KR101909347B1

KR101909347B1 - Hemostasis device after renal biopsy

Info

Publication number: KR101909347B1
Application number: KR1020160179721A
Authority: KR
Inventors: 구호석; 노지현
Original assignee: 인제대학교 산학협력단
Priority date: 2016-12-27
Filing date: 2016-12-27
Publication date: 2018-12-06
Also published as: WO2018124455A1; KR20180075851A

Abstract

A presser section having a length extending from a patient's chest to a navel and extending and contracting the outer surface of the chest; and an upper and lower ends of the weave band extending from the patient's chest to the navel, A band for tightening the outer surface of the pressing portion and provided on a frame portion vertically provided on the outer surface of the weaving band and for pressing the outer surface of the puncture portion of the thorax by harvesting the kidney tissue during tightening of the band, And a hemostatic portion provided with a hemostatic pad. The hemostatic portion of the hemostatic pad is blocked by the cushioning force of the hemostatic pad at the position of the chest where the kidney tissue is collected, and is pressurized until the hemostatic blood pressure is maintained. Keep it stable.

Description

[0001] Hemostasis device after renal biopsy [

The present invention relates to a hemostatic device for rapidly and safely hemostasis of a puncture site obtained after a kidney biopsy.

Kidney tissue should be sampled in order to accurately diagnose patients with kidney disease, to select treatment methods, and to make prognostic judgment.

The renal tissue extracted from the kidney was fixed with formalin solution, wrapped with paraffin, cut thinly, specially stained and examined with a microscope to diagnose the treatment method.

In order to accurately diagnose patients with kidney disease, to select a treatment method, and to make a prognosis, the kidney tissue collection should be performed by local anesthesia in the puncture site with the patient lying down and allowing the patient to stop breathing The biopsy needle is inserted into the kidney through the puncture site, and the tissue is taken with a biopsy needle.

After removal of the kidney tissue, the biopsy needle was removed and the presence of bleeding was confirmed by ultrasonography and the puncture site was compressed for 10 minutes or more.

Although the procedure of hemodilution after kidney tissue collection varies depending on the characteristics of the patient, hemorrhage usually occurs when the puncture site is pressed for 10 minutes or more, but occasionally, hemostasis is not performed and the hemostasis is required for a long time.

In the case of prolonged hemostasis after renal biopsy, there was a lot of inconvenience in the activity, so a separate hemostatic band was used to maintain the hemostatic status.

In particular, when the hemostatic band used for maintaining the hemostatic state for a long time is mounted on the chest, the chest is inclined from the shoulder to the waist, so that the hemostatic band to be worn does not flow down to the waist side.

A configuration for preventing the chest wear band used for medical purposes from flowing down has been proposed in the Korean Utility Model Publication No. 2000-0018865 (hereinafter referred to as the "preamble").

The present invention relates to a compression band for treating a rib fracture, and more particularly, to a band type compression band used for treating a rib fracture of the rib, for use in a rib fracture treatment capable of continuously compressing a chest without falling from a patient's body A compression bar for a rib fracture treatment for continuously pressurizing a chest of a rib fracture patient, the compression bar comprising a sticky adhesive film (1) formed on the outer surface of one end portion, Elastic band (2) formed in proximity to the adhesive (3) so as to exert an elastic force in the longitudinal direction, and a flexible elastic band (3) formed at a predetermined interval on the upper edge (10) composed of at least four connecting rings (4); And a shoulder strap (20) formed at both ends of the hook (6) to be detachably fastened to the connecting ring (4) and having a length adjusting sleeve (5)

The compression pad for the treatment of rib fracture according to the line release can relieve the pain of the affected part by moderately pressing the chest, and can achieve accurate fracture reduction. Since the activity is free and the shoulder strap is not interfered with the patient's shoulder movement, It is not fixed and does not flow down, and can be easily worn without giving pain to the patient.

However, since the ligament is wrapped around the fracture site and keeps pressing the entire body, the patient is inconvenient to breathe due to tightening of the compression cannula, and is in a state of inconvenience to act. When loose pressure is applied, There is a problem that male patients are not free to wear.

KR Utility Model Registration 2000-0018865 (Registered on October 25, 2000)

In order to solve the above problems, the present invention aims to stably pressurize the puncture site of the chest that has taken kidney tissue after the kidney biopsy so that the blood can be stably trapped within a short period of time.

In addition, the present invention aims to provide an effective hemostasis by maintaining a state in which only a puncture site in which a kidney tissue is collected can be locally squeezed without a feeling of tightness in the chest area while being worn and the entire chest is wrapped.

In order to attain the above object, the present invention provides a medical device comprising: a pressing part having a length extending from a chest to a navel of a patient to be woven and stretched around an outer surface of the chest; A band which is installed at both side surface positions so as to keep the shape of the weaving band surrounding the chest; a band which is provided on the frame part vertically provided on the outer side surface of the weaving band so as to fasten the outer surface of the pressing part; And a hemostatic portion provided with a hemostatic pad for pressing the outer surface of the punctum portion of the chest by tissue harvesting, thereby achieving the object of the present invention.

In the configuration in which the object of the present invention is achieved, the pressing portion includes: an open hole formed in the front surface of the weaving band to be knitted with a stretchable cotton material so as to expose the abdomen when the chest is wrapped; It is preferable to further include a mounting member which is interlocked with and held in a worn state.

In the configuration in which the object of the present invention is achieved, the frame part is composed of a first frame which is made of a thin rod material having elasticity and which keeps the form of wrapping the upper side of the chest part, And the first and second support pieces are vertically connected to each other between the first and second frames so that the weaving band surrounds the chest.

In the configuration in which the object of the present invention is achieved, the hemostasis portion comprises a band which is respectively installed at an intermediate position between the first and second support fingers and surrounds the pressing portion and is mutually coupled and separated, And a hemostatic pad for pressing the area.

In the configuration in which the object of the present invention is achieved, the hemostatic pad includes a case provided between the outer surface of the pressing portion and the inner surface of the band, and a pressing surface provided to protrude from the case and in close contact with the outer surface of the weaving band Wherein the resilient cushion body comprises a resilient cushion body which is formed around the bottom surface of the pressing surface formed on the upper surface of the elastic cushion body and which is controlled by the hole of the case, And a coil spring made of an elastic material is mounted between the inner space and the elastic holes of the case.

In the configuration in which the object of the present invention is achieved, the elastic cushion body has a filling hole provided in a pressing surface protruding from the case, and an elastic body that is compressed and inflated according to a pressing force of the pressing surface is filled in the filling hole, It is preferable that the adhesive layer is provided.

In the configuration in which the object of the present invention is achieved, the hemostatic pad is preferably formed as a back surface of the case so that the hemostatic pad is positioned and fixed in the band.

In the configuration in which the object of the present invention is achieved, the control member of the hemostatic pad is preferably formed on the back surface of the case and formed of a ring for allowing the band to be inserted and moved to a desired position.

In the configuration in which the object of the present invention is achieved, the adjustment member of the hemostatic pad is attached to the back surface of the case with the coupling surface of the Velcro tape, and is attached to the inner surface position of the band facing the coupling surface, It is preferable to constitute a fixing surface which is joined or separated.

According to the present invention, since the abdomen is not pressed even when the chest is wrapped around, only the portion where the needle is inserted is intensively pressed for collecting the heart tissue in the state of pressing the chest, The hemostatic effect is rapid, and the structural characteristics supporting between the thorax and the waist provide an advantage that the weaving band surrounding the chest does not flow down and there is no inconvenience to the activity.

1 is a perspective view of a hemostatic device to which the present invention is applied.
FIG. 2 is a perspective view of a hemostatic device to which the present invention is applied. FIG.
3 is a cross-sectional view of a hemostasis device to which the present invention is applied;
FIG. 4 is a state view of a band of a hemostatic part of a hemostatic device to which the present invention is applied. FIG.
FIG. 5 is a state diagram of a hemostatic pad of a hemostatic part of a hemostatic device to which the present invention is applied.
6 is a sectional view showing the internal structure of the hemostatic pad of the hemostatic part of the hemostatic device to which the present invention is applied.

Specific embodiments in which the present invention may be practiced will now be described with reference to the accompanying drawings.

It is to be understood that these embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and that the various embodiments of the invention are not necessarily mutually exclusive.

For example, certain features, structures, and characteristics described herein may be implemented in other embodiments without departing from the spirit and scope of the invention in connection with one embodiment.

It is also to be understood that the position or arrangement of the individual components within each disclosed embodiment may be varied without departing from the spirit and scope of the invention.

The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the present invention is to be limited only by the appended claims, along with the full scope of equivalents to which such claims are entitled, if properly explained. In the drawings, like reference numerals refer to the same or similar functions throughout the several views, and length and area, thickness, and the like may be exaggerated for convenience.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings, so that those skilled in the art can easily carry out the present invention.

FIG. 1 is a perspective view of a hemostatic device to which the present invention is applied. FIG. 2 is a perspective view of a hemostatic device according to an embodiment of the present invention. The hemostatic device according to the present invention comprises a pressurizing part 100 having a length extending from the chest to the navel of the patient and composed of a weave belt 110 stretched and contracted around the outer surface of the chest, And a frame structure 200 installed at upper and lower ends of the weaving table 110 and at both sides to keep the shape of the weave table 110 wrapping the chest, A band 310 which is provided on the frame part 200 installed on the frame 310 to fasten the outer surface of the pressing part 100 and a bandage 310 which presses the outer surface of the puncture part of the chest part (320) And a bypassed hemostasis unit 300.

In the hemostasis device according to the present invention, after the needle inserted through the chest is removed to collect the target kidney tissue in the present invention, blood leaking at the insertion position of the needle is stably pressurized and efficient hemostasis is achieved .

In order to efficiently accomplish the object of the present invention in the hemostasis device according to the kidney biopsy, the pressing portion 100 is configured to expose the abdomen when the chest is wrapped around the entire surface of the weaving table 110 to be knitted with the stretchable cotton material And a mounting member 140 for supporting the wearer in such a manner that both ends of the weaving band 110 that surrounds the chest are overlapped and intermeshed with each other at the back portion to maintain the wear state.

That is, when the weaving band 110 is made of a stretchable fabric, the weft band 110 is stretched and tightly attached to the chest when the chest is wrapped around the chest, so that the skin is pressed against the chest.

The weft band 110 is long enough to wrap the chest, both ends of the weft band 110 wrapping the chest are overlapped at the back of the chest, (110) is wrapped around the chest.

Since the attachment member 140 is required to have a mutual engagement force with respect to the overlapping surfaces, a generally used zipper, a magnet, a hawk, a snap button, a magic tape, or the like may be applied.

In addition, in the process of wrapping the chest in the weaving table 110, the opening 120 formed in the front surface of the weaving table 110 is in a state where the navel of the chest and its peripheral position are not pressed.

This is for the patient wearing the weaving band 110 to have no feeling of pressure on the abdomen portion.

Since the shape of the chest to which the weft band 110 is worn is inverted from the shoulder position to the waist part in terms of physical structure and forms a reverse triangle or a bottle shape, the woven band 110 can be moved to the navel by the body structure Therefore, a configuration for preventing this is required.

Therefore, a configuration for preventing the weft band 110 from flowing down in a state of wrapping the chest is required in the hemostasis device according to the kidney biopsy, and the frame part 200 is formed of a thin rod material having elasticity A second frame 220 having a diameter larger than that of the first frame 210 while maintaining a shape to wrap the lower portion of the chest, (240) vertically connected between the first support member (210) and the second support member (220) so as to maintain the state where the weft support member (110) Is fully achieved by providing.

FIG. 3 is a cross-sectional view of a hemostatic device to which the present invention is applied, and FIG. 4 shows a state of a hemostatic device of a hemostatic device to which the present invention is applied.

3 and 4, the hemostatic part 300 according to the present invention is installed at an intermediate position between the first and second support pieces 230 and 240 to enclose the pressing part 100 And a hemostatic pad 320 which is located on the inner surface of the band 310 and presses a puncture site where kidney tissue is collected.

The hemostatic pad 320 is used to pressurize the place where the injection needle is inserted so that blood leaks out. It is preferable to use the material as a soft material rather than a hard material. In order to collect the kidney tissue, It is very suitable to gently press the periphery.

The bandage pad 320 installed on the band 310 is fixed to the band 310. However, since the puncture site for inserting the needle for collecting the kidney tissue is not constant for each patient, (320) is required to be installed in a movable state.

The adjustment member 360 of the elastic cushion body 340 may be formed in the band 330 of the case 330 so that the adjustment member 360 of the elastic cushion body 340 may be positioned in the band 310. [ And a magnet, a hawk, a zipper, and a velcro tape, which are provided on the back surface of the case 330 and face the rear surface of the case 330, .

In order to maintain the pressurized state at the position where the hemostatic pad 320 is pressed by the regulating member 360, it is most preferable to form the elastic member 360 with the engaging force. In this case, In order to satisfy the requirement to move or adjust the position, it is also possible to form a ring having a size such that a band overlapping with the back surface of the hemostatic pad 320 can be inserted.

The band 310 of the hemostatic part 300 is formed of a stretchable material and is pulled and coupled to the back part of the patient by the first and second supporting pieces 230 and 240 so that the weaving band 110 is attached to the chest Thereby making the adhered state more stable.

When the band 310 is pulled and overlapped on the back portion, the joining member 312 is further provided on the surface which is in contact with the overlapping portion.

A joining member 312 such as a zipper, a magnet, a hawk, a snap button, a magic tape, or the like may be applied to both ends of the overlapping band 310 to provide mutually stable engaging force.

The hemostatic pad 320 of the hemostatic portion 300 is formed on the outer surface of the pressing portion 100 and the hemostatic pad of the band 310, And an elastic cushion body 340 having a pressing surface 342 protruding from the case 330 and in close contact with the outer surface of the weaving table 110 do.

The hemostatic pad 320 is configured to maintain the protruded state of the hemostatic pad 320 on the outer surface of the case 330. In order to collect the kidney tissue by the cushioning force of the hemostatic pad 320 itself, .

As described above, in the present invention, the cushioning force applied to the hemostatic pad 320 for pressing the puncture site for inserting the needle to collect the kidney tissue can be sufficiently stably applied even by the characteristics of the cushioning material forming the hemostatic pad , And more preferably, the elastic cushion body (340) for forming a double cushion force on the hemostatic pad (320).

FIG. 6 shows a hemostatic device according to a cross-sectional pain histological examination showing the internal structure of the hemostatic pad of the hemostatic part of the hemostatic device to which the present invention is applied. In the hemostatic device 300, The elastic cushion body 340 includes a locking protrusion 333 formed around the bottom surface of the pressing surface 342 formed on the upper surface of the elastic cushion body 340 and controlled by the protrusion 345 of the case 330, So that the elastic force can be retained on the bottom surface of the inner space 346.

A coil spring 350 made of an elastic material is mounted between the bottom surface of the pressing surface 342 provided with the inner space 346 and the elastic hole 332 of the case 330.

A filling hole 347 filled with an elastic material made of another elastic material is provided inside the thickness of the pressing surface 342 of the elastic cushion body 340 so that the cushion force together with the coil spring 350 is transmitted to the elastic cushion body 340 The pressure-sensitive adhesive layer 349,

The elastic body to be filled in the filling hole 347 is preferably a viscous liquid material or silicone. The elastic body may be filled with compressed air or may be any elastomer within the scope of the present invention .

When the hemostatic pad 320 of the elastic cushion body 340 presses a puncture site for inserting a needle to collect kidney tissue together with the case 330 by tightening the band 310, A state in which the elastic cushion body 340 is pushed to the puncture site by the repulsive restoring force while pressing into the case 330 is pressed against the puncture site.

The elastic cushion body 340 receiving the elastic force of the coil spring 350 presses the puncture site and presses the pressing surface 342 in contact with the surface of the weaving table 110 with a pressing force, The pressing surface 342 is in a state of soft contact between the puncture site and the periphery thereof due to the repulsive restoring force generated simultaneously with the contraction of the elastic body of the chest 349 and the state of hemostasis of the puncture site of the chest is continued through the weaving table 110 .

While the present invention has been described in connection with what is presently considered to be practical exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, It is to be understood that the invention may be embodied in many other specific forms without departing from the spirit or essential characteristics thereof. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.

100: pressing portion 110: weaving band 120: opening hole
140: mounting member 200: frame part 210: first frame
220: second frame 230, 240: first,
300: hemostatic portion 310: band 312: coupling member
320: hemostasis pad 330: case 332: elastic hole
333: latching jaw 340: elastic cushion body 342: pressing surface
345: Hole tile 347: Filling hole 349: Pressure-bonding layer
350: coil spring 360: adjusting member

Claims

A pressing part (100) comprising a weaving table (110) having a length from the chest to the navel of the patient and stretched and contracted around the outer surface of the chest;
A frame part 200 vertically provided on upper and lower ends and both sides of the weaving table 110 so that the weaving table 110 is held in a form to wrap the chest; And
A band 310 installed on the frame part 200 for tightening the outer surface of the pressing part 100 and a hemostatic pad pressing the outer surface of the puncture part of the chest by the extraction of the kidney tissue when the band 310 is fastened And a hemostasis unit (300) provided with the hemostasis unit (320).

The method according to claim 1,
The pressing portion 100 includes a pressing portion
An opening hole 120 formed in the front surface of the weft band 110 so as to expose the abdomen when the chest is wrapped around the weft band 110, and a mounting member 110 for supporting both ends of the weft band 110, 140). &Lt; / RTI >

The method according to claim 1,
The frame part (200)
A first frame 210 made of a thin rod material having elasticity to maintain the shape of the upper portion of the chest,
A second frame 220 having a larger diameter than the first frame 210 while keeping the shape of the lower portion of the chest lower,
The first and second supporting members 230 and 240 are vertically connected between the first frame 210 and the second frame 220 to maintain the state of the weft band 110 wrapping the chest. Hemostatic device according to renal biopsy.

The method of claim 3,
The hemostatic part 300 includes:
A band 310 installed at an intermediate position between the first and second support pieces 230 and 240 of the frame part 200 and wrapped around and separated from each other while covering the pressing part 100; And a hemostatic pad 320 which is located on the inner surface of the hemostasis pad 320 and presses the puncture site taken from the tissue.

5. The method of claim 4,
The hemostatic pad 320 may be formed of,
A case 330 installed between the outer surface of the pressing part 100 and the inner surface of the band 310 and a pressing part 330 protruding from the case 330 to be in close contact with the outer surface of the weaving table 110, And an elastic cushion body 340 having a surface 342,
The elastic cushion body (340)
A locking protrusion 333 formed around the bottom surface of the pressing surface 342 of the elastic cushion body 340 and controlled by the protrusion 345 of the case 330 and an elastic force acting on the bottom surface of the pressing surface 342 And an inner space 346 formed to be retained,
Wherein a coil spring (350) made of an elastic material is mounted between the inner space (346) and the elastic hole (332) of the case (330).

6. The method of claim 5,
The elastic cushion body (340)
A filling hole 347 is provided in the pressing surface 342 protruded from the case 330 and an elastic body which is compressed and expanded according to the pressing force of the pressing surface 342 is filled in the filling hole 347 Characterized in that a pressure-adhering layer (349) is provided.

6. The method of claim 5,
The hemostatic pad 320 may be formed of,
Further comprising an adjustment member (360) formed on the back surface of the case (330) such that the hemostasis pad (320) is fixed and positioned in the band (310).

3. The method of claim 2,
The mounting member (140)
A hawk, a zipper, and a velcro tape, which are provided on opposing surfaces of the weaving table (110) and overlap each other on the back part of the chest to provide a bonding force to mutually contacting surfaces. Hemostasis device according to test.

8. The method of claim 7,
The adjustable member 360 of the elastic cushion body 340 may be formed of,
A rear surface of the case 330 and a rear surface of the case 330 may be attached to the front surface of the case 310. The rear surface of the case 330 may be a magnet, a hawk, a zipper, Wherein the hemostatic device is a hemostatic device according to a renal biopsy.