CN109730739B - Portable human body mechanical femoral artery compression hemostasis device and use method thereof - Google Patents

Portable human body mechanical femoral artery compression hemostasis device and use method thereof Download PDF

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CN109730739B
CN109730739B CN201910224123.6A CN201910224123A CN109730739B CN 109730739 B CN109730739 B CN 109730739B CN 201910224123 A CN201910224123 A CN 201910224123A CN 109730739 B CN109730739 B CN 109730739B
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recess
compression
hemostasis device
femoral artery
right hand
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CN109730739A (en
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刘晔
闫列果
张秋云
王思雨
王大朋
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Beijing Chaoyang Hospital
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Beijing Chaoyang Hospital
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Abstract

The invention discloses a portable human body mechanical femoral artery compression hemostasis device and a use method thereof, and belongs to the technical field of compression hemostasis devices, wherein the compression hemostasis device is columnar, one end of the compression hemostasis device is a compression contact end, the other end of the compression hemostasis device is a holding end, the compression hemostasis device is provided with a supporting part, a first recess is arranged on the supporting part, a second recess is arranged on the holding end, and a third recess and a fourth recess are also arranged on the cylindrical surface of the holding end; according to the invention, the principle of hand mechanics and pressure intensity is fully utilized, the columnar compression hemostasis device is provided with the first recess, the second recess, the third recess and the fourth recess, when the columnar compression hemostasis device is used, the force of the hand, particularly the finger part, acts on the first recess, the second recess, the third recess or the fourth recess, so that the force of the hand can be converted into the pressure intensity of the femoral artery as much as possible, and under the condition of reducing the force of the hand, the condition that the pressure intensity is sufficiently large is ensured to be exerted on the femoral artery, and the hand fatigue and the potential damage to the finger are avoided.

Description

Portable human body mechanical femoral artery compression hemostasis device and use method thereof
Technical Field
The invention relates to the technical field of compression hemostasis devices, in particular to a portable human body mechanical femoral artery compression hemostasis device and a use method thereof.
Background
The femoral artery is a common path in interventional therapy, and a series of operations such as coronary intervention, intra-aortic balloon counterpulsation, radio frequency ablation and the like can be performed through the femoral artery. After the end of the procedure, hemostasis of the femoral artery is very important. If hemostasis is improper, complications such as massive hemorrhage, retroperitoneal hematoma and the like can occur, and serious patients can endanger lives of patients.
At present, the femoral artery hemostasis mode in clinic mainly comprises instrument blocking and manual compression. The devices commonly used for plugging are Angioseal vascular occluders, perclose vascular staplers and the like, which have the advantages of quick operation and definite hemostatic effect, but are high in price, do not receive medical insurance in many hospitals, and the devices are well mastered with a certain operation experience. Failure to seal once occurred can cause unnecessary economic loss to the patient. The main mode of manual hemostasis by compression is that the two hands directly compress the proximal heart section of the femoral artery, the compression operation does not need to be spent, but the compression time needs to be nearly 20 minutes, and for patients with high anti-thrombus strength, the compression time also needs to be prolonged. The compression, especially the femoral artery of patients with high blood pressure, has great damage to hands of operators, and symptoms such as numbness, weakness and the like of the hands usually occur after the compression. At present, a femoral artery compression device is also clinically applied, is fixed in a binding mode, and then compresses the femoral artery by the compression device to prevent blood from flowing. The compression device is complex in compression position adjustment of femoral artery, once damaged, the femoral artery cannot be quickly maintained, and the femoral artery is required to be maintained by professionals, and even can be directly scrapped and cannot be used, so that medical resources are wasted.
The existing mechanical compression device for femoral artery, such as patent (application number: 201710964224.8), comprises multiple compression hemostasis devices and binding bands connected with the compression hemostasis devices, and is capable of pressing compression heads to compress femoral artery by pressing compression rods in the compression hemostasis devices corresponding to the general position of femoral artery according to the general position of femoral artery. However, as a mechanical device, there is a possibility that mechanical failure or damage to parts may occur, resulting in malfunction of the device, which may still cause bleeding if it occurs during compression.
The purpose of these compression devices is mainly to apply pressure continuously to the femoral artery under unattended conditions, but the operation of these compression devices may not be less difficult than vascular suturing devices, and the compression devices may not always achieve an effective hemostatic effect under unattended conditions, and the use of these compression devices still requires regular inspection and does not reduce the time consumption of medical personnel. Thus, when mechanical compression is employed, it is necessary that medical personnel be present throughout the process. The invention aims to provide a femoral artery compression hemostasis device which is extremely simple and convenient and easy to use.
Disclosure of Invention
The portable human body mechanical femoral artery compression hemostasis device and the use method thereof can utilize the principle of hand mechanics and pressure intensity, apply enough pressure intensity to the femoral artery under the condition of reducing hand force as far as possible, and avoid hand fatigue and finger injury while guaranteeing enough compression intensity to the femoral artery during operation.
In one aspect, the invention provides a portable human body mechanical femoral artery compression hemostasis device, the compression hemostasis device is in a column shape, one end of the compression hemostasis device is a compression contact end, the other end of the compression hemostasis device is a holding end, a supporting part is further arranged between the compression contact end and the holding end, a first recess is arranged on the supporting part, a second recess is arranged on a cylindrical surface of the holding end, the first recess and the second recess penetrate through the same bus of the compression hemostasis device, a third recess and a fourth recess are further arranged on the cylindrical surface of the holding end and between the second recess and the end face of the holding end, and the third recess and the fourth recess are respectively arranged on two sides of the bus penetrating through the second recess.
As a preferred embodiment, the cross-sectional area of the hemostasis by compression device gradually decreases in a direction from the gripping end to the compression contact end.
As a preferable technical scheme, the diameter of the end face of the pressing contact end is set to be 2.5-3.5cm.
As a preferable technical scheme, the height of the compression hemostasis device is set to be 9-13cm.
As a preferable embodiment, the diameter of the widest part of the supporting part is set to 4-6cm.
As the preferable technical scheme, the first recess, the second recess, the third recess and the fourth recess are provided with anti-skid lines.
In a second aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, wherein any one of the compression hemostasis devices is grasped by a right hand, the compression contact end is pressed at a proximal end of a femoral artery, a tiger mouth of the right hand faces the compression contact end, an index finger of the right hand is placed in the second recess, a thumb of the right hand is placed in the fourth recess, and a middle finger of the right hand is placed in the third recess.
In a third aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, wherein any one of the compression hemostasis devices is gripped by a right hand, the compression contact end is pressed at a proximal end of a femoral artery, a middle finger of the right hand is placed at the second recess, an index finger of the right hand is placed at the third recess, a thumb of the right hand is pressed at an edge of an end face of the gripping end, and a large thenar of the right hand is attached to the fourth recess.
In a fourth aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, wherein any one of the compression hemostasis devices is grasped by a right hand, the compression contact end is pressed at the proximal end of the femoral artery, the fingertips of a middle finger and an index finger of the right hand are placed in the first recess, a ring finger of the right hand is placed in the third recess, and a thumb of the right hand is placed in the fourth recess.
In a fifth aspect, the present invention provides another use method of a portable human body mechanical femoral artery compression hemostasis device, wherein a left hand is used to grasp any one of the compression hemostasis devices, and the compression contact end is pressed at the proximal end of the femoral artery, the tiger mouth of the left hand faces the compression contact end, the index finger and the middle finger of the left hand are both placed in the fourth recess, and the thumb of the left hand is placed in the third recess.
The beneficial effects of the invention are as follows:
1. according to the invention, the principle of hand mechanics and pressure intensity is fully utilized, the columnar compression hemostasis device is provided with the first recess, the second recess, the third recess and the fourth recess, when the columnar compression hemostasis device is used, the force of the hand, particularly the finger part, acts on the first recess, the second recess, the third recess or the fourth recess, so that the force of the hand can be converted into the pressure intensity of the femoral artery as much as possible, and the pressure intensity of the hand is ensured to be exerted on the femoral artery under the condition of reducing the force of the hand as much as possible, and the hand fatigue and the potential damage to the finger are avoided.
2. The invention can be produced by using PLA material through a 3D printing technology, has simple structure, convenient use and low manufacturing cost, improves the compression hemostasis effect at the femoral artery, and greatly reduces the cost; the material of the product is environment-friendly and pollution-free, and can be repeatedly used after disinfection, thereby reducing the generation of medical waste and the damage to the environment.
Drawings
Fig. 1 is a schematic view showing the overall structure of a portable human body mechanical femoral artery compression hemostasis device of the present invention;
in the figure: 1-third recess, 2-second recess, 3-first recess, 4-press contact end, 5-support, 6-fourth recess, 7-grip end.
Detailed Description
The present invention is further described below with reference to the accompanying drawings for the convenience of understanding by those skilled in the art.
In a first aspect, as shown in fig. 1, the present invention provides a portable hemostasis by compression device for a femoral artery of human mechanics, wherein the hemostasis by compression device is in a column shape, one end of the hemostasis by compression device is a compression contact end 4, the other end of the hemostasis by compression device is a holding end 7, a supporting part 5 is further arranged between the compression contact end 4 and the holding end 7 of the hemostasis by compression device, a first dent 3 is arranged on the supporting part 5, a second dent 2 is arranged on the cylindrical surface of the holding end 7, the first dent 3 and the second dent 2 penetrate through the same bus of the hemostasis by compression device, that is, when the hemostasis by compression device is vertically placed (the holding end 7 is arranged on top), the second dent 2 is positioned right above the first dent 3; a third recess 1 and a fourth recess 6 are further arranged on the cylindrical surface of the holding end 7 and between the second recess 2 and the end surface of the holding end 7, the third recess 1 and the fourth recess 6 are respectively positioned on two sides of a bus passing through the second recess 2, namely, when the compression hemostasis device is vertically placed (the holding end 7 is arranged on the upper surface), the third recess 1 and the fourth recess 6 are respectively positioned on the upper left side and the upper right side of the second recess 2.
On the basis of the above embodiment, the cross-sectional area of the compression hemostasis device gradually decreases in the direction from the grip end 7 to the compression contact end 4, the grip end 7 being larger for gripping, the compression contact end 4 being smaller for concentrating the force onto a smaller area to provide a greater pressure.
Further, the diameter of the end face of the compression contact end 4 is set to be 2.5-3.5cm, and the end face of the compression contact end 4 can not only fully compress the proximal end of the femoral artery but also ensure enough pressure.
Further, the height of the compression hemostasis device is set to be 9-13cm, and the compression hemostasis device is convenient to grasp and release the force of the hand under the length, and does not occupy too much space.
Further, the diameter of the widest part of the supporting part 5 is set to 4-6cm, which is convenient for grasping.
Further, all be equipped with anti-skidding line in first sunken 3, second sunken 2, third sunken 1 and the fourth sunken 6, can improve the friction, make the power of hand can more turn into the pressure to the femoral artery.
Further, the present invention can be produced using PLA materials and by 3D printing techniques.
In a second aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, the compression hemostasis device is gripped by a right hand, the compression contact end 4 is pressed at the proximal end of a femoral artery, the tiger mouth of the right hand faces the compression contact end 4, the index finger of the right hand is placed at the second recess 2, the thumb of the right hand is placed at the fourth recess 6, and the middle finger of the right hand is placed at the third recess 1.
In a third aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, the compression hemostasis device is gripped by a right hand, the compression contact end 4 is pressed at the proximal end of a femoral artery, a middle finger of the right hand is placed at the second recess 2, an index finger of the right hand is placed at the third recess 1, a thumb of the right hand is pressed at the edge of the end face of the gripping end 7, and a large thenar of the right hand is attached to the fourth recess 6.
In a fourth aspect, the present invention provides a method for using a portable human body mechanical femoral artery compression hemostasis device, the compression hemostasis device is gripped by a right hand, a compression contact end 4 is pressed at a proximal end of a femoral artery, fingertips of a middle finger and an index finger of the right hand are placed at a first recess 3, a ring finger of the right hand is placed at a third recess 1, and a thumb of the right hand is placed at a fourth recess 6, in this way, the forces of the middle finger and the index finger are mainly converted into the forces on the femoral artery, and the thumb and the ring finger mainly play a role in controlling and maintaining the force direction while applying the forces, so that the maximum pressure can be provided on the femoral artery.
In a fifth aspect, the present invention provides another use method of a portable human body mechanical femoral artery compression hemostasis device, the compression hemostasis device is held by a left hand, the compression contact end 4 is pressed at the proximal end of a femoral artery, the tiger mouth of the left hand faces the compression contact end 4, the index finger and the middle finger of the left hand are both placed at the fourth recess 6, the thumb of the left hand is placed at the third recess 1, and when other operations are needed by the right hand, the method can be temporarily applied to ensure continuous compression of the femoral artery.
It should be understood that these examples are for the purpose of illustrating the invention only and are not intended to limit the scope of the invention. Furthermore, it is to be understood that various changes, modifications and/or variations may be made by those skilled in the art after reading the technical content of the present invention, and that all such equivalents are intended to fall within the scope of protection defined in the claims appended hereto.

Claims (4)

1. The portable human body mechanical femoral artery compression hemostasis device is characterized in that the compression hemostasis device is columnar, one end of the compression hemostasis device is a compression contact end, the other end of the compression hemostasis device is a holding end, a supporting part is further arranged between the compression contact end and the holding end, a first recess is arranged on the supporting part, a second recess is arranged on a cylindrical surface of the holding end, the first recess and the second recess penetrate through the same bus of the compression hemostasis device, a third recess and a fourth recess are further arranged on the cylindrical surface of the holding end and between the second recess and the end face of the holding end, and the third recess and the fourth recess are respectively positioned on two sides of a bus penetrating through the second recess;
the cross-sectional area of the compression hemostasis device gradually decreases in a direction from the gripping end to the compression contact end;
the diameter of the end face of the compression contact end is set to be 2.5-3.5cm;
when the compression hemostasis device is used, the compression contact end is pressed at the proximal end of the femoral artery by adopting the right hand, the tiger mouth of the right hand faces the compression contact end, the index finger of the right hand is placed at the second concave position, the thumb of the right hand is placed at the fourth concave position, and the middle finger of the right hand is placed at the third concave position;
or, the compression hemostasis device is gripped by a right hand, the compression contact end is pressed at the proximal end of the femoral artery, a middle finger of the right hand is placed at the second concave position, an index finger of the right hand is placed at the third concave position, a thumb of the right hand is pressed at the edge of the end face of the gripping end, and the big thenar of the right hand is attached to the fourth concave position;
or, the compression hemostasis device is held by a right hand, the compression contact end is pressed at the proximal end of the femoral artery, fingertips of a middle finger and an index finger of the right hand are placed at the first concave part, a ring finger of the right hand is placed at the third concave part, and a thumb of the right hand is placed at the fourth concave part;
or, the compression hemostasis device is gripped by a left hand, the compression contact end is pressed at the proximal end of the femoral artery, the tiger mouth of the left hand faces the compression contact end, the index finger and the middle finger of the left hand are both placed at the fourth concave part, and the thumb of the left hand is placed at the third concave part.
2. A portable, ergonomic femoral artery compression hemostasis device as in claim 1, wherein the compression hemostasis device is set to a height of 9-13cm.
3. A portable, ergonomic femoral artery compression hemostatic device as set forth in claim 1, wherein the support portion has a diameter of 4-6cm at its widest point.
4. The portable ergonomic femoral artery compression hemostasis device of claim 1, wherein the first depression, the second depression, the third depression, and the fourth depression are each provided with anti-slip lines therein.
CN201910224123.6A 2019-03-22 2019-03-22 Portable human body mechanical femoral artery compression hemostasis device and use method thereof Active CN109730739B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1053770A1 (en) * 1999-05-18 2000-11-22 GIPRON - GIUSEPPE PRONZATI S.p.A. Stick handle for ski, trekking and the like with adjustable wrist strap
CN101073510A (en) * 2006-05-19 2007-11-21 杭州艾力康医药科技有限公司 Disposable arteria femoralis compression hemostat
TWM466655U (en) * 2013-08-13 2013-12-01 Leap Tong Ind Co Ltd Energy stone rotating massager
WO2016107157A1 (en) * 2014-12-31 2016-07-07 武汉奥绿新生物科技有限公司 Femoral artery compression hemostasis device
CN209826852U (en) * 2019-03-22 2019-12-24 首都医科大学附属北京朝阳医院 Portable human mechanics femoral artery compression hemostasis device

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030028214A1 (en) * 2001-08-06 2003-02-06 Benz Philip David Vascular compression apparatus
US8100937B2 (en) * 2006-10-10 2012-01-24 Smalling Medical Ventures, Llc Pressure assist system for facilitating vascular hemostasis, and associated method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1053770A1 (en) * 1999-05-18 2000-11-22 GIPRON - GIUSEPPE PRONZATI S.p.A. Stick handle for ski, trekking and the like with adjustable wrist strap
CN101073510A (en) * 2006-05-19 2007-11-21 杭州艾力康医药科技有限公司 Disposable arteria femoralis compression hemostat
TWM466655U (en) * 2013-08-13 2013-12-01 Leap Tong Ind Co Ltd Energy stone rotating massager
WO2016107157A1 (en) * 2014-12-31 2016-07-07 武汉奥绿新生物科技有限公司 Femoral artery compression hemostasis device
CN209826852U (en) * 2019-03-22 2019-12-24 首都医科大学附属北京朝阳医院 Portable human mechanics femoral artery compression hemostasis device

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