TWM248408U - Controllable tourniquet - Google Patents

Controllable tourniquet Download PDF

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Publication number
TWM248408U
TWM248408U TW92218740U TW92218740U TWM248408U TW M248408 U TWM248408 U TW M248408U TW 92218740 U TW92218740 U TW 92218740U TW 92218740 U TW92218740 U TW 92218740U TW M248408 U TWM248408 U TW M248408U
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TW
Taiwan
Prior art keywords
tourniquet
knob
controllable
pressing member
finger
Prior art date
Application number
TW92218740U
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Chinese (zh)
Inventor
Jia-Chang Jau
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Huntex Corp
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Publication date
Application filed by Huntex Corp filed Critical Huntex Corp
Priority to TW92218740U priority Critical patent/TWM248408U/en
Publication of TWM248408U publication Critical patent/TWM248408U/en

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M248408M248408

四、創作說明(1) 【技術領域】 本新型係有關一種止血帶,尤指一種藉由改善其指壓構 件減輕患者之不適並維持止血帶之功效之可控式止血帶。 【先前技術】4. Description of Creation (1) [Technical Field] The present invention relates to a tourniquet, particularly a controllable tourniquet that improves patient's discomfort and maintains the effectiveness of the tourniquet by improving its finger pressure structure. [Prior art]

止血帶在1 8 8 6年由埃斯馬赫發明的,剛開始是一種橡皮 管,主要用於較大的動脈血管破裂,用其他止血方法無濟於 事時採用。使用止血帶時,應綁在四肢出血傷口的上方(以 能止住血為度),事先將患肢抬高數分鐘,局部墊上毛巾或 其軟組織物,以防組織擦傷。由於用止血帶後,結紮部位下 方組織血液供應中斷,時間一久易致組織缺血、壞死,所以 綁血帶的時間不宜過長,每隔3 0分鐘應放鬆一次,每次約半 分至一分鐘,以使血液流通。為此,凡使用止血帶的地方應 有明確標記,注明綁止血帶時間,以便轉運,接收單位參考 此標記才能放鬆,並作必要處理。The tourniquet was invented by Esmacher in 1886. At first it was a rubber tube, which was mainly used for rupture of large arterial blood vessels. It was not used in other cases to stop bleeding. When using a tourniquet, it should be tied above the bleeding wound on the extremities (to stop the bleeding), the affected limb should be raised for several minutes in advance, and a towel or its soft tissue should be placed on the part to prevent tissue abrasion. After the tourniquet is used, the blood supply to the tissue below the ligature site is interrupted, which can easily cause tissue ischemia and necrosis for a long time. Therefore, the time to tie the tourniquet should not be too long. It should be relaxed every 30 minutes, about half to one minute To make blood circulate. For this reason, the place where the tourniquet is used should be clearly marked, indicating the time when the tourniquet is tied, so that it can be transferred, and the receiving unit can relax by referring to this mark and take necessary treatment.

除了將止血帶應用於急救方面止血,後來也演變為一將 止血帶應用於靜脈注射或是抽血等,主要使用止血帶於注射 處之上方肢體可使得原本不明顯之靜脈血管能夠於皮下浮 現,使用止血帶下方注射處的靜脈處,該靜脈内係為一回流 至心臟之血液,受到止血帶加壓影響,該靜脈血管受一外加 壓力變形,該jk管之截面積縮小,血液流動受阻,而該處靜 脈之壓力增加而局部膨脹,因而靜脈血管於皮下浮現。 使用止血帶輔助注射時,傳統止血帶係為一細長橡皮圓 管,使用時,通常直接將該橡皮圓管拉至一定位,往往於拉 扯的過程中,也牽動皮膚,將會使患者感受不適,且止血帶In addition to the use of tourniquets for emergency hemostasis, it has also evolved into a tourniquet for intravenous injections or blood draws. The main use of a tourniquet on the limb above the injection site can make the venous blood vessels that are not obvious appear under the skin. Use the vein at the injection point below the tourniquet. The vein is blood returning to the heart. It is affected by the compression of the tourniquet. The vein is deformed by an applied pressure. The cross-sectional area of the jk tube is reduced and blood flow is blocked. Because the pressure of the vein increased and the blood vessels expanded locally, the veins appeared under the skin. When using a tourniquet to assist injection, the traditional tourniquet is a slender rubber round tube. When used, the rubber round tube is usually pulled directly to a position, often during the pulling process, which also affects the skin, which will make the patient feel uncomfortable. And tourniquet

第5頁Page 5

M248408 四、創作說明(2) 鬆開時往往造成注射針頭穿刺,增添患者痛苦,而在注射或 是抽血結束時,通常將針頭抽出後,以一止血棉球直接對該 處施壓,以達止血之效果,而這種方式也使得醫護人員有機 會接觸到患者血液,增加感染風險。因此創作人在中華民國 專利公告弟0039523 4號的專利案中揭露一種可控式止血帶结 構,該新型對於傳統橡皮圓管對於皮膚拉扯及針頭穿刺提出 一解決方案;如「第1圖」所示,該止血帶以一扁平長條彈 性帶1與一組微調扣件2及一指壓構件3,利用該微調扣件 整該彈性帶1之鬆緊;加壓的方式,是以_可供按壓之指壓 構件Γ二寻Λ作广醫護人員以該指壓構件3按塵注射部止 q矸以將直雍Λ丁 透過更換該指壓構件 3,可士以將其應用於不同之患者。然而創作人在該新型使用 一 = 該新型仍存有一些問題,那就是微調扣件 Ϊ : :f膚造成拉扯造成患者之不適,指壓構件3的 設計卻存在一個問題,於使用中必須再行施一外力按壓 壓構件3,才能達到止血效果,而一般常人血液凝結時間為日 3 0- 6 0分鐘左右,而血友病患或是肝功能不正常患者,因血 液中血小板代謝不正常造成血液凝結時間較長,因此長時間 對該指壓構件3施力將造成醫護人員或患者造成一困擾。曰 【内容】 本=型之主要目的是透過改變指壓構件的設計,使其在 長期加壓止血時也可以利用止血帶同時固定,立不需要人 對其加壓。 本新型之另一目的係在於避免止血帶調整時會造成皮膚M248408 IV. Creation instructions (2) The injection needle is often punctured when loosening, which increases the patient's pain. At the end of the injection or blood drawing, the needle is usually pulled out and a hemostatic cotton ball is used to directly pressure the place. To achieve the effect of hemostasis, and this way also allows medical staff to have access to the patient's blood, increasing the risk of infection. Therefore, the creator disclosed a controllable tourniquet structure in the patent case of the Republic of China Patent Publication No. 0195523 4. This new type proposes a solution to the traditional rubber round tube for skin pulling and needle puncture; as shown in Figure 1 As shown, the tourniquet uses a flat long elastic band 1 and a set of fine-adjusting fasteners 2 and a finger pressing member 3 to use the fine-adjusting fasteners to adjust the elasticity of the elastic band 1; Pressing the Shiatsu member Γ Er Xun as the medical staff to use the Shiatsu member 3 to press the dust injection part to stop the movement of Zhiyong Λ Ding through the Shiatsu member 3, which can be applied to different patients . However, the creator used the new type = there are still some problems with the new type, that is, the fine adjustment of the fasteners Ϊ:: f skin caused the patient's discomfort due to pulling, but there is a problem in the design of the finger pressure member 3, which must be used again in use Hemostatic effect can be achieved by applying an external force to press the pressure member 3, and the average blood clotting time of ordinary people is about 30 to 60 minutes per day, while patients with hemophilia or patients with abnormal liver function have abnormal platelet metabolism in the blood. The blood coagulation time is longer, so applying force to the finger pressing member 3 for a long time will cause a distress to the medical staff or the patient. [Content] The main purpose of this type is to change the design of the acupressure member so that it can be fixed simultaneously with a tourniquet during long-term compression and hemostasis. Another purpose of this new model is to avoid skin damage during tourniquet adjustment.

第6頁 lVlZH-OH-υθ 四、創作說明(3) ^^^____一 __ 之拉扯,減低患者不適感。 本新型其主要係為一指懕嫌 可水平調整之固定件4 構件,該指壓構件兩端分別與 鈕,藉由旋鈕之垂直轉杰二指壓構件中心處設有一旋 件處加壓,而該旋鈕並上下運動,可以對該指壓構 時’並不會牵動皮膚,在;接觸皮膚,因此當旋鈕轉動 該指壓構件兩端之固定件可=:,並不會造成患者之不適, 定位時,可以透過水平調整= :調整’止血帶拉至- 幅度調整。 必知壓構件兩側之固定件作一小 【實施方法】 有關本新型之詳細# 如下: 况月及技術内容,現就配合圖式說明 示意圖,J裝ί f要」所不一’為本新型之較佳實施例之外觀 別與一固定件4相1,^為一該指壓構件3兩端分 示)相、車,匕^連,5亥固定件4之尾端4 1與彈性帶(圖中未 侏4拉而心壓構件3兩側設有複數個孔槽3 0,可供固定 49區端42於該孔槽30中移動調整,當欲調整該樞接端 將該拖接端4 2兩側拉出,該樞接端4 2可於孔槽3 0中水 以移動’當调整至一定位時,則將該樞接端4 2推回,與孔槽 3 輕合’而固定件4設置一方形卡合槽44與一橢圓片43之 卡合部4 3 1互相連接,該橢圓片4 3之卡合部4 3 1於固定件4之 方形卡合槽4 4係為可調整狀態,該橢圓片4 3用以固定肢體 用’可視被固定肢體之大小調整兩端固定件4及橢圓片4 3間 距。Page 6 lVlZH-OH-υθ Fourth, the creation instructions (3) ^^^ ____ a __ pull to reduce the patient's discomfort. The new model is mainly a four-piece fixed member that can be adjusted horizontally. The two ends of the finger-pressing member and the button are respectively pressed by a knob. When the knob is moved up and down, the fingertip structure will not affect the skin, and the skin will be in contact with the skin. Therefore, when the knob is turned, the fixing members at both ends of the fingertip member can be = :, and will not cause the patient Discomfort, when positioning, you can adjust by level =: adjustment 'tourniquet pull to-amplitude adjustment. It must be known that the fixing parts on both sides of the pressing member are made a small [implementation method] The details # about this new model are as follows: 月 月 and technical content, now with the illustration of the schematic diagram, J is installed. The appearance of the new and preferred embodiment is different from that of a fixed part 4 (^ is shown at both ends of the finger pressing member 3), the car, the dagger, the tail end 41 of the fixed part 4, and the elasticity. The belt (not shown in the figure is pulled and the heart pressure member 3 is provided with a plurality of hole grooves 30 on both sides, which can be used to fix the end of the 49 area 42 in the hole groove 30 to adjust. When the pivot end is to be adjusted, the drag The terminal 4 2 is pulled out on both sides, and the pivoting terminal 4 2 can be moved in the water in the slot 30. When the positioning is adjusted to a certain position, the pivoting terminal 4 2 is pushed back to fit lightly with the slot 3. 'And the fixing member 4 is provided with a square engaging groove 44 and an engaging portion 4 3 1 of an oval piece 43 connected to each other, and the engaging portion 4 3 1 of the oval piece 4 3 is in the square engaging groove 4 4 of the fixing piece 4 It is in an adjustable state. The elliptical piece 43 is used to fix the limb. The distance between the two fixing members 4 and the elliptical piece 43 can be adjusted according to the size of the fixed limb.

M248408 四、創作說明(4) _ ® :苓閱「第3圖」所不,該旋鈕5側邊設有一外螺紋51, 曰=件3則設有一内螺紋3卜該旋鈕5係透過鎖合旋轉方式 Η αi,當机加壓時,可將旋鈕5向下旋轉,旋鈕5對一墊 '堅,旋鈕5底部設有一耦合部52,而該墊片6係設計與 2钮5之轉合部>52相吻合之輕合槽61,該墊片6在旋紐5旋轉 會同時受到連動而產生旋轉因而對皮膚造成拉扯對皮 ί ^ Ϊ不適,該墊片6僅會隨旋鈕5上升或下降,該旋鈕5即 ^片6加壓,如果壓力過大,可將旋鈕5向上旋轉,以減少M248408 IV. Creative Instructions (4) _ ®: As shown in "Figure 3" of Ling Yue, the side of the knob 5 is provided with an external thread 51, and the knob 3 is provided with an internal thread 3. The knob 5 is locked by lock Rotation method Η αi, when the machine is pressurized, the knob 5 can be rotated downwards, the knob 5 is fixed to a pad, the bottom of the knob 5 is provided with a coupling portion 52, and the gasket 6 is designed to rotate with the 2 button 5 Part > 52 light-fitting groove 61 which matches, the pad 6 will be subject to simultaneous rotation when the knob 5 rotates, which will cause pull on the skin. ^ Ϊ discomfort, the pad 6 will only rise with the knob 5 Or lower, the knob 5 is pressed on the sheet 6, if the pressure is too large, the knob 5 can be rotated upwards to reduce

〜A H 6之壓力並帶動墊片6上升,兩側橢圓片4 3則是與該固 疋件4相連。 二參閱「第2、4-1及4-2圖」所示,該指壓構件3兩側之 厭^ ^ 4尾端41分別與彈性帶(圖中未示)相連接,而與指 件3連接樞接端42,當彈性帶達一定位,可以透過調整 # ^之固^件條一微調’讓兩側橢圓片4 3可以固定肢體, 2止血帶之固定加以改善,而當患者肢體過於肥胖或是將 應用於躯幹止血時,可將兩側橢圓片4 3拆下。 時,:參閱1第5 —1、5 —2圖」所示,當使用止血帶於患者 a *止血帶調至一定位,兩側的固定件4也調整至一 虽位置,醫士雀 Jt 〇. ^The pressure of ~ A H 6 drives the gasket 6 to rise, and the elliptical pieces 4 3 on both sides are connected to the fixing member 4. Second, referring to "Figures 2, 4-1, and 4-2", the fingertips 3 on both sides of the finger ^ ^ 4 tail ends 41 are respectively connected to elastic bands (not shown), and are connected to the finger 3. Connect the pivot end 42. When the elastic band reaches a position, you can adjust the # ^ 之 固 ^ pieces of strips to fine-tune the two sides of the oval piece 4 3 can fix the limb, 2 the tourniquet fixation is improved, and when the patient's limb When it is too fat or will be applied to the trunk to stop bleeding, the elliptical pieces 4 3 on both sides can be removed. Time: refer to Figure 5-1, 5-2 of 1 ", when the tourniquet is used on the patient a * The tourniquet is adjusted to a position, and the fixing members 4 on both sides are also adjusted to a position, the medical doctor Jt 〇 . ^

紐5係為一旋轉人方W要敕施加壓〃力時’可二調整旋紐5,該旋 i;墊ί 3】力如果壓力過大,可將旋鈕5向上旋轉,以減少 動皮I’造成患者之不適。 ^ 月多閱 第3、6圖」所示,當使用止血帶於患者,欲固The button 5 is a rotating human square. When pressure is applied, the button 5 can be adjusted. If the pressure is too large, the knob 5 can be rotated upward to reduce the movement I. Cause discomfort to the patient. ^ Read more in Figures 3 and 6 ", when using a tourniquet to the patient,

第8頁 M248408 四、創作說明(5) 定於患者肢體時,兩側之固定件3可以視其肢體大小調整其 間距,旋轉該旋扭5對墊片6加壓至一適當壓力,加強止血帶 對肢體之固定。 惟以上所述者,僅為本新型之較佳實施例而已,當不能 以之限定本新型實施之範圍,即大凡依本新型申請專利範圍 所作之均等變化與修飾,皆應仍屬本新型專利涵蓋之範圍 内〇Page 8 M248408 IV. Creation instructions (5) When fixed on the patient's limbs, the fixing parts 3 on both sides can adjust the distance according to the size of their limbs. Turn the knob 5 to pressurize the gasket 6 to an appropriate pressure to strengthen the hemostasis. Strap to limbs. However, the above are only the preferred embodiments of the new model. When the scope of implementation of the new model cannot be limited, that is, all equal changes and modifications made in accordance with the scope of the patent application for the new model shall still belong to the new model patent. Within the scope

M248408 圖式簡單說明 【圖式簡單說明】 第1圖,係一習知止血帶外觀示意圖。 第2圖,係本新型之較佳實施例外觀示意圖。 第3圖,係本新型之較佳實施例分解示意圖。 第4-1圖,係本創作於第2圖之A-A剖面圖。 第4-2圖,係本創作於第4-1圖之作動圖。 第5 - 1圖,係本創作於調整旋鈕及固定件示意圖。 第5-2圖,係本創作於第5-1圖之作動圖。 第6圖,係本新型之較佳實施例外觀示意圖。 【圖式符號說明】 1 ...... · · 彈性帶 2 ........微調扣件 3 ........指壓構件 30 ........孔槽 4 ........固定件 41 ........尾端 42 ........樞接端 43 ........橢圓片 431.......卡合部 _ 44 ........方形卡合槽 5 ........旋鈕 6 ........墊片 51........内螺紋 31 ........外螺紋M248408 Schematic illustration [Schematic description] Figure 1 is a schematic diagram of the appearance of a tourniquet. FIG. 2 is a schematic diagram of the appearance of a preferred embodiment of the present invention. FIG. 3 is an exploded view of a preferred embodiment of the present invention. Figure 4-1 is a cross-sectional view taken along the line A-A of Figure 2. Figure 4-2 is the action diagram originally created in Figure 4-1. Figures 5-1 are schematic diagrams of the adjustment knobs and fixtures. Figure 5-2 is the action diagram created in Figure 5-1. FIG. 6 is a schematic diagram of the appearance of a preferred embodiment of the present invention. [Illustration of Symbols] 1 ...... · · Elastic Band 2 ........ Fine-adjusting Fastener 3 ........ Finger Pressing Member 30 ........ Hole slot 4 ........ Fixture 41 ........ Tail end 42 ........ Pivot end 43 ........ Elliptical piece 431 .. ..... Engagement section _ 44 ........ Square engagement groove 5 ........ Knob 6 ........ Gasket 51 ...... ..Internal thread 31 ........ external thread

第10頁 M248408 圖式簡單說明 搞合部 麵合槽 52 · · · 6 1···Page 10 M248408 Brief description of the drawing Engaging part Face closing groove 52 ··· 6 1 ···

1BBI 第11頁1BBI Page 11

Claims (1)

M248408 五、申請專利範圍 1 · 一種可控式止血帶,包含:一彈性帶、一結合扣件及一 指壓構件,該指壓構件兩端連接一固定件,該固定件一端為 樞接端,該樞接端與指壓構件連接,該固定件設有一方形卡 合槽與一橢圓片之卡合部相連接,該橢圓片之卡合部可於該 卡合槽中調整其位置,該固定部另一端係為一尾端,該尾端 則是與彈性帶相連接,該指壓構件之上端設置一旋鈕,該旋 鈕旋轉對一墊片加壓,該指壓構件兩側設有複數個孔槽可供 固定件調整位置,調整止血帶鬆緊。 2 ·如申請專利範圍第1項所述之可控式止血帶,其中調整 該旋鈕對墊片加壓,促使墊片對皮膚加壓。 3 ·如申請專利範圍第1項所述之可控式止血帶,其中該旋 鈕與墊片之接觸係為一耦合槽與耦合部之結合。 4 ·如申請專利範圍第1項所述之可控式止血帶,其中該兩 側固定件可以視肢體大小調整該樞接端位於指壓構件上孔槽 位置。 5 ·如申請專利範圍第1項所述之可控式止血帶,其中該旋 紐設有一外螺紋,該指壓構件設有一内螺紋恰可使該旋鈕鎖 合加壓。M248408 5. Scope of patent application 1 · A controllable tourniquet, including: an elastic band, a combination fastener and a finger pressing member, two ends of the finger pressing member are connected with a fixing member, and one end of the fixing member is a pivot end The pivot end is connected with the finger pressing member, the fixing member is provided with a square engaging groove connected with the engaging portion of an oval piece, and the engaging portion of the oval piece can adjust its position in the engaging groove. The other end of the fixed part is a tail end, which is connected to the elastic band. A knob is provided on the upper end of the finger pressing member, and the knob rotates to pressurize a gasket. A plurality of numbers are provided on both sides of the finger pressing member. The hole slot can be used to adjust the position of the fastener and adjust the tourniquet elasticity. 2 · The controllable tourniquet as described in item 1 of the scope of patent application, wherein the knob is adjusted to pressurize the pad to cause the pad to press the skin. 3. The controllable tourniquet according to item 1 of the scope of patent application, wherein the contact between the knob and the gasket is a combination of a coupling groove and a coupling portion. 4 · The controllable tourniquet according to item 1 of the scope of patent application, wherein the two side fixing members can be adjusted according to the size of the limb, and the pivot end is located at the hole slot on the finger-pressure member. 5 · The controllable tourniquet according to item 1 of the scope of patent application, wherein the knob is provided with an external thread, and the finger-pressing member is provided with an internal thread to make the knob lock pressurize.
TW92218740U 2003-10-22 2003-10-22 Controllable tourniquet TWM248408U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI500407B (en) * 2013-08-20 2015-09-21 Mackay Memorial Hospital Device for temporarily restricting blood flow

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI500407B (en) * 2013-08-20 2015-09-21 Mackay Memorial Hospital Device for temporarily restricting blood flow

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