CN204618334U - Internal fistula compression hemostasis device - Google Patents

Internal fistula compression hemostasis device Download PDF

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Publication number
CN204618334U
CN204618334U CN201520272745.3U CN201520272745U CN204618334U CN 204618334 U CN204618334 U CN 204618334U CN 201520272745 U CN201520272745 U CN 201520272745U CN 204618334 U CN204618334 U CN 204618334U
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China
Prior art keywords
pedestal
nut body
internal fistula
screw rod
elastic bandage
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Expired - Fee Related
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CN201520272745.3U
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Chinese (zh)
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汪静美
何娅妮
王云燕
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Third Affiliated Hospital of TMMU
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Third Affiliated Hospital of TMMU
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Abstract

The utility model discloses a kind of internal fistula compression hemostasis device, comprise Elastic bandage, the middle part of described Elastic bandage is provided with pedestal, described pedestal is provided with Xie Qie mechanism and drives the drive mechanism of this Xie Qie mechanism, described Xie Qie mechanism comprises the slide block that can slide up and down along pedestal and can move to drive tiltedly carving of the downward pressure point of this slide block along base level, described drive mechanism comprises the screw rod that can promote tiltedly to carve and the nut body coordinated with screw rod, described nut body is axially limited on pedestal, the oppressive force to point of puncture can be discharged gradually in the later stage of hemostasis by compression.

Description

内瘘压迫止血装置Internal fistula compression hemostatic device

技术领域 technical field

本实用新型涉及一种内瘘压迫止血装置。 The utility model relates to an internal fistula compression hemostasis device.

背景技术 Background technique

血液透析是终末期肾衰竭病人主要的代替治疗方法。动静脉内瘘是最安全、方便的透析通路,经过这个通路,动脉血分流至静脉,静脉由于血流量增多、压力增高而官腔扩张,管壁增厚而形成动脉化血管。然而动静脉内瘘血管压力较大,穿刺后容易出血,因此需要对穿刺点进行压迫止血。目前,内瘘压迫止血常用弹力绷带压迫止血,而穿刺点一般位于前臂上,弹力绷带缠绕在前臂上,两端通过粘扣粘合在一起而形成对穿刺点的压迫,其优点是操作简单,压力保持性好。但缺点是,在止血过程中,弹力绷带对穿刺点的压力基本是恒定的,而临床上止血过程后期所需的压迫力是逐渐减小的,且压迫时间不宜过长(一般30min),但实际部分老年患者或者新导入血透患者会忘记取弹力绷带。时常会导致内瘘闭塞,其后果至少有两个:1.病人承受溶栓痛苦。2.若溶栓未成功,则需要实施重建内瘘术,但内瘘成熟前需要临时深静脉置管作为血透通路,因此大大增加患者痛苦和经济负担。而现有的弹力绷带无法达到这一要求。 Hemodialysis is the main alternative treatment for patients with end-stage renal failure. Arteriovenous fistula is the safest and most convenient access for dialysis. Through this access, the arterial blood is shunted to the vein. Due to the increased blood flow and pressure, the lumen of the vein expands and the wall thickens to form an arterialized vessel. However, arteriovenous fistulas have high blood pressure and are prone to bleeding after puncture, so it is necessary to compress the puncture point to stop bleeding. At present, elastic bandage is commonly used to stop bleeding in internal fistula, and the puncture point is generally located on the forearm. The elastic bandage is wrapped around the forearm, and the two ends are glued together by gluing to form compression on the puncture point. The advantage is that it is easy to operate. Good pressure retention. But the disadvantage is that during the hemostasis process, the pressure of the elastic bandage on the puncture point is basically constant, and the pressure required in the later stage of the clinical hemostasis process is gradually reduced, and the compression time should not be too long (generally 30min), but In fact, some elderly patients or newly introduced hemodialysis patients will forget to take elastic bandages. Occlusion of the internal fistula is often caused, and there are at least two consequences: 1. The patient suffers from thrombolytic pain. 2. If the thrombolysis is unsuccessful, reconstruction of the internal fistula is required, but before the internal fistula matures, a temporary deep vein catheter is required as a hemodialysis access, which greatly increases the pain and financial burden of the patient. And existing elastic bandage can't meet this requirement.

实用新型内容 Utility model content

有鉴于此,本实用新型要解决的技术问题在于提供一种内瘘压迫止血装置,能够逐渐释放对穿刺点的压迫力。 In view of this, the technical problem to be solved by the utility model is to provide a fistula compression hemostatic device, which can gradually release the compression force on the puncture point.

本实用新型的内瘘压迫止血装置,包括弹力绷带,所述弹力绷带的中部设有基座,所述基座上设有斜锲机构和驱动该斜锲机构的传动机构,所述斜锲机构包括可沿基座上下滑动的滑块以及可沿基座水平移动以驱动该滑块向下压迫止血点的斜锲,所述传动机构包括可推动斜锲的螺杆和与螺杆配合的螺母体,所述螺母体轴向限定在基座上。 The internal fistula compression hemostasis device of the present utility model comprises an elastic bandage, a base is provided in the middle of the elastic bandage, and a wedge mechanism and a transmission mechanism for driving the wedge mechanism are arranged on the base, and the wedge mechanism It includes a slider that can slide up and down along the base and a wedge that can move horizontally along the base to drive the slider to press the hemostasis point downward. The transmission mechanism includes a screw that can push the wedge and a nut that cooperates with the screw. The nut body is axially limited on the base.

进一步,所述螺母体的周向具有外齿体,所述传动机构还包括位于基座上的与螺母体的外赤体相啮合的齿轮和驱动该齿轮的微型电机。 Further, the nut body has external teeth around its circumference, and the transmission mechanism also includes a gear on the base that meshes with the outer body of the nut body and a micro motor that drives the gear.

进一步,所述螺杆连接在推板上,所述推板与斜锲之间连接有弹簧。 Further, the screw rod is connected to the push plate, and a spring is connected between the push plate and the wedge.

本实用新型的有益效果:本实用新型的内瘘压迫止血装置,包括弹力绷带,所述弹力绷带的中部设有基座,所述基座上设有斜锲机构和驱动该斜锲机构的传动机构,所述斜锲机构包括可沿基座上下滑动的滑块以及可沿基座水平移动以驱动该滑块向下压迫止血点的斜锲,所述传动机构包括可推动斜锲的螺杆和与螺杆配合的螺母体,所述螺母体轴向限定在基座上,在压迫止血的后期可以逐渐释放对穿刺点的压迫力。 Beneficial effects of the present utility model: the internal fistula compression hemostasis device of the present utility model comprises an elastic bandage, a base is provided in the middle of the elastic bandage, and an inclined wedge mechanism and a transmission for driving the inclined wedge mechanism are arranged on the base. mechanism, the wedge mechanism includes a slider that can slide up and down along the base and a wedge that can move horizontally along the base to drive the slider to press the hemostasis point downward, and the transmission mechanism includes a screw that can push the wedge and The nut body matched with the screw rod is axially limited on the base, and the compression force on the puncture point can be gradually released in the late stage of compression hemostasis.

附图说明 Description of drawings

下面结合附图和实施例对本实用新型作进一步描述。 Below in conjunction with accompanying drawing and embodiment the utility model is described further.

图1为本实用新型的主视示意图; Fig. 1 is the front schematic diagram of the utility model;

图2为本实用新型的左视示意图; Fig. 2 is the left view schematic diagram of the utility model;

图3为图1中A部放大视图; Fig. 3 is an enlarged view of part A in Fig. 1;

图4为图1中B部放大视图。 Fig. 4 is an enlarged view of part B in Fig. 1 .

具体实施方式 Detailed ways

以下将结合附图对本实用新型进行详细说明,如图所示:本实施例的内瘘压迫止血装置,包括弹力绷带1,该弹力绷带1缠绕在的两端通过粘扣粘合以缠绕在内瘘穿刺点周围。在弹力绷带1的中部设有基座2,所述基座2上设有斜锲机构3和驱动该斜锲机构的传动机构4,所述斜锲机构3包括可沿基座上下滑动的滑块301以及可沿基座水平移动以驱动该滑块301向下压迫止血点的斜锲302,所述传动机构4包括可推动斜锲的螺杆401和与螺杆配合的螺母体402,螺母体402轴向被基座2上的左、右限位板201、202限定。通过弹力绷带1将基座2定位于在内瘘穿刺点,调整弹力绷带1的松紧程度,使其仅起固定作用而不会压迫内瘘穿刺点,内瘘压迫由滑块301来完成,具体操作步骤是:转动螺母体402,由于螺母体402的轴向被限制,螺母体402的转动将转化为螺杆401水平移动,当螺杆401带动斜锲302相对滑块301移动时,滑块301受到斜锲302的挤压而向下压迫内瘘穿刺点,在压迫后期,可以反向转动螺母体402使螺杆401带动斜锲302逐渐释放对滑块301向下的压力,这样可以满足在止血后期逐渐减少对穿刺点的压迫力。 The utility model will be described in detail below in conjunction with the accompanying drawings, as shown in the figure: the internal fistula compression hemostasis device of the present embodiment includes an elastic bandage 1, and the two ends of the elastic bandage 1 are wrapped around by gluing to be wrapped inside around the fistula puncture site. The middle part of the elastic bandage 1 is provided with a base 2, and the base 2 is provided with a wedge mechanism 3 and a transmission mechanism 4 for driving the wedge mechanism. The wedge mechanism 3 includes a slide that can slide up and down along the base The block 301 and the oblique wedge 302 that can move horizontally along the base to drive the slider 301 to press the hemostatic point downward, the transmission mechanism 4 includes a screw rod 401 that can push the oblique wedge and a nut body 402 that cooperates with the screw rod, and the nut body 402 The axial direction is limited by the left and right limiting plates 201 and 202 on the base 2 . The base 2 is positioned at the puncture point of the internal fistula through the elastic bandage 1, and the tightness of the elastic bandage 1 is adjusted so that it only acts as a fixation and does not compress the puncture point of the internal fistula. The compression of the internal fistula is completed by the slider 301, specifically The operation steps are: rotate the nut body 402. Since the axial direction of the nut body 402 is restricted, the rotation of the nut body 402 will be transformed into the horizontal movement of the screw rod 401. When the screw rod 401 drives the wedge 302 to move relative to the slider 301, the slider 301 will be moved The extrusion of the oblique wedge 302 presses down the puncture point of the internal fistula. In the later stage of compression, the nut body 402 can be rotated in the opposite direction so that the screw 401 drives the oblique wedge 302 to gradually release the downward pressure on the slider 301, which can satisfy the hemostasis in the late stage. Gradually reduce pressure on the puncture point.

作为上述技术方案的进一步改进,所述螺母体402的周向具有外齿体403,所述传动机构4还包括位于基座上的与螺母体的外赤体相啮合的齿轮404和驱动该齿轮的微型电机405,通过微型电机405依次驱动齿轮404和螺母体402转动,无需手动操作,操作简便,微型电机405的转速和转向可调,控制更精准。 As a further improvement of the above technical solution, the nut body 402 has an outer tooth body 403 in the circumferential direction, and the transmission mechanism 4 also includes a gear 404 on the base that is engaged with the outer body of the nut body and drives the gear The micro-motor 405 drives the gear 404 and the nut body 402 to rotate sequentially through the micro-motor 405. Manual operation is not required, and the operation is simple. The speed and direction of the micro-motor 405 are adjustable, and the control is more precise.

作为上述技术方案的进一步改进,所述螺杆401连接在推板406上,所述推板406与斜锲之间连接有弹簧407,通过弹簧407的压力可以适当增加斜锲402对滑块401也就是滑块401对穿刺点的压迫力。 As a further improvement of the above-mentioned technical solution, the screw rod 401 is connected to the push plate 406, and a spring 407 is connected between the push plate 406 and the wedge, and the pressure of the spring 407 can appropriately increase the pressure of the wedge 402 on the slider 401. It is the pressing force of the slider 401 on the puncture point.

最后说明的是,以上实施例仅用以说明本实用新型的技术方案而非限制,尽管参照较佳实施例对本实用新型进行了详细说明,本领域的普通技术人员应当理解,可以对本实用新型的技术方案进行修改或者等同替换,而不脱离本实用新型技术方案的宗旨和范围,其均应涵盖在本实用新型的权利要求范围当中。 Finally, it is noted that the above embodiments are only used to illustrate the technical solutions of the present utility model without limitation. Although the utility model has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the utility model can be Modifications or equivalent replacements of the technical solutions without departing from the purpose and scope of the technical solutions of the utility model shall be covered by the claims of the utility model.

Claims (3)

1. an internal fistula compression hemostasis device, comprise Elastic bandage (1), it is characterized in that: the middle part of described Elastic bandage is provided with pedestal (2), described pedestal (2) is provided with Xie Qie mechanism (3) and drives the drive mechanism (4) of this Xie Qie mechanism, described Xie Qie mechanism (3) comprises the slide block (301) that can slide up and down along pedestal and can move to drive this slide block (301) tiltedly the carving (302) of pressure point downwards along base level, described drive mechanism (4) comprises the screw rod (401) that can promote tiltedly to carve and the nut body (402) coordinated with screw rod, described nut body (402) is axially limited on pedestal (2).
2. internal fistula compression hemostasis device according to claim 1, it is characterized in that: the circumference of described nut body (402) has outer denticle (403), described drive mechanism (4) also comprises and is positioned at the gear (404) be meshed with the outer nakedness of nut body on pedestal and the micromachine (405) driving this gear.
3. internal fistula compression hemostasis device according to claim 2, is characterized in that: described screw rod (401) is connected in push pedal (406), described push pedal (406) and be connected with spring (407) between tiltedly carving.
CN201520272745.3U 2015-04-30 2015-04-30 Internal fistula compression hemostasis device Expired - Fee Related CN204618334U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893141A (en) * 2019-03-15 2019-06-18 中国人民解放军陆军军医大学第二附属医院 A kind of fixed device of blood sampling
CN110368287A (en) * 2019-08-30 2019-10-25 河南科技大学第一附属医院 A kind of adaptive CPR external chest compression device
CN110393663A (en) * 2019-08-30 2019-11-01 河南科技大学第一附属医院 CPR external chest compression device

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893141A (en) * 2019-03-15 2019-06-18 中国人民解放军陆军军医大学第二附属医院 A kind of fixed device of blood sampling
CN109893141B (en) * 2019-03-15 2021-08-20 中国人民解放军陆军军医大学第二附属医院 A fixing device for blood collection
CN110368287A (en) * 2019-08-30 2019-10-25 河南科技大学第一附属医院 A kind of adaptive CPR external chest compression device
CN110393663A (en) * 2019-08-30 2019-11-01 河南科技大学第一附属医院 CPR external chest compression device
CN110393663B (en) * 2019-08-30 2021-08-10 鹤壁市人民医院 External chest pressing device for cardio-pulmonary resuscitation
CN110368287B (en) * 2019-08-30 2021-08-13 许文君 Self-adaptive external chest compression device for cardio-pulmonary resuscitation

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Granted publication date: 20150909

Termination date: 20160430