CN201814618U - Hand compression artery hemostat - Google Patents

Hand compression artery hemostat Download PDF

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Publication number
CN201814618U
CN201814618U CN2010205111489U CN201020511148U CN201814618U CN 201814618 U CN201814618 U CN 201814618U CN 2010205111489 U CN2010205111489 U CN 2010205111489U CN 201020511148 U CN201020511148 U CN 201020511148U CN 201814618 U CN201814618 U CN 201814618U
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hole
pedestal
shape
band
hanging
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Expired - Fee Related
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CN2010205111489U
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Chinese (zh)
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韩焕祯
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1325Tourniquets comprising a flexible encircling member with means for applying local pressure

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The utility model discloses a structure of a hand compression artery hemostat, which consists of a base, a compression mechanism assembled on the base, a fixing mechanism and a balancing device. The base is in the shape of inverted U integrally. The compression mechanism is composed of a sleeve, a handle, an operating shaft, a fine-adjustment screw, a press plate with a press plate cover, a rack with a return spring, a positioning pin, a pull ring and a lock pin with a return spring. The fixing mechanism consists of a strap section, a toothed strap and a lock catch device, wherein a hanging shaft, an arc strap and hanging grooves are integrated to form the strap section, the toothed strap is provided with a hanging shaft, and the lock catch device comprises two locking sliders and a lock trigger. The balancing device includes two balancing plates which are arranged at the opening of the lower end of the inverted-U-shaped base and form the included angle of 120 degrees. The hand compression artery hemostat is used for extracorporal compression occlusion hemostasis at artery puncture points after femoral artery puncture, is reasonable in structure, convenient in use and safe and reliable.

Description

Hand tremulous pulse compression apparatus
Technical field
This utility model belongs to medical instruments field, relates to a kind of haemostat, relates in particular to a kind of hand tremulous pulse compression apparatus, is used for the closed hemostasis of the external compressing of seldinger technique artery point of puncture.
Background technology
After femoral artery puncture carries out intervene operation,, have manually at present and push methods such as mechanical pressure and vascular suture the hemostasis method of femoral artery puncture point.Artificial pressing method commonly used strips arterial sheath after surgery, must very push point of puncture arduously about 20 minutes with hands by the doctor, use salt bag Pressur hemostatic then, one is loosening or press pressure is inhomogeneous will cause bleeding and hematoma slightly, and patient also needs the long period bed, increase patient's misery, so artificial pressing method is wasted time and energy and complication is more.The vascular suture method, though hemostasis is rapidly, complication is less, obviously increases patient's expense, clinical practice is difficult to popularize.
In the last few years, the worker of China's medical apparatus and instruments circle just solved femoral artery puncture position hemostatic problem, had carried out the research work of tremulous pulse compression apparatus, several haemostat of release, and its structure is mainly by pedestal, and the screw rod and the fixing band that are located in the pedestal are formed.But seldom select for use clinically, its reason mainly has the following disadvantages:
1, be difficult to grasp the compressing dynamics: directly by rotary screw, pressing plate is exerted pressure to point of puncture, operator are difficult to grasp the accuracy of compressing dynamics.2, steadiness is poor: pressure point is again the strong point, and the patient can cause haemostat crooked even overturning phenomenon to occur because of careless touching or physical activity, makes the hemostasis failure.3, fixed form instability: because of fixing band has certain elasticity, fix by being bonded at shank, skew appears in pressure point easily, causes and puts forth effort the inhomogeneous haemostat that makes and lose effect.4, security protection is poor: safe locking device is not set.
Summary of the invention
The purpose of this utility model is to overcome the defective that above-mentioned prior art exists and a kind of have safety, stability and workable hand tremulous pulse compression apparatus is provided.
For realizing the purpose of this utility model, the technical scheme that is adopted is:
A kind of hand tremulous pulse compression apparatus, comprise pedestal, screw rod and fixing band, it is characterized in that: by one), pedestal, two), be assemblied in pressing mechanism on the pedestal, three), fixed mechanism and four), bascule and form the haemostat of integrative-structure, described one), pedestal, two), pressing mechanism, three), fixed mechanism and four), bascule, its each self-structure is as follows respectively:
One), pedestal
Its monnolithic case is the ∩ shape, ∩ shape top is provided with the hole that has keyway that is used to install pressing mechanism, the both sides in hole are provided with the cross-drilled hole that is used to that the inclined hole of tooth bar is installed and locking pin is installed, ∩ shape two outer middle side parts are respectively equipped with the hanging groove that is used to be connected and fixed the band joint, and ∩ shape opening part two ends are respectively equipped with the hole that connects balance plate;
Two), pressing mechanism
It is by the sleeve that 1. has female thread and outer wall alligator, 2. hands handle; 3. 4. operating axis has axially grooved trimming bolt, 5. has the pressing plate of pressing plate cover, 6. has the tooth bar of return spring, 7. alignment pin, and 8. draw ring and 9. have the locking pin composition of return spring, wherein:
The sleeve that has female thread and outer alligator is installed in the hole at ∩ shape pedestal top, with the tooth bar interlock in the one skew back hole, hole, the tooth bar top is provided with an alignment pin, be provided with the trimming bolt that matches with its female thread in the sleeve, operating axis in the square hole of trimming bolt upper end is connected with handle by the sleeve upper end hole again, the pressing plate opening shaft that has a pressing plate cover is inserted in the circular hole of trimming bolt lower end and is interconnected, in the cross-drilled hole of ∩ shape pedestal top-portion apertures, be provided with the locking pin of return spring, and be connected with cross-drilled hole draw ring outward;
Three), fixed mechanism
It is by 1. hanging scroll, arcuate zone and hanging groove are the band joint of one, 2. the cingulum that has hanging scroll, 3. locker is formed, described locker, its outer bottom are provided with and with the hanging scroll that is connected of joint, are provided with in it to be used to block cingulum and locking wrench is the inner core of one, resetted by stage clip, the both sides that are positioned at locking wrench are provided with two locking slide blocks;
Be connected successively by at least 4 band joint head and the tail, the terminal cingulum that connects, cingulum penetrates locker and pins, with locker again embedding hang on the band joint, thereby connect into a band, again the band at two ends is saved embedding respectively and hang in the intermediary hanging groove in pedestal both sides, constitute fixed mechanism at last;
Four), bascule
Respectively connect a balance plate in two holes at ∩ shape pedestal lower ending opening place, two balance plates become 120 ° of angles.
Advantage of the present utility model and beneficial effect
This utility model has the following advantages and beneficial effect under the structure configuration of excellence:
Advantage: rational in infrastructure, modern design, easy to use, safe and reliable.
Beneficial effect:
1, hand tremulous pulse compression apparatus is a kind of hemostatic device of external wearing formula.Mutual relation according to hemostasis by compression principle, thigh portion fastening means and balanced action is taked the design of " ∩ " shape base construction, has guaranteed can not be out of shape when haemostat is stressed.
2, be arranged on the pressing plate at " ∩ " shape pedestal top and the balance plate that the pedestal opening place is provided with respectively, formed 3 stable contact surfaces shank.The hanging groove that pedestal two middle side parts are provided with embedding is respectively hung fixing band, make pressing plate and 2 balance plates be distributed in the fixing band both sides, thereby the stressed crooked and overturning of pressing plate in the time of can not causing hemostasis by compression makes haemostat in use remain balance, and has stability.
3, at pressing plate, after being with transparent cushion cover on the position of the continuous successively tape splicing joint of balance plate and head and the tail, the height that mm surplus in the of 10 is arranged, has the overhead system fixed form with shank fastening back formation, the overhead system fixed form makes haemostat and shank have only several contact surfaces, has both prevented that haemostat from occurring rotating or displacement at shank, can guarantee to utilize the overhead slit, space that forms with shank again, rehabilitation of patients is accelerated in the be more convenient for circulation of shank blood.
4, the mode of hand is neither lost the sensation that staff is pushed, can substitute staff again and push, be convenient to operator more and can accurately hold required applied pressure, and pressing plate and trimming bolt are the ball-type contact surfaces, thereby guarantee the stressed even of pressing plate, the skew of putting forth effort of pressure point can not occur.
5, fastening shank because adopt several band joint head and the tail successively embedding hang ways of connecting and fix, so this utility model haemostat is according to patient's shank thickness, band joint number can increase and decrease at any time, about being regardless of again, the patient of applicable different builds.
6, the operating position in this utility model is equipped with safety device, has improved the safety of using more.
Description of drawings
Fig. 1 is a structural front view of the present utility model;
Fig. 2 is the vertical view among Fig. 1;
Fig. 3 is that pressing mechanism among Fig. 1 is along the amplification view of A-A line;
Fig. 4 is Fig. 1 side view;
Fig. 5 is the amplification view of Fig. 6 along the B-B line;
Fig. 6 is a locker locking state sketch map;
Fig. 7 is a locker open mode sketch map.
Among Fig. 1: 1 pedestal; 2 pressing mechanisms; 3 fixed mechanisms; 4 bascules.
Among Fig. 2: 1 pedestal; 1-1 has the hole of keyway; The 1-2 inclined hole; The 1-3 cross-drilled hole; The 1-4 hanging groove; 1-5 connects the hole of balance plate.
Among Fig. 3: 1 pedestal; 3-1 is with joint; The 3-1-1 hanging scroll; The 3-1-2 arcuate zone; The 3-1-3 hanging groove; The 3-2 cingulum; The 3-3 locker.
Among Fig. 4: 1 pedestal; 2 pressing mechanisms; 2-1 hands handle; The 2-2 sleeve; The 2-3 operating axis; The 2-4 alignment pin; The 2-5 tooth bar; The 2-6 return spring; The 2-7 pressing plate; 2-8 pressing plate cover; The 2-9 trimming bolt; The 2-10 draw ring; The 2-11 locking pin; The 2-12 return spring.
Among Fig. 5: the 3-3 locker; The 3-1-1 hanging scroll; 3-3-1 locks slide block; 3-3-2 and inner core are the locking wrench of one; The 3-3-3 stage clip; The 3-2 cingulum.
Among Fig. 6: the 3-3 locker; 3-3-1 locks slide block; The 3-3-2 locking wrench.
Among Fig. 7: the 3-3 locker; 3-3-1 locks slide block; The 3-3-2 locking wrench.
The specific embodiment
Embodiment
A kind of hand tremulous pulse compression apparatus, comprise pedestal, screw rod and fixing band, it is characterized in that: by one), pedestal 1, two), be assemblied in pressing mechanism 2 on the pedestal 1, three), fixed mechanism 3 and four), bascule 4 and form the haemostat of integrative-structure, as shown in Figure 1, described one), pedestal 1; Two), pressing mechanism 2, three), fixed mechanism 3 and four), bascule 4, its each self-structure is as follows respectively:
One), pedestal 1
Its monnolithic case is the ∩ shape, ∩ shape top is provided with the hole 1-1 that has keyway that is used to install pressing mechanism 2, the both sides of hole 1-1 are provided with the cross-drilled hole 1-3 that is used to that the inclined hole 1-2 of tooth bar 2-5 is installed and locking pin 2-11 is installed, ∩ shape two outer middle side parts are respectively equipped with the hanging groove 1-4 that is used to be connected and fixed band joint 3-1, ∩ shape opening part two ends are respectively equipped with the hole 1-5 that connects balance plate 4, as shown in Figure 2;
Two), pressing mechanism 2
It is by the sleeve 2-2 that 1. has female thread and outer wall alligator, 2. handle 2-1; 3. 4. operating axis 2-3 has axially grooved trimming bolt 2-9,5. has the pressing plate 2-7 of pressing plate cover 2-8,6. has the tooth bar 2-5 of return spring 2-6,7. alignment pin 2-4, and 8. draw ring 2-10 and 9. have the locking pin 2-11 composition of return spring 2-12, wherein:
The sleeve 2-2 that has female thread and outer wall alligator is installed in the hole 1-1 at ∩ shape pedestal 1 top, with the tooth bar 2-5 interlock in the hole 1-1 one skew back hole 1-2, tooth bar 2-5 top is provided with an alignment pin 2-4, be provided with in the sleeve 2-2 with its female thread to the trimming bolt 2-9 that cooperates, operating axis 2-3 in the square hole of trimming bolt 2-9 upper end is connected with handle 2-1 by sleeve 2-2 upper end hole again, the pressing plate 2-7 opening shaft that has a pressing plate cover 2-8 is inserted in the circular hole of trimming bolt 2-9 lower end and is interconnected, in the cross-drilled hole 1-3 of ∩ shape pedestal 1 top-portion apertures, be provided with the locking pin 2-11 of return spring 2-12, and be connected with the outer draw ring 2-10 of cross-drilled hole 1-3, as shown in Figure 4;
Three), fixed mechanism 3
It is by 1. hanging scroll 3-1-1, arcuate zone 3-1-2 and hanging groove 3-1-3 are the band joint 3-1 of one, 2. the cingulum 3-2 that has hanging scroll 3-1-1, locker 3-3 forms, and described locker 3-3, its outer bottom are provided with and the hanging scroll 3-1-1 that is connected with joint 3-1, be provided with in it and be used to block cingulum 3-2 and locking wrench 3-3-2 is the inner core of one, 3-3-3 resets by stage clip, and the both sides that are positioned at locking wrench 3-3-2 are provided with two locking slide block 3-3-1, as shown in Figure 5; Described two locking slide block 3-3-1 are used to lock snap close wrench 3-3-2;
Be connected successively by at least 4 band joint 3-1 head and the tail, the terminal cingulum 3-2 that connects, cingulum 3-2 penetrates locker 3-3 and pins, with locker 3-3 again embedding hang on the band joint 3-1, thereby connect into a band, again with the band at two ends joint 3-1 respectively embedding hang in the intermediary hanging groove 1-4 in pedestal 1 both sides, constitute fixed mechanism 3 at last, as shown in Figure 3;
Four), bascule 4
Respectively connect 4 one-tenth 120 ° of angles of 4, two balance plates of a balance plate in two hole 1-5 at ∩ shape pedestal 1 lower ending opening place, as shown in Figure 1, described two balance plates 4 are used for the whole machine balancing of this utility model haemostat.
Using method
1, behind the femoral artery puncture interventional procedure, operator confirm that dorsal artery of foot beats normally, confirm the arterypuncture point then, cover femoral artery puncture point with sterile gauze, the center of haemostat pressing plate is pressed on the point of puncture, and two balance plates 4 are also just being accorded with shank, simultaneously arterial sheath is reserved in the opening part of " ∩ " shape pedestal 1.
2, another operator band joint 3-1, cingulum 3-2 that will hang with locker 3-3 is connected in order successively with at least 4 band joint 3-1, embedding hangs in the groove of ∩ shape pedestal 1 by the lateral leg one side, take advantage of a situation then and other end embedding is hung in the groove of ∩ shape pedestal 1 opposite side around shank, 2 locking slide block 3-3-1 are outwards pushed aside on the contrary, tension cingulum 3-2 makes haemostat be securely fixed in shank, again 2 locking slide block 3-3-1 are pushed away real locking cingulum 3-2 inwards relatively, as shown in Figure 6.
3, pull out alignment pin 2-5 earlier, lift draw ring 2-10, push handle 2-1 then, pressing plate 2-7 is pressurizeed to femoral artery puncture point, extract arterial sheath and continue to be forced into not oozing of blood of point of puncture again, guaranteeing simultaneously that dorsal artery of foot beats to weaken does not disappear, and also rotatable handgrip 2-1 utilizes the adjustment that trimming bolt 2-9 pressurizes or reduces pressure.Press alignment pin 2-3 at last, press inversion loop 2-10, handle 2-1 can not be rotated, can not upper and lowerly move.
4, loosen: lift upright draw ring 2-10, be rotated counterclockwise handle 2-1, loosen, after finishing by inversion loop 2-10.
5, remove: 2 on snap close locking slide block 3-3-1 are outwards pushed aside on the contrary, lift the spanner 3-3-2 of snap close, withdraw from cingulum 3-2, as shown in Figure 7, promptly remove haemostat.
The above only is a preferred implementation of the present utility model; should be pointed out that for those skilled in the art, under the prerequisite that does not break away from this utility model principle; can also make some improvements and modifications, these improvements and modifications also should be considered as protection domain of the present utility model.

Claims (1)

1. hand tremulous pulse compression apparatus, comprise pedestal, screw rod and fixing band, it is characterized in that: by one), pedestal (1), two), be assemblied in pedestal (1) and go up pressing mechanism (2), three), fixed mechanism (3) and four), bascule (4) and form the haemostat of integrative-structure, described one), pedestal (1); Two), pressing mechanism (2), three), fixed mechanism (3) and four), bascule (4), its each self-structure is as follows respectively:
One), pedestal (1)
Its monnolithic case is the ∩ shape, ∩ shape top is provided with the hole that has keyway (1-1) that is used to install pressing mechanism (2), the both sides in hole (1-1) are provided with inclined hole (1-2) that is used to install tooth bar (2-5) and the cross-drilled hole (1-3) that locking pin (2-11) is installed, ∩ shape two outer middle side parts are respectively equipped with the hanging groove (1-4) that is used to be connected and fixed band joint (3-1), and ∩ shape opening part two ends are respectively equipped with the hole (1-5) that connects balance plate (4);
Two), pressing mechanism (2)
It is by the sleeve (2-2) that 1. has female thread and outer wall alligator, 2. handle (2-1); 3. operating axis (2-3), 4. have axially grooved trimming bolt (2-9), 5. the pressing plate (2-7) that has pressing plate cover (2-8), 6. the tooth bar (2-5) that has return spring (2-6), 7. alignment pin (2-4), 8. draw ring (2-10) and the locking pin (2-11) that 9. has return spring (2-12) are formed, wherein:
The sleeve (2-2) that has female thread and outer wall alligator is installed in the hole (1-1) at ∩ shape pedestal (1) top, with tooth bar (2-5) interlock in hole (1-1) skew back hole (1-2), tooth bar (2-5) top is provided with an alignment pin (2-4), be provided with the trimming bolt (2-9) that matches with its female thread in the sleeve (2-2), operating axis (2-3) in the square hole of trimming bolt (2-9) upper end is connected with handle (2-1) by sleeve (2-2) upper end hole again, and pressing plate (2-7) opening shaft that has pressing plate cover (2-8) is inserted trimming bolt (2-9) lower end circular hole inner phase MutuallyConnect, in the cross-drilled hole (1-3) of ∩ shape pedestal (1) top-portion apertures, be provided with the locking pin (2-11) of return spring (2-12), and be connected with cross-drilled hole (1-3) draw ring (2-10) outward;
Three), fixed mechanism (3)
It is by 1. hanging scroll (3-1-1), arcuate zone (3-1-2) and hanging groove (3-1-3) are the band joint (3-1) of one, 2. the cingulum (3-2) that has hanging scroll (3-1-1), 3. locker (3-3) is formed, described locker (3-3), its outer bottom is provided with and the hanging scroll (3-1-1) that is connected with joint (3-1), be provided with in it and be used to block cingulum (3-2) and locking wrench (3-3-2) and be the inner core of one, (3-3-3) resets by stage clip, and the both sides that are positioned at locking wrench (3-3-2) are provided with two locking slide blocks (3-3-1);
Be connected successively by at least 4 band joints (3-1) head and the tail, the terminal cingulum (3-2) that connects, cingulum (3-2) penetrates locker (3-3) and pins, with locker (3-3) again embedding hang on the band joint (3-1), thereby connect into a band, again with the band at two ends joint (3-1) respectively embedding hang in the intermediary hanging grooves in pedestal (1) both sides (1-4), constitute fixed mechanism (3) at last;
Four), bascule (4)
Respectively connect a balance plate (4) in two holes (1-5) at ∩ shape pedestal (1) lower ending opening place, two balance plates (4) become 120 ° of angles.
CN2010205111489U 2010-08-31 2010-08-31 Hand compression artery hemostat Expired - Fee Related CN201814618U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103330580A (en) * 2013-07-01 2013-10-02 何泽锋 Medical sewing and ligating device
CN107693084A (en) * 2017-11-06 2018-02-16 胡晓予 A kind of drawstring formula hemostatic clamp for being exclusively used in using after arteriopuncture
WO2019191145A1 (en) * 2018-03-26 2019-10-03 6:8 Medical Solutions LLC Point-pressure application system
CN113040857A (en) * 2021-03-22 2021-06-29 哈尔滨医科大学 Radial artery hemostat
RU216781U1 (en) * 2022-11-14 2023-02-28 Федеральное государственное бюджетное научное учреждение "Федеральный исследовательский центр фундаментальной и трансляционной медицины" (ФИЦ ФТМ) A tourniquet with a stepped mechanism to temporarily stop bleeding from the extremities

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103330580A (en) * 2013-07-01 2013-10-02 何泽锋 Medical sewing and ligating device
CN107693084A (en) * 2017-11-06 2018-02-16 胡晓予 A kind of drawstring formula hemostatic clamp for being exclusively used in using after arteriopuncture
WO2019191145A1 (en) * 2018-03-26 2019-10-03 6:8 Medical Solutions LLC Point-pressure application system
US11020127B2 (en) 2018-03-26 2021-06-01 6:8 Medical Solutions LLC Point-pressure application system
CN113040857A (en) * 2021-03-22 2021-06-29 哈尔滨医科大学 Radial artery hemostat
RU216781U1 (en) * 2022-11-14 2023-02-28 Федеральное государственное бюджетное научное учреждение "Федеральный исследовательский центр фундаментальной и трансляционной медицины" (ФИЦ ФТМ) A tourniquet with a stepped mechanism to temporarily stop bleeding from the extremities

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