CN210962001U - Auxiliary device for arm radial artery puncture - Google Patents
Auxiliary device for arm radial artery puncture Download PDFInfo
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- CN210962001U CN210962001U CN201921447065.5U CN201921447065U CN210962001U CN 210962001 U CN210962001 U CN 210962001U CN 201921447065 U CN201921447065 U CN 201921447065U CN 210962001 U CN210962001 U CN 210962001U
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- 210000002321 radial artery Anatomy 0.000 title claims abstract description 21
- 238000009434 installation Methods 0.000 claims description 32
- 238000001802 infusion Methods 0.000 claims description 8
- 210000000707 wrist Anatomy 0.000 claims description 8
- 230000000452 restraining effect Effects 0.000 claims description 7
- 229920000742 Cotton Polymers 0.000 claims description 5
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 5
- 210000001367 artery Anatomy 0.000 claims 3
- 210000001364 upper extremity Anatomy 0.000 abstract description 3
- 239000008280 blood Substances 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 238000004868 gas analysis Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 208000001889 Acid-Base Imbalance Diseases 0.000 description 1
- 206010014418 Electrolyte imbalance Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 210000001142 back Anatomy 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000005399 mechanical ventilation Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 238000002640 oxygen therapy Methods 0.000 description 1
- 230000010349 pulsation Effects 0.000 description 1
- 201000004193 respiratory failure Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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Abstract
本实用新型提供一种手臂桡动脉穿刺用辅助装置,包括底座、立柱、手臂支撑架、锁紧装置一;底座底部设有滚轮;立柱固定在底座上,在立柱侧面沿竖直方向上设有滑槽;手臂支撑架包括支撑板、连接板、滑板、约束带一、约束带二、凸起,支撑板对应于滑槽水平设置于立柱外侧;滑板镶嵌在滑槽内并可沿着滑槽上下移动;连接板一端从滑槽的槽口伸入滑槽内与滑板固定连接,另一端与支撑板固定连接;锁紧装置一包括螺杆一、螺帽一、垫板,螺杆一的一端垂直固定在滑板上,另一端从滑槽的槽口伸出滑槽外,螺帽一螺纹连接在螺杆一上;垫板套设在螺杆一上。本实用新型结构合理,操作简单,功能齐全,既可通过调整手臂放置高度,还能牢靠地对上肢进行固定。
The utility model provides an auxiliary device for puncturing the radial artery of the arm, which comprises a base, a column, an arm support frame and a locking device; the bottom of the base is provided with a roller; the column is fixed on the base, and the side of the column is provided with a vertical direction The chute; the arm support frame includes a support plate, a connecting plate, a sliding plate, a restraint belt 1, a restraint belt 2, and a protrusion. The supporting plate is horizontally arranged on the outside of the column corresponding to the sliding groove; the sliding plate is embedded in the sliding groove and can follow the sliding groove. Move up and down; one end of the connecting plate protrudes from the slot of the chute into the chute and is fixedly connected with the slide plate, and the other end is fixedly connected with the support plate; the first locking device includes a screw rod, a nut, and a backing plate, and one end of the screw rod is vertical It is fixed on the sliding plate, the other end protrudes out of the chute from the slot of the chute, the nut one is screwed on the screw one, and the backing plate is sleeved on the screw one. The utility model has the advantages of reasonable structure, simple operation and complete functions, which can not only adjust the height of the arm placement, but also firmly fix the upper limb.
Description
技术领域technical field
本实用新型涉及医疗器械领域,具体涉及一种手臂桡动脉穿刺用辅助装置。The utility model relates to the field of medical instruments, in particular to an auxiliary device for puncturing the radial artery of an arm.
背景技术Background technique
桡动脉穿刺常用于冠心病介入治疗及麻醉科有创血压监测、动脉血气分析时穿刺采血。动脉血气分析能客观反映呼吸衰竭的性质和程度,是判断患者有无缺氧和二氧化碳潴留的可靠方法。对指导氧疗、调节机械通气的各种参数以及纠正酸碱和电解质失衡均有很重要的意义。临床上常选用桡动脉穿刺采集动脉血标本做血液气体分析。Radial artery puncture is often used for coronary heart disease interventional therapy, invasive blood pressure monitoring in anesthesiology department, and puncture blood collection during arterial blood gas analysis. Arterial blood gas analysis can objectively reflect the nature and degree of respiratory failure, and is a reliable method to determine whether patients have hypoxia and carbon dioxide retention. It is of great significance for guiding oxygen therapy, adjusting various parameters of mechanical ventilation, and correcting acid-base and electrolyte imbalances. In clinical practice, radial artery puncture is often used to collect arterial blood samples for blood gas analysis.
常规方法穿刺时,患者手臂自然平放,因操作者右手持针而左手示指需触摸桡动脉搏动,无法绷紧穿刺部位的皮肤,使穿刺部位皮肤松弛,同时不能很好地固定桡动脉,穿刺时桡动脉易滑动,至使反复穿刺或容易穿刺失败;当操作者左手示指腹面平放在桡动脉上,由于感受的搏动面积大,所选择的穿刺点范围相应增大,不易找到最佳穿刺点,这也是造成反复穿刺和失败的原因。目前改进方法后将患者手臂伸直,抬高,略向外展;手指掌面向下压,手掌背曲呈反弓状,使穿刺部位皮肤自然绷紧,桡动脉血管亦相应拉直固定,行穿刺时不易滚动,此时桡动脉也更接近体表,易把握进针深度。During the conventional puncture, the patient's arm is naturally flat. Since the operator holds the needle with the right hand and the left hand index finger needs to touch the radial artery pulsation, the skin at the puncture site cannot be tightened, so that the skin at the puncture site is loose, and the radial artery cannot be well fixed. When the radial artery slides easily, repeated puncture or puncture failure is easy; when the operator's left index finger is placed flat on the radial artery, the range of the selected puncture point increases accordingly, and it is difficult to find the best puncture point, which is also the cause of repeated punctures and failures. At present, after improving the method, the patient's arm is straightened, raised, and slightly outwardly extended; the palm of the finger is pressed down, and the dorsal curvature of the palm is in a reversed arcuate shape, so that the skin at the puncture site is naturally tightened, and the radial artery blood vessels are also straightened and fixed accordingly. It is not easy to roll during puncture, and the radial artery is also closer to the body surface at this time, and it is easy to grasp the depth of needle insertion.
而目前临床上缺乏一种同时具备将手臂抬高,并使手指掌面向下压,手掌背曲呈反弓状,使穿刺部位皮肤自然绷紧的辅助装置。However, there is currently no clinical auxiliary device that can simultaneously raise the arm, press the palm of the finger downward, and the dorsum of the palm is curved in an inverted arcuate shape, so that the skin at the puncture site is naturally tightened.
实用新型内容Utility model content
针对上述问题,本实用新型的目的在于,提供一种结构合理,操作简单,既可调整手臂放置高度,辅助手部摆好穿刺体位,还能牢靠地对上肢进行固定的手臂桡动脉穿刺用辅助装置。具体技术方案如下:In view of the above problems, the purpose of the present utility model is to provide an auxiliary device for radial artery puncture of the arm, which has a reasonable structure and is easy to operate, which can not only adjust the height of the arm, assist the hand to set the puncture position, but also firmly fix the upper limb. . The specific technical solutions are as follows:
一种手臂桡动脉穿刺用辅助装置,包括底座、立柱、手臂支撑架、锁紧装置一;所述底座底部设有带制动装置的滚轮;所述立柱垂直固定在底座上,在立柱侧面沿竖直方向上设有横截面呈T形的滑槽;所述手臂支撑架包括支撑板、连接板、滑板,所述支撑板对应于滑槽水平设置于立柱外侧;所述滑板镶嵌在滑槽内并可沿着滑槽上下移动;所述连接板一端从滑槽的槽口伸入滑槽内与滑板固定连接,另一端与支撑板固定连接;支撑板与连接板可随着滑板沿滑槽上下移动;所述支撑板两侧设有两组分别用于约束手掌的约束带一和用于约束手臂前端的约束带二,约束带一用于约束手背使手掌下压,约束带二用于约束手臂,防止手臂滑动;为了便于穿刺,暴露穿刺点,提高患者手部舒适度;所述支撑板上表面还设置有用于承托手腕的弹性凸起来托起手腕,所述凸起上表面为弧面;所述锁紧装置一包括螺杆一、螺帽一、垫板,所述螺杆一的一端垂直固定在滑板上,另一端从滑槽的槽口伸出滑槽外,所述螺帽一螺纹连接在螺杆一上;所述垫板套设在螺杆一上并位于螺帽一与立柱之间。An auxiliary device for arm radial artery puncture, comprising a base, a column, an arm support frame, and a locking device; the bottom of the base is provided with a roller with a braking device; A chute with a T-shaped cross section is arranged in the vertical direction; the arm support frame includes a support plate, a connecting plate, and a slide plate, and the support plate is horizontally arranged on the outside of the column corresponding to the chute; the slide plate is embedded in the chute It can move up and down along the chute; one end of the connecting plate protrudes from the slot of the chute into the chute and is fixedly connected with the slide plate, and the other end is fixedly connected with the support plate; the support plate and the connecting plate can slide along the slide plate. The groove moves up and down; two sets of restraint belts for constraining the palm and two restraint belts for restraining the front end of the arm are respectively provided on both sides of the support plate. It is used to restrain the arm and prevent the arm from sliding; in order to facilitate the puncture, the puncture point is exposed, and the comfort of the patient's hand is improved; the upper surface of the support plate is also provided with an elastic protrusion for supporting the wrist to support the wrist, and the upper surface of the protrusion is It is an arc surface; the first locking device includes a screw rod, a nut, and a backing plate. One end of the screw rod is vertically fixed on the slide plate, and the other end extends out of the chute from the slot of the chute. The first cap is screwed on the first screw; the backing plate is sleeved on the first screw and located between the first nut and the upright column.
进一步地,为了在穿刺时,便于取用酒精、碘伏、棉签、敷料等,使操作更方便,辅助装置上还设有用于放置酒精、碘伏、棉签、敷料的载物板以及用于放置锐器盒的锐器盒支架;所述载物板与锐器盒支架相对于滑槽水平固定在立柱的另一侧面上,载物板位于锐器盒支架上方。Further, in order to facilitate access to alcohol, iodophor, cotton swabs, dressings, etc. during puncture, and make the operation more convenient, the auxiliary device is also provided with a carrier plate for placing alcohol, iodophor, cotton swabs, dressings, and a carrier for placing The sharps box bracket of the sharps box; the object carrier and the sharps box bracket are horizontally fixed on the other side of the column relative to the chute, and the object carrier is located above the sharps box bracket.
进一步地,为了在穿刺后,收拢锐器盒支架,节约空间;所述锐器盒支架包括用于承托锐器盒的承托架、安装板、安装箱、锁紧装置二;所述安装箱垂直固定在立柱上,且安装箱上未与立柱接触的那一面开口其他面封闭,安装箱两侧板向外延伸,延伸段长度大于安装板厚度,安装箱两侧板上还设有条形通孔,所述条形通孔前端靠近安装箱侧板延伸段端部;所述安装板一端平行固定承托架边缘上,另一端由安装箱开口处伸入安装箱内且该端上还设有平行于立柱的定位孔;所述锁紧装置二包括螺杆二、螺帽二,所述螺杆二由安装箱的一侧的条形通孔伸入定位孔后,再从定位孔另一端伸出并穿过安装箱另一侧的条形通孔后与螺帽二螺纹连接。Further, in order to fold the sharps box bracket after puncturing to save space; the sharps box bracket includes a support bracket, a mounting plate, a mounting box, and a locking device for supporting the sharps box; the installation The box is vertically fixed on the column, and the side of the installation box that is not in contact with the column is open and the other sides are closed. The front end of the strip-shaped through hole is close to the end of the extension section of the side plate of the installation box; one end of the installation plate is parallel to the edge of the fixed bearing bracket, and the other end extends into the installation box from the opening of the installation box and the end There is also a positioning hole parallel to the column; the second locking device includes a second screw and a second nut. One end protrudes out and passes through the bar-shaped through hole on the other side of the installation box, and is then connected with the second threaded nut.
穿刺时,握住承托架将安装板推入安装箱内,拧紧螺帽二,把锐器盒放入承托架上即可;穿刺结束后,取下锐器盒,松开螺帽二,抓住承托架向外拉,将安装板拉出安装箱,由于安装板两端通过螺杆二铰接在安装箱侧板延长段的条形通孔内,手放开承托架后,在重力作用下,承托架与安装板就自然的向下旋转并靠在立柱上,实现锐器盒支架的收拢。When puncturing, hold the bearing bracket and push the mounting plate into the installation box, tighten the second nut, and put the sharps box on the bearing bracket; after puncturing, remove the sharps box and loosen the second nut , grab the bearing bracket and pull it outward, and pull the mounting plate out of the installation box. Since the two ends of the mounting plate are hinged in the strip through holes of the extended section of the side plate of the installation box through the second screw, after releasing the bearing bracket, Under the action of gravity, the support bracket and the mounting plate naturally rotate downward and lean against the upright column, so as to realize the folding of the sharps box bracket.
进一步地,还包括输液架,所述输液架通过锁紧螺钉锁定在立柱顶端并可缩进立柱内。Further, it also includes an infusion stand, the infusion stand is locked on the top of the upright post by a locking screw and can be retracted into the upright post.
本实用新型结构合理,操作简单,功能齐全,既可通过调整手臂放置高度,还能牢靠地对上肢进行固定。The utility model has the advantages of reasonable structure, simple operation and complete functions, which can not only adjust the height of the arm placement, but also firmly fix the upper limb.
附图说明Description of drawings
图1为本实用新型一种手臂桡动脉穿刺用辅助装置的结构示意图;Fig. 1 is the structural representation of a kind of auxiliary device for puncturing the radial artery of the arm of the present invention;
图2为本实用新型一种手臂桡动脉穿刺用辅助装置上手臂支撑架的结构示意图;Fig. 2 is the structural representation of the arm support frame on the auxiliary device for puncturing the radial artery of the arm of the present invention;
图3为本实用新型一种手臂桡动脉穿刺用辅助装置上锐器盒支架的分解结构示意图;3 is a schematic diagram of the exploded structure of a sharps box bracket on an auxiliary device for arm radial artery puncture of the present utility model;
图中所示:1-底座、2-立柱、3-滑槽、4-手臂支撑架、41-支撑板、42-连接板、43-滑板、44-凸起、45-约束带一、46-约束带二、5-锁紧装置一、51-螺帽一、51-垫板、53-螺杆一、6-输液架、7-锁紧螺钉、8-载物板、9-锐器盒支架、91-承托架、92-安装板、93-定位孔、94-安装箱、95-条形通孔、96-螺杆二、97-螺帽、10-滚轮。As shown in the picture: 1-base, 2-post, 3-chute, 4-arm support frame, 41-support plate, 42-connecting plate, 43-slide plate, 44-protrusion, 45-restraining belt one, 46 - Restraining belt two, 5-locking device one, 51-nut one, 51-backing plate, 53-screw one, 6-infusion stand, 7-locking screw, 8-object plate, 9-sharp box Bracket, 91-bearing bracket, 92-installation plate, 93-positioning hole, 94-installation box, 95-strip through hole, 96-screw two, 97-nut, 10-roller.
具体实施方式Detailed ways
下面结合附图对本实用新型做进一步详细说明。The present utility model will be further described in detail below in conjunction with the accompanying drawings.
如图1到图3所示本实用新型的一种手臂桡动脉穿刺用辅助装置,包括底座1、立柱2、手臂支撑架4、锁紧装置一5;所述底座1底部设有带制动装置的滚轮10;所述立柱2垂直固定在底座1上,在立柱2侧面沿竖直方向上设有横截面呈T形的滑槽3;所述手臂支撑架4包括支撑板41、连接板42、滑板43,所述支撑板41对应于滑槽3水平设置于立柱2外侧;所述滑板43镶嵌在滑槽3内并可沿着滑槽3上下移动;所述连接板42一端从滑槽3的槽口伸入滑槽3内与滑板43固定连接,另一端与支撑板41固定连接;支撑板41与连接板42可随着滑板43沿滑槽3上下移动;所述支撑板41两侧设有两组分别用于约束手掌的约束带一45和用于约束手臂前端的约束带二46,约束带一45用于约束手背使手掌下压,约束带二46用于约束手臂,防止手臂滑动;为了便于穿刺,暴露穿刺点,提高患者手部舒适度;所述支撑板41上表面还设置有用于承托手腕的弹性凸起44来托起手腕,所述凸起44上表面为弧面;所述锁紧装置一5包括螺杆一53、螺帽一51、垫板52,所述螺杆一53的一端垂直固定在滑板43上,另一端从滑槽3的槽口伸出滑槽3外,所述螺帽一51螺纹连接在螺杆一53上;所述垫板52套设在螺杆一53上并位于螺帽一51与立柱2之间。As shown in Figures 1 to 3, an auxiliary device for arm radial artery puncture of the present invention includes a
穿刺前,将手臂放置在手臂支撑架4上伸直,松开螺帽一51,即可使手臂支撑架4沿着滑槽3上下移动,使其调节到合适高度后,再拧紧螺帽一51,即实现手臂放置高度的调整;然后手掌朝下,手腕放置在弹性凸起44上,使手掌抬高,略向外展;用手下压手背,使手指掌面下压,手掌背曲呈反弓状后,用约束带一45绑缚住手背固定手掌位置,再用约束带二46绑缚住手臂,使穿刺部位皮肤自然绷紧,桡动脉血管亦相应拉直固定,这样行穿刺时不易滚动,此时桡动脉也更接近体表,充分暴露穿刺点,利于操作人员把握进针深度(手腕被弹性凸起44上抬起,手掌被抬高,然后下压手背,约束带一45与约束带二46分别绑缚在手腕前后,这样就使桡动脉血管就会相应凸出,以便于行针,提高穿刺效率)然后即可进行穿刺。Before the puncture, place the arm on the
进一步地,为了在穿刺时,便于取用酒精、碘伏、棉签、敷料等,使操作更方便,辅助装置上还设有用于放置酒精、碘伏、棉签、敷料的载物板8以及用于放置锐器盒的锐器盒支架9;所述载物板8与锐器盒支架9相对于滑槽3水平固定在立柱2的另一侧面上,载物板8位于锐器盒支架9上方。Further, in order to facilitate access to alcohol, iodophor, cotton swabs, dressings, etc. during puncture, making the operation more convenient, the auxiliary device is also provided with a
进一步地,为了在穿刺后,收拢锐器盒支架9,节约空间;所述锐器盒支架9包括用于承托锐器盒的承托架91、安装板92、安装箱94、锁紧装置二;所述安装箱94垂直固定在立柱2上,且安装箱94上未与立柱2接触的那一面开口其他面封闭,安装箱94两侧板向外延伸,延伸段长度大于安装板92厚度,安装箱94两侧板上还设有条形通孔95,所述条形通孔95前端靠近安装箱94侧板延伸段端部;所述安装板92一端平行固定承托架91边缘上,另一端由安装箱94开口处伸入安装箱94内且该端上还设有平行于立柱2的定位孔93;所述锁紧装置二包括螺杆二96、螺帽二97,所述螺杆二96由安装箱94的一侧的条形通孔95伸入定位孔93后,再从定位孔93另一端伸出并穿过安装箱94另一侧的条形通孔95后与螺帽二97螺纹连接。Further, in order to fold the
穿刺时,握住承托架91将安装板92推入安装箱94内,拧紧螺帽二97,把锐器盒放入承托架91上即可;穿刺结束后,取下锐器盒,松开螺帽二97,抓住承托架91向外拉,将安装板92拉出安装箱94,由于安装板92两端通过螺杆二96铰接在安装箱94侧板延长段的条形通孔95内,手放开承托架91后,在重力作用下,承托架91与安装板92就自然的向下旋转并靠在立柱2上,实现锐器盒支架9的收拢。When puncturing, hold the
进一步地,还包括输液架6,所述输液架6通过锁紧螺钉7锁定在立柱2顶端并可缩进立柱2内。Further, the
以上所述仅为本实用新型的较佳实施例,并不用以限制本实用新型,凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the present invention. within the scope of protection of the utility model.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113057742A (en) * | 2021-04-09 | 2021-07-02 | 上海市第五人民医院 | Upper arm supporting and fixing device for radial artery puncture |
| CN114887149A (en) * | 2022-06-08 | 2022-08-12 | 重庆大学附属肿瘤医院 | Height-adjustable's portable transfusion rod |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113057742A (en) * | 2021-04-09 | 2021-07-02 | 上海市第五人民医院 | Upper arm supporting and fixing device for radial artery puncture |
| CN114887149A (en) * | 2022-06-08 | 2022-08-12 | 重庆大学附属肿瘤医院 | Height-adjustable's portable transfusion rod |
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