CN113974752A - Radial artery puncture is with hemostasis by compression device - Google Patents
Radial artery puncture is with hemostasis by compression device Download PDFInfo
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- CN113974752A CN113974752A CN202111431577.4A CN202111431577A CN113974752A CN 113974752 A CN113974752 A CN 113974752A CN 202111431577 A CN202111431577 A CN 202111431577A CN 113974752 A CN113974752 A CN 113974752A
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- support
- arm
- sliding support
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical 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
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Abstract
The invention relates to a compression hemostasis device for radial artery puncture, which comprises a pressing structure, a wrist support and an arm support, wherein the wrist support and the arm support respectively comprise a support body and a slide rail, an arm support binding band is arranged on the arm support, the compression hemostasis device further comprises a left side sliding support and a right side sliding support which are used for moving between the arm support and the wrist support along the slide rail, an arc-shaped reverse force arm with a downward notch is spanned on the left side sliding support and the right side sliding support, a reverse force arm driving structure for driving the arc-shaped reverse force arm to rotate around the axis of the arc-shaped reverse force arm is arranged on the left side sliding support or the right side sliding support, the pressing structure is arranged at the lower side of the arc-shaped reverse force arm, the arm support and the wrist support are connected through a locking structure, the left side sliding support and the right side sliding support drive the locking structure to be unlocked after the arm support slides onto the wrist support from the arm support, and the arm support can be separated from the wrist support. The invention provides a compression hemostasis device for radial artery puncture, which can realize the compression of a puncture point of a patient without moving the forearm of the patient.
Description
Technical Field
The invention relates to a matching device in a radial artery puncture operation, in particular to a compression hemostasis device for radial artery puncture.
Background
Radial artery puncture is a common medical treatment means, and can be used for the laboratory examination of arterial blood specimen, arterial angiography examination, arterial blood pressure monitoring, coronary heart disease treatment and the like.
Unlike conventional intravenous injections, radial artery puncture, which punctures the radial artery, has high arterial blood pressure, and must be effectively pressed to stop bleeding after the puncture needle is pulled out of the puncture site to prevent excessive blood loss. The hemostasis by compression device among the prior art is bandage formula structure, and hemostasis by compression device includes the bandage, is provided with on the bandage and presses the structure.
During the use, after the puncture, extract the pjncture needle, then lift patient's forearm, tie up the bandage in patient's wrist department to make and press the structure and correspond with the puncture point, adjust and press the structure and carry out appropriate pressure to the puncture point, in order to realize pressing hemostasis. The existing compression hemostasis device has the following problems: the puncture needle is pulled out to last pressing structure and has longer time interval between pressing to the puncture point, and in this time interval, the puncture point still probably bleeds, the longer reason of time interval is because will remove patient forearm, carries out the ligature of bandage on patient's wrist, simultaneously, not only has longer time interval, still has the problem that needs to remove patient forearm, the process of removing patient forearm also probably causes patient to bleed and increases, to some serious illness patients, still produce the secondary damage to the patient easily.
Disclosure of Invention
The invention aims to provide a compression hemostasis device for radial artery puncture, which can realize the compression of a puncture point of a patient without moving the forearm of the patient.
In order to solve the technical problems, the technical scheme of the compression hemostasis device for radial artery puncture is as follows:
the compression hemostasis device for radial artery puncture comprises a pressing structure for applying pressure to a puncture point of a patient, a wrist support and an arm support, wherein the arm support is longer than the wrist support, the wrist support and the arm support comprise C-shaped support bodies with upward openings and sliding rails arranged on two sides of the support bodies, the guiding direction of the sliding rails is consistent with the length direction of a forearm of the patient, an arm support binding band is arranged on the arm support, the compression hemostasis device further comprises a left sliding support and a right sliding support, the left sliding support and the right sliding support move between the arm support and the wrist support along the sliding rails, an arc reaction arm with a downward notch is spanned on the left sliding support and the right sliding support, a reaction arm driving structure for driving the arc reaction arm to rotate around the axis of the reaction arm is arranged on the left sliding support or the right sliding support, the pressing structure is arranged on the lower side of the arc reaction arm, the arm support and the wrist support are connected through a locking structure, the left sliding support and the arm support, After the right sliding support slides to the wrist support from the arm support, the locking structure is driven to unlock, and the arm support can be separated from the wrist support.
The locking structure comprises positioning holes arranged between adjacent end faces of the arm support and the wrist support and positioning pins in plug fit with the positioning holes, and further comprises locking hooks hinged on the wrist support, the locking hooks are positioned on the left side and the right side of the support body of the wrist support, the hinge axes of the locking hooks extend along the left-right direction, locking hook matching parts matched with the locking hooks are arranged on the arm support, locking hook reset springs are arranged between the locking hooks and the wrist support, one ends of the locking hooks, far away from the locking hook matching parts, are unlocking ends, and the unlocking ends are higher than the locking positions of the support body under the action of the locking hook reset springs when the left side sliding support and the right side sliding support do not slide on the wrist support; when the left side sliding support and the right side sliding support slide to the wrist support, the left side sliding support and the right side sliding support press the unlocking end of the locking hook downwards, and the locking hook overturns to realize the unlocking of the locking hook by being separated from the locking hook matching part.
The slide rail comprises the edge of turning up that sets up in the bracketing body left and right sides, is provided with on the left side sliding support and turns up with corresponding and turns up along the left side spout that matches, is provided with on the right side sliding support and turns up with corresponding and turns up along the right side spout that matches, and the notch of left side spout, right side spout is relative.
The reaction arm driving structure comprises an arc-shaped rack arranged at the upper end of the arc-shaped reaction arm, the reaction arm driving structure further comprises a left side gear arranged on the left side sliding support and a right side gear arranged on the right side sliding support, the bottoms of the left side gear and the right side gear are meshed with the arc-shaped rack for transmission, and the left side gear and the right side gear are provided with a stirring part used for manual stirring of medical workers.
The right sliding support is in threaded connection with a jacking screw.
The pressing structure comprises a large air bag and a small air bag which are arranged up and down, and a bearing plate is arranged between the large air bag and the small air bag.
The air pump is arranged on the support body of the wrist support, the air pump is connected with the large air bag through a first hose, the air pump is connected with the small air bag through a second hose, and the first hose and the second hose are both provided with electromagnetic valves.
The invention has the beneficial effects that: in the invention, before puncture, the forearm of a patient is placed on the arm support, the wrist of the patient is placed on the wrist support, and the forearm is connected with the arm support through the arm support bandage, so that the arm of the patient is not disturbed in the puncture process, and the effective puncture process is ensured, when a puncture needle is not pulled out, the left side sliding support and the right side sliding support are positioned at one side of the arm support, so that the normal puncture process of medical personnel on the patient is not influenced, after the puncture is finished, when the puncture needle is not pulled out, the left side sliding support and the right side sliding support are moved to one side of the wrist support, the arc-shaped reverse force arm is rotated to ensure that the pressing structure is just opposite to the puncture position of the patient, then the puncture needle is pulled out, the puncture position is pressed by the pressing structure to realize hemostasis, and then the locking structure is unlocked by the left side sliding support and the right side sliding support, so that the arm support can be easily removed, the wrist support with the small size cannot influence the normal action of a patient, and the use process of the compression hemostasis device can be seen, in the invention, after the puncture needle is pulled out, the pressing of the pressing structure on the puncture position of the patient can be realized without moving the forearm of the patient, so that the time gap between the pulling-out and pressing of the puncture needle can be effectively reduced, and the excessive bleeding of the puncture position caused by the action of the forearm of the patient when the puncture position is not pressed can be avoided.
Drawings
FIG. 1 is a schematic view of a compression hemostasis device for radial artery puncture in accordance with the present invention;
FIG. 2 is a schematic view of the left and right side brackets of FIG. 1 in combination with an arm rest;
FIG. 3 is an enlarged view at A of FIG. 1;
FIG. 4 is a schematic view of the left and right side sliding supports of FIG. 1 being moved to the wrist rest;
FIG. 5 is a schematic view of the left and right sliding brackets of FIG. 4 engaged with the wrist rest;
FIG. 6 is an enlarged view at B in FIG. 5;
FIG. 7 is a schematic view of the large and small balloons of FIG. 5 in an expanded state;
FIG. 8 is a schematic view of the arm rest of FIG. 4 with the arm rest removed;
in the figure: 1. an arm support; 2. a small arm; 3. a right side gear; 4. an arc-shaped rack; 5. jacking the screw tightly; 6. turning out the edges; 7. a strap ring; 8. a right sliding bracket; 9. a latch hook mating portion; 10. a latch hook; 11. an unlocking end; 12. a wrist support; 13. a hand; 14. a left side sliding bracket; 15. a U-shaped chute; 16. a left side gear; 17. an arc reaction arm; 18. a large air bag; 19. a small air bag; 20. a first hose; 21. an air pump; 22. a hook portion; 23. a wrist; 24. positioning holes; 25. a puncture location; 26. a bearing plate.
Detailed Description
In order to facilitate an understanding of the invention, the invention is described in more detail below with reference to the accompanying drawings and specific examples. Preferred embodiments of the present invention are shown in the drawings. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.
It is to be noted that, unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
Fig. 1 to 8 show embodiments of a compression hemostasis device for radial artery puncture according to the present invention:
Radial artery puncture is with hemostasis by compression device includes that wrist holds in the palm 12 and length is longer than the arm of wrist support and holds in the palm 1, the length direction that definition arm held in the palm 1 is the fore-and-aft direction, wrist support 12 and arm support 1 all include opening bracketing body up and set up in the slide rail of bracketing body both sides, the slide rail comprises the edge 6 that turns up that sets up in the bracketing body left and right sides, the direction of guide of slide rail is unanimous with the length direction of patient forearm, be provided with arm support bandage (not shown in the figure) on the arm support, the arm holds in the palm the bandage can tie up on bandage ring 7, the bandage ring is fixed on the arm holds in the palm.
The hemostasis by compression device is still including being used for along the slide rail at left side sliding support 14 and the right side sliding support 8 that the arm held in the palm and the wrist held in the palm removed, be provided with on the sliding support 14 of left side with the left side turn up along the left side spout that matches, be provided with on the sliding support 8 of right side with the right side turn up along the right side spout that matches, the left side spout, the notch of right side spout is relative, left side spout and right side spout are U-shaped spout 15, left side sliding support, right side sliding support can be followed the slide rail and held in the palm by the arm turn up along sliding to the wrist support turn up along 6. Threaded connection has a top tight screw 5 on the right side sliding support, slides at left side sliding support, right side sliding support and targets in place the back, can screw the top tight screw, and the corresponding enstrophe edge is tightly pushed up to the top tight screw to the realization is to the rigidity of right side sliding support.
Side sliding bracket, it has notch arc reaction arm 17 down to span on the sliding bracket of right side, be provided with on sliding bracket of left side or the sliding bracket of right side and drive the arc reaction arm around its axis pivoted reaction arm drive structure, reaction arm drive structure is including setting up in arc rack 4 of arc reaction arm 17 upper end, reaction arm drive structure is still including setting up left side gear 16 on the sliding bracket of left side and setting up right side gear 3 on the sliding bracket of right side, left side gear 16, the bottom and the 4 interlock transmissions of arc rack of right side gear 3, left side gear 16, right side gear 3 has the portion of stirring that is used for medical personnel's manual stirring. During the use, medical personnel can stir left side gear or right side gear, and left side gear or right side gear drive arc rack action to realize driving the arc reaction arm and rotate around its axis, in order to change the circumferential position who presses the structure.
The lower side of the arc-shaped reaction arm is fixed with a pressing structure, in the embodiment, the pressing structure comprises a large air bag 18 and a small air bag 19 which are arranged up and down, a bearing plate 26 is arranged between the large air bag and the small air bag, the small air bag and the large air bag are opposite, and the diameter of the large air bag is larger than that of the small air bag. An air pump is arranged on the support body of the wrist support, the air pump 21 is connected with the big air bag 18 through a first hose 20, the air pump 21 is connected with the small air bag 19 through a second hose, and electromagnetic valves are arranged on the first hose 20 and the second hose. The air pump in the embodiment adopts a miniature air pump with a small volume, and when the puncture needle is not pulled out during actual use, the air pump firstly inflates the big air sac, so that the time for pressing the puncture position 25 by the small air sac after the needle is pulled out can be further reduced.
The arm support and the wrist support are connected through a locking structure, the left side sliding support and the right side sliding support slide to the wrist support from the arm support, the locking structure is driven to unlock, and the arm support can be separated from the wrist support. In this embodiment, the locking structure includes the locating hole that sets up between the adjacent terminal surface of arm support, wrist support and the locating pin of the cooperation of pegging graft with the locating hole, and the axis of locating hole, locating pin extends along the fore-and-aft direction, and locating hole 24 sets up on wrist support 12, and the locating pin sets up on arm support 1. The locking structure further comprises a locking hook 10 hinged to the wrist support, the locking hook is located on the left side and the right side of the support body of the wrist support, the hinged axis of the locking hook extends in the left-right direction, a hook portion 22 is arranged at one end, close to the arm support, of the locking hook, an unlocking end 11 is arranged at one end, far away from the arm support, of the locking hook, a locking hook matching portion 9 matched with the hook portion of the locking hook in a hooking mode is arranged on the arm support, a locking hook reset spring is arranged between the locking hook 10 and the wrist support 12, and when the left side sliding support and the right side sliding support do not slide onto the wrist support, the unlocking end is located at a locking position higher than the support body under the action of the locking hook reset spring; when the left side sliding support and the right side sliding support slide to the wrist support, the upper side groove walls of the U-shaped sliding grooves of the left side sliding support and the right side sliding support press the unlocking end of the locking hook, the locking hook overturns to realize the unlocking of the locking hook by separating from the locking hook matching part, and the arm support can be easily moved away by unfastening the bandage.
The using process of the invention is as follows: when not puncturing, as shown in figure 1, place the forearm of patient on the arm holds in the palm, place the wrist of patient on the wrist holds in the palm, as shown in figure 1, it is fixed with the forearm of patient and arm support through the bandage, move left side sliding support, right side sliding support on the arm holds in the palm, do not influence medical personnel to the puncture process of radial artery, and can realize the fixed to the forearm of patient, avoid the patient to move indiscriminately and influence the puncture process, at this in-process, the arm holds in the palm and holds in the palm to pass through locking structural connection with the wrist. After the puncture is finished again, when the puncture needle is not pulled out, as shown in fig. 4-6, the left side moving support and the right side moving support are moved to the wrist support along the outward turning edge, medical personnel stir the left side gear or the right side gear, the pressing structure corresponds to the puncture position 25, meanwhile, the air pump inflates the large air bag, the small air bag is close to the puncture position, the pulling-out of the puncture needle is not affected, and then as shown in fig. 7-8, the medical personnel pull out the puncture needle, inflate the small air bag, press the puncture position by the small air bag, bleeding is avoided, and the arm support is removed. Therefore, in the invention, the forearm of the patient does not need to be moved in the process of pressing the puncture position, so that arterial bleeding caused by the movement of the forearm is avoided, and meanwhile, the time difference between needle withdrawing and pressing can be effectively reduced, and the bleeding process is reduced as much as possible.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.
Claims (7)
1. The utility model provides a radial artery puncture is with hemostasis by compression device, is including being used for pressing the structure, its characterized in that to patient puncture point applied pressure: the compression hemostasis device also comprises a left side sliding support and a right side sliding support which are used for moving between the arm support and the wrist support along the sliding rail, an arc reaction arm with a downward notch is spanned on the left side sliding support and the right side sliding support, a reaction arm driving structure for driving the arc reaction arm to rotate around the axis of the reaction arm is arranged on the left side sliding support or the right side sliding support, the pressing structure is arranged at the lower side of the arc reaction arm, and the arm support, the wrist supports are connected through a locking structure, the left side sliding support and the right side sliding support slide onto the wrist supports from the arm supports, the locking structure is driven to be unlocked, and the arm supports can be separated from the wrist supports.
2. A compression hemostasis device in accordance with claim 1, wherein: the locking structure comprises positioning holes arranged between adjacent end faces of the arm support and the wrist support and positioning pins in plug fit with the positioning holes, and further comprises locking hooks hinged on the wrist support, the locking hooks are positioned on the left side and the right side of the support body of the wrist support, the hinge axes of the locking hooks extend along the left-right direction, locking hook matching parts matched with the locking hooks are arranged on the arm support, locking hook reset springs are arranged between the locking hooks and the wrist support, one ends of the locking hooks, far away from the locking hook matching parts, are unlocking ends, and the unlocking ends are higher than the locking positions of the support body under the action of the locking hook reset springs when the left side sliding support and the right side sliding support do not slide on the wrist support; when the left side sliding support and the right side sliding support slide to the wrist support, the left side sliding support and the right side sliding support press the unlocking end of the locking hook downwards, and the locking hook overturns to realize the unlocking of the locking hook by being separated from the locking hook matching part.
3. A compression hemostasis device in accordance with claim 2, wherein: the slide rail comprises the edge of turning up that sets up in the bracketing body left and right sides, is provided with on the left side sliding support and turns up with corresponding and turns up along the left side spout that matches, is provided with on the right side sliding support and turns up with corresponding and turns up along the right side spout that matches, and the notch of left side spout, right side spout is relative.
4. A compression hemostasis device in accordance with claim 1, wherein: the reaction arm driving structure comprises an arc-shaped rack arranged at the upper end of the arc-shaped reaction arm, the reaction arm driving structure further comprises a left side gear arranged on the left side sliding support and a right side gear arranged on the right side sliding support, the bottoms of the left side gear and the right side gear are meshed with the arc-shaped rack for transmission, and the left side gear and the right side gear are provided with a stirring part used for manual stirring of medical workers.
5. A compression hemostasis device in accordance with claim 1, wherein: the right sliding support is in threaded connection with a jacking screw.
6. A compression hemostasis device in accordance with any one of claims 1 to 5, wherein: the pressing structure comprises a large air bag and a small air bag which are arranged up and down, and a bearing plate is arranged between the large air bag and the small air bag.
7. A compression hemostasis device in accordance with claim 6, wherein: the air pump is arranged on the support body of the wrist support, the air pump is connected with the large air bag through a first hose, the air pump is connected with the small air bag through a second hose, and the first hose and the second hose are both provided with electromagnetic valves.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111431577.4A CN113974752A (en) | 2021-11-29 | 2021-11-29 | Radial artery puncture is with hemostasis by compression device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111431577.4A CN113974752A (en) | 2021-11-29 | 2021-11-29 | Radial artery puncture is with hemostasis by compression device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113974752A true CN113974752A (en) | 2022-01-28 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111431577.4A Withdrawn CN113974752A (en) | 2021-11-29 | 2021-11-29 | Radial artery puncture is with hemostasis by compression device |
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| CN (1) | CN113974752A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117918923A (en) * | 2024-01-09 | 2024-04-26 | 中国人民解放军联勤保障部队第九〇四医院 | Wound pressurizing device with timing pressurizing and pressurizing functions for cardiac radiography |
-
2021
- 2021-11-29 CN CN202111431577.4A patent/CN113974752A/en not_active Withdrawn
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117918923A (en) * | 2024-01-09 | 2024-04-26 | 中国人民解放军联勤保障部队第九〇四医院 | Wound pressurizing device with timing pressurizing and pressurizing functions for cardiac radiography |
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Application publication date: 20220128 |