Compression device for puncture interventional operation
Technical Field
The invention relates to the technical field of medical equipment, in particular to compression equipment for a puncture interventional operation.
Background
The puncture interventional operation is an operation of placing a catheter into a blood vessel of a patient for treatment through a vein/artery, generally needs to be placed through femoral vein/artery puncture or brachial vein/artery puncture during the operation, and after the operation is finished, the puncture catheter and a sheath catheter are pulled out from the vein or artery, and then medical personnel are required to apply reasonable pressing force to press a puncture entry part for a long time and buffer and release discontinuously, so that the necessary blood circulation requirement is ensured.
In the prior art, the compression device for the puncture interventional operation with the application number of '201921886448.2' comprises a monitoring device, wherein an adjusting device is fixedly connected to the upper surface of the monitoring device, tubular air bags are fixedly connected to two sides of the adjusting device, through holes are formed in the right sides of the tubular air bags, check valves are fixedly connected through the through holes in a sealing mode, through holes are formed in the left sides of the tubular air bags, sealing plugs are fixedly connected through the through holes in a sealing mode, the adjusting device comprises a fixing frame, and two sides, close to the bottom, of the fixing frame are fixedly connected with two ends of the tubular air bags in a sealing mode respectively; this oppression device for operation is intervene in puncture uses through the cooperation between the above-mentioned structure, has solved in the in-service use process because the fixed band is convenient and fast inadequately to the holistic fixed of device, and after the live time overlength, causes the trace of reining in to patient's skin easily, and traditional circular applying ointment or plaster also is difficult to inseparable laminating on different sizes or different positions in addition, brings inconvenient problem for the use.
However, the method still has the obvious defects in the using process: 1. when the device is used, the tubular air bag is integrally sleeved on the position, close to a wound, of a patient, the lower surface of the monitoring device is directly aligned to the wound for fitting, but most of the existing compression devices are reusable instruments, and a part of patients suffer from infectious diseases such as skin diseases, so that if a plurality of patients share one compression device, cross infection is easily caused if the compression device is not cleaned in time, and further, the disease transmission is caused, and great potential safety hazards exist; 2. since the compression hemostasis method achieves the purpose of hemostasis by mechanical compression, if the compression hemostasis method is used for a long time, complications such as muscle, nerve injury, tourniquet shock and the like are often caused, and serious injury to a patient can be caused, so that compression equipment is often required to be relieved after a period of time according to conditions when being used, manual assistance is generally required for the operation, the workload of medical staff is increased, and if the compression is not relieved in time by the medical staff, negative hidden dangers are caused to the body of the patient, and the device cannot effectively avoid the problem; 3. above-mentioned device is after using, and its contact surface with the patient wound often can be stained with materials such as blood, and in the use of reality, medical staff's focus mainly lies in the disease, does not accomplish in time to clear up oppression device, but if not in time clear up, can cause the drawback that is difficult to thoroughly clear away, and then breeds the bacterium, influences its used repeatedly.
Disclosure of Invention
The present invention is directed to a compression device for interventional puncture surgery to solve the above-mentioned problems of the prior art.
In order to achieve the purpose, the invention provides the following technical scheme:
a compression device for a puncture interventional procedure, comprising:
the device comprises an upper pressing shell, a circular ring bearing is fixedly arranged in an opening at the top of the upper pressing shell, a rotary rod is hinged in the circular ring bearing, a rotary handle is fixedly arranged on the rotary rod, a lead screw is fixedly arranged at the bottom of the rotary rod, a nut seat is movably arranged on the lead screw, a push rod is fixedly arranged at the bottom of the nut seat and is fixed on a bottom plate, an inner air bag layer is arranged at the bottom of the bottom plate, an outer air bag layer is arranged at the bottom of the inner air bag layer, a pressure sensor and a humidity sensor are embedded in the outer air bag layer, a limit rod is fixedly arranged at one side of the bottom plate far away from the inner air bag layer, a limit plate is fixedly arranged on the inner side wall of the upper pressing shell, a first indicator lamp and a second indicator lamp are embedded in the side wall of the upper pressing shell, and the pressure sensor is in signal connection with the first indicator lamp, the humidity-sensitive sensor is in signal connection with the second indicator light, and the outer wall of the upper compression shell is provided with a control panel, an adjusting knob, a timer and a PLC master controller;
the outlet channel penetrates through the side wall of the upper pressing shell, a first baffle is hinged to the outer side, close to the outlet channel, of the upper pressing shell through a hinge shaft, clamping grooves are symmetrically formed in the bottom of the upper pressing shell, and a first cleaning controller is arranged in one of the clamping grooves;
the storage tank is arranged in the side wall of the upper compression shell, a plurality of central rods are placed in the storage tank, the middle sections of the central rods are provided with sterilized cotton, a second baffle is arranged on the outer side of the storage tank and fixed at the output end of the first air cylinder, and the first air cylinder is fixed on the inner side wall of the upper compression shell;
the conveying belts are symmetrically arranged, a plurality of triangular tooth blocks are fixedly arranged on the outer surface of each conveying belt, the diameter of the central rod is smaller than the height of a clamping groove formed by the triangular tooth blocks, a second cleaning controller is embedded in the bottom of the side wall of the upper compression shell, and clamping and embedding rods are symmetrically and fixedly arranged at the bottom of the upper compression shell;
the casing is compeled down, it is provided with first power supply battery to inlay in the lateral wall of casing to oppress down, the position of the clean controller of first power supply battery and second is corresponding, it has first mounting groove and second mounting groove to open in the casing to oppress down, the fixed guided way that is provided with in the first mounting groove, the activity of inlay card pole sets up in the guided way, the fixed cylinder second that is provided with in bottom of second mounting groove, the output end of cylinder second is fixed and is provided with second power supply battery.
Preferably, one end of the screw rod, which is far away from the rotating rod, is fixedly provided with a blocking block.
Preferably, the push rods are two and symmetrically arranged by taking the screw rod as a center.
Preferably, the outlet channel is arranged at a downward inclination on a side close to the first baffle.
Preferably, the first baffle is internally embedded with a magnetic adsorption block I, and the side wall of the upper pressing shell is correspondingly embedded with a magnetic adsorption block II.
Preferably, a plurality of elastic deceleration strips are fixedly connected and arranged on the inner side wall of the storage tank.
Preferably, one side that triangle-shaped tooth piece was kept away from to the conveyer belt all meshes and is provided with action wheel and follower, the fixed first transfer line that is provided with in center department of action wheel, first transfer line is fixed in driving motor's output, driving motor is fixed in on the inside wall of oppression casing, the fixed second transfer line that is provided with in center department of follower, the articulated setting of second transfer line is in the bearing frame, the bearing frame is fixed in on the inside wall of oppression casing.
Preferably, an upper elastic cushion layer is arranged on the inner side wall of the upper pressing shell, and a lower elastic cushion layer is arranged on the inner side wall of the lower pressing shell.
Compared with the prior art, the invention has the beneficial effects that:
1. the distance between the upper pressing shell and the lower pressing shell is adjustable, when the device is used, a main power switch of the device needs to be turned on, then the upper pressing shell is placed on the lower pressing shell in a fitting mode, the first power supply battery supplies power to the second cleaning controller, the first air cylinder and the driving motor can be controlled to be started after the second cleaning controller is powered on, the conveyor belt drives the disinfection cotton soaked with the disinfection liquid to move, the outer air sac layer directly contacting with a wound of a patient is scrubbed, the used disinfection cotton falls into the outlet channel along with the operation of the conveyor belt, and therefore the device can be cleaned immediately before being used, and the wound is prevented from being polluted by bacteria;
2. the pressure sensor and the humidity-sensitive sensor are arranged in the invention, the pressure sensor can remind when the compression force adjusted by medical staff is too large, so that new injury to a patient caused by improper operation is avoided, the humidity-sensitive sensor can detect whether a new bleeding phenomenon exists at a wound of the patient, once blood is detected, an alarm is sent out immediately to remind the medical staff, and then the healing condition of the wound of the patient is known in real time on the premise of not opening the compression device;
3. the compression device is provided with the adjusting knob, the timer, the PLC master controller and the second air cylinder, after the compression device is bound, medical staff can set the time for automatically relieving compression, when the time is up, the second air cylinder pushes up the upper compression shell to further relieve the compression, and complications such as muscle, nerve injury, tourniquet shock and the like caused by overlong compression time are avoided;
4. when the compression is relieved and the compression shell is jacked up by the air cylinder II, the second power supply battery can supply power to the first cleaning controller, the first cleaning controller can also control the air cylinder I and the driving motor to be started after being electrified, so that the conveying belt drives a new disinfection cotton soaked with disinfection liquid to scrub the outer air bag layer after being used, the problem that substances such as blood and the like attached to the outer air bag layer contacting with the wound are dry and difficult to clean due to the fact that the compression device cannot be cleaned in time by a patient when the compression is relieved is solved, and the cleaning performance and convenience are effectively improved.
The invention provides compression equipment for puncture interventional operations, which can automatically scrub an outer air sac layer directly contacted with a wound after being installed and positioned and before being pressed and contacted with the wound, so that bacteria are prevented from breeding again after being scrubbed too early, the compression can be released at regular time during use, the cleaning can be automatically carried out after the use, the cleaning is prevented from being difficult after being dried and solidified, the cross infection is effectively avoided, and the popularization is very worthy.
Drawings
FIG. 1 is a schematic front sectional view of the overall structure of the present invention;
FIG. 2 is an enlarged view taken at A in FIG. 1 according to the present invention;
FIG. 3 is an enlarged view of the invention at B in FIG. 1;
FIG. 4 is a bottom view of the positional relationship of the cotton swab actuation structure and the outer bladder layer of the present invention.
In the figure: 1 pressing shell, 2 circular ring bearings, 3 rotating rods, 5 rotating handles, 6 lead screws, 7 blocking blocks, 8 nut seats, 9 push rods, 10 bottom plates, 11 inner air bag layers, 12 outer air bag layers, 13 pressure sensors, 14 humidity sensors, 15 limiting rods, 16 limiting plates, 17 first indicator lamps, 18 second indicator lamps, 19 control panels, 20 adjusting knobs, 211 timers, 212PLC master controllers, 22 outlet channels, 23 articulated shafts, 24 first baffle plates, 25 first magnetic adsorption blocks, 26 second magnetic adsorption blocks, 27 clamping grooves, 271 first cleaning controllers, 28 upper elastic cushion layers, 29 storage grooves, 30 center rods, 31 sterilized cotton, 32 elastic deceleration strips, 33 second baffle plates, 34 cylinder I, 35 conveyor belts, 351 triangular tooth blocks, 361 driving wheels, 362 first transmission rods, 363 driving motors, 371 driven wheels, 372 second transmission rods, 373 bearing seats, 38 second cleaning controllers, 373 cleaning controllers, 39 clamping and embedding rod, 40 lower pressing shell, 41 first power supply battery, 42 first installation groove, 43 second installation groove, 44 guide rail, 45 cylinder II, 46 second power supply battery and 47 lower elastic cushion layer.
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.
Example (b):
referring to fig. 1 to 4, the present invention provides a technical solution:
a compression device for a puncture interventional procedure, comprising:
an upper compression shell 1, a circular ring bearing 2 is fixedly arranged in the top opening of the upper compression shell 1, a rotary rod 3 is hinged in the circular ring bearing 2, the rotary rod 3 can rotate in the circular ring bearing 2, a rotary handle 5 is fixedly arranged on the rotary rod 3, the rotary rod 3 can be conveniently rotated through the rotary handle 5, a screw rod 6 is fixedly arranged at the bottom of the rotary rod 3, a nut seat 8 is movably arranged on the screw rod 6, when the rotary rod 3 drives the screw rod 6 to rotate, the nut seat 8 can move along the screw rod 6, a push rod 9 is fixedly arranged at the bottom of the nut seat 8, the push rod 9 is fixed on a bottom plate 10, an inner air bag layer 11 is arranged at the bottom of the bottom plate 10, the comfort of a patient during use can be improved due to the arrangement of the inner air bag layer 11, an outer air bag layer 12 is arranged at the bottom of the inner air bag layer 11, a pressure sensor 13 and a humidity sensor 14 are embedded in the outer air bag layer 12, and the pressure sensor 13 is used for monitoring the compression strength in real time, the device avoids the damage to the body of a patient caused by overlarge compression strength, a probe of a humidity-sensitive sensor 14 can directly monitor whether the wound of the patient bleeds or not, so that the condition of the patient can be conveniently known on the premise of opening a compression device, a limiting rod 15 is fixedly arranged on one side, far away from an inner air bag layer 11, of a bottom plate 10, a limiting plate 16 is fixedly arranged on the inner side wall of an upper compression shell 1, a first indicator lamp 17 and a second indicator lamp 18 are embedded in the side wall of the upper compression shell 1, the pressure sensor 13 is in signal connection with the first indicator lamp 17, when the compression strength of the pressure sensor 13 exceeds a preset value, the first indicator lamp 17 is lightened, the humidity-sensitive sensor 14 is in signal connection with the second indicator lamp 18, when the wound of the patient is bleedings, the second indicator lamp 18 is lightened, and medical staff is reminded to pay attention, an operation control panel 19 is arranged on the outer wall of the upper compression shell 1, The adjusting knob 20, the timer 211 and the PLC master controller 212, the control panel 19 can display relevant information such as time, pressure value and the like, and the electrical device related to the present invention can also be controlled through the control panel 19, the adjusting knob 20 is used for rotationally setting the pressing duration, the timer 211 is used for counting down the set duration, and the PLC master controller 212 is a controller assembly and can realize the working state presetting of all the electrical devices related to the present invention;
the outlet channel 22 is arranged on the side wall of the upper compression shell 1 in a penetrating manner, a first baffle plate 24 is hinged to the outer side of the upper compression shell 1 close to the outlet channel 22 through a hinge shaft 23, the outlet of the outlet channel 22 can be completely shielded by the first baffle plate 24, clamping grooves 27 are symmetrically formed in the bottom of the upper compression shell 1, a first cleaning controller 271 is arranged in one clamping groove 27, and after the first cleaning controller 271 is electrified, the first cleaning controller 34 and the driving motor 363 can be controlled to be started and stopped after working for a preset time;
the storage tank 29 is arranged in the side wall of the upper compression shell 1, a plurality of central rods 30 are placed in the storage tank 29, the middle section of each central rod 30 is provided with a piece of disinfection cotton 31, disinfection liquid is soaked on the disinfection cotton 31, a second baffle 33 is arranged on the outer side of the storage tank 29 and used for controlling whether the disinfection cotton 31 falls down, the second baffle 33 is fixed at the output end of a first air cylinder 34, and the first air cylinder 34 is fixed on the inner side wall of the upper compression shell 1;
the two conveying belts 35 are symmetrically arranged, a plurality of triangular tooth blocks 351 are fixedly arranged on the outer surface of each conveying belt 35, the diameter of the central rod 30 is smaller than the height of a clamping groove formed by the triangular tooth blocks 351, so that the central rod 30 can be stably clamped and embedded between the adjacent triangular tooth blocks 351 and cannot shift in the transmission process, a second cleaning controller 38 is embedded in the bottom of the side wall of the upper pressing shell 1, the first air cylinder 34 and the driving motor 363 can be controlled to start and stop after working for a preset time after the second cleaning controller 38 is electrified, and clamping and embedding rods 39 are symmetrically and fixedly arranged at the bottom of the upper pressing shell 1;
lower pressure casing 40, embedded first power supply battery 41 that is provided with in the lateral wall of lower pressure casing 40, first power supply battery 41 and the position of second clean controller 38 are corresponding, first power supply battery 41 can supply power to second clean controller 38, it has first mounting groove 42 and second mounting groove 43 to open in the pressure casing 40 to push down, fixed guide rail 44 that is provided with in first mounting groove 42, inlay card pole 39 activity sets up in guide rail 44, but can not break away from guide rail 44, the fixed cylinder 271 that is provided with in bottom of second mounting groove 43, the output end of cylinder second 45 is fixed and is provided with second power supply battery 46, second power supply battery 46 can supply power to first clean controller 271.
Preferably, a stop 7 is fixedly arranged at one end of the screw rod 6 far away from the rotating rod 3, and the stop 7 can prevent the nut seat 8 from being separated from the screw rod 6 when moving.
Preferably, the push rods 9 are provided in two and symmetrically about the screw 6, and thus can apply a more uniform and stable pushing force to the base plate 10.
Preferably, the side of the outlet channel 22 close to the first baffle 24 is inclined downwards, so that the sterilized cotton 31 falling into the outlet channel 22 can be temporarily stored at a position close to the first baffle 24, and when the first baffle 24 is opened, the sterilized cotton 31 can roll out along the inclined surface, thereby being convenient for cleaning.
Preferably, the first baffle plate 24 is internally embedded with a first magnetic adsorption block 25, the side wall of the upper pressing shell 1 is correspondingly embedded with a second magnetic adsorption block 26, and the first magnetic adsorption block 25 and the second magnetic adsorption block 26 can be mutually adsorbed, so that the first baffle plate 24 can be more firmly adsorbed and covered on the side wall of the upper pressing shell 1.
Preferably, a plurality of elastic deceleration strips 32 are fixedly connected to the inner side wall of the storage tank 29, and the elastic deceleration strips 32 are arranged to buffer the falling of the center rod 30 and the sterilized cotton 31, so as to prevent the plurality of center rods 30 and the sterilized cotton 31 from falling together.
Preferably, a driving wheel 361 and a driven wheel 371 are engaged with each other at a side of the conveyor belt 35 away from the triangular gear block 351, a first driving rod 362 is fixedly disposed at a center of the driving wheel 361, the first driving rod 362 is fixed at an output end of the driving motor 363, the driving motor 363 drives the driving wheel 361 to rotate through the first driving rod 362, the driving wheel 361 drives the conveyor belt 35 to rotate, the driving motor 363 is fixed on an inner side wall of the upper compression housing 1, a second driving rod 372 is fixedly disposed at a center of the driven wheel 371, the second driving rod 372 is hinged in a bearing seat 373, the second driving rod 372 can rotate in the bearing seat 373, and the bearing seat 373 is fixed on the inner side wall of the upper compression housing 1.
Preferably, the upper compression shell 1 has an upper elastic cushion 28 on its inner side wall, and the lower compression shell 40 has a lower elastic cushion 47 on its inner side wall, so that the patient can feel more comfortable when the compressed limb is placed.
The working principle is as follows: when the device is used, a cavity enclosed between the upper pressing shell 1 and the lower pressing shell 40 needs to be sleeved on a limb part needing to be pressed of a patient, then a switch main power supply (not shown in the figure) is turned on, the upper pressing shell 1 is pressed downwards, so that the upper pressing shell 1 is attached to the lower pressing shell 40, at the moment, the first power supply battery 41 supplies power to the second cleaning controller 38 through a conductive part, the second cleaning controller 38 can control the first air cylinder 34 and the driving motor 363 to start and stop, the first air cylinder 34 drives the second baffle 33 to move, so that the central rod 30 provided with the sterilized cotton 31 in the storage groove 29 falls out, then the first air cylinder 34 rapidly drives the second baffle 33 to recover, thereby preventing other central rods 30 from falling out, two ends of the falling central rod 30 respectively fall into clamping grooves formed by adjacent triangular tooth blocks 351 on the conveyor belts 35 at two sides, and the diameter of the central rod 30 is smaller than the height of the clamping grooves formed by the triangular tooth blocks 351, the conveyer belt 35 drives well core rod 30 and removes, and the diameter of aseptic cotton 31 is greater than the draw-in groove height that triangle-shaped tooth piece 351 is constituteed for aseptic cotton 31 on well core rod 30 can scrub outer gasbag layer 12's surface, realizes promptly washing promptly with using, avoids impurity such as bacterium to adhere to, and well core rod 30 after the use continues to remove along with conveyer belt 35, until conveyer belt 35 drives it and rolls to exit channel 22 in, keeps in.
Then, medical staff can drive the rotary rod 3 to rotate through the rotary handle 5, the rotary rod 3 drives the lead screw 6 to rotate, so that the nut seat 8 can move along the lead screw 6, the nut seat 8 pushes the bottom plate 10 through the push rod 9, the bottom plate 10 drives the inner air bag layer 11 and the outer air bag layer 12 to descend, and the outer air bag layer 12 directly contacts with a wound of a patient to press.
After the compression strength is limited, the time length needing compression can be set through the adjusting knob 20, the timer 211 counts down according to the setting, after the time is over, the PLC master controller 212 can control the second air cylinder 45 to start and extend for a certain distance, the second air cylinder 45 extends into the clamping groove 27, the upper compression shell 1 is jacked up, the compression is relieved, and complications such as muscle, nerve injury, tourniquet shock and the like caused by overlong compression time are avoided; meanwhile, the second power supply battery 46 is driven by the second air cylinder 45 to jack up and supply power to the first cleaning controller 271 in the clamping groove 27, the first cleaning controller 271 also controls the first air cylinder 34 and the driving motor 363 to start and stop after being electrified, the control mode can refer to the second cleaning controller 38, and then the lower surface of the outer air bag layer 12 is cleaned again, so that the problem that when the compression is relieved, medical staff pay attention to the fact that a patient cannot clean the compression device in time, and then substances such as blood and the like attached to the outer air bag layer 12 in contact with a wound are dry and difficult to clean, and further bacteria are bred is solved, and the cleanliness and the convenience are effectively improved.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.