JP2501256B2 - Multi-point press hemostat - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical pressure hemostatic device, and more particularly, to a case where there are a plurality of puncture wounds remaining in the groin after removal of a catheter or introducer inserted percutaneously. In regard to (1), a multi-point press hemostat capable of pressurizing hemostatic pressure efficiently, safely and comfortably by a single instrument at the same time with a plurality of puncture wounds.

[0002]

2. Description of the Related Art Conventionally, when a catheter or introducer is percutaneously inserted into an arterial / venous system in a treatment test for heart disease, etc., a doctor must stop the puncture wound after removing the catheter or introducer from the wound site. It was usual to stop the bleeding by applying acupressure until the bleeding stopped.

Further, in such a medical examination, when a catheter or introducer has to be inserted for each of the moving and venous systems, for example, the right femoral artery and the left femoral vein or the left femoral vein and the right femoral artery, respectively. There are often cases where it is necessary to insert them at the same time at the same time to perform an inspection or the like. At this time, in order to completely stop the bleeding of the puncture wound site after removing the catheters or the introducer at the two locations, it was usually necessary for two doctors to be exclusively assigned to the hemostasis work by acupressure.

The time required for hemostasis of the puncture wound is usually 2
Over a period of 0-40 minutes or more, the physician not only was unable to engage in other tasks, but also had to withstand the pain of pressing the wound for an extended period of time. Furthermore,
The patient cannot move at all during this time, which has the disadvantage that the operating room or procedure room is occupied by the patient and the doctor for a long time.

As a means for eliminating such inconvenience of hemostasis of the puncture wound part due to the finger pressure of the doctor, a method of pressing the puncture wound part with a tightening band or a hemostatic inhibition band, and a pressing body such as a compression piece is used. A device or the like has been proposed that presses the puncture wound part with a pressing body to stop bleeding.

However, these tourniquets or hemostatic devices are intended for hemostasis of the puncture wound when there is one puncture wound, and when there are multiple puncture wounds,
An instrument or device capable of simultaneously performing proper hemostasis on the plurality of puncture wounds without manual intervention has not been proposed yet.

[0007]

Therefore, an object of the present invention is to provide a plurality of puncture wounds in the groin after the catheter or introducer that has been percutaneously inserted is removed. An object of the present invention is to provide a multi-point press hemostatic device that can pressurize hemostatically efficiently, safely and comfortably with a single device at a time.

Another object of the present invention is not only light weight, easy to carry, easy to handle and safe to operate, but also to properly position a pressing body on each of a plurality of puncture wound portions,
To provide a multi-point press hemostat excellent in mounting stability in which the pressing body is not easily displaced from each fixed position even if the patient moves the position of the body after pressing and fixing each of the wound parts by the pressing body. It is in.

Still another object of the present invention is that since the pressing body is formed transparent, the hemostasis state of the puncture wound can be easily monitored from the outside, whereby the pressing force of the puncture wound on the pressing body can be adjusted appropriately. (EN) Provided is a multi-point press hemostatic device which can be adjusted to a superior hemostatic effect.

Still another object of the present invention is that the pressing body is formed of a flexible and expandable hollow molded body in an airtight manner, and a gas such as air is pressed into the hollow portion through an introduction pipe by a pump or the like to press the pressing body. It is an object of the present invention to provide a multi-point press hemostat provided with a press adjusting mechanism capable of freely adjusting the press pressure applied to the puncture wound part.

[0011]

According to the present invention, in a pressing hemostat for pressing a puncture wound portion remaining in the groin after removing a catheter or introducer inserted percutaneously to stop bleeding, The hemostatic device comprises a pressing support body 2 having a plurality of pressing bodies 1 that simultaneously presses and stops the periphery of each of a plurality of puncture wound portions, and a fastening band 3 that fastens the pressing support body 2 to a human body part, The pressing support body 2 is provided with a mechanism for adjusting the interval between each of the plurality of pressing bodies 1 in order to simultaneously press and stop the plurality of puncture wound parts, and
The body 1 is formed of a flexible and expandable hollow molded body in an airtight manner,
Mechanism in which gas is press-fitted into the hollow portion in a state in which the pressure can be adjusted
And a pressure gauge for displaying the pressing pressure of the hollow portion
There is provided a multi-point press hemostatic device characterized in that

[0012]

[Function] The press hemostatic device properly stops bleeding from the puncture wound, and gives excessive pain to the patient,
Hematoma should not be formed around the wound. In particular, in the multi-point press hemostatic device of the present invention, each pressing body is properly arranged in each of the plurality of puncture wound portions, and further, the pressure of each pressing body can be freely adjusted to an appropriate value and the pressing body is It is important that the structure does not easily shift from the set position of the puncture wound part. Further, it is preferable that it is lightweight, easy to handle, and safe.

In the multipoint pressing hemostatic device of the present invention, a plurality of pressing bodies 1 that press the plurality of puncture wound portions at the same time to stop bleeding from the plurality of wound portions are provided on the pressing support body 2. The pressing support body 2 is characterized in that the pressing support body 2 is provided with a mechanism capable of freely adjusting the interval between the pressing bodies 1 in order to properly position each pressing body 1 on the puncture wound part. By operating this mechanism, each pressing body 1 can be properly positioned at each puncture wound part. Moreover, each pressing body 1
Each pressing force is appropriately adjusted by adjusting the length of the fastening band 3 or by operating the pressing adjusting mechanism provided in each pressing body 1.

The present invention comprises a combination of the above-mentioned pressing support 2 provided with a plurality of pressing bodies 1 and a fastening band 3 and satisfies the above-mentioned requirements of the multi-point pressing hemostatic device by their interaction. .

In the present invention, the pressing body 1 does not give an uncomfortable feeling to this part when the peripheral part of the wound is pressed.
Although not necessarily limited to this, it is preferable that the contact portion has a shape having no corner such as a dish type, a hemispherical type, a semi-elliptical type, or a kamaboko type.

Further, the material is rubber, sponge, or plastic.
It is preferable that the material be formed of a soft and elastic material such as a hook and be biocompatible.

It is often necessary to finely adjust the pressing force by externally monitoring the state of hemostasis at the wound site when the pressing body is pressed and fixed to the wound site. For this reason, the pressing body is transparent.
It is preferable to use a material and a shape that allow the state of the wound portion to be seen through from the outside.

As the pressing body of the present invention, the material is formed of a flexible and expandable hollow molded body, and the hollow portion has an airtight structure, and a gas such as air is finely introduced into this portion. A structure is used in which the hollow member is pressed into a tube and the hollow member expands to freely adjust the pressing force around the wound.

As such a pressing body, specifically,
An example of such a pressing envelope is shown by reference numeral 1 in FIG. Such a pressure package is a flexible and elastic plastic material such as polyethylene resin, polypropylene resin, nylon, polyester resin,
It can be made of silicon rubber, fluorine resin, polycarbonate resin, or the like.

Since the pressing body comes into direct contact with the wound portion or contacts with the surface contact portion covered with a film, cloth, etc., the wound portion of the pressing body is sterilized at least at each use. It needs to be sanitized and for this reason
It is preferable that the pressing body itself or at least the wound contact portion has a structure that can be detached from the pressing support body. Usually, a structure is used in which the pressing body itself is screwed or fitted to the pressing support body via a support ring or the like.

However, the present invention also includes a structure in which the pressing support and the pressing body are integrally formed, and in this case, when the wound contact surface of the pressing support is covered with a sterilized film or the like, it is used. A usage pattern such as exchanging each time is adopted.

The pressing support 2 of the present invention has a function of supporting a plurality of pressing bodies 1 and appropriately arranging the pressing bodies at each puncture wound portion and closely fixing the pressing bodies to the puncture wound portions. If the puncture wound is located in the thigh, it is usually shaped as shown in FIG. 1 or 4. As a mechanism for adjusting the length of the pressing support body 2, a length adjusting mechanism such as a screwing type, a cam rotating type, a stopper type, etc. as shown in FIGS. 1 to 4 can be exemplified.

The pressing support 2 of the present invention also includes a pressing mechanism for adjusting the pressing force of the pressing body 1 which is provided with a screw mechanism or a spring mechanism capable of moving the pressing body up and down. It The pressing hemostat equipped with such a mechanism has an advantage that the pressing force can be easily adjusted and the pressing adjustment by adjusting the length of the fastening band can be omitted.

Furthermore, it is preferable that the pressing support of the present invention is made of a lightweight and tough material so that it can be easily transported and easily handled such as mounting and demounting. As such a material, aluminum can be used. Examples include light metals such as alloys, wood, plastics, and the like.

The fastening band 3 of the present invention comprises the plurality of pressing bodies 1
The pressing support 2 provided with is fastened to a human body portion near the puncture wound, for example, a thigh or a waist, and plays a role of fixing the pressing support 2.

Usually, as shown in FIGS. 1 to 4, belt-shaped members are used, but rubber belts, leather belts, cloth belts and the like are preferably used. The width of the fastening band 3 is not necessarily limited to this, but it is usually preferable that it has a width of at least 10 cm or more from the viewpoint of fastening stability of the pressing device.

The fastening band 3 of the present invention has a structure in which at least one end thereof can be connected to the longitudinal end portion of the pressing support 2 or the peripheral portion thereof, and the length of the fastening band can be freely adjusted. is necessary. In one aspect of the invention,
When the pressing body has a structure in which the pressing pressure cannot be adjusted independently, the pressing pressure of the puncture wound portion of the pressing body is adjusted by adjusting the length of this fastening band.

Although the method of connecting the fastening band 3 to the pressing support 2 and the method of adjusting the length of the fastening band of the present invention are arbitrary, a belt lock as shown by reference numeral 7 in FIG. The use of is preferable because it is possible to simultaneously perform locking and adjusting the length of the fastening band.

When the pressure hemostatic device of the present invention is used, the pressing force of the pressing body on the puncture wound portion depends on the position of the puncture wound portion,
Although it changes depending on the state of the wound, etc., usually, immediately before the catheter or introducer is removed, the compression pressure on the human body surface in the vicinity of the wound is set to about 50 to 150 mmHg. Immediately after the catheter or introducer is removed, the pressure is increased to about 150 to 250 mmHg, and after the puncture wound is once bleeding, the pressure is increased to 4
The pressure is reduced to 0 to 160 mmHg, and the pressure is maintained thereafter.

In the pressure hemostatic device of the present invention, such adjustment of the pressing force is performed by adjusting the length of the fastening band and the hollow body of the pressing body.
Screw mechanism for adjusting the air pressure or moving the pressing body up and down
Or if a spring mechanism is provided, use screws or
This is accomplished by either adjusting the springs or a combination of these .

[0031]

Further, a gauge for displaying the pressing pressure of the pressing body is installed in the multipoint press hemostatic device provided with the pressing body 1 so that the pressing force of the pressing body 1 can be constantly monitored. The present invention also includes an alarm mechanism attached to the pressure display gauge so that when the pressing force deviates from the upper or lower limit set pressure of the alarm, the alarm mechanism is activated to give an alarm. It is preferably used as an embodiment.

The adjustment of the mechanism as described above can be achieved not only by manual operation but also by automatically operating the screw mechanism, the spring mechanism or the like, or by automatically adjusting the press-fitting of air or the like by the pump with the cock or the like. What you can do is self-evident.

[0034]

A preferred embodiment of the present invention will be described with reference to the drawings. FIG. 1 showing an example of a multi-point press hemostatic device of the present invention.
In the (perspective view), 1A and 1B are each one pressing body,
Reference numeral 2 represents a pressing support, and 3 represents a fastening band.

In the embodiment shown in FIG. 1, the pressing support 2
Is a pressing body supporting piece 4A supporting the pressing body 1A and the pressing body 1
The pressing body supporting piece 4B for supporting B is composed of two supporting pieces, a fixing plate 5 for connecting and fixing them, and a fixing bolt 6, and the fastening bands 3 are provided at both ends of the pressing supporting body 2. The belt locks 7A and 7B are connected so that the height can be freely adjusted. Each of the pressing support pieces 4A and 4B of the pressing support 2 is provided with a rectangular slot opening having a width corresponding to the bolt diameter in the arm portion protruding from the pressing body support portion, and the fixing plate 5 and both pressing supports. Body piece 4
When fixedly connecting the A and 4B with the fixing bolt 6, the length between the pressing bodies 1A and 1B can be freely adjusted and set.

FIG. 2 is a schematic view showing the structure of each part of the pressing support 2 in the multipoint pressing hemostat of FIG.

The present invention also includes a mode in which two stoppers are provided near both ends of the fixing plate 5 instead of using the fixing bolts, and the pressing body supporting pieces 4A and 4B are connected and fixed by these stoppers. . FIG. 3 shows a schematic side view of the multipoint press hemostat of this embodiment. In FIG. 3, stopper 8A
Indicates an open state and the stopper 8B indicates a closed state.

FIG. 4 is a perspective view showing still another embodiment of the multi-point pressing hemostatic device of the present invention. In this embodiment, the pressing support member 2 presses the pressing member supporting piece 4A supporting the pressing member 1A. A pressing body supporting piece 4B for supporting the body 1B. The pressing body supporting pieces 4A, 4B are continuous serrations on the inner surface in the longitudinal direction of the arm portion protruding from the portion supporting the pressing body. Are formed, and both 4A and 4B are symmetrical to each other. In the pressing support body 2 in this mode, these two pressing body support pieces 4A and 4B are combined so that the sides having the continuous irregularities face each other in parallel, and the rotary cam 9 is interposed between the opposing sides. In this structure, both the 4A and 4B pieces are connected and bound by the two binding members 10A and 10B. By rotating the rotary cam 9, the pressing member 1
The length between A and 1B is adjusted.

FIG. 5 is a partial schematic view showing a mode in which the pressing support body 2 is provided with a screw mechanism capable of adjusting the pressing force of the pressing body 1 against the puncture wound portion in the multipoint pressing hemostatic device of the present invention. is there. In this mode, the pressing body 1 can be moved up and down to adjust the pressing force of the puncture wound part by rotating the illustrated pressing adjustment screw 11.

FIG . 6 shows an embodiment of the pressing body 1 used in the present invention.
1 is a partial schematic view showing the pressing body 1 made of a transparent, expandable and contractible hollow package having a structure in which the pressing package 2 and a support ring 12 are airtightly engaged with each other. Introducing tube 1 having a stopcock 14 inside the hollow envelope
The structure is such that air can be pressed into the inside by the pump 15 through 3, and the pressing force to the puncture wound part can be freely adjusted by the bulge of this hollow packet.

[0041]

EFFECTS OF THE INVENTION Since the multipoint press hemostatic device of the present invention has the above-described structure, even when there are a plurality of puncture wounds, they can be appropriately stopped at the same time without requiring finger pressure by a doctor. In addition to its advantages, it has many advantages such as light weight, easy transportation and handling, and excellent safety and economy. Moreover, there is an advantage that even if the patient moves the position of the body after fixing the pressing body to the puncture wound portion, the pressing body does not easily shift from the fixed position and the mounting stability is remarkably excellent.

[Brief description of drawings]

FIG. 1 is a perspective view showing an example of a multi-point press hemostatic device of the present invention.

2 is a schematic diagram of the support components of the multi-point press tourniquet shown in FIG.

FIG. 3 is a schematic side view showing another embodiment of the multipoint press hemostat of the present invention.

FIG. 4 is a perspective view showing another embodiment of the multipoint press hemostatic device of the present invention.

FIG. 5 is a diagram showing an example of a pressing body used in the multipoint press hemostatic device of the present invention.

FIG. 6 is a view showing the structure of a pressing body used in the multipoint press hemostatic device of the present invention.

[Explanation of symbols]

 1 pressing body 2 pressing support body 3 fastening band 4 pressing body support piece 5 fixing plate 6 fixing bolt 7 belt lock 8 stopper 9 rotating cam 10 binding body 11 pressing adjustment screw 12 support ring 13 introduction pipe 14 stopcock 15 pump

Claims (5)

(57) [Claims] 1. A pressing hemostat for pressing a puncture wound portion remaining in the groin after removing a catheter or an introducer inserted percutaneously to stop bleeding, wherein the hemostatic device has a plurality of puncture wound portions, respectively. The pressing support body 2 is provided with a plurality of pressing bodies 1 for simultaneously pressing and bleeding the peripheral portion of the, and a fastening band 3 for fastening the pressing support body 2 to the human body part. Hollow molding in which a mechanism for adjusting the interval between each of the plurality of pressing bodies 1 is provided in order to simultaneously press and stop the puncture wound part and the pressing bodies 1 are flexible and expandable.
It is formed airtight in the body, and the pressure of the gas in the hollow part can be adjusted
Display the mechanism that is press-fitted in the state and the pressing pressure of the hollow part
A multi-point press hemostatic device, which is equipped with a pressure gauge . 2. The pressing support 2 comprises a plurality of pressing body supporting pieces 4 for supporting the pressing body 1, a fixing plate 5 for connecting and fixing the plurality of pressing body supporting pieces 4 to each other, and fixing bolts or stoppers. The pressing support pieces 4 are slid on the fixing plate to adjust the intervals between the plurality of pressing bodies 1, and the pressing support pieces 4 are connected and fixed at appropriate positions by fixing bolts or stoppers. The multipoint pressure hemostatic device according to claim 1, further comprising a mechanism. 3. The multipoint pressing hemostatic device according to claim 1, wherein the pressing support member 2 has a rotating cam mechanism, and the rotating cam mechanism adjusts the intervals between the plurality of pressing members 1. 4. The multipoint press hemostat according to claim 1, wherein the pressing body 1 is formed of a transparent material, and the hemostatic state of the puncture wound area can be seen through from the outside. 5. The multi-point press hemostat according to claim 1, wherein an alarm mechanism is attached to a gauge for displaying the pressing pressure of the pressing body 1.