Hand-like hemostatic clip

By using a design that mimics a hand-held hemostatic clip, and by adjusting the pressure with a fixed hook and an airbag, the support points are dispersed, which solves the problems of loosening and venous network blockage in existing hemostatic devices, thus improving patient comfort and hemostasis.

CN119791766BActive Publication Date: 2025-11-07ZHEJIANG NORMAL UNIV +1
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Patent Information

Application Number
CN202411848108.6
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-12-16
Publication Date
2025-11-07
Estimated Expiration
2044-12-16

AI Technical Summary

Technical Problem

Existing radial artery hemostats are prone to loosening during use, causing venous network blockage, local swelling and pain, and pressure injury, affecting patient comfort and treatment effectiveness.

Method used

Design a hand-like hemostatic clip that uses a fixed hook to provide clamping force, combines an airbag and a pressure gauge to adjust the pressure, mimics the structure of a hand to distribute the support points, and uses a movable support column to prevent prolonged pressure.

Benefits of technology

It enables visual adjustment of the pressure applied, avoids venous network blockage and local swelling, improves patient comfort and hemostasis, and enhances the stability and safety of the hemostatic clip.

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Abstract

The present application relates to a kind of hand type hemostatic clamp, including first holder and second holder, the first holder and second holder are movably connected, the inner side of the first holder and the inner side of second holder form the clamping area for being fitted to the surface of wrist, the inner side surface of the first holder is equipped with the compression component for pressing the bleeding point, the inner side surface of the second holder is equipped with the support component that can move;In the present application, the cooperation between compression component and support component is used to simulate hand configuration, disperse the support point on second holder, will not cause hand back or wrist congestion and other symptoms, jointly constitute a three-dimensional stable compression support positioning space, patient when using, entire hemostatic clamp is stable and does not move, improve the wearing experience of patient.
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Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of medical devices, in particular to a hand-imitating hemostatic clamp. BACKGROUND

[0002] Coronary angiography is the standard for diagnosing coronary heart disease, and radial artery puncture is the preferred path for percutaneous coronary intervention. Intervention often accompanies complications such as postoperative bleeding, puncture site hematoma, radial artery occlusion and pressure injury, etc. Therefore, it is of great significance to explore better hemostatic measures for patients undergoing intervention. After observing and analyzing the mechanical structure of the hand, doctors found that the hand has a natural advantage in pressing the radial artery for hemostasis. The biggest problem of using the hand to press the radial artery for hemostasis is that it is difficult to overcome fatigue and maintain continuous stable pressing for several hours. Therefore, various types of hemostatic clamps or hemostatic bands are commonly designed on the market.

[0003] The application announcement number CN113171151A discloses a radial artery hemostatic compression band assembly with pressure indication. According to the specification and drawings, the scheme is to align the center point of the elastic body with the puncture point, and pass the fixing band around the limb and through the hanging buckle connected with the fixed plate, tighten and lock, adjust the tightening force of the fixing band according to the patient's body type, use magic tape to stick, twist the rotating cap, and with the rotation of the rotating cap, the spiral rod drives the elastic body to continuously press down on the patient's puncture point. The elastic body compresses the radial artery puncture point, the indicating ring moves inside the rotating cap to indicate the pressure scale, and the pressure value is displayed. The medical staff adjusts the compression force by rotating the rotating cap clockwise or counterclockwise according to the pressure scale indication. However, this scheme has defects. The threads of the spiral rod are prone to automatic loosening during use, causing bleeding. The hanging buckle, as a supporting part, tightly wraps around most of the area on the opposite side of the pressing site, compressing the dorsal venous network, causing poor blood flow in the local area of the patient and causing swelling and discomfort. When the puncture point is low, the fixing band of the hemostatic device compresses the ulnar process or the process, which increases the local swelling and pain of the patient, and reduces the patient's comfort and satisfaction. Long-term use and high pressure often cause pain, swelling, numbness, and pressure injury in the patient's puncture side, leading to the patient's refusal to continue using the device, thereby affecting the hemostatic and therapeutic effect. SUMMARY

[0004] The present application mainly aims at the problems existing in the use of the radial artery hemostat, and invents a hand-imitating hemostatic clamp, which provides clamping force by binding of fixed hooks, and adjusts the size of pressing position force through an air bag and a pressure indicating table, so that medical staff can adjust the pressing force according to individual differences of patients and recovery conditions of wounds; the hemostatic clamp imitates the structure of hands, and the support columns on the through grooves are dispersed, so that the support points are dispersed, thus the hemostatic clamp will not block the venous network in a large area and will not cause symptoms such as blood stasis; each support column on the second clamping piece can also move left and right along the track of the through groove, so as to prevent the support column from contacting the wrist for too long and causing blood stasis.

[0005] The application aims to solve the problems existing in the use of the radial artery hemostat, and invents a hand-imitating hemostatic clamp, which includes a first clamping piece and a second clamping piece, the first clamping piece and the second clamping piece are movably connected, the inner side of the first clamping piece and the inner side of the second clamping piece form a clamping area for fitting the surface of the wrist, the inner side surface of the first clamping piece is provided with a compression assembly for pressing the bleeding point, and the inner side surface of the second clamping piece is provided with a movable support assembly.

[0006] As a preferred, one end of the first clamping piece is provided with a rotating shaft support column, and the other end of the second clamping piece extends outward and is provided with a plurality of support bosses, the surface of each support boss is provided with a column rotating shaft, and the column rotating shaft is rotatably inserted into the inside of the rotating shaft support column, which is to realize the hinging of the first clamping piece and the second clamping piece.

[0007] As a preferred, the other end of the first clamping piece and the second clamping piece is provided with a fixed hook, and an external rope is tied around the fixed hook to clamp one end of the first clamping piece and the second clamping piece, which is to enable the external rope to fix the right end of the first clamping piece and the second clamping piece.

[0008] As a preferred, the compression assembly includes a pressing shell, a supporting shell, an air bag, an inflation pipeline and a gas valve, the outer side surface of the first clamping piece is provided with a mounting groove, the inside of the mounting groove is provided with the pressing shell, the air bag is placed between the pressing shell and the supporting shell, the pressing shell moves with the change of the air bag, the supporting shell is fixedly connected to the mounting groove, one end of the air bag is connected to the inflation pipeline, the end of the inflation pipeline is connected to the gas valve, the end of the gas valve is provided with a pressure relief device, and the surface of the inflation pipeline is also provided with a pressure indicating table for displaying the pressure value, which is to accurately adjust the pressure of the air bag.

[0009] As a preferred, the first clamping piece and the second clamping piece are arc-shaped, and the materials of the pressing shell, the supporting shell and the air bag are transparent materials.

[0010] As preferred, the support assembly comprises a plurality of support columns, the surface of the second clamping member is provided with a plurality of through grooves, the inside of each through groove is slidably connected with a plurality of support columns, and adjacent support columns do not interfere with each other. This arrangement is to enable the support columns to adjust the position relative to the wrist or back of the hand, and prevent blood stasis due to long time stress.

[0011] As preferred, the end of the support column is provided with a column boss which is inserted into the inside of the through groove. The cross-sectional area of the support column is larger than that of the column boss. The inside of the support column faces the second clamping member, and the column boss faces the outside of the second clamping member. This arrangement is to enable the support column to slide in the inside of the through groove.

[0012] As preferred, the surfaces of the plurality of support columns in the same through groove form a support plane. A plurality of support planes and the pressing shell form the clamping area, which enables the hemostatic clip to be stable and not to move.

[0013] As preferred, the material of the support column is soft plastic material. This arrangement is to reduce the pressure effect of the surface of the support column on the wrist, and to optimize the comfort of the patient when wearing.

[0014] Compared with the prior art, the present application has the following beneficial effects: 1. The binding of the fixed hook is used to provide clamping force, and the size of the pressing position force is adjusted through the air bag and the pressure indicating table. Medical staff adjusts the pressing force according to the individual differences of patients and the recovery of wounds. Since the pressing force is visualized and adjustable, it will not cause pressure injury at the pressing point, can accurately press the part that needs hemostasis, and will not cause fatigue due to long pressing time, so that the patient uses safely and conveniently; 2. The hemostatic clamp simulates the structure of the hand. The bottom of the pressing shell on the first clamping piece is equivalent to the thumb to press the hemostatic port, and the four through grooves are equivalent to the four knuckles of the fingers. The surface of the 12 movable support columns inside the through grooves is equivalent to the support points of the fingers attached to the wrist. The multiple dispersed support columns make the external force received by each support point on the back of the hand only one twelfth of the pressing force. The support point on the surface of the support column can be less than the venous blood pressure, thereby greatly reducing the probability of venous obstruction due to external force. Since the support columns on the through grooves are dispersed, the support points are dispersed, so the venous network is not blocked in a large area, and symptoms such as blood stasis are not caused, thereby bringing convenience to use; 3. Each support column on the second clamping piece can also move left and right along the track of the through groove, preventing the support column from contacting the wrist for too long and causing blood stasis, so that the patient uses safely and conveniently; 4. The surfaces between the three support columns inside the same through groove form a support plane that is not in a straight line. The compression point of one pressing shell on the first clamping piece and the support points of the 12 support columns on the support plane of the second clamping piece together form a three-dimensional stable compression support positioning space. When the patient uses, the entire hemostatic clamp is stable and does not move, thereby improving the wearing experience of the patient. BRIEF DESCRIPTION OF DRAWINGS

[0015] Figure 1 It is a perspective view of the first embodiment of the present application;

[0016] Figure 2 It is a perspective view of the first embodiment of the present application;

[0017] Figure 3 It is a perspective view of the first embodiment of the present application;

[0018] Figure 4 It is a perspective view of the first embodiment of the present application;

[0019] Figure 5 It is a perspective view of the second embodiment of the present application.

[0020] Marked in the figure: 1, the first clamping part; 11, the rotating shaft support column; 12, the mounting groove; 2, the second clamping part; 21, the support boss; 22, the column rotating shaft; 23, the through groove; 3, the clamping area; 4, the compression assembly; 41, the pressing shell; 411, the support shell; 42, the air bag; 43, the inflation pipeline; 44, the inflation valve; 45, the pressure relief device; 46, the pressure indicator; 5, the support assembly; 51, the support column; 52, the support plane; 511, the column boss; 6, the fixed hook. DETAILED DESCRIPTION

[0021] The application will be further described below with reference to the embodiments shown in the drawings:

[0022] As Figures 1 to 4 shown in the first embodiment of the application, a hand-imitating type hemostatic clamp, comprising a first clamping part 1 and a second clamping part 2, the shapes of the first clamping part 1 and the second clamping part 2 are arc-shaped, the arc-shaped shape makes the first clamping part 1 and the second clamping part 2 form the shape of a clamp, this shape imitates the finger joint, and the operation is more convenient, the first clamping part 1 and the second clamping part 2 are movably connected, specifically, one end of the first clamping part 1 is fixedly connected with a rotating shaft support column 11, one end of the second clamping part 2 extends outward and is provided with a plurality of support bosses 21, the surface of each support boss 21 is provided with a column rotating shaft 22, the column rotating shaft 22 is rotatably inserted into the inside of the rotating shaft support column 11, that is, a hinged structure is formed between the column rotating shaft 22 and the rotating shaft support column 11, after such arrangement, the clamping angle between the first clamping part 1 and the second clamping part 2 can be freely adjusted, different body weight bases of patients can be adapted, and the convenience and universality are increased, the other end of the first clamping part 1 and the second clamping part 2 is provided with a fixed hook 6, after such arrangement, the external rope is fixed by binding the fixed hook 6, so that the right end of the first clamping part 1 and the second clamping part 2 is fixed, at this time, the adjusted clamping angle is also fixed.

[0023] In the first embodiment, the inner side surface of the first clamping piece 1 is provided with a compression assembly 4 for pressing the bleeding point, the inner side surface of the second clamping piece 2 is provided with a movable support assembly 5, the inner side of the first clamping piece 1 and the inner side of the second clamping piece 2 form a clamping area 3 for the surface of the wrist, wherein the compression assembly 4 comprises a pressing shell 41, an air bag 42, an inflation pipeline 43, a support shell 411, and a pumping valve 44, the outer side surface of the first clamping piece 1 is provided with a mounting groove 12, the inside of the mounting groove 12 is provided with the pressing shell 41, the inside of the pressing shell 41 is connected with the air bag 42, one end of the air bag 42 is connected to the inflation pipeline 43, the end of the inflation pipeline 43 is connected to the pumping valve 44, the end of the pumping valve 44 is provided with a pressure relief device 45, which can be a pressure relief button or a pressure relief valve, the surface of the inflation pipeline 43 is also connected with a pressure indicator 46, which is used to display the pressure value, wherein because the air bag 42 directly presses, the transverse tension on the bleeding point or gauze due to the expansion of the air bag 42 is harmful to wound healing, therefore, a hard pressing shell 41 is integrally provided outside the air bag 42, which is between the air bag and the bleeding point or gauze, it should be noted that the pressing shell 41 moves with the change of the air bag 42, the support shell 411 is fixedly connected to the top of the mounting groove 12, the support shell 411 does not move relative to the first clamping piece 1, that is, the support shell 411 limits the upward movement of the pressing shell 41, the lateral force generated by the expansion of the air bag 42 does not affect the wound, the expansion of the air bag 42 only makes the pressing shell 41 move downward and gradually press the bleeding position, and the air bag 42 expands in all directions, and the pressing shell 41 limits each surface, so that the expansion efficiency is higher, and when the air bag 42 contracts, the pressing shell 41 gradually retracts into the inside of the mounting groove 12.

[0024] The support assembly 5 comprises a plurality of support columns 51, the surface of the second clamping piece 2 is provided with a plurality of through grooves 23, the inside of each through groove 23 is slidably connected with a plurality of support columns 51, the adjacent support columns 51 do not interfere with each other, the end of the support column 51 is provided with a column boss 511, the column boss 511 is inserted into the inside of the through groove 23, the cross-sectional area of the support column 51 is larger than that of the column boss 511, the inside of the support column 51 is towards the second clamping piece 2, the column boss 511 is towards the outside of the second clamping piece 2, the surface between a plurality of support columns 51 in the same through groove 23 forms a support plane 52, a plurality of support planes 52 and the pressing shell 41 form the clamping area 3, the hemostat is stable and does not move, the number of through grooves 23 is 4, and there are 3 support columns 51 in each through groove 23, after such setting, first, the air bag 42 is inflated by using the inflation valve 44, since the pressing shell 41 and the air bag 42 are fixedly connected, when the air bag 42 expands, it will push the pressing shell 41 to move outward, then the inside of the first clamping piece 1 and the second clamping piece 2 is attached to the wrist, and the pressing shell 41 is attached to the bleeding point, the doctor adjusts and fixes by winding the rope through the fixed hook 6 with the other hand, and adjusts and fixes by observing the reading of the pressure indicator 46 with the eyes, the arterial compression point of the upper pressing shell 41, and the 3 support columns 51 on each through groove 23 below, a total of 12 support points, since the total value of the upper and lower pressures is equal, the pressure received by each support point below is only one twelfth of the pressure of the arterial hemostatic point, which will not block the blood return of other areas of the wrist, of course, if the number of through grooves 23 and the number of support columns 51 are increased, the number of support points of the support columns 51 below can also be more, effectively dispersing the stress condition, but the pressure of the compression point at the bottom of the pressing shell 41 must be greater than or equal to the systolic pressure of the radial artery, and the pressure of each support point on the surface of the support column 51 is preferably less than the blood pressure of the subcutaneous vein, in order to prevent the support points on the surface of the support column 51 from being stressed for too long and causing blood stasis in the wrist area, the support column 51 can slide along the through groove 23 after supporting for a period of time.

[0025] In the first embodiment, in order to explain the whole hemostatic clamp can have the effect of finger pressing, wherein the right end of the first clamp 1 and the second clamp 2 is fixed, the bottom of the pressing shell 41 on the first clamp 1 is equivalent to the thumb pressing the hemostatic mouth, and the four through grooves 23 are equivalent to the four knuckles of the fingers, and the surface of the 12 movable support column bodies 51 inside the through groove 23 is equivalent to the support point of the fingers adhering to the wrist, and the surface between the three support column bodies 51 inside the same through groove 23 forms a support plane 52 that is not in a straight line. The pressing point of the upper pressing shell 41 and the support point of the plurality of support column bodies 51 on the lower support plane 52 jointly constitute a three-dimensional stable compression support positioning space, i.e. the clamping area 3, so that the hemostatic clamp is stable and does not move, and since the four fingers can be rotated and rested in daily life, each support column body 51 can be appropriately moved and adjusted to slide inside the through groove 23, so that the whole hemostatic structure is equivalent to imitating a hand to press the hemostatic.

[0026] In the first embodiment, the materials of the pressing shell 41, the support shell 411 and the air bag 42 are transparent, which is to enable the doctor or nurse to directly observe the real-time state of the bleeding point through the pressing shell 41. The material of the support column body 51 is soft plastic, which is to reduce the pressure effect of the surface of the support column body 51 on the wrist and optimize the comfort of the patient when wearing.

[0027] In the second embodiment, as Figure 5 Unlike the first embodiment, the first clamp 1 and the second clamp 2 are made of slightly deformable flexible material, such as elastic silicone material, and the inside of the column shaft 22 is provided with a torsion spring, which is connected to the shaft support column 11 through the torsion spring, so that it has a certain locking force. The shaft support column 11 is fixedly connected to one end of the first clamp 1. In order to make the structure clearer, the second clamp 2 is disassembled in the figure. One end of the second clamp 2 is provided with two fixed hooks 6. The external rope is tied to one hook 6 on the first clamp 1 and two hooks 6 on the second clamp 2 to form a stable triangular fixing structure, so that the whole device is not easy to slide when hemostasis.

[0028] For the first embodiment or the second embodiment of the hand-imitating hemostatic clamp, it is superior to the current various radial artery hemostasis devices in the flexibility of human hands. By observing and analyzing the mechanical structure of the hand, it can be seen that the hand is a top version of the hemostatic clamp, the thumb pad presses the hemostasis, and the remaining 4 fingers, a total of 12 segments of the knuckles, serve as support points on the opposite side of the pressing point. On the one hand, the number of pressing points: the number of support points = 1:12, if the area of the pressing point = the area of each support point, then the pressure of each support point = 1 / 12 of the pressure of the pressing point, and the support point of the patient's dorsal vein bears less pressure. On the other hand, the 12 support points are discontinuously distributed on the dorsal side of the hand opposite the pressing point, and do not cause the large area of the vein to be blocked by pressure, and still can ensure the unobstructed blood flow of the dorsal vein. Based on such characteristics, a special hemostatic clamp is designed to imitate the structure of the hand. The upper clamp of the clamp, that is, the first clamping part 1, is designed to be similar to the structure of the thumb to realize the function of pressing hemostasis. The lower clamp of the clamp, that is, the second clamping part 2, is designed to be similar to the structure of the other four fingers by using the support assembly to realize the function of dispersed multiple point support. The precision of the hand is well combined with the stability and durability of the device, which provides a design idea for the hand-imitating hemostatic clamp.

[0029] The working principle and use method of the present application are as follows:

[0030] Step 1: inflate the air bag 42 so that the air pressure generated by the air bag 42 is greater than or equal to the arterial blood pressure;

[0031] Step 2: the doctor uses one hand to clamp the clamp formed by the first clamping part 1 and the second clamping part 2 on the patient's wrist;

[0032] Step 3: the doctor uses the other hand to wind the rope while fixing the hook 6, and adjusts the fixing while observing the reading of the pressure indicating table 46 with the eyes;

[0033] Step 4: after a period of compression, it is necessary to loosen for a period of time, open the pressure relief device 45 at the end of the inflation valve 44 to reduce the pressure, and observe the reading of the pressure indicating table 46 at the same time;

[0034] Step 5: observe whether there is bleeding at the bleeding point through the transparent pressing shell 41, and then re-press the bleeding point.

[0035] Step 6: the bleeding point is healed, and the rope on the fixing hook 6 is untied.

[0036] The specific embodiments described in the present application are only illustrative of the spirit of the present application. Those skilled in the art of the present application can make various modifications or supplements to the described specific embodiments or use similar ways to replace them, without deviating from the spirit of the present application or exceeding the scope defined by the appended claims.

Claims

1. A hand-imitating hemostatic clip comprising a first clamping member (1) and a second clamping member (2), characterized in that, The first clamping piece (1) and the second clamping piece (2) are movably connected, the inner side of the first clamping piece (1) and the inner side of the second clamping piece (2) form a clamping area (3) for being attached to the surface of the wrist, the inner side surface of the first clamping piece (1) is provided with a compression assembly (4) for pressing the bleeding point, the inner side surface of the second clamping piece (2) is provided with a movable support assembly (5), the support assembly (5) comprises a plurality of support columns (51), the surface of the second clamping piece (2) is provided with a plurality of through grooves (23), each through groove (23) is slidably connected with a plurality of support columns (51) inside, the adjacent support columns (51) do not interfere with each other, the surfaces of the plurality of support columns (51) inside the same through groove (23) form a support plane (52) which is not in a straight line, and the plurality of support planes (52) and the pressing shell (41) of the compression assembly (4) form the clamping area (3).

2. The finger-mimicking hemostatic clamp of claim 1, wherein, One end of the first clamping piece (1) is provided with a rotating shaft support column (11), one end of the second clamping piece (2) extends outwardly and is provided with a plurality of support bosses (21), the surface of each support boss (21) is provided with a column rotating shaft (22), and the column rotating shaft (22) and the rotating shaft support column (11) are hingedly connected.

3. The finger-mimicking hemostatic clamp of claim 2, wherein, The other end of the first clamping piece (1) and the second clamping piece (2) is provided with a fixed hook (6), and an external rope is tied around the fixed hook (6) to clamp one end of the first clamping piece (1) and the second clamping piece (2).

4. The finger-mimicking hemostatic clamp of claim 3, wherein, The compression assembly (4) comprises a pressing shell (41), a support shell (411), an air bag (42), an inflation pipeline (43) and a pumping valve (44), the outer side surface of the first clamping piece (1) is provided with a mounting groove (12), the inside of the mounting groove (12) is provided with the pressing shell (41), the pressing shell (41) and the support shell (411) are placed with the air bag (42) therebetween, the pressing shell (41) moves with the change of the air bag (42), the support shell (411) is fixedly connected to the mounting groove (12), one end of the air bag (42) is connected to the inflation pipeline (43), the end of the inflation pipeline (43) is connected to the pumping valve (44), the end of the pumping valve (44) is provided with a pressure relief device (45), and the surface of the inflation pipeline (43) is further provided with a pressure indicating table (46) for displaying the pressure value.

5. The finger-mimicking hemostatic clamp of claim 4, wherein, The first clamping piece (1) and the second clamping piece (2) are arc-shaped, and the pressing shell (41), the support shell (411) and the air bag (42) are made of transparent material.

6. The finger-mimicking hemostatic clamp of claim 5, wherein, The end of the support column (51) is provided with a column boss (511), the column boss (511) is inserted into the inside of the through groove (23), the cross-sectional area of the support column (51) is greater than that of the column boss (511), the support column (51) faces the inner side of the second clamping piece (2), and the column boss (511) faces the outer side of the second clamping piece (2).

7. The finger-mimicking hemostatic clamp of claim 6, wherein, The support column (51) is made of soft plastic material.

Citation Information

Patent Citations

  • Radial artery hemostasis compression belt assembly with pressure indication function

    CN113171151A

  • Novel disposable hemostatic clip

    CN113349869A

  • Multifunctional hemostatic clip assembly

    CN116919513A