CN110811742A - Cardiovascular interventional therapy aids - Google Patents
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- A—HUMAN NECESSITIES
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体来说是心血管科介入治疗辅助装置。The invention relates to the technical field of medical devices, in particular to an auxiliary device for interventional therapy in the cardiovascular department.
背景技术Background technique
微创伤介入治疗技术是目前治疗心脑血管疾病最流行的医疗手段,与传统外科手术相比,进行微创介入治疗,无须开刀,只需局部麻醉,具有出血少、创伤小、并发症少、安全可靠、术后恢复快等优点,大大减轻了病人所承受的痛苦,降低了手术者的操作难度,手术时间及住院时间显著缩短,费用亦明显降低,是医疗技术发展的趋势;心血管科介入的微创手术的主要治疗领域为冠心病、先天性心脏病、心动过速及房颤、室性心律失常及心肌梗死,治疗心血管疾病的微创介入治疗是最具代表性的技术之一,目前中国心血管病患者人数已接近3亿,每5个成人中就有1人患心血管病,心血管病死亡占居民疾病死亡构成40%以上,居首位,高于肿瘤及其他疾病。Minimally invasive interventional therapy is currently the most popular medical method for the treatment of cardiovascular and cerebrovascular diseases. Compared with traditional surgery, minimally invasive interventional therapy requires no surgery, only local anesthesia, and has the advantages of less bleeding, less trauma and fewer complications. It has the advantages of safety, reliability, and quick recovery after surgery, which greatly reduces the pain suffered by patients, reduces the difficulty of operation for operators, significantly shortens operation time and hospitalization time, and significantly reduces costs, which is the trend of medical technology development; cardiovascular; The main treatment areas of minimally invasive surgery in the department are coronary heart disease, congenital heart disease, tachycardia and atrial fibrillation, ventricular arrhythmia and myocardial infarction. Minimally invasive interventional therapy for the treatment of cardiovascular disease is the most representative technology. One, the number of cardiovascular disease patients in China is close to 300 million, and 1 in every 5 adults suffers from cardiovascular disease. Cardiovascular disease death accounts for more than 40% of residents' deaths from disease, ranking first, higher than that of cancer and cancer. other illnesses.
临床治疗中,医护人员在患者术后的2h拔除血管鞘,在拔出血管鞘过程中因患者迷走神经过渡兴奋或者疼痛的影响,会导致部分患者的机体显示出一些不良反应,如心率过速、出冷汗、面色苍白、低血压、恶心以及呕吐的症状,同时有心率过速和心率减慢的两种现象,因此在拔除血管鞘后需医务人员观察患者数小时,并针对出现的反应进行针对性处理,这样需要医务人员长时间一直守候在患者身旁,不仅给医务人员造成了负担,而且需医务人员需紧盯心电监测仪,以免出现心率过速和心率减慢的两种现象,若医务人员未能及时发现病患的不良反应,则对病患的拔管后的治疗造成极大的影响。In clinical treatment, the medical staff removes the
发明内容SUMMARY OF THE INVENTION
针对上述存在的技术不足,本发明的目的是提供了心血管科介入治疗辅助装置,本发明实现了医务人员的远程观测,并在出现心率加快和心率减慢现象后能够及时发出警报,便于医务人员对患者进行及时救治。In view of the above-mentioned technical deficiencies, the purpose of the present invention is to provide an auxiliary device for interventional therapy in the cardiovascular department. The present invention realizes the remote observation of medical personnel, and can issue an alarm in time when the heart rate increases and the heart rate slows down, which is convenient for medical treatment. personnel to treat patients in a timely manner.
为解决上述技术问题,本发明采用如下技术方案:In order to solve the above-mentioned technical problems, the present invention adopts the following technical solutions:
心血管科介入治疗辅助装置,包括止血装置、监测装置和底座,所述底座上设置有所述监测装置,所述监测装置上固定连接有所述止血装置;An auxiliary device for interventional therapy in cardiovascular department, comprising a hemostasis device, a monitoring device and a base, the monitoring device is provided on the base, and the monitoring device is fixedly connected with the hemostasis device;
所述监测装置包括监测架,所述监测架的顶部设置有心电监测仪及动态血压监测仪,所述监测架的内部由若干横板分隔为若干区域,所述区域内分别设置有抽拉式的置药槽、器械槽及垃圾槽,所述置药槽内由纵板分隔为常温区和低温区;The monitoring device includes a monitoring frame, the top of the monitoring frame is provided with an electrocardiogram monitor and an ambulatory blood pressure monitor, the interior of the monitoring frame is divided into a plurality of areas by a plurality of horizontal plates, and a pull-out type is respectively provided in the area. The medicine holding tank, the equipment tank and the garbage tank are divided into a normal temperature area and a low temperature area by a vertical plate;
所述止血装置包括倒L形杆、电动伸缩杆及按压组件,所述倒L形杆的竖直杆垂直固接在所述检测架上,所述倒L形杆的水平杆上固定连接所述电动伸缩杆的固定端,所述电动伸缩杆的伸缩端与所述按压组件固定连接,所述倒L形杆的水平杆上还连接有万象杆,所述万象杆上固定连接有监控摄像头。The hemostatic device includes an inverted L-shaped rod, an electric telescopic rod and a pressing component. The vertical rod of the inverted L-shaped rod is vertically fixed on the detection frame, and the horizontal rod of the inverted L-shaped rod is fixedly connected to the detection frame. The fixed end of the electric telescopic rod, the telescopic end of the electric telescopic rod is fixedly connected with the pressing component, the horizontal rod of the inverted L-shaped rod is also connected with a Vientiane rod, and the Vientiane rod is fixedly connected with a monitoring camera .
优选的,所述按压组件包括由上至下设置的调节台、药物腔及按压板,所述调节台与所述电动伸缩杆的伸缩端固定连接,所述调节台的内部为空腔结构,所述调节台内上下滑动连接有调节块,所述调节块上固定连接有卡条,所述卡条包括连接条和卡接条,所述连接条的一端与所述调节块固定连接,所述连接条的另一端铰接有所述卡接条,所述调节块与所述药物腔通过弹簧连接,且所述药物腔被所述弹簧牵拉至所述调节台内,所述调节台的侧壁上设置有用于使所述卡条贯穿的通槽,所述通槽的内壁上设置有用于卡接所述卡接条的卡槽;所述药物腔的侧壁上设置有置药口,所述药物腔的底部设置有通孔,所述通孔内嵌有超声波雾化片,所述按压板为内部空腔结构,所述按压板顶部与所述药物腔的通孔连通,所述按压板的底壁上贯通设置有若干流通孔,所述按压板的底部设置有压力传感器,所述按压板上还罩设有止血棉垫。Preferably, the pressing assembly includes an adjustment table, a medicine cavity and a pressing plate arranged from top to bottom, the adjustment table is fixedly connected with the telescopic end of the electric telescopic rod, and the inside of the adjustment table is a cavity structure, An adjustment block is slidably connected up and down in the adjustment table, and a clamping strip is fixedly connected to the adjustment block. The clamping strip includes a connecting strip and a clamping strip. One end of the connecting strip is fixedly connected to the adjustment block, so The other end of the connecting bar is hinged with the snap bar, the adjusting block and the medicine cavity are connected by a spring, and the medicine cavity is pulled into the adjusting table by the spring, and the adjusting table is The side wall is provided with a through groove for allowing the clipping strip to pass through, the inner wall of the through slot is provided with a clipping slot for clipping the clipping strip; the side wall of the medicine cavity is provided with a medicine insertion port , the bottom of the medicine cavity is provided with a through hole, the through hole is embedded with an ultrasonic atomization sheet, the pressing plate is an internal cavity structure, and the top of the pressing plate is communicated with the through hole of the medicine cavity, so The bottom wall of the pressing plate is provided with a plurality of circulation holes, the bottom of the pressing plate is provided with a pressure sensor, and the pressing plate is also covered with a hemostatic cotton pad.
优选的,所述调节块上左右两侧对称设有所述卡条,且所述通槽的左右内壁上对称设置有用于卡接所述卡接条的卡槽。Preferably, the clamping strips are symmetrically arranged on the left and right sides of the adjusting block, and clamping slots for clamping the clamping strips are symmetrically arranged on the left and right inner walls of the through groove.
优选的,所述调节块的侧壁上设置有H形滑条,且所述调节台的内侧壁设置有滑槽,所述H形滑条能够在滑槽内上下滑动。Preferably, the side wall of the adjustment block is provided with an H-shaped slide bar, and the inner side wall of the adjustment table is provided with a chute, and the H-shaped slide bar can slide up and down in the chute.
优选的,所述监测架上设置有第一报警器、第二报警器、控制器及操作面板,所述心电监测仪上电性连接有第一报警器和第二报警器,位于所述低温区的所述监测架外侧壁上设置有半导体制冷片,所述控制器分别与所述压力传感器、所述超声波雾化片、所述第一报警器、所述第二报警器、所述心电监测仪、所述半导体制冷片、所述操作面板及所述动态血压监测仪电性连接,所述监控摄像头用于与电脑电性连接,所述控制器和所述电脑均与电源电性连接。Preferably, the monitoring rack is provided with a first alarm, a second alarm, a controller and an operation panel, and the ECG monitor is electrically connected with a first alarm and a second alarm, located in the A semiconductor refrigeration chip is arranged on the outer side wall of the monitoring frame in the low temperature area, and the controller is respectively connected with the pressure sensor, the ultrasonic atomizing chip, the first alarm, the second alarm, the The electrocardiogram monitor, the semiconductor refrigeration sheet, the operation panel and the ambulatory blood pressure monitor are electrically connected, the monitoring camera is used for electrical connection with the computer, and the controller and the computer are both connected to the power supply. sexual connection.
优选的,所述垃圾槽的侧壁上还固定连接有污染物接收组件,所述污染物接收组件包括阻尼转轴、调节杆、连接杆及流通管,所述监测架的侧壁上固定连接有所述阻尼转轴的一端,所述阻尼转轴的另一端上固定连接有所述调节杆,所述调节杆上转动连连接有所述连接杆,所述连接杆上设置有挂钩,所述挂钩上可拆卸连接有所述流通管的一端,所述流通管的另一端与所述垃圾槽贯通连接,且所述流通管的顶部设置有接污口,所述接污口上铰接有盖体。Preferably, a pollutant receiving component is also fixedly connected to the side wall of the garbage chute, and the pollutant receiving component includes a damping shaft, an adjustment rod, a connecting rod and a flow pipe, and a side wall of the monitoring rack is fixedly connected with a One end of the damping shaft, the other end of the damping shaft is fixedly connected with the adjusting rod, the adjusting rod is rotatably connected with the connecting rod, the connecting rod is provided with a hook, and the hook is One end of the circulation pipe is detachably connected, and the other end of the circulation pipe is penetratingly connected with the garbage chute, and the top of the circulation pipe is provided with a dirt receiving port, and a cover body is hinged on the dirt receiving port.
优选的,所述底座的底部设置有运行轮,所述运行轮上设置有刹车片。Preferably, the bottom of the base is provided with a running wheel, and the running wheel is provided with a brake pad.
与现有技术相比,本发明具有的有益效果是:Compared with the prior art, the present invention has the following beneficial effects:
1、本发明设置有监测装置,监测装置包括心电监测仪及动态血压监测仪,通过心电监测仪来监测拔除血管鞘后是否出现心率减慢或心率加速的现象,若心率减慢则立即注射阿托品,并通过动态血压监测仪观测血压,若血压有变化,则通过心电监测仪检测是否出现心包积液或急性冠状动脉综合症,并进行及时救治;若出现心率加速的现象,则通过心电监测仪监测双肺水泡音及冠状动脉综合症,并进行及时救治;本发明在心电监测仪上电性连接有第一报警器和第二报警器,第一报警器用于在心率达到20次/分钟的情况下发出警报,第二报警器用于在心率达到120次/分钟的情况下发出警报,此时警报响起后提示医务人员患者在除血管鞘后出现了不良反应,且在倒L形杆上设置了摄像头,便于医务人员对患者进行远程观测,不仅实现了及时提示的作用,而且无需医务人员长时间守候在患者身旁,减轻了医务人员的负担。1. The present invention is provided with a monitoring device. The monitoring device includes an electrocardiogram monitor and an ambulatory blood pressure monitor. The electrocardiogram monitor is used to monitor whether the heart rate slows down or the heart rate accelerates after the vascular sheath is removed. If the heart rate slows down, immediately Atropine is injected, and blood pressure is observed by ambulatory blood pressure monitor. If blood pressure changes, the ECG monitor is used to detect whether there is pericardial effusion or acute coronary syndrome, and timely treatment is performed; The electrocardiogram monitor monitors double-lung blister sound and coronary syndrome, and provides timely treatment; the present invention is electrically connected with a first alarm device and a second alarm device on the electrocardiogram monitor, and the first alarm device is used when the heart rate reaches 20 When the heart rate reaches 120 beats/minute, an alarm is issued, and the second alarm is used to sound an alarm when the heart rate reaches 120 beats/minute. At this time, after the alarm sounds, the medical staff is reminded that the patient has an adverse reaction after removing the vascular sheath, and the patient has an adverse reaction after the blood vessel sheath is removed. A camera is set on the shaped rod, which is convenient for medical staff to observe the patient remotely, which not only realizes the function of prompt prompt, but also eliminates the need for medical staff to wait beside the patient for a long time, which reduces the burden of medical staff.
2、本发明设置有止血装置,止血装置用于在拔除血管鞘后对创口进行按压止血操作,止血装置包括倒L形杆、电动伸缩杆及按压组件,按压组件包括由上至下设置的调节台、药物腔及按压板,电动伸缩杆用于将按压板位于创口的正上方并调节按压板与创口之间的距离,调节台用于调节按压板与创口之间的压力,来达到患者承受最佳压力范围,药物腔能够置入液体药物,并经过雾化后使得液体药物对创口进行辅助止血和杀菌,便于伤口快速愈合。2. The present invention is provided with a hemostatic device. The hemostatic device is used to perform a hemostasis operation on the wound after removing the vascular sheath. The hemostasis device includes an inverted L-shaped rod, an electric telescopic rod and a pressing component. The pressing component includes an adjustment set from top to bottom. Table, drug cavity and pressing plate, the electric telescopic rod is used to position the pressing plate directly above the wound and adjust the distance between the pressing plate and the wound, and the adjusting table is used to adjust the pressure between the pressing plate and the wound, so as to achieve the patient's tolerance In the optimal pressure range, liquid medicine can be placed in the medicine cavity, and after atomization, the liquid medicine can assist in hemostasis and sterilization of the wound, so as to facilitate the rapid healing of the wound.
附图说明Description of drawings
图1为本发明心血管科介入治疗辅助装置的正视图;1 is a front view of an auxiliary device for interventional therapy in the cardiovascular department of the present invention;
图2为本发明心血管科介入治疗辅助装置的按压组件结构示意图;2 is a schematic structural diagram of a pressing component of an auxiliary device for interventional therapy in the cardiovascular department of the present invention;
图3为本发明心血管科介入治疗辅助装置污染物接收装置正视图。FIG. 3 is a front view of the pollutant receiving device of the interventional therapy auxiliary device in the cardiovascular department of the present invention.
附图标记说明:Description of reference numbers:
1、止血装置;2、监测装置;3、底座;4、监测架;5、心电图监测仪;6、动态血压监测仪;7、横板;8、置药槽;9、器械槽;10、垃圾槽;11、倒L形杆;12、电动伸缩杆;13、按压组件;14、万象杆;15、监控摄像头;16、调节台;17、药物腔;18、按压板;19、调节块;20、连接条;21、弹簧;22、卡槽;23、置药口;24、超声波雾化片;25、压力传感器;26、第一报警器;27、第二报警器;28、半导体制冷片;29、操作面板;30、阻尼转轴;31、调节杆;32、流通管;33、运行轮;34、连接杆;35、接污口;36、卡接条。1. Hemostatic device; 2. Monitoring device; 3. Base; 4. Monitoring stand; 5. Electrocardiogram monitor; 6. Ambulatory blood pressure monitor; 7. Horizontal plate; 8. Medicine slot; 9. Instrument slot; 10. Garbage chute; 11. Inverted L-shaped rod; 12. Electric telescopic rod; 13. Pressing assembly; 14. Vientiane rod; 15. Monitoring camera; 16. Adjusting table; 17. Medicine cavity; 18. Pressing plate; 19. Adjusting block ; 20, connecting strip; 21, spring; 22, card slot; 23, medicine port; 24, ultrasonic atomizing tablet; 25, pressure sensor; 26, first alarm; 27, second alarm; 28, semiconductor Refrigeration sheet; 29, operation panel; 30, damping shaft; 31, adjusting rod; 32, circulation pipe; 33, running wheel; 34, connecting rod;
具体实施方式Detailed ways
下面结合本发明实施例中的附图,用以较佳的实施例及附图1-2配合详细的说明。The following is a detailed description of the preferred embodiment and accompanying drawings 1-2 in conjunction with the accompanying drawings in the embodiments of the present invention.
心血管科介入治疗辅助装置,包括止血装置1、监测装置2和底座3,止血装置1用于对拔出管鞘后的创口进行按压止血,监测装置2用于对患者的情况进行监测,所述底座3的底部设置有运行轮33,所述运行轮33上设置有刹车片,底座3上能够放置止血装置1和监测装置2,且能够使得止血装置1和监测装置2发生移动,便于对不同患者使用,所述底座3上设置有所述监测装置2,所述监测装置2上固定连接有所述止血装置1;An auxiliary device for interventional therapy in cardiovascular department, including a
所述监测装置2包括监测架4,所述监测架4的顶部设置有心电监测仪5及动态血压监测仪6,心电监测仪5进行心电图监护,动态血压监测仪6进行24小时的血压监测,所述监测架4的内由若干横板7分隔为置药槽8、器械槽9及垃圾槽10,所述置药槽8内由纵板分隔为常温区和低温区,低温区放置低温冷藏的药物,便于医生在发现病患出现的不良反应后能够及时通过药物对病患进行治疗,器械槽9内放置有用于针对拔出管鞘后出现的病症进行治疗的医疗器械,垃圾槽10用于回收医用垃圾及接收患者的呕吐物;The
所述止血装置1包括倒L形杆11、电动伸缩杆12及按压组件13,按压组件13用于对创口进行按压,所述倒L形杆11的竖直杆垂直固接在所述监测架4上,所述倒L形杆11的水平杆上固定连接所述电动伸缩杆12的固定端,所述电动伸缩杆12的伸缩端与所述按压组件13固定连接,电动伸缩杆12伸缩后使得按压组件13发生上下移动,电动伸缩杆12用于将按压组件13位于创口的正上方并调节按压组件13与创口之间的距离,所述倒L形杆11的水平杆上还连接有万象杆14,万象杆14能够实现多角度的调节,所述万象杆14上固定连接有监控摄像头15,监控摄像头15用于对患者进行远程监控,即使医务人员不守候在患者身旁也能够观测到患者的情况。The
5、所述按压组件13包括由上至下设置的调节台16、药物腔17及按压板18,调节台16用于调节按压板18与创口之间的压力,来达到患者承受最佳压力范围,调节台16用于对压力进行微调,所述调节台16与所述电动伸缩杆12的伸缩端固定连接,所述调节台16的内部为空腔结构,所述调节台16内上下滑动连接有调节块19,调节块19的侧壁上设置有H形的滑条,且调节台16的内侧壁设置有对称的滑槽,所述H形的滑条能够在滑槽内滑动,调节块19上移后,调节块19带动药物腔17及按压板18上移,此时按压板18按压在创口上的压力减小,且药物腔17能被所述弹簧21牵拉至置于调节块19内,所述调节块19上固定连接有卡条,所述卡条包括连接条20和卡接条36,所述连接条20的一端与所述调节块19固定连接,所述连接条20的另一端铰接有所述卡接条36,所述调节块19与所述药物腔17通过弹簧21连接,所述调节台16的侧壁上设置有用于使所述卡条贯穿的通槽,所述通槽的内壁上设置有用于卡接所述卡接条36的卡槽22,卡接条36卡接在卡槽22内后实现了调节块19的稳定;所述药物腔17的侧壁上设置有置药口23,所述药物腔17的底部设置有通孔,所述通孔内嵌有超声波雾化片24,药物腔17能够经由置药口23置入液体药物,药物腔17用于储存止血消炎的药物,并经过超声波雾化片24雾化后使得液体药物对创口进行辅助止血和杀菌,便于伤口快速愈合,所述按压板18为内部空腔结构,所述按压板18的顶部与所述药物腔17的通孔连通,所述按压板18的底壁上贯通设置有若干流通孔,所述按压板18的底部设置有压力传感器25,压力传感器25来感应按压板18在创口上的压力,所述按压板18上还罩设有止血棉垫,超声波雾化片24实现了药物的均匀喷洒,并在止血棉垫上均匀分布,对创口进行有效的止血;所述调节块19上左右两侧对称设有所述卡条,且所述通槽的左右内壁上对称设置有用于卡接所述卡接条36的卡槽22,使得卡接更加稳定。5. The
所述监测架4上设置有第一报警器26、第二报警器27、控制器及操作面板29,所述心电监测仪5上电性连接有第一报警器26和第二报警器27,位于所述低温区的所述监测架4侧壁上设置有半导体制冷片28,所述控制器与所述压力传感器25、所述超声波雾化片24、所述第一报警器26、所述第二报警器27、所述半导体制冷片28、所述电动伸缩杆12、所述心电监测仪5、所述操作面板29及所述动态血压监测仪6分别电性连接,所述监控摄像头15用于与电脑电性连接,所述控制器28和所述电脑均与电源电性连接,第一报警器26用于在心率达到20次/分钟的情况下发出警报,第二报警器27用于在心率达到120次/分钟的情况下发出警报,此时警报响起后提示医务人员患者在除血管鞘后出现了不良反应。The
所述垃圾槽10的侧壁上还固定连接有污染物接收组件,所述污染物接收组件包括阻尼转轴30、调节杆31、连接杆34及流通管32,阻尼转轴30实现了调节杆31能够在某一特定位置保持稳定,调节杆31用于连接连接杆34,流通管32用于接收患者的呕吐物,所述监测架4的侧壁上固定连接有所述阻尼转轴30的一端,所述阻尼转轴30的另一端上固定连接有所述调节杆31,且所述调节杆31倾斜设置,所述调节杆31上转动连连接有所述连接杆34,所述连接杆34上设置有挂钩,所述挂钩上可拆卸连接有所述流通管32的一端,所述流通管32的另一端与所述垃圾槽10贯通连接,且所述流通管32的顶部设置有接污口37,连接杆34用于调节流通管32端部的位置,使得接污口37靠近患者的头部,便于接收呕吐物,所述垃圾槽10由横板分隔为上区域和下区域,下区域与流通管32连通,并在侧壁上设置有用于套设垃圾袋的开口,所述接污口37上铰接有盖体,实现了清洁。A pollutant receiving assembly is also fixedly connected to the side wall of the
本发明在使用时,将用电器与电源连接,并在拔除血管鞘时,通过电动伸缩杆12将按压板18位于创口的正上方,并将按压板18稳定按压于创口上,然后通过将卡条20卡接在位于不同高度的卡槽内,进行压力的微调,使得操作面板29上显示达到的压力为患者承受最佳压力范围,然后经由置药口23向药物腔17内加入液体药剂,并通过超声波雾化片24进行雾化后均匀喷洒在止血棉垫上,并对创口进行止血,然后通过心电图监测仪5进行心电图监护,通过动态血压监测仪6进行24小时血压监测,在心电监测仪5上电性连接有第一报警器26和第二报警器27,第一报警器26用于在心率达到20次/分钟的情况下发出警报,第二报警器27用于在心率达到120次/分钟的情况下发出警报,此时警报响起后提示医务人员患者在除血管鞘后出现了不良反应,然后通过心电监测仪5和动态血压监测仪6进行监测和检查,且在倒L形杆11上设置了监控摄像头15,便于医务人员对患者进行远程观测。When the present invention is in use, the electrical appliance is connected to the power source, and when the vascular sheath is pulled out, the
显然,本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.
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