CN108926374B - Puncture intervention operation compression device - Google Patents

Puncture intervention operation compression device Download PDF

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Publication number
CN108926374B
CN108926374B CN201810664033.4A CN201810664033A CN108926374B CN 108926374 B CN108926374 B CN 108926374B CN 201810664033 A CN201810664033 A CN 201810664033A CN 108926374 B CN108926374 B CN 108926374B
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rod
hole
bolt
tension
counter bore
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CN108926374A (en
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李艳
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Hematology (AREA)
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  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
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  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Transmission Devices (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a puncture interventional operation compression device which comprises a frame, a compression belt, a thrust mechanism, a tension mechanism and a pressing mechanism. The compression belt is arranged at the left side in the machine frame. The thrust mechanism is arranged on the left wall of the frame and comprises a pushing part and a thrust sliding rod, and the pushing part can push the thrust sliding rod to move along the oblique downward direction. The tension mechanism is arranged on the right wall of the frame and comprises a tension part and a tension slide rod. One end of the tension slide bar is connected with the compression belt, and the other end is connected with the pulling part. The pressing mechanism is arranged below the tension mechanism relatively and comprises a driving portion and a blocking portion, and the blocking portion is arranged at one end, facing the pressing belt, of the driving portion. The driving part can push the blocking part to move towards the direction of the pressing belt. The compression device is particularly suitable for compressing the part after the transfixion operation is carried out through femoral artery/vein, has simple structure and convenient operation, is beneficial to reducing the working strength of medical workers in the transfixion operation nursing process, relieving the tension and fatigue of pressing arms in the nursing work and improving the working condition of the medical workers.

Description

Puncture intervention operation compression device
Technical Field
The invention relates to the field of medical care devices, in particular to a puncture interventional operation compression device.
Background
Puncture interventional surgery refers to a procedure in which a catheter is placed into a patient's blood vessel through a vein/artery for treatment. When performing surgery, it is generally necessary to place the implant through a transfemoral/arterial or a brachial/arterial puncture. After the operation is finished, the puncture catheter and the sheath tube are pulled out from the vein or the artery, and medical personnel are required to apply pressing force with reasonable force at the moment, press the puncture entry part for a long time and buffer and release discontinuously, so that the necessary blood circulation requirement is ensured.
In clinical care, because the pressing time is long after the puncture operation, medical personnel are easy to cause insufficient force due to fatigue, and the discomfort conditions such as bleeding, subcutaneous hematoma and the like appear at the puncture wound of a patient are easy to cause. Therefore, the problems of time and labor waste and additional occupation of medical care personnel exist in the current postoperative pressing nursing of the puncture operation. Aiming at the problems existing in current puncture nursing, a special device is urgently needed to be designed, so that the labor intensity of medical staff is relieved, and the time of occupying the medical staff in nursing is shortened.
Disclosure of Invention
The invention provides a compression device after a puncture interventional operation, which is particularly suitable for compressing a part after the puncture interventional operation is carried out through femoral artery and vein, is beneficial to relieving the working intensity of medical workers, overcoming the bad problem caused by fatigue and improving the working condition of the medical workers.
The technical scheme adopted by the invention for solving the technical problems is as follows: a puncture interventional operation compression device comprises a supporting plate, a U-shaped frame, a thrust mechanism matched with the lower end of a compression belt, a tension mechanism matched with the upper end of the compression belt and a pressing mechanism. The supporting plate is arranged at the lower port of the rack, and the pressing belt is arched and is oppositely arranged on the inner side of the left side wall plate of the rack.
The thrust mechanism is arranged on the left side wall plate of the rack and comprises a pushing part and a thrust sliding rod. The axis of the thrust sliding rod inclines to the lower right, and the end part of the thrust sliding rod extends into the machine frame and is matched with the pressing belt in a pivot mode. The pushing part is arranged on a left side wall plate of the rack and can push the thrust sliding rod to move along the axis direction of the thrust sliding rod. In some embodiments, a long groove or a long hole may be formed on the upper end surface of the support plate on a side close to the lower end of the compression band, and the width of the long groove or the long hole may be greater than the width of the compression band. In some embodiments, the biasing portion includes a spring a and a thrust bolt. The left side wall body of frame is equipped with the axis and is equipped with the ladder through-hole of below slope to the right side, the internal diameter of ladder through-hole is the trend that reduces towards the inner by the outer end. The thrust bolt is arranged at the outer end of the stepped through hole in a matching mode, and the thrust sliding rod penetrates into the stepped through hole from the inner end of the stepped through hole. The spring A is arranged in the stepped through hole and sleeved on the thrust sliding rod. And a spiral coil is arranged at one end of the thrust sliding rod, which extends into the stepped through hole, and the spiral coil is relatively positioned at one side of the outer end of the spring A.
Screwing the thrust bolt to enable the thrust bolt to move inwards relative to the stepped through hole, so that thrust can be applied to the thrust sliding rod, the thrust sliding rod moves towards the lower right direction, finally the lower end of the pressing belt is driven to move towards the lower right direction, and the spring A is gradually compressed in the process; and conversely, the thrust bolt is screwed to move outwards relative to the stepped through hole, and the thrust sliding rod moves and resets towards the upper left under the action of the spring A.
The tension mechanism is arranged at the upper end of the wall plate at the right side of the rack and comprises a tension part and a tension slide rod. One end of the tension slide bar extends into the frame and is pivotally matched with the compression belt. And a sliding sleeve is arranged below the top wall of the frame. The top wall of the rack is provided with a fixing bolt, the lower end of the fixing bolt is connected with a sliding sleeve, and the sliding sleeve is relatively fixed below the top wall of the rack. The middle part of the tension slide bar penetrates through the sliding sleeve and can slide relative to the sliding sleeve. The other end of the tension slide bar is connected with the pulling part, and the pulling part can drive the tension slide bar to slide relative to the sliding sleeve. In some embodiments, the pulling portion comprises a pull rod, a threaded ring, and a tension bolt. The right side wall plate of the rack is provided with a threaded counter bore, the bottom of the threaded counter bore is provided with a through hole, and the inner diameter of the through hole is smaller than that of the threaded counter bore. One end of the pull rod is hinged with the pull rod, and the other end of the pull rod extends into the threaded counter bore through the through hole. And a counter bore along the axis of the tension bolt is arranged on the end face of the nut of the tension bolt, and a smooth wall through hole is arranged at the bottom of the counter bore. The tension bolt is matched in the threaded counter bore. And one section of the pull rod extending into the thread counter bore extends into the counter bore of the tension bolt and is matched with the spiral ring.
When the tension bolt is screwed to enable the tension bolt to move relative to the outer side of the threaded counter bore arranged on the wall plate on the right side of the rack, the tension bolt can pull the pull rod to move outwards, then the pull rod pulls the tension slide rod to slide outwards, and finally the upper end of the compression belt is pulled to move outwards. In some embodiments, a section of the pull rod extending into the counter bore of the tension bolt is sleeved with a spring B, and the spiral ring presses the spring B towards the bottom wall of the counter bore of the tension bolt. The initial compression amount of the spring B can be adjusted by adjusting the position of the spiral ring relative to the pull rod, so that the pressure floating interval of the compression band on the wound is adjusted. Make the tensile force that the pull rod bore have certain resiliency after setting up spring B, not only help guaranteeing the stability of oppression area effect pressure, can promote moreover and use experience.
The pressing mechanism is arranged on the right side wall plate of the rack and is arranged below the tension mechanism relatively.
The pressing mechanism comprises a driving part and a blocking part, the driving part is arranged on a right side wall plate of the rack, and the blocking part is arranged at one end, facing the compression belt, of the driving part. The driving portion can push the blocking portion to move towards the direction of the compression belt. The end surface of one end, opposite to the compression belt, of the blocking part is concave inwards to form an arc shape. Keep off portion and can exert thrust to the shank to oppression area one side and block the shank formation, and then the guarantee is adjusting after oppression area upper end, lower extreme position, can make the well lower part position of oppression area press at the shank inboard.
In some embodiments, the driving portion is an air pump and an air bag, the blocking portion is a plurality of layers of bag bodies arranged at the end portions of the air bag, the bag bodies are stacked in a left-right direction to form a plurality of layers, and the middle portion of each layer of bag body is recessed inwards to form an arch. The bag body is communicated with the air bag, and the air bag can push the bag body to one side of the compression belt in the inflating process. The air pump is fixed on the frame and communicated with the air bag. Each layer of capsule is supported by the flexible framework, so that one side of the capsule facing the compression belt is concave, and each layer of capsule forms an arch structure.
In some embodiments, the right sidewall body of the rack is provided with vertically opposite slide rail seats, a seat body matched with the slide rail seats through a linear rail structure is arranged between the two slide rail seats, and the seat body can linearly slide along the left-right direction relative to the slide rail seats. And at least one slide rail seat is provided with a positioning part which can selectively limit the seat body to move towards one side departing from the compression belt relative to the slide rail seat. The seat body is provided with a cavity extending along the left-right direction, the left end face of the cavity is provided with a baffle plate which is opposite up and down, the baffle plate at the upper part is inclined towards the upper left, and the baffle plate at the lower part is inclined towards the lower left.
The blocking portion comprises an assembly block and an arched pad, and the driving portion comprises a spring C, a sliding block and a pre-tightening bolt. The assembling block is arranged between two baffles arranged on the left end face of the seat body.
The left side terminal surface middle part of assembly piece is equipped with type groove, the upper portion and the lower part of hunch form pad with the outer terminal surface of assembly piece passes through the spout structure and matches, along with hunch form pad middle part bears the change of pressure, the upper portion and the lower part of hunch form pad can be relative the upper and lower lateral wall body of assembly piece is down or is slided up.
The light beam seat is characterized in that a stud is arranged inside a cavity arranged on the seat body, a counter bore is arranged on the inner end face of the stud, and a light beam through hole is formed in the bottom wall of the counter bore. The light column through hole of double-screw bolt matches and is equipped with middle bolt, middle bolt can be relative the double-screw bolt straight line slides, the outer end of middle bolt is worn out the light column through hole with the assembly block is connected, the inner of middle bolt is equipped with radial flange, and radial flange's external diameter is greater than the internal diameter of light column through hole is less than the internal diameter of counter bore.
The inner wall of the cavity arranged on the seat body is provided with a sliding groove at a position corresponding to one side of the inner end of the stud, the bottom wall of the sliding groove is provided with a threaded through hole, the sliding block is matched with the sliding groove, and the pre-tightening bolt is matched with the threaded through hole and can be screwed into the sliding groove to push the sliding block to slide relative to the sliding groove. And two ends of the spring C are arranged between the inner end surface of the middle bolt and the outer end surface of the sliding block. And adjusting the position of the sliding block relative to the sliding groove by screwing the inward screwing length of the pre-tightening bolt relative to the threaded through hole, thereby adjusting the initial compression amount of the spring C. The pressing force applied to the wound position of the puncture interventional operation under the structure is basically consistent with the preset pressure of the spring C. The pre-tightening bolt is screwed to move outwards relative to the threaded through hole, so that the purpose of intermittent release adjustment can be achieved.
In some embodiments, a limiting block is arranged in a groove arranged on the left side end face of the assembling block, an arch plate is arranged on the outer end face of the limiting block, and the inner end of the limiting block penetrates into a sinking groove arranged on the bottom wall of the groove on the assembling block. The middle bolt and the sliding block are provided with coaxial shaft holes, a light beam counter bore is arranged on the inner end face of the pre-tightening bolt, and a threaded hole is formed in the bottom wall of the light beam counter bore. Also comprises a push rod and a thrust screw rod. One end of the push rod is in contact with the inner end face of the limiting block, and the other end of the push rod sequentially penetrates through the spring C, the middle bolt and the shaft hole of the sliding block and extends into the light column counter bore of the pre-tightening bolt. The thrust screw rod is matched with a threaded hole formed in the pre-tightening bolt and can be screwed into a light column counter bore of the pre-tightening bolt to be in contact with the end face of the push rod. The end surface of the arch-shaped plate arranged at the outer end of the limiting block, which faces the arch-shaped pad, is an inner concave surface.
In some embodiments, the positioning portion includes a fixed bar and a rotating bar. The fixed rod is arranged at the lower right corner of the seat body, and the free end of the fixed rod vertically extends downwards for a certain length. The rotary rod is connected to the free end of the fixed rod in a threaded mode. And an elastic end socket is fixedly embedded at the lower end of the rotating rod.
When the rotary rod is screwed to enable the rotary rod to move downwards relative to the fixed rod, the elastic end can be pressed on the upper end face of the slide rail seat arranged on the lower side, otherwise, when the rotary rod is screwed to enable the rotary rod to move upwards relative to the fixed rod, the elastic end can be separated from the upper end face of the slide rail seat arranged on the lower side.
In some embodiments, the seat body can be lifted and lowered in a vertical direction. The upper end face of the supporting plate is provided with a spring-shaped air bag. The upper end of the spring-shaped air bag is always kept in an arc groove shape in an inflated state.
In some embodiments, the upper portion of the seat body is matched with the slide rail seat arranged on the upper side through the rail block. The slide rail seat that the downside set up under the terminal surface along the alternate distribution of fore-and-aft direction be equipped with a plurality of spring counter bores, the right side wallboard lower part of frame be equipped with the post of spring counter bore one-to-one, the upper end of post insert in the spring counter bore with the supporting spring who sets up in the spring counter bore is to the effect. The track block is matched with the slide rail seat arranged on the upper side through a linear rail structure, and the track block is provided with a linear rail along the vertical direction. The upper end surface of the seat body is provided with a pair of supporting connecting plates, and the two supporting connecting plates are connected into a whole through a transverse plate arranged in the middle of the two supporting connecting plates. The upper end of the supporting connecting plate is matched with a linear rail arranged on the rail block. The motor is fixedly arranged in the track block and is matched with a screw rod of which the axis extends downwards along the vertical direction, the screw rod is matched with the transverse plate, and the support connecting plate can be driven to lift relative to the track block along with the rotation of the screw rod so as to drive the seat body to move up and down. The supporting spring and the column are arranged, and the purpose is to conveniently assemble the supporting connecting plate and the track block together.
Has the advantages that:
the invention is particularly suitable for compressing the part after the transfixion operation is carried out through femoral vein/artery, has simple structure and convenient operation, is beneficial to reducing the working strength of medical staff in the transfixion operation nursing process, eliminating the tension and fatigue feeling generated by pressing the arm in the nursing work, eliminating the problem of bad symptoms caused by fatigue and improving the working condition of the medical staff.
Drawings
Fig. 1 is a schematic overall structure diagram of an embodiment of the present invention:
fig. 2 is a partial enlarged structural schematic diagram of a circled portion on the left side of fig. 1:
fig. 3 is a partial enlarged structural view of a circled portion on the right side of fig. 1:
fig. 4 is a schematic overall structure diagram of another embodiment of the present invention:
fig. 5 is a partially enlarged schematic structural diagram of the positioning part:
FIG. 6 is a schematic view of a portion of the lower rail seat b associated with the pallet according to an embodiment;
FIG. 7 is a schematic top view of a lower plate according to an embodiment.
1 support plate, 11 spring-shaped air bags, 12 columns, 13 supporting springs, 2 frames, 31 thrust sliding rods, 32 spring A, 33 helicoids, 34 thrust bolts, 4 compression belts, 41 linings, 51 tension sliding rods, 511 sliding sleeves, 512 fastening bolts, 52 pull rods, 53 helicoids, 531 spring B, 54 tension bolts, 6 air bags, 61 air pumping and inflating dual-purpose pumps, 62 buttons, 71 seat bodies, 72 assembly blocks, 721 arched pads, 73 middle bolts, 74 studs, 75 spring C, 76 sliders, 77 pre-tightening bolts, 78 thrust screws, 79 push rods, 791 limiting blocks, 81 slide rail seats a, 82 slide rail seats B, 821 positioning parts, 821a push rods, 821B rotary rods, 821C elastic ends, 91 track blocks, 92 supporting connecting plates, 93 transverse plates, 94 motors, a long hole, 82 slide rail seats B, 821 positioning parts, 821a push rods, 821B rotary rods, 821C elastic ends, 91 track blocks
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.
The puncture interventional operation compression device shown in fig. 1 to 4 comprises a supporting plate 1, a U-shaped frame 2, a thrust mechanism matched with the lower end of a compression belt 4, a tension mechanism matched with the upper end of the compression belt 4 and a pressing mechanism. The supporting plate 1 is arranged at the lower port of the rack 2, and the pressing belt 4 is arched and is oppositely arranged on the inner side of a left side wall plate of the rack 2.
As shown in fig. 1 to 4, the thrust mechanism is mounted on the left side wall plate of the frame 2, and includes a pushing portion and a thrust sliding rod 31. The axis of the thrust slider bar 31 is inclined downward to the right, and the lower end portion thereof extends into the frame 2 and pivotally matches the pressing belt 4. The pushing part is arranged on the left side wall plate of the frame 2 and can push the thrust sliding rod 31 to move along the axial direction of the thrust sliding rod. As shown, in some embodiments, the biasing portion includes a spring a32 and a thrust bolt 34. The left side wall body of the frame 2 is provided with a stepped through hole with an axis inclined towards the right lower side, and the inner diameter of the stepped through hole is reduced from the outer end to the inner end. The thrust bolt 34 is arranged at the outer end of the stepped through hole in a matching manner, and the thrust slide bar 31 penetrates into the stepped through hole from the inner end of the stepped through hole. The spring A32 is arranged in the stepped through hole and sleeved on the thrust sliding rod 31. One end of the thrust sliding rod 31 extending into the stepped through hole is provided with a coil 33, and the coil 33 is relatively positioned on one side of the outer end of the spring A32.
By screwing the thrust bolt 34 inwardly with respect to the stepped through hole, it is possible to apply a thrust to the thrust slider 31, so that the thrust slider 31 is moved rightward and downward, and finally the lower end of the pressing belt 4 is urged to move rightward and downward, while the spring a32 is gradually compressed. Conversely, when the thrust bolt 34 is screwed to move outwards relative to the stepped through hole, the thrust sliding rod 31 is moved and reset to the upper left under the action of the spring a 32. The intermittent release adjustment is accomplished by screwing the thrust bolt 34 outwardly relative to the stepped through bore.
In order to ensure that the lower end of the pressing belt has a sufficient moving space, as shown in fig. 7, in some embodiments, a long groove or a long hole a may be provided on the upper end surface of the supporting plate 1 near the lower end of the pressing belt, and the width of the long groove or the long hole a is greater than the width of the pressing belt.
As shown in fig. 1 to 4, the tension mechanism is mounted on the upper end of the right side wall plate of the machine frame 2 and comprises a tension part and a tension slide rod 51. One end of the tension rod 51 extends into the frame 2 and pivotally mates with the compression belt 4. A sliding sleeve 511 is arranged below the top wall of the frame 2. In one embodiment, a fixing bolt 512 is disposed on the top wall of the frame 2, a lower end of the fixing bolt 512 is connected to the sliding sleeve 511, and the sliding sleeve 511 is relatively fixed below the top wall of the frame 2. The middle part of the pull slide rod 51 passes through the sliding sleeve 511 and can slide relative to the sliding sleeve 511. In the embodiment shown in fig. 1 and 4, the axis of the tension rod 51 extends horizontally, and the tension rod 51 can slide left and right. In other embodiments, the axis of the tension rod 51 is inclined upward from left to right with respect to the horizontal plane. The other end of the pull slide rod 51 is connected with the pulling part, and the pulling part can drive the pull slide rod 51 to slide relative to the sliding sleeve 511. As shown, in some embodiments, the pulling portion includes a pull rod 52, a threaded ring 53, and a tension bolt 54. A thread counter bore (in the figure, the axis of the thread counter bore extends horizontally along the left-right direction, and can also extend upwards or downwards along the left-right direction relative to the horizontal plane) is arranged on the outer (right) end face of the right side wall plate of the frame 2, a through hole is arranged at the bottom of the thread counter bore, and the inner diameter of the through hole is smaller than that of the thread counter bore. One end of the pull rod 52 is hinged with the pull slide rod 51, and the other end of the pull rod extends into the threaded counter bore through the through hole. The tension bolt 54 is provided with a counter bore along the axis from the end face of the nut, and the bottom of the counter bore is provided with a smooth wall through hole. The tension bolt 54 is matched in a threaded counter bore arranged on the right wall plate of the frame 2. The section of the pull rod 52 extending into the threaded counter bore extends into the counter bore of the tension bolt 54 and matches the threaded ring 53.
When the tension bolt 54 is screwed to move relative to the outer side of the threaded counter bore arranged on the right side wall plate of the frame 2, the tension bolt 54 can pull the pull rod 52 to move outwards, and then the pull rod 52 pulls the pull slide rod 51 to slide outwards, and finally the upper end of the compression belt 4 is pulled to move outwards. In some embodiments, a section of the pull rod 52 extending into the counterbore of the tension bolt 54 is sleeved with a spring B531, and the spiral ring 53 presses the spring B531 towards the bottom wall of the counterbore of the tension bolt 54. By adjusting the position of the spiral ring 53 relative to the pull rod 52, the initial compression amount of the spring B531 can be adjusted, and the pressure floating interval of the compression band 4 to the wound site can be adjusted. Make the tensile force that pull rod 52 bore have certain resiliency after setting up spring B531, not only help guaranteeing the stability of oppression area effect pressure, can promote moreover and use experience.
The pressing mechanism is arranged on the right side wall plate of the rack 2 and is oppositely arranged below the tension mechanism. The pressing mechanism comprises a driving part and a blocking part, the driving part is arranged on a right side wall plate of the rack, and the blocking part is arranged at one end, facing the compression belt, of the driving part. The driving portion can push the blocking portion to move towards the direction of the compression belt. The end face of one end, opposite to the compression belt, of the blocking part is concave inwards to form an arc shape. The pressing means are arranged to contact the outer side of the thigh and to exert an inwardly directed blocking force on the outer side of the thigh, while cooperating with the pressing belt 4 to fix the device according to the solution of the invention relative to the thigh. The end face of the blocking part is designed into an inwards concave arc structure, so that the pressing mechanism can be enabled to be in close contact with thighs, and the blocking part of the pressing mechanism is prevented from shifting upwards or downwards relative to the thighs in the process of applying pressure to the thighs.
As shown in fig. 1, in some embodiments, the driving portion is a pump 61 (air pump) for pumping air and inflating air and the air bag 6, the blocking portion is a plurality of layers of bags disposed at the end of the air bag, the bags are stacked in the left-right direction, and the middle of each layer of bags is inwardly recessed into an arch (shape of each layer of bags in an inflated state). The bag body is communicated with the air bag 6, and the air bag 6 can push the bag body to one side of the compression belt 4 in the inflating process. The air pumping and inflating dual-purpose pump 61 is fixed on the frame 2 and is communicated with the air bag 6. In the figure, a cavity extending toward the compression belt 4 is provided inside the right side wall plate of the frame 2, and the airbag is provided in the cavity. When the air bag 6 and the bag cavity are filled with air, the left end of the blocking part extends outwards for a certain length relative to the end opening of the cavity. In some embodiments, the pump 61 may be replaced by one inflation pump and one suction pump. A button 62 for controlling the pump 61 is provided on the frame 2.
When the air bag 6 is inflated, the multilayer bag body part can be pushed to one side of the pressing belt 4, and the left end face of the multilayer bag body part can gradually move to one side of the pressing belt 4 in the process of layer-by-layer inflation from right to left, namely, firstly, the air bag 6 can integrally push the multilayer bag body part to one side of the pressing belt 4 in the inflation process, and then, as the inflation continues, the bag bodies of each layer of the multilayer bag body part are gradually expanded from right to left. The arrangement of the multi-layer bag body part needs to ensure that the left end of the multi-layer bag body part is always arched under the inflation state. The outer side of the thigh is dragged by the multi-layer bag body part, the inner side of the thigh is contacted with the compression belt 4, and finally, the two ends of the compression belt 4 are adjusted to be pressed on the wound position of the inner side of the thigh in the interventional operation. The above-mentioned scheme using the air bag as the driving part can also regulate and control the acting pressure of the compression band 4 by controlling the inflation and air extraction states of the air pump in application, so as to complete the intermittent buffer release operation.
In some embodiments, the body of the compression band 4 is made of rubber or polyester material, and has a certain toughness and softness, and the compression band 4 does not require significant tensile elasticity when subjected to tensile force. In order to provide the compression band 4 with a certain ventilation performance when acting on the thighs, grooves or holes can be distributed on the band surface of the compression band 4 or a lining layer 41 can be embedded on the concave end surface of the compression band 4 in some embodiments. The backing layer 41 may be a sponge layer or a cotton cloth pad.
As shown in fig. 4, in some embodiments, the right sidewall of the frame 2 is provided with a slide rail seat that is opposite to the upper side, that is, an upper side slide rail seat a 81 and a lower side slide rail seat b 82, a seat body 71 that is matched with the two slide rail seats (81, 82) through a linear rail structure is provided between the two slide rail seats (81, 82), and the seat body 71 can slide linearly in the left-right direction relative to the slide rail seats (81, 82). At least the lower slide rail seat b 82 is provided with a positioning part 821 which can selectively limit the seat body 71 to move to the side (right side) departing from the pressing belt relative to the slide rail seats (81, 82). The base 71 is provided with a cavity extending in the left-right direction, and the left end face of the cavity is provided with a baffle plate which is opposite up and down, the upper baffle plate is inclined towards the upper left, and the lower baffle plate is inclined towards the lower left. As shown in fig. 4 and 5, in some embodiments, the positioning portion 821 includes a fixed rod 821a and a rotating rod 821 b. A notch is formed in the lower right corner of the seat body 71, the upper end of the fixed rod 821a is connected to the upper end face of the notch, and the lower end of the fixed rod extends vertically downwards for a certain length. The fixed rod 821a is provided with an external thread. The upper end of the rotating rod 821b is provided with a threaded hole and is connected with the lower end of the fixed rod 821 a. An elastic tip 821c is fixedly fitted to the lower end of the lever 821b, and the free end of the elastic tip 821c is hemispherical or semi-cylindrical (the semi-cylindrical shape makes the axis of the cylindrical portion perpendicular to the axial direction of the lever). The elastomeric end 821c may be formed from a rubber or polyester material. When the rotating rod 821b is screwed to move downward relative to the fixed rod 821a, the elastic end 821c can be pressed on the upper end surface of the slide rail seat b, and conversely, when the rotating rod 821b is screwed to move upward relative to the fixed rod 821a, the elastic end 821c can be separated from the upper end surface of the slide rail seat b 82. Accordingly, the positioning portion of the above structure may be disposed at the upper right corner of the seat body 71, so that the elastic tip 821c interacts with the lower end surface of the slide rail seat a 81.
As shown in fig. 4, the stopper portion includes a fitting block 72 and an arcuate pad 721, and the driving portion includes a spring C75, a slider 76, and a preload bolt 77. The assembling block 72 is arranged between two baffles arranged on the left end face of the seat body 71.
As shown in fig. 4, a profiled groove is provided in the middle of the left end face of the mounting block 72, the upper part and the lower part of the arched pad 721 are matched with the outer (left) end face of the mounting block 72 through a sliding groove structure, and the upper part and the lower part of the arched pad 721 can slide downward or upward relative to the upper and lower side wall bodies of the mounting block 72 along with the change of pressure applied to the middle of the arched pad 721. The arched pad 721 may be made of rubber or polyester material in some embodiments, and has flexibility and toughness to deform adaptively with a change in compression, just like the compression band 4. With the structure, the groove depth of the groove arranged in the middle of the left end face of the assembling block 72 is not too large easily.
As shown in fig. 4, a stud 74 is disposed inside a cavity disposed on the seat body 71, a counter bore is disposed on an inner end surface of the stud 74, and a light beam through hole is disposed on a bottom wall of the counter bore. The light beam through hole of the stud 74 is provided with a middle bolt 73 in a matching manner, the middle bolt 73 can linearly slide relative to the stud 74 (along the left-right direction), and the outer end of the middle bolt 73 penetrates through the light beam through hole to be connected with the assembling block 72. The inner (right) end of the middle bolt 73 is provided with a radial flange, and the outer diameter of the radial flange is larger than the inner diameter of the light column through hole and smaller than the inner diameter of the counter bore.
As shown in fig. 4, a sliding groove is formed in the inner wall of the cavity formed in the seat body 71 and is located at a position opposite to one side of the inner end of the stud 74, a threaded through hole is formed in the bottom wall of the sliding groove, the sliding block 76 is matched with the sliding groove, and the pre-tightening bolt 77 is matched with the threaded through hole and can be screwed into the sliding groove to push the sliding block 76 to slide relative to the sliding groove. Both ends of the spring C75 are disposed between the inner end surface of the middle bolt 73 and the outer end surface of the slider 76. The fitting block 72 can move in the left-right direction and is subjected to the elastic resistance of the spring C75 when moving rightward. By screwing the length of the preload bolt 77 screwed inward with respect to the threaded through hole, the position of the slider 76 with respect to the slide groove is adjusted, thereby adjusting the initial compression amount of the spring C75. The pressing force applied to the wound site of the puncture interventional operation under such a structure is substantially in accordance with the preset pressure of the spring C75. Intermittent release adjustment can also be achieved by screwing the pretension bolt 77 outwardly relative to the threaded through-hole.
As shown in fig. 4, in some embodiments, a limiting block 791 is disposed in a groove formed on the left end surface of the mounting block 72, an outer end surface of the limiting block 791 is provided with an arched plate, and an inner end of the limiting block 791 penetrates into a sunken groove formed in the bottom wall of the groove formed on the mounting block 72. The middle bolt 73 and the slide block 76 are provided with coaxial shaft holes, a light beam counter bore is arranged on the inner end face of the pre-tightening bolt 77, and a threaded hole is formed in the bottom wall of the light beam counter bore.
As shown in fig. 4, a push rod 79 and a thrust screw 78 are also included. One end of the push rod 79 is in contact with the inner end surface of the limiting block 791, and the other end of the push rod passes through the shaft holes of the spring C75, the middle bolt 73 and the slide block 76 in sequence and extends into the light column counter bore of the pre-tightening bolt 77. The thrust screw 78 is matched with a threaded hole formed in the pre-tightening bolt 77 and can be screwed into a light column counter bore of the pre-tightening bolt 77 to be in contact with the end face of the push rod 78. The end surface of the arched plate arranged at the outer end of the limiting block 791 and facing the arched pad 721 is an inner concave surface. The distance between the arch-shaped plate and the inner arc surface of the arch-shaped cushion can be adjusted by adjusting the thrust screw 78 to push the push rod 79 to move. The depth of the groove formed in the mounting block 72 is required to be relatively large in this configuration, so that the device can be used on relatively thin legs when the arched pad 721 is deformed greatly (the inner end surface of the arched pad 721 can contact with the concave surface of the arched plate formed on the limiting block).
The spacing of the arcuate plate of the restriction block 791 from the arcuate pad 721 is adjusted by the thrust screw 78 and the push rod 79 to set the amount by which the arcuate pad 721 can extend into the opposing profiled slot. In some embodiments, the end surface of the limiting block 791 opposite to the push rod 79 is provided with a spherical groove, and accordingly, the opposite end of the push rod 79 is provided with a spherical surface, and the end of the spherical portion is inserted into the spherical groove.
As shown in fig. 4, in some embodiments, the seat body 71 can move up and down in the vertical direction by a certain amount. Correspondingly, the upper end face of the supporting plate 1 is provided with a spring-shaped air bag 11. The upper end of the spring-like air bag 11 is always kept in an arc-shaped groove shape in an inflated state (no matter the gas is filled or the gas is partially filled). The left end surface of the air bag 6 is arched, namely, the left end surface of the air bag 6 always keeps an arc groove shape in an inflated state.
As shown in fig. 4 and 6, in some embodiments, the upper portion of the seat body 71 is matched with the rail seat a 81 disposed at the upper side by a rail block 91. A plurality of spring counter bores are distributed at intervals on the lower end face of the slide rail seat b 82 arranged on the lower side along the front-back direction (in terms of fig. 4, that is, the left-right direction of fig. 6), the columns 12 corresponding to the spring counter bores one by one are arranged on the lower portion of the right side wall plate of the rack 2, and the upper ends of the columns 12 are inserted into the spring counter bores to act in the direction of the supporting springs 13 arranged in the spring counter bores. The track block 91 is matched with the slide rail seat a 81 arranged on the upper side through a linear rail structure, and a linear rail in the vertical direction is arranged on the track block 91. The upper end surface of the seat body 71 is provided with a pair of supporting connecting plates 92, and the two supporting connecting plates 92 are connected into a whole (in an H shape) through a transverse plate 93 arranged in the middle of the two supporting connecting plates 92. The upper end of the supporting connecting plate 92 is matched with a linear rail arranged on the track block 91. The motor 94 is fixedly arranged in the track block 91, the motor 94 is matched with a screw rod with an axis extending downwards along the vertical direction, the screw rod is matched with the transverse plate 93, the support connecting plate 92 can be driven to lift relative to the track block 91 along with the rotation of the screw rod, and then the base 71 is driven to move up and down. The support spring 13 and post 12 are provided in a configuration to facilitate assembly of the support link 92 with the track block 91.
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.

Claims (10)

1. A puncture intervention operation compression device is characterized in that: comprises a supporting plate, a U-shaped frame, a thrust mechanism matched with the lower end of a compression belt, a tension mechanism matched with the upper end of the compression belt and a pressing mechanism; the supporting plate is arranged at the lower port of the rack, and the pressing belt is arched and is oppositely arranged on the inner side of the left side wall plate of the rack;
the thrust mechanism is arranged on the left side wall plate of the rack and comprises a pushing part and a thrust sliding rod; the axis of the thrust sliding rod inclines to the lower right, and the end part of the thrust sliding rod extends into the rack and is pivotally matched with the pressing belt; the pushing part is arranged on a left side wall plate of the rack and can push the thrust sliding rod to move along the axis direction of the thrust sliding rod;
the tension mechanism is arranged at the upper end of the right side wall plate of the rack and comprises a tension part and a tension slide rod; one end of the tension slide bar extends into the frame and is pivotally matched with the compression belt; a sliding sleeve is arranged below the top wall of the frame; the middle part of the tension slide bar penetrates through the sliding sleeve and can slide relative to the sliding sleeve; the other end of the tension slide bar is connected with the pulling part, and the pulling part can drive the tension slide bar to slide relative to the sliding sleeve;
the pressing mechanism is arranged on the right side wall plate of the rack and is oppositely arranged below the tension mechanism; the pressing mechanism comprises a driving part and a blocking part, the driving part is arranged on a right side wall plate of the rack, and the blocking part is arranged at one end, facing the compression belt, of the driving part; the driving part can push the blocking part to move towards the direction of the compression belt; the end surface of one end, opposite to the compression belt, of the blocking part is concave inwards to form an arc shape.
2. A puncture interventional surgical compression device as recited in claim 1, wherein: the pushing part comprises a spring A and a thrust bolt; a stepped through hole with an axis inclined towards the lower right is arranged on the left side wall body of the frame, and the inner diameter of the stepped through hole is reduced from the outer end to the inner end; the thrust bolt is arranged at the outer end of the stepped through hole in a matching manner, and the thrust sliding rod penetrates into the stepped through hole from the inner end of the stepped through hole; the spring A is arranged in the stepped through hole and sleeved on the thrust sliding rod; and a spiral coil is arranged at one end of the thrust sliding rod, which extends into the stepped through hole, and the spiral coil is relatively positioned at one side of the outer end of the spring A.
3. A puncture interventional surgical compression device according to claim 1 or 2, wherein: the drawing part comprises a pull rod, a spiral ring and a tension bolt; a threaded counter bore is formed in the right side wall plate of the rack, a through hole is formed in the bottom of the threaded counter bore, and the inner diameter of the through hole is smaller than that of the threaded counter bore;
one end of the pull rod is hinged with the pull rod, and the other end of the pull rod extends into the threaded counter bore through the through hole;
a counter bore along the axis of the tension bolt is arranged on the end face of a nut of the tension bolt, and a smooth wall through hole is formed in the bottom of the counter bore;
the tension bolt is matched in the threaded counter bore; and one section of the pull rod extending into the thread counter bore extends into the counter bore of the tension bolt and is matched with the spiral ring.
4. A puncture interventional surgical compression device as recited in claim 3, wherein: the pull rod stretches into one section in the counter bore of the pull bolt and is sleeved with a spring B, and the spiral ring presses the spring B to the bottom wall of the counter bore of the pull bolt.
5. A puncture interventional surgical compression device as recited in claim 1, wherein: the driving part in the pressing mechanism is an air pump and an air bag, the blocking part is a multilayer bag body arranged at the end part of the air bag, the bag bodies are stacked into a plurality of layers along the left and right direction, and the middle part of each layer of bag body is inwards sunken into an arch; the bag body is communicated with the air bag, and the air bag can push the bag body to one side of the compression belt in the inflating process; the air pump is fixed on the frame and communicated with the air bag.
6. A puncture interventional surgical compression device as recited in claim 1, wherein:
the right side wall body of the rack is provided with slide rail seats which are opposite up and down, a seat body matched with the slide rail seats through a linear rail structure is arranged between the two slide rail seats, and the seat body can linearly slide along the left and right directions relative to the slide rail seats; at least one slide rail seat is provided with a positioning part which can selectively limit the seat body to move towards one side departing from the compression belt relative to the slide rail seat;
the seat body is provided with a cavity extending along the left-right direction, the left end face of the cavity is provided with a baffle plate which is opposite up and down, the baffle plate at the upper part is inclined towards the upper left, and the baffle plate at the lower part is inclined towards the lower left;
in the pressing mechanism, the blocking part comprises an assembly block and an arched pad, and the driving part comprises a spring C, a sliding block and a pre-tightening bolt;
the assembling block is arranged between two baffles arranged on the left end face of the seat body; the middle part of the left side end face of the assembling block is provided with a groove, the upper part and the lower part of the arched pad are matched with the outer end face of the assembling block through a sliding groove structure, and along with the change of pressure borne by the middle part of the arched pad, the upper part and the lower part of the arched pad can slide downwards or upwards relative to the upper side wall body and the lower side wall body of the assembling block;
a stud is arranged in the cavity arranged on the seat body; a counter bore is arranged on the inner end face of the stud, and a light beam through hole is arranged on the bottom wall of the counter bore; a light column through hole of the stud is matched with a middle bolt, and the middle bolt can linearly slide relative to the stud; the outer end of the middle bolt penetrates through the light column through hole to be connected with the assembling block, a radial flange is arranged at the inner end of the middle bolt, and the outer diameter of the radial flange is larger than the inner diameter of the light column through hole and smaller than the inner diameter of the counter bore;
a sliding groove is formed in the position, on the inner wall of the cavity arranged on the seat body, of one side, opposite to the inner end of the stud, of the seat body, a threaded through hole is formed in the bottom wall of the sliding groove, the sliding block is matched with the sliding groove, and the pre-tightening bolt is matched with the threaded through hole and can be screwed into the sliding groove to push the sliding block to slide relative to the sliding groove; and two ends of the spring C are arranged between the inner end surface of the middle bolt and the outer end surface of the sliding block.
7. A puncture interventional surgical compression device as recited in claim 6, wherein: a limiting block is arranged in a groove on the left side end face of the assembling block, an arch plate is arranged on the outer end face of the limiting block, and the inner end of the limiting block penetrates into a sinking groove formed in the bottom wall of an upper groove of the assembling block; the middle bolt and the sliding block are provided with coaxial shaft holes, a light beam counter bore is arranged on the inner end face of the pre-tightening bolt, and a threaded hole is formed in the bottom wall of the light beam counter bore;
the device also comprises a push rod and a thrust screw rod; one end of the push rod is in contact with the inner end face of the limiting block, and the other end of the push rod sequentially penetrates through the spring C, the middle bolt and the shaft hole of the sliding block and extends into the light column counter bore of the pre-tightening bolt; the thrust screw is matched with a threaded hole formed in the pre-tightening bolt and can be screwed into a light column counter bore of the pre-tightening bolt to be in contact with the end face of the push rod; the end surface of the arch-shaped plate arranged at the outer end of the limiting block, which faces the arch-shaped pad, is an inner concave surface.
8. A puncture interventional surgical compression device as recited in claim 6, wherein: the positioning part comprises a fixed rod and a rotary rod; the fixed rod is arranged at the lower right corner of the seat body, and the free end of the fixed rod vertically extends downwards for a certain length; the rotary rod is connected to the free end of the fixed rod in a threaded mode; and an elastic end socket is fixedly embedded at the lower end of the rotating rod.
9. A puncture interventional surgical compression device as recited in claim 6, wherein: the seat body can ascend and descend in the vertical direction; the upper end surface of the supporting plate is provided with a spring-shaped air bag; the upper end of the spring-shaped air bag is always kept in an arc groove shape in an inflated state.
10. A puncture interventional surgical compression device as recited in claim 9, wherein: the upper part of the seat body is matched with a slide rail seat arranged on the upper side through a rail block; a plurality of spring counter bores are distributed on the lower end face of the slide rail seat arranged on the lower side at intervals along the front-back direction, columns which are in one-to-one correspondence with the spring counter bores are arranged on the lower portion of a right side wall plate of the rack, and the upper ends of the columns are inserted into the spring counter bores to act in the direction of supporting springs arranged in the spring counter bores;
the track block is matched with the slide rail seat arranged on the upper side through a linear rail structure, and a linear rail along the vertical direction is arranged on the track block;
the upper end surface of the seat body is provided with a pair of supporting connecting plates, and the two supporting connecting plates are connected into a whole through a transverse plate arranged in the middle of the two supporting connecting plates; the upper end of the supporting connecting plate is matched with a linear rail arranged on the track block;
the motor is fixedly arranged in the track block and is matched with a screw rod of which the axis extends downwards along the vertical direction, the screw rod is matched with the transverse plate, and the support connecting plate can be driven to lift relative to the track block along with the rotation of the screw rod so as to drive the seat body to move up and down.
CN201810664033.4A 2018-06-25 2018-06-25 Puncture intervention operation compression device Active CN108926374B (en)

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CN203619617U (en) * 2013-12-13 2014-06-04 杨玉辉 Artery hemostat
US10278708B2 (en) * 2014-02-04 2019-05-07 Swift-Strap Llc Compression device
CN204410910U (en) * 2015-01-19 2015-06-24 张朋旗 A kind of clinical laboratory hemostasis device
CN205758645U (en) * 2016-05-11 2016-12-07 南阳市第二人民医院 Cardiological catheterization procedure compressing nursing device
CN106037858A (en) * 2016-06-24 2016-10-26 周末 Vascular compression apparatus
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