【０００１】[0001]
【産業上の利用分野】本発明は医療用押圧止血器具に関
するものであり、より詳細には動／静脈系にカテーテル
又はイントロジューサー等を経皮的に挿入し、これを抜
去した際に、抜去した後に残存する穿刺創部を効率よ
く、しかも患者に苦痛を与えることなく押圧止血するこ
とのできる押圧止血器に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical pressure hemostatic device, more specifically, a catheter or introducer or the like is percutaneously inserted into an arterial / venous system, and when the catheter is removed, the device is removed. The present invention relates to a pressure hemostatic device capable of efficiently performing hemostatic pressure on the puncture wound portion remaining after the operation without causing pain to the patient.
【０００２】[0002]
【従来の技術】従来心臓病の治療検査等において動／静
脈系にカテーテル又はイントロジュサーを経皮的に挿入
する場合、カテーテル又はイントロジューサーを抜去し
た後の穿刺創部の止血は医師が該創部を出血が停止する
ま指圧して止血するのが通常であった。2. Description of the Related Art When a catheter or an introducer is percutaneously inserted into an arterial / venous system in a treatment test for heart disease, etc., a hemostasis of a puncture wound after removal of the catheter or introducer is performed by a doctor. It was usual to stop the bleeding by acupressure until the bleeding stopped.
【０００３】この穿刺創部の止血に要する時間は通常２
０〜４０分以上にも及び、その間医師は他の作業に従事
することができないだけでなく、長時間の間該創部を押
圧することの苦痛に耐えなければならなかった。更に、
患者はこの間全く移動することができず、このため手術
室又は処置室が長時間患者及び医師により占有されると
いう不都合があった。The time required for hemostasis of the puncture wound is usually 2
Not only did the doctor not be able to engage in other tasks during the 0 to 40 minutes or more, during which time he also had to endure the pain of pressing the wound for a long time. Furthermore,
The patient cannot move at all during this, which has the disadvantage that the operating room or treatment room is occupied by the patient and the doctor for a long time.
【０００４】このような不便を解消する手段として、締
付用バンド又は止血用抑止帯により穿刺創部を圧迫止血
する提案がなされている（実開昭５９−１８３２０６号
公報、特開昭６１−７１０５号公報）。As a means for eliminating such inconvenience, it has been proposed to press and bleed the puncture wound with a tightening band or a hemostatic restraining band (Japanese Utility Model Laid-Open No. 59-183206 and Japanese Patent Laid-Open No. 61-7105). Publication).
【０００５】しかしながらこのような締付用バンド又は
止血抑止帯等は、患者の腰部、大腿部等に捲装して締め
つけるものであるため、穿刺創部以外の人体部分を強く
圧迫し、患者に圧迫痛や、掻痒感を与えると共に、取扱
が不便で装着安定性も未だ十分ではないという欠点があ
った。However, since such a band for tightening or a hemostatic band is to be wound around the patient's lumbar region, thigh, etc., and tightened, the human body part other than the puncture wound is strongly pressed to the patient. It has a drawback that it gives pressure pain and itching sensation, it is inconvenient to handle, and the wearing stability is still insufficient.
【０００６】又、圧迫片等の押圧体を用い穿刺創部を該
圧迫片又は押圧体で押圧止血する器具もすでに提案され
ており、たとえば実開昭６１−８２６０９号公報には、
台板に直立する支柱を設け、支柱に上下に自由にスライ
ドできるアームを取りつけ、該アームに圧迫片を支持す
る圧迫片支持体をアーム上を台座に平行に自由にスライ
ドして移動出来る状態に取付けることにより穿刺創部に
該圧迫片を押圧して止血する圧迫止血器が開示されてい
る。Further, there has already been proposed a device which uses a pressing body such as a pressing piece to press and stop a puncture wound part with the pressing piece or the pressing body. For example, Japanese Utility Model Publication No. 61-82609 discloses.
Providing an upright support on the base plate, attaching an arm that can slide up and down freely to the support, and putting the compression piece support that supports the compression piece on the arm so that it can slide freely on the arm parallel to the pedestal A compression hemostasis device is disclosed that presses the compression piece against the puncture wound portion to attach it to stop bleeding.
【０００７】しかしながらこの圧迫止血器は、構造上重
量が重く運搬や取扱が非常に不便な上に、一度圧迫片を
穿刺創部に押圧固定すると、患者はその体の位置を全く
移動さすことができず、患者に苦痛を強いる等の欠点が
あり、前記した課題の解決には十分とは云えなかった。[0007] However, this compression hemostat is heavy in structure and very inconvenient to carry and handle, and once the compression piece is pressed and fixed to the puncture wound, the patient can completely move the position of the body. However, there are drawbacks such as complaining to the patient, which cannot be said to be sufficient for solving the above-mentioned problems.
【０００８】[0008]
【発明が解決しようとする課題】従って本発明の目的
は、軽量で運搬が容易であり、しかも取扱が簡単で、安
全に操作出来るだけでなく、穿刺創部に押圧体を位置さ
せ、該部分を押圧固定した後に患者が身体の位置を移動
させても押圧体が固定位置から容易にずれることのない
装着安定性に優れた治療用押圧止血器を提供することに
ある。SUMMARY OF THE INVENTION Therefore, the object of the present invention is not only light weight, easy to carry, easy to handle and safe to operate, but also to position the pressing body on the puncture wound part, and An object of the present invention is to provide a therapeutic pressing hemostatic device which is excellent in mounting stability and does not easily deviate from the fixed position even if the patient moves the body position after pressing and fixing.
【０００９】本発明の他の目的は、押圧体が透明に形成
されているため穿刺創部の止血の状態が外部より容易に
監視することができ、これにより押圧体の穿刺創部押圧
圧力を適正に調整することのできる止血効果に優れた押
圧止血器を提供することにある。Another object of the present invention is that since the pressing body is made transparent, the hemostasis state of the puncture wound can be easily monitored from the outside, whereby the pressing pressure of the puncture wound on the pressing body can be properly adjusted. (EN) It is an object to provide a pressing hemostatic device that can be adjusted and has an excellent hemostatic effect.
【００１０】本発明の更に他の目的は、押圧体が柔軟で
伸縮可能な中空成形体で気密に形成され、該中空部にポ
ンプ等により導入管を通して空気等の気体を圧入するこ
とにより押圧体の穿刺創部への押圧圧力を自由に調整で
きる押圧調整機構を備えた押圧止血器を提供することに
ある。Still another object of the present invention is that the pressing body is formed of a flexible and expandable hollow molded body in an airtight manner, and a gas such as air is pressed into the hollow portion through an introduction pipe by a pump or the like to press the pressing body. Another object of the present invention is to provide a pressure hemostatic device including a pressure adjusting mechanism capable of freely adjusting the pressure applied to the puncture wound part.
【００１１】[0011]
【課題を解決するための手段】本発明によれば、経皮的
に挿入したカテーテル又はイントロジューサーを抜去し
た後の鼠径部に残存する穿刺創部を押圧して止血するた
めの押圧止血器において、該止血器が穿刺創口部の周辺
部を押圧する押圧体１を備えた押圧支持体２と、該押圧
体１を穿刺創口に位置させ、且つ密着固定させるための
締結帯３とから成ることを特徴とする押圧止血器が提供
される。According to the present invention, in a pressing hemostat for pressing a puncture wound remaining in the groin after removing the catheter or introducer inserted percutaneously to stop the bleeding, The hemostatic device comprises a pressing support body 2 having a pressing body 1 for pressing the peripheral portion of the puncture wound area, and a fastening band 3 for locating the pressing body 1 at the puncture wound area and closely fixing the pressing body 1. A featured pressure tourniquet is provided.
【００１２】[0012]
【作用】押圧止血器は、穿刺創部よりの出血を適正に止
血し、しかも過度の押圧により患者に苦痛を与えたり、
創口周辺部等に血腫を生じないようにしなければならな
い。[Function] The press hemostat properly stops bleeding from the puncture wound, and also causes pain to the patient due to excessive pressing,
It is necessary to prevent hematoma from occurring around the wound.
【００１３】このためには、押圧体の圧力を適正な値に
自由に調整できると共に押圧体が該穿刺創部のセット位
置から容易にずれることのない構造であることが重要で
ある。更に軽量であると共に取扱が容易でしかも安全で
あることが好ましい。For this purpose, it is important that the pressure of the pressing body can be freely adjusted to an appropriate value and the pressing body does not easily deviate from the set position of the puncture wound portion. Further, it is preferable that it is lightweight, easy to handle, and safe.
【００１４】本発明の押圧止皿器は、穿刺創部を押圧し
て該創部よりの出血を止血する役割を果たす押圧体１
が、該押圧体を支持し、押圧体を穿刺創部に適正に位置
させると共に、該部に押圧密着させ、固定させる作用を
する通常皿型又はアーチ形をした押圧支持体２上に配備
され、これに該支持体２を人体大腿部、胸部等に締結
し、その長さを調節することにより押圧体１を創部に適
正に押圧固定する役割を果たす締結帯３との組合せより
なり、これらの相互作用により上述要件を充足する点が
特徴である。The pressure stop plate of the present invention is a pressing body 1 which plays a role of pressing a puncture wound part to stop bleeding from the wound part.
Is supported on the pressing support 2, which is a dish-shaped or arch-shaped pressing support 2 which has a function of supporting the pressing body, appropriately positioning the pressing body at the puncture wound portion, pressingly adhering to the portion, and fixing. The support body 2 is fastened to the thigh, the chest, etc. of the human body, and the length of the support body 2 is adjusted to appropriately press and fix the pressing body 1 to the wound area. The feature is that the above requirements are satisfied by the interaction of.
【００１５】本発明において、押圧体１は、創口周辺部
を押圧した際、この部分に違和感を与えないために、必
ずしもこれに限定されるものではないが、創口部と接触
する部分が皿型、半球型、半楕円球型、又はかまぼこ型
等、接触部に角を持たない形状のものが好ましい。In the present invention, the pressing body 1 is not necessarily limited to this because it does not give an uncomfortable feeling to this part when the peripheral part of the wound is pressed, but the part which comes into contact with the wound part is dish-shaped. , Hemispherical type, semi-elliptic type, or kamaboko type, such that the contact portion has no corner is preferable.
【００１６】又、該材質は、金属、木材、ガラス等の硬
質の材料を用いて形成することもできるが、ゴム、スポ
ンジ、プラスチック等の軟質で弾力性を有し、しかも生
体適合性のある材質で形成されているのが好ましい。The material may be made of a hard material such as metal, wood, glass, etc., but it is soft and elastic such as rubber, sponge, plastic, etc. and is biocompatible. It is preferably made of a material.
【００１７】又該押圧体を創口部に押圧固定した際に創
口部の止血の状態を外部より監視し、押圧力を微調整す
る必要がある場合が多く、このため、押圧体は透明で、
創口部の状態が外部より透視出来るような材質及び形状
を有したものが好ましい。It is often necessary to finely adjust the pressing force by externally monitoring the hemostatic state of the wound portion when the pressing body is pressed and fixed to the wound portion. Therefore, the pressing body is transparent.
It is preferable to use a material and a shape that allow the state of the wound part to be seen through from the outside.
【００１８】後に述べるように、本発明の押圧体として
は、材質が柔軟で伸縮可能な中空成形体で形成され、且
つ該中空部が気密性を有する構造となっており、この部
分に空気等の気体を細い導入管等より圧入し、該中空体
の膨張により押圧体の創部周辺押圧力を自由に調整出来
る構造のものが最も好適である。As will be described later, as the pressing body of the present invention, the material is made of a flexible and expandable hollow molded body, and the hollow portion has an airtight structure. It is most preferable to use a structure in which the gas of (3) is press-fitted through a thin introduction tube or the like, and the pressing force around the wound portion of the pressing body can be freely adjusted by expanding the hollow body.
【００１９】このような押圧体としては、具体的には、
図３の符号１で図示されているような押圧包を挙げるこ
とができる。このような押圧包は、柔軟で、弾性を有す
るプラスチック材料たとえば、ポリエチレン系樹脂、ポ
リプロピレン系樹脂、ナイロン、ポリエステル系樹脂、
シリコンゴム、フッ素系樹脂、ポリカーボネート樹脂等
で作製することができる。As such a pressing body, specifically,
There may be mentioned a pressure envelope as shown by reference numeral 1 in FIG. Such a pressure package is a flexible and elastic plastic material such as polyethylene resin, polypropylene resin, nylon, polyester resin,
It can be made of silicon rubber, fluorine resin, polycarbonate resin, or the like.
【００２０】押圧体は、直接創部に接触するか又は、該
表面接触部をフィルム、布等で覆った状態で接触するも
のであるから、該押圧体の創部接触部は少くとも使用毎
に滅菌消毒されていることが必要で、この理由により、
押圧体自身又は少くとも創部接触部は押圧支持体から取
りはずし出来る構造であることが好ましい。通常は、押
圧体自体がサポートリング等を介して押圧支持体に螺合
又は嵌合する構造のものが使用される。Since the pressing body comes into direct contact with the wound portion, or the surface contact portion is covered with a film, cloth, etc., the wound portion of the pressing body is sterilized at least at each use. It must be disinfected and for this reason
It is preferable that the pressing body itself or at least the wound contact portion has a structure that can be detached from the pressing support body. Usually, a structure in which the pressing body itself is screwed or fitted to the pressing support body via a support ring or the like is used.
【００２１】しかしながら、本発明においては、押圧支
持体と押圧体が一体に形成された構造のものも包含さ
れ、この場合は、押圧支持体の創部接触表面を滅菌消毒
したフィルム等で覆い使用時毎に交換する等の使用形態
が採用される。However, the present invention also includes a structure in which the pressing support and the pressing body are integrally formed, and in this case, the wound contact surface of the pressing support is covered with a sterilized film or the like before use. A usage pattern such as exchanging each time is adopted.
【００２２】本発明の押圧支持体２は押圧体１を支持
し、該押圧体を穿刺創部に適正に配置させると共に該部
に密着固定させる作用を有し、その形状は必ずしも限定
されるものではないが通常穿刺創口が大腿部に位置して
いる場合は、図１において図示しているようなアーチ形
状のものが使用され、穿刺創口が胸部に位置している場
合は図６において示されている皿型形状のものが好適に
使用される。The pressing support 2 of the present invention has a function of supporting the pressing body 1 and appropriately arranging the pressing body at the puncture wound portion and closely fixing it to the puncture wound portion, and its shape is not necessarily limited. Usually, when the puncture wound is located in the thigh, an arched shape as shown in FIG. 1 is used, and when the puncture wound is located in the chest, it is shown in FIG. A dish-shaped plate is preferably used.
【００２３】該押圧支持体は、次に述べる締結帯３と共
に押圧体２を創部に適正に位置させ、押圧体の創部への
押圧力を適正に保持させると共に、患者がその身体の位
置又は体位を移動させた場合においても押圧体の位置及
び押圧力が変化することがないようにする上で重要な役
割を果たすものである。The pressing support properly positions the pressing body 2 in the wound area together with the fastening band 3 described below so that the pressing force of the pressing body on the wound area is properly maintained, and the patient is in the position or position of the body. It also plays an important role in preventing the position and the pressing force of the pressing body from changing even when is moved.
【００２４】上述の機能を果たすため、本発明の押圧支
持体の内、前記したアーチ型の形状を有するものは、押
圧体１がその長手方向の中央に位置せず、該中央点から
長手方向に、該押圧支持体の全長の１／６〜１／３の長
さだけ偏倚した位置に配されていることが好ましく、こ
の構造の故に、本発明の押圧止血器は、装着時におい
て、安定した押圧止血作用を保持できると共に、患者の
身体移動に対しても、押圧体が創部よりずれる等のトラ
ブルを起すことがない。In order to perform the above-mentioned function, among the pressing supports of the present invention having the above-mentioned arched shape, the pressing body 1 is not located at the center in the longitudinal direction, but the longitudinal direction from the center point. In addition, it is preferable that the pressing support is arranged at a position deviated by a length of 1/6 to 1/3 of the entire length of the pressing support. Due to this structure, the pressing hemostat of the present invention is stable when mounted. The pressing hemostatic action can be maintained, and the pressing body does not cause a trouble such as displacement from the wound even when the patient moves.
【００２５】この位置は、穿刺創口が大腿部にある場合
通常大腿上部の特定位置に位置していることから、該部
分を押圧する押圧体１の位置と押圧支持体２の両端部に
係合する締結帯３の両端の力点バランスの関係より発明
者が実験的、経験的に知得したものである。また押圧支
持体が皿型形状の場合は、締結帯は対向する２周辺部に
おいて締結又は繋止する構造のものも使用され得るが、
この止血器を胸部穿刺創口に適用する場合は、その装着
安定性の上から、少なくとも３周辺部で締結帯により締
結又は繋止する構造のものが好ましい。Since this position is normally located at a specific position on the upper thigh when the puncture wound is located on the thigh, it is associated with the position of the pressing body 1 for pressing the part and both ends of the pressing support 2. The inventor has experimentally and empirically learned from the relationship of the power point balance at both ends of the fastening band 3 to be joined. Further, when the pressing support has a dish shape, the fastening band may have a structure in which it is fastened or locked at two peripheral portions facing each other.
When this hemostatic device is applied to a chest puncture wound, it is preferable that it has a structure in which at least three peripheral portions are fastened or locked by fastening bands in view of its wearing stability.
【００２６】又本発明の押圧支持体２には押圧体１の押
圧力を調整するため、該押圧体を上下に移動さすことの
できるネジ機構又は、スプリング機構が設けられている
ものも包含される。このような機構が装備された押圧止
血器は、押圧力の調整が容易で、締結帯の長さを調節す
ることによる押圧調整を省略することができる利点を有
する。The pressing support 2 of the present invention also includes a pressing mechanism for adjusting the pressing force of the pressing body 1 which is provided with a screw mechanism or a spring mechanism capable of moving the pressing body up and down. It The pressing hemostatic device equipped with such a mechanism has an advantage that the pressing force can be easily adjusted and the pressing adjustment by adjusting the length of the fastening band can be omitted.
【００２７】更に、本発明の押圧支持体は運搬に便利
で、装着，脱着等の取扱が容易なように軽量で強靭な材
質で作成されていることが好ましく、このような材料と
しては、アルミ合金等の軽金属，木材，プラスチック等
を挙げることができる。Further, it is preferable that the pressing support of the present invention is made of a light and tough material so that it can be easily carried and easily handled such as mounting and demounting. As such a material, aluminum can be used. Examples include light metals such as alloys, wood, plastics, and the like.
【００２８】本発明の締結帯３は、前記押圧体１を備え
た押圧支持体２を穿刺創部近くの人体部分たとえば大腿
部，腰部，胸部等に締結し、押圧支持体２を固定させる
役割を役すものである。The fastening band 3 of the present invention serves to fix the pressing support 2 by fastening the pressing support 2 having the pressing body 1 to a human body portion near the puncture wound, such as a thigh, a waist, a chest. Is used.
【００２９】通常は、図１〜図７において図示したよう
に、ベルト状のものが使用されるが、ゴムベルト，皮ベ
ルト，布製ベルト等が好適に使用される。締結帯（３）
の幅は必ずしもこれに限定されるものではないが、通常
少なくも１０ｃｍ以上の幅を有していることが押圧器の
締結安定性の見地から好ましい。Usually, as shown in FIGS. 1 to 7, belt-shaped members are used, but rubber belts, leather belts, cloth belts and the like are preferably used. Fastening band (3)
The width is not necessarily limited to this, but it is usually preferable that the width is at least 10 cm or more from the viewpoint of fastening stability of the pressing device.
【００３０】本発明の締結帯３は、少なくともその一端
を、押圧支持体２の長手方向端部又は周辺部に繋止でき
る構造となっており、その締結帯の長さは自在に調整で
きることが必要である。本発明の一態様において、押圧
体がその押圧圧力を独自に調整できない構造の場合は、
該押圧体の穿刺創部の押圧圧力は、この締結帯の長さを
調節することにより調整される。The fastening band 3 of the present invention has a structure in which at least one end thereof can be connected to the longitudinal end portion or the peripheral portion of the pressing support 2, and the length of the fastening band can be freely adjusted. is necessary. In one aspect of the present invention, when the pressing body has a structure in which the pressing pressure cannot be independently adjusted,
The pressing pressure of the puncture wound part of the pressing body is adjusted by adjusting the length of this fastening band.
【００３１】本発明の締結帯３を押圧支持体２に繋止す
る方法及び締結帯の長さを調節する方法に関しては任意
であるが、図１の符号４に図示されているようなベルト
ロックを使用すると、繋止と締結帯の長さの調節を同時
に行うことが出来て好適である。The method for locking the fastening band 3 to the pressing support 2 and the method for adjusting the length of the fastening band of the present invention are arbitrary, but a belt lock as shown by reference numeral 4 in FIG. The use of is preferable because it is possible to simultaneously perform locking and adjusting the length of the fastening band.
【００３２】本発明の押圧止血器を使用する場合におい
て、押圧体の穿刺創部への押圧力は、穿刺創部の位置，
創口の状態等により変化するが、通常カテーテル又はイ
ントロジューサーを抜去する直前には、創口部近傍の人
体表面における圧迫圧力が５０〜１５０ｍｍＨｇ程度と
なるようにセットされる。次にカテーテル又はイントロ
ジューサーを抜去した直後は１５０〜２５０ｍｍＨｇ程
度に昇圧し、該穿刺創部が一旦止血した後においては４
０〜１６０ｍｍＨｇの圧力に減じ、以後その圧力を保持
する。When the pressure hemostatic device of the present invention is used, the pressing force of the pressing body on the puncture wound portion depends on the position of the puncture wound portion,
Although it changes depending on the state of the wound, etc., usually, immediately before the catheter or introducer is removed, the compression pressure on the human body surface near the wound is set to about 50 to 150 mmHg. Immediately after the catheter or introducer is removed, the pressure is increased to about 150 to 250 mmHg, and after the puncture wound is once bleeding,
The pressure is reduced to 0 to 160 mmHg, and the pressure is maintained thereafter.
【００３３】本発明の押圧止血器において、このような
押圧力の調節は、本発明の最も簡単な構成態様である図
１の場合には締結帯の長さを調整することにより、又押
圧体を上下させるネジ機構又はスプリング機構を備えた
態様である図４の場合は、ネジ又はスプリング機構で調
節するか、これと締結帯の長さの調節を併用することに
より逐行される。In the pressure hemostatic device of the present invention, such adjustment of the pressing force can be achieved by adjusting the length of the fastening band in the case of FIG. In the case of FIG. 4 in which a screw mechanism or a spring mechanism for moving up and down is provided, the adjustment is performed by the screw or spring mechanism, or this is combined with the adjustment of the length of the fastening band.
【００３４】更に第３の態様である該押圧体が中空包で
形成され、包内部に気体等を圧入する機構を備えたもの
である場合は、該機構の空気圧操作によりあるいは必要
によりこれと締結帯との長さの調節により各々その押圧
圧力を適正に調節する。Further, in the case where the pressing body of the third aspect is formed of a hollow package and is provided with a mechanism for pressurizing gas or the like into the inside of the package, it is fastened by pneumatic operation of the mechanism or if necessary. By adjusting the length of the belt, the pressing pressure is adjusted appropriately.
【００３５】このような調節は、手動により操作するこ
とは勿論、自動的にネジ機構，スプリング機構等を作動
させ、又はポンプによる空気等の圧入をコック等で自動
調節することにより達成できることは自明である。It is obvious that such adjustment can be achieved not only by manual operation but also by automatically operating a screw mechanism, a spring mechanism or the like, or by automatically adjusting the press-fitting of air or the like by a pump with a cock or the like. Is.
【００３６】[0036]
【発明の好適態様】以下本発明の好適態様を図面に基ず
き説明する。BEST MODE FOR CARRYING OUT THE INVENTION Preferred embodiments of the present invention will be described below with reference to the drawings.
【００３７】本発明の押圧止血器の一例を示す図１（斜
視図）において、１は押圧体，２は押圧支持体，３は締
結帯を各々表わす。押圧支持体２にはその長手方向両端
にベルトロックが設けられており、これにより締結帯
（この場合は布製ベルト）を繋止すると共にその長さを
自在に調節する。図１においては押圧体１は押圧支持体
２に螺合により契合する構造となっている。In FIG. 1 (perspective view) showing an example of the pressing hemostatic device of the present invention, 1 is a pressing body, 2 is a pressing support, and 3 is a fastening band. Belt locks are provided on both ends of the pressing support 2 in the longitudinal direction, whereby a fastening band (a cloth belt in this case) is locked and its length is freely adjusted. In FIG. 1, the pressing body 1 is structured to engage with the pressing support body 2 by screwing.
【００３８】図１に図示した態様の押圧止血器では、押
圧体１の押圧圧力はベルトの長さをベルトロックにより
調節することにより逐行される。In the pressing hemostat of the embodiment shown in FIG. 1, the pressing pressure of the pressing body 1 is executed by adjusting the belt length by the belt lock.
【００３９】図２はこの押圧止血器を装着し、穿刺創部
を押圧した際の状態を表す断面図である。FIG. 2 is a cross-sectional view showing a state in which the pressing hemostat is attached and the puncture wound part is pressed.
【００４０】図３は、本発明の他の一態様を示す押圧止
血器の斜視図であって、押圧体１が透明な伸縮自在の中
空包からなり、該中空包は押圧支持体２とサポートリン
グを介して気密に契合している。該中空包の内部にはス
トップコック７を備えた導入管６を通してポンプ８によ
り内部に空気を圧入することができる構造となってい
る。この図３の態様の押圧止血器の操作方法については
後に述べる。FIG. 3 is a perspective view of a pressing hemostat according to another embodiment of the present invention, in which the pressing body 1 is made of a transparent, expandable and contractible hollow package, and the hollow package has a pressing support 2 and a support. It is tightly engaged through the ring. The hollow package has a structure in which air can be forced into the interior by a pump 8 through an introduction pipe 6 equipped with a stop cock 7. A method of operating the pressure hemostat of the embodiment of FIG. 3 will be described later.
【００４１】図４は、本発明の押圧止血器において、押
圧支持体２から押圧体１を上下に移動させ押圧を調整で
きるネジ機構が設けられた押圧止血器の斜視図を示す。FIG. 4 is a perspective view of a pressing hemostat provided with a screw mechanism capable of vertically moving the pressing body 1 from the pressing support 2 in the pressing hemostat of the present invention.
【００４２】該ネジ機構に代えてバネにより押圧を調節
する機構を備えた押圧止血器もまた本発明の態様に包含
される。A pressure hemostatic device provided with a mechanism for adjusting the pressure by a spring instead of the screw mechanism is also included in the embodiments of the present invention.
【００４３】図５は、本発明の押圧止血器の押圧体１と
押圧支持体２とが一体に形成された態様を示す押圧止血
器の斜視図である。FIG. 5 is a perspective view of the pressing hemostatic device showing a mode in which the pressing body 1 and the pressing support body 2 of the pressing hemostatic device of the present invention are integrally formed.
【００４４】図６は、本発明の押圧止血器の態様の内押
圧支持体２が皿型の形状をした押圧止血器の斜視図であ
る。また図７は上述図６の押圧止血器の装着状態の一例
を示す概略図である。FIG. 6 is a perspective view of a pressing hemostat in which the inner pressing support 2 of the embodiment of the pressing hemostat of the present invention has a dish shape. FIG. 7 is a schematic view showing an example of a mounted state of the pressure hemostat of FIG.
【００４５】本発明は上述した構成を有する押圧止血器
の発明であるが、本発明の押圧止血器を操作する具体的
手順について以下に説明する。なお手順は、本発明の止
血器の態様のうち図３に記載された態様の止血器を中心
に述べる。The present invention is an invention of the pressure hemostatic device having the above-mentioned structure. The specific procedure for operating the pressure hemostatic device of the present invention will be described below. The procedure will be described focusing on the hemostatic device of the embodiment shown in FIG. 3 among the hemostatic devices of the present invention.
【００４６】止血器をカテーテル又はイントロジューサ
ーが挿入されている状態で、該挿入創口部の近くに運
び、先ず締結ベルト３を患者の大腿部の下側を通して配
置する。押圧支持体２を持ち、押圧体１が患者の穿刺創
部に位置するようにあてる。The tourniquet is carried near the insertion wound with the catheter or introducer inserted and the fastening belt 3 is first placed through the underside of the patient's thigh. Hold the pressing support 2 so that the pressing body 1 is positioned at the puncture wound of the patient.
【００４７】締結ベルト３を押圧支持体２の両端にある
ベルトロックで止め押圧支持体を固定する。この時カテ
ーテル又はイントロジューサーが挿入された状態での穿
刺創口周辺部の押圧体１の圧力は５０〜１５０ｍｍＨｇ
の範囲に調整する。The fastening belt 3 is stopped by belt locks at both ends of the pressing support 2, and the pressing support is fixed. At this time, the pressure of the pressing body 1 around the puncture wound opening with the catheter or the introducer inserted is 50 to 150 mmHg.
Adjust to the range of.
【００４８】次にカテーテル又はイントロジューサーを
抜去し、この時ポンプ８を作動させて空気を押圧体１に
送入し該押圧体の押圧力を１５０〜２５０ｍｍＨｇに上
げる。Next, the catheter or introducer is removed, and at this time, the pump 8 is operated to feed air into the pressing body 1 to raise the pressing force of the pressing body to 150 to 250 mmHg.
【００４９】穿刺創部が止血したことを確認して後スト
ップコックを開き、押圧体の圧力を４０〜１６０ｍｍＨ
ｇに下げる。その後はこの圧力範囲を保持するように圧
力を調整する。After confirming that the puncture wound has stopped bleeding, the stop cock is opened and the pressure of the pressing body is adjusted to 40 to 160 mmH.
lower to g. After that, the pressure is adjusted so as to maintain this pressure range.
【００５０】[0050]
【発明の効果】本発明の押圧止血器は上述した構成を有
し、又操作されるものであるから、軽量で運搬や取扱が
容易で簡単に操作することができ、有効性、安定性及び
経済性に優れている等の利点を有する。しかも、穿刺創
部に押圧体を固定した後において患者が身体の位置を移
動させても押圧体が固定位置から容易にずれることがな
く装着安定性に優れているという利点をも有する。EFFECTS OF THE INVENTION Since the pressure hemostatic device of the present invention has the above-described structure and is operated, it is lightweight, easy to carry and handle, and easy to operate, and is effective, stable and stable. It has advantages such as excellent economic efficiency. Moreover, even if the patient moves the position of the body after fixing the pressing body to the puncture wound portion, the pressing body does not easily shift from the fixed position, and the mounting stability is excellent.
【図１】本発明の押圧止血器の一例を示す斜視図FIG. 1 is a perspective view showing an example of a pressure hemostatic device of the present invention.
【図２】本発明の押圧止血器の着装状態を示す断面図FIG. 2 is a cross-sectional view showing a wearing state of the pressure hemostatic device of the present invention.
【図３】本発明の押圧止血器の別の態様を示す斜視図FIG. 3 is a perspective view showing another embodiment of the pressure hemostatic device of the present invention.
【図４】本発明の押圧止血器の更に別の態様を示す斜視
図FIG. 4 is a perspective view showing still another embodiment of the pressure hemostatic device of the present invention.
【図５】押圧体と押圧支持体とが一体に形成された本発
明の押圧止血器の斜視図FIG. 5 is a perspective view of a pressing hemostat of the present invention in which a pressing body and a pressing support are integrally formed.
【図６】本発明の押圧止血器の更に他の態様を示す斜視
図FIG. 6 is a perspective view showing still another embodiment of the pressure hemostatic device of the present invention.
【図７】図６における押圧止血器の装着状態の一例を示
す概略図FIG. 7 is a schematic view showing an example of a mounted state of the pressure hemostatic device in FIG.
１ 押圧体 ２ 押圧支持体 ３ 締結帯 ４ ベルトロック ５ サポートリング ６ 気体導入管 ７ ストップコック ８ ポンプ 1 Pressing body 2 Pressing support 3 Fastening band 4 Belt lock 5 Support ring 6 Gas introduction pipe 7 Stopcock 8 Pump
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP3144851AJP2583689B2 (en) | 1991-06-17 | 1991-06-17 | Pressing hemostat |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP3144851AJP2583689B2 (en) | 1991-06-17 | 1991-06-17 | Pressing hemostat |
| Publication Number | Publication Date |
|---|---|
| JPH05305093Atrue JPH05305093A (en) | 1993-11-19 |
| JP2583689B2 JP2583689B2 (en) | 1997-02-19 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP3144851AExpired - Fee RelatedJP2583689B2 (en) | 1991-06-17 | 1991-06-17 | Pressing hemostat |
| Country | Link |
|---|---|
| JP (1) | JP2583689B2 (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH1057386A (en)* | 1996-08-26 | 1998-03-03 | Sumitomo Rubber Ind Ltd | Press bandage |
| US7329270B2 (en) | 2002-12-19 | 2008-02-12 | Radi Medical Systems Ab | Femoral compression device |
| WO2008126963A1 (en)* | 2007-04-11 | 2008-10-23 | Solvit Medical Lnc | Compression styptic band |
| US7637921B2 (en) | 2003-03-04 | 2009-12-29 | Radi Medical Systems Ab | Femoral compression device with progressive pressure device |
| US8481805B2 (en) | 2002-07-15 | 2013-07-09 | Terumo Kabushiki Kaisha | Method to stop bleeding at a puncture site of an artery of a patient's wrist |
| WO2016088924A1 (en)* | 2014-12-05 | 2016-06-09 | (주)대성마리프 | Tourniquet |
| US10117672B2 (en) | 2013-07-12 | 2018-11-06 | Vasoinnovations, Inc. | Apparatus and method to stop bleeding |
| US10213213B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US10213214B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations, Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10213212B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations Inc. | Method of transradial catheterization, device for ulnar artery compression, and method of use |
| US10245041B2 (en) | 2013-07-12 | 2019-04-02 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10342545B2 (en) | 2013-07-12 | 2019-07-09 | Vaso Innovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10888334B2 (en) | 2013-07-12 | 2021-01-12 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| CN112674828A (en)* | 2020-12-22 | 2021-04-20 | 河北医科大学第二医院 | Novel quick hemostasis of intracardiac branch of academic or vocational study device |
| US11006966B2 (en) | 2015-09-03 | 2021-05-18 | Terumo Kabushiki Kaisha | Hemostatic device |
| US11564697B2 (en) | 2013-07-12 | 2023-01-31 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US11701128B2 (en) | 2015-09-03 | 2023-07-18 | Terumo Kabushiki Kaisha | Hemostatic device |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH05115487A (en)* | 1990-06-11 | 1993-05-14 | Radi Medical Syst Ab | Device that compresses the thigh |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH05115487A (en)* | 1990-06-11 | 1993-05-14 | Radi Medical Syst Ab | Device that compresses the thigh |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH1057386A (en)* | 1996-08-26 | 1998-03-03 | Sumitomo Rubber Ind Ltd | Press bandage |
| US11439408B2 (en) | 2002-07-15 | 2022-09-13 | Terumo Kabushiki Kaisha | Hemostatic device |
| US9949741B2 (en) | 2002-07-15 | 2018-04-24 | Terumo Kabushiki Kaisha | Hemostatic device |
| US10610238B2 (en) | 2002-07-15 | 2020-04-07 | Terumo Kabushiki Kaisha | Hemostatic device |
| US8481805B2 (en) | 2002-07-15 | 2013-07-09 | Terumo Kabushiki Kaisha | Method to stop bleeding at a puncture site of an artery of a patient's wrist |
| US8481803B2 (en) | 2002-07-15 | 2013-07-09 | Terumo Kabushiki Kaisha | Hemostatic device |
| US8524974B2 (en) | 2002-07-15 | 2013-09-03 | Terumo Kabushiki Kaisha | Hemostatic device |
| US11406395B2 (en) | 2002-07-15 | 2022-08-09 | Terumo Kabushiki Kaisha | Hemostatic device |
| US9895155B2 (en) | 2002-07-15 | 2018-02-20 | Terumo Kabushiki Kaisha | Method to stop bleeding at a puncture site |
| US8759603B2 (en) | 2002-07-15 | 2014-06-24 | Terumo Kabushiki Kaisha | Hemostatic device |
| US9936959B2 (en) | 2002-07-15 | 2018-04-10 | Terumo Kabushiki Kaisha | Hemostatic device |
| US10219809B2 (en) | 2002-07-15 | 2019-03-05 | Terumo Kabushiki Kaisha | Hemostatic device |
| US10058334B1 (en) | 2002-07-15 | 2018-08-28 | Terumo Kabushiki Kaisha | Method to stop bleeding |
| US7329270B2 (en) | 2002-12-19 | 2008-02-12 | Radi Medical Systems Ab | Femoral compression device |
| US7637921B2 (en) | 2003-03-04 | 2009-12-29 | Radi Medical Systems Ab | Femoral compression device with progressive pressure device |
| WO2008126963A1 (en)* | 2007-04-11 | 2008-10-23 | Solvit Medical Lnc | Compression styptic band |
| US10342551B2 (en) | 2013-07-12 | 2019-07-09 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10722245B2 (en) | 2013-07-12 | 2020-07-28 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10245041B2 (en) | 2013-07-12 | 2019-04-02 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10335161B2 (en) | 2013-07-12 | 2019-07-02 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US10213214B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations, Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10342545B2 (en) | 2013-07-12 | 2019-07-09 | Vaso Innovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10349951B2 (en) | 2013-07-12 | 2019-07-16 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US10357254B2 (en) | 2013-07-12 | 2019-07-23 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US10507026B2 (en) | 2013-07-12 | 2019-12-17 | Vasoinnovations, Inc. | Apparatus and method to stop bleeding |
| US10213213B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US10639042B2 (en) | 2013-07-12 | 2020-05-05 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10716576B2 (en) | 2013-07-12 | 2020-07-21 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10722246B2 (en) | 2013-07-12 | 2020-07-28 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10213212B2 (en) | 2013-07-12 | 2019-02-26 | Vasoinnovations Inc. | Method of transradial catheterization, device for ulnar artery compression, and method of use |
| US10888334B2 (en) | 2013-07-12 | 2021-01-12 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US11653932B2 (en) | 2013-07-12 | 2023-05-23 | Vasoninnovations, Inc. | Method of transradial catheterization, device for ulnar artery compression, and method of use |
| US10987109B2 (en) | 2013-07-12 | 2021-04-27 | Vasoinnovations Inc. | Method of transradial catheterization, device for ulnar artery compression, and method of use |
| US11653931B2 (en) | 2013-07-12 | 2023-05-23 | Vasoinnovations, Inc. | Apparatus and method to stop bleeding |
| US11564697B2 (en) | 2013-07-12 | 2023-01-31 | Vasoinnovations Inc. | Apparatus and method to stop bleeding |
| US11350943B2 (en) | 2013-07-12 | 2022-06-07 | Vasoinnovations Inc. | Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant |
| US10117672B2 (en) | 2013-07-12 | 2018-11-06 | Vasoinnovations, Inc. | Apparatus and method to stop bleeding |
| WO2016088924A1 (en)* | 2014-12-05 | 2016-06-09 | (주)대성마리프 | Tourniquet |
| US11006966B2 (en) | 2015-09-03 | 2021-05-18 | Terumo Kabushiki Kaisha | Hemostatic device |
| US11701128B2 (en) | 2015-09-03 | 2023-07-18 | Terumo Kabushiki Kaisha | Hemostatic device |
| CN112674828B (en)* | 2020-12-22 | 2022-03-15 | 河北医科大学第二医院 | A new type of rapid hemostasis device for cardiology |
| CN112674828A (en)* | 2020-12-22 | 2021-04-20 | 河北医科大学第二医院 | Novel quick hemostasis of intracardiac branch of academic or vocational study device |
| Publication number | Publication date |
|---|---|
| JP2583689B2 (en) | 1997-02-19 |
| Publication | Publication Date | Title |
|---|---|---|
| JPH05305093A (en) | Pressing hemostatic unit | |
| US5716335A (en) | Ankle brace with adjustable heel strap | |
| US5792173A (en) | Wound closure hemostasis device | |
| US5445602A (en) | Flexible ankle brace | |
| US5348530A (en) | Pneumatic ankle brace with bladder and pump arrangement | |
| CA2828910C (en) | Methods and apparatus for a manual radial artery compression device | |
| ES2326361T3 (en) | ADJUSTABLE COMPRESSOR OF RADIAL ARTERY. | |
| US5968072A (en) | Method and apparatus for cold compression treatment of wounds | |
| US5951504A (en) | Ankle brace with adjustable heel strap | |
| US5234459A (en) | Method of controlling the flow of blood through a limb | |
| US9763670B2 (en) | Compression unit and a radial artery compression system | |
| US4299213A (en) | Leg stabilizer construction | |
| US8926536B2 (en) | Device and method for control of hemorrhage | |
| US6647986B1 (en) | Wrist splint and hemostasis device | |
| US20120221041A1 (en) | Artery compressor | |
| WO2004017841A1 (en) | Radial artery compression system | |
| WO2013025546A1 (en) | Device and method for stabilization of a fractured pelvis or an injured neck, and for control of hemorrhage | |
| CA2237610A1 (en) | Combination radial artery occluder and wrist splint | |
| CA2538295A1 (en) | Combination bone fixation/immobilization apparatus | |
| JP2501256B2 (en) | Multi-point press hemostat | |
| CN108542734B (en) | Intermittent inflating device and inflating sleeve thereof | |
| US11116516B2 (en) | Distal radial compression device | |
| JP2596518Y2 (en) | Wearable hemostatic device | |
| US20060173393A1 (en) | Inflatable splint for stabilisation of the ankle | |
| CN215606044U (en) | A retractable and adjustable femoral artery compression hemostat |
| Date | Code | Title | Description |
|---|---|---|---|
| LAPS | Cancellation because of no payment of annual fees |