CN117679112A - Visual inguinal of individualized pressure lasts integrative device of accurate oppression braking - Google Patents

Abstract

The invention discloses a personalized pressure-visible inguinal continuous and accurate compression and braking integrated device, which comprises an ilium fixing band capable of being wound at the pelvis of a patient, a point-pressing pressure-adjustable inflatable air bag capable of pressing the femoral artery puncture point of the patient and a leg braking device, wherein two ends of the ilium fixing band are respectively provided with a magic tape fixing piece strip for connection. The invention has the accurate pressing function along the femoral artery, can ensure the thigh brake at the puncture side during the bedridden period of patients, can ensure effective pressing during the movement, and has adjustable pressure so as to improve the success rate of pressing the puncture point. In particular, the doctor does not need to press the puncture point manually after operation, and the patient can normally go to the toilet and keep effective pressure, thereby avoiding urinary retention after operation and accelerating the metabolism of contrast agent.

Description

A personalized pressure-visible groin continuous and accurate compression and braking integrated device

Technical field

The invention relates to the technical field of medical equipment manufacturing, and specifically to a personalized pressure-visible groin continuous and accurate compression and braking integrated device.

Background technique

The so-called femoral artery is the main trunk of the lower limb arteries. It is continued from the external iliac artery and enters the femoral triangle deep to the midpoint of the inguinal ligament. Within the femoral triangle, the femoral artery is first located on the lateral side of the femoral vein, gradually crosses from the lateral side to the front of the femoral vein, descends into the adductor canal, and then penetrates the adductor tendon hiatus to the popliteal artery. The femoral artery is superficially located at the key point of the groin, and its pulse can be felt. It is the site for clinical emergency compression to stop bleeding and puncture.

Femoral artery puncture is a common vascular interventional diagnosis and treatment technology, which is often used for the diagnosis and treatment of cardiovascular and cerebrovascular diseases. Generally, the femoral artery located in the groin is selected for puncture. First, it needs to be performed under local anesthesia, and then the catheter is passed through the femoral artery into the celiac trunk artery, hepatic artery and other branches, and the lesion site and its relationship with the surrounding tissue are clarified through angiography, and corresponding treatment is performed. This surgery can usually be used to treat acute myocardial infarction, aortic dissection, cerebrovascular disease, etc. It is understandable that after femoral artery puncture surgery, bleeding at the puncture point needs to be stopped. In the existing technology, three methods are mainly used to stop bleeding at the puncture point: traditional finger compression with sandbag assistance, compression with a compressor, and suture with a vascular stapler.

At present, most clinical practices use the traditional finger compression sandbag-assisted method. The traditional finger compression sandbag-assisted puncture point hemostasis method is to continue finger pressure on the puncture point for 30 minutes after removing the catheter sheath, and then cover the puncture point with 4-5 layers of gauze and use two elastic strips. A wide tape is pasted crosswise on the iliac patch and the inner thigh to position the gauze, and a sandbag of about 2kg is used to compress the puncture point. After the patient is returned to the ward, the ward nurse needs to use a sandbag of the same quality to continue compressing the puncture point for about 6 hours, and then immobilize the affected thigh for 24 hours after removing the sandbag.

Compressor puncture point compression and hemostasis method uses a disposable femoral artery compression hemostat to bind and compress the puncture point. After 30 minutes, turn the knob half a turn, and then turn it one turn after another 1 hour. Remove the compressor and immobilize the affected thigh 6 hours after the operation. 24h.

However, the above-mentioned hemostasis methods have the following technical flaws: first, pseudoaneurysms and arteriovenous fistulas may form at the puncture point; secondly, bleeding and hematoma, retroperitoneal hematoma, deep vein thrombosis of the lower limbs, and arterial thrombosis at the puncture point may occur at the puncture point. Complications such as distal limb ischemia.

In other words, continuous compression is required to stop bleeding after femoral artery puncture. This problem has always troubled medical workers. In addition, patients can only lie flat after surgery and cannot change the lying position at will. Otherwise, the sandbag will shift and lose the compression effect, leading to the risk of bleeding. Increase. In addition, when tearing to remove the elastic tape, it is easy to damage the groin skin barrier and increase the patient's pain. For the puncture point compression and hemostasis method, since the puncture needle needs to travel a certain distance from the skin to the artery, pressing along the blood vessel to stop bleeding is the only effective compression. Moreover, the patient's activities are still limited, and the patient has to subjectively control the lower limb on the puncture side. Do not move, or have family members take care of and restrain the lower limbs for a long time. The immobilization time of up to 24 hours will change the patient's urination pattern. Most patients cannot adapt to bed rest and urinate, so they can only subjectively limit the amount of water they drink. In severe cases, it can lead to urinary retention, causing the contrast agent to stay in the body for a long time and cause contrast agent encephalopathy and other adverse effects. as a result of. However, vascular staplers are difficult to be promoted and adopted on a large scale because they are expensive.

Contents of the invention

The purpose of the present invention is to provide a personalized pressure-visible groin continuous and accurate compression and braking integrated device, which has the function of precise compression along the course of the femoral artery, and can ensure braking of the thigh on the puncture side while the patient is in bed, and also during movement. It can ensure effective compression and the pressure is adjustable. The compression plan can be customized according to the femoral artery pulse of each patient to improve the success rate of puncture point compression and patient comfort. In particular, the doctor does not need to manually press the puncture point after surgery, and the patient can go to the toilet normally and maintain effective pressure, eliminating postoperative urinary retention and accelerating contrast agent metabolism.

In order to achieve the above objects, the present invention adopts the following technical solutions:

A personalized pressure-visible continuous and accurate groin compression and braking integrated device, including an iliac fixed belt that can be placed around the patient's pelvis, a point-pressure-adjustable inflatable air bag that can press the patient's femoral artery puncture point, and a leg Internal braking device, both ends of the iliac fixation belt are equipped with Velcro fixing strips for connection.

The length of the iliac fixation strap should ensure that it can surround the patient's pelvis, and three models of large, medium and small can be provided according to the body shape of different patients. In addition, the iliac fixation strap can be made of breathable polyester material and can be quickly connected through Velcro fixing strips at both ends. In addition, the point-pressure adjustable inflatable air bag can be fixed on the iliac fixation belt to provide pressing pressure to the patient's groin puncture point. The leg braking device can prevent the iliac fixed belt, especially the point-pressure adjustable inflatable air bag from moving in any way, so as to improve the success rate of puncture point pressing, and at the same time allow the patient to go to the toilet normally and maintain effective pressure, preventing Postoperative urinary retention accelerates contrast agent metabolism.

Preferably, the end of the Velcro fixing strip at one end of the iliac fixation belt is provided with two dividing gaps, upper and lower, so that the Velcro fixing strip is divided into upper, middle and lower strips.

We know that the upper circumference of the human body's iliac part is smaller than the middle circumference, that is to say, the human body's iliac part is roughly gourd-shaped. To this end, the present invention is provided with upper and lower dividing gaps at the end of the Velcro fixing strip at one end of the iliac fixation belt, thereby dividing the Velcro fixing strip into upper, middle and lower strips, so that according to the Iliac features ensure a tight connection between the Velcro fastener strips.

Preferably, the three strips of Velcro fixing strips at one end of the iliac fixation belt have a hook surface on the inside and a rough surface on the outside. The Velcro fixing strips at the other end include an inner strip with a rough surface on the outside and a hook surface on the inside. The outside strips of the face.

When the iliac part needs to be fixed and connected to the patient's body, the inner hook surface of the three Velcro fixing strips at one end of the iliac fixation belt can be connected to the inner hook surface of the Velcro fixing strip at the other end. The outer rough surface forms a quick connection, and then the inner hook surface of the outer strip is pressed to the outer rough surface of the three strips to form a double Velcro connection. In this way, even if the patient inadvertently tears the outer strip, it will not cause the iliac fixation strap to come off, thus ensuring its reliable connection.

Preferably, the point-pressure adjustable inflatable airbag is provided with a hook surface on the back, and the outer side of the iliac fixation belt is provided with a rough surface. Detachable Velcro connection.

Since the back of the inflatable air bag is provided with a hook surface and the outside of the iliac fixation belt is provided with a fur surface, the inflatable air bag can form a quick Velcro connection with the fur surface on the outside of the iliac fixation belt, making it convenient to use.

Preferably, the point-pressure-adjustable inflatable airbag is provided with a transverse plastic pressure piece at the end near the patient. The plastic pressure piece is in a straight shape and is perpendicular to the iliac fixation belt.

The straight-shaped plastic compression piece can compress the femoral artery puncture point in a straight line. Even if the puncture needle forms a long distance between the subcutaneous tissue and the femoral artery, it can effectively compress it, thereby improving its effect.

Preferably, both ends of the plastic pressure piece are bent upward.

In this way, the patient can still maintain the compression effect when bending the thigh, and combined with the leg braking device, the compression effect can also be exerted when using the toilet.

As a preferred option, the point-pressure-adjustable inflatable air bag is connected to an elastic hand-held ball that can electronically display pressure and arterial pulsation through a hose. The arterial pulsation sensor probe is pasted on the dorsum of the foot on the surgical side to personalize the pressure of the inflatable air bag. Adjustable, thus making it easier for the doctor to pass written instructions.

Preferably, the leg braking device includes an elastic tube that can be put on the patient's thigh. Its upper end is detachably connected to the iliac fixation belt through Velcro, and its lower end is provided with a knee strap. The elastic tube is spaced apart. There are several vertical aluminum alloy strips.

The elastic tube forms a detachable connection with the iliac fixation belt through the Velcro on the upper end, and the lower end is fixed on the patient's knee through the knee strap, and the aluminum alloy strips spaced in the elastic tube can ensure that the patient is in bed and The thigh brake keeps the thigh from bending during uprightness, while the aluminum alloy strip can be easily removed together with the elastic tube.

Therefore, the present invention has the function of precise compression along the course of the femoral artery, and can ensure the braking of the thigh on the puncture side when the patient is in bed. It can also ensure effective compression during movement, and the pressure is adjustable to improve the success rate of puncture point compression. In particular, the doctor does not need to manually press the puncture point after surgery, and the patient can go to the toilet normally and maintain effective pressure, eliminating postoperative urinary retention and accelerating contrast agent metabolism.

Description of the drawings

Figure 1 is a schematic structural diagram of the present invention.

Figure 2 is a schematic cross-sectional view of an iliac fixation strap.

Figure 3 is a front view of the iliac strap.

Figure 4 is a structural schematic diagram of an inflatable airbag.

In the picture: 1. Iliac fixation belt 11, Velcro fixing strip 111, strip 112, dividing gap 2, inflatable air bag 21, plastic pressure piece 22, elastic hand ball 3, leg braking device 4, elastic Tube 41, knee straps.

Detailed ways

The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments.

As shown in Figure 1, a personalized pressure-visible groin continuous and accurate compression and braking integrated device is suitable for compressing and stopping bleeding at the puncture point of the patient's groin after femoral artery puncture. Specifically, it includes an iliac fixation belt 1 that can be placed around the patient's pelvis, a point-pressure adjustable inflatable air bag that can press the patient's femoral artery puncture point, and a leg braking device 3, in which both ends of the iliac fixation belt Each has a Velcro fixing strip for connection.

Since the iliac fixation strap needs to be placed on the patient's iliac part, the length of the iliac fixation strap should ensure that it can wrap around the patient's pelvis. Specifically, three sizes, large, medium and small, can be set according to the body shape of the patient. In addition, the iliac fixation strap can preferably be made of breathable polyester fiber material, and the Velcro fixing strips at both ends can quickly connect and remove the iliac fixation strap, thereby making it convenient to use. Of course, the point-pressure adjustable inflatable balloon can be fixed on the iliac strap to provide appropriate compression pressure to the patient's groin puncture point. The leg braking device can prevent the iliac fixed belt, especially the point-pressure adjustable inflatable air bag from moving in any way, so as to improve the success rate of puncture point pressing, and at the same time allow the patient to go to the toilet normally and maintain effective pressure, preventing Postoperative urinary retention accelerates contrast agent metabolism.

We know that the upper circumference of the human body's iliac part is smaller than the middle circumference, that is to say, the human body's iliac part is roughly gourd-shaped. As a preferred solution, as shown in Figures 2 and 3, the end of the Velcro fixing strip 11 at one end of the iliac fixation belt is provided with two dividing gaps 112 at the upper and lower ends, thereby evenly dividing the Velcro fixing strip. Into three strips 111: upper, middle and lower. Furthermore, the upper, middle and lower strips at one end can be compliantly connected to the Velcro fixed strip at the other end according to the characteristics of the iliac part.

Further, three of the Velcro fixing strips at one end of the iliac fixation belt have a hook surface on the inside and a rough surface on the outside. The Velcro fixing strips at the other end include an inner strip with a rough surface on the outside and a hook surface on the inside. Or, the three strips of Velcro fixing strips at one end of the iliac fixation belt have a rough surface on the inside and a hook surface on the outside, and the Velcro fixing strips on the other end include an inner piece with a hook surface on the outside. strips and outer strips with a rough inner side.

In this way, when the iliac part needs to be fixed and connected to the patient's body, the inner hook surface (or rough surface) of the three Velcro fixing strips at one end of the iliac fixation belt can be connected to the Velcro fixing strips at the other end. The outer rough surfaces (or hook surfaces) of the inner strips are fixed to form a quick connection, and then the inner hook surfaces (or rough faces) of the outer strips are pressed to the outer rough surfaces (or hook faces) of the three strips. ), forming a double Velcro connection. In this way, even if the patient or caregiver inadvertently tears the outer strip, it will not cause the iliac fixation strap to be detached, thereby ensuring its reliable connection.

As another preferred solution, as shown in Figure 4, the back of the point-pressure adjustable inflatable airbag 2 is provided with a hook surface (or rough surface), and the outside of the iliac fixed belt is provided with a rough surface (or hook surface), so that The inflatable air bag can form a quick Velcro connection with the fur surface (or hook surface) on the outside of the iliac fixation strap, making it easy to use.

Furthermore, the point pressure-adjustable inflatable air bag is provided with a transverse plastic pressure piece 21 at the end near the patient. The plastic pressure piece is in a straight shape and is approximately perpendicular to the iliac fixation belt.

The straight-shaped plastic compression piece can compress the femoral artery puncture point in a straight line. In this way, even if the puncture needle forms a long distance between the subcutaneous tissue and the femoral artery, it can effectively compress it, thus improving its compression and hemostasis effect.

Furthermore, both ends of the plastic pressure piece are bent upward. In this way, the patient can still maintain the compression effect when bending the thigh, and combined with the leg braking device, the patient can still exert the compression effect when using the toilet.

As a third preferred solution, the point-pressure-adjustable inflatable air bag is connected to an elastic hand-kneaded ball 22 through a hose, so that the inflatable air bag can be inflated and pressurized by squeezing the elastic hand-kneaded ball. Of course, we can connect an electronic pressure and arterial pulse display meter 23 to the hose, and the arterial pulse sensor probe is pasted on the dorsum of the foot on the operating side to display the pressure when the patient's femoral artery pulse disappears and reappears. In this way, the pressure of the inflatable air bag can be adjusted individually according to the doctor's written instructions, and thus the pressure at the hemostasis point can be adjusted individually.

Finally, as shown in Figure 1, the leg braking device includes an elastic tube 4 that can be placed on the patient's thigh. The upper end of the elastic tube is detachably connected to the iliac fixation belt through Velcro (the filled part in the figure). , a knee strap 41 is provided on the outside of the lower part of the elastic tube. In this way, the elastic tube forms a detachable connection with the iliac fixation belt through the Velcro on the upper end, and the lower end is fixed on the patient's leg with a knee strap. Of course, the upper end of the elastic tube can be detachably connected to the iliac fixation belt through several Velcro strips. At this time, the Velcro strips are spaced apart in the circumferential direction. In addition, a number of vertical aluminum alloy strips are arranged at intervals within the elastic tube to ensure that the patient's thighs are not bent while lying in bed or standing upright. The aluminum alloy strips can be easily disassembled together with the elastic tube. It should be noted that the elastic tube is preferably made of knitted fiber with stretch elasticity.

Claims (8)

1. The utility model provides a visual inguinal of individualized pressure continuously accurate oppression braking integrative device, its characterized in that, including can wind the ilium fixed band of establishing in patient pelvis department, can press the adjustable inflatable gasbag of spot pressure formula pressure of patient femoral artery puncture point, shank arresting gear, ilium fixed band both ends are equipped with the magic subsides stationary blade strip that is used for connecting respectively.

2. The device for continuously and accurately pressing and braking the groin with visual personalized pressure according to claim 1, wherein the end part of the fixing strip of the magic tape at one end of the fixing strip of the ilium part is provided with an upper dividing gap and a lower dividing gap so as to divide the fixing strip of the magic tape into an upper strip, a middle strip and a lower strip.

3. The device for continuously and accurately pressing and braking the groin with visible personalized pressure as claimed in claim 2, wherein the three strips of the velcro fixing strip at one end of the ilium fixing band are hooked on the inner side, the outer side is a rough surface, and the velcro fixing strip at the other end comprises an inner strip with the outer side being a rough surface and an outer strip with the inner side being a hooked surface.

4. The device for continuously and accurately pressing and braking the inguinal region with the visual personalized pressure according to claim 1, wherein the back surface of the point-pressing type pressure-adjustable inflatable air bag is provided with a hook surface, the outer side of the ilium fixing belt is provided with a rough surface, and the point-pressing type pressure-adjustable inflatable air bag is connected with the rough surface on the outer side of the ilium fixing belt through the hook surface to form a detachable magic tape.

5. The device for continuously and accurately pressing and braking the inguinal region of the personalized pressure-visible type integrated device for braking and continuously and accurately pressing the inguinal region of the personalized pressure-adjustable inflatable air bag, according to claim 1, is characterized in that a transverse plastic pressurizing sheet is arranged at the near-patient end of the point-pressing type pressure-adjustable inflatable air bag, and the plastic pressurizing sheet is in a shape of a straight line and is perpendicular to an ilium fixing belt according to the running direction of a femoral artery during installation.

6. The personalized pressure-visible inguinal continuous accurate compression and braking integrated device according to claim 5, wherein two ends of the plastic pressurizing sheet are bent upwards.

7. The personalized pressure-visible inguinal continuous and accurate compression and braking integrated device according to claim 1, wherein the point pressure type pressure-adjustable inflatable air bag is connected with an elastic hand-pinching ball capable of electronically displaying pressure and an arterial pulsating device through a hose, and an arterial pulsating monitoring point is an operation side instep artery.

8. The device for continuously and accurately pressing and braking the groin with the visual personalized pressure according to claim 1, wherein the leg braking device comprises an elastic tube which can be sleeved on the waist to thigh of a patient, the upper end of the elastic tube is aligned with the upper edge of a waist fixing band, the elastic tube is vertically stuck on the waist fixing band through a magic tape and extends to the knee, a knee protection binding band is arranged at the lower end of the elastic tube and is fixed on the knee, and a plurality of vertical aluminum alloy strips are arranged in the elastic tube at intervals.