CN118161215A - Radial artery puncture hemostasis device after coronary angiography - Google Patents

Radial artery puncture hemostasis device after coronary angiography Download PDF

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Publication number
CN118161215A
CN118161215A CN202410315021.6A CN202410315021A CN118161215A CN 118161215 A CN118161215 A CN 118161215A CN 202410315021 A CN202410315021 A CN 202410315021A CN 118161215 A CN118161215 A CN 118161215A
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CN
China
Prior art keywords
hemostatic
fixedly connected
radial artery
coronary angiography
artery puncture
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Pending
Application number
CN202410315021.6A
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Chinese (zh)
Inventor
刘涛
张向荣
杨瑞金
高瑜
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987 Hospital Of Joint Logistics Support Force Of Pla
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987 Hospital Of Joint Logistics Support Force Of Pla
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Application filed by 987 Hospital Of Joint Logistics Support Force Of Pla filed Critical 987 Hospital Of Joint Logistics Support Force Of Pla
Priority to CN202410315021.6A priority Critical patent/CN118161215A/en
Publication of CN118161215A publication Critical patent/CN118161215A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a radial artery puncture hemostasis device after coronary angiography, and particularly relates to the field of cardiovascular medicine. The nursing staff rotates the screw thread post, and the screw thread post rotates and moves left, drives the piston and moves left, thereby to the inside injection gas of seal tube, thereby atmospheric pressure drives sealing plug downwardly moving, drives the hemostatic plate downwardly moving, makes hemostatic plate bottom support patient wound department, and nursing staff observes the pressure scale and judges the extrusion force of hemostatic plate to patient wound department this moment, and pressure should not be too big in the initial time, and after the doctor slowly pulls out the sheath, the nursing staff rotates the screw thread post again and increases hemostatic plate to patient wound department's pressure, and pressure is suitable, and the nursing staff stops to rotate the screw thread post. Thereby facilitating the medical staff to adjust the extrusion force of the hemostatic device to the wound.

Description

Radial artery puncture hemostasis device after coronary angiography
Technical Field
The invention relates to the technical field of cardiovascular medicine, in particular to a radial artery puncture hemostasis device after coronary angiography.
Background
In the process of coronary angiography, a doctor can puncture the radial artery at the wrist of a patient, after the puncture is completed, the contrast catheter is sent to the coronary artery opening part along the blood vessel, namely near the heart, finally, the contrast agent is injected into the coronary artery, at the moment, the coronary artery can be clearly displayed, the contrast catheter is withdrawn, and the hemostasis is needed to be pressed at the puncture part. However, because the puncture radial artery blood pressure is strong, if the puncture part is not timely stopped, a great amount of blood overflows, so that the radial artery puncture hemostatic device is provided.
The Chinese patent discloses a radial artery puncture intervention postoperative hemostasis device with the publication number of CN217285950U, the application date is 2022.03.02, the patent technology comprises a sub-hasp and a main-hasp which are movably bonded by a velvet layer and a hook layer, and the cooperation of a converging through groove is sufficient for firmly fixing an air bag at a puncture point position, and is different from a closed annular air bag; however, the above patent cannot achieve the hemostatic effect by squeezing the wound, but the above patent cannot allow medical staff to intuitively see the squeezing force of the hemostatic device on the wound, so that the hemostatic device is difficult to control the squeezing force of the hemostatic device on the wound when the medical staff uses the hemostatic device. Accordingly, the present inventors have provided a post-coronary angiography radial artery puncture hemostatic device to address the problems set forth in the background art above.
Disclosure of Invention
The invention aims to provide a radial artery puncture hemostasis device after coronary angiography, which is convenient for medical staff to adjust the extrusion force of the hemostasis device to a wound.
The aim of the invention can be achieved by the following technical scheme:
The utility model provides a radial artery puncture hemostasis device after coronary angiography, includes the base, the standing groove has been seted up to the top intermediate position of base, but the connecting plate of reciprocates is installed at the top of base, install hemostasis mechanism on the connecting plate, hemostasis mechanism includes the sealed section of thick bamboo with connecting plate fixed connection, the sliding connection of sealed section of thick bamboo has the sealing plug of removal, sealing plug bottom fixedly connected with hemostatic plate; the sealing device is characterized in that an input pipe made of transparent materials is fixedly connected to the top of the right side of the sealing cylinder, the joint of the input pipe and the sealing cylinder is communicated, a piston capable of moving left and right is arranged in the input pipe, and pressure scales are arranged on the front face of the input pipe.
As still further aspects of the invention: the utility model discloses a piston, including input tube, piston, screw thread protruding is provided with to inside one side of input tube, inside one side of input tube is provided with the screw thread protruding, and inside one side of input tube is connected with the screw thread post through the screw thread protruding screw thread, one side fixedly connected with piston of screw thread post.
As still further aspects of the invention: the left side and the right side of the top of the base are provided with movable grooves, the inside of each movable groove is connected with a connecting block in a sliding manner, and the inner sides of the tops of the two connecting blocks are fixedly connected with the connecting plates; the right side the fixed slot has been seted up on the right side of movable slot, the thread groove has been seted up on the right side of fixed slot, the inside threaded connection of thread groove has the double-screw bolt, the left side fixedly connected with of double-screw bolt supports the dish, it has seted up anti-skidding line to support the left side surface of dish.
As still further aspects of the invention: mirror symmetry positioning grooves are formed in two sides of the bottom of the connecting plate, mirror symmetry guide rods are arranged on the front side and the rear side of the inside of the positioning groove, and the guide rods are fixedly connected with the left side and the right side of the positioning groove; the two guide rods on the same side are connected with positioning plates in a sliding manner, the bottoms of the positioning plates are fixedly connected with laminating plates, and the laminating plates are arc-shaped for laminating arms of patients.
As still further aspects of the invention: the inside top of sealed section of thick bamboo is connected with the cavity pipe, the inside sliding connection of cavity pipe has the extension rod, the bottom and the sealing plug fixed connection of extension rod.
As still further aspects of the invention: the hemostatic plate is arc-shaped.
As still further aspects of the invention: the opposite sides of the two positioning plates are fixedly connected with guide blocks, the guide blocks are parallelogram, and the opposite sides of the two guide blocks are provided with moving grooves; the left and right sides of the top of the hemostatic plate are fixedly connected with support blocks, and the support blocks are in sliding connection with the corresponding moving grooves.
As still further aspects of the invention: the movable groove is concave, and the support block is matched with the movable groove in shape.
Compared with the prior art, the invention has the beneficial effects that:
This cardiovascular internal medicine coronary angiography postoperative radial artery puncture hemostasis device, through placing patient's puncture side hand in the standing groove, right under the hemostasis mechanism with the position of puncture department, then the distance of regulation hemostasis mechanism and patient's hand is slided down to the connecting plate, make the laminating board laminate patient's forearm left and right sides surface, then doctor outwards pulls out 3-4 centimetres with the sheath, rotate the screw thread post by the nursing staff, the screw thread post rotates and moves left, drive the piston and move left, thereby pour into gas into to sealing tube inside, thereby atmospheric pressure drives the sealing plug and moves down, drive the hemostatic board and move down, make hemostatic board bottom support patient's wound, the pressure scale is observed to judge the extrusion force of hemostatic board to patient's wound this moment simultaneously, pressure is unfavorable too big in the beginning, after the doctor slowly pulls out the sheath, the nursing staff rotates the screw thread post again and increases the pressure of hemostatic board to patient's wound, pressure is suitable, the nursing staff stops rotating the screw thread post. Thereby facilitating the medical staff to adjust the extrusion force of the hemostatic device to the wound.
In addition, the radial artery puncture hemostatic device after coronary angiography in cardiovascular department has the advantages that when the connecting plate is adjusted, the connecting plate slides along the inside of the movable groove, and the side surface of the connecting position of the connecting plate is matched with the section of the movable groove, so that the guiding effect of the sliding of the connecting plate is achieved; after the distance between the hemostatic mechanism and the hand of the patient is determined, the stud is rotated, so that the threads rotate along the inside of the thread groove and move leftwards until the left side surface of the abutting disc abuts against the surface of the connecting block, thereby fixing the connecting plate and positioning the hemostatic mechanism.
Drawings
FIG. 1 is a perspective view of the overall structure of a radial artery puncture hemostatic device after coronary angiography;
FIG. 2 is a schematic perspective view showing the overall structure of a radial artery puncture hemostatic device after coronary angiography;
FIG. 3 is a schematic view of another view in cross-section of the overall structure of a radial artery puncture hemostatic device after coronary angiography;
FIG. 4 is a schematic view showing a bottom perspective structure of a connecting plate in a radial artery puncture hemostatic device after coronary angiography;
Fig. 5 is another view of the overall structure of a radial artery puncture hemostatic device after coronary angiography.
Fig. 6 is a schematic view of the structure at a in a radial artery puncture hemostatic device after coronary angiography.
Fig. 7 is a schematic view of the structure at B in a radial artery puncture hemostatic device after coronary angiography.
Fig. 8 is a schematic view of the structure at C in a radial artery puncture hemostatic device after coronary angiography.
In the figure: 10. a base; 11. a placement groove; 12. a movable groove; 20. a connecting block; 21. a connecting plate; 22. a fixing groove; 23. a thread groove; 24. a stud; 25. abutting against the disc; 30. a positioning groove; 31. a guide rod; 32. a positioning plate; 33. bonding plates; 40. a hemostatic mechanism; 401. a sealing cylinder; 402. a sealing plug; 403. a hollow tube; 404. an extension rod; 405. an input tube; 406. a threaded boss; 407. a threaded column; 408. a pressure scale; 409. a piston; 50. a guide block; 51. a moving groove; 60. a hemostatic plate; 61. and a supporting block.
Detailed Description
As shown in fig. 1 and 2, the radial artery puncture hemostasis device after coronary angiography comprises a base 10, wherein a placement groove 11 is formed in the middle of the top of the base 10; the left side and the right side of the top of the base 10 are provided with movable grooves 12, the inside of the two movable grooves 12 is connected with connecting blocks 20 in a sliding manner, and the inner sides of the tops of the two connecting blocks 20 are fixedly connected with connecting plates 21; a hemostatic mechanism 40 is mounted at the bottom of the connecting plate 21.
Specifically, referring to fig. 8, a fixed slot 22 is formed on the right side of the movable slot 12, a threaded slot 23 is formed on the right side of the fixed slot 22, a stud 24 is screwed into the threaded slot 23, a support plate 25 is fixedly connected to the left side of the stud 24, and anti-slip lines (not shown in the figure) are formed on the left side surface of the support plate 25. When in use, the hand on the puncture side of a patient is placed in the placing groove 11, the position of the puncture position is right below the hemostatic mechanism 40, then the connecting plate 21 is slid downwards to adjust the distance between the hemostatic mechanism 40 and the hand of the patient, and when in adjustment, the connecting plate 21 slides along the inside of the movable groove 12, and the side surface of the connecting position of the connecting plate 21 is matched with the section of the movable groove 12, so that the guiding effect when the connecting plate 21 slides is achieved; after the distance between the hemostatic mechanism 40 and the hand of the patient is determined, the stud 24 is rotated, so that the stud 24 rotates along the inside of the threaded groove 23 and moves leftwards until the left side surface of the abutting plate 25 abuts against the surface of the connecting block 20, thereby fixing the connecting plate 21 and positioning the hemostatic mechanism 40.
In the above-described positioning of the hemostatic mechanism 40, since there is no reference, it is difficult for the medical staff to determine the distance between the hemostatic mechanism 40 and the hands of the patient, and thus a positioning mechanism is required.
Referring to fig. 4, mirror symmetrical positioning slots 30 are formed on the left and right sides of the bottom of the connecting plate 21, mirror symmetrical guide rods 31 are arranged on the front and rear sides of the interior of the positioning slots 30, and the guide rods 31 are fixedly connected with the left and right sides of the positioning slots 30; the two guide rods 31 on the same side are connected with positioning plates 32 in a sliding manner, the bottoms of the two positioning plates 32 are fixedly connected with attaching plates 33, and the attaching plates 33 are arc-shaped for attaching arms of patients. Therefore, when the hemostatic mechanism 40 is adjusted, the moving connecting plate 21 drives the two positioning plates 32 to move in the same direction until the bonding plates 33 are bonded with the left and right side surfaces of the forearm of the patient, so that the effect of determining the distance of the hemostatic mechanism 40 is achieved; while the two engagement plates 33 engage the patient's forearm to prevent the patient's forearm from tipping or moving during surgery.
Referring to fig. 2, 3, 6 and 7, the hemostasis mechanism 40 includes a sealing cylinder 401 fixedly connected with the connection plate 21, the sealing cylinder 401 penetrates through the surface of the connection plate 21, a sealing plug 402 capable of moving up and down is slidably connected with the sealing cylinder 401, a hemostasis plate 60 is fixedly connected with the bottom of the sealing plug 402, and the hemostasis plate 60 is of an arc-shaped design which is fit with the forearm of a patient, and can be fit with the surface of the forearm of the patient when in use.
Preferably, a hollow tube 403 is connected to the top of the inner side of the sealing cylinder 401, an extension rod 404 is slidably connected to the inside of the hollow tube 403, and the bottom of the extension rod 404 is fixedly connected to the sealing plug 402. When the sealing plug 402 moves up and down, the extension rod 404 is driven to slide along the inside of the hollow tube 403, so that the guiding of the sealing plug 402 during movement is achieved.
Specifically, referring to fig. 7, the top of the right side of the sealing cylinder 401 is fixedly connected with an input tube 405, the connection part of the input tube 405 and the sealing cylinder 401 is communicated, a threaded protrusion 406 is disposed on the right side of the interior of the input tube 405, the right side of the interior of the input tube 405 is in threaded connection with a threaded post 407 through the threaded protrusion 406, and the left side of the threaded post 407 is fixedly connected with a piston 409. In use, the threaded post 407 is rotated, the threaded post 407 rotates and moves leftwards, the piston 409 is driven to move leftwards, so that gas is injected into the sealing cylinder 401, and the air pressure drives the sealing plug 402 to move downwards, and the hemostatic plate 60 is driven to move downwards until the hemostatic plate 60 abuts against an arm wound of a patient. Similarly, the threaded post 407 is rotated in the opposite direction, and the threaded post 407 drives the piston 409 to move rightward, so that the gas inside the sealing cylinder 401 is guided to the inside of the input tube 405, and the gas pressure of the sealing cylinder 401 is reduced, so that the sealing plug 402 and the hemostatic plate 60 move upward to be disconnected from the arm of the patient. And the force with which the hemostatic plate 60 is depressed is proportional to the distance the piston 409 moves to the left, the further the piston 409 moves to the left, the greater the pressure of the hemostatic plate 60 against the patient's arm. And the screw boss 406 is provided only at the rightmost end of the input tube 405 without being in contact with the piston 409, thereby not affecting the airtight properties of the input tube 405.
Preferably, the front outside of the input tube 405 is provided with a pressure scale 408, and meanwhile, the input tube 405 is transparent, and the piston 409 is located at different positions of the pressure scale 408, so that the medical staff can observe the extrusion force of the hemostatic plate 60 on the wound of the patient conveniently.
In the process of pressing the hemostatic plate 60 to the wound of the patient's arm to stop bleeding, the patient's arm will deform to push the meat on the upper surface of the patient's arm to both sides, and meanwhile, the two attaching plates 33 are used to push the left and right sides of the patient's arm, so that the upper surface of the patient's arm is too much in extrusion, the extrusion area is too large, and the patient will feel uncomfortable when stopping bleeding, so that the two attaching plates 33 are required to be separated from the connection with the patient's arm when stopping bleeding.
Referring to fig. 5 and 6, the opposite sides of the two positioning plates 32 are fixedly connected with guide blocks 50, the guide blocks 50 are in a parallelogram shape, and the opposite sides of the two guide blocks 50 are provided with moving grooves 51; the left and right sides of the top of the hemostatic plate 60 are fixedly connected with support blocks 61, and the support blocks 61 are slidably connected with the corresponding moving grooves 51.
Preferably, the moving groove 51 is in a shape of a concave shape, and the supporting block 61 is in a shape matching with the moving groove 51. When the hemostatic plate 60 moves downwards, the supporting block 61 is driven to slide along the inside of the moving groove 51, and as the moving groove 51 is designed to incline upwards to downwards and inwards, along with the movement of the hemostatic plate 60, the supporting block 61 pushes the guide blocks 50 on two sides outwards, so that the positioning plate 32 slides along the surface of the guide rod 31, and the guide of the guide blocks 50 during movement is achieved. So that when the hemostatic plate 60 is applied to the wound site of the patient's arm, the two application plates 33 are disengaged from the left and right side surfaces of the patient's forearm. When the hemostatic plate 60 is moved up, the two positioning plates 32 are moved toward each other.
The above-mentioned device allows the linkage between the hemostatic plate 60 and the adhesive plates 33, which has the advantage that the first device does not need to be started separately, so that the operation of the device is simple, and the second device is characterized in that the two adhesive plates 33 are separated from two sides of the forearm of the patient while the hemostatic plate 60 is pressed down, the pressure on the two sides of the arm of the patient disappears, and a reminding signal is given to the patient, so that the operation of pressing down the hemostasis is started.
The working principle of the invention is as follows: when the hemostatic device is used, the hand on the puncture side of a patient is placed in the placing groove 11, the position of the puncture position is right below the hemostatic mechanism 40, then the connecting plate 21 is slid downwards to adjust the distance between the hemostatic mechanism 40 and the hand of the patient, the adhesive plate 33 is attached to the left and right side surfaces of the forearm of the patient, a doctor pulls out the sheath tube outwards by 3-4 cm, a nursing staff rotates the threaded column 407, the threaded column 407 rotates and moves leftwards to drive the piston 409 to move leftwards, so that gas is injected into the sealing cylinder 401, the air pressure drives the sealing plug 402 to move downwards to drive the hemostatic plate 60 to move downwards, the bottom of the hemostatic plate 60 is enabled to abut against the wound of the patient, meanwhile, the nursing staff observes the pressure scale 408 to judge the extrusion force of the hemostatic plate 60 on the wound of the patient at the moment, the pressure is not too high in the initial stage, after the doctor pulls out the sheath tube slowly, the nursing staff rotates the threaded column 407 again to increase the pressure of the hemostatic plate 60 on the wound of the patient, and the nursing staff stops rotating the threaded column 407 when the pressure is proper. After a certain time of the hemostatic operation, the threaded post 407 is reversely rotated, the threaded post 407 drives the piston 409 to move rightwards, the gas in the sealing cylinder 401 is guided into the input pipe 405, and the gas pressure of the sealing cylinder 401 is reduced, so that the sealing plug 402 and the hemostatic plate 60 move upwards to be disconnected with the arm of the patient, finally, a doctor observes whether the blood flows out of the wound of the patient, and the doctor sticks an adhesive bandage to the wound under the condition that no obvious blood flows out.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and that the above embodiments and descriptions are merely illustrative of the principles of the present invention, and various changes and modifications may be made without departing from the spirit and scope of the invention, which is defined in the appended claims.

Claims (8)

1. The utility model provides a radial artery puncture hemostasis device after coronary angiography, includes base (10), standing groove (11) have been seted up to the top intermediate position of base (10), its characterized in that, connecting plate (21) that can reciprocate are installed at the top of base (10), install hemostasis mechanism (40) on connecting plate (21), hemostasis mechanism (40) include with connecting plate (21) fixed connection's seal tube (401), the sliding connection of seal tube (401) has sealing plug (402) of removal, sealing plug (402) bottom fixedly connected with hemostatic plate (60); the sealing device is characterized in that an input pipe (405) made of transparent materials is fixedly connected to the top of the right side of the sealing cylinder (401), the connection part of the input pipe (405) and the sealing cylinder (401) is communicated, a piston (409) capable of moving left and right is arranged in the input pipe (405), and a pressure scale (408) is arranged on the front face of the input pipe (405).
2. The radial artery puncture hemostasis device after coronary angiography according to claim 1, characterized in that a threaded protrusion (406) is arranged on one side of the inner portion of the input tube (405), a threaded post (407) is connected on one side of the inner portion of the input tube (405) through the threaded protrusion (406) in a threaded manner, and a piston (409) is fixedly connected on one side of the threaded post (407).
3. The radial artery puncture hemostasis device after coronary angiography according to claim 1 is characterized in that movable grooves (12) are formed in the left side and the right side of the top of the base (10), connecting blocks (20) are connected inside the two movable grooves (12) in a sliding mode, and the inner sides of the tops of the two connecting blocks (20) are fixedly connected with connecting plates (21); the right side fixed slot (22) has been seted up on the right side of movable slot (12), thread groove (23) has been seted up on the right side of fixed slot (22), the inside threaded connection of thread groove (23) has double-screw bolt (24), the left side fixedly connected with of double-screw bolt (24) supports dish (25), anti-skidding line has been seted up to the left side surface of supporting dish (25).
4. The radial artery puncture hemostasis device after coronary angiography according to claim 1, characterized in that mirror symmetry positioning grooves (30) are formed in two sides of the bottom of the connecting plate (21), mirror symmetry guide rods (31) are arranged on the front side and the rear side of the inside of the positioning grooves (30), and the guide rods (31) are fixedly connected with the left side and the right side of the positioning grooves (30); the two guide rods (31) on the same side are connected with positioning plates (32) in a sliding mode, the bottoms of the positioning plates (32) are fixedly connected with laminating plates (33), and the laminating plates (33) are arc-shaped to laminate arms of patients.
5. The radial artery puncture hemostasis device after coronary angiography according to claim 1, characterized in that a hollow tube (403) is connected to the inside top of the sealing cylinder (401), an extension rod (404) is connected to the inside of the hollow tube (403) in a sliding manner, and the bottom of the extension rod (404) is fixedly connected with the sealing plug (402).
6. A post-coronary angiography radial artery puncture hemostatic device according to claim 1, wherein the hemostatic plate (60) is of arcuate design.
7. The radial artery puncture hemostasis device after coronary angiography as claimed in claim 4, characterized in that the opposite sides of the two positioning plates (32) are fixedly connected with guide blocks (50), the guide blocks (50) are parallelogram-shaped, and the opposite sides of the two guide blocks (50) are provided with moving grooves (51); the left side and the right side of the top of the hemostatic plate (60) are fixedly connected with supporting blocks (61), and the supporting blocks (61) are in sliding connection with the corresponding moving grooves (51).
8. A device for stopping bleeding of a radial artery puncture after coronary angiography according to claim 7, characterized in that said moving groove (51) is in a "concave" shape, and said support block (61) is in a shape adapted to the moving groove (51).
CN202410315021.6A 2024-03-19 2024-03-19 Radial artery puncture hemostasis device after coronary angiography Pending CN118161215A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202410315021.6A CN118161215A (en) 2024-03-19 2024-03-19 Radial artery puncture hemostasis device after coronary angiography

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202410315021.6A CN118161215A (en) 2024-03-19 2024-03-19 Radial artery puncture hemostasis device after coronary angiography

Publications (1)

Publication Number Publication Date
CN118161215A true CN118161215A (en) 2024-06-11

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118453025A (en) * 2024-07-09 2024-08-09 中国人民解放军总医院第六医学中心 Radial artery hemostat with pressure display function

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118453025A (en) * 2024-07-09 2024-08-09 中国人民解放军总医院第六医学中心 Radial artery hemostat with pressure display function

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