Dynamics adjustable arteriovenous internal fistula hemostat
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to arteriovenous internal fistula haemostat with adjustable dynamics.
Background
An optimal evidence analysis about arteriovenous internal fistula maintenance summarizes and prompts that a compression method, time and force are all important for the maintenance of the internal fistula from the aspects of a puncture method, a compression method, an evaluation method and the like. Common general knowledge of vascular access experts for hemodialysis in China (version 2) recommends that pressing blood vessels is preferable to touch tremor of blood vessels, but actual pressing strength still cannot be clear to a specific value and that the tremor of internal fistulas is inconvenient to touch when pressed by one hand. The compression hemostasis after puncture is carried out by manual finger pressing, or the better hemostasis after puncture is achieved by the combination of elastic bandage and gauze pressing, which is a commonly used clinical hemostasis method, but the compression method is not easy to implement force adjustment, and the old people are easy to rely on other people or elastic bandage for compression, and the compression force and time are not controllable.
The gauze is fixed on the traditional medical adhesive plaster for many times, and the finger presses the bleeding point to stop bleeding, so that the pressing pressure is too high or too low, and the bleeding is not stopped in place. The elastic tourniquet is tied in a ring to stop bleeding, the tourniquet is loosened for 1 time every 10 minutes or so until no blood seeps at the needle eye, and then the tourniquet is taken down. The patient needs to operate the tourniquet by one hand to relax, the pressing position is easy to shift in the process, the pressed part oozes blood or is pressed by the tourniquet, and the pressing time is prolonged; people who have inconvenience in single-hand operation need others to assist.
The application number is CN108577925A elasticity pulse pressing belt compresses the gauze piece pressurization puncture point hemostasis, monitors the pressing time through device timer and microcontroller, regularly releases. The pressure is applied within a fixed time, the force is fixed and cannot be adjusted, and the pressure is too large or too small.
The application number is CN215778386U spiral hemostasis by compression device, and rotatory hob drives the piece of oppressing and reciprocates and realize the hemostasis by compression of puncture point. The adjusting belt is pasted on the fixing plate to fix the hemostat on the arm, and the pressure pressing process is adopted to adjust the hemostat with the risk of disconnection. The screw rod is fixedly connected with the pressing block, and the screw rod rotates to generate horizontal knob force to act on the pressing contact surface to rub the skin around the puncture point. There is a risk of skin damage.
The arteriovenous internal fistula compression hemostat developed by the scheme can realize the functions of dynamically adjusting internal fistula compression hemostasis force, recording compression time and protecting skin in a compression area in a fixed compression direction. Is applied to hemostasis by pressing after clinical hemodialysis puncture to solve the problems that the hemostasis strength of a puncture point can not be adjusted, compression displacement, vascular access maintenance and the like after dialysis at the present stage.
SUMMERY OF THE UTILITY MODEL
The utility model aims at solving one of the technical problems of the medical appliance at least to a certain extent. Therefore, the utility model provides a dynamics adjustable arteriovenous internal fistula hemostat.
The utility model provides a technical scheme that its technical problem adopted is:
a dynamics adjustable arteriovenous internal fistula haemostat includes following subassembly:
a first horizontal fixing plate;
the compression block is used for compressing the puncture point;
the upper end of the compression screw rod is positioned above the first horizontal fixing plate, and the lower end of the compression screw rod extends out of the lower part of the first horizontal fixing plate;
the rotating cap is arranged at the top end of the pressing screw rod;
the first nylon cloth belt and the second nylon cloth belt are connected with two sides of the first horizontal fixing plate through crocodile mouth buckles;
the second horizontal fixing plate is arranged above the first horizontal fixing plate in parallel, the compression screw penetrates through the second horizontal fixing plate, and cylindrical accommodating grooves are formed in four top corners of the bottom surface of the second horizontal fixing plate;
connect the slender pole, be equipped with 4 cylinder grooves that link up on the first horizontal fixation board, 4 connect the slender pole and pass the cylinder groove, connect slender pole top fixed connection cylinder holding tank, be equipped with the cylinder recess on the oppression piece, connect slender pole lower extreme card in the cylinder recess.
In a preferred embodiment of the present invention, the rotating cap on the compression screw is provided with a timer to record and remind the compression time.
In a preferred embodiment of the present invention, the compression screw is a half-threaded screw, and the upper quarter portion is smooth and unthreaded, and the lower three-quarter portion is threaded.
In a preferred embodiment of the present invention, the first horizontal fixing plate has rectangular notches at both ends, the middle penetrating portion of the first horizontal fixing plate is provided with internal threads, and the crocodile mouth buckle is connected to the rectangular notches.
In a preferred embodiment of the present invention, the bottom center of the pressing screw is a ball, and the pressing block is in vertical point contact with the ball.
In a preferred embodiment of the present invention, the pressing block is detachably connected to the connecting pin.
The utility model has the advantages that: the utility model discloses a be favorable to controlling the oppression dynamics and maintaining the oppression dynamics direction, realize dynamic hemostasis by compression, remedied the shortcoming that one-hand oppression, bandage pressurization gauze hemostasis, the tourniquet can't adjust the dynamics around the oppression hemostasis by compression and avoided the regional skin of oppression impaired; the hemostasis by compression with local controllable force protects the internal fistula blood vessel, and can realize the function and the service life of the internal fistula.
Drawings
FIG. 1 is a schematic front view of the main body of the present invention;
FIG. 2 is a partial perspective view of the present invention;
fig. 3 is a schematic cross-sectional view of a first horizontal fixing plate of the present invention;
in the figure: 1. first horizontal fixation board, 2, oppress the piece, 3, oppress the screw rod, 4, rotatory cap, 5, first nylon strap, 6, second nylon strap, 7, crocodile mouth buckle, 8, second horizontal fixation board, 9, cylinder holding tank, 10, cylinder groove, 11, connect the slender rod, 12, cylinder recess, 13, rectangle notch, 14, ball, 15, time-recorder, 16, magic subsides.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are exemplary only for the purpose of explaining the present invention, and should not be construed as limiting the present invention.
Example 1:
as shown in fig. 1-3; a dynamics-adjustable arteriovenous internal fistula hemostat specifically comprises a first horizontal fixing plate 1; the compression block 2 is used for compressing the puncture point; the upper end of the compression screw rod 3 is positioned above the first horizontal fixing plate 1, and the lower end of the compression screw rod 3 extends out of the lower part of the first horizontal fixing plate 1; the rotating cap 4 is arranged at the top end of the pressing screw rod 3; the nylon cloth belts comprise a first nylon cloth belt 5 and a second nylon cloth belt 6, and the first nylon cloth belt 5 and the second nylon cloth belt 6 are connected with two sides of the first horizontal fixing plate 1 through crocodile mouth buckles 7; the second horizontal fixing plate 8 is arranged above the first horizontal fixing plate 1 in parallel, the compression screw 3 penetrates through the second horizontal fixing plate 8, and cylindrical accommodating grooves 9 are formed in the four vertex angles of the bottom surface of the second horizontal fixing plate 8; be equipped with 4 cylinder grooves 10 that link up on first horizontal fixing plate 1, 4 connect slim rod 11 and pass cylinder groove 10, connect 11 top fixed connection cylinder holding tanks 9 of slim rod, have cylindrical groove 12 on oppression piece 2, connect 11 lower extreme cards of slim rod in cylindrical groove 12.
In specific implementation, the connecting thin rod 11 enables a lifting gap to be formed between the compression block 2 and the first horizontal fixing plate 1, the first horizontal fixing plate 1 is not in direct contact with skin, the skin around a compression point can be protected, and blood flow of other blood vessels is not blocked during compression hemostasis; the knob force during the rotatory oppression pole can be offset, the frictional force that has avoided oppression position skin to receive knob force to trun into can also play a function of raising, and arm skin pressurized reduces, local skin guard action.
First horizontal fixing plate 1 both ends are equipped with rectangle notch 13, and the middle run-through part of first horizontal fixing plate 1 is provided with the internal thread, connects crocodile mouth buckle 7 on the rectangle notch 13.
The pressing screw rod 3 is a half-thread screw rod, the upper quarter part of the pressing screw rod is smooth and has no thread, and the lower three quarter part of the pressing screw rod is provided with threads.
The center of the bottom of the compression screw rod 3 is provided with a ball 14 which is vertically contacted with the upper surface of the compression block 2 in a point manner; the rotating cap 4 can drive the pressing block 2 to move up and down, but the fixing position of the pressing block 2 in the horizontal direction is unchanged.
The pressing block 2 is detachably connected to the connecting slender rod 11; the bottom surface of the pressing block 2 can be provided with gauze, and the pressing block can be detached independently and wiped by alcohol; after cleaning, the components can be spliced for reuse; and also replaceable.
In specific implementation, the compression block 2 can be prepared by selecting a sterilization grade material, and the compression block prepared by the sterilization grade material can directly press and contact the puncture point.
Example 2:
as shown in fig. 1-3; a dynamics-adjustable arteriovenous internal fistula hemostat specifically comprises a first horizontal fixing plate 1; the compression block 2 is used for compressing the puncture point; the upper end of the compression screw rod 3 is positioned above the first horizontal fixing plate 1, and the lower end of the compression screw rod 3 extends out of the lower part of the first horizontal fixing plate 1; the rotating cap 4 is arranged at the top end of the pressing screw rod 3; the nylon cloth belts comprise a first nylon cloth belt 5 and a second nylon cloth belt 6, and the first nylon cloth belt 5 and the second nylon cloth belt 6 are connected with two sides of the first horizontal fixing plate 1 through crocodile mouth buckles 7; the end of first nylon strap 5 and second nylon strap 6 is provided with magic subsides 16, and rotatory cap 4 on the oppression screw rod 3 is equipped with time-recorder 15, and time-recorder 15 inlays at the top of rotatory cap 4.
In specific implementation, the timer 15 can record and remind the compression time, and can prevent internal fistula occlusion caused by forgetting to relieve internal fistula compression of part of patients.
Example 3:
the structure of the present embodiment is the same as embodiment 2, and is characterized in that the first horizontal fixing plate 1 is formed by rolling a film made of PVC material, and the length × width × height is 30mm × 20mm × 8 mm; a circular hole is formed in the center of a fixing plate of the first horizontal fixing plate 1, the radius of the circular hole is 5mm, and the height of the circular hole is 8 mm. 3mm away from the center circular hole ring, 4 cylindrical grooves 10 are respectively formed at the positions 4mm up and down from the horizontal center line of the fixing plate, the cylinders are hollow, and the inner diameter of each cylindrical groove is 0.5 mm; the width of the rectangular notch 13 is 1mm, the length of the rectangular notch is 12mm, and the width of the nylon cloth belt is 12 mm; the compression screw rod 3 is a PVC plastic film, the radius of the cylinder is 5mm, the height is 40mm, the smooth part is 10mm, and the thread part is 30 mm. The bottom center of the pressing screw rod 3 protrudes outwards to form a smooth ball 14 with the radius of 2mm, and the ball is in point contact with the upper surface of the pressing block; the compression block 2 is a PVC plastic film cuboid, and the length multiplied by the width multiplied by the height is 20mm multiplied by 14mm multiplied by 10 mm; the inner diameter of the cylindrical groove 12 is 0.5mm, and the length of the connecting slender rod is about 30 mm.
One specific application of this embodiment is: when the puncture needle is ready to be pulled out after dialysis is finished, a force-adjustable arteriovenous internal fistula hemostat is prepared, disposable sterile gauze is pasted above a puncture point, an operator holds two ends of a first horizontal fixing plate 1 of the compression hemostat by hand and vertically places the hemostat on the sterile gauze by taking a compression block as a reference, a nylon cloth belt fixes the hemostat on an arm, and the tightness of the nylon cloth belt is proper for accommodating one finger in a lifting space formed by the first horizontal fixing plate 1 and the nylon cloth belt; an operator fixes the first horizontal fixing plate 1 of the hemostat by one hand, slightly pulls out the puncture needle, and immediately rotates the compression screw rod 3 to pressurize, so that the distal fistula tremble can be touched. A timer on the rotary cap 4 is pressed, a 10min timing alarm prompt is set, and a patient can use the rotary cap 4 by himself after 10min to relieve oppression; if the puncture point oozes blood, the rotary cap 4 can be used for pressurizing again at any time; the utility model discloses make the hemostasis by compression of local controllable dynamics protect internal fistula blood vessel, can realize prolonging internal fistula function and life-span.
In the description herein, references to the description of the terms "one embodiment," "certain embodiments," "an illustrative embodiment," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
In summary, although the present invention has been described with reference to the preferred embodiments, the above-described preferred embodiments are not intended to limit the present invention, and those skilled in the art can make various changes and modifications without departing from the spirit and scope of the present invention, so that the scope of the present invention shall be determined by the scope of the appended claims.