CN109938795B - Radial artery hemostasis device after coronary angiography - Google Patents

Radial artery hemostasis device after coronary angiography Download PDF

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CN109938795B
CN109938795B CN201910228841.0A CN201910228841A CN109938795B CN 109938795 B CN109938795 B CN 109938795B CN 201910228841 A CN201910228841 A CN 201910228841A CN 109938795 B CN109938795 B CN 109938795B
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water
clamping seat
fixing frame
pad
radial artery
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CN109938795A (en
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胡文志
季玲
吴红萍
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
2nd Affiliated Hospital of Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
2nd Affiliated Hospital of Nanjing Medical University
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Abstract

The invention provides a radial artery hemostatic device after coronary angiography, which comprises a fixing frame, a pressurizing pad and a fixing band; the longitudinal section of the fixing frame is in a convex shape, the upper half part of the fixing frame is a water injection channel, the lower half part of the fixing frame is a clamping seat, the opening of the clamping seat faces downwards, the pressurizing pad is fixed in the clamping seat, the water injection channel is communicated with the clamping seat, water-absorbing resin is filled in the pressurizing pad, and the fixing band is connected to two sides of the fixing frame. In consideration of the problem that the puncture point of a patient is over-compressed, the pressure pad filled with the water-absorbent resin is replaced, so that the blood of the puncture point can be absorbed, and the puncture point can be gradually expanded to play a role in compressing the puncture point to stop bleeding; and the water-absorbing resin stops expanding when reaching the critical point which can just stop bleeding but can not excessively press the vein, and the pressure can be naturally kept at the balance point, thereby avoiding the reasons of unsmooth blood circulation, hand swelling and the like caused by the pressed vein.

Description

Radial artery hemostasis device after coronary angiography
Technical Field
The invention relates to the field of medical instruments, in particular to a radial artery hemostatic device after coronary angiography.
Background
Currently, the main approaches to PCI include both transfemoral and transradial. Transfemoral puncture is a traditional method for cardiac interventional therapy, but the wound at the puncture site after operation is difficult to compress and stop bleeding, postoperative bleeding is easy to occur, and the vagus nerve reflex heart rate is slow even the heart stops suddenly and other complications. The hemostasis is mainly carried out by adopting an elastic bandage compression hemostasis method and an elastic band compression type hemostat method after the radial artery PCI operation, and the hemostat achieves the purpose of hemostasis by compressing a compression pad above a radial artery puncture point and adjusting an elastic band.
At present, the hemostat is considered to have the advantages of exact hemostatic effect, convenient operation, safety, comfort, easy observation, short compression time, few vascular complications and the like. However, in clinical observation, since the hemostat is generally used for stopping bleeding purely by pressure, and a patient generally wears the hemostat for several hours continuously, the compression pad generally covers the veins pressed beside the puncture point due to the large area of the compression pad, the blood circulation of the patient is not smooth due to the long-time compression, the hands are swollen, and even partial skin of the patient is necrotized in a serious condition, so that the patient is very uncomfortable. At present, aiming at the situation, medical staff mostly relax the hemostat for patients at intervals, and the operation is troublesome and the effect is not good.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides a radial artery hemostatic device after coronary angiography.
In order to achieve the purpose, the invention adopts the following technical scheme:
a radial artery hemostatic device after coronary angiography, which comprises a fixing frame, a pressurizing pad and a fixing band; the longitudinal section of the fixing frame is in a convex shape, the upper half part of the fixing frame is a water injection channel, the lower half part of the fixing frame is a clamping seat, the opening of the clamping seat faces downwards, the pressurizing pad is fixed in the clamping seat, the water injection channel is communicated with the clamping seat, water-absorbent resin is filled in the pressurizing pad, and the fixing band is connected to two sides of the fixing frame.
Preferably, the pressure pad is detachably fixed inside the clamping seat.
Preferably, the bottom of the pressure pad is in a downward convex arc shape.
Preferably, the pressure pad comprises an upper packaging face and a lower packaging face which are opposite, the upper packaging face is of a net structure, and the lower packaging face is medical cotton cloth.
Preferably, the water injection channel comprises a water inlet and a water outlet which are opposite, the water inlet is positioned at the top of the fixing frame, absorbent cotton is fixed at the edge of the water inlet, and the water outlet is communicated with the clamping seat.
Preferably, the water outlet is connected with a hose, the hose is divided into 2 dendritic thin hoses, and the thin hoses extend into the pressure pad.
Preferably, the water outlet is in a shower shape, and the area of the water outlet is the same as the area of the upper surface of the clamping seat.
Preferably, the clamping seat is provided with air holes.
Preferably, the fixing band is an elastic band with adjustable length, the elastic band comprises an adjusting buckle, and the adjusting buckle is close to the clamping seat.
Compared with the prior art, the invention has the beneficial effects that:
the pressurizing pad for pressing the puncture point of the patient to stop bleeding is replaced by a replaceable pressurizing pad filled with water-absorbent resin particles, and a water injection port is arranged above the pressurizing pad. In consideration of the problem that the puncture point of a patient is over-compressed, the pressure pad filled with the water-absorbent resin is replaced, so that the blood of the puncture point can be absorbed, and the puncture point can be gradually expanded to play a role in compressing the puncture point to stop bleeding; and when the water-absorbent resin reaches the critical point of the pressure of the puncture point, namely, the blood can be stopped, but the blood cannot be excessively pressed to the critical point of the vein, the blood cannot continuously flow outwards due to the stopped critical point, the water-absorbent resin stops sucking blood and swells, the pressure can be naturally maintained at the balance point, and the reasons of unsmooth blood circulation, hand swelling and the like caused by the pressed vein are avoided. Because a small amount of water-absorbent resin can not swell under the condition of a small amount of blood, a water filling port is arranged at the top of the pressure pad for filling water into the pressure pad, the water-absorbent resin can be partially swelled first, and the pressure pad can reach the slight compression effect by matching with the fixing band, so that the pressure pad can continue to swell after absorbing a small amount of blood to reach the expected hemostasis effect.
In addition, the absorbent resin absorbs blood to keep the wound dry and comfortable, and the absorbent resin is granular, so that air circulation is facilitated, and the reproduction of anaerobic bacteria is inhibited. The water-absorbent resin has jelly texture after water absorption and expansion, good hand feeling and more comfortable experience of patients.
Drawings
FIG. 1 is a schematic view of a radial artery hemostatic device after coronary angiography;
FIG. 2 is a schematic structural view of a radial artery hemostatic device after coronary angiography with a shower-shaped water outlet;
FIG. 3 is a schematic structural view of a fixing frame with a thin hose as a water outlet;
fig. 4 is a schematic view of the structure of the upper surface of the pressure pad.
Detailed Description
In order to further understand the objects, structures, features and functions of the present invention, the following embodiments are described in detail.
Referring to fig. 1 to 4, the present invention provides a radial artery hemostatic device after coronary angiography, as shown in fig. 1, including a fixing frame 1, a pressure pad 2 and a fixing band 3; the longitudinal section of the fixing frame 1 is in a convex shape, the upper half part of the fixing frame 1 is a water injection channel 11, the lower half part of the fixing frame 1 is a clamping seat 12, an opening of the clamping seat 12 faces downwards, the pressurizing pad 2 is fixed in the clamping seat 12, the water injection channel 11 is communicated with the clamping seat 12, the pressurizing pad 2 is filled with water-absorbent resin, and the fixing bands 3 are connected to two sides of the fixing frame 1.
In clinical practice, the water injection channel 11 is pre-filled with water, which may be saline. Water flows into the pressurizing pad 2 in the clamping seat 12 from the water injection channel 11 and is absorbed by the water-absorbent resin, the water-absorbent resin absorbs water and expands, the pressurizing pad 2 is bound on the wound of the patient by aiming at the puncture of the patient, and the tightness of the fixing band 3 is adjusted, so that the operation is simple. The pressurizing pad 2 for pressing the puncture point of the patient for hemostasis is replaced by a replaceable pressurizing pad 2 filled with water-absorbent resin particles, and a water injection port is arranged above the pressurizing pad 2. In consideration of the problem that the puncture point of a patient is over-compressed, the compression pad 2 filled with water-absorbent resin is replaced, so that blood at the puncture point can be absorbed, and the blood gradually swells to play a role in compressing the puncture point to stop bleeding; and when the water-absorbent resin reaches the critical point of the pressure of the puncture point, namely, the blood can be stopped, but the blood cannot be excessively pressed to the critical point of the vein, the blood cannot continuously flow outwards due to the stopped critical point, the water-absorbent resin stops sucking blood and swells, the pressure can be naturally maintained at the balance point, and the reasons of unsmooth blood circulation, hand swelling and the like caused by the pressed vein are avoided. Because a small amount of water-absorbent resin can not swell under the condition of a small amount of blood, a water filling port is arranged at the top of the pressure pad 2 for filling water into the pressure pad, the water-absorbent resin can be partially swelled firstly, and the pressure pad can reach the slight compression effect by matching with the fixing band 3, so that the water-absorbent resin can be swelled to reach the expected hemostatic effect after absorbing a small amount of blood. Therefore, the tourniquet can achieve the effect of automatically adjusting the pressure to reach the critical point, can not excessively relax, can not excessively press veins, can avoid the operation that medical personnel frequently relax the tourniquet, and has more suitable and stable hemostasis pressure and better hemostasis effect. In addition, the absorbent resin absorbs blood to keep the wound dry and comfortable, and the absorbent resin is granular, so that air circulation is facilitated, and the reproduction of anaerobic bacteria is inhibited. The water-absorbent resin has jelly texture after water absorption and expansion, good hand feeling and more comfortable experience of patients.
Preferably, the pressure pad 2 is detachably fixed inside the cartridge 12, so that it can be reused by replacing the pressure pad 2 and sterilizing, and it is easy to replace the pressure pad 2 when there is an operational error and a problem with the pressure pad 2, thereby reducing economic costs.
Preferably, the bottom of the pressurizing pad 2 is in a downward convex arc shape, and the arc can be aligned to the puncture wound of a patient when in use, so that accurate compression hemostasis is realized, compression on the vein beside the puncture wound is further reduced, and blood circulation and the use experience of the patient are facilitated.
Preferably, the press pad 2 includes opposite upper and lower package faces 21 and 22, the upper package face 21 being a net structure, as shown in fig. 4. The lower package face 22 is medical cotton cloth. The upper packaging surface 21 is of a net structure and is provided with a plurality of large meshes, so that water in the water injection channel 11 can permeate into the water-absorbent resin conveniently, and the lower packaging surface 22 is made of cotton cloth and is relatively soft.
Preferably, the water filling channel 11 comprises a water inlet 111 and a water outlet 112 which are opposite, the water inlet 111 is positioned at the top of the fixing frame 1, the edge of the water inlet 111 is fixed with the absorbent cotton 13, and the water outlet 112 is communicated with the clamping seat 12. The absorbent pad 13 can absorb water drops which are accidentally splashed when water is injected, and keep the appliance dry and fresh.
In one embodiment, as shown in fig. 3, the water outlet 112 is connected with flexible tubes, the flexible tubes are divided into 2 thin flexible tubes in a tree shape, and the thin flexible tubes extend into the pressure pad 2. The hose can be drilled into the pressure pad 2 from the top surface grid of the pressure pad 2 relatively uniformly, so that the water-absorbent resin can absorb moisture relatively uniformly and then expand when water is injected.
In another embodiment, as shown in fig. 2, the water outlet 112 is in the shape of a shower head, and the area of the water outlet 112 is the same as the area of the upper surface of the card holder 12. So that water can uniformly permeate into the pressurizing pad 2 from top to bottom, and the structure is simple and more economical.
Preferably, the air holes 121 are formed on the clamping seat 12, so that air circulation is facilitated, the oxygen content of the wound is kept, and the propagation of anaerobic bacteria is inhibited.
Preferably, the fixing strap 3 is an elastic strap with adjustable length, the elastic strap includes an adjusting buckle 31, the adjusting buckle 31 is close to the clamping seat 12, and the adjusting buckle 31 is prevented from being positioned between the bed sheet and the arm of the patient for a long time, which causes discomfort to the patient.
From the above, the pressurizing pad for compressing the puncture point of the patient to stop bleeding of the invention is replaced by the replaceable pressurizing pad with the water absorbent resin particles inside, and the water injection port is arranged above the pressurizing pad. In consideration of the problem that the puncture point of a patient is over-compressed, the pressure pad filled with the water-absorbent resin is replaced, so that the blood of the puncture point can be absorbed, and the puncture point can be gradually expanded to play a role in compressing the puncture point to stop bleeding; and when the water-absorbent resin reaches the critical point of the pressure of the puncture point, namely, the blood can be stopped, but the blood cannot be excessively pressed to the critical point of the vein, the blood cannot continuously flow outwards due to the stopped critical point, the water-absorbent resin stops sucking blood and swells, the pressure can be naturally maintained at the balance point, and the reasons of unsmooth blood circulation, hand swelling and the like caused by the pressed vein are avoided. Because a small amount of water-absorbent resin can not swell under the condition of a small amount of blood, a water filling port is arranged at the top of the pressure pad for filling water into the pressure pad, the water-absorbent resin can be partially swelled first, and the pressure pad can reach the slight compression effect by matching with the fixing band, so that the pressure pad can continue to swell after absorbing a small amount of blood to reach the expected hemostasis effect.
In addition, the absorbent resin absorbs blood to keep the wound dry and comfortable, and the absorbent resin is granular, so that air circulation is facilitated, and the reproduction of anaerobic bacteria is inhibited. The water-absorbent resin has jelly texture after water absorption and expansion, good hand feeling and more comfortable experience of patients.
The present invention has been described in relation to the above embodiments, which are only exemplary of the implementation of the present invention. It should be noted that the disclosed embodiments do not limit the scope of the invention. Rather, it is intended that all such modifications and variations be included within the spirit and scope of this invention.

Claims (6)

1. The utility model provides a radial artery hemostasis device after coronary angiography which characterized in that: comprises a fixing frame, a pressurizing pad and a fixing belt; the longitudinal section of the fixing frame is in a convex shape, the upper half part of the fixing frame is a water injection channel, the lower half part of the fixing frame is a clamping seat, the opening of the clamping seat faces downwards, the pressurizing pad is fixed in the clamping seat, the water injection channel is communicated with the clamping seat, the pressurizing pad is filled with water-absorbent resin, and the fixing band is connected to two sides of the fixing frame; the bottom of pressure pad is the circular-arc of underbeam, water injection passageway includes relative water inlet and delivery port, the water inlet is located the mount top, the edge of water inlet is fixed with the cotton that absorbs water, the delivery port with the cassette is linked together, be connected with the hose on the delivery port, the hose dispersion is 2 thin hoses that are arborescent, thin hose stretches into in the pressure pad.
2. The post-coronary angiography radial artery hemostasis device of claim 1, wherein: the pressure pad is detachably fixed inside the clamping seat.
3. The post-coronary angiography radial artery hemostasis device of claim 1, wherein: the pressurizing pad comprises an upper packaging face and a lower packaging face which are opposite, wherein the upper packaging face is of a net-shaped structure, and the lower packaging face is made of medical cotton cloth.
4. The post-coronary angiography radial artery hemostasis device of claim 1, wherein: the water outlet is in a shower shape, and the area of the water outlet is the same as the area of the upper surface of the clamping seat.
5. The post-coronary angiography radial artery hemostasis device of claim 1, wherein: and the clamping seat is provided with air holes.
6. The post-coronary angiography radial artery hemostasis device of claim 1, wherein: the fixing band is an elastic band with adjustable length, the elastic band comprises an adjusting buckle, and the adjusting buckle is close to the clamping seat.
CN201910228841.0A 2019-03-25 2019-03-25 Radial artery hemostasis device after coronary angiography Active CN109938795B (en)

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CN109938795B true CN109938795B (en) 2022-02-08

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Citations (8)

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CN101035588A (en) * 2004-10-04 2007-09-12 3M创新有限公司 Surgical prep solution applicator
CN203107438U (en) * 2012-12-31 2013-08-07 明尼苏达矿业制造医用器材(上海)有限公司 Self-pressurizing haemostatic wound dressing
CN203736259U (en) * 2014-03-12 2014-07-30 上海市东方医院 Bleeding stopping compressor for radial artery
WO2014205349A1 (en) * 2013-06-20 2014-12-24 Revmedx, Inc. Pneumatic compression bandage
CN205126336U (en) * 2015-11-26 2016-04-06 中国人民解放军第三军医大学第三附属医院 Area oppression hematostatic function applies ointment or plaster
CN206166981U (en) * 2016-08-19 2017-05-17 西安培华学院 Tourniquet for hemodialysis internal arteriovenous fistula
CN107041770A (en) * 2017-06-05 2017-08-15 钦州市第人民医院 Can automatic expansion extruding hemostatic adhesive bandage
CN207561948U (en) * 2017-02-23 2018-07-03 胡霞 A kind of New Blood internal medicine dedicated tourniquet

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202446185U (en) * 2012-01-09 2012-09-26 陈黎敏 Protective liner of air pressure tourniquet
CN202505426U (en) * 2012-03-20 2012-10-31 刘传敏 Modified buckle type arteriola and vein tourniquet
JP6531274B2 (en) * 2014-12-01 2019-06-19 京都ケミカル株式会社 Hemostatic pad for injection needle puncture part and compression pressure measuring device therefor
CN104921775B (en) * 2015-06-05 2017-11-21 常州药物研究所有限公司 Tourniquet is used after percutaneous coronary artery intervention
CN109350174A (en) * 2018-12-12 2019-02-19 吴闽 A kind of clinical laboratory's hemostasis device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101035588A (en) * 2004-10-04 2007-09-12 3M创新有限公司 Surgical prep solution applicator
CN203107438U (en) * 2012-12-31 2013-08-07 明尼苏达矿业制造医用器材(上海)有限公司 Self-pressurizing haemostatic wound dressing
WO2014205349A1 (en) * 2013-06-20 2014-12-24 Revmedx, Inc. Pneumatic compression bandage
CN203736259U (en) * 2014-03-12 2014-07-30 上海市东方医院 Bleeding stopping compressor for radial artery
CN205126336U (en) * 2015-11-26 2016-04-06 中国人民解放军第三军医大学第三附属医院 Area oppression hematostatic function applies ointment or plaster
CN206166981U (en) * 2016-08-19 2017-05-17 西安培华学院 Tourniquet for hemodialysis internal arteriovenous fistula
CN207561948U (en) * 2017-02-23 2018-07-03 胡霞 A kind of New Blood internal medicine dedicated tourniquet
CN107041770A (en) * 2017-06-05 2017-08-15 钦州市第人民医院 Can automatic expansion extruding hemostatic adhesive bandage

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