CN203710068U - Compression-hemostasis fixing device at implanting part of permanent pacemaker - Google Patents

Compression-hemostasis fixing device at implanting part of permanent pacemaker Download PDF

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Publication number
CN203710068U
CN203710068U CN201420050142.4U CN201420050142U CN203710068U CN 203710068 U CN203710068 U CN 203710068U CN 201420050142 U CN201420050142 U CN 201420050142U CN 203710068 U CN203710068 U CN 203710068U
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China
Prior art keywords
hemostasis
pressing plate
compression
permanent pacemaker
pacemaker implantation
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Withdrawn - After Issue
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CN201420050142.4U
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Chinese (zh)
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费叶萍
王黎梅
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Individual
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Individual
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Abstract

The utility model discloses a compression-hemostasis fixing device at an implanting part of a permanent pacemaker. The compression-hemostasis fixing device comprises a supporting plate with an arc-shaped section, a pressure adjusting ring, a pressure adjusting screw, a hollow arch-shaped pressing plates and a fixing band, wherein the pressure adjusting ring is arranged on the supporting plate; the pressure adjusting ring is arranged on the supporting plate; the pressure adjusting screw is matched with the pressure adjusting ring by threads; the supporting plate is provided with ear seams; the fixing band is arranged on the ear seams; the arch-shaped pressing plate is arranged at the bottom end of the pressure adjusting screw and is internally provided with a containing cavity; and one end surface of the arch-shaped pressing plate, which is deviated from the pressure adjusting screw, is provided with a plurality of permeating holes. The compression-hemostasis fixing device also comprises a hemostasis-agent bag and a catheter, wherein the hemostasis-agent bag is communicated with the containing cavity of the arch-shaped pressing plate by the catheter. The compression-hemostasis fixing device disclosed by the utility model is comfortable and convenient in use and good in hemostatic effect.

Description

Permanent pacemaker implantation position hemostasis by compression fixture
Technical field
This utility model belongs to a kind of medical apparatus and instruments, relates in particular to a kind ofly can implant postoperative compression hemostasis fixture for permanent cardiac pacemaker or cardioverter-defibrillator.
Background technology
At present, the method that prevents incision bleeding or pocket blood accumulation and catheter electrode displacement after known permanent cardiac pacemaker or cardioverter-defibrillator implantation is: otch part is rearmounted with sand pocket or commercially available Sal bag (0.5-1.5kg) compressing 6-24 hour with aseptic dressing wrapping, advise patient's strict bed rest 24-72 hour, require art side limbs definitely to brake simultaneously, desirable semireclining position after 24 hours, can bedside light activity after 3 days, but art side upper limb 7 days is with planted agent's restraint.
Because medical personnel cannot carry out effective monitoring in the process of implementation to above-mentioned doctor's advice, and actual implementation status almost depends on patient's cooperate degree completely, therefore above-mentioned doctor's advice is often difficult to carry out put in place.For example doctor's advice requires operative incision to wrap up rearmounted sand pocket or Sal bag is pressed it, but in actual execution doctor's advice to exert pressure position scope, weight and time all without quantification operation standard, even if exert pressure at first, position is correct, but slightly careless in course of exerting pressure (as cover etc.) still can cause and press bag displacement, once press bag displacement very easily to form pocket blood accumulation.For the patient that body constitution is become thin or chest subcutaneous fat is few, even if patient observes doctor's advice completely, because pouch local skin tension force after Pacemaker implantation is large, if pouch position can not long period persistent pressure be fixed, still can cause that local organization hypoxic-ischemic is downright bad, cause otch to be difficult to healing, so that pacemaker shifting spill skin.In addition, if human body long period clinostatism particularly the absolute braking of limbs easily make patient produce deep vein thrombosis of lower extremity, thereby can cause fatal pulmonary embolism, also can there is shoulder joint adhesion because of art side limb brake in a few patients.
As can be seen here, there is many defects that is difficult to overcome and the potential medical-risks such as inconvenient operation in existing method, hemostasis by compression and pouch protector after Chinese patent CN200420013203.6 provides a kind of In Implantation of Permanent Cardiac Pacemaker, comprise and the corresponding gasbag of cardiac pacemaker pouch profile, what be connected with gasbag send exhaust apparatus and fixed air pouch in the fixture of human body, although it can solve the problem of pacemaker shifting, but, because the mode of its hemostasis is only the balloon tamponade hemostasis adopting, therefore haemostatic effect is not good, and when needs are to the surgical wound drug of topical application or while changing dressings, hemostasis by compression and pouch protector must be unloaded, manually to Wound during Dressing Change or the drug of topical application, operation is used very inconvenient.
Summary of the invention
For solving the problems of the technologies described above, the object of the present invention is to provide a kind of comfort and convenient and good Permanent pacemaker implantation position hemostasis by compression fixture of haemostatic effect used.
For achieving the above object, a kind of Permanent pacemaker implantation position hemostasis by compression fixture of the present invention, comprise the gripper shoe that cross section is curved, be arranged on the relief frame in this gripper shoe, and the screw press matching by screw thread with described relief frame, the arch pressing plate that is hollow form, fixing band, described gripper shoe is provided with ear seam, described fixing band is arranged on described ear and sews on, this arch pressing plate is arranged on described screw press bottom, it is characterized in that: in described arch pressing plate, establish containing cavity, and it deviates from described screw press one end face and is provided with some permeability holes, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a hemostatic agent bag and a conduit, this hemostatic agent bag is connected with the containing cavity of described arch pressing plate by described conduit.
Preferred on the basis of such scheme, described fixing band comprises pectoral girdle and shoulder belt, described gripper shoe is provided with three ear seams, described pectoral girdle one end is connected with described ear seam, its other end is provided with connecting device, described shoulder belt one end is connected with gripper shoe by described ear seam, and its other end is connected with described pectoral girdle.
On the basis of such scheme, preferably, be also provided with a standby ear seam in described gripper shoe, this standby ear seam is prismatic, and three of this rib are seamed.
Preferred on the basis of such scheme, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a buffer unit, this buffer unit comprise a gasbag in the form of a ring and be connected with gasbag send exhaust apparatus, this gasbag is looped around on described arch pressing plate.
On the basis of such scheme, preferably, a described pressure display unit, air pressure regulator, inflatable ball and the intake valve that exhaust apparatus is connected by airway order that send forms.
On the basis of such scheme, preferably, described gasbag contacts a side and is provided with pressure inductor with patient, and described pressure inductor is connected with described pressure display unit.
On the basis of such scheme, preferably, described intake valve is solenoid electric valve, and this solenoid electric valve is connected with an inflator pump, and this inflator pump and solenoid electric valve are controlled by a PC controller.
On the basis of such scheme, preferably, described arch pressing plate is soft silica gel pressing plate.
On the basis of such scheme, preferably, described arch pressing plate is provided with on permeability hole one side end face and is also provided with hemostatic gauze.
The present invention compared with prior art, its beneficial effect is: the present invention adopts the curved gripper shoe in cross section and in this gripper shoe, is equiped with relief frame and the screw press by threaded engagement, the bottom of this screw press is provided with arch pressing plate, realization drives the arch pressing plate of screw press bottom to move up and down by turning relief frame, completes the hemostasis by compression to surgical wound, meanwhile, under the effect of the curved gripper shoe in cross section and arch pressing plate, device of the present invention is fitted tightly on patient's wound, and under the effect of fixing band, can effectively guarantee the para-position stability of arch pressing plate and wound, the built-in containing cavity of arch pressing plate, and at arch pressing plate, deviate from described screw press one end face some permeability holes are set, containing cavity is connected with hemostatic agent bag by conduit, during use, be stored in the hemostatic agent in hemostatic agent bag, can enter in containing cavity by conduit, through permeability hole, contact with patient's wound, thereby further strengthen haemostatic effect by hemostatic agent, shorten the Rehabilitation time, due to of the present invention in patient's wound medicine-feeding process, without dismounting fixing band of the present invention, can effectively avoid when changing medicament, touching wound, cause patient suffering, and avoided the triviality used.
Accompanying drawing explanation
Fig. 1 is the top view of Permanent pacemaker implantation of the present invention position hemostasis by compression fixture.
Fig. 2 is the axonometric chart of Permanent pacemaker implantation of the present invention position hemostasis by compression fixture.
Fig. 3 is the cutaway view of Permanent pacemaker implantation of the present invention position hemostasis by compression fixture.
The specific embodiment
By describe in detail the present invention technology contents, structural feature, reached object and effect, below hereby exemplify embodiment and coordinate accompanying drawing to be explained in detail.
Refer to Fig. 1, and in conjunction with consulting shown in Fig. 2 to 3, the invention provides a kind of Permanent pacemaker implantation position hemostasis by compression fixture, comprise the curved gripper shoe in cross section 10, be arranged on the relief frame 20 in this gripper shoe 10, and the screw press 30 matching by screw thread with relief frame 20, the arch pressing plate 40 that is hollow form, fixing band 50, gripper shoe 10 is provided with ear seam 11, fixing band 50 is arranged on ear seam 11, this arch pressing plate 40 is arranged on screw press 30 bottoms, in arch pressing plate 40, establish containing cavity 41, and it deviates from described screw press 30 1 end faces and is provided with some permeability holes 42, a kind of Permanent pacemaker implantation of the present invention position hemostasis by compression fixture also comprises hemostatic agent bag 60 and conduit 70, this hemostatic agent bag 60 is connected with the containing cavity 41 of described arch pressing plate 40 by described conduit 70, wherein, fixing band 50 comprises two pectoral girdles 51 and shoulder belt 52, gripper shoe 10 is provided with three ear seams 11, two pectoral girdle 51 one end are connected with two ears seams 11 wherein, its other end is provided with connecting device, two pectoral girdles 51 interconnect by connecting device, and shoulder belt 52 one end are connected with gripper shoe 10 by one of them in described three ears seam 11, and the other end of shoulder belt 52 is connected with pectoral girdle 51.
During use, medical personnel or care-giver can aim at patient's wound by arch pressing plate 40 of the present invention, the gripper shoe 10 that cross section is curved is fitted with patient's chest, and by two pectoral girdles 51, device of the present invention is firmly fixed on it patient, then shoulder belt 52 is connected with pectoral girdle 51 through patient's shoulder, effectively to guarantee in patient moving process, arch pressing plate and patient's wound relative position do not change, then, turn relief frame 20, make screw press 30 helical rotation, to drive arch pressing plate to move up and down, the hemostasis by compression of realization to patient's wound, simultaneously, nursing staff's or under medical personnel's adjusting, hemorrhage in hemostatic agent bag 60 is flowed in containing cavity 41 by conduit 70, permeability hole 42 by arch pressing plate contacts with patient's wound, to realize hemostatic agent to the effect of patient's Wound healing, shorten patient's Wound healing time, due to patient's wound is being added in hemostatic agent process, without dismounting gripper shoe 10 parts such as grade of the present invention, not only convenient to use, and, can also avoid when dismounting gripper shoe 10 parts such as grade, cause the touching of gripper shoe 10 or arch pressing plate and patient's wound, cause patient's traumatic condition more serious.
Shown in Fig. 3, in order to guarantee patient's comfort, this arch pressing plate 40 is soft silica gel pressing plate, and be provided with on permeability hole 42 1 side end faces and be also provided with hemostatic gauze 43 at this arch pressing plate 40, under the effect of hemostatic gauze 43, the arch pressing plate 40 corrective surgery position radian that can coincide, makes patient more comfortable; Simultaneously, the cross section of this screw press 30 be by a major arc be connected these major arc two free-ended straightways and formed, make the periphery of screw press 30 with a milling platform, thereby screw press 30 is with relief frame 20, effectively interlock screw thread is more mutually, during use, gmatjpdumamics is larger, and stability is better.
Refer to shown in Fig. 2, for fear of patient's wound is excessive in use, use above-mentioned ear seam 11 that fixing band 50 inconveniences are installed, in this gripper shoe 10, be also provided with a standby ear seam 12, this standby ear seam 12 is prismatic, and three of this rib are seamed, fixing band 50 can pass from digonous side seam, uses more convenient.
Shown in Fig. 2, a kind of Permanent pacemaker implantation of the present invention position hemostasis by compression fixture also comprises a buffer unit, this buffer unit comprises gasbag 81 in the form of a ring, and be connected with gasbag 81 send exhaust apparatus 82, this gasbag 81 is looped around on arch pressing plate 40, wherein, the pressure display unit 83 that this send exhaust apparatus 82 to be connected by airway order, air pressure regulator 84, inflatable ball 85 and intake valve 86 form, and at gasbag 81, contact a side with patient and be provided with pressure inductor, and this intake valve 86 is solenoid electric valve, this solenoid electric valve is connected with inflator pump, this inflator pump and solenoid electric valve are controlled by PC controller.
When needs of patients is during by arch pressing plate of the present invention and patient's wound separation, by PC controller, controlling solenoid electric valve opens, inflator pump is filled with gas through inflatable ball 85 in gasbag 81, when gasbag 81 expands, arch pressing plate and patient's wound is changed to face separated, owing to adopting PC controller, control, therefore, can effectively guarantee the pressure size of gasbag 81 and patient contact position, prevent that the pressure that gasbag 81 produces is excessive, the wound opened under the strain to cause patient, affects its rehabilitation; Certainly, user also can adopt by hand gasbag 81 is filled with to gas, being about to this intake valve 86 opens, compressing inflatable ball 85 blasts air in gasbag 81, make gasbag 81 be filled with gas, in gasbag 81 expansion processes, can pass through pressure transducer and pressure display unit 83, show in real time the pressure size that gasbag 81 produces.Due in this process, arch pressing plate is to adopt gasbag 81 slowly to back down with the separated of patient's wound, compares with traditional hemostasis device dismounting mode, active force is softer, can effectively prevent in unloading process, patient's wound secondary bursts apart, and affects wound rehabilitation.
The present invention coordinates by the curved gripper shoe 10 in cross section and arch pressing plate 40 and shoulder belt 52, pectoral girdle 51, can prevent to greatest extent arch pressing plate 40 and patient's wound mutual dislocation, alleviate the psychological burden that patient causes because of long-term clinostatism and limb brake, and adopt two kinds of modes of hemostasis by compression and medicament hemostasis to combine, can effectively shorten the rehabilitation duration of patient's wound, convenient to use.
In sum, only, for the present invention's preferred embodiment, with this, do not limit protection scope of the present invention, all equivalences of doing according to the scope of the claims of the present invention and description change and modify, within being all the scope that patent of the present invention contains.

Claims (9)

1. Permanent pacemaker implantation position hemostasis by compression fixture, comprise the gripper shoe that cross section is curved, be arranged on the relief frame in this gripper shoe, and the screw press matching by screw thread with described relief frame, the arch pressing plate that is hollow form, fixing band, described gripper shoe is provided with ear seam, described fixing band is arranged on described ear and sews on, this arch pressing plate is arranged on described screw press bottom, it is characterized in that: in described arch pressing plate, establish containing cavity, and it deviates from described screw press one end face and is provided with some permeability holes, described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a hemostatic agent bag and a conduit, this hemostatic agent bag is connected with the containing cavity of described arch pressing plate by described conduit.
2. Permanent pacemaker implantation as claimed in claim 1 position hemostasis by compression fixture, it is characterized in that: described fixing band comprises pectoral girdle and shoulder belt, described gripper shoe is provided with three ear seams, described pectoral girdle one end is connected with described ear seam, its other end is provided with connecting device, described shoulder belt one end is connected with gripper shoe by described ear seam, and its other end is connected with described pectoral girdle.
3. Permanent pacemaker implantation as claimed in claim 2 position hemostasis by compression fixture, is characterized in that: in described gripper shoe, be also provided with a standby ear seam, this standby ear seam is prismatic, and three of this rib are seamed.
4. Permanent pacemaker implantation as claimed in claim 1 position compression hemostasis device, it is characterized in that: described Permanent pacemaker implantation position hemostasis by compression fixture also comprises a buffer unit, this buffer unit comprise a gasbag in the form of a ring and be connected with gasbag send exhaust apparatus, this gasbag is looped around on described arch pressing plate.
5. Permanent pacemaker implantation as claimed in claim 4 position hemostasis by compression fixture, is characterized in that: a described pressure display unit, air pressure regulator, inflatable ball and the intake valve that exhaust apparatus is connected by airway order that send forms.
6. Permanent pacemaker implantation as claimed in claim 5 position hemostasis by compression fixture, is characterized in that: described gasbag contacts a side and is provided with pressure inductor with patient, and described pressure inductor is connected with described pressure display unit.
7. Permanent pacemaker implantation as claimed in claim 6 position hemostasis by compression fixture, is characterized in that: described intake valve is solenoid electric valve, and this solenoid electric valve is connected with an inflator pump, and this inflator pump and solenoid electric valve are controlled by a PC controller.
8. Permanent pacemaker implantation as claimed in claim 1 position hemostasis by compression fixture, is characterized in that: described arch pressing plate is soft silica gel pressing plate.
9. Permanent pacemaker implantation as claimed in claim 1 or 2 position hemostasis by compression fixture, is characterized in that: described arch pressing plate is provided with on permeability hole one side end face and is also provided with hemostatic gauze.
CN201420050142.4U 2014-01-26 2014-01-26 Compression-hemostasis fixing device at implanting part of permanent pacemaker Withdrawn - After Issue CN203710068U (en)

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CN201420050142.4U CN203710068U (en) 2014-01-26 2014-01-26 Compression-hemostasis fixing device at implanting part of permanent pacemaker

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Application Number Priority Date Filing Date Title
CN201420050142.4U CN203710068U (en) 2014-01-26 2014-01-26 Compression-hemostasis fixing device at implanting part of permanent pacemaker

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705286A (en) * 2014-01-26 2014-04-09 费叶萍 Compression hemostasis fixing device for implanted position of permanent pacemaker
CN112842440A (en) * 2021-03-05 2021-05-28 周承汇 Intelligent pressure adjusting device for postoperative abdominal pressure application

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705286A (en) * 2014-01-26 2014-04-09 费叶萍 Compression hemostasis fixing device for implanted position of permanent pacemaker
CN103705286B (en) * 2014-01-26 2015-12-09 费叶萍 Permanent pacemaker implantation position hemostasis by compression fixture
CN112842440A (en) * 2021-03-05 2021-05-28 周承汇 Intelligent pressure adjusting device for postoperative abdominal pressure application

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20140716

Effective date of abandoning: 20151209

C25 Abandonment of patent right or utility model to avoid double patenting