Hemostatic device for instep arterial puncture
Technical Field
The invention relates to the technical field of instep treatment apparatuses, in particular to a hemostatic device for instep arterial puncture.
Background
The statements in this section merely provide background information related to the present disclosure and may not necessarily constitute prior art.
Lower limb arteriosclerotic occlusion is one of the most common peripheral vascular diseases, and is a manifestation of atherosclerosis. There are various methods for treating arteriosclerosis obliterans of lower limbs at present, which mainly comprise drug conservation treatment, intracavity intervention technology and vascular bypass operation treatment. The intervention treatment in the blood vessel cavity is mature gradually, has the advantages of small wound, high safety, quick postoperative recovery, repeated operation and the like, and can be widely applied clinically and has better effect.
Endovascular interventions require the establishment of a good vascular access. Aiming at the intervention treatment of lower limb arteries, the most conventional operation in clinic at present is to select femoral artery puncture as an access point, and the operation has the advantages that the femoral artery is thick in diameter and easy to puncture, meanwhile, a doctor is more beneficial to placing an instrument through a punctured sheath, the defect is that the wound is larger, the bleeding is more, the instrument conveying path is long, and the recovery time of a patient after operation is longer. In recent years, other peripheral arterial micro-puncture approaches are attracting attention, and the concept is to puncture the dorsal and tibial arteries of a patient and then perform interventional therapy on the lesion in the reverse direction. The advantages are obvious, including: reduce puncture site trauma and reduce bleeding; the patient recovers faster and does not influence the activity of the patient; the distance from the lesion position section is short, the instrument conveying length is short, and the doctor can operate more smoothly.
For the micro-puncture intervention of the instep artery, a plurality of puncture systems and matched passage products are already available on the market, and clinicians gradually perform the operation of the intervention of the instep artery, but at present, a hemostatic device for the instep artery after the puncture is not available. The existing clinic only adopts a gauze pressurizing and packaging mode to stop bleeding on the puncture points, and the defect is obvious: 1. patient comfort is low; 2. the hemostatic efficiency is low, and the bleeding is easy to occur again; 3. the pressurizing pressure is uncontrollable, the hemostatic efficiency is affected by the too low force, the blood flow of the instep artery is affected by the too high force, and potential arterial occlusion can be caused; 4. the workload of doctors is increased, and a hemostatic device needs to be temporarily manufactured; 5. the dorsum of the foot artery is special in anatomy, and the surrounding is mainly bony structure.
To above problem, the hemostatic device of this application aims at solving the manual shortcoming of pressing hemostasis of traditional gauze, carries out accurate hemostasis by compression to the bleeding point of instep arterial puncture, reduces the emergence of complication, promotes patient's comfort level.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention provides a device for stopping bleeding by manual pressing of traditional gauze after a instep puncture operation, which can realize two-point simultaneous and precise compression of instep to stop bleeding by two-stage compression, has simple operation for doctors, can obviously reduce the occurrence of complications of puncture points and improves the comfort level and the hemostatic effect of patients. The hemostatic device can be worn directly after operation, does not influence the walking of a patient, and is adjustable. The possibility of secondary bleeding of the instep is reduced, the occurrence of instep puncture complications is reduced, the comfort level of a patient is greatly improved by the design of adjustable pressure, and the hemostatic device for instep arterial puncture is more beneficial to clinical popularization.
The technical scheme adopted by the invention is as follows: the hemostatic device for instep arterial puncture comprises an instep fixing plate and a sole fixing device capable of fixing the instep fixing plate on a foot, and further comprises a first compression device and a second compression device, wherein the first compression device and the second compression device are respectively provided with a first hemostatic head, a first hemostatic rod, a second hemostatic head and a second hemostatic rod, and the first hemostatic head and the second hemostatic head are respectively connected with the first hemostatic rod and the second hemostatic rod so as to exert pressure on the hands to stop bleeding; wherein: the dorsum manus fixation plate covers the dorsum manus artery and the anterior tibial artery, and the first hemostatic head and the second hemostatic head penetrate through the dorsum manus fixation plate to compress the dorsum manus artery or the anterior tibial artery to stop bleeding.
In the technical scheme, a first gripping part and a second gripping part are respectively arranged at the top of the first hemostatic rod and the top of the second hemostatic rod.
In the technical scheme, the instep fixing plate is provided with a U-shaped adjusting groove at the corresponding position of the instep artery and the anterior tibial artery.
In the technical scheme, the first hemostatic rod and the second hemostatic rod are adjustable in the vertical direction.
In the technical scheme, the first pressing device and the second pressing device are arranged as screw thread self-locking adjustable devices; the thread self-locking adjustable device comprises: a self-locking hemostatic head; the screw connection bushing is fixed at the top of the instep fixing plate, and a threaded connection structure is arranged in the screw connection bushing; and the hemostatic screw penetrates through the screw connection bushing and the instep fixing plate to infinitely adjust the distance between the self-locking hemostatic head connected to the end of the hemostatic screw and the instep artery or the anterior tibial artery.
In the technical scheme, a fine adjustment screw sleeve is further connected to the outer side of the threaded length of the hemostatic screw, and a spring is connected between the fine adjustment screw sleeve and the screw connection bushing.
In the technical scheme, the first pressing device and the second pressing device are arranged as a multi-gear adjusting device; the multi-stage adjustment device has:
a multi-stage hemostatic head; and
the multi-gear hemostatic rod is provided with at least one elastic telescopic clamping head; and
the multi-gear hemostatic clamp sleeve is provided with a plurality of vertically arranged clamping holes, and the clamping holes are used for supplying the elastic telescopic clamp sleeve to be inserted and limited.
In the technical scheme, the distance between the first hemostatic rod and the second hemostatic rod is 2-4cm.
In the technical scheme, the number of the instep fixing plates is two, the two instep fixing plates are symmetrically arranged on two sides of the instep respectively, the width of each instep fixing plate is 3.5-5.5cm, and the length of each instep fixing plate is 5.5-8.5cm; meanwhile, the instep fixing plate is made of high polymer materials or metal materials.
In the technical scheme, the first hemostasis head and the second hemostasis head are of a ball-like structure or a balloon-type structure, and gas, liquid or silica gel flexible solids are filled in the balloon-type structure.
In the technical scheme, the first hemostasis head and the second hemostasis head are internally provided with pressure sensors, and the pressure sensors are connected with a display screen.
Compared with the prior art, the invention has the beneficial effects that:
1. wear hemostatic device in patient's foot, fix instep fixed plate and sole fixed device in instep artery = department or shank anterior arterial department corresponding position, first compressor arrangement of rational adjustment and second compressor arrangement realize two points simultaneously quick hemostasis through two segmentation hemostasis by compression, can show the emergence that reduces puncture point complication, promote patient's comfort level and hemostatic effect.
2. The hemostatic device can be worn directly after operation, does not influence the walking of a patient, and is simple to operate and adjustable for doctors.
3. Based on anatomical features of the dorsum of the foot artery and surrounding tissues, the compression bleeding point is more accurate, and simultaneously, the compression to other surrounding tissues and nerves is reduced, so that the discomfort of a patient is reduced.
4. Through the mechanism is oppressed to the two segmentation hemostasis head that are spheroid structure or are sacculus structure, accurate oppression instep hemostasis, reduce the possibility that the instep bleeds once more, promote hemostasis efficiency and reduce the emergence of complication, the design of adjustable pressure greatly promotes patient's comfort level, more is favorable to clinical popularization.
5. The instep fixation plate in the whole device reconstructs the individual anatomy of the patient based on preoperative CT data, angiography data and parameters (weight) of the patient, and the most suitable instep fixation plate structure of the hemostatic device is selected.
In conclusion, the hemostatic device for instep arterial puncture disclosed by the invention realizes two-point simultaneous and accurate hemostasis by pressing the instep through two-stage hemostasis by compression, is simple to operate by a doctor, can obviously reduce the occurrence of complications of puncture points, and improves the comfort level and hemostatic effect of patients. The hemostatic device can be worn directly after operation, does not influence the walking of a patient, and is adjustable. The possibility of secondary bleeding of the instep is reduced, the occurrence of instep puncture complications is reduced, and the comfort level of a patient is greatly improved by the design of adjustable pressure, so that the method is more beneficial to clinical popularization.
Drawings
FIG. 1 is a block diagram of a first embodiment of a hemostatic device for dorsum-foot arterial puncture;
FIG. 2 is a block diagram of a second embodiment of a hemostatic device for dorsum-foot arterial puncture;
FIG. 3 is a block diagram of a third embodiment of a hemostatic device for dorsum-foot arterial puncture;
FIG. 4 is a schematic view of a hemostatic device for instep arterial puncture with a instep fixation plate removed;
FIG. 5 is a block diagram of one embodiment of a thread self-locking adjustable device;
FIG. 6 is a block diagram of one embodiment of a multi-speed adjustment device;
FIG. 7 is a block diagram of one embodiment of a first compression device and a second compression device;
fig. 8 is a block diagram of another embodiment of a first compression device and a second compression device;
FIG. 9 is a schematic view of the position of the dorsal aspect of a foot requiring hemostasis by compression of a first compression device and a second compression device;
wherein: 1-instep fixing plate, 11-U type adjusting groove; 2-sole fixation device, 3-first compression device, 31-first hemostatic head, 32-first hemostatic rod, 33-first grip; 4-a second compression device, 41-a second hemostasis head, 42-a second hemostasis rod, 43-a second grip; 5-, 51-dorsum manus artery, 52-anterior tibial artery; 6-screw thread self-locking adjustable device, 61-self-locking hemostatic head, 62-hemostatic screw, 63-screw thread connecting structure, 64-screw connecting bushing, 65-fine adjusting screw sleeve and 66-spring; 7-multi-gear adjusting device, 71-multi-gear hemostatic head, 72-multi-gear hemostatic rod, 73-elastic telescopic clamp head and 74-multi-gear hemostatic clamp sleeve.
Detailed Description
Embodiments of the present invention are described in detail below, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to like or similar elements or elements having like or similar functions throughout. The embodiments described below by referring to the drawings are illustrative only and are not to be construed as limiting the invention.
In the description of the present invention, it should be understood that the directions or positional relationships indicated by the terms "center", "upper", "lower", "front", "rear", "left", "right", etc., are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the indicated combinations or elements must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present invention. In addition, in the description process of the embodiment of the present invention, the positional relationships of the devices such as "upper", "lower", "front", "rear", "left" and "right" in all the figures are all standardized in fig. 1.
As shown in fig. 1, 2, 3 and 4, the hemostatic device for instep arterial puncture comprises an instep fixing plate 1 and a sole fixing device 2 capable of fixing the instep fixing plate 1 on a foot, the hemostatic device further comprises a first compression device 3 and a second compression device 4, the first compression device 3 and the second compression device 4 respectively comprise a first hemostatic head 31, a first hemostatic rod 32, a second hemostatic head 41, a second hemostatic rod 42, and the first hemostatic head 31 and the second hemostatic head 41 are respectively connected with the first hemostatic rod 32 and the second hemostatic rod 42 so as to press and stop bleeding by hand;
wherein: the dorsum manus fixation plate 1 covers the dorsum manus artery and the anterior tibial artery, and simultaneously the first hemostatic head 31 and the second hemostatic head 41 penetrate through the dorsum manus fixation plate 1 respectively to compress the dorsum manus artery 51 or the anterior tibial artery 52 to stop bleeding, and the first compression device 3 and the second compression device 4 compress the puncture point of the dorsum manus artery respectively to achieve accurate compression hemostasis and compress the anterior tibial artery above, reduce the blood flow of the anterior tibial artery and assist hemostasis. The distance between the two pressing devices is 2-4cm. During specific operation, the first compression device 3 of the first compression point is aligned with the puncture point of the instep artery 51, and the pressure of the adjusting device is adjusted to perform compression hemostasis, so that the accurate compression effect is achieved. And the second compression device 4 at the second compression point is aligned with the anterior tibial artery 52, the pressures of the first hemostasis head 31 and the second hemostasis head 41 of the first compression device 3 and the second compression device 4 are adjusted, the pressure at the second compression point is not higher than the compression pressure gear of the first compression point, the blood flow of the anterior tibial artery is reduced, and the compression hemostasis is assisted. Comprehensively, the hemostatic device can be worn directly after the puncture operation, does not influence the walking of a patient, and is simple and adjustable for a doctor to operate. Second, based on the anatomical features of the dorsum manus artery and surrounding tissues as shown in fig. 9, the bleeding points pressing the dorsum manus were more accurate, and the compression to other surrounding tissues and nerves was reduced, thus reducing the discomfort of the patient. In addition, the hemostatic device has the advantages that through the two-section compression mechanism of the double-sac structure, the hemostatic device is capable of achieving accurate hemostasis by compression, reducing the possibility of secondary hemorrhage, improving the hemostatic efficiency, reducing the occurrence of complications, and greatly improving the comfort level of patients through the design of adjustable pressure, so that the hemostatic device is more beneficial to clinical popularization.
In some embodiments, as shown in fig. 3 and 7, the first and second hemostatic rods 32, 42 are provided with first and second grips 33, 43, respectively, on top thereof for surgical grasping by a hemostatic staff for manipulating the first and second hemostatic rods 32, 42 for hemostatic operation.
In at least some embodiments, the instep fixing plate 1 is provided with a U-shaped adjusting groove 11 at the corresponding position of the instep artery and the anterior tibial artery, so as to adjust the specific positions of the compression hemostasis points of the first compression device 3 and the second compression device 4 according to different foot shapes during hemostasis, and better adapt to hemostasis after puncture. In a specific operation, the U-shaped adjusting grooves 11 of the first pressing device 3 and the second pressing device 4 can be connected into a whole, so that the processing is convenient.
In at least some embodiments, the first hemostatic rod 32 and the second hemostatic rod 42 are adjustable in the vertical direction, so as to realize up-and-down displacement of the connecting rod and the compression device, and further adjust the compression pressure of the compression point, thereby achieving the hemostatic effect, reducing the occurrence of complications of the puncture point and improving the comfort level of the patient.
In at least some embodiments, the first compression device 3 and the second compression device 4 are provided as threaded self-locking adjustable devices 6 as shown in fig. 5; the thread self-locking adjustable device 6 has: a self-locking hemostatic head 61; the screw connection bushing 64 is fixed at the top of the instep fixing plate 1, and a threaded connection structure is arranged in the screw connection bushing 64; and the hemostatic screw 62 penetrates through the screw connection bushing 64 and the instep fixing plate 1, so as to infinitely adjust the distance between the self-locking hemostatic head 61 connected to the end of the hemostatic screw and the instep artery 51 or the anterior tibial artery 52, thereby achieving the purpose of pressing the instep artery 51 or the anterior tibial artery 52 without pressing force, finally achieving different hemostatic effects, and the threaded self-locking adjustable device 6 can adjust the distance between the self-locking hemostatic head 61 connected to the end of the hemostatic screw and the instep artery 51 or the anterior tibial artery 52 by only rotating the hemostatic screw 62 when in use, thereby realizing pressure adjustment. So long as the reasonable design of the threaded length of the hemostatic screw 62 and the threaded height of the threaded bushing 64 is achieved at the time of design.
In at least some embodiments, as can also be seen from fig. 5, a fine adjustment screw sleeve 65 is further connected to the outer side of the threaded length of the hemostatic screw 62, and a spring 66 is connected between the fine adjustment screw sleeve 65 and the screw connection bushing 64, when the fine adjustment screw sleeve 65 is adjusted, the fine adjustment screw sleeve 65 compresses the bottom spring 66 to slowly compress the screw connection bushing 64, and the screw connection bushing 64 compresses the instep fixing plate 1 downward, so as to achieve fine adjustment of the self-locking hemostatic head 61, in such a way that the adjustment is relatively slow and has a relatively comfortable effect.
In at least some embodiments, as shown in fig. 6, the first compression device 3 and the second compression device 4 are provided as a multi-stage adjustment device 7; the multi-gear adjusting device 7 is provided with a multi-gear hemostatic head 71 and a multi-gear hemostatic rod 72, and at least one elastic telescopic clamp 73 is arranged on the multi-gear hemostatic rod 72; the multi-gear adjusting device 7 further comprises a multi-gear hemostatic clamp sleeve 74, wherein a plurality of vertically arranged clamping holes are formed in the multi-gear hemostatic clamp sleeve 74 and used for supplying the elastic telescopic clamp 73 to be inserted into the limiting position, and further the distance between the multi-gear hemostatic rod 72 and the instep artery 51 or the anterior tibial artery 52 in the vertical direction is locked. The multi-stage adjustment device 7 of the present invention may have other telescopic adjustment structures, such as a pressing structure like a ball pen, or other knob structures, as long as multi-stage adjustment can be achieved. In the specific implementation process, the number of the gears of the multi-gear adjusting device 7 is generally two-level to five-level adjustable, the use requirement can be basically met, and the multi-gear adjusting device is moderate in overall structure and convenient to use.
In at least some embodiments, as seen in fig. 1-4, the first hemostatic rod 32 and the second hemostatic rod 42 are positioned at a distance of 2-4cm, which is compatible with the distance of the corresponding dorsum manus artery 51 or anterior tibial artery 52, to provide better compression hemostasis of the dorsum manus artery 51 and anterior tibial artery 52.
In at least some embodiments, as can be further seen from fig. 4, the instep fixing plates 1 are two pieces, and are symmetrically arranged at two sides of the instep, and each piece has a width of 3.5-5.5cm and a length of 5.5-8.5cm; meanwhile, the high polymer material or the metal material of the instep fixing plate 1 is characterized by enough hardness to enable the high polymer material or the metal material to have enough mechanical properties, so that the compression point has enough compression pressure, the shape and the curvature of the instep fixing plate can accord with the physiological characteristics of the instep bone structure, and the comfort of the instep fixing plate is improved.
In at least some embodiments, as can be seen from fig. 1 to 8, the first hemostatic head 31 and the second hemostatic head 41 are in a ball-like structure or a balloon-like structure, and are filled with gas, liquid or silica gel flexible solid when in a balloon-like structure, the whole length is 1-2cm, the diameter is about 1-1.5cm, the compression device is formed by combining composite materials, the compliance of one side of the compression device, which is attached to the skin, is strong, and the other side of the compression device is high in hardness/low in compliance, and is characterized in that the compression device can better compress the instep artery positioned in front of the bony structure. The balloon-like structure focuses the pressure on the soft vascular site. The balloon pattern may be internally filled with a gas, liquid, or a flexible solid of the silicone type, or the like.
In at least some embodiments, a pressure sensor may be further disposed in the first hemostasis head 31 and the second hemostasis head 41, and the pressure sensor is connected with a display screen, so as to observe the pressure values of the first hemostasis head 31 and the second hemostasis head 41 in real time, and can view and adjust the pressure of the compression point in real time, quantify the pressure of the hemostasis, more facilitate the doctor to collect the data of the compression pressure, realize quantification and systemization of the hemostasis pressure and the hemostasis completion time, and be used for improving the intelligent use effect of the hemostasis device for instep arterial puncture.
In addition, supplementary explanation is that: the sole fixing device 2 is made of nylon, plastic, silica gel and other materials, and has the characteristics of good fit with the sole, adjustable tightness and good ventilation, and no influence on walking and comfort due to softness.
The embodiments of the present invention are disclosed as preferred embodiments, but not limited thereto, and those skilled in the art will readily appreciate from the foregoing description that various extensions and modifications can be made without departing from the spirit of the present invention.