WO2010102426A1 - Garrot - Google Patents

Garrot Download PDF

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Publication number
WO2010102426A1
WO2010102426A1 PCT/CN2009/000309 CN2009000309W WO2010102426A1 WO 2010102426 A1 WO2010102426 A1 WO 2010102426A1 CN 2009000309 W CN2009000309 W CN 2009000309W WO 2010102426 A1 WO2010102426 A1 WO 2010102426A1
Authority
WO
WIPO (PCT)
Prior art keywords
base
outer cover
pressure
cavity
sleeve
Prior art date
Application number
PCT/CN2009/000309
Other languages
English (en)
Chinese (zh)
Inventor
戚亚峰
Original Assignee
Qi Yafeng
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Qi Yafeng filed Critical Qi Yafeng
Publication of WO2010102426A1 publication Critical patent/WO2010102426A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132—Tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically

Definitions

  • the utility model relates to a hemostatic device, in particular to an arterial pressure hemostasis device which is suitable for external hemostatic closure and hemostasis by transfemoral (or venous) perforating arterial (or venous) perforating point and other arterial (or venous) hemorrhage. It belongs to the field of medical devices. Background technique
  • the hemostasis method is roughly divided into two types: one is the balloon compression tourniquet (such products are not suitable for femoral artery products), the shortcoming is that you can not directly observe the bleeding point of the piercing point, can not display the pressure Can not accurately apply pressure, poor fixation, can not achieve the ideal hemostasis effect; the other is the spiral arterial pressure hemostasis, it is by rotating the spiral handle, so that the pressure plate is constantly pressed through the point, the pressure is adjusted by the spiral handle The rotation depth is adjusted, so the pressure given to the piercing point can only be adjusted by the doctor's experience, and the pressure applied to the piercing point cannot be displayed, so the optimal hemostasis effect cannot be achieved.
  • the occlusion technique The most common three types: The first is to use a kind of beef tendon collagen, which is made into a collagen sponge to fill the femoral artery to achieve the purpose of stopping bleeding. The second is to use a biomaterial and collagen that is easily absorbed by human tissue to cause a sandwich plug, which is placed between the inner and outer membranes of the femoral artery to achieve hemostasis. The third is to implant the biological suture U-shaped suture of the femoral artery to achieve hemostasis.
  • Utility model content Utility model content
  • the purpose of the utility model is to provide an arterial pressure hemostasis device, which has simple operation; directly observes the hemostasis of the piercing point, and timely adjusts to achieve the best hemostasis effect; the patient can perform bed position movement after twenty minutes, You can walk after two hours, thus alleviating the patient's pain and avoiding complications; the small size does not affect the patient wearing clothes and covering the quilt.
  • An arterial pressure hemostasis device includes:
  • the outer cover Removably attached to the outer cover at the upper end of the base, the outer cover is provided with an opening; a telescopic sleeve that can be telescoped in the cavity of the base and can protrude from the lower end of the chamber; An air bag for pushing and extending the telescopic sleeve in a chamber of the base, the inflation nozzle of the air bag communicating with the outside through an opening on the outer cover;
  • a pressure plate located outside the cavity of the base and connected to the telescopic bushing.
  • one end of the opening on the outer cover projects outwardly from the outer cover, and the other end projects inwardly from the outer cover to be connected to the inflation nozzle of the air bag.
  • the outer side of the base is covered with a casing, and an interlayer is formed between the casing and the side wall of the base, and the fixing belt is connected to the casing.
  • said telescoping sleeve has a cavity, said bladder being located within the cavity of said telescoping sleeve.
  • the telescopic sleeve is one or more sections nested with each other.
  • the pressure plate is circular, the pressure plate is provided with a bump, and the outer portion of the pressure plate is provided with a pressure plate sleeve.
  • the inner side wall of the base chamber is provided with a slide rail
  • the telescopic sleeve fitted with the inner side wall of the base chamber is provided with a protrusion or a steel ball matched with the slide rail.
  • the present invention further includes a pressure gauge for displaying pressure and an inflating device, the inflating device extending outwardly from the inflation nozzle of the airbag or the opening on the outer cover Connecting; the pressure gauge is disposed on the hose or on the inflator.
  • a clip for positioning the hose is provided on an outer side wall of the base.
  • the base, air bag, bushing and pressure plate of the utility model are all made of transparent material, and the piercing point can be observed at any time and the hemostasis condition can be observed in time.
  • the utility model is connected with a pressure gauge, and the pressure is realized by inflating the airbag into the airbag. Therefore, the air pressure in the airbag can be accurately adjusted by observing the value on the pressure gauge to control the pressure of the pressure plate, thereby implementing the punching opening. Accurate pressurization required, adapt to changes in the condition, and achieve optimal hemostasis.
  • the utility model adopts the method of decreasing pressure to carry out compression and hemostasis, which not only achieves the purpose of effective compression and hemostasis, but also alleviates the suffering of the patient and avoids the existence of the traditional compression hemostasis method. Some flaws.
  • the pressure plate with the bump and the pressure plate sleeve of the utility model can ensure the necessary blood supply of the fistula, prevent skin necrosis, promote healing, reduce the pain of the patient, and avoid complications.
  • the fixing belt of the utility model adopts low-sensitizing tape to ensure the fixation of the compression point. After the patient is in the 20th minute, the bed can be changed according to the doctor's advice to eliminate the pain, and the walk can be walked for two hours to avoid serious complications.
  • the utility model adopts the design of the telescopic sleeve to make the instrument small in size, and does not affect the wearing of the clothes and the cover quilt by the patient, and is more humanized.
  • the utility model has the advantages of simple structure, low production cost, and can reduce the economic burden of the patient.
  • Figure 1 is a cross-sectional view showing the structure of a first embodiment of the present invention.
  • Figure 2 is a cross-sectional view showing the structure of the second embodiment of the present invention.
  • Figure 3 is a cross-sectional view showing the structure of a third embodiment of the present invention.
  • Figure 4 is a cross-sectional view showing the structure of the telescopic sleeve in a contracted state according to the fourth embodiment of the present invention.
  • Figure 5 is a cross-sectional view showing the structure of the telescopic bushing in the extended state according to the fourth embodiment of the present invention.
  • Figure 6 is a top plan view of Figure 5 with the outer cover removed.
  • Figure 7 is a cross-sectional view showing the structure of the telescopic sleeve in a contracted state according to the fifth embodiment of the present invention.
  • Figure 8 is a cross-sectional view showing the structure of the telescopic bushing in the extended state according to the fifth embodiment of the present invention.
  • Embodiment 1 is a diagrammatic representation of Embodiment 1:
  • the arterial pressure hemostat shown in FIG. 1 includes: a base 1, an outer cover 15, a telescopic sleeve, an air bag, a pressure plate 6 and a fixing belt 10, and the base 1 has a chamber;
  • the chamber of the base 1 is telescoped and can extend out of the lower end of the chamber.
  • the telescopic sleeve in this embodiment is a section, that is, the first sleeve 4; an airbag (not shown) is located at the base 1
  • the chamber is used for pushing and expanding the telescopic sleeve, and the outer cover 15 is detachably connected to the upper end of the base 1.
  • the outer cover 15 is provided with an opening 11 for communicating the inflation nozzle of the airbag with the outside; It is not shown) connected to the base 1.
  • the air bag is disposed in a cavity of the base 1, and the first sleeve 4 is expandable and contractible in the base 1 along the slide rail 23.
  • the lower end of the first bushing 4 is connected to the pressure plate 6, and the pressure plate 6 is located outside the cavity of the base 1.
  • Embodiment 2 is a diagrammatic representation of Embodiment 1:
  • the utility model further includes a gas-filled ball 13 with a pressure gauge, an air outlet of the air-filled ball 13 with a pressure gauge and an air-filling nozzle 9 of the airbag 5.
  • the pressure gauge can also be separated from the inflatable ball, that is, the pressure gauge is disposed on the hose 12 connected to the inflation nozzle 9 of the airbag 5, and the airbag has no pressure gauge.
  • the hose 12 is provided with a charge and discharge switch.
  • the inflatable ball 13 can also be other inflating devices such as a syringe or the like.
  • Embodiment 3 is a diagrammatic representation of Embodiment 3
  • the main difference between this embodiment and the second embodiment is only that the pressure plate 6 is It is round.
  • a uniform bump 8 is disposed on the pressure plate 6, and a pressure plate sleeve 7 is disposed outside the pressure plate 6.
  • the bump 8 and the pressure plate sleeve 7 can effectively prevent blood from flowing, thereby preventing skin necrosis, promoting healing, reducing pain and avoiding complications.
  • the base 1, the telescopic bushing and the pressure plate 6 are all made of a transparent material.
  • the platen sleeve 7 is made of non-toxic medical material.
  • Embodiment 4 is a diagrammatic representation of Embodiment 4:
  • this embodiment differs from the third embodiment only in that the open end of the outer cover 15 protrudes outwardly from the outer cover 15, and the other end projects inwardly from the outer cover 15 and the airbag.
  • Inflatable nozzle connection In the present embodiment, the opening is the inflation passage 18 shown in the drawing.
  • the first sleeve 4 is located in the base, the upper edge of the first sleeve 4 is flush with the upper edge of the base 1, and the upper end of the first sleeve 4 is provided with the first space.
  • the cavity 19 is located in the first cavity 19 (the air bag 5 is not shown), and the inflation nozzle of the air bag 5 and the inflation passage 18 provided on the outer cover 15 are connected toward one end in the base 1. After the airbag 5 is inflated, the first sleeve 4 is pushed out of the base 1, and the extended state is as shown in FIG.
  • the inflation passage 18 is horizontally disposed in the outer cover 15 and protrudes from the side wall of the outer cover 15.
  • the inflation passage 18 may be vertically disposed directly from the outer cover. The upper end of 15 is extended.
  • a clip 17 is provided on the outer side wall of the base 1. Since the external inflatable ball is required when inflating the air bag 5, the air ball needs to be connected to the inflation passage 18 through the plastic tube. For the convenience of use, the plastic tube needs to be fixed by the clip 17. Of course, the setting position and setting direction of the clip 17 can be arbitrarily selected according to actual needs.
  • Corresponding side flaps 16 are disposed on both sides of the base 1, and the side flaps 16 are provided with connecting holes 24 for connecting the fixing straps. (The fixing belt is not shown in the figure)
  • Embodiment 5 is a diagrammatic representation of Embodiment 5:
  • the difference between the embodiment and the fourth embodiment is that the telescopic sleeve in the fourth embodiment is a section, and the telescopic sleeve in the embodiment has two sections, that is, the first axis.
  • the sleeve 4 and the second sleeve 3, the first sleeve 4 may be a solid structure or a hollow structure, the total length of the first sleeve 4 is smaller than the length of the second sleeve 3, and the first sleeve 4 is located at the first sleeve 4 Two axes When the sleeve 3 is inside, the second sleeve 20 is formed in the second sleeve 3 at the upper end of the first sleeve 4, and the airbag 5 is located in the second cavity 20.
  • any matching structure can be adopted between the telescopic sleeve and the base 1 or the telescopic sleeve that is sleeved, as long as the telescopic purpose can be achieved.
  • the airbag 5 is inflated by the inflator (as long as any inflatable device capable of inflating the inside of the airbag, such as the existing inflatable ball 13 on the market), and the airbag 5 is expanded by inflation, thereby pushing the inner sleeve and
  • the pressure plate 6 connected under the inner sleeve of the innermost layer moves downwards, that is, in the direction of the penetration point, and controls the expansion and contraction of the pressure plate 6 to pressurize the femoral artery (or the radial artery), and the pressure inside the balloon 5 It can be displayed on the pressure gauge. Firstly, when the pressure reaches 20 ⁇ 30 mmHg, confirm that the pressure plate 6 is stable to the hemostasis point (ie, the penetration point).
  • the pressure balance is stable, the arterial sheath is removed; then the pressure is inflated to a temperature higher than the systolic pressure of 50 mmHg.
  • the dorsal artery pulsation should be slightly weakened but not disappeared; after 5 minutes, the pressure is adjusted to be higher than the systolic pressure by 10-15 mmHg, and then the pressure can be adjusted according to the condition, but not lower than 60 mmHg to relieve the hemostatic device 6 hours after extubation.
  • the patient can get out of bed after 2 hours in bed.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un garrot comprenant une base (1) présentant une cavité; un couvercle extérieur (15) relié de manière amovible à l'extrémité supérieure de la base (1), une ouverture (11) étant ménagée sur ledit couvercle extérieur (15); une douille à expansion (4) qui s'étend dans la cavité de la base (1) et qui s'étend en dehors de l'extrémité inférieure de la cavité; un coussin d'air (5) pour pousser l'expansion de la douille à expansion (4) située dans la cavité de la base (1); une buse de charge (9) du coussin d'air (5) communiquant avec l'extérieur par l'intermédiaire de l'ouverture (11) ménagée sur le couvercle extérieur (15); une sangle de fixation (10) reliée à la base (1); et un tampon compressif (6) situé à l'extérieur de la cavité de la base (1) et relié à la douille à expansion (4).
PCT/CN2009/000309 2009-03-13 2009-03-23 Garrot WO2010102426A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN200920145869XU CN201426747Y (zh) 2009-03-13 2009-03-13 动脉压迫止血器
CN200920145869.X 2009-03-13

Publications (1)

Publication Number Publication Date
WO2010102426A1 true WO2010102426A1 (fr) 2010-09-16

Family

ID=42030471

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2009/000309 WO2010102426A1 (fr) 2009-03-13 2009-03-23 Garrot

Country Status (2)

Country Link
CN (1) CN201426747Y (fr)
WO (1) WO2010102426A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108158628A (zh) * 2018-01-25 2018-06-15 福建医科大学附属第医院 一种感应加压式股动脉压迫器
CN108742754A (zh) * 2018-08-22 2018-11-06 中山市普利斯微创介入医械有限公司 一种腔道快速止血设备
CN111481253A (zh) * 2020-03-26 2020-08-04 刘夙璇 一种气囊式动脉压迫止血控制系统及其配套设备
CN112932599A (zh) * 2021-01-28 2021-06-11 吉林大学 一种可数字显示压力的多功能压迫止血装置

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB201407864D0 (en) * 2014-05-02 2014-06-18 Ucl Business Plc Device and methods for remote ischaemic conditioning
CN104856739B (zh) * 2015-04-28 2017-12-19 深圳市升昊科技有限公司 压迫止血装置
CN109414270B (zh) * 2016-07-06 2021-08-17 泰尔茂株式会社 止血器具
US10945616B2 (en) * 2017-05-12 2021-03-16 Covidien Lp Blood pressure measuring surgical instrument
CN109124721A (zh) * 2018-08-06 2019-01-04 郑州大学第附属医院 腹腔镜下解剖性肝切血管阻断装置

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0601756A1 (fr) * 1992-12-04 1994-06-15 Sumitomo Rubber Industries Limited Ceinture hémostatique comressive
CN2195922Y (zh) * 1994-07-22 1995-05-03 山东省千佛山医院 便携可调式动静脉压迫止血器
CN2598547Y (zh) * 2003-06-24 2004-01-14 黄炽伦 气动按摩器
WO2005091718A2 (fr) * 2004-03-29 2005-10-06 Cyclo Science Ltd. Tourniquet
CN2840928Y (zh) * 2005-11-21 2006-11-29 张增堂 压力监控股动脉止血器
CN2873109Y (zh) * 2005-12-15 2007-02-28 天津怡美国际贸易有限公司 气、液动动脉压迫止血器

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0601756A1 (fr) * 1992-12-04 1994-06-15 Sumitomo Rubber Industries Limited Ceinture hémostatique comressive
CN2195922Y (zh) * 1994-07-22 1995-05-03 山东省千佛山医院 便携可调式动静脉压迫止血器
CN2598547Y (zh) * 2003-06-24 2004-01-14 黄炽伦 气动按摩器
WO2005091718A2 (fr) * 2004-03-29 2005-10-06 Cyclo Science Ltd. Tourniquet
CN2840928Y (zh) * 2005-11-21 2006-11-29 张增堂 压力监控股动脉止血器
CN2873109Y (zh) * 2005-12-15 2007-02-28 天津怡美国际贸易有限公司 气、液动动脉压迫止血器

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108158628A (zh) * 2018-01-25 2018-06-15 福建医科大学附属第医院 一种感应加压式股动脉压迫器
CN108158628B (zh) * 2018-01-25 2024-05-14 福建医科大学附属第一医院 一种感应加压式股动脉压迫器
CN108742754A (zh) * 2018-08-22 2018-11-06 中山市普利斯微创介入医械有限公司 一种腔道快速止血设备
CN108742754B (zh) * 2018-08-22 2024-03-26 中山市普利斯微创介入医械有限公司 一种腔道快速止血设备
CN111481253A (zh) * 2020-03-26 2020-08-04 刘夙璇 一种气囊式动脉压迫止血控制系统及其配套设备
CN111481253B (zh) * 2020-03-26 2022-08-02 刘夙璇 一种气囊式动脉压迫止血控制系统及其配套设备
CN112932599A (zh) * 2021-01-28 2021-06-11 吉林大学 一种可数字显示压力的多功能压迫止血装置
CN112932599B (zh) * 2021-01-28 2023-10-27 吉林大学 一种可数字显示压力的多功能压迫止血装置

Also Published As

Publication number Publication date
CN201426747Y (zh) 2010-03-24

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