Iliac artery operation auxiliary device
Technical Field
The utility model relates to an auxiliary device especially relates to an iliac artery operation auxiliary device.
Background
It is known that the internal iliac artery is a short trunk, about 4cm long, which is separated from the common iliac artery in front of the sacroiliac joint and then enters the pelvic cavity obliquely and internally. The wall branches include iliac lumbar artery, sacral lateral artery, infragluteal artery, and obturator artery. Iliac and lumbar arteries: from the posterior trunk, obliquely going to the posterior-lateral direction and distributed in ilium, ilium-lumbus muscle, lumbar quadratus, spinal cord and the like; lateral sacral artery: from the posterior trunk, descends along the inner side of the anterior sacral foramen, and is distributed in structures of piriformis, coccygeus, levator ani and sacral canal; upper hip artery: from the posterior trunk, the most part is between the lumbosacral trunk and the 1 st sacral nerve, passes through the piriformis superior foramen downwards to the hip and is distributed in the gluteus muscles and hip joints; obturator artery: from the anterior trunk, accompanying with the veins and nerves of the same name, along the pelvic side wall through the obturator canal to the femoral region, and distributed adjacent to the muscles and hip joints; the visceral branches include the superior urinary bladder artery, the inferior urinary bladder artery, the uterine artery, the umbilical artery, the inferior rectal artery, and the internal pudendal artery. The internal iliac artery ligation is widely applied to medicine, such as internal iliac artery embolism hemostasis, pelvic malignant tumor and the like, in the implementation process, a blood vessel needs to be cut, corresponding hemostasis measures need to be taken after operation, particularly, in the interventional therapy implemented on main arteries of a human body, once the hemostasis measures are improper, medical accidents are easily caused, and therefore the hemostasis pressing process is very important.
At present, the common artery hemostasis method is generally a finger-pressing hemostasis method, the artery blood vessel at the near end of a bleeding part is pressed on a bone by fingers to block the blood vessel and interrupt blood flow so as to achieve the hemostasis purpose, but non-professional medical care personnel can hardly control the pressing degree according to different finger-pressing hemostasis methods required by different bleeding parts; tourniquet hemostasis, an important means for life saving when the limbs bleed from large arteries, is not effective when other hemostasis methods are used, but unsmooth blood circulation can occur if the tourniquet hemostasis is not used, so that danger is generated; a pressure bandaging hemostasis method, wherein after a wound is covered with a sterile dressing, a sand bag is placed on the sterile dressing, and then the wound is tightly bandaged by using a bandage, a triangular towel and the like until bleeding stops; compression hemostat hemostasis method, several kinds of artery hemostats have been introduced in the market in recent years, but some of them are too expensive, which greatly increases the medical cost of patients.
Disclosure of Invention
In order to overcome not enough among the background art, the utility model discloses an iliac artery operation auxiliary device, the utility model discloses a aerify the back to the oppression gasbag and provide continuous stable oppression power for the arteriotomy, promote incision department hemostasis healing, effectively reduce patient's postoperative bleeding volume, shorten postoperative rehabilitation time and reduce the complication risk, when the postoperative patient stands up or simply walks, through the spacing protection of both sides arc cardboard, effectively avoided the condition that the displacement appears in the hemostasis by compression spare, had very strong security.
Realize the technical scheme of the utility model as follows:
the auxiliary device for the iliac artery operation comprises a compression hemostatic piece and a tightening band, wherein an expanding chuck is arranged at one end of the tightening band, a fixed arc-shaped clamping plate is arranged at one end of the tightening band and is fixed at one end of the tightening band through the expanding chuck, a movable arc-shaped clamping plate is arranged at the other end of the tightening band, the middle of the tightening band is provided with the compression hemostatic piece in sliding fit with the tightening band, the compression hemostatic piece comprises a movable plate and a compression air bag, a sliding notch which penetrates through the movable plate and is matched with the tightening band is arranged on the side surface of the movable plate, an inner groove is formed in the lower surface of the movable plate, compression air bags of which the left side and the right side are fixedly bonded with the inner side wall of the inner groove are arranged in the inner groove, and an inflation inlet is formed in one side.
The iliac artery operation auxiliary device is characterized in that a compression gauze is arranged at the bottom of the compression air bag, and two sides of the compression gauze are fixedly bonded with two sides of an inner groove in the bottom of the movable plate.
The iliac artery operation auxiliary device is characterized in that the fixed arc-shaped clamping plate and the movable arc-shaped clamping plate are respectively composed of a vertical plate, a transverse rod and an arc-shaped plate, two vertical plates are respectively arranged on two sides of the upper surface of the arc-shaped plate, openings which are corresponding to the vertical plates and matched with the tightening belt are respectively arranged on the two vertical plates, and the opposite surfaces of the two vertical plates are fixedly connected through the two transverse rods.
The iliac artery operation auxiliary device is characterized in that a transverse plate is arranged between opposite surfaces of two transverse rods of the fixed arc-shaped clamping plate, a positioning insertion rod is arranged on the transverse plate, and a detachable clamping cap is inserted into the positioning insertion rod.
The iliac artery operation auxiliary device is characterized in that a plurality of positioning holes matched with the positioning insertion rods on the fixed arc-shaped clamping plates are orderly arranged on the tightening belt at intervals.
The iliac artery operation auxiliary device is characterized in that the tightening belt is made of elastic materials.
The iliac artery operation auxiliary device is characterized in that a straight rod is arranged between opposite surfaces of two cross rods of the movable arc-shaped clamping plate, and a T-shaped buckle structure is formed between the two cross rods and the straight rod.
The iliac artery operation auxiliary device is characterized in that sliding grooves are formed in opposite surfaces of two cross rods on one side of a straight rod, and a sliding rod in sliding fit with the sliding grooves is arranged between the sliding grooves in the opposite surfaces of the two cross rods.
Beneficial effects are that, an iliac artery operation auxiliary device, cooperate through setting up cyclic annular strip cloth and bar sand bag, can add the quantity of perhaps bar sand bag according to the demand, and then controlling means's intensity of pressing can provide even pressure simultaneously, avoid using the finger to press hemostasis, medical staff working strength is big, patient's family members press can not be accurate master and press the pressure degree, can press the effect to stanch and cause the influence.
Through setting up fixed arc cardboard and activity arc cardboard, can realize its just card cover in patient abdomen portion both sides when patient abdomen portion bindes the lacing tape, effectively avoided the lacing tape to bind the condition about the in-process appears, or upper and lower displacement.
Through setting up slidable hemostasis by compression piece, the slip slider can remove the pressing piece, and then realizes that the pressing piece position is adjusted, and then realizes that hemostasis by compression piece can be accurate aim at puncture position, avoids current oppression formula hemostasis device of binding, binds fixed back, and oppression device does not correspond with the puncture position, needs bind the adjustment again, and the operation is repeated and extremely inconvenient, and the condition that can the patient bring misery and personal safety to damage takes place.
Through setting up the oppression gasbag, the mode of inflating the oppression through the gasbag not only can realize pressing the hemostasis to the all-round effect of abdomen wound, presses comfortable moreover, can not cause extra injury to patient's abdomen wound.
Through setting up the letter of a Chinese character ' ri ' at activity arc cardboard structure and detain structure and slide bar, not only can guarantee that activity arc cardboard carries out accurate controllable regulation on tightening the area, but also the cooperation that still can detain through slide bar and the letter of a Chinese character ' ri realizes fixing a position activity arc cardboard on tightening the area.
This use novel can be applied to internal iliac artery incision and intervene the operation postoperative, realize internal iliac artery's hemostasis press action, the quick slip of hemostasis by compression piece is pressed the hemostasis position to needs, provide lasting stable compressive force for arteriotomy after aerifing the oppression gasbag, promote incision department hemostasis healing, effectively reduce patient's postoperative bleeding volume, shorten postoperative rehabilitation time and reduce the complication risk, the postoperative patient stands up when or simply walks, through the spacing protection of both sides arc cardboard, the condition that the displacement appears in hemostasis by compression piece has effectively been avoided, has very strong security. The utility model discloses simple structure, it is easy and simple to handle, it presses to need not medical staff's finger after fixed, reduces medical staff's working strength, but this embodiment wide application is pressed in the internal iliac artery hemostasis, has certain medical meaning and economic value.
Drawings
The present invention will be further explained with reference to the drawings and examples.
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic structural view of the compression hemostatic member of the present invention.
Fig. 3 is a schematic view of the fixing arc-shaped clamping plate structure of the present invention.
Fig. 4 is a schematic view of the movable arc-shaped clamping plate of the present invention.
Fig. 5 is a schematic view of the tightening belt structure of the present invention.
In the drawing, 1, a fixed arc-shaped clamping plate, 2, a positioning hole, 3, a compression hemostatic piece, 4, a movable arc-shaped clamping plate, 5, a tightening belt, 6, a compression air bag, 7, a compression gauze, 8, a movable plate, 9, a sliding groove opening, 10, an inner groove, 11, an inflation opening, 12, a clamp, 13, a positioning inserted rod, 14, a transverse plate, 15, a vertical plate, 16, a transverse rod, 17, an opening, 18, an arc-shaped plate, 19, a sliding groove, 20, a sliding rod, 21, a straight rod and 22, a diameter expansion clamping head are arranged.
Detailed Description
The present invention will now be described in further detail with reference to the accompanying drawings. These drawings are simplified schematic drawings and illustrate the basic structure of the present invention only in a schematic manner, and thus show only the components related to the present invention.
With reference to the auxiliary device for iliac artery surgery shown in the attached drawings 1-5, the fixed arc-shaped clamping plate 1 and the movable arc-shaped clamping plate 4 are composed of vertical plates 15, horizontal rods 16 and arc-shaped plates 18, two vertical plates 15 are respectively arranged on two sides of the upper surface of the arc-shaped plate 18, openings 17 corresponding to the vertical plates 15 and adapted to the tightening belt 5 are respectively arranged on the two vertical plates 15, opposite surfaces of the two vertical plates 15 are fixedly connected through the two horizontal rods 16, an expanding clamping head 22 is arranged at one end of the tightening belt 5, the fixed arc-shaped clamping plate 1 is clamped and fixed at one end of the tightening belt 5 through the expanding clamping head 22, further, in order to effectively fix the other end of the tightening belt 5 at the other side of the fixed arc-shaped clamping plate 1, a horizontal plate 14 is arranged between the opposite surfaces of the two horizontal rods 16 of the fixed arc-shaped clamping plate 1, the cross plate 14 is provided with a positioning insertion rod 13, the positioning insertion rod 13 is inserted with a detachable cap 12, the tightening strap 5 is orderly provided with a plurality of positioning holes 2 matched with the positioning insertion rods 13 on the fixed arc-shaped clamping plate 1 at intervals, the other end of the tightening strap 5 is provided with a movable arc-shaped clamping plate 1, a straight rod 21 is arranged between the opposite surfaces of two cross rods 16 of the movable arc-shaped clamping plate 4, a herringbone buckle structure is formed between the two cross rods 16 and the straight rod 21, the opposite surfaces of the two cross rods 16 on one side of the straight rod 21 are both provided with sliding grooves 19, a sliding rod 20 in sliding fit with the sliding grooves 19 is arranged between the sliding grooves 19 on the opposite surfaces of the two cross rods 16, the middle part of the tightening strap 5 is provided with a compression hemostatic member 3 in sliding fit with the tightening strap 5, the compression hemostatic member 3 consists of a movable plate 8 and a compression air bag 6, the side surface of the movable plate 6 is provided with a sliding notch 9 which penetrates through, be equipped with inner groovy 10 on the fly leaf 8 lower surface be equipped with the left and right sides in the inner groovy 10 with the oppression gasbag 6 of inner groovy 10 inside wall bonding fixation oppress 6 one side of gasbag is equipped with inflation inlet 11, and is further, in order to avoid oppressing 6 direct contact absorbent cotton of gasbag or patient's wound to cause the pollution oppression 6 bottom of gasbag is equipped with oppression gauze 7, oppression gauze 7 both sides and fly leaf 8 bottom inner groovy 10 both sides accessible magic subsides bonding fixation.
When the iliac artery operation auxiliary device of the utility model is used for pressing and stopping bleeding of iliac arteries of patients, medical staff can firstly sequentially pass one end of a binding belt 5 through an opening 17 on a vertical plate 15 on the right side of a fixed arc-shaped clamping plate 1, a hemostasis compression piece 3 and a movable arc-shaped clamping plate 4, and a diameter expanding clamping head 22 at the other end of the binding belt 5 is clamped and blocked at the inner side of the opening 17 on the vertical plate 15 on the right side of the fixed arc-shaped clamping plate 1, then the fixed arc-shaped clamping plate 1 at the other end of the binding belt 5 is clamped at one side of the waist and abdomen of the patient, and the other end of the binding belt 5 is wound around the waist and abdomen of the patient and then penetrates through the opening 17 on the vertical; after the tightening belt 5 is wound on the waist and abdomen of a patient, a medical staff slides the movable arc-shaped clamping plate 4 to the other side of the waist and abdomen of the patient, so that the fixed arc-shaped clamping plate 1 and the movable arc-shaped clamping plate 4 are respectively clamped on the two sides of the waist and abdomen of the patient, and then the hemostasis compression piece 3 slides to the wound part of the waist and abdomen of the patient along the tightening belt 5, the patient pulls the other end of the tightening belt 5, so that the tightening belt 5 is tightly attached to the waist and abdomen of the patient, after tensioning is finished, the medical staff can put the other end of the tightening belt 5 on the positioning inserted rod 13 on the fixed arc-shaped clamping plate 1 through the positioning hole 2 at the upper part and sleeve the clamping cap 12 to realize the limiting and fixing of the other end of the tightening belt 5, in order to avoid the movement of the movable arc-shaped clamping plate 4, the sliding rod 20 can slide towards the direction of the movable arc, the tight belt 5 can be effectively and stably wound on the waist and abdomen of a patient without displacement through the tight belt 5 and the blocking and limiting of the arc-shaped clamping plates on the two sides; after the tightening belt 5 is stable, medical staff can inflate the compression air bag 6 through the inflation port 11, compression hemostasis can be performed on the lower part of the waist and abdomen wound of a patient after the compression air bag 6 is inflated and expanded, and further, in order to avoid pollution caused by the fact that the compression air bag 6 directly contacts the abdomen wound of the patient or absorbent cotton, a compression gauze 7 can be additionally arranged at the bottom of the compression air bag 6; this use novel can be applied to internal iliac artery incision and intervene the operation postoperative, realize internal iliac artery's hemostasis press action, the quick slip of hemostasis by compression piece is pressed the hemostasis position to needs, provide lasting stable compressive force for arteriotomy after aerifing the oppression gasbag, promote incision department hemostasis healing, effectively reduce patient's postoperative bleeding volume, shorten postoperative rehabilitation time and reduce the complication risk, the postoperative patient stands up when or simply walks, through the spacing protection of both sides arc cardboard, the condition that the displacement appears in hemostasis by compression piece has effectively been avoided, has very strong security. The utility model discloses simple structure, it is easy and simple to handle, it presses to need not medical staff's finger after fixed, reduces medical staff's working strength, but this embodiment wide application is pressed in the internal iliac artery hemostasis, has certain medical meaning and economic value.
In light of the foregoing description of the preferred embodiments of the present invention, those skilled in the art can make various changes and modifications without departing from the spirit and scope of the present invention. The technical scope of the present invention is not limited to the content of the specification, and must be determined according to the scope of the claims.