window is a parallelogram, should cover arteria carotis traveling area, and size can vary with each individual, long About 7~9cm, wide about 4~6cm.
Further, above-mentioned gasbag is a parallelogram transparent bag, invests transparency window inner wall, is slightly larger than transparency window, long About 7~9cm, wide about 6~7cm have row opening for internal airbag below, are about 1.5~2.5cm, the gasbag The side of longitudinal and transverse two directions is substantially parallel with the leading edge of neck brace plate first half and top edge respectively, the cross of the gasbag To side length be about neck brace plate first half width half.
Further, above-mentioned air bag is made of the transparent rubber or synthetic of soft type inflatable, in unaerated state Under be placed in the gasbag of corresponding notch side, after inflation, air bag is about 7~9cm, diameter about 5~6cm.
Further, above-mentioned connecting tube is made of rubber or synthetic, is connected to air bag, is about 5~6cm, diameter is about 0.5cm。
Further, above-mentioned pressure gauge is pointer indicator type pressure gauge.
Further, above-mentioned check valve injects air to air bag for syringe insertion.Syringe is inserted into unidirectional when check valve Valve is opened, and syringe closed check valve is pulled out.Compared with external valve, check valve can avoid opening by mistake valve, keep air pressure steady It is fixed.
Further, neck brace plate inner wall is equipped with skin-friendly layer.
Further, neck brace plate is to be designed according to neck anatomical structure, and attachment device is to paste fixing belt.
In conclusion the invention has the following beneficial effects: can be crossed first through transparency window, transparent air sac belt and air bag Check notch situation, immediate observation wound is time saving and energy saving;And gasbag pressure, clinician can be precisely controlled by pressure gauge It is possible to notify that patient and family members' pressure value, patient and family members can be easy to operate according to pressure value complete independently air bag pressurized operation Fast;Neck brace is equipped with buffer part, and structure meets human anatomic structure, improves the comfort level of user's wearing.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the arteria carotis art area operative incision compression apparatus of the embodiment of the present invention.
Specific embodiment
In order to better understand the technical content of the present invention, special to lift specific embodiment and institute's accompanying drawings is cooperated to be described as follows.
Fig. 1 is the structural schematic diagram of the arteria carotis art area operative incision compression apparatus of the present embodiment, as shown in Figure 1, neck Artery art area operative incision compression apparatus include neck brace plate 10,20, transparency window 11, gasbag 12, air bag 13, connecting tube 14, Pressure gauge 15, buffer part 17, buffer part 21, pastes fixing belt 30 at check valve 16.Neck brace plate includes first half 10 and latter half of Divide 20, transparency window 11 is set to the arteria carotis area of neck brace plate and covers arteria carotis traveling area, and gasbag 12 is set to transparency window 11 Inner wall on, air bag 13 can be placed in gasbag 12, and air bag 13 be connected to by connecting tube with pressure gauge 15, and connecting tube 14 is distally Equipped with check valve 16, buffer part 17 is set to the upper and lower edge of neck brace plate first half 10, after buffer part 21 is set to neck brace plate Lower, comfortable elastic material is made using hardness for the upper and lower edge of half part 20, buffer part 17 and buffer part 21, passes through colloid It is bonded respectively with the first half 10 of neck brace plate and latter half 20.
Transparency window 11 is located at two bilateral common carotid artery areas of neck brace plate first half.Transparency window 11 is that transparent material is made and has one Determine hardness, its shape can be met and do not changed with gasbag pressure.It should cover arteria carotis traveling area, and size can vary with each individual, and be about 7 ~9cm, wide about 5~6cm.
Gasbag 12 is a parallelogram transparent bag, invests 11 inside of transparency window, is about 7~9cm, wide about 6~7cm, There is a row open S below, the lateral side length for being about 1.5~2.5cm, built-in air bag 14, and gasbag 12 is about The half of neck brace plate first half width, the side of 12 longitudinal and transverse two directions of gasbag is respectively and before neck brace plate first half 10 Edge and top edge are substantially parallel.Gasbag 12 can be resistant to 13 pressure of air bag and without damage.
Air bag 14 is made of the transparent rubber or synthetic of soft type inflatable, is placed under unaerated state pair In the gasbag 12 for the notch side answered, after inflation, air bag 13 is about 7~9cm, and diameter about 5~6cm can be covered and uniformly be oppressed Arteria carotis notch.It inflates 13 diameter of rear gasbag and is greater than 12 Opening length of gasbag, therefore air bag 14 is securable in gasbag 12.
Above-mentioned connecting tube 14 is made of rubber or synthetic, is connected to air bag 13, is about 5~6cm, diameter is about 0.5cm。
Above-mentioned pressure gauge 15 is pointer indicator type pressure gauge, and pressure gauge disk diameter about 2~3cm is connected with connecting tube It connects, gasbag pressure can be measured.In other embodiments, the pressure gauge 15 is also possible to digital pressure gauge.
Above-mentioned check valve 16 is the switch of air bag, is located at 15 distal end of connecting tube, and diameter about 1cm is wrapped in connecting tube 15 outside, Guarantee the leakproofness of connecting tube 15.It can be inserted into check valve with syringe and inject air to air bag, when syringe is inserted into check valve 16 Check valve 16 is opened, and the closing of syringe check valve 16 is pulled out.Compared with external valve, check valve 16 can avoid opening by mistake valve, Keep stable gas pressure.
Check valve 16 in the present embodiment is similar with check valve used in catheter, and specific structure is no longer retouched in detail It states.
Above-mentioned stickup fixing belt 30 is located at the first part 10 of neck brace plate, can be fixed on two outsides of first half 10 Fixed function is played to neck brace plate in hemostasis in face.
The present embodiment for arteria carotis art area operative incision compression apparatus use when specific steps are as follows:
Firstly, advising patient lies supine position, seat or erect position, the arteria carotis pressure of suitable types is selected according to patient's neck feature Compel haemostat, it is other according to patients surgery side, unaerated air bag is placed in the other gasbag of respective side.
Secondly, the latter half of haemostat neck brace plate is placed on patient's napex, according to transparency window and surgical incision site, By the first half of neck brace plate by pasting fixing belt to latter half of neck brace is fixed on, guarantee that air bag can sufficiently and incision contacts.
Then, it is inserted into check valve with the syringe for removing syringe needle, injects air, is repeated several times, passed through in pressurization transparent Window checks notch situation, until notch obtains effective haemostatic pressure, extracts syringe, recording manometer pressure value entrusts disease People and family members notice observation pressure gauge numerical value.
To sum up, the present invention uses transparency window, transparent gasbag and air bag, and clinician, patient and family members can be timely It was found that notch bleeding, infection and wound healing situation etc., time saving and energy saving province's gauze.Use pointer indicator type pressure gauge, clinic doctor Life can be precisely controlled gasbag pressure and inform patient and family members' pressure value;Using syringe through check valve to air bag inflating pressure, It is simple and beautiful, it is easy to operate, and daily routines are not influenced, it can get effective, stable Compressive Hemostasis.In addition, Patient and family members can independently adjust gasbag pressure according to pressure value.
Further, the present invention carries out arteria carotis art area's hemostasis by compression treatment using air bag, it is possible to provide uniformly, stablizes, effectively Local pressure;There are a preset gasbag in the neck brace two sides that the present invention uses, and clinician can be according to patients surgery position by gas Capsule is placed in corresponding gasbag, fixation balloon, therefore can reduce production cost;The neck brace plate that the present invention uses is according to people Body neck dissection structure designs, and is divided into former and later two parts, to paste fixed band connection, after wearing to patient's neck under Jawbone activity is unaffected.The neck brace that the present invention uses is equipped with buffer part and neck brace plate inner face is equipped with skin-friendly layer, greatly enhances Wearing comfort, and the neck brace that the present invention uses has certain degree of hardness that can maintain its shape, is not changed by gasbag pressure, therefore The pressure of neck brace will not tracheas suppressed and strong bilateral common carotid artery region.The neck brace that the present invention uses pastes fixing belt and is located at neck brace plate Two lateral surfaces are conducive to the air bag for wearing and installing corresponding side.Tailored appearance of the present invention, comfortable wearing, can reduce patients ' psychological Pressure.
Although the present invention has been disclosed as a preferred embodiment, however, it is not to limit the invention.Skill belonging to the present invention Has usually intellectual in art field, without departing from the spirit and scope of the present invention, when can be used for a variety of modifications and variations.Cause This, the scope of protection of the present invention is defined by those of the claims.

Claims (4)

1. a kind of arteria carotis art area operative incision compression apparatus, which is characterized in that including neck brace plate, transparency window, gasbag, gas Capsule, connecting tube, electronic pressure gauge, check valve, buffer part and attachment device, neck brace plate include first half and latter half, thoroughly Bright window is set to the arteria carotis area of neck brace plate and covers arteria carotis traveling area, and gasbag is set on the inner wall of observation window, air bag It can be placed in gasbag, air bag is connected to by connecting tube with electronic pressure gauge, and connecting tube distal end is equipped with check valve, and buffer part is set It is placed in the upper and lower edge of neck brace plate first half and latter half, attachment device is used to connect the first half of neck brace plate with after Half part;
The quantity of above-mentioned transparency window is two, is respectively arranged at two bilateral common carotid artery areas of neck brace first half;
Above-mentioned transparency window is a parallelogram, covers arteria carotis traveling area, grows 7 ~ 9cm, wide 5 ~ 6cm;
Above-mentioned gasbag is a parallelogram transparent bag, is invested on the inside of transparency window, greater than transparency window, long 7 ~ 9cm, wide 6 ~ 7cm, There is side difference of the row opening for internal airbag, long 1.5 ~ 2.5cm, and the gasbag longitudinal and transverse two directions below Parallel with the leading edge of neck brace plate first half and top edge, the lateral side length of the gasbag is that neck brace plate first half is wide The half of degree;
Above-mentioned air bag is made of the transparent rubber or synthetic of soft type inflatable, is placed in correspondence under unaerated state Notch side gasbag in, after inflation, air bag long 7 ~ 9cm, 5 ~ 6cm of diameter;
Above-mentioned check valve is inserted into for syringe, injects air to air bag.
2. arteria carotis art according to claim 1 area operative incision compression apparatus, which is characterized in that above-mentioned connecting tube is adopted It is made of rubber or synthetic, is connected to air bag, long 5 ~ 6cm, diameter 0.5cm.
3. arteria carotis art according to claim 1 area operative incision compression apparatus, which is characterized in that neck brace plate inner wall is set There is skin-friendly layer.
4. arteria carotis art according to claim 1 area operative incision compression apparatus, which is characterized in that the first half of neck brace plate Part and latter half are to be designed according to neck anatomical structure, and attachment device is to paste fixing belt.
CN201610638665.4A 2016-08-05 2016-08-05 A kind of arteria carotis art area operative incision compression apparatus Active CN106175866B (en)

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CN106175866B true CN106175866B (en) 2019-03-19

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107307931B (en) * 2017-08-01 2019-08-27 华北理工大学 Multifunctional cervical vertebra tractor
CN110495859A (en) * 2019-09-24 2019-11-26 广州市妇女儿童医疗中心 Jugular vein compression device

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* Cited by examiner, † Cited by third party
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CN201642182U (en) * 2010-03-12 2010-11-24 唱荣艳 Elastic fixing strap for neck disease after operation
US9655627B2 (en) * 2012-05-11 2017-05-23 Michael Zhadkevich Anti-embolic device and method
CN203234781U (en) * 2013-03-04 2013-10-16 李艳明 Elastic tourniquet for neck
CN204092097U (en) * 2014-09-18 2015-01-14 苏州大学附属第二医院 A kind of wound dressing device being applicable to wound first aid
CN204364064U (en) * 2014-12-10 2015-06-03 三峡大学人民医院 Carotid compressing haemostat
CN204708924U (en) * 2015-06-12 2015-10-21 中国人民解放军第三军医大学第三附属医院 Cuff type radial artery haemostat

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