WO2023221675A1 - 一种压迫器 - Google Patents

一种压迫器 Download PDF

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Publication number
WO2023221675A1
WO2023221675A1 PCT/CN2023/086016 CN2023086016W WO2023221675A1 WO 2023221675 A1 WO2023221675 A1 WO 2023221675A1 CN 2023086016 W CN2023086016 W CN 2023086016W WO 2023221675 A1 WO2023221675 A1 WO 2023221675A1
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WO
WIPO (PCT)
Prior art keywords
module
control device
control module
radial artery
pressure
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Application number
PCT/CN2023/086016
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English (en)
French (fr)
Inventor
赵圣刚
葛均波
Original Assignee
赵圣刚
葛均波
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Filing date
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Application filed by 赵圣刚, 葛均波 filed Critical 赵圣刚
Publication of WO2023221675A1 publication Critical patent/WO2023221675A1/zh

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges

Definitions

  • the present invention relates to the technical field of compressors, and in particular to a compressor.
  • Transradial access is increasingly used worldwide for percutaneous interventional procedures and is associated with fewer bleeding and vascular complications than transfemoral access.
  • Radial artery compression is routinely performed for 6 hours after interventional surgery, but radial artery occlusion (RAO) is the most common complication after TRA.
  • Non-occlusive compression is currently recommended to reduce the incidence of radial artery occlusion (RAO).
  • RAO radial artery occlusion
  • Occlusive compression monitoring vascular patency in the acute phase and postoperative period, improving the detection rate of acute and chronic RAO, and ultimately changing the current conventional compression method of the radial artery.
  • the present invention provides a compressor, which solves the problem in the prior art that during the hemostasis process of compressing the radial artery through the compressor, it is necessary to monitor whether the radial artery is occluded.
  • one technical solution adopted by the present invention is to provide a compressor, which includes a first fixed belt and a compression air bag provided on the first fixed belt.
  • the compression air bag is connected to the air injection port through an air injection tube.
  • the gas injection port serves as a port for injecting gas into the compression air bag;
  • the compression air bag is also connected to a pressure sensor through a pressure detection tube, and the pressure sensor is used to detect the pressure shock wave generated by the gas in the compression air bag;
  • a control device is also provided on the pressure detection tube, and the pressure sensor and the control device are integrally formed; a control module is provided in the control device.
  • control device is further provided with an alarm module, and the control module is electrically connected to the alarm module.
  • control module is electrically connected to the pressure sensor, a display module is provided on the surface of the control device, and the control module displays pulse waves or blood pressure values through the display module. It also includes a second fixed belt arranged side by side with the first fixed belt. A Korotkoff sound extraction module is provided on the second fixed belt. The Korotkoff sound extraction module is electrically connected to the control unit through a first signal cable.
  • the control module in the device is also provided with a loudspeaker module in the control device. The control module plays Korotkoff sounds through the loudspeaker module and displays the Korotkoff sound waveform through the display module.
  • a Korotkoff sound switch is electrically connected between the control module and the loudspeaker module, and the Korotkoff sound switch is arranged on the surface of the control device.
  • the gas injection port also serves as a gas deflation port.
  • the pressure sensor is also connected to a deflation tube, and a deflation port is provided at the end of the deflation tube.
  • the gas injection tube is connected to the pressure detection tube, the pressure sensor is also connected to a deflation tube, and a deflation port is provided at the end of the deflation tube.
  • it also includes a second fixed belt arranged side by side with the first fixed belt.
  • a photoelectric volumetric pulse wave detection module is provided on the second fixed belt.
  • the photoelectric volumetric pulse wave detection module is used to collect the radial artery. Pulse signal, the photoplethysmographic pulse wave detection module is electrically connected to the control module in the control device through a second signal cable, and the control module displays the pulse wave through the display module.
  • it also includes a second fixed belt arranged side by side with the first fixed belt, and a piezoelectric sensor is provided on the second fixed belt, and the piezoelectric sensor is used to collect the pulse signal of the radial artery.
  • the electroreceptor is electrically connected to the control module in the control device through a third signal cable, and the control module displays the pulse wave through the display module.
  • it also includes a second fixed belt arranged side by side with the first fixed belt.
  • a piezoresistive sensor is provided on the second fixed belt.
  • the piezoresistive sensor is used to collect the pulse signal of the radial artery.
  • the pressure sensor is used to collect the pulse signal of the radial artery.
  • the resistance sensor is electrically connected to the control module in the control device through a fourth signal cable, and the control module displays the pulse wave through the display module.
  • the present invention discloses a compressor, which includes a first fixed belt and a compression air bag arranged on the first fixed belt.
  • the compression air bag is connected to the air injection tube through an air injection tube. port, the gas injection port serves as a port for injecting gas into the compression air bag;
  • the compression air bag is also connected to a pressure sensor through a pressure detection tube, and the pressure sensor is used to detect the pressure shock wave generated by the gas in the compression air bag;
  • the pressure detection tube is also provided with a control device , the pressure sensor and the control device are integrated;
  • a control module is provided in the control device, the control module is electrically connected to the pressure sensor, a display module is provided on the surface of the control device, and the control module displays the pulse wave or blood pressure value through the display module.
  • the invention can guide non-occlusive compression and detect acute and chronic radial artery occlusion during the process of hemostasis of the radial artery through the compressor.
  • Figure 1 is a schematic diagram of a first embodiment of a compressor according to the present invention
  • Figure 2 is a schematic diagram of the internal structure of a control device according to the first embodiment of a compressor according to the present invention
  • Figure 3 is a schematic diagram of a second embodiment of a compressor according to the present invention.
  • Figure 4 is a schematic diagram of the internal structure of a control device according to the third embodiment of a compressor according to the present invention.
  • Figure 5 is a schematic diagram of the internal structure of a control device according to a fourth embodiment of a compressor according to the present invention.
  • Figure 6 is a schematic diagram of a fifth embodiment of a compressor according to the present invention.
  • Figure 7 is a schematic diagram of the internal structure of a control device according to the fifth embodiment of a compressor according to the present invention.
  • Figure 8 is a schematic diagram of a sixth embodiment of a compressor according to the present invention.
  • Figure 9 is a schematic diagram of a seventh embodiment of a compressor according to the present invention.
  • Figure 10 is a schematic diagram of an eighth embodiment of a compressor according to the present invention.
  • the compressor includes a first fixed belt 1 and a compression airbag 2 arranged on the first fixed belt 1.
  • the compression airbag 2 is specifically arranged on the inner side of the first fixed belt 1, that is, the side where the first fixed belt 1 is close to the wrist. ;
  • the first fixed belt 1 is used to be wrapped around the wrist.
  • the right edge of the upper surface of the first fixed belt 1 is provided with the male side of Velcro, and the left edge of the lower surface of the first fixed belt 1 is provided with the female side of Velcro.
  • the compression balloon 2 is also provided with a sheath mark (not shown in the figure), and the sheath mark is used to align the puncture site on the radial artery 6 . After the compression balloon 2 is aligned with the puncture site, gas is injected into the compression balloon 2 to expand and compress the puncture site of the radial artery 6 to stop bleeding.
  • the compression airbag 2 is connected to an air injection port 3 through an air injection tube 31 , and the air injection port 3 serves as a port for injecting gas into the compression airbag 2 .
  • the syringe is connected to the gas injection port 3 to inject gas into the compression airbag 2.
  • the gas injection port 3 is provided with a check valve. When the syringe is connected to the gas injection port 3, the check valve can be opened and gas injection can be performed; when the syringe After disconnecting from the gas injection port 3, the check valve is closed to prevent gas leakage.
  • the cross-sectional shape of the compression airbag 2 can be circular, and after the gas is injected, it becomes a spherical shape; the cross-sectional shape of the compression airbag 2 can also be rectangular, and after the gas is injected, it becomes a rectangular airbag. Of course, it can also be in other shapes.
  • the compression balloon 2 may be transparent, translucent or colored transparent.
  • the compression balloon 2 is also connected to the pressure sensor 4 through the pressure detection tube 41 .
  • the pressure sensor 4 is used to detect the pressure shock wave generated by the gas in the compression balloon 2 .
  • the pressure shock wave is caused by the radial artery 6 .
  • the pressure detection tube 41 is also provided with a control device 5.
  • the pressure sensor 4 and the control device 5 are integrally formed; the control device 5 is provided with a control module. 51.
  • the control module 51 is electrically connected to the pressure sensor 4.
  • a display module 52 is provided on the surface of the control device 5.
  • the control module 51 can convert the pressure shock wave into a sinusoidal pulse wave, and display the pulse wave or blood pressure through the display module 52. value.
  • the radial artery 6 will be closed under pressure (that is, the radial artery 6 will be occluded), and no pressure shock wave will be generated in the compression balloon 2, and there will be no pulse on the display module 52.
  • the amplitude of the pulse wave gradually increases.
  • the amplitude of the pulse wave reaches the maximum; as the compression balloon 2 As the internal pressure gradually decreases (the compression balloon is deflated to a certain extent), the amplitude of the pulse wave gradually decreases.
  • the pulse wave disappears. In this way, it is possible to know in time whether the radial artery 6 is blocked when the compressor is used to stop bleeding, so as to facilitate the medical staff to adjust the internal pressure of the compression balloon 2 in time to avoid excessive internal pressure of the compression balloon 2, causing occlusion of the radial artery 6.
  • control device 5 is also provided with an alarm module 53.
  • the control module 51 is electrically connected to the alarm module 53.
  • the control module 51 issues an alarm prompt through the alarm module 53 to facilitate medical staff to compress the airbag 2. Decompress.
  • a Bluetooth module can be installed in the control device 5, and the control module 51 can connect to a mobile device (mobile device such as a smart phone) through the Bluetooth module, and send the pulse wave to the mobile device for monitoring through Bluetooth.
  • a mobile device mobile device such as a smart phone
  • control device 5 is also provided with a power supply module 54 , and the power supply module 54 is used to provide power to each module in the control device 5 .
  • the gas injection port 3 also serves as a deflation port, which can release the gas in the compression air bag 2 .
  • the syringe is connected to the gas injection port 3 to extract the gas in the compressed air bag 2 for decompression.
  • the air injection tube 31 is connected to the pressure detection tube 41.
  • the pressure detection tube 41 is not directly connected to the compression air bag 2, but indirectly connected to the compression air bag 2 through the air injection tube 31. ;Other parts are similar to the above-mentioned first embodiment. Same, no more details here.
  • the pressure sensor 4 is also connected to a deflation pipe 42, and a deflation port 55 is provided at the end of the deflation pipe 42.
  • the port 55 has the same composition structure as the gas injection port 3 and will not be described again here.
  • the deflation port 55 is used to vent the gas in the compression airbag 2. After the syringe is connected to the deflation port 55, the gas in the compression airbag 2 can be extracted to reduce the pressure.
  • the pressure sensor 4 is also connected to a deflation pipe 42, and a deflation module 56 is provided on the deflation pipe 42.
  • the deflation module 56 is electrically connected to the control module 51; when the internal pressure of the compression balloon 2 is too high and causes radial artery 6 to be occluded, the control module 51 can control the deflation module 56 to open to automatically decompress the compression balloon 2.
  • the deflation module 56 can be an electronically controlled air pump, an electronically controlled air valve, etc.
  • the compressor also includes a second fixed belt 7 arranged side by side with the first fixed belt 1.
  • the second fixed belt 7 is provided with a Korotkoff sound extraction module 8.
  • the Korotkoff sound extraction module 8 is used to collect the Korotkoff sound extraction module 8 generated by the vibration of the radial artery 6. Shi sound.
  • the Korotkoff sound extraction module 8 is disposed on the lower surface of the second fixation belt 7 for contacting the radial artery 6 .
  • the Korotkoff sound extraction module 8 is electrically connected to the control module 51 in the control device 5 through the first signal cable 81.
  • the control module 51 is provided with a processor and a Korotkoff sound processing circuit.
  • the Korotkoff sound signal is connected to the Korotkoff sound signal through the Korotkoff sound processing circuit.
  • the processor performs processing, removes the noise signal, and extracts the complete Korotkoff sound signal.
  • the control device 5 is also provided with a loudspeaker module 82 , and the control module 51 plays the Korotkoff sound through the loudspeaker module 82 .
  • the control module 51 also displays the Korotkoff sound waveform through the display module 52 .
  • the Korotkoff sound extraction module 8 cannot extract the Korotkoff sounds, indicating that the internal pressure of the compression balloon 2 is too large and needs to be adjusted by medical staff; if the radial artery 6 is not occluded and there is blood flowing through the radial artery 6, The radial artery 6 vibrates and produces Korotkoff sounds. In this way, it can also be determined whether there is occlusion in the radial artery 6 .
  • the right edge of the upper surface of the second fixing belt 7 is provided with the male side of the Velcro
  • the left edge of the lower surface of the second fixing strap 7 is provided with a female side of Velcro.
  • the integrated Korotkoff sound extraction module 8 extracts Korotkoff sounds and the baroreceptor 4 collects the pressure shock wave generated by compressing the gas in the balloon 2 to determine whether there is occlusion of the radial artery 6, which further improves the detection of whether the bypass artery 6 exists.
  • the precision of occlusion is the precision of occlusion.
  • a Korotkoff sound switch 83 is electrically connected between the control module 51 and the loudspeaker module 82.
  • the Korotkoff sound switch 83 is provided on the surface of the control device 5. By pressing the Korotkoff sound switch 83, the Korotkoff sound switch 83 can be turned on or off. Play.
  • the gas injection port 3 can be used as a deflation port at the same time, refer to the above-mentioned first embodiment.
  • the gas injection tube 31 can also be connected to the pressure detection tube, the pressure sensor 4 is also connected to a deflation tube, and a deflation port is provided at the end of the deflation tube.
  • the pressure sensor 4 can also be connected to a deflation tube, and a deflation port is provided at the end of the deflation tube.
  • the pressure sensor 4 can also be connected to a deflation tube, and a deflation module is provided on the deflation tube.
  • the deflation module is electrically connected to the control module; when the internal pressure of the compressed air bag 2 is too high, the radial artery 6 When it is blocked, the control module 51 can control the deflation module to open and automatically decompress the compression air bag 2, refer to the fourth embodiment mentioned above.
  • FIG 8 it also includes a second fixed belt 7 arranged side by side with the first fixed belt 1.
  • the second fixed belt 7 is provided with a photoelectric volumetric pulse wave detection module 9.
  • the photoelectric volumetric pulse wave detection module 9 is used to collect radial diameters. Pulse signal of artery 6.
  • the photoplethysmographic pulse wave detection module 9 is disposed on the lower surface of the second fixation belt 7 for contacting the radial artery 6 .
  • the photoplethysmogram detection module 9 can be a flexible sensor with good flexibility and ductility.
  • the photoplethysmographic pulse wave detection module 9 can irradiate a beam of a certain wavelength to the radial artery 6 to obtain changes in volume pulse blood flow (which may be oxygen saturation and pulse wave).
  • pulse Characteristic information such as the shape (shape of the wave), intensity (amplitude of the wave), velocity (velocity of the wave), and rhythm (period of the wave) displayed by the wave reflect to a considerable extent whether there is occlusion of the radial artery 6 .
  • the photoplethysmographic pulse wave detection module 9 is electrically connected to the control module 51 in the control device 5 through the second signal cable 91 , and the control module 51 displays the pulse wave through the display module 52 .
  • the right edge of the upper surface of the second fixed belt 7 is provided with the male side of the Velcro, and the left edge of the lower surface of the second fixed belt 7 is provided with the female side of the Velcro, and vice versa; the second fixed belt is 7 After wrapping around the wrist, it can be fixed on the wrist by combining the male side and the female side.
  • the integrated photoplethysmogram detection module 9 obtains the changes in blood flow of the radial artery 6 and the baroreceptor 4 collects the pressure shock wave generated by compressing the gas in the balloon 2 to determine whether there is occlusion of the radial artery 6, further improving the Accuracy of whether there is occlusion around artery 6.
  • the seventh embodiment of the present invention based on the first embodiment, the same parts will not be described again.
  • it also includes a second fixed belt 7 arranged side by side with the first fixed belt 1.
  • the second fixed belt 7 is provided with a piezoelectric sensor 10.
  • the piezoelectric sensor 10 is used to collect the pulse signal of the radial artery 6.
  • the piezoelectric sensor 10 is disposed on the lower surface of the second fixation band 7 for contact with the radial artery 6 .
  • the piezoelectric sensor 10 can be a flexible sensor with good flexibility and ductility.
  • the piezoelectric sensor 10 is electrically connected to the control module 51 in the control device 5 through the third signal cable 101 , and the control module 51 also displays the pulse wave through the display module 52 .
  • the right edge of the upper surface of the second fixed belt 7 is provided with the male side of the Velcro, and the left edge of the lower surface of the second fixed belt 7 is provided with the female side of the Velcro, and vice versa; the second fixed belt is 7 After wrapping around the wrist, it can be fixed on the wrist by combining the male side and the female side.
  • the integrated piezoelectric sensor 10 acquires the pulse of the radial artery 6 and the pressure sensor 4 collects the pressure shock wave generated by compressing the gas in the balloon 2 to determine whether there is occlusion of the radial artery 6, which further improves the accuracy of whether the circumferential artery 6 exists.
  • the precision of occlusion is the precision of occlusion.
  • the eighth embodiment of the present invention based on the first embodiment, the same parts will not be described again.
  • the second fixed belt 7 is provided with a piezoresistive sensor 11.
  • the piezoresistive sensor 11 is used to collect the pulse signal of the radial artery 6.
  • the piezoresistive sensor 11 is provided on the lower surface of the second fixed belt 7. In contact with the radial artery 6.
  • the piezoresistive sensor 11 can be a flexible sensor with good flexibility and ductility.
  • the piezoresistive sensor 11 is electrically connected to the control module 51 in the control device 5 through the fourth signal cable 111 , and the control module 51 also displays the pulse wave through the display module 52 .
  • the right edge of the upper surface of the second fixed belt 7 is provided with the male side of the Velcro, and the left edge of the lower surface of the second fixed belt 7 is provided with the female side of the Velcro, and vice versa; the second fixed belt is 7 After wrapping around the wrist, it can be fixed on the wrist by combining the male side and the female side.
  • the piezoresistive sensor 11 acquires the pulse of the radial artery 6 and the baroreceptor 4 collects the pressure shock wave generated by compressing the gas in the balloon 2 to determine whether there is occlusion of the radial artery 6, which further improves the accuracy of whether the bypass artery 6 exists.
  • the precision of occlusion is the precision of occlusion.
  • the present invention discloses a compressor, which includes a first fixed belt and a compression air bag arranged on the first fixed belt.
  • the compression air bag is connected to an air injection port through an air injection tube, and the air injection port is used to inject gas into the compression air bag. port;
  • the compression air bag is also connected to a pressure sensor through a pressure detection tube, and the pressure sensor is used to detect the pressure shock wave generated by the gas in the compression air bag;
  • a control device is also provided on the pressure detection tube, and the pressure sensor and the control device are integrated; inside the control device
  • a control module is provided.
  • the control module is electrically connected to the pressure sensor.
  • a display module is provided on the surface of the control device.
  • the control module displays the pulse wave or blood pressure value through the display module.
  • the invention can guide non-occlusive compression and detect acute and chronic radial artery occlusion during the process of hemostasis of the radial artery through the compressor.

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Abstract

本发明公开了一种压迫器,包括第一固定带和设置在第一固定带上的压迫气囊,压迫气囊通过注气管连接注气端口,注气端口作为向压迫气囊内注入气体的端口;压迫气囊还通过压力检测管连接压力感受器,压力感受器用于检测压迫气囊内气体产生的压力震荡波;压力检测管上还设置有控制装置,压力感受器与控制装置一体成型;控制装置内设置有控制模块,控制模块与压力感受器电连接,控制装置的表面设置有显示模块,控制模块通过显示模块显示脉搏波或血压值。本发明能够在桡动脉通过压迫器进行止血的过程中,指导非闭塞性压迫,检测急性及慢性桡动脉闭塞。

Description

一种压迫器 技术领域
本发明涉及压迫器技术领域,尤其涉及一种压迫器。
背景技术
经桡动脉入路(TRA)在世界范围内越来越多地用于经皮介入治疗,与经股动脉入路相比,其出血和血管并发症更少。介入手术完成后常规进行桡动脉压迫6小时,但桡动脉闭塞(RAO)是TRA术后最常见的并发症。目前推荐采用非闭塞性压迫来降低桡动脉闭塞(RAO)的发生率,在临床实践中绝大部分病人并不能及时发现是否桡动脉闭塞,所以需要一种一体化工具方便指导压迫程度来实现非闭塞性压迫,监测急性期及术后血管通畅性,提高急性及慢性RAO检出率,最终改变目前桡动脉常规压迫方式。
发明内容
本发明提供一种压迫器,解决现有技术中桡动脉通过压迫器压迫的止血过程中,需要对桡动脉是否闭塞进行监控。
为解决上述技术问题,本发明采用的一个技术方案是提供一种压迫器,包括第一固定带和设置在所述第一固定带上的压迫气囊,所述压迫气囊通过注气管连接注气端口,所述注气端口作为向所述压迫气囊内注入气体的端口;所述压迫气囊还通过压力检测管连接压力感受器,所述压力感受器用于检测所述压迫气囊内气体产生的压力震荡波;所述压力检测管上还设置有控制装置,所述压力感受器与控制装置一体成型;所述控制装置内设置有控制模块。
优选的,所述控制装置内还设置有报警模块,所述控制模块与所述报警模块电连接。
优选的,所述控制模块与所述压力感受器电连接,所述控制装置的表面设置有显示模块,所述控制模块通过所述显示模块显示脉搏波或血压值。还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有柯氏音提取模块,所述柯氏音提取模块通过第一信号线缆电连接所述控制装置内的控制模块,所述控制装置内还设置有扩音模块,所述控制模块通过所述扩音模块播放柯氏音,还通过所述显示模块显示柯氏音波形。
优选的,所述控制模块与所述扩音模块之间电连接有柯氏音开关,所述柯氏音开关设置在所述控制装置的表面。
优选的,所述注气端口同时作为放气端口。
优选的,所述压力感受器还连接有放气管,所述放气管的末端设置有放气端口。
优选的,所述注气管与所述压力检测管连通,所述压力感受器还连接有放气管,所述放气管的末端设置有放气端口。
优选的,还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有光电容积脉搏波检测模块,所述光电容积脉搏波检测模块用于采集桡动脉的脉搏信号,所述光电容积脉搏波检测模块通过第二信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
优选的,还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有压电感受器,所述压电感受器用于采集桡动脉的脉搏信号,所述压电感受器通过第三信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
优选的,还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有压阻感受器,所述压阻感受器用于采集桡动脉的脉搏信号,所述压阻感受器通过第四信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
本发明的有益效果是:本发明公开了一种压迫器,包括第一固定带和设置在第一固定带上的压迫气囊,压迫气囊通过注气管连接注气 端口,注气端口作为向压迫气囊内注入气体的端口;压迫气囊还通过压力检测管连接压力感受器,压力感受器用于检测压迫气囊内气体产生的压力震荡波;压力检测管上还设置有控制装置,压力感受器与控制装置一体成型;控制装置内设置有控制模块,控制模块与压力感受器电连接,控制装置的表面设置有显示模块,控制模块通过显示模块显示脉搏波或血压值。本发明能够在桡动脉通过压迫器进行止血的过程中,指导非闭塞性压迫,检测急性及慢性桡动脉闭塞。
附图说明
图1是根据本发明一种压迫器中第一个实施例的示意图;
图2是根据本发明一种压迫器中第一个实施例的控制装置的内部结构示意图;
图3是根据本发明一种压迫器中第二个实施例的示意图;
图4是根据本发明一种压迫器中第三个实施例的控制装置的内部结构示意图;
图5是根据本发明一种压迫器中第四个实施例的控制装置的内部结构示意图;
图6是根据本发明一种压迫器中第五个实施例的示意图;
图7是根据本发明一种压迫器中第五个实施例的控制装置的内部结构示意图;
图8是根据本发明一种压迫器中第六个实施例的示意图;
图9是根据本发明一种压迫器中第七个实施例的示意图;
图10是根据本发明一种压迫器中第八个实施例的示意图。
具体实施方式
为了便于理解本发明,下面结合附图和具体实施例,对本发明进行更详细的说明。附图中给出了本发明的较佳的实施例。但是,本发明可以以许多不同的形式来实现,并不限于本说明书所描述的实施例。相反地,提供这些实施例的目的是使对本发明的公开内容的理解 更加透彻全面。
需要说明的是,除非另有定义,本说明书所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。在本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不是用于限制本发明。本说明书所使用的术语“和/或”包括一个或多个相关的所列项目的任意的和所有的组合。
如图1所示,作为本发明压迫器的第一个实施例。压迫器包括第一固定带1和设置在第一固定带1上的压迫气囊2,压迫气囊2具体设置在第一固定带1的内侧面,即第一固定带1贴紧手腕的那一侧;第一固定带1用于缠绕在手腕上,第一固定带1上表面的右侧边缘设置有魔术贴的雄侧,第一固定带1下表面的左侧边缘设置有魔术贴的雌侧,将第一固定带1缠绕手腕后可以通过雄侧和雌侧结合固定在手腕上。将雄侧和雌侧的位置颠倒亦可,这里不再赘述。
压迫气囊2上还设置有鞘管标记(图中未示出),鞘管标记用于对准桡动脉6上的穿刺部位。将压迫气囊2对准穿刺部位后,向压迫气囊2注入气体膨胀,对桡动脉6的穿刺部位进行压迫止血。
压迫气囊2通过注气管31连接注气端口3,注气端口3作为向压迫气囊2内注入气体的端口。注射器连接注气端口3可后向压迫气囊2内注入气体,注气端口3内设置有止回阀,当注射器连接注气端口3后,能够将止回阀打开,并进行注气;当注射器脱离注气端口3后,止回阀关闭从而防止气体漏出。
优选的,压迫气囊2的截面形状可以是圆形,注入气体后呈球体状;压迫气囊2的截面形状也可以是矩形状,注入气体后,呈矩形气囊状,当然也可以是其他形状。
优选的,压迫气囊2可以是透明的,也可以是半透明或有色透明。
进一步的,压迫气囊2还通过压力检测管41连接压力感受器4,压力感受器4用于检测压迫气囊2内气体产生的压力震荡波,该压力震荡波是由桡动脉6引起的。压力检测管41上还设置有控制装置5,压力感受器4与控制装置5一体成型;控制装置5内设置有控制模块 51,控制模块51与压力感受器4电连接,控制装置5的表面设置有显示模块52,控制模块51能够将压力震荡波后转化为正弦形的脉搏波,并通过显示模块52显示脉搏波或血压值。
如果压迫气囊2内的内压(气压)大于桡动脉6的收缩压,桡动脉6受压关闭(即桡动脉6发生闭塞),压迫气囊2内不产生压力震荡波,显示模块52上没有脉搏波;如果桡动脉6的收缩压大于压迫气囊2的内压,压迫气囊2内产生压力震荡波,即桡动脉6没有闭塞,有血液流动,显示模块52上的脉搏波的幅度出现;随着压迫气囊2的内压下降(压迫气囊放气),脉搏波的幅度逐渐增大,当压迫气囊2的内压等于桡动脉的平均动脉压时,脉搏波的幅度达到最大;随着压迫气囊的内压逐渐下降(压迫气囊放气达到一定程度),脉搏波的幅度逐渐降低,当压迫气囊2的内压小于桡动脉6的舒张压时,脉搏波消失。通过该方式能够及时了解桡动脉6在通过压迫器进行止血时,是否发生闭塞,以方便医护人员及时调整压迫气囊2的内压,避免压迫气囊2的内压过大,造成桡动脉6闭塞。
进一步的,控制装置5内还设置有报警模块53,控制模块51与报警模块53电连接,当桡动脉6闭塞后,控制模块51通过报警模块53进行报警提示,以方便医护人员对压迫气囊2进行减压。
进一步的,控制装置5内可以设置蓝牙模块,控制模块51通过蓝牙模块可以连接移动设备端(智能手机等移动设备),通过蓝牙将脉搏波发送至移动设备端进行监控。
进一步的,控制装置5内还设置有电源模块54,电源模块54用于向控制装置5内各个模块进行供电。
优选的,在本实施例中,注气端口3同时作为放气端口,可放出压迫气囊2内的气体。注射器连接注气端口3可抽取压迫气囊2内的气体进行减压。
作为本发明的第二个实施例,如图3所示,注气管31与压力检测管41连通,压力检测管41并未直接与压迫气囊2连通,而是间接通过注气管31连通压迫气囊2;其他部分则与上述第一个实施例相 同,这里不再赘述。
作为本发明的第三个实施例,在第一个实施例的基础上,如图4所示,压力感受器4还连接有放气管42,放气管42的末端设置有放气端口55,放气端口55与注气端口3的组成结构相同,这里不再赘述。放气端口55用于放出压迫气囊2内的气体,注射器连接放气端口55后,可抽取压迫气囊2内的气体进行减压。
作为本发明的第四个实施例,在第一个实施例的基础上,如图5所示,压力感受器4还连接有放气管42,放气管42上设置有放气模块56,放气模块56与控制模块51电连接;当压迫气囊2的内压过大造成桡动脉6闭塞时,控制模块51可控制放气模块56开启,对压迫气囊2进行自动减压。
优选的,放气模块56可以是电控气泵、电控气阀等。
作为本发明压迫器的第五个实施例,如图6和图7所示,在第一个实施例的基础上,相同的部分则不再赘述。压迫器还包括与第一固定带1并排设置的第二固定带7,第二固定带7上设置有柯氏音提取模块8,柯氏音提取模块8用于采集桡动脉6振动产生的柯氏音。柯氏音提取模块8设置在第二固定带7的下表面,用于与桡动脉6相接触。
柯氏音提取模块8通过第一信号线缆81电连接控制装置5内的控制模块51,控制模块51设置有处理器和柯氏音处理电路,柯氏音信号经过柯氏音处理电路连接到处理器进行处理,去掉噪声信号,提取到完整的柯氏音信号,控制装置5内还设置有扩音模块82,控制模块51通过扩音模块82播放柯氏音。控制模块51还通过显示模块52显示柯氏音波形。
若桡动脉6闭塞,柯氏音提取模块8无法提取柯氏音,表明压迫气囊2的内压过大,需要医护人员进行调整;若桡动脉6没有闭塞,桡动脉6内有血液流过,桡动脉6发生振动产生柯氏音,通过该方式也能够判断桡动脉6是否存在闭塞。
优选的,第二固定带7上表面的右侧边缘设置有魔术贴的雄侧, 第二固定带7下表面的左侧边缘设置有魔术贴的雌侧,将第二固定带7缠绕手腕后可以通过雄侧和雌侧结合固定在手腕上。
在本实施例中,综合柯氏音提取模块8提取柯氏音以及压力感受器4采集压迫气囊2内气体产生的压力震荡波来判断桡动脉6是否存在闭塞,进一步提高了对绕动脉6是否存在闭塞的精准性。
优选的,控制模块51与扩音模块82之间电连接有柯氏音开关83,柯氏音开关83设置在控制装置5的表面,通过按压柯氏音开关83能够开启或关闭柯氏音的播放。
优选的,在本实施例中,注气端口3可以同时作为放气端口,参照上述第一个实施例。
优选的,在本实施例中,注气管31还可以与压力检测管连通,压力感受器4还连接有放气管,放气管的末端设置有放气端口,参照上述第二个实施例。
优选的,在本实施例中,压力感受器4还可以连接有放气管,放气管的末端设置有放气端口,参照上述第三个实施例。
优选的,在本实施例中,压力感受器4还可以连接有放气管,放气管上设置有放气模块,放气模块与控制模块电连接;当压迫气囊2的内压过大造成桡动脉6闭塞时,控制模块51可控制放气模块开启,对压迫气囊2进行自动减压,参照上述第四个实施例。
作为本发明的第六个实施例,在第一个实施例的基础上,相同的部分则不再赘述。如图8所示,还包括与第一固定带1并排设置的第二固定带7,第二固定带7上设置有光电容积脉搏波检测模块9,光电容积脉搏波检测模块9用于采集桡动脉6的脉搏信号。光电容积脉搏波检测模块9设置在第二固定带7的下表面,用于与桡动脉6相接触。
优选的,光电容积脉搏波检测模块9可以是柔性传感器,具有良好的柔韧性、延展性。
光电容积脉搏波检测模块9能够将一定波长的光束照射到桡动脉6,获得容积脉搏血流的变化(可以是氧饱和度、脉搏波)。脉搏 波所表现出的形态(波的形状)、强度(波的幅值)、速率(波的速度)与节律(波的周期)等方面的特征信息在相当程度上反映出桡动脉6是否存在闭塞。光电容积脉搏波检测模块9通过第二信号线缆91电连接控制装置5内的控制模块51,控制模块51通过显示模块52显示脉搏波。
优选的,第二固定带7上表面的右侧边缘设置有魔术贴的雄侧,第二固定带7下表面的左侧边缘设置有魔术贴的雌侧,反之亦可;将第二固定带7缠绕手腕后可以通过雄侧和雌侧结合固定在手腕上。
在本实施例中,综合光电容积脉搏波检测模块9获取桡动脉6的血流的变化以及压力感受器4采集压迫气囊2内气体产生的压力震荡波来判断桡动脉6是否存在闭塞,进一步提高了对绕动脉6是否存在闭塞的精准性。
作为本发明的第七个实施例,在第一个实施例的基础上,相同的部分则不再赘述。如图9所示,还包括与第一固定带1并排设置的第二固定带7,第二固定带7上设置有压电感受器10,压电感受器10用于采集桡动脉6的脉搏信号,压电感受器10设置在第二固定带7的下表面,用于与桡动脉6相接触。
优选的,压电感受器10可以是柔性传感器,具有良好的柔韧性、延展性。
压电感受器10通过第三信号线缆101电连接控制装置5内的控制模块51,控制模块51还通过显示模块52显示脉搏波。
优选的,第二固定带7上表面的右侧边缘设置有魔术贴的雄侧,第二固定带7下表面的左侧边缘设置有魔术贴的雌侧,反之亦可;将第二固定带7缠绕手腕后可以通过雄侧和雌侧结合固定在手腕上。
在本实施例中,综合压电感受器10获取桡动脉6的脉搏以及压力感受器4采集压迫气囊2内气体产生的压力震荡波来判断桡动脉6是否存在闭塞,进一步提高了对绕动脉6是否存在闭塞的精准性。
作为本发明的第八个实施例,在第一个实施例的基础上,相同的部分则不再赘述。如图10所示,还包括与第一固定带1并排设置的 第二固定带7,第二固定带7上设置有压阻感受器11,压阻感受器11用于采集桡动脉6的脉搏信号,压阻感受器11设置在第二固定带7的下表面,用于与桡动脉6相接触。优选的,压阻感受器11可以是柔性传感器,具有良好的柔韧性、延展性。
压阻感受器11通过第四信号线缆111电连接控制装置5内的控制模块51,控制模块51还通过显示模块52显示脉搏波。
优选的,第二固定带7上表面的右侧边缘设置有魔术贴的雄侧,第二固定带7下表面的左侧边缘设置有魔术贴的雌侧,反之亦可;将第二固定带7缠绕手腕后可以通过雄侧和雌侧结合固定在手腕上。
在本实施例中,综合压阻感受器11获取桡动脉6的脉搏以及压力感受器4采集压迫气囊2内气体产生的压力震荡波来判断桡动脉6是否存在闭塞,进一步提高了对绕动脉6是否存在闭塞的精准性。
由此可见,本发明公开了一种压迫器,包括第一固定带和设置在第一固定带上的压迫气囊,压迫气囊通过注气管连接注气端口,注气端口作为向压迫气囊内注入气体的端口;压迫气囊还通过压力检测管连接压力感受器,压力感受器用于检测压迫气囊内气体产生的压力震荡波;压力检测管上还设置有控制装置,压力感受器与控制装置一体成型;控制装置内设置有控制模块,控制模块与压力感受器电连接,控制装置的表面设置有显示模块,控制模块通过显示模块显示脉搏波或血压值。本发明能够在桡动脉通过压迫器进行止血的过程中,指导非闭塞性压迫,检测急性及慢性桡动脉闭塞。
以上所述仅为本发明的实施例,并非因此限制本发明的专利范围,凡是利用本发明说明书及附图内容所作的等效结构变换,或直接或间接运用在其他相关的技术领域,均同理包括在本发明的专利保护范围内。

Claims (10)

  1. 一种压迫器,其特征在于:包括第一固定带和设置在所述第一固定带上的压迫气囊,所述压迫气囊通过注气管连接注气端口,所述注气端口作为向所述压迫气囊内注入气体的端口;所述压迫气囊还通过压力检测管连接压力感受器,所述压力感受器用于检测所述压迫气囊内气体产生的压力震荡波;所述压力检测管上还设置有控制装置,所述压力感受器与控制装置一体成型;所述控制装置内设置有控制模块。
  2. 根据权利要求1所述的压迫器,其特征在于:所述控制装置内还设置有报警模块,所述控制模块与所述报警模块电连接。
  3. 根据权利要求2所述的压迫器,其特征在于:所述控制模块与所述压力感受器电连接,所述控制装置的表面设置有显示模块,所述控制模块通过所述显示模块显示脉搏波或血压值;还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有柯氏音提取模块,所述柯氏音提取模块通过第一信号线缆电连接所述控制装置内的控制模块,所述控制装置内还设置有扩音模块,所述控制模块通过所述扩音模块播放柯氏音,还通过所述显示模块显示柯氏音波形。
  4. 根据权利要求3所述的压迫器,其特征在于:所述控制模块与所述扩音模块之间电连接有柯氏音开关,所述柯氏音开关设置在所述控制装置的表面。
  5. 根据权利要求4所述的压迫器,其特征在于:所述注气端口同时作为放气端口。
  6. 根据权利要求4所述的压迫器,其特征在于:所述压力感受器还连接有放气管,所述放气管的末端设置有放气端口。
  7. 根据权利要求4所述的压迫器,其特征在于:所述注气管与所述压力检测管连通,所述压力感受器还连接有放气管,所述放气管的末端设置有放气端口。
  8. 根据权利要求2所述的压迫器,其特征在于:还包括与所述第 一固定带并排设置的第二固定带,所述第二固定带上设置有光电容积脉搏波检测模块,所述光电容积脉搏波检测模块用于采集桡动脉的脉搏信号,所述光电容积脉搏波检测模块通过第二信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
  9. 根据权利要求2所述的压迫器,其特征在于:还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有压电感受器,所述压电感受器用于采集桡动脉的脉搏信号,所述压电感受器通过第三信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
  10. 根据权利要求2所述的压迫器,其特征在于:还包括与所述第一固定带并排设置的第二固定带,所述第二固定带上设置有压阻感受器,所述压阻感受器用于采集桡动脉的脉搏信号,所述压阻感受器通过第四信号线缆电连接所述控制装置内的控制模块,所述控制模块通过所述显示模块显示脉搏波。
PCT/CN2023/086016 2022-05-19 2023-04-03 一种压迫器 WO2023221675A1 (zh)

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