JPH0751275A - Pressure stanching belt - Google Patents

Abstract

PURPOSE:To lock a belt body easily by providing a hard case with a buckle installing plate to install buckles fixed to both ends of the belt body allowable to fix and remove in a pressure stanching belt in which an expansible balloon is housed in the hard case installed to a specific position of a belt body. CONSTITUTION:When a pressure stanching belt is wound to the leg, for example, at first a belt body 1 is wound to the leg in the condition to place a hard case 2 housing a balloon 3, on a wound where a catheter is inserted. And after one side of the belt body 1 is wound from the rear side to the front side of the waist, the buckles 5 and 5 installed at both ends of the body 1 are installed to a buckle installing plate 4 respectively, by utilizing fitting holes and fitting members 8, and both ends of the belt body 1 are pulled finally to complete the winding. Then, a fluid is filled in the balloon 3 by operating a manual operation type pump connected to a fluid feeding pipe 7 so as to expand the balloon 3 in the hard case to the side of the wound where the catheter is inserted, and the blood stanching is realized by pressing the wound where the catheter is inserted.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a compression / hemostatic belt used for stopping bleeding at a catheter-inserted wound after performing arterial catheter inspection or the like.

[0002]

2. Description of the Related Art Arterial catheter examinations have recently been performed for diagnostic imaging of the heart and cerebral blood vessels.
Cardiac catheterization may be performed by an incision method as a small number of cases, but in most cases, the so-called catheter puncture method (Seldinger method) is used in which the catheter is advanced from the femoral artery (or brachial artery) in the thoracic region toward the heart. It is done by. In this inspection method, contrast media and various drugs are injected through a catheter punctured in the femoral artery, and various examinations are performed before emporization and before and after surgery. In order to prevent bleeding from a catheter-inserted wound due to removal of the catheter from the wound, it is necessary to press the wound for a considerably long time to stop bleeding. As such a method for compressing and bleeding a wound, a bandage hemostatic method or a stretchable tourniquet method (see JP-A-60-92746 and JP-A-60-198139) has been proposed. The former applies gauze to the wound, adheres 3 to 4 cloth adhesive plasters on it, presses the wound from above the gauze, and further 500 to 10 on the adhesive plaster.
This is a method in which a sandbag of 00g is placed, fixed with a plaster and maintained for 12 to 24 hours. However, this method has a problem in that hemostasis at the wound is incomplete because the compressed region is likely to be displaced due to the displacement of the sandbag. Further, since the adhesive bandage is used, there is a problem that the patient feels tightness, pain, or pruritus and easily causes an adhesive bandage rash. On the other hand, the latter is a method of using an elastic tourniquet instead of the bandage, but has a problem that the winding method is complicated and the compression load state is unstable. In addition, since the elastic tourniquet is used, the cost is high, and it is difficult to dispose of it only once even though there is a sanitary problem that blood infection occurs. For this reason, when it is reused, it must be sterilized to prevent blood-borne infections, and there are significant practical restrictions not only from a hygienic point of view, but also in promoting labor saving in nursing work. There is a problem that is.

Therefore, in order to solve the above-mentioned problems, the applicant of the present invention, in Japanese Patent Application No. 4-20793, fills a predetermined position of a strip made of non-stretchable or low stretchable fiber or film with a fluid. A hemostatic belt has been proposed which attaches an inflatable balloon by any attachment means and uses the inflation of the balloon to press the wound. According to this compression / hemostatic belt, since the wound is compressed by utilizing the expansion of the balloon, only the wound can be compressed and the compression force can be adjusted, and the compression force can be adjusted by the check valve. Therefore, it is possible to maintain it for a long time. In addition, since non-stretchable or low-stretchable fibers or films are used for the band, it is possible to avoid the occurrence of tension, pain, or itching, prevent bandage rash, and provide at low cost. It can be used once and can be used only once and is excellent in hygiene.

[0004]

However, in the above-mentioned compression hemostatic belt, a locking means such as a double-sided tape or a velcro tape is used to lock the end portion of the band, and such a double-sided tape or velcro tape is used. Since the adhesive force of the locking means such as etc. is repeatedly locked, the bandage may be detached or loosened at the time of mounting, and the mounting position of the locking means varies depending on the body type of the patient. Therefore, it was necessary to prepare several types of strips having different lengths (sizes) according to the body shape of the patient.

Therefore, in order to make up for the above-mentioned drawbacks, the present applicant, in Japanese Patent Application No. 5-153155, attaches a rotatable buckle having slit holes on both sides integrally with a hard case for accommodating a balloon together with a band, On both sides of this buckle, there are a fixed part integrally extended from the end of the buckle and a movable part rotatably supported by this fixed part, and the movable part has a cross-sectional shape asymmetrical with respect to its rotation axis. A band holding jig having a structure in which the gap between the movable part and the fixed part is widened when the band is passed and the gap is eliminated when the band is fixed. We have proposed a compression hemostatic belt that locks the end of the band by utilizing. According to this compression hemostatic belt, since the end of the band is locked by using the band pressing jig, effective compression hemostasis can be performed without the risk of the band being detached or loosened during mounting. . Also, since any part of the band can be locked with a band pressing jig, if the unwound excess part of the band is cut with scissors, etc. The band is now ready for most patients.

However, when the end of the band is locked, the compression hemostatic belt passes the end of the band through the slit hole of the buckle and then folds back to move the movable part and the fixed part of the band pressing jig. It is necessary to pass it between the two, but since the buckle and band holding jig are integrally attached to the hard case,
The above-mentioned work was difficult to carry out, and the winding work was not progressed, causing troubles.

The present invention has been made in view of the above problems, and an object of the present invention is to provide a compression hemostatic belt in which the belt can be easily locked.

[0008]

In order to achieve the above object, the present invention attaches a hard case to a predetermined position of a band made of non-stretchable or low-stretchable fiber, non-woven fabric, film or the like by any attachment means. In the compression hemostatic belt containing an inflatable balloon filled with fluid in the hard case, buckles are attached to both ends of the band, and a buckle attachment plate for detachably attaching the buckle is provided. It is a rotatably mounted hard case.

[0009]

[Operation] While attaching buckles to both ends of the band,
Since the buckle mounting plate to which this buckle is detachably mounted is rotatably provided on the hard case, it is possible to lock both ends of the band simply by mounting the buckle on the buckle mounting plate when winding. is there.

[0010]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to FIGS.

FIG. 1 is a plan view showing an embodiment of a compression hemostatic belt according to the present invention, FIG. 2 is an enlarged plan view of an essential portion of the compression hemostatic belt, and FIG. 3 is an enlarged bottom view of an essential portion of the compression hemostatic belt. FIG. 4 is an enlarged vertical cross-sectional view of a main part of the compression hemostatic belt.

As shown in FIGS. 1 to 4, the compression hemostatic belt according to the present invention comprises a non-stretchable or low stretchable fiber,
A rigid case (2) is attached to a predetermined position of a band (1) made of a non-woven fabric, a film, or the like by an appropriate attaching means, and the rigid case (2) is filled with a fluid to form an inflatable balloon (3). Buckles (5) (5) that can be housed and rotatably attached to the hard case (2) with the buckle mounting plate (4) and can be attached to the buckle mounting plate (4) at both ends of the band (1). ) Are installed respectively.

The hard case (2) is made of a hard material such as a synthetic resin in a bowl shape, and a mounting boss (2a) is integrally formed at the center of the upper surface of the hard case (2). The buckle mounting plate (4) is rotatably mounted on the mounting boss (2a) at a position projecting from the band (1) while the mounting boss (2a) is pierced and mounted.

The hard case (2) is made of a hard material such as synthetic resin in a bowl shape, and a mounting boss (2a) is integrally formed at the center of the upper surface of the bowl to integrally project the mounting boss (2).
It is attached to the band (1) by penetrating the band (a) into the band (1) and fitting the buckle mounting plate (4) at the tip thereof.

The balloon (3) is made of a highly elastic material such as rubber in the shape of a bag, and the hard case (2) with the fluid supply pipe (7) having the check valve (6) protruding to the outside. ) Is housed inside. A manually operated pump and a pressure gauge, for example, are connected to the fluid supply pipe (7) of the balloon (3) as needed. By operating the pump while observing the pressure gauge, the fluid is supplied. The balloon (3) is filled through the fluid supply pipe (7) so that the balloon (3) is inflated.

The buckle mounting plate (4) is rotatably mounted on the mounting boss (2a) of the hard case (2), and the engaging members (8) and (8) are provided on the upper surface as shown in FIG. ing. The engaging member (8) is a buckle mounting plate (4) with a large diameter head (8b) attached to a shaft (8a) integrally projecting on the upper surface of the buckle mounting plate (4). An engagement gap that is substantially equal to the plate thickness of the buckle (5) is set between the portion (8b) and the portion (8b).

As shown in FIG. 6, the buckle (5) has an engaging hole (9) which engages with an engaging member (8) of the buckle mounting plate (4) at a narrow end portion thereof.
Slit part (10) for inserting and fixing the band (1) in the rear part
To form. The engaging hole (9) is formed by notching a U-shaped holding portion (9b) communicating with the regular circular penetrating portion (9a), and the penetrating portion (9a) is formed on the head portion (8b) of the engaging member (8). ), The holding portion (9b) is formed to have a size such that the shaft portion (8a) of the engaging member (8) can be fitted and inserted, and the penetrating portion (8a) of the engaging member (8) is formed. After penetrating the head portion (8a), insert the sandwiching portion (9b) into the shaft portion (8a) of the engaging member (8) so that it is between the upper surface of the buckle mounting plate (4) and the head portion (8b). By engaging the buckle (5) with the buckle (5), as shown in FIGS. 7 and 8, the buckle (5) can be attached to the buckle mounting plate (4) with one touch. Further, the slit portion (10) is provided with a slide member (11) slidably so that the end portion of the band (1) is wrapped around the slide member (11) as shown in FIGS. 7 and 8. Insert the slide member (1
By sliding 1), the buckle (5) is attached to the end of the strip (1).

Next, the winding of the compression hemostatic belt according to the present invention will be described with reference to FIG.

First, as shown in FIG. 9 (a), the band (1) is wound around the leg with the hard case (2) accommodating the balloon (3) placed on the wound site for inserting the catheter. Attach
Then, after pulling one of the strips (1) forward from the rear of the waist, as shown in (b) of FIG. 8, the buckles (5) (5) (5) (5) attached in advance to both ends of the strip (1) are shown. ) Are attached to the buckle mounting plate (4) using the engaging holes (9) and the engaging members (8) respectively, and finally the tightening force is adjusted by pulling both ends of the strip (1) as an adjustment. And complete the winding. After that, by connecting a manually operated pump and a pressure gauge to the fluid supply pipe (7) of the balloon (3) and operating the pump while observing the pressure gauge, the inside of the balloon (3) is filled with fluid. Balloon (3) with hard case (2)
The catheter insertion wound is expanded by pressing the catheter insertion wound side while suppressing the expansion to the opposite side of the catheter insertion wound.

According to the compression hemostatic belt of the present invention, if the buckles (5) and (5) are attached to both ends of the band (1) in advance, the buckles (5) and (5) are attached to the buckle attaching plate (4). Since both ends of the band (1) can be locked simply by attaching the band (1) to one end, the ends of the band (1) can be locked easily and easily, and the buckle (5) Since the hard case (2) is a separate body, it is easy to insert the end portion of the band body (1) into the buckle (5), which facilitates the work. In addition to the fact that the buckle mounting plate (4) is rotatable with respect to the hard case (2), the buckles (5) (5) are also rotatable with respect to the back mounting plate (4). Even people of various types can wrap with good fit, and even if pressure hemostasis is performed for a long time, there is no displacement or loosening, and effective pressure hemostasis can be achieved.

The present invention is not limited to the above-mentioned embodiment, and as shown in FIGS. 10 and 11 for example, the engaging member (8) of the buckle mounting plate (4) and the engaging hole (5) of the buckle (5). It is also possible to form the shape of 9) into a rectangular shape, in which case the buckle (5) is basically not rotatable with respect to the buckle mounting plate (4) as in the above-mentioned embodiment, but the buckle (5) is engaged. By devising the shape of the shaft portion (8a) of the member (8), the buckle (5) can be rotated with respect to the buckle mounting plate (4) within a predetermined angle range.

In the above embodiment, the buckle (5) is attached to the buckle mounting plate (4) by utilizing the engagement between the engagement member (8) of the buckle mounting plate (4) and the engagement hole (9) of the buckle (5). ) Is attached to the buckle mounting plate (4) with one touch, as shown in FIG. 12, for example. That is, as shown in FIG. 13, a pair of groove frames (12) (12) each having an insertion groove (12a) and having an inverted L-shaped cross section are provided at predetermined intervals on the upper surface of the buckle mounting plate (4). As shown in FIG. 14, a pair of elastic hooking pieces (13) are provided so as to face each other, and a narrow tip portion of the buckle (5) is formed into a bifurcated shape and has a hooking claw (13a) at the tip. (13)
Is provided, and the elastic hooking pieces (13) (13) of the buckle (5) are inserted into the insertion grooves (12a) (12a) of the groove frames (12) (12) of the buckle mounting plate (4). Elastic hooks (13)
By hooking the hooking claws (13a) (13a) of (13) on the end edges of the groove frames (12) (12), the buckle (5) can be attached to the buckle mounting plate (4) with one touch. Has become.

The compression hemostatic belt of the present invention can be used for catheter treatment, dialysis of kidneys and the like, and hemostasis of insertion wounds of various injection needles and the like regardless of the blood vessel catheter inspection.

[0024]

As described above, according to the present invention,
If you attach the buckles to both ends of the band in advance, you can easily attach both ends of the band to the buckle mounting plate with one touch, and you can easily and easily wind the band. At the same time, it is easy to insert the end portion of the band into the buckle, and the workability is greatly improved.

[Brief description of drawings]

FIG. 1 is a plan view showing an embodiment of a compression hemostatic belt according to the present invention.

FIG. 2 is an enlarged plan view of a main part of the compression hemostatic belt.

FIG. 3 is an enlarged bottom view of a main part of the compression hemostatic belt.

FIG. 4 is an enlarged vertical cross-sectional view of a main part of the compression hemostatic belt.

FIG. 5 is a view showing a buckle mounting plate,
(A) is a plan view, (B) is a front view, and (C) is a side view.

FIG. 6 is a drawing showing a buckle, in which (a) is a plan view, (b) is a front view, and (c) is a side view.

FIG. 7 is a plan view showing a mounted state of the buckle mounting plate and the buckle.

FIG. 8 is a longitudinal sectional view of an essential part showing a buckle mounting plate and a buckle mounted state.

9A and 9B are views for explaining winding of the compression hemostatic belt according to the present invention, in which (A) is before mounting the buckle mounting plate and the buckle, and (B) is after mounting.

FIG. 10 is a drawing of a buckle mounting plate in which the shapes of engaging members are different, (a) is a plan view, (b) is a front view,
(C) is a side view.

FIG. 11 is a drawing of a buckle in which the shapes of engaging holes are different, (a) is a plan view, (b) is a front view, and (c) is a side view.

FIG. 12 is a plan view showing a mounted state of a buckle mounting plate and a buckle used in another embodiment of the present invention.

FIG. 13 is a view showing a buckle mounting plate used in another embodiment of the present invention, (a) is a plan view, (b) is a front view,
(C) is a side view.

FIG. 14 is a view showing a buckle used in another embodiment of the present invention, (a) is a plan view, (b) is a front view, and (c) is a side view.

[Explanation of symbols]

 1 Band 2 Hard Case 3 Balloon 4 Buckle Mounting Plate 5 Buckle 8 Engagement Member 9 Engagement Hole 10 Slit Part 11 Slide Member 12 Groove Frame 13 Elastic Engagement Piece

[Procedure amendment]

[Submission date] November 25, 1993

[Procedure Amendment 1]

[Document name to be amended] Statement

[Correction target item name] 0013

[Correction method] Delete

[Procedure Amendment 2]

[Document name to be corrected] Drawing

[Name of item to be corrected] Figure 6

[Correction method] Change

[Correction content]

[Figure 6]

[Procedure 3]

[Document name to be corrected] Drawing

[Correction target item name] Figure 9

[Correction method] Change

[Correction content]

[Figure 9]

Claims (5)

[Claims] 1. A rigid case is attached to a predetermined position of a band made of non-stretchable or low-stretchable fiber, non-woven fabric, film or the like by an arbitrary mounting means, and is expanded by filling a fluid into the hard case. In a compression hemostatic belt containing a possible balloon, buckles are attached to both ends of the band, and a buckle attachment plate for detachably attaching the buckle is rotatably provided on the hard case. Hemostasis belt. 2. The buckle is provided with an engaging hole, and the buckle mounting plate is provided with an engaging member capable of engaging with the engaging hole. The compression / hemostatic belt according to claim 1, wherein the compression / hemostatic belt is mounted so that it can be attached. 3. The compression / hemostatic belt according to claim 1, wherein the engaging hole and the engaging member are formed in a circular shape. 4. The compression / hemostatic belt according to claim 1, wherein the engaging hole and the engaging member are formed in a rectangular shape. 5. A pair of elastic locking pieces having a predetermined portion of the buckle formed in a bifurcated shape and having a hooking claw at a tip thereof, and a groove for inserting the elastic locking piece in the buckle mounting plate. And a pair of groove frames having the above-mentioned structure are provided so as to face each other at a predetermined interval, and the elastic locking pieces are inserted into the insertion grooves of the groove frames so that the hooking claws of the elastic locking pieces are provided at the edge portions of the groove frames. The compression hemostatic belt according to claim 1, wherein the buckle is detachably attached to the buckle mounting plate by being hooked on the buckle.