CN111616769B - Distal radial artery hemostasis compressor - Google Patents

Distal radial artery hemostasis compressor Download PDF

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Publication number
CN111616769B
CN111616769B CN202010614026.0A CN202010614026A CN111616769B CN 111616769 B CN111616769 B CN 111616769B CN 202010614026 A CN202010614026 A CN 202010614026A CN 111616769 B CN111616769 B CN 111616769B
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China
Prior art keywords
pressure
radial artery
distal radial
air bag
ring
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CN202010614026.0A
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CN111616769A (en
Inventor
司晓云
韦波
廖付军
刘玉敏
赵淼
曹学云
张瓅方
贺潇影
郭丽莎
刘萍
齐静
李丽
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Affiliated Hospital of Guizhou Medical University
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Panzhou People's Hospital
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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
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • 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
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • A61B17/1355Automated control means therefor
    • 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 provides a distal radial artery hemostasis compressor, and relates to the field of hemostasis instruments. The distal radial artery hemostasis compressor comprises a wrist ring, a thumb sleeve ring and a connecting structure, wherein an inflatable air bag and a pressure sensing element are arranged on the connecting structure; the palm-shaped palm is characterized by further comprising a pressure controller, wherein the pressure controller is provided with a holding surface for palm core fitting, and a control main board is arranged in the pressure controller; the inflatable airbag is connected with an exhaust pipeline and an exhaust valve, the control mainboard is electrically connected with the pressure sensing element and the exhaust valve, and the control mainboard is used for controlling the exhaust valve to be opened at intervals so that the inflatable airbag is in step-type pressure relief work. The patient inserts the wrist into the wrist ring and the thumb into the thumb ring, so that the connecting structure is just positioned in the snuff bottle area, and the inflatable air bag has a compression effect on the puncture point; the main board is controlled to adjust the inflatable air bag to release pressure in a step shape, so that the compression force on a puncture point can be gradually relieved; prevent the radial nerve and the ulnar nerve from being pressed and damaged, and improve the freedom of movement of the wrist joint.

Description

Distal radial artery hemostasis compressor
Technical Field
The invention relates to the technical field of hemostatic instruments, in particular to a distal radial artery hemostatic compressor.
Background
The remote radial artery puncture is a new puncture operation, the puncture position is an included angle area between an extensor hallucis brevis tendon and an extensor hallucis longus tendon, which is commonly called as a snuff bottle area, and after the operation, the puncture point of the snuff bottle area needs to be wrapped and fixed by gauze.
The traditional binding form forms a lasting compression effect on the puncture point, causes an occlusion effect on the radial artery of the snuff bottle area while stopping bleeding, and then develops Chinese utility model patents with the publication number of CN209377665U and publication date of 2019.09.13 to disclose a distal radial artery compression hemostat, and particularly discloses a compression hemostat, which comprises a supporting plate, a binding belt, a compression air bag, an inflation pipeline component and a pressurizing device, wherein the binding belt is fixedly connected with the two sides of the supporting plate through magic tapes, the compression air bag is also connected with the binding belt, the supporting plate is positioned above the compression air bag, the compression air bag is connected with the inflation pipeline component with a one-way inflation valve, one end of the inflation pipeline component is connected with the pressurizing device, the pressurizing air bag is inflated by the pressurizing and pressurizing device, and then the pressurizing air bag is extruded to inflate to generate a pressurizing force, so that the hemostatic effect is achieved.
The hemostasis by compression ware among the prior art utilizes the oppression gasbag to oppress the point of puncture, compares in traditional mode of wrapping and can play better hemostatic effect. However, the compression air bag still generates long-time compression force on the radial artery of the snuff bottle area, and is not beneficial to the circulation of blood; in addition, the radial and ulnar nerves on both sides of the hand are fixed by the binding band to form compression injury, and the movement of the wrist joint is limited.
Disclosure of Invention
In order to solve the above problems, the present invention provides a distal radial artery hemostasis compressor, so as to solve the problem that the existing compression air bag still generates a long-time compression force on the radial artery of the snuff bottle area, which is not favorable for the circulation of blood; in addition, the radial and ulnar nerves on both sides of the hand are fixed by the binding band to form compression injury, and the movement of the wrist joint is limited.
The technical scheme of the distal radial artery hemostasis compressor is as follows:
the distal radial artery hemostasis compressor comprises a wrist ring, a thumb sleeve ring and a connecting structure connected between the wrist ring and the thumb sleeve ring, wherein an inflatable air bag and a pressure sensing element are arranged on the connecting structure;
the distal radial artery hemostasis compressor further comprises a pressure controller used for palm holding, and a control main board is arranged in the pressure controller; the inflatable air bag is connected with an exhaust pipeline, an exhaust valve is arranged on the exhaust pipeline, and the control main board is electrically connected with the pressure sensing element and the exhaust valve.
Has the advantages that: when in use, a patient inserts the wrist into the wrist ring and inserts the thumb into the thumb stall ring, so that the connecting structure is just positioned at the puncture point of the snuff bottle area, and the puncture point is pressed by the inflatable air bag; the hand of a patient is held on the surface of the pressure controller, the pressure sensing element is used for detecting the pressure of the inflatable air bag on a puncture point, the control main board receives a pressure detection signal of the pressure sensing element and controls the exhaust valve to be opened at intervals so as to adjust the inflatable air bag to be in step pressure relief, compared with a traditional constant pressure type compression method, the compression force on the puncture point can be gradually relieved, and the problem of radial artery blood occlusion is avoided on the premise of ensuring hemostasis;
more importantly, the inflatable air bag is not directly fixed on the hand of the patient, but is pressed tightly at the puncture point of the snuff bottle area by using the wrist ring, the thumb sleeve ring and the connecting structure, so that the compression injury of the radial nerve and the ulnar nerve on the two sides of the hand by using the bandage for fixation is prevented; moreover, the wrist joint is well liberated, and the freedom of movement of the wrist joint is improved.
Further, still include the supplementary dactylotheca ring, be equipped with the supplementary connecting band that is used for laminating the back of the hand between supplementary dactylotheca ring and the connection structure.
Furthermore, the thumb lantern ring with be equipped with first connecting band and second connecting band between the connection structure, first connecting band and second connecting band interval distribution form the location breach.
Further, connection structure is the flexible surface form structure who is equipped with four corners, four corners are including being first apex angle, second apex angle, third apex angle and the fourth apex angle that circumference distributes, first apex angle with first connecting band links to each other, the second apex angle with the second connecting band links to each other, the third apex angle with the wrist ring links to each other, the fourth apex angle with supplementary connecting band links to each other.
Further, the connecting structure is a connecting bag, a containing cavity for installing the inflatable airbag and the pressure sensing element is formed in the connecting bag, and the inflatable airbag and the pressure sensing element are arranged in an up-and-down laminated manner.
Furthermore, the connecting bag comprises an upper plane layer and a lower bulge layer, and the accommodating cavity protrudes out of the lower side of the connecting bag.
Furthermore, the pressure sensing element is a film pressure sensor, a trigger is arranged on the control main board, and the trigger is used for controlling the exhaust valve to be closed when a pressure detection signal fed back by the film pressure sensor reaches a pressure set value.
Furthermore, the number of the film pressure sensors is three, and the pressure sensing ranges of the three film pressure sensors are different; the three triggers are also provided, one trigger of the three triggers is correspondingly and electrically connected with one film pressure sensor of the three film pressure sensors, the control mainboard is provided with a relay, and the relay is electrically connected with the triggers and the exhaust valve.
Furthermore, a timing module is further arranged on the control main board, and a set time length is preset on the timing module so as to control the exhaust valve to be opened when the inflatable airbag keeps constant pressure to the set time length.
Furthermore, an inflation pipeline is connected to the inflation airbag, an air pump is arranged on the inflation pipeline, and the air pump is in conductive connection with the relay.
Drawings
Fig. 1 is a perspective view of a distal radial artery hemostatic compressor (without a pressure controller) according to an embodiment 1 of the distal radial artery hemostatic compressor of the present invention;
FIG. 2 is a schematic view of the assembly of the pressure controller and the connecting structure of the distal radial artery hemostatic compressor of embodiment 1 of the present invention;
FIG. 3 is a perspective view of a patient's back of the hand using the distal radial artery hemostatic compressor of embodiment 1 of the distal radial artery hemostatic compressor of the present invention;
fig. 4 is a perspective view of a patient's palm side using the distal radial artery hemostatic compressor of embodiment 1 of the distal radial artery hemostatic compressor of the present invention.
In the figure: 1. a wrist loop; 21. a thumb ring; 22. an auxiliary finger ring; 23. an auxiliary connecting belt; 24. a first connecting belt; 25. a second connecting band; 3. a connecting structure; 31. a first apex angle; 32. a second apex angle; 33. a third apex angle; 34. a fourth apex angle; 35. an upper planar layer; 36. the lower side is bulged; 4. an inflatable air bag; 5. a thin film pressure sensor; 6. a pressure controller; 60. an exhaust valve; 61. a trigger; 62. a relay; 63. an air pump; 64. an exhaust line; 65. and (4) an inflation pipeline.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
In specific embodiment 1 of the distal radial artery hemostasis compressor of the present invention, as shown in fig. 1 to 4, the distal radial artery hemostasis compressor includes a wrist ring 1, a thumb ring 21, and a connection structure 3 connected between the wrist ring 1 and the thumb ring 21, wherein an inflatable air bag 4 and a pressure sensing element are disposed on the connection structure 3; the distal radial artery hemostasis compressor further comprises a pressure controller 6, the pressure controller 6 is provided with a holding surface for palm fit, and a control main board (not shown in the figure) is arranged in the pressure controller 6; the inflatable air bag 4 is connected with an exhaust pipeline 64 and an exhaust valve 60, a control main board is electrically connected with the pressure sensing element and the exhaust valve 60, the control main board is used for receiving a pressure detection signal of the pressure sensing element, and the exhaust valve 60 is controlled to be opened at intervals so that the inflatable air bag 4 is in step-type pressure relief work.
When in use, a patient inserts the wrist into the wrist ring 1 and inserts the thumb into the thumb ring 21, as shown in fig. 3 and 4, the connecting structure 3 is just positioned at the puncture point of the snuff bottle area, and the puncture point is pressed by the inflatable air bag 4; the hand of the patient is held on the surface of the pressure controller 6, the pressure sensing element is used for detecting the pressure of the inflatable air bag 4 on the puncture point, the control main board receives the pressure detection signal of the pressure sensing element and controls the exhaust valve 60 to be opened at intervals so as to adjust the inflatable air bag 4 to be in step-type pressure relief.
More importantly, the inflatable air bag 4 is not directly fixed on the hand of the patient, but the inflatable air bag 4 is pressed on the puncture point of the snuff bottle area by using the wrist ring 1, the thumb ring 21 and the connecting structure 3, so that the compression injury of the radial nerve and the ulnar nerve on the two sides of the hand by using the bandage for fixation is prevented; moreover, the wrist joint is well liberated, and the freedom of movement of the wrist joint is improved.
In order to stably and reliably fix the inflatable air bag 4 at the puncture point of the snuff bottle area, the distal radial artery hemostasis compressor further comprises an auxiliary finger ring 22, an auxiliary connecting belt 23 for being attached to the back of the hand is arranged between the auxiliary finger ring 22 and the connecting structure 3, and the auxiliary finger ring 22 is used for being inserted by the little finger of a patient. Moreover, a first connecting belt 24 and a second connecting belt 25 are arranged between the thumb ring 21 and the connecting structure 3, and the first connecting belt 24 and the second connecting belt 25 are distributed at intervals to form positioning gaps. The first connecting belt 24 and the second connecting belt 25 are tightly wound on the back side and the palm side of the thumb root respectively, the positioning gap and the muscle at the thumb root are in positioning fit, and the wrist ring 1 and the auxiliary connecting belt 23 are matched to form four-point tensioning positioning for the connecting structure 3, so that the inflatable airbag 4 is accurately pressed at the puncture point.
In this embodiment, the connecting structure 3 is a flexible planar structure provided with four corners, the four corners include a first vertex angle 31, a second vertex angle 32, a third vertex angle 33 and a fourth vertex angle 34 which are circumferentially distributed, the first vertex angle 31 is connected with the first connecting belt 24, the second vertex angle 32 is connected with the second connecting belt 25, the third vertex angle 33 is connected with the wrist ring 1, and the fourth vertex angle 34 is connected with the auxiliary connecting belt 23. Specifically, the connecting structure 3 is in the shape of a four-pointed star, and the four-pointed star-shaped connecting structure 3 can better adapt to the hand contour, so that the hand contour can be stably and reliably fixed in place.
Further, the connecting structure 3 is a connecting bag, the connecting bag has a receiving cavity for the inflatable airbag 4 and the pressure sensing element to be mounted therein, and the inflatable airbag 4 and the pressure sensing element are arranged in an up-down stacked manner. The connecting pouch includes an upper planar layer 35 and a lower raised layer 36, the receiving cavity projecting from the lower side of the connecting pouch. The inflatable air bag 4 and the pressure sensing element are arranged in the accommodating cavity of the connecting bag, and the downwards convex bulging outer contour can form a more remarkable compression effect on the puncture point position of the snuff bottle area, so that the connecting bag is prevented from being incapable of effectively attaching and compressing the snuff bottle area.
The pressure sensing element is a film pressure sensor 5, a trigger 61 is arranged on the control mainboard, and the trigger 61 is used for controlling the exhaust valve 60 to close when a pressure detection signal fed back by the film pressure sensor 5 reaches a pressure set value. The three film pressure sensors 5 are provided, and the pressure sensing ranges of the three film pressure sensors 5 are different, specifically, the pressure sensing ranges of the three film pressure sensors 5 are 15 ± 2KPa, 10 ± 2KPa, and 5 ± 2 KPa. The number of the triggers 61 is three, the three triggers are respectively in conductive connection with the corresponding film pressure sensors 5, a relay 62 is arranged on the control mainboard, and the relay 62 is in conductive connection with the triggers 61 and the exhaust valve 60.
A timing module is also arranged on the control main board, and a set time length is preset on the timing module so as to control the opening of the exhaust valve 60 when the inflatable airbag 4 keeps constant pressure to the set time length. Moreover, the inflatable airbag 4 is also connected with an inflation pipeline 65, an air pump 63 is arranged on the inflation pipeline 65, and the air pump 63 is electrically connected with the relay 62. When the pressure sensor is used, the relay 62 starts the air pump 63 to inflate the inflatable airbag 4, when the pressure of the inflatable airbag 4 to the film pressure sensor (the one with the largest pressure sensing value) reaches a first pressure set value, the film pressure sensor feeds back a pressure detection signal to the trigger 61, and the trigger 61 controls the air pump 63 to stop through the relay 62.
In this embodiment, the set duration of the timing module is 2h, that is, when the inflatable air bag 4 maintains a constant pressure to the set duration 2h, the vent valve 60 is started through the relay 62 to perform deflation and pressure relief, when the pressure of the inflatable air bag 4 to the film pressure sensor (one of the pressure sensing values in the middle) reaches the second pressure set value, the film pressure sensor feeds back the pressure detection signal to the trigger 61, the trigger 61 controls the vent valve 60 to close through the relay 62, and the inflatable air bag 4 performs a light compression action on the snuff bottle area by the pressure after the pressure relief.
After 2h, the vent valve 60 is started through the relay 62 to perform secondary deflation and pressure relief, when the pressure of the inflatable air bag 4 to the film pressure sensor (the one with the minimum pressure sensing value) reaches a third pressure set value, the film pressure sensor feeds back a pressure detection signal to the trigger 61, the trigger 61 controls the vent valve 60 to be closed through the relay 62, and the inflatable air bag 4 performs slight compression on the snuff bottle area through the pressure after the pressure relief. After the third 2h, the vent valve 60 is started through the relay 62 to perform three times of deflation and pressure relief until the air inflation bag 4 exhausts until the pressure is close to zero, and the medical personnel can disassemble the whole distal radial artery hemostasis compressor.
In other embodiments of the distal radial artery hemostatic compressor of the present invention, the auxiliary finger ring and the auxiliary connecting band may be omitted for simplicity of construction, and the connecting structure and the inflatable bladder may be stably and reliably secured to the site of the puncture site in the snuff bottle region by the thumb ring and the wrist ring.
In other specific embodiments of the distal radial artery hemostasis compressor, in order to simplify the structure, one pressure sensor can be designed, a plurality of different pressure setting values are preset in the control mainboard, the pressure of the inflatable air bag on the snuff bottle area is detected in real time through the pressure sensor, and the air pump is controlled to stop when the pressure detection signal fed back by the pressure sensor reaches the maximum pressure setting value; after the maximum pressure is kept for a set time, the trigger of the control main board controls the exhaust valve to exhaust through the relay, when the pressure of the inflatable air bag reaches a second set pressure value, the exhaust valve is controlled to be closed, the second pressure is maintained for the set time, and the like is performed until the inflatable air bag is completely exhausted and decompressed.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and substitutions can be made without departing from the technical principle of the present invention, and these modifications and substitutions should also be regarded as the protection scope of the present invention.

Claims (9)

1. A distal radial artery hemostasis compressor is characterized by comprising a wrist ring, a thumb sleeve ring and a connecting structure connected between the wrist ring and the thumb sleeve ring, wherein an inflatable air bag and a pressure sensing element are arranged on the connecting structure; the connecting structure is positioned at the puncture point of the snuff bottle area, and the puncture point is pressed by the inflatable air bag;
a first connecting belt and a second connecting belt are arranged between the thumb lantern ring and the connecting structure, the first connecting belt and the second connecting belt are distributed at intervals to form positioning gaps, and the positioning gaps are used for forming positioning fit with muscles at the root of a thumb;
the distal radial artery hemostasis compressor further comprises a pressure controller used for palm holding, and a control main board is arranged in the pressure controller; the inflatable air bag is connected with an exhaust pipeline, an exhaust valve is arranged on the exhaust pipeline, and the control main board is electrically connected with the pressure sensing element and the exhaust valve.
2. The distal radial artery hemostasis compressor of claim 1, further comprising an auxiliary finger ring, wherein an auxiliary connecting band for fitting the back of the hand is provided between the auxiliary finger ring and the connecting structure.
3. The distal radial artery hemostasis compressor of claim 2, wherein the connecting structure is a flexible planar structure having four corners, the four corners include a first vertex, a second vertex, a third vertex and a fourth vertex, the first vertex is connected to the first connecting band, the second vertex is connected to the second connecting band, the third vertex is connected to the wrist loop, and the fourth vertex is connected to the auxiliary connecting band.
4. The distal radial artery hemostasis compressor of claim 3, wherein the connecting structure is a connecting bladder, the connecting bladder has a cavity therein for receiving the inflatable bladder and the pressure sensing element, and the inflatable bladder and the pressure sensing element are arranged in a vertically stacked arrangement.
5. The distal radial artery hemostasis compressor of claim 4, wherein the connecting bladder includes an upper planar layer and a lower bulge layer, the receiving cavity projecting from an underside of the connecting bladder.
6. The distal radial artery hemostasis compressor of claim 1, wherein the pressure sensing element is a membrane pressure sensor, and the control board is provided with a trigger for controlling the exhaust valve to close when a pressure detection signal fed back by the membrane pressure sensor reaches a pressure set value.
7. The distal radial artery hemostasis compressor of claim 6, wherein there are three of the thin film pressure sensors, the three thin film pressure sensors having different pressure sensing ranges; the three triggers are also provided, one trigger of the three triggers is correspondingly and electrically connected with one film pressure sensor of the three film pressure sensors, the control mainboard is provided with a relay, and the relay is electrically connected with the triggers and the exhaust valve.
8. The distal radial artery hemostasis compressor of claim 1, wherein a timing module is further disposed on the control main board, and a set duration is preset on the timing module to control the opening of the exhaust valve when the inflatable air bag keeps constant pressure to the set duration.
9. The distal radial artery hemostasis compressor of claim 7, wherein an inflation line is further connected to the inflation bladder, an air pump is disposed on the inflation line, and the air pump is electrically connected to the relay.
CN202010614026.0A 2020-06-30 2020-06-30 Distal radial artery hemostasis compressor Active CN111616769B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0462088A2 (en) * 1990-06-11 1991-12-18 Radi Medical Systems Ab Femoral compression device
CN203506830U (en) * 2013-10-13 2014-04-02 熊哲歆 Radial artery fixing compression hemostasis device
CN110101424A (en) * 2019-06-05 2019-08-09 温州市中心医院 A kind of distal end radial artery compression hemostat
CN209377665U (en) * 2018-06-06 2019-09-13 安吉特(天津)科技有限公司 A kind of distal end radial artery compression hemostat
CN210784523U (en) * 2019-06-11 2020-06-19 李向阳 Automatic bracelet is pressed to artery puncture point of gassing

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108635011A (en) * 2018-06-06 2018-10-12 安吉特(天津)科技有限公司 A kind of distal end radial artery compression hemostat
CN210301522U (en) * 2018-10-26 2020-04-14 盘州市人民医院 Adjustable arteriovenous internal fistula protector

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0462088A2 (en) * 1990-06-11 1991-12-18 Radi Medical Systems Ab Femoral compression device
CN203506830U (en) * 2013-10-13 2014-04-02 熊哲歆 Radial artery fixing compression hemostasis device
CN209377665U (en) * 2018-06-06 2019-09-13 安吉特(天津)科技有限公司 A kind of distal end radial artery compression hemostat
CN110101424A (en) * 2019-06-05 2019-08-09 温州市中心医院 A kind of distal end radial artery compression hemostat
CN210784523U (en) * 2019-06-11 2020-06-19 李向阳 Automatic bracelet is pressed to artery puncture point of gassing

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