CN110179583A - A kind of pacemaker post-surgery fixing device and its application method - Google Patents

A kind of pacemaker post-surgery fixing device and its application method Download PDF

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Publication number
CN110179583A
CN110179583A CN201910366944.3A CN201910366944A CN110179583A CN 110179583 A CN110179583 A CN 110179583A CN 201910366944 A CN201910366944 A CN 201910366944A CN 110179583 A CN110179583 A CN 110179583A
Authority
CN
China
Prior art keywords
fixation balloon
fixed disk
outer side
center
fixing belt
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910366944.3A
Other languages
Chinese (zh)
Inventor
王颖
丁莉
白井双
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN201910366944.3A priority Critical patent/CN110179583A/en
Publication of CN110179583A publication Critical patent/CN110179583A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/14Bandages or dressings; Absorbent pads specially adapted for the breast or abdomen
    • A61F13/143Thorax bandages or bandaging garments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/00119Wound bandages elastic
    • A61F2013/00127Wound bandages elastic fixation means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/0017Wound bandages possibility of applying fluid
    • A61F2013/00174Wound bandages possibility of applying fluid possibility of applying pressure

Abstract

The present invention relates to a kind of pacemaker post-surgery fixing device and its application methods, including fixed disk, fixed disk described in the fixing belt with elastic adjustment hole being connected with the both ends of fixed disk is disc-shaped structure, the connection sheet being structure as a whole with fixed disk is fixedly installed in the two sides symmetric position of fixed disk, the both ends of fixing belt are connected with two connection sheets respectively, are fixedly installed with pressurization in the side of fixed disk and are accurately positioned fixed device;It is whole not use gauze to be fastened, it can only the fixation of whole postoperative pacemaker can be realized in the sterile cloth of a fritter on anchor point pad, save medical supplies, alleviate the trouble that nurse winds bandage, whole visualized operation is obvious, fixed disk and two air bags are that transparent material is made, and facilitate observation when medical staff's operation.

Description

A kind of pacemaker post-surgery fixing device and its application method
Technical field
The present invention relates to medical domains, and in particular to a kind of medical aids tool, in particular to a kind of pacemaker are postoperative solid Determine device and its application method.
Background technique
Implantation of heart pacemaker is that irreversible cardiac pacing caused by treatment a variety of causes and conduction function are dyskinetic The main method of disease.It is usually used in Symptomatic bradycardia patient.Artificial Intervention pacemaker, with the pulse of specific frequency Electric current drives the treatment method of heartbeat instead of the pacemaker of heart by conducting wire and electrode stimulating heart, is that treatment can not The safe and effective method of inverse cardiac pacing conduction function obstacle, especially the treatment chronic arrhythmia cordis of severe.
Currently, after permanent cardiac pacemaker implant surgery, it is desirable that patient is in lying status, in notch part with nothing It is oppressed four to six hours after bacterium dressing covering with sand pocket or commercially available salt bag, and requires patient's strict bed rest three to seven days, Art side limbs absolute brake simultaneously, 24 as a child can use the 30 degree of clinostatisms in left side afterwards, after 3 days can light activity, but art side upper limb 7 days Within limitation activity, to prevent pouch bleeding or pocket blood accumulation and loose electrode placement.
After Pacemaker implantation operation traditional at present there are following defects in fixed and device when in use: firstly, traditional Sand pocket or salt bag for hemostasis by compression are only laid flat in incision, or are simply fixed in such a way that gauze is wound, even if Initial pressure site is correct, but the slightly careless bag pressing that still will cause shifts in course of exerting pressure.Once bag pressing displacement is easily formed Pocket blood accumulation;Secondly, common compressing mode uses wearable structure, there is strong sense of discomfort in sufferer when in use, be easy Human body multiple location is caused to oppress, human body long period clinostatism especially limbs absolute brake easily makes patient generate deep vein thrombosis, So as to cause fatal pulmonary embolism, there are also a few patients because art side limb brake is also possible that articular ligament adhesion.It increases The pain of sufferer.Excessive external wearable structure causes secondary injury to sufferer;In addition, traditional compressing mode mostly uses Physical positioning compressing, elasticity and pressure coefficient be not readily available observation and control, and it is inaccurate to cause stress range, it is overweight or Person, which kicks the beam, all be easy to cause the reduction of positioning compressing efficiency;In addition, there is also easily inclined after positioning for traditional positioning and fixed form The generation of phenomenon is moved, once sufferer body is mobile, will be shifted between anchor point and incision site, positioning is caused to fail.
Therefore, a kind of simple in sturcture, ingenious in design, accurate positioning is produced, positioning pressure control is accurate, prevents displacement Occur with obscission, using comfortable, mitigate sufferer pain, reduce postoperative risk, application method pacemaker simple to operation Post-surgery fixing device and its application method have extensive market prospects.
Summary of the invention
In view of the deficiencies of the prior art, the present invention provides a kind of simple in sturcture, ingenious in design, accurate positioning, positioning pressure Control is accurate, prevents that displacement from occurring and obscission occurs, and using comfortable, mitigate sufferer pain, reduces postoperative risk, user Method pacemaker post-surgery fixing device simple to operation and its application method, for overcoming defect in the prior art.
The technical solution adopted by the present invention are as follows: a kind of pacemaker post-surgery fixing device, including fixed disk, two with fixed disk Holding fixed disk described in the fixing belt with elastic adjustment hole being connected is disc-shaped structure, in the symmetrical position in the two sides of fixed disk The connection sheet for being fixedly installed with and being structure as a whole with fixed disk is set, the both ends of fixing belt are connected with two connection sheets respectively, Pressurization, which is fixedly installed with, in the side of fixed disk is accurately positioned fixed device.
The installation direction of the fixing belt and pressurization be accurately positioned the installation direction of fixed device on the contrary, fixing belt and plus Pressure is accurately positioned the two sides that fixed device is located at fixed disk.
It includes being fixedly mounted on the center of fixed disk side center to fix that the described pressurization, which is accurately positioned fixed device, Air bag, center fixation balloon are connected by air bag connector with outer side positioning fixation balloon, and outer side positioning fixation balloon is fixed It is mounted in the fixed disk on the outside of the fixation balloon of center, outside and the air bag inflation/deflation one-way cock phase of outer side positioning fixation balloon The inside of connection, center fixation balloon and outer side positioning fixation balloon is fixed and is connected with the side of fixed disk by way of stickup It connects.
The connection sheet is circular arc laminated structure, and the inside of connection sheet and the periphery of fixed disk are connected as one Structure offers fixing belt installation bolt hole in connection sheet, is movably installed with fastening bolt in fixing belt installation bolt hole, Fixing belt installs the side that bolt hole is mounted on connection sheet by fastening bolt and the fixing belt, and elastic adjustment hole is provided with fixation One end of band, the aperture of elastic adjustment hole are matched with the diameter of fastening bolt.
It is fixedly installed with limited support block in connection sheet on the outside of the outer side positioning fixation balloon, limited support block The shapes and sizes of shape and connection sheet are all the same, and limited support block is using the arc block structure of sponge support, limit branch The inside of bracer is fixedly connected by way of stickup with connection sheet.
The center fixation balloon position round sheet utricule structure, the center of circle of center fixation balloon and the center of circle of fixed disk It is overlapped, fixed disk is using disc-shaped structure made of clear hard plastics, the side of air bag connector and center fixation balloon It is connected, the other side of air bag connector is connected with outer side positioning fixation balloon, and outer side positioning fixation balloon is circular ring shape capsule The installation site of body structure, air bag inflation/deflation one-way cock is corresponded to each other with air bag connector.
The thickness of the limited support block is not less than the thickness before the inflation of outer side positioning fixation balloon, center fixation balloon It is equal with the thickness after the inflation of outer side positioning fixation balloon, and the thickness after the inflation of center fixation balloon is not less than limited support The thickness of block.
A kind of application method of pacemaker post-surgery fixing device as described above, application method are as follows: before use, will consolidate Determine the unilateral shoulder position that band is sleeved on sufferer, make the center of fixed disk to the postoperative fixed point of pacemaker, the inside of fixing belt with The periphery contact of patient left side shoulder, adjusts the tightness after fixing by elastic adjustment hole, guarantees that fixed disk is not after fixing It can fall off, then be inflated using the external inflation device alignment air bag inflation/deflation one-way cock with gas pressure flowmeter, root Implementation is inflated according to the reading of gas pressure flowmeter, and external inflation device is used according to patient's concrete condition, when center is solid Determine air bag and outer side positioning fixation balloon is inflated after heaving, center fixation balloon is directed at the postoperative fixed point of pacemaker, outer side positioning Fixation balloon forms positioning ring on the outside, implements pressurization operation using center fixation balloon, and utilize outer side positioning fixation balloon Implement positioning operation.
The medicine have the advantages that entirety does not use yarn firstly, having abandoned the fixed placement of traditional sand pocket or salt bag Cloth is fastened, can only the fixation of whole postoperative pacemaker can be realized in the sterile cloth of a fritter on anchor point pad, section Medical supplies have been saved, have alleviated the trouble that nurse winds bandage, whole visualized operation is obvious, and fixed disk and two air bags are Transparent material is made, and facilitates observation when medical staff's operation;Secondly, the labyrinth for overcoming the wearable structure of tradition is set It sets, the whole fixing belt only with an adjustable-tightness is completed, and avoids conventional garments wear structure or at least two solid The labyrinth for determining band completes fixed operation using a fixing belt, while cooperating outer side positioning fixation balloon and human skin Between frictional force realize fix, alleviate the sense of discomfort of the excessive wear structure of sufferer, reduce the compressing of human body, avoid The secondary injury of sufferer;In addition, overcoming the defect that traditional compressing mode mostly uses physical positioning to oppress, abandon to biography The mode that mechanical spiral of uniting pressurizes inflates accurate control operation using air bag, realizes the controllable and Observable of pressure value, realize Accurate offer pressure avoids overweight or kicks the beam and cause the defect of positioning compressing low efficiency;In addition, overcoming traditional positioning The generation that easy shift phenomenon after positioning is deposited with fixed form utilizes the friction and fixation of outer side positioning fixation balloon and skin The fixed of band realizes positioning, will not shift, and improves the success rate of positioning, and through outer side positioning fixation balloon in The Dual positioning pressure effect of heart fixation balloon, realizes precise positioning.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is that the pressurization in the present invention is accurately positioned fixture structure schematic diagram.
Fig. 3 is the side structure schematic diagram of Fig. 2 of the present invention.
Specific embodiment
As shown in Figure 1, 2, 3, a kind of pacemaker post-surgery fixing device, including fixed disk 1, are connected with the both ends of fixed disk 1 The fixing belt 4 with elastic adjustment hole 10 connect, the fixed disk 1 is disc-shaped structure, in the symmetrical position in the two sides of fixed disk 1 The connection sheet 2 for being fixedly installed with and being structure as a whole with fixed disk 1 is set, the both ends of fixing belt 4 are connected with two connection sheets respectively It connects, is fixedly installed with pressurization in the side of fixed disk 1 and is accurately positioned fixed device.The installation direction of the fixing belt 4 with plus Pressure is accurately positioned the installation direction of fixed device on the contrary, fixing belt 4 and pressurization, which are accurately positioned fixed device, is located at fixed disk 1 Two sides.
It includes being fixedly mounted on the center of 1 side center of fixed disk to fix that the described pressurization, which is accurately positioned fixed device, Air bag 9, center fixation balloon 9 are connected by air bag connector 8 with outer side positioning fixation balloon 7, outer side positioning fixation balloon 7 It is fixedly mounted in the fixed disk 1 in 9 outside of center fixation balloon, the outside of outer side positioning fixation balloon 7 and air bag inflation/deflation list Be connected to valve 5, the inside of center fixation balloon 9 and outer side positioning fixation balloon 7 by way of stickup with fixed disk 1 Side be fixedly connected.
The connection sheet 2 is circular arc laminated structure, and the inside of connection sheet 2 and the periphery of fixed disk 1 are connected as Integral structure offers fixing belt installation bolt hole in connection sheet 2, is movably installed with fastening in fixing belt installation bolt hole Bolt 3, fixing belt 4 install the side that bolt hole is mounted on connection sheet 2, elastic adjustment hole by fastening bolt 3 and the fixing belt 10 are provided with one end of fixing belt 4, and the aperture of elastic adjustment hole 10 is matched with the diameter of fastening bolt 3.The outside is fixed Limited support block 6, shape and the connection sheet 2 of limited support block 6 are fixedly installed in the connection sheet 2 in 7 outside of position fixation balloon Shapes and sizes are all the same, and limited support block 6 is using the arc block structure of sponge support, and the inside of limited support block 6 is logical The mode pasted is crossed to be fixedly connected with connection sheet 2.
Described 9 round sheet utricule structures of center fixation balloon, the center of circle and the fixed disk 1 of center fixation balloon 9 The center of circle is overlapped, and fixed disk 1 is using disc-shaped structure made of clear hard plastics, and the side and center of air bag connector 8 are solid Determine air bag 9 to be connected, the other side of air bag connector 8 is connected with outer side positioning fixation balloon 7, outer side positioning fixation balloon 7 Installation site for circular ring shape utricule structure, air bag inflation/deflation one-way cock 5 is corresponded to each other with air bag connector 8.The limit For the thickness of position supporting block 6 not less than the thickness before the inflation of outer side positioning fixation balloon 7, center fixation balloon 9 and outer side positioning are solid Thickness after determining the inflation of air bag 7 is equal, and the thickness after the inflation of center fixation balloon 9 is not less than the thickness of limited support block 6.
A kind of application method of pacemaker post-surgery fixing device as described above, application method are as follows: before use, need not To fixing in such a way that gauze is wound at patient incision, upper one layer and pacemaker incision site size are directly padded in incision site Fixing belt 4 is sleeved on the unilateral shoulder position of sufferer, is specially set with by comparable hemostatic cotton patient medical sterile gauze The keyboard transaxillary position on the left of patient makes the center of fixed disk 1 to the postoperative fixed point of pacemaker, the inside of fixing belt 4 and patient The periphery of left side shoulder contacts, and the top of fixing belt 4 is located on the left of patient position of keeping right above shoulder, and the bottom of fixing belt is located at Shoulder transaxillary position on the left of patient adjusts the tightness after fixing by elastic adjustment hole 10, guarantees that fixed disk 1 is not after fixing It can fall off, then be inflated using the external inflation device alignment air bag inflation/deflation one-way cock 5 with gas pressure flowmeter, root Implementation is inflated according to the reading of gas pressure flowmeter, and external inflation device is used according to patient's concrete condition, when center is solid Determine air bag 9 and outer side positioning fixation balloon 7 is inflated after heaving, center fixation balloon 9 is directed at the postoperative fixed point of pacemaker, and outside is fixed Position fixation balloon 7 forms positioning ring on the outside, implements pressurization operation using center fixation balloon 9, and fix using outer side positioning Air bag 7 implements positioning operation.

Claims (8)

1. a kind of pacemaker post-surgery fixing device, including fixed disk (1), having for being connected with the both ends of fixed disk (1) is elastic The fixing belt (4) of adjustment hole (10), it is characterised in that: the fixed disk (1) is disc-shaped structure, the two of fixed disk (1) Side symmetric position is fixedly installed with the connection sheet (2) being structure as a whole with fixed disk (1), the both ends of fixing belt (4) respectively with Two connection sheets are connected, and are fixedly installed with pressurization in the side of fixed disk (1) and are accurately positioned fixed device.
2. pacemaker post-surgery fixing device according to claim 1, it is characterised in that: the installation of the fixing belt (4) Direction and pressurization are accurately positioned the installation direction of fixed device on the contrary, fixing belt (4) and pressurization are accurately positioned fixed device difference Positioned at the two sides of fixed disk (1).
3. pacemaker post-surgery fixing device according to claim 1 or 2, it is characterised in that: the pressurization is accurately positioned Fixed device includes the center fixation balloon (9) for being fixedly mounted on fixed disk (1) side center, center fixation balloon (9) It is connected by air bag connector (8) with outer side positioning fixation balloon (7), during outer side positioning fixation balloon (7) is fixedly mounted on In fixed disk (1) on the outside of heart fixation balloon (9), the outside of outer side positioning fixation balloon (7) and air bag inflation/deflation one-way cock (5) it is connected, the inside of center fixation balloon (9) and outer side positioning fixation balloon (7) is by way of stickup and fixed disk (1) side is fixedly connected.
4. pacemaker post-surgery fixing device according to claim 1, it is characterised in that: the connection sheet (2) is circular arc Shape laminated structure, the inside of connection sheet (2) and the periphery of fixed disk (1) are connected as one, and are opened on connection sheet (2) Bolt hole is installed equipped with fixing belt, is movably installed with fastening bolt (3) in fixing belt installation bolt hole, fixing belt (4) passes through Fastening bolt (3) and fixing belt installation bolt hole are mounted on the side of connection sheet (2), and elastic adjustment hole (10) is provided with fixation One end of band (4), the aperture of elastic adjustment hole (10) is matched with the diameter of fastening bolt (3).
5. pacemaker post-surgery fixing device according to claim 3, it is characterised in that: the outer side positioning fixation balloon (7) it is fixedly installed with limited support block (6) in the connection sheet (2) on the outside of, shape and connection sheet (2) of limited support block (6) Shapes and sizes are all the same, limited support block (6) be using sponge support arc block structure, limited support block (6) it is interior Side is fixedly connected by way of stickup with connection sheet (2).
6. pacemaker post-surgery fixing device according to claim 3, it is characterised in that: the center fixation balloon (9) Position round sheet utricule structure, the center of circle of center fixation balloon (9) are overlapped with the center of circle of fixed disk (1), and fixed disk (1) is to use The side of disc-shaped structure made of clear hard plastics, air bag connector (8) is connected with center fixation balloon (9), air bag The other side of connector (8) is connected with outer side positioning fixation balloon (7), and outer side positioning fixation balloon (7) is circular ring shape utricule The installation site of structure, air bag inflation/deflation one-way cock (5) is corresponded to each other with air bag connector (8).
7. pacemaker post-surgery fixing device according to claim 5, it is characterised in that: the limited support block (6) Thickness is not less than the thickness before the inflation of outer side positioning fixation balloon (7), center fixation balloon (9) and outer side positioning fixation balloon (7) thickness after inflating is equal, and the thickness after center fixation balloon (9) inflation is not less than the thickness of limited support block (6).
8. a kind of application method of the pacemaker post-surgery fixing device as claimed in claim 3, which is characterized in that it makes It is as follows with method: before use, fixing belt (4) to be sleeved on to the unilateral shoulder position of sufferer, to make the center of fixed disk (1) to pace-making The inside of the postoperative fixed point of device, fixing belt (4) is contacted with the periphery of shoulder on the left of patient, is adjusted by elastic adjustment hole (10) solid Tightness after fixed guarantees that fixed disk (1) will not fall off after fixing, and then be filled using the outside with gas pressure flowmeter Device of air is directed at air bag inflation/deflation one-way cock (5) inflation, is inflated according to the reading of gas pressure flowmeter to implementation, and according to Patient's concrete condition uses external inflation device, when center fixation balloon (9) and outer side positioning fixation balloon (7) inflation are heaved Afterwards, center fixation balloon (9) is directed at the postoperative fixed point of pacemaker, and outer side positioning fixation balloon (7) forms positioning ring on the outside, benefit Implement pressurization operation with center fixation balloon (9), and implements positioning operation using outer side positioning fixation balloon (7).
CN201910366944.3A 2019-05-05 2019-05-05 A kind of pacemaker post-surgery fixing device and its application method Pending CN110179583A (en)

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CN201910366944.3A CN110179583A (en) 2019-05-05 2019-05-05 A kind of pacemaker post-surgery fixing device and its application method

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111658055A (en) * 2020-07-06 2020-09-15 南阳市中心医院 Pressurizing and fixing device and pressurizing and fixing method for wounds after uterine planing and obstetrics
CN113397819A (en) * 2021-07-07 2021-09-17 遵义医科大学第二附属医院 Pressure bandaging bandage used after cardiac pacemaker implantation

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CN208435708U (en) * 2017-09-12 2019-01-29 解记臣 Pressure-controlled type double bolloon femoral artery compressor
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111658055A (en) * 2020-07-06 2020-09-15 南阳市中心医院 Pressurizing and fixing device and pressurizing and fixing method for wounds after uterine planing and obstetrics
CN113397819A (en) * 2021-07-07 2021-09-17 遵义医科大学第二附属医院 Pressure bandaging bandage used after cardiac pacemaker implantation

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