CN219271073U - Fixing device for brachial artery puncture point - Google Patents

Fixing device for brachial artery puncture point Download PDF

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CN219271073U
CN219271073U CN202222849803.7U CN202222849803U CN219271073U CN 219271073 U CN219271073 U CN 219271073U CN 202222849803 U CN202222849803 U CN 202222849803U CN 219271073 U CN219271073 U CN 219271073U
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splint
fixing belt
brachial artery
nylon
utility
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董智慧
蒋小浪
乔冠宇
刘浩
邹凌威
潘天岳
刘轶凡
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Zhongshan Hospital Fudan University
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Abstract

本实用新型涉及一种肱动脉穿刺点的固定装置,属于医疗器械技术领域。包括上夹板、下夹板和尼龙固定带;上夹板和下夹板为长方体形,设有相同的长度、宽度和厚度;下夹板靠近一端三分之一处的两侧各设有一根尼龙固定带,下夹板靠近另一端三分之一处的两侧也各设有一根尼龙固定带。通过本实用新型采用的硬质泡沫夹板的设计使得装置更加具有弹性,不至于导致远端肢体缺血,且具有很好的缓冲作用;采用尼龙固定带的设置可以兼容患者不同粗细的肘部。

Figure 202222849803

The utility model relates to a fixing device for a brachial artery puncture point, which belongs to the technical field of medical instruments. Including the upper splint, lower splint and nylon fixing belt; the upper splint and the lower splint are rectangular parallelepiped with the same length, width and thickness; the two sides of the lower splint near one third of one end are provided with a nylon fixing belt, A nylon fixing strap is also respectively provided on both sides of the lower splint close to the third part of the other end. The design of the rigid foam splint adopted in the utility model makes the device more flexible, does not cause ischemia of the distal limbs, and has a good buffering effect; the setting of the nylon fixing belt can be compatible with elbows of different thicknesses of patients.

Figure 202222849803

Description

一种肱动脉穿刺点的固定装置A fixation device for brachial artery puncture point

技术领域technical field

本实用新型涉及一种肱动脉穿刺点的固定装置,属于医疗器械技术领域。The utility model relates to a fixing device for a brachial artery puncture point, which belongs to the technical field of medical instruments.

背景技术Background technique

目前腔内手术已经成为治疗血管病变的首选方式。股动脉是目前最常用的外周血管介入治疗的穿刺部位,但是仍有许多患者需要通过肱动脉入路完成手术,特别是主髂动脉闭塞病变及主动脉病变的开窗及烟囱手术。据文献报道,肱动脉穿刺部位并发症的发生几率约为3%左右,且相比股动脉部位并发症,肱动脉出现血肿或者假性动脉瘤造成的后果更严重,会导致神经卡压及前壁骨筋膜室综合征,预后不良。肱动脉直径较细,不能像股动脉那样使用血管闭合器,目前常用的方式仍旧是采用人工压迫10分钟左右,绷带包扎24小时的方式。但是整个过程中最重要的是需要患者保持整个前臂和上臂处于伸直状态,对于麻醉患者及进入睡眠后的患者,保持该体位较困难,也就相对的增加了穿刺手术并发症的风险。目前针对如何使患者保持整个前臂和上臂处于伸直状态的问题,主要的解决方案是用束缚带将患者的肘关节固定,但是仍不能完全消除患者的肢体移动。所以,本技术领域亟需一种简单有效的肱动脉穿刺点固定装置来解决如何使患者在肱动脉入路手术时保持整个前臂和上臂处于伸直状态的技术问题。At present, endovascular surgery has become the first choice for the treatment of vascular lesions. The femoral artery is currently the most commonly used puncture site for peripheral vascular interventional therapy, but there are still many patients who need to complete the operation through the brachial artery approach, especially the fenestration and chimney surgery for aortoiliac artery occlusive lesions and aortic lesions. According to literature reports, the incidence of complications at the brachial artery puncture site is about 3%, and compared with femoral artery site complications, the consequences of hematoma or pseudoaneurysm in the brachial artery are more serious, which can lead to nerve entrapment and anterior aneurysm. Mural compartment syndrome, poor prognosis. The diameter of the brachial artery is relatively small, and a vascular closure device cannot be used like the femoral artery. At present, the commonly used method is still to use manual compression for about 10 minutes and bandage for 24 hours. But the most important thing in the whole process is that the patient needs to keep the entire forearm and upper arm in a straight state. For anesthetized patients and patients who have fallen asleep, it is difficult to maintain this position, which relatively increases the risk of complications of puncture surgery. At present, for how to keep the patient's entire forearm and upper arm in a straight state, the main solution is to fix the patient's elbow joint with a restraint belt, but it still cannot completely eliminate the patient's limb movement. Therefore, the technical field urgently needs a simple and effective brachial artery puncture point fixing device to solve the technical problem of how to keep the entire forearm and upper arm in a straight state during the brachial artery access operation.

发明内容Contents of the invention

本实用新型的目的是为解决如何获得一种简单有效的肱动脉穿刺点固定装置使患者在肱动脉入路手术时保持整个前臂和上臂处于伸直状态的技术问题。The purpose of this utility model is to solve the technical problem of how to obtain a simple and effective fixing device for brachial artery puncture point so that the patient can keep the whole forearm and upper arm in a straight state during brachial artery surgery.

为达到解决上述问题的目的,本实用新型所采取的技术方案是提供一种肱动脉穿刺点的固定装置,包括上夹板、下夹板和尼龙固定带;上夹板和下夹板为长方体形,设有相同的长度、宽度和厚度;下夹板靠近一端三分之一处的两侧各设有一根尼龙固定带,下夹板靠近另一端三分之一处的两侧也各设有一根尼龙固定带。In order to achieve the purpose of solving the above problems, the technical solution adopted by the utility model is to provide a fixing device for the brachial artery puncture point, including an upper splint, a lower splint and a nylon fixing belt; the upper splint and the lower splint are in the shape of a cuboid, with The same length, width and thickness; the two sides of the lower splint close to one third of one end are respectively provided with a nylon fixing belt, and the two sides of the lower splint close to the third of the other end are also respectively provided with a nylon fixing belt.

优选地,所述上夹板和下夹板的长度为15cm。Preferably, the length of the upper splint and the lower splint is 15cm.

优选地,所述上夹板和下夹板的宽度为5cm。Preferably, the width of the upper splint and the lower splint is 5cm.

优选地,所述上夹板和下夹板的厚度为0.5cm。Preferably, the thickness of the upper splint and the lower splint is 0.5cm.

优选地,所述上夹板和下夹板为硬质泡沫材料制造。Preferably, the upper splint and the lower splint are made of rigid foam material.

相比现有技术,本实用新型具有如下有益效果:Compared with the prior art, the utility model has the following beneficial effects:

①本实用新型采用硬质泡沫夹板的设计使得装置更加有弹性,不至于导致远端肢体缺血,且具有很好的缓冲作用;①The utility model adopts the design of the rigid foam splint to make the device more flexible, which will not cause ischemia in the distal limbs, and has a good buffering effect;

②本实用新型采用的尼龙固定带的设置可以兼容患者不同粗细的肘部。②The setting of the nylon fixing belt adopted by the utility model can be compatible with the elbows of patients with different thicknesses.

附图说明Description of drawings

图1为本实用新型一种肱动脉穿刺点的固定装置结构示意图。Fig. 1 is a structural schematic diagram of a fixing device for a brachial artery puncture point of the present invention.

图2为本实用新型一种肱动脉穿刺点的固定装置侧视结构示意图。Fig. 2 is a side view structural schematic diagram of a fixing device for a brachial artery puncture point of the present invention.

图3为本实用新型一种肱动脉穿刺点的固定装置俯视结构示意图。Fig. 3 is a structural schematic diagram of a top view of a fixing device for a brachial artery puncture point according to the present invention.

附图标记:1.上夹板;2.下夹板;3.固定带一;4.固定带二;5.固定带三;6.固定带四。Reference signs: 1. upper splint; 2. lower splint; 3. fixing belt one; 4. fixing belt two; 5. fixing belt three; 6. fixing belt four.

具体实施方式Detailed ways

为使本实用新型更明显易懂,兹以优选实施例,并配合附图作详细说明如下:In order to make the utility model more obvious and understandable, the preferred embodiment is hereby described in detail in conjunction with the accompanying drawings as follows:

如图1-3所示,本实用新型提供一种肱动脉穿刺点的固定装置,包括上夹板1、下夹板2和尼龙固定带;上夹板1和下夹板2为长方体形,设有相同的长度、宽度和厚度;下夹板2靠近一端三分之一处的两侧各设有一根尼龙固定带,下夹板靠近另一端三分之一处的两侧也各设有一根尼龙固定带。上夹板1和下夹板2的长度为15cm。上夹板1和下夹板2的宽度为5cm。上夹板1和下夹板2的厚度为0.5cm;上夹板1和下夹板2为硬质泡沫材料制造。As shown in Figure 1-3, the utility model provides a kind of fixation device of brachial artery puncture point, comprises upper splint 1, lower splint 2 and nylon fixing belt; Length, width and thickness; the two sides of the lower splint 2 near one third of one end are respectively provided with a nylon fixing belt, and the two sides of the lower splint near the third of the other end are also respectively provided with a nylon fixing belt. The length of upper splint 1 and lower splint 2 is 15cm. The width of upper splint 1 and lower splint 2 is 5cm. The thickness of the upper splint 1 and the lower splint 2 is 0.5cm; the upper splint 1 and the lower splint 2 are made of rigid foam material.

实施例Example

本实用新型提供的一种肱动脉穿刺点的固定装置由两个体积大小相同的长方体硬泡沫夹板组成。上夹板1和下夹板2的长度均为15cm,宽度为5cm,高度为0.5cm(如图1),分别以患者肘部为中心,放置在肘部的上下方。上夹板1放在上方,下夹板2放在下方,将患者的肘部夹在中间,下夹板2上设置有4根长度相同的尼龙固定带(长10cm)。尼龙固定带一3、尼龙固定带二4、尼龙固定带三5和尼龙固定带四6分别固定在下夹板2的两侧。使用时,将尼龙固定带一3和尼龙固定带二4;尼龙固定带三5和尼龙固定带四6分别绕到上夹板1的上方系起来,使上夹板1和下夹板2将患者整个前臂和上臂一起固定住;捆绑的松紧以远处桡动脉搏动减弱但未消失为准。如图2所示为该装置的侧面观,尼龙固定带距离夹板边缘的距离为5cm。图3为上面观的夹板图,尼龙固定带分别固定于夹板的两侧。The utility model provides a fixing device for a brachial artery puncture point, which is composed of two cuboid hard foam splints with the same volume and size. The upper splint 1 and the lower splint 2 are both 15cm in length, 5cm in width, and 0.5cm in height (as shown in Figure 1), and are placed above and below the elbow with the patient's elbow as the center. The upper splint 1 is placed on the top, and the lower splint 2 is placed below to clamp the patient's elbow in the middle. The lower splint 2 is provided with 4 nylon fixing straps (10 cm long) of the same length. Nylon fixing belt one 3, nylon fixing belt two 4, nylon fixing belt three 5 and nylon fixing belt four 6 are respectively fixed on the both sides of lower splint 2. During use, the nylon fixing belt 1 3 and the nylon fixing belt 2 4; the nylon fixing belt 3 5 and the nylon fixing belt 4 6 are respectively wound around the top of the upper splint 1 and tied up, so that the upper splint 1 and the lower splint 2 cover the patient's entire forearm Fix it together with the upper arm; the tightness of the binding depends on the weakening but not disappearance of the distant radial artery pulse. As shown in Figure 2, it is a side view of the device, and the distance between the nylon fixing belt and the edge of the splint is 5 cm. Fig. 3 is the splint figure of top view, and nylon fixing band is respectively fixed on the both sides of splint.

本装置首先利用泡沫材料具有一定的硬度可以很好的固定住肘部,且具有很好的缓冲作用,具有一定的弹性,可以大大降低远端肢体缺血的风险。且尼龙固定带的设计可以使得本装置兼容不同患者肢体的直径。The device first utilizes the foam material with a certain hardness to fix the elbow well, has a good cushioning effect, has a certain elasticity, and can greatly reduce the risk of ischemia in the distal limb. And the design of the nylon fixing belt can make the device compatible with the diameters of limbs of different patients.

本实用新型的使用过程:The use process of the utility model:

①在患者完成肱动脉入路的介入手术之后,拔除鞘管,穿刺点压迫10分钟,并用绷带将其包扎完毕;① After the patient has completed the interventional operation of the brachial artery approach, remove the sheath, press the puncture point for 10 minutes, and wrap it with a bandage;

②一人协助将患者的患肢水平抬起,确保手心朝上且肘部不能弯曲,将上述装置的下夹板2放在患者肘部的下方,同时将上夹板1放置在肘部的上方。分别将尼龙固定带绕过患者肘部两侧系在上夹板1的上方;② One person assists in lifting the patient's affected limb horizontally, ensuring that the palms of the hands are facing upwards and the elbow cannot be bent. Place the lower splint 2 of the above device below the patient's elbow, and place the upper splint 1 above the elbow. Respectively tie the nylon fixation belt around both sides of the patient's elbow above the upper splint 1;

③将患者患肢放在水平床上,调整尼龙固定带的松紧,确保肘部不能轻易弯曲,且远端桡动脉搏动较包扎前减弱但未消失;③Place the patient's affected limb on a horizontal bed, and adjust the tightness of the nylon fixing belt to ensure that the elbow cannot be easily bent, and the pulse of the distal radial artery is weaker than before bandaging but does not disappear;

④压迫24小时后,解开尼龙固定带,拆除绷带,观察患者肘部穿刺点有无渗血,远端桡动脉搏动是否恢复正常。④ After 24 hours of compression, untie the nylon fixing band and remove the bandage, observe whether there is bleeding at the puncture point of the patient's elbow, and whether the pulse of the distal radial artery returns to normal.

以上所述,仅为本实用新型的较佳实施例,并非对本实用新型任何形式上和实质上的限制,应当指出,对于本技术领域的普通技术人员,在不脱离本实用新型的前提下,还将可以做出若干改进和补充,这些改进和补充也应视为本实用新型的保护范围。凡熟悉本专业的技术人员,在不脱离本实用新型的精神和范围的情况下,当可利用以上所揭示的技术内容而做出的些许更动、修饰与演变的等同变化,均为本实用新型的等效实施例;同时,凡依据本实用新型的实质技术对上述实施例所作的任何等同变化的更动、修饰与演变,均仍属于本实用新型的技术方案的范围内。The above description is only a preferred embodiment of the present utility model, and is not any formal and substantial limitation of the present utility model. Several improvements and supplements can also be made, and these improvements and supplements should also be regarded as the protection scope of the present utility model. Those who are familiar with this profession, without departing from the spirit and scope of the present utility model, when they can make use of the technical content disclosed above to make some changes, modifications and equivalent changes of evolution, are all the equivalent changes of this utility model. New equivalent embodiments; at the same time, all changes, modifications and evolutions of any equivalent changes made to the above-mentioned embodiments according to the substantive technology of the utility model still belong to the scope of the technical solution of the utility model.

Claims (5)

1. The device for fixing the puncture point of the brachial artery is characterized by comprising an upper clamping plate, a lower clamping plate and a nylon fixing belt; the upper clamping plate and the lower clamping plate are cuboid and are provided with the same length, width and thickness; two sides of the lower clamping plate, which are close to one third of one end, are respectively provided with a nylon fixing belt, and two sides of the lower clamping plate, which are close to one third of the other end, are respectively provided with a nylon fixing belt.
2. A brachial artery puncture site fixing device according to claim 1, wherein the upper and lower splints have a length of 15cm.
3. A brachial artery puncture site fixing device according to claim 1, wherein the widths of the upper and lower splints are 5cm.
4. The brachial artery puncture site fixing device according to claim 1, wherein the thickness of the upper and lower splints is 0.5cm.
5. The brachial artery puncture site anchoring device according to claim 1, wherein the upper and lower splints are made of rigid foam material.
CN202222849803.7U 2022-10-25 2022-10-25 Fixing device for brachial artery puncture point Active CN219271073U (en)

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