[go: up one dir, main page]

WO2010102426A1 - 动脉压迫止血器 - Google Patents

动脉压迫止血器 Download PDF

Info

Publication number
WO2010102426A1
WO2010102426A1 PCT/CN2009/000309 CN2009000309W WO2010102426A1 WO 2010102426 A1 WO2010102426 A1 WO 2010102426A1 CN 2009000309 W CN2009000309 W CN 2009000309W WO 2010102426 A1 WO2010102426 A1 WO 2010102426A1
Authority
WO
WIPO (PCT)
Prior art keywords
base
outer cover
pressure
cavity
sleeve
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/CN2009/000309
Other languages
English (en)
French (fr)
Inventor
戚亚峰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of WO2010102426A1 publication Critical patent/WO2010102426A1/zh
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

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

Definitions

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

Landscapes

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

Description

动脉压迫止血器 技术领域
本实用新型涉及一种止血器， 特别涉及适用于经股动脉 （或桡动 脉） 穿剌后动脉 （或静脉） 穿剌点和其它动脉 （或静脉） 出血体外压 迫闭合止血的动脉压迫止血器， 属于医疗器械领域。 背景技术
随着医学技术水平的提高和医疗设备条件的改善， 经皮穿剌股 (桡） 动脉介入诊疗已成为常用的一种临床操作技术。 如冠脉造影及 左心室造影术、 血管内超声、 冠脉内支架植入术等。 由于人民生活水 平的显著提高， 随之带来了危害人体健康的影响。 高血压、 糖尿病、 冠心病的发病率显著增长， 尤其是冠心病的发病率近二十年来翻了将 近两番， 使冠心病的死亡率跃居第一位。 同时， 冠心病、 冠状动脉心 脏病的临床治疗发生了根本性的转变， 由原来的解痉、 扩管、 溶栓的 药物性治疗转变成介入性的导管治疗， 使其死亡率以及再发率显著降 低。 目前， 在全中国每天将有 1000例左右的冠心病进行球囊支架介入 手术。 这种介入手术首先要经皮股动脉穿剌， 然后通过导管将球囊和 支架送入狭窄或堵塞的管状动脉处进行扩张和植入， 使血液重新灌注 到心肌组织来治疗冠状动脉心脏病。 当手术结束后， 要拔出股动脉上 的动脉壳， 这样股动脉壁上留下了一个 0. 2-0. 7cm的孔而造成出血。
目前常用的止血方法有手法压迫、 机械压迫和血管粘堵术等。 这 三种方法对于止血各有利弊。
一、 手法压迫： 人为压迫股动脉 15-40分钟， 使股动脉壁的肌肉 组织收缩， 同时血小板凝血， 因此形成血栓而造成短暂的止血目的， 然后使用局部外压 24小时而达到永久性止血。 这种止血方式， 其一、 造成许多严重的病发症， 危及病人的生命， 最常见的并发症为局部血 肿， 腹膜后出血， 股动脉局部的挤压中假性动脉流和截肢的危险。 其 二、 病人遭受巨大的痛苦， 病人要仰卧 12-24 小时， 不许腹部和下肢 的活动， 同时承受绷带和沙袋外压的痛苦。 其三、 医护人员要付出强 劳动力， 站立双手加压病人的股动脉穿剌处 30-40分钟。
二、 机械压迫： 该止血法大概分为两种： 一种是气囊压迫止血带 (此类产品没有适用于股动脉产品） ， 其缺点是不能直接观测到穿剌 点出血情况、 不能显示压力所以不能准确施压、 固定性差、 达不到理 想的止血效果； 另一种是螺旋式动脉压迫止血器， 它是通过旋转螺旋 手柄， 使压板不断压紧穿剌点， 压力的调节是靠螺旋手柄的旋转深度 调节， 因此给予穿剌点的压力只能依靠医生的经验进行调整， 而所施 加到穿剌点上的压力也不能显示， 所以不能达到最佳止血效果。
三、 粘堵术： 最常见的有三种： 第一种是利用一种牛筋胶原蛋白， 将其制造成胶原海绵填塞于股动脉穿剌处而达到止血的目的。 第二种 是利用人体组织容易吸收的生物材料和胶原蛋白造成三明治的填塞 栓， 放置于股动脉血管的内膜和外膜之间而达到止血的目的。 第三种 是植入生物缝线 U形缝合股动脉穿剌处而达到止血的目的。 具有大量 的临床证据显示， 生物性的粘堵止血仍存在很多令人不尽满意的并发 症， 它将危害病人的生命， 例如腹膜后的大出血。 由于现在多数具有 高血压的病史， 股动脉的直径细小， 以及费用昂贵， 有病人会产生排 异反映， 生物性粘堵止血的利用价值比较小。 实用新型内容
本实用新型的目的是提供一种动脉压迫止血器， 它具有操作简单; 直接观察穿剌点的止血情况， 进行及时调整从而达到最佳的止血效果； 病人二十分钟后可进行床上体位移动， 两小时后便可步行， 从而减轻 病人痛苦和避免并发症； 体积小不影响病人穿着衣服和盖被子。
为了实现上述目的， 本实用新型采用了如下技术方案： 一种动脉 压迫止血器， 包括：
带有腔室的基座；
可拆卸的连接于基座上端处的外盖， 所述外盖上设置开口； 可在所述基座的腔室内伸缩并可伸出腔室下端的伸缩轴套； 位于所述基座的腔室内用于推动伸缩轴套伸缩的气囊， 所述气囊 的充气嘴通过所述外盖上的开口与外界连通；
连接于所述基座上的固定带； 以及
位于所述基座的腔室外且连接于所述伸缩轴套上的压板。
作为优选， 所述外盖上的开口的一端向外伸出外盖， 另一端向内 伸出外盖与所述气囊的充气嘴连接。
作为优选， 所述基座外侧包覆一壳体， 所述壳体与所述基座的侧 壁之间形成一夹层， 所述固定带连接于所述壳体上。
作为优选， 所述伸缩轴套具有空腔， 所述气囊位于所述伸缩轴套 的空腔内。
作为优选， 所述伸缩轴套为相互嵌套的一节或多节。
作为优选， 所述压板为圆形， 所述压板上设置有凸点， 所述压板 的外部设有压板套。
作为优选， 所述基座腔室的内侧壁上设有滑轨， 与所述基座腔室 的内侧壁相配合的伸缩轴套上设置与所述滑轨相配合的凸起或钢珠。
作为优选， 本实用新型还包含一用于显示压力的压力表和一充气 装置， 所述充气装置通过软管与气囊的充气嘴或与所述外盖上的开口 向外伸出外盖的一端相连接； 所述压力表设置于所述软管上或充气装 置上。
作为优选， 所述基座的外侧壁上设置用于定位所述软管的卡子。 与现有技术相比， 本实用新型的有益效果在于：
1、 本实用新型的基座、 气囊、 轴套和压板均采用透明材质， 能随 时观察穿剌点并及时观测止血情况。
2、 本实用新型连有压力表， 压力通过充气装置向气囊内充气而实 现， 因此可通过观察压力表上的数值而准确调节气囊内的气压， 来控 制压板的压力， 从而对穿剌口实施所需的准确加压， 适应病情变化， 达到最佳止血效果。
3、 本实用新型采用压力递减的方式进行压迫止血， 既达到有效压 迫止血的目的， 又能减轻患者的痛苦， 并避免了传统压迫止血法存在 的一些缺陷。
4、 本实用新型带有凸点和压板套的压板可保证穿剌口必要的血 运， 防止皮肤坏死， 促进愈合， 减轻病人疼痛感， 避免并发症。
5、 本实用新型的固定带采用低致敏胶带， 可保证压迫点的固定， 病人二十分钟后可根据医嘱进行床上活动变换体位消除痛感， 两小时 可步行， 避免严重并发症。
6、 本实用新型采用伸缩轴套设计使器械体积小巧， 完全不影响病 人穿着衣物和盖被子， 更加人性化。
7、本实用新型结构简单， 生产成本低廉， 可减轻病人的经济负担。 附图说明
图 1为本实用新型实施例一的结构剖图。
图 2为本实用新型实施例二的结构剖图。
图 3为本实用新型实施例三的结构剖图。
图 4为本实用新型实施例四中伸缩轴套收缩状态结构剖图。
图 5为本实用新型实施例四中伸缩轴套伸出状态结构剖图。
图 6为图 5去掉外盖后的俯视示意图。
图 7为本实用新型实施例五中伸缩轴套收缩状态结构剖图。
图 8为本实用新型实施例五中伸缩轴套伸出状态结构剖图。
标记说明
I-基座 2-壳体
3-第二轴套 4-第一轴套
5-气囊 6-压板
7-压板套 8-凸点
9-充气嘴 10-固定带
I I-开口 12-软管
13-充气皮球 14-凸起
15-外盖 16-侧翼
17-卡子 18-充气通路 19-第一空腔 20-第二空腔
23-滑轨 24-连接孔 具体实施方式
下面结合附图和具体实施例对本实用新型作进一步详细描述， 但 不作为对本实用新型的限定。
实施例一：
如图 1所示的动脉压迫止血器， 包括： 基座 1、 外盖 15、 伸缩轴 套、 气囊、 压板 6和固定带 10， 基座 1带有腔室； 所述伸缩轴套可在 所述基座 1 的腔室内伸缩并可伸出腔室下端， 本实施例中的伸缩轴套 为一节， 即第一轴套 4; 气囊（图中未示出）位于所述基座 1的腔室内 用于推动伸缩轴套的伸缩，外盖 15可拆卸的连接于基座 1上端敞口处， 所述外盖 15上设置使气囊的充气嘴与外界连通的开口 11 ; 固定带（图 中未示出） 连接于所述基座 1上。
为了防止第一轴套 4在基座 1内旋转， 且气囊上的充气嘴固定于 基座 1的开口 11上。 所述基座 1的内侧壁上沿轴向设置两条相对的滑 轨 23， 第一轴套 4的外侧壁上设置与滑轨 23相对应并配合的凸起 14 或钢珠， 凸起 14位于滑轨 23内， 并沿滑轨 23移动。 所述气囊设置于 基座 1的空腔内， 所述第一轴套 4可沿滑轨 23在基座 1内伸缩。 第一 轴套 4的下端与压板 6连接， 压板 6位于所述基座 1的腔室外。
实施例二：
如图 2所示， 本实施例与实施例一的区别仅在于， 本实用新型还 包括一带压力表的充气皮球 13，所述带压力表的充气皮球 13的出气口 与气囊 5的充气嘴 9相接。 当然所述的压力表也可以和充气皮球分离， 即所述的压力表设置在充气皮球与气囊 5的充气嘴 9相连接的软管 12 上， 而充气皮球上是没有压力表的， 所述软管 12上带有充放气开关。 当然所述的充气皮球 13也可以为其它充气装置， 例如注射器等。
实施例三：
如图 3所示， 本实施例与实施例二的主要区别仅在于， 所述压板 6 为圆形。压板 6上设置有均匀的凸点 8， 所述压板 6的外部设有压板套 7。所述凸点 8和压板套 7能有效防止血液不流通，从而防止皮肤坏死， 促进愈合， 减轻病人疼痛感， 避免并发症。
所述基座 1、 伸缩轴套、 压板 6均采用透明材料。 压板套 7采用无 毒医用材料。
实施例四：
如图 4、 图 5、 图 6所示， 本实施例与实施例三的区别仅在于， 外 盖 15上开口的一端向外伸出外盖 15， 另一端向内伸出外盖 15并与气 囊的充气嘴连接。 在本实施例中， 所述开口即为图中所示的充气通路 18。
如图 4所示， 在工作前， 第一轴套 4位于基座内， 第一轴套 4的 上沿与基座 1的上沿平齐， 第一轴套 4的上端设有第一空腔 19， 所述 气囊 5位于第一空腔 19内（图中未画出气囊 5)， 气囊 5的充气嘴与外 盖 15上设置的充气通路 18朝向基座 1内的一端连接。 气囊 5充气后， 会推动第一轴套 4伸出基座 1， 伸出状态如图 10所示。
如图 5所示， 充气通路 18在外盖 15内水平设置， 并从外盖 15的 侧壁上伸出， 当然， 为了使用的方便， 所述充气通路 18也可以垂直设 置， 而直接从外盖 15的上端伸出。
如图 6所示， 所述基座 1的外侧壁上设置卡子 17。 因为在为气囊 5 充气时， 需要外接充气皮球， 充气皮球需要通过塑料管与充气通路 18相接， 为了使用方便， 需要将塑料管使用卡子 17进行固定。 当然， 卡子 17的设置位置和设置方向可以根据实际需要任意选择。 所述基座 1的两侧设置相对应的侧翼 16， 所述侧翼 16上开有用于连接固定带的 连接孔 24。 （图中没有示出固定带）
实施例五：
如图 7、 图 8所示， 本实施例与实施例四的区别仅在于， 实施例四 中的伸缩轴套为一节， 而本实施例中的伸缩轴套为两节， 即第一轴套 4和第二轴套 3， 第一轴套 4可以为实体结构， 也可以为空心结构， 第 一轴套 4的总长度小于第二轴套 3的长度， 在第一轴套 4位于第二轴 套 3内时， 第一轴套 4上端的第二轴套 3内便形成第二空腔 20， 气囊 5位于第二空腔 20内。
当然， 所述伸缩轴套与基座 1 或相套接的伸缩轴套之间可以采用 任何配合结构， 只要能达到伸缩的目的即可。
下面以股动脉为例对本实用新型的工作原理及使用方法进行简单 介绍：
针对穿剌点采用体外压迫的方式抵抗动 /静脉内的对抗力增大， 促 进血小板凝聚力增强， 从而达到止血的目的。
1、 使用时， 首先要确认足背动脉搏动正常， 然后确认股动脉穿剌 点 ， 将动脉鞘退出 2cm， 用无菌纱布 2-3层覆盖股动脉穿剌点。 使基座 1沿腹股沟方向，将压板 6压在股动脉穿剌点上。
2、 然后将固定带 10围绕腹股沟顺势拽紧并紧并粘牢。 固定带 10的 固定必须保证基座 1和压板 6的平衡固定。
3、 通过充气装置（只要能实现向气囊内充气的功能的任何充气装 置都行， 如市面上现有的充气皮球 13 ) 向气囊 5充气， 气囊 5因充气而 扩张， 从而推动内轴套及连接在最内层的内轴套下的压板 6—起向下即 穿剌点方向移动， 控制压板 6伸缩，从而对股动脉 （或桡动脉） 穿剌点 进行加压， 气囊 5内的压力可以在压力表上显示， 首先使压力达到 20〜 30 mmHg时确认压板 6对止血点 （即穿剌点） 加压平衡稳定时，拔除动脉 鞘； 再将压力充气至高于收缩压 50 mmHg, 检查足背动脉搏动， 应为略 减弱但不消失； 5分钟后将压力调整至高于收缩压 10-15mmHg， 然后可 根据病情需要进行压力调节，但不能低于 60mmHg至拔管后 6 h解除止血 器， 患者卧床 2 h后可以下床活动。

Claims

权利要求
1、 一种动脉压迫止血器， 其特征在于， 包括：
带有腔室的基座；
可拆卸的连接于基座上端处的外盖， 所述外盖上设置开口； 可在所述基座的腔室内伸缩并可伸出腔室下端的伸缩轴套； 位于所述基座的腔室内用于推动伸缩轴套伸缩的气囊， 所述气囊 的充气嘴通过所述外盖上的开口与外界连通；
连接于所述基座上的固定带； 以及
位于所述基座的腔室外且连接于所述伸缩轴套上的压板。
2、 根据权利要求 1所述的动脉压迫止血器， 其特征在于， 所述外 盖上的开口的一端向外伸出外盖， 另一端向内伸出外盖与所述气囊的 充气嘴连接。
3、 根据权利要求 1所述的动脉压迫止血器， 其特征在于， 所述基座外侧包覆一壳体， 所述壳体与所述基座的侧壁之间形成 一夹层， 所述固定带连接于所述壳体上。
4、 根据权利要求 1所述的动脉压迫止血器， 其特征在于， 所述伸 缩轴套具有空腔， 所述气囊位于所述伸缩轴套的空腔内。
5、 根据权利要求 1至 4中任一项所述的动脉压迫止血器， 其特征 在于， 所述伸缩轴套为相互嵌套的一节或多节。
6、 根据权利要求 1至 4中任一项所述的动脉压迫止血器， 其特征 在于， 所述压板为圆形， 所述压板上设置有凸点， 所述压板的外部设 有压板套。
7、 根据权利要求 1至 4中任一项所述的动脉压迫止血器， 其特征 在于， 所述基座腔室的内侧壁上设有滑轨， 与所述基座腔室的内侧壁 相配合的伸缩轴套上设置与所述滑轨相配合的凸起或钢珠。
8、 根据权利要求 1至 4中任一项所述的动脉压迫止血器， 其特征 在于， 还包含一用于显示压力的压力表和一充气装置， 所述充气装置 通过软管与气囊的充气嘴或与所述外盖上的开口向外伸出外盖的一端 相连接； 所述压力表设置于所述软管上或充气装置上。
9、 根据权利要求 8所述的动脉压迫止血器， 其特征在于， 所述基 座的外侧壁上设置用于定位所述软管的卡子。
PCT/CN2009/000309 2009-03-13 2009-03-23 动脉压迫止血器 Ceased WO2010102426A1 (zh)

Applications Claiming Priority (2)

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

Publications (1)

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

Family

ID=42030471

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2009/000309 Ceased WO2010102426A1 (zh) 2009-03-13 2009-03-23 动脉压迫止血器

Country Status (2)

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

Cited By (4)

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

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB201407864D0 (en) * 2014-05-02 2014-06-18 Ucl Business Plc Device and methods for remote ischaemic conditioning
CN104856739B (zh) * 2015-04-28 2017-12-19 深圳市升昊科技有限公司 压迫止血装置
JP6859346B2 (ja) * 2016-07-06 2021-04-14 テルモ株式会社 止血器具
US10945616B2 (en) * 2017-05-12 2021-03-16 Covidien Lp Blood pressure measuring surgical instrument
CN109124721A (zh) * 2018-08-06 2019-01-04 郑州大学第附属医院 腹腔镜下解剖性肝切血管阻断装置

Citations (6)

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

Patent Citations (6)

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

Cited By (8)

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

Also Published As

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

Similar Documents

Publication Publication Date Title
WO2010102426A1 (zh) 动脉压迫止血器
EP2685913B1 (en) Apparatus for a manual radial artery compression device
US9427239B2 (en) Apparatus and method of use for an adjustable radial and ulnar compression wristband
US20180199947A1 (en) Apparatus And Method Of Use For An Adjustable Radial And Ulnar Compression Wristband
CN201029906Y (zh) 桡动脉止血器
US20120296369A1 (en) Compression unit and a radial artery compression system
CN208435709U (zh) 一种股动脉加压止血装置
CN106618668A (zh) 一种股动脉压迫止血装置
CN110327093A (zh) 一种动脉压迫止血器
CN201286734Y (zh) 动脉压迫止血器
CN207561950U (zh) 一种多功能肱动脉气囊压迫带
CN118453026A (zh) 股动脉加压式气囊止血器
CN201612658U (zh) 桡动脉穿刺点减压式止血压迫器
CN205697900U (zh) 自动控制式股动脉穿刺部位伤口压迫止血器
CN210204840U (zh) 一种介入穿刺部位压迫止血器
WO2008064528A1 (fr) Dispositif d'obturation styptique de compression de vaisseau sanguin
CN215228051U (zh) 一种桡动脉止血压迫器及止血手套
CN205758816U (zh) 气囊式压迫创可贴
CN206852771U (zh) 肢体气囊加压带
CN201894663U (zh) 分段可调式血管压迫器
CN107970054A (zh) 一种股动脉穿刺点充气下压式止血带
CN206007311U (zh) 一种智能股动脉压迫止血器
CN201070368Y (zh) 加压止血固定带
CN107397570A (zh) 智能股腹沟气囊式压迫装置
CN223504418U (zh) 治疗经桡动脉介入术后并发前臂肿胀的压力冷疗装置

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 09841295

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 09841295

Country of ref document: EP

Kind code of ref document: A1