CN111166421A - A kind of compression hemostatic device for nursing in cardiology department - Google Patents

A kind of compression hemostatic device for nursing in cardiology department Download PDF

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CN111166421A
CN111166421A CN202010006154.7A CN202010006154A CN111166421A CN 111166421 A CN111166421 A CN 111166421A CN 202010006154 A CN202010006154 A CN 202010006154A CN 111166421 A CN111166421 A CN 111166421A
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movably connected
slider
compression
cardiology
hemostasis device
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CN111166421B (en
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滕雪
郭可艺
滕宇
于水
顾岩
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Jilin University
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Jilin University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding

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Abstract

本发明涉及心内科止血技术领域,且公开了一种心内科护理用压迫止血装置,包括环绕架,所述环绕架的表面固定连接有柔性囊,柔性囊的内部固定连接有分隔板,分隔板的表面活动连接有气压槽,气压槽的内部活动连接有液压杆,气压槽的两侧均活动连接有伸缩杆,所述分隔板的底部固定连接有中空通道,中空通道的两侧均活动连接有弹簧板。进而带动导向板挤压滑块做向下的运动,当滑块向下运动的同时,滑块向下移动带动间歇杆在压缩弹簧的作用下,沿着凸轮表面移动,故会给滑块一个向上的力,即滑块做上下往复循环运动,而滑块向下施加的力最终会传递至消毒棉表面,从而达到了压力为间歇性且压力集中在止血处的效果。

Figure 202010006154

The invention relates to the technical field of hemostasis in cardiology, and discloses a compression hemostasis device for nursing in cardiology. The surface of the partition plate is movably connected with an air pressure groove, the interior of the air pressure groove is movably connected with a hydraulic rod, both sides of the air pressure groove are movably connected with telescopic rods, the bottom of the partition plate is fixedly connected with a hollow channel, and both sides of the hollow channel are movably connected. Both are movably connected with a spring plate. Then, the guide plate is driven to squeeze the slider to move downward. When the slider moves downward, the slider moves downward to drive the intermittent rod to move along the surface of the cam under the action of the compression spring, so it will give the slider a The upward force, that is, the slider reciprocates up and down, and the downward force exerted by the slider will eventually be transmitted to the surface of the sterile cotton, thus achieving the effect that the pressure is intermittent and the pressure is concentrated at the hemostasis.

Figure 202010006154

Description

Intracardiac branch of academic or vocational study nursing is with hemostasis by compression device
Technical Field
The invention relates to the technical field of hemostasis in cardiology, in particular to a compression hemostasis device for cardiology nursing.
Background
The cardiology department, cardiovascular medicine, is the clinical department that major medicine of all levels of hospitals set up in order to diagnose cardiovascular vascular disease, the disease of treatment includes angina pectoris, hypertension etc., when again treating the patient of cardiology department, often select the brachial artery to puncture, and after the puncture is accomplished, need exert pressure to the brachial artery wound and stanch, and in order to make wound blood normally flow, the power when pressing need be intermittent, to this, the mode of wrapping is adopted to prior art and is handled.
However, the existing binding technology cannot intermittently apply pressure, the binding range is too large, the pressure near the wound is relatively large or relatively small, the flow of blood at the hemostatic position is influenced by the too large pressure, the moving and coagulating speed of platelets is further influenced, and the flow of blood at the wound is not slowed down by the too small pressure, so that the blood is continuously gushed out; in addition, before the puncture operation is carried out, the brachial artery puncture part needs to be disinfected, and the existing disinfection process is exposed in the air, so that the disinfection effect can be reduced, and the compression hemostasis device for cardiology nursing can be produced at the same time.
Disclosure of Invention
The invention aims to realize the self-control of the force applied by the patient, and provide the compression hemostasis device for the cardiology department nursing, wherein the pressure is intermittent, concentrated at the hemostasis position and sealed in a consumption space.
A compression hemostasis device for cardiology nursing comprises a surrounding frame, wherein a flexible bag is fixedly connected to the surface of the surrounding frame, a partition plate is fixedly connected to the interior of the flexible bag, an air pressure groove is movably connected to the surface of the partition plate, a hydraulic rod is movably connected to the interior of the air pressure groove, telescopic rods are movably connected to the two sides of the air pressure groove, a hollow channel is fixedly connected to the bottom of the partition plate, spring plates are movably connected to the two sides of the hollow channel, a guide plate is movably connected to the lower end of each spring plate, a sliding block is movably connected to the surface of the guide plate, an intermittent rod is slidably connected to the surface of the sliding block, one end, away from the sliding block, of each intermittent rod is movably connected with a cam through a compression spring, an airflow;
preferably, a gear is movably connected inside the cleaning piece and is meshed with the fan impeller to rotate, so that the film changing block is driven to move;
preferably, the inside of the gear is movably connected with a fan wheel, and the fan wheel plays a role in receiving gas and further rotating;
preferably, the surface of the fan impeller is fixedly connected with a liquid guide rod, and the liquid guide rod plays a role in carrying alcohol to enable the alcohol to be uniform and have a proper amount of wet-soaked sterilized cotton;
preferably, the surface of the gear is movably connected with a membrane replacing block which plays a role in replacing the sterilized cotton;
preferably, the bottom of the membrane changing block is movably connected with sterilized cotton which is wound by layers by water-absorbing materials, and water absorption of each layer is not interfered with each other;
preferably, the liquid storage bag is fixedly connected inside the hollow channel, the liquid storage bag plays a role in slowing down the flow speed of the alcohol and adjusting the flow speed of the gas and the alcohol, and the flow speed of the gas is greater than the flow speed of the alcohol according to the same pressure;
preferably, the surface of the sliding block is movably connected with a return spring, and the return spring plays a role in controlling the guide plate to be pulled to return to the original position;
preferably, the sealed space formed by the partition plate and the surrounding frame is stored with human body disinfection alcohol;
preferably, a liquid inlet is formed at the joint of the hydraulic rod and the air pressure groove.
The invention has the beneficial effects that:
1. through the autonomic rolling arm of patient and extrusion flexible bag, the event flexible bag shrink is piled up together, flexible bag rolling pile up the volume and can the grow fixed telescopic link that can promote to the direction removal that is close to the division board, the event telescopic link can extrude the spring board, the spring board receives the extrusion downstream, and then drive deflector extrusion slider and be decurrent motion, when slider downstream, slider downstream drives intermittent type pole under compression spring's effect, move along cam surface, the event can give ascending power of slider, reciprocating motion about being done to the slider promptly, and the slider power of exerting downwards finally can transmit to the aseptic cotton surface, thereby reached pressure and concentrated the effect in hemostasis department for intermittent type nature and pressure.
2. Through cup jointing the surround frame in patient's elbow department, the patient expandes the elbow during initial condition, flexible bag is stretched, the spatial dimension grow that so alcohol was located, and then arouse the flow of alcohol, so alcohol can look for the export and flow into the lower part of the inside hydraulic stem of pneumatic groove from the inlet, then constantly stretch along with flexible bag, the inlet is blockked up, meanwhile gas in the pneumatic groove also can extrude and get into the liquid storage bag, and along with flexible bag by constantly stretching pressure grow gradually, slowly flow into the surface of clearance spare through hollow channel behind the alcohol, the gas that is promoted by pressure in the liquid storage bag blows fan impeller earlier and rotates, so the liquid guide bar can accept the alcohol that flows down, and with its drainage to the surface of aseptic cotton, treat the puncture position to disinfect to the patient, and owing to surround the frame and be confined space, thereby the effect in sealed consumption space has been reached.
Drawings
FIG. 1 is a top view of a surround frame construction of the present invention;
FIG. 2 is a front cross-sectional view of the wrap around frame structure of the present invention;
FIG. 3 is a schematic diagram of the hollow channel structure of the present invention;
FIG. 4 is a schematic view of the spring plate structure of the present invention;
FIG. 5 is an enlarged view of a portion A of FIG. 4;
FIG. 6 is a schematic view of the cam structure of the present invention rotated one-half;
FIG. 7 is a schematic view of the cam structure of the present invention after one rotation;
FIG. 8 is a schematic view of a cleaning element according to the present invention;
FIG. 9 is a schematic view of the structure of the sterilized cotton of the present invention;
FIG. 10 is an enlarged view of FIG. 9 at B;
FIG. 11 is a schematic representation of a flexible bladder structure of the present invention after deployment;
FIG. 12 is a schematic view of a divider plate configuration according to the present invention;
FIG. 13 is an enlarged view of a portion of FIG. 12 at C;
fig. 14 is a schematic view of the hydraulic rod structure of the present invention after moving downward.
In the figure: 1-surrounding frame, 2-flexible bag, 3-partition board, 4-pneumatic groove, 5-hydraulic rod, 6-telescopic rod, 7-hollow channel, 8-spring board, 9-guide board, 10-slide block, 11-intermittent rod, 12-compression spring, 13-cam, 14-air flow tube, 15-cleaning piece, 16-gear, 17-impeller, 18-liquid guide rod, 19-film changing block, 20-sterilized cotton, 21-liquid storage bag and 22-reset spring.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 14, a compression hemostasis device for cardiology department nursing comprises a surrounding frame 1, a flexible bag 2 is fixedly connected to the surface of the surrounding frame 1, and the flexible bag 2 has different deformation volumes due to extrusion according to different bending angles of elbows of patients, so that the force finally applied to the surface of a sterilized cotton 20 is different, and the force applied by the patients is controlled by the patients;
winding the encircling frame 1 on the elbow joint on the surface of brachial artery of a patient, enabling the flexible bag 2 to be positioned in the elbow joint, enabling the flexible bag 2 to be compressed and stacked together when being extruded, enabling the wound stacking volume of the flexible bag 2 to be enlarged, fixedly connecting a partition plate 3 in the flexible bag 2, storing human body disinfection alcohol in a sealed space formed by the partition plate 3 and the encircling frame 1, movably connecting a pneumatic groove 4 on the surface of the partition plate 3, storing a certain amount of gas in the pneumatic groove 4, movably connecting a hydraulic rod 5 in the pneumatic groove 4, and enabling the hydraulic rod 5 to play a role of pushing the alcohol and the gas into a hollow channel 7;
a liquid inlet is formed in the joint of the hydraulic rod 5 and the air pressure groove 4, telescopic rods 6 are movably connected to the two sides of the air pressure groove 4, the telescopic rods 6 have certain elasticity, can contract when being extruded and can restore to the original shape when not being extruded, a hollow channel 7 is fixedly connected to the bottom of the partition plate 3, a liquid storage bag 21 is fixedly connected to the inside of the hollow channel 7, the liquid storage bag 21 plays a role in slowing down the flowing speed of alcohol and adjusting the flowing speed of the gas and the alcohol, and the flowing speed of the gas is larger than the flowing speed of the alcohol under the same pressure;
the two sides of the hollow channel 7 are movably connected with spring plates 8, the spring plates 8 play a role in pushing the guide plates 9 to clamp the slide blocks 10, the lower ends of the spring plates 8 are movably connected with the guide plates 9, the surface of the guide plates 9 is movably connected with the slide blocks 10, the slide blocks 10 play a role in bearing, the surface of the slide blocks 10 is movably connected with return springs 22, the return springs 22 play a role in controlling the guide plates 9 to be pulled to be restored to the original positions, the surface of the slide blocks 10 is slidably connected with intermittent rods 11, the surface of the intermittent rods 11 is slidably connected with idler wheels to help the intermittent rods 11 to move along the surfaces of the cams 10, one ends, far away from the slide blocks 10, of the intermittent rods 11 are movably connected with cams 13 through compression springs 12, the cams 13 are irregularly designed, the time of one rotation circle is just the same as the time interval of intermittent pressing, when the, when the cam 13 moves to the state shown in fig. 7, the pressing force is large;
the surface of the cam 13 is movably connected with an airflow pipe 14, the airflow pipe 14 provides a space for air to flow, the other end of the airflow pipe 14 is movably connected with a cleaning piece 15, the inside of the cleaning piece 15 is movably connected with a gear 16, the surface of the gear 16 is movably connected with a membrane changing block 19, the membrane changing block 19 plays a role in changing the sterilized cotton 20, the bottom of the membrane changing block 19 is movably connected with the sterilized cotton 20, the sterilized cotton is made of water-absorbing materials and wound in a layered mode, and water absorption of each layer is not interfered with each other;
the gear 16 is meshed with the fan impeller 17 to rotate so as to drive the membrane changing block 19 to move, the fan impeller 17 is movably connected inside the gear 16, the fan impeller 17 is used for receiving gas and further rotating, the liquid guide rod 18 is fixedly connected to the surface of the fan impeller 17, when the fan impeller 17 is blown by airflow to rotate, the gear 16 is meshed to rotate, the membrane changing block 19 on the surface of the gear 16 is in contact with the sterilized cotton 20, the sterilized cotton 20 soaked with alcohol is scraped off, on one hand, the sterilizing effect is achieved, on the other hand, preparation is made for pressing hemostasis, and the liquid guide rod 18 is used for receiving alcohol, so that the alcohol can uniformly and properly wet the sterilized cotton 20.
The working principle and the process of the invention are as follows:
when the device is used, a patient independently winds up an arm and extrudes the flexible bag 2, so that the telescopic rod 6 is pushed to move towards the direction close to the separation plate 3, namely the telescopic rod 6 extrudes the spring plate 8, the spring plate 8 is extruded to move downwards, and the guide plate 9 is further driven to extrude the sliding block 10 to move downwards, when the sliding block 10 moves downwards, the guide plate 9 can restore the original shape under the action of the elastic force of the return spring 22, the sliding block 10 moves downwards to drive the intermittent rod 11 to move along the surface of the cam 13 under the clamping of the compression spring 12, and because the cam 13 is irregularly designed, an upward force is applied to the sliding block 10, namely the sliding block 10 performs vertical reciprocating circular motion, and the downward force applied to the sliding block 10 is finally transmitted to the surface of the sterilized cotton 20; the surrounding frame 1 is sleeved at the elbow of a patient, when the elbow is unfolded by the patient in an initial state, the flexible bag 2 is stretched, so that the space range of alcohol is enlarged, and further the flowing of the alcohol is caused, so that the alcohol can find an outlet to flow into the lower part of the internal hydraulic rod 5 of the air pressure tank 4 from the liquid inlet, then the flexible bag 2 is continuously stretched, the liquid inlet is blocked, the pressure in the space at the upper part of the partition plate 3 is gradually increased, so that the hydraulic rod 5 can move downwards along the air pressure tank 4, namely the alcohol can be extruded into the liquid storage bag 21, meanwhile, the gas in the air pressure tank 4 can also be extruded into the liquid storage bag 21, and along with the gradual increase of the stretching pressure of the flexible bag 2, the alcohol can slowly flow into the surface of the cleaning piece 15 through the hollow channel 7, and when the alcohol flows to the surface of the cleaning piece 15, the gas pushed by the pressure in the liquid storage bag 21 firstly blows the impeller 17, the liquid guiding rod 18 receives the flowing alcohol and guides the alcohol to the surface of the sterilized cotton 20 to sterilize the part to be punctured of the patient, and the surrounding frame 1 is a sealed space.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be able to cover the technical scope of the present invention and the equivalent alternatives or modifications according to the technical solution and the inventive concept of the present invention within the technical scope of the present invention.

Claims (8)

1.一种心内科护理用压迫止血装置,包括环绕架(1),其特征在于:所述环绕架(1)的表面固定连接有柔性囊(2),柔性囊(2)的内部固定连接有分隔板(3),分隔板(3)的表面活动连接有气压槽(4),气压槽(4)的内部活动连接有液压杆(5),气压槽(4)的两侧均活动连接有伸缩杆(6);1. A compression hemostatic device for cardiology nursing, comprising a surrounding frame (1), characterized in that: the surface of the surrounding frame (1) is fixedly connected with a flexible bag (2), and the interior of the flexible bag (2) is fixedly connected There is a dividing plate (3), the surface of the dividing plate (3) is movably connected with an air pressure groove (4), the interior of the air pressure groove (4) is movably connected with a hydraulic rod (5), and both sides of the air pressure groove (4) are movably connected. A telescopic rod (6) is movably connected; 所述分隔板(3)的底部固定连接有中空通道(7),中空通道(7)的两侧均活动连接有弹簧板(8),弹簧板(8)的下端活动连接有导向板(9),导向板(9)的表面活动连接有滑块(10),滑块(10)的表面滑动连接有间歇杆(11),间歇杆(11)远离滑块(10)的一端通过压缩弹簧(12)活动连接有凸轮(13),凸轮(13)的表面活动连接有气流管(14),气流管(14)的另一端活动连接有清理件(15)。A hollow channel (7) is fixedly connected to the bottom of the partition plate (3), a spring plate (8) is movably connected to both sides of the hollow channel (7), and a guide plate (8) is movably connected to the lower end of the spring plate (8). 9), a slider (10) is movably connected to the surface of the guide plate (9), an intermittent rod (11) is slidably connected to the surface of the slider (10), and the end of the intermittent rod (11) away from the slider (10) is compressed by compression The spring (12) is movably connected with a cam (13), the surface of the cam (13) is movably connected with an air flow pipe (14), and the other end of the air flow pipe (14) is movably connected with a cleaning member (15). 2.根据权利要求1所述的一种心内科护理用压迫止血装置,其特征在于:所述清理件(15)的内部活动连接有齿轮(16)。2 . The compression hemostasis device for cardiology nursing according to claim 1 , wherein a gear ( 16 ) is movably connected inside the cleaning member ( 15 ). 3 . 3.根据权利要求2所述的一种心内科护理用压迫止血装置,其特征在于:所述齿轮(16)的内部活动连接有扇叶轮(17)。3 . The compression hemostasis device for cardiology nursing according to claim 2 , wherein a fan impeller ( 17 ) is movably connected inside the gear ( 16 ). 4 . 4.根据权利要求3所述的一种心内科护理用压迫止血装置,其特征在于:所述扇叶轮(17)的表面固定连接有导液杆(18)。4 . The compression hemostasis device for cardiology nursing according to claim 3 , wherein a liquid guide rod ( 18 ) is fixedly connected to the surface of the fan impeller ( 17 ). 5 . 5.根据权利要求2所述的一种心内科护理用压迫止血装置,其特征在于:所述齿轮(16)的表面活动连接有换膜块(19)。5 . The compression hemostasis device for cardiology nursing according to claim 2 , wherein a membrane replacement block ( 19 ) is movably connected to the surface of the gear ( 16 ). 6 . 6.根据权利要求5所述的一种心内科护理用压迫止血装置,其特征在于:所述换膜块(19)的底部活动连接有消毒棉(20)。6 . The compression hemostasis device for cardiology nursing according to claim 5 , wherein a sterile cotton ( 20 ) is movably connected to the bottom of the membrane replacement block ( 19 ). 7 . 7.根据权利要求1所述的一种心内科护理用压迫止血装置,其特征在于:所述中空通道(7)的内部固定连接有储液囊(21)。7. The compression hemostasis device for cardiology nursing according to claim 1, characterized in that: a liquid storage bag (21) is fixedly connected to the interior of the hollow channel (7). 8.根据权利要求1所述的一种心内科护理用压迫止血装置,其特征在于:所述滑块(10)的表面活动连接有复位弹簧(22)。8 . The compression hemostasis device for cardiology nursing according to claim 1 , wherein a return spring ( 22 ) is movably connected to the surface of the slider ( 10 ). 9 .
CN202010006154.7A 2020-01-03 2020-01-03 A kind of compression hemostatic device for nursing in cardiology department Expired - Fee Related CN111166421B (en)

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CN112120750A (en) * 2020-09-24 2020-12-25 吉林大学 Hemostasis device is used in blood internal medicine nursing convenient to use
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CN111938738A (en) * 2020-08-18 2020-11-17 杭州心想医疗器械有限公司 Intermittent compression type hemostatic auxiliary device
CN112120750A (en) * 2020-09-24 2020-12-25 吉林大学 Hemostasis device is used in blood internal medicine nursing convenient to use
CN112755381A (en) * 2021-01-14 2021-05-07 吉林大学第一医院 Intubate position nursing device of intubate patient in operating room
CN112755381B (en) * 2021-01-14 2022-09-23 吉林大学第一医院 Intubate position nursing device of intubate patient in operating room

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