Pacemaker postoperative fixing device and using method thereofTechnical Field
The invention relates to the field of medicine, in particular to a medical auxiliary instrument, and particularly relates to a pacemaker postoperative fixing device and a using method thereof.
Background
Cardiac pacemaker implantation is a major approach to the treatment of irreversible cardiac pacing and conduction dysfunction diseases caused by various causes. Is commonly used for symptomatic bradycardia patients. The artificial cardiac pacemaker is implanted, and the pulse current with specific frequency is used to stimulate heart via conducting wire and electrode to replace cardiac pacing point to drive heart to beat.
Currently, after a permanent cardiac pacemaker implantation operation, the patient is required to be in a lying state, the incision is partially covered with a sterile dressing and then is pressed for four to six hours by a sand bag or a commercial salt bag, and the patient is required to lie in bed absolutely for three to seven days, meanwhile, the limb on the operation side is required to be braked absolutely, the limb on the left side can be taken to be in a lying position of 30 degrees after 24 hours, the limb on the operation side can be slightly moved after 3 days, but the upper limb on the operation side is limited to move within 7 days so as to prevent capsular bag bleeding or capsular bag hematocele and electrode dislocation.
The current traditional pacemaker implantation postoperative fixation and device has the following defects in use: firstly, the conventional sand or salt bag for compression hemostasis is simply laid at the incision or simply fixed by means of gauze wrapping, and even if the initially pressed position is correct, the bag is still displaced by a little careless during the pressing process. Once the bag is pressed and shifted, the bag is extremely easy to form the blood accumulation; secondly, the common compression mode adopts a wearable structure, so that patients have strong uncomfortable feeling when in use, the patients are easy to compress at multiple parts of the human body, the patients are easy to generate deep vein thrombosis due to long-time lying positions of the human body, particularly the absolute braking of limbs, and therefore fatal pulmonary embolism is caused, and few patients can also have joint ligament adhesion due to the limb braking at the operation side. The pain of patients is increased. Excessive in-vitro wearable structures cause secondary injury to the patient; in addition, the traditional compression mode adopts physical positioning compression, the tightness and the pressure coefficient of the traditional compression mode are not easy to observe and control, the pressure range is inaccurate, and the positioning compression efficiency is easy to be reduced due to overweight or overweight; in addition, the traditional positioning and fixing mode also has the phenomenon of easy deviation after positioning, and once the patient body moves, the deviation can occur between the positioning point and the incision position, so that the positioning failure is caused.
Therefore, the pacemaker postoperative fixing device and the pacemaker postoperative fixing method have the advantages of simple structure, ingenious design, accurate positioning pressure control, displacement generation prevention and falling phenomenon prevention, comfortable use, pain reduction of patients, postoperative risk reduction, simple and easy operation of the using method, and wide market prospect.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides the pacemaker postoperative fixing device which has the advantages of simple structure, ingenious design, accurate positioning pressure control, displacement prevention and falling-off phenomenon, comfortable use, pain reduction of patients, postoperative risk reduction, simple and easy operation using method and the using method thereof, and is used for overcoming the defects in the prior art.
The invention adopts the technical scheme that: the utility model provides a pacemaker postoperative fixing device, includes the fixed disk, the fixed band that has elasticity regulation hole that is connected with the both ends of fixed disk the fixed disk be discoid structure, the equal fixed mounting in both sides symmetry position of fixed disk have with the connection piece of fixed disk structure as an organic whole, the both ends of fixed band are connected with two connection pieces respectively, one side fixed mounting at the fixed disk has the accurate positioning fixing device of pressurization.
The installation direction of the fixing belt is opposite to that of the pressurizing accurate positioning fixing device, and the fixing belt and the pressurizing accurate positioning fixing device are respectively positioned at two sides of the fixing disc.
The pressurizing accurate positioning and fixing device comprises a central fixing air bag fixedly arranged at the central position of one side of the fixing disc, the central fixing air bag is communicated with an outer positioning and fixing air bag through an air bag connecting port, the outer positioning and fixing air bag is fixedly arranged on the fixing disc on the outer side of the central fixing air bag, the outer side of the outer positioning and fixing air bag is communicated with an air bag inflating and deflating one-way valve, and the inner sides of the central fixing air bag and the outer positioning and fixing air bag are fixedly connected with one side of the fixing disc in a pasting mode.
The connecting piece be convex sheet structure, the inboard of connecting piece is connected as an organic wholely structure with the circumference outside of fixed disk, has seted up fixed band installation bolt hole on the connecting piece, movable mounting has fastening bolt in this fixed band installation bolt hole, the fixed band passes through fastening bolt and this fixed band installation bolt hole installs in one side of connecting piece, elasticity regulation hole is seted up in the one end of fixed band, the aperture in elasticity regulation hole cooperatees with fastening bolt's diameter.
The outer side positioning and fixing air bag is characterized in that a limiting support block is fixedly mounted on a connecting sheet on the outer side of the outer side positioning and fixing air bag, the shape of the limiting support block is identical to that of the connecting sheet, the limiting support block is of an arc-shaped block structure supported by sponge, and the inner side of the limiting support block is fixedly connected with the connecting sheet in a pasting mode.
The central fixed air bag is of a circular sheet-shaped air bag body structure, the circle center of the central fixed air bag is coincident with the circle center of the fixed disc, the fixed disc is of a discoid structure made of transparent hard plastic, one side of the air bag connecting port is communicated with the central fixed air bag, the other side of the air bag connecting port is communicated with the outer side positioning fixed air bag, the outer side positioning fixed air bag is of a circular air bag body structure, and the installation positions of the air bag inflation and deflation one-way valves are mutually corresponding to the air bag connecting port.
The thickness of the limiting support block is not less than the thickness of the outer positioning fixing air bag before inflation, the thickness of the central fixing air bag is equal to the thickness of the outer positioning fixing air bag after inflation, and the thickness of the central fixing air bag after inflation is not less than the thickness of the limiting support block.
The application method of the pacemaker postoperative fixing device comprises the following steps: before the use, with the fixed band suit in the unilateral shoulder position of disease, make the center of fixed disk to pacemaker postoperative fixed point, the inboard of fixed band is with the periphery contact of patient left side shoulder, the elasticity degree after the regulation is fixed through elasticity regulation hole, guarantee that fixed back fixed disk can not drop, then use the outside aerating device that has the gas pressure flow meter to aim at gasbag inflation and deflation check valve and aerify, the reading according to the gas pressure flow meter is to implementing to aerify, and use outside aerating device according to patient's specific condition, after central fixed gasbag and outside location fixed gasbag aerify and bulge, central fixed gasbag is aimed at pacemaker postoperative fixed point, outside location fixed gasbag forms the holding ring in the outside, implement the pressurization operation with central fixed gasbag, and implement the location operation with outside location fixed gasbag.
The invention has the beneficial effects that: firstly, the traditional fixed placement of a sand bag or a salt bag is abandoned, the whole body is not wound and fixed by gauze, the whole body of the postoperative pacemaker can be fixed by only a small piece of sterile cloth on a positioning point pad, medical consumables are saved, the trouble of winding bandages by nurses is reduced, the whole visual operation is obvious, and the fixing plate and the two air bags are made of transparent materials, so that the observation of the operation of medical staff is facilitated; secondly, the complex structure arrangement of the traditional wearing type structure is overcome, the whole structure is completed by only one fixing belt with adjustable tightness, the complex structure of the traditional clothes wearing structure or at least two fixing belts is avoided, the fixing operation is completed by utilizing one fixing belt, meanwhile, the fixing is realized by matching with the friction force between the outside positioning fixing air bag and the skin of a human body, the uncomfortable feeling of the excessive wearing structure of a patient is reduced, the compression of the human body part is reduced, and the secondary injury of the patient is avoided; in addition, the defect that the traditional compression mode mostly adopts physical positioning compression is overcome, the traditional mechanical spiral compression mode is abandoned, the operation of air bag inflation is accurately controlled, the pressure value is controllable and observable, the accurate pressure supply is realized, and the defect that the positioning compression efficiency is low due to overweight or overweight is avoided; in addition, overcome traditional location and fixed mode and had the emergence of easy skew phenomenon after the location, utilize the fixed gasbag of outside location to fix a position with the fixed realization of friction of skin and fixed band, can not take place the skew, improved the success rate of location to through the fixed gasbag of outside location and the fixed gasbag of center dual location pressurization effect, realized accurate location.
Drawings
Fig. 1 is a schematic structural view of the present invention.
FIG. 2 is a schematic view of the structure of the pressing accurate positioning fixing device in the invention.
Fig. 3 is a schematic side view of the fig. 2 structure of the present invention.
Detailed Description
As shown in fig. 1,2 and 3, the postoperative fixing device for the pacemaker comprises a fixing disc 1 and a fixing belt 4 with an tightness adjusting hole 10, wherein the fixing belt 4 is connected with two ends of the fixing disc 1, the fixing disc 1 is of a disc-shaped structure, connecting pieces 2 which are integrated with the fixing disc 1 are fixedly arranged at symmetrical positions on two sides of the fixing disc 1, two ends of the fixing belt 4 are respectively connected with two connecting pieces, and one side of the fixing disc 1 is fixedly provided with a pressurizing accurate positioning fixing device. The installation direction of the fixing belt 4 is opposite to that of the pressurizing precise positioning fixing device, and the fixing belt 4 and the pressurizing precise positioning fixing device are respectively positioned at two sides of the fixing disc 1.
The pressurizing accurate positioning and fixing device comprises a central fixing air bag 9 fixedly arranged at the central position of one side of the fixing disc 1, the central fixing air bag 9 is communicated with an outer positioning and fixing air bag 7 through an air bag connecting port 8, the outer positioning and fixing air bag 7 is fixedly arranged on the fixing disc 1 outside the central fixing air bag 9, the outer side of the outer positioning and fixing air bag 7 is communicated with an air bag inflating and deflating one-way valve 5, and the inner sides of the central fixing air bag 9 and the outer positioning and fixing air bag 7 are fixedly connected with one side of the fixing disc 1 in a pasting mode.
The connecting piece 2 be convex sheet structure, the inboard of connecting piece 2 is connected as an organic whole structure with the circumference outside of fixed disk 1, has seted up the fixed band installation bolt hole on connecting piece 2, this fixed band installation bolt hole internal movable mounting has fastening bolt 3, the fixed band 4 passes through fastening bolt 3 and this fixed band installation bolt hole installs in one side of connecting piece 2, elasticity regulation hole 10 is seted up in the one end of fixed band 4, the aperture of elasticity regulation hole 10 cooperatees with the diameter of fastening bolt 3. The connecting piece 2 outside the outside fixed gasbag 7 on fixed mounting have spacing supporting shoe 6, the shape of spacing supporting shoe 6 is the same with the shape and the size of connecting piece 2, spacing supporting shoe 6 adopts the arc cubic structure that the sponge supported, the inboard of spacing supporting shoe 6 is through mode and connecting piece 2 fixed connection of pasting.
The center fixed airbag 9 is of a circular sheet-shaped airbag body structure, the center of the center fixed airbag 9 coincides with the center of the fixed disc 1, the fixed disc 1 is of a disc-shaped structure made of transparent hard plastic, one side of an airbag connecting port 8 is communicated with the center fixed airbag 9, the other side of the airbag connecting port 8 is communicated with an outer positioning fixed airbag 7, the outer positioning fixed airbag 7 is of a circular airbag body structure, and the installation positions of the airbag inflation and deflation one-way valves 5 correspond to the airbag connecting port 8. The thickness of the limiting support block 6 is not smaller than the thickness of the outer positioning fixing air bag 7 before inflation, the thickness of the central fixing air bag 9 is equal to the thickness of the outer positioning fixing air bag 7 after inflation, and the thickness of the central fixing air bag 9 after inflation is not smaller than the thickness of the limiting support block 6.
The application method of the pacemaker postoperative fixing device comprises the following steps: before the use, need not to fix through the mode of gauze winding to patient incision department, the incision position directly fill one deck hemostatic cotton patient medical sterile gauze that corresponds with pacemaker incision position size can, with fixed band 4 suit in patient's unilateral shoulder position, specifically suit in patient's left side keyboard armpit position, make the center of fixed disk 1 to pacemaker postoperative fixed point, the inboard of fixed band 4 is in contact with the periphery of patient's left side shoulder, the top of fixed band 4 is located patient's left side shoulder top and leans on right side position, the bottom of fixed band is located patient's left side shoulder armpit position, the elasticity degree after adjusting through elasticity regulation hole 10, guarantee that fixed back fixed disk 1 can not drop, then use the outside air inflation device that has the gas pressure flow meter to aim at gasbag gassing check valve 5, carry out the inflation according to the reading of gas pressure flow meter, and use outside air inflation device according to patient's specific condition, after center fixed gasbag 9 and outside location fixed gasbag 7 are inflated, center fixed gasbag 9 is aimed at pacemaker postoperative, outside location fixed gasbag 7 forms the fixed point in the outside location balloon, location balloon 7 is formed in the outside location fixed ring, the fixed operation is carried out to the location gasbag location operation with the utilization, location gasbag location operation is carried out.