CN109044449B - Cut formula hinge hemostasis structure and hemostasis device with cable - Google Patents

Cut formula hinge hemostasis structure and hemostasis device with cable Download PDF

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Publication number
CN109044449B
CN109044449B CN201811023593.8A CN201811023593A CN109044449B CN 109044449 B CN109044449 B CN 109044449B CN 201811023593 A CN201811023593 A CN 201811023593A CN 109044449 B CN109044449 B CN 109044449B
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China
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scissor
hinge
unit
hemostatic
hemostasis
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CN109044449A (en
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蔡建国
张骞
冯健
杨海龙
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Southeast University
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Southeast University
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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
    • 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

Abstract

The invention discloses a scissor-hinge hemostasis structure with a guy cable and a hemostasis device. The self-adaptive scissor-type hinge unfolding structure consists of a scissor-type hinge structure unit, a pull rope and a support rod. The inner end of the scissor hinge structure unit is fixed on the support rod, the hemostatic material coating film is fixedly adhered to the outer side of the self-adaptive scissor hinge unfolding structure, the scissor hinge structure unit is composed of a scissor hinge unit and an elastic element, the scissor hinge unit is formed by hinging the centers of two rod pieces, and two ends of the elastic element are respectively connected to connecting hinges of adjacent scissor hinge structure units. When the self-adaptive scissor-type hinge expansion structure is used, the hemostasis structure is injected into a wound, the inhaul cable is loosened, the elastic element releases elasticity, so that the self-adaptive scissor-type hinge expansion structure expands along the radial direction, and generates corresponding deformation according to the shape of the wound, the hemostasis material outer coating film is driven to be attached to the wound surface, and the rapid hemostasis function is achieved.

Description

Cut formula hinge hemostasis structure and hemostasis device with cable
Technical Field
The invention relates to a transfixion hemostasis structure, in particular to a self-adaptive scissor-type hinge hemostasis structure and an injection type scissor-type hinge hemostasis device.
Background
The existing battlefield penetration hemostasis treatment mainly adopts methods such as compression hemostasis, burning hemostasis, grease and gauze filling hemostasis and the like, and the conventional hemostasis methods are far from meeting the emergency requirements of penetration hemostasis due to the limitation of wartime conditions or treatment effects, so that a new hemostasis method and a new hemostasis device are urgently needed to be developed to fill the blank. RevMedx, a medical technology company in Oregon, USA, developed a syringe-like medical device named 'XStat' with a built-in mini-cotton swab that changed the way that the medic could treat gunshot and shrapnel wounds. When in use, dozens of pill-shaped micro absorbent cottons are injected into wounds by the military medical personnel and are treated by chitosan. Chitosan is capable of clotting blood and fighting infections. In a few seconds, the cotton wool can expand ten times, close the wound and stop bleeding. However, the method of stopping bleeding by means of blood-sucking expansion is very dangerous for the wounded with big hemorrhage in the battlefield, and the strength of the material is weakened after the material is expanded, so that the material is difficult to provide continuous extrusion force on the wound surface, and the function of the material needs to be further improved.
Disclosure of Invention
The invention aims to solve the technical problem that the prior art has the defects, and designs a scissors hinge hemostasis structure with shape and pressure adaptability. Therefore, the hemostatic material external application film is matched with the self-adaptive scissor-type hinge unfolding structure to rapidly expand and fill the penetrated wound, the hemostatic material external application film is wrapped on the surface of the self-adaptive scissor-type hinge unfolding hemostatic structure, and the elastic potential energy released by the elastic element is used for providing power to unfold the scissor-type hinge hemostatic structure. The self-adaptive scissor-type hinge unfolding structure generates corresponding deformation according to the geometric shape of the wound, and is matched with a hemostatic material external application film to fill the penetrated wound and attach to the wound surface, so that rapid filling, blood coagulation and hemostasis are realized, and the lives of the injured soldiers in war are saved.
In order to achieve the purpose, the invention adopts the technical scheme that:
the utility model provides a cut formula hinge hemostasis structure, includes hemostatic material overcoat membrane, its characterized in that: the self-adaptive scissor-type hinge unfolding structure consists of a scissor-type hinge structure unit, a support rod and a pull rope; the shear type hinge structure units are distributed in a layered mode, n shear type hinge structure units are arranged on each layer, and n is more than or equal to 3 and less than or equal to 12; the scissor hinge structure unit consists of a scissor hinge unit and an elastic element; the inner end of the scissor-type hinge structure unit is fixed on the support rod, and the hemostatic material external application film is fixed at the outer end of the scissor-type hinge structure unit; one end of the inhaul cable is fixed at the outer end of the scissor-type hinge structure unit, and the other end of the inhaul cable is led out through the supporting rod.
The scissor-type hinge structure unit consists of a scissor-type hinge unit and an elastic element; the scissor hinge unit is formed by hinging the centers of two rod pieces, and the rod pieces of the adjacent scissor hinge structure units are connected through hinging; two ends of the elastic element are respectively connected to the connecting hinges of the adjacent scissor hinge structure units.
The supporting rod is a cylinder, the radius of the bottom surface is R, and the height is h.
The hemostatic material outer coating film is fixedly adhered to the outer end of the scissor-type hinge structure unit, has certain flexibility and can expand when meeting blood (water).
The utility model provides an injection formula cuts formula hinge hemostasis device, includes the syringe and is located the interior formula hinge hemostasis structure of cutting of syringe which characterized in that: the self-adaptive scissor-type hinge unfolding structure consists of a scissor-type hinge structure unit, a support rod and a pull rope; the shear type hinge structure units are distributed in a layered mode, n shear type hinge structure units are arranged on each layer, and n is more than or equal to 3 and less than or equal to 12; the scissor hinge structure unit consists of a scissor hinge unit and an elastic element; the inner end of the scissor-type hinge structure unit is fixed on the support rod, and the hemostatic material external application film is fixed at the outer end of the scissor-type hinge structure unit; one end of the inhaul cable is fixed at the outer end of the scissor-type hinge structure unit, and the other end of the inhaul cable is led out through the supporting rod.
The front end of the syringe is provided with a reaming blade, and when the wound is small, the wound is cut to place the hemostatic device.
The self-adaptive scissor-type hinge unfolding structure is wrapped with the hemostatic material outer coating film, and the hemostatic material outer coating film can be contacted with the wound surface and plays a pressing role by releasing elastic potential energy through the elastic element, so that hemostasis and blood coagulation are realized.
The elastic potential energy released by the elastic element is matched with the flexibility of the hemostatic material external application film, so that the geometric adaptability of the penetrated wound can be realized, and the self-adaptive filling can be realized according to the shape of the wound.
The elastic element can release corresponding elastic potential energy according to blood pressure to balance the elastic potential energy, so that different requirements of the wound on hemostasis pressure are met, and the elastic element has pressure adaptability.
By stretching and releasing the pull cord, the contraction and expansion of the hemostatic structure may be controlled, facilitating injection and removal thereof during use.
The use scheme of the scissor-hinge hemostasis structure is as follows: the scissor-hinge hemostatic structure exists in a free-deployment state, a normal use state and an initial contracted state. In the free unfolding state, the elastic potential energy of the self-adaptive scissor-type hinge unfolding structure is zero; under the normal use state, the self-adaptive scissor-type hinge unfolding structure deforms correspondingly according to the shape of the wound to drive the hemostatic material external application film to cling to the surface of the wound; and under the initial contraction state, the scissor-hinge hemostasis structure is stored in the injector. The production process is that the hemostatic material is converted from a free expansion state to an initial contraction state, the hemostatic material outer coating film is pasted and fixed on the outer side of the self-adaptive scissor-hinge hemostatic structure, the pull rope is tensioned to enable the scissor-hinge structure units to contract and to be stored in the injector together, and the elastic element stores elastic potential energy. The self-adaptive scissor-type hinge unfolding structure is injected into a wound through an injection device when the wound is small, the wound is cut through a chambering blade at the front end of the injector, then the hemostatic structure is injected into the wound, the inhaul cable is loosened, the elastic element releases elastic potential energy to drive the self-adaptive scissor-type hinge unfolding structure to expand along the radial direction, corresponding deformation is generated according to the shape of the wound and the pressure, and the hemostatic material outer coating film is supported to be attached to the wound, so that the rapid hemostatic function is realized. The taking-out process is converted from a normal use state to a free unfolding state, the scissor-hinge hemostatic structure is taken out from the wound, and the scissor-hinge hemostatic structure automatically restores to a zero potential energy state.
Drawings
FIG. 1 is a schematic view of an injection-type scissor-hinge hemostatic device;
FIG. 2 is a view showing an initial folded state of the hemostatic material dressing film;
FIG. 3 is a state diagram of the application of the hemostatic material dressing membrane;
FIG. 4 is a diagram of an adaptive scissor-hinge deployment configuration;
FIG. 5 is a diagram of a scissor-hinge construction unit;
FIG. 6 is a diagram of a scissor hinge unit;
FIG. 7 is a connection diagram of adjacent scissor hinge units;
FIG. 8 is a diagram of the scissor-hinge hemostatic structure in an initial contracted state;
FIG. 9 is a diagram illustrating a normal use of the scissor-hinge hemostatic structure;
FIG. 10 is a free-deployment view of the scissor-hinge hemostatic structure.
Detailed Description
The present invention will be further described with reference to the accompanying drawings.
As shown in figure 1, the injection type scissor-hinge hemostatic device is composed of an injector 1, a hemostatic material outer coating film 2 and an adaptive scissor-hinge unfolding structure 3. At the front end of the syringe 1 there is a chambering blade 10, which cuts the wound to place the hemostatic device when the wound is small. Fig. 2 and 3 show an initial folded state and a state of use of the hemostatic material outer coating film 2, respectively, and the hemostatic material outer coating film 2 has a certain flexibility and can be expanded by blood (water). As shown in fig. 4, the adaptive scissor-hinge unfolding structure 3 comprises scissor-hinge structure units 4, support rods 5 and pull cables 6, wherein the scissor-hinge structure units 4 are distributed in layers, the inner ends of the scissor-hinge structure units are fixed on the support rods 7, 6 of the scissor-hinge structure units are arranged on each layer, the inner ends of the scissor-hinge structure units are fixed on the support rods 5, and the hemostatic material outer coating film 2 is fixed on the outer ends of the scissor-hinge structure units 4 in a sticking manner. The supporting rod 5 is a cylinder, the radius of the bottom surface of the supporting rod is set to be R according to the size of the injector, and the height of the supporting rod is set to be h. One end of the inhaul cable 6 is fixed at the outer end of the scissor-type hinge structure unit 4, and the other end of the inhaul cable is led out through the support rod 5. As shown in fig. 5, the scissor-hinge structure unit 4 is composed of a scissor-hinge unit 7 and an elastic element 8, and the elastic element 8 stores elastic potential energy under the action of external force and can drive the unfolding of the scissor-hinge structure unit by releasing the elastic potential energy. As shown in fig. 6, the scissor-hinge unit 7 is formed by two rods 9 hinged at the center, and together with the elastic element 8, the expansion and contraction functions of the scissor-hinge structure unit are realized. As shown in fig. 7, the rods 9 of adjacent scissor hinge units 7 are connected by hinges, and the two ends of the elastic element 8 are connected to the connecting hinges of the adjacent scissor hinge units respectively.
The production and use processes of the scissor-hinge hemostatic structure are as follows: the hemostatic material coating film is adhered and fixed on the outer side of the scissor-hinge structure unit, the pull rope 6 is tensioned and fixed, the elastic element 7 is contracted to store elastic potential energy and is stored in the injector together, and the scissor-hinge hemostatic structure is in an initial contraction state (as shown in fig. 8). When the self-adaptive scissors hinge hemostatic structure is used, the scissors hinge hemostatic structure is injected into a wound, when the wound is small, the wound is cut through a chambering blade at the front end of an injector, then the hemostatic structure is injected into the wound, the inhaul cable is loosened, the elastic element 7 releases elastic strain energy to drive the self-adaptive scissors hinge unfolding structure to unfold, and then the self-adaptive scissors hinge unfolding structure is converted into a normal use state of the scissors hinge hemostatic structure shown in the figure 9, the elastic element 7 releases corresponding elastic strain energy according to the shape of the wound and the pressure of human tissues 11 in the wound, the self-adaptive scissors hinge unfolding structure is radially expanded, and the hemostatic material outer coating film 2 is driven to be attached to the wound, so that a rapid hemostatic function is achieved, and meanwhile, the self-adaptive requirements of. After the hemostatic effect is achieved, the pull rope is pulled tightly to take the scissor-hinge hemostatic structure out of the wound, the scissor-hinge hemostatic structure automatically returns to the freely unfolded state of the scissor-hinge hemostatic structure shown in fig. 10 after the restriction is relieved, and the conversion of the three states represents the whole process of one-time use.

Claims (7)

1. The utility model provides a cut formula hinge hemostasis structure with cable, includes hemostatic material overcoat membrane (2), its characterized in that: the self-adaptive scissor-type hinge unfolding structure (3) is composed of a scissor-type hinge structure unit (4), a support rod (5) and a pull rope (6); the shear hinge structural units (4) are distributed in a layered manner, and each layer is provided with n layers, wherein n is more than or equal to 3 and less than or equal to 12; the scissor-type hinge structure unit (4) consists of a scissor-type hinge unit (7) and an elastic element (8); the inner end of the scissor-hinge structural unit (4) is fixed on the support rod (5), and the hemostatic material external application film (2) is fixed at the outer end of the scissor-hinge structural unit (4); one end of the inhaul cable (6) is fixed at the outer end of the scissor hinge structure unit (4), and the other end of the inhaul cable is led out through the support rod (5).
2. The scissor-hinge hemostatic structure of claim 1, wherein: the scissor-type hinge unit (7) is formed by hinging the centers of two rod pieces (9); the rod pieces (9) of the adjacent scissor hinge units (7) are connected through hinges; two ends of the elastic element (8) are respectively connected to the connecting hinges of the adjacent scissor hinge units (7).
3. The scissor-hinge hemostatic structure of claim 1, wherein: the support rod (5) is a cylinder.
4. The scissor-hinge hemostatic structure of claim 1, wherein: the hemostatic material external application film is fixedly adhered to the outer end of the scissor-hinge structural unit (4).
5. The utility model provides an injection formula cuts formula hinge hemostasis device, includes the syringe and is located the interior formula hinge hemostasis structure of cutting of syringe which characterized in that: the hemostatic structure comprises a hemostatic material outer coating film (2) and a self-adaptive scissor-hinge unfolding structure (3), wherein the self-adaptive scissor-hinge unfolding structure (3) consists of a scissor-hinge structure unit (4), a support rod (5) and a pull rope (6); the shear hinge structural units (4) are distributed in a layered manner, and each layer is provided with n layers, wherein n is more than or equal to 3 and less than or equal to 12; the scissor-type hinge structure unit (4) consists of a scissor-type hinge unit (7) and an elastic element (8); the inner end of the scissor-hinge structural unit (4) is fixed on the support rod (5), and the hemostatic material external application film (2) is fixed at the outer end of the scissor-hinge structural unit (4); one end of the inhaul cable is fixed at the outer end of the scissor hinge structure unit (4), and the other end of the inhaul cable is led out through the support rod (5).
6. The injectable scissor-hinge hemostatic device of claim 5, wherein: the scissor-type hinge unit (7) is formed by hinging the centers of two rod pieces (9); the rod pieces (9) of the adjacent scissor hinge units (7) are connected through hinges; two ends of the elastic element (8) are respectively connected to the connecting hinges of the adjacent scissor hinge units (7).
7. The injectable scissor-hinge hemostatic device of claim 5, wherein: the front end of the injector (1) is provided with a reaming blade (10).
CN201811023593.8A 2018-09-03 2018-09-03 Cut formula hinge hemostasis structure and hemostasis device with cable Active CN109044449B (en)

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