CN206548570U - Compression cord at puncture of internal arteriovenous fistula - Google Patents

Abstract

The utility model belongs to medical instruments field, and in particular to hemodialysis patient is in treatment end, compression cord at the puncture of internal arteriovenous fistula for carrying out hemostasis by compression to vascular arteriovenous internal fistula point of puncture.The utility model include be used for around patient's arm so as to realize bundling type fix operation fixing band, in the fixing band be located at patient's arm point of puncture position at set can inflation/deflation compression bladder；Locate also to be folded between compression bladder and patient skin through setting for sterile cotton bulb stopper to enter and fixed placement hole on one layer of soft bed course, the soft bed course, patient's arm point of puncture position is located in the range of the pass of the placement hole.The utility model possesses that simple operation, reusable, use cost be low and advantage of sterile hemostasis by compression, and can be to realizing stable and reliable hemostasis by compression function at the puncture of arterial-venous fistula.

Description

Compression cord at puncture of internal arteriovenous fistula

Technical field

The utility model belongs to medical instruments field, and in particular to hemodialysis patient is in treatment end, for blood Pipe puncture of internal arteriovenous fistula point carries out compression cord at the puncture of internal arteriovenous fistula of hemostasis by compression.

Background technology

Internal arteriovenous fistula is the most frequently used blood access of MHD patient, and the patient of China 99% uses this The mode of kind.Hemodialysis patient internal arteriovenous fistula be located at patient's upper limbs forearm or upper arm position, be by blood vessel graft or from Body blood vessel is constituted.At the end of dialysis treatment each time, the arterial-venous fistula selection appropriate ways compressing to patient's penetration damage stops Blood is vital.Mostly stopped blooding both at home and abroad using electronic nose system and elastic band compressing mode at present, press great efforts It is small to rely primarily on vision and experience decision, there is problems with：First, internal arteriovenous fistula blood flow pressure is larger, while thoroughly The disposable diacan pinprick used during analysis is larger, when this causes hemostasis by compression, easily causes if pressure is inadequate Blood is more than, or even as small fountain sample emits blood, causes the shortening of internal fistula service life；And pressure is excessive or pressing time is long easy The dialysis treatment for causing internal fistula occlusion and can not be next.The haemodialysis in the early stage of above-mentioned phenomenon and inexperienced patient, the elderly, Dysnoesia personage, children even hemiplegia etc. feel particularly evident with inaccurate patient.Secondly, each hemostasis by compression When, to ensure compressing effect, medical personnel are required for folding substantial amounts of gauze piece in advance as compressing thing, and this kind of gauze piece is often Disposable product, not only increases the workload that medical personnel prepare in advance, improves running cost, at the same gauze piece there is also Pollution problem.Finally, traditional electronic nose system mode, people understand raising compressing gauze piece and seeing whether to have stopped for active Blood, once erroneous judgement and gauze piece can not be pasted back, cause at puncture that The blood streamed down, it is nervous that this also easily causes patient to produce Frightened or even massive blood loss situation.

The content of the invention

The purpose of this utility model is to overcome above-mentioned the deficiencies in the prior art there is provided a kind of sound rational in infrastructure and practical Compression cord at arteries and veins internal fistula puncture, it is low and sterile hemostasis by compression that it possesses simple operation, reusable, use cost Advantage, and can be to realizing stable and reliable hemostasis by compression function at the puncture of arterial-venous fistula.

To achieve the above object, the utility model employs following technical scheme：

Compression cord at a kind of puncture of internal arteriovenous fistula, it is characterised in that：Including for surrounding patient's arm so as to reality Existing bundling type fixes the fixing band of operation, and being located in the fixing band is set at patient's arm point of puncture position can inflation/deflation Compression bladder；Locate also to be folded between compression bladder and patient skin on one layer of soft bed course, the soft bed course and run through Set and enter for sterile cotton bulb stopper and fixed placement hole, patient's arm point of puncture position is located in the range of the pass of the placement hole.

The soft bed course exists with fixed interband is removably used for both fixed connection sides, and the connection side is magic Art is pasted；Soft bed course profile is in cubic cloth sheet, and the connection side is located at a side edge of soft bed course and adjacent with fixing band It is affixed each other between face.

Laminar separation layer, the one of the separation layer are pasted with the one side towards compression bladder on soft bed course It is affixed each other so that separation layer, which can be produced while around separation layer, this is affixed, stirs action between soft bed course.

One for coordinating sterile cotton balls of the separation layer is convexly equipped with sterile for compressing this towards sterile cotton direction of bowl The colloid fore-set of cotton balls.

The soft bed course is surrounded with binding band along patient's arm, binding band by positioned at it with consolidating at body two ends Determine portion secured to one another, the fixed part is VELCRO or static line.

The beneficial effects of the utility model are：

1) cumbersome, easy pollution and hemostasis by compression that the modes such as traditional use gauze piece are brought, have been abandoned Many defects such as effect is unstable.On the premise of being tied up using fixing band progress arm, what the utility model looked for another way adopts Coordinate the engagement formation of soft bed course with compression bladder, collocation, which is located at soft bed course, is available for sterile cotton bulb stopper to enter and fix Placement hole, finally realize stabilization at the puncture to arterial-venous fistula desired by the utility model and reliable hemostasis by compression work( Energy.Specifically, on the one hand, substitution traditional-handwork pressure hemostatic fashion, by the use of fixing band and compression bladder, to oppress Air bag ensures the pressure uniformity of whole hemostasis by compression process, and patient comfort sense is strong, haemostatic effect is good；Simultaneously because without doctor Shield personnel's Continued depression, also effectively reduces the labor intensity of medical personnel.On the other hand, terminate simultaneously in each dialysis treatment Pull out and the utility model can be used after puncture needle, and slowly loosen decompression again when oppressing 20~30 minutes, worn so as to be effectively ensured The uniform of thorn point bleeds off pressure haemostatic effect, and then avoids pressure excessive or pressing time is long and cause internal fistula occlusion and can not carry out The problem of next dialysis treatment.Finally, sterile cotton balls has prevented the chance of infection, and use is the plug by sterile cotton balls every time Enter the pressing action of regular collocation compression bladder to realize；Compression bladder possesses controllable repetition charging-discharging function, and sterile cotton Ball also possess in itself it is replaceable under so that its functional reliability is high and repeatable utilizes.

To sum up, to possess simple operation, reusable, use cost low and sterile hemostasis by compression for the utility model Advantage, and can be to realizing efficient hemostasis by compression function at the puncture of arterial-venous fistula, its work is extremely reliable and stable, suitable for pushing away Broad-spectrum and.

2), patient's arm point of puncture position is located in the range of the pass of the placement hole, namely when placement hole relative disease human hand When arm point of puncture is fixed, the point of puncture is located just at below sterile cotton balls in bearing area in other words, so as to facilitate sterile cotton The pressing operation of ball.In fact, soft bed course should be set with fixed interband is connected side, so as to ensure that soft bed course is relatively fixed The fixing function of band, to ensure its convenience used.Every time during operation, nothing can be loaded in the placement hole of soft bed course in advance Bacterium cotton balls, is covered at soft bed course to the point of puncture position of patient's arm, then tie up fixing band by lid.It is mounted using magic Soft bed course so that soft bed course itself possesses convertibility, so that in good time unload speckles with blood according to actual needs The old soft bed course of liquid, and the soft bed course more renewed, finally realize reusability of the present utility model.

3), the setting of separation layer, further ensure that soft bed course is relatively fixed the use isolation of band.Due to sound Arteries and veins internal fistula, which is punctured, has the problem of amount of bleeding is big, it is possible that blood from overflowing is excessive and penetrates at soft bed course to pollute soft Matter bed course.Separation layer can be prevented effectively from blood from spreading to fixing band at sterile cotton balls or soft bed course, so as to effectively protect Demonstrate,prove the use cleaning and reusability of fixing band.And the arrangement of colloid fore-set, then on the basis of compression bladder further The efficient top pressure effect for sterile cotton balls is lifted, finally to ensure the hemostasis by compression to point of puncture.

4), using binding band, can further independent soft bed course usability.Specifically, under specific circumstances, very Soft bed course can be extremely pulled down, the treating at point of puncture of patient's arm is fixed on so that soft bed course be realized, is punctured again afterwards Operation.After dialysis treatment terminates and pulls out puncture needle, sterile cotton balls directly is filled in along placement hole, then overcoating fixing band. Now, compression bladder that positioning is located at fixing band and the placement hole at soft bed course are just played in dismountable connection side The function of relative position, thus ensure compression bladder it is safe all the time and accurately in arranged opposite hole sterile cotton balls pressure mesh 's.Under the above constitution, patient and family members are obviously also more easy to carry out bleeding processing operation：Operation is bled off pressure in compression bladder When, can accordingly adjust pressure by observing oozing of blood situation at puncture, and re-secure after fixing band so that overcome with Before take away after whole tourniquet that The blood streamed down and can not handle, in turn result in the situation that patient strains are frightened and lose blood.

Brief description of the drawings

Fig. 1 is structure schematic cross-sectional view of the present utility model；

Fig. 2 is the three-dimensional mated condition figure that placement hole is relatively isolated colloid fore-set at layer.

The actual corresponding relation of each label of the utility model and component names is as follows：

10- fixing band 11- compression bladder 12- charge and discharge gas ports

The soft bed course 21- placement holes 22- connections sides of 20-

23- separation layer 23a- colloid fore-set 24- binding bands

The sterile cotton balls of 30-

Embodiment

For ease of understanding, here in connection with Fig. 1-2, concrete structure of the present utility model and working method are made further below Description：

Concrete structure of the present utility model as shown in figure 1, including inside and outside double-deck strapping body, wherein：Outer layer strapping body It is main structure body by fixing band 10, is constructed by the tight band body of extended spot at the two ends of fixing band 10 so as to form similar cuff, It is finally reached the purpose that fastening is bound at patient's arm.The middle section of fixing band 10 arrange compression bladder 11, compression bladder 11 with Charge and discharge gas port 12 at the outer side pocket face of fixing band 10 realizes the controllability of air pressure inside.Internal layer strapping body is then by soft Bed course 20 is as main structure body, and the soft two ends of bed course 20 stretch out binding band 24 to fasten the soft patient's Yu arm of bed course 20 Place.The soft stage casing of bed course 20 necessarily corresponds to the position of patient's arm point of puncture through setting placement hole 21 and the position of placement hole 21 Put, sterile cotton balls 30 can be laid in placement hole 21.It is as shown in Figure 2, in the relative patient skin binding face of soft bed course 20 Separation layer 23 is set at another side, and the material that can isolate blood when using by silica gel face etc. makes.The direction nothing of separation layer 23 The position projection colloid fore-set 23a of bacterium cotton balls 30, so that realize that the further supercharging compressing of relatively sterile cotton balls 30 stops purpose, with Lift the Compressive Hemostasis of relative disease human arm point of puncture.

Relative to the operation of existing manual gauze piece hemostasis by compression, advantage of the present utility model is：

1st, nurse operation is easy, saves manpower and cost.Before using the utility model, only sterile cotton balls 30 need to be put peace Put in hole 21, and gas of routinely substituting the bad for the good, then can with take with.This, which effectively overcomes, needs to fold the cumbersome of gauze piece by hand in the past Operation, while avoiding the v ulnerability and high cost-effectivenes of folded gauze piece by hand.

2nd, patient and family members are easy to operate, and can handle bleeding in time.At 20 minutes or so and perform compression bladder 11 , can be by observing oozing of blood situation at patient's arm puncture, so as to oppress gas by charge and discharge gas port come timely adjustment when bleeding off pressure operation The pressure of capsule 11, and the tight beam fixing band 10 again after regulation is finished；Whole regulation process even need not all touch soft pad Layer 20.This takes away after whole tourniquet that The blood streamed down and can not handle before effectively overcoming, and in turn results in patient strains Situation that is frightened and losing blood.

3rd, use every time, all fixation can be filled in by sterile cotton balls 30, come come the pressing action for compression bladder 11 of arranging in pairs or groups Realize.Compression bladder 11 possesses controllable repetition charging-discharging function, and under sterile cotton balls 30 itself also possesses alternatively so that its Functional reliability it is high and it is repeatable utilize.Meanwhile, it is high that compression bladder 11 itself just possesses compressing stability with respect to either manual pressure The strong advantage with stationarity, so that patient's usage comfort is able to effectively be lifted.

4th, due at patient's arm puncture needle eye it is larger, cause bacterium easily to enter internal by pinprick, cause internal fistula to infect. The utility model is stopped blooding using sterile cotton balls 30 completely, and it is big and polarization is poor asks using difficulty to solve sterile cotton balls 30 Topic, has prevented the chance of bacterium infection, and this is that former operated using gauze piece can not be compared.

Claims (5)

1. compression cord at a kind of puncture of internal arteriovenous fistula, it is characterised in that：Including for being realized around patient's arm Bundling type fixes the fixing band (10) of operation, and being located in the fixing band (10) is set at patient's arm point of puncture position can The compression bladder (11) of inflation/deflation；Locate also to be folded with one layer of soft bed course (20) between patient skin in compression bladder (11), Filled on the soft bed course (20) through setting for sterile cotton balls (30) and fixed placement hole (21), patient's arm point of puncture Position is located in the range of the pass of the placement hole (21).

2. compression cord at a kind of puncture of internal arteriovenous fistula according to claim 1, it is characterised in that：The soft pad There is dismountable connection side (22) for fixing both between layer (20) and fixing band (10), the connection side (22) is magic Patch；Soft bed course (20) profile is in cubic cloth sheet, and the connection side (22) is located at a side edge of soft bed course (20) and with consolidating It is affixed each other between the adjacent surface of fixed band (10).

3. compression cord at a kind of puncture of internal arteriovenous fistula according to claim 1 or 2, it is characterised in that：Soft Laminar separation layer (23) is pasted with the one side towards compression bladder (11) on bed course (20), the separation layer (23) While affixed each other between soft bed course (20) so that separation layer (23) affixed side generation can stir action around separation layer.

4. compression cord at a kind of puncture of internal arteriovenous fistula according to claim 3, it is characterised in that：The separation layer (23) one for coordinating sterile cotton balls (30) is convexly equipped with for compressing the sterile cotton balls towards sterile cotton ball (30) direction (30) colloid fore-set (23a).

5. compression cord at a kind of puncture of internal arteriovenous fistula according to claim 3, it is characterised in that：The soft pad Layer (20) is surrounded with binding band (24) along patient's arm, binding band (24) by positioned at its with the fixed part at body two ends that This fastening, the fixed part is VELCRO or static line.