CN213190894U

CN213190894U - Wrist puncture auxiliary exposure and compression hemostat for operating bed

Info

Publication number: CN213190894U
Application number: CN202021462369.1U
Authority: CN
Inventors: 刘延淑; 杨宇; 梁瑞晨; 吴钟巡; 向艳; 莫舻; 曾校莠
Original assignee: Affiliated Hospital of Southwest Medical University
Current assignee: Affiliated Hospital of Southwest Medical University
Priority date: 2020-07-22
Filing date: 2020-07-22
Publication date: 2021-05-14
Anticipated expiration: 2030-07-22

Abstract

The utility model discloses a wrist portion puncture is supplementary to be exposed and hemostasis by compression ware for operation table, comprising a base plate, the downside of bottom plate is equipped with and is used for fixing its connection structure on the operation table, and the bottom plate upside has the about band of palm and the about band of forearm that sets up along its width direction, have the fixed jacking gasbag that sets up and the oppression gasbag that sets up of activity between the about band of palm and the about band of forearm to dispose and be used for filling the manually operation sacculus of gassing for jacking gasbag and oppression gasbag. Can be used to puncture operation on the operation table in the art to supplementary expose patient's radial artery fast, improve puncture efficiency and success rate, can also be used to stanch the oppression simultaneously, alleviate painful and medical staff's manipulation strength etc..

Description

Wrist puncture auxiliary exposure and compression hemostat for operating bed

Technical Field

The utility model relates to the field of medical equipment, concretely relates to wrist portion puncture is supplementary exposes and hemostasis by compression ware for operation table.

Background

The arterial puncture is the basis of invasive blood pressure monitoring, and the invasive blood pressure monitoring in the operation can timely and accurately master the blood pressure change of a patient and improve the safety of the operation. The radial artery is the most common blood vessel for arterial puncture in an operating room, and during puncture, the wrist joint needs to be in an everted state, so that the skin of the wrist is straightened, and the radial artery is fully exposed, thereby facilitating needle insertion and puncture. In the prior operation, a pad bag is mainly placed on a hand frame of an operating bed to lift the wrist part, meanwhile, medical staff need to press one hand downwards against the palm of a patient to straighten, expose and fix the radial artery, and the other hand is used for single-hand puncture, so that the traditional operation method has poor overall effect and can influence the successful puncture rate. And puncture failure and puncture repeatedly, can increase patient's painful sense to and the infection risk of puncture point, even the person injures wrist nerve by mistake and causes medical accident etc. secondly, when puncturing repeatedly, all need to adjust patient's hand appearance at every turn in order to reach the purpose that exposes, still need compress hemostasis to puncture point before still after the puncture failure, increased medical staff's the operation degree of difficulty, and puncture consuming time, reduced puncture efficiency and manpower utilization efficiency etc. simultaneously.

SUMMERY OF THE UTILITY MODEL

For solving above technical problem, the utility model provides a wrist portion puncture is supplementary exposes and hemostasis by compression ware for operation table to supplementary intracavity hemostatic material of placing fast reduces the operation degree of difficulty, shortens operating time etc..

The technical scheme is as follows:

the utility model provides a wrist portion puncture is supplementary exposes and hemostasis by compression ware for operation table, its key lies in, includes the bottom plate, the downside of bottom plate is equipped with and is used for fixing its connection structure on the operation table, and the bottom plate upside has the about band of palm and the about band of forearm that sets up along its width direction, have the fixed jacking gasbag that sets up and the oppression gasbag that sets up of activity between about band of palm and the about band of forearm to dispose and be used for the manual operation sacculus that the gasbag of jacking and oppression gasbag inflated and deflated.

Structure more than adopting, during the use, connection structure on the accessible bottom plate fixes it on the hand frame of operation table fast, place the wrist portion on the jacking gasbag, and retrain patient's palm and forearm respectively through the about band of palm and the about band of forearm, rethread manual operation sacculus aerifys the jacking gasbag, with the wrist jacking, increase the bending angle between palm and the forearm, make the radial artery fully expose so that the puncture, improve the puncture success rate, after the puncture is accomplished, place the oppression gasbag in puncture point department again, keep oppressing lastingly through aerifing, and needn't the manual oppression of operating personnel, and the operation strength is reduced.

Preferably, the method comprises the following steps: the connecting structures are binding bands positioned at the front end and the rear end of the bottom plate or magnets attached to the lower surface of the bottom plate. By adopting the connecting piece structure, the fixing device is convenient to be quickly fixed on the hand frame of the operating table, and has simple structure, convenient implementation and lower economic cost.

Preferably, the method comprises the following steps: the jacking air bag is arranged along the width direction of the bottom plate, and a limiting groove is formed in the middle of the jacking air bag. By adopting the scheme, the fixing performance of the position and the posture of the wrist is guaranteed, the left and right shaking is prevented, and the success rate of puncture is further improved.

Preferably, the method comprises the following steps: one end of the compression air bag is hinged to the bottom plate and can rotate to the position right above the jacking air bag by taking a hinged point as a center, and one side, far away from the hinged point, of the bottom plate is provided with a fixing structure matched with the free end of the compression air bag. By adopting the scheme, the pressing air bag can be rotated to one side of the jacking air bag during puncture, so that interference to puncture is prevented.

Preferably, the method comprises the following steps: the fixing structure is a magic tape bonding structure or a snap-fastener type buckling structure. By adopting the scheme, the fixing position of the free end of the compression air bag can be conveniently adjusted according to needs, the inflation time is reduced, and the compression efficiency is improved.

Preferably, the method comprises the following steps: the middle part of oppression gasbag has the arc wall, has the silica gel pad rather than the adaptation in this arc wall. Scheme more than adopting, through the arc wall can be better with the laminating of patient's wrist, improve the oppression quality.

Preferably, the method comprises the following steps: the compression air bag is a transparent air bag. By adopting the scheme, whether the puncture point is pressed or not can be conveniently observed.

Preferably, the method comprises the following steps: the palm restraint strap can rotate back and forth to be close to or far away from the jacking air bag. By adopting the scheme, the palm has the tendency of moving backwards and moving upwards in the jacking process of the jacking air bag, the rotation of the palm restraint strap can be adapted to the action of the palm, and discomfort caused to a patient by excessive restraint is avoided.

Preferably, the method comprises the following steps: the side part of the bottom plate is provided with a pipeline groove, the air pipe A of the jacking air bag and the air pipe B of the pressing air bag are both positioned in the pipeline groove, the manual operation ball bag is connected with a main air pipe, the main air pipe is connected with the air pipe A and the air pipe B through a manual three-way valve, and the manual three-way valve is positioned in the pipeline groove. By adopting the scheme, the whole structure is simplified, the whole compactness and the neatness of the device are improved, the pipeline is prevented from interfering puncture or other operations in the operation, and the inflatable object and the state can be better controlled through the manual three-way valve.

Preferably, the method comprises the following steps: the bottom plate is provided with a containing groove for placing a manual operation sacculus. Scheme more than adopting, when need not aerifing, can place the manual operation sacculus in accomodating the groove, reduce the space and occupy, avoid simultaneously causing the interference to the operation environment, and be convenient for wholly get put move etc..

Compared with the prior art, the beneficial effects of the utility model are that:

the wrist portion puncture auxiliary exposure and compression hemostat for the operating bed, which adopts the technical scheme, can be used for puncture operation on the operating bed in operation, assists in quickly exposing the radial artery of a patient, improves puncture efficiency and success rate, can be used for hemostasis compression, reduces pain of patients and operation intensity of medical staff, and the like.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic view of the compression hemostasis state of the present invention;

fig. 3 is a side view of the present invention.

Detailed Description

The present invention will be further described with reference to the following examples and accompanying drawings.

Referring to fig. 1 to 3, the utility model discloses a wrist portion puncture is assisted and is exposed and hemostasis by compression ware for operation table, including being the bottom plate 1 of rectangle sheet metal roughly, the bottom of bottom plate 1 is equipped with connection structure, can be with its quick fixation to the hand rest of operation table on through connection structure to it is stable to keep the gesture, connection structure can be the bandage 10 that sets up both ends near the tip around bottom plate 1, also can be attached and the magnet of bottom plate 1 lower surface, and preferred bandage 10 is as connection structure in this embodiment, and its cost is lower relatively, and the later stage of being convenient for is changed.

The upper surface of the bottom plate 1 is provided with a cushion layer (not shown in the figure), the upper side of the bottom plate 1 is provided with at least one palm restraint belt 2 and a forearm restraint belt 3 distributed along the length direction of the bottom plate, and as shown in the figure, the palm restraint belt 2 and the forearm restraint belt 3 are both arranged along the width direction of the bottom plate 1.

Be equipped with jacking gasbag 4 and oppression gasbag 5 between about band 3 of palm 2 and forearm, wherein jacking gasbag 4 is fixed in on the bottom plate 1, and oppression gasbag 5 then activity sets up on bottom plate 1, oppresses gasbag 5 promptly and can place jacking gasbag 4 directly over as required in for realize stanching to the oppression of puncture point, jacking gasbag 4 and oppression gasbag 5 a manual operation sacculus 6 of sharing in this embodiment.

Its concrete mounting structure is as shown in the figure, the left end of oppression gasbag 5 is articulated with the left side of bottom plate 1, and its articulated central line is parallel with the length direction of bottom plate 1, oppress gasbag 5 this moment can be its pin joint along the width direction rotation of bottom plate 1 as the center, be close to or keep away from jacking gasbag 4, even be located jacking gasbag 4 and reach the purpose of oppression directly over, the right-hand member of oppression gasbag 5 has connecting portion 52, the right side of bottom plate 1 has with the connecting portion 52 complex fixed knot structure 15 of oppression gasbag 5, fixed knot structure 15 can be mutually supported magic subsides adhesive structure with connecting portion 52, also can be the snap-on formula lock structure, when carrying out the fixed of oppression gasbag 5 like this, can adjust its taut fixed position as required, reduce the inflation volume relatively, shorten operating time etc.

In order to ensure that the direction of the jacking air bag 4 is basically upward when the jacking air bag is inflated and expanded and the direction of the pressing air bag 5 is basically downward when the pressing air bag is inflated and expanded, the peripheral wall thicknesses of the jacking air bag 4 and the pressing air bag 5 and the outer side wall thickness of the pressing air bag 5 are relatively thicker, the upper side wall thickness of the jacking air bag 4 and the inner side wall thickness of the pressing air bag 5 are relatively thinner, and meanwhile, the pressing air bag 5 is preferably made of a transparent material for facilitating observation.

In addition, the upside middle part of jacking gasbag 4 has spacing recess 40, spacing recess 40 is the arc structure, and run through the front and back both sides of jacking gasbag 4, mainly play the purpose to patient's wrist secondary positioning, reduce the skew, the middle part inboard of oppression gasbag 5 has arc wall 50, arc wall 50 is relatively shallow, it pastes the silica gel pad that has adapted with it simultaneously in it, the silica gel pad is scarce annular roughly, and length is less than spacing recess 40's length, when oppression gasbag 5 aerifys, its inboard inflation down is simultaneously, the puncture wrist is hugged closely to the silica gel pad, simultaneously in the left and right sides embedding spacing recess 40 of silica gel pad, realize improving the hemostasis by compression effect to the puncture point together with spacing recess 40.

Considering that the inflation pipeline may hinder the operation of the operator, in the present application, a pipeline slot 11 for placing an air pipe is provided at one side of the bottom plate 1, the jacking air bag 4 and the compression air bag 5 are respectively connected with an air pipe a41 and an air pipe B51, the air pipe a41 and the air pipe B51 are both located in the pipeline slot 11 and are connected with a main air pipe 60 of the manual operation air bag 6 through a manual three-way valve 61, and the on-off state of the main air pipe 60 and the air pipe a41 and the air pipe B51 can be realized through the manual three-way valve 61, that is, the jacking air bag 4 and the compression air bag 5 are inflated and deflated through the manual operation air bag 6 according to requirements.

The manual three-way valve 61 and part of the main air pipe 60 are both positioned in the pipeline groove 11, meanwhile, the upper side of the bottom plate 1 is provided with a containing groove 12 for placing the manual operation saccule 6, and the containing groove 12 is communicated with the pipeline groove 11, so that the main air pipe 60 extends into the pipeline groove 11 and is connected with the manual three-way valve 61.

In this embodiment, the puncturing efficiency is improved, the arm restraint of the patient is realized rapidly, so the palm restraint band 2 and the forearm restraint band 3 both adopt a band-type fast locking structure, similar to a breathing mask headband structure, so as to facilitate the one-handed operation of medical staff, and the palm restraint band 2 can rotate back and forth relative to the jacking airbag 4 to be close to or far away from the jacking airbag 4, as shown in the figure, two hinged seats 13 symmetrically arranged left and right are arranged on the bottom plate 1 corresponding to the position of the palm restraint band 2, wherein the hinged seat 13 on the right side is provided with a fastening buckle a14 hinged thereto, the left end of the palm restraint band 2 is hinged with the hinged seat 13 on the left side, so that when the right end of the palm restraint band 2 is fixed on the fastening buckle a14, the palm restraint band 2 can rotate back to adapt to the jacking inclination, the palm restraint band 2 is closer to the jacking airbag 4 relative to the forearm restraint band 3, the corresponding position in bottom plate 1 right side is equipped with chucking knot B16, sets the about band 3 of forearm to relatively fixed structure, is favorable to improving the fixity of patient's hand gesture during the puncture.

Referring to the wrist puncture auxiliary exposure and compression hemostat for the operating bed shown in fig. 1 to 3, in use, the device is placed on a hand frame of the operating bed, the palm restraint band 2 and the forearm restraint band 3 are initially in a loose state, the distal ends of the palm restraint band 2 and the forearm restraint band 3 and the corresponding fastener a14 and fastener B16 are in a hanging state, the arm of the patient sequentially passes through the forearm restraint band 3 and the palm restraint band 2, the position of the arm of the patient is adjusted according to the length of the arm of the patient, the wrist of the patient faces upwards and is located in the limiting groove 40, and then the wrist of the patient is fixed with the hand frame through the bandage 10.

During the puncture, oppression gasbag 5 is in the state of turning up, is located one side of bottom plate 1, then tightens up about band 2 of palm and about band 3 of forearm, carries out preliminary restraint to patient's palm and forearm, aerifys in 4 to jacking gasbag through manual operation sacculus after that, with the wrist jack-up that makes progress, is the triangle-shaped form roughly between palm and forearm this moment, and radial artery fully exposes after, can puncture fast.

After the puncture is accomplished, will oppress gasbag 5 and rotate right immediately, and cooperate with fixed knot constructs 15 through connecting portion 52, will oppress gasbag 5 and tentatively take-up, make arc wall 50 hug closely with the wrist upper surface, deflate jacking gasbag 4, manual three-way valve 61 of rethread switches, make total trachea 60 and trachea B51 communicate, and aerify in oppressing gasbag 5, make oppression gasbag 5 inflation application of force down, it is tighter to make silica gel pad and wrist laminating, with the hemostatic effect of improvement oppression, after the operation is accomplished, medical staff can carry out other operations in the art, and needn't assist the oppression always.

Finally, it should be noted that the above description is only a preferred embodiment of the present invention, and those skilled in the art can make various similar representations without departing from the spirit and the scope of the present invention.

Claims

1. The utility model provides a wrist portion puncture is assisted to expose and is pressed hemostat for operation table which characterized in that: including bottom plate (1), the downside of bottom plate (1) is equipped with and is used for fixing its connection structure on the operating table, and bottom plate (1) upside has about band (2) of palm and the about band (3) of forearm that set up along its width direction, have fixed jacking gasbag (4) that set up and oppression gasbag (5) that the activity set up between about band (3) of palm and forearm to dispose and be used for inflating manual operation sacculus (6) of gassing for jacking gasbag (4) and oppression gasbag (5).

2. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 1, characterized in that: the connecting structure is straps (10) which are positioned at the front end and the rear end of the bottom plate (1) or magnets which are attached to the lower surface of the bottom plate (1).

3. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 1, characterized in that: the jacking air bag (4) is arranged along the width direction of the bottom plate (1), and a limiting groove (40) is formed in the middle of the jacking air bag.

4. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 1 or 3, characterized in that: one end of the pressing air bag (5) is hinged to the bottom plate (1) and can rotate to the position right above the jacking air bag (4) by taking a hinged point as a center, and one side, far away from the hinged point, of the bottom plate (1) is provided with a fixing structure matched with the free end of the pressing air bag (5).

5. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 4, characterized in that: the fixing structure is a magic tape bonding structure or a snap-fastener type buckling structure.

6. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 4, characterized in that: the middle part of the pressing air bag (5) is provided with an arc-shaped groove (50), and a silica gel pad which is adaptive to the arc-shaped groove (50) is arranged in the arc-shaped groove (50).

7. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 1, characterized in that: the compression air bag (5) is a transparent air bag.

8. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 4, characterized in that: the lateral part of bottom plate (1) is equipped with wall chase (11), trachea A (41) of jacking gasbag (4) and trachea B (51) of oppression gasbag (5) all are located in wall chase (11), manual operation sacculus (6) are connected with total trachea (60), total trachea (60) through manual three-way valve (61) with trachea A (41) and trachea B (51) link to each other, manual three-way valve (61) are located wall chase (11).

9. The wrist puncture assisted exposure and compression hemostat for operating tables according to claim 1, characterized in that: the bottom plate (1) is provided with a containing groove (12) for placing a manual operation sacculus (6).