CN215899796U

CN215899796U - Improved femoral artery compression hemostat

Info

Publication number: CN215899796U
Application number: CN202121477934.6U
Authority: CN
Inventors: 邹凌威; 董智慧; 刘浩; 符伟国; 陈斌; 蒋俊豪; 石赟; 马韬
Original assignee: Zhongshan Hospital Fudan University
Current assignee: Zhongshan Hospital Fudan University
Priority date: 2021-06-30
Filing date: 2021-06-30
Publication date: 2022-02-25
Anticipated expiration: 2031-06-30

Abstract

The utility model discloses an improved femoral artery compression hemostat, which relates to the technical field of nursing instruments after an intracavitary interventional operation and comprises a groin fixing piece, a shoulder fixing piece and a connecting band, wherein the groin fixing piece comprises a fixing plate, a groin fixing band and a spiral compression piece; the shoulder fixing piece comprises a fixing ring and a shoulder fixing belt; the fixing plate and the fixing ring are detachably connected through a connecting belt. According to the utility model, the compression plate is designed into the arc-shaped plate structure, the femoral artery puncture point can be compressed more uniformly, the condition that the compression plate slips to cause bleeding is avoided, the groin fixing piece is arranged to be matched with the fixing mode of the connecting belt and the shoulder fixing piece to form a stable triangular fixing structure, a patient does not need to turn over, and the effects of improving the comfort level of the patient and facilitating the operation of medical care personnel are achieved.

Description

Improved femoral artery compression hemostat

Technical Field

The utility model relates to the technical field of nursing instruments after an intracavitary interventional operation, in particular to an improved femoral artery compression hemostat.

Background

Endovascular repair in vascular surgery is usually performed by puncturing femoral artery by the seldinger method, indwelling arterial sheath, and performing operation by instruments such as guide wire and catheter. Due to the fact that the whole body of a patient needs to be heparinized during operation, a vascular surgeon needs to manually compress a puncture point after an operation, then the puncture point needs to be fully wrapped by gauze and a bandage, the process is time-consuming and labor-consuming, and the situation is improved along with the occurrence of a femoral artery puncture point compressor. After the intracavitary intervention operation, the doctor compresses the artery puncture point part through the finger to reach hemostatic effect. After the primary compression hemostasis is performed by a doctor, the femoral artery compression hemostat is used for further continuously applying pressure to prevent the blood seepage at the puncture point and form hematoma and even pseudo aneurysm.

In the prior art, a common femoral artery compression hemostat comprises a rotary handle, a fixed plate, a compression plate, a fixed soft cushion, a compression soft cushion, a flannelette belt, a magic tape and the like. The principle is that a fixed plate is connected with a compression plate, the compression plate is contacted with the skin through a compression soft pad, and the compression soft pad is fixed on the root of the thigh and the waist part above the anterior superior iliac spines on two sides by a cotton flannel strip. However, the existing femoral artery puncture compressor has some defects in design, and still has some defects in clinical work, such as skin damage, compression point displacement bleeding and the like.

In particular, the current femoral artery compression hemostat has the defects that:

1. the compression cushion is designed into a circular structure, a puncture point needs to be padded with gauze before use, the compression cushion has the possibility of causing the compression point to deviate due to sliding in clinical work, so that bleeding is caused, even the serious complication of pseudo aneurysm appears, and error operation is easier to occur for some inexperienced interns.

2. The design that the cotton flannel belts are fixed between the waist makes the waist and the abdomen have strong constraint feeling, and can bring strong abdomen discomfort, even abdominal pain and the like to patients, especially to obese patients. Moreover, studies show that skin injury is very easy to occur.

3. The design that the flannelette belt is fixed between the waist causes inconvenience for the use of a clinician, and especially for a patient unconscious under general anesthesia or poor self-matching capability, the waist and the abdomen of the patient need to be bound, and the patient needs to turn over, which has great difficulty in an obese patient. In emergency treatment, if only one doctor performs compression hemostasis under the condition of insufficient hands, the operation is very inconvenient.

Based on the above problems, the utility model provides an improved femoral artery compression hemostat to better serve patients and assist clinical work.

SUMMERY OF THE UTILITY MODEL

In view of the problem in practical application, the utility model aims to provide an improved femoral artery compression hemostat, which comprises the following specific schemes:

an improved femoral artery compression hemostat comprises a groin fixing piece, a shoulder fixing piece and a connecting band, wherein:

the groin fixing piece comprises a fixing plate, a groin fixing band and a spiral pressing piece, one end of the groin fixing band is connected to the fixing plate, the other end of the groin fixing band is freely arranged and provided with a first magic tape, the spiral pressing piece is installed at the center of the fixing plate and comprises a spiral handle and a pressing plate, the spiral handle penetrates through and is spirally connected to the fixing plate, a fixing nut is arranged at the head end of the spiral handle, the end face of the tail end of the spiral handle is connected with the pressing plate, and the pressing plate is of an arc-shaped plate structure;

the shoulder fixing piece comprises a fixing ring and a shoulder fixing belt, one end of the shoulder fixing belt is connected to the fixing ring, and the other end of the shoulder fixing belt is freely arranged and provided with a second magic tape;

the fixed plate with gu pass through between the fixed ring the connection band can be dismantled and be connected.

Furthermore, the fixing plate is of a T-shaped structure, so that the fixing plate is provided with three connecting ends;

one of the connecting ends of the fixing plate is connected with the groin fixing belt, the other connecting end of the fixing plate is connected with the connecting belt, and a fixing opening is formed in the third connecting end of the fixing plate.

Furthermore, the fixed ring is formed by combining a circular ring and a square through hole arranged at the center of the circular ring.

Furthermore, one end of the connecting belt is provided with a third magic tape, a connecting end on the fixing plate is provided with a transition belt, one end of the connecting belt is fixed on the transition belt, and the other end of the connecting belt passes through the circular ring and is adhered to the transition belt body through the third magic tape after being folded reversely.

Further, the fixed plate is of an arc-shaped plate structure, and the arc-shaped curvature of the fixed plate is matched with the arc-shaped curvature of the compression plate.

Furthermore, hollows are arranged on the fixing plate close to the connecting end;

the end parts of the three connecting ends on the fixing plate are all designed to be arc-shaped structures, and the middle of each arc-shaped structure is hollowed out.

Furthermore, the compression plate is detachably arranged on the spiral handle.

Furthermore, the connecting band, the groin fixing band, the shoulder fixing band and the transition band are all made of flannelette tapes.

Compared with the prior art, the utility model has the following beneficial effects:

(1) the compression plates on the fixing plate and the spiral compression piece are arranged into arc-shaped plate structures which accord with the inguinal anatomical structure, so that femoral artery puncture points can be compressed more uniformly, bleeding caused by the slippage of the compression plates and even serious complications are avoided, the skin of a patient is prevented from being compressed and damaged, the safety of the hemostat is improved, and the operation requirement on medical staff with less experience is low;

(2) through setting up groin mounting cooperation connecting band, the fixed mode of shoulder mounting, form stable triangle fixed knot and construct, and in the operation process, only need raise patient unilateral shoulder and crooked thigh and can realize, the patient need not to stand up, not only avoided critically ill patient's the making a round trip to stand up and wriggling, avoided the mode that adopts winding waist in the past to lead to the fact the condition that the too strong restraint tied up and harm skin to patient's waist to appear simultaneously, medical personnel's operation has been made things convenient for, be favorable to medical personnel's independent operation, and is simple in operation, and convenient to use.

Drawings

FIG. 1 is an overall schematic diagram of an embodiment of the present invention;

FIG. 2 is a schematic view of the present invention in use (when not fixed);

FIG. 3 is a schematic view of the present invention in use (in a stationary state);

FIG. 4 is a side view of the connection between the fixation plate and the helical compression member of the present invention;

fig. 5 is a top view of the fixing plate and the screw pressing member of the present invention.

Reference numerals: 1. a groin fixture; 11. a fixing plate; 12. a groin fixing strap; 13. a first magic tape; 14. a screw press; 15. a screw shank; 16. a compression plate; 17. fixing a nut; 18. a fixed port; 2. a shoulder fixing member; 21. a fixing ring; 22. shoulder fixing straps; 23. a second magic tape; 3. a connecting belt; 4. a transition zone.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.

It should be noted that all the directional indicators (such as up, down, left, right, front, and rear … …) in the embodiment of the present invention are only used to explain the relative position relationship between the components, the movement situation, etc. in a specific posture (as shown in the drawing), and if the specific posture is changed, the directional indicator is changed accordingly.

As shown in fig. 1, an improved femoral artery compression hemostat comprises a groin fixing piece 1, a shoulder fixing piece 2 and a connecting band 3, wherein a spiral compression piece 14 is arranged on the groin fixing piece 1.

When the compression device is used, the spiral compression piece 14 is used for compressing the puncture point at the groin of a patient, and the groin fixing piece 1, the shoulder fixing piece 2 and the connecting band 3 are used for interacting to form a triangular stable fixing structure at the shoulder and the groin, so that the spiral compression piece 14 is fixed, and the compression purpose is achieved.

Specifically, in one possible embodiment, as shown in fig. 1, 4 and 5, the groin fixing member 1 includes a fixing plate 11 and a groin fixing band 12.

The fixing plate 11 is of a T-shaped structure, so that the fixing plate 11 is provided with three connecting ends; one of the connecting ends of the fixing plate 11 is connected with the groin fixing belt 12, the other connecting end is connected with the connecting belt 3, and the third connecting end is provided with a fixing port 18. The end parts of the three connecting ends on the fixing plate 11 are all designed to be arc-shaped structures, and the middle parts of the arc-shaped structures are hollowed out. One of the connecting ends and the third of the connecting ends face the two axial ends of the groin and are about 22cm long, and the third connecting end connected with the connecting belt 3 faces the opposite side shoulder and is about 10cm long.

The fixing plate 11 is provided with hollow parts near the connecting ends. The design of hollow out construction not only can satisfy the connection of groin fixed band 12 and connecting band 3, reducible dead weight of fixed plate 11 self simultaneously reduces patient's oppression and feels.

One end of the groin fixing strap 12 is connected to the fixing plate 11, and the other end is freely arranged and provided with a first magic tape 13. Preferably, the first hook and loop fastener 13 is adhered to the groin fixing band 12. The length of the groin fixing strap 12 is set to about 60 cm.

Spiral oppression piece 14 is installed in 11 center departments of fixed plate, and spiral oppression piece 14 includes spiral handle 15 and oppression board 16, and spiral handle 15 runs through and screwed connection in fixed

plate

11, and 15 head ends of spiral handle are equipped with fixation nut 17, and the tail end face is connected with oppression board 16, and oppression board 16 is the arc structure, and the curvature of this arc structure accords with human engineering to human skin surface of laminating improves oppression comfort level. Preferably, the compression plate 16 is made of a flexible material such as rubber, which can further protect the skin.

The compression paddle 16 is removably mounted to the screw shank 15. Therefore, the compression plate 16 is convenient to replace, the compression plate 16 can be recycled only by replacing the same artery compression hemostat, and resources are saved.

The shoulder fixing member 2 includes a fixing ring 21 and a shoulder fixing band 22, one end of the shoulder fixing band 22 is connected to the fixing ring 21, and the other end is freely disposed and provided with a second hook-and-loop fastener 23. Also preferably, the second hook and loop fastener 23 is adhered to the shoulder fixing band 22. The length of the shoulder fixing band 22 is set to about 30 cm.

The fixing ring 21 is formed by combining a circular ring and a square through hole arranged in the center of the circular ring. And the diagonal line of the square through hole is equal to the diameter of the circular ring. In one possible embodiment, the radius of the circle is 5cm, and the length of the square through-hole is √ 50 cm.

The shoulder fixing piece 2 is connected with the groin fixing piece 1 through a connecting belt 3. The length of the connecting band 3 is set to about 70 cm.

When the shoulder fixing device is used, firstly, the shoulder fixing part 2 is utilized to fix the shoulder of a patient, specifically, the shoulder opposite to the puncture point of the patient is lifted firstly, the fixing ring 21 is kept at the position of the clavicle of the patient, the shoulder fixing band 22 is wound to the rear part of the shoulder and bypasses the whole rear part of the shoulder until one end of the shoulder fixing band 22 provided with the second magic tape 23 is positioned in front of the shoulder, finally, the second magic tape 23 is utilized to fix the shoulder fixing band 22, only one side of the shoulder of the patient needs to be lifted in the whole shoulder fixing process, and only one side of the shoulder of the patient needs to be fixed by the shoulder fixing band 22, so that the operation is simple;

secondly, the compression plate 16 on the spiral compression piece 14 is aligned to the puncture point at the groin, the fixing nut 17 is adjusted to perform pressure adjustment on the compression of the puncture point until the required requirement is met, the compression of the puncture point is realized, meanwhile, the fixing plate 11 is attached to the outer surface of the skin of the groin of the patient, then, the knee of the patient is bent, the thigh is supported by the shank, the free end of the groin fixing band 12 is wound to the back part of the root of the thigh, the free end penetrates through the fixing opening 18 and is continuously wound for one circle until the free end covers the groin fixing band 12, the first magic tape 13 on the free end is adhered to the groin fixing band 12 to realize the fixing, and the whole groin fixing process is realized.

Finally, the shoulder fixing member 2 and the groin fixing member 1 are connected by the connecting band 3, so that the shoulder fixing member 2 and the groin fixing member 1 respectively exhibit a triangular-shaped stable fixing structure, thereby realizing stable fixation of the screw pressing member 14.

Fig. 2 to 3 show a schematic view of the shoulder fixing member 2 and the groin fixing member 1 placed on the patient without being bound, and fig. 3 shows a schematic view of the shoulder fixing member 2 and the groin fixing member 1 both completing binding, that is, a schematic view of the state of the femoral artery compression hemostat after completion of compression fixation.

Whole spiral oppression piece 14 is oppressed, fixed to the puncture point, adopts groin mounting 1 to combine connecting band 3 and shoulder mounting 2 to form stable triangle fixed knot and construct and realize, and use easy operation, convenience, whole journey need not the patient and stands up, and the medical personnel's that has significantly reduced work load improves patient's comfort level.

In addition, in order to expand the application range of the device of the present application, the connecting band 3 is detachably connected between the fixing plate 11 and the fixing ring 21 in the present application. Specifically, in a possible embodiment, one end of the connection belt 3 is provided with a third magic tape, a connection end on the fixing plate 11 is provided with a transition belt 4, one end of the transition belt 4 is a blind end and is connected to the fixing plate 11, the other end is a free end, which can realize connection with the connection belt 3, one end of the connection belt 3 is fixedly connected to the free end of the transition belt 4, and the other end passes through the circular ring on the fixing ring and is adhered to the transition belt body 4 through the third magic tape after being folded back, so as to realize connection between the fixing ring and the fixing plate. Also, preferably, the width of the transition zone 4 decreases gradually from the fixing plate 11 to the free end. Like this, according to the people of different size demands, confirm that the connecting band is turned over the position that this end bonded after rolling over to realize different height patients' stable fixed, enlarge the application scope of device, and, utilize the third magic to paste the realization connecting band and be connected between self, easy dismounting, it is convenient to change. In addition, the shoulder fixing piece 2, the groin fixing piece 1 and the connecting band 3 are designed to be split, so that the utility model can be flexibly used and has small limitation.

Except that the compression plate 16 is set to be an arc-shaped plate structure, in the present application, the fixing plate 11 is also set to be an arc-shaped plate structure, and the curvature of arc of the fixing plate 11 is matched with the curvature of arc of the compression plate 16. Thus, when the puncture point is pressed, the comfort of the patient as a whole can be improved.

Furthermore, flexible gaskets can be bonded to the end points of the fixing plate 11 and the outer periphery of the fixing ring 21, and the comfort of the patient can be improved.

The connecting band 3, the groin fixing band 12, the shoulder fixing band 22 and the transition band 4 are made of flannelette tapes and have certain elasticity. The velvet surface on the velvet belt can meet the bonding of various magic tapes, and the use is convenient.

The fixing plate 11 and the fixing ring 21 can be made of multi-polymer plastic materials which are light, firm and durable.

The specific implementation principle of the utility model is as follows: whole arteria femoralis hemostasis by compression ware, adopt 16 oppression plates on the spiral piece 14 of oppressing to the puncture point, and utilize groin mounting 1 to realize 14 fixed to the spiral, groin mounting 1's fixed through self groin fixed band 12 and connecting band 3, shoulder mounting 2 mutually support, form a stable triangle-shaped fixed knot structure, can avoid too strong constraint, and 16 adoption arcwall face structures that accord with ergonomic of oppression plates, can effectively reduce the uncomfortable sense that leads to the fact patient on the whole, whole arteria femoralis hemostasis by compression ware simple structure, use convenient operation, medical personnel's that can significantly reduce work load, improve patient's comfort level, therefore, the clothes hanger is strong in practicability.

The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the utility model may occur to those skilled in the art without departing from the principle of the utility model, and are considered to be within the scope of the utility model.

Claims

1. The utility model provides an improvement formula femoral artery hemostasis by compression ware which characterized in that, includes groin mounting (1), shoulder mounting (2) and connecting band (3), wherein:

the groin fixing piece (1) comprises a fixing plate (11), a groin fixing band (12) and a spiral pressing piece (14), one end of the groin fixing band (12) is connected to the fixing plate (11), the other end of the groin fixing band is freely arranged and provided with a first magic tape (13), the spiral pressing piece (14) is installed at the center of the fixing plate (11), the spiral pressing piece (14) comprises a spiral handle (15) and a pressing plate (16), the spiral handle (15) penetrates through and is spirally connected to the fixing plate (11), a fixing nut (17) is arranged at the head end of the spiral handle (15), the pressing plate (16) is connected to the end face of the tail end of the spiral handle, and the pressing plate (16) is of an arc-shaped plate structure;

the shoulder fixing piece (2) comprises a fixing ring (21) and a shoulder fixing belt (22), one end of the shoulder fixing belt (22) is connected to the fixing ring (21), and the other end of the shoulder fixing belt is freely arranged and provided with a second magic tape (23);

the fixed plate (11) and the fixed ring (21) are detachably connected through the connecting belt (3).

2. The improved femoral artery compression hemostat according to claim 1, wherein the fixing plate (11) is in a T-shaped structure such that the fixing plate (11) has three connecting ends;

one connecting end of the fixing plate (11) is connected with the groin fixing strap (12), the other connecting end of the fixing plate is connected with the connecting strap (3), and a fixing opening (18) is formed in the third connecting end of the fixing plate.

3. The improved femoral artery compression hemostat according to claim 2, wherein the fixing ring (21) is formed by a combination of a circular ring and a square through hole opened at the center of the circular ring.

4. The improved femoral artery compression hemostat according to claim 3, wherein one end of the connecting band (3) is provided with a third magic tape, a transition band (4) is arranged at one connecting end of the fixing plate (11), one end of the connecting band (3) is fixed on the transition band (4), and the other end of the connecting band passes through the circular ring and is reversely folded and then is adhered to the transition band (4) body through the third magic tape.

5. The improved femoral artery compression hemostat according to claim 1, wherein the fixation plate (11) is provided as an arc-shaped plate structure and the arc-shaped curvature of the fixation plate (11) matches the arc-shaped curvature of the compression plate (16).

6. The improved femoral artery compression hemostat according to claim 1, wherein the fixing plate (11) is provided with a hollow-out portion near the connecting end;

the end parts of the three connecting ends on the fixing plate (11) are all designed to be arc-shaped structures, and the middle parts of the arc-shaped structures are hollowed out.

7. The improved femoral artery compression hemostat according to claim 1, wherein the compression plate (16) is detachably mounted on the screw handle (15).

8. The improved femoral artery compression hemostat according to claim 4, wherein the connecting band (3), the groin fixing band (12), the shoulder fixing band (22) and the transition band (4) are made of fleece tapes.