CN202537581U - Brachial artery hemostasis compression device - Google Patents
Brachial artery hemostasis compression device Download PDFInfo
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- CN202537581U CN202537581U CN2012201360246U CN201220136024U CN202537581U CN 202537581 U CN202537581 U CN 202537581U CN 2012201360246 U CN2012201360246 U CN 2012201360246U CN 201220136024 U CN201220136024 U CN 201220136024U CN 202537581 U CN202537581 U CN 202537581U
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- hemostasis
- brachial artery
- bandage
- air bag
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Abstract
The utility model discloses a brachial artery hemostasis compression device, which comprises a binding band, a pressure gasket, an air bag, an air delivery tube, a syringe joint and a pressure plate. The binding band is elongated and has a double-layer structure in the middle section, and openings are formed in the top and the bottom of the middle section of the binding band; the pressure gasket is a rectangular sheet and is arranged on the inner side of the middle section of the binding band, and one end of the pressure gasket is connected with the tail end of one side of the double-layer structure; the air bag is square, is sandwiched between the pressure gasket and the binding band and is fixed with the same end of the pressure gasket; one end of the air delivery tube is communicated with the air bag, and the other end of the air delivery tube is connected with the syringe joint; a one-way valve is arranged in the syringe joint; and the pressure plate is inserted in the double-layer structure of the binding band, the size of the pressure plate is matched with the size of the double-layer structure, the pressure plate is an elongated hard plate, the middle of the pressure plate is horizontal, and two ends of the pressure plate are arc-shaped. The brachial artery hemostasis compression device is applicable to hemostasis nursing of brachial artery paracentesis, and is accurate in positioning and reliable in hemostasis, and hemostasis pressure is adjusted circumstantially.
Description
Technical field
This utility model relates to a kind of hemostasis device, particularly, relates to a kind of brachial artery hemostasis [.
Background technology
In China's heart, cerebrovascular disease field; Raising along with medical level; Through digital subtraction angiography inspection or percutaneous coronary intervention (pci) is the effective and sophisticated medical procedure of ten minutes, has become one of main method of current diagnosis and the treatment heart, cerebrovascular disease.Angiography and interventional therapy are normally operated through the femoral artery approach; The femoral artery puncture intubation has become routine techniques; And be widely used in clinical; But get involved inspection and treat still to belong to the operation of wound property is arranged, the femoral artery compressing of postoperative, wrapping hemostasis work are a great problems that troubles medical circle always.The tradition hemostasis by compression all adopts bandaging multilamellar gauze mode or finger prosthesis to push point of puncture; Require operator's technology and experience high, often cause the hemostasis failure, need extruding hemostasis again; Increased medical personnel's labor intensity on the one hand, also caused suffering on the other hand to patient.And the femoral artery puncture patient need repose for a long time, and multiple local complication such as hemorrhage, hematoma, false aneurysm formation take place easily, jeopardizes patient's life when serious.In recent years, along with the improvement of interventional therapeutic technique and equipment, the success rate of interventional therapy improves year by year, and in order to reduce the generation of local complication, radial artery approach puncture technique arises at the historic moment.
At present, oneself is applied the radial artery puncturing technology gradually clinically, thus the multiple complications of having avoided femoral artery puncture and the long-time bed of postoperative thereof to cause.If but the hemostasis of site of puncture after surgery of radial artery puncturing technology just deals with improperly and cause the hand disturbance of blood circulation easily, the situation of ischemic necrosis may take place in severe patient.Reach 37.5% according to its local complication rate of bibliographical information.The traditional method that local hemostasis adopted behind the trans-radial puncture interventional procedure has: the nurse compels hemostasis, wraps up, with elastic force stickup immovable bandage such as elastic force adhesive plaster the site of puncture is carried out hemostasis by compression bandage etc. with gauze with hand; All there is different shortcomings in these methods: complex operation, waste time and energy; The wound situation is difficult for observing; The wrapping elasticity is wayward; Influence venous return easily, thereby cause acroanesthesia, swelling, congestion etc.; Cause local anaphylaxis or skin injury etc.; Increase patient's misery and nursery work difficulty.Present domestic urgent need a kind of with low cost, can effectively carry out the hemostatic device to the arterypuncture position.
The radial artery puncturing technology is owing to reasons such as the hand blood vessel is thin, be difficult for touching have also proposed higher requirement to operation of medical workers simultaneously, and the words of misoperation will be brought additional pain and burden to the patient.Simultaneously, radial artery puncturing failure possibility may occur, thereby select the brachial artery puncture.
The utility model content
The purpose of this utility model provide a kind of simple to operate, control is convenient, can effectively carry out the hemostatic device to the brachial artery site of puncture, is applicable to the paracentetic hemostasis nursing of brachial artery, it is uneven to solve the hemostasis by compression dynamics, is difficult for the problem that keeps stable.Can be adapted to human body institute splenium position shape, satisfy accurate positioning, the reliably requirement of hemostasis and the pressure of adjustment hemostasis according to circumstances, and do not influence the patient activity freedom when using.
In order to achieve the above object, this utility model provides a kind of brachial artery hemostasis [, and this device comprises bandage, pressure pad sheet, air bag, appendix, syringe adapter and pressing plate; Described bandage is a strip, and its stage casing is the double-decker of upper and lower opening; Described pressure pad sheet is a rectangular tab, is arranged on the inboard in said bandage stage casing, and this pressure pad sheet one end is connected with a said double-deck edge tail; Described air bag is square, is interposed between said pressure pad sheet and the bandage, and fixing with the pressure pad sheet with end; Described appendix one end communicates with air bag, and the other end connects syringe adapter; Be provided with check valve in the described syringe adapter, gas can not freely be discharged; Described pressing plate is inserted in the double-decker of bandage, and size and this double-decker are suitable.
Above-mentioned brachial artery hemostasis [, wherein, described pressing plate is the strip hardboard of stage casing level, two ends are arc.
Above-mentioned brachial artery hemostasis [, wherein, described pressure pad sheet and air bag are arranged at said bandage double-decker inboard left end or right-hand member simultaneously, corresponding respectively left arm or the right arm that is applicable to user.
Above-mentioned brachial artery hemostasis [, wherein, the front of described bandage one end and the reverse side of this bandage other end correspondence respectively are provided with sub-thread gluing of nylon and nylon mother viscose button.Wherein the nylon mother viscose button is longer, through its length of adjusting actual colligation, makes this device both can be used for the brachial artery puncture hemostasis of arm, also can be used for the radial artery puncturing postoperative hemostasis of wrist.
Above-mentioned brachial artery hemostasis [, wherein, described strap length is 25 ~ 35cm, is applicable to that adult or child's elbow joint encloses length, also considered simultaneously to be grown up thin person and fat person's scope.
Above-mentioned brachial artery hemostasis [, wherein, the width of described bandage is 3 ~ 5cm, and is local with compressing brachial artery point of puncture.
Above-mentioned brachial artery hemostasis [, wherein, described air bag heap(ed) capacity is 15 ~ 20ml, the actual injection air capacity scalable of this air bag.
Above-mentioned brachial artery hemostasis [, wherein, the centre of surface of described air bag is provided with the point of puncture sign, carries out the colligation hemostasis by compression again after should indicating aligning point of puncture near-end during use.
Above-mentioned brachial artery hemostasis [, wherein, described [is the bright structure of full impregnated.Bandage adopts softish thermoplastic rubber (TPR) or silastic material, and pressing plate adopts moulds structure firmly.This [should be disposable operative installations, needs to adopt ethylene oxide sterilizing to disinfect.
The brachial artery hemostasis [that this utility model provides has the following advantages:
1. this [is the bright structure of full impregnated, can observe the point of puncture situation easily, and that how, whether haemostatic effect have is hemorrhage, the hematoma phenomenon all can come into plain view.
2. bandage adopts the TPR or the silastic material of special soft and transparent, when not oppressing other blood vessels, the site of puncture is put pressurization accurately, does not need the immobilized patients limbs, thereby has alleviated patient's misery significantly.
3. the arc design is adopted at the pressing plate two ends, makes the arc ergonomic that end and pressure pad, air bag form about pressing plate, and air bag can mate with its formation is identical well according to the concavo-convex state of human body institute splenium position; Make the downforce at each position that air bag presses down reach relative uniformity, alleviated patient's sense of discomfort, guaranteed that it presses down hemostasis reliably; Easy to operate; Fixed performance is good, easy glide not, thus avoid occurring the danger that arterial blood is lost blood because arterypuncture point does not push.
4. hemostasis pressure can be regulated through charging and discharging the gas air bag, has both guaranteed the reliable hemostasis of postoperative, has avoided again because the limb necrosis that ischemia caused has guaranteed to press down the hemostatic reliability to greatest extent.
5. the Mark Designing of point of puncture on the air bag makes compressing point of puncture position accurate, is difficult for loosening.
6. pressure pad sheet and air bag can optionally be located at bandage inboard left end or right-hand member, can be respectively applied for the puncture of left arm or right arm.
7. the thread gluing at bandage two design, the length that bandage is tied up can be adjusted, thereby both can be used for arm, also can be used for wrist, also is fit to different fat or thin patients simultaneously and uses.
This utility model can avoid using the hemostasis of the site of puncture that traditional method causes to deal with the disturbance of blood circulation that causes improperly; The generation of complication such as limb swelling, local anaphylaxis or skin injury; Safety and comfort; Help patient's post-operative recovery, and alleviated medical personnel's clinical nursing activity amount and work difficulty.This utility model is used through 60 routine patients clinicals, obtains satisfied result of use.
Description of drawings
Fig. 1 is the brachial artery hemostasis [structural representation of this utility model.
The specific embodiment
Below in conjunction with accompanying drawing the specific embodiment of this utility model is done explanation further.
The brachial artery hemostasis [that this utility model provides is applicable to the paracentetic hemostasis nursing of brachial artery.As shown in Figure 1, this brachial artery hemostasis [comprises bandage 1, pressure pad sheet 2, air bag 3, appendix 4, syringe adapter 5 and pressing plate 6; Bandage 1 is a strip, and its stage casing is the double-decker 11 of upper and lower opening; Pressure pad sheet 2 is a rectangular tab, is arranged on the inboard in bandage 1 stage casing, and these pressure pad sheet 2 one ends are connected with an edge tail of double-decker 11; Air bag 3 is square, is interposed between pressure pad sheet 2 and the bandage 1, and fixing with pressure pad sheet 2 with end; Appendix 4 one ends communicate with air bag 3, and the other end connects syringe adapter 5; Be provided with check valve 51 in the syringe adapter 5, gas can not freely be discharged; Pressing plate 6 is inserted between the double-decker 11 of bandage 1, and size and this double-decker 11 are suitable.
Pressing plate 6 is the strip hardboard of stage casing level, and two ends are arc.
Pressure pad sheet 2 and air bag 3 are arranged at the right-hand member of bandage 1 double-decker 11 inboards simultaneously.
The front of bandage 1 one ends and the reverse side of this bandage other end correspondence respectively are provided with sub-thread gluing 12 of nylon and nylon mother viscose button 13.Wherein nylon mother viscose button 13 is longer, through its length of adjusting actual colligation, makes this device both can be used for the brachial artery puncture hemostasis of arm, also can be used for the radial artery puncturing hemostasis of wrist.
Bandage 1 length is 30cm, is applicable to that adult's elbow joint encloses length.The width of bandage 1 is 4cm.
Air bag 3 heap(ed) capacities are 18ml, the actual air capacity scalable of injecting.The centre of surface of air bag 3 is provided with point of puncture sign 31, carries out the colligation hemostasis by compression again after during use this point of puncture sign 31 being aimed at point of puncture near-ends.
This [is the bright structure of full impregnated.Bandage 1 adopts softish TPR or silastic material, and pressing plate 6 adopts moulds structure firmly.This [is disposable operative installations, disinfects through ethylene oxide sterilizing.
Safe, easy, effective arteriopuncture hemostasis is a kind of good nursing care measure, and strengthens the observation and the nursing of postoperative arm part blood circulation and point of puncture, plays an important role for the success that ensures the hemostasis measure.Select patient's 60 examples of brachial artery intervention diagnosis and therapy art, the brachial artery hemostasis [that postoperative utilizes this utility model to provide carries out hemostasis by compression.60 examples all successfully reach the hemostasis purpose as a result.Wherein local little hematoma takes place in 3 examples, absorbs voluntarily after 5 ~ 12 days and takes a turn for the better.8 examples have hand swelling in various degree, all improve through venting decompression, elevation arm and after removing [.Ischemic necrosis and other complication all do not take place in the patient.
Brachial artery is in the inboard of biceps brachii m. tendon, i.e. the fossa cubitalis 2 centimetres of arm inboards upwards, and its fluctuation of superincumbent position sense can press...with one's finger.Axillary artery is renamed as brachial artery at the latissimus dorsi m. lower edge, goes in bicipital sulcus,medial at arm and median nerve companion, and the brachial artery epimere occupy the median nerve inboard, forwards its outside then to through the rear of median nerve.Again through the dark face of bicipital aponeurosis to the fossa cubitalis, be divided into radial artery and ulnar artery at radius neck height.Brachial artery is shallow in fossa cubitalis location tables, can clearly touch to beat, clinically the auscultation position during the Chang Zuowei measuring blood pressure.
Make the patient become dorsal position, routine disinfection one side arm and ancon, drape; This side brachial artery of puncture under the 1% lignocaine local anaesthesia; Insert arterial sheath after the success, utilize angiography catheter to carry out coronarography, or utilize guiding catheter to carry out interventional procedure; Immediate postoperative is pulled out arterial sheath, utilizes brachial artery compressing device to carry out hemostasis by compression.
Concrete grammar is following:
Extract earlier the about 3 ~ 4cm of arterial sheath pipe gently, launch brachial artery compressing device, air bag 3 places the brachial artery side; And the point of puncture sign at air bag 3 centers 31 aimed at the about 1 ~ 2mm of point of puncture near-ends place; Utilize the sub-thread gluing 12 of nylon to be fixed on arm, require degree of tightness suitable, avoid compressings neural and all the other blood vessels with nylon mother viscose button 13; The reuse special syringe injects the 5ml air earlier through syringe adapter 5 in air bag 3; Outwards until extracting the sheath pipe fully, the limit continues to inject the 10ml air in the limit continuation then, makes air bag 3 full to accomplish the abundant compressing to point of puncture.As still have oozing of blood, can suitably strengthen the air injection rate, but maximum is no more than 18ml.In addition, adhesive plaster capable of using is fixing once more with bandage 1 position, to avoid [slippage under unexpected situation, causes hemorrhage.
Use brachial artery compressing device to carry out should regularly observing the arteriopalmus situation after the hemostasis by compression, touch skin temperature, numb if patient tells arm; It is livid purple finger color to occur, hand edema, prompting compressing tension; Can suitably reduce air bag 3 gas injection rates; Like 1 ~ 2ml,, do not cause that again blood circulatory disorder is advisable the point of puncture oozing of blood neither to occur.
Postoperative is used the tape measuring upper-arm circumference, if upper-arm circumference increases suddenly at short notice, then prompting has possibility hemorrhage or the backflow obstacle, should seek reason immediately and give anti symptom treatment; Suitably Elevation side arm reduces the discomfort that does not freely cause swelling and patient because of backflow; Do not do monitoring of blood pressure, in order to avoid increase the weight of swelling at the puncture side limbs; Do not cook venous transfusion or blood sampling in puncture side, so as not to increase the weight of swelling or be difficult to correct judge because of seepage cause swelling or hemorrhage due to swelling.
Postoperative can carry out the 2ml that exits the first time like no point of puncture oozing of blood after 2 hours.Whenever at a distance from 2 hours venting 2～4ml, confirm that after 6 hours wound bleeding stops, and can according to circumstances remove [later on.In the venting decompression process,, can stop blooding once more if bleeding can refill air to air bag 3.And the time of the [of proper extension releasing according to circumstances.Postoperative should advise the patient to note the arm joint braking, keeps drying, the cleaning of site of puncture, prevents the infection of hemorrhage or site of puncture again.
Advantage that tremulous pulse approach coronarography and interventional therapy have possessed that hemostasis is easy, peripheral vascular complication is few, misery is littler, postoperative is more comfortable etc. is accepted by patient and patient just more and more, clinical carry out universal day by day.The brachial artery hemostasis [that uses this utility model to provide carries out the hemostasis by compression of postoperative, can receive satisfied effect.With tradition use the elastic force bandage wrap up the hemostatic method compare have easy and simple to handle; The bright structure of full impregnated is convenient to observe at any time the point of puncture situation; Air bag selectivity compressing brachial artery, all the other blood vessels do not suffer oppression, and are difficult for causing disturbance of blood circulation; Patient self also can observe the hemostasis situation, has avoided unnecessary anxiety and doubt, can cooperate with advantages such as postoperative care on one's own initiative.Be a kind of good nursing care measure, can strengthen the observation and the nursing of postoperative hand blood circulation and point of puncture, play an important role for the success that ensures the hemostasis measure.
Although the content of this utility model has been done detailed introduction through above-mentioned preferred embodiment, will be appreciated that above-mentioned description should not be considered to the restriction to this utility model.After those skilled in the art have read foregoing, for the multiple modification of this utility model with to substitute all will be conspicuous.Therefore, the protection domain of this utility model should be limited appended claim.
Claims (9)
1. a brachial artery hemostasis [is characterized in that this hemostasis [comprises bandage (1), pressure pad sheet (2), air bag (3), appendix (4), syringe adapter (5) and pressing plate (6);
Described bandage (1) is a strip, and its stage casing is the double-decker (11) of upper and lower opening;
Described pressure pad sheet (2) is a rectangular tab, is arranged on the inboard in said bandage (1) stage casing, and these pressure pad sheet (2) one ends are connected with an edge tail of said double-decker (11);
Described air bag (3) is square, is interposed between said pressure pad sheet (2) and the bandage (1), and fixing with this pressure pad sheet (2) with end;
Described appendix (4) one ends communicate with air bag (3), and the other end connects syringe adapter (5);
Be provided with check valve (51) in the described syringe adapter (5);
Described pressing plate (6) is inserted in the double-decker (11) of bandage (1), and its size and this double-decker (11) are suitable.
2. brachial artery hemostasis [as claimed in claim 1 is characterized in that described pressing plate (6) is the strip hardboard of stage casing level, and two ends are arc.
3. brachial artery hemostasis [as claimed in claim 1 is characterized in that described pressure pad sheet (2) is arranged at said bandage (1) double-decker (11) inboard left end or right-hand member simultaneously with air bag (3).
4. brachial artery hemostasis [as claimed in claim 1 is characterized in that the reverse side of the front of described bandage (1) one end and this bandage (1) other end correspondence respectively is provided with sub-thread gluing of nylon (12) and nylon mother viscose button (13).
5. brachial artery hemostasis [as claimed in claim 1 is characterized in that described bandage (1) length is 25 ~ 35cm.
6. brachial artery hemostasis [as claimed in claim 1 is characterized in that the width of described bandage (1) is 3-5cm.
7. brachial artery hemostasis [as claimed in claim 1 is characterized in that described air bag (3) heap(ed) capacity is 15 ~ 20ml.
8. brachial artery hemostasis [as claimed in claim 1 is characterized in that the centre of surface of described air bag (3) is provided with point of puncture sign (31).
9. brachial artery hemostasis [as claimed in claim 1 is characterized in that described [is the bright structure of full impregnated.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012201360246U CN202537581U (en) | 2012-03-31 | 2012-03-31 | Brachial artery hemostasis compression device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012201360246U CN202537581U (en) | 2012-03-31 | 2012-03-31 | Brachial artery hemostasis compression device |
Publications (1)
| Publication Number | Publication Date |
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| CN202537581U true CN202537581U (en) | 2012-11-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2012201360246U Expired - Fee Related CN202537581U (en) | 2012-03-31 | 2012-03-31 | Brachial artery hemostasis compression device |
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Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103445824A (en) * | 2013-09-02 | 2013-12-18 | 河南科技大学 | Artery puncture fixing device |
| CN103598906A (en) * | 2013-12-04 | 2014-02-26 | 邹晖 | Pressure-displaying type radial artery inflation pressure tourniquet |
| CN104207921A (en) * | 2014-09-12 | 2014-12-17 | 吴江市搏华医疗器械有限公司 | Environment-friendly air-pressure inflation and deflation device |
| CN106236183A (en) * | 2016-08-23 | 2016-12-21 | 湖南埃普特医疗器械有限公司 | A kind of radial artery compression hemostat |
| CN109044477A (en) * | 2018-08-24 | 2018-12-21 | 无锡市第二人民医院 | A kind of medical artery hemostatic device |
| CN109758203A (en) * | 2019-02-28 | 2019-05-17 | 温州市人民医院 | Device is fixed in arteria brachialis hemostasis by compression |
| CN113100871A (en) * | 2021-05-06 | 2021-07-13 | 赵丽君 | Arteria brachialis haemostat |
| CN113262011A (en) * | 2021-05-28 | 2021-08-17 | 中国人民解放军总医院第一医学中心 | Brachial artery hemostasis method and device |
-
2012
- 2012-03-31 CN CN2012201360246U patent/CN202537581U/en not_active Expired - Fee Related
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103445824A (en) * | 2013-09-02 | 2013-12-18 | 河南科技大学 | Artery puncture fixing device |
| CN103598906A (en) * | 2013-12-04 | 2014-02-26 | 邹晖 | Pressure-displaying type radial artery inflation pressure tourniquet |
| CN104207921A (en) * | 2014-09-12 | 2014-12-17 | 吴江市搏华医疗器械有限公司 | Environment-friendly air-pressure inflation and deflation device |
| CN106236183A (en) * | 2016-08-23 | 2016-12-21 | 湖南埃普特医疗器械有限公司 | A kind of radial artery compression hemostat |
| CN109044477A (en) * | 2018-08-24 | 2018-12-21 | 无锡市第二人民医院 | A kind of medical artery hemostatic device |
| CN109758203A (en) * | 2019-02-28 | 2019-05-17 | 温州市人民医院 | Device is fixed in arteria brachialis hemostasis by compression |
| CN109758203B (en) * | 2019-02-28 | 2020-12-11 | 温州市人民医院 | Brachial artery compression hemostasis fixing device |
| CN113100871A (en) * | 2021-05-06 | 2021-07-13 | 赵丽君 | Arteria brachialis haemostat |
| CN113262011A (en) * | 2021-05-28 | 2021-08-17 | 中国人民解放军总医院第一医学中心 | Brachial artery hemostasis method and device |
| CN113262011B (en) * | 2021-05-28 | 2023-09-12 | 中国人民解放军总医院第一医学中心 | Hemostatic device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20121121 Termination date: 20150331 |
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| EXPY | Termination of patent right or utility model |