Pacemaker postoperative wound compression device based on evidence-based nursing

Abstract

The invention discloses a pacemaker post-operation wound compression device based on evidence-based nursing, relates to the technical field of wound compression instruments, and provides the following scheme that the pacemaker post-operation wound compression device comprises a post-operation wound compression pectoral girdle, and the front side of the left section of the post-operation wound compression pectoral girdle is fixedly connected with a pectoral girdle self-adaptive tensioner; and the right section of the postoperative wound compression pectoral girdle is inserted into the pectoral girdle self-adaptive tensioner. The compression device designed by the invention can replace conventional sandbag compression and pressure bandaging, the compression bag can be self-expanded to adjust the compression strength on a wound, the compression strength is easy to adjust, the strength is based on evidence, the compression bag is convenient to take and place, sterile gauze can be placed at the bag during pressure bandaging, and meanwhile, the compression bag is made of a soft material, so that the compression device is convenient to use. In addition, the binding strength of the compression bag is monitored, the binding strength of the chest strap can be adjusted according to different postures of the patient, the comfort level of the patient is improved, and meanwhile the compression bag keeps reasonable compression force.

Description

Technical Field

[0001] The present invention relates to the technical field of wound compression instruments, and in particular to a pacemaker postoperative wound compression device based on evidence-based nursing. Background Art

[0002] After permanent pacemaker implantation, the capsule needs to be compressed with a sandbag for 6 hours, or compressed with a sandbag for 6 hours after a pressure bandage, and then compressed intermittently after 6 hours until the stitches are removed after 7 days. Current problems: 1. The sandbag is not easy to fix. Affected by the patient's body position, the compression is not in place after the operation, which can easily lead to capsule exudation, which is not conducive to wound infection and prolongs the time for stitch removal. 2. It is inconvenient to adjust the pressure intensity with a pressure bandage. Thinner patients are prone to damage to the capsule skin. If the patient has underlying diseases such as diabetes, the damaged area is not easy to heal, and there is a risk of capsule infection, causing serious complications. Therefore, those skilled in the art hereby propose a pacemaker postoperative wound compression device based on evidence-based care. Summary of the invention

[0003] In view of the defects raised in the above-mentioned background technology, a technical solution of a pacemaker postoperative wound compression device based on evidence-based nursing is provided.

[0004] It includes a postoperative wound compression chest belt, the front side of the left section of the postoperative wound compression chest belt is fixedly connected with a chest belt adaptive tensioner, the right section of the postoperative wound compression chest belt is inserted into the interior of the chest belt adaptive tensioner, and the front side of the left section of the postoperative wound compression chest belt is clamped with a self-expanding wound compression bag; The postoperative wound compression chest belt includes a shoulder strap wrapped around the patient's back and an extension strap connected to the right end of the shoulder strap, and a fixed gasket is fixedly connected to the front side of the left section of the shoulder strap; The chest strap adaptive tensioner comprises a square shell, four rollers rotatably arranged in the inner cavity of the square shell, and two programmable servo motors fixedly connected to the top surface of the inner cavity of the square shell, wherein driven bevel gears are fixedly arranged at the top ends of the rollers at the upper left corner and the rollers at the lower right corner, and the output shafts of the programmable servo motors are fixedly connected to driving bevel gears through couplings, and the driving bevel gears are respectively meshed with the driven bevel gears for transmission; the bottom ends of the two rollers close to each other on the left and right are fixed with synchronous wheels, and a synchronous transmission belt is arranged between the synchronous wheels; The self-inflating wound compression bag includes a hollow silicone bag, two connecting belts fixedly connected to the upper and lower positions of the front surface of the hollow silicone bag, and a servo micro air pump connected to the front side of the shoulder strap, and the front end of the connecting belt is respectively fixedly connected with a buckle and a slot, the air supply end of the servo micro air pump is connected to an air supply pipe through a joint, the end of the air supply pipe is connected to the top port of the hollow silicone bag, and two pressure sensors are fixedly connected to the rear side wall of the inner cavity of the hollow silicone bag.

[0005] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: the inner corners of the shoulder strap and the extension strap are covered with a layer of cotton lining, and the corners of the shoulder strap and the extension strap are chamfered, wherein the inner surface of the shoulder strap contacts the patient's back skin, and the inner side of the left section of the shoulder strap and the inner surface of the extension strap contact the patient's left and right chest skin.

[0006] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: the rear surface of the square shell is fixedly connected to the front end face of the fixed gasket, and openings for the extension belt to pass through are provided on the left and right end faces of the square shell.

[0007] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: the top surface of the roller is fixedly connected with a top rotating shaft, and the top end of the top rotating shaft is rotatably connected to the top side wall of the inner cavity of the square shell, wherein the driven bevel gears are respectively fixed on the outer ring of the top rotating shaft at the upper left corner and the lower right corner.

[0008] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: a bottom rotating shaft is fixedly connected to the bottom surface of the rotating roller, the bottom end of the bottom rotating shaft is rotatably connected to the bottom surface of the inner cavity of the square shell, and the synchronous wheels are fixed on the outer ring of the bottom rotating shaft.

[0009] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: the top surface of the shell of the programmable servo motor is fixedly connected to the top side wall of the inner cavity of the square shell, and a controller for controlling the forward and reverse rotation of the programmable servo motor is fixedly connected in the inner cavity of the square shell, and the signal receiving end of the controller is connected to the signal transmitting end of the pressure sensor.

[0010] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: there is a gap between the front and rear of the rollers for the extension belt to pass through, and the gap is consistent with the thickness of the extension belt, and teeth are provided on the outer ring surface of the roller to bite the front and rear surfaces of the extension belt.

[0011] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: a Velcro fleece is sewn on the inner side of the right section of the shoulder strap, a Velcro thorn surface adhered to the Velcro fleece is fixedly connected to the front surface of the hollow silicone bag, and a layer of non-woven lining fabric is adhered to the rear surface of the hollow silicone bag.

[0012] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: an air nozzle is provided in the top port of the hollow silicone bag, and the end of the air supply tube away from the servo micro air pump is connected to the port of the air nozzle.

[0013] In the above-mentioned technical solution of the pacemaker postoperative wound compression device based on evidence-based care, preferably: the sensing end face of the pressure sensor is in contact with the rear surface of the inner cavity of the hollow silicone bag, and the pressure signal transmission end of the pressure sensor is also connected to the control end of the servo micro air pump.

[0014] It can be seen from the above technical solutions that the present invention provides a pacemaker postoperative wound compression device based on evidence-based nursing. Compared with the prior art, the present invention has the following beneficial effects: The compression device designed in the present invention can replace conventional sandbag compression and pressure bandage. The compression bag can self-expand to adjust the pressure on the wound. The pressure is easy to adjust, the size of the pressure is evidence-based, and it is easy to take and put. Sterile gauze is placed in the bag during pressure bandage. At the same time, the material of the compression bag is soft and it is not easy to hurt the skin when the patient is in a recumbent position. In addition, the binding strength of the compression bag is monitored, and the binding strength of the chest strap can be adjusted according to the different postures of the patient, thereby improving the patient's comfort while allowing the compression bag to maintain a reasonable compression force. BRIEF DESCRIPTION OF THE DRAWINGS

[0015] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following briefly introduces and describes the drawings required for use in the embodiments of the present invention or the description of the prior art. Obviously, the drawings described below are only some embodiments of the present invention, and for ordinary technicians in this field, other drawings can be obtained based on these drawings without creative work.

[0016] Figure 1 is a schematic diagram of the overall structure of the compression device; Figure 2 Schematic diagram of a postoperative wound compression chest belt; Figure 3 is a schematic diagram of a chest strap adaptive tensioner; Figure 4 This is a schematic diagram of a self-expanding wound compression bag; Figure 5 This is a schematic diagram of the self-expanding wound compression bag after cutting.

[0017] Attached Figure 1 -Attached Figure 5 The corresponding relationship of the parts is as follows: 1. Postoperative wound compression chest belt; 11. Shoulder strap; 12. Extension strap; 13. Fixed gasket; 2. Chest strap adaptive tensioner; 21. Square shell; 22. Opening; 23. Bottom shaft; 24. Synchronous wheel; 25. Synchronous transmission belt; 26. Driving bevel gear; 27. Driven bevel gear; 28. Top shaft; 29. ​​Programmable servo motor; 210. Roller; 3. Self-expanding wound compression bag; 31. Hollow silicone bag; 32. Air supply tube; 33. Servo micro air pump; 34. Buckle; 35. Slot; 36. Connecting belt; 37. Non-woven lining; 38. Air nozzle; 39. Velcro thorn surface; 310. Pressure sensor. DETAILED DESCRIPTION

[0018] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the embodiments described below are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0019] In order to more clearly explain and illustrate the technical solution and implementation of the present invention, preferred specific embodiments for implementing the technical solution of the present invention are introduced below.

[0020] Embodiment: A better technical solution for a pacemaker postoperative wound compression device based on evidence-based nursing: Refer to the instruction manual Figure 1 As shown: it includes a postoperative wound compression chest belt 1, the front side of the left section of the postoperative wound compression chest belt 1 is fixedly connected with a chest belt adaptive tensioner 2, the right section of the postoperative wound compression chest belt 1 is inserted into the interior of the chest belt adaptive tensioner 2, and the front side of the left section of the postoperative wound compression chest belt 1 is clamped with a self-expanding wound compression bag 3; Refer to the instruction manual Figure 2 As shown: the postoperative wound compression chest belt 1 includes a shoulder strap 11 wrapped around the patient's back, and an extension strap 12 connected to the right end of the shoulder strap 11, and a fixed gasket 13 is fixedly connected to the front side of the left section of the shoulder strap 11; Refer to the instruction manual Figure 3As shown: the chest band adaptive tensioner 2 includes a square housing 21, four rollers 210 rotatably arranged in the inner cavity of the square housing 21, and two programmable servo motors 29 fixedly connected to the top surface of the inner cavity of the square housing 21, wherein the top of the upper left corner roller 210 and the lower right corner roller 210 are fixedly provided with a driven bevel gear 27, and the output shaft of the programmable servo motor 29 is fixedly connected to a driving bevel gear 26 through a coupling, and the driving bevel gear 26 is meshed with the driven bevel gear 27 for transmission; the bottom ends of the two rollers 210 close to each other on the left and right are fixed with synchronous wheels 24, and a synchronous transmission belt 25 is provided between the synchronous wheels 24; Refer to the instruction manual Figure 4 and attached Figure 5 As shown: the self-expanding wound compression bag 3 includes a hollow silicone bag 31, two connecting belts 36 fixedly connected to the upper and lower positions of the front surface of the hollow silicone bag 31, and a servo micro air pump 33 connected to the front side of the shoulder strap 11, and the front end of the connecting belt 36 is respectively fixedly connected with a buckle 34 and a slot 35, the air supply end of the servo micro air pump 33 is connected to the air supply pipe 32 through a joint, the end of the air supply pipe 32 is connected to the top port of the hollow silicone bag 31, and two pressure sensors 310 are fixedly connected to the rear side wall of the inner cavity of the hollow silicone bag 31.

[0021] Refer to the instruction manual Figure 2 As shown: the inner corners of the shoulder strap 11 and the extension strap 12 are covered with a layer of cotton lining, and the corners of the shoulder strap 11 and the extension strap 12 are chamfered, wherein the inner surface of the shoulder strap 11 contacts the patient's back skin, the inner side of the left section of the shoulder strap 11 and the inner surface of the extension strap 12 contact the patient's left and right chest skin, the rear surface of the square shell 21 is fixedly connected to the front end face of the fixed gasket 13, and openings 22 for the extension strap 12 to pass through are provided on the left and right end faces of the square shell 21.

[0022] Refer to the instruction manual Figure 3 As shown: the top surface of the rotating roller 210 is fixedly connected with a top rotating shaft 28, and the top end of the top rotating shaft 28 is rotatably connected to the top side wall of the inner cavity of the square shell 21, wherein the driven bevel gear 27 is fixed on the outer ring of the top rotating shaft 28 at the upper left corner and the lower right corner, respectively, and the bottom surface of the rotating roller 210 is fixedly connected with a bottom rotating shaft 23, the bottom end of the bottom rotating shaft 23 is rotatably connected to the bottom surface of the inner cavity of the square shell 21, and the synchronous wheel 24 is fixed on the outer ring of the bottom rotating shaft 23.

[0023] Refer to the instruction manual Figure 3As shown: the top surface of the shell of the programmable servo motor 29 is fixedly connected to the top side wall of the inner cavity of the square shell 21, and a controller for controlling the forward and reverse rotation of the programmable servo motor 29 is fixedly connected in the inner cavity of the square shell 21, and the signal receiving end of the controller is connected to the signal transmitting end of the pressure sensor 310. There is a gap between the front and rear of the rollers 210 for the extension belt 12 to pass through, and the gap is consistent with the thickness of the extension belt 12, and the outer ring surface of the roller 210 is provided with teeth that bite the front and rear surfaces of the extension belt 12.

[0024] Refer to the instruction manual Figure 4 As shown: a Velcro fleece surface is sewn on the inner side of the right section of the shoulder strap 11, a Velcro thorn surface 39 adhered to the Velcro fleece surface is fixedly connected to the front surface of the hollow silicone bag 31, a layer of non-woven lining cloth 37 is adhered to the rear surface of the hollow silicone bag 31, an air nozzle 38 is arranged in the top port of the hollow silicone bag 31, one end of the air supply pipe 32 away from the servo micro air pump 33 is connected to the port of the air nozzle 38, the sensing end face of the pressure sensor 310 is in contact with the rear surface of the inner cavity of the hollow silicone bag 31, and the pressure signal transmission end of the pressure sensor 310 is also connected to the control end of the servo micro air pump 33.

[0025] According to the above-mentioned preferred technical solution, the workflow of the technical solution is described as follows: Wrap the shoulder strap 11 around the patient's back, and place the self-inflating wound compression bag 3 at the wound position on the chest, insert the extension belt 12 through the openings 22 on the left and right sides of the square shell 21, and let the roller 210 clamp the extension belt 12. After the servo micro air pump 33 inflates the hollow silicone bag 31 through the air supply pipe 32, the hollow silicone bag 31 naturally expands and compresses the wound position. At the same time, the pressure sensor 310 will detect the compression force of the wound area. After the compression force is set and exceeds the threshold, the servo micro air pump 33 is controlled to extract or add gas to the hollow silicone bag 31, so that the expansion and compression of the hollow silicone bag 31 is within a reasonable range.

[0026] When the patient lies on his side or in other postures causing the compression force to decrease or increase, and the compression force of the hollow silicone bag 31 is within a reasonable range, the programmable servo motor 29 will drive the rollers 210 at the upper left corner and the lower right corner to rotate by driving the bevel gear 26 and the driven bevel gear 27, and synchronously rotate the four rollers 210 with the help of the synchronous wheel 24 and the synchronous transmission belt 25, thereby tightening or loosening the extension belt 12 to adjust the compression force and keep the binding force within the range that the patient feels comfortable.

[0027] The present invention is not limited to the above-mentioned optimal implementation mode. Anyone should be aware that any structural changes made under the inspiration of the present invention, and any technical solutions that are the same or similar to the present invention, fall within the protection scope of the present invention. Finally, it should be noted that the structures, proportions, sizes, etc. illustrated in the drawings of this specification are only used to match the contents disclosed in the specification for people familiar with this technology to understand and read, and are not used to limit the restrictive conditions that can be implemented in this application, so they have no technical substantive significance. Any structural modification, change in proportional relationship or adjustment of size, without affecting the effects that can be produced by this application and the purposes that can be achieved, should still fall within the scope of the technical content disclosed in this application.

Claims

1. A pacemaker postoperative wound compression device based on evidence-based care, comprising a postoperative wound compression chest belt (1), characterized in that: The front side of the left section of the postoperative wound compression chest belt (1) is fixedly connected to a chest belt adaptive tensioner (2), the right section of the postoperative wound compression chest belt (1) is inserted into the interior of the chest belt adaptive tensioner (2), and the front side of the left section of the postoperative wound compression chest belt (1) is clamped with a self-expanding wound compression bag (3); The postoperative wound compression chest belt (1) comprises a shoulder belt (11) wound around the patient's back, and an extension belt (12) connected to the right end of the shoulder belt (11), and a fixed gasket (13) is fixedly connected to the front side of the left section of the shoulder belt (11); The chest band adaptive tensioner (2) comprises a square housing (21), four rollers (210) rotatably arranged in the inner cavity of the square housing (21), and two programmable servo motors (29) fixedly connected to the top surface of the inner cavity of the square housing (21), wherein driven bevel gears (27) are fixedly arranged at the top ends of the rollers (210) at the upper left corner and the rollers (210) at the lower right corner, and the output shafts of the programmable servo motors (29) are fixedly connected to driving bevel gears (26) via couplings, and the driving bevel gears (26) are respectively meshed with the driven bevel gears (27) for transmission; the bottom ends of the two rollers (210) close to each other on the left and right are fixed with synchronous wheels (24), and a synchronous transmission belt (25) is arranged between the synchronous wheels (24); The self-expanding wound compression bag (3) comprises a hollow silica gel bag (31), two connecting straps (36) fixedly connected to the upper and lower positions of the front surface of the hollow silica gel bag (31), and a servo micro air pump (33) connected to the front side of the shoulder strap (11), and the front end of the connecting strap (36) is respectively fixedly connected with a buckle (34) and a slot (35), the air supply end of the servo micro air pump (33) is connected to an air supply pipe (32) via a joint, the end of the air supply pipe (32) is connected to the top port of the hollow silica gel bag (31), and two pressure sensors (310) are fixedly connected to the rear side wall of the inner cavity of the hollow silica gel bag (31).

2. The evidence-based nursing post-pacemaker surgery wound compression device according to claim 1, characterized in that: The inner corners of the shoulder strap (11) and the extension strap (12) are both covered with a layer of cotton lining, and the corners of the shoulder strap (11) and the extension strap (12) are both chamfered, wherein the inner surface of the shoulder strap (11) contacts the patient's back skin, and the inner side of the left section of the shoulder strap (11) and the inner surface of the extension strap (12) contact the patient's left and right chest skin.

3. The pacemaker postoperative wound compression device based on evidence-based care according to claim 1, characterized in that: The rear surface of the square shell (21) is fixedly connected to the front end surface of the fixed gasket (13), and openings (22) for the extension belt (12) to pass through are provided on both the left and right end surfaces of the square shell (21).

4. The post-pacemaker wound compression device based on evidence-based care according to claim 1, characterized in that: The top surfaces of the rotating rollers (210) are fixedly connected to the top rotating shafts (28), and the top ends of the top rotating shafts (28) are rotatably connected to the top side walls of the inner cavity of the square housing (21), wherein the driven bevel gears (27) are respectively fixed to the outer rings of the top rotating shafts (28) at the upper left corner and the lower right corner.

5. The post-pacemaker surgery wound compression device based on evidence-based care according to claim 1, characterized in that: A bottom rotating shaft (23) is fixedly connected to the bottom surface of the rotating roller (210), the bottom end of the bottom rotating shaft (23) is rotatably connected to the bottom surface of the inner cavity of the square shell (21), and the synchronous wheels (24) are fixed to the outer ring of the bottom rotating shaft (23).

6. The pacemaker postoperative wound compression device based on evidence-based care according to claim 1, characterized in that: The top surface of the shell of the programmable servo motor (29) is fixedly connected to the top side wall of the inner cavity of the square shell (21); a controller for controlling the forward and reverse rotation of the programmable servo motor (29) is fixedly connected in the inner cavity of the square shell (21); a signal receiving end of the controller is connected to a signal transmitting end of the pressure sensor (310).

7. The pacemaker postoperative wound compression device based on evidence-based care according to claim 1, characterized in that: There is a gap between the front and rear of the rotating rollers (210) for the extension belt (12) to pass through, and the gap is consistent with the thickness of the extension belt (12), and teeth are provided on the outer ring surface of the rotating roller (210) to bite the front and rear surfaces of the extension belt (12).

8. The pacemaker postoperative wound compression device based on evidence-based care according to claim 1, characterized in that: A Velcro fleece surface is sewn on the inner side of the right section of the shoulder strap (11), a Velcro thorn surface (39) adhered to the Velcro fleece surface is fixedly connected to the front surface of the hollow silica gel bag (31), and a layer of non-woven lining fabric (37) is adhered to the rear surface of the hollow silica gel bag (31).

9. The pacemaker postoperative wound compression device based on evidence-based care according to claim 1, characterized in that: An air nozzle (38) is provided in the top port of the hollow silica gel bag (31), and one end of the air supply pipe (32) away from the servo micro air pump (33) is connected to the port of the air nozzle (38).

10. The post-pacemaker surgery wound compression device based on evidence-based care according to claim 1, characterized in that: The sensing end surface of the pressure sensor (310) contacts the rear surface of the inner cavity of the hollow silica gel bag (31), and the pressure signal transmission end of the pressure sensor (310) is also connected to the control end of the servo micro air pump (33).

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