CN209611234U - Femoral artery puncture pressure hemostasis device - Google Patents

Abstract

The utility model provides a kind of femoral artery puncture compression hemostatic device, including femoral artery puncture Pressure tourniquet, the tourniquet includes the first bandage and the second bandage, first bandage and the second bandage respectively with connect band connection, first bandage is equipped with left side hip adjusting band, rear waist band body, right side hip and adjusts band, abdominal belt body and the first adhesion portion, and the second bandage adjusts band equipped with big leg outer side, thigh bottom belt body, femoribus internus adjust band, upper leg portion band body and the second adhesion portion.The femoral artery puncture pressure apparatus can easy adjustment tourniquet elasticity, when use will not influence perineum, and urine is also less easily accessible to tourniquet, and a people one use may be implemented, and meets institute's sense and requires.It is suitble to clinically promote and apply.

Description

Femoral artery puncture pressure hemostasis device

technical field

The utility model relates to the technical field of medical rehabilitation equipment, in particular to a femoral artery puncture pressure hemostasis device.

Background technique

Femoral artery puncture is a surgical procedure for regional treatment, which has been widely used clinically. Femoral artery puncture point hematoma is one of the complications after femoral artery puncture, and postoperative compression hemostasis is a common cause of this complication. How to reduce hematoma has become an urgent problem in postoperative care. Traditional manual compression hemostasis methods include the following three.

The first method: Use manual compression on the puncture site, then cover the compression puncture point with a bandage roll, and then use the bandage to cross four times around the puncture point to form an 8-shaped compression bandage. The tightness of the bandage is not easy to adjust. Sometimes the bandage is too tight, resulting in unsmooth venous return, swelling of the limbs, and difficulty in detecting the dorsalis pedis artery. It is necessary to ask a doctor to untie it and bandage it again. In addition, due to the movement of the patient's body, the bandage may cause the bandage to loosen and cause bleeding. Again, this method is time-consuming and labor-intensive, and the doctor needs to cut the bandaged bandage with scissors when removing it.

The second method: Use manual compression on the puncture site, cover the puncture point with gauze, and then directly cross-stick the puncture site with 3M pressure tape. This method often causes hematoma at the puncture site due to insufficient compression force.

The third method: Use manual compression on the puncture site, apply it to cover it, and then directly wrap the puncture site with an abdominal belt. A wide abdominal belt often covers the entire perineum, and it is easy to contaminate the puncture site and the abdominal belt when urinating, and the sacrum is easy to get wet, leading to acute pressure injury.

In addition, there is a vascular closure suture method for postoperative hemostasis. This method is more convenient, can stop bleeding quickly, and has fewer complications, but it obviously increases the cost of the patient.

Various hospitals have different compression methods after femoral artery puncture, but no femoral artery compression device suitable for general clinical promotion has been seen so far.

Utility model content

In view of the above problems, the utility model provides a femoral artery puncture pressure hemostasis device, including a femoral artery puncture pressure tourniquet, and the tourniquet includes a first strap and a second strap, and the first strap and the second strap The same ends are respectively connected to the connecting strap, and there is a gap between the first strap and the second strap to make them spaced apart from each other. Starting from the end of the connecting strap, the first strap is provided with the left hip adjustment strap in turn , rear waist belt, right hip adjustment belt, abdominal belt and the first adhesive part; the second belt is provided with the outer thigh adjustment belt, the bottom thigh belt, the inner thigh adjustment belt, the upper thigh belt and the second In the second adhesion part, after the first strap wraps around the hip abdomen for a week, the first adhesion part can be overlapped with the connecting belt; after the second strap wraps around the thigh for a week, the second adhesive part can be overlapped with the connecting strap.

Further, the length of the adjustment belt can be adjusted.

Further, the hook portion of the nylon buckle is provided on the side of the first adhesive body and the second adhesive body in contact with the connecting belt, and the suede portion of the nylon buckle is provided on the side of the connecting belt in contact with the adhesive body.

Further, there is a gap between the first strap and the second strap.

The utility model also provides a femoral artery puncture pressure hemostasis device, including a femoral artery puncture pressure tourniquet and a bleeding detection test paper, wherein the tourniquet includes a first strap and a second strap, and the first strap and the second strap The same ends are respectively connected to the connecting belt, starting from the connecting belt end, the first strap is provided with the left hip adjustment belt, the rear waist belt, the right hip adjustment belt, the abdominal belt and the first adhesion part ; The second strap is provided with the outer thigh adjustment belt, the thigh bottom belt body, the inner thigh adjustment belt, the upper thigh belt body and the second adhesion part in turn. After the first belt wraps around the hip abdomen for a week, the first adhesion part can be connected The straps are overlapped together, and after the second strap wraps around the thigh for a week, the second adhesive part can overlap the connecting strap together.

Further, there is a gap between the first strap and the second strap.

Further, the puncture pressing part on the upper thigh belt is provided with a through opening, which can expose the puncture point, and the upper part of the through opening is covered by a cover.

Further, a certain distance is provided between the cover member and the through opening to form an insertion opening.

The detection test paper includes test strips and blood-absorbing paper.

Specifically, the blood-absorbing paper is located at the front end of the test strip and can transmit liquid between the test strip.

The femoral artery puncture pressure hemostasis device or the femoral artery puncture pressure hemostasis device has the following advantages: it is easy to operate and saves time. The tightness can be adjusted conveniently. After the patient moves, the tightness can be adjusted according to the actual situation. There will be no excessive pressure or poor venous return, and there will be no bleeding caused by too little pressure. The central point of compression is the puncture point, and there will be no obstacle to the perineum, and the dressing will not be soaked by urine due to the problem of bandaging, so as to avoid the damp stimulation of the tail and sacrum. It is economical and convenient, one person takes one place, and meets the requirements of the hospital feeling. Therefore, the femoral artery puncture pressure hemostasis device is very suitable for clinical popularization and application.

Description of drawings

Figure 1 is a schematic front view of a femoral artery puncture pressure tourniquet.

Figure 2 is a schematic diagram of the reverse side of the femoral artery puncture pressure tourniquet

Fig. 3 is a schematic diagram of the clinical use of the femoral artery puncture pressure tourniquet.

Fig. 4 is a schematic diagram of a through-hole provided in the upper thigh band body.

Fig. 5 is a schematic diagram of a through opening in the upper thigh band body provided with a covering body.

Fig. 6 is a schematic diagram of the insertion of the bleeding detection test strip into the upper thigh band.

Fig. 7 is a sectional view in the direction of Fig. 4A-A, at this time, the absorbent paper of the detection test paper is placed on the through opening.

Fig. 8 is a schematic diagram of the structure of the detection test paper.

Detailed ways

The femoral artery puncture pressure hemostatic device includes the femoral artery puncture pressure tourniquet. The femoral artery puncture pressure tourniquet as shown in Figures 1 to 3 includes a first band 1 and a second band 2, the same ends of the first band and the second band are respectively connected to the connecting band 3, and the first A gap 4 is provided between the strap and the second strap to space them apart from each other. Starting from this end of the connecting belt, the first strap 1 is provided with the left hip adjustment belt 11, the back waist belt body 12, the right hip adjustment belt 13, the abdominal belt body 14 and the first adhesive part 15 in sequence; The strap 2 is sequentially provided with an outer thigh adjustment belt 21 , a thigh bottom belt body 22 , an inner thigh adjustment belt 23 , an upper thigh belt body 24 and a second adhesion portion 25 . After the first band wraps around the abdomen of the hip for one week, the first adhesive part can be overlapped with the connecting band. After the second strap wraps around the thigh for one week, the second adhesive part can be overlapped with the connecting strap.

The length of the adjustment strap can be adjusted. The adjustment belt can be adjusted in the form of an elastic band to achieve length adjustment. The first adhesive body and the second adhesive body are in contact with the connecting tape and can be adhered to each other. For example, the first adhesion body and the second adhesion body are provided with a hook portion of a nylon buckle on one side in contact with the connection belt, and a velvet portion of a nylon buckle is provided on a side of the connection belt in contact with the adhesion body. When in use, the first and second adhesive bodies and the connecting belt are glued together by using the principle of nylon buckles. After the hemostasis is over, the velvet portion and the hook portion of the nylon buckle can be torn apart again.

As shown in Figure 3 is an example of the clinical application of the femoral artery puncture pressure tourniquet. After the femoral artery puncture operation is completed, the patient uses the femoral artery puncture pressure tourniquet of the utility model to stop bleeding at the puncture site. The specific operation is: the first strap 1 is wrapped around the hip and waist of the patient, so that the left hip adjustment belt 11 and the right hip adjustment belt 13 are respectively located at the left and right hip positions of the patient, and the rear waist belt body 12 Close to the patient's back waist position (not shown), the abdominal belt body 14 is close to the patient's abdominal position, and the first adhesive part 15 is adhered to the connecting belt 3 . Since the length-adjustable adjustment straps 11 and 13 are provided on the first strap, the tourniquet can be adapted to patients of different sizes. The second strap 2 goes around the thigh of the patient's affected limb for a week. The outer thigh adjustment belt 21 and the inner thigh adjustment belt 23 are respectively positioned at the outside and the inner side of the thigh of the affected limb. The upper belt body 24 covers the patient's femoral artery puncture site, and the second adhesive part 25 is adhered to the connecting belt 3 . Since the second strap is provided with adjustable length adjustment straps 21 and 23, the upper thigh strap body 24 is positioned at the puncture site of the femoral artery. By adjusting the connection position between the second adhesive part and the connecting belt, the degree of tightness of the second binding belt wrapped around the thigh is adjusted, thereby adjusting the pressure of the upper thigh belt 24 at the puncture site of the femoral artery. This kind of tightness adjustment method is very convenient. After the patient moves, the tightness can be adjusted according to the actual situation. There will be no excessive pressure or poor venous return, and there will be no bleeding caused by too little pressure.

The compression center point of the tourniquet is the puncture point, so there will be no obstacle to the perineum, and the dressing will not be soaked by urine due to the bandaging problem, so as to avoid the damp stimulation of the tail and sacrum.

A sandbag storage bag 26 can also be sewed on the upper surface of the upper thigh belt body 24, and the storage bag is used to store sandbags for increasing the pressure. According to the actual situation of the patient, after the second strap is wrapped around the thigh, it is necessary to further strengthen the pressure of the upper thigh strap on the puncture point, and a sandbag of a certain weight can be placed in the storage bag. Put sterilized substances with a certain weight in the sandbag, such as sand, silica gel balls, etc.

In order to observe in time whether there is bleeding at the puncture site, the femoral artery puncture pressure hemostasis device includes a femoral artery puncture pressure tourniquet and a bleeding detection test paper. In this design scheme, as shown in Figures 4 to 7, the puncture pressing area 5 on the upper thigh band 24 of the femoral artery puncture pressure tourniquet as mentioned above is provided with a through opening 51, and the through opening can make the puncture point exposed. The top of the through opening 51 is covered by a cover 52, and a certain distance is provided between the cover and the through opening to form an insertion opening 53, which can be used to detect the insertion of the test paper and allow the blood-absorbing paper to be positioned on the through opening.

The detection test paper includes a test strip 61 and a blood-absorbing paper 63, and the blood-absorbing paper is located at the front end of the test strip and can communicate with the test strip. The material of the test strip can absorb blood and make the blood flow on it (for example, in the way of lateral flow, lateral flow), and the material of the blood-absorbing paper can absorb the exuded blood. When the blood-absorbing paper absorbs blood and reaches saturation , the blood on which will transfer to the test strip. The size of the blood-absorbing paper matches the opening, can be placed in the opening, and has the same area as the opening or slightly smaller than the opening. The test strip 61 includes a contact area 611 and an observation area 612, the contact area is the area where the blood-absorbing paper is adhered to the test strip, and the observation area is the area for observing whether the puncture point is bleeding a lot. The detection principle of the test paper is: the blood 7 oozed from the puncture is absorbed by the blood-absorbing paper, and flows from bottom to top in the blood-absorbing paper (as indicated by the arrow). When the amount of bleeding at the puncture point does not exceed the normal range, the blood in the blood-absorbing paper will not reach the upper surface of the blood-absorbing paper, and blood will not touch the test strip and flow on the test strip (as indicated by the arrow). When the amount of bleeding at the puncture point exceeds the normal range, the blood on the blood-absorbing paper will reach the upper surface of the blood-absorbing paper from bottom to top, and after the continuously inhaled blood of the blood-absorbing paper touches the test strip, the oozing blood will be on the test strip. When there is blood in the observation area, it indicates that the bleeding at the puncture point is very large, and the pressure at the puncture point needs to be readjusted to achieve hemostasis.

During use, when the femoral artery puncture pressure tourniquet is tied on the punctured leg in the manner shown in Figure 3, adjust the tightness of the second bandage wrapped around the thigh, thereby adjusting the pressure of the femoral artery puncture at the femoral artery puncture. , and let the through opening be located at the puncture point. Put clean detection test paper 6 between the cover 52 and the through opening 51, the blood-absorbing paper 63 of the detection test paper is positioned in the through-opening 51 and contacts with the puncture point, the test strip 61 of the detection test paper is on the blood-absorbing paper, and the test strip The observation area is located where it can be observed outside the cover. During the use of the femoral artery puncture pressure tourniquet, if there are blood traces on the observation area of the test paper, it indicates that the bleeding at the puncture point has exceeded the reasonable range, and the pressure on the puncture point needs to be readjusted. Utilize the test strip, just do not need the nursing staff to untie the second bandage frequently to see whether the puncture point is bleeding. The two opposite sides of the cover are sewn on the upper thigh belt, and the test paper is inserted into the through opening from the non-sewn side. The cover can also be sewn on the upper thigh belt on three sides, and the detection test paper can be inserted into the through opening from the non-sewn side.

Multiple tests of the femoral artery puncture pressure tourniquet and its device have shown that its tightness can be adjusted conveniently, and the central point of the belt body compression on the upper thigh is just the puncture point, so it will not affect the perineum. The binding method that two bandages are used in combination makes it difficult for urine to touch the tourniquet. The material of the tourniquet is common and the structure is simple, which can be realized by one person and avoid cross infection. Used together with bleeding detection test strips, you can know in time whether there is bleeding beyond the normal range at the puncture point without completely loosening the tourniquet. Therefore, it is suitable for clinical application.

Claims (5)

1. femoral artery puncture pressure hemostasis device comprises femoral artery puncture pressure hemostatic band, it is characterized in that, described tourniquet comprises first bandage and second bandage, and the same end of first bandage and second bandage is respectively connected with The connecting belt is connected, the first strap is provided with the left hip adjustment belt, the back waist belt, the right hip adjustment belt, the abdomen belt and the first adhesion part in turn; the second strap is provided with the outer thigh adjustment belt in turn , the thigh bottom belt body, the inner thigh adjustment belt, the upper thigh belt body and the second adhesive part, the first adhesive part and the second adhesive part can be overlapped with the connecting belt respectively. 2. The femoral artery puncture pressure hemostasis device according to claim 1, characterized in that the length of the adjustment band can be adjusted. 3. The femoral artery puncture pressure hemostasis device according to claim 2, characterized in that the adjustment band is selected from elastic bands. 4. femoral artery puncture pressure hemostasis device according to claim 1, is characterized in that, the first adhesive body and the second adhesive body are provided with the hook portion of nylon buckle on one side that contacts with connecting band, and connecting band contacts with adhesive body. Fleece with nylon buttons on one side. 5 . The femoral artery puncture pressure hemostasis device according to claim 1 , wherein a gap is provided between the first band and the second band.