Catheter intervention operation compression nursing device
Technical Field
The invention relates to the field of postoperative care devices for catheter intervention operations, in particular to a catheter intervention operation compression care device.
Background
Catheter intervention refers to the procedure of placing a catheter into the heart or associated vessel of a patient for treatment via the femoral artery. During the operation, the catheter is inserted into the blood vessel through femoral artery puncture, after the operation is finished, the puncture catheter and the sheath of the femoral artery are pulled out from the artery, and at the moment, medical personnel are required to apply appropriate force, the puncture part is accurately pressed for a long time, and the buffering and the releasing are carried out discontinuously, so that necessary blood supply is guaranteed. In the clinical nursing work, because medical staff are required to press for a long time after the catheter is inserted into the operation, the arms of the medical staff are easy to generate tension due to long-time fixing action in the process, the hand pressure is insufficient due to over fatigue, and finally, the adverse conditions such as bleeding, subcutaneous hematoma and the like are easy to occur at the wound. In addition, the whole pressing nursing also has the problems of time and labor waste, incapability of handling other matters by medical workers and serious consumption of the working time of the medical workers.
Disclosure of Invention
Aiming at the problems that the work efficiency of medical staff is obviously restricted due to the fact that the work intensity of the medical staff is high, pressing arms are easy to be tense and tired, and the occupied time of pressing nursing is long in the current nursing process after the catheter intervention operation, the invention provides a catheter intervention operation compression nursing device which is beneficial to relieving the work intensity of the medical staff, overcoming the problem of nursing badness caused by fatigue, relieving the medical staff from monotonous pressing nursing work and obviously improving the work efficiency of daily work of the medical staff.
The technical scheme adopted by the invention for solving the technical problems is as follows: a catheter intervention operation compression nursing device comprises an L-shaped base body, a compression belt, a pulling belt and a pulling assembly. The corners of the seat body are cambered surfaces. The upper end face of the arm of the seat body in the horizontal position is provided with a long groove, the front groove wall and the rear groove wall of the long groove are provided with opposite rails, and the rails extend in the left-right direction. The lower end of the compression belt is arranged between the two tracks through the positioning rod group. The positioning rod group comprises a shaft rod and a locking part, wherein the middle part of the shaft rod penetrates into the compression belt and extends out of two ends of the compression belt to be correspondingly matched with the two rails. The locking portion can selectively switch the lower end of the pressing band and the rail between a relatively fixed state and a relatively slidable state. The upper end of the compression belt is matched with one end of the pull belt through a pivot. The drawing assembly is arranged on the upper part of the arm of the seat body in the vertical position. The other end of the pulling belt is matched with the pulling assembly, and the pulling assembly can pull the pulling belt to move so as to finally enable the upper end of the pressing belt to move towards one side of the arm close to the vertical position of the base body.
In some embodiments, the locking part in the positioning rod set is a spiral ring a, and one end of the shaft rod is provided with an end cap, and the other end of the shaft rod is provided with an external thread. The spiral ring a is matched with the external thread end of the shaft rod, and the inner end face of the spiral ring a can be in contact with the outer wall face of the seat body. And a first cushion ring and a second cushion ring are arranged between the spiral ring a and the outer wall of the seat body on the same side and between the end cap of the shaft rod and the outer wall of the seat body on the same side, and the first cushion ring and the second cushion ring can be pressed to the outer wall surface of the seat body by rotating the spiral ring a.
In some embodiments, the pulling assembly includes a clevis, a winding drum, and a motor. The closed end of the U-shaped seat is arranged on an arm of the seat body in a vertical position in a matching mode, the open end of the U-shaped seat is matched with the winding roller through a pivot, and the axial direction of the winding roller is consistent with the axial direction of the shaft rod. The motor is fixedly arranged on the upper portion of the U-shaped seat and can drive the winding roller to rotate. The other end of the pull belt is fixedly connected to the winding roller. The motor drives the winding drum to rotate forwards and reversely, and the drawing belt can be wound on the winding drum or separated from the winding drum.
In some embodiments, the device further comprises a first matched column wheel, a U-shaped sliding seat a and a U-shaped frame a, and a second matched column wheel, a U-shaped sliding seat b and a U-shaped frame b. The U-shaped frames a and b are fixed on the upper parts of the arms of the seat body in the vertical position and are relatively positioned on the inner sides of the U-shaped seats, and meanwhile, the U-shaped frames a are relatively positioned on the inner sides of the U-shaped frames b.
The first column wheel is arranged at the opening end of the U-shaped sliding seat a through a pivot, the lower portion of the U-shaped sliding seat a is matched with the U-shaped frame a through a vertically arranged linear rail, a lead screw driving unit is arranged on the lower portion of the U-shaped frame a, and the lead screw driving unit can drive the U-shaped sliding seat a to ascend and descend relative to the U-shaped frame a.
The column wheel II is arranged at the opening end of the U-shaped sliding seat b through a pivot, the lower portion of the U-shaped sliding seat b is matched with the U-shaped frame b through a vertically arranged linear rail, a lead screw driving unit is arranged at the lower portion of the U-shaped frame b, and the lead screw driving unit can drive the U-shaped sliding seat b to ascend and descend relative to the U-shaped frame b.
The axial direction of the first column wheel and the axial direction of the second column wheel are consistent with the extending direction of the axial line of the winding roller. And the height of the axis of the column wheel II is lower than that of the axis of the column wheel I in the using state.
The other end of the pull belt passes through the upper part of the first column wheel, downwards passes through the lower part of the second column wheel and then extends upwards to be connected with the winding roller.
In some embodiments, the upper end of the arm of the base body in the vertical position is provided with a vertically extending groove rail, and the lower part of the U-shaped base is matched with the groove rail, so that the winding drum can synchronously move up and down relative to the base body with the U-shaped base and is positioned at a certain height position, and finally, the height position of the winding drum is adjusted.
In some embodiments, the seat body is provided with a vertically extending channel corresponding to the groove rail, and the lower end of the U-shaped seat is provided with a counter bore corresponding to the channel. In this case, the screw and the screw ring b are also included. One end of the screw rod is inserted into a counter bore arranged on the U-shaped seat through the channel, and the other end of the screw rod extends out of the seat body and is matched with the spiral ring b. The inner end face of the spiral ring b can be in contact with the outer wall face of the seat body. And a third cushion ring is arranged between the spiral ring b and the outer wall of the seat body, and the cushion ring can be pressed to the outer wall surface of the seat body by rotating the spiral ring b. The arranged channel and the corresponding matched screw and spiral ring b can guide the movement of the U-shaped seat relative to the seat body and can fix the U-shaped seat at a certain position relative to the seat body.
In some embodiments, a screw motor is arranged at the bottom of a groove rail arranged on the arm of the seat body in the vertical position, a screw rod matched with the screw motor extends upwards along the vertical direction, and the lower part of the U-shaped seat is matched with the screw rod. The U-shaped seat is driven to move up and down through the lead screw motor, so that the height position of the winding roller is adjusted.
In some embodiments, a plurality of pockets are embedded on the corner cambered surface of the seat body, and the pockets are stacked and each pocket is arched in an inflated state. The end face of the arm of the seat body in the horizontal position is provided with a connecting rod, the end part of the connecting rod is provided with an inflatable air bag, and a pipeline is arranged on the connecting rod. One end of the pipeline is connected with the inflatable air bag, and the other end of the pipeline is connected with the bag body. And an exhaust valve is arranged on the pipeline. And in the inflation process, the bag body completes inflation layer by layer from inside to outside.
In some embodiments, a lining layer is arranged on one side surface of the compression belt opposite to the corner cambered surface of the seat body, and the lining layer extends from the lower end to the middle upper part of the compression belt; the lining layer is a sponge cushion or a cotton cloth cushion.
The invention has the beneficial effects that: it is particularly useful for carrying out the oppression to the position of pipe intervention postoperative through femoral artery, and simple structure, convenient operation help reducing in the operation nursing process medical personnel's working strength, eliminate the tension and the tired sense that the nursing work in pressed the arm and produced, eliminate because of tired bad present symptom problem that leads to, help medical personnel to follow and press the nursing work and liberate, obviously promote medical personnel daily work's work efficiency.
Drawings
FIG. 1 is a schematic overall structure diagram of one embodiment of the present patent;
FIG. 2 is a schematic view of one embodiment of the positioning rod assembly and the base of the present patent;
FIG. 3 is a schematic diagram of a cross-sectional structure of the U-shaped seat and the seat body in the side view direction;
FIG. 4 is a schematic view of a cross-sectional structure of a U-shaped seat and a seat body in a front view direction;
FIG. 5 is a schematic structural view of another embodiment of the U-shaped seat and the seat body of the present patent;
FIG. 6 is a partial schematic view of a portion of an embodiment of this patent;
fig. 7 is a schematic view of the arrangement of fig. 6 involving the engagement of the U-shaped carriage with the U-shaped frame.
In the figure: 1 seat body, 11 tracks, 12 positioning rod groups, 121 shaft rods, 122 spiral rings a, 13 capsules, 14 inflatable airbags, 2 compression belts, 21 linings, 3 pull belts, 41U-shaped seats, 42 winding rollers, 43 motors, 44 screws, 45 spiral rings b, 46 channels, 47 lead screw motors, 51 column wheel I, 52U-shaped sliding seats a, 53U-shaped frames a, 61 column wheel II, 62U-shaped sliding seats b, 63U-shaped frames b, 7 lead screw driving units, a cushion ring I, b cushion ring II and c cushion ring III
Detailed Description
The structures, proportions, and dimensions shown in the drawings and described in the specification are for understanding and reading the present disclosure, and are not intended to limit the scope of the present disclosure, which is defined in the claims, and are not essential to the skilled in the art. In addition, the terms "upper", "lower", "front", "rear" and "middle" used in the present specification are for clarity of description, and are not intended to limit the scope of the present invention, and the relative relationship between the terms and the relative positions may be changed or adjusted without substantial technical changes.
Fig. 1 shows a catheter interventional operation compression nursing device, which comprises an L-shaped seat body 1, a compression belt 2, a pulling belt 3 and a pulling assembly. The corners of the seat body 1 are cambered surfaces. The upper end face of the arm of the seat body 1 in the horizontal position is provided with a long groove, the front groove wall and the rear groove wall of the long groove are provided with opposite rails 11, and the rails 11 extend in the left-right direction. In some embodiments, the track 11 may be curved as shown and may be slightly downwardly inclined from left to right relative to a horizontal plane. In some embodiments, it is preferable that the upper end surface of the arm of the seat body 1 in the horizontal position is inclined upward from right to left with respect to the horizontal plane and is a curved surface.
As shown in fig. 1 and 2, the lower end of the compression band 2 is disposed between the two rails 11 through a positioning rod set 12. The positioning rod set 12 comprises a shaft rod 121 and a locking part, wherein the middle part of the shaft rod 121 penetrates into the compression band 2 and extends out of two ends of the compression band 2 to be correspondingly matched with the two tracks 11. The locking portion can selectively switch the lower end of the pressing band 2 and the rail 11 between a relatively fixed state and a relatively slidable state. In some embodiments, the locking portion in the set of positioning rods 12 is a spiral ring a122, and one end of the shaft 121 is provided with an end cap, and the other end is provided with an external thread. The spiral ring a122 is matched with the external thread end of the shaft rod 121, and the inner end surface of the spiral ring a122 can be contacted with the outer wall surface of the seat body 1. A cushion ring a and a cushion ring b are arranged between the spiral ring a122 and the outer wall of the seat body 1 on the same side, and between the end cap of the shaft rod 121 and the outer wall of the seat body 1 on the same side, and the spiral ring a122 can press the cushion ring a and the cushion ring b to the outer wall surface of the seat body 1.
As shown in fig. 1, the upper end of the pressing band 2 is pivotally coupled to one end of the pull band 3. The drawing assembly is arranged on the upper part of the arm of the seat body 1 in the vertical position. The other end of the pull belt 3 is matched with the traction assembly, and the traction assembly can finally move the upper end of the compression belt 2 towards one side (right side) of the arm close to the seat body 1 in the vertical position by pulling the pull belt 3 to move. As shown in fig. 1 and 3, in some embodiments, the pulling assembly includes a U-shaped base 41, a winding roller 42, and a motor 43. The closed end of the U-shaped seat 41 is disposed on the arm of the seat body 1 in the vertical position in a matching manner, the open end is matched with the winding drum 42 through a pivot, and the axial direction of the winding drum 42 is consistent with the axial direction of the shaft rod 121. The motor 43 is fixedly arranged on the upper portion of the U-shaped seat 41 and can drive the winding roller 42 to rotate. The other end of the pull belt 3 is fixedly connected to the winding roller 42. The winding drum 42 is driven to rotate forward and backward by the motor 43, and the pull tape 3 can be wound on the winding drum 42 or separated from the winding drum 42.
In the above-mentioned scheme, the lower extreme of oppression area 2 can move about along track 11, especially when track 11 downward sloping, can move relative seat body 1 below to one side, and this kind of setting helps all can making the lower extreme of oppression area 2 begin to oppress from the lower part of leg to different thickness's legs for this oppression care implement can exert reliable effect all the time when using. The suspension length of the pulling belt 3 is controlled by a pulling assembly (a winding roller 42), and the upper end of the compression belt 2 is pulled to move so as to ensure that the compression belt 2 is pressed on the inner side of the thigh. It should be noted that the material of the compression band 2 needs to have certain flexibility and toughness, but there is no significant amount of stretching variation when it is under tension. The thickness of the compression band 2 should not be too large to prevent significant interference with its flexibility and inability to fit closely to the inner thigh. The pull strip is required to have sufficient strength and toughness and should also be significantly resilient (not significantly stretch-deformable under tension). The tension strength of the pull belt 3 is adjusted to complete discontinuous buffer release and meet the necessary blood circulation requirement.
As shown in fig. 1, in some embodiments, a plurality of pockets 13 are embedded on the arc surface of the corner of the seat body 1, and the pockets 13 are stacked and each pocket is arched in an inflated state. The end face of the arm of the seat body 1 in the horizontal position is provided with a connecting rod, the end part of the connecting rod is provided with an inflatable air bag 14, and a pipeline is arranged on the connecting rod. One end of the pipeline is connected with the inflatable air bag 14, and the other end of the pipeline is connected with the bag body 13. And an exhaust valve is arranged on the pipeline. During inflation, the bladder 13 is inflated layer by layer from inside to outside. The exhaust valve is opened to exhaust the gas in the bag body 13, and the inflatable air bag 14 is pressed to inflate the bag body 13.
The provision of the bladder body 13 helps to ensure that the compression band 2 can securely perform a compression action for legs of different thicknesses. The right end of the track 11 is arranged opposite to the left end of the bag body 13 up and down or the right end of the track 11 extends to the right to the lower part of the bag body 13 (at this time, the left end of the bag body 13 corresponds to the position which is relatively close to the right in the middle of the track 11). Bladder 13 can form a support for the outer bottom of the leg.
As shown in fig. 1, in some embodiments, a lining layer 21 is disposed on a side of compression band 2 opposite to the corner arc surface of seat body 1, lining layer 21 extends from a lower end to a middle upper portion of compression band 2, lining layer 21 extends for a length not less than 1/2 of the length of compression band, and preferably lining layer 21 extends for a length 2/3 to 3/4 of the length of compression band. The lining 21 is a spongy cushion or a cotton cloth cushion, and the lining 21 protrudes outwards relative to the compression belt 2. After setting up lining 21, can promote the laminating effect of oppression area and leg inboard on the one hand, on the other hand can guarantee the gas permeability.
In order to make the structure of the lining 21 correspond to the position needing to be pressed effectively, in some embodiments, the lining 21 can be connected with the compression belt 2 through a bearing seat, and the lining can slide along the length direction of the compression belt 2 along with the bearing seat relative to the compression belt 2. The bearing seat is made of flexible materials.
As shown in fig. 3 to 5, in some embodiments, the upper end of the arm of the seat body 1 in the vertical position is provided with a vertically extending groove rail, and the lower portion of the U-shaped seat 41 is matched with the groove rail, so that the winding roller 42 can move up and down relative to the seat body 1 synchronously with the U-shaped seat 41 and is positioned at a certain height position, and finally, the height position of the winding roller 42 is adjusted. By making the height position of the winding drum 42 adjustable, the adjustment of the inclination angle of the tension belt 3 in the tensioned state can be realized, thus ensuring the compression effect of the compression belt 2 when applied to legs of different thicknesses. Specifically, as shown in fig. 3 and 4, the seat body 1 is provided with a vertically extending channel 46 corresponding to the groove rail, and the lower end of the U-shaped seat 41 is provided with a counter bore corresponding to the channel 46. In this case, a screw 44 and a screw ring b45 are also provided. One end of the screw 44 is inserted into a counter bore provided on the U-shaped seat 41 through the channel 46, and the other end extends out of the seat body 1 and matches with the spiral ring b 45. The inner end surface of the spiral ring b45 can contact with the outer wall surface of the seat body 1. A cushion ring tri-c is arranged between the spiral ring b45 and the outer wall of the seat body 1, and the cushion ring tri-c can be pressed towards the outer wall surface of the seat body 1 by rotating the spiral ring b 45. The provided slot 46, and the corresponding matching screw 44 and the spiral ring b45 can guide the movement of the U-shaped seat 41 relative to the seat body 1, and can fix the U-shaped seat 41 at a certain height position relative to the seat body 1. As shown in fig. 5, a screw motor 47 is disposed at the bottom of a groove rail disposed on the arm of the seat body 1 in the vertical position, a screw rod matched with the screw motor 47 extends upward along the vertical direction, and the lower portion of the U-shaped seat 41 is matched with the screw rod. The U-shaped seat 41 is driven to move up and down by a lead screw motor 47, so that the height position of the winding roller 42 is adjusted.
In order to ensure the tensioning effect of the pull belt 3 and facilitate the intermittent buffer release operation, as shown in fig. 6 and 7, the patent scheme further comprises a first matched column wheel 51, a U-shaped sliding seat a52, a U-shaped frame a53, and a second matched column wheel 61, a U-shaped sliding seat b62 and a U-shaped frame b 63. The U-shaped frames a53 and b63 are fixed on the upper part of the arm of the seat body 1 in the vertical position and are relatively positioned at the inner (left) side of the U-shaped seat 41, and the U-shaped frame a53 is relatively positioned at the inner (left) side of the U-shaped frame b 63. The column wheel I51 is arranged at the opening end of the U-shaped sliding seat a52 through a pivot, the lower part of the U-shaped sliding seat a52 is matched with the U-shaped frame a53 through a vertically arranged linear rail, a lead screw driving unit 7 is arranged at the lower part of the U-shaped frame a53, and the lead screw driving unit 7 can drive the U-shaped sliding seat a52 to ascend and descend relative to the U-shaped frame a 53. The second column wheel 61 is arranged at the opening end of the U-shaped sliding seat b62 through a pivot, the lower part of the U-shaped sliding seat b62 is matched with the U-shaped frame b63 through a vertically arranged linear rail, a lead screw driving unit 7 is arranged at the lower part of the U-shaped frame b63, and the lead screw driving unit 7 can drive the U-shaped sliding seat b62 to ascend and descend relative to the U-shaped frame b 63. The axial direction of the first column wheel 51 and the axial direction of the second column wheel 61 are consistent with the axial extension direction of the winding roller 42. The height of the axis of the column wheel II 61 is lower than that of the axis of the column wheel I51 in the using state. The other end of the pulling belt 3 passes through the upper part of the first column wheel 51, downwards passes through the lower part of the second column wheel 61, and extends upwards to be connected with the winding roller. After the pulling belt 3 is tensioned and the pressing belt 2 is firmly pressed on the surgical wound position, when the buffer release is needed to be intermittently realized, the U-shaped sliding seat a52 can be driven to move downwards for a certain stroke through the lead screw driving unit 7 corresponding to the U-shaped sliding seat a 52. After the column wheel I51 and the column wheel II 61 are arranged, the tensioning effect of the pull belt can be obviously improved.
The foregoing embodiments are merely illustrative of the principles and utilities of the present invention and are not intended to limit the invention. Many modifications may be made to the present invention without departing from the spirit or scope of the general inventive concept, and it will be apparent to those skilled in the art that changes and modifications may be made to the above-described embodiments without departing from the spirit or scope of the invention. Accordingly, it is intended that all equivalent modifications or changes which can be made by those skilled in the art without departing from the spirit and technical spirit of the present invention be covered by the claims of the present invention.