CN209951327U - An upper extremity vascular hemostat - Google Patents
An upper extremity vascular hemostat Download PDFInfo
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- CN209951327U CN209951327U CN201920393135.7U CN201920393135U CN209951327U CN 209951327 U CN209951327 U CN 209951327U CN 201920393135 U CN201920393135 U CN 201920393135U CN 209951327 U CN209951327 U CN 209951327U
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Abstract
本实用新型涉及一种上肢血管止血器,包括供患者上肢放置的底座、可移动设置在所述底座上的止血单元、设置在所述底座上且沿第一方向设置以给所述止血单元移动导向的导向组件;所述底座上设有供所述患者上肢放置以对患者上肢进行限位的限位槽;所述限位槽的两端设有供患者上肢伸入的开口;所述止血单元设置在所述限位槽以朝所述限位槽做相对运动;所述导向组件包括沿第一方向设置在所述底座上且位于所述限位槽两侧的导轨、以及设置在所述止血单元上且与所述导轨对应设置以在所述导轨中滑动的滑块。该上肢血管止血器可根据实际压迫的位置对该止血单元进行调整,进而可提高医护人员的工作效率,降低患者的不适感。
The utility model relates to an upper extremity vascular hemostatic device, which comprises a base for placing the upper limbs of a patient, a hemostatic unit movably arranged on the base, and a hemostatic unit arranged on the base and along a first direction to move the hemostatic unit Guided guide assembly; the base is provided with a limit groove for placing the patient's upper limb to limit the patient's upper limb; both ends of the limit groove are provided with openings for the patient's upper limb to extend into; the hemostatic The unit is arranged in the limiting slot to perform relative movement toward the limiting slot; the guide assembly includes guide rails arranged on the base along the first direction and located on both sides of the limiting slot, and a guide rail arranged on the A slider on the hemostatic unit and corresponding to the guide rail to slide in the guide rail. The upper limb vascular hemostatic device can adjust the hemostatic unit according to the actual compression position, thereby improving the work efficiency of medical staff and reducing the discomfort of patients.
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,更具体地说,涉及一种上肢血管止血器。The utility model relates to the technical field of medical devices, in particular to an upper extremity vascular hemostatic device.
背景技术Background technique
我国冠心病的发病率越来越高,随着技术进步,冠脉介入诊疗术开展得越来越普遍。经桡动脉穿刺入路具有创伤小、并发症少、术后恢复快、无需制动等优点,已成为冠脉介入诊疗术的首选穿刺入路,不可避免的就会出现桡动脉穿刺部位的血肿并发症的发生,根据统计桡动脉血肿的发生率约为1%,目前中国一年介入手术桡动脉、尺动脉压迫止血的手术量在60万例以上,手术量以每年10%的速度增长,随之而来的是桡动脉穿刺血肿的病人数量越来越多。目前临床上的压迫器都是针对正常桡动脉穿刺口设计的,只能对局部的桡动脉穿刺点进行压迫,一旦出现桡动脉血肿情况,桡动脉需要压迫的位置发生变化,需要把压迫位置往近心端进行调整,现有的止血器不能大范围调整压迫位置,因此失去了止血功能,临床医生则只能进行人工徒手压迫,或者凭借经验使用绷带等进行压迫。其不仅给患者带来不适感,而且,还耗费医护人员大量的时间,降低医护人员的工作效率。The incidence of coronary heart disease in my country is getting higher and higher. With the advancement of technology, coronary interventional diagnosis and treatment are more and more common. The transradial puncture approach has the advantages of less trauma, fewer complications, quick postoperative recovery, and no need for braking. It has become the preferred puncture approach for coronary interventional diagnosis and treatment. Hematoma at the radial artery puncture site will inevitably occur. The incidence of complications, according to statistics, the incidence of radial artery hematoma is about 1%. At present, the number of interventional operations in China for radial artery and ulnar artery compression hemostasis per year is more than 600,000 cases, and the number of operations is increasing at a rate of 10% every year. With this is the increasing number of patients with radial artery puncture hematoma. The current clinical compression devices are all designed for the normal radial artery puncture, and can only compress the local radial artery puncture point. Once a radial artery hematoma occurs, the position of the radial artery that needs to be compressed changes, and the compression position needs to be moved to To adjust the proximal end, the existing hemostatic device cannot adjust the compression position in a large range, so the hemostatic function is lost, and the clinician can only perform manual compression with bare hands, or use bandages and other compressions based on experience. It not only brings discomfort to patients, but also consumes a lot of time of medical staff and reduces the work efficiency of medical staff.
另外,徒手压迫血肿或者绷带止血压迫的效果也不理想,第一次出现血肿经过医生处理后,由于患者上肢肘关节弯曲等动作,患者会再次出现血肿进展,需要医护人员反复多次进行压迫,对患者的危害增大,同时增加了医护人员的工作量。In addition, the effect of compressing the hematoma with bare hands or hemostasis with bandages is not ideal. After the first hematoma is treated by the doctor, due to the bending of the patient's upper limb and elbow joint, the patient will develop the hematoma again, which requires repeated compression by medical staff. The harm to patients is increased, and the workload of medical staff is also increased.
实用新型内容Utility model content
本实用新型要解决的技术问题在于,提供一种改进的止血器。The technical problem to be solved by the utility model is to provide an improved hemostatic device.
本实用新型解决其技术问题所采用的技术方案是:构造一种上肢血管止血器,包括供患者上肢放置的底座、可移动设置在所述底座上的止血单元、设置在所述底座上且沿第一方向设置以给所述止血单元移动导向的导向组件;The technical solution adopted by the utility model to solve the technical problem is: constructing an upper limb vascular hemostatic device, comprising a base for placing the upper limb of a patient, a hemostatic unit movably arranged on the base, a hemostatic unit arranged on the base and extending along the pedestal. a guide assembly arranged in a first direction to guide the movement of the hemostatic unit;
所述底座上设有供所述患者上肢放置以对患者上肢进行限位的限位槽;所述限位槽的两端设有供患者上肢伸入的开口;所述止血单元设置在所述限位槽以朝所述限位槽做相对运动;The base is provided with a limit groove for placing the patient's upper limb to limit the position of the patient's upper limb; both ends of the limit groove are provided with openings for the patient's upper limb to extend into; the hemostatic unit is arranged on the The limit groove is relatively moved toward the limit groove;
所述导向组件包括沿第一方向设置在所述底座上且位于所述限位槽两侧的导轨、以及设置在所述止血单元上且与所述导轨对应设置以在所述导轨中滑动的滑块。The guide assembly includes guide rails disposed on the base along the first direction and located on both sides of the limiting groove, and guide rails disposed on the hemostatic unit and corresponding to the guide rails to slide in the guide rails. slider.
优选地,所述止血单元包括安装架、压板、升降组件、以及止血垫;所述安装架可移动地设置在所述底座上且两端与所述导轨连接;所述压板可伸缩地设置在所述安装架上;所述升降组件设置在所述安装架上且与所述压板连接以带动所述压板升降;所述止血垫设置在所述压板与所述升降组件相背的一面;Preferably, the hemostatic unit includes a mounting frame, a pressure plate, a lifting assembly, and a hemostatic pad; the mounting frame is movably arranged on the base and two ends are connected with the guide rails; the pressure plate is telescopically arranged on the base on the mounting frame; the lifting assembly is arranged on the mounting frame and is connected with the pressure plate to drive the pressure plate to rise and fall; the hemostatic pad is arranged on the side of the pressure plate facing away from the lifting assembly;
所述滑块设置在所述安装架与所述底座相对设置的一面且位于所述压板的两侧。The sliding block is arranged on one side of the mounting bracket opposite to the base and on both sides of the pressing plate.
优选地,所述升降组件包括穿过所述安装架与所述压板连接的压杆、可沿第二方向移动设置在所述安装架上且与所述压杆连接的连接件、以及设置在所述压杆远离所述压板一端的旋钮;Preferably, the lifting assembly comprises a pressing rod connected to the pressing plate through the mounting frame, a connecting piece arranged on the mounting frame and connected to the pressing rod movably along the second direction, and a connecting piece provided on the mounting frame The pressing rod is away from the knob at one end of the pressing plate;
所述连接件上设有连接所述压杆供所述压杆穿过的通孔;The connecting piece is provided with a through hole connecting the pressing rod for the pressing rod to pass through;
所述压杆的外侧壁上设有外螺纹;所述通孔的内侧设有与所述外螺纹对应设置的内螺纹。The outer side wall of the pressing rod is provided with an external thread; the inner side of the through hole is provided with an internal thread corresponding to the external thread.
优选地,所述安装架上设有给供所述压杆穿过的让位孔;Preferably, the mounting frame is provided with an escape hole for the pressing rod to pass through;
所述让位孔为在所述第二方向上设置的条形孔。The escape hole is a bar-shaped hole provided in the second direction.
优选地,所述底座的长度与所述患者的上肢伸展时的长度相适配,以对患者的肘关节进行制动;Preferably, the length of the base is adapted to the length of the patient's upper limb when extended, so as to brake the patient's elbow joint;
所述第一方向为所述底座的长度方向,所述第二方向为所述底座的宽度方向。The first direction is the length direction of the base, and the second direction is the width direction of the base.
优选地,还包括压力检测单元;所述压力检测单元设置在所述压板上。Preferably, a pressure detection unit is also included; the pressure detection unit is arranged on the pressing plate.
优选地,所述压力检测单元包括压力传感器。Preferably, the pressure detection unit includes a pressure sensor.
优选地,还包括与所述压力检测单元连接以显示所述压板压力信息的显示单元;Preferably, it also includes a display unit connected to the pressure detection unit to display the pressure information of the pressure plate;
所述显示单元包括设置在所述升降组件上的显示器。The display unit includes a display disposed on the lift assembly.
优选地,所述限位槽的横截面为U形。Preferably, the cross-section of the limiting groove is U-shaped.
优选地,所述限位槽的内侧壁设有软垫。Preferably, the inner side wall of the limiting groove is provided with a soft pad.
实施本实用新型的上肢血管止血器,具有以下有益效果:该上肢血管止血器,其通过在该底座上设置可移动设置且可朝该底座上的限位槽做相对运动的止血单元,通过沿该第一方向设置该导向组件以给该止血单元移动导向,该止血当元可以通过在其上设置的滑块在该底座上沿该第一方向且位于该限位槽两侧设置导轨中滑动,进而可根据实际压迫的位置对该止血单元进行调整,进而可提高医护人员的工作效率,降低患者的不适感。The upper extremity vascular hemostatic device according to the present invention has the following beneficial effects: the upper extremity vascular hemostatic device is provided with a hemostatic unit that can be movably arranged on the base and can move relative to the limit groove on the base, The guide assembly is arranged in the first direction to guide the movement of the hemostatic unit, and the hemostatic unit can slide on the base along the first direction and in the guide rails provided on both sides of the limiting groove through the slider set on the hemostatic unit. , and then the hemostatic unit can be adjusted according to the actual compression position, thereby improving the work efficiency of medical staff and reducing the discomfort of patients.
附图说明Description of drawings
下面将结合附图及实施例对本实用新型作进一步说明,附图中:The utility model will be further described below in conjunction with the accompanying drawings and embodiments, in the accompanying drawings:
图1是本实用新型上肢血管止血器的结构示意图。Figure 1 is a schematic structural diagram of the upper limb vascular hemostatic device of the present invention.
具体实施方式Detailed ways
为了对本实用新型的技术特征、目的和效果有更加清楚的理解,现对照附图详细说明本实用新型的具体实施方式。In order to have a clearer understanding of the technical features, purposes and effects of the present invention, the specific embodiments of the present invention will now be described in detail with reference to the accompanying drawings.
图1示出了本实用新型上肢血管止血器的一个优选实施例。该上肢血管止血器可以用于患者桡动脉、尺动脉的压迫止血,可根据实际压迫的位置对该止血单元进行调整,进而可提高医护人员的工作效率,降低医护人员的工作量,并降低患者的不适感。Fig. 1 shows a preferred embodiment of the upper limb vascular hemostatic device of the present invention. The upper limb vascular hemostatic device can be used to compress the radial artery and the ulnar artery of the patient to stop bleeding, and the hemostatic unit can be adjusted according to the actual compression position, thereby improving the working efficiency of medical staff, reducing the workload of medical staff, and reducing the incidence of patients. of discomfort.
如图1所示,该上肢血管止血器,其包括底座10、止血单元20、导向组件30、压力检测单元40以及显示单元50;该底座10,其可以供患者上肢放置,该止血单元20可移动地设置在该底座10上,其可以根据实际需要压迫位置进行位置调整,该导向组件300设置在该底座10上,且其可沿第一方向设置,其可以给该止血单元20移动导向,便于该止血单元20的移动,以及便于调整该止血单元20的位置。该压力检测单元40可以设置在该止血单元20上,其可以检测该止血单元20压迫时所施加的压力,该显示单元50设置在该止血单元20上,其可以显示该止血单元20施加的压力信息。本止血器覆盖的范围足够大,可以对上肢血管全程进行有效压迫,同时对肘关节进行了制动,减少了由于患者肘关节不自主弯曲导致的桡动脉再出血。同时其能够显示动态显示止血器压迫止血时压力大小、便于对压力的调节、能够克服现有的桡动脉止血器的不足、减少桡动脉闭塞发生率、增加病人舒适度、便于医护人员操作、便于提高医护人员的效率、且使用成本低的桡动脉止血器。As shown in FIG. 1 , the upper limb vascular hemostatic device includes a
在本实施例中,该底座10可以为长方体状,其长度与该患者的上肢伸展时的长度相适配。具体地,该底座10的长度较长,其可便于该患者上肢的放置,且对患者的肘关节进行制动,增加调节范围,避免患者的上肢移动,进而避免压迫点变动,从而提高压迫的准确性。在本实施例中,该第一方向为该底座的长度方向,该第二方向为该底座的宽度方向。In this embodiment, the
在本实施例中,该底座10上设有限位槽11;该限位槽11可以供患者上肢放置,且其可以对患者上肢进行限位。该限位槽11的两端设有开口111;该开口111设置在该底座10的长度方向上,其可以供该患者上肢伸入。该限位槽11的横截面可以为U形,其弯曲的幅度与上肢的幅度相适配,以便于患者上肢放置且便于对该患者的上肢进行限位。在本实施例中,该限位槽1的内侧还设有软垫60;该软垫60可以为海绵,其可以避免患者长时间放置而产生不适感。当然,可以理解地,该软垫60,也可以省去。In this embodiment, the
该止血单元20设置在该限位槽11上,其可以朝该限位槽11做相对运动,其包括安装架21、压板22、升降组件23、以及止血垫;该安装架21可移动地设置在该底座10上,且两端与该导向组件30连接。该安装架21设置在该第二方向上,其可以为横杆,其可以供该压板22、升降组件23安装,其可以通过移动带动该压板22移动。该压板22可伸缩地设置在该安装架21上,其可朝该限位槽11做伸缩运动,进而压迫患者上肢的穿刺点。该升降组件23设置在该安装架21上,且与该压板22连接,其可以带动该压板22升降,进而实现压迫止血。该止血垫设置在该压板22与该升降组件23相背的一面,其可以用于止血。The
该安装架21的长度大于该底座10的宽度,其沿第二方向设置在该限位槽11的上方,该安装架21上设有供该升降组件23穿过的让位孔211;该让位孔211为在第二方向上设置的条形孔,通过该条形孔,该升降组件23可以在该条形孔中沿第二方向移动,进而带动该压板22在第二方向上移动。The length of the mounting
在本实施例中,该压板22可以采用透明材质制成,具体地,其可以采用透明的PVC材质制成,以便于医护人员在调节压力过程中对桡、尺动脉穿刺部位的出血情况进行观察。In this embodiment, the
该升降组件23包括压杆231、连接件233以及旋钮232;该压杆231穿过该安装架21与该压板22连接,具体地,该压杆231穿过该让位孔211设置,且其可以在该让位孔211中移动。该旋钮232设置在该压杆231远离该压板22一端,通过旋转该旋钮232,可以带动该压杆231做升降运动。在本实施例中,该压杆231的外侧壁上设有外螺纹。在本实施例中,该连接块233可沿该第二方向移动设置在该安装架21上,其与该压杆231连接,其与该压杆231配合,以便于实现该压杆231升降。在本实施例中,该连接件233上设有通孔,该通孔与该让位孔211相对设置,其可以连接该压杆231以及便于该压杆231穿过。该通孔的内侧设有与该压杆231的外螺纹对应设置的内螺纹,从而使得旋转该旋钮232,可以使得该压杆231朝该限位槽11方向做伸缩运动。The lifting
在本实施例中,该导向组件30包括导轨31以及滑块32;该导轨31沿第一方向设置在该底座10上且位于该限位槽11两侧,该安装架21的两端可以与该导轨31连接。该滑块32设置在该止血单元10上,且与该导轨31对应设置,其可以在该导轨31中滑动。在本实施例中,具体地,该滑块32设置在该安装架21与该底座10相对设置的一面,且位于该压板22的两侧,该滑块32可以与该安装架31一体成型。调整压迫位置时,可以通过推动该安装架21,使得该安装架21在该导轨31上沿第一方向移动即可。In this embodiment, the
在对患者的上肢进行压迫止血时,通常对于压迫的效果也仅仅通过观察穿刺点有无渗血及触摸远心端有无动脉搏动的方法调节压迫程度,其不能客观评估压迫压力的大小,全凭医生的经验调节压力大小。在临床工作中,为了达到止血效果,往往采取较大的压迫压力。压迫止血后桡动脉的闭塞率可高达10%,同时过大的压力引起患者病人桡动脉闭塞,静脉回流受阻,手掌肿胀、麻木,手腕疼痛,影响手掌血液供应、穿刺处疼痛及局部皮肤损伤等。过小的压迫压力会引起动脉出血,导致手臂血肿,严重的可导致肢体缺血坏死,导致截肢,甚至会危及患者生命。在本实施例中,通过设置该压力检测单元40,其可以检测该压板22施加的压力大小,进而便于医护人员观察压迫效果。在本实施例中,该压力检测单元40设置在该压板22上,其可以与该压板22可拆卸连接。在本实施例中,该压力检测单元40可以包括压力传感器。当然,可以理解地,在其他一些实施例中,该压力检测单元40不限于压力传感器。When compressing the upper limb of the patient to stop bleeding, the effect of compression is usually only adjusted by observing whether there is bleeding at the puncture point and whether there is arterial pulsation at the distal end. It cannot objectively evaluate the size of the compression pressure. Adjust the pressure according to the doctor's experience. In clinical work, in order to achieve the effect of hemostasis, greater compression pressure is often used. The occlusion rate of the radial artery can be as high as 10% after compression and hemostasis. At the same time, the excessive pressure causes radial artery occlusion, obstruction of venous return, swelling and numbness of the palm, pain in the wrist, affecting the blood supply of the palm, pain at the puncture site and local skin damage, etc. . Too little compression pressure can cause arterial hemorrhage, leading to arm hematoma, severe ischemic necrosis of limbs, amputation, and even life-threatening. In this embodiment, by setting the
该显示单元50其可以设置在该升降组件23上,具体地,该显示单元50可以设置在该连接件233上,其可以显示该压板22的压力信息。在本实施例中,该显示单元50包括设置在该升降组件23上的显示器。该显示器可以与该压力检测单元通过设置导线连接,以进行数据传输,当然,可以理解地,在其他一些实施例中,其也可以与该压力检测单元之间通过设置无线传输模块连接。The
可以理解的,以上实施例仅表达了本实用新型的优选实施方式,其描述较为具体和详细,但并不能因此而理解为对本实用新型专利范围的限制;应当指出的是,对于本领域的普通技术人员来说,在不脱离本实用新型构思的前提下,可以对上述技术特点进行自由组合,还可以做出若干变形和改进,这些都属于本实用新型的保护范围;因此,凡跟本实用新型权利要求范围所做的等同变换与修饰,均应属于本实用新型权利要求的涵盖范围。It can be understood that the above examples only represent the preferred embodiments of the present invention, and the descriptions thereof are more specific and detailed, but should not be construed as a limitation to the scope of the present invention; For technical personnel, under the premise of not departing from the concept of the present utility model, the above-mentioned technical features can be freely combined, and some deformations and improvements can also be made, and these all belong to the protection scope of the present utility model; Equivalent transformations and modifications made within the scope of the claims of the present invention shall fall within the scope of the claims of the present invention.
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| CN112932590A (en) * | 2021-02-23 | 2021-06-11 | 复旦大学附属中山医院厦门医院 | Arteria brachialis segmentation hemostasis compressor |
| CN117017398A (en) * | 2023-08-16 | 2023-11-10 | 中国人民解放军总医院第一医学中心 | Compression hemostat for limb superficial venous bleeding point |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112932590A (en) * | 2021-02-23 | 2021-06-11 | 复旦大学附属中山医院厦门医院 | Arteria brachialis segmentation hemostasis compressor |
| CN117017398A (en) * | 2023-08-16 | 2023-11-10 | 中国人民解放军总医院第一医学中心 | Compression hemostat for limb superficial venous bleeding point |
| CN117017398B (en) * | 2023-08-16 | 2024-10-15 | 中国人民解放军总医院第一医学中心 | Compression hemostat for limb superficial venous bleeding point |
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Effective date of registration: 20220106 Address after: 518000 No. 12, Langshan Road, Xili street, Nanshan District, Shenzhen, Guangdong Patentee after: Shenzhen Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences Address before: 518000 Department 1, building 16, Shenzhen Hospital, Fuwai Hospital, Chinese Academy of Medical Sciences, No. 16, Langshan Road, Nanshan District, Shenzhen, Guangdong Patentee before: Yang Dahao |
