CN107496002B - A radial artery hemostat - Google Patents

A radial artery hemostat Download PDF

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CN107496002B
CN107496002B CN201710851290.4A CN201710851290A CN107496002B CN 107496002 B CN107496002 B CN 107496002B CN 201710851290 A CN201710851290 A CN 201710851290A CN 107496002 B CN107496002 B CN 107496002B
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solenoid valve
voltage
air pump
analog
output
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CN107496002A (en
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卢晓虹
崔岩
魏丽丽
姜松磊
胡建
韩舒
于晓燕
姜欣
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Affiliated Hospital of University of Qingdao
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or 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
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • A61B17/1355Automated control means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

本发明提出了一种桡动脉止血器,包括:压迫部、腕带和控制盒;压迫部包括压板和方形气囊,用于对切口部位进行压迫;腕带包括外部夹层和设置在夹层中的气囊带,用于将压迫部固定于切口位置;控制盒包括第一调节部和第二调节部,第一调节部控制气囊带的充放气,第二调节部控制方形气囊充放气。本发明的桡动脉止血器能够实现对压板的初步调节,对位准确,佩戴方便;可以根据手腕姿势,实现压迫部对切口压迫力的精调,实现了佩戴过程中压迫力的自动调节;根据出血面积调节压迫部对切口的压迫力,实现对切口压迫力的进一步精调。

The present invention proposes a radial artery hemostat, comprising: a compression part, a wrist strap and a control box; the compression part includes a pressing plate and a square air bag for compressing the incision site; the wrist strap includes an outer interlayer and an air bag arranged in the interlayer The belt is used to fix the pressing part at the incision position; the control box includes a first adjustment part and a second adjustment part, the first adjustment part controls the inflation and deflation of the airbag belt, and the second adjustment part controls the inflation and deflation of the square airbag. The radial artery hemostat of the present invention can realize the preliminary adjustment of the pressure plate, the alignment is accurate, and it is convenient to wear; it can realize the fine adjustment of the compression force of the compression part to the incision according to the wrist posture, and realizes the automatic adjustment of the compression force during the wearing process; The bleeding area adjusts the compressing force of the compressing part on the incision, realizing further fine adjustment of the compressing force of the incision.

Description

一种桡动脉止血器A radial artery hemostat

技术领域technical field

本发明涉及医疗器械领域,特别涉及一种桡动脉止血器。The invention relates to the field of medical instruments, in particular to a radial artery hemostat.

背景技术Background technique

随着生活条件的提高和工作方式的改变,冠心病的发病率呈逐年增加的趋势。经皮穿刺冠状动脉腔内形成术是治疗冠心病的主要方法。With the improvement of living conditions and the change of working style, the incidence of coronary heart disease is increasing year by year. Percutaneous transluminal coronary angioplasty is the main method for the treatment of coronary heart disease.

目前,临床上多采用桡动脉穿刺的方法,穿刺后需要医生使用止血器对桡动脉进行止血。现有的动脉压迫止血器主要由螺旋手柄组件、压板、基座、自粘无纺布绷带组成,用于动脉压迫止血。但现有的动脉压迫止血器固定效果不佳,压迫力不易控制,主要靠患者和医生通过交流来调节止血器压迫力大小,压迫力小易出血,压迫力大会导致桡动脉闭塞,造成患者手指麻木或者疼痛,甚至造成桡动脉的二次伤害,加大伤口出血面积。At present, radial artery puncture is often used clinically, and doctors need to use a hemostat to stop bleeding of the radial artery after puncture. The existing arterial compression hemostat is mainly composed of a spiral handle assembly, a pressing plate, a base, and a self-adhesive non-woven bandage, and is used for arterial compression hemostasis. However, the fixation effect of the existing arterial compression hemostat is not good, and the compression force is not easy to control. It mainly depends on the patient and the doctor to adjust the compression force of the hemostat through communication. The compression force is small and easy to bleed, and the high compression force leads to occlusion of the radial artery, resulting in the patient's fingers Numbness or pain, and even secondary damage to the radial artery, increasing the bleeding area of the wound.

因此,如何提供一种能够根据患者自身状况自动调节压迫力的桡动脉止血器,是目前亟待解决的问题。Therefore, how to provide a radial artery hemostat that can automatically adjust the compression force according to the patient's own condition is an urgent problem to be solved at present.

发明内容Contents of the invention

本发明提出一种桡动脉止血器,解决了现有的动脉压迫止血器压迫力不可调的问题。The invention provides a radial artery hemostat, which solves the problem that the compression force of the existing arterial compression hemostat cannot be adjusted.

本发明的技术方案是这样实现的:Technical scheme of the present invention is realized like this:

一种桡动脉止血器,包括:压迫部、腕带和控制盒;压迫部包括压板和方形气囊,用于对切口部位进行压迫;腕带包括外部夹层和设置在夹层中的气囊带,用于将压迫部固定于切口位置;控制盒包括第一调节部和第二调节部,第一调节部控制气囊带的充放气,第二调节部控制方形气囊充放气;首先通过腕带上的长度调节扣调节腕带的长度以及压迫部整体位置和压迫力;然后第一调节部根据手腕姿势调节腕带的松紧度,进而实现压迫部对切口压迫力的精调;第二调节部根据出血面积调节压迫部对切口的压迫力,实现对切口压迫力的进一步精调;A radial artery hemostat, comprising: a compression part, a wrist strap and a control box; the compression part includes a pressing plate and a square air bag, which is used to compress the incision site; the wrist strap includes an outer interlayer and an air bag belt arranged in the Fix the compression part at the incision position; the control box includes a first adjustment part and a second adjustment part, the first adjustment part controls the inflation and deflation of the airbag belt, and the second adjustment part controls the inflation and deflation of the square airbag; The length adjustment buckle adjusts the length of the wristband and the overall position and compression force of the compression part; then the first adjustment part adjusts the tightness of the wristband according to the wrist posture, and then realizes the fine adjustment of the compression force of the compression part to the incision; the second adjustment part adjusts the compression force according to the bleeding The area adjusts the compression force of the compression part on the incision to realize further fine adjustment of the compression force of the incision;

腕带内部设置中间夹层,中间夹层中夹持有长条状气囊带,气囊带通过W字形结构盘设在腕带中间夹层,通过W字形结构,腕带手背位置盘设有四条气囊带;A middle interlayer is arranged inside the wristband, and a long airbag belt is clamped in the middle interlayer. The airbag belt is arranged on the middle interlayer of the wristband through a W-shaped structure plate. Through the W-shaped structure, four airbag belts are arranged on the back of the wristband;

压迫部包括方形外壳,方形外壳顶部封闭、底部开口,底部开口处设置压板,压板为透明硅胶制成,其长宽尺寸设置为与方形外壳内侧壁紧密贴合,其厚度为方形外壳高度的一半,将压板压迫在切口位置,并用腕带收紧;压板下表面用于压迫切口,压板上表面固定一连接杆,该连接杆的长度为方形外壳高度的一半,连接杆另一端固定在一个金属片上,该金属片的长宽尺寸与压板相同,也与方形外壳内壁紧密贴合,金属片与方形外壳的顶部之间设置方形气囊,方形气囊充气状态时,其长宽尺寸与压板相同,其高度为压板高度的1/3~2/3,方形气囊上表面与方形外壳顶部内侧面粘贴,方形气囊下表面与所述金属片相粘贴;The compression part includes a square shell, the top of the square shell is closed, the bottom is open, and a pressure plate is set at the bottom opening. The pressure plate is made of transparent silica gel, and its length and width are set to fit closely with the inner wall of the square shell, and its thickness is half of the height of the square shell , press the pressure plate at the incision position, and tighten it with a wrist strap; the lower surface of the pressure plate is used to compress the incision, and a connecting rod is fixed on the upper surface of the pressure plate. The length of the connecting rod is half the height of the square shell, and the other end of the connecting rod is fixed on a metal On the sheet, the length and width of the metal sheet are the same as those of the pressure plate, and it is also closely attached to the inner wall of the square casing. A square airbag is arranged between the metal sheet and the top of the square casing. When the square airbag is inflated, its length and width are the same as the pressure plate. The height is 1/3 to 2/3 of the height of the pressure plate, the upper surface of the square airbag is pasted on the inner side of the top of the square shell, and the lower surface of the square airbag is pasted on the metal sheet;

所述第一调节部中包括姿势检测装置、第一加压气泵、第一电磁阀、第二电磁阀、第一压电传感器、比较器;气囊带的进气口通过第二电磁阀与第一加压气泵连接,用于充气,气囊带的出气口与第一电磁阀连接,用于放气;The first adjustment part includes a posture detection device, a first pressurized air pump, a first electromagnetic valve, a second electromagnetic valve, a first piezoelectric sensor, and a comparator; A pressurized air pump is connected for inflation, and the air outlet of the airbag belt is connected with the first solenoid valve for deflation;

所述姿势检测装置包括外壳,外壳的六面均为正方形,内部设置有第一压电传感器和砝码块,砝码块的顶面和底面为正方形,该正方形的边沿与外壳的内侧面紧密贴合,砝码块的厚度为外壳的二分之一,第一压电传感器设置在方形外壳的底面,第一压电传感器根据砝码块的压力输出电压信号;The posture detection device includes a shell, the six sides of the shell are square, and the first piezoelectric sensor and the weight block are arranged inside, the top surface and the bottom surface of the weight block are square, and the edges of the square are closely connected with the inner surface of the shell. Fitting, the thickness of the weight block is half of the shell, the first piezoelectric sensor is arranged on the bottom surface of the square shell, and the first piezoelectric sensor outputs a voltage signal according to the pressure of the weight block;

第二调节部包括红外摄像头、图像处理器、第二压电传感器、第三模数转换器、第二单片机、第二加压气泵、第三电磁阀、第四电磁阀,红外摄像头设置在压板后方,红外摄像头设置连接杆左侧或者右侧,采集切口的出血面积;图像处理器对红外摄像头采集的图像中的出血面积进行提取,输出出血面积值信号;第二压电传感器设置在金属板和方形气囊之间,用于采集压板受到的压迫力;第二调节部还包括第二单片机,由于所述图像处理器输出的出血面积值是数字信号,第二单片机直接接收所述图像处理器输出的出血面积值,并通过第三模数转换器接收第二压电传感器输出的压力信号;红外摄像头根据预设时间间隔采集出血面积图像,第二单片机将前后两次出血面积值进行比较,根据比值控制方形气囊的充放气;当前后两次出血面积值的比值小于1,说明出血面积扩大,单片机根据比值控制第二加压气泵的充气量,开启第二加压气泵及与方形气囊进气口相连接的第四电磁阀,通过第二加压气泵对方形气囊充气;当比值等于1或者大于1,说明出血面积没有扩大,第二单片机根据比值控制方形气囊的放气量,开启与方形气囊出气口相连的第三电磁阀,对方形气囊放气。The second adjustment part includes an infrared camera, an image processor, a second piezoelectric sensor, a third analog-to-digital converter, a second single-chip microcomputer, a second pressurized air pump, a third electromagnetic valve, and a fourth electromagnetic valve. The infrared camera is arranged on the pressing plate At the rear, the infrared camera is set on the left or right side of the connecting rod to collect the bleeding area of the incision; the image processor extracts the bleeding area in the image collected by the infrared camera, and outputs the signal of the bleeding area value; the second piezoelectric sensor is set on the metal plate Between the square air bag and the pressure plate, it is used to collect the compression force on the pressure plate; the second adjustment part also includes a second single-chip microcomputer, because the bleeding area value output by the image processor is a digital signal, the second single-chip microcomputer directly receives the pressure of the image processor Output the bleeding area value, and receive the pressure signal output by the second piezoelectric sensor through the third analog-to-digital converter; the infrared camera collects the bleeding area image according to the preset time interval, and the second single-chip computer compares the two bleeding area values before and after, Control the inflation and deflation of the square airbag according to the ratio; the ratio of the two hemorrhage area values before and after is less than 1, indicating that the hemorrhage area has expanded. The fourth solenoid valve connected to the air inlet inflates the square airbag through the second pressurized air pump; when the ratio is equal to 1 or greater than 1, it means that the bleeding area has not expanded, and the second single-chip microcomputer controls the deflation of the square airbag according to the ratio. The third solenoid valve connected to the air outlet of the square airbag deflates the square airbag.

可选地,所述第一调节部包括比较器,比较器的正向输入端连接到第一压电传感器的输出端,比较器的负向输入端连接到参考电压,参考电压的大小根据第一压电传感器输出电压的等级进行设置,参考电压为第一压电传感器最大输出电压和最小输出电压的之间的一个中间数值,该中间数值并不限定为最大输出电压和最小输出电压的中值;比较器的输出信号分别连接到第一加压气泵、第二电磁阀、第一电磁阀,用于控制第一加压气泵和第二电磁阀以及第一电磁阀的开启或关闭;其中,第一加压气泵和第二电磁阀为负电压控制逻辑,第一电磁阀为正电压控制逻辑,第一加压气泵和第二电磁阀接收负电压时使能,根据负电压的大小控制第一加压气泵和第二电磁阀的充气时间,第一电磁阀接收正电压时使能,根据正电压的大小控制电磁阀的放气时间,进而通过控制第一加压气泵和第二电磁阀的充气时间以及第一电磁阀的放气时间实现气囊带中气量的控制;Optionally, the first adjustment part includes a comparator, the positive input terminal of the comparator is connected to the output terminal of the first piezoelectric sensor, the negative input terminal of the comparator is connected to a reference voltage, and the magnitude of the reference voltage is according to the first The level of the output voltage of a piezoelectric sensor is set, and the reference voltage is an intermediate value between the maximum output voltage and the minimum output voltage of the first piezoelectric sensor, and the intermediate value is not limited to the middle value between the maximum output voltage and the minimum output voltage value; the output signal of the comparator is respectively connected to the first pressurized air pump, the second electromagnetic valve, and the first electromagnetic valve, and is used to control the opening or closing of the first pressurized air pump, the second electromagnetic valve and the first electromagnetic valve; wherein , the first pressurized air pump and the second solenoid valve are negative voltage control logic, the first solenoid valve is positive voltage control logic, the first pressurized air pump and the second solenoid valve are enabled when receiving negative voltage, and are controlled according to the magnitude of the negative voltage The inflation time of the first pressurized air pump and the second solenoid valve is enabled when the first solenoid valve receives a positive voltage, and the deflation time of the solenoid valve is controlled according to the magnitude of the positive voltage, and then by controlling the first pressurized air pump and the second electromagnetic valve The inflation time of the valve and the deflation time of the first solenoid valve realize the control of the air volume in the airbag belt;

当所述第一压电传感器输出的电压信号大于参考电压,所述比较器输出正电压信号,由于第一加压气泵和第二电磁阀为负电压控制逻辑,第一电磁阀为正电压控制逻辑,所述第一加压气泵和第二电磁阀不使能,所述第一电磁阀使能,气囊带排气;当所述压电传感器输出的电压信号小于参考电压,所述比较器输出负电压信号,所述第一电磁阀不使能,所述第一加压气泵和第二电磁阀使能,气囊带充气。When the voltage signal output by the first piezoelectric sensor is greater than the reference voltage, the comparator outputs a positive voltage signal. Since the first pressurized air pump and the second solenoid valve are negative voltage control logic, the first solenoid valve is positive voltage control Logic, the first pressurized air pump and the second solenoid valve are not enabled, the first solenoid valve is enabled, and the air bag is exhausted; when the voltage signal output by the piezoelectric sensor is less than the reference voltage, the comparator A negative voltage signal is output, the first solenoid valve is disabled, the first pressurized air pump and the second solenoid valve are enabled, and the air bag is inflated.

可选地,所述第一加压气泵的负电压控制逻辑通过反向跟随器实现,反向跟随器将比较器输出的负电压转换为同样大小的正电压,然后通过第一模数转换器转换为数字电压值,输入到第一单片机;由于第一电磁阀是正电压控制逻辑,比较器输出的正电压通过第二模数转换器转换为数字电压值,输入到第一单片机;第一模数转换器和第二模数转换器都是正电压有效,只对正电压进行模数转换,比较器输出正电压时,第一模数转换器接收的是负电压,第二模数转换器接收的是正电压,第二模数转换器输出数字电压值,单片机对应第二模数转换器的输入端口接收该数字电压值,通过内部运算,单片机从其与第一电磁阀相对应的输出端口输出高电平信号,将第一电磁阀使能,对气囊带排气,而第一单片机与第一加压气泵和第二电磁阀相对应的输出端口输出低电平或者高阻态信号,第一加压气泵和第二电磁阀不使能;当比较器输出负电压时,第一模数转换器接收的是正电压,第二模数转换器接收的是负电压,第一模数转换器输出数字电压值,第一单片机对应第一模数转换器的输入端口接收该数字电压值,通过内部运算,第一单片机从其与第一加压气泵和第二电磁阀相对应的输出端口输出高电平信号,将第一加压气泵和第二电磁阀使能,对气囊带充气,而单片机与第一电磁阀相对应的输出端口输出低电平或者高阻态信号,第一电磁阀不使能。Optionally, the negative voltage control logic of the first pressurized air pump is implemented by a reverse follower, and the reverse follower converts the negative voltage output by the comparator into a positive voltage of the same magnitude, and then passes the first analog-to-digital converter Converted into a digital voltage value, input to the first single-chip microcomputer; because the first solenoid valve is a positive voltage control logic, the positive voltage output by the comparator is converted into a digital voltage value by the second analog-to-digital converter, and input to the first single-chip microcomputer; Both the digital converter and the second analog-to-digital converter are effective for positive voltages, and only perform analog-to-digital conversion on positive voltages. When the comparator outputs positive voltages, the first analog-to-digital converter receives negative voltages, and the second analog-to-digital converter receives negative voltages. is a positive voltage, the second analog-to-digital converter outputs a digital voltage value, and the input port corresponding to the second analog-to-digital converter of the single-chip microcomputer receives the digital voltage value, and through internal calculation, the single-chip microcomputer outputs from the output port corresponding to the first solenoid valve A high-level signal enables the first solenoid valve to exhaust the airbag, and the output port of the first single-chip microcomputer corresponding to the first pressurized air pump and the second solenoid valve outputs a low-level or high-impedance signal. A pressurized air pump and the second solenoid valve are not enabled; when the comparator outputs a negative voltage, the first analog-to-digital converter receives a positive voltage, the second analog-to-digital converter receives a negative voltage, and the first analog-to-digital converter receives a negative voltage. Output a digital voltage value, the first single-chip microcomputer receives the digital voltage value corresponding to the input port of the first analog-to-digital converter, and through internal calculation, the first single-chip microcomputer outputs from the output port corresponding to the first pressurized air pump and the second solenoid valve A high-level signal enables the first pressurized air pump and the second solenoid valve to inflate the airbag, while the output port of the microcontroller corresponding to the first solenoid valve outputs a low-level or high-impedance signal, and the first solenoid valve not enabled.

可选地,所述单片机存储有数字电压值表和高电平时间表,数字电压值表中的数字电压值与高电平时间表上的高电平时间相对应,第一单片机接收第一模数转换器或第二模数转换器输出的数字电压值,将该数字电压值进行查表操作,查找到与其对应的高电平时间,从相应的输出端口输出高电平信号到第一加压气泵、第二电磁阀或第一电磁阀,该高电平信号的时间是通过查表获得;高电平信号使能第一加压气泵、第二电磁阀或者第一电磁阀,当高电平时间到,高电平信号变为低电平或者高阻状态,第一加压气泵、第二电磁阀或者第一电磁阀不使能,停止工作。Optionally, the single-chip microcomputer stores a digital voltage value table and a high-level time table, and the digital voltage value in the digital voltage value table corresponds to the high-level time on the high-level time table, and the first single-chip microcomputer receives the first For the digital voltage value output by the analog-to-digital converter or the second analog-to-digital converter, perform a look-up operation on the digital voltage value to find the corresponding high-level time, and output a high-level signal from the corresponding output port to the first Pressurized air pump, the second solenoid valve or the first solenoid valve, the time of the high level signal is obtained by looking up the table; the high level signal enables the first pressurized air pump, the second solenoid valve or the first solenoid valve, when When the high-level time is up, the high-level signal changes to a low-level or high-resistance state, and the first pressurized air pump, the second solenoid valve or the first solenoid valve are disabled and stop working.

可选地,当对方形气囊充气的过程中,压力信号大于预设的警戒值时,第二单片机关闭第二加压气泵及与方形气囊进气口相连接的第四电磁阀,停止对方形气囊的充气操作。Optionally, when the pressure signal is greater than the preset warning value during the process of inflating the square airbag, the second single-chip microcomputer closes the second pressurized air pump and the fourth solenoid valve connected to the air inlet of the square airbag, and stops charging the square airbag. Airbag inflation operation.

可选地,所述压板后方的中心还设置有绿色LED灯,用于与切口对位。Optionally, a green LED light is also provided at the center behind the pressing plate for aligning with the cutout.

本发明的有益效果是:The beneficial effects of the present invention are:

(1)通过腕带上的长度调节扣调节腕带的长度以及压迫部整体位置和压迫力,实现对压板的初步调节,对位准确,佩戴方便;(1) Adjust the length of the wristband and the overall position and pressure of the compression part through the length adjustment buckle on the wristband, so as to realize the preliminary adjustment of the pressure plate, the alignment is accurate, and it is easy to wear;

(2)根据手腕姿势,通过第一调节部调节腕带的松紧度,进而实现压迫部对切口压迫力的精调,实现了佩戴过程中压迫力的自动调节;(2) According to the wrist posture, adjust the tightness of the wristband through the first adjustment part, and then realize the fine adjustment of the compression force of the incision by the compression part, and realize the automatic adjustment of the compression force during the wearing process;

(3)第二调节部根据出血面积调节压迫部对切口的压迫力,实现对切口压迫力的进一步精调。(3) The second adjusting part adjusts the compressing force of the compressing part on the incision according to the bleeding area, so as to realize further fine adjustment of the compressing force on the incision.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. Those skilled in the art can also obtain other drawings based on these drawings without creative work.

图1为本发明一种桡动脉止血器的整体结构示意图;Fig. 1 is the overall structure schematic diagram of a kind of radial artery hemostasis of the present invention;

图2为本发明的腕带的内部结构示意图;Fig. 2 is a schematic diagram of the internal structure of the wristband of the present invention;

图3为本发明的姿势检测装置的结构示意图;Fig. 3 is a schematic structural diagram of the posture detection device of the present invention;

图4为本发明的第一调节部的原理示意图;Fig. 4 is a schematic diagram of the principle of the first regulating part of the present invention;

图5为本发明的第一调节部的一个具体实施例的示意图;Fig. 5 is a schematic diagram of a specific embodiment of the first regulating part of the present invention;

图6为本发明的第一单片机的内部运算原理图;Fig. 6 is the internal operation schematic diagram of the first single-chip microcomputer of the present invention;

图7为本发明的第二调节部的原理示意图。Fig. 7 is a schematic diagram of the principle of the second regulating part of the present invention.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

本发明提出了一种桡动脉止血器,用于心脏支架手术后压迫动脉切口,可以根据出血面积、患者的手腕姿势自动调节止血器压迫力。The invention provides a radial artery hemostat, which is used to compress the arterial incision after heart stent operation, and can automatically adjust the compression force of the hemostat according to the bleeding area and the patient's wrist posture.

如图1所示,本发明的桡动脉止血器包括压迫部10、腕带20和控制盒30。压迫部10包括压板14和方形气囊17,用于对切口部位进行压迫。腕带20包括外部夹层和设置在夹层中的气囊带,用于将压迫部10固定于切口位置。控制盒30包括第一调节部和第二调节部,第一调节部控制气囊带的充放气,第二调节部控制方形气囊充放气。As shown in FIG. 1 , the radial artery hemostat of the present invention includes a pressing part 10 , a wristband 20 and a control box 30 . The pressing part 10 includes a pressing plate 14 and a square air bag 17 for pressing the incision site. The wristband 20 includes an outer interlayer and an airbag strap disposed in the interlayer for fixing the compression part 10 at the incision position. The control box 30 includes a first adjustment part and a second adjustment part, the first adjustment part controls the inflation and deflation of the airbag belt, and the second adjustment part controls the inflation and deflation of the square airbag.

本发明的桡动脉止血器,首先通过腕带上的长度调节扣调节腕带的长度以及压迫部整体位置和压迫力;然后通过第一调节部根据手腕姿势调节腕带的松紧度,进而实现压迫部对切口压迫力的精调;第二调节部根据出血面积调节压迫部对切口的压迫力,实现对切口压迫力的进一步精调。In the radial artery hemostat of the present invention, the length of the wristband, the overall position of the compression part and the compression force are first adjusted through the length adjustment buckle on the wristband; then the tightness of the wristband is adjusted according to the posture of the wrist through the first adjustment part, and then the compression is realized. The first adjustment part can fine-tune the compression force of the incision; the second adjustment part adjusts the compression force of the compression part to the incision according to the bleeding area, so as to realize further fine adjustment of the compression force of the incision.

图1示出了本发明的桡动脉止血器的整体结构示意图,如图1所示,压迫部10的基座11两端开设长条槽口12,槽口12长度与腕带20宽度相同,腕带20穿过槽口12,腕带20的一端穿过槽口12后将多余部分缝制在腕带上,图1中所示实施例中,用于将多余部分收紧固定的缝制部13位于腕带右侧部分,腕带20的另一端设置长度调节扣,例如粘扣带,将腕带穿过槽口12后多余的部分通过长度调节扣收紧并固定,图1中所示实施例中,长度调节扣19位于腕带左侧。Fig. 1 shows a schematic view of the overall structure of the radial artery hemostatic device of the present invention. As shown in Fig. 1, both ends of the base 11 of the compression part 10 are provided with a long notch 12, and the length of the notch 12 is the same as the width of the wristband 20. The wristband 20 passes through the notch 12, and after one end of the wristband 20 passes through the notch 12, the excess part is sewn on the wristband. In the embodiment shown in FIG. The part 13 is located at the right side of the wristband, and the other end of the wristband 20 is provided with a length adjustment buckle, such as a hook and loop fastener. After the wristband passes through the notch 12, the excess part is tightened and fixed by the length adjustment buckle, as shown in Fig. 1 In the illustrated embodiment, the length adjustment buckle 19 is located on the left side of the wristband.

使用时,先将压迫部10压在切口位置,然后固定腕带20,并通过长度调节扣粗调腕带长度,将切口压紧。When in use, first press the pressing part 10 on the incision position, then fix the wrist strap 20, and roughly adjust the length of the wrist strap through the length adjustment buckle to compress the incision.

现有的止血器通常为上述结构,通过长度调节扣固定后,通过螺旋手柄组件控制压板的压力,对患者手术切口的压迫力实现较为精确调节。Existing hemostats usually have the above-mentioned structure. After being fixed by the length adjustment buckle, the pressure of the pressure plate is controlled by the screw handle assembly, so as to achieve more precise adjustment of the compression force on the patient's surgical incision.

本发明的控制盒中包括第一调节部和第二调节部,第一调节部控制腕带夹层中气囊带21的充气和放气,调节腕带的松紧度,实现压板压迫力的精调,第二调节部控制压迫部中方形气囊的充气和放气,该压迫力直接作用在压板上,实现压板的压迫力更高精度的调节。The control box of the present invention includes a first adjustment part and a second adjustment part, the first adjustment part controls the inflation and deflation of the airbag belt 21 in the wrist strap interlayer, adjusts the tightness of the wrist strap, and realizes the fine adjustment of the pressing force of the pressing plate, The second adjustment part controls the inflation and deflation of the square airbag in the compression part, and the compression force directly acts on the pressure plate, so as to realize the adjustment of the compression force of the pressure plate with higher precision.

如图2所示,腕带20内部设置中间夹层,中间夹层中夹持有长条状气囊带21,该实施例中,腕带左侧无气囊带部分22为长度调节部分,该部分穿过底座左侧槽口并通过长度调节扣收紧固定,腕带右侧无气囊带部分23为缝制端,该部分穿过底座右侧槽口并缝制固定。气囊带21通过W字形结构盘设在腕带中间夹层,气囊带21的进气口和出气口设置在缝制端23,通过W字形结构,腕带手背位置盘设有四条气囊带,充放气时可以保证腕带受力均匀。As shown in Figure 2, a middle interlayer is arranged inside the wristband 20, and a strip-shaped airbag belt 21 is clamped in the middle interlayer. The notch on the left side of the base is tightened and fixed by the length adjustment buckle, and the non-airbag belt part 23 on the right side of the wrist strap is a sewing end, which passes through the notch on the right side of the base and is fixed by sewing. The airbag belt 21 is arranged in the middle interlayer of the wristband through a W-shaped structural disk, and the air inlet and air outlet of the airbag belt 21 are arranged at the sewing end 23. Through the W-shaped structure, four airbag belts are arranged on the wristband back position disk, and the airbag belt 21 is filled and discharged. When inflated, it can ensure that the wristband is evenly stressed.

如图4所示,第一调节部中包括姿势检测装置、第一加压气泵322、第一电磁阀323、第二电磁阀324、第一压电传感器3242、比较器3245。气囊带21的进气口通过第二电磁阀324与第一加压气泵322连接,用于充气,气囊带21的出气口与第一电磁阀323连接,用于放气。第一调节部设置在控制盒中,如图1所示,控制盒30固定在底座与腕带缝制端的连接处,压迫部10位于底座11的中间位置,控制盒30位于压迫部10和腕带缝制端之间,在腕带缝制端处,气囊带21的进气口和出气口通过转接头和导气管延伸到控制盒30内部,分别与第二电磁阀和第一电磁阀相连接。As shown in FIG. 4 , the first adjustment unit includes a posture detection device, a first pressurized air pump 322 , a first solenoid valve 323 , a second solenoid valve 324 , a first piezoelectric sensor 3242 , and a comparator 3245 . The air inlet of the airbag belt 21 is connected with the first pressurized air pump 322 through the second electromagnetic valve 324 for inflation, and the air outlet of the airbag belt 21 is connected with the first electromagnetic valve 323 for deflation. The first adjustment part is arranged in the control box, as shown in Figure 1, the control box 30 is fixed on the junction of the base and the wrist strap sewing end, the pressing part 10 is located in the middle of the base 11, and the control box 30 is located between the pressing part 10 and the wrist. Between the sewing ends of the belt, at the sewing end of the wristband, the air inlet and the air outlet of the airbag belt 21 extend to the inside of the control box 30 through the adapter and the air guide tube, and are connected to the second electromagnetic valve and the first electromagnetic valve respectively. connect.

如图3所示,所述姿势检测装置包括外壳3241,外壳3241的六面均为正方形,内部设置有第一压电传感器3242和砝码块3243,砝码块3243的顶面和底面为正方形,该正方形的边沿与外壳3241的内侧面紧密贴合,砝码块3243的厚度为外壳的二分之一,第一压电传感器3242设置在方形外壳的底面,第一压电传感器3242根据砝码块3243的压力输出电压信号。As shown in Figure 3, the posture detection device includes a housing 3241, the six sides of the housing 3241 are square, and a first piezoelectric sensor 3242 and a weight block 3243 are arranged inside, and the top surface and the bottom surface of the weight block 3243 are square , the edge of the square is closely attached to the inner surface of the shell 3241, the thickness of the weight block 3243 is 1/2 of the shell, the first piezoelectric sensor 3242 is arranged on the bottom surface of the square shell, the first piezoelectric sensor 3242 according to the weight The pressure output voltage signal of code block 3243.

当佩戴者将压迫部按压在切口处,并通过腕带的长度调节扣或粘扣带初步调节好松紧度之后,控制盒与人体的相对位置固定,因此,姿势检测装置与人体手臂的相对位置也是固定的,姿势检测装置的具体设置为:当人体坐立或者站立时,手臂下垂,砝码块3243为竖直状态,砝码块3243完全压在第一压电传感器3242的上表面,第一压电传感器3242输出最大电压值;当人体平躺时,手臂水平放置,砝码块3243为水平状态,砝码块3243对第一压电传感器3242不挤压,第一压电传感器输出最小电压值;当人体手臂处于其他状态时,砝码块3243与第一压电传感器3242成一定倾角挤压,压电传感器输出最大值和最小值之间的中间值。这样,通过第一压电传感器输出电压信号的大小,就可以获得人体手臂的姿势。When the wearer presses the compression part on the incision, and preliminarily adjusts the tightness through the length adjustment buckle of the wrist strap or the hook and loop fastener, the relative position between the control box and the human body is fixed. Therefore, the relative position between the posture detection device and the human arm It is also fixed, and the specific setting of the posture detection device is: when the human body is sitting or standing, the arm is drooping, the weight block 3243 is in a vertical state, and the weight block 3243 is completely pressed on the upper surface of the first piezoelectric sensor 3242, and the second A piezoelectric sensor 3242 outputs the maximum voltage value; when the human body is lying flat, the arm is placed horizontally, the weight block 3243 is in a horizontal state, the weight block 3243 does not squeeze the first piezoelectric sensor 3242, and the output of the first piezoelectric sensor is the smallest Voltage value; when the human arm is in other states, the weight block 3243 and the first piezoelectric sensor 3242 are squeezed at a certain angle, and the piezoelectric sensor outputs an intermediate value between the maximum value and the minimum value. In this way, the posture of the human arm can be obtained through the magnitude of the output voltage signal of the first piezoelectric sensor.

第一调节部根据姿势检测装置输出的电压信号对第一加压气泵、第一电磁阀和第二电磁阀进行开启或关闭控制,实现气囊带中气量的控制,进而实现腕带松紧度的细调,细调过程将在下面进行详细介绍。According to the voltage signal output by the posture detection device, the first adjustment part controls the opening or closing of the first pressurized air pump, the first electromagnetic valve and the second electromagnetic valve, so as to realize the control of the air volume in the airbag belt, and then realize the finer adjustment of the tightness of the wristband. The fine-tuning process will be described in detail below.

如图4所示,第一调节部包括比较器3245,比较器3245的正向输入端连接到第一压电传感器3242的输出端,比较器的负向输入端连接到参考电压,参考电压的大小根据第一压电传感器输出电压的等级进行设置,参考电压为第一压电传感器最大输出电压和最小输出电压的之间的一个中间数值,该中间数值并不限定为最大输出电压和最小输出电压的中值。比较器3245的输出信号分别连接到第一加压气泵322、第二电磁阀324、第一电磁阀323,用于控制第一加压气泵322和第二电磁阀324以及第一电磁阀323的开启或关闭。其中,第一加压气泵322和第二电磁阀324为负电压控制逻辑,第一电磁阀323为正电压控制逻辑,即第一加压气泵322和第二电磁阀324接收负电压时使能,根据负电压的大小控制第一加压气泵322和第二电磁阀324的充气时间,第一电磁阀323接收正电压时使能,根据正电压的大小控制电磁阀的放气时间,进而通过控制第一加压气泵322和第二电磁阀324的充气时间以及第一电磁阀323的放气时间实现气囊带21中气量的控制。As shown in FIG. 4 , the first regulating part includes a comparator 3245, the positive input terminal of the comparator 3245 is connected to the output terminal of the first piezoelectric sensor 3242, the negative input terminal of the comparator is connected to the reference voltage, and the reference voltage The size is set according to the level of the output voltage of the first piezoelectric sensor. The reference voltage is an intermediate value between the maximum output voltage and the minimum output voltage of the first piezoelectric sensor. The intermediate value is not limited to the maximum output voltage and the minimum output median voltage. The output signal of the comparator 3245 is respectively connected to the first pressurized air pump 322, the second solenoid valve 324, and the first solenoid valve 323, for controlling the first pressurized air pump 322, the second solenoid valve 324, and the first solenoid valve 323. On or off. Among them, the first pressurized air pump 322 and the second solenoid valve 324 are negative voltage control logic, and the first solenoid valve 323 is positive voltage control logic, that is, the first pressurized air pump 322 and the second solenoid valve 324 are enabled when receiving negative voltage. , control the inflation time of the first pressurized air pump 322 and the second solenoid valve 324 according to the magnitude of the negative voltage, enable the first solenoid valve 323 when receiving a positive voltage, and control the deflation time of the solenoid valve according to the magnitude of the positive voltage, and then pass Controlling the inflation time of the first pressurized air pump 322 and the second solenoid valve 324 and the deflation time of the first solenoid valve 323 realizes the control of the gas volume in the airbag belt 21 .

当所述第一压电传感器3242输出的电压信号大于参考电压,所述比较器3245输出正电压信号,由于第一加压气泵322和第二电磁阀324为负电压控制逻辑,第一电磁阀323为正电压控制逻辑,因此,所述第一加压气泵322和第二电磁阀324不使能,所述第一电磁阀323使能,气囊带21排气;当所述压电传感器3242输出的电压信号小于参考电压,所述比较器3245输出负电压信号,所述第一电磁阀323不使能,所述第一加压气泵322和第二电磁阀324使能,气囊带21充气。When the voltage signal output by the first piezoelectric sensor 3242 is greater than the reference voltage, the comparator 3245 outputs a positive voltage signal. Since the first pressurized air pump 322 and the second solenoid valve 324 are negative voltage control logic, the first solenoid valve 323 is a positive voltage control logic, therefore, the first pressurized air pump 322 and the second electromagnetic valve 324 are not enabled, the first electromagnetic valve 323 is enabled, and the airbag belt 21 is exhausted; when the piezoelectric sensor 3242 The output voltage signal is less than the reference voltage, the comparator 3245 outputs a negative voltage signal, the first solenoid valve 323 is disabled, the first pressurized air pump 322 and the second solenoid valve 324 are enabled, and the airbag belt 21 is inflated .

结合图3和图4对气囊带的充放气过程进行详细说明:当佩戴者坐立或站立式时,佩戴者手臂垂直,桡动脉处于最大充盈状态,所述砝码块3243压在所述第一压电传感器3242上表面,第一压电传感器3242输出最大电压,所述第一压电传感器3242输出的电压信号大于参考电压,所述比较器3245输出正电压信号,所述第一加压气泵322和第二电磁阀324不使能,所述第一电磁阀323使能,气囊带21排气,并且是最大排气量,因为坐立或站立时,佩戴者腕围处于最大状态,将气囊带中的气体排出,可以缓解腕部的紧张程度,防止过度压迫对桡动脉造成伤害;当佩戴者平躺时,手腕水平放置,所述砝码块3243与所述第一压电传感器3242不挤压,第一压电传感器3242输出最小电压,所述第一压电传感器3242输出的电压信号小于参考电压,所述比较器3245输出负电压信号,所述第一电磁阀323不使能,所述第一加压气泵322和第二电磁阀324使能,气囊带21充气,并且是最大充气量,因为平躺时,佩戴者腕围处于最小状态,将气囊充气,可以增强压板与皮肤贴合的紧密程度,防止压迫不紧造成出血面积扩大;当佩戴者处于其他姿势,所述砝码块3243与所述压电传感器3242以一定倾角挤压,压电传感器3242输出最大值与最小值之间的中间值,根据压电传感器的电压信号与参考电压的关系控制气囊带的充放气,实现腕带松紧度的自动调节。The inflation and deflation process of the airbag belt is described in detail in conjunction with Fig. 3 and Fig. 4: when the wearer is sitting or standing, the wearer's arm is vertical, the radial artery is in the maximum filling state, and the weight block 3243 is pressed on the On the upper surface of the first piezoelectric sensor 3242, the first piezoelectric sensor 3242 outputs the maximum voltage, the voltage signal output by the first piezoelectric sensor 3242 is greater than the reference voltage, the comparator 3245 outputs a positive voltage signal, and the first plus The compressed air pump 322 and the second electromagnetic valve 324 are not enabled, the first electromagnetic valve 323 is enabled, and the airbag belt 21 is exhausted, and it is the maximum displacement, because when sitting or standing, the wearer's wrist circumference is in the maximum state , to discharge the gas in the airbag belt, which can relieve the tension of the wrist and prevent excessive compression from causing damage to the radial artery; when the wearer lies flat, the wrist is placed horizontally, and the weight block 3243 and the first piezoelectric The sensor 3242 does not squeeze, the first piezoelectric sensor 3242 outputs the minimum voltage, the voltage signal output by the first piezoelectric sensor 3242 is smaller than the reference voltage, the comparator 3245 outputs a negative voltage signal, and the first solenoid valve 323 does not Enable, the first pressurized air pump 322 and the second electromagnetic valve 324 are enabled, the airbag belt 21 is inflated, and it is the maximum amount of inflation, because when lying flat, the wearer's wrist circumference is at the minimum state, and the airbag is inflated, which can enhance The tightness of the pressing plate and the skin prevents the expansion of the bleeding area caused by insufficient compression; when the wearer is in other postures, the weight block 3243 and the piezoelectric sensor 3242 are squeezed at a certain angle, and the output of the piezoelectric sensor 3242 is the largest The intermediate value between the value and the minimum value, according to the relationship between the voltage signal of the piezoelectric sensor and the reference voltage, the inflation and deflation of the airbag belt is controlled, and the automatic adjustment of the tightness of the wristband is realized.

术后患者都是以手臂平放状态佩戴桡动脉止血器,因此,佩戴好之后先通过长度调节扣调节腕带的松紧度,由于此时平躺,第一加压气泵对气囊带充气,将腕带收紧;当患者站立或者坐立时,手臂自然下垂状态,第一电磁阀对气囊带放气,将腕带放松,保证患者佩戴舒适,防止血液流通不畅。After the operation, the patient wears the radial artery hemostat with the arm flat. Therefore, after wearing it, adjust the tightness of the wristband through the length adjustment buckle. Since the patient is lying flat at this time, the first pressurized air pump will inflate the airbag belt, and the wristband will be inflated. The wrist strap is tightened; when the patient is standing or sitting, the arm is naturally drooping, the first solenoid valve deflates the airbag belt, and the wrist strap is loosened to ensure that the patient is comfortable to wear and prevent blood circulation from being blocked.

图5示出了第一调节部的一个具体实施例,该实施例中,第一加压气泵322的负电压控制逻辑通过反向跟随器3246实现,反向跟随器3246将比较器3245输出的负电压转换为同样大小的正电压,然后通过第一模数转换器3247转换为数字电压值,输入到第一单片机3249;由于第一电磁阀323是正电压控制逻辑,因此,比较器3245输出的正电压通过第二模数转换器3248转换为数字电压值,输入到单片机3249;上述第一模数转换器3247和第二模数转换器3248都是正电压有效,即只对正电压进行模数转换,因此,比较器3245输出正电压时,第一模数转换器3247接收的是负电压,第二模数转换器3248接收的是正电压,第二模数转换器输出数字电压值,单片机对应第二模数转换器的输入端口接收该数字电压值,通过内部运算,单片机从其与第一电磁阀相对应的输出端口输出高电平信号,将第一电磁阀323使能,对气囊带21排气,而单片机与第一加压气泵322和第二电磁阀324相对应的输出端口输出低电平或者高阻态信号,第一加压气泵322和第二电磁阀324不使能;当比较器3245输出负电压时,第一模数转换器3247接收的是正电压,第二模数转换器3248接收的是负电压,第一模数转换器输出数字电压值,单片机对应第一模数转换器的输入端口接收该数字电压值,通过内部运算,单片机从其与第一加压气泵322和第二电磁阀324相对应的输出端口输出高电平信号,将第一加压气泵322和第二电磁阀324使能,对气囊带21充气,而单片机与第一电磁阀相对应的输出端口输出低电平或者高阻态信号,第一电磁阀323不使能。Fig. 5 shows a specific embodiment of the first regulating part. In this embodiment, the negative voltage control logic of the first pressurized air pump 322 is realized by a reverse follower 3246, and the reverse follower 3246 converts the output of the comparator 3245 to The negative voltage is converted into a positive voltage of the same size, and then converted into a digital voltage value by the first analog-to-digital converter 3247, and input to the first single-chip microcomputer 3249; since the first solenoid valve 323 is a positive voltage control logic, the output of the comparator 3245 The positive voltage is converted into a digital voltage value by the second analog-to-digital converter 3248, and input to the single-chip microcomputer 3249; the above-mentioned first analog-to-digital converter 3247 and the second analog-to-digital converter 3248 are both valid for positive voltages, that is, only positive voltages are analog-digital Therefore, when the comparator 3245 outputs a positive voltage, what the first analog-to-digital converter 3247 receives is a negative voltage, what the second analog-to-digital converter 3248 receives is a positive voltage, and the second analog-to-digital converter outputs a digital voltage value, and the microcontroller corresponds to The input port of the second analog-to-digital converter receives the digital voltage value, and through internal calculation, the single-chip microcomputer outputs a high-level signal from its output port corresponding to the first solenoid valve, enabling the first solenoid valve 323, and the airbag belt 21 exhaust, and the output port corresponding to the first pressurized air pump 322 and the second electromagnetic valve 324 of the single-chip microcomputer outputs a low level or a high-impedance state signal, and the first pressurized air pump 322 and the second electromagnetic valve 324 are not enabled; When the comparator 3245 outputs a negative voltage, what the first analog-to-digital converter 3247 receives is a positive voltage, what the second analog-to-digital converter 3248 receives is a negative voltage, the first analog-to-digital converter outputs a digital voltage value, and the microcontroller corresponds to the first analog The input port of the digital converter receives the digital voltage value, and through internal calculation, the single-chip microcomputer outputs a high-level signal from its output port corresponding to the first pressurized air pump 322 and the second electromagnetic valve 324, and the first pressurized air pump 322 And the second solenoid valve 324 is enabled to inflate the airbag belt 21, and the output port of the single-chip microcomputer corresponding to the first solenoid valve outputs a low level or high-impedance signal, and the first solenoid valve 323 is disabled.

单片机内部运算过程如图6所示,单片机3249中存储有数字电压值表和高电平时间表,数字电压值表中的数字电压值与高电平时间表上的高电平时间相对应,因此,第一单片机3249接收第一模数转换器3247或第二模数转换器3248输出的数字电压值,将该数字电压值进行查表操作,查找到与其对应的高电平时间,从相应的输出端口输出高电平信号到第一加压气泵、第二电磁阀或第一电磁阀,该高电平信号的时间是通过上述查表获得。高电平信号使能第一加压气泵、第二电磁阀或者第一电磁阀,当高电平时间到,高电平信号变为低电平或者高阻状态,第一加压气泵、第二电磁阀或者第一电磁阀不使能,停止工作。The internal operation process of the single-chip microcomputer is shown in Figure 6. The digital voltage value table and the high-level time table are stored in the single-chip microcomputer 3249. The digital voltage value in the digital voltage value table corresponds to the high-level time on the high-level time table. Therefore, the first single-chip microcomputer 3249 receives the digital voltage value output by the first analog-to-digital converter 3247 or the second analog-to-digital converter 3248, performs a table look-up operation on the digital voltage value, finds the high level time corresponding to it, and obtains from the corresponding The output port of the output port outputs a high-level signal to the first pressurized air pump, the second electromagnetic valve or the first electromagnetic valve, and the time of the high-level signal is obtained through the above-mentioned look-up table. The high-level signal enables the first pressurized air pump, the second solenoid valve or the first solenoid valve. When the high-level time is up, the high-level signal becomes a low-level or high-resistance state, and the first pressurized air pump, the second solenoid valve The second solenoid valve or the first solenoid valve is disabled and stops working.

本发明的桡动脉止血器通过第一调节部识别患者手臂姿势并调节腕带松紧度,相比于现有的压迫止血器更加舒适。The radial artery hemostat of the present invention recognizes the posture of the patient's arm and adjusts the tightness of the wristband through the first adjustment part, which is more comfortable than the existing compression hemostat.

为更进一步精调压板的压力,对切口出血面积进行控制,提高止血效果,本发明的桡动脉止血器还包括第二调节部,第二调节部用于对压板的压迫力进行微调。In order to further finely adjust the pressure of the pressing plate, control the bleeding area of the incision, and improve the hemostatic effect, the radial artery hemostatic device of the present invention further includes a second adjustment part, which is used for fine-tuning the pressing force of the pressing plate.

如图1所示,本发明的压迫部10包括方形外壳,方形外壳顶部封闭、底部开口,底部开口处设置压板14,压板14为透明硅胶制成,其长宽尺寸设置为与方形外壳内侧壁紧密贴合,其厚度为方形外壳高度的一半,例如,压板为2cm宽、3cm长、1cm厚的透明硅胶垫,将压板14压迫在切口位置,并用腕带收紧。压板厚度为方形外壳的一半,压板下表面用于压迫切口,压板上表面固定一连接杆15,该连接杆的长度为方形外壳高度的一半,连接杆另一端固定在一个金属片16上,该金属片的长宽尺寸与压板相同,也与方形外壳内壁紧密贴合,金属片与方形外壳的顶部之间设置方形气囊17,方形气囊充气状态时,其长宽尺寸与压板14相同,其高度为压板高度的1/3~2/3,方形气囊17上表面与方形外壳顶部内侧面粘贴,方形气囊下表面与所述金属片16相粘贴。As shown in Figure 1, the pressing part 10 of the present invention comprises a square shell, the top of the square shell is closed, the bottom is open, and a pressing plate 14 is arranged at the bottom opening. Close fit, its thickness is half of the height of the square shell, for example, the pressure plate is a transparent silicone pad with a width of 2cm, a length of 3cm, and a thickness of 1cm, and the pressure plate 14 is pressed at the incision position and tightened with a wrist strap. The thickness of the pressing plate is half of the square casing, the lower surface of the pressing plate is used to compress the incision, and a connecting rod 15 is fixed on the upper surface of the pressing plate. The length of the connecting rod is half the height of the square casing, and the other end of the connecting rod is fixed on a metal sheet 16. The length and width dimensions of the metal sheet are the same as those of the pressing plate, and are also tightly fitted to the inner wall of the square casing. A square airbag 17 is arranged between the metal sheet and the top of the square casing. It is 1/3~2/3 of the height of the pressing plate, the upper surface of the square airbag 17 is pasted with the inner side of the top of the square shell, and the lower surface of the square airbag is pasted with the metal sheet 16.

当方形气囊17处于充分放气状态,金属片16贴合到方形外壳顶部,压板14和连接杆15的厚度正好等于方形外壳的高度,加上金属片16以及方形气囊的厚度,压板14略突出方形外壳的底部,压板14可以用于压迫切口。当方形气囊处于充气状态,压板14继续向外突起,当方形气囊处于充分充气状态,压板14突出方形外壳1/3~2/3压板高度,但不完全突出,这样可以保证压板稳固安装在方形外壳内部。When the square airbag 17 is fully deflated, the metal sheet 16 is attached to the top of the square casing, the thickness of the pressure plate 14 and the connecting rod 15 is just equal to the height of the square casing, plus the thickness of the metal sheet 16 and the square airbag, the pressure plate 14 protrudes slightly At the bottom of the square housing, a pressing plate 14 can be used to compress the incision. When the square airbag is in the inflated state, the pressure plate 14 continues to protrude outward. When the square airbag is in the fully inflated state, the pressure plate 14 protrudes from the square shell by 1/3 to 2/3 of the height of the pressure plate, but not completely protruding, so that the pressure plate can be firmly installed on the square. Inside the shell.

如图7所示,第二调节部包括红外摄像头4242、图像处理器4243、第二压电传感器4244、第三模数转换器4245、第二单片机4249、第二加压气泵422、第三电磁阀423、第四电磁阀424,红外摄像头4242设置在压板后方,该红外摄像头设置在图1所示连接杆15左右两侧,因为压板是透明硅胶材料制成,因此红外摄像头可以有效采集切口的出血面积,而不受到压板的影响。图像处理器4243对红外摄像头采集的图像中的出血面积进行提取,输出出血面积值信号。本发明的第二调节部还包括第二压电传感器4244,第二压电传感器4244设置在金属板16和方形气囊17之间,用于采集压板受到的压迫力,该压迫力包括腕带压迫力和方形气囊对压板的压迫力。As shown in Figure 7, the second adjustment part includes an infrared camera 4242, an image processor 4243, a second piezoelectric sensor 4244, a third analog-to-digital converter 4245, a second single-chip microcomputer 4249, a second pressurized air pump 422, a third electromagnetic Valve 423, the 4th electromagnetic valve 424, infrared camera 4242 are arranged on the pressing plate rear, and this infrared camera is arranged on the left and right sides of connecting rod 15 shown in Figure 1, because pressing plate is made of transparent silica gel material, so infrared camera can effectively collect the incision. bleeding area without being affected by the platen. The image processor 4243 extracts the hemorrhage area in the image collected by the infrared camera, and outputs a signal of the hemorrhage area value. The second adjustment part of the present invention also includes a second piezoelectric sensor 4244, the second piezoelectric sensor 4244 is arranged between the metal plate 16 and the square air bag 17, and is used to collect the pressure force on the pressure plate, which pressure force includes wrist strap pressure Force and the compressive force of the square airbag on the pressing plate.

第二调节部还包括第二单片机4249,由于所述图像处理器4243输出的出血面积值是数字信号,因此,第二单片机4249直接接收所述图像处理器输出的出血面积值,并通过模数转换器4245接收第二压电传感器4244输出的压力信号。红外摄像头根据预设时间间隔采集出血面积图像,第二单片机将前后两次出血面积值进行比较,根据比值控制方形气囊的充放气,进而实现对压板压迫力的控制。当前后两次出血面积值的比值小于1,说明出血面积扩大,因此,单片机根据比值大小控制第二加压气泵422的充气量,开启第二加压气泵422及与方形气囊进气口相连接的第四电磁阀424,通过第二加压气泵422对方形气囊充气;当比值等于1或者大于1,说明出血面积没有扩大,第二单片机根据比值大小控制方形气囊423的放气量,开启与方形气囊17出气口相连的第三电磁阀423,对方形气囊放气。The second adjustment part also includes a second single-chip microcomputer 4249. Since the bleeding area value output by the image processor 4243 is a digital signal, the second single-chip microcomputer 4249 directly receives the bleeding area value output by the image processor, and passes the modulus The converter 4245 receives the pressure signal output by the second piezoelectric sensor 4244 . The infrared camera collects images of the bleeding area according to the preset time interval, and the second single-chip microcomputer compares the two bleeding area values before and after, and controls the inflation and deflation of the square airbag according to the ratio, thereby realizing the control of the pressing force of the pressing plate. The ratio of the two hemorrhage area values before and after is less than 1, indicating that the hemorrhage area is enlarged. Therefore, the single-chip microcomputer controls the inflation rate of the second pressurized air pump 422 according to the ratio, and opens the second pressurized air pump 422 and connects with the air inlet of the square air bag. The fourth solenoid valve 424 inflates the square airbag through the second pressurized air pump 422; when the ratio is equal to 1 or greater than 1, it means that the bleeding area has not expanded, and the second single-chip microcomputer controls the deflation of the square airbag 423 according to the ratio, and the opening and square The third solenoid valve 423 connected to the air outlet of the air bag 17 deflates the square air bag.

当上述对方形气囊充气的过程中,压力信号大于预设的警戒值时,第二单片机关闭第二加压气泵422及与方形气囊进气口相连接的第四电磁阀424,停止对方形气囊的充气操作,防止对患者血管造成压迫损伤。When the above-mentioned square airbag inflation process, when the pressure signal was greater than the preset warning value, the second single-chip microcomputer closed the second pressurized air pump 422 and the fourth solenoid valve 424 connected with the square airbag air inlet, and stopped the operation of the square airbag. The inflatable operation prevents compression damage to the patient's blood vessels.

优选地,为了提高本发明的桡动脉止血器的压迫精准性,本发明的压板后方的中心还设置有绿色LED灯,用于与切口对位。Preferably, in order to improve the compression accuracy of the radial artery hemostat of the present invention, a green LED light is provided at the center behind the pressing plate of the present invention for alignment with the incision.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (6)

1. a kind of radial artery hemostat characterized by comprising oppression department, wrist strap and control box;Oppression department includes pressing plate and side Shape air bag, for oppressing cutting part;Wrist strap includes intermediate course and the strip air bag that is arranged in intermediate course Band, for oppression department to be fixed on incision site;Controlling box includes the first adjustment portion and the second adjustment portion, the control of the first adjustment portion The inflation/deflation of air sac belt, the second adjustment portion control rectangular air bag inflation/deflation;Wrist is adjusted by the length-adjustment buckle on wrist strap first The length and oppression department integral position and oppressive force of band;Then the first adjustment portion adjusts the elastic of wrist strap according to wrist posture Degree, and then realize accurate adjustment of the oppression department to notch oppressive force;Second adjustment portion adjusts oppression department to notch according to bleeding area Oppressive force realizes the further accurate adjustment to notch oppressive force;
Air sac belt is located at wrist strap intermediate course by W character form structure disk, and by W character form structure, wrist strap the back of the hand position disk is equipped with four Air sac belt;
Oppression department includes square shell, and square shell is top closed, bottom opening, pressing plate is arranged at bottom opening, pressing plate is Bright silica gel is made, and length and width dimensions are set as fitting closely with square shell inner sidewall, with a thickness of the one of square shell height Half, pressing plate is oppressed in incision site, and with wrist strap and is tightened;For oppressing notch, pressing plate upper surface fixes one for pressing plate lower surface Connecting rod, the length of the connecting rod are the half of square shell height, and the connecting rod other end is fixed on a sheet metal, the gold The length and width dimensions for belonging to piece are identical as pressing plate, also fit closely with square shell inner wall, between sheet metal and the top of square shell Rectangular air bag is set, when rectangular inflated condition, length and width dimensions are identical as pressing plate, height be platen elevation 1/3~ 2/3, rectangular air bag upper surface and square shell inside top face are pasted, and rectangular air bag lower surface is mutually pasted with the sheet metal;
First adjustment portion includes gesture detection means, the first pressurization air pump, the first solenoid valve, second solenoid valve, the first pressure Electric transducer, comparator;The air inlet of air sac belt is connect by second solenoid valve with the first pressurization air pump, for inflating, air bag The gas outlet of band is connect with the first solenoid valve, for deflating;
The gesture detection means include shell, and six faces of shell are square, be internally provided with the first piezoelectric transducer and The top and bottom of weight block, weight block are square, and the edge of the square and the medial surface of shell fit closely, weight block The half with a thickness of shell, the bottom surface of shell is arranged in the first piezoelectric transducer, and the first piezoelectric transducer is according to counterweight The pressure output voltage signal of block;
Second adjustment portion includes infrared camera, image processor, the second piezoelectric transducer, third analog-digital converter, the second list Piece machine, the second pressurization air pump, third solenoid valve, the 4th solenoid valve, infrared camera are arranged at pressing plate rear, and infrared camera is set Connecting rod left side or right side are set, the bleeding area of notch is acquired;In the image that image processor acquires infrared camera Bleeding area extracts, and exports bleeding area value signal;Second piezoelectric transducer is arranged between metal plate and rectangular air bag, The oppressive force being subject to for acquiring pressing plate;Second adjustment portion further includes second singlechip, due to the output of described image processor Bleeding area value is digital signal, and second singlechip directly receives the bleeding area value of described image processor output, and passes through Third analog-digital converter receives the pressure signal of the second piezoelectric transducer output;Infrared camera is acquired according to prefixed time interval Bleeding area image, by front and back, bleeding area value is compared second singlechip twice, according to filling for the rectangular air bag of Ratio control It deflates;When the ratio of front and back bleeding area value twice is less than 1, illustrate that bleeding area expands, single-chip microcontroller is according to Ratio control second It pressurizes the aeration quantity of air pump, opens the second pressurization air pump and the 4th solenoid valve that is connected with rectangular air bag air inlet, by the Two pressurization air pump square shaped air bag inflations;When ratio is equal to 1 or greater than 1, illustrates that bleeding area does not expand, second singlechip According to the discharge quantity of the rectangular air bag of Ratio control, the third solenoid valve being connected with rectangular air bag gas outlet, square shaped air bag are opened It deflates.
2. a kind of radial artery hemostat as described in claim 1, which is characterized in that first adjustment portion includes comparator, The positive input of comparator is connected to the output end of the first piezoelectric transducer, and the negative input of comparator is connected to reference to electricity Pressure, the size of reference voltage are configured according to the grade of the first piezoelectric transducer output voltage, and reference voltage is the first piezoelectricity An intermediate value between sensor maximum output voltage and minimum output voltage, the intermediate value are not limited to maximum The intermediate value of output voltage and minimum output voltage;The output signal of comparator is connected respectively to the first pressurization air pump, the second electromagnetism Valve, the first solenoid valve, for controlling opening or closing for the first pressurization air pump and second solenoid valve and the first solenoid valve;Its In, the first pressurization air pump and second solenoid valve are negative voltage control logic, and the first solenoid valve is positive voltage control logic, and first adds Compression pump and second solenoid valve enable when receiving negative voltage, according to the first pressurization air pump of the size of negative voltage control and the second electromagnetism The inflationtime of valve, the first solenoid valve enable when receiving positive voltage, and the deflation of the first solenoid valve is controlled according to the size of positive voltage Time, so it is real by the first pressurization air pump of control and the inflationtime of second solenoid valve and the deflation time of the first solenoid valve The control of tolerance in existing air sac belt;
When the voltage signal of first piezoelectric transducer output is greater than reference voltage, the comparator exports positive voltage signal, Since the first pressurization air pump and second solenoid valve are negative voltage control logic, the first solenoid valve is positive voltage control logic, described First pressurization air pump and second solenoid valve do not enable, and first solenoid valve is enabled, air sac belt exhaust;When the piezoelectric transducer The voltage signal of output is less than reference voltage, and the comparator exports negative voltage signal, and first solenoid valve does not enable, described First pressurization air pump and second solenoid valve are enabled, air sac belt inflation.
3. a kind of radial artery hemostat as claimed in claim 2, which is characterized in that the negative electricity of the first pressurization air pump is voltage-controlled Logic processed realizes that the negative voltage transition that reversed follower exports comparator is an equal amount of positive electricity by reversed follower Pressure, is then converted to digital voltage value by the first analog-digital converter, is input to first singlechip;Since the first solenoid valve is just The positive voltage of voltage control logic, comparator output is converted to digital voltage value by the second analog-digital converter, is input to first Single-chip microcontroller;First analog-digital converter and the second analog-digital converter are all that positive voltage is effective, only carry out analog-to-digital conversion to positive voltage, than When exporting positive voltage compared with device, received the first analog-digital converter is negative voltage, and received the second analog-digital converter is positive voltage, the Two analog-digital converters export digital voltage value, and the input port of corresponding second analog-digital converter of first singlechip receives number electricity Pressure value, by internal arithmetic, first singlechip exports high level signal from its output port corresponding with the first solenoid valve, will First solenoid valve is enabled, is vented to air sac belt, and first singlechip and the first pressurization air pump and second solenoid valve are corresponding defeated Exit port exports low level or high-impedance state signal, and the first pressurization air pump and second solenoid valve do not enable;When comparator output is negative When voltage, received the first analog-digital converter is positive voltage, and received the second analog-digital converter is negative voltage, the first analog-to-digital conversion Device exports digital voltage value, and the input port of corresponding first analog-digital converter of first singlechip receives the digital voltage value, passes through Internal arithmetic, first singlechip are believed from its output port output high level corresponding with the first pressurization air pump and second solenoid valve Number, the first pressurization air pump and second solenoid valve are enabled, air sac belt is inflated, and first singlechip is corresponding with the first solenoid valve Output port output low level or high-impedance state signal, the first solenoid valve do not enable.
4. a kind of radial artery hemostat as claimed in claim 3, which is characterized in that the first singlechip is stored with digital electricity Pressure value table and high level time table, the digital voltage value in digital voltage value table and the high level time phase on high level time table Corresponding, first singlechip receives the digital voltage value of the first analog-digital converter or the output of the second analog-digital converter, by number electricity Pressure value carry out table lookup operation, find corresponding high level time, from corresponding output port export high level signal to First pressurization air pump, second solenoid valve or the first solenoid valve, the time of the high level signal are obtained by tabling look-up;High level letter Number enabled first pressurization air pump, second solenoid valve or the first solenoid valve, when high level time arrives, high level signal becomes low electricity Flat perhaps high-impedance state first pressurization air pump, second solenoid valve or the first solenoid valve do not enable, and stop working.
5. a kind of radial artery hemostat as described in claim 1, which is characterized in that during the inflation of square shaped air bag, When pressure signal is greater than preset warning value, second singlechip closes the second pressurization air pump and is connected with rectangular air bag air inlet The 4th solenoid valve, stop square shaped air bag charge operation.
6. a kind of radial artery hemostat as described in claim 1, which is characterized in that the center at the pressing plate rear is additionally provided with Green LED lamp, for being aligned with notch.
CN201710851290.4A 2017-09-20 2017-09-20 A radial artery hemostat Expired - Fee Related CN107496002B (en)

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CN109498100B (en) * 2019-01-10 2021-03-23 中国人民解放军陆军军医大学第一附属医院 Tourniquet capable of automatically releasing pressure at regular time
CN111134758A (en) * 2020-01-15 2020-05-12 常州市第二人民医院 Compressor inflating device and inflating method
US12193681B2 (en) 2021-07-06 2025-01-14 Terumo Medical Corporation Monitoring system for a hemostasis band

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CN103079463A (en) * 2010-09-09 2013-05-01 西铁城控股株式会社 Arm insertion type sphygmomanometer
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