TWI741545B - Compression tourniquet - Google Patents

Compression tourniquet Download PDF

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TWI741545B
TWI741545B TW109110655A TW109110655A TWI741545B TW I741545 B TWI741545 B TW I741545B TW 109110655 A TW109110655 A TW 109110655A TW 109110655 A TW109110655 A TW 109110655A TW I741545 B TWI741545 B TW I741545B
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rod
winding
box
cassette
section
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TW109110655A
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Chinese (zh)
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TW202135734A (en
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蕭德興
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德興儀器有限公司
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Abstract

一種加壓止血帶,係包含:一壓板、一捲繞桿、一捲繞控制桿、一轉盤、一止動撥桿及一帶體所組成,該壓板前、後端緣處分別設一穿繞縫,該捲繞桿係橫置於壓板頂面兩盒匣之間,並於其上剖設一夾縫,該捲繞控制桿係與捲繞桿保持嚙合,該轉盤係螺固於捲繞控制桿上方,且於其底面環繞設有數個扣止口,該止動撥桿係可插扣入轉盤底面之扣止口內或與之脫離,該帶體係繞經壓板兩端緣處之穿繞縫,以形成一固定段及一纏繞段,該固定段末端固接一扣環,該纏繞段之表面沿兩側邊緣車縫有黏扣帶,另於固定段與纏繞段間縫合一束緊帶,該束緊帶係穿經捲繞桿上之夾縫,並穿伸入纏繞段與黏扣帶間之縫隙內,藉此組成一可對傷口進行初步及進一步加壓止血,且操作使用上至為簡便,可迅速對傷口加壓止血之加壓止血帶。 A compression tourniquet, including: a pressure plate, a winding rod, a winding control rod, a turntable, a stop lever and a belt body, the front and rear edges of the pressure plate are respectively provided with a winding The winding rod is placed horizontally between the two cassettes on the top surface of the pressure plate, and a gap is cut thereon. The winding control rod is kept engaged with the winding rod, and the turntable is screwed to the winding control Above the rod, there are several buckle openings around the bottom surface. The stop lever can be inserted into or detached from the buckle openings on the bottom surface of the turntable. The belt system is wound around the two ends of the pressure plate. Sewing to form a fixed section and a winding section. The end of the fixed section is fixed with a buckle. The surface of the winding section is sewn with hook and loop fasteners along the edges on both sides, and a tightening is sewn between the fixed section and the winding section. Belt, the tightening belt is threaded through the gap on the winding rod, and penetrates into the gap between the winding section and the hook and loop belt, thereby forming a wound that can be used for preliminary and further compression to stop bleeding, and is suitable for operation and use. It is a compression tourniquet that can quickly pressurize the wound to stop bleeding.

Description

加壓止血帶 Compression tourniquet

本發明係有關一種加壓止血帶,尤指一種操作使用上至為簡便,可迅速對傷口進行加壓止血之加壓止血帶。 The present invention relates to a pressurized tourniquet, especially a pressurized tourniquet that is easy to operate and can quickly pressurize and stop bleeding.

按習用之止血帶,多係一單純車縫有黏扣帶之帶體,利用將帶體纏繞於人體四肢之傷口靠近心臟部位,並以黏扣帶加以束緊固定,以達到止血之目的。 According to the customary tourniquet, it is usually a belt body sewn with hook and loop fasteners. The body is wound around the wound of the limbs of the human body close to the heart, and the hook and loop fastener is used to tighten and fix the body to achieve the purpose of hemostasis.

而此種單純以黏扣帶束緊固定之止血帶,對於較小之傷口,或許可提供有效止血之功能,但若遇有較大之傷口或大量出血之狀況時,則無法發揮其使用功效。 And this kind of tourniquet, which is simply fastened and fixed by hook and loop fasteners, may provide effective hemostasis for smaller wounds, but it cannot exert its effect in the case of larger wounds or heavy bleeding. .

為此,近年來業界開發出一種可供較大傷口或出血使用之「戰術止血帶」,其即係如我國專利公告第M551906號所揭示者。該戰術止血帶主要係由:一板體、一旋桿、一第一帶體及一第二帶體所組成。其中,該第一帶體及第二帶體之兩端分別穿過板體兩端之穿繞部,並旋繞穿過旋轉桿上的第一固定縫及第二固定縫,再以另端分別連接或穿過一連接扣件,用以調整兩帶體間的長度,而可將第一帶體纏繞於人體出血部位與心臟之間,並拉緊第一帶體達到初步壓力止血,再藉由旋轉旋桿帶動第一帶體及第二帶體纏繞於旋桿上,另利用一可動固定件固定旋桿之位置,以限制旋桿轉動,提供進一步壓力止血之使用目的。 For this reason, in recent years, the industry has developed a "tactical tourniquet" that can be used for larger wounds or bleeding, as disclosed in China's Patent Publication No. M551906. The tactical tourniquet is mainly composed of a plate body, a rotating rod, a first belt body and a second belt body. Wherein, the two ends of the first belt body and the second belt body respectively pass through the piercing parts of the two ends of the plate body, and are wound through the first fixing seam and the second fixing seam on the rotating rod, and then the other ends are respectively Connect or pass through a connecting fastener to adjust the length between the two straps. The first strap can be wound between the bleeding part of the human body and the heart, and the first strap can be tightened to achieve the initial pressure to stop the bleeding. The first belt body and the second belt body are wound on the rotary rod by the rotating rotary rod, and a movable fixing member is used to fix the position of the rotary rod to restrict the rotation of the rotary rod and provide further pressure to stop bleeding.

經查,該戰術止血帶在製作、組裝上,該第一帶 體及第二帶體一端,需反覆穿過板體兩端穿繞部上之各穿繞縫,再穿過旋桿之旋轉桿上第一固定縫及第二固定縫,而帶體另端需再穿過連接扣件上之連接縫,並將第一帶體施以車縫固定,始可完成組裝。故不僅在組裝上至為繁複與不便,且該第一帶體及第二帶體均呈扭曲之狀態,嚴重影響了拉動時之順暢,尤其當患者四肢大量出血手忙腳亂之際,極易造成第一帶體或第二帶體卡止,無法順利拉緊,而致患者持續失血,甚至危及生命。再者,該可動固定件在旋緊旋轉桿,將第一帶體及第二帶體纏繞於其上時,並無法立即將旋轉桿予有效固定,因而容易造成旋轉桿回轉,致使第一帶體及第二帶體產生鬆釋,失去進一步壓力止血之效果。由此可見,該戰術止血帶實存有諸多製作、組裝及使用上之缺失,且該等缺失攸關患者大量出血時之生命安危,自有待能有效加以改進。 After investigation, the tactical tourniquet has been manufactured and assembled. The first belt One end of the body and the second belt body needs to repeatedly pass through the perforation slits on the two ends of the plate body, and then pass through the first fixing seam and the second fixing seam on the rotating rod of the rotating rod, and the other end of the belt body It is necessary to pass through the connecting seam on the connecting buckle and fix the first belt body with sewing before the assembly can be completed. Therefore, it is not only complicated and inconvenient to assemble, but also the first belt body and the second belt body are in a twisted state, which seriously affects the smoothness of pulling, especially when the patient’s limbs are bleeding profusely. One belt or the second belt is stuck and cannot be tightened smoothly, causing the patient to lose blood continuously and even life-threatening. Furthermore, when the movable fixing member is tightening the rotating rod to wind the first belt body and the second belt body on it, the rotating rod cannot be effectively fixed immediately, which may easily cause the rotating rod to rotate, causing the first belt to rotate. The body and the second belt body are released and lose the effect of further pressure to stop bleeding. It can be seen that the tactical tourniquet has many shortcomings in manufacturing, assembly and use, and these shortcomings are related to the life safety of patients with heavy bleeding, and they need to be effectively improved.

本發明即係為提供一種操作使用上至為簡便,且可迅速對傷口進行加壓止血之加壓止血帶。 The present invention is to provide a compression tourniquet which is easy to operate and can quickly pressurize the wound to stop bleeding.

本發明係包含:一壓板、一捲繞桿、一捲繞控制桿、一轉盤、一止動撥桿及一帶體所組成,該壓板頂面之兩側各設有一第一盒匣及一第二盒匣,該兩盒匣係分別以一第一盒蓋及一第二盒蓋卡扣蓋合於其上方,並於第二盒匣之外緣固接有一桿座,第二盒蓋之外緣與之對應設一ㄇ字型側框,該桿座與側框間連通形成一導位槽,又該壓板前、後端緣處分別設一穿繞縫,該捲繞桿係橫置於第一盒匣與第二盒匣之間,並於一側端緣處設有數道棘齒,另於捲繞桿之中央段落剖設出一夾縫,而該捲繞控制桿係直立設於第二盒匣與第二盒蓋之間,其底部設有數道棘齒,該等棘齒係與捲繞桿一側之棘齒保持嚙合, 又該捲繞控制桿頂端係穿伸出第二盒蓋頂面,該轉盤係螺固於捲繞控制桿之上方,並於其底面環繞設有數個扣止口,而可旋轉轉盤,以帶動捲繞控制桿旋動,進而連動捲繞桿旋繞,該止動撥桿下半部套設一彈簧,且係穿伸入第二盒匣外緣之桿座內,又其上半部係穿經第二盒蓋外緣之ㄇ字型側框向上伸出,並於桿身外緣固接有一撥柄,該撥柄係穿伸於桿座與側框間連通形成之導位槽內,該帶體之一端係繞經壓板兩端緣處之穿繞縫,以形成一固定段及一纏繞段,該固定段之末端固接一扣環,該纏繞段之表面車縫有黏扣帶,該黏扣帶係沿帶體之兩側邊緣縫合,另於固定段與纏繞段間縫有一束緊帶,該束緊帶係穿經捲繞桿上之夾縫,且穿伸入纏繞段與黏扣帶間之縫隙內一定之長度;藉上述之構造,其可將壓板置於人體四肢傷口出血部位與心臟之間,並將帶體之纏繞段纏繞拉緊後黏扣固定,對傷口進行初步加壓止血,隨即可旋轉轉盤,使捲繞桿得經捲繞控制桿傳帶,將帶體之束緊帶拉伸捲繞於其周緣,以產生一迫緊作用,配合將止動撥桿之頂端插扣入轉盤底面之扣止口內,對傷口進一步加壓止血,藉此組成一操作上至為簡便,且可迅速對傷口進行加壓止血之加壓止血帶。 The present invention is composed of: a pressure plate, a winding rod, a winding control rod, a turntable, a stop lever and a belt body. On both sides of the top surface of the pressure plate, a first box and a first box are respectively provided. Two box boxes, the two box boxes are respectively closed with a first box cover and a second box cover on top of it, and a rod seat is fixed on the outer edge of the second box cover, and the second box cover There is a ㄇ-shaped side frame corresponding to the outer edge, and a guide groove is formed between the rod seat and the side frame. In addition, the front and rear edges of the pressure plate are respectively provided with a through seam, and the winding rod is horizontally arranged. Between the first cassette and the second cassette, there are several ratchet teeth at one end edge, and a slit is cut out in the central section of the winding rod, and the winding control rod is set upright on Between the second box box and the second box cover, a number of ratchet teeth are arranged at the bottom of the second box cover, and the ratchet teeth are kept engaged with the ratchet teeth on one side of the winding rod. The top end of the winding control rod extends through the top surface of the second box cover, the turntable is screwed on the top of the winding control rod, and a number of buckles are provided on the bottom surface, and the turntable can be rotated to drive The winding control rod rotates, and then the winding rod is rotated. The lower half of the stop lever is sheathed with a spring, and it penetrates into the rod seat of the outer edge of the second cassette, and the upper half of it penetrates The ㄇ-shaped side frame on the outer edge of the second cover extends upwards, and a shift handle is fixedly connected to the outer edge of the shaft, and the shift handle extends through the guide groove formed between the rod seat and the side frame. One end of the belt body is wound through the piercing seams at the two ends of the pressure plate to form a fixed section and a winding section. The end of the fixed section is fixed with a buckle, and the surface of the winding section is sewn with a hook and loop fastener. , The hook and loop fastener is stitched along the edges of both sides of the belt body, and a tightening belt is sewn between the fixed section and the winding section. There is a certain length in the gap between the hook and loop fasteners; with the above structure, the pressure plate can be placed between the bleeding part of the limbs of the human body and the heart. Preliminarily pressurize to stop bleeding, then rotate the turntable so that the winding rod passes through the winding control rod, and the tightening belt of the belt body is stretched and wound around its periphery to produce a tightening effect. In conjunction with the stop lever The top end is inserted and buckled into the buckle opening on the bottom surface of the turntable to further pressurize the wound to stop bleeding, thereby forming a compression tourniquet that is easy to operate and can quickly pressurize the wound to stop bleeding.

1:壓板 1: pressure plate

11:第一盒匣 11: The first box

111:容置口 111: Containment Mouth

12:第二盒匣 12: The second box

121:容置口 121: Secret

122:凸塊 122: bump

123:凹入口 123: Recessed entrance

124:桿座 124: pole seat

125:置桿口 125: Rod mouth

126:槽壁 126: Groove Wall

13:第一盒蓋 13: The first box cover

131:夾制口 131: Clamping mouth

14:第二盒蓋 14: Second box cover

141:夾制口 141: Clamping mouth

142:桿通孔 142: Rod through hole

143:ㄇ字型側框 143: ㄇ font side frame

144:桿穿孔 144: Rod perforation

145:上擋止口 145: upper stop

146:下擋止口 146: Lower stop

15:穿繞縫 15: Wearing around the seam

16:穿繞縫 16: wear around the seam

2:捲繞桿 2: Winding rod

21:穿軸 21: Threading

22:穿軸 22: Threading

23:棘齒 23: ratchet

24:夾縫 24: gap

3:捲繞控制桿 3: Winding lever

31:桿軸 31: Rod shaft

32:棘齒 32: ratchet

33:釘孔 33: Nail Hole

4:轉盤 4: turntable

41:組裝孔 41: Assembly hole

42:扣止口 42: buckle mouth

43:凸緣 43: flange

431:嵌入口 431: Insertion port

44:螺釘 44: screw

5:止動撥桿 5: Stop lever

51:穿套段 51: Wear sets

52:彈簧 52: spring

53:撥柄 53: Handle

6:帶體 6: belt body

61:扣環 61: Buckle

62:黏扣帶 62: Velcro

63:束緊帶 63: Drawstring

〔圖1〕係本發明各元件之立體分解示意圖。 [Figure 1] is a three-dimensional exploded schematic view of each element of the present invention.

〔圖2〕係本發明各元件另一角度之組合示意圖。 [Figure 2] is a schematic view of the combination of the various components of the present invention from another angle.

〔圖3〕係本發明除帶體外各元件之立體組合圖。 [Figure 3] is a three-dimensional assembly diagram of the components of the present invention except for the belt body.

〔圖4〕係本發明除帶體外各元件之組合剖視圖。 [Figure 4] is a combined cross-sectional view of the components of the present invention except for the belt body.

〔圖5〕係本發明除帶體外各元件之組合側視圖(一)(圖中所示係止動撥桿下降,轉盤成可活動旋轉狀態)。 [Figure 5] is the combined side view (1) of the components of the present invention except the belt body (shown in the figure is that the stop lever is lowered, and the turntable is in a movable and rotatable state).

〔圖6〕係本發明除帶體外各元件之組合側視圖(二)(圖中所示係止動撥桿彈升,轉盤成固定狀態)。 [Figure 6] is a combined side view (2) of the components of the present invention except for the belt body (shown in the figure is that the stop lever bounces up and the turntable is in a fixed state).

〔圖7〕係本發明之使用狀態參考圖(一)。 [Figure 7] is the reference diagram (1) of the use state of the present invention.

〔圖8〕係本發明之使用狀態參考圖(二)。 [Figure 8] is the reference diagram (2) of the use state of the present invention.

茲再將本發明為達成發明目的之整體構造上設計,配合圖式,詳細說明如下: The overall structure of the present invention is designed to achieve the purpose of the invention, in conjunction with the drawings, and the detailed description is as follows:

首先請參閱圖1及圖2,本發明係包含:一壓板(1)、一捲繞桿(2)、一捲繞控制桿(3)、一轉盤(4)、一止動撥桿(5)及一帶體(6)所組成。 First, please refer to Figures 1 and 2, the present invention includes: a pressure plate (1), a winding rod (2), a winding control rod (3), a turntable (4), a stop lever (5) ) And a belt (6).

再請同時參閱圖3及圖4,壓板(1)係一體成型製成,其底面係為一平整面,可供平貼置於人體四肢之表面,並於頂面之兩側各自設有一第一盒匣(11)及一第二盒匣(12),該兩盒匣(11)(12)之頂部均係成透空,且分別以一第一盒蓋(13)及一第二盒蓋(14)卡扣蓋合於其上方,而得於其內部各自形成一容納空間,又於兩盒匣(11)(12)相向側之盒壁頂緣,對應設有一半圓形容置口(111)(121),配合於兩盒蓋(13)(14)之底緣分別與之對合設一半圓形夾制口(131)(141),使之得於其間蓋合後,連通形成一圓形孔口;另於第二盒匣(12)底面之中央處凸具一凸塊(122),並於其上陷入形成一凹入口(123),配合於第二盒蓋(14)頂面與之成直線延伸設一桿通孔(142),使其間得相互連通。 Please refer to Figure 3 and Figure 4 at the same time. The pressure plate (1) is made of integral molding. A cassette (11) and a second cassette (12), the tops of the two cassettes (11) (12) are both hollowed out, and each has a first lid (13) and a second lid The cover (14) is snap-fitted on top of it to form an accommodating space inside each of them, and on the top edge of the wall of the two boxes (11) (12) opposite to each other, a semicircular accommodating opening ( 111)(121), matched with the bottom edges of the two box covers (13)(14) to respectively set up semicircular clamping ports (131)(141), so that they can be connected between them after being closed. A circular orifice; in addition, a protrusion (122) protrudes from the center of the bottom surface of the second box (12), and a concave entrance (123) is formed on it, which fits with the second box cover (14) A rod through hole (142) extends in a straight line on the top surface to communicate with each other.

再於第二盒匣(12)另側盒壁之外緣固接有一桿座(124),該桿座(124)係略低盒壁頂緣,並於其中央處設有一置桿口(125),又於其後緣向上延伸設一槽壁(126),該槽壁(126)則係與第二盒匣(12)之頂緣平齊;另於第二盒蓋(14)相同側之外緣突設有一ㄇ字型側框(142),該側框(143)係對應於第二盒匣(12)盒 壁外緣之桿座(124)與槽壁(126)而設,且於其水平框面之中央處穿設一桿穿孔(144),該桿穿孔(144)係得與桿座(124)上之置桿口(125)直線貫通,而兩垂直框面係分別對應於桿座(124)前緣與槽壁(126)之位置而設,並係與第二盒蓋(14)之側壁等長設置,以供當第二盒蓋(14)蓋合於第二盒匣(12)之上方時,其間得相互連通,又該對應於槽壁(126)之垂直框面上方設有一上擋止口(145),另一垂直框面與桿座(124)之前緣間預留出一下擋止口(146),而得於其間連通形成一導位槽(配合參閱圖5及圖6所示)。 A rod seat (124) is fixedly connected to the outer edge of the other side of the box wall of the second cassette (12). The rod seat (124) is slightly lower than the top edge of the box wall and has a rod opening ( 125), and a groove wall (126) extends upward on its rear edge, and the groove wall (126) is flush with the top edge of the second box box (12); the other is the same as the second box cover (14) There is a ㄇ-shaped side frame (142) protruding from the outer edge of the side, and the side frame (143) corresponds to the box of the second cassette (12) The rod seat (124) on the outer edge of the wall and the groove wall (126) are provided, and a rod perforation (144) is penetrated in the center of the horizontal frame surface, and the rod perforation (144) is tied to the rod seat (124) The upper rod opening (125) is straight through, and the two vertical frame surfaces are respectively corresponding to the positions of the front edge of the rod seat (124) and the groove wall (126), and are connected to the side wall of the second box cover (14) It is set with equal length, so that when the second box cover (14) is closed on the upper part of the second box box (12), they must communicate with each other. In addition, there is an upper surface corresponding to the vertical frame surface of the groove wall (126). The stop port (145), a stop port (146) is reserved between the other vertical frame surface and the front edge of the rod seat (124), and a guide slot is formed between them (for cooperation, refer to Figures 5 and 6) Shown).

復於壓板(1)之前、後端緣處,分別設有一穿繞縫(15)(16),且兩穿繞縫(15)(16)係沿第一、第二盒匣(11)(12)之間成前、後對稱設置。 At the front and rear edge of the pressing plate (1), a through-and-around seam (15)(16) is respectively provided, and two through-and-around seams (15)(16) are along the first and second cassettes (11)( 12) The front and back are arranged symmetrically.

捲繞桿(2)係一橫置之圓形桿體,並於近兩側端緣處皆環設有一凹槽,以分別形成一較小外徑之穿軸(21)(22),該兩穿軸(21)(22)係各自對合於第一、第二盒匣(11)(12)相向側壁上容置口(111)(121)之口徑及位置而設,而可將之容入其內,並得於第一、第二盒蓋(13)(14)蓋合於第一、第二盒匣(11)(12)上方後,將兩穿軸(21)(22)夾合於其間形成之圓形孔口內,使之無法脫出,進而將捲繞桿(2)予組置定位,且得以兩穿軸(21)(22)為軸心旋繞;又於捲繞桿(2)之一側端緣處突設有數道棘齒(23),該等棘齒(23)係容設於第二盒匣(12)與第二盒蓋(14)間形成之容納空間內;另於捲繞桿(2)之中央段落處剖設出一夾縫(24),且該夾縫(24)適可位在第一盒匣(11)與第二盒匣(12)之間。 The winding rod (2) is a horizontally round rod body, and a groove is ringed at the end edges on both sides to form a through shaft (21) (22) with a smaller outer diameter, respectively. The two threading shafts (21) (22) are respectively aligned with the diameter and position of the accommodating openings (111) (121) on the opposite side walls of the first and second cassettes (11) (12), and they can be set Put it into it, and get the first and second box covers (13) (14) to cover the first and second boxes (11) (12), then put the two shafts (21) (22) It is clamped in the circular hole formed between it so that it cannot be removed, and then the winding rod (2) is pre-assembled and positioned, and the two threading shafts (21) (22) are wound around the axis; A number of ratchet teeth (23) are protrudingly provided around the edge of one side of the rod (2), and the ratchet teeth (23) are accommodated between the second box box (12) and the second box cover (14). In the accommodating space; in addition, a slit (24) is cut out at the central section of the winding rod (2), and the slit (24) is suitable for the first cassette (11) and the second cassette (12) between.

捲繞控制桿(3)係一直立之圓形桿體,其底端沿中心線向下突伸出一桿軸(31),該桿軸(31)係對合於第二盒匣(12)底面中心處凹入口(123)之口徑及高度而設,而可將之容入其內,用以對捲繞控制桿(3)之底端形成支撐;又於桿軸(31)之上緣 設有數道棘齒(32),該等棘齒(32)係與捲繞桿(2)一側端緣處之棘齒(23)具相同之規格及齒距,使其間得保持嚙合;再該捲繞控制桿(3)之外徑,係對應於第二盒蓋(14)頂面桿通孔(142)之孔徑而設,使之得穿經其間,俾可隨第二盒蓋(14)蓋合於第二盒匣(12)之上方,將捲繞控制桿(3)容於其間形成之容納空間內,並由第二盒蓋(14)之頂面穿伸出一適當之長度,而可循以靈活的旋動,進而連動捲繞桿(2)旋繞;另於捲繞控制桿(3)近頂端處設有數道方形擋止面,且於頂端之中央處鑽設有一釘孔(33)。 The winding control rod (3) is an upright circular rod body, the bottom end of which protrudes downward along the center line of a rod shaft (31), which is aligned with the second cassette (12) ) It is set according to the diameter and height of the recessed entrance (123) in the center of the bottom surface, and can be accommodated in it to support the bottom end of the winding control rod (3); on the rod shaft (31) edge There are several ratchet teeth (32). The ratchet teeth (32) have the same specifications and tooth pitch as the ratchet teeth (23) at the edge of the winding rod (2), so that they can be kept meshed; The outer diameter of the winding control rod (3) is set corresponding to the diameter of the through hole (142) on the top surface of the second cover (14), so that it can pass through it, so that it can follow the second cover (14). 14) Cover the upper part of the second cassette (12), accommodate the winding control rod (3) in the accommodating space formed therebetween, and extend an appropriate amount from the top surface of the second cassette cover (14) The winding rod (2) is connected to the winding rod (2) to revolve in conjunction with the winding rod (2). In addition, there are several square stop surfaces near the top of the winding control rod (3), and a hole is drilled at the center of the top. Nail hole (33).

轉盤(4)則係一周緣呈波紋狀之圓形盤體,其頂面係為一平整面,並於中心處鑽設一組裝孔(41),而其底面係自邊緣之稍內側處向下弧形隆起,且沿著隆起部位環繞設有數個扣止口(42),該等扣止口(42)係逐一對應於第二盒蓋(14)外緣ㄇ字型側框(143)上之桿穿孔(144)而設,又於其底面之中心處凸具一凸緣(43),且該凸緣(43)之中心開設一方形嵌入口(431),可供將捲繞控制桿(3)頂端嵌合入其內,而得以一螺釘(44)自轉盤(4)頂面之組裝孔(41)旋入,並旋經捲繞控制桿(3)頂端之釘孔(33),將轉盤(4)螺固於捲繞控制桿(3)之上方,俾可利用旋轉轉盤(4),以帶動捲繞控制桿(3)旋動,進而連動捲繞桿(2)旋繞。 The turntable (4) is a circular disk with a corrugated peripheral edge. The lower arc-shaped bulge, and several buckle openings (42) are arranged around the bulging part, and the buckle openings (42) correspond one by one to the U-shaped side frame (143) of the outer edge of the second cover (14) The upper rod is perforated (144), and a flange (43) is protruded at the center of its bottom surface, and the center of the flange (43) is provided with a square insertion port (431), which can be used to control the winding The top end of the rod (3) is inserted into it, so that a screw (44) can be screwed in from the assembly hole (41) on the top surface of the turntable (4) and passed through the nail hole (33) at the top of the winding control rod (3) ), screw the turntable (4) above the winding control rod (3), so that the turntable (4) can be used to drive the winding control rod (3) to rotate, and then the winding rod (2) to rotate .

止動撥桿(5)同樣係一直立之圓形桿體,其下半部形成一較小外徑之穿套段(51),並於穿套段(51)之外緣套設有一彈簧(52),且該穿套段(51)連同彈簧(52),係穿伸入第二盒匣(12)外緣桿座(124)上之置桿口(125)內,加以定位;又止動撥桿(5)之上半部,則可穿經第二盒蓋(14)外緣ㄇ字型側框(143)上之桿穿孔(144),向上伸出一適當之長度,使之得正對轉盤(4)底面各扣止口(42)而設,並可循桿穿孔(144)彈升或壓回;再於止動撥桿(5)近中央處之桿身外緣固接有一撥柄(53),該撥柄(53)係可隨桿身上半部穿經桿穿孔(144),而容入ㄇ字型側框(143)兩垂直框面之內側間,以供於第二盒蓋(14)蓋合於第二盒匣(12)之上方後,將之予穿伸置於其間連通形成之導位槽內,且無法脫出;而可將撥柄(53)循導位槽略為施力下壓,以克服彈簧(52)之伸張彈力,止動撥桿(5)即隨之下降;配合將撥柄(53)向前撥送,使之落入ㄇ字型側框(143)與桿座(124)前緣間預留出之下擋止口(146)內,將止動撥桿(5)予擋制固定,使其頂端得與轉盤(4)保持脫離,轉盤(4)成可活動旋轉狀態(如圖5所示);又當將撥柄(53)向後撥送回至導位槽內,止動撥桿(5)即脫離擋制,可利用彈簧(52)之伸張彈力向上彈升,使其頂端得插扣入轉盤(4)底面與之相對應之扣止口(42)內,對轉盤(4)產生一止動作用,使之無法旋轉,以防止捲繞控制桿(3)及捲繞桿(2)旋動,並可將撥柄(53)向後撥送,使之落入ㄇ字型側框(143)之上擋止口(145)內,將轉盤(4)予確實固定(如圖6所示),而可避免因誤壓撥柄(53)造成止動撥桿(5)下降。 The stop lever (5) is also an upright circular rod, the lower half of which forms a sleeve section (51) with a smaller outer diameter, and a spring is sleeved on the outer edge of the sleeve section (51) (52), and the sleeve section (51) together with the spring (52) is inserted into the rod opening (125) on the rod seat (124) on the outer edge of the second cassette (12) for positioning; and The upper half of the stop lever (5) can pass through the rod perforation (144) on the outer edge of the second box cover (14) with the ㄇ-shaped side frame (143), and extend upward by an appropriate length to make It is set directly opposite to the buckle openings (42) on the bottom surface of the turntable (4), and can be lifted or pressed back through the rod perforation (144); and then fixed on the outer edge of the shaft near the center of the stop lever (5) There is a shift handle (53), which can be inserted into the inner side of the two vertical frame surfaces of the ㄇ-shaped side frame (143) along with the shaft half through the rod perforation (144) for supply After the second box cover (14) is closed on the top of the second box box (12), it is pre-extruded and placed in the guide slot formed by the connection between them, and cannot be removed; and the dial handle (53) ) The following guide slot is slightly pressed down to overcome the stretch and elastic force of the spring (52), and the stop lever (5) will drop accordingly; cooperate to move the lever (53) forward to make it fall into ㄇ The lower stop (146) is reserved between the font-shaped side frame (143) and the front edge of the rod seat (124). ) Keep disengaged, the turntable (4) becomes movable and rotatable (as shown in Figure 5); and when the shifting handle (53) is moved back to the guide slot, the stop lever (5) is out of the stop , Can use the elastic force of the spring (52) to bounce upwards, so that the top end can be inserted and buckled into the corresponding buckle opening (42) on the bottom surface of the turntable (4) to produce a stop action on the turntable (4) to make It cannot be rotated to prevent the winding lever (3) and the winding lever (2) from rotating, and the dial handle (53) can be moved backwards so that it will fall into the upper block of the ㄇ-shaped side frame (143). Inside the stop (145), the turntable (4) is surely fixed (as shown in Figure 6), which can prevent the stop lever (5) from falling due to the wrong pressing of the dial handle (53).

帶體(6)係以柔韌之材質所製成,且係約與壓板(1)前、後端緣處之穿繞縫(15)(16)等寬,可供將其一端自壓板(1)之下方向上穿過其中一穿繞縫(15),並由另一穿繞縫(16)向下穿出,而於壓板(1)之外部分別形成一適當長度之固定段及纏繞段,又於固定段之末端固接一扣環(61),另於纏繞段之表面車縫有黏扣帶(62),該黏扣帶(62)係沿帶體(6)纏繞段之兩側邊緣縫合,以供於其內面間留有一縫隙,而可將纏繞段繞過人體肢體,並將其前端穿過扣環(61)後折回拉緊,且使黏扣帶(62)相互回黏,用以對傷口進行初步加壓止血(參見圖7所示);再於固定段與纏繞段之間縫有一束緊帶(63),該束緊帶(63)之一端係與固定段車縫固定,另端則穿經捲繞桿(2)中央段落處之夾縫(24),並穿套入 帶體(6)之纏繞段與黏扣帶(62)內面間之縫隙內一定長度後,對之施以縫合固定,使之得隨捲繞桿(2)旋繞,而由縫隙內被向外拉伸,捲繞於捲繞桿(2)之周緣,對纏繞段產生一迫緊之作用,進而對傷口進一步加壓止血(如圖8所示者)。 The belt body (6) is made of flexible material, and is about the same width as the threading seams (15) (16) at the front and rear edges of the pressing plate (1). ) Passes through one of the piercing slits (15) in the downward direction, and passes through the other piercing slit (16) downwards, and a fixed section and a winding section of appropriate length are formed on the outside of the pressing plate (1), A buckle (61) is fixed to the end of the fixed section, and a hook and loop fastener (62) is sewn on the surface of the winding section. The hook and loop fastener (62) is attached to both sides of the winding section of the belt body (6). The edges are stitched to provide a gap between the inner surface, and the winding section can be passed around the body limbs, and the front end of the winding can be passed through the buckle (61) and then folded back and tightened, and the hook and loop fasteners (62) return to each other Adhesive, used to preliminarily pressurize the wound to stop bleeding (see Figure 7); then a tightening belt (63) is sewn between the fixed section and the winding section, and one end of the tightening belt (63) is tied to the fixed section The sewing is fixed, and the other end is passed through the gap (24) at the central section of the winding rod (2), and inserted into After a certain length of the gap between the winding section of the belt body (6) and the inner surface of the hook and loop fastener (62), it is sewn to fix it, so that it can be wound with the winding rod (2) and drawn from the gap. It is stretched outside and wound around the circumference of the winding rod (2), which has a pressing effect on the winding section, and further pressurizes the wound to stop bleeding (as shown in Fig. 8).

本發明實際使用上,當患者四肢受傷造成傷口大量出血時,其可將壓板(1)貼置於肢體傷口部位與心臟之間,並將帶體(6)之纏繞段繞過肢體,使之穿過扣環(61)後反折拉回,且予拉緊後,將黏扣帶(62)相互回黏,對傷口進行初步加壓止血;隨即可旋轉轉盤(4),以帶動捲繞控制桿(3)旋動,而可經棘齒(32)(23)傳帶,連動捲繞桿(2)旋繞,使帶體(6)之束緊帶(63)得被向外拉伸,捲繞於捲繞桿(2)之周緣,對帶體(6)之纏繞段產生一迫緊作用,進而對傷口進一步加壓止血;直到無法繼續旋轉轉盤(4)時,則可將止動撥桿(5)桿身外緣之撥柄(53)向後撥送,使之由下擋止口(146)回至桿座(124)與ㄇ字型側框(143)間連通形成之導位槽內,止動撥桿(5)即脫離擋制,並隨彈簧(53)之彈力回復向上彈升,其頂端可插扣入轉盤(4)底面相對應之扣止口(42)內,對轉盤(4)產生一止動作用,使之無法回轉,以防止捲繞控制桿(3)及捲繞桿(2)回旋,確保帶體(6)之纏繞段成迫緊狀態,隨即可將撥柄(53)向後撥送,使之落入側框(143)之上擋止口(145)內,對之形成固定,俾可利於傷口後續處理。 In practical use of the present invention, when the patient’s limbs are injured and the wound causes a lot of bleeding, the pressure plate (1) can be placed between the wound site of the limb and the heart, and the winding section of the belt body (6) can be passed around the limb to make it After passing through the buckle (61), fold it back, and after it is tightened, stick the hook and loop fasteners (62) back to each other to preliminarily pressurize the wound to stop bleeding; then rotate the turntable (4) to drive the winding The control rod (3) rotates, and the belt can be passed through the ratchet teeth (32) (23), and the winding rod (2) is rotated, so that the tightening belt (63) of the belt body (6) can be stretched outward , Wound around the circumference of the winding rod (2), exerts a pressing effect on the winding section of the belt body (6), and further pressurizes the wound to stop bleeding; until the turntable (4) cannot be rotated, it can be stopped The shift lever (5) the lever (53) on the outer edge of the shaft is moved backwards, so that it is returned from the lower stop (146) to the guide formed by the communication between the rod seat (124) and the ㄇ-shaped side frame (143). In the position groove, the stop lever (5) is released from the stop, and rises upward with the elastic force of the spring (53). Its top can be inserted and buckled into the corresponding buckle opening (42) on the bottom surface of the turntable (4). Produce a stop action on the turntable (4) to prevent it from rotating to prevent the winding control rod (3) and the winding rod (2) from rotating, to ensure that the winding section of the belt body (6) is in a tight state, and then you can The dial handle (53) is moved backwards so that it falls into the blocking opening (145) on the side frame (143) to form a fixation, which is beneficial to the subsequent treatment of the wound.

據前所述,本發明可單純藉由拉動帶體(6)之纏繞段及旋轉轉盤(4),配合撥動止動撥桿(5)之撥柄(53),對患者肢體傷口進行初步及進一步加壓止血,故不僅在操作使用上至為簡便,且確可迅速對傷口加壓止血,以爭取傷口後續處理時效,充分達成預期之發明效用。 According to the foregoing, the present invention can simply pull the winding section of the belt body (6) and the rotating turntable (4), and cooperate with the dial handle (53) of the stop lever (5) to perform preliminary treatment of the patient's limb wounds. And further pressurization to stop bleeding, so it is not only simple in operation and use, but also can quickly pressurize the wound to stop bleeding, so as to strive for the time effect of the subsequent treatment of the wound, and fully achieve the expected utility of the invention.

上述實施例,僅係本發明為達成發明目的所為之 一具體可行之實施方式,故舉凡同類物品構造上之簡易修飾、變化,而具有相同之發明訴求者,均當同屬本案之發明範疇。 The above-mentioned embodiments are only made by the present invention to achieve the purpose of the invention. A specific and feasible implementation method. Therefore, all simple modifications and changes in the structure of similar articles that have the same invention claims shall belong to the scope of the invention of this case.

綜上所述,本發明已明顯具有產業上利用價值,且其藉以達成發明目的之整體構造上設計,亦未曾公開見於刊物及使用,自非屬依先前技術所能輕易完成者,應已符合發明專利之申請要件,尚請惠准予專利權。 In summary, the present invention has obvious industrial utility value, and its overall structural design to achieve the purpose of the invention has not been published in publications and used. Since it is not easy to complete based on the prior art, it should meet For the application requirements for invention patents, please grant the patent right.

1:壓板 1: pressure plate

11:第一盒匣 11: The first box

12:第二盒匣 12: The second box

13:第一盒蓋 13: The first box cover

14:第二盒蓋 14: Second box cover

141:夾制口 141: Clamping mouth

2:捲繞桿 2: Winding rod

24:夾縫 24: gap

4:轉盤 4: turntable

41:組裝孔 41: Assembly hole

44:螺釘 44: screw

53:撥柄 53: Handle

6:帶體 6: belt body

61:扣環 61: Buckle

62:黏扣帶 62: Velcro

63:束緊帶 63: Drawstring

Claims (5)

一種加壓止血帶,係包含:一壓板,其頂面兩側分別設一第一盒匣及一第二盒匣,該兩盒匣之上方各自蓋合一第一盒蓋及一第二盒蓋,該第二盒匣之外緣固接一桿座,該桿座之中心設有一置桿口,並於後緣向上延伸設一槽壁,又桿座係略低於第二盒匣之盒壁頂緣,該槽壁係與盒壁之頂緣平齊,該第二盒蓋之外緣對應設一ㄇ字型側框,該ㄇ字型側框之水平框面中央處穿設一桿穿孔,該桿穿孔係與置桿口直線貫通,又該ㄇ字型側框之兩垂直框面係分別對應於桿座前緣與槽壁而設,且該對應於槽壁之垂直框面上方設一上擋止口,另一垂直框面與桿座前緣間預留出一下擋止口,而得於其間連通形成一導位槽,且該壓板兩端緣處分別設一穿繞縫;一捲繞桿,係橫置於壓板頂面兩盒匣之間,並於其一側設有數道棘齒,又於捲繞桿中央段落剖設出一夾縫;一捲繞控制桿,係直立設於第二盒匣及第二盒蓋之間,其底部設有數道棘齒,該等棘齒係與捲繞桿一側之棘齒相嚙合,且其頂端係由第二盒蓋之頂面穿出;一轉盤,係螺固於捲繞控制桿之上方,其底面設有數個扣止口;一止動撥桿,其下半部係穿伸入第二盒匣外緣之桿座內,且形成一較小外徑之穿套段,該穿套段之外緣套設有一彈簧,且係穿伸入置桿口內,而其上半部係穿經第二盒蓋外緣之ㄇ字型側框水平框面中央處之桿穿孔向上伸出,並係正對轉盤底面各扣止口而設,並於桿身外緣固設一撥柄,該撥柄係穿伸置入ㄇ字型側框與桿座間連通形成之導位槽內;以及一帶體,係繞經壓板兩端緣處之穿繞縫,以形成一固定段及一纏繞段,該固定段之末端固接一 扣環,該纏繞段表面車縫有黏扣帶,且該固定段與纏繞段間縫有一束緊帶,該束緊帶係穿經捲繞桿上之夾縫。 A compression tourniquet, comprising: a pressure plate, a first cassette and a second cassette are respectively arranged on both sides of the top surface, and the upper part of the two cassettes is respectively covered with a first cover and a second cassette Cover, the outer edge of the second box box is fixedly connected to a rod seat, the center of the rod seat is provided with a rod opening, and a groove wall extends upward at the rear edge, and the rod seat is slightly lower than the second box box The top edge of the box wall, the groove wall is flush with the top edge of the box wall, the outer edge of the second box cover is correspondingly provided with a ㄇ-shaped side frame, and the center of the horizontal frame surface of the ㄇ-shaped side frame is penetrated The rod perforation, the rod perforation system and the rod placement opening are straight through, and the two vertical frame surfaces of the ㄇ-shaped side frame are respectively provided corresponding to the front edge of the rod seat and the groove wall, and the vertical frame surface corresponding to the groove wall An upper stop is provided on the upper side, and a lower stop is reserved between the other vertical frame surface and the front edge of the rod seat, and a guide slot is formed between the vertical frame surface and the front edge of the rod seat. Seam; a winding rod, which is placed horizontally between the two cassettes on the top surface of the pressure plate, and is provided with several ratchet teeth on one side, and a slit is cut in the central section of the winding rod; a winding control rod, It is set upright between the second box and the second box cover. The bottom is provided with several ratchet teeth. The ratchet teeth are engaged with the ratchet teeth on one side of the winding rod, and the top end of the ratchet is connected by the second box cover. The top surface of the turntable is threaded out; a turntable is screwed to the top of the winding control rod, and its bottom surface is provided with several buckle and stop openings; a stop lever, the lower half of which penetrates into the outer edge of the second box In the rod seat, a sleeve section with a smaller outer diameter is formed. A spring is sleeved on the outer edge of the sleeve section, and it penetrates into the rod placement opening, and its upper half passes through the second box cover The rod perforation at the center of the horizontal frame of the outer edge of the U-shaped side frame extends upwards, and is set directly opposite to the buckle openings on the bottom surface of the turntable, and a handle is fixed on the outer edge of the shaft, and the handle passes through Stretched into the guide groove formed by the communication between the ㄇ-shaped side frame and the rod seat; One end fixed For the buckle, a hook and loop tape is sewn on the surface of the winding section, and a tightening belt is sewn between the fixed section and the winding section, and the tightening belt passes through the gap on the winding rod. 如請求項1所述加壓止血帶,其中該第一盒匣及第二盒匣相向側之盒壁頂緣,對應設有一半圓形容置口,並於第一盒蓋及第二盒蓋之底緣,分別與之對合設一半圓形夾制口,且該捲繞桿近兩側端緣處,皆環設一凹槽,以分別形成一穿軸,而可將穿軸對合容入第一盒匣與第二盒匣上之容置口內,使之得於第一盒蓋及第二盒蓋蓋合後,將捲繞桿予組置定位。 The compression tourniquet according to claim 1, wherein the top edge of the box wall on the opposite side of the first cassette and the second cassette is correspondingly provided with a semi-circular accommodating opening, which is located between the first and second lids The bottom edge is matched with a semicircular clamping port, and a groove is ringed at the end edges of both sides of the winding rod to form a through shaft respectively, and the through shaft can be aligned and accommodated. Put it into the accommodating openings on the first cassette and the second cassette so that the first cassette cover and the second cassette cover are closed, and the winding rod is assembled and positioned. 如請求項1所述加壓止血帶,其中該第二盒匣之底面設有一凸塊,該凸塊之中心處設一凹入口,又該第二盒蓋頂面與之直線延伸設一桿通孔,而該捲繞控制桿之底端突伸出一桿軸,該桿軸係可容入凹入口內,且該捲繞控制桿之上半部係可隨第二盒蓋蓋合於第二盒匣之上方,而由桿通孔穿出。 The compression tourniquet according to claim 1, wherein the bottom surface of the second cassette is provided with a protrusion, the center of the protrusion is provided with a concave entrance, and the top surface of the second cassette cover is linearly extended with a rod Through hole, and the bottom end of the winding control rod protrudes a rod shaft, the rod shaft can be received in the recessed opening, and the upper half of the winding control rod can be closed with the second cover The upper part of the second box is penetrated by the rod through hole. 如請求項1所述加壓止血帶,其中該轉盤之底面係自邊緣稍內側處向下弧形隆起,且該等扣止口係沿著隆起部位環繞設置。 The compression tourniquet according to claim 1, wherein the bottom surface of the turntable bulges downwardly from a slightly inner side of the edge, and the buckle openings are arranged around the bulge. 如請求項1所述加壓止血帶,其中該纏繞段表面之黏扣帶係沿帶體之兩側邊緣縫合,以供於其內面間留有一縫隙,而該束緊帶之一端係與固定段車縫固定,另端係穿套入縫隙內,並施以縫合固定。 The compression tourniquet according to claim 1, wherein the hook and loop fastener on the surface of the winding section is stitched along both sides of the belt body to provide a gap between the inner surface, and one end of the tightening belt is tied to The fixed section is sewn and fixed, and the other end is threaded into the gap and sutured to fix it.
TW109110655A 2020-03-27 2020-03-27 Compression tourniquet TWI741545B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050267518A1 (en) * 2004-04-07 2005-12-01 Tiax, Llc Tourniquet and method of using same
US20160151192A1 (en) * 2014-12-02 2016-06-02 Carey & Company, Ltd. Traction splints and methods of using traction splints
CN109464731A (en) * 2018-12-27 2019-03-15 南通市第人民医院 A kind of infusion convenient for storage is with tying up leather strap device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050267518A1 (en) * 2004-04-07 2005-12-01 Tiax, Llc Tourniquet and method of using same
US20160151192A1 (en) * 2014-12-02 2016-06-02 Carey & Company, Ltd. Traction splints and methods of using traction splints
CN109464731A (en) * 2018-12-27 2019-03-15 南通市第人民医院 A kind of infusion convenient for storage is with tying up leather strap device

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