CN218684458U - Wrist strap type arteriovenous internal fistula monitoring instrument - Google Patents

Wrist strap type arteriovenous internal fistula monitoring instrument Download PDF

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Publication number
CN218684458U
CN218684458U CN202221302121.8U CN202221302121U CN218684458U CN 218684458 U CN218684458 U CN 218684458U CN 202221302121 U CN202221302121 U CN 202221302121U CN 218684458 U CN218684458 U CN 218684458U
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wrist strap
internal fistula
monitoring instrument
arteriovenous
processing unit
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CN202221302121.8U
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李丽珍
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Hunan Provincial Peoples Hospital
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Hunan Provincial Peoples Hospital
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Abstract

The utility model discloses a wrist strap formula arteriovenous internal fistula monitoring instrument relates to medical instrument technical field. The utility model discloses a wrist strap formula arteriovenous internal fistula monitoring instrument, including wrist strap, central processing unit, sensor module, display screen and power, sensor module set up in the wrist strap inboard is used for hugging closely skin, fixed mounting has sound sensor and pressure sensor in the sensor module, central processing unit sets up in sound sensor and pressure sensor's left side, the power sets up the right side at sound sensor and pressure sensor, the display screen sets up the wrist strap outside, the upper surface of display screen is provided with the switch. The utility model provides a simple structure, easy operation, low in manufacturing cost, small and the wrist strap formula internal arteriovenous fistula monitoring instrument that can hand-carry can realize real-time supervision hemodialysis patient arteriovenous internal fistula, can guide nursing person's puncture operation and internal fistula nursing simultaneously.

Description

Wrist strap type arteriovenous internal fistula monitoring instrument
Technical Field
The utility model belongs to the technical field of medical instrument, especially, relate to a wrist strap formula arteriovenous internal fistula monitoring instrument for hemodialysis patient.
Background
The arteriovenous fistula is characterized in that a vein of a patient is sutured to an artery, so that the blood flow in the vein is increased, and the flow requirement of hemodialysis is met; during dialysis, two needles can be punctured at the internal fistula, one needle can lead blood out of the body, and the other needle can return the purified blood into the body.
According to KD0QI established by the national kidney foundation of the 2015 edition and the consensus of vascular access experts for hemodialysis in china (2 nd edition), the current assessment and monitoring method comprises: (1) physical inspection; (2) pressure monitoring: including static and dynamic pressure monitoring; (3) monitoring the recirculation; (4) monitoring the flow of the access; (5) imaging diagnosis and evaluation: doppler ultrasound, magnetic resonance angiography, intravascular ultrasound, digital Subtraction Angiography (DSA), helical CT angiography, CO2 angiography, and the like. In the above evaluation and monitoring method, the physical examination is subjective examination, and the individual factors of the examiner have a large influence on the result and cannot quantify and record the result; pressure monitoring, whether dynamic or static, can interfere with the normal hemodialysis process, possibly leading to the occurrence of adverse dialysis reactions, so that conventional monitoring is not carried out in clinical work; the recirculation monitoring, the passage flow monitoring and the imaging diagnosis and evaluation all need the detection of professional personnel, special reagents and equipment.
In addition, vascular embolism or stenosis is the primary reason for the loss of the access function of the arteriovenous internal fistula, and various reasons for vascular embolism or stenosis exist, wherein the nursing factors comprise improper puncture, hematoma formed by the arteriovenous internal fistula and the like, and the fistula is pressed. These are closely related to the operation of the operating caregiver, including puncture techniques and bandaging of the puncture site. The number of sustainable hemodialysis patients in China is increased rapidly, and an arteriovenous internal fistula monitor with simple operation is needed for nursing personnel to guide puncture and the bandaging treatment of the internal fistula during puncture so as to avoid vessel embolism or stenosis caused by improper bandaging.
The arteriovenous fistula sews the vein of a patient to the artery, the sizes of the lumen of the artery and the vein and the thickness of the tube wall are different, hemodynamics change after passing through an anastomotic stoma, noise can be generated, and the noise can be heard by a stethoscope. The intensity of the sound can be used as one of the indexes for judging the function of the internal fistula. In addition, when blood flows through the vein, a certain side pressure is applied to the blood vessel wall, and the pressure can be touched on the body surface, which is called tremor, and the magnitude of the pressure can also be used as one of the indexes for judging the function of the internal fistula.
The existing arteriovenous internal fistula monitor is simple to operate and low in cost, can objectively monitor the access condition without interfering the hemodialysis process, record and establish a database, can be used by vast basic hemodialysis centers, and can be used by patients.
In order to solve the problem, overcome the problem that exists among the prior art, the utility model provides a simple structure, easy operation, low in manufacturing cost, small and the wrist strap formula internal arteriovenous fistula monitoring instrument that can hand-carry can realize real-time supervision hemodialysis patient internal arteriovenous fistula, early discovery arteriovenous internal fistula function's loss, can guide nursing person's puncture operation and internal fistula nursing simultaneously to reduce the improper and puncture department and wrap up improperly, reduce hematoma and take place.
Disclosure of Invention
The utility model provides an among the prior art monitoring hemodialysis patient's sound arteries and veins internal fistula needs professional instrument and professional talent, can not real-time supervision, the numerous and diverse problem of procedure to can guide nursing staff's puncture operation and internal fistula nursing, improved blood nursing staff's operation level.
In order to solve the technical problem, the utility model provides a wrist strap formula arteriovenous internal fistula monitoring instrument, including the wrist strap, be provided with central processing unit, sensor module, display screen and power on the wrist strap, sensor module set up in the wrist strap inboard is used for hugging closely skin, fixed mounting has sound sensor and pressure sensor in the sensor module, central processing unit sets up in sound sensor and pressure sensor's left side, the power sets up on sound sensor and pressure sensor's right side, the display screen sets up the wrist strap outside, sound sensor's output with central processing unit's input electricity is connected, pressure sensor's output with another input electricity of central processing unit is connected, central processing unit's output with the display screen electricity is connected, the upper surface of display screen is provided with the switch, the output of power is connected with the input electricity of switch, the output of switch is connected with the input electricity of central processing unit.
Furthermore, wrist buckles are arranged at two ends of the wrist strap.
The utility model provides a medical version wrist strap formula arteriovenous internal fistula monitoring instrument, includes foretell wrist strap formula arteriovenous internal fistula monitoring instrument one, foretell wrist strap formula arteriovenous internal fistula monitoring instrument two and connecting device, wrist strap formula arteriovenous internal fistula monitoring instrument one includes wrist strap one, central processing unit, sensor module, display screen, switch and power, wrist strap formula arteriovenous internal fistula monitoring instrument two includes wrist strap two, central processing unit, sensor module, display screen, switch and power, wrist strap formula arteriovenous internal fistula monitoring instrument one and foretell wrist strap formula arteriovenous internal fistula monitoring instrument two pass through connecting device and link to each other, connecting device includes movable buckle one, movable buckle two and scale, a wrist strap right-hand member top is provided with movable buckle one, wrist strap two right-hand member top is provided with movable buckle two, fixed mounting has the scale ware on the movable buckle one, fixed mounting has the scale fixer on the movable buckle two, be provided with the scale in the scale ware, the one end of scale is fixed on the scale fixer.
Furthermore, the scale is a soft scale with scales.
Compared with the prior art, the utility model discloses following beneficial effect has been obtained:
the utility model adopts a detachable wrist strap type structure, after a patient wears the structure, the sound sensor and the pressure sensor can be tightly attached to the internal fistula part, collect the noise and the lateral pressure of the internal fistula and monitor the working state of the internal fistula in real time, when the internal fistula has problems, the alarm can be given through the display screen to remind the user and the nursing staff to take measures, thereby ensuring the smoothness of the internal fistula; the utility model discloses just can begin to take notes arteriovenous internal fistula measured value everywhere after the internal fistula operation finishes as the basic value, the point of puncture has been designed, all monitor when beginning to use back every dialysis, contrast with original value, establish individualized internal fistula database, dynamic monitoring internal fistula changes, patient and nursing staff can anytime and anywhere monitor the arteriovenous internal fistula condition by oneself, the monitoring dynamics of hemodialysis arteriovenous internal fistula has been strengthened greatly, accomplish early intervention, the problem of early discovery arteriovenous internal fistula route, provide the basis for doing early processing, thereby prolong the life-span of arteriovenous internal fistula, the life cycle of maintenance hemodialysis patient is prolonged, improve their quality of life, reduce the hospitalization rate that increases because of vascular route problem, reduce the economic burden of family and society, for the social medical health resource of saving.
Medical version wrist strap formula arteriovenous internal fistula monitoring instrument has included two wrist strap formula arteriovenous internal fistula monitoring instruments, it leaves the anastomotic stoma position according to the scale record between two wriststraps, when the nursing staff punctures, read numerical value and basic value comparison on the display screen, confirm the internal fistula blood vessel and walk the shape direction, select suitable point of puncture and the direction of inserting the needle, guide nursing staff's puncture operation and monitor the internal fistula condition simultaneously, do not additionally increase nursing work load, the patient also can monitor the arteriovenous internal fistula condition by oneself anytime and anywhere, accomplish early discovery arteriovenous internal fistula function's loss, provide the basis for accomplishing early intervention.
The utility model has the advantages of being simple in structure and convenient in operation, low in manufacturing cost, large-scale hemodialysis center and the little hemodialysis room of basic unit all can use, and the burden cost is low.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the invention and not to limit the invention unduly. In the drawings:
fig. 1 is a schematic structural view of the simplified version of the wristband type arteriovenous internal fistula monitoring instrument of the present invention;
fig. 2 is the structural schematic diagram of the medical version wristband type arteriovenous internal fistula monitoring instrument of the utility model.
Detailed description of the preferred embodiments
As used in the specification and in the claims, certain terms are used to refer to particular components. As one skilled in the art will appreciate, manufacturers may refer to a component by different names. This specification and claims do not intend to distinguish between components that differ in name but not function. The following description is of the preferred embodiment for carrying out the present application, but is made for the purpose of illustrating the general principles of the application and is not to be taken in a limiting sense. The scope of the present application is to be considered as defined by the appended claims.
The present application will be described in further detail below with reference to the accompanying drawings, but the present application is not limited thereto.
The specific implementation mode is as follows:
example 1: simplified wrist strap type arteriovenous internal fistula monitoring instrument
As shown in fig. 1, the wrist strap type arteriovenous fistula monitoring device in this embodiment includes a wrist strap 6, a central processing unit 1 is disposed on the wrist strap 6, a sensor module, a display screen 4 and a power supply 3, the sensor module is disposed on the inner side of the wrist strap 1 and used for tightly attaching to skin, a sound sensor 2 and a pressure sensor 5 are fixedly mounted on the sensor module, the sound sensor 2 and the pressure sensor 5 are both tightly attached to skin and arranged side by side, the central processing unit 1 is disposed on the left side of the sound sensor 2 and the pressure sensor 5, the power supply 3 is disposed on the right side of the sound sensor 2 and the pressure sensor 5, the display screen 4 is disposed on the outer side of the wrist strap 6, an output end of the sound sensor 2 is electrically connected to an input end of the central processing unit 1, an output end of the pressure sensor 5 is electrically connected to another input end of the central processing unit 1, an output end of the central processing unit 1 is electrically connected to the display screen 4, an upper surface of the display screen 4 is provided with a switch (not shown in the figure), an output end of the power supply 3 is electrically connected to an input end of the switch, and an output end of the switch is electrically connected to an input end of the central processing unit 1. The power supply 3 supplies power to the central processing unit 1, the sound sensor 2, the pressure sensor 5 and the display screen 4.
As shown in fig. 1, the sound sensor 2 in this embodiment is used for detecting the noise of the internal fistula, and similar to the raw material of a stethoscope, transmits the collected sound signal to the central processing unit 1 through the output end, and the central processing unit 1 records and converts the information such as the intensity and waveform of the collected sound signal into a numerical value for storage, and then transmits the numerical value to the display screen 4 through the output end of the central processing unit 1 for display. Pressure sensor 5 is used for the side pressure of record internal fistula department vascular wall, and the pressure data that will gather transmit to central processing unit 1 through the output, and central processing unit 1 records and changes the pressure value into and preserves, then transmits the pressure value to display screen 4 and shows. The method is characterized in that the using puncture point of the internal fistula is evaluated at the design position of the internal arteriovenous fistula, so that after the internal fistula operation is finished, sound values and pressure values at each position of the internal arteriovenous fistula are recorded as basic values, the puncture point is designed, monitoring is carried out during each dialysis after the internal arteriovenous fistula operation is started, the puncture point is compared with the original values, an individualized internal fistula database is established, and the internal fistula change is dynamically monitored. The internal fistula instrument can enable medical staff to simply and quickly establish an internal fistula database, nursing staff and patients can monitor the arteriovenous internal fistula condition at any time and any place, early discovery of loss of the arteriovenous internal fistula function is achieved, and basis is provided for early intervention.
As shown in fig. 1, the wrist band 6 of the present embodiment is provided with wrist band buckles 61 at both ends thereof, and the acoustic sensor 2 and the pressure sensor 5 are tightly attached to the internal fistula site and then buckled by the wrist band buckles 61, which is very convenient. Except the wrist strap buckle, a magic tape, a magnetic hasp or an elastic band can be used, and the effect is not different.
Example 2: medical wrist strap type arteriovenous internal fistula monitoring instrument
As shown in fig. 2, the medical version of the wristband type internal arteriovenous fistula monitoring instrument shown in this embodiment includes two sets of the wristband type internal arteriovenous fistula monitoring instruments of the simplified version, namely, a wristband type internal arteriovenous fistula monitoring instrument one 11, a wristband type internal arteriovenous fistula monitoring instrument two 12 and a connecting device. The first wrist strap type arteriovenous internal fistula monitoring instrument 11 comprises a first wrist strap 62, a central processing unit 1, a sensor module, a display screen 4, a switch and a power supply 3. The sensor module sets up and is used for hugging closely skin in wrist strap 62 inboard, fixed mounting has sound sensor 2 and pressure sensor 5 in the sensor module, sound sensor 2 and pressure sensor 5 all hug closely skin and arrange side by side, central processing unit 1 sets up in sound sensor 2 and pressure sensor 5's left side, power 3 sets up the right side at sound sensor 2 and pressure sensor 5, display screen 4 sets up in wrist strap 62 the outside, sound sensor 2's output is connected with central processing unit 1's input electricity, pressure sensor 5's output is connected with another input electricity of central processing unit 1, central processing unit 1's output is connected with display screen 4 electricity, display screen 4's upper surface is provided with the switch, power 3's output is connected with the input electricity of switch, the output of switch is connected with central processing unit 1's input electricity.
As shown in fig. 2, the second wrist-worn arteriovenous fistula monitoring instrument 12 comprises a second wrist strap 63, a central processing unit 1, a sensor module, a display screen 4, a switch and a power supply 3. The sensor module sets up and is used for hugging closely skin in wrist strap two 63 inboards, fixed mounting has sound sensor 2 and pressure sensor 5 in the sensor module, sound sensor 2 and pressure sensor 5 all hug closely skin and arrange side by side, central processing unit 1 sets up in sound sensor 2 and pressure sensor 5's left side, power 3 sets up the right side at sound sensor 2 and pressure sensor 5, display screen 4 sets up in the wrist strap two 63 outsides, sound sensor 2's output is connected with central processing unit 1's input electricity, pressure sensor 5's output is connected with another input electricity of central processing unit 1, central processing unit 1's output is connected with display screen 4 electricity, the upper surface of display screen 4 is provided with the switch, power 3's output is connected with the input electricity of switch, the output of switch is connected with central processing unit 1's input electricity.
As shown in fig. 2, in the embodiment, the power supplies of the first wrist-band arteriovenous internal fistula monitoring instrument 11 and the second wrist-band arteriovenous internal fistula monitoring instrument 12 supply power to the central processing unit 1, the sound sensor 2, the pressure sensor 5 and the display screen 4. The two ends of the first wrist strap 62 and the second wrist strap 63 are provided with wrist buckles 61.
As shown in fig. 2, a connecting device is arranged between the first wrist-worn arteriovenous internal fistula monitoring instrument 11 and the second wrist-worn arteriovenous internal fistula monitoring instrument 12, and the connecting device comprises a movable buckle I7, a movable buckle II 71 and a scale 8. A movable buckle I7 is arranged above the right end of the first wrist strap 62, a movable buckle II 71 is arranged above the right end of the second wrist strap 63, a tape measure device 9 is fixedly mounted on the movable buckle I7, a scale fixing device 10 is fixedly mounted on the movable buckle II 71, a scale 8 is arranged in the tape measure device 9, and one end of the scale 8 is fixed on the scale fixing device 10. The staff gauge 8 is set as a soft staff gauge with scales. Two sets of wrist strap formula internal arteriovenous fistula monitoring instruments of simplifying the version link together through movable buckle one 7, movable buckle two 71 and take the soft scale 8 of scale, can monitor the condition of the two different positions of internal arteriovenous fistula simultaneously.
The patient's arteriovenous internal fistula is trembled and noisy, and the blood flow is stressful to the vessel wall, while the limb other than the internal fistula is absent. Therefore, when the arteriovenous internal fistula needs to be used in hemodialysis, the medical wrist strap type arteriovenous internal fistula monitoring instrument is characterized in that two wrist strap type arteriovenous internal fistula monitoring instruments are respectively worn at the proximal end and the distal end of a limb puncture point of the arteriovenous internal fistula according to the scale record and the position away from an anastomotic stoma, the sensor block is fixed on the surface skin of the internal fistula, the shape moving direction of the internal fistula is determined according to the comparison of a read numerical value and a basic value, and the proper puncture point and the needle inserting direction are selected. After hemodialysis finishes, pull out the pjncture needle and pressurize and wrap the back, observe the nearly heart end numerical value and descend the condition, avoid appearing wrapping up too tightly and closing the appearance of puncture point thrombosis and angiostenosis of internal fistula pressure.
The utility model discloses a simplify wrist strap formula arteriovenous internal fistula monitoring instrument of version and medical version simple structure, convenient operation, low in manufacturing cost, large-scale hemodialysis center and the little hemodialysis room of basic unit all can use and the burden is with low costs. It can let medical staff simply and easily establish internal fistula database fast, monitors the internal fistula condition simultaneously when instructing nursing operating personnel to puncture the operation, does not additionally increase nursing work load, and the patient also can monitor the internal fistula condition of arteriovenous everywhere by oneself at any time, accomplishes to discover early the loss of arteriovenous internal fistula function, provides the basis for accomplishing early intervention. Through the use of the instrument, the patient can get rid of the dependence on a vascular access establishment team and a hemodialysis center nursing team, the occurrence of the condition that the service life of the vascular access is influenced due to the fact that technical levels of nursing staff are different is reduced, and the homogenization hemodialysis nursing operation of the patient in a large hemodialysis center of Hospital and a small hemodialysis room of the primary layer is guaranteed. The arteriovenous internal fistula monitor is believed to greatly enhance the monitoring strength of hemodialysis arteriovenous internal fistula, realize early intervention and early discovery of the problem of arteriovenous internal fistula access, provide basis for early treatment, prolong the service life of the arteriovenous internal fistula, prolong the life cycle of maintenance hemodialysis patients, improve the living quality of the patients, reduce the hospitalization rate increased by the problem of vascular access, reduce the economic burden of families and society and save medical and health resources for society.
It is worth noting that the connection device between the two sets of the medical version of the wrist strap type arteriovenous internal fistula monitoring instrument is not limited to the movable buckle I7, the movable buckle II 71 and the soft scale 8 with scales provided by the utility model, and other connection devices used for the function are all within the protection scope of the patent.
The foregoing description shows and describes several preferred embodiments of the present application, but as aforementioned, it is to be understood that the application is not limited to the forms disclosed herein, but is not to be construed as excluding other embodiments and is capable of use in various other combinations, modifications, and environments and is capable of changes within the scope of the application as described herein, commensurate with the above teachings, or the skill or knowledge of the relevant art. And that modifications and variations may be effected by those skilled in the art without departing from the spirit and scope of the application, which is to be protected by the claims appended hereto.

Claims (4)

1. The utility model provides a wrist strap formula arteriovenous internal fistula monitoring instrument, includes wrist strap (6), its characterized in that, be provided with central processing unit (1), sensor module, display screen (4) and power (3) on wrist strap (6), the sensor module set up in wrist strap (6) inboard is used for hugging closely skin, fixed mounting has sound sensor (2) and pressure sensor (5) on the sensor module, sound sensor (2) and pressure sensor (5) all hug closely skin and arrange side by side, central processing unit (1) sets up in the left side of sound sensor (2) and pressure sensor (5), power (3) set up on the right side of sound sensor (2) and pressure sensor (5), display screen (4) set up in the wrist strap (6) outside, the output of sound sensor (2) with the input electricity of central processing unit (1) is connected, the output of pressure sensor (5) with another input electricity of central processing unit (1) is connected, the output of central processing unit (1) with display screen (4) electricity is connected, the output of display screen (4) is provided with the switch surface electricity is connected with the input of switch, the output of switch (3) is connected with the input electricity.
2. The wristband arteriovenous fistula monitoring instrument according to claim 1, wherein a wristband clip (61) is provided at both ends of the wristband (6).
3. A wrist strap type arteriovenous internal fistula monitoring instrument is characterized by comprising a first wrist strap type arteriovenous internal fistula monitoring instrument (11) of claim 1 or claim 2, a second wrist strap type arteriovenous internal fistula monitoring instrument (12) of claim 1 or claim 2 and a connecting device, the first wrist strap type arteriovenous internal fistula monitoring instrument (11) comprises a first wrist strap (62), a central processing unit (1), a sensor module, a display screen (4), a switch and a power supply (3), the second wrist strap type arteriovenous fistula monitoring instrument (12) comprises a second wrist strap (63), a central processing unit (1), a sensor module, a display screen (4), a switch and a power supply (3), the first wrist-mounted arteriovenous internal fistula monitoring instrument (11) is connected with the second wrist-mounted arteriovenous internal fistula monitoring instrument (12) through a connecting device, the connecting device comprises a movable buckle I (7), a movable buckle II (71) and a scale (8), a movable buckle I (7) is arranged above the right end of the wrist strap I (62), a movable buckle II (71) is arranged above the right end of the wrist strap II (63), a tape measure device (9) is fixedly arranged on the movable buckle I (7), a scale fixer (10) is fixedly arranged on the movable buckle II (71), a scale (8) is arranged in the tape measure (9), and one end of the scale (8) is fixed on the scale fixing device (10).
4. The wristband arteriovenous fistula monitoring instrument of claim 3, wherein the scale (8) is provided as a graduated soft scale.
CN202221302121.8U 2022-05-27 2022-05-27 Wrist strap type arteriovenous internal fistula monitoring instrument Active CN218684458U (en)

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Application Number Priority Date Filing Date Title
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