WO2013174126A1 - 弹力绷带辅助包扎装置 - Google Patents

弹力绷带辅助包扎装置 Download PDF

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Publication number
WO2013174126A1
WO2013174126A1 PCT/CN2012/086290 CN2012086290W WO2013174126A1 WO 2013174126 A1 WO2013174126 A1 WO 2013174126A1 CN 2012086290 W CN2012086290 W CN 2012086290W WO 2013174126 A1 WO2013174126 A1 WO 2013174126A1
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WO
WIPO (PCT)
Prior art keywords
fixing plate
elastic bandage
patient
upper fixing
plate
Prior art date
Application number
PCT/CN2012/086290
Other languages
English (en)
French (fr)
Inventor
刘斌
刘永利
张基昌
王智慧
Original Assignee
吉林大学
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 吉林大学 filed Critical 吉林大学
Publication of WO2013174126A1 publication Critical patent/WO2013174126A1/zh

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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
    • A61B17/1322—Tourniquets comprising a flexible encircling member
    • A61B17/1325—Tourniquets comprising a flexible encircling member with means for applying local pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00—Stretchers

Definitions

  • the invention relates to an elastic bandage auxiliary wrapping device, which is used for bandage hemostasis dressing. Background technique
  • Interventional Technology also known as Interventional Treatment
  • Interventional Treatment is the fastest-growing subject in recent years. It is the abbreviation of Interventional Radiological Medicine.
  • Interventional Radiological Medicine The third major therapeutic discipline after surgery can make up for the shortcomings of internal and surgical techniques.
  • Interventional technology is a minimally invasive treatment using modern high-tech means. Under the guidance of medical imaging equipment, special catheters, guide wires and other precision instruments are introduced into the human body to diagnose and treat local lesions. Most of the interventional treatments are carried out in the blood vessels. It does not require surgery. It requires less than a small hole in the rice grains. Specially-made special thin tubes can be inserted into the blood vessels to treat many treatments that cannot be treated in the past. Treatment of diseases with poor efficacy, such as endovascular angiography and stenting, congenital heart disease closure, tumors, hemangioma, various hemorrhages, cerebral vascular malformations, and even infertility. Interventional therapy has the advantages of no surgery, less trauma, quick recovery, and good results.
  • percutaneous femoral artery puncture is used more and more widely, including emergency surgery and femoral artery puncture in the unsuccessful radial artery puncture.
  • the puncture site is generally selected 0.5-1 cm below the inguinal ligament.
  • the femoral artery on the right side of the patient is selected, and sometimes the femoral artery on the left side of the patient is selected.
  • hemostasis was pressure bandaged with an elastic bandage. After the dressing, the patient needs to stay in bed for 24 hours.
  • the prior art elastic bandage wrapping has the following disadvantages in use:
  • the elastic bandage is often very tight, and the bandage (commonly used bandage 10 cm) is tightly stretched after being stretched tightly, even into a line (as shown in Fig. 2).
  • Show make the patient extremely uncomfortable, prone to low back pain, abdominal distension and abdominal pain; some patients have difficulty urinating, forced to indwell catheterization; because there is no decompression method for 24 hours of pressurization, unlike brachial artery pressure bandage Decompression for two hours will easily affect the blood supply to the lower extremity arteries and venous return, resulting in lower extremity arterial occlusion and deep vein thrombosis.
  • the object of the present invention is to provide an elastic bandage auxiliary wrapping device, which is used for bandage dressing to stop bleeding, can prevent the bandage from being rolled, and can not be pulled into the meat when the tension required for hemostasis is satisfied, thereby effectively reducing the suffering and avoiding the patient.
  • the elastic bandage assisted dressing device can be used for post-operative bandage hemostasis dressing, for example, a bandage hemostasis bag after percutaneous femoral artery puncture
  • the present invention provides an elastic bandage auxiliary wrapping device, comprising: at least one upper fixing plate and at least one lower fixing plate, wherein the upper fixing plate is for being placed at a waist portion, the inner side surface and the waist portion are contoured, and the lower fixing portion
  • the plate is placed on the outside of the thigh, and the inner side and the thigh are contoured, and the upper fixing plate and the lower fixing plate each have an outer side for contacting the elastic bandage to prevent the elastic bandage from sliding and rolling.
  • the number of the upper fixing plates is two, and the number of the lower fixing plates is one; or the number of the upper fixing plates and the lower fixing plates are two.
  • the auxiliary wrapping device further includes a pressure adjusting rod for mounting on the outer side surface to adjust the pressure of the elastic bandage.
  • the outer side surface has at least one of the following structures: a non-smooth surface; a bump; a fixing hole for fixing the pressure adjusting rod; a fixing groove for fixing the pressure adjusting rod; and a fixing pressure adjusting rod Sheath set.
  • the fixing hole is a circular hole.
  • the fixing groove is a groove formed into a semicircular hole.
  • the upper fixing plate and the lower fixing plate are provided with vent holes.
  • the inner side surfaces of the upper fixing plate and the lower fixing plate are coated with an adhesive and covered with silicone oil paper.
  • the upper fixing plate and the lower fixing plate are provided with connecting holes for connecting the two together by a connector.
  • At least one of the at least one upper fixing plate is formed integrally with at least one of the at least one lower fixing plate.
  • the auxiliary wrapping device comprises two upper fixing plates and two lower fixing plates, and the two upper fixing plates are respectively formed integrally with the two lower fixing plates.
  • the auxiliary wrapping device further comprises a front fixing plate for placing on the abdomen of the patient, the inner side and the abdomen being contoured.
  • the front fixing plate is connectable with the upper fixing plate or the lower fixing plate
  • the front fixing plate is formed integrally with the upper fixing plate or the lower fixing plate.
  • the auxiliary wrapping device further comprises a rear fixing plate, a side surface of the rear fixing plate is for contacting the waist, the buttocks and the thigh of the patient, and the rear fixing plate is further provided with a bandage through hole.
  • the auxiliary wrapping device further comprises two extension plates and a bracket, the rear fixing plate and the two extension plates are mounted on the bracket to form a bed structure, and the bed structure is used for transferring patients or surgery The patient is then directly attached to the bed structure.
  • the posterior fixation plate is contoured to the waist, hips and thighs of the patient such that the waist, hips and thighs of the patient are sufficiently in contact with the posterior fixation plate.
  • the rear fixing plate has a fixing block on the other surface.
  • the present invention has the following advantages.
  • the provided elastic bandage auxiliary wrapping device can effectively prevent the bandage from sliding and rolling.
  • the position of the elastic bandage auxiliary wrapping device provided can be installed with a fixed pressure gauge, a pressure gauge, etc., and the tension of the bandage can be displayed in real time.
  • the parts of the present invention are made of a polymer material such as rubber and plastic, and are relatively easy to carry and use with weight.
  • Figure 1 shows the femoral artery and puncture point commonly used for percutaneous femoral artery puncture.
  • Figure 2 shows the situation in which a bandage is wound in a conventional bandage hemostasis dressing.
  • Fig. 3 is a schematic view showing the use position of the elastic bandage auxiliary wrapping device according to the first embodiment of the present invention.
  • Fig. 4 is a side view showing the use position of the elastic bandage auxiliary wrapping device of the first embodiment of the present invention.
  • Fig. 5 is a front elevational view showing the position of the elastic bandage auxiliary wrapping device of the second embodiment of the present invention.
  • Figure 6 is a front elevational view showing the position of the elastic bandage auxiliary wrapping device of the third embodiment of the present invention.
  • Fig. 7 is a side view showing the use position of the elastic bandage auxiliary wrapping device of the third embodiment of the present invention.
  • Fig. 8 shows an upper fixing plate with a bump and a fixing hole according to Embodiment 4 of the present invention.
  • Fig. 9 shows an upper fixing plate with a bump and a fixing groove in Embodiment 4 of the present invention.
  • Fig. 10 shows a pressure regulating rod of a structure of Embodiment 4 of the present invention.
  • Figure 11 shows a bump-equipped front fixing plate according to Embodiment 5 of the present invention.
  • Fig. 12 shows a front fixing plate with a fixing hole and a pressure regulating rod according to Embodiment 5 of the present invention.
  • Fig. 13 shows a front fixing plate with bumps and vent holes according to Embodiment 5 of the present invention.
  • Fig. 14 shows a front fixing plate with a fixing hole, a vent hole and a pressure regulating rod according to Embodiment 5 of the present invention.
  • Fig. 15 shows a fixing plate with an adhesive and silicone paper according to Embodiment 6 of the present invention.
  • Figure 16 shows an integrated fixing plate of Embodiment 7 of the present invention.
  • Fig. 17 shows an integral fixing plate of Embodiment 8 of the present invention.
  • Fig. 18 shows an integral fixing plate of Embodiment 8 of the present invention.
  • Fig. 19 shows an integral fixing plate of Embodiment 9 of the present invention.
  • Figure 20 is a view showing a composite fixing plate of Embodiment 10 of the present invention.
  • Figure 21 shows a composite fixing plate of Embodiment 11 of the present invention.
  • Fig. 22 is a view showing a sheath set of Embodiment 11 of the present invention.
  • Figure 23 is a view showing a composite fixing plate of Embodiment 11 of the present invention.
  • Fig. 24 shows a T-shaped connector of Embodiment 11 of the present invention.
  • Figure 25 is a side elevational view showing the position of the rear fixing plate and the extension plate of the embodiment 12 of the present invention.
  • Figure 26 is an exploded view showing the mounting position of the rear fixing plate and the extension plate according to Embodiment 12 of the present invention. detailed description
  • the upper fixing plate 31 is placed on the waist, and the inner side surface and the waist portion are contoured to have a non-smooth surface;
  • the lower fixing plate 32 is placed on the outer side of the thigh, and the inner side surface and the thigh are contoured.
  • the outer side surface is a non-smooth surface;
  • the other side of the upper fixing plate 33 is placed on the waist of the other side of the patient, and the inner side surface and the waist portion are contoured to have a non-smooth surface.
  • the patented technique does not slide the elastic bandage because the upper fixing plate 31, the lower fixing plate 32 and the upper fixing plate 33 on the other side are added.
  • the elastic bandage-assisted dressing device makes the tightening force required for hemostasis small, correspondingly the pressure on the patient's body is small and the force distribution is evenly distributed, effectively reducing the patient's pain.
  • the upper fixing plate 51 has different cross-sectional dimensions, and is placed at the waist, and the inner side surface and the waist portion are contoured to have a non-smooth surface, or a surface with a bump, or with a fixing.
  • the hole is mounted with a pressure adjusting rod surface, or a combination of the foregoing several surfaces;
  • the lower fixing plate 52 has different cross-sectional dimensions, and is placed outside the thigh, and the inner side surface 52B and the thigh contouring the outer side surface 52A are non-smooth a face, or a face with a bump, or a face with a fixing hole and a pressure adjusting rod, or a combination of the aforementioned surfaces;
  • the upper fixing plate 53 on the other side has different cross-sectional dimensions,
  • the waist placed on the other side of the patient, the inner side and the waist are contoured to have a non-smooth surface, or a bumped surface, or a surface with a fixing hole and a pressure adjusting rod, or A combination of the foregoing several types of surfaces.
  • the elastic bandage auxiliary wrapping device uses a non-equal cross-section structure to compensate for the convex-concave changes at the body wrapping bandage, the elastic bandage is in contact on the path of the elastic bandage, either in contact with the human body or in contact with the elastic bandage auxiliary wrapping device. Therefore, the elastic bandage does not slip and the curling occurs; also because the presence of the elastic bandage-assisted dressing device allows the patient's body to withstand greater pressure and the distribution of the force is hooked, effectively reducing the patient's pain.
  • the upper fixing plate 61 is placed on the waist portion, and some of the inner side surface and the waist portion are contoured on the outer side surface thereof, and the convex portion is a cone or other geometric body or more.
  • the combination of the geometrical bodies; the lower fixing plate 62 is placed on the outer side of the thigh, and the inner side surface and the region of the thigh contouring the outer side surface are covered with bumps, and the convex point is a cone body or other geometric body or a plurality of geometric bodies.
  • the upper fixing plate 63 on the other side is placed on the waist of the other side of the patient, and the inner side surface and the waist portion are contoured on some of the outer side surface thereof, and the convex portion is a cone or the convex portion. Other geometry or a combination of multiple geometries.
  • the bleeding bandage was wound 20 minutes after the hemostasis, and the elastic bandage was in contact with the upper fixing plate 61, the lower fixing plate 62 and the upper fixing plate 63 on the other side in the position shown in Fig. 6, because the elastic bandage auxiliary wrapping device was convex. Point, so that the elastic bandage does not slide in the winding direction, and does not roll in the direction perpendicular to the winding direction. Because the presence of the elastic bandage-assisted dressing device allows the patient's body to withstand greater stress and the distribution of forces is hooked, the patient's pain is effectively alleviated.
  • the upper fixing plate 81 is shown in Fig. 8, and is placed on the waist portion, the inner side surface and the waist portion are contoured, and the intermediate portion of the outer side surface is covered with a convex point 81C, and the convex portion is a tapered body; There is a pressure adjustment rod 85 on each side, the pressure adjustment rod 85 is attached to the upper fixing plate 81 through the fixing hole 8 ID.
  • the lower fixing plate in the present embodiment and the upper fixing plate structure on the other side are the same as the upper fixing plate 81.
  • FIG. 9 and FIG. 10 provide another type of elastic bandage auxiliary wrapping device.
  • the difference from FIG. 8 is that the fixing hole becomes a fixing groove, and accordingly the structure of the pressure adjusting rod is also changed from a round bar to a belt. Flanged round bar.
  • reference numerals 91, 91C, and 91D denote upper fixing plates, bumps, and fixing grooves, respectively
  • reference numerals 101 and 101A denote pressure adjusting bars and convex pressure adjusting bars 85, respectively.
  • the elastic bandage auxiliary wrapping device has a bump, the elastic bandage does not slide in the winding direction, and does not roll in a direction perpendicular to the winding direction; because the presence of the elastic bandage auxiliary wrapping device allows the patient's body to withstand greater The pressure and the distribution of force are even; every two hours (or according to actual needs), a pressure adjustment rod is pulled out to loosen the elastic bandage.
  • This decompression method can effectively alleviate the pain of the patient and avoid occlusion of the lower extremity artery. And deep vein thrombosis.
  • the number of pressure adjusting bars on the fixed plate is determined according to actual needs, and the drawing direction of the pressure adjusting rod is determined according to actual needs.
  • the elastic bandage auxiliary wrapping device of the embodiment includes an upper fixing plate, a lower fixing plate and an upper fixing plate on the other side, and further includes a front fixing plate (111 or 121), Some areas of the front side surface of the front fixing plate and the abdomen contouring the outer side surface thereof are covered with bumps 111C, and the convex points 111C are tapered bodies or other geometric bodies or a combination of various geometric bodies.
  • the upper fixing plate, the lower fixing plate and the upper fixing plate on the other side are placed at the bandage of the patient, and the bump-equipped front fixing plate 111 is placed on the abdomen of the patient.
  • the elastic bandage is wound, and when the elastic bandage is wound, the elastic bandage is pressed against the bumps and the pressure adjusting rod on the outer side surfaces of the upper fixing plate and the lower fixing plate, and the elastic bandage is also pressed against the front fixing plate 111. Bump.
  • the elastic bandage auxiliary wrapping device has a bump, the elastic bandage does not slide in the winding direction, and does not roll in a direction perpendicular to the winding direction; because the presence of the elastic bandage auxiliary wrapping device allows the patient's body to withstand greater The pressure and the distribution of the force are even; in particular, the front fixing plate 111 is added in the embodiment, so that the pressure of the bandage that the patient's original abdomen bears is distributed over a large area, thereby avoiding abdominal distension, abdominal pain and difficulty in urinating, thereby fundamentally reducing the pressure. The pain of the patient. As shown in Fig.
  • a front fixing plate 121 having a fixing hole and a pressure adjusting rod of another structure, and the pressure adjusting rod 125 is attached to the front fixing plate through the fixing hole 121D before use.
  • the front fixing plate 121 is added in the present embodiment, the pressure of the bandage which the patient's original abdomen is subjected to is distributed over a large area, thereby alleviating the suffering of the patient.
  • every two hours (or according to actual needs) pull out a pressure adjusting rod on any elastic bandage auxiliary wrapping device or separately pull out a pressure adjusting rod on the front fixing plate 121 to loosen the elastic bandage. Effectively reduce the pain of patients, avoid lower extremity arterial occlusion and deep vein thrombosis.
  • one structure is a front fixing plate 111 with a bump (as shown in FIG. 11), and the other structure is a front fixing plate 121 with a fixing hole and a pressure adjusting rod ( As shown in FIG. 12, in fact, the front fixing plate can adopt a composite structure, and some areas of the inner side surface and the abdomen contouring the outer side surface thereof are covered with bumps, and the convex points are tapered bodies or other geometric bodies or A combination of a plurality of geometries; other areas of the outer side thereof are provided with fixing holes and the like for mounting the fixed pressure adjusting rod 125.
  • Fig. 13 shows a front fixing plate 131 having a vent hole 131E provided in this embodiment, and the outer side surface of the front fixing plate 131 has regularly distributed bumps 131C.
  • Fig. 14 shows a front fixing plate 141 having a vent hole 141E provided in the present embodiment, and an outer side surface of the front fixing plate 141 has a fixing hole 141D for mounting a fixed pressure regulating rod.
  • the vent holes 131E and 141E extend through the inner side and the outer side of the front fixing plate, and may be round holes or square holes or other holes of any shape. The presence of the venting holes allows the front fixing plate to meet the requirements of use, so that the contact area of the inner side surface with the skin is as small as possible, which is favorable for skin breathing and blood circulation.
  • venting holes can also be formed at appropriate positions of the upper fixing plate and the lower fixing plate, which is beneficial to skin breathing and blood circulation, and meets the use requirements while reducing material consumption and reduction in product production.
  • the weight of the product is beneficial to skin breathing and blood circulation, and meets the use requirements while reducing material consumption and reduction in product production.
  • the front fixing plate provided in this embodiment can be used alone, and the use effect can be partially achieved.
  • Figure 15 shows a fixing plate with an adhesive and a silicone paper provided by the embodiment, the fixing plate being made of a soft material (such as a polymer material such as medical rubber), including an upper fixing plate, a lower fixing plate and a front fixing plate.
  • the inner side surface is flat coated with an adhesive 152 and covered with silicone oil paper 153;
  • the adhesive 152 may be an elastomer type pressure sensitive adhesive or a resin type pressure sensitive adhesive;
  • the outer side surface may be a non-smooth surface, or a belt Bumped face, or with fixing holes and pressure The surface of the force adjustment rod, or a combination of the aforementioned surfaces.
  • the fixing plate may be provided with a venting hole at a suitable position.
  • the silicone paper 153 on the fixing plate is removed to expose the adhesive 152, and the soft fixing plate is pasted on the patient's body to wrap the bandage, because the fixing plate under the bandage does not move, so that the elastic bandage does not move in the winding direction. It will slide, and will not roll in the direction perpendicular to the winding direction; because the presence of the elastic bandage-assisted dressing device allows the patient's body to withstand greater pressure and the distribution of forces is hooked, effectively reducing the patient's pain.
  • the fixing plate provided in this embodiment can apply an adhesive to a partial area of the inner side surface thereof.
  • the flexible fixing plate provided in this embodiment may be of a non-equal wall thickness to support the wrapped bandage, or a soft material such as a sponge may be used in a part of the inner side surface thereof.
  • the fixing plate provided by the embodiment can be used alone, and the use effect can be partially achieved.
  • FIG. 16 shows an integrated fixing plate provided by the embodiment, wherein the integrated fixing plate combines the upper fixing plate and the lower fixing plate together (ie, the right fixing plate 161 and the left fixing plate 162 in FIG. 16). ), the inner side and the body are contoured, and the outer side surface may be a non-smooth surface, or a surface with a bump, or a surface with a fixing hole and a pressure adjusting rod, or a combination of the foregoing several surfaces .
  • the integral fixing plate may be provided with a venting hole at a suitable position.
  • the integral fixing plate provided in this embodiment may be unequal wall thickness, so that the wrapped bandage is supported at all places.
  • the integral fixing plate provided in this embodiment can be attached with a soft substance such as a sponge in a partial area of the inner side according to actual needs, so as to increase the comfort of the patient or compensate the gap existing between the elastic bandage-assisted wrapping device and the patient's body.
  • a front fixing plate 163 may be included.
  • FIG. 17 shows an integrated fixing plate provided by the embodiment.
  • the integrated fixing plate uses two connecting plates 174 for the two upper fixing plates 171, the two lower fixing plates 172 and one front fixing plate 173. Connected together to form a spatial network structure, the inner side of which is contoured to the body, and the outer side surface may be a non-smooth surface, or a surface with a bump, or a surface with a fixing hole and a pressure adjusting rod, or It is a combination of the aforementioned several types of surfaces.
  • the suitable position of the integrated fixing plate can be opened Vented holes.
  • the connecting plate 174 can be used in multiples according to actual needs.
  • FIG. 18 shows another integrated fixing plate provided by the embodiment.
  • the integrated fixing plate is formed by connecting the right fixing plate 181, the left fixing plate 182 and the front fixing plate 183 with four connecting plates 184.
  • the spatial mesh structure has a contour on the inner side and the body, and the outer side surface may be a non-smooth surface, or a surface with a bump, or a surface with a fixing hole and a pressure adjusting rod, or the foregoing The combination of surfaces.
  • the integral fixing plate may be provided with a venting hole at a suitable position.
  • the connecting plate 184 can be used in plurality according to actual needs.
  • the integral fixing plate provided in this embodiment may be unequal wall thickness, so that the wrapped bandage is supported at all places.
  • the integral fixing plate provided in this embodiment can be attached with a soft substance such as a sponge in a partial area of the inner side according to actual needs, so as to increase the comfort of the patient or compensate the gap existing between the elastic bandage-assisted wrapping device and the patient's body.
  • FIG. 19 shows an integrated fixing plate provided by the embodiment, wherein the integrated fixing plate includes two upper fixing plate regions 191, two lower fixing plate regions 192, one front fixing plate region 193, and two sides.
  • the integral fixing plate may be provided with a venting hole at a suitable position.
  • the side opening 194 and the lower opening 195 may be triangular or square or may be determined to be a suitable geometry according to actual needs.
  • the side opening 194 can be opened in plurality.
  • the peripheral edges of the unitary fixing plate may be of a regular geometric shape or may be directly formed or cut into suitable geometric shapes.
  • the integral fixing plate may be manufactured by using a polymer material such as medical rubber at a time, or may be processed by welding or bonding.
  • the integral fixing plate may be coated with an adhesive on some areas of its inner side and covered with silicone paper.
  • the composite fixing plate provided by the embodiment has the inner side surface and the body contoured, and the outer side surface thereof may be a non-smooth surface or a surface with a bump. , or a face with a fixing hole and a pressure adjustment rod, or with a groove and pressure Adjust the face of the rod, or a combination of the aforementioned surfaces.
  • the integral fixing plate may be provided with a venting hole at a suitable position.
  • the composite fixing plate may be an upper fixing plate, or a lower fixing plate, or a front fixing plate.
  • the pressure adjusting rod 125 is first installed in the fixing hole 201D, and the hemostasis is pressed after the operation.
  • the elastic bandage After 20 minutes, the elastic bandage is wound, and when the elastic bandage is wound, the elastic bandage is pressed against the bumps on the outer side of the upper fixing plate, the lower fixing plate and the front fixing plate, and the pressure adjusting rod 125. If the elastic bandage is slightly loose after the dressing, the pressure adjusting rod 205 can be introduced into the groove 201F, and a plurality of pieces can be placed according to the actual situation, which is a process of increasing the pressure of the elastic bandage. After every two hours of surgical dressing (or according to actual needs), pull out a pressure adjustment rod on any elastic bandage-assisted dressing device or separately pull out one or more pressure adjustment rods on the front fixing plate to evenly relax the elastic bandage. This is a process of decompression, which can effectively alleviate the suffering of patients and avoid lower extremity arterial occlusion and deep vein thrombosis.
  • FIG. 21, FIG. 22, FIG. 23 and FIG. 24 show a composite fixing plate according to the embodiment, wherein the composite fixing plate has a contour on the inner side surface and a body, and the outer side surface is a sheath group.
  • Each jacket in the jacket set can accommodate a pressure adjustment rod.
  • the composite fixing plate may be an upper fixing plate, or a lower fixing plate, or a front fixing plate.
  • the sheath set may be integrally formed with the fixed plate, or the sheath set may be manufactured and bonded or welded to the fixed plate.
  • the sheath set can comprise one or more sheaths.
  • the sheath set may be fixed together with the basic features such as the bump, the fixing hole, the groove and the T-shaped groove (ie, 231G in FIG. 23, the T-shaped groove may penetrate the inner side and the outer side of the fixing plate) On the outside of the board.
  • the T-shaped head 241 of the T-shaped connector of Fig. 24 can be embedded in the T-shaped grooves of the two fixing plates, so that the two fixing plates are connected together, and the connecting wires 242 have different length series for adjusting the two fixings. The distance of the board.
  • a plurality of pressure adjusting bars 125 are first installed in the sheath 2121 (for example, three are installed), and the hemostasis is pressed for 20 minutes after the operation.
  • the rear elastic bandage is such that when the elastic bandage is wound, the elastic bandage is pressed against the sheath and the pressure regulating rod 125 on the outer side of the upper fixing plate, the lower fixing plate and the front fixing plate. If the elastic bandage is found to be slightly loose after dressing, additional pressure adjustment bars 125 can be introduced into the other sheaths... for example, the other two sheaths... this is the process of increasing the elastic bandage pressure.
  • 25 and 26 are side views showing the use position of the rear fixing plate and the extension plate of the embodiment, the rear fixing plate 251, and having plate edges 2517 and 2518 which are placed at the back waist of the patient. It is in contact with the patient's waist, buttocks and thighs and bears part of the weight.
  • it also includes two extension plates 252A and 252B, and further includes a bracket 255 which connects the rear fixing plate and the two extension plates together. .
  • FIG. 26 shows an exploded view of the mounting position of the rear fixing plate and the extension plate of the present embodiment.
  • the formed bed structure can be used to fix the patient.
  • the bed structure can be used as a stretcher for transferring patients before and after surgery, and can be used as a simple bed flattening patient during the operation, and the patient's waist and legs can be directly tied to the rear fixed plate 251 during post-operative dressing.
  • the elastic bandage binds the pierced thigh through the bandage through hole 2512. Because the leg 2551 has a certain height, the elastic bandage can be directly wrapped around the waist of the patient, and the bed structure does not need to move the patient body during the postoperative dressing of the patient. It relieves the suffering of the patient and facilitates the operation of the medical staff.
  • the rear fixation plate 251 can be contoured to the body to allow the patient's waist, buttocks and thighs to fully contact the fixation plate 251, which allows the patient to withstand greater bandage pressure.
  • the rear fixing plate 251 can be machined in a plurality of sizes to accommodate patients of different sizes.
  • the side of the rear fixing plate 251, the extension plate 252A, and the extension plate 252B that is in contact with the patient's body can be adhered with a soft and heat-insulating polymer material to increase patient comfort.
  • the extension plate 252A and the extension plate 252B may be identical in size to facilitate manufacture and use.
  • the rear fixing plate 251 may be a disposable consumable, and the extension plate 252A and the extension plate 252B may be used multiple times after sterilization.
  • the bracket 255 can be made of a polymer material, such as an engineering plastic, to avoid affecting the imaging of medical imaging equipment.
  • the bed structure of Figures 25 and 26 can be used during surgery without the need to move the patient to the operating table again, and the height of the operating table can be adjusted to facilitate the surgeon's operation.
  • the bed structure provided in this embodiment does not need to move the body before, during, and after the operation of the bed structure, and the use of the elastic bandage to assist the dressing device is beneficial to the patient to accelerate the physical rehabilitation.

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Abstract

本发明涉及一种弹力绷带辅助包扎装置，用于弹力绷带止血包扎，其包括：至少一个上固定板和至少一个下固定板，所述上固定板用于放置在腰部，其内侧面与腰部仿形，而所述下固定板用于放置在大腿外侧，其内侧面与大腿仿形，所述上固定板和所述下固定板均还具有用于与弹力绷带接触的外侧面，以避免弹力绷带滑动和打卷。患者手术后将弹力绷带缠绕到辅助包扎装置上可以有效防止弹力绷带滑动和打卷，与传统绷带止血方法相比，采用辅助包扎装置后使绷带不会勒到肉里，有效地减轻了患者痛苦。采用本发明的弹力绷带辅助包扎装置，可以根据实际需要随时减压，避免造成患者的下肢动脉闭塞及深静脉血栓。

Description

弹力绷带辅助包扎装置 技术领域
本发明涉及一种弹力绷带辅助包扎装置， 用于绷带止血包扎。 背景技术
介入技术 ( Interventional Technology ) , 也叫介入治疗或者介入疗法 ( Interventional treatment ) , 它是近年出现的发展最快的一门学科， 是 "介入 放射医学"（Interventional Radiological Medicine)的简称， 是继内科、 外科之 后的第三大治疗学科， 能弥补内、 外科技术的不足。
介入技术是应用现代高科技手段进行的一种微创性治疗，是在医学影像 设备的引导下， 将特制的导管、 导丝等精密器械引入人体， 对体内病灶进行 诊断和局部治疗。 介入治疗的多数项目都是在血管内进行的， 它不需开刀， 只需不到米粒大的小口子，把特制的专用细管子插入血管内即可治疗许多过 去无法治疗、 必须手术治疗或内科治疗疗效欠佳的疾病， 如血管内造影及支 架置入术、 先天性心脏病封堵治疗、 肿瘤、血管瘤、 各种出血、 脑血管畸形、 甚至不孕不育等各类疑难杂症。 介入疗法具有不开刀、 创伤小、 恢复快、 效 果好等优点。
随着介入技术的蓬勃发展， 经皮股动脉穿刺术的应用越来越广泛， 包括 急诊手术及在桡动脉穿刺不成功时均需用到股动脉穿刺。 如图 1所示， 穿刺 点一般选择在腹股沟韧带下侧 0.5-1厘米处， 有时选择患者右侧的股动脉， 有时选择患者左侧的股动脉。 术后止血都釆用弹力绷带加压包扎， 包扎后患 者需要持续卧床 24小时。现有技术的弹力绷带包扎在使用中存在如下不足： 弹力绷带往往勒得很紧， 绷带 （常用的绷带宽 10厘米）用力绷紧后极易打 卷， 甚至勒成一条线（如图 2所示）， 使患者极不舒服， 易产生腰背疼痛、 腹胀腹痛； 有些患者产生排尿困难， 被迫下留置导尿； 因持续 24小时加压 没有减压方法， 不像桡动脉加压包扎可两小时减压一次， 易影响下肢动脉血 液供应及静脉血液回流， 造成下肢动脉闭塞及深静脉血栓。 发明内容 本发明之目的在于提供一种弹力绷带辅助包扎装置， 用于绷带包扎止 血， 可以防止绷带打卷， 在满足止血所需拉力的情况下不会勒到肉里， 有效 地减轻了患者痛苦和避免造成下肢动脉闭塞及深静脉血栓。该弹力绷带辅助 包扎装置可用于手术后的绷带止血包扎， 例如用于经皮股动脉穿刺后的绷带 止血包
本发明提供一种弹力绷带辅助包扎装置， 其包括： 至少一个上固定板和 至少一个下固定板， 所述上固定板用于放置在腰部， 其内侧面与腰部仿形， 而所述下固定板用于放置在大腿外侧， 其内侧面与大腿仿形， 所述上固定板 和所述下固定板均还具有用于与弹力绷带接触的外侧面， 以避免弹力绷带滑 动和打卷。
优选地， 所述上固定板的数量是两个， 所述下固定板的数量是一个； 或 者， 所述上固定板和所述下固定板的数量均是两个。
优选地， 所述辅助包扎装置还包括用于安装在所述外侧面上的压力调整 棒， 以调整弹力绷带的压力。
优选地， 所述外侧面带有以下至少一种结构： 非光滑面； 凸点； 用于固 定压力调整棒的固定孔； 用于固定压力调整棒的固定槽； 以及用于固定压力 调整棒的护套组。
优选地， 所述固定孔为圓孔。
优选地， 所述固定槽为成型为半圓孔的凹槽。
优选地， 所述上固定板和所述下固定板开有透气孔。
优选地，所述上固定板和所述下固定板的内侧面涂布有胶粘剂并覆盖着 硅油纸。
优选地， 所述上固定板和所述下固定板开有连接孔， 用于通过连接物将 两者连接在一起。
优选地，所述至少一个上固定板中的至少一个与所述至少一个下固定板 的至少一个形成为一体。
优选地， 该辅助包扎装置包括两个上固定板和两个下固定板， 并且所述 两个上固定板分别与所述两个下固定板形成为一体。
优选地， 该辅助包扎装置还包括前固定板， 所述的前固定板用于放置在 患者的腹部， 其内侧面与腹部仿形。
优选地， 所述前固定板能够与所述上固定板或者所述下固定板连接起 来， 或者， 所述前固定板与所述上固定板或者所述下固定板形成为一体。 优选地， 该辅助包扎装置还包括后固定板， 所述后固定板的一侧面用于 与患者的腰部、 臀部和大腿接触， 并且所述后固定板上还开有绷带过孔。
优选地， 该辅助包扎装置还包括两块延长板和一个支架， 所述后固定板 和所述两块延长板安装到所述支架上形成床式结构， 该床式结构用于移送患 者或者手术后将患者直接固定在床式结构上。
优选地， 所述后固定板与患者的腰部、 臀部和大腿仿形， 从而使患者的 腰部、 臀部和大腿能够充分与所述后固定板接触。
优选地， 所述后固定板的另一面上有固定块。
本发明具有以下优点。
( 1 )提供的弹力绷带辅助包扎装置可以有效防止绷带滑动和打卷。
( 2 ) 与传统绷带止血方法相比， 釆用弹力绷带辅助包扎装置后所需绷 带拉力减小使绷带不会勒到肉里， 有效地减轻了患者痛苦。
( 3 )釆用弹力绷带辅助包扎装置后， 可以根据实际需要随时减压， 避 免造成下肢动脉闭塞及深静脉血栓。
( 4 )提供的弹力绷带辅助包扎装置的合适位置可以安装固定压力表、 压力计等， 可以实时显示绷带拉紧力。
( 5 )本发明的零件釆用橡胶塑料等高分子材料制造， 重量较轻易于随 身携带和使用。 附图说明
图 1示出经皮股动脉穿刺术一般用到的股动脉和穿刺点。
图 2示出传统绷带止血包扎中出现的绷带打卷的情形。
图 3为本发明实施例 1的弹力绷带辅助包扎装置的使用位置示意图。 图 4为本发明实施例 1的弹力绷带辅助包扎装置的使用位置侧视图。 图 5为本发明实施例 2的弹力绷带辅助包扎装置的使用位置正视图。 图 6为本发明实施例 3的弹力绷带辅助包扎装置的使用位置正视图。 图 7为本发明实施例 3的弹力绷带辅助包扎装置的使用位置侧视图。 图 8示出本发明实施例 4的带有凸点和固定孔的上固定板。
图 9示出本发明实施例 4的带有凸点和固定槽的上固定板。
图 10示出本发明实施例 4的一种结构的压力调整棒。 图 11示出本发明实施例 5的带有凸点的前固定板。
图 12示出本发明实施例 5的带有固定孔和压力调整棒的前固定板。 图 13示出本发明实施例 5的带有凸点和透气孔的前固定板。
图 14示出本发明实施例 5的带有固定孔、 透气孔和压力调整棒的前固 定板。
图 15示出本发明实施例 6的带有胶粘剂和硅油纸的固定板。
图 16示出本发明实施例 7的一种一体式固定板。
图 17示出本发明实施例 8的一种一体式固定板。
图 18示出本发明实施例 8的一种一体式固定板。
图 19示出本发明实施例 9的一种一体式固定板。
图 20示出本发明实施例 10的一种复合式固定板。
图 21示出本发明实施例 11的一种复合式固定板。
图 22示出本发明实施例 11的一种护套组示出。
图 23示出本发明实施例 11的一种复合式固定板。
图 24示出本发明实施例 11的一种 T型连接物。
图 25为本发明实施例 12的后固定板及延长板的使用位置侧视图。 图 26为本发明实施例 12的后固定板及延长板安装位置爆炸图。 具体实施方式
为了使本发明的内容更容易被清楚的理解， 下面结合附图对本发明做进 一步的详细描述。
实施例 1
如图 3、 图 4所示， 上固定板 31放置在腰部， 其内侧面与腰部仿形其外 侧面为非光滑面； 下固定板 32 ,放置在大腿外侧， 其内侧面与大腿仿形其外 侧面为非光滑面； 另一侧的上固定板 33 ,放置在患者另一侧的腰部， 其内侧 面与腰部仿形其外侧面为非光滑面。 手术后按压止血 20分钟后缠绕弹力绷 带， 与传统弹力绷带止血不同， 本专利技术因为增加了上固定板 31、 下固定 板 32和另一侧的上固定板 33 , 所以弹力绷带不会滑动和出现打卷的情形； 也因为弹力绷带辅助包扎装置的存在使止血所需绷紧力变小，相应的使患者 身体承受的压力要小而且力的分布均匀了， 有效地减轻了患者痛苦。
实施例 2 如图 5所示， 上固定板 51各处横截面尺寸不同， 放置在腰部， 其内侧 面与腰部仿形其外侧面为非光滑面， 或者是带有凸点的面， 或者是带有固定 孔并安装有压力调整棒的面， 或者是前述几种表面的组合； 下固定板 52各 处横截面尺寸不同， 放置在大腿外侧， 其内侧面 52B 与大腿仿形其外侧面 52A为非光滑面， 或者是带有凸点的面， 或者是带有固定孔并安装有压力调 整棒的面， 或者是前述几种表面的组合； 另一侧的上固定板 53各处横截面 尺寸不同， 放置在患者另一侧的腰部， 其内侧面与腰部仿形其外侧面为非光 滑面， 或者是带有凸点的面， 或者是带有固定孔并安装有压力调整棒的面， 或者是前述几种表面的组合。 因为弹力绷带辅助包扎装置釆用了非等截面结 构， 补偿了人体缠绕绷带处的凸凹变化， 在弹力绷带缠绕的路径上使弹力绷 带处处有接触， 要么与人体接触要么与弹力绷带辅助包扎装置接触， 所以弹 力绷带不会滑动和出现打卷的情形； 也因为弹力绷带辅助包扎装置的存在使 患者身体可以承受更大的压力而且力的分布均勾了， 有效地减轻了患者痛 苦。
实施例 3
如图 6、 图 7所示， 上固定板 61放置在腰部， 其内侧面与腰部仿形其外 侧面的一些区域布满凸点， 所述的凸点为锥形体也可以为其它几何体或者多 种几何体的组合； 下固定板 62 ,放置在大腿外侧， 其内侧面与大腿仿形其外 侧面的一些区域布满凸点， 所述的凸点为锥形体也可以为其它几何体或者多 种几何体的组合； 另一侧的上固定板 63 ,放置在患者另一侧的腰部， 其内侧 面与腰部仿形其外侧面的一些区域布满凸点， 所述的凸点为锥形体也可以为 其它几何体或者多种几何体的组合。 手术后按压止血 20分钟后缠绕弹力绷 带， 弹力绷带在图 6所示的位置与上固定板 61、 下固定板 62和另一侧的上 固定板 63接触， 因为弹力绷带辅助包扎装置上有凸点， 使弹力绷带在缠绕 方向上不会滑动， 在与缠绕方向垂直的方向上不会打卷。 因为弹力绷带辅助 包扎装置的存在使患者身体可以承受更大的压力而且力的分布均勾了，有效 地减轻了患者痛苦。
实施例 4
该实施例请参见图 8、 图 9和图 10。 图 8中所示为上固定板 81 ,放置在 腰部， 其内侧面与腰部仿形， 其外侧面的中间区域布满凸点 81C, 所述的凸 点为锥形体； 在凸点区域的两侧各有一根压力调整棒 85 ,所述的压力调整棒 85通过固定孔 8 ID安装到上固定板 81上。 本实施例中的下固定板和另一侧 的上固定板结构与上固定板 81相同。
图 9和图 10提供了另一种结构的弹力绷带辅助包扎装置， 与图 8相比 不同之处是固定孔变成了固定槽，相应地压力调整棒的结构也由圓棒变成了 带有凸缘的圓棒。 在图 9中附图标记 91、 91C和 91D分别表示上固定板、 凸点和固定槽，而在图 10中附图标记 101和 101A分别表示压力调整棒和凸 使用前先将压力调整棒 85安装到固定孔 81D或者将压力调整棒 101安 装到固定槽 91D中， 之后将上固定板、 下固定板、 另一侧的上固定板固定到 患者的腰部和大腿外侧，在缠绕弹力绷带时使弹力绷带压住凸点和压力调整 棒。 因为弹力绷带辅助包扎装置上有凸点， 使弹力绷带在缠绕方向上不会滑 动， 在与缠绕方向垂直的方向上不会打卷； 因为弹力绷带辅助包扎装置的存 在使患者身体可以承受更大的压力而且力的分布均匀了； 每隔两小时（或者 根据实际需要）抽出一根压力调整棒， 使弹力绷带松一些， 该种减压方法可 以有效地减轻患者的痛苦， 避免造成下肢动脉闭塞及深静脉血栓。
在本实施例中或者其它实施例中， 固定板上的压力调整棒的个数根据实 际需要确定， 压力调整棒的抽出方向根据实际需要确定。
实施例 5
如图 11、 图 12所示，本实施例的弹力绷带辅助包扎装置包括上固定板、 下固定板和另一侧的上固定板， 此外还包括前固定板 ( 111或者 121 ), 所述 的前固定板其内侧面与腹部仿形其外侧面的一些区域布满凸点 111C, 所述 的凸点 111C为锥形体也可以为其它几何体或者多种几何体的组合。
如图 6所示， 手术后将上固定板、 下固定板和另一侧的上固定板放置在 患者的绷带包扎处， 所述的带有凸点的前固定板 111放置在患者的腹部。 手 术后按压止血 20分钟后缠绕弹力绷带， 在缠绕弹力绷带时使弹力绷带压住 上固定板和下固定板外侧面上的凸点和压力调整棒， 同时弹力绷带也压住前 固定板 111上的凸点。 因为弹力绷带辅助包扎装置上有凸点， 使弹力绷带在 缠绕方向上不会滑动， 在与缠绕方向垂直的方向上不会打卷； 因为弹力绷带 辅助包扎装置的存在使患者身体可以承受更大的压力而且力的分布均匀了； 特别是本实施例增加了前固定板 111 , 使患者原来腹部承受的绷带压力分布 在较大的面积上，避免了腹胀腹痛和排尿困难，从根本上减轻了患者的痛苦。 如图 12所示， 所提供的是另一种结构的带有固定孔和压力调整棒的前 固定板 121 ,使用前将压力调整棒 125通过固定孔 121D安装到前固定板上。 在使用中因为本实施例增加了前固定板 121 , 使患者原来腹部承受的绷带压 力分布在较大的面积上， 因此减轻了患者的痛苦。 特别是每隔两小时（或者 根据实际需要）抽出任一弹力绷带辅助包扎装置上的一根压力调整棒或者单 独抽出前固定板 121上的一根压力调整棒， 使弹力绷带均勾放松， 可以有效 地减轻患者的痛苦， 避免造成下肢动脉闭塞及深静脉血栓。
对于本实施例提供的前固定板，一种结构是带有凸点的前固定板 111(如 图 11所示）， 另一种结构是带有固定孔和压力调整棒的前固定板 121 (如图 12所示）， 事实上前固定板可以釆用复合结构， 其内侧面与腹部仿形其外侧 面的一些区域布满凸点， 所述的凸点为锥形体也可以为其它几何体或者多种 几何体的组合； 其外侧面的另一些区域留有固定孔等结构用于安装固定压力 调整棒 125。
图 13示出本实施例提供的带有透气孔 131E的前固定板 131 , 该前固定 板 131的外侧面具有规则分布的凸点 131C。 图 14示出本实施例提供的带有 透气孔 141E的前固定板 141 , 该前固定板 141的外侧面具有用于安装固定 压力调整棒的固定孔 141D。 透气孔 131E和 141E贯穿前固定板的内侧面和 外侧面， 可以是圓孔或者是方孔或者是其它任意形状的孔。 透气孔的存在使 前固定板在满足使用要求的情况下， 使内侧面与皮肤的接触面积尽可能的 小， 有利于皮肤的呼吸和血液循环。
在实际使用中， 在上固定板和下固定板的合适位置也可以开有透气孔， 这样有利于皮肤的呼吸和血液循环，在满足使用要求的同时也减少了产品生 产时的材料消耗和降低了产品重量。
在实际使用中， 本实施例提供的前固定板可以单独使用， 可以部分地达 到使用效果。
实施例 6
图 15示出本实施例提供的带有胶粘剂和硅油纸的固定板， 所述 的固定板由柔软材料制成（如医用橡胶等高分子材料） 包括上固定板、 下固定板和前固定板， 其内侧面为平面涂布有胶粘剂 152,并覆盖着硅油纸 153; 所述的胶粘剂 152可以是弹性体型压敏胶或者是树脂型压敏胶； 其外 侧面可以是非光滑面， 或者是带有凸点的面， 或者是带有固定孔并安装有压 力调整棒的面， 或者是前述几种表面的组合。 所述的固定板的合适位置可以 开有透气孔。
使用时， 去除固定板上的硅油纸 153露出胶粘剂 152 , 将柔软的固定板 粘贴在患者身体上缠绕绷带的位置， 因为绷带下面的固定板受力不会移动， 使弹力绷带在缠绕方向上不会滑动， 在与缠绕方向垂直的方向上不会打卷； 因为弹力绷带辅助包扎装置的存在使患者身体可以承受更大的压力而且力 的分布均勾了， 有效地减轻了患者的痛苦。
本实施例提供的固定板， 可以在其内侧面的部分区域涂布胶粘剂。
本实施例提供的柔软的固定板， 可以是非等壁厚的， 使缠绕的绷带处处 有支撑， 也可以在其内侧面的部分区域使用海绵等柔软材料。
在实际使用中，本实施例提供的固定板，特别是前固定板可以单独使用， 可以部分地达到使用效果。
实施例 7
图 16示出本实施例提供的一种一体式固定板， 所述的一体式固定板是 将上固定板和下固定板组合到一起（即图 16中的右固定板 161和左固定板 162 ), 其内侧面与身体仿形， 其外侧面可以是非光滑面， 或者是带有凸点的 面， 或者是带有固定孔并安装有压力调整棒的面， 或者是前述几种表面的组 合。 所述的一体式固定板的合适位置可以开有透气孔。
本实施例提供的一体式固定板， 可以是非等壁厚的， 使缠绕的绷带处处 有支撑。
本实施例提供的一体式固定板， 可以根据实际需要在内侧面的部分区域 粘贴有海绵等柔软物质， 以增加患者的舒适感或者补偿弹力绷带辅助包扎装 置与患者身体之间存在的间隙。
在实际使用中， 除了使用右固定板 161和左固定板 162外， 还可以包括 前固定板 163。
实施例 8
图 17示出本实施例提供的一种一体式固定板， 所述的一体式固定板是 将两个上固定板 171、 两个下固定板 172和一个前固定板 173用两个连接板 174连接在一起形成空间网状结构， 其内侧面与身体仿形， 其外侧面可以是 非光滑面， 或者是带有凸点的面， 或者是带有固定孔并安装有压力调整棒的 面， 或者是前述几种表面的组合。 所述的一体式固定板的合适位置可以开有 透气孔。 所述的连接板 174可以根据实际需要使用多个。
图 18示出本实施例提供的另一种一体式固定板， 所述的一体式固定板 是将右固定板 181、 左固定板 182和前固定板 183用四个连接板 184连接在 一起形成空间网状结构， 其内侧面与身体仿形， 其外侧面可以是非光滑面， 或者是带有凸点的面， 或者是带有固定孔并安装有压力调整棒的面， 或者是 前述几种表面的组合。 所述的一体式固定板的合适位置可以开有透气孔。 所 述的连接板 184可以根据实际需要使用多个。
本实施例提供的一体式固定板， 可以是非等壁厚的， 使缠绕的绷带处处 有支撑。
本实施例提供的一体式固定板， 可以根据实际需要在内侧面的部分区域 粘贴有海绵等柔软物质， 以增加患者的舒适感或者补偿弹力绷带辅助包扎装 置与患者身体之间存在的间隙。
实施例 9
图 19示出本实施例提供的一种一体式固定板， 所述的一体式固定板包 括两个上固定板区域 191、 两个下固定板区域 192、 一个前固定板区域 193、 两个侧开口 194和一个下开口 195 , 其内侧面与身体接触其外侧面与绷带接 触， 其外侧面可以是非光滑面， 或者是带有凸点的面， 或者是带有固定孔并 安装有压力调整棒的面， 或者是前述几种表面的组合。
所述的一体式固定板的合适位置可以开有透气孔。
所述的侧开口 194和下开口 195可以是三角形，也可以是四方形或者才艮 据实际需要确定为合适的几何形状。 所述的侧开口 194可以开有多个。
所述的一体式固定板的四周边缘可以是规则的几何形状，也可以直接制 造成或者切割成合适的几何形状。
所述的一体式固定板可以釆用医用橡胶等高分子材料一次性制造出来， 也可以釆用焊接或者粘接等方法加工出来。
所述的一体式固定板在其内侧面的一些区域可以涂布有胶粘剂， 并覆盖 有硅油纸。
实施例 10
如图 20所示， 为本实施例提供的一种复合式固定板， 所述的复合式固 定板其内侧面与身体仿形，其外侧面可以是非光滑面，或者是带有凸点的面， 或者是带有固定孔并安装有压力调整棒的面， 或者是带有 槽并安装有压力 调整棒的面， 或者是前述几种表面的组合。 所述的一体式固定板的合适位置 可以开有透气孔。
所述的复合式固定板可以是上固定板， 或者是下固定板， 或者是前固定 板。
使用前， 先将压力调整棒 125安装到固定孔 201D中， 手术后按压止血
20分钟后缠绕弹力绷带，在缠绕弹力绷带时使弹力绷带压住上固定板、下固 定板和前固定板外侧面上的凸点和压力调整棒 125。 包扎后如果发现弹力绷 带略松， 可以将压力调整棒 205导入凹槽 201F, 可以根据实际情况多放几 根， 这是增加弹力绷带压力的过程。 手术包扎后每隔两小时（或者根据实际 需要）抽出任一弹力绷带辅助包扎装置上的一根压力调整棒或者单独抽出前 固定板上的一根或者多根压力调整棒， 使弹力绷带均匀放松， 这是减压的过 程， 可以有效地减轻患者的痛苦， 避免造成下肢动脉闭塞及深静脉血栓。
实施例 11
图 21、 图 22、 图 23和图 24示出本实施例提供的一种复合式固定板， 所述的复合式固定板其内侧面与身体仿形， 其外侧面为护套组， 所述的护套 组中的每个护套可以容纳一根压力调整棒。
所述的复合式固定板可以是上固定板， 或者是下固定板， 或者是前固定 板。
所述的护套组可以与固定板一体式制造， 或者将护套组制造出来后粘接 或者焊接到固定板上。 所述的护套组可以包含一个或者多个护套。
所述的护套组可以与凸点、 固定孔、凹槽和 T型槽（即图 23中的 231G, T型槽可以贯穿固定板的内侧面和外侧面）等基本特征一起或者单独位于固 定板的外侧面上。 图 24中的 T型连接物的 T型头 241可以嵌入两块固定板 的 T型槽中， 从而使两块固定板连接到一起， 连线 242有不同的长度系列， 用于调整两块固定板的距离。
假设上固定板、 下固定板和前固定板都使用图 21 中的结构， 使用前， 先将若干根压力调整棒 125安装到护套 2121中（例如安装 3根）， 手术后按 压止血 20分钟后缠绕弹力绷带， 在缠绕弹力绷带时使弹力绷带压住上固定 板、 下固定板和前固定板外侧面上的护套和压力调整棒 125。 包扎后如果发 现弹力绷带略松， 可以将另外的压力调整棒 125导入其它护套里…例如另外 的两个护套…这是增加弹力绷带压力的过程。 手术包扎后每隔两小时（或者 根据实际需要）抽出任一固定板上护套里的一根或者多根压力调整棒或者单 独抽出前固定板上护套里的一根或者多根压力调整棒， 使弹力绷带均匀放 松， 这是减压的过程， 可以有效地减轻患者的痛苦， 避免造成下肢动脉闭塞 及深静脉血栓。
实施例 12
图 25、 图 26示出本实施例的后固定板及延长板的使用位置侧视图， 所 述的后固定板 251 , 并具有板边缘 2517和 2518, 该后固定板放置在患者的 后腰部， 与患者的腰部、 臀部和大腿接触并承受部分重量， 为了固定患者还 包括两块延长板 252A和 252B, 此外还包括一个支架 255 , 所述的支架将后 固定板和两块延长板连接在一起。
图 26示出本实施例的后固定板及延长板安装位置爆炸图， 在支架 255 上有三个位置 A、 B、 C, 将后固定板 251通过固定块 2511安装到位置 C, 将延长板 252A通过固定块 2511安装到位置 A, 将延长板 252B通过固定块 2511安装到位置 B , 形成的床式结构就可以用于固定患者了。 该床式结构可 以作为担架在手术前后用于移送患者， 在手术的过程中作为简易床平放患 者， 在手术后包扎时可以将患者的腰部和腿部直接绑缚在后固定板 251上， 弹力绷带通过绷带过孔 2512包扎穿刺的大腿，因为支脚 2551有一定的高度， 可以使弹力绷带直接缠绕患者的腰部， 釆用这样的床式结构在术后包扎患者 的过程中不需要移动患者身体， 减轻了患者的痛苦， 也方便了医务人员的操 作。
所述后固定板 251—面可以与身体仿形， 使患者的腰部、 臀部和大腿充 分与固定板 251接触， 这样可以使患者承受更大的绷带压力。
所述后固定板 251可以加工出多个尺寸规格， 以适应不同身材的患者。 所述后固定板 251、 延长板 252A、 延长板 252B与患者身体接触的一面 可以粘贴一层柔软保温的高分子材料， 以增加患者的舒适感。
所述延长板 252A和所述延长板 252B的结构尺寸可以完全一样， 以方 便制造和使用。
所述后固定板 251可以是一次性消耗品， 延长板 252A和延长板 252B 可以消毒后多次使用。
所述的支架 255可以釆用高分子材料制造，如工程塑料等以避免影响医 学影像设备成像。 图 25和图 26中的床式结构可以在手术的过程中使用， 不需要将患者再 次移动到手术台上， 可以调节手术台的高度以方便手术医生操作。
本实施例提供的床式结构在术前、 术中、 术后患者都不需要移动身体， 通过使用弹力绷带辅助包扎装置， 有利于患者加快身体康复。
显然， 上述实施例仅仅是为清楚地说明所做的举例， 而并非对实施方式 的限定。 对于所属领域的普通技术人员来说， 在上述说明的基础上还可以做 出其它不同形式的变化或变动。 这里无需也无法对所有实施方式予以穷举。 而由此所引申出的显而易见的变化或变动仍处于本发明的保护范围之中。

Claims

权利要求书
1、 一种弹力绷带辅助包扎装置， 其特征在于， 包括： 至少一个上固定 板和至少一个下固定板， 所述上固定板用于放置在腰部， 其内侧面与腰部仿 形， 而所述下固定板用于放置在大腿外侧， 其内侧面与大腿仿形， 所述上固 定板和所述下固定板均还具有用于与弹力绷带接触的外侧面， 以避免弹力绷 带滑动和打卷。
2、 如权利要求 1 所述的弹力绷带辅助包扎装置， 其特征在于， 所述上 固定板的数量是两个， 所述下固定板的数量是一个；
或者， 所述上固定板和所述下固定板的数量均是两个。
3、 如权利要求 1 所述的弹力绷带辅助包扎装置， 其特征在于， 还包括 用于安装在所述外侧面上的压力调整棒， 以调整弹力绷带的压力。
4、 如权利要求 1 所述的弹力绷带辅助包扎装置， 其特征在于， 所述外 侧面带有以下至少一种结构： 非光滑面； 凸点； 用于固定压力调整棒的固定 孔； 用于固定压力调整棒的固定槽； 以及用于固定压力调整棒的护套组。
5、 如权利要求 4所述的弹力绷带辅助包扎装置， 其特征在于， 所述固 定孔为圓孔。
6、 如权利要求 4所述的弹力绷带辅助包扎装置， 其特征在于， 所述固 定槽为成型为半圓孔的凹槽。
7、 如权利要求 1中任一项所述的弹力绷带辅助包扎装置， 其特征在于， 所述上固定板和所述下固定板开有透气孔。
8、 如权利要求 1所述的弹力绷带辅助包扎装置， 其特征在于， 所述上 固定板和所述下固定板的内侧面涂布有胶粘剂并覆盖着硅油纸。
9、 如权利要求 1所述的弹力绷带辅助包扎装置， 其特征在于， 所述上 固定板和所述下固定板开有连接孔， 用于通过连接物将两者连接在一起。
10、 如权利要求 1-9中任一项所述的弹力绷带辅助包扎装置， 其特征在 于， 所述至少一个上固定板中的至少一个与所述至少一个下固定板的至少一 个形成为一体。
11、 如权利要求 10所述的弹力绷带辅助包扎装置， 其特征在于， 该弹 力绷带辅助包扎装置包括两个上固定板和两个下固定板， 并且所述两个上固 定板分别与所述两个下固定板形成为一体。
12、 如权利要求 1-9中任一项所述的弹力绷带辅助包扎装置， 其特征在 于， 还包括前固定板， 所述的前固定板用于放置在患者的腹部， 其内侧面与 腹部仿形。
13、 如权利要求 12所述的弹力绷带辅助包扎装置， 其特征在于， 所述 前固定板能够与所述上固定板或者所述下固定板连接起来， 或者， 所述前固 定板与所述上固定板或者所述下固定板形成为一体。
14、 如权利要求 1-9中任一项所述的弹力绷带辅助包扎装置， 其特征在 于， 还包括后固定板， 所述后固定板的一侧面用于与患者的腰部、 臀部和大 腿接触， 并且所述后固定板上还开有绷带过孔。
15、 如权利要求 14所述的弹力绷带辅助包扎装置， 其特征在于， 还包 括两块延长板和一个支架， 所述后固定板和所述两块延长板安装到所述支架 上形成床式结构， 该床式结构用于移送患者或者手术后将患者直接固定在床 式结构上。
16、 如权利要求 14所述的弹力绷带辅助包扎装置， 其特征在于， 所述 后固定板与患者的腰部、 臀部和大腿仿形， 从而使患者的腰部、 臀部和大腿 能够充分与所述后固定板接触。
17、 如权利要求 14所述的弹力绷带辅助包扎装置， 其特征在于， 所述 后固定板的另一面上有固定块。
PCT/CN2012/086290 2012-05-23 2012-12-10 弹力绷带辅助包扎装置 WO2013174126A1 (zh)

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CN102657547B (zh) * 2012-05-23 2015-07-15 刘斌 弹力绷带辅助包扎装置
CN103431956A (zh) * 2013-09-10 2013-12-11 吉林大学 一种组合式介入手术用床
CN104586458B (zh) * 2015-01-30 2016-09-07 窦志刚 股动脉双侧压迫止血装置
TWI613990B (zh) * 2016-12-08 2018-02-11 南臺科技大學 止血方法
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