CN219128198U

CN219128198U - Arteriovenous internal fistula exercise device

Info

Publication number: CN219128198U
Application number: CN202221557527.0U
Authority: CN
Inventors: 张芬
Original assignee: First Affiliated Hospital Of Hunan College Of Traditional Chinese Medicine Hunan Provincial Hospital Of Traditional Chinese Medicine
Current assignee: First Affiliated Hospital Of Hunan College Of Traditional Chinese Medicine Hunan Provincial Hospital Of Traditional Chinese Medicine
Priority date: 2022-06-21
Filing date: 2022-06-21
Publication date: 2023-06-06
Anticipated expiration: 2032-06-21

Abstract

The utility model provides an arteriovenous internal fistula exercise device, which enables a grip ring to reach proper hardness by filling different amounts of gas into a cavity of the grip ring, and the hardness of the grip ring can be monitored by a numerical value of a barometer to realize quantitative and accurate adjustment; the patient can observe the numerical variation of the barometer while pinching the grip ring; the effective exercise times are recorded through the counting sensing device and the counter, the effective exercise times can be completed within the standard time according to the requirements of medical staff through the timer, a patient can know the exercise condition of the patient, the exercise confidence of the patient is increased, the compliance of the patient in using the device is increased, and a standardized standard is formed; the elastic sleeve belt can fixedly connect the timer, the counter and the barometer on the arm, so that corresponding data can be conveniently checked; the upper limb lifting device can properly lift the palm of the operation limb along with the forearm, promote venous blood backflow, relieve venous pressure and relieve swelling of the palm and the forearm.

Description

Arteriovenous internal fistula exercise device

Technical field:

the utility model relates to the technical field of medical auxiliary exercise devices, in particular to an arteriovenous internal fistula exercise device.

The background technology is as follows:

at present, the incidence rate of chronic kidney disease in China is about 10.8%, the number of hemodialysis patients is about 30 ten thousand, and arteriovenous internal fistula is a life line of maintenance hemodialysis patients; arteriovenous fistula is a vascular access which is established between arteriovenous by using vascular surgical technology, provides hemodialysis patients with long-term effective vascular access capable of extracorporeal circulation, and the quality of the vascular access directly influences the dialysis treatment, disease prognosis and life quality of the patients.

The arteriovenous fistula can not be used immediately after being built, puncture can be started after the arteriovenous fistula is mature, nursing intervention measures which are most commonly used at present and are used for promoting the arteriovenous fistula to mature and keep functions are functional exercises of postoperative limbs before and after operation, namely, functional exercises are performed by repeatedly pinching rubber grip balls or grip rings, although the exercise method can achieve a certain effect on the arteriovenous fistula mature, at present, no unified standard is adopted for the functional exercises, no accurate exercise force and frequency are required to guide patients to perform effective exercises, and only patients can perform functional exercises voluntarily depending on consciousness, and compliance is poor; meanwhile, after an arteriovenous fistula forming operation is carried out on a patient, due to the fact that venous pressure is increased, lymphatic reflux is blocked, the palm and the forearm can be swollen to different degrees, and the palm of an operation limb is properly lifted along with the forearm so as to promote venous reflux and relieve swelling.

The utility model comprises the following steps:

the utility model aims to solve the problems in the background art and provides an arteriovenous internal fistula exercise device which is convenient for adjusting the exercise grip strength and can remind a patient to perform functional exercise at regular time and quantity.

The utility model adopts the following technical scheme to realize the aim of the utility model: an arteriovenous internal fistula exercise device comprises a grip ring, a connecting air pipe, an air pressure gauge and an elastic sleeve belt; the grip ring is an annular ring made of elastic rubber material, a cavity capable of containing gas is formed in the grip ring, and a first inflation and deflation pipe with a switch communicated with the cavity is connected to the grip ring; one end of the connecting air pipe is communicated with the cavity, and the other end of the connecting air pipe is communicated with the barometer; at least one storage bag is arranged outside the elastic sleeve, a window is arranged on the storage bag, and the barometer is stored in the storage bag.

Preferably, a plurality of massage convex points or massage convex columns are uniformly arranged on the outer surface of the grip ring.

Preferably, four finger ferrules are arranged on the outer surface of the grip ring.

Further, the arteriovenous fistula exercise device further comprises a counting induction device and a counter, wherein the counting induction device is arranged on the grip ring, and the counter is electrically connected with the counting induction device through a wire; the counter is accommodated in the accommodating bag.

Further, the counting sensing device comprises a first contact sensing part and a second contact sensing part which are arranged at symmetrical positions on the inner side of the grip ring; the first contact sensing part comprises a sleeve, a spring, a telescopic column and a sensing contact; the bottom end of the sleeve is fixedly connected with the grip ring, the hollow top end in the middle of the sleeve is open, one end of the telescopic column is positioned in the sleeve, the other end of the telescopic column extends out of the top end of the sleeve, the spring is fixedly connected between the sleeve and the telescopic column, and the induction contact point is fixedly arranged at the top end of the telescopic column; the second contact sensing part comprises a connecting column and a sensing plate; the top end of the connecting column is fixedly connected with the grip ring, and the induction plate is vertically and fixedly connected with the bottom end of the connecting column; the inductive contact and the inductive plate are respectively and electrically connected with the counter 7 through wires.

Further, the arteriovenous fistula exercise device further comprises a timer, and the timer is contained in the containing bag.

Further, the arteriovenous fistula exercise device further comprises an upper limb lifting device; the upper limb lifting device comprises a bottom plate, an upper limb lifting pad and a jacking air bag; the bottom plate is hinged with the rear end of the upper limb lifting pad, and the jacking air bag is arranged between the bottom plate and the upper limb lifting pad; and a second air charging and discharging pipe with a switch is connected to the jacking air bag.

Preferably, the upper limb lifting pad is provided with an upper limb accommodating groove along the length direction thereof; and a soft cotton layer is paved on the surface of the upper limb accommodating groove.

Further, the arteriovenous fistula exercise device further comprises an inflation device which is connected with the first inflation and deflation pipe to inflate the grip ring and connected with the second inflation and deflation pipe to inflate the jacking air bag.

By adopting the technical scheme, the utility model better achieves the aim, and the arteriovenous internal fistula exercise device can fill different amounts of gas into the cavity of the grip ring according to individual conditions of patients and maturity of arteriovenous internal fistula when in use by arranging the cavity capable of containing gas in the grip ring, so that the grip ring achieves proper hardness to adapt to exercise requirements of the patients, and the hardness of the grip ring can be quantitatively and accurately adjusted by monitoring the numerical value of the barometer; the numerical value change of the barometer can be observed while the patient holds the grip ring by hand, so that the force of the grip ring can be mastered; the effective exercise times can be recorded through the counting sensing device and the counter, the timer can complete the task of the effective exercise times within the standard time according to the requirements of medical staff, so that a patient can quickly know the exercise condition of the patient, the visual parameters can increase the exercise confidence of the patient, the compliance of the patient in using the device is increased, and a standardized standard is formed, thereby achieving a better exercise effect; the elastic sleeve belt can fixedly connect the timer, the counter and the barometer on the arm, and is convenient for checking corresponding data; the upper limb lifting device can properly lift the palm of the operated limb along with the forearm, promote venous blood reflux, relieve venous pressure and relieve swelling of the palm and the forearm.

Description of the drawings:

fig. 1 is a schematic plan view of the present utility model.

Fig. 2 is an enlarged schematic view of a cross-sectional structure of the first contact sensing portion 4 in the present utility model.

Fig. 3 is an enlarged schematic view of a sectional structure of the second contact sensing portion 5 in the present utility model.

Fig. 4 is a schematic view of the structure of the elastic cuff 9 according to the present utility model.

Fig. 5 is a schematic view of the upper extremity lifting apparatus 10 of the present utility model.

Fig. 6 is a schematic diagram of the upper limb elevation device 10 of the present utility model.

The reference numerals are described in the following table.

Number of marks	Tag name	Number of marks	Tag name
					1	Grip ring 1	6	Wire 6
11	First air charging and discharging pipe 11	7	Counter 7
				12	Finger ring 12	8	Timer 8
2	Connecting air pipe 2	9	Elastic sleeve 9
				3	Barometer 3	91	Storage bag 91
4	First contact sensing part 4	911	Window 911
				41	Sleeve 41	10	Upper limb lifting device 10
42	Spring 42	101	Bottom plate 101
				43	Telescopic column 43	102	Upper limb elevation pad 102
44	Inductive contact 44	1021	Upper limb accommodation groove 1021
				5	Second contact sensing part 5	103	Jacking air bag 103
51	Connecting column 51	1031	Second charge and discharge pipe 1031
				52	Sensing plate 52

The specific embodiment is as follows:

for a clearer description of embodiments of the utility model or of the solutions of the prior art, the drawings that are needed in the description of the embodiments or of the prior art will be briefly described, it being apparent that the drawings in the description below are only some embodiments of the utility model, and that other drawings can be obtained according to these drawings without inventive faculty for a person skilled in the art, the utility model being further described below with reference to the accompanying drawings: example 1:

referring to fig. 1 and 4 of the specification, an arteriovenous internal fistula exercise device comprises a grip ring 1, a connecting air pipe 2, an air pressure gauge 3 and an elastic sleeve belt 9; the grip ring 1 is an annular ring made of elastic rubber material, an annular cavity capable of containing gas is formed in the grip ring 1, and a first inflation and deflation pipe 11 with a switch communicated with the cavity is connected to the grip ring 1; one end of the connecting air pipe 2 is communicated with the cavity, and the other end of the connecting air pipe is communicated with the barometer 3; three storage bags 91 are arranged outside the elastic cuffs 9, windows 911 are arranged on the storage bags 91, and the barometer 3 is stored in the storage bags 91; when the grip ring 1 is used, different amounts of gas can be filled into the cavity of the grip ring 1 through the first inflation and deflation pipe 11 connected with the inflation device according to individual conditions of a patient and the maturity of arteriovenous internal fistula, so that the grip ring 1 reaches proper hardness to adapt to the exercise requirement of the patient, the hardness of the grip ring can be quantitatively and accurately adjusted through numerical monitoring of the barometer 3, for example, the numerical value of the barometer 3 is 10kPa after the grip ring 1 is inflated, then the grip ring 1 can be required to be pinched by a patient to change the numerical value of the barometer 3 into 20kPa for effective exercise, and corresponding pressure can be gradually increased according to the self conditions of the patient; meanwhile, after the elastic sleeve 9 is hooped on the operation limb, the barometer 3 can be stored in the storage bag 91, the storage bag 91 faces the face of a patient, and the window 911 arranged on the storage bag 91 can be convenient for observing the numerical value on the barometer 3.

In one embodiment, the arteriovenous fistula exercise device further comprises an inflation device connected with the first inflation and deflation pipe 11 for inflating the grip ring 1; specifically, the inflation device is an inflation balloon used by a manual sphygmomanometer.

In a preferred embodiment, the outer surface of the grip ring 1 is uniformly provided with a plurality of massage convex points or massage convex columns, and the massage convex points or the massage convex columns can stimulate the acupoints of the palm while the grip ring 1 is pinched by the hand of a patient, so that the blood circulation of the upper limb can be promoted, and the arteriovenous fistula can be promoted to be mature.

In a preferred embodiment, referring to fig. 1, four finger collars 12 are provided on the outer surface of the grip ring 1; the index finger, the middle finger, the ring finger and the little finger of the patient are respectively sleeved with the finger ring 12, and the palm can be opened as much as possible when the grip ring 1 is pinched and held, so that the grip ring 1 can not fall off.

In one embodiment, referring to fig. 1, 2 and 3, the arteriovenous fistula exercise device further comprises a counting induction device and a counter 7, wherein the counting induction device is installed on the grip ring 1, and the counter 7 is electrically connected with the counting induction device through a wire 6; the counter 7 is accommodated in the accommodating bag 91, and the accommodating bag 91 faces the face of the patient, and the window 911 arranged on the accommodating bag 91 can be convenient for observing the numerical value on the display screen of the counter 7; the counting sensing device comprises a first contact sensing part 4 and a second contact sensing part 5 which are arranged at symmetrical positions on the inner side of the grip ring 1; the first contact sensing part 4 comprises a sleeve 41, a spring 42, a telescopic column 43 and a sensing contact 44; the bottom end of the sleeve 41 is fixedly connected with the grip ring 1, the hollow top end of the middle part of the sleeve 41 is open, one end of the telescopic column 43 is positioned in the sleeve 41, the other end extends out of the top end of the sleeve 41, the spring 42 is fixedly connected between the sleeve 41 and the telescopic column 43, and the sensing contact 44 is fixedly arranged at the top end of the telescopic column 43; the second contact sensing part 5 comprises a connecting column 51 and a sensing plate 52; the top end of the connecting column 51 is fixedly connected with the grip ring 1, and the sensing plate 52 is vertically and fixedly connected with the bottom end of the connecting column 51; the sensing contact 44 and the sensing plate 52 are respectively and electrically connected with the counter 7 through the lead 6; the spring 42 can enable the telescopic column 43 to adaptively telescopic in the sleeve 41, and when the sensing contact 44 is in contact with the sensing plate 52, the sensing contact 44 and the sensing plate 52 are prevented from being damaged by the contact resistance of the sensing contact 44 and the sensing plate 52; the counter 7 records the effective exercise time when the sensing contact 44 and the sensing plate 52 are contacted once; at the same time, when the sensing contact 44 is contacted with the sensing plate 52, the counter 7 can send out a drop prompt sound to inform that the number of effective exercises is one, so that the use of the device is more convenient for patients.

In one embodiment, referring to fig. 1, the arteriovenous fistula exercise device further comprises a timer 8, wherein the timer 8 is accommodated in the accommodating bag 91, and the accommodating bag 91 faces the face of the patient, and a window 911 formed on the accommodating bag 91 can facilitate the observation of the numerical value on the display screen of the timer 8; the effective exercise times are recorded through the counter 7 and the exercise time is recorded through the timer 8, so that the task of the effective exercise times can be completed within the standard time according to the requirements of medical staff (for example, the effective exercise times are required to be completed within 5 minutes, the timer 8 can set a countdown time for 5 minutes, the number of the effective exercise times recorded by the counter 7 is observed after the countdown time for 5 minutes is over, the task of the times can be properly increased when the number of the effective exercise times recorded by the counter 7 is more than 100 times, and the task of the patient can be required to be completed for 100 times when the number of the effective exercise times is less than 100 times), the patient can quickly know the exercise condition of the patient, the intuitive parameters can increase the exercise confidence of the patient, the compliance of the patient in using the device is increased, and the standardized standard is formed, so that the better exercise effect is achieved.

In one embodiment, referring to fig. 5 and 6, the arteriovenous fistula exercise device further comprises an upper limb elevation device 10; the upper limb elevation device 10 comprises a bottom plate 101, an upper limb elevation pad 102 and an elevating air bag 103; the bottom plate 101 is hinged with the rear end of the upper limb lifting pad 102, and the jacking air bag 103 is arranged between the bottom plate 101 and the upper limb lifting pad 102; the jacking air bag 103 is connected with a second inflation and deflation pipe 1031 with a switch; the second inflation and deflation pipe 1031 is connected with the inflation device to inflate the jacking air bag 103, so that the jacking air bag 103 is gradually full and the front end of the upper limb lifting pad 102 is jacked, the palm of the operation limb placed on the upper limb lifting pad 102 is properly lifted along with the forearm, venous blood reflux is promoted, venous pressure is relieved, and swelling of the palm and the forearm is relieved.

In one embodiment, the arteriovenous fistula exercise device further comprises an inflation device connected to the second inflation and deflation tube 1031 for inflating the jacking balloon 103; specifically, the inflation device is an inflation balloon used by a manual sphygmomanometer.

In a preferred manner, referring to fig. 5 and 6, an upper limb accommodation groove 1021 is provided on the top surface of the upper limb raising pad 102 along the length direction thereof, so as to prevent the arm from sliding off the upper limb raising pad 102, and a restraint strap for restraining the arm is provided on the top surface of the upper limb raising pad 102; the soft cotton layer is laid on the surface of the upper limb accommodation groove 1021, and is padded between the upper limb accommodation groove 1021 and the arm skin, so that the comfort is improved, and the upper limb elevation pad 102 can be prevented from wearing the arm skin.

The application method of the arteriovenous fistula exercise device provided by the utility model comprises the following steps: the elastic cuff 9 is first attached to the arm of the patient, the storage bag 91 is oriented to the patient's face, the barometer 3, the counter 7, and the timer 8 are stored in the three storage bags 91, and the grip ring 1 is inflated to an initial air pressure by the inflator (for example: the initial air pressure of the postoperative 1 st week is 5-10kPa, the initial air pressure of the postoperative 2 nd week is 10-20kPa, the initial air pressure of the postoperative 3 rd week is 20-30kPa, etc.), the timing time of the timer 8 is set according to the requirements of doctors (such as 10-15 minutes), four fingers of the patient respectively pass through one finger ring 12, then the arm is placed in the upper limb lifting device 10, the lifting air bag 103 is inflated by using an inflation device, the lifting angle of the upper limb is determined by the most comfortable feeling of the patient or the most favorable holding force ring 1, the countdown of the timer 8 is started, the patient starts to repeatedly hold the holding force ring 1, the effective exercise times are recorded once when the sensing contact 44 is contacted with the sensing plate 52, the counter 7 is released after 3-5 seconds are kept when the sensing contact 44 is contacted with the sensing plate 52, the drip prompt tone is released again until the timing of the timer 8 is finished, the number of the effective exercise times on the counter can be properly increased when the number of times of the effective exercise times reaches the standard, and the patient can struggle to complete the target exercise times when the number of times does not reach the standard; repeating the above exercise method for 3-5 times per day.

It will be apparent that modifications and/or additions of parts can be made to the arteriovenous fistula exercise device and corresponding method as described heretofore without departing from the field and scope of the present utility model.

It is also clear that, although the present utility model has been described in detail with respect to this arteriovenous fistula exercise device, a person skilled in the art shall certainly be able to achieve many other equivalent forms of arteriovenous fistula exercise device and corresponding method, having the characteristics as set forth in the claims and hence all coming within the field of protection defined thereby.

Claims

1. An arteriovenous internal fistula exercise device which is characterized in that: comprises a grip ring (1), a connecting air pipe (2), an air pressure meter (3) and an elastic sleeve belt (9); the elastic rubber type air-filled elastic joint is characterized in that the elastic rubber type elastic joint is a ring-shaped ring (1), a cavity capable of containing air is formed in the elastic rubber type elastic joint, and a first inflation and deflation pipe (11) with a switch, which is communicated with the cavity, is connected to the elastic rubber type elastic joint (1); one end of the connecting air pipe (2) is communicated with the cavity, and the other end of the connecting air pipe is communicated with the barometer (3); at least one storage bag (91) is arranged on the outer side of the elastic sleeve belt (9), a window (911) is arranged on the storage bag (91), and the barometer (3) is stored in the storage bag (91).

2. The arteriovenous internal fistula exercise device of claim 1, wherein: the outer surface of the grip ring (1) is uniformly provided with a plurality of massage convex points or massage convex columns.

3. The arteriovenous internal fistula exercise device of claim 1, wherein: four finger ferrules (12) are arranged on the outer surface of the grip ring (1).

4. The arteriovenous internal fistula exercise device of claim 1, wherein: the internal arteriovenous fistula exercise device further comprises a counting induction device and a counter (7), wherein the counting induction device is arranged on the grip ring (1), and the counter (7) is electrically connected with the counting induction device through a lead (6); the counter (7) is accommodated in the accommodation bag (91).

5. The arteriovenous internal fistula exercise device of claim 4, wherein: the counting sensing device comprises a first contact sensing part (4) and a second contact sensing part (5) which are arranged at symmetrical positions on the inner side of the grip ring (1); the first contact sensing part (4) comprises a sleeve (41), a spring (42), a telescopic column (43) and a sensing contact (44); the bottom end of the sleeve (41) is fixedly connected with the grip ring (1), the hollow top end in the middle of the sleeve (41) is open, one end of the telescopic column (43) is positioned in the sleeve (41), the other end of the telescopic column extends out of the top end of the sleeve (41), the spring (42) is fixedly connected between the sleeve (41) and the telescopic column (43), and the induction contact (44) is fixedly arranged at the top end of the telescopic column (43); the second contact sensing part (5) comprises a connecting column (51) and a sensing plate (52); the top end of the connecting column (51) is fixedly connected with the grip ring (1), and the induction plate (52) is vertically and fixedly connected with the bottom end of the connecting column (51); the sensing contact (44) and the sensing plate (52) are respectively and electrically connected with the counter (7) through the lead (6).

6. The arteriovenous internal fistula exercise device of claim 1, wherein: the arteriovenous fistula exercise device further comprises a timer (8), and the timer (8) is contained in the containing bag (91).

7. The arteriovenous internal fistula exercise device of claim 1, wherein: the arteriovenous fistula exercise device also comprises an upper limb lifting device (10); the upper limb lifting device (10) comprises a bottom plate (101), an upper limb lifting pad (102) and a lifting air bag (103); the bottom plate (101) is hinged with the rear end of the upper limb lifting pad (102), and the jacking air bag (103) is arranged between the bottom plate (101) and the upper limb lifting pad (102); the jacking air bag (103) is connected with a second inflation and deflation pipe (1031) with a switch.

8. The arteriovenous internal fistula exercise device of claim 7, wherein: an upper limb accommodation groove (1021) is formed in the top surface of the upper limb elevation pad (102) along the length direction of the upper limb elevation pad; a soft cotton layer is paved on the surface of the upper limb accommodating groove (1021).

9. The arteriovenous internal fistula exercise device of claim 7, wherein: the arteriovenous fistula exercise device further comprises an inflation device which is connected with the first inflation and deflation pipe (11) to inflate the grip ring (1) and connected with the second inflation and deflation pipe (1031) to inflate the jacking air bag (103).