CN109567910B - Multifunctional vascular intervention puncture device and application method thereof - Google Patents
Multifunctional vascular intervention puncture device and application method thereof Download PDFInfo
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- CN109567910B CN109567910B CN201910083289.0A CN201910083289A CN109567910B CN 109567910 B CN109567910 B CN 109567910B CN 201910083289 A CN201910083289 A CN 201910083289A CN 109567910 B CN109567910 B CN 109567910B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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- Heart & Thoracic Surgery (AREA)
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Abstract
The invention relates to a multifunctional vascular intervention puncture device and a use method thereof, and belongs to the technical field of puncture devices. The invention performs puncture by the vascular sheath, the fixing device performs fixation of the vascular sheath and hemostasis by the hemostasis device, thereby realizing integration of multiple functions, and the novel hemostasis device does not need to be replaced when in use, has simple operation and high efficiency, is combined into an integral structure, has low operation cost, and is beneficial to reducing the burden of interventional patients.
Description
Technical Field
The invention relates to the technical field of puncture devices, in particular to a multifunctional vascular intervention puncture device with puncture, fixation and hemostasis functions and a use method thereof.
Background
With the improvement of living standard, people ingest a large amount of high-lipid foods, and the acute aggregation of cardiovascular and cerebrovascular diseases is increased. Cardiovascular and cerebrovascular diseases mainly refer to ischemic or hemorrhagic diseases of heart, brain and whole body tissues caused by hyperlipidemia, blood viscosity, atherosclerosis, hypertension and the like. Ischemia is mainly caused by a blood vessel being blocked by a deposit, which reduces vascular trafficability. Thus, the vessel is cleared or the stenosed site is communicated.
The prior art is to perform vascular cleaning or stent placement by interventional devices. The interventional device comprises a vascular sheath and a hemostat, and the vascular sheath and the hemostat are of split structures, so that the cost of interventional operation is increased to a certain extent.
Meanwhile, the existing vascular sheath is not provided with a fixing device, and the vascular sheath can be damaged or punctured under the action of an interventional instrument, so that serious consequences are caused;
in addition, the existing hemostat basically has no pressure control device, the pressure of the existing hemostat is too low to stop bleeding, and the pressure is too high to block blood supply and prevent backflow, so that swelling and pain are caused.
There are also hemostats that control pressure by screwing turns, but because physical characteristics of muscle tissue of human body are not consistent, theoretical values expressed by screwing turns cannot truly reflect actual pressure of hemostasis, thus achieving no hemostasis effect and even causing side effects.
Aiming at the problems, the existing puncture device is urgently needed to be improved, so that the puncture device can be fixed, is safe and reliable to operate, and meanwhile, puncture, fixation and hemostasis functions are integrated, so that assistance is provided for reducing intervention cost.
Disclosure of Invention
Accordingly, the present invention is directed to a multifunctional vascular interventional puncture device and a method for using the same, which solve the problems of the prior art, such as less functions, high cost and potential safety hazard.
One of the purposes of the invention is achieved by the following technical scheme:
a multifunctional vascular intervention puncture device, which comprises a vascular sheath, a fixing device and a pressing device,
the fixing device comprises a supporting plate and binding bands fixed on two sides of the supporting plate, the upper surface of the supporting plate is provided with a fixing block for fixing the vascular sheath, the fixing block is provided with a fixing groove matched with the outer surface of the vascular sheath, the lower surface of the pressure bearing plate is provided with a pressure sensor for displaying contact pressure, the upper surface of the binding bands is provided with a display screen electrically connected with the pressure sensor, the upper surface and the lower surface of the end part of the binding bands are both provided with fastening hair adhesion,
the compression device comprises an arc-shaped pressing block and a fastening bolt, wherein one end of the arc-shaped pressing block is hinged with the supporting plate, the other end of the arc-shaped pressing block is detachably connected with the supporting plate, the fastening bolt is vertically arranged in the middle of the arc-shaped pressing block through threaded fit, and when the fastening bolt is downwards screwed, the fastening bolt descends, and the end part of the fastening bolt acts on a vascular sheath and limits and fixes the vascular sheath, or directly acts on the fixing block to generate compression force for the supporting plate to stop bleeding; when the fastening bolt is screwed upwards, the fastening bolt rises, and the end part of the fastening bolt leaves the vascular sheath or the fixing block to complete fixation or hemostasis.
Further, be provided with quick change structure between arc briquetting and the bearing plate, quick change structure includes two fixing bases of setting up on the bearing plate relatively, and two fixing bases inboard is provided with the elastic pin relatively, the elastic pin is scalable with the fixing base setting, be provided with on the arc briquetting with elastic pin matched with cotter way.
Further, the elastic pin is including the spacing section that is located the middle part and the chucking section and the flexible direction section that are located both ends, be provided with flexible chamber and chamber lid on the fixing base, flexible direction section and spacing section set up in flexible intracavity, are provided with reset spring between flexible direction section and the flexible chamber, the chamber lid passes through screw component fastening at flexible chamber oral area, forms sealedly to it, the chucking section extends flexible chamber through the trompil that the chamber lid set up, the fixing base passes through screw component and forms fixedly with the bearing plate.
Further, the end part of the limiting section is of a smooth arc-shaped structure.
Further, the telescopic guide section is provided with a sliding rod along the radial direction, the telescopic cavity is provided with a sliding groove, and the end part of the sliding rod extends out of the sliding groove.
Further, the fastening bolt end is provided with a pressure block, and the lower surface of the pressure block is provided with a concave arc force application surface.
Further, the pressure-bearing block is made of a quenchable material, and at least the arc-shaped force application surface is a quenching surface.
The second purpose of the invention is realized by the following technical scheme:
the application method of the multifunctional vascular intervention puncture device comprises the following steps:
1) Binding the fixing device, and loosening the vascular sheath for puncturing;
2) After the puncture is completed, fixing the vascular sheath again, and performing interventional operation;
3) After the interventional operation is finished, the vascular sheath is loosened again, and the fixing device is loosened;
4) Taking out the vascular sheath and rapidly translating the fixing device to cover the puncture opening, and binding the fixing device again;
5) Pressing in and locking the arc-shaped pressing block, rotating the fastening bolt to extrude the supporting plate, reading a pressure value from the display screen, stopping after reaching a set pressure, and waiting;
6) And after the set time is reached, loosening the fastening bolts and the binding bands, taking down the fixing device, and ending the use.
The invention has the beneficial effects that:
the invention realizes integration of multiple functions by puncturing the vascular sheath, fixing the vascular sheath by the fixing device and stopping bleeding by the hemostatic device, has simple operation and high efficiency, is compounded into an integrated structure, has low operation cost and is beneficial to reducing the burden of interventional patients.
Drawings
Fig. 1 is a front view of the present embodiment;
FIG. 2 is a top view of the present embodiment;
FIG. 3 is a schematic illustration of the embodiment after release;
FIG. 4 is a schematic view of the working state of the present embodiment;
fig. 5 is an enlarged sectional view of the fixing base of the present embodiment.
Reference numerals illustrate:
1-vascular sheath; 2-fixing means; 3-a compressing device; 4-a support plate; 5-binding bands; 6, fastening the hair adhesion; 7-fixing blocks; 8-a fixed groove; 9-a pressure sensor; 10-a display screen; 11-arc-shaped pressing blocks; 12-fastening bolts; 13-fixing seats; 14-elastic pins; 15-pin slots; 16-a limit section; 17-clamping sections; 18-telescoping guiding section; 19-a telescopic chamber; 20-a cavity cover; 21-a return spring; 22-sliding bar; 23-a sliding groove; 24-handle; 25-pressing blocks; 26-arc force application surface.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments of the present invention. The components of the embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
It should be noted that: like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the foregoing description of the invention, it should be noted that the azimuth or positional relationship indicated by the terms "one side", "the other side", etc. are based on the azimuth or positional relationship shown in the drawings, or the azimuth or positional relationship in which the inventive product is conventionally put in use, are merely for convenience of describing the invention and simplifying the description, and are not indicative or implying that the apparatus or element to be referred to must have a specific azimuth, be configured and operated in a specific azimuth, and therefore should not be construed as limiting the invention. Furthermore, the terms "first," "second," and the like, are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance.
Furthermore, the terms "identical" and the like do not denote that the components are identical, but rather that there may be minor differences. The term "perpendicular" merely means that the positional relationship between the components is more perpendicular than "parallel" and does not mean that the structure must be perfectly perpendicular, but may be slightly tilted.
As shown in fig. 1 to 5, the multifunctional vascular interventional puncture device of the present embodiment includes a vascular sheath 1, in particular, the present embodiment further includes a fixing device 2 and a compressing device 3, specifically:
the fixing device comprises a supporting plate 4 and binding bands 5 fixed on two sides of the supporting plate, namely the supporting plate is arranged in the middle of the binding bands, the binding bands are positioned on two sides of the supporting plate, fastening hair adhesion 6 is arranged on the upper surface and the lower surface of the end part of each binding band, the supporting plate is convenient to fix, a fixing block 7 used for fixing the vascular sheath is arranged on the upper surface of the supporting plate, a fixing groove 8 matched with the outer surface of the vascular sheath is arranged on the fixing block, the vascular sheath is placed in the fixing groove and convenient to limit and fix, a pressure sensor 9 used for displaying contact pressure is arranged on the lower surface of the supporting plate, a display screen 10 electrically connected with the pressure sensor is arranged on the upper surface of the binding band, the contact pressure between the supporting plate and skin is measured through the pressure sensor and transmitted to the display screen, so that an operator can observe numerical values in time conveniently and adjust the set pressure values, and the pressure values are accurately controlled, and the aim of rapid hemostasis is achieved.
The compression device comprises an arc-shaped pressing block 11 and a fastening bolt 12, wherein one end of the arc-shaped pressing block is rotatably hinged with the supporting plate through a rotating shaft, the other end of the arc-shaped pressing block is detachably connected with the supporting plate, the fastening bolt is vertically arranged in the middle of the arc-shaped pressing block through threaded fit, and when the fastening bolt is downwards rotated, the fastening bolt descends, and the end part of the fastening bolt acts on a vascular sheath and limits and fixes the vascular sheath, or directly acts on a fixed block to generate compression force on the supporting plate to stop bleeding; when the fastening bolt is screwed upwards, the fastening bolt rises, and the end part of the fastening bolt leaves the vascular sheath or the fixing block to complete fixation or hemostasis.
In the embodiment, a quick-change structure is arranged between the arc-shaped pressing block and the supporting plate, the quick-change structure comprises two fixed seats 13 which are oppositely arranged on the supporting plate, elastic pins 14 are oppositely arranged on the inner sides of the two fixed seats, the elastic pins and the fixed seats are arranged in a telescopic way, pin grooves 15 matched with the elastic pins are arranged on the arc-shaped pressing block, the elastic pins are limited and clamped through the pin grooves, the locking of the arc-shaped pressing block is realized,
further, the elastic pin comprises a limiting section 16 positioned in the middle and clamping sections 17 and telescopic guide sections 18 positioned at two ends, a telescopic cavity 19 and a cavity cover 20 are arranged on the fixing seat, the telescopic guide sections and the limiting sections are arranged in the telescopic cavity, a reset spring 21 is arranged between the telescopic guide sections and the telescopic cavity, the cavity cover is fastened at the opening of the telescopic cavity through bolts or screws, the cavity cover is closed, the clamping sections extend out of the telescopic cavity through openings formed in the cavity cover, the outer diameter of the limiting sections is larger than the diameter of the opening of the telescopic cavity, and accordingly the telescopic guide sections and the limiting sections are limited in the telescopic cavity, and the fixing seat is fixed with a supporting plate through bolts or screws.
Further, the telescopic guide section is provided with a sliding rod 22 in the radial direction, the telescopic cavity is provided with a sliding groove 23, and the end of the sliding rod extends out of the sliding groove. When the sliding rod moves in the sliding groove, the elastic pin also moves along, so that the clamping section leaves the pin groove to realize separation, or the clamping section is clamped into the pin groove to realize locking. In order to improve operability, a handle 24 is provided at the end of the slide bar, so that the operation can be made more labor-saving.
When the puncture needle is used, the fixing device is fixed on the puncture area through the binding belt, the handle is moved inwards, the elastic pin is withdrawn from the pin groove to enable the arc-shaped pressing block to be loosened, then the arc-shaped pressing block is rotated, puncture is carried out after the vascular sheath is loosened, the vascular sheath is placed into the fixing groove after the puncture is completed, and then the arc-shaped pressing block is reversely rotated to enable the elastic pin to be clamped into the pin groove to be locked; then, the intervention operation is finished, the arc-shaped pressing block is loosened again, the vascular sheath is enabled to be free, the binding belt is loosened again, the fixing device is enabled to be free, then, the fixing device is rapidly translated to the puncture opening and fixed while the vascular sheath is taken out, then, the arc-shaped pressing block is fixed again, the fastening bolt is rotated, the supporting plate is pressed and is tightly attached to the puncture opening, at the moment, the pressure sensor is pressed, the value of the pressure sensor is displayed through the display screen, medical staff observe through the display screen, immediately stop when the set value is reached, wait for a period of time, loosen the fastening bolt and the binding belt, take down the fixing device, and finish the use.
The pressure value and the hemostasis time are different for different puncture sites. If the pressure value is 20-30 mmHg for radial artery; the hemostatic time is 10-15 min.
As an improvement of the embodiment, the end part of the limiting section is of a smooth arc structure. Because of the smooth arc structure, the resistance is small, and the operation is more labor-saving when the pin groove is easy to enter or exit.
As a modification of the present embodiment, the fastening bolt end is provided with a pressure-bearing block 25, the lower surface of which has a concave arc-shaped urging surface 26. The object is more easily fixed through the arc force application surface, so that slipping is prevented, and the fixation is firmer.
As an improvement of the embodiment, the pressure-bearing block is made of a quenchable material, and at least the arc-shaped force application surface is a quenching surface. The quenching material such as T10A, cr Mov and the like has the advantages of hardening, small deformation and improved wear resistance after quenching, and is favorable for ensuring the clamping quality and prolonging the service life.
Finally, it is noted that the above embodiments are only for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications and equivalents may be made thereto without departing from the spirit and scope of the technical solution of the present invention, which is intended to be covered by the scope of the claims of the present invention.
Claims (5)
1. The utility model provides a puncture device is intervened to multi-functional blood vessel, includes vascular sheath, its characterized in that: also comprises a fixing device and a pressing device,
the fixing device comprises a supporting plate and binding bands fixed on two sides of the supporting plate, the upper surface of the supporting plate is provided with a fixing block for fixing the vascular sheath, the fixing block is provided with a fixing groove matched with the outer surface of the vascular sheath, the lower surface of the supporting plate is provided with a pressure sensor for displaying contact pressure, the upper surface of the binding bands is provided with a display screen electrically connected with the pressure sensor, the upper surface and the lower surface of the end part of the binding bands are respectively provided with fastening hair adhesion,
the compressing device comprises an arc-shaped pressing block and a fastening bolt, wherein one end of the arc-shaped pressing block is hinged with the supporting plate, the other end of the arc-shaped pressing block is detachably connected with the supporting plate, the fastening bolt is vertically arranged in the middle of the arc-shaped pressing block through threaded fit, when the fastening bolt is downwards screwed, the fastening bolt descends, the end part of the fastening bolt acts on the vascular sheath and limits and fixes the vascular sheath, after intervention operation is completed, the vascular sheath is loosened again, the vascular sheath is taken out, the fast translation fixing device shields the puncture opening, the arc-shaped pressing block is pressed in and locked, the fastening bolt is rotated to extrude the supporting plate, and the fastening bolt directly acts on the fixing block to generate compressing force for hemostasis on the supporting plate; when the fastening bolt is screwed upwards, the end part of the fastening bolt is separated from the vascular sheath or the fixing block to complete fixation or hemostasis,
a quick-change structure is arranged between the arc-shaped pressing block and the supporting plate, the quick-change structure comprises two fixed seats which are oppositely arranged on the supporting plate, elastic pins are oppositely arranged on the inner sides of the two fixed seats, the elastic pins and the fixed seats are arranged in a telescopic way, pin grooves matched with the elastic pins are arranged on the arc-shaped pressing block,
the fastening bolt tip is provided with the pressure-bearing piece, the lower surface of pressure-bearing piece has a concave arc application of force face.
2. A multifunctional vascular interventional puncture device according to claim 1, characterized in that: the elastic pin comprises a limiting section positioned in the middle and clamping sections and telescopic guide sections positioned at two ends, a telescopic cavity and a cavity cover are arranged on the fixing seat, the telescopic guide sections and the limiting sections are arranged in the telescopic cavity, a reset spring is arranged between the telescopic guide sections and the telescopic cavity, the cavity cover is fastened at the opening of the telescopic cavity through a threaded element and is closed, the clamping sections extend out of the telescopic cavity through openings formed in the cavity cover, and the fixing seat is fixed with the supporting plate through the threaded element.
3. A multifunctional vascular interventional puncture device according to claim 2, characterized in that: the end part of the limiting section is of a smooth arc-shaped structure.
4. A multifunctional vascular interventional puncture device according to claim 3, characterized in that: the telescopic guide section is provided with a sliding rod along the radial direction, the telescopic cavity is provided with a sliding groove, and the end part of the sliding rod extends out of the sliding groove.
5. The multifunctional vascular interventional puncture device according to claim 4, wherein: the pressure-bearing block is made of a quenchable material, and at least the arc-shaped force application surface is a quenching surface.
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| CN201910083289.0A CN109567910B (en) | 2019-01-28 | 2019-01-28 | Multifunctional vascular intervention puncture device and application method thereof |
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| CN201910083289.0A CN109567910B (en) | 2019-01-28 | 2019-01-28 | Multifunctional vascular intervention puncture device and application method thereof |
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| CN109567910A CN109567910A (en) | 2019-04-05 |
| CN109567910B true CN109567910B (en) | 2023-09-22 |
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| CN110448363B (en) * | 2019-08-30 | 2020-10-09 | 山东大学齐鲁医院 | Chemotherapy puncture positioning device capable of adjusting positioning distance |
| CN114176736A (en) * | 2022-01-11 | 2022-03-15 | 侯明杰 | Interventional therapy device under CT guidance |
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| CN107335124A (en) * | 2017-08-10 | 2017-11-10 | 泉州市惠安闽投商贸有限公司 | A kind of epidural anaesthesia device |
| CN208355521U (en) * | 2017-10-30 | 2019-01-11 | 无锡启集智能科技有限公司 | A kind of fixed compression apparatus of multiple location |
| CN108311027A (en) * | 2018-03-28 | 2018-07-24 | 泉州市创达机械制造有限公司 | A kind of wet tissue production high efficiency mixing device |
| CN108744143A (en) * | 2018-06-29 | 2018-11-06 | 陈福勤 | A kind of intravenous infusion syringe fixing device |
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