CN107997802A - Bone space precise hemostasis device - Google Patents
Bone space precise hemostasis device Download PDFInfo
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- CN107997802A CN107997802A CN201810029358.5A CN201810029358A CN107997802A CN 107997802 A CN107997802 A CN 107997802A CN 201810029358 A CN201810029358 A CN 201810029358A CN 107997802 A CN107997802 A CN 107997802A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12159—Solid plugs; being solid before insertion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12181—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
- A61B17/12195—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices comprising a curable material
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B2017/12004—Surgical 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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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及骨间隙精确止血装置。The invention relates to the technical field of medical instruments, in particular to a precise hemostasis device for bone gaps.
背景技术Background technique
骨性间隙形态不规则,止血物不易准确到达出血位置,目前骨间隙止血慢,止血难度大。The shape of the bony space is irregular, and it is difficult for the hemostat to accurately reach the bleeding site. At present, the hemostasis in the bone space is slow and difficult.
发明内容Contents of the invention
本发明旨在提供一种骨间隙精确止血装置,可快速精确止血,操作难度小。The present invention aims to provide a precise hemostasis device in the bone space, which can quickly and accurately stop the hemorrhage, and is less difficult to operate.
为达到上述目的,本发明采用的技术方案如下:In order to achieve the above object, the technical scheme adopted in the present invention is as follows:
骨间隙精确止血装置,包括止血枪和止血弹,所述止血弹包括瓶体,瓶体前端有第一出药口,瓶体后端设有推进口,所述瓶体内推进口与第一出药口之间为物品仓,所述物品仓、推进口、第一出药口内部相通;The precise hemostasis device for the bone space includes a hemostatic gun and a hemostatic bullet. The hemostatic bullet includes a bottle body. There is an article warehouse between the medicine ports, and the article warehouse, the propulsion port, and the first medicine outlet are internally connected;
所述止血枪包括推杆和用于装止血弹的筒体,所述筒体侧壁有装弹开口,所述推杆的前端从筒体后端插入筒体中,推杆前端固定连接有可经瓶体的推进口进入物品仓内部的推块,筒体前端有第二出药口。The hemostatic gun includes a push rod and a cylinder for holding hemostatic bombs, the side wall of the cylinder has a loading opening, the front end of the push rod is inserted into the cylinder from the rear end of the cylinder, and the front end of the push rod is fixedly connected with The push block inside the product compartment can be entered through the push port of the bottle body, and there is a second drug outlet at the front end of the cylinder body.
其中,物品仓中装有止血物。Wherein, the hemostatic material is housed in the item compartment.
进一步的,止血物至少包括肾素棉片、明胶海绵、流体明胶中的一种。Further, the hemostat includes at least one of renin cotton, gelatin sponge, and fluid gelatin.
优选地,物品仓中装有肾素棉片和明胶海绵,明胶海绵位于肾素棉片前端。Preferably, the article compartment is equipped with a renin cotton sheet and a gelatin sponge, and the gelatin sponge is located at the front end of the renin cotton sheet.
进一步优选地,物品仓中明胶海绵的前端预留有用于装流体明胶的空间。Further preferably, a space for containing fluid gelatin is reserved at the front end of the gelatin sponge in the article compartment.
或者,物品仓中明胶海绵的前端装有流体明胶。Alternatively, the tip of the gelatin sponge in the item compartment is filled with fluid gelatin.
其中,第二出药口朝向筒体正前方,第二出药口的内径小于瓶体的外径。Wherein, the second drug outlet faces directly in front of the cylinder body, and the inner diameter of the second drug outlet is smaller than the outer diameter of the bottle body.
或者,第二出药口朝向筒体的斜前方。Alternatively, the second drug outlet faces obliquely forward of the barrel.
进一步的,筒体前端面为弧面,在弧面上设置斜开口形成第二出药口。Further, the front end surface of the barrel is an arc surface, and an oblique opening is set on the arc surface to form the second drug outlet.
进一步的,还包括吸引导管,所述吸引导管位于筒体外侧并与筒体连接,吸引导管的吸引头延伸到筒体前端。Further, it also includes a suction catheter, the suction catheter is located outside the cylinder and connected to the cylinder, and the suction head of the suction catheter extends to the front end of the cylinder.
进一步优选地,吸引头的吸引口朝向筒体的相对侧。Further preferably, the suction port of the suction head faces to the opposite side of the barrel.
其中,推块为与物品仓内径适配的活塞。Wherein, the push block is a piston adapted to the inner diameter of the item bin.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1.本发明结构简单,可精确将止血物送到需要封堵的位置,尤其适用于骨间隙止血;1. The present invention has a simple structure and can accurately deliver the hemostatic material to the position that needs to be blocked, and is especially suitable for hemostasis in the bone space;
2.止血枪侧方有装弹开口,方便上装和更换止血弹;且可多发止血弹累计使用;2. There is a loading opening on the side of the hemostatic gun, which is convenient for loading and replacing the hemostatic bullet; and multiple hemostatic bullets can be used cumulatively;
3.本发明中流体明胶可瞬间占据不规则间隙,并促进凝血;明胶海绵遇到血后,逐渐膨胀,在骨间隙中逐渐维持稳定液体明胶和明胶海绵;肾素棉片中的肾素可快速收缩局部小血管,促进快速止血;3. Fluid gelatin can occupy irregular gaps in the present invention and promote coagulation; after gelatin sponge encounters blood, it expands gradually, and gradually maintains stable liquid gelatin and gelatin sponge in the bone space; renin in the renin cotton sheet can Rapid contraction of local small blood vessels to promote rapid hemostasis;
4.自带吸血和水分的吸引系统,吸血与止血同时完成;4. Equipped with suction system for blood absorption and moisture, blood absorption and hemostasis can be completed at the same time;
5.本发明操作便捷,操作难度小,将困难的骨间隙止血技术简单化。5. The present invention is easy to operate, less difficult to operate, and simplifies the difficult bone space hemostasis technique.
附图说明Description of drawings
图1是瓶体的结构示意图;Fig. 1 is the structural representation of bottle body;
图2是装有肾素棉片和明胶海绵时止血弹的结构示意图;Fig. 2 is the structural representation of the hemostatic bullet when renin cotton sheet and gelatin sponge are housed;
图3是装有肾素棉片、明胶海绵和流体明胶时止血弹的结构示意图;Fig. 3 is a structural schematic diagram of the hemostatic bomb when renin cotton sheet, gelatin sponge and fluid gelatin are installed;
图4是实施例1中止血枪的结构示意图;Fig. 4 is the structural representation of the hemostatic gun in embodiment 1;
图5是实施例1中止血弹刚装入止血枪时的结构示意图;Fig. 5 is a schematic structural view of the hemostatic bullet in Example 1 when it is just loaded into the hemostatic gun;
图6是实施例1中止血弹被推到止血枪前端时的结构示意图;Fig. 6 is a schematic diagram of the structure of the hemostatic bullet in embodiment 1 when it is pushed to the front end of the hemostatic gun;
图7是实施例1中流体明胶被挤出时的结构示意图;Fig. 7 is the structural representation when fluid gelatin is extruded among the embodiment 1;
图8是实施例2的结构示意图;Fig. 8 is the structural representation of embodiment 2;
图9是实施例3的结构示意图;Fig. 9 is the structural representation of embodiment 3;
图10是实施例4的结构示意图;Fig. 10 is the structural representation of embodiment 4;
图中:1-瓶体、2-肾素棉片仓、3-明胶海绵仓、4-流体明胶仓、5-推进口、6-第一出药口、7-肾素棉片、8-明胶海绵、9-流体明胶、10-堵头、11-筒体、12-推杆、13-推块、14-装弹开口、15-第二出药口、16-弧面、17-吸引导管、18-吸引头。In the figure: 1-bottle body, 2-renin cotton sheet compartment, 3-gelatin sponge compartment, 4-fluid gelatin compartment, 5-propelling port, 6-first drug outlet, 7-renin cotton sheet, 8- Gelatin sponge, 9-fluid gelatin, 10-plug, 11-cylinder, 12-push rod, 13-push block, 14-loading opening, 15-second drug outlet, 16-curved surface, 17-attraction Catheter, 18-suction tip.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图,对本发明进行进一步详细说明。In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings.
实施例1Example 1
本实施例公开的骨间隙精确止血装置,包括止血枪和止血弹,如图1所示,止血弹包括瓶体1,瓶体1前端有第一出药口6,瓶体1后端设有推进口5,瓶体1内推进口5与第一出药口6之间为物品仓,物品仓、推进口5、第一出药口6内部相通。其中,物品仓中装有止血物。止血物至少包括肾素棉片7、明胶海绵8、流体明胶9中的一种。瓶体1的材质为塑料。The precise hemostasis device for bone space disclosed in this embodiment includes a hemostatic gun and a hemostatic bullet. The propulsion port 5, the propulsion port 5 and the first drug outlet 6 in the bottle body 1 are an article compartment, and the article compartment, the propulsion port 5, and the first drug outlet 6 are internally connected. Wherein, the hemostatic material is housed in the item compartment. The hemostat at least includes one of renin cotton sheet 7 , gelatin sponge 8 and fluid gelatin 9 . The bottle body 1 is made of plastic.
如图1、2所示,物品仓分从后往前分为肾素棉片仓2、明胶海绵仓3和流体明胶仓4,肾素棉片仓2、明胶海绵仓3和流体明胶仓4内部相通,肾素棉片仓2后端与推进口5相通,流体明胶仓4前端与第一出药口6相通。肾素棉片仓2中装有肾素棉片7,明胶海绵仓3中装有明胶海绵8,预留的流体明胶仓4用于装流体明胶9。使用止血弹时,如图3所示,从第一出药口6处向流体明胶仓4中注入将流体明胶9即可。推进口5处可设置堵头10,使用时取下即可。As shown in Figure 1 and 2, the article compartment is divided into renin cotton compartment 2, gelatin sponge compartment 3 and fluid gelatin compartment 4 from back to front, renin cotton compartment 2, gelatin sponge compartment 3 and fluid gelatin compartment 4 Internal communication, the rear end of the renin cotton sheet compartment 2 communicates with the propulsion port 5, and the front end of the fluid gelatin compartment 4 communicates with the first drug outlet 6. The renin cotton sheet compartment 2 is equipped with a renin cotton sheet 7 , the gelatin sponge compartment 3 is equipped with a gelatin sponge 8 , and the fluid gelatin compartment 4 is reserved for fluid gelatin 9 . When using the hemostatic bullet, as shown in FIG. 3 , inject the fluid gelatin 9 into the fluid gelatin chamber 4 from the first drug outlet 6 . A plug 10 can be provided at the 5 places of the propelling port, which can be removed during use.
如图4所示,止血枪包括推杆12和用于装止血弹的筒体11,筒体11侧壁有装弹开口14,推杆12的前端从筒体11后端插入筒体11中,推杆12前端固定连接有可经瓶体1的推进口5进入物品仓内部的推块13,筒体11前端有第二出药口15。其中,推块13为与物品仓内径适配的活塞。As shown in Figure 4, the hemostatic gun includes a push rod 12 and a cylinder 11 for holding hemostatic bombs. The side wall of the cylinder 11 has a loading opening 14, and the front end of the push rod 12 is inserted into the cylinder 11 from the rear end of the cylinder 11. The front end of the push rod 12 is fixedly connected with a push block 13 that can enter the interior of the article compartment through the push port 5 of the bottle body 1, and the front end of the cylinder body 11 has a second drug outlet 15. Wherein, the push block 13 is a piston adapted to the inner diameter of the article bin.
本实施例中第二出药口15朝向筒体11的斜前方,在向前推动推块13时可保证止血弹的瓶体1不会被推出。进一步的,筒体11前端面为弧面16,在弧面16上设置斜开口形成第二出药口15,弧形设计可以很方便的伸入骨间隙中。In this embodiment, the second drug outlet 15 faces obliquely forward of the cylinder body 11, and when the push block 13 is pushed forward, it can ensure that the bottle body 1 of the hemostatic bullet will not be pushed out. Further, the front end surface of the barrel 11 is an arc surface 16, and an oblique opening is provided on the arc surface 16 to form the second drug outlet 15. The arc design can easily extend into the bone gap.
如图5所示,使用时,将止血弹从装弹开口14处装入止血枪中,并使瓶体1前端朝向筒体11前端。将止血枪的前端伸向需要止血的骨间隙或者脊柱腔隙处。As shown in FIG. 5 , when in use, the hemostatic bomb is loaded into the hemostatic gun from the loading opening 14 , and the front end of the bottle body 1 faces the front end of the cylinder body 11 . Extend the front end of the hemostatic gun to the bone space or spinal cavity where bleeding needs to be stopped.
如图6所示,向前推动推杆12,瓶体1受力沿筒体11向前移动至不能移动为止;如图7所示,继续向前推动推杆12,推块13经瓶体1的推进口5进入物品仓内部,并向前挤压肾素棉片7,使物品仓内的药物受力向前移动,进而使最前端的流体明胶9依次经第一出药口6、第二出药口15被挤出,迅速到达占领不规则的骨间隙,促进凝血;然后,明胶海绵8被迅速挤出,明胶海绵8膨胀后起到物理性的封堵作用;最后,肾素棉片7被迅速挤出,肾素棉片7可及时提供肾上腺素收缩局部小血管,并过滤吸走多余的水分和血液,保持局部干燥,促进出血点迅速凝血,在止血成功后,去除肾素棉片7。As shown in Figure 6, push the push rod 12 forward, and the bottle body 1 is forced to move forward along the cylinder 11 until it cannot move; as shown in Figure 7, continue to push the push rod 12 forward, and the push block 13 passes through the bottle body. The propulsion port 5 of 1 enters the interior of the product compartment, and presses the renin cotton sheet 7 forward, so that the medicine in the product compartment moves forward under force, and then the fluid gelatin 9 at the front passes through the first drug outlet 6, The second drug outlet 15 is squeezed out, quickly reaching and occupying the irregular bone space, and promoting blood coagulation; then, the gelatin sponge 8 is squeezed out quickly, and the gelatin sponge 8 expands to play a physical blocking effect; finally, renin The cotton pad 7 is quickly extruded, and the renin cotton pad 7 can provide adrenaline in time to shrink local small blood vessels, filter and absorb excess water and blood, keep the local area dry, and promote rapid blood coagulation at the bleeding point. After the hemostasis is successful, remove the kidney Plain cotton sheet7.
一个止血枪中可以装一枚止血弹、两枚止血弹,甚至多枚止血弹,本实施例中,一个止血枪中装有一枚止血弹。One hemostatic bullet, two hemostatic bullets, or even multiple hemostatic bullets can be installed in one hemostatic gun. In this embodiment, one hemostatic bullet is housed in one hemostatic gun.
本发明结构简单,操作便捷,只需推动推杆,就可将三种药物按顺序快速、精确地注向需要封堵的位置,操作简单,止血快;且可多发止血弹累计使用。本发明可成数倍降低每次耗失的液体明胶,如果只使用液体明胶,1ml的液体明胶只能用约3-5次;但本发明中1ml的液体明胶可用10次-20次,相对于只是用液体明胶止血而言,成本更低。The invention has the advantages of simple structure and convenient operation. Just by pushing the push rod, the three kinds of medicines can be quickly and accurately injected in sequence to the position to be blocked. The present invention can reduce the liquid gelatin that consumes each time several times, if only liquid gelatin is used, the liquid gelatin of 1ml can only be used about 3-5 times; It is less costly than just using liquid gelatin to stop the bleeding.
实施例2Example 2
本实施例与实施例1的区别在于:如图8所示,本实施例中第二出药口15朝向筒体11正前方,第二出药口15的内径小于瓶体1的外径,在向前推动推块13时可保证止血弹的瓶体1不会被推出。The difference between this embodiment and Embodiment 1 is that, as shown in Figure 8, in this embodiment, the second drug outlet 15 faces directly in front of the cylinder body 11, and the inner diameter of the second drug outlet 15 is smaller than the outer diameter of the bottle body 1. When the push block 13 is pushed forward, it can be ensured that the bottle body 1 of the hemostatic bomb will not be pushed out.
实施例3Example 3
本实施例与实施例1或2的区别在于:如图9所示,本实施例中止血枪还包括吸引导管17,吸引导管17位于筒体11外侧并与筒体11连接,吸引导管17的吸引头18延伸到筒体11前端,吸引导管17的后端延伸到筒体11后端。优选地,吸引头18的吸引口朝向筒体11的相对侧。The difference between this embodiment and Embodiment 1 or 2 is that: as shown in Figure 9, the hemostatic gun in this embodiment also includes a suction catheter 17, which is located outside the cylinder body 11 and connected to the cylinder body 11, the suction catheter 17 The suction head 18 extends to the front end of the cylinder body 11 , and the rear end of the suction conduit 17 extends to the rear end of the cylinder body 11 . Preferably, the suction port of the suction head 18 faces the opposite side of the barrel 11 .
本实施例增加了吸引导管17,使用时,将吸引导管17后端连接吸引器,前端的吸引头18可在出血间隙周围吸引多余血液等液体。In this embodiment, a suction catheter 17 is added. When in use, the rear end of the suction catheter 17 is connected to a suction device, and the suction head 18 at the front end can suck excess blood and other fluids around the bleeding gap.
实施例4Example 4
本实施例与前面三个实施例的区别在于:如图10所示,本实施例中一个止血枪中装有两枚止血弹,可多发止血弹累计使用。止血弹的个数可以根据需要装载。The difference between this embodiment and the previous three embodiments is that, as shown in FIG. 10 , one hemostatic gun in this embodiment is equipped with two hemostatic bullets, and multiple hemostatic bullets can be used accumulatively. The number of hemostatic bullets can be loaded as required.
本发明可精确止血,止血快,吸血与止血同时完成;可循环利用,成本较低;操作难度小,将困难的骨间隙止血技术简单化,适用于各类骨间隙止血。The invention can stop bleeding precisely, quickly, and simultaneously complete blood sucking and hemostasis; it can be recycled, and the cost is low; the operation difficulty is small, the difficult bone space hemostasis technique is simplified, and it is suitable for various bone space hemostasis.
当然,本发明还可有其它多种实施方式,在不背离本发明精神及其实质的情况下,熟悉本领域的技术人员可根据本发明作出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求的保护范围。Certainly, the present invention also can have other multiple implementation modes, without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding changes and deformations according to the present invention, but these corresponding changes All changes and modifications should belong to the scope of protection of the appended claims of the present invention.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111588947A (en) * | 2020-05-26 | 2020-08-28 | 四川大学华西医院 | Injection device for stopping bleeding of cervical vertebral canal venous plexus |
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| CN111904558B (en) * | 2020-09-09 | 2021-06-04 | 温州医科大学附属第一医院 | PTCD puncture channel plugging device and method |
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|---|---|
| CN107997802B (en) | 2020-06-30 |
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