CN218391185U - Compression hemostasis device for puncture points of femoral artery and femoral vein - Google Patents

Compression hemostasis device for puncture points of femoral artery and femoral vein Download PDF

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Publication number
CN218391185U
CN218391185U CN202221076030.7U CN202221076030U CN218391185U CN 218391185 U CN218391185 U CN 218391185U CN 202221076030 U CN202221076030 U CN 202221076030U CN 218391185 U CN218391185 U CN 218391185U
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compression
hemostasis
rod
support piece
femoral artery
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胡芮
沈佩儿
陶淑珍
邱旭仙
张晓娅
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First Affiliated Hospital of Zhejiang University School of Medicine
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First Affiliated Hospital of Zhejiang University School of Medicine
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Abstract

The utility model discloses a femoral artery, femoral vein puncture point hemostasis by compression device, including support piece and the hemostasis by compression mechanism of locating on the support piece, hemostasis by compression mechanism including the hemostasis by compression subassembly, should oppress the hemostasis subassembly and pass through universal adjusting part movable mounting on support piece, this universal adjusting part makes the hemostasis by compression subassembly have around the rotatory circumferential direction displacement of support piece, is close to or keeps away from support piece's lateral shifting displacement and longitudinal movement displacement. The utility model can effectively cover all positions of the sickbed without correspondingly adjusting the patient, thus realizing the accurate position of the compression hemostasis component to the puncture point of the patient and being more convenient for the positioning of compression hemostasis after the puncture operation in the groin area; can also utilize support piece to be fixed in the device on the sick bed at arbitrary suitable time, can oppress hemostasis operation to the patient more convenient fast, also make things convenient for the observation of nursing staff to the puncture point oppression.

Description

Compression hemostasis device for puncture points of femoral artery and femoral vein
Technical Field
The utility model belongs to the technical field of femoral artery, femoral vein puncture, concretely relates to femoral artery, femoral vein puncture point hemostasis by compression device.
Background
Vascular complications of the puncture point during the same operation period are one of the common complications after arterial puncture or venipuncture, so hemostasis of femoral artery or femoral vein after the operation is completed is a key field for interventional operation research. Compared with the manual compression hemostasis method which is time-consuming, labor-consuming and painful, medical workers tend to use corresponding medical instruments to assist in hemostasis.
Chinese utility model for CN215191924U discloses a puncture point hemostasis by compression ware after artery, vein blood sampling, this puncture point hemostasis by compression ware after artery, vein blood sampling includes base and first fixed block, and the upper surface central point of first fixed block puts the bottom surface of fixedly connected with bottom plate, both ends fixedly connected with and the perpendicular bracing piece of base, spout and slider have been seted up to one side of bracing piece, are provided with the connecting plate between the slider of two bracing pieces, the below and the electric putter fixed connection of connecting plate, electric putter's the other end and last bracing piece fixed connection, go up the bracing piece and pass through the draw-in groove and press a stick block to be connected, press fixedly connected with hemostatic cotton on the stick. Through under electric putter's drive, go up the stick of pressing between backup pad and the bottom suspension fagging and press with the puncture point after the cotton to patient's artery, vein blood sampling, reach hemostatic effect to set up the time-recorder on the device and prevent that patient's hemostasis by compression time is not up to standard and cause puncture department to appear the ecchymosis.
The compression hemostat has the following defects: the backup pad and bottom suspension fagging enclose synthetic limbs and place the district in the utilization, still need put into earlier this between backup pad and the bottom suspension fagging with patient's low limbs before hemostasis, and intervene after the operation patient self mobility limited, need medical personnel to assist just can pass the limbs with patient's low limbs and place the district, still need aim at the puncture point of low limbs and place the district, use too inconvenient.
In order to solve the problems, the chinese utility model with the publication number of CN215606000U discloses a femoral artery puncture point hemostasis by compression device, and this femoral artery puncture point hemostasis by compression device includes oppression part and fixed bolster, the periphery of oppression part and the fixed bolster fixed connection of top fixedly connected with roof, the inside swing joint of oppression part has the inner prop, and peripheral swing joint has the urceolus, and the urceolus passes through the spring and links to each other with the connecting plate, fixedly connected with spliced pole in the middle of the top of connecting plate and set up in the board that hangs at the spliced pole top, the top both sides fixedly connected with screw post of inner prop, the right side swing joint of screw post has the rotation block.
The method for performing hemostasis and compression on the femoral artery puncture point of the patient by the compression hemostat comprises the following steps: a user holds the outer cylinder to pull downwards, the spring in the outer cylinder is extruded, and the top end of the outer cylinder is separated from the bottom end of the top plate, so that the compression hemostat can move; treat to hang the board and remove patient puncture point directly over along movable track back, release urceolus, under the driving about of spring, the top of urceolus and the bottom of roof closely laminate make the urceolus fixed, the both sides of urceolus are provided with the recess, carry out clockwise rotation along the screw thread post with rotatory piece, make interior post can reciprocate, with interior post pulling downwards, press the puncture point of patient, carry out anticlockwise rotation along the screw thread post with rotatory piece again, fix interior post, the oppression part of interior post tip can stanch the oppression to patient's femoral artery puncture point this moment.
Although the compression hemostat is more convenient than the prior use, the compression hemostat still has the following defects: (1) The pressing part can only move horizontally or vertically in the area corresponding to the top plate of the fixed support, and when the pressing part is used, the position of the lower limb puncture point of a patient still needs to be adjusted to be positioned in the area below the top plate, so that the nursing work of medical staff is still complicated; (2) After the fixed bolster finishes installing, its roof is in patient's low limbs top all the time, in order not to influence the going on of interveneeing the operation, need intervene the operation and accomplish the back just with fixed bolster installation sick bed on, wait to stanch and finish the back and in time demolish, it is also comparatively inconvenient to use.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a femoral artery, femoral vein point of puncture hemostasis by compression device, this femoral artery, femoral vein point of puncture hemostasis by compression device need not to adjust patient's position can accurate location point of puncture, and the installation is all comparatively simple and easy with demolising moreover, and it is convenient to use.
In order to realize the purpose of the utility model, the technical scheme of the utility model is that:
the utility model provides a femoral artery, femoral vein puncture point hemostasis by compression device, includes support piece and the hemostasis by compression mechanism of locating on the support piece, hemostasis by compression mechanism including the hemostasis by compression subassembly, this hemostasis by compression subassembly passes through universal adjusting part movable mounting on support piece, this universal adjusting part makes hemostasis by compression subassembly have around the rotatory circumferential movement displacement of support piece, is close to or keeps away from support piece's lateral shifting displacement and longitudinal movement displacement.
The utility model discloses a femoral artery and femoral vein puncture point hemostasis by compression device, utilize support piece will install and be fixed in the suitable position of sick bed, utilize universal adjusting part can be around support piece rotation regulation hemostasis by compression subassembly to suitable angle, through will compressing hemostasis subassembly and transversely be close to or keep away from support piece to suitable position, realize that hemostasis by compression subassembly is to puncture point ground accurate positioning; carry out longitudinal movement displacement to the hemostasis by compression subassembly according to the settlement pressure, the hemostasis by compression subassembly contacts with the point of puncture and carries out the oppression of suitable pressure and stanchs.
In the utility model, because the universal adjusting component can make the compression hemostasis component rotate around the supporting piece, and the compression hemostasis component can also transversely keep away from the supporting piece under the adjustment of the universal adjusting component, the utility model discloses femoral artery and femoral vein puncture point compression hemostasis device can effectively cover all positions of a sickbed, does not need to correspondingly adjust a patient, can realize the accurate status of the compression hemostasis component to the puncture point of the patient, and is more convenient for the positioning of compression hemostasis after the puncture operation of the inguinal region; meanwhile, the universal adjusting assembly can rotate around the supporting piece and transversely approach or keep away from the supporting piece, so that the device can be fixed on a sickbed by utilizing the supporting piece at any proper time, the hemostasis by compression operation can be more conveniently and rapidly carried out on a patient, and the observation of the puncture point compression by a nursing staff is also facilitated.
Among the aforesaid femoral artery, the femoral vein puncture point hemostasis by compression device, universal adjusting part include:
the horizontal telescopic rod is rotatably connected to the supporting piece;
the compression rod is arranged on the horizontal telescopic rod in a lifting way;
the compression hemostasis component is fixedly arranged at the bottom end of the compression rod.
The horizontal telescopic rod rotates relative to the supporting piece, so that the compression hemostasis assembly fixedly arranged at the bottom end of the compression rod is driven to adjust at a proper angle; the telescopic rod is horizontally extended to a proper degree according to the position of the puncture point; in practical application, the horizontal telescopic rod can randomly select the sequence of circumferential angle and transverse displacement adjustment according to the preference of a user; the pressing rod is matched with the horizontal telescopic rod in a lifting way to apply proper pressing force to the puncture point.
In the utility model, the arrangement of the horizontal telescopic rod which is rotatably connected with the device realizes the free adjustment of the device according to different scenes, thereby further expanding the coverage of the device, ensuring that the device basically covers the whole effective range of a sickbed and reducing the position adjustment possibly required by a patient to the maximum extent; all mutually perpendicular sets up between horizontal telescopic link and the support piece, between oppression pole and the horizontal telescopic link, has both improved the holistic stability of device and has still increased the accurate nature of adjusting.
Preferably, the horizontal telescopic rod comprises a joint rotatably connected with the supporting piece through a positioning part and an extension part telescopically arranged in the joint, and the pressing rod is arranged on the extension part in a lifting way.
The utility model relates to a femoral artery and femoral vein puncture point compression hemostasis device, a horizontal telescopic link consists of a joint provided with a positioning part and an extending part, and the circumferential displacement adjustment of the horizontal telescopic link is realized by the cooperation of the positioning part and a support part; the extension part extends out of or retracts into the joint as required to realize the transverse displacement adjustment of the horizontal telescopic rod; the extension portion pressing rod is preferably disposed at an end of the extension portion away from the joint.
In the utility model, the extension part is arranged in the joint, which not only ensures the stability of the structure of the horizontal telescopic rod, especially provides enough stability when the compression rod is lifted, but also can further simplify the structure of the device, and is more beneficial to the compression hemostasis work; the compression rod is arranged in the extending connection part, so that the coverage range of the compression hemostasis assembly can be enlarged, the extending connection part can be conveniently adjusted, and the extending connection part can be limited.
In the femoral artery and femoral vein puncture point compression hemostasis device, the extending connection part is provided with a through channel in sliding fit with the compression rod, the inner peripheral wall of the through channel is provided with a clamping piece for enabling the compression rod to stay at a preset height, and the extending connection part is provided with a control piece for controlling the clamping piece to clamp or release the compression rod;
the top end of the pressing rod is provided with a top limiting piece used for limiting the maximum longitudinal movement displacement of the pressing rod.
Because hemostasis by compression mainly realizes through oppression pole for extending to connect the portion longitudinal movement displacement, therefore one of the way of accurate control hemostasis by compression is the longitudinal movement displacement of accurate control oppression pole. The displacement of the compression rod in the through channel of the extension part is controlled by the clamping piece and the control piece: when the compression hemostasis assembly needs to move longitudinally, the control piece releases the fixed limit of the clamping piece on the compression rod, and the compression rod can move longitudinally downwards from the preset height; when the pressing rod reaches the designated position, the control piece restores the fixing limit of the clamping piece on the pressing rod, and the pressing rod is fixed at a proper height. In practical application, the control device can be realized by arranging corresponding control elements and drivers, and can also be realized in a purely mechanical mode. For convenient accurate quick control, the control sets up in the terminal surface that the rotating member body was kept away from in the portion of extending joint.
The utility model discloses in, provide the oppression power for the hemostasis by oppression subassembly by oppression pole ground longitudinal movement to guarantee that the hemostasis by oppression subassembly is vertical direction to the oppression power of puncture point, still reduced patient's painful sense when guaranteeing the device hemostatic effect. Through the accurate control oppression pole of control spare reciprocates for extending to meet the portion, convenient and fast while is labour saving and time saving still, avoids oppression hemostasis subassembly too big or undersize to puncture point pressure, guarantees to puncture point oppress the accuracy, is convenient for carry out medical science observation and record.
Or, in the compression hemostasis device for femoral artery and femoral vein puncture points, the universal adjusting component comprises a horizontal telescopic rod, one end of the horizontal telescopic rod is in interference fit with the support piece through a positioning part, and the horizontal telescopic rod has circumferential movement displacement rotating around the support piece and longitudinal movement displacement moving up and down along the support rod;
the other end of the horizontal telescopic rod is fixedly provided with a compression rod, and the compression hemostasis component is fixedly arranged at the bottom end of the horizontal telescopic rod.
In order to further simplify the structure of the device, a positioning part in interference fit with the support piece is arranged, and circumferential movement displacement rotating around the support piece and longitudinal movement displacement moving up and down along the support rod are achieved through the positioning part, so that the horizontal telescopic rod can also longitudinally move along the support rod besides circumferential movement and transverse movement, the longitudinal movement space of the device is enlarged, and the possibility of providing more compression force for the compression hemostasis assembly is further provided. The positioning portion may be made of a material having a certain elasticity such as rubber. The positioning portion may be formed integrally with the rotary piece body.
In the utility model, the horizontal telescopic rod can realize the longitudinal movement displacement moving up and down along the support rod through the interference fit of the positioning part and the support piece besides the circumferential movement displacement rotating around the support piece and the transverse movement displacement approaching or far away from the support piece; make the device except that vertically adjusting by the hemostasis by compression subassembly, can also vertically adjust by horizontal telescopic link, more do benefit to hemostasis by compression subassembly ground location, still increased the oppression pressure range that hemostasis by compression subassembly can provide simultaneously, widen the use scene.
In the above compression hemostasis device for femoral artery and femoral vein puncture points, the compression hemostasis assembly comprises a compression soft pad fixedly arranged at the bottom end of the compression rod, and the compression soft pad is provided with a spherical surface for compressing the puncture point.
The one side that the oppression cushion kept away from patient puncture point department is the plane, and the one side of direct contact patient puncture point is the sphere. The one side that the point department was kept away from to the oppression cushion is more convenient for being connected with the oppression pole for the plane, also does benefit to simultaneously oppression pole pressure and evenly to oppression cushion transmission pressure. The compression soft cushion contacts the puncture point through the spherical surface, and even if the patient slightly moves in the long-time hemostasis process, the compression of the compression soft cushion on the puncture point is not influenced. The compression cushion is preferably a hypoallergenic soft silicone material.
The utility model discloses in, the spherical structure stability of oppression cushion is stronger, through sphere and patient puncture point direct contact, guarantees that the pressure that the contact point position received is the same, and suitable increase oppression area shortens hemostasis time, is oppressing hemostasis like femoral artery puncture point oppression hemostasis in-process for a long time in needs simultaneously, even the patient has slight position to remove at long-time hemostasis in-process, does not influence spherical structure's oppression cushion to puncture point's oppression effect yet.
In the femoral artery and femoral vein puncture point compression hemostasis device, the compression hemostasis assembly further comprises an integrated platform sleeved at the bottom end of the compression rod, and the compression rod penetrates through one end of the integrated platform to be fixedly or detachably provided with a bottom limiting part for preventing the compression rod from slipping;
the pressing soft cushion is fixedly or detachably arranged on the integrated platform.
In order to further improve the precision of the compression hemostasis process and realize the visualization of the compression hemostasis process, the compression hemostasis assembly further comprises an integrated platform, and in order to ensure the accuracy of corresponding data of the integrated platform and simplify the structure of the device, a compression soft cushion is arranged on the integrated platform; the oppression pole passes integrated platform and sets up bottom locating part can prevent effectively that the reason such as too big from leading to oppression pole slippage exerting oneself at oppression pole longitudinal movement in-process. By arranging the integrated platform, the pressure of compression can be displayed; the pressing time can be set and displayed; when the patient moves greatly or blood seeps around the puncture point, an alarm can be given in time to remind medical care personnel. The area of the integrated platform is preferably no greater than the area of the compression cushion plane to facilitate installation of the device and avoid interfering with the view of the puncture site.
The utility model discloses in, come to realize visual to the oppression state through setting up integrated platform to predetermine and regulate and control the device more accurately, integrated platform can also set up pressure display, oppression control element etc. so that the pressure of display screen demonstration oppression, perhaps control when long oppressing pressure and oppression, can also report to the police when taking place great removal such as puncture point oozing blood or patient puncture department to the appearance.
Preferably, the top surface of the integrated platform is provided with a groove for accommodating the bottom limiting part.
Because hemostasis by compression subassembly mainly oppresses through oppressing the pole effort, must remove in the safety range through spacing assurance oppression pole in many places. The groove of the integrated platform is arranged at the center of the integrated platform, the integrated platform is provided with a moving channel of the pressing rod, and the pressing rod penetrates through the moving channel of the integrated platform and is fixedly connected with a bottom limiting part limited by the groove of the integrated platform. When the pressing rod does not move, the bottom limiting piece is arranged in the groove; when the pressing rod moves downwards, one end of the pressing rod, which is close to the pressing soft pad, moves downwards in a small space in a moving channel of the integrated platform, the bottom limiting part moves along with the pressing rod and leaves the groove, when the pressing rod moves downwards until the pressing soft pad is connected with the puncture point, the bottom limiting part enters the groove again, and the pressing rod continuously increases the pressing force under the matching of the bottom limiting part and the moving channel until the pressing force reaches a proper pressure value; when the pressing rod is required to move upwards, one end of the pressing rod, which is close to the pressing cushion, moves upwards in a small space in a moving channel of the integrated platform, and the bottom limiting part moves along with the pressing rod and drives the integrated platform to move upwards to a proper position.
It will be understood by those skilled in the art that, in order to further limit the pressure bar, the moving channel is completely connected with the pressure bar or has a small gap, the cross section of the bottom limiting piece and the groove is larger than that of the moving channel, and the bottom limiting piece and the groove are preferably square.
In practical application, the cross section of the moving channel can be larger than that of the moving channel, the groove is completely connected with the pressing rod or has a small gap, and a circle of convex edge is arranged at one end, close to the pressing soft pad, of the groove to prevent the pressing rod from slipping.
In the utility model, the top surface groove of the integrated platform can ensure that the compression rod always moves in the vertical direction through the matching of the limiting part; it is also possible to prevent the problem that the pressing bar slips too fast, which may occur.
In the compression hemostasis device for the puncture points of the femoral artery and the femoral vein, a pressure sensor for detecting the compression pressure of the compression cushion on the puncture points is arranged between the integrated platform and the compression cushion;
the top surface of the integrated platform is provided with a display screen for displaying the compression state, the display screen and the pressure sensor are both connected with the control unit, and the control unit receives the detection signal of the pressure sensor and displays the detection signal on the display screen.
The pressure sensor is arranged to measure the ground pressure value provided by the compression rod, and the control unit receives the detection signal of the pressure sensor and displays the detection signal in a visual mode through the display screen. Set up pressure sensor in integrated platform with oppress the cushion between to provide the pressure value of oppressing the pole most accurately, especially can detect the pressure value this moment when the device launches, be convenient for carry out pressure value according to actual conditions and be worth the adjustment.
The utility model discloses in, come to realize visual to the oppression state through setting up the display screen to preset and regulate and control the device more accurately, the display screen can show the pressure of oppression, is convenient for control length to oppression pressure and oppression.
Preferably, the hemostasis by compression subassembly still include the response leakage sensor that sets up around the puncture point, this response leakage sensor links to each other with the control unit, the control unit receive the detected signal of response leakage sensor and show on the display screen.
Due to the shielding of the hemostatic device and the particularity of the groin position, groin bleeding cannot be found in time, which is one of the common problems of compression hemostasis. The periphery of the puncture point is directly provided with an induction leakage sensor, and a control unit receives a detection signal of the induction leakage sensor and displays the detection signal on a display screen. In practical application, the control unit can be provided with a corresponding alarm device, and when blood seeps out, the display screen gives an alarm to remind medical personnel to process in time.
The utility model discloses in, through the response seepage sensor that directly sets up around the puncture point, can the very first time direct display show the puncture point problem of bleeding that probably appears by the display screen for the local bleeding that the oppression that probably takes place is not good leads to, the problem very first time of subcutaneous hematoma is solved, promotes hemostasis by compression effect, reduces patient's misery.
Compared with the prior art, the beneficial effects of the utility model are embodied in:
(1) In the utility model, because the universal adjusting component can make the compression hemostasis component rotate around the supporting piece, and the compression hemostasis component can also transversely keep away from the supporting piece under the adjustment of the universal adjusting component, the utility model discloses femoral artery and femoral vein puncture point compression hemostasis device can effectively cover all positions of a sickbed, does not need to correspondingly adjust a patient, can realize the accurate status of the compression hemostasis component to the puncture point of the patient, and is more convenient for the positioning of compression hemostasis after the puncture operation of the inguinal region; meanwhile, the universal adjusting assembly can rotate around the supporting piece and transversely approach or keep away from the supporting piece, so that the device can be fixed on a sickbed by utilizing the supporting piece at any proper time, the hemostasis by compression operation can be more conveniently and rapidly carried out on a patient, and the observation of the puncture point compression by a nursing staff is also facilitated.
(2) In the utility model, the arrangement of the horizontal telescopic rod which is rotatably connected with the device realizes the free adjustment of the device according to different scenes, thereby further expanding the coverage of the device, ensuring that the device basically covers the whole effective range of a sickbed and reducing the position adjustment possibly required by a patient to the maximum extent; all mutually perpendicular sets up between horizontal telescopic link and the support piece, between oppression pole and the horizontal telescopic link, has both improved the holistic stability of device and has still increased the accurate nature of adjusting.
(3) In the utility model, the extension part is arranged in the joint, which not only ensures the stability of the horizontal telescopic rod structure, especially provides enough stability when the compression rod is lifted, but also can further simplify the structure of the device, and is more beneficial to the compression hemostasis work; the compression rod is arranged at the extending part, so that the coverage range of the compression hemostasis assembly can be enlarged, the extending part can be conveniently adjusted, and the extending part can be limited.
(4) The utility model discloses in, provide the compressive force for hemostasis by compression subassembly by the vertical migration of oppression pole ground to guarantee that hemostasis by compression subassembly is vertical direction to the compressive force of puncture point, still reduced patient's painful sense when guaranteeing the device hemostatic effect. Through the accurate control oppression pole of control spare reciprocates for extending to meet the portion, convenient and fast while is labour saving and time saving still, avoids oppression hemostasis subassembly too big or undersize to puncture point pressure, guarantees to puncture point oppress the accuracy, is convenient for carry out medical science observation and record.
(5) In the utility model, the horizontal telescopic rod can realize the longitudinal movement displacement moving up and down along the support rod through the interference fit of the positioning part and the support piece besides the circumferential movement displacement rotating around the support piece and the transverse movement displacement approaching or far away from the support piece; make the device except that being adjusted by hemostasis by oppression subassembly vertically, can also be adjusted by horizontal telescopic link vertically, more do benefit to hemostasis by oppression subassembly ground location, still increased the oppression pressure range that hemostasis by oppression subassembly can provide simultaneously, widen the use scene.
(6) The utility model discloses in, the spherical structure stability of oppression cushion is stronger, through sphere and patient puncture point direct contact, guarantees that the pressure that the contact point position received is the same, and suitable increase oppression area shortens hemostasis time, is oppressing simultaneously for a long time in needs hemostasis like femoral artery puncture point hemostasis by compression in-process, even the patient has slight position to remove at long-time hemostasis in-process, does not influence spherical structure's oppression cushion to puncture point's oppression effect yet.
(7) The utility model discloses in, come to realize visual the oppression state through setting up integrated platform to predetermine and regulate and control the device more accurately, integrated platform can also set up pressure display, oppression control element etc. so that the pressure of display screen demonstration oppression, perhaps control when long to oppression pressure and oppression, can also report to the police when can also taking place great removal such as puncture point oozing blood or patient puncture department to appear.
(8) In the utility model, the top surface groove of the integrated platform can ensure that the compression rod always moves in the vertical direction through the matching of the limiting part; it is also possible to prevent the problem that the pressing bar slips too fast, which may occur.
(9) The utility model discloses in, come to realize visual to the oppression state through setting up the display screen to predetermine and regulate and control the device more accurately, the display screen can show the pressure of oppression, is convenient for control long when oppressing pressure and oppression. Through the response seepage sensor that directly sets up around the puncture point, can the very first time direct display show the puncture point hemorrhage problem that probably appears by the display screen for the local hemorrhage that the oppression that probably takes place is not good leads to, the problem very first time of subcutaneous hematoma is solved, promotes hemostasis by compression effect, reduces patient's misery.
Drawings
Fig. 1 is a schematic structural view of the present invention;
fig. 2 is a schematic structural view of the femoral artery and femoral vein puncture point compression hemostasis device in another state;
fig. 3 is an exploded view of the compression hemostasis assembly of the present invention;
FIG. 4 is a schematic view of a fitting manner of the compression bar and the groove of the present invention;
FIG. 5 is a schematic view of the structure of the groove in FIG. 4;
FIG. 6 is a schematic structural view of another fitting manner of the compression bar and the groove of the present invention;
FIG. 7 is a schematic structural diagram of the groove in FIG. 6;
in the figure: the device comprises a supporting member 1, a hemostasis by compression mechanism 2, a hemostasis by compression component 21, a universal adjusting component 3, a horizontal telescopic rod 31, a compression rod 32, a positioning part 311, a joint 312, an extension part 313, a control part 313a, a top limiting part 321, a compression cushion 211, an integrated platform 212, a bottom limiting part 322, a groove 212a, a moving channel 212b, a chamfer 323, a convex edge 212c, a pressure sensor 213, a display screen 214, an induction leakage sensor 26, a supporting rod 11, a fixing clamping piece 12 and a reinforcing bolt 13.
Detailed Description
The technical solution of the present invention will be further described in detail with reference to the accompanying drawings and the detailed description.
Example 1
As shown in figures 1 and 2, the femoral artery and femoral vein puncture point compression hemostasis device comprises a support member 1 and a compression hemostasis mechanism 2, wherein the compression hemostasis mechanism 2 comprises a compression hemostasis assembly 21, and the compression hemostasis assembly 21 is movably arranged on the support member 1 through a universal adjusting assembly 3.
The support member 1 includes a support rod 11, fixing clips 12 provided in pairs at the bottom of the support rod 11, and reinforcing bolts 13 engaged with the fixing clips 12. In the embodiment, the stability of the device is mainly provided by the support 1, and the device is generally arranged on a sickbed, so that the device is fixed with the sickbed through the fixing clamping piece 12 arranged on one side of the support rod 11 close to the compression hemostasis component 21, the stability of the device can be improved, and the support rod 11 can be conveniently and vertically arranged; the device is fixed on a sickbed through the fixed clamping piece 12, and the gap between the fixed clamping piece 13 and the sickbed is further adjusted through the reinforcing bolt 13, so that the stability of the device in the hemostasis process is ensured; in the long-term compression hemostasis of the femoral artery, the reinforcing bolt 13 may be checked at irregular intervals to ensure the stability of the device.
The top end of the support rod 11 is provided with a positioning part 311 of the horizontal telescopic rod 31, the horizontal telescopic rod 31 comprises a joint 312 rotatably connected with the support member 1 through the positioning part 311, and an extension part 313 telescopically arranged in the joint 312, and the pressing rod 32 is arranged on the extension part 313 in a lifting way. The circumferential displacement adjustment of the horizontal telescopic rod 31 is realized by the cooperation of the positioning part 311 and the support rod 11; the extension part extends out of or retracts into the joint 312 as required to realize the adjustment of the transverse displacement of the horizontal telescopic rod 31; the compression bar 32 is preferably disposed at an end of the extension 313 remote from the joint 312.
Wherein, the horizontal telescopic rod 31 and the support rod 11, and the compressing rod 32 and the horizontal telescopic rod 31 are perpendicular to each other, and the compressing hemostatic assembly 21 is fixedly arranged at the bottom end of the compressing rod 32.
The horizontal telescopic rod 31 rotates relative to the support rod 11, so as to drive the compression hemostasis assembly 21 fixedly arranged at the bottom end of the compression rod 32 to carry out proper angle adjustment; the horizontally stretching rod 31 is extended to a proper degree according to the position of the puncture point; in practical application, the horizontal telescopic rod 31 can randomly select the sequence of circumferential angle and transverse displacement adjustment according to the preference of a user; the pressing bar 32 is vertically engaged with the horizontal extension bar 31 to apply a pressing force suitable for the puncture site.
The extension portion 313 is formed with a through channel (not shown) slidably engaged with the pressing bar 32, a clamping member (not shown) for stopping the pressing bar 32 at a predetermined height is provided on an inner peripheral wall of the through channel, and a control member 313a for controlling the clamping member to clamp or release the pressing bar 32 is further provided on the extension portion 313.
When the hemostasis compressing assembly 21 needs to be compressed to move longitudinally, the control part 313a releases the fixed limit of the clamping part on the compressing rod 32, and the compressing rod 32 can move longitudinally downwards or upwards from the preset height; when the pressing lever 32 reaches the designated position, the control member 313a restores the fixing restriction of the pressing lever 32 by the clamp member, at which time the pressing lever 32 is fixed at the appropriate height. In practical application, the control device can be realized by arranging corresponding control elements and drivers, and can also be realized in a purely mechanical mode. In this embodiment, for the convenience of accurate and fast control, the control member 313a is disposed on the end surface of the extending portion 313 away from the joint 312. The top end of the pressing rod 32 is provided with a top stopper 321 for limiting the maximum longitudinal movement displacement of the pressing rod 32, and the top stopper 321 can also effectively prevent the pressing rod 32 from slipping out of the through channel.
As shown in fig. 3, the hemostasis by compression assembly 21 includes an integrated platform 212 disposed at the bottom end of the compression bar 32 and a compression cushion 211 fixed at the bottom end of the compression bar 32. A compression cushion 211 is fixedly or removably mounted to the integrated platform 212. A bottom limiting member 322 for preventing the pressing rod 32 from slipping off is fixedly or detachably mounted on the pressing rod 32 through one end of the integration platform 212; the top surface of the integrated platform 212 is formed with a groove 212a for accommodating the bottom limiting member 322.
As shown in fig. 4 and fig. 5, the groove 212a of the integration platform 212 should be disposed at the center of the integration platform 212, the integration platform 212 is provided with a moving channel 212b of the pressing rod 32, and the pressing rod 32 penetrates through the moving channel 212b of the integration platform 212 and is fixedly connected to the bottom position-limiting member 322 limited by the groove 212a of the integration platform 212. The moving channel 212b is completely connected to the pressing rod 32 or has a small gap, the cross-section of the bottom-limiting member 322 and the groove 212a is larger than that of the moving channel 212b, and the bottom-limiting member 322 and the groove 212a are preferably square. The bottom stop 322 is further provided with a chamfer 323 cooperating with the groove 212a.
The surface of the compression cushion 211 far away from the puncture point of the patient is a plane, and the surface directly contacting the puncture point of the patient is a spherical surface. The one side that oppresses cushion 211 and keep away from patient puncture point department is the plane and more conveniently is connected with oppression pole 32, also does benefit to simultaneously oppression pole 32 pressure evenly to oppress cushion 211 transmission pressure. The compression soft pad 211 contacts the puncture point through the spherical surface, and even if the patient has slight position movement in the long-time hemostasis process, the compression of the compression soft pad 211 on the puncture point is not influenced. The compression cushion 211 is preferably a hypoallergenic soft silicone material.
Since the hemostasis by compression assembly 21 mainly compresses the force applied to the compression rod 32, the compression rod 32 must be moved within a safe range through a plurality of limit positions. When the pressing rod 32 does not move, the bottom limiting member 322 is disposed in the groove 212 a; when the pressing bar 32 moves downwards, one end of the pressing bar 32 close to the pressing cushion 211 moves downwards in the moving channel 212b of the integrated platform 212 by a small space, the bottom limiting part 322 moves along with the pressing bar 32 and leaves the groove 212a, when the pressing bar 32 moves downwards until the pressing cushion 211 is connected with the puncture point, the bottom limiting part 322 enters the groove 212a again, and the pressing bar 32 continuously increases the pressing force until reaching a proper pressure value under the matching of the bottom limiting part 322 and the moving channel 212 b; when the pressing rod 32 needs to move upward, one end of the pressing rod 32 close to the pressing cushion 211 moves upward in the moving channel 212b of the integrated platform 212 for a small space, and the bottom limiting member 322 moves along with the pressing rod 32 and drives the integrated platform 212 to move upward to a proper position. The bottom stop 322 is provided with a chamfer 323 matching with the groove 212a to prevent the device from being locked when the device is started.
In this embodiment, a pressure sensor 213 for detecting the compression pressure of the compression cushion 211 on the puncture point is disposed between the integrated platform 212 and the compression cushion 211; the top surface of the integrated platform 212 is provided with a display screen 214 for displaying the compression state, the display screen 214 and the pressure sensor 213 are both connected with the control unit, and the control unit receives the detection signal of the pressure sensor 213 and displays the detection signal on the display screen 214. The control unit is also connected to the inductive leak sensors 26 arranged around the puncture site and the control unit receives the detection signals of the inductive leak sensors 26 and displays them on the display 214.
In the embodiment, the integrated platform 212 is used for realizing visualization of the compression hemostasis process, and the integrated platform 212 is arranged for displaying compression pressure; the integrated platform 212 can be further provided with a pressure display, a compression control element and the like, so that the display screen 214 displays compression pressure or controls compression pressure and compression time; when a patient moves greatly or blood seeps around a puncture point, an alarm can be given in time to remind medical care personnel. The area of the integrated platform 212 is preferably no greater than the area of the plane of the compression cushion 211 to facilitate installation of the device and avoid interfering with the view of the puncture site.
The working principle of the embodiment is as follows: when hemostasis by compression is carried out to needs, be fixed in the sick bed suitable position with the device through fixed clamping piece 12 and reinforcing bolt 13, utilize universal adjusting part 3 to hemostasis by compression subassembly 21 to suitable position: the positioning portion 311 is rotated around the support rod 11 to adjust the circumferential angle, and the extension portion 313 of the horizontal telescopic rod 31 is adjusted to be displaced in the lateral direction, so that the adjustment can be repeated several times until the pressing rod 32 is disposed vertically above the puncture point. At this time, the control member 313a disposed on the end surface of the extending portion 313 far from the joint 312 releases the fixing limitation of the clamping member on the pressing rod 32, the pressing rod 32 longitudinally moves downward from the preset height, one end of the pressing rod 32 close to the pressing soft pad 211 moves downward in the moving channel 212b of the integrated platform 212 for a small space, the bottom limiting member 322 moves along with the pressing rod 32 and leaves the groove 212a, when the pressing rod 32 moves downward until the pressing soft pad 211 is connected to the puncture point, the bottom limiting member 322 reenters the groove 212a, the pressure sensor 213 can measure the pressure value under the pressure, the control unit receives the detection signal of the pressure sensor 213 and displays the detection signal on the display screen 214, and the pressing rod 32 continuously increases the pressing force under the cooperation of the bottom limiting member 322 and the moving channel 212b until the display screen 214 displays an appropriate pressure value; when the compression bar 32 reaches the designated position, the control member 313a restores the fixing limit of the clamping member to the compression bar 32, the compression bar 32 is fixed at the proper height, and the compression hemostasis treatment starts.
When the sensing leakage sensor 26 senses that blood is leaked from the puncture site or the compression hemostasis treatment is completed, the compression pressure value needs to be adjusted or the compression cushion 211 needs to be removed, and the working principle is opposite to the above.
Example 2
This embodiment is substantially the same as embodiment 1 except that:
the universal adjusting assembly 3 comprises a horizontal telescopic rod 31, one end of the horizontal telescopic rod 31 is in interference fit with the support rod 11 through a positioning part 311, and the horizontal telescopic rod 31 has a circumferential moving displacement rotating around the support rod 11 and a longitudinal moving displacement moving up and down along the support rod 11;
in this embodiment, by providing the positioning portion 311 in interference fit with the support rod 11, the positioning portion 311 realizes circumferential movement displacement around the support rod 11 and longitudinal movement displacement moving up and down along the support rod 11, and thus, the horizontal telescopic rod 31 can also move longitudinally along the support rod 11 in addition to circumferential movement and lateral movement, so that the longitudinal movement space of the device is increased, and the possibility of providing more compression force to the compression hemostasis assembly 21 can be provided.
Example 3
This embodiment is substantially the same as embodiment 1 except for the fitting manner of the pressing lever 32 and the groove 212 a:
as shown in fig. 6 and 7, the cross section of the moving channel 212b is larger than that of the pressing bar 32, the pressing bar 32 can move up and down in the moving channel 212b with a small space, the groove 212a is completely connected with the pressing bar 32 or gradually reduces in diameter in the direction of the pressing cushion 211, and a ring of convex edge 212c is provided at one end of the groove 212a near the pressing cushion 211.
The bottom limiting member 322 is matched with the groove 212a disposed at the center of the top surface of the integrated platform 212, so as to ensure that the pressing bar 32 is longitudinally displaced in the vertical direction all the time, the cross section of the moving channel 212b is larger than the cross section of the pressing bar 32, so as to ensure that the pressing bar 32 smoothly moves, the groove 212a effectively prevents the pressing bar 32 from slipping, and the convex edge 212c limits the bottom limiting member 322 from transitionally displacing.
Although the support 1, the hemostasis by compression mechanism 2, the hemostasis by compression assembly 21, the universal adjustment assembly 3, the horizontal extension rod 31, the compression rod 32, the positioning portion 311, the joint 312, the extension portion 313, the control member 313a, the top limit 321, the compression cushion 211, the integrated platform 212, the bottom limit 322, the groove 212a, the moving channel 212b, the protruding edge 212c, the pressure sensor 213, the display screen 214, the inductive leak sensor 26, the support rod 11, the fixed clip 12, and the reinforcing bolt 13 are used more frequently, the possibility of using other terms is not excluded. These terms are used merely to more conveniently describe and explain the nature of the present invention; they are to be construed as being without limitation to any one of the additional limitations of the present invention.

Claims (10)

1. The utility model provides a femoral artery, femoral vein puncture point hemostasis by compression device, includes support piece (1) and locates hemostasis by compression mechanism (2) on support piece (1), its characterized in that, hemostasis by compression mechanism (2) including hemostasis by compression subassembly (21), should oppress hemostasis subassembly (21) and pass through universal adjusting part (3) movable mounting on support piece (1), this universal adjusting part (3) make hemostasis by compression subassembly (21) have around the rotatory circumferential movement displacement of support piece (1), be close to or keep away from the lateral shifting displacement and the longitudinal movement displacement of support piece (1).
2. A femoral artery and vein puncture compression hemostasis device according to claim 1, wherein the universal adjustment assembly (3) comprises:
a horizontal telescopic rod (31) rotatably connected to the support member (1);
a pressing rod (32) arranged on the horizontal telescopic rod (31) in a lifting way;
the compression hemostasis component (21) is fixedly arranged at the bottom end of the compression rod (32), and the compression rod (31) and the support piece (1) are perpendicular to each other, and the compression hemostasis component (32) is fixedly arranged at the bottom end of the compression rod (31).
3. The compression hemostasis device for femoral artery and vein puncture points according to claim 2, wherein the horizontal telescopic rod (31) comprises a connector (312) rotatably connected with the support member (1) through a positioning part (311), and an extension part (313) telescopically arranged in the connector (312), and the compression rod (32) is arranged on the extension part (313) in a lifting way.
4. The compression hemostasis device for femoral artery and vein puncture points according to claim 3, wherein the extension part (313) is provided with a through channel which is in sliding fit with the compression rod (32), the inner peripheral wall of the through channel is provided with a clamping piece for enabling the compression rod (32) to stay at a preset height, and the extension part (313) is provided with a control piece (313 a) for controlling the clamping piece to clamp or release the compression rod (32);
the top end of the pressing rod (32) is provided with a top limiting piece (321) used for limiting the maximum longitudinal movement displacement of the pressing rod (32).
5. The compression hemostasis device for femoral artery and vein puncture points according to claim 1, wherein the universal adjusting component (3) comprises a horizontal telescopic rod (31), one end of the horizontal telescopic rod (31) is in interference fit with the support member (1) through a positioning part (311), the horizontal telescopic rod (31) has a circumferential movement displacement rotating around the support member (1) and a longitudinal movement displacement moving up and down along the support member (1);
the other end of the horizontal telescopic rod (31) is fixedly provided with a compression rod (32), and the compression hemostasis component (21) is fixedly arranged at the bottom end of the horizontal telescopic rod (31).
6. The apparatus as claimed in any one of claims 1-5, wherein the hemostasis compressor assembly (21) includes a compression cushion (211) secured to the bottom end of the compression rod (32), the compression cushion (211) having a spherical surface for compressing the puncture site.
7. The femoral artery and femoral vein puncture site hemostasis by compression device of claim 6, wherein the hemostasis by compression subassembly (21) further comprises an integrated platform (212) sleeved on the bottom end of the compression rod (32), the compression rod (32) is fixedly or detachably mounted with a bottom stopper (322) for preventing the compression rod (32) from slipping through one end of the integrated platform (212);
the pressing soft cushion (211) is fixedly or detachably arranged on the integrated platform (212).
8. The compression hemostasis device for femoral artery and vein puncture points as claimed in claim 7, wherein the top surface of the integrated platform (212) is provided with a groove (212 a) for accommodating the bottom limiting member (322).
9. The femoral artery and vein puncture site hemostasis by compression device of claim 7, wherein a pressure sensor (213) for detecting the compression pressure of the compression cushion (211) on the puncture site is arranged between the integrated platform (212) and the compression cushion (211);
the top surface of the integrated platform (212) is provided with a display screen (214) for displaying the compression state, the display screen (214) and the pressure sensor (213) are both connected with the control unit, and the control unit receives the detection signal of the pressure sensor (213) and displays the detection signal on the display screen (214).
10. The compression hemostasis device for femoral artery and vein puncture points as claimed in claim 7, wherein the compression hemostasis assembly (21) further comprises an inductive leak sensor (26) arranged around the puncture point, the inductive leak sensor (26) is connected with a control unit, and the control unit receives a detection signal of the inductive leak sensor (26) and displays the detection signal on a display screen (214).
CN202221076030.7U 2022-04-30 2022-04-30 Compression hemostasis device for puncture points of femoral artery and femoral vein Active CN218391185U (en)

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CN202221076030.7U CN218391185U (en) 2022-04-30 2022-04-30 Compression hemostasis device for puncture points of femoral artery and femoral vein

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202221076030.7U CN218391185U (en) 2022-04-30 2022-04-30 Compression hemostasis device for puncture points of femoral artery and femoral vein

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