CN109998624B - Brachial artery hemostasis compression device - Google Patents

Brachial artery hemostasis compression device Download PDF

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Publication number
CN109998624B
CN109998624B CN201910435391.2A CN201910435391A CN109998624B CN 109998624 B CN109998624 B CN 109998624B CN 201910435391 A CN201910435391 A CN 201910435391A CN 109998624 B CN109998624 B CN 109998624B
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CN
China
Prior art keywords
compression
piece
cover body
top plate
brachial artery
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CN201910435391.2A
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Chinese (zh)
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CN109998624A (en
Inventor
吴桂琴
何波
周锦玲
金晶
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Peking University Shenzhen Hospital
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Peking University Shenzhen Hospital
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Priority to CN201910435391.2A priority Critical patent/CN109998624B/en
Publication of CN109998624A publication Critical patent/CN109998624A/en
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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 brachial artery hemostasis compression device, which comprises a cover body, a compression assembly and a fixing belt; the cover body is suitable for being covered on the arm, and the left side and the right side of the top wall in the cover body are respectively provided with a supporting rod extending along the front-back direction; the compression assembly comprises an inflatable compression piece and a hemostatic patch, the inflatable compression piece is arranged in the cover body and positioned between the two supporting rods, and the hemostatic patch is arranged at the bottom of the inflatable compression piece; the fixing belts are arranged at two ends of the cover body and used for fixing the cover body on the arm. According to the brachial artery hemostasis compression device provided by the embodiment of the invention, the compression device can be used for adjusting the pressure, so that the hemostasis by compression effect is adjusted; meanwhile, the arm is pressed by the two supporting rods, so that pressing dislocation caused by displacement of the pressing assembly can be prevented to a certain extent.

Description

Brachial artery hemostasis compression device
Technical Field
The invention relates to a brachial artery hemostasis compression device, in particular to a brachial artery hemostasis compression device.
Background
With the development of minimally invasive interventions, clinical minimally invasive interventional therapies of the heart and blood vessels have rapidly become an effective diagnostic method and therapeutic approach. The femoral artery, the brachial artery and the radial artery of the human body are the necessary ways of interventional diagnosis and treatment.
In recent years, more minimally invasive interventional treatments are rapidly evolving to promote rapid patient recovery; the arterial sheath is placed through the brachial artery path, so that the hemostatic patch has the advantages of small injury, convenient hemostasis, less severe bleeding complications, no need of bedridden patients, short recovery time and the like, and is accepted by clinicians more and more; for more and more complicated patients with various vascular diseases of the whole body, the operation of minimally invasive interventional operation is carried out by selecting to put an arterial sheath through a brachial artery path. In addition, as the society ages, the number of relevant elderly patients increases, more elderly patients with diseases such as hypertension complicated with aneurysms or vascular occlusions increases, minimally invasive interventional operation is performed through a brachial artery path, and due to arteriosclerosis and subcutaneous relaxation of the elderly patients, the main way of the existing hemostatic method is that the traditional gauze bandage is used for compression and bandaging for hemostasis, and the postoperative compression hemostasis points are easy to shift to cause more bleeding at puncture parts and are not easy to be found in time; resulting in complications of excessive local bleeding. Thus, the complication rate of bleeding at the vascular puncture site is high. In clinical work, the warp cloth bandaging method is time-consuming, the brachial artery is not easy to fix at the elbow joint, and the compression hemostasis effect of the puncture point is relatively poor. At present, a brachial artery hemostasis compression device capable of effectively fixing a brachial artery puncture part is urgently needed clinically.
Disclosure of Invention
The present invention aims to solve at least one of the technical problems in the related art to some extent. Therefore, the invention aims to provide a brachial artery hemostasis compression device.
To achieve the above object, a brachial artery hemostasis-compression device according to an embodiment of the present invention includes:
the cover body is suitable for being covered on the arm, and the left side and the right side of the top wall in the cover body are respectively provided with a supporting rod extending along the front-back direction;
the compression assembly comprises an inflatable compression piece and a hemostatic patch, the inflatable compression piece is arranged in the cover body and positioned between the two supporting rods, and the hemostatic patch is arranged at the bottom of the inflatable compression piece;
the fixing belts are arranged at two ends of the cover body and used for fixing the cover body on the arm.
According to the brachial artery hemostasis compression device provided by the embodiment of the invention, the compression device can be used for adjusting the pressure, so that the hemostasis by compression effect is adjusted; meanwhile, the arm is pressed by the two supporting rods, so that pressing dislocation caused by displacement of the pressing assembly can be prevented to a certain extent.
In addition, the brachial artery hemostasis-compressing device according to the above embodiment of the invention may further have the following additional technical features:
according to one embodiment of the invention, the cover body comprises a top plate and side plates which are arranged on the front side and the rear side of the top plate and are bent downwards to extend, the two side plates are of arc-shaped structures, and a cover space is defined by the two side plates and the top plate together;
the compression assembly is arranged in the covering space, and the fixing belt is connected with the two side plates.
According to one embodiment of the invention, the inflatable compression member comprises:
the mounting plate is provided with a mounting rod, and the upper end surface of the mounting rod is provided with an air charging hole;
the compression balloon is arranged at the bottom of the mounting plate and communicated with the inflation hole, and the hemostatic plaster is arranged on the compression balloon;
an observation window is formed in the middle of the top plate, the inflatable pressing piece is rotatably arranged in the observation window through a rotary connecting piece arranged on the top plate, and the mounting rod is in sliding connection with the rotary connecting piece.
In one embodiment according to the invention, the swivel connection comprises:
the rotating rod is arranged on the top plate and is positioned at one side of the observation window;
the rotating piece is rotatably sleeved on the rotating rod and provided with a sliding groove extending along the length direction;
the mounting rod is slidably arranged in the chute.
According to one embodiment of the invention, the lower surface of the top plate is provided with a spiral tube body, and the spiral tube body is arranged at the periphery of the compression balloon;
the rotating rod is provided with a through hole which is communicated with the spiral pipe.
In one embodiment according to the present invention, further comprising a pressure detection assembly comprising:
the pressure sensor is arranged between the hemostatic patch and the compression balloon and is used for detecting pressure;
the main controller is arranged on the rotating piece and is connected with the pressure sensor;
and the display is arranged on the top plate, connected with the main controller and used for displaying the pressure value.
According to one embodiment of the invention, the upper surface of the mounting plate is provided with contacts connected to the pressure sensor;
the lower surface of the rotating piece is provided with a contact piece connected with the main controller;
when the pressing component is installed on the rotating piece, the contact points and the contact pieces are abutted to enable the pressure sensor to be communicated with the main controller.
According to one embodiment of the invention, both ends of both said holding bars are provided with straps.
In one embodiment according to the invention, the spiral tube body is made of a thermally conductive material.
According to one embodiment of the invention, both the supporting rods are made of light plastic materials and are of hemispherical sections, and the length of each supporting rod is 20-30cm.
Drawings
FIG. 1 is a schematic diagram of an embodiment of the present invention;
FIG. 2 is a side view of an embodiment of the present invention;
fig. 3 is a schematic view of a compression assembly according to an embodiment of the present invention;
fig. 4 is a schematic structural view of another embodiment of the present invention.
Reference numerals:
a cover 10;
a top plate 11;
a holding lever 111;
a strap 112;
a viewing window 113;
a spiral tube 114;
a display 115;
a side plate 12;
a rotary joint 13;
a rotating lever 131;
a rotating member 132;
a chute 1321;
compression assembly 20;
an inflatable compression member 21;
a mounting plate 211;
a mounting bar 2111;
an inflation hole 2112;
a contact 2113;
compressing balloon 212;
hemostatic patch 22;
a fixing band 30;
and a support plate 40.
The achievement of the objects, functional features and advantages of the present invention will be further described with reference to the accompanying drawings, in conjunction with the embodiments.
Detailed Description
Embodiments of the present invention are described in detail below, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to like or similar elements or elements having like or similar functions throughout. The embodiments described below by referring to the drawings are illustrative and intended to explain the present invention and should not be construed as limiting the invention.
In the description of the present invention, it should be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present invention, the meaning of "a plurality" is two or more, unless explicitly defined otherwise.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
Referring to fig. 1 to 4, an embodiment of the present invention provides a brachial artery hemostasis compression device, including a cover 10, a compression assembly 20 and a fixing strap 30;
specifically, the cover body 10 is suitable for being covered on an arm, the left side and the right side of the inner top wall of the cover body 10 are respectively provided with a supporting rod 111 extending along the front-back direction, the two supporting rods 111 are both made of light plastic materials, the section of the supporting rod is of a hemispherical structure, and the length of the supporting rod 111 is 20-30cm.
The compression assembly 20 comprises an inflatable compression member 21 and a hemostatic patch 22, wherein the inflatable compression member 21 is arranged in the cover body 10 and is positioned between the two supporting rods 111, and the hemostatic patch 22 is arranged at the bottom of the inflatable compression member 21; by inflating the inflatable compression member 21, the inflatable compression member 21 compresses the hemostatic patch 22, thereby achieving compression hemostasis of the puncture.
The fixing straps 30 are provided at both ends of the cover 10 for fixing the cover 10 to an arm.
When the hemostatic patch is specifically used, the cover body 10 is covered at the elbow joint, the hemostatic patch 22 corresponds to the brachial artery puncture point, then the cover body 10 is fixed on an arm by the fixing belt 30, further, the inflatable compression piece 21 is inflated, the hemostatic patch 22 is compressed by the inflatable compression piece 21, compression hemostasis of the brachial artery puncture point is realized, and the compression force can be adjusted by adopting an inflatable compression mode, so that the compression effect is better. In addition, since two supporting rods 111 extending in the left-right direction are disposed in the cover 10, when the cover 10 is fixed on the arm, on one hand, the two supporting rods 111 can keep the arm of the patient in a straightened state as far as possible, thereby preventing the unconscious bending of the arm of the patient from causing dislocation of the compression assembly 20 and the brachial artery puncture point, and on the other hand, the acting force between the cover 10 and the arm is increased by the compression of the two supporting rods 111, so as to avoid dislocation of the compression assembly 20 and the brachial artery puncture point caused by the rotation of the cover 10 around the arm.
According to the brachial artery hemostasis compression device provided by the embodiment of the invention, the compression assembly 20 can be used for adjusting the pressure so as to adjust the hemostasis by compression effect; meanwhile, the arm is pressed by the two pressing rods 111, so that the pressing assembly 20 can be prevented from being displaced to cause pressing dislocation to a certain extent.
Advantageously, in one embodiment of the present invention, the cover 10 includes a top plate 11 and side plates 12 disposed on front and rear sides of the top plate 11 and extending in a downward bending manner, the two side plates 12 are arc-shaped, and the two side plates 12 and the top plate 11 together define a covering space;
the compression assembly 20 is disposed within the enclosed space, and the securing strap 30 is connected to both side plates 12.
Thus, when the invention is used, the arm of a patient is directly extended into the covering space and is fixed by the fixing belt 30, and the operation is convenient.
Preferably, both side plates 12 are made of a silicone material so that they can fit over the arms of the patient.
Advantageously, in one embodiment of the invention, inflatable compression member 21 includes a mounting plate 211 and a compression balloon 212;
the mounting plate 211 is provided with a mounting rod 2111, and the upper end surface of the mounting rod 2111 is provided with an air charging hole 2112;
the compression balloon 212 is arranged at the bottom of the mounting plate 211 and is communicated with the inflation hole 2112, and the hemostatic patch 22 is arranged on the compression balloon 212;
the middle part of the top plate 11 is provided with a viewing window 113, the inflatable compression piece 21 is rotatably arranged in the viewing window 113 through a rotary connecting piece 13 arranged on the top plate 11, and the mounting rod 2111 is in sliding connection with the rotary connecting piece 13.
On the one hand, since the observation window 113 is formed on the top plate 11, a medical staff can conveniently observe whether the puncture point bleeds from the observation window 113 so as to be convenient for timely treatment; on the other hand, since the inflatable pressing piece 21 is rotatably provided in the observation window 113 by the rotation link 13 and the inflatable pressing piece 21 is slidably connected to the rotation link 13 by the mounting rod, the position of the inflatable pressing piece 21 can be adjusted by rotating the rotation link 13 and slidably mounting the rod 2111, thereby facilitating the adjustment of the position of the inflatable pressing piece 21 when the cover 10 is fixed to the hand of the patient so that the puncture site is pressed.
Of course, a cover for sealing the inflation hole 2112 is also provided on the mounting rod to avoid air leakage of the compression balloon 212.
Preferably, the rotary connector 13 includes a rotary rod 131 and a rotary member 132; the rotating rod 131 is arranged on the top plate 11 and is positioned at one side of the observation window 113;
the rotating member 132 is rotatably sleeved on the rotating rod 131, and a sliding groove 1321 extending along the length direction is formed in the rotating member 132;
the mounting bar 2111 is slidably disposed within the slot 1321.
Thus, by rotating the rotating member 132 about the rotating rod 131 and simultaneously rotating the mounting rod along the sliding slot 1321 on the rotating member 132, the adjustment of the position of the inflatable compression member 21 can be achieved for ease of use.
It should be noted that, the locking member may be disposed on each of the rotating rod 131 and the fixing rod 2111, so that the locking member is locked and fixed when the rotating rod 131 and the fixing rod 2111 are rotated to a position when they are rotated, thereby realizing the pressing of the puncture point.
Compression assembly 20 may be threadably mounted such that it is easily removed, thereby allowing compression assembly 20 to be replaced. In addition, the mounting rod 2111 for mounting the compression assembly 20 may also be used as an inflation nozzle for the compression balloon 212 to inflate the compression balloon 212, and thus, the inflation of the compression assembly 20 after replacement is not affected.
Advantageously, in one embodiment of the present invention, the lower surface of the top plate 11 is provided with a spiral tube 114, the spiral tube 114 being disposed at the periphery of the compression balloon 212;
the upper surface of the rotating rod 131 is provided with a through hole communicated with the spiral tube 114.
Preferably, the coil 114 is made of a thermally conductive material.
So, can pour into the frozen water to the spiral pipe body 114 through the through-hole on the bull stick 131, then when using this device, the frozen water in the spiral pipe body 114 can cool down around the puncture to slow down blood flow rate, with the cooperation oppression subassembly 20 plays better hemostatic effect.
Of course, a sealing cover for covering the through hole is also provided to prevent outflow of ice water injected into the spiral tube body 114.
It should be appreciated that the coil 114 may be removably mounted to the top plate 11 so that it may be replaced. For example, the spiral tube 114 is integrally provided with the rotating rod 131, so that the rotating rod is in threaded connection with the top plate 11, however, other mounting methods are also possible.
Advantageously, in another embodiment of the present invention, a pressure sensing assembly is also included, the pressure sensing assembly including a pressure sensor, a master controller and a display 115;
the pressure sensor is arranged between the hemostatic patch 22 and the compression balloon 212 and is used for detecting pressure;
the main controller is arranged on the rotating piece 132 and is connected with the pressure sensor;
a display 115 is provided on the top plate 11 and is connected to the main controller for displaying the pressure value.
Preferably, the upper surface of the mounting plate 211 is provided with contacts 2113 for connection to a pressure sensor;
the lower surface of the rotating member 132 is provided with a contact piece connected with the main controller;
when compression assembly 20 is mounted on top plate 11, contacts 2113 and the tabs are brought into contact to place the pressure sensor in communication with the main controller.
Thus, the pressure sensor can detect the pressed pressure value and display the pressure value by the display 115 on the top plate 11, thereby facilitating the medical staff to control the pressing force.
Also, by providing the contact on the lower surface of the rotary member 132, communication between the pressure sensor on the new compression assembly 20 and the main controller on the rotary member 132 can still be achieved when the new compression assembly 20 is replaced.
In this embodiment, the main controller only performs simple signal processing, so that a conventional single-chip microcomputer is adopted.
Advantageously, in some embodiments of the invention, both ends of both abutment bars 111 are provided with straps 112.
In this way, the binding bands 112 at the two ends of the supporting rod 111 can further fix the supporting rod 111 and the arm, so that the fixing effect can be improved, and accordingly, the problem of compression dislocation can be further avoided.
Finally, it should be noted that the two supporting rods can be changed into the supporting plate 40 and arranged below the cover body to be connected with the fixing belt, and further, the two sides of the fixing belt are provided with the binding belts, so that when the device is used, the arm of the patient can be restrained between the supporting plate 40 and the cover body and is pressed by the pressing assembly, and the device can play a role in pressing and stopping bleeding of the puncture point.
In the description of the present specification, a description referring to terms "one embodiment," "some embodiments," "examples," "specific examples," or "some examples," etc., means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiments or examples. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
Although embodiments of the present invention have been shown and described above, it will be understood that the above embodiments are illustrative and not to be construed as limiting the invention, and that variations, modifications, alternatives, and variations may be made in the above embodiments by those skilled in the art without departing from the spirit and principles of the invention.

Claims (6)

1. A brachial artery hemostatic compression device, comprising:
the cover body is suitable for being covered on the arm, and the left side and the right side of the top wall in the cover body are respectively provided with a supporting rod extending along the front-back direction;
the compression assembly comprises an inflatable compression piece and a hemostatic patch, the inflatable compression piece is arranged in the cover body and positioned between the two supporting rods, and the hemostatic patch is arranged at the bottom of the inflatable compression piece;
the fixing belts are arranged at two ends of the cover body and used for fixing the cover body on an arm;
the cover body comprises a top plate and side plates which are arranged on the front side and the rear side of the top plate and are bent downwards to extend, the two side plates are of arc-shaped structures, and a cover space is defined by the two side plates and the top plate together;
the pressing assembly is arranged in the covering space, and the fixing belt is connected with the two side plates;
the inflatable compression member includes:
the mounting plate is provided with a mounting rod, and the upper end surface of the mounting rod is provided with an air charging hole;
the compression balloon is arranged at the bottom of the mounting plate and communicated with the inflation hole, and the hemostatic plaster is arranged on the compression balloon;
an observation window is formed in the middle of the top plate, the inflatable pressing piece is rotatably arranged in the observation window through a rotary connecting piece arranged on the top plate, and the mounting rod is in sliding connection with the rotary connecting piece;
the rotational connector includes:
the rotating rod is arranged on the top plate and is positioned at one side of the observation window;
the rotating piece is rotatably sleeved on the rotating rod and provided with a sliding groove extending along the length direction;
the mounting rod is slidably arranged in the chute;
the two ends of the two supporting rods are provided with binding bands.
2. A brachial artery hemostasis compression device according to claim 1 and wherein the lower surface of the top plate is provided with a spiral tube disposed at the periphery of the compression balloon;
the rotating rod is provided with a through hole which is communicated with the spiral pipe.
3. A brachial artery hemostasis-compression device according to claim 2 and also comprising a pressure detection assembly comprising:
the pressure sensor is arranged between the hemostatic patch and the compression balloon and is used for detecting pressure;
the main controller is arranged on the rotating piece and is connected with the pressure sensor;
and the display is arranged on the top plate, connected with the main controller and used for displaying the pressure value.
4. A brachial artery hemostasis-compression device according to claim 3, wherein the upper surface of the mounting plate is provided with contacts connected to the pressure sensor;
the lower surface of the rotating piece is provided with a contact piece connected with the main controller;
when the pressing component is installed on the rotating piece, the contact points and the contact pieces are abutted to enable the pressure sensor to be communicated with the main controller.
5. A brachial artery hemostasis-compression device as recited in claim 4, wherein the spiral tube body is made of a thermally conductive material.
6. A brachial artery hemostasis compression device according to claim 5 and wherein both of said abutment bars are made of lightweight plastic material and are hemispherical in cross section, said abutment bars being 20-30cm in length.
CN201910435391.2A 2019-05-23 2019-05-23 Brachial artery hemostasis compression device Active CN109998624B (en)

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Publication number Priority date Publication date Assignee Title
CN113100867A (en) * 2021-05-24 2021-07-13 常州市第一人民医院 Air cushion type hemostasis device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203074801U (en) * 2013-03-12 2013-07-24 郭亚辉 Pressure-adjustable hemostasis compression apparatus for femoral artery puncture point
CN204562285U (en) * 2015-03-30 2015-08-19 南京市浦口区中心医院 The brachial artery hemostasis compressing instrument improved
JP2017047036A (en) * 2015-09-03 2017-03-09 テルモ株式会社 Hemostatic device
CN207520175U (en) * 2017-04-21 2018-06-22 张雪好 Femoral hemostasis compression band
CN208017533U (en) * 2016-12-23 2018-10-30 况春燕 A kind of arteria brachialis hypomere compression apparatus
CN208822868U (en) * 2017-08-16 2019-05-07 刘兆玉 Arteria brachialis hemostasis device
CN210301115U (en) * 2019-05-23 2020-04-14 北京大学深圳医院 Arteria brachialis hemostasis compressor arrangement

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203074801U (en) * 2013-03-12 2013-07-24 郭亚辉 Pressure-adjustable hemostasis compression apparatus for femoral artery puncture point
CN204562285U (en) * 2015-03-30 2015-08-19 南京市浦口区中心医院 The brachial artery hemostasis compressing instrument improved
JP2017047036A (en) * 2015-09-03 2017-03-09 テルモ株式会社 Hemostatic device
CN208017533U (en) * 2016-12-23 2018-10-30 况春燕 A kind of arteria brachialis hypomere compression apparatus
CN207520175U (en) * 2017-04-21 2018-06-22 张雪好 Femoral hemostasis compression band
CN208822868U (en) * 2017-08-16 2019-05-07 刘兆玉 Arteria brachialis hemostasis device
CN210301115U (en) * 2019-05-23 2020-04-14 北京大学深圳医院 Arteria brachialis hemostasis compressor arrangement

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