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WO2010066244A1 - Élément de compression, dispositif de compression et système de compression - Google Patents

Élément de compression, dispositif de compression et système de compression Download PDF

Info

Publication number
WO2010066244A1
WO2010066244A1 PCT/DE2009/001737 DE2009001737W WO2010066244A1 WO 2010066244 A1 WO2010066244 A1 WO 2010066244A1 DE 2009001737 W DE2009001737 W DE 2009001737W WO 2010066244 A1 WO2010066244 A1 WO 2010066244A1
Authority
WO
WIPO (PCT)
Prior art keywords
compression
bracket
pad
compression device
compression element
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/DE2009/001737
Other languages
German (de)
English (en)
Inventor
Jürgen Schröder
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from DE200820016500 external-priority patent/DE202008016500U1/de
Priority claimed from DE202008017134U external-priority patent/DE202008017134U1/de
Application filed by Individual filed Critical Individual
Publication of WO2010066244A1 publication Critical patent/WO2010066244A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132—Tourniquets
    • A61B17/1322—Tourniquets comprising a flexible encircling member
    • A61B17/1325—Tourniquets comprising a flexible encircling member with means for applying local pressure

Definitions

  • Compression element Compression element, compression device and compression system
  • the present invention relates to a compression element for closing the opening on a last or Armarte- rie. Further, the invention is directed to a compression device for occluding the opening on a inguinal artery. Furthermore, the invention relates to a compression system comprising a compression element and a compression device.
  • the invention has for its object to provide a compression element for closing an arterial opening, which ensures a particularly secure closure of the arterial opening with good adaptation to the body surface.
  • This object is achieved in a compression element of the specified type in that it is formed as filled with a gas or a liquid compression pad made of a tear-resistant film.
  • the compression pad designed according to the invention achieves a particularly exact placement of the compression because the location of the compression is determined without any possible impairment by the other components of the pressure-transmitting system. Furthermore, the compression pad provides secure sterile coverage of the puncture site and its surroundings. At the same time, it prevents contamination of the remaining components of an associated compression device, thereby minimizing the cost to the individual patient.
  • the inventively embodied compression element is filled with a gas or a liquid pad, the consists of a tear-resistant film, wherein the film ⁇ us can consist of two successive welded film sections.
  • the upper of the two film sections may be arched over the content, while the lower film section is preferably formed flat.
  • the compression pad therefore preferably has a flat underside for placement on the skin of a patient.
  • the compression pad is expediently formed at least partially transparent. It is preferably integrated into a larger foil to provide sterility at the skin opening and its surroundings.
  • the compression pad on its underside a U-shaped or formed in the form of an interrupted ring adhesive surface, in particular self-adhesive surface, on. This fixes the pillow in the immediate vicinity of the puncture site on the skin.
  • the inventively embodied compression pad is preferably used as a disposable material.
  • the pad When using the compression pad, after removal of the surgical drapes while the sluice or catheter is still in the puncture opening, the pad is placed symmetrically with respect to the sluice or catheter (the sector without adhesive tape over the sluice or catheter) and on fixed to the skin. The sterile larger film is spread. Only then an associated compression device is placed, which are freely movable relative to the patient got to. Subsequently, a controlled pressure build-up and the removal of sluice or catheter takes place.
  • Advantages over the prior art include, in particular, a more accurate and reliable placement of the pressure used for hemostasis, greater sterility assurance, and cost reduction.
  • the present invention is also based on the object of providing a compression device for closing the opening on a inguinal artery, which can be used particularly reliably with low material costs.
  • a compression device comprising the following components:
  • a belt arranged at least at a strap end tensioning device
  • At least one support device for the bracket is provided.
  • the strap When using the compression device, the strap is placed across the last region of a patient so that the compression part comes to rest over the puncture site and with a corresponding compression element can interact.
  • the flexible strap is placed around the patient's body and tensioned with the help of the tensioning device.
  • the compression part of the compression device exerts a precisely meterable pressure on the compression element, with which the puncture site is closed.
  • the bracket is supported with the supporting device on the opposite side on the body of the patient.
  • the supporting device of the compression device preferably has two support elements arranged on both sides of the bracket. In this way, tilting of the bracket is avoided.
  • the support elements are expediently designed as plate-shaped elements which are fastened via a corresponding crossbar on the bracket.
  • the tensioning device is expediently a threaded rod with a screw.
  • the strap end preferably has a hole or a slot on the side of the compression through which the threaded rod extends.
  • the threaded rod can be screwed to the arranged on the temple end screw.
  • the bracket for adjusting its length is in particular telescopically extendable and collapsible. This detail also makes it possible to change the angle between the support device and the pressure-transmitting plate, if a different height of the support is required. position points of the support device would lead to an inclination of the plate.
  • the compression part preferably has a plate for interaction with the compression element.
  • the plate may in this case be flat or curved.
  • Other embodiments of the compression part in adaptation to a compression element are of course also feasible.
  • the compression ⁇ on part has a spring-mounted on the bracket bar for interacting with a compression element, in particular a ner pad.
  • the compression member is non-elastically mounted on the bracket and preferably cooperates with an elastic compression element
  • the compression member itself is resiliently mounted on the bracket and preferably cooperates with a non-elastic compression element, such as a pad.
  • a non-elastic compression element such as a pad.
  • a pad may be formed of solid sterilizable material. It is placed on the rod of the compression part, wherein the rod is connected, for example via a compression spring with the bracket of the compression device. At the other end of the rod can be read on the principle of a spring balance on a scale, the degree of shortening of the spring as a measure of the pressure applied.
  • This solution has compared to on page 2, 24 ff described system has the advantage that it is suitable for the entire duration of treatment and allows pressure measurement
  • the compression device, d. H. the pressure-generating apparatus therefore comprises essentially two parts, a bracket to be placed across the patient and a textile belt which, in use, lies under the patient and is in turn connected to the bracket.
  • the stirrup maintains a stable position over the patient by resting on three points (via the support at two points and via a compression element as the third point).
  • the compression part, which comes into contact with the compression element is preferably transparent.
  • the support via the supporting device is expediently carried out in the opposite groin region.
  • the pressure is preferably generated in use on the side of the compression part in use by the tensioning device is tensioned here, d. H. the end of the strap is pulled against the strap (wrench).
  • the compression device is provided with a pressure gauge. In this way, the pressure exerted on the skin can be read off and adjusted via the tensioning device.
  • the pressure generated is measured with a pressure measuring device (pressure transducer between the compression element and the compression part) and, for example, digitally shows. Also a mechanical measurement with analog display is possible.
  • the bracket is provided with two compression parts and expediently has two spaced apart support devices.
  • the bracket must be equipped on both sides with a compression part, which then interacts with two compression elements.
  • the distance between the two compression parts can be adapted to the distance between the two groin arteries, since the bracket between two compression parts for adjusting its length is telescopically extendable and collapsible.
  • the apparatus must have a pressure generating jig on both sides. Since the bracket rests in this case only at two points, tilting of the device must be prevented so that a support device is provided in each inguinal region, each one cross arm with two adjustable in height feet provides the necessary stability.
  • the invention has for its object to provide a compression system available. This object is achieved by a compression system having a compression device and a compression element of the type described above. This compression mystery is characterized by net, that it has a compression device of the type described above.
  • the inventively designed compression system has a number of advantages.
  • the location of the compression can be determined by attaching (sticking) the compression pad independently of the other parts of the system and is not changed by the placement of the compression device (the pressure-generating apparatus). This exact placement also allows slim patients to choose extra small compression pads.
  • a film is used to cover the puncture site and its environment sterile and protect other parts of the system from contamination. By resting on at least three points, tilting of the compression device is prevented.
  • the compression pressure can be adjusted reliably and precisely controlled.
  • the textile belt of the compression device can be washed, and the remaining reusable parts can be made of largely wear-resistant material (such as stainless steel), which keeps the running costs low.
  • Fig. 1 a compression pad in profile
  • Figure 2 is an elongated compression pad in plan view.
  • Fig. 3 a round compression pad in plan view
  • Fig. 4 shows a compression pad with catheter or lock in plan view
  • Fig. 5 a compression pad with catheter or sluice in longitudinal section
  • Fig. 6 integrates a compression pad in a sterile foil
  • Figure 7 is a compression system over a body cross section
  • Fig. 8 a compression system on the patient
  • Fig. 9 is a compression system in plan view
  • FIG. 10 shows a compression system for the treatment of both sides over a body cross-section
  • Figure 11 is a compression system for the treatment of both sides in plan view.
  • FIG. 12 shows another embodiment of a compression system in the body cross-section.
  • Figure 1 shows a compression pad 3 in profile.
  • the cushion is composed of an upper film portion and a lower film portion, which are welded together.
  • the lower film portion extends laterally beyond the upper film portion and is formed flat. He has on its underside a self-adhesive surface 4.
  • Figure 2 shows the compression pad 3 of Figure 1 in plan view.
  • the self-adhesive surface 4 of the film portion is shown hatched. 5 with a recess of the self-adhesive surface 4 is designated, in which, for example, a catheter or a lock is in use.
  • Figure 3 shows a plan view of a compression pad 3, which is round.
  • the self-adhesive surface 4 has here approximately the shape of a cut ring. Again, the self-adhesive surface has a central recess 5.
  • Figure 4 shows a compression pad 3 with catheter / lock 2 in plan view.
  • the compression pad 3 corresponds to that of Figure 2.
  • Figure 5 shows the compression pad 3 of Figure 4 with catheter or sheath 2 in longitudinal section. With 1 the femoral artery is designated.
  • FIG. 6 shows a three-dimensional view of a compression pad 3, which is draped in a sterile manner over the access region. ckende larger foil 6 is integrated. The self-adhesive surface is indicated here at 4.
  • Figure 7 shows a body cross-section with a compression system thereon composed of a compression pad 3 of Figures 1 to 6 and a compression device.
  • the compression device comprises a bracket 18 placed in use across the body of a patient in use, which cooperates with a flexible strap 14 of textile material, etc.
  • the strap 14 is wrapped around the patient's body and connected to the bracket 18 on the right side of the figure at 13.
  • the connection is formed by a worm gear 10, in which a screw cooperates with a threaded rod.
  • the screw is supported on the slotted strap end. By tightening the screw, the belt 14 is tensioned and thus applied via the bracket 18 pressure on the compression pad 3.
  • the worm gear 10 is connected at 13 to the belt 14.
  • the bracket 18 has a compression part 8, for example in the form of a plate, which cooperates with the compression pad 3 and exerts on it the desired pressure.
  • the compression part 8 is provided with a pressure gauge and a suitable pressure gauge 9.
  • the bracket 18 has an adjusting device 11, with which the length of the bracket is telescopically adjustable. At the right end of the bracket, the bracket has a support, one foot of which is shown at 12.
  • Figure 8 shows the compression system of Figure 7 in a spatial view. It can be seen that the support device has two feet 12, which are connected via a cross bar with the bracket 18. In this way, a secure support of the compression device is achieved and tilting the same avoided.
  • the compression member 8 is pressed by tightening the screw 10 against the compression pad 3.
  • the compression pad 3 is integrated into a larger protective film 6.
  • Figure 9 shows the compression device of Figure 8 in plan view.
  • Figures 10 and 11 show a compression system with two-sided application.
  • two compression pads 3 are pressed against the opening in the artery by means of a bracket 18 telescopically connected at 11.
  • the compression device in this embodiment has two support means, with corresponding feet being shown at 12. It is also provided on each side with a screw 10, so that on each side of the compression pressure can be adjusted.
  • Figure 12 shows another embodiment of a compression system in the body cross-section.
  • the compression element is not formed as an elastic pad, but as a reusable pad 15 made of a solid transparent material.
  • the bracket 18 carries a housing in which a rod is arranged, the is elastically mounted in the housing with a compression spring 16.
  • the rod is inserted into a socket of the pad 15.
  • a pressure on the pad 15 is exerted on the bracket 18, the compression spring 16 and the rod.
  • a pressure scale 17 At the other end of the rod.
  • the degree of shortening of the spring can be read as a measure of the pressure used.
  • the position of the compression member on the bracket or the distance between the two compression parts is adjustable to allow an exact adaptation to the position of the arterial opening.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

L'invention concerne un élément de compression, un dispositif de compression et un système de compression pour fermer une ouverture au niveau d'une artère. L'élément de compression est réalisé sous forme de coussin de compression rempli d'un gaz ou d'un liquide, à partir d'une feuille résistant à la déchirure. Le dispositif de compression possède une boucle et une ceinture qui, par le biais d'une partie de compression, exerce une pression sur l'élément de compression et ferme pendant l'utilisation l'ouverture dans l'artère. Le système de compression peut être utilisé de manière fiable et avec de faibles coûts en matériel, permet une fermeture sûre de l'ouverture de l'artère et peut être bien adapté au corps du patient.
PCT/DE2009/001737 2008-12-12 2009-12-11 Élément de compression, dispositif de compression et système de compression Ceased WO2010066244A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
DE200820016500 DE202008016500U1 (de) 2008-12-12 2008-12-12 Kompressionskissen für den Verschluss der Zugangsöffnung an Arterien nach diagnostischen oder therapeutischen Eingriffen
DE202008016500.8 2008-12-12
DE202008017134.2 2008-12-31
DE202008017134U DE202008017134U1 (de) 2008-12-31 2008-12-31 Kompressionsapparat für die Leistenarterie

Publications (1)

Publication Number Publication Date
WO2010066244A1 true WO2010066244A1 (fr) 2010-06-17

Family

ID=42009998

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2009/001737 Ceased WO2010066244A1 (fr) 2008-12-12 2009-12-11 Élément de compression, dispositif de compression et système de compression

Country Status (1)

Country Link
WO (1) WO2010066244A1 (fr)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3047723A1 (de) * 1978-08-05 1982-07-15 Soiron, Frfr. von geb.Behnke, Gertrud, 5000 Köln Abschnuervorrichtung zur erzeugung einer blutleere an einem menschlichen koerperteil
EP0462088A2 (fr) * 1990-06-11 1991-12-18 Radi Medical Systems Ab Dispositif de compression du fémur
JPH05154160A (ja) * 1991-07-05 1993-06-22 Nippon B X I Kk 多点押圧止血器
WO1998052477A1 (fr) * 1997-05-23 1998-11-26 Radi Medical Systems Ab Dispositif permettant de realiser une hemostasie
EP1402825A2 (fr) * 2002-09-06 2004-03-31 Radi Medical Systems Ab Dispositif de compression du fémur avec un élement de support
US20040068290A1 (en) * 2002-03-27 2004-04-08 Datascope Investment Corp. Device and method for compressing wounds
US20040122469A1 (en) * 2002-12-19 2004-06-24 Radi Medical Systems Ab Femoral compression device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3047723A1 (de) * 1978-08-05 1982-07-15 Soiron, Frfr. von geb.Behnke, Gertrud, 5000 Köln Abschnuervorrichtung zur erzeugung einer blutleere an einem menschlichen koerperteil
EP0462088A2 (fr) * 1990-06-11 1991-12-18 Radi Medical Systems Ab Dispositif de compression du fémur
JPH05154160A (ja) * 1991-07-05 1993-06-22 Nippon B X I Kk 多点押圧止血器
WO1998052477A1 (fr) * 1997-05-23 1998-11-26 Radi Medical Systems Ab Dispositif permettant de realiser une hemostasie
US20040068290A1 (en) * 2002-03-27 2004-04-08 Datascope Investment Corp. Device and method for compressing wounds
EP1402825A2 (fr) * 2002-09-06 2004-03-31 Radi Medical Systems Ab Dispositif de compression du fémur avec un élement de support
US20040122469A1 (en) * 2002-12-19 2004-06-24 Radi Medical Systems Ab Femoral compression device

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