CN106618668A - Arteria cruralis compression hemostasis device - Google Patents
Arteria cruralis compression hemostasis device Download PDFInfo
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Abstract
本发明提供了一种股动脉压迫止血装置,在经股动脉介入手术完成后对穿刺点进行止血,包括气囊式压迫组件,具有可充气气囊以及安装在可充气气囊底端上并且压在穿刺点上的压迫块;夹板,设置在穿刺侧大腿的底部,具有跨越髋关节的上端部;至少一个横缚带组件,两端分别安装在夹板的左右侧边上,将夹板固定在穿刺侧大腿的底部;以及斜缚带组件,具有沿髋关节延伸并将气囊式压迫组件固定在穿刺点上的斜缚带。
The invention provides a femoral artery compression hemostasis device, which can stop bleeding at the puncture point after the transfemoral artery interventional operation is completed, comprising a balloon-type compression component, with an inflatable airbag installed on the bottom end of the inflatable airbag and pressed against the puncture point The upper compression block; the splint is set on the bottom of the puncture side thigh, and has an upper end spanning the hip joint; at least one transverse strap assembly, the two ends of which are respectively installed on the left and right sides of the splint, fix the splint on the puncture side thigh the bottom; and an oblique strap assembly having an oblique strap extending along the hip joint and securing the balloon compression assembly at the puncture point.
Description
技术领域technical field
本发明属于医疗器械领域,具体涉及一种经股动脉介入手术完成后对穿刺点快速进行止血的股动脉压迫止血装置。The invention belongs to the field of medical devices, and in particular relates to a femoral artery compression hemostasis device for rapidly hemostasis at a puncture point after an interventional operation through the femoral artery is completed.
背景技术Background technique
通常情况下,介入诊断和治疗的手术是通过患者的股动脉通路来实现的,股动脉通路的介入手术具有成功率高,手术操作难度低等优点,但由于股动脉的血管较粗,血压高,因而术后的动脉完全止血是具有挑战性的。Usually, interventional diagnosis and treatment are performed through the patient's femoral artery access. The femoral artery access interventional operation has the advantages of high success rate and low surgical operation difficulty, but due to the thicker blood vessels of the femoral artery, the blood pressure , and thus complete hemostasis of arterial bleeding after surgery is challenging.
在介入手术完成并且导管被去除后,由医生或医疗专业人员在动脉导管穿刺点处施加压力以实现止血和动脉穿刺点的闭合。由于止血和动脉穿刺点闭合需要持续稳定的压力,所以一般初期给予的压力较高,经过一段时间后,需要逐渐降低压力,以保证血管下游组织得到丰富的血供。After the intervention is complete and the catheter is removed, pressure is applied by the physician or medical professional at the catheter arterial puncture site to achieve hemostasis and closure of the arterial puncture site. Since hemostasis and closure of the arterial puncture point require continuous and stable pressure, the initial pressure is generally high. After a period of time, the pressure needs to be gradually reduced to ensure a rich blood supply to the downstream tissues of the blood vessels.
通常股动脉穿刺点止血主要通过医护人员手工按压或施加绷带加压止血,不仅极耗费医护人员体力和时间,而且在实施加压包扎时,国内医生使用的材料也不尽相同,如使用通用绷带需“十”字形缠绕夺权才能有效,但绷带会勒紧皮肤,造成患者皮肉疼痛。也有用宽而长的医用胶布进行“十”字交叉粘贴,但较多的患者存在胶布过敏情况。Usually the hemostasis at the puncture point of the femoral artery is mainly through manual pressure by medical staff or applying bandage pressure to stop bleeding. It needs to be wrapped in a "ten" shape to be effective, but the bandage will tighten the skin and cause pain in the patient's skin. Wide and long medical adhesive tapes are also used for "ten" cross-pasting, but more patients have adhesive tape allergies.
此外,限于无专用器材,医生只好自制“加压物”垫于穿刺点上,使加压压力能够集中于穿刺点,但存在如下问题:其一,自制的加压物大小质量不一,很难保证止血作用,并且材料的不统一和非专用器材的应用,使包扎止血的效果和质量无法保证;其二,过大的加压物还会压迫相邻的股静脉,引起静脉回流障碍甚至血栓形成;其三,绷带或胶布加压前均需要医护人员手工压迫10-30分钟,耗时耗力。In addition, limited by the lack of special equipment, the doctor had to make a self-made "compressor" to pad the puncture point so that the pressurized pressure can be concentrated on the puncture point. It is difficult to guarantee the hemostatic effect, and the inconsistency of materials and the application of non-special equipment make the effect and quality of bandage hemostasis unable to be guaranteed; second, excessive pressurization will also oppress the adjacent femoral vein, causing venous return obstruction or even Thrombosis; third, before the bandage or adhesive plaster is pressurized, the medical personnel need to manually compress it for 10-30 minutes, which is time-consuming and labor-intensive.
为了解决上述问题,现有技术中出现了一种股动脉压迫止血器,通过气囊或者旋钮进行充气或者推进加压,这种止血器在一定程度上减轻医护人员的体力,提高止血效率,也节省了术者和手术台的时间,但也存在若干缺点:(1)压迫位置难以保持固定,容易随着病人腿部的转动而产生位移,从而导致加压压力偏移穿刺点;(2)压迫后肢体需要制动以达到较好的止血效果,股动脉穿刺需要穿刺肢体伸直平卧6-8小时,部分患者不能配合,擅自弯曲股部影响压迫止血效果,导致穿刺点出血;(3)只能压住皮肤穿刺点,无法压住血管穿刺口,撤除加压装置后,皮内血肿较多;(4)组件繁多、操作繁琐、机身沉重,不便于携带和穿戴。In order to solve the above problems, a femoral artery compression hemostat has appeared in the prior art, which is inflated or pushed and pressurized through an air bag or a knob. This hemostat can reduce the physical strength of medical staff to a certain extent, improve the hemostatic efficiency, and save It saves time for the operator and the operating table, but there are also some disadvantages: (1) It is difficult to keep the compression position fixed, and it is easy to produce displacement with the rotation of the patient's leg, which will cause the pressurization pressure to deviate from the puncture point; (2) Compression The rear limbs need to be immobilized to achieve better hemostasis effect. Femoral artery puncture requires the punctured limbs to lie flat for 6-8 hours. Some patients cannot cooperate and bend the thigh without authorization to affect the effect of compression and hemostasis, resulting in bleeding at the puncture point; (3) Can only press down skin puncture point, can't press down blood vessel puncture port, after removing pressurization device, intradermal hematoma is more; (4) component is various, operation is loaded down with trivial details, and fuselage is heavy, is inconvenient to carry and wear.
发明内容Contents of the invention
本发明是为解决上述问题而进行的,通过提供一种股动脉压迫止血装置来解决上述技术问题,对此,本发明采用了如下技术方案:The present invention is carried out in order to solve the above-mentioned problem, solves the above-mentioned technical problem by providing a kind of femoral artery compression hemostasis device, to this, the present invention adopts following technical scheme:
本发明提供了一种股动脉压迫止血装置,在经股动脉介入手术完成后对穿刺点进行止血,具有这样的技术特征,包括气囊式压迫组件,具有可充气气囊以及安装在可充气气囊底端上并且压在穿刺点上的压迫块;夹板,设置在穿刺侧大腿的底部,具有跨越髋关节的上端部;至少一个横缚带组件,两端分别安装在夹板的左右侧边上,将夹板固定在穿刺侧大腿的底部;以及斜缚带组件,具有沿髋关节延伸并将气囊式压迫组件固定在穿刺点上的斜缚带,该斜缚带的宽度为40mm~80mm。The invention provides a femoral artery compression hemostasis device, which can stop bleeding at the puncture point after the transfemoral artery interventional operation is completed. A compression block on and pressed against the puncture point; a splint, set at the bottom of the thigh on the puncture side, with an upper end spanning the hip joint; at least one transverse strap assembly, with two ends respectively installed on the left and right sides of the splint, and the splint fixed at the bottom of the thigh on the puncture side; and an oblique strap assembly having an oblique strap extending along the hip joint and fixing the air bag compression assembly on the puncture point, the width of the oblique strap is 40mm-80mm.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:还包括充气泵,与可充气气囊的充放气管可拆卸连接,用于向可充气气囊充气。The femoral artery compression hemostasis device provided by the present invention may also have the following technical features: it also includes an air pump, which is detachably connected with the inflation and discharge tube of the inflatable air bag, and is used for inflating the inflatable air bag.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:气囊式压迫组件还具有设置在可充气气囊顶端的缓冲垫,该缓冲垫的背面上设置有魔术贴的毛面。斜缚带的内侧面上设置有魔术贴的钩面。The femoral artery compression hemostasis device provided by the present invention may also have such technical features: the air bag compression assembly also has a buffer pad arranged on the top of the inflatable air bag, and the back of the buffer pad is provided with a Velcro hair surface. A hook surface of a Velcro is arranged on the inner side of the oblique strap.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:夹板还具有和膝关节相平行的下端部。The femoral artery compression hemostatic device provided by the present invention may also have such technical features: the splint also has a lower end parallel to the knee joint.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:横缚带组件的个数为两个,一个靠近上端部,另一个靠近下端部。每个横缚带组件由设置在夹板的左侧并且内面为钩面的母带以及设置在夹板的右侧并且背面为毛面的子带组成。The femoral artery compression hemostasis device provided by the present invention may also have such a technical feature: there are two transverse band assemblies, one near the upper end and the other near the lower end. Each transverse strap assembly is composed of a master tape arranged on the left side of the splint with a hook surface on the inside and a sub-belt arranged on the right side of the splint with a rough surface on the back.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:斜缚带的一端作为固定端固定安装在夹板上端部的左右侧边的任一侧边上,另一端为游离端。斜缚带组件还具有多个扣环,按顺序固定安装夹板的另一个侧边上,让游离端穿过;以及腰带扣,设置在斜缚带的一定位置上,用于固定斜缚带穿过所述扣环的部分。The femoral artery compression hemostasis device provided by the present invention can also have such technical characteristics: one end of the oblique band is fixedly installed on any side of the left and right sides of the top of the splint as a fixed end, and the other end is a free end. The oblique strap assembly also has a plurality of buckles, which are fixed in sequence on the other side of the splint, allowing the free end to pass through; the part that passes through the buckle.
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:压迫块的体积为0.8~1.2cm3。The femoral artery compression hemostasis device provided by the present invention may also have such technical features: the volume of the compression block is 0.8-1.2 cm 3 .
本发明提供的股动脉压迫止血装置还可以具有这样的技术特征:夹板的内壁面上设置有橡胶软垫。The femoral artery compression hemostatic device provided by the present invention may also have such technical features: a soft rubber pad is arranged on the inner wall surface of the splint.
发明作用与效果Invention function and effect
根据本发明提供的股动脉压迫止血装置,由于气囊式压迫组件具有可充气气囊以及安装在可充气气囊底端上并且压在穿刺点上的压迫块,一方面压迫块能够完全压住穿刺口,有利于妥善有效的压迫止血;另一方面,通过控制可充气气囊内的泵入气体的体积来控制对压迫点压力的大小,既能够保证皮肤穿刺点以及血管穿刺口的有效止血又能够防止过度压迫造成缺血。According to the femoral artery compression hemostasis device provided by the present invention, since the balloon compression assembly has an inflatable air bag and a compression block installed on the bottom end of the inflatable air bag and pressed on the puncture point, on the one hand the compression block can completely press the puncture port, It is conducive to proper and effective compression and hemostasis; on the other hand, by controlling the volume of the pumped gas in the inflatable airbag to control the pressure on the compression point, it can not only ensure effective hemostasis at the skin puncture point and blood vessel puncture port, but also prevent excessive bleeding. Compression causes ischemia.
此外,由于设置在穿刺侧大腿的底部夹板具有跨越髋关节的上端部,并且横缚带组件将夹板固定在所述穿刺侧大腿的底部,使得横缚带和夹板可同时限制髋关节的活动,防止患者不自觉地屈曲大腿,保证压迫止血效果。In addition, since the bottom splint set on the thigh on the puncture side has an upper end spanning the hip joint, and the transverse strap assembly fixes the splint on the bottom of the thigh on the puncture side, so that the transverse strap and the splint can limit the movement of the hip joint at the same time, Prevent the patient from flexing the thigh unconsciously and ensure the hemostatic effect of compression.
另外,由于斜缚带组件具有沿髋关节延伸并将气囊式压迫组件固定在穿刺点上的斜缚带,使得气囊式压迫组件固定性增强,不易受到患者股部弯曲的影响,进而能够对需压迫处给予位置恒定持续的压力,从而实现了穿刺点的快速止血。In addition, since the oblique strap assembly has an oblique strap extending along the hip joint and fixing the airbag compression assembly on the puncture point, the airbag compression assembly has enhanced fixation and is not easily affected by the bending of the patient's thigh, thereby being able to respond to needs. The compression site gives constant and continuous pressure to the site, thus achieving rapid hemostasis at the puncture point.
另外,本发明的股动脉压迫止血装置,结构简单,携带以及穿戴都非常方便。In addition, the femoral artery compression hemostasis device of the present invention has a simple structure and is very convenient to carry and wear.
附图说明Description of drawings
图1是本发明所涉及的实施例中的股动脉压迫止血装置安装在刺有穿刺点的大腿部上的结构示意图;Fig. 1 is a structural schematic diagram of a femoral artery compression hemostasis device installed on a thigh with a puncture point in an embodiment of the present invention;
图2是本发明所涉及的实施例中的股动脉压迫止血装置的结构示意图;2 is a schematic structural view of the femoral artery compression hemostasis device in an embodiment of the present invention;
图3是本发明所涉及的实施例中的气囊式压迫组件的结构示意图。Fig. 3 is a schematic structural view of the air bag compression assembly in the embodiment of the present invention.
具体实施方式detailed description
以下结合附图来说明本发明的具体实施方式。The specific implementation manners of the present invention will be described below in conjunction with the accompanying drawings.
图1是本实施例中的股动脉压迫止血装置安装在刺有穿刺点的大腿部上的结构示意图。Fig. 1 is a structural schematic diagram of a femoral artery compression hemostatic device installed on a thigh with a puncture point in this embodiment.
如图1所示,股动脉压迫止血装置10包括夹板11、横缚带组件12、斜缚带组件13以及气囊式压迫组件14。横缚带组件12、和斜缚带组件13均安装在夹板11上,气囊式压迫组件14压在穿刺点上。As shown in FIG. 1 , the femoral artery compression hemostatic device 10 includes a splint 11 , a transverse band assembly 12 , an oblique band assembly 13 and a balloon compression assembly 14 . Both the horizontal strap assembly 12 and the oblique strap assembly 13 are installed on the splint 11, and the air bag type compression assembly 14 is pressed on the puncture point.
图2是本实施例中的股动脉压迫止血装置的结构示意图。Fig. 2 is a schematic structural view of the femoral artery compression hemostasis device in this embodiment.
如图1和图2所示,夹板11包括形状和髋关节形状类似并且跨越髋关节的上端部111以及和膝关节相平行的下端部112。此外,为了增加患者的舒适度以及增大摩擦力,夹板11的内壁面上设置有橡胶软垫。As shown in FIG. 1 and FIG. 2 , the splint 11 includes an upper end 111 that is similar in shape to the hip joint and spans the hip joint, and a lower end 112 that is parallel to the knee joint. In addition, in order to increase the comfort of the patient and increase the frictional force, rubber pads are provided on the inner wall surface of the splint 11 .
横缚带组件12的个数为两个,一个靠近上端部111,另一个靠近下端部112,每个横缚带组件13由设置在夹板的左侧并且内面为钩面的母带121以及设置在夹板的右侧并且背面为毛面的子带122组成。There are two transverse strap assemblies 12, one near the upper end 111 and the other near the lower end 112. Each transverse strap assembly 13 is composed of a master tape 121 arranged on the left side of the splint and the inner surface is a hook surface and a set On the right side of the splint, the sub-strap 122 is formed with a rough back.
斜缚带组件13用于将气囊式压迫组件固定在穿刺点上,其具有斜缚带131、腰带扣132以及多个扣环133。斜缚带131的内面上设置有魔术贴的钩面,一端作为固定端固定安装在夹板上端部的左侧边上,另一端为游离端;腰带扣132为普通的腰带扣,安装在斜缚带偏游离端的位置上;扣环133按顺序固定安装夹板的另一个侧边上,让游离端穿过。The oblique belt assembly 13 is used to fix the air bag compression assembly on the puncture point, and it has an oblique belt 131 , a belt buckle 132 and a plurality of buckle rings 133 . The inner surface of the oblique tie belt 131 is provided with a hook surface of Velcro, one end is fixedly installed on the left side of the upper part of the plywood as a fixed end, and the other end is a free end; the belt buckle 132 is a common belt buckle installed on the oblique tie On the position of the free end of the belt; the buckle 133 is fixedly installed on the other side of the splint in order, allowing the free end to pass through.
气囊式压迫组件14具有可充气气囊141、安装在可充气气囊141底端并且压在穿刺点上的压迫块142以及设置在可充气气囊顶端的缓冲垫143,该缓冲垫143的背面1431上设置有魔术贴的毛面,该毛面和斜缚带131的内面的钩面相配合。The airbag compression assembly 14 has an inflatable airbag 141, a compression block 142 installed at the bottom of the inflatable airbag 141 and pressed against the puncture point, and a cushion 143 arranged at the top of the inflatable airbag. There is a hair surface of the Velcro, which matches with the hook surface of the inner surface of the oblique tie belt 131 .
可充气气囊141的充放气管1411和充气泵15可拆卸连接,作为充气泵泵入气体的通道,待气囊内气体的压力达到所需值后,充气泵15被从充放气管1411上拆下,同时充放气管1411被密封。The inflation and discharge tube 1411 of the inflatable airbag 141 is detachably connected to the air pump 15, which serves as a passage for the air pump to pump gas into. , and the inflation and deflation pipe 1411 is sealed simultaneously.
在本实施例中,压迫块的体积为0.8~1.2cm3。若体积过小,压迫块仅能将皮肤穿刺点压住,而无法将血管穿刺口压住;若体积过大,一方面会导致患者不适,另一方面也有可能会导致压迫过度,而引起下游组织缺血。In this embodiment, the volume of the compression block is 0.8-1.2 cm 3 . If the volume is too small, the compression block can only press the skin puncture point, but cannot press the vascular puncture port; if the volume is too large, on the one hand, it will cause discomfort to the patient, on the other hand, it may cause excessive compression, causing downstream Tissue ischemia.
本实施例中的股动脉压迫止血装置的使用方法如下:The usage method of the femoral artery compression hemostasis device in the present embodiment is as follows:
首先,将夹板置于大腿底部,上端部跨越髋关节,下端部和膝关节平行,将上下横缚带束紧,使得夹板固定于大腿上,也限制了患者不自觉地弯曲大腿。First, the splint is placed on the bottom of the thigh, with the upper end spanning the hip joint and the lower end parallel to the knee joint. The upper and lower transverse straps are tightened so that the splint is fixed on the thigh and the patient's involuntary bending of the thigh is also restricted.
然后,将斜缚带沿髋关节缕直,选择一个合适的扣环让斜缚带游离端穿过,此时斜缚带恰好横跨压迫点,将游离端穿过腰带扣,使得斜缚带被系紧。Then, straighten the oblique strap along the hip joint, choose a suitable buckle to let the free end of the oblique strap pass through. Be fastened.
进一步,将气囊式压迫组件放入斜缚带下合适位置,将底部的压迫块对准压迫点,背面通过魔术贴固定于斜缚带。Further, put the airbag compression component into a suitable position under the oblique strap, align the compression block at the bottom with the compression point, and fix the back to the oblique strap with Velcro.
最后,通过气泵向可充气气囊内泵入适量气体,直至气囊式压迫组件向压迫点产生所需的压力。Finally, an appropriate amount of gas is pumped into the inflatable air bag through the air pump until the air bag compression component generates the required pressure to the compression point.
实施例的作用与效果Function and effect of embodiment
根据本实施例提供的股动脉压迫止血装置,由于气囊式压迫组件具有可充气气囊以及安装在可充气气囊底端上并且压在穿刺点上的压迫块,一方面压迫块能够完全压住穿刺口,有利于妥善有效的压迫止血;另一方面,通过控制可充气气囊内的泵入气体的体积来控制对压迫点压力的大小,既能够保证皮肤穿刺点以及血管穿刺口的有效止血又能够防止过度压迫造成缺血。According to the femoral artery compression hemostasis device provided in this embodiment, since the balloon compression component has an inflatable air bag and a compression block installed on the bottom end of the inflatable air bag and pressed against the puncture point, on the one hand the compression block can completely press the puncture port , which is conducive to proper and effective compression and hemostasis; on the other hand, by controlling the volume of the pumped gas in the inflatable airbag to control the pressure on the compression point, it can not only ensure effective hemostasis at the skin puncture point and blood vessel puncture port, but also prevent Excessive compression causes ischemia.
此外,由于设置在穿刺侧大腿的底部夹板具有跨越髋关节的上端部,并且横缚带组件将夹板固定在所述穿刺侧大腿的底部,使得横缚带和夹板可同时限制髋关节的活动,防止患者不自觉地屈曲大腿,保证压迫止血效果。In addition, since the bottom splint set on the thigh on the puncture side has an upper end spanning the hip joint, and the transverse strap assembly fixes the splint on the bottom of the thigh on the puncture side, so that the transverse strap and the splint can limit the movement of the hip joint at the same time, Prevent the patient from flexing the thigh unconsciously and ensure the hemostatic effect of compression.
另外,由于斜缚带组件具有沿髋关节延伸并将气囊式压迫组件固定在穿刺点上的斜缚带,使得气囊式压迫组件固定性增强,不易受到患者股部弯曲的影响,进而能够对需压迫处给予位置恒定持续的压力,从而实现了穿刺点的快速止血。In addition, since the oblique strap assembly has an oblique strap extending along the hip joint and fixing the airbag compression assembly on the puncture point, the airbag compression assembly has enhanced fixation and is not easily affected by the bending of the patient's thigh, thereby being able to respond to needs. The compression site gives constant and continuous pressure to the site, thus achieving rapid hemostasis at the puncture point.
另外,本实施例的股动脉压迫止血装置,结构简单,携带以及穿戴都非常方便。In addition, the femoral artery compression hemostasis device of this embodiment has a simple structure and is very convenient to carry and wear.
Claims (8)
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