Single-person adjusting type interventional postoperative artery compression monitoring device

Abstract

The invention provides a single-person adjusting type interventional postoperative artery compression monitoring device which comprises an adjusting and controlling device and a pressure device, the compression device is provided with a base, and the base is connected with a restraint strap and used for being fixed to a human body; a top air bag, a bottom air bag and a compression rod are arranged in the base, the top air bag can downwards push and extrude the compression rod, a compression head is arranged at the lower end of the compression rod, and the bottom air bag is located at the bottom of the base and can downwards extrude in a planar mode. The regulation and control device comprises a regulator and a suction pump, and the suction pump is connected with a first suction guide pipe and a second suction guide pipe; the top air bag is connected with the suction pump through a first suction catheter, and the bottom air bag is connected with the suction pump through a second suction catheter. The regulator is connected with the suction pump and can control the suction pump to start the top air bag independently or control the suction pump to start the top air bag and the bottom air bag at the same time. The artery compression operation after the interventional operation can be completed under the condition of single-person operation, and the compression mode can be freely selected.

Description

Technical Field

[0001] The present invention relates to the technical field of medical auxiliary instruments, and particularly to a single-person adjustable arterial compression monitoring device after interventional surgery. Background Art

[0002] Interventional surgery treatment is a minimally invasive treatment method guided by medical imaging equipment. That is, a general term for a series of techniques that use puncture needles, catheters and other interventional devices to introduce specific devices into the human body lesion site through natural body orifices or tiny wounds for minimally invasive treatment. Taking neurosurgery as an example, neurosurgical interventional surgery is a clinical medical science that, with the support of a computer-controlled digital subtraction angiography (DSA) system, delivers special materials into the vascular lesion site of the central nervous system through the vascular approach using guiding devices (such as catheters, guide wires, etc.) to achieve treatment purposes such as embolization, dissolution, dilation, angioplasty and anti-tumor.

[0003] Arterial compression after interventional surgery is a crucial part of the patient's prognosis. Taking femoral artery puncture compression as an example, the traditional femoral artery puncture compression method uses hemostatic and wound-healing gauze, gauze, elastic bandage, etc. First, manually press the patient for at least 15 minutes, then perform an "8" - shaped dressing on the wound, and finally restrain and immobilize the affected limb for 24 hours. Such a compression hemostasis method requires at least 2 medical staff to participate. While consuming a large amount of manpower, it not only cannot timely evaluate the hemostasis and wound healing situation, but also cannot adjust the compression force when the patient has poor healing. If the patient has poor blood coagulation, the doctor's manual compression time may even exceed 2 hours. In addition, the elastic bandage will compress the patient's skin. If the patient has a large body mass index, the traditional compression method may cause the elastic bandage to twist into strands and cause abrasions to the patient's skin soft tissue, greatly reducing the patient's comfort.

[0004] The currently market-applied arterial compression monitoring devices after interventional surgery have the following obvious deficiencies:

[0005] 1. The existing product types are too bulky, the dressing of the puncture site is not flexible enough, and the problems of soft tissue injury and dermatitis caused by the elastic bandage compressing the patient are not solved.

[0006] 2. The existing product types mainly monitor the pulsation of large arteries such as the femoral artery, but cannot select the pressure and compression time according to the actual situation of the patient; monitoring arterial pulsation is not sensitive to patients with a large body weight, so it is impossible to automatically adjust the compression force by monitoring femoral artery pulsation to be applicable to all patients.

[0007] 3. The existing product type is closed, unable to perform compression while pulling out the vascular sheath, and unable to directly observe the hemostasis condition at the compression site (including bleeding, ecchymosis, mass, etc.).

[0008] 4. The existing product type requires a large amount of manpower participation. At least two or more medical staff are needed to complete the compression hemostasis operation, resulting in a large labor cost.

[0009] 5. The existing product type is mainly a disposable consumable and cannot be recycled, which is not conducive to environmental protection.

[0010] 6. The existing product type mainly monitors the pulsation of large arteries such as the femoral artery and cannot real-time monitor the pulsation of distal blood vessels such as the dorsal artery of the foot, that is, it cannot rule out the blockage of distal blood vessels.

[0011] 7. The existing product type is mainly single-mode compression and cannot perform personalized compression according to the individual situation of the patient or complete the long-term compression hemostasis task. Summary of the Invention

[0012] The purpose of the present invention is to provide a single-person adjustable arterial compression monitoring device after interventional surgery, which reduces the need for surgical personnel and reduces the labor intensity.

[0013] The technical solution adopted by the present invention is as follows:

[0014] A single-person adjustable arterial compression monitoring device after interventional surgery, characterized in that it includes a regulation device and a pressure device, wherein:

[0015] The compression device is provided with a base, the base is connected with a restraint belt for fixing to the human body; inside the base, there is a top airbag, a bottom airbag and a compression rod. The top airbag can push the compression rod downward, and the lower end of the compression rod is provided with a compression head. The bottom airbag is located at the bottom of the base and can squeeze downward in a planar shape;

[0016] The regulation device includes a regulator and a suction pump. The suction pump is connected with a first suction catheter and a second suction catheter; the top airbag is connected to the suction pump through the first suction catheter, and the bottom airbag is connected to the suction pump through the second suction catheter; the regulator is connected to the suction pump and can control the suction pump to start the top airbag alone, or control the suction pump to start the top airbag and the bottom airbag at the same time;

[0017] An arterial pulsation analysis device is further provided in the regulation device, and the pulsation analysis device is connected with a pulsation induction device through a conduction catheter.

[0018] For the single-person adjustable arterial compression monitoring device after interventional surgery, a hemostatic and wound healing gauze that can be pasted is provided on the outside of the bottom airbag corresponding to the position directly below the compression head.

[0019] The described single-person adjustable arterial compression monitoring device after intervention, wherein a display device is provided inside the control device, and the display device includes a time display, a pressure display, and a mode display; the display device is connected to the regulator, and the regulator is provided with a time knob, a pressure knob, and a mode knob. The time knob, the pressure knob, and the mode knob are respectively connected to the time display, the pressure display, and the mode display, and are used to adjust the start time, inflation pressure, and working mode of the top airbag and the bottom airbag. The working mode is divided into a point compression mode in which the top airbag is started alone, and a surface compression mode in which the top airbag and the bottom airbag are started simultaneously.

[0020] The described single-person adjustable arterial compression monitoring device after intervention, wherein the base includes a top plate and a left side plate, a right side plate, a front side plate, and a rear side plate fixed to the four sides below the top plate;

[0021] The top airbag abuts between the inner side of the top plate and the compression rod. One side of the compression rod connected to the top airbag is a cross beam, and both ends of the cross beam are connected to the left side plate and the right side plate by pulleys. The inner sides of the left side plate and the right side plate are provided with baffles of the same height to control the lowest height of the compression rod; the lower side of the compression rod is a column extending downward from the cross beam, and the lower end of the column is fixed with the compression head; the bottom airbag is located below the compression head;

[0022] The bottom airbag is an elastic membrane hermetically connected to the bottom of the base, and the elastic membrane and the base form a sealed space and can be inflated and expanded.

[0023] The described single-person adjustable arterial compression monitoring device after intervention, wherein the top plate, the left side plate, the right side plate, the front side plate, and the rear side plate are all made of transparent materials; the top airbag and the bottom airbag are both made of transparent materials.

[0024] The described single-person adjustable arterial compression monitoring device after intervention, wherein connection valves are respectively arranged on the first suction catheter and the second suction catheter.

[0025] The described single-person adjustable arterial compression monitoring device after intervention, wherein an arterial pulsation analysis device is further provided inside the control device, and the pulsation analysis device is connected to a pulsation sensing device through a conduction catheter.

[0026] The described single-person adjustable arterial compression monitoring device after intervention, wherein the pulsation analysis device is further connected to an alarm.

[0027] The described single-person adjustable arterial compression monitoring device after intervention, wherein the conduction catheter and the pulsation sensing device are connected by a buckle.

[0028] The described single - person adjustable arterial compression monitoring device after interventional procedures, wherein the restraint band is connected by buckles and has a total of three groups of buckles. Two of the groups of buckles can be fixed in a figure - eight shape; the restraint band is filled with sponge inside and has ventilation holes on its surface.

[0029] The present invention can complete the arterial compression operation after interventional procedures under the condition of single - person operation. Among them, the control device can freely select the compression mode, compression time and compression force. The compression device can be accurately and stably fixed at the puncture site, and the restraint band can reduce the skin damage caused by long - term compression of the patient. The present invention, in cooperation with the pulsation monitoring device, can assist in evaluating the blood supply of the punctured limb of the patient, effectively prevent the formation of arterial thrombosis, and ultimately improve the prognosis quality of patients after interventional procedures. Brief Description of the Drawings

[0030] Figure 1 It is a coronal sectional view of the single - person adjustable arterial compression monitoring device of the present invention;

[0031] Figure 2 It is a top view of the compression device in the single - person adjustable arterial compression monitoring device of the present invention;

[0032] Figure 3 It is a schematic diagram of the point - compression mode of the compression device in the single - person adjustable arterial compression monitoring device of the present invention;

[0033] Figure 4 It is a schematic diagram of the surface - compression mode of the compression device in the single - person adjustable arterial compression monitoring device of the present invention;

[0034] Figure 5 It is a top view of the control device in the single - person adjustable arterial compression monitoring device of the present invention.

[0035] Description of the reference numerals: 1 - Hemostatic and wound - healing gauze; 2 - Silicone compression head; 3 - Compression rod; 4 - Restraint band; 5 - Handle; 6 - Telescopic plate; 7 - Right side plate; 8 - Switch; 9 - Regulator; 10 - Knob; 11 - Power supply; 12 - Display device; 13 - Time display; 14 - Suction pump; 15 - First suction catheter; 16 - Second suction catheter; 17 - Top plate; 18 - Top airbag; 19 - Bottom airbag; 20 - Pulley; 21 - Baffle; 22 - Mode knob; 23 - Conduction catheter; 24 - Pulsation sensing device; 25 - Pulsation analysis device; 26 - Alarm; 27 - Buckle; 28 - Left side plate; 29 - Ventilation hole; 30 - Pressure knob; 31 - Time knob; 32 - Connection valve; 33 - Buckle A; 34 - Buckle B; 35 - Buckle C; 36 - Buckle D; 37 - Buckle E; 38 - Buckle F; 39 - Pressure display; 40 - Mode display; 41 - Front side plate; 42 - Rear side plate. Detailed Description of the Invention

[0036] The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments.

[0037] The present invention is a single-person adjustable arterial compression monitoring device after intervention, and its structure is as Figures 1 to 4 shown, including a control device and a pressure device, wherein:

[0038] On the surface of the control device, there is a display device 12. The display device 12 is connected to a regulator 9, and the regulator 9 is connected to a suction pump 14. The suction pump 14 is connected with a first suction catheter 15 and a second suction catheter 16;

[0039] The compression device is provided with a base. The base is connected with a restraint belt 4 for fixing to the human body. The base includes a top plate 17 and a left side plate 28, a right side plate 7, a front side plate 41, and a rear side plate 42 fixed to the four sides below the top plate 17. The length of the right side plate 7 is shorter than that of the left side plate 28 (about half the length), and an expansion plate 6 is arranged inside. There is a handle 5 outside the expansion plate 6 for controlling the extension length of the expansion plate 6. Inside the compression device, there are a top airbag 18, a bottom airbag 19, and a compression rod 3. The top airbag 18 abuts between the inner side of the top plate 17 and the compression rod 3. One side (upper side) of the compression rod 3 connected to the top airbag 18 is a cross beam, and both ends of the cross beam are connected to the left side plate 28 and the right side plate 7 through pulleys 20 to improve the smoothness of its up and down movement. On the inner sides of the left side plate 28 and the right side plate 7, there are baffle plates 21 of the same height for controlling the lowest height of the compression rod 3. The lower side of the compression rod 3 is a column body extending downward from the cross beam, and a silica gel compression head 2 is fixed at the lower end of the column body; The bottom airbag 19 is located at the bottom of the base and can squeeze downward in a planar shape;

[0040] The structure of the bottom airbag 19 can be a complete airbag or an elastic membrane sealed to the bottom of the base (sealed to the left side plate 28, the right side plate 7, the front side plate 41, and the rear side plate 42). The elastic membrane forms a closed space with the base and can be inflated and expanded;

[0041] The bottom airbag 19 is located below the silica gel compression head 2. A storable hemostatic and wound healing gauze 1 is provided outside the bottom airbag 19 corresponding to the exact lower position of the silica gel compression head 2;

[0042] Among them, the top airbag 18 is connected to the suction pump 14 through the first suction catheter 15, and the bottom airbag 19 is connected to the suction pump 14 through the second suction catheter 16. By controlling the regulator 9, the suction pump 14 is controlled to start the top airbag 18 alone (point compression mode), or control the suction pump 14 to start both the top airbag 18 and the bottom airbag 19 simultaneously (surface compression mode).

[0043] Among them, connection valves 32 are respectively arranged on the first suction catheter 15 and the second suction catheter 16 to facilitate disassembly and assembly.

[0044] Among them, a power source 11 is provided in the control device, and the power source 11 is a replaceable battery. The power source 11 is connected to a switch 8 provided at the top, the switch 8 is connected to the display device 12, and the display device 12 includes three modules, namely a time display 13, a pressure display 39, and a mode display 40. The display device 12 is connected to the regulator 9. There are three knobs on the regulator 9, namely a time knob 31, a pressure knob 30, and a mode knob 22, which are used to adjust the pressing time, pressing force, and pressing mode respectively. Among them, the time knob 31, the pressure knob 30, and the mode knob 22 are respectively connected to the time display 13, the pressure display 39, and the mode display 40 correspondingly, and the respective corresponding values are displayed in the corresponding displays.

[0045] Among them, an arterial pulsation analysis device 25 is also provided in the control device, which is used to receive and analyze arterial pulsation signals to guide compression; the pulsation analysis device 25 is connected to the power source 11 through the switch 8 to obtain energy; the pulsation analysis device 25 is connected with a pulsation sensing device 24 through a conduction catheter 23, and the conduction catheter 23 and the pulsation sensing device 24 are preferably connected by a buckle 27 to facilitate disassembly. The pulsation analysis device 25 is also connected with an alarm 26, which can emit an alarm (sound and light) signal when an abnormal signal is detected.

[0046] In this embodiment, the base of the compression device is a transparent cube structure (the top plate 17, the left side plate 28, the right side plate 7, the telescopic plate 6, the front side plate 41, and the rear side plate 42 are all made of transparent materials), and the top airbag 18 and the bottom airbag 19 inside are also transparent; a restraint belt 4 is connected to the bottom of the base, and the restraint belt 4 is connected by a buckle, and there are a total of three groups of buckles (buckles A to F), and two of the buckles can be fixed in a figure-eight shape. The restraint belt 4 can be a split structure respectively connected to different sides of the base, or an integral structure simultaneously connected to different sides of the base. The setting can be a hollow structure, and the compression device is sleeved inside the hollow structure; the restraint belt 4 is filled with sponge inside, and there are air holes 29 on the surface of the restraint belt 4 to improve the fixing comfort.

[0047] During use, the compression mode can be adjusted through the mode knob 22 above the regulator 9 and displayed on the mode display 40. In the spot compression mode, the purpose of hemostatic compression can be achieved by precisely compressing the puncture site. The operator adjusts the mode knob 22 to the spot compression mode. At this time, the suction pump 14 supplies air to the top airbag 18 through the first suction catheter 15, and the bottom airbag 19 is not inflated. Then, the pressure knob 30 is adjusted to the required value, and at the same time, the pressing state of the pressing rod 3 is observed. Finally, the time knob 31 is adjusted for timing, and the skin condition of the compressed puncture site is observed.

[0048] After the time of the spot compression mode ends, the operator first observes the skin condition of the compressed puncture site. After observing no abnormal conditions, the operator switches the mode knob 22 to the surface compression mode. At this time, both the top airbag 18 and the bottom airbag 19 are inflated. Then, the pressure knob 30 is adjusted to the required value. Finally, the time knob 31 is adjusted for timing, and the skin condition of the compressed puncture site is observed. In the surface compression mode, the pressure at the compression point can be reduced by increasing the compression area, so that the artery remains compressed while allowing sufficient blood flow through.

[0049] More specifically, taking a patient with a right femoral artery puncture without removing the vascular sheath as an example, when the operator uses the present invention, first, the operator needs to stand on the right side of the patient, wear sterile gloves, align the hemostatic and wound healing gauze 1 with 0.5 cm behind the puncture point of the patient's right femoral artery, connect the new compression device and the first suction catheter 15 and the second suction catheter 16 of the control device through the connection valve 32, and fix the compression device at the corresponding puncture site. Then, the restraint belt 4 is passed through the bottom of the affected limb, the buckle 27 is not connected, and the switch 8 is turned on. Then, the operator lifts the telescopic plate 6 through the handle 5, grabs the vascular sheath with the right hand, and observes the puncture site through the transparent top plate 17. After confirming that there is no error, the operator holds the compression device with the left hand from above and slowly presses it downward, while holding the vascular sheath with the right hand through the lower part of the telescopic plate 6 and slowly pulling it out to the right. After slowly pulling the vascular sheath about 3 cm to the right, it is quickly pulled out, and at the same time, the left hand presses the compression device forcefully downward. Then, while keeping the pressing force of the left hand unchanged, observe the puncture site. After observing that there is no bleeding, swelling, etc. at the puncture site, the right hand rotates the mode knob 22 to the spot compression mode, then adjusts the pressure knob 30 to the required value, and at the same time observes the pressing state of the pressing rod 3. After stabilization, the left hand slowly releases the compression device and checks whether there is bleeding, swelling, etc. at the puncture site. After confirming that there is no error, the time knob 31 is adjusted to 15 min.

[0050] During the compression process in the spot compression mode of the compression device, the operator should check the compression condition of the puncture site at any time, that is, whether there is bleeding, cyanosis, swelling, etc. at the puncture site. If the above situations occur, the operator needs to remove the compression device and change to manual compression. After stabilization, the compression device is fixed again and the surface compression mode is used for compression.

[0051] After the characteristic compression mode compresses for 15 minutes, the operator needs to attach the pulsation sensing device 24 to the strongest pulsation point of the right dorsal artery of the patient, that is, in front of the right ankle joint, at the midpoint of the connection line between the medial and lateral malleoli, and 0.5 cm outside the tendon of the extensor hallucis longus muscle. After attaching the pulsation sensing device 24, connect the pulsation sensing device 24 and the conduction catheter 23 through the buckle 27. At this time, the operator needs to pay attention to whether the alarm 26 lights up a red light. If the alarm 26 does not light up a red light, it means that the blood supply to the distal part of the patient's right lower limb is good; if the alarm 26 lights up a red light, it means that the blood supply to the distal part of the patient's right lower limb is poor and there is a risk of lower limb arterial thrombosis. The operator adjusts the mode knob 22 to the surface compression mode, then manually turns up the pressure knob 30, and observes the filling state of the bottom airbag 19 and the rising degree of the compression rod 3 until the red light of the alarm 26 goes out. Then connect the restraint belt 4, and fix the restraint belt 4 to the affected limb of the patient through three groups of buckles (buckle A - buckle F). Buckle A33 is connected to buckle B34 and fixed to the patient's waist; buckle C35 is connected to buckle D36, and buckle E37 is connected to buckle F38 to complete the "8" - shaped fixation. The operator needs to observe the hemostasis situation at the puncture site again. If the hemostasis situation is good, adjust the time key 31 to 8 hours, and instruct the patient and their family members that the patient needs to lie flat absolutely for 24 hours, keep the knee joint and hip joint horizontal for 24 hours, and call the operator to remove the compression device after 8 hours. Thus, the operation ends.

[0052] In summary, the present invention can complete the arterial compression operation after interventional surgery under the condition of single - person operation. Among them, the control device can freely select the compression mode, compression time and compression force, the compression device can be accurately and stably fixed at the puncture site, the restraint belt can reduce the skin damage caused by long - term compression of the patient, and the pulsation monitoring device can assist in evaluating the blood supply of the punctured limb of the patient, effectively prevent arterial thrombosis, and ultimately improve the prognosis quality of patients after interventional surgery.

Claims

1. A single-person adjustable arterial compression monitoring device after interventional surgery, characterized in that, It includes a control device and a pressure device, where: The compression device is provided with a base, and the base is connected with a restraint belt for fixing to the human body; inside the base, there are a top airbag, a bottom airbag and a compression rod. The top airbag can push the compression rod downward. A compression head is provided at the lower end of the compression rod. The bottom airbag is located at the bottom of the base and can squeeze downward in a planar shape; The control device includes a regulator and a suction pump. The suction pump is connected with a first suction catheter and a second suction catheter; the top airbag is connected to the suction pump through the first suction catheter, and the bottom airbag is connected to the suction pump through the second suction catheter; the regulator is connected to the suction pump and can control the suction pump to start the top airbag alone, or control the suction pump to start the top airbag and the bottom airbag simultaneously; An arterial pulsation analysis device is also provided in the control device, and the pulsation analysis device is connected with a pulsation sensing device through a conduction catheter.

2. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 1, wherein A pasteable hemostatic and wound healing gauze is provided outside the bottom airbag corresponding to the position directly below the compression head.

3. The single-person adjustable arterial compression monitoring device after interventional operation according to claim 1, wherein, A display device is provided in the control device. The display device includes a time display, a pressure display and a mode display; the display device is connected to the regulator. The regulator is provided with a time knob, a pressure knob and a mode knob. The time knob, the pressure knob and the mode knob are respectively connected to the time display, the pressure display and the mode display correspondingly, for adjusting the start time, inflation pressure and working mode of the top airbag and the bottom airbag. The working mode is divided into a point compression mode with the top airbag starting alone and a surface compression mode with the top airbag and the bottom airbag starting simultaneously.

4. The single-person adjustable arterial compression monitoring device after interventional operation according to claim 1, wherein The base includes a top plate and a left plate, a right plate, a front plate and a rear plate fixed to the four sides below the top plate; The top airbag abuts between the inner side of the top plate and the compression rod. One side of the compression rod connected to the top airbag is a cross beam. The two ends of the cross beam are connected to the left plate and the right plate through pulleys. Equal-height baffles are provided on the inner sides of the left plate and the right plate for controlling the lowest height of the compression rod; the lower side of the compression rod is a column body extending downward from the cross beam, and the compression head is fixed at the lower end of the column body; the bottom airbag is located below the compression head; The bottom airbag is a complete airbag or an elastic membrane hermetically connected to the bottom of the base. The elastic membrane forms a closed space with the base and can be inflated and expanded.

5. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 4, characterized in that, The top plate, the left plate, the right plate, the front plate and the rear plate are all made of transparent materials; the top airbag and the bottom airbag are both made of transparent materials.

6. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 1, wherein Connection valves are respectively arranged on the first suction catheter and the second suction catheter.

7. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 1, wherein The pulsation analysis device is also connected with an alarm.

8. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 1, wherein The conduction catheter and the pulsation sensing device are connected by a buckle.

9. The single-person adjustable arterial compression monitoring device after interventional surgery according to claim 1, characterized in that, The restraint belt is connected in a snap-fastener manner and has a total of three groups of snap fasteners. Two of the snap fasteners can be fixed in a shape similar to an "8"; the restraint belt is filled with sponge inside, and there are air holes on the surface of the restraint belt.

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