CN105943105B - A kind of digital radial artery compression hemostatic device - Google Patents
A kind of digital radial artery compression hemostatic device Download PDFInfo
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- CN105943105B CN105943105B CN201610329870.2A CN201610329870A CN105943105B CN 105943105 B CN105943105 B CN 105943105B CN 201610329870 A CN201610329870 A CN 201610329870A CN 105943105 B CN105943105 B CN 105943105B
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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
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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
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0247—Pressure sensors
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Abstract
The present invention relates to a kind of digital radial artery compression hemostatic devices, the device includes wound face fixed baffle, the hemostasis module being removably disposed on the fixed baffle medial surface of wound face, the back of the hand face fixed baffle being oppositely arranged with wound face fixed baffle and the balloon tamponade module for being arranged on the fixed baffle of the back of the hand face and being used cooperatively with hemostasis module, wound face fixed baffle enclosed inside has integrated control unit, which is electrically connected with hemostasis module, balloon tamponade module respectively；Above-mentioned apparatus is used for the hemostasis by compression of Transradial Approach coronary intervention patient wound.Compared with prior art, overall structure of the present invention is simple, compact, it is economical and practical, can be controlled by Precise electronic avoids pressure excessive under the premise of hemostasis, significant increase patient comfort can effectively avoid compressing from shifting, more convenient to use quick, it is easy to implement industrialized production manufacture, is had a good application prospect.
Description
Technical field
The invention belongs to the field of medical instrument technology, are related to a kind of digital radial artery compression hemostatic device.
Background technique
Now, coronary heart disease is that clinically one of most common cardiovascular disease, China's illness rate have up to 1.5% or so
Rise year by year trend.Coronarography is the goldstandard of clear coronary heart disease, and for clarifying a diagnosis, judging prognosis and formulation are next
It is particularly significant to walk therapeutic scheme；It is coronal dynamic as caused by atherosis to have become releasing for percutaneous coronary intervention (pci) simultaneously
The narrow most direct and quick method of vessel lumen.
In recent years, the case load of China's coronary intervention rises appreciably, as interventional technique is constantly mature and instrument
Continuously improve, changed by past Transfemoral approach occupied an leading position (Transradial Artery/femoral artery by Transradial Approach at present
Approach 4:1), Transradial Artery patient damage is small, painful less, restores fast, postoperative not receptor site limitation, hemostasis is convenient, it is serious simultaneously
Hair disease is relatively smaller, and the period is short in hospital, does not influence anticoagulant continuous use, and the first choice for having become coronary intervention enters road
Diameter.
It is increasingly mature and widely available with Transradial Approach calcification score technology, carry out in day ward
As a kind of trend.Day ward is international more current treatment mode in the daytime, i.e., completes patient's within a working day
It the overall processes such as is admitted to hospital, checks, performing the operation, leaving hospital, effectively shortening the time of preoperative waiting and postoperative hospital observation, this is also to biography
A kind of supplement of system Emergency call, mode of being hospitalized.According to the state of an illness needs of patients with coronary heart disease, mild person " can walk " on the day of the same day,
The more complex person of the state of an illness can go to Cardiological care unit or public ward is further looked at calcification score is postoperative.Therefore, in the daytime
Ward row coronary angiography or interventional therapy had both alleviated patient's need for hospitalization, have saved hospitalization cost, while also reducing hospital
Average length of hospitalization improves bed rotation rate.
Although day ward row Transradial Artery coronary angiography realizes " two-win " of patient and hospital, patient is still
It needs to receive after surgery to oppress (for example, by using bandage pressure dressing or gasbag-type, rotary compression apparatus) at radial artery puncturing
4-12 hours, endure various discomforts caused by venous return obstacle: palm swelling, pain, numbness or even skin lesion, went out at blueness of becoming silted up
Blood, hemotoncus and Radial artery occlusion risk.These senses of discomfort and risk can cause patient to the fear of operation, and doctors and nurses is also required to
During compressing thus continuous making ward can also cause the extension of hospital stays to observe change of illness state and instruct patient.
Currently, existing radial artery compression hemostatic device, which mainly passes through two schemes, reaches haemostatic effect: one is knobs
Hemostasis by compression, the program is rotated by external turncap adjusts pressure, and can substantially be shown and be stopped blooding by spring-compressed principle
The pressure values of journey；Another kind is that balloon tamponade stops blooding at puncture, and the program is manually made by placing small-sized air bag in site of puncture
It is that air bag inflation generates pressure compression hemostasis with syringe.However, clinical experience shows above two mode in pressure adjusting side
Face lacks enough accuracies, while the still Specialized Quality of heavy dependence nursing staff in terms of pressure adjusting, bleeding judgement,
Increase and accompany and attend to the time and be unfavorable for post-operative recovery, this may also will cause the occlusion of venous return obstacle and radial artery.In the market
The existing instrument for radial artery hemostatic mainly has balloon compression type, spiral compressive, direct compressive, but these are being used
It is in the process or complicated for operation or be easily displaced, all fail to play good anastalsis.These existing hemostatic devices are most
The disadvantage is that, in pressing process, fail effectively to avoid compressing ulnar artery or the subsequent blood vessel of arm and nerve, easily lead to arm greatly
The symptoms such as the swelling of front end and numbness.
Application No. is 201310475142.9 Chinese invention patents to disclose a kind of fixed compression hemostasis device of radial artery,
Including inflation compression air bag, the inflation compression air bag be mounted on wrapping compression bladder band on the inside of, the wrapping compression bladder band its
Middle part is air bag, both ends are paste-side, and inflation compression air bag is equipped with wrapping compression bladder band to be connected with air charging system
Conduit with valve, inflation compression air bag pass through connecting line with wrapping compression bladder band and connect with pressure experience monitor,
Wrist fixing board is additionally provided on the inside of wrapping compression bladder band, the two sides of fixed plate are equipped with bandage, for fixing wrist, reduce its pine
Dynamic or displacement possibility, use of pressure experience monitor can be by setting pressing time alarms, and pressure is excessive or too low alarm
Etc. means so that haemostatic effect reaches optimum state, to reduce the damage of wrist tissue.There are following technologies to lack for the patent
Fall into: 1) oppressing position pressure dissipation, there are oozing of blood possibility；2) bleeding warning function and indefinite again；It 3) again can not after bleeding
Voluntarily handle；4) it due to using strip design, is easy to damage wrist nerve, blood vessel skin；5) device is disposable,
Medical resource is caused to waste.
Authorization Notice No. is that the Chinese utility model patent of 204445998 U of CN discloses one kind suitable for multiple punctures
Point radial artery compression hemostat, including fixed plate, at least one elastic webbing, at least one substrate, at least two compression bladders,
At least one pressure measuring unit and timing and alarming device, the cross section of the fixed plate is arc-shaped, be fixed on any one substrate to
Few two compression bladders, each substrate are movably fixed to respectively on an elastic webbing, and the first end of any one elastic webbing is fixed
In the first side of the fixed plate, second end is flexibly connected with second side of the fixed plate；Each pressure measuring unit is each provided at base
It is connect on plate and respectively with compression bladder.The patent uses multiple compression bladders, using the how many control compressing dynamics of inflation, outward
It protrudes unobvious, it is not easy to which touching causes to shift, and also using the fixed plate matched with hand shape, convenient for consolidating for haemostat
It is fixed, it avoids compressing from shifting, can effectively avoid compressing ulnar artery or the subsequent blood vessel of arm and nerve.There are following technologies for the patent
Defect: 1) in decompression process if again bleeding lack effective alarm mechanism；2) it is easy to make wrist nerve, blood vessel skin
At damage；3) it can not voluntarily be handled after bleeding again；4) device is disposable, and medical resource is caused to waste.
Summary of the invention
It is an object of the present invention to overcome the above-mentioned drawbacks of the prior art and provide a kind of long service life, list
Secondary medical expense is low, can be controlled by Precise electronic and avoid pressure excessive under the premise of hemostasis, significant increase patient comfort,
Compressing can be effectively avoided to shift, economical and practical digital radial artery compression hemostatic device.
The purpose of the present invention can be achieved through the following technical solutions:
A kind of digital radial artery compression hemostatic device, the device include wound face fixed baffle, are removably disposed in
Hemostasis module on the fixed baffle medial surface of wound face, the back of the hand face fixed baffle being oppositely arranged with wound face fixed baffle and
The balloon tamponade module for being arranged on the fixed baffle of the back of the hand face and being used cooperatively with hemostasis module, the wound face fixed baffle
Medial surface and the medial surface of the back of the hand face fixed baffle enclose jointly and be set as the wearing mouth adaptable with human arm and wrist shape,
The wound face fixed baffle enclosed inside has integrated control unit, the integrated control unit respectively with hemostasis module, air bag
Oppress module electrical connection.
The hemostasis module includes stop blooding bridge supporting beam, the hemostasis briquetting that hemostasis bridge supporting beam one end is arranged in, laying
The capillary array that is communicated in hemostasis briquetting and up and down with atmosphere, be embedded in hemostasis briquetting and with it is each in capillary array
Electrode sensing unit that capillary is in contact, the negative pressure reservoir being connected with capillary array and it is arranged under the briquetting that stops blooding
Array of pressure sensors on surface, the electrode sensing unit and array of pressure sensors pass through circuit and integrated control respectively
Unit electrical connection processed.
The electrode sensing unit is led with what column capillary each in capillary array was arranged in a one-to-one correspondence respectively by multipair
Electrode is constituted, and each pair of conductive electrode passes through circuit and is electrically connected with integrated control unit.
Each pair of conductive electrode is one on the other with respect to two metal conducting electrodes being embedded in hemostasis briquetting in parallel.
It is additionally provided with lateral cross over pipe in the hemostasis briquetting, the transverse direction cross over pipe is by column capillary each in capillary array
It is connected with negative pressure reservoir.
It is additionally provided with solenoid valve between the lateral cross over pipe and negative pressure reservoir, which passes through circuit and integrated control
Unit electrical connection processed.
The balloon tamponade module includes the air bag, big for detecting inside air bag air pressure being oppositely arranged with hemostasis module
Small baroceptor, the digital display control panel being electrically connected with baroceptor, the micro air pump and electricity being used cooperatively with air bag
Magnetic exhaust valve, the poly-lithium battery powered for micro air pump and electromagnetic exhaust valve, the micro air pump and electromagnetic exhaust valve
It is electrically connected respectively with integrated control unit.
The hemostasis module is installed in the fixed baffle of wound face by latching interface as a preferred technical solution,
Centre.
Micro air pump in the balloon tamponade module, baroceptor, polymer lithium as a preferred technical solution,
Battery and electromagnetic exhaust valve are encapsulated in the center of the back of the hand face fixed baffle.
The integrated control unit includes integrated manipulator, the buzzer being electrically connected respectively with integrated manipulator, oozing of blood
Alarm lamp, timer, hemostasis finish indicator light and electricity display lamp.
The electricity display lamp is filled by the LED amber light and prompt for prompting for device charging as a preferred technical solution,
The LED green light that electricity finishes is constituted.
Described the back of the hand face fixed baffle one end and wound face fixed baffle is hinged, and the other end is equipped with closure lock, and passes through
Closure lock is connected with wound face fixed baffle；
Wherein, the closure locks the data communication being additionally provided with for patient sign data to be sent to hospital server
Interface.
The back of the hand face fixed baffle and wound face fixed baffle are at one end with soft material as a preferred technical solution,
Material or hinge are connected, and inside have conducting wire to be electrically connected integrated control unit with baroceptor, in the other end to be closed locking phase company.
A kind of application of digital radial artery compression hemostatic device, the device are used for Transradial Approach coronary intervention
The hemostasis by compression of patient wound.
In the digital radial artery compression hemostatic device of the present invention, the wound face fixed baffle and the back of the hand face fixed baffle
It is hard baffle, and the edge of the wound face fixed baffle is also reserved with data-interface, can connect with other sensors
It connects.
The hemostasis module is integrally prepared using transparent material, wherein capillary array, conductive electrode, transverse direction
Cross over pipe is by pouring, numerically-controlled machine tool is processed, photoetching or other processing methods are directly constructed in material internal, and negative pressure liquid storage
Capsule, solenoid valve, array of pressure sensors are then installed at the reserved place of hemostasis module material.
The hemostasis module bodies use hard material, and are coated with soft silicon glue material in bottom wound contact surface.
The working principle of the digital radial artery compression hemostatic device of the present invention is as follows:
(1) wearing and start-up course
Compression hemostasis device of the present invention is worn on patient's wound site by being closed lock, and access, collection are formed after the completion of connection
Instruction is assigned at control unit, micro air pump is started to work, and is inflated to air bag, backwards to compressive pressure caused by air bag
It is transferred to hemostasis module by the back of the hand face fixed baffle, wound face fixed baffle, hemostasis module starts to oppress wound site progress
Hemostasis；Baroceptor can real-time detection inside air bag air pressure size, and Real-time Feedback is to integrated control unit, in this process
In, array of pressure sensors can real-time detection hemostasis briquetting pressure, when detecting that pressure (is scaled hemostasis by function to press
Power) reach standard value after, integrated control unit control micro air pump stop working, hereafter, maintain the standard state of value keep not
Become, meanwhile, integrated control unit records the atmospheric pressure value in air bag by baroceptor.
(2) oozing of blood detection, alarm and the recovery of original state (repeating bleeding detection)
When patient's wound is since fortuitous event is (for example, gasbag pressure is insufficient, wearing is improper and slips, patients Wits
It is abnormal etc.) lead to bleeding, and the blood oozed out when device works normally is drained to by capillary vessel array and is higher by, and blood is worked as
When liquid level is set beyond upper layer metal conducting electrodes, due to the electric conductivity of blood, at this time can between two panels metal conducting electrodes shape
Alarm behavior is made at this point, integrated control unit receives alarm signal at access.
When integrated control unit judges are alarmed, it is integrated in internal buzzer and issues alarm sound (sense of hearing), integrated control list
LED red light (i.e. oozing of blood alarm lamp) in member flashes (vision), reminds patient and nursing staff's abnormal state.At the same time, collect
The response of up-regulation inside air bag pressure criteria can be made automatically at control unit, and control micro air pump and air bag is inflated,
To correspondingly increase air bag backwards to compressive pressure size.
When emergency processing finishes, and medical staff judges that patient's states are normal, can be sounded all clear by digital display control panel
State, at this point, integrated control unit opens solenoid valve, the whole blood inside capillary vessel array passes through lateral cross over pipe and is born
Pressure is drawn in negative pressure reservoir, is vacuum state inside negative pressure reservoir, can be undertaken 6 to 7 times before pressure finally balances
Blood drawing movement.It sees on the whole, capillary vessel array internal blood is drained, and metal conducting electrodes circuit disconnects, integrated control
Unit exits abnormal alarm state, but considers insurance factor, still imposes the pressure higher than standard value to wound, prevents from going out once again
Blood.
(3) hemostasis termination procedure
After lasting pressing time, which reaches operation, to be required, integrated control unit assigns instruction, and control electromagnetic exhaust valve is opened,
Gas in air bag is discharged through electromagnetic exhaust valve, meanwhile, the LED blue lamp (i.e. hemostasis finishes indicator light) in integrated control unit is dodged
Bright (vision) prompts medical staff to stop blooding and completes.
(4) battery capacity indication, charge and discharge and data export
Before starting compression hemostasis device, device will do it self-test, when judging that current residual electricity is not enough to complete this
When hemostasis, stop starting, at this point, the LED amber light in integrated control unit flashes, medical staff prompted to charge to device,
After the completion of to be charged, the LED amber light in integrated control unit extinguishes, and LED green is opened.While charging, closure can be passed through
The sign data of patient is uploaded to hospital server by the data communication interface locked.
(5) digital display controls
During practical hemostasis by compression, digital display control panel can real-time display pressure size, working state of device and trouble
The basic sign of person, and working state of device can simply be controlled: 1) deactivation system alarm state；2) it is manually entered system certainly
Inspection mode.
The invention proposes the imaginations of electronic intelligence radial artery oppressor, when maintaining air bag backwards to compressive pressure and pressure
Between be able to carry out process control and adjustment, do not need patient oneself or nursing staff specially pay close attention to.The digital radial artery of the present invention
Compression hemostasis device is equipped with integrated control unit, air bag, micro air pump, hemostasis module, is interconnected by circuit；Air bag is located at
Compression device dorsal side, it is other that hemostasis module is pressed on point of puncture (i.e. patient's wound), when radial artery puncturing wound bleeding, blood into
It in the capillary for entering module of stopping blooding, and is perceived by electrode sensing unit, micro air pump is opened by integrated control unit, is filled automatically
Gas hemostasis；Such as without bleeding, micro air pump pumping decompression, when adding up 6-12 hours without bleeding, patient voluntarily removes device at once and is
It can.
The digital radial artery compression hemostatic device of the present invention can greatly reduce Transradial Approach coronary intervention trouble
The wound complication of person and shortening hospital stays, there is stronger value for clinical application.
Compared with prior art, the invention has the characteristics that:
It 1), can be in real time due to using integrated control unit and electrode sensing unit, baroceptor, array of pressure sensors
Monitor the working condition of patient's wound hemostasis and whole device；
2) air bag is designed backwards to compression type, and bag volume is bigger, its pressure for generating of more precise control, in combination with making
It can be realized the automatic intelligent of air bag inflation/deflation under the regulation of integrated control unit with micro air pump and electromagnetic exhaust valve
Control, can guarantee the accurate control of puncture site pressure constantly；
3) hemostasis module is designed using bridge type structure, it can be ensured that enough venous returns, meanwhile, module bodies of stopping blooding
Soft silicon glue material is coated using hard material, and in bottom wound contact surface, compatibility and comfort level can be effectively increased；
4) long service life, single medical expense are low, and hemostasis module and wound face fixed baffle use detachable knot
Structure design is repeated as many times apparatus main body and uses, and has used need to change corresponding hemostasis module every time, can be opposite
Reduce the medical expense that patient is paid；
5) securely and reliably, unattended to realize bleeding detection, alarm, pressurization automatically, substantially shortening needed for patient
It accompanies and attends in the case where the time, good prognosis can be reached；
6) comfort level is promoted, and by being accurately controlled electronically, is avoided pressure excessive under the premise of hemostasis, is greatly promoted
Patient comfort；
7) big data medical treatment, device hemostasis task can conveniently repack wearable custodial care facility, electronic sensor into after the completion
The operational data that the postoperative sign of patient and apparatus of the present invention can be collected, is returned by data communication interface, carries out big data
Acquisition, widely applies apparatus of the present invention during surgery, a large amount of high-quality data can be collected within a short period of time, to medical research
It can generate and be greatly promoted effect；
8) overall structure is simple, compact, economical and practical, can be controlled by Precise electronic and avoid pressure under the premise of hemostasis
Excessive, significant increase patient comfort can effectively avoid compressing from shifting, more convenient to use quick, be easy to implement industrial metaplasia
Manufacture is produced, is had a good application prospect.
Detailed description of the invention
Fig. 1 is apparatus of the present invention overall structure diagram；
Fig. 2 is the module schematic view of the front view that stops blooding in apparatus of the present invention；
Fig. 3 is that apparatus of the present invention stop blood pressure block schematic view of the front view；
Fig. 4 is that apparatus of the present invention stop blood pressure block left view structural representation；
Fig. 5 is that apparatus of the present invention stop blood pressure block overlooking structure diagram；
Description of symbols in figure:
1-wound face fixed baffle, 2-integrated control units, 3-the back of the hand face fixed baffles, 4-air bags, 5-hemostasis bridges
Supporting beam, 6-micro air pumps, 7-poly-lithium batteries, 8-electromagnetic exhaust valves, 9-closure locks, 10-digital display control panels,
11-capillary arrays, 12-conductive electrodes, 13-lateral cross over pipes, 14-negative pressure reservoirs, 15-solenoid valves, 16-pressure
Sensor array, 17-hemostasis briquettings.
Specific embodiment
The present invention is described in detail with specific embodiment below in conjunction with the accompanying drawings.
Embodiment:
As shown in Figure 1, a kind of digital radial artery compression hemostatic device, which includes wound face fixed baffle 1, removable
The hemostasis module being arranged in unloading on 1 medial surface of wound face fixed baffle, the back of the hand face being oppositely arranged with wound face fixed baffle 1
Fixed baffle 3 and the balloon tamponade module for being arranged on the back of the hand face fixed baffle 3 and being used cooperatively with hemostasis module, wound face
The medial surface of the medial surface of fixed baffle 1 and the back of the hand face fixed baffle 3 encloses jointly to be set as mutually fitting with human arm and wrist shape
The wearing mouth answered, 1 enclosed inside of wound face fixed baffle have integrated control unit 2, the integrated control unit 2 respectively with hemostasis mould
Block, the electrical connection of balloon tamponade module.
As shown in Figure 2-5, hemostasis module includes hemostasis bridge supporting beam 5, the hemostasis pressure that hemostasis 5 one end of bridge supporting beam is arranged in
Block 17, be laid in hemostasis briquetting 17 in and communicated up and down with atmosphere capillary array 11, be embedded in hemostasis briquetting 17 in and
The electrode sensing unit being in contact with capillary each in capillary array, the negative pressure reservoir 14 being connected with capillary array 11
And the array of pressure sensors 16 on hemostasis 17 lower surface of briquetting, electrode sensing unit and array of pressure sensors 16 are set
It is electrically connected respectively by circuit with integrated control unit 2.
Wherein, electrode sensing unit is led with what column capillary each in capillary array 11 was arranged in a one-to-one correspondence respectively by multipair
Electrode 12 is constituted, and each pair of conductive electrode 12 is electrically connected by circuit with integrated control unit 2.Each pair of conductive electrode 12 is
One on the other with respect to two metal conducting electrodes being embedded in hemostasis briquetting 17 in parallel.Lateral connection is additionally provided in hemostasis briquetting 17
Column capillary each in capillary array 11 is connected by pipe 13, the transverse direction cross over pipe 13 with negative pressure reservoir 14.Lateral cross over pipe
Solenoid valve 15 is additionally provided between 13 and negative pressure reservoir 14, which is electrically connected by circuit with integrated control unit 2.
Balloon tamponade module includes the air bag 4 being oppositely arranged with hemostasis module, for detecting 4 air pressure inside size of air bag
Baroceptor, the digital display control panel 10 being electrically connected with baroceptor, the micro air pump 6 and electricity being used cooperatively with air bag 4
Magnetic exhaust valve 8, the poly-lithium battery 7 powered for micro air pump 6 and electromagnetic exhaust valve 8, micro air pump 6 and electromagnetic exhaust valve 8
It is electrically connected respectively with integrated control unit 2.
The center that hemostasis module is installed on wound face fixed baffle 1 by latching interface.It is miniature in balloon tamponade module
Air pump 6, baroceptor, poly-lithium battery 7 and electromagnetic exhaust valve 8 are encapsulated in the center of the back of the hand face fixed baffle 3.
Integrated control unit 2 includes integrated manipulator, the buzzer being electrically connected respectively with integrated manipulator, oozing of blood alarm
Lamp, timer, hemostasis finish indicator light and electricity display lamp.Wherein, electricity display lamp is yellow by the LED for prompting for device charging
The LED green light that lamp and prompt charging finish is constituted.
3 one end of the back of the hand face fixed baffle and wound face fixed baffle 1 are hinged, and the other end is equipped with closure lock 9, and passes through closure
Lock 9 is connected with wound face fixed baffle 1；It is additionally provided on closure lock 9 for patient sign data to be sent to hospital server
Data communication interface.
In actual design, the back of the hand face fixed baffle 3 is with wound face fixed baffle 1 at one end with soft material or hinge phase
Even, inside there is conducting wire to be electrically connected integrated control unit 2 with baroceptor, be connected in the other end with being closed lock 9.Wound face is fixed
Baffle 1 and the back of the hand face fixed baffle 3 are hard baffle, and the edge of wound face fixed baffle 1 is also reserved with data-interface,
It can be connect with other sensors.
Hemostasis module is integrally prepared using transparent material, wherein capillary array 11, conductive electrode 12, laterally connection
Siphunculus 13 is by pouring, numerically-controlled machine tool is processed, photoetching or other processing methods are directly constructed in material internal, and negative pressure reservoir
14, solenoid valve 15, array of pressure sensors 16 are then installed at the reserved place of hemostasis module material.Module bodies of stopping blooding use
Hard material, and soft silicon glue material is coated in bottom wound contact surface.
The digital radial artery compression hemostatic device of the present embodiment can greatly reduce Transradial Approach coronary intervention
The wound complication of patient and shortening hospital stays, there is stronger value for clinical application.
In practical application, the present embodiment device main working process is as follows:
(1) wearing and start-up course
The present embodiment device can be worn on patient's wound site by closure lock 9, form access after the completion of connection, integrate control
Unit 2 processed assigns instruction, and micro air pump 6 is started to work, and is inflated to air bag 4, backwards to compressive pressure caused by air bag 4
Be transferred to hemostasis module by the back of the hand face fixed baffle 3, wound face fixed baffle 1, hemostasis module start to oppress wound site into
Whereabouts blood；Baroceptor can air pressure size inside real-time detection air bag 4, and Real-time Feedback is to integrated control unit 2, herein
In the process, array of pressure sensors 16 can real-time detection hemostasis briquetting 17 pressure, when detecting that pressure (is scaled by function
Hemostasis point pressure) reach standard value after, integrated control unit 2 control micro air pump 6 stop working, hereafter, maintain the standard value
State remains unchanged, meanwhile, integrated control unit 2 records the atmospheric pressure value in air bag 4 by baroceptor.
(2) oozing of blood detection, alarm and the recovery of original state (repeating bleeding detection)
When patient's wound due to fortuitous event (for example, 4 insufficient pressure of air bag, wear it is improper and slip, patients Wits
It is abnormal etc.) lead to bleeding, and when device works normally, the blood of exudation utilizes capillary principle by capillary vessel array 11
Increase blood, it, at this time can be in two panels metal due to the electric conductivity of blood when blood position exceeds upper layer metal conducting electrodes
Access is formed between conductive electrode, at this point, integrated control unit 2 receives alarm signal, makes alarm behavior.
When the judgement alarm of integrated control unit 2, it is integrated in internal buzzer and issues alarm sound (sense of hearing), integrated control list
LED red light (i.e. oozing of blood alarm lamp) in member flashes (vision), reminds patient and nursing staff's abnormal state.At the same time, collect
The response of up-regulation 4 internal pressure standard of air bag can be made automatically at control unit 2, and control micro air pump 6 and air bag 4 is filled
Gas, to correspondingly increase air bag backwards to compressive pressure size.
When emergency processing finishes, integrated control unit 2 opens solenoid valve 15, the whole blood inside capillary vessel array 11
Be drawn in negative pressure reservoir 14 by lateral cross over pipe 13 by negative pressure, inside negative pressure reservoir 14 be vacuum state, pressure most
Six to seven blood drawings movement can be undertaken before balance eventually.It sees on the whole, 11 internal blood of capillary vessel array is drained, gold
Belong to conductive electrode circuit to disconnect, integrated control unit 2 exits abnormal alarm state, but considers insurance factor, still applies wound
To be higher than the pressure of standard value, bleeding once again is prevented.If patient can ask medical worker to observe and handle simultaneously in hospital ward.
(3) hemostasis termination procedure
After lasting pressing time, which reaches operation, to be required, integrated control unit 2 assigns instruction, and control electromagnetic exhaust valve 8 is opened
It opening, the gas in air bag 4 is discharged through electromagnetic exhaust valve 8, meanwhile, (i.e. hemostasis finishes finger to the LED blue lamp in integrated control unit 2
Show lamp) flashing (vision), it prompts medical staff to stop blooding and completes.
(4) battery capacity indication, charge and discharge and data export
Before starting compression hemostasis device, device will do it self-test, when judging that current residual electricity is not enough to complete this
When hemostasis, stop starting, at this point, the LED amber light in integrated control unit 2 flashes, medical staff prompted to charge to device,
After the completion of to be charged, the LED amber light in integrated control unit 2 extinguishes, and LED green is opened.While charging, closure can be passed through
The sign data of patient is uploaded to hospital server by the data communication interface on lock 9.
(5) digital display controls
During practical hemostasis by compression, digital display control panel 10 can real-time display pressure size, working state of device and
The basic sign of patient, and working state of device can simply be controlled: 1) deactivation system alarm state；2) it is manually entered system
Auto-Sensing Mode.
The above description of the embodiments is intended to facilitate ordinary skill in the art to understand and use the invention.
Person skilled in the art obviously easily can make various modifications to these embodiments, and described herein general
Principle is applied in other embodiments without having to go through creative labor.Therefore, the present invention is not limited to the above embodiments, ability
Field technique personnel announcement according to the present invention, improvement and modification made without departing from the scope of the present invention all should be of the invention
Within protection scope.
Claims (8)
1. a kind of digital radial artery compression hemostatic device, which is characterized in that the device includes wound face fixed baffle (1), can
What the hemostasis module and wound face fixed baffle (1) being releasably arranged on wound face fixed baffle (1) medial surface were oppositely arranged
The back of the hand face fixed baffle (3) and the balloon tamponade for being arranged on the back of the hand face fixed baffle (3) and being used cooperatively with hemostasis module
Module, the medial surface of the wound face fixed baffle (1) and the medial surface of the back of the hand face fixed baffle (3) enclose jointly to be set as and people
The wearing mouth that body arm and wrist shape are adapted, described wound face fixed baffle (1) enclosed inside have integrated control unit
(2), which is electrically connected with hemostasis module, balloon tamponade module respectively；
The hemostasis module includes hemostasis bridge supporting beam (5), setting in the hemostasis briquetting of bridge supporting beam (5) one end that stops blooding
(17), it is laid in the capillary array (11) communicated in hemostasis briquetting (17) and with atmosphere up and down, is embedded in hemostasis briquetting
(17) the electrode sensing unit that is in contact in and with capillary each in capillary array, be connected with capillary array (11) it is negative
Press the array of pressure sensors (16) of reservoir (14) and setting on hemostasis briquetting (17) lower surface, the electrode induction
Unit and array of pressure sensors (16) are electrically connected by circuit with integrated control unit (2) respectively.
2. a kind of digital radial artery compression hemostatic device according to claim 1, which is characterized in that the electrode sense
Unit is answered to be made of the multipair conductive electrode (12) being arranged in a one-to-one correspondence respectively with each column capillary in capillary array (11), and
Each pair of conductive electrode (12) is electrically connected by circuit with integrated control unit (2).
3. a kind of digital radial artery compression hemostatic device according to claim 2, which is characterized in that each pair of conductive electrode
(12) for one on the other with respect to two metal conducting electrodes being embedded in hemostasis briquetting (17) in parallel.
4. a kind of digital radial artery compression hemostatic device according to claim 1, which is characterized in that the hemostasis pressure
Lateral cross over pipe (13) are additionally provided in block (17), the transverse direction cross over pipe (13) is by column capillary each in capillary array (11) and bears
Pressure reservoir (14) is connected.
5. a kind of digital radial artery compression hemostatic device according to claim 4, which is characterized in that the lateral connection
Solenoid valve (15) are additionally provided between siphunculus (13) and negative pressure reservoir (14), which passes through circuit and integrated control list
First (2) electrical connection.
6. a kind of digital radial artery compression hemostatic device according to claim 1, which is characterized in that the air bag pressure
Urgent module includes air bag (4), the air pressure sensing for detecting air bag (4) air pressure inside size being oppositely arranged with hemostasis module
Device, the digital display control panel (10) being electrically connected with baroceptor, the micro air pump (6) and electromagnetism being used cooperatively with air bag (4)
Exhaust valve (8) is micro air pump (6) and the poly-lithium battery (7) of electromagnetic exhaust valve (8) power supply, the micro air pump (6)
It is electrically connected respectively with integrated control unit (2) with electromagnetic exhaust valve (8).
7. a kind of digital radial artery compression hemostatic device according to claim 1, which is characterized in that the integrated control
Unit (2) processed includes integrated manipulator, the buzzer being electrically connected respectively with integrated manipulator, oozing of blood alarm lamp, timer, hemostasis
Finish indicator light and electricity display lamp.
8. a kind of digital radial artery compression hemostatic device according to any one of claims 1 to 7, which is characterized in that institute
Hingedly, the other end is equipped with closure lock (9), and by closing for the back of the hand face fixed baffle (3) one end stated and wound face fixed baffle (1)
Lock (9) is closed to be connected with wound face fixed baffle (1)；
Wherein, the data communication for patient sign data to be sent to hospital server is additionally provided on closure lock (9)
Interface.
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| CN201610329870.2A CN105943105B (en) | 2016-05-18 | 2016-05-18 | A kind of digital radial artery compression hemostatic device |
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| CN201610329870.2A CN105943105B (en) | 2016-05-18 | 2016-05-18 | A kind of digital radial artery compression hemostatic device |
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| CN105943105B true CN105943105B (en) | 2019-02-19 |
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| CN108201462A (en) * | 2016-12-16 | 2018-06-26 | 美敦力公司 | One kind is used for angiomatous wearable device |
| WO2019189438A1 (en) * | 2018-03-30 | 2019-10-03 | テルモ株式会社 | Hemostatic tool |
| CN109044475B (en) * | 2018-09-17 | 2019-11-19 | 绵阳晶凯圣生物科技有限公司 | A kind of compression hemostatic device |
| CN109745095A (en) * | 2019-03-15 | 2019-05-14 | 柳州市柳铁中心医院 | A kind of novel arteria radialis compressing device |
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| CN110338870A (en) * | 2019-07-22 | 2019-10-18 | 四川大学华西医院 | A kind of automatic compression apparatus of femoral artery |
| CN110559040A (en) * | 2019-08-07 | 2019-12-13 | 慈溪市人民医院 | Hemostasis shutoff constriction device |
| CN110559042A (en) * | 2019-08-07 | 2019-12-13 | 慈溪市人民医院 | Hemostasis compression device |
| CN111419324A (en) * | 2020-05-18 | 2020-07-17 | 高嘉 | Femoral artery intelligence hemostasis by compression device |
| CN111839646B (en) * | 2020-07-30 | 2021-08-03 | 中国人民解放军陆军军医大学第一附属医院 | Hemostasis compression device |
| CN113069169A (en) * | 2021-04-20 | 2021-07-06 | 温州市人民医院 | Brachial artery puncture point compression hemostat |
| CN113598861B (en) * | 2021-06-11 | 2023-04-28 | 宁波市第一医院 | Venous hemostat |
| CN114557744B (en) * | 2022-03-28 | 2023-07-07 | 山西医科大学 | Brachial artery compression hemostat and compression hemostasis method |
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| CN105943105A (en) | 2016-09-21 |
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