CN113576589B - An automatic blood expelling device for surgery and first aid - Google Patents
An automatic blood expelling device for surgery and first aid Download PDFInfo
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- 238000001356 surgical procedure Methods 0.000 title claims abstract description 5
- 239000008280 blood Substances 0.000 title abstract description 54
- 210000004369 blood Anatomy 0.000 title abstract description 54
- 239000000463 material Substances 0.000 claims description 3
- 239000007779 soft material Substances 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 11
- 239000003638 chemical reducing agent Substances 0.000 abstract description 2
- 210000003414 extremity Anatomy 0.000 description 15
- 206010015719 Exsanguination Diseases 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 208000028867 ischemia Diseases 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000002310 elbow joint Anatomy 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 230000001338 necrotic effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 230000009469 supplementation Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/132—Tourniquets
- A61B17/1322—Tourniquets comprising a flexible encircling member
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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Abstract
本发明涉及一种外科手术及急救用自动驱血装置,属于医疗器械领域。底部支架一侧通过底部支架铰链与驱血带的一端铰接,底部支架另一侧与锁扣固定连接,驱血带的另一端与锁扣卡接,在每个子带的开口的边缘上分别安装了一对驱动器支架,每个开口内部安装压力传感器,驱动器的动力轴与螺母螺纹连接,各驱动器和压力传感器通过电缆与控制器连接。优点是结构新颖,多个电机通过减速器旋转螺杆并按顺序收紧驱血带实现医疗急救过程中的自动驱血,内置的压力传感器能自动感知驱血压力,根据检测到的压力和设定值通过调节电机的转动达到设定驱血压力,并按照从远心端往近心端的方向依次收紧驱血带,并记录驱血时间,从而实现自动驱血。
The invention relates to an automatic blood expelling device for surgery and first aid, which belongs to the field of medical instruments. One side of the bottom bracket is hinged with one end of the blood drive belt through the bottom bracket hinge, the other side of the bottom bracket is fixedly connected with the lock buckle, the other end of the blood drive belt is snapped into the lock buckle, and installed on the edge of the opening of each sub-belt A pair of driver brackets are installed, and a pressure sensor is installed inside each opening. The power shaft of the driver is threaded with the nut, and each driver and pressure sensor are connected to the controller through cables. The advantage is that the structure is novel. Multiple motors rotate the screw through the reducer and tighten the blood drive belt in order to realize automatic blood drive in the process of medical emergency. The built-in pressure sensor can automatically sense the blood drive pressure. According to the detected pressure and setting The value is achieved by adjusting the rotation of the motor to set the blood drive pressure, and the blood drive belt is tightened sequentially in the direction from the far end to the proximal end, and the blood drive time is recorded, so as to realize automatic blood drive.
Description
技术领域technical field
本发明涉及医疗器械领域,尤其涉及一种外科手术及急救用自动驱血装置。The invention relates to the field of medical equipment, in particular to an automatic blood-expelling device for surgery and first aid.
背景技术Background technique
通常成年人有4000-5000毫升血液,其中约80%用于循环,另外有20%贮存在皮下组织和内脏中。通常急性失血到达1000毫升以上即会危及生命。因此在医疗创伤急救的过程中尤其是发生大量失血的情况下,止血以及补充血液对于提高救治率至关重要。人体四肢包含有大量血液,而且四肢相比较于大脑和内脏而言,对于缺血的耐受力更强,通常在缺血60分钟以内的情况下依然不会坏死。因此在野外以及无法第一时间进行输血的情况下,医护人员可以通过对四肢进行压迫的方法大大减少其中的循环血液和贮存血液,并将血液驱离四肢,从而使得驱离出来的血液用于保证身体重要脏器的血液循环中。此种医疗救治方法称为驱血法。在临床上,当需要对四肢进行外科手术时,为了避免大量出血,也会使用驱血法,截断四肢的血液循环。Usually an adult has 4000-5000 milliliters of blood, about 80% of which are used for circulation, and another 20% are stored in the subcutaneous tissue and internal organs. Usually, acute blood loss reaching more than 1000 ml is life-threatening. Therefore, in the process of emergency medical trauma, especially in the case of massive blood loss, hemostasis and blood supplementation are very important to improve the treatment rate. The limbs of the human body contain a large amount of blood, and compared with the brain and internal organs, the limbs are more resistant to ischemia, and usually will not die within 60 minutes of ischemia. Therefore, in the field and when blood transfusion cannot be performed immediately, medical staff can greatly reduce the circulating blood and stored blood in the limbs by compressing the limbs, and drive the blood away from the limbs, so that the driven blood can be used for Ensure the blood circulation of the vital organs of the body. This kind of medical treatment method is called exsanguination. Clinically, when surgical operations on limbs are required, in order to avoid massive bleeding, exsanguination is also used to cut off the blood circulation of the limbs.
目前驱血方法通常分为两种。第一种比较传统,使用有弹性的橡胶驱血带,一般宽10-15cm,使用时将患者四肢抬高于心脏水平,片刻从后肢体远心端开始拉紧驱血带向近心端缠绕,每圈之间不许嵌夹软组织,直至缠绕到肢体根部,即可将肢体内的血液驱离肢体。此种方法操作时对医护人员要求较高,需要有一定经验的人员来判断驱血带压力是否合适。压力太低无法起到有效驱血作用,反之则对组织会造成压迫性损伤,而且操作过程复杂,在急救时占用宝贵的人力资源。第二种方法采用充气压迫法,即在四肢外包裹上多个气囊,通过给气囊中充入压缩气体来实现对四肢的压迫和驱血作用,并且通过气体压力的调节实现驱血压迫力的调节。此种方法虽然解决了驱血压力控制的问题且释放了医护人员,但是充气装置体积大,移动不方便,且气囊在野外或者手术过程中容易被尖锐物品刺破而漏气,从而导致驱血效率下降甚至失败。At present, there are usually two methods of expelling blood. The first one is more traditional, using an elastic rubber blood-expelling belt, generally 10-15cm wide. When using it, the patient’s limbs are raised above the level of the heart, and the blood-expelling belt is tightened from the distal end of the rear limb to the proximal end after a while. , soft tissue is not allowed to be embedded between each circle, until it is wound to the root of the limb, the blood in the limb can be driven away from the limb. When this method is operated, the requirements for medical personnel are relatively high, and personnel with certain experience are needed to judge whether the pressure of the blood-expelling belt is appropriate. If the pressure is too low, it will not be able to effectively expel blood, otherwise it will cause compressive damage to the tissue, and the operation process is complicated, which takes up valuable human resources during first aid. The second method adopts the pneumatic compression method, that is, multiple air bags are wrapped around the limbs, and the compressed gas is filled into the air bags to realize the compression and blood-expelling effect on the limbs, and the adjustment of the blood-thrusting pressure is realized through the adjustment of the gas pressure. . Although this method solves the problem of hemorrhage pressure control and releases the medical staff, the inflatable device is bulky and inconvenient to move, and the airbag is easily punctured by sharp objects in the field or during the operation and leaks, which leads to hemorrhage Efficiency drops or even fails.
发明内容Contents of the invention
本发明提供一种外科手术及急救用自动驱血装置,以解决目前驱血装置存在的结构复杂、体积大和易漏气的问题。The invention provides an automatic blood-expelling device for surgery and first aid to solve the problems of complex structure, large volume and easy air leakage existing in the current blood-expelling device.
本发明采取的技术方案是:包括底部支架、驱血带、驱动器支架、底部支架铰链、锁扣、驱动器、控制器、电缆、螺母以及压力传感器,其中底部支架一侧通过底部支架铰链与驱血带的一端铰接,底部支架另一侧与锁扣固定连接,驱血带的另一端与锁扣卡接,驱血带的周向有环形缝将驱血带分成4~6个子带,驱血带的轴向上方中间有开口,在每个子带的开口的边缘上分别安装了一对驱动器支架,每个开口内部安装压力传感器,每一对驱动器支架一侧的孔内有螺母、另一侧上固定安装驱动器,驱动器的动力轴与螺母螺纹连接,各驱动器和压力传感器通过电缆与控制器连接;The technical solution adopted by the present invention is: including bottom bracket, blood drive belt, driver bracket, bottom bracket hinge, lock buckle, driver, controller, cable, nut and pressure sensor, wherein one side of the bottom bracket is connected to the blood drive belt through the bottom bracket hinge. One end of the belt is hinged, the other side of the bottom bracket is fixedly connected with the lock buckle, the other end of the blood drive belt is snapped into the lock buckle, and the blood drive belt is divided into 4 to 6 sub-belts by circular seams in the circumferential direction. There is an opening in the middle of the upper axial direction of the belt, and a pair of drive brackets are respectively installed on the edge of the opening of each sub-belt, and a pressure sensor is installed inside each opening. There are nuts in the holes on one side of each pair of drive brackets, and the other side The driver is fixedly installed on the top, the power shaft of the driver is threaded with the nut, and each driver and pressure sensor are connected to the controller through cables;
本发明所述底部支架采用轻质刚性材料;The bottom bracket of the present invention adopts lightweight rigid material;
本发明所述驱血带采用具有弹性的软性材料;The blood expelling belt of the present invention is made of elastic soft material;
本发明所述驱血带的子带宽5-15cm;The subband width of the blood-expelling belt of the present invention is 5-15cm;
本发明所述驱动器包括电机、蜗杆、蜗轮、动力轴,其中电机的输出轴与蜗杆刚性连接,蜗杆与蜗轮啮合连接,蜗轮与动力轴固定连接。The driver of the present invention includes a motor, a worm, a worm wheel and a power shaft, wherein the output shaft of the motor is rigidly connected to the worm, the worm is engaged with the worm wheel, and the worm wheel is fixedly connected to the power shaft.
本发明的优点是结构新颖,多个电机通过减速器旋转螺杆并按顺序收紧驱血带实现医疗急救过程中的自动驱血,内置的压力传感器能自动感知驱血压力,根据检测到的压力和设定值通过调节电机的转动达到设定驱血压力,并按照从远心端往近心端的方向依次收紧驱血带,并记录驱血时间,从而实现自动驱血,本操作简便、体积轻巧、不存在漏气风险。The advantage of the present invention is that the structure is novel, multiple motors rotate the screw through the reducer and tighten the blood drive belt in order to realize automatic blood drive in the process of medical emergency, the built-in pressure sensor can automatically sense the blood drive pressure, according to the detected pressure And the set value is achieved by adjusting the rotation of the motor to set the blood drive pressure, and tighten the blood drive belt sequentially in the direction from the distal end to the proximal end, and record the blood drive time, so as to realize automatic blood drive. The operation is simple and convenient. Lightweight, no risk of air leakage.
附图说明Description of drawings
图1是本发明的的结构示意图;Fig. 1 is a structural representation of the present invention;
图2是本发明的侧视图;Fig. 2 is a side view of the present invention;
图3是本发明的I部放大图;Fig. 3 is an enlarged view of part I of the present invention;
图4是本发明驱动器的结构示意图;Fig. 4 is the structural representation of driver of the present invention;
图5是本发明驱血带打开状态示意图。Fig. 5 is a schematic diagram of the opened state of the blood expelling belt of the present invention.
具体实施方式Detailed ways
如图1、2、3所示,包括底部支架1、驱血带2、驱动器支架3、底部支架铰链4、锁扣5、驱动器6、控制器7、电缆8、螺母9以及压力传感器10,其中底部支架1一侧通过底部支架铰链4与驱血带2的一端铰接,底部支架1另一侧与锁扣5固定连接,驱血带2的另一端与锁扣5卡接,驱血带2的周向有环形缝201将驱血带2分成4~6个子带202,驱血带2的轴向上方中间有开口203,在每个子带202的开口202的边缘上分别安装了一对驱动器支架3,每个开口202内部安装压力传感器10,每一对驱动器支架3一侧301的孔内有螺母9、另一侧302上固定安装驱动器6,驱动器6的动力轴604与螺母9螺纹连接,各驱动器6和压力传感器10通过电缆8与控制器7连接;As shown in Figures 1, 2 and 3, it includes a
所述底部支架1采用轻质刚性材料;The
所述驱血带2采用具有弹性的软性材料;The
所述驱血带2的子带202宽5-15cm;The
如图4所示,所述驱动器6包括电机601、蜗杆602、蜗轮603、动力轴604,其中电机601的输出轴与蜗杆602刚性连接,蜗杆602与蜗轮603啮合连接,蜗轮603与动力轴604固定连接。As shown in Figure 4, the
工作原理:working principle:
当患者需要进行驱血操作时,如图5所示,医护人员松开锁扣5,打开驱血装置,将患者需要驱血的四肢放置于底部支架1和驱血带2之间,然后合上驱血装置,锁紧锁扣5,再按动控制7上的按钮启动电动驱动器6开始锁紧驱血带2;When the patient needs to perform blood-expelling operation, as shown in Figure 5, the medical staff releases the
驱动器6利用蜗轮蜗杆减速原理,使螺杆产生低速大扭矩旋转,电机601带动蜗杆602旋转,驱动器支架3上的螺母9不旋转,因此螺杆和螺母产生相对旋转,从而带动驱血带2锁紧;The
驱血带2共有4-6对子带202,每对宽5-15cm,可以由相应的驱动器6独立驱动,总长度可以覆盖整个下肢或上肢,但是不包覆膝盖或肘关节处,驱血带2内置压力传感器10,给控制器7提供每一对驱血带收紧时的压力信号;The
控制器7上配置电源开关、显示屏、调节按钮、收紧按钮以及放松按钮,通过电缆8控制所有电机,医护人员可以事先通过调节按钮设置驱血器的收紧力以及速度;当需要驱血时,打开电源开关后按下收紧按钮,控制器7会按照设定好的参数从远心端开始逐个驱动电机601,先收紧离心脏最远的驱血带子带直到压力到达设定值,然后再收紧邻近的一对驱血带子带直到压力到达设定值,依次类推,直至所有驱血带子带都被收紧到设定压力,完成一次驱血,然后计时器开始计时,并显示在控制器7的屏幕上,为医护人员提供驱血时间信息,保证患者不会因为组织长时间缺血而坏死;The
当需要松开驱血带2时,只要按下放松按钮,控制器7会按照由近心端向远心端开始依次反向旋转电机,从而使得驱血带逐个松开;当患者血压低于设定值时且一定时间内没有人员操作时,驱血器7会自动启动,实现驱血功能,从而避免了医护人员在忙碌中忽略启动驱血装置的人为失误。When it is necessary to loosen the
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