WO2016107158A1 - Appareil hémostatique de pression artérielle radiale - Google Patents

Appareil hémostatique de pression artérielle radiale Download PDF

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Publication number
WO2016107158A1
WO2016107158A1 PCT/CN2015/085254 CN2015085254W WO2016107158A1 WO 2016107158 A1 WO2016107158 A1 WO 2016107158A1 CN 2015085254 W CN2015085254 W CN 2015085254W WO 2016107158 A1 WO2016107158 A1 WO 2016107158A1
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WO
WIPO (PCT)
Prior art keywords
decompression
pressure
pressure plate
hemostatic
arm
Prior art date
Application number
PCT/CN2015/085254
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English (en)
Chinese (zh)
Inventor
张磊
付涛
孙云
吴刚
孙耀华
Original Assignee
武汉奥绿新生物科技有限公司
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Application filed by 武汉奥绿新生物科技有限公司 filed Critical 武汉奥绿新生物科技有限公司
Publication of WO2016107158A1 publication Critical patent/WO2016107158A1/fr

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    • 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
    • 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
    • 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
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • 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
    • A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • 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
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018—Elastic band ligators

Definitions

  • the invention relates to a medical hemostat, in particular to a disposable compression hemostat acting on a radial artery, belonging to the technical field of medical instruments.
  • Interventional surgery is a routine treatment for medical departments such as cardiology and neurology.
  • the advantage of interventional surgery is that the doctor can enter the patient's body without using general anesthesia or without surgery.
  • the interventional diagnosis and treatment, especially the interventional surgery of the cardiology department is achieved through the patient's radial artery access.
  • the interventional procedure of the radial artery pathway has fewer complications, and the patient's bed rest activity is short.
  • the cost is low, but like other arterial puncture operations, complete hemostasis of the postoperative arteries is an important part of preventing bleeding at the puncture site after interventional surgery.
  • hemostasis at the radial artery puncture point is mainly controlled by manual hemostasis or mechanical compression equipment to stop bleeding. Manual hemostasis is manually pressed by a medical staff or applied with a bandage to stop bleeding.
  • the device generally inflates or pushes the air through the airbag or the knob, which can reduce the physical exertion of the medical staff and improve the hemostasis efficiency.
  • the oozing condition is more; the second is that the venous return is blocked due to the large pressing force of the arm, which causes the hand and the arm to swell and purple, which increases the patient's discomfort and panic.
  • the object of the present invention is to solve the deficiencies of the prior art and to provide a hemostatic device which has high hemostatic efficiency and can reduce the compression force of the arm.
  • the technical solution adopted for achieving the object of the present invention is an arm decompression type radial artery pressure hemostasis device, comprising a decompression unit and a hemostasis unit, the decompression unit including a decompression support plate and two or more fixed on the decompression support plate
  • the upper fixed strap, the decompression support plate has a long strip shape, the shape of the upper surface coincides with the anatomical structure of the back of the arm forearm, and the middle portion of the upper surface is provided with a support ridge along the long side, and the sides of the support ridge are provided with the tibia and
  • the ulnar shape is matched with a concave structure, the decompression support plate is curved downward along the long side and has a curved shape, and the fixing belt is located on the same long side of the decompression support plate;
  • the hemostasis unit comprises a pressure plate and a connecting belt connected to both ends of the pressure plate a nut fixed to the outer side of the pressure
  • the pressing plate has an elongated shape, and the portions of the pressing plate on both sides of the screw form two side wings, the lengths of the two side wings are not equal, and the flexible fixing pad is fixed on the lower surface of the long side wing.
  • the pressure plate is curved downward along the long side, and the ends of the two side flaps of the pressure plate are provided with holes.
  • One end of the connecting belt is fixed in one of the holes, and the other end is a fastening tape, and the fastening tape passes through The other has a hole and is stuck.
  • the pressure plate is provided with a hand-held seat, the hand-held seat is located between the nut and the pressure plate, the hand-held seat is in the shape of a truncated cone and is a hollow structure, and two opposite bus bars of the round-table hand-held seat are provided with anti-slip protrusions.
  • a connecting sleeve is arranged between the pressure plate and the screw, and the connecting sleeve has a hollow cylindrical shape, and the connecting sleeve is connected with the screw through the buckle, and the screw is fixed in the pressing plate and the hand seat through the connecting sleeve.
  • the decompression support plate is curved upward along the broad side and has an arc shape which coincides with the arc shape on the back side of the forearm of the arm.
  • the fixing belt is provided with two fixing strips at two ends of the same long side of the decompression supporting plate, and the other long side of the decompression supporting plate is provided with two hole buckles opposite to the fixing belt position, the fixing belt There are more than 2 button holes matching the hole buckles.
  • the compression pad and the flexible fixing pad are both silicone pads.
  • the adjustable screw can provide continuous and adjustable pressure for the puncture point, thereby achieving compression and hemostasis.
  • the inner side of the pressure plate is provided with a flexible fixing pad for assisting the supporting screw to increase the hemostatic unit and
  • the contact area of the wrist increases the stability of the hemostasis unit, and the hand-held seat on the pressure plate can fix the hemostasis unit when extubating or compressing the hemostasis, thereby preventing the misalignment of the hemostasis unit and causing the pressure pad to be misaligned;
  • the hemostatic dressing layer is prepared by the related patent CN201210545888.8. When the hemostasis is pressed, the dressing layer directly contacts the puncture mouth, and the compression pad of the composite hemostatic dressing layer can better close the wound and the puncture channel, and reduce the bleeding of the exudate and puncture point. Occurrence probability
  • the two concave structures of the decompression support plate can adapt to the humerus and ulna of the forearm back, avoiding the compression of the hard bone structure and the accompanying vein.
  • the support ridge can contact the soft tissue of the back of the arm to provide support strength.
  • the structure can better adapt to the anatomy of the back of the forearm, and the decompression support plate is curved upward along the wide side, and the arc is matched with the arc of the back of the forearm of the arm, so that the decompression support plate can be fixed on the forearm of the arm, so that The decompression support plate and the forearm are effectively adhered, and the decompression support plate has a large contact area with the forearm back, which can significantly disperse the compression force, thereby reducing the pressure of the hemostatic device on the vein, and does not affect the blood return; the decompression support plate has better The curvature curve can be fixed to the patient's wrist before surgery to provide a better surgical posture and expose the location of the arterial vessel.
  • FIG. 1 is a schematic structural view of a hemostatic device provided by the present invention.
  • Figure 2 is a schematic view showing the structure of a blood unit.
  • Figure 3 is a partial cross-sectional view of the blood unit.
  • FIG. 4 is a schematic structural view of a decompression unit.
  • Fig. 5 is a front view of the decompression unit.
  • the arm decompression type radial artery pressure hemostasis device has the structure shown in FIG. 1, FIG. 2, FIG. 3, FIG. 4 and FIG. 5, and the decompression unit includes a decompression support plate 5 and two or more fixed at
  • the fixing belt 7 on the decompression support plate has a strip shape, and the shape of the upper surface coincides with the anatomical structure of the back of the arm forearm.
  • the middle portion of the upper surface is provided with a support ridge 52 along the long side, and two supporting ridges.
  • the side is provided with a concave structure 51 matching the shape of the tibia and the ulna.
  • the decompression support plate is curved downward along the long side and has an arc shape.
  • the decompression support plate is curved upward along the wide side, and is curved and curved on the back of the forearm of the arm.
  • the arc shape is matched, and the fixing belt 7 is provided with two fixed belts at two ends of the same long side of the decompression support plate, and the other long side of the decompression support plate is provided with two positions opposite to the fixing belt.
  • the hole buckle 6 is provided with two or more fastening holes 71 matched with the hole buckles;
  • the hemostasis unit comprises a pressure plate 9, a connecting belt 4 connected to both ends of the pressure plate, and a nut 2 fixed on the outer side surface of the pressure plate a screw 1 that passes through the pressure plate and is screwed to the nut, and is fixed to the bottom surface of the screw
  • the compression pad 3, the compression pad 3 is located below the pressure plate 9, and the bottom surface of the compression pad is provided with a hemostatic dressing layer 8, and the hemostatic dressing layer is bonded or welded to the bottom surface of the compression pad by the adhesive, and the hemostasis unit is sleeved by the pressure plate and the connecting tape.
  • the pressure plate On the decompression support plate, the pressure plate is located above the decompression support plate, the fixing band is located on both sides of the hemostatic unit, the hand plate 11 is provided on the pressure plate, and the hand seat 11 is located between the nut 2 and the pressure plate 9, and the hand seat is in the shape of a truncated cone.
  • two opposite bus bars of the circular table-shaped hand-held seat are provided with anti-slip protrusions 111, and a connecting sleeve 12 is arranged between the pressing plate and the screw, the connecting sleeve is in the shape of a hollow cylinder, and the connecting sleeve 12 passes through the buckle and the screw 1 is connected, the screw is fixed in the pressing plate 9 and the hand-held seat 11 through the connecting sleeve, the pressing plate is elongated, the pressing plate is curved downward along the long side and curved, and the pressing plate is located at two sides of the screw to form two side wings, the pressing plate The lengths of the two side flaps are not equal.
  • the lower surface of the long side flap is provided with a flexible fixing pad 10 for assisting the supporting screw.
  • the flexible fixing pad 10 has a column shape, and the pressing pad and the flexible fixing pad are both silicone pads, and the two sides of the pressing plate Apertured end portion 91 has one end connected with a hole in which is fixed, the other end 41 of Velcro, Velcro and cement through the other hole.
  • the clinical use of the hemostatic device is that the decompression support plate is fixed on the back surface of the patient's forearm before surgery, and the position of the decompression support plate is adjusted so that the support ridge of the decompression support plate is located on the tibia and Between the ulnar, the fixing strap is fixed on the hole buckle through the buttonhole buckle. Since the decompression support plate is a curved plate, the wrist of the patient is bent to expose the position of the artery; when the operation is completed, the hemostasis unit is placed on the forearm. Adjust the tightness of the connecting belt, the position of the pressing pad is aligned with the puncture mouth, and screw the screw so that the hemostatic dressing layer is in close contact with the puncture mouth. After a period of time, the screw is rotated outward to reduce the pressure of the compression pad against the puncture mouth, and stop bleeding. Remove the hemostatic device after completion.

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  • 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 appareil hémostatique d'application de pression artérielle radiale, comprenant une unité de réduction de pression et une unité hémostatique. L'unité de réduction de pression comprend une plaque de support de réduction de pression (5) et une courroie de fixation (7). La plaque de support de réduction de pression (5) est une bande dont la surface supérieure a une forme correspondant à la structure anatomique de l'arrière d'un avant-bras. La plaque de support de réduction de pression (5) est incurvée vers le bas le long du bord long pour former un arc. La courroie de fixation (7) est disposée sur le même côté d'un bord long de la plaque de support de réduction de pression (5). L'unité hémostatique comprend une bande de pression (9), une courroie de raccordement (4), un écrou (2), une tige de vis (1), et une plaquette de pression (3). L'unité hémostatique s'enroule autour de la plaque de support de réduction de pression (5) au moyen de la bande de pression (9) et de la courroie de raccordement (4). Les parties de la bande de pression (9) au niveau de chaque côté de la tige de vis (1) forment deux ailes latérales. La surface inférieure d'une aile latérale est pourvue d'une plaquette de fixation flexible (10) pour support auxiliaire pour la tige de vis (1). La base de la plaquette de pression (3) est pourvue d'un pansement hémostatique. Le présent appareil hémostatique a un bon effet hémostatique, se fixe de façon solide, répartit la force appliquée sur la partie hémostatique, réduit la pression de l'appareil hémostatique sur la veine, et assure une circulation sanguine ininterrompue.
PCT/CN2015/085254 2014-12-31 2015-07-28 Appareil hémostatique de pression artérielle radiale WO2016107158A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201410853140.3 2014-12-31
CN201410853140.3A CN104523317A (zh) 2014-12-31 2014-12-31 一种手臂减压型桡动脉加压止血装置

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WO2016107158A1 true WO2016107158A1 (fr) 2016-07-07

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106725704A (zh) * 2016-11-29 2017-05-31 洛阳市中心医院 一种桡动脉压迫止血器
CN111297433A (zh) * 2020-03-25 2020-06-19 郑璐 一种多功能pci术后术肢血管保护安全带
CN111449710A (zh) * 2020-04-02 2020-07-28 西安交通大学第二附属医院 一种多点按压的心血管介入术后桡动脉压迫器
CN111759389A (zh) * 2020-07-29 2020-10-13 李晓峰 一种心血管造影智能按压装置
CN112155630A (zh) * 2020-10-14 2021-01-01 邱刚 一种便携式普外科加压止血装置
CN112716555A (zh) * 2020-12-29 2021-04-30 刘晓颖 一种用于心内科的术后桡动脉压迫止血器
CN113262011A (zh) * 2021-05-28 2021-08-17 中国人民解放军总医院第一医学中心 一种肱动脉止血方法及止血装置
CN113440201A (zh) * 2020-12-30 2021-09-28 孙建丽 一种心内科护理用按压止血装置
CN114569188A (zh) * 2022-03-10 2022-06-03 郑州大学第一附属医院 一种用于辅助进行血液净化的护理装置

Families Citing this family (6)

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Publication number Priority date Publication date Assignee Title
CN104523317A (zh) * 2014-12-31 2015-04-22 武汉奥绿新生物科技有限公司 一种手臂减压型桡动脉加压止血装置
CN108635010B (zh) * 2018-05-27 2023-12-22 随永刚 一种肱动脉止血器
CN109567910B (zh) * 2019-01-28 2023-09-22 中国人民解放军陆军军医大学第一附属医院 一种多功能血管介入穿刺装置及其使用方法
CN112022271B (zh) * 2020-09-09 2022-03-01 山东省日照市人民医院 一种血液内科护理用止血装置
CN112842444B (zh) * 2021-02-24 2022-02-15 河南科技大学第一附属医院 一种心内科介入手术用止血压迫器
CN115813481B (zh) * 2023-02-15 2023-05-16 中南大学湘雅医院 一种心血管介入穿刺辅助装置

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WO1996025110A1 (fr) * 1995-02-16 1996-08-22 Radi Medical Systems Ab Dispositif pour comprimer une artere
NL1016025C2 (nl) * 2000-08-25 2002-03-05 Blue Medical Devices B V Inrichting voor het dichtdrukken van een radiaal bloedvat na punctie daarvan.
US20040039413A1 (en) * 2002-08-21 2004-02-26 Radi Medical Systems Ab Radial artery compression system
CN202505424U (zh) * 2012-03-21 2012-10-31 吴海芳 卡扣式动脉压迫止血器
CN203988215U (zh) * 2014-07-10 2014-12-10 陆娟 桡动脉压迫止血装置
WO2014196867A1 (fr) * 2013-06-04 2014-12-11 Ryform As Dispositif de soutien et de compression pour une main et un avant-bras
CN104523317A (zh) * 2014-12-31 2015-04-22 武汉奥绿新生物科技有限公司 一种手臂减压型桡动脉加压止血装置
CN204379354U (zh) * 2014-12-31 2015-06-10 武汉奥绿新生物科技有限公司 一种桡动脉加压压迫止血装置

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996025110A1 (fr) * 1995-02-16 1996-08-22 Radi Medical Systems Ab Dispositif pour comprimer une artere
NL1016025C2 (nl) * 2000-08-25 2002-03-05 Blue Medical Devices B V Inrichting voor het dichtdrukken van een radiaal bloedvat na punctie daarvan.
US20040039413A1 (en) * 2002-08-21 2004-02-26 Radi Medical Systems Ab Radial artery compression system
CN202505424U (zh) * 2012-03-21 2012-10-31 吴海芳 卡扣式动脉压迫止血器
WO2014196867A1 (fr) * 2013-06-04 2014-12-11 Ryform As Dispositif de soutien et de compression pour une main et un avant-bras
CN203988215U (zh) * 2014-07-10 2014-12-10 陆娟 桡动脉压迫止血装置
CN104523317A (zh) * 2014-12-31 2015-04-22 武汉奥绿新生物科技有限公司 一种手臂减压型桡动脉加压止血装置
CN204379354U (zh) * 2014-12-31 2015-06-10 武汉奥绿新生物科技有限公司 一种桡动脉加压压迫止血装置

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106725704A (zh) * 2016-11-29 2017-05-31 洛阳市中心医院 一种桡动脉压迫止血器
CN106725704B (zh) * 2016-11-29 2023-03-17 洛阳市中心医院 一种桡动脉压迫止血器
CN111297433A (zh) * 2020-03-25 2020-06-19 郑璐 一种多功能pci术后术肢血管保护安全带
CN111297433B (zh) * 2020-03-25 2023-08-15 郑璐 一种多功能pci术后术肢血管保护安全带
CN111449710A (zh) * 2020-04-02 2020-07-28 西安交通大学第二附属医院 一种多点按压的心血管介入术后桡动脉压迫器
CN111449710B (zh) * 2020-04-02 2022-12-06 西安交通大学第二附属医院 一种多点按压的心血管介入术后桡动脉压迫器
CN111759389B (zh) * 2020-07-29 2022-10-14 李晓峰 一种心血管造影智能按压装置
CN111759389A (zh) * 2020-07-29 2020-10-13 李晓峰 一种心血管造影智能按压装置
CN112155630A (zh) * 2020-10-14 2021-01-01 邱刚 一种便携式普外科加压止血装置
CN112716555A (zh) * 2020-12-29 2021-04-30 刘晓颖 一种用于心内科的术后桡动脉压迫止血器
CN113440201A (zh) * 2020-12-30 2021-09-28 孙建丽 一种心内科护理用按压止血装置
CN113262011A (zh) * 2021-05-28 2021-08-17 中国人民解放军总医院第一医学中心 一种肱动脉止血方法及止血装置
CN113262011B (zh) * 2021-05-28 2023-09-12 中国人民解放军总医院第一医学中心 一种止血装置
CN114569188A (zh) * 2022-03-10 2022-06-03 郑州大学第一附属医院 一种用于辅助进行血液净化的护理装置

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