CN117084741B - Liver vascular blocking device for trauma emergency treatment - Google Patents
Liver vascular blocking device for trauma emergency treatment Download PDFInfo
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- CN117084741B CN117084741B CN202311352844.8A CN202311352844A CN117084741B CN 117084741 B CN117084741 B CN 117084741B CN 202311352844 A CN202311352844 A CN 202311352844A CN 117084741 B CN117084741 B CN 117084741B
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- liver
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- 230000000903 blocking effect Effects 0.000 title claims abstract description 63
- 208000014674 injury Diseases 0.000 title claims abstract description 19
- 230000008733 trauma Effects 0.000 title claims abstract description 16
- 210000004185 liver Anatomy 0.000 title abstract description 43
- 230000002792 vascular Effects 0.000 title abstract description 9
- 230000007246 mechanism Effects 0.000 claims abstract description 28
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 27
- 230000002440 hepatic effect Effects 0.000 claims abstract description 18
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 36
- 208000027418 Wounds and injury Diseases 0.000 claims description 16
- 229910052742 iron Inorganic materials 0.000 claims description 15
- 206010053648 Vascular occlusion Diseases 0.000 claims description 11
- 208000021331 vascular occlusion disease Diseases 0.000 claims description 11
- 238000003825 pressing Methods 0.000 claims description 10
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- 238000000034 method Methods 0.000 abstract description 18
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- 230000000740 bleeding effect Effects 0.000 abstract description 9
- 206010019692 hepatic necrosis Diseases 0.000 abstract description 4
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- 231100000149 liver necrosis Toxicity 0.000 abstract description 2
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- 206010067125 Liver injury Diseases 0.000 description 1
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Classifications
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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
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
-
- 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
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Abstract
The invention relates to the technical field of medical appliances, in particular to a liver vascular blocking device for trauma emergency treatment, which comprises a blocking bracket, a bundling mechanism and a blocking main body. The blocking body includes a fixed collet and a movable collet. The blocking main body further comprises an actuator, the actuator is in radio connection with an external controller, the controller can control the actuator to work, and the actuator can drive the movable clamping head to be close to the fixed clamping head so as to be abutted to the fixed clamping head and seal a blood vessel. The first connecting end of the bundling mechanism is connected with one end of the fixed chuck far away from the blocking main body, and the second connecting end penetrates through the movable chuck to be connected with the bottom of the blocking support. The whole device surrounds and ties up liver income hepatic blood vessel, and at urgent transfer in-process that carries, can directly control the switching of liver income hepatic blood vessel in vitro according to the demand to realize controlling liver too fast bleeding, avoid continuous blood flow to block simultaneously and cause the liver necrosis.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a liver vascular blocking device for trauma emergency treatment.
Background
The liver is the largest solid organ in the body, and is supplied by artery and portal vein, so that the blood supply is very rich, and the liver is soft and fragile and is easy to break in abdominal trauma. Many abdominal traumas occur in remote areas such as mountain falls, scenic accidents, outdoor adventure, public transportation accidents, and the like. At this time, hospitals should be selected nearby for emergency treatment, typically hospitals in county and village or district level cities.
When a severely wounded person arrives at a hospital, medical staff firstly performs image examination such as CT and the like to judge wounded and bleeding parts, then performs laparotomy exploration and hemostasis operation, and observes the conditions of all organs of the viscera. Specifically, if the viscera is damaged by the spleen, the gall bladder, the unilateral kidney, or the intestinal canal of a part of sections and other resectable organs, the medical level of the primary hospital can complete the direct resection of the organs, so as to achieve the purposes of rapid and exact hemostasis and life saving. The liver is a single organ responsible for multiple functions such as coagulation substance synthesis, lipid metabolism, glycometabolism, poison metabolism, etc., and when severe and complex rupture injury occurs, hemostasis cannot be performed at the cost of cutting off the whole organ. At this time, the liver is hemostatic, the severity of liver injury and the damaged blood vessel are required to be judged by the conditions of the size, the position, the depth, the bleeding color, the bleeding flow rate and the like of the hepatic rupture wound, and the following operation modes are reasonably selected: such as liver split repair, liver segment resection, liver lobe resection and even liver great vessel reconstruction. The rapid judgment of injury, reasonable planning of surgery and implementation of liver problematic surgery requires a lot of liver surgery experience. If the basic emergency medical facility does not complete the technical accumulation of the above procedure, it is often necessary to close the abdominal cavity after proper control of liver bleeding and then to transport to a higher level hospital.
The most widely used method for controlling liver blood flow is the Pringle method, i.e. intermittent blocking of blood flow from whole liver into liver vessels. The method uses finger or liver belt to tighten the blood vessel of liver, and controls blood supply of hepatic artery and portal vein. However, long-time blockage tends to cause necrosis of the liver, and therefore, it is necessary to loosen the liver for 5 minutes after 15-30 minutes of blockage, to allow the liver to briefly resume blood flow, and then to perform the next blockage period. Liver blood flow blockage by the Pringle method is usually performed under general anesthesia surgical conditions. During transportation of a patient with liver trauma, the abdominal cavity is closed, and no sterile general anesthesia operation condition exists in an ambulance during transportation. Therefore, the Pringle liver blood flow blocking method is effective but is used only in liver partial resection operation of general anesthesia. The method can not be applied in the transportation process of hepatic rupture injury, and most of the method can only be used for stopping bleeding by compression of a wound surface of the liver by gauze, and as the gauze filling method has poor blocking and inaccurate hemostatic effects compared with the Pringle method, the method has great vascular injury to the wound surface of the liver and is easy to cause abdominal infection. If a device were available that would allow a physician to intermittently block hepatic blood flow to the liver during the delivery of the patient, it would be helpful to increase the overall survival rate of patients with complex liver trauma.
Disclosure of Invention
First, the technical problem to be solved
In view of the above-mentioned shortcomings and disadvantages of the prior art, the present invention provides a hepatic vascular occlusion device for wound emergency treatment, which solves the problem of inaccurate hemostasis in the process of transferring a patient with liver trauma to an advanced hospital in the emergency transportation process, and can avoid the occurrence of hepatic necrosis by intermittently releasing occlusion. The doctor can judge the bleeding speed and the time required by transportation by dynamically observing vital signs of the patient, reasonably plan the liver blood flow blocking circulation times by means of the remote control device, and gain precious time for the transportation of the patient.
(II) technical scheme
In order to achieve the above purpose, the main technical scheme adopted by the invention comprises the following steps:
the embodiment of the invention provides a liver blood vessel blocking device for wound first aid, which comprises a blocking bracket, a bundling mechanism and a blocking main body;
the blocking main body comprises a fixed chuck which is detachably connected to the blocking bracket, and a movable chuck which is slidably mounted on the blocking bracket and can be close to or far away from the fixed chuck, the blocking main body further comprises an actuator, the actuator is in radio connection with an external controller, the controller can control the actuator to work, and the actuator can drive the movable chuck to be close to the fixed chuck so as to be abutted to the fixed chuck and seal the blood vessel;
the bundling mechanism is provided with a first connecting end and a second connecting end, the first connecting end is connected with one end, far away from the blocking support, of the fixed clamping head, the second connecting end penetrates through the movable clamping head and is connected with the bottom of the blocking support, and a part of the bundling mechanism, the fixed clamping head and the movable clamping head are surrounded to form a closed structural part for accommodating blood vessels.
Optionally, the fixed chuck comprises a fixed shell with an opening, an iron core arranged in the shell, a coil wound on the iron core and a magnetic conductive iron disc for sealing the fixed shell;
a buckle is arranged at one end of the fixed shell, which is close to the blocking support, and is clamped with a clamping groove on one side wall of the blocking support;
the two ends of the coil are respectively connected with the anode and the cathode of a power supply box, and the power supply box is arranged on one side of the fixed shell;
the movable chuck is made of iron.
Optionally, the power supply box and the fixed shell are of an integral structure, and a partition is arranged in the shell to form a cavity for placing the iron core and a cavity for placing the power supply.
Optionally, the blocking support is a plate-shaped structural member, and comprises a base and a sliding frame arranged on the base;
the sliding frame is provided with a sliding groove with an opening at the top and longitudinally penetrating, and the outer wall of the sliding frame is provided with a clamping groove for clamping a buckle of the fixed shell;
the movable clamping head is provided with a mounting groove matched with the sliding frame so as to enable the movable clamping head to slide along the sliding groove;
the sliding groove is provided with a lowest limit point and a highest limit point, and when the controller controls the actuator to be powered off, the movable clamping head is positioned at the lowest limit point so as to enable the blood vessel to be in an open state;
when the controller controls the actuator to be electrified, the movable clamping head slides upwards along the sliding groove to the highest limit point and is attracted to the magnetic conductive iron disc, so that the blood vessel is closed.
Optionally, the sliding frame includes a fixing portion and an elastic portion disposed on the base opposite to each other;
the elastic part comprises an integrally formed hinge seat arranged on the top end face of the base and a pressing main body hinged to the hinge seat, wherein the pressing main body is hinged to the hinge seat through a torsion spring, and under the action of the torsion spring, the pressing main body generates expansion force towards the fixing part.
Optionally, the outer parts of the fixed chuck and the movable chuck are respectively sleeved with a sterile plastic protective sleeve.
Optionally, the bundling mechanism is a colloid bundling belt, and the bundling belt comprises a first vertical bundling part integrally formed with the fixed chuck, a second vertical bundling part detachably connected with the blocking bracket, and a transverse bundling part arranged between the first vertical bundling part and the second vertical bundling part;
the transverse bundling part penetrates through the movable chuck, and two ends of the transverse bundling part are respectively integrally formed with the first vertical bundling part and the second vertical bundling part.
Optionally, an adjusting mechanism is disposed at the bottom of the blocking support, and the adjusting mechanism is connected to the second vertical bundling portion, and the adjusting mechanism can adjust the length of the second vertical bundling portion.
Optionally, the adjusting mechanism comprises a through hole arranged on the base, and the through hole is provided with an opening communicated with the outside;
the tail end of the second vertical bundling part forms a plurality of protruding points along the radial direction of the tail end, and the protruding points are arranged at intervals along the longitudinal direction of the second vertical bundling part.
Optionally, the blocking support is made of hard plastic.
(III) beneficial effects
The beneficial effects of the invention are as follows: according to the liver blood vessel blocking device for wound emergency, the whole device is arranged outside the liver blood vessel, the liver blood vessel is bound in a surrounding mode, and in the emergency transfer conveying process, the opening and closing of the liver blood vessel can be directly controlled in vitro according to requirements, so that the liver bleeding can be controlled to be too fast, meanwhile, the liver necrosis caused by continuous blood flow blocking is avoided, and the life safety of a patient is ensured.
Drawings
FIG. 1 is a schematic overall perspective view of a hepatic vascular occlusion device for wound emergency treatment of the present invention;
FIG. 2 is an exploded view of the stationary collet and blocking bracket of FIG. 1;
FIG. 3 is a partially exploded nose view of the slide frame of FIG. 1;
fig. 4 is a schematic cross-sectional structure of fig. 1.
[ reference numerals description ]
1: blocking the stent; 11: a base; 111: a through hole; 12: a sliding frame; 121: a fixing part; 122: an elastic part; 1221: a hinge base; 1222: pressing the main body; 1223: a torsion spring; 13: a chute; 14: a clamping groove; 2: a bundling mechanism; 21: a first vertical strapping portion; 22: a second vertical strapping portion; 221: a bump; 23: a transverse bundling section; 3: blocking the body; 31: fixing a chuck; 311: a fixed housing; 3111: a buckle; 312: an iron core; 313: a coil; 314: a magnetic conductive iron plate; 315: a power supply box; 32: a movable chuck; 33: an actuator; 4: an adjusting mechanism.
Detailed Description
The invention will be better explained by the following detailed description of the embodiments with reference to the drawings. Wherein references herein to terms such as "upper", "lower", "front", "rear", "left" and "right" are made with reference to the orientation of fig. 1. The position of the fixed jaw 31 in fig. 1 is defined as "up"; the position where the blocking stent 1 is located is defined as "back".
Referring to fig. 1 to 4, a hepatic vascular occlusion device for wound emergency treatment includes an occlusion stent 1, a banding mechanism 2, and an occlusion body 3.
In the present embodiment, as shown in fig. 1 and 2, the blocking body 3 includes a fixed jaw 31 detachably connected to the blocking bracket 1, and a movable jaw 32 slidably mounted on the blocking bracket 1 and capable of approaching upward or approaching downward away from the fixed jaw 31. The blocking body 3 further comprises an actuator 33, the actuator 33 being connected wirelessly to an external controller. The controller is capable of controlling the operation of the actuator 33. The actuator 33 can drive the movable clamp 32 upwards towards the fixed clamp 31 to abut against the fixed clamp 31 and seal the vessel.
The strapping mechanism 2 has a first connection end (tip) connected to an end (front end) of the fixed jaw 31 remote from the blocking bracket 1, and a second connection end. The second connecting end (bottom end) passes through the movable clamp head 32 and is fixedly connected with the bottom of the blocking bracket 1. And part of the bundling mechanism 2, the fixed clamping head 31 and the movable clamping head 32 are surrounded to form a closed structural member for accommodating the blood vessel, and are sleeved on the blood vessel.
Further, referring to fig. 4, the stationary collet 31 includes a stationary housing 311 having an opening, a core 312 disposed within the housing, a coil 313 wound around the core 312, and a magnetically permeable iron disc 314 for capping the stationary housing 311. The two sides of the bottom of the fixed shell 311 near to one end of the blocking bracket 1 are respectively extended downwards to form a buckle 3111. And the two buckles 3111 are clamped with two clamping grooves 14 which are symmetrically arranged on the outer side wall of the blocking bracket 1. Both ends of the coil 313 are connected to the positive and negative electrodes of the power supply box 315, respectively, and the power supply box 315 is disposed at one side of the fixed housing 311. The movable clamp 32 is made of iron. Specifically, the actuator within the power supply box is controlled by an external controller. The actuator corresponds to a switch of a battery in the power supply box. Can control the executor in first aid transportation process through external control ware, and then the break-make of control power to make iron core 312 circular telegram get magnetism, outage demagnetization, and magnetic force can be conducted to on the magnetic conduction iron plate 314 lower extreme face through magnetic conduction iron plate 314, and then make magnetic conduction iron plate 314 lower extreme face have magnetism, in order to attract the movable chuck 32 of iron, and movable chuck 32 moves up to laminating mutually with magnetic conduction iron plate 314 along the spout 13 that blocks support 1, and then closes the blood vessel of liver department.
It is to be noted that a time relay can be set according to the condition of the patient, and the executor is electrified and powered off regularly, so that the complicated operation is saved.
Further, the power box 315 and the fixed housing 311 are integrally formed with a housing, and a partition is provided in the housing to form a chamber for placing the iron core 312 and a chamber for placing a power supply. The integrated structure is convenient for production while effectively ensuring the waterproof property of the power supply box 315 thereof.
Further, the blocking bracket 1 is a plate-shaped structural member, and the blocking bracket 1 includes a base 11 and a sliding frame 12 disposed on the base 11. The sliding frame 12 has a sliding slot 13 with an open top and longitudinally penetrating, and a clamping slot 14 for clamping the buckle 3111 of the fixed housing 311 is formed on the outer wall of the sliding frame 12. The movable clamp 32 has a mounting slot that mates with the sliding frame 12 to slide the movable clamp 32 along the chute. The chute 13 has a minimum limit point and a maximum limit point, and when the controller controls the actuator 33 to be de-energized, the movable clamp 32 is positioned at the minimum limit point so that the blood vessel is in an expanded state. When the controller controls the actuator 33 to be electrified, the movable clamp 32 slides upwards along the chute 13 to the highest limit point and attracts the magnetic conductive iron disc 314 so as to close the blood vessel.
In this embodiment, the connection part between the fixed chuck 31 and the sliding frame 12 is configured to be a detachable structure, that is, the connection part is clamped with the clamping groove 14 and the clamping buckle 3111, so that the sleeving connection of the blood vessel and the setting of two limit positions on the sliding groove 13 are facilitated, and the opening and closing of the blood vessel are only required.
Further, the slide frame 12 includes a fixing portion 121 and an elastic portion 122 oppositely disposed on the base 11. The elastic portion 122 includes a hinge seat 1221 integrally formed on a top end surface of the base 11, and a pressing body 1222 hinged on the hinge seat 1221, wherein the pressing body 1222 is hinged to the hinge seat 1221 through a torsion spring 1223, and the pressing body 1222 generates an expansion force toward the fixing portion 121 under the action of the torsion spring 1223. Ensuring that the fixed clip 31 is separated from the sliding frame 12 of the blocking bracket 1 due to shaking of transportation when in vivo, thereby improving the use stability. The practicability is strong.
It should be noted that the initial position of the movable clamp 32 is set as the hinge. I.e. the lowest limit point is the horizontal position where the hinge is located. A supporting spring with a certain supporting force is arranged at the bottom of the movable clamp head 32, and the top of the supporting spring is movably connected with the bottom surface of the movable clamp head 32, so that the movable clamp head 32 is only supported to limit the lowest limit point, and the upward sliding of the movable clamp head 32 is not influenced. Of course, besides the supporting spring, a gap is reserved between the bottom of the movable chuck 32 and the base 11, that is, two mutually-repulsive electromagnets with the same magnetic poles are respectively arranged at the top end surfaces of the suspended movable chuck 32 and the base 11, so that the movable chuck is supported by repulsive force.
Further, the outer parts of the fixed chuck 31 and the movable chuck 32 are respectively sleeved with a sterile plastic protective sleeve. The surface of the plastic bag is loosely sleeved with a sterile plastic protective sleeve, so that the plastic bag is waterproof and has a sterile effect. But also without affecting the closure of the fixed jaw 31 and the movable jaw 32.
Further, the strapping mechanism 2 is a glue strapping, and the strapping includes a first vertical strapping portion 21 integrally formed with the fixing clip 31, a second vertical strapping portion 22 detachably connected with the blocking bracket 1, and a horizontal strapping portion 23 disposed between the first vertical strapping portion 21 and the second vertical strapping portion 22. The transverse bundling part 23 penetrates through the movable chuck 32, and two ends of the transverse bundling part are respectively integrally formed with the first vertical bundling part 21 and the second vertical bundling part 22.
Here, the applicant wants to emphasize that: the length of the first and second vertical strapping portions 21, 22 will change with two different states of the movable clamp head 32. When the movable clamp head 32 is positioned at the highest limiting point, the length of the first vertical bundling part 21 is shortest, and the length of the second vertical bundling part 22 is longest; conversely, when the movable clamp is located at the lowest limit point, the length of the first vertical bundling portion 21 is longest, and the length of the second vertical bundling portion 22 is shortest. Is convenient to match with the movement of the movable clamp head 32 and avoids the phenomena of overlong knots or loose vascular closure of the first binding part 21.
Further, the bottom of the blocking bracket 1 is provided with an adjusting mechanism 4, and the adjusting mechanism 4 is connected with the second vertical bundling part 22, and the adjusting mechanism 4 can adjust the length of the second vertical bundling part 22. The size of the closed blood vessel can be appropriately changed according to the thickness of the blood vessel so as to adapt to the blood vessels with different thicknesses.
Further, the adjusting mechanism 4 includes a through hole 111 opened in the base 11, and the through hole 111 has an opening communicating with the outside. The second vertical bundling part 22 has a plurality of protruding points 221 formed at the end thereof in the radial direction, and the protruding points 221 are disposed at intervals in the longitudinal direction of the second vertical bundling part 22. Is convenient to adjust and has compact space structure.
Further, the blocking bracket 1 is made of hard plastic. Preventing deformation ensures the safety of human body.
The hepatic vascular blocking device for wound first aid of this embodiment is outside hepatic vascular, and whole device encircles and ties up hepatic vascular, and at urgent transfer and carry the in-process, can directly control the switching of hepatic vascular into in vitro according to the demand to realize controlling liver too fast bleeding, avoid continuous blood flow blocking to cause hepatic necrosis simultaneously, ensure patient's life's safety.
In the description of the present invention, it should be understood that the terms "first," "second," and the like are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present invention, the meaning of "a plurality" is two or more, unless explicitly defined otherwise.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium; may be a communication between two elements or an interaction between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the present invention, unless expressly stated or limited otherwise, a first feature is "on" or "under" a second feature, which may be in direct contact with the first and second features, or in indirect contact with the first and second features via an intervening medium. Moreover, a first feature "above," "over" and "on" a second feature may be a first feature directly above or obliquely above the second feature, or simply indicate that the first feature is higher in level than the second feature. The first feature being "under", "below" and "beneath" the second feature may be the first feature being directly under or obliquely below the second feature, or simply indicating that the first feature is level lower than the second feature.
In the description of the present specification, the terms "one embodiment," "some embodiments," "examples," "particular examples," or "some examples," etc., refer to particular features, structures, materials, or characteristics described in connection with the embodiment or example as being included in at least one embodiment or example of the present invention. In this specification, schematic representations of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, the different embodiments or examples described in this specification and the features of the different embodiments or examples may be combined and combined by those skilled in the art without contradiction.
While embodiments of the present invention have been shown and described above, it will be understood that the above embodiments are illustrative and not to be construed as limiting the invention, and that alterations, modifications, substitutions and variations may be made in the above embodiments by those skilled in the art within the scope of the invention.
Claims (8)
1. A hepatic vascular occlusion device for wound emergency treatment, characterized by comprising an occlusion stent (1), a strapping mechanism (2) and an occlusion body (3);
the blocking main body (3) comprises a fixed chuck (31) which is detachably connected to the blocking bracket (1) and a movable chuck (32) which is slidably mounted on the blocking bracket (1) and can be close to or far away from the fixed chuck (31), the blocking main body (3) further comprises an actuator (33), the actuator (33) is in radio connection with an external controller, the controller can control the actuator (33) to work, and the actuator (33) can drive the movable chuck (32) to be close to the fixed chuck (31) so as to be abutted to the fixed chuck (31) and seal the blood vessel;
the bundling mechanism (2) is provided with a first connecting end and a second connecting end, the first connecting end is connected with one end, far away from the blocking support (1), of the fixed chuck (31), the second connecting end penetrates through the movable chuck (32) to be connected with the bottom of the blocking support (1), and a part of the bundling mechanism (2), the fixed chuck (31) and the movable chuck (32) are surrounded to form a closed structural part for accommodating blood vessels;
the fixed chuck (31) comprises a fixed shell (311) with an opening, a buckle (3111) is arranged at one end of the fixed shell (311) close to the blocking support (1), and the buckle (3111) is clamped with a clamping groove (14) on one side wall of the blocking support (1);
the blocking support (1) is a plate-shaped structural member, and the blocking support (1) comprises a base (11) and a sliding frame (12) arranged on the base (11);
the sliding frame (12) is provided with a sliding groove (13) with an opening at the top and longitudinally penetrating, and the outer wall of the sliding frame (12) is provided with a clamping groove (14) for clamping the buckle (3111) of the fixed shell (311);
the sliding frame (12) comprises a fixed part (121) and an elastic part (122) which are oppositely arranged on the base (11);
the elastic part (122) comprises a hinging seat (1221) integrally arranged on the top end surface of the base (11), and a pressing main body (1222) hinged on the hinging seat (1221), wherein the pressing main body (1222) is hinged with the hinging seat (1221) through a torsion spring (1223), and under the action of the torsion spring (1223), the pressing main body (1222) generates an expanding force facing away from the fixed part (121);
the bundling mechanism (2) comprises a first vertical bundling part (21) integrally formed with the fixed chuck (31), a second vertical bundling part (22) detachably connected with the blocking bracket (1) and a transverse bundling part (23) arranged between the first vertical bundling part (21) and the second vertical bundling part (22);
the transverse bundling part (23) penetrates through the movable chuck (32) and two ends of the transverse bundling part are respectively integrally formed with the first vertical bundling part (21) and the second vertical bundling part (22);
an adjusting mechanism (4) is arranged at the bottom of the blocking support (1), the adjusting mechanism (4) is connected with the second vertical bundling part (22), and the adjusting mechanism (4) can adjust the length of the second vertical bundling part (22);
the movable clamp head (32) is provided with a mounting groove matched with the sliding frame (12) so that the movable clamp head (32) slides along the sliding groove.
2. The hepatic vascular occlusion device for trauma emergency of claim 1, wherein said stationary collet (31) further comprises a core (312) disposed within said housing, a coil (313) wound around said core (312), and a magnetically permeable iron disc (314) for covering said stationary housing (311);
the two ends of the coil (313) are respectively connected with the positive and negative electrodes of a power box (315), and the power box (315) is arranged on one side of the fixed shell (311);
the movable chuck (32) is made of iron.
3. The hepatic vascular occlusion device for trauma emergency of claim 2, wherein the power supply box (315) is a unitary structural housing with the stationary housing (311), and wherein a partition is provided within the housing to form a chamber for placement of the core (312) and a chamber for placement of a power supply.
4. A hepatic vascular occlusion device for trauma emergency as in claim 3, wherein said chute (13) has a lowest limit point and a highest limit point, said movable clamp (32) being located at said lowest limit point when said controller controls said actuator (33) to be de-energized, to place said vessel in an expanded state;
when the controller controls the actuator (33) to be electrified, the movable clamp head (32) slides upwards along the sliding groove (13) to the highest limit point and is attracted to the magnetic conductive iron disc (314) so as to close the blood vessel.
5. A hepatic vascular occlusion device for trauma emergency of claim 1, wherein said fixed clamp (31) and said movable clamp (32) are each externally sleeved with a sterile plastic protective sleeve.
6. A hepatic vascular occlusion device for trauma emergency of claim 1, wherein said strapping means (2) is a colloid strapping.
7. A hepatic vascular occlusion device for trauma emergency as in claim 1, wherein said adjustment mechanism (4) comprises a through hole (111) open on said base (11), said through hole (111) having an opening communicating with the outside;
the tail end of the second vertical bundling part (22) forms a plurality of protruding points (221) along the radial direction of the second vertical bundling part, and the protruding points (221) are arranged at intervals along the longitudinal direction of the second vertical bundling part (22).
8. A hepatic vascular occlusion device for trauma emergency according to claim 1, wherein the occlusion stent (1) is of rigid plastic material.
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CN202311352844.8A CN117084741B (en) | 2023-10-19 | 2023-10-19 | Liver vascular blocking device for trauma emergency treatment |
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CN202311352844.8A CN117084741B (en) | 2023-10-19 | 2023-10-19 | Liver vascular blocking device for trauma emergency treatment |
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CN117084741B true CN117084741B (en) | 2024-02-06 |
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Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1528046A (en) * | 1976-10-25 | 1978-10-11 | Camden & Islington Area Health | Double clamping device and to a liquid flow assembly employing the clamping device |
CN102961171A (en) * | 2012-11-02 | 2013-03-13 | 中国人民解放军总医院 | Quantitative blood stream limiting device |
CN103153203A (en) * | 2010-10-15 | 2013-06-12 | 手术器械私人有限公司 | Surgical clamping devices and tools for use therewith |
CN107865682A (en) * | 2017-12-06 | 2018-04-03 | 深圳市鹏力凯科技有限公司 | The Porta blocking-up device of remote control |
CN215079148U (en) * | 2020-12-23 | 2021-12-10 | 丁才学 | Renal part blood flow blocker under peritoneoscope |
CN215651365U (en) * | 2021-09-22 | 2022-01-28 | 中南大学湘雅医院 | Blood flow blocking device for pedicel of skin valve |
CN114366209A (en) * | 2021-12-30 | 2022-04-19 | 南阳市中心医院 | Liver section blood flow blocking device |
CN218515777U (en) * | 2022-07-07 | 2023-02-24 | 孙建民 | Hepatic portal blood flow blocking belt |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022245549A1 (en) * | 2021-05-17 | 2022-11-24 | Daddario Justin | Venous valve apparatuses and methods for controlling blood flow |
-
2023
- 2023-10-19 CN CN202311352844.8A patent/CN117084741B/en active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1528046A (en) * | 1976-10-25 | 1978-10-11 | Camden & Islington Area Health | Double clamping device and to a liquid flow assembly employing the clamping device |
CN103153203A (en) * | 2010-10-15 | 2013-06-12 | 手术器械私人有限公司 | Surgical clamping devices and tools for use therewith |
CN102961171A (en) * | 2012-11-02 | 2013-03-13 | 中国人民解放军总医院 | Quantitative blood stream limiting device |
CN107865682A (en) * | 2017-12-06 | 2018-04-03 | 深圳市鹏力凯科技有限公司 | The Porta blocking-up device of remote control |
CN215079148U (en) * | 2020-12-23 | 2021-12-10 | 丁才学 | Renal part blood flow blocker under peritoneoscope |
CN215651365U (en) * | 2021-09-22 | 2022-01-28 | 中南大学湘雅医院 | Blood flow blocking device for pedicel of skin valve |
CN114366209A (en) * | 2021-12-30 | 2022-04-19 | 南阳市中心医院 | Liver section blood flow blocking device |
CN218515777U (en) * | 2022-07-07 | 2023-02-24 | 孙建民 | Hepatic portal blood flow blocking belt |
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