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CN101152583A - An arterial blood diversion tube with a fixed structure - Google Patents

An arterial blood diversion tube with a fixed structure Download PDF

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Publication number
CN101152583A
CN101152583A CNA2007100473306A CN200710047330A CN101152583A CN 101152583 A CN101152583 A CN 101152583A CN A2007100473306 A CNA2007100473306 A CN A2007100473306A CN 200710047330 A CN200710047330 A CN 200710047330A CN 101152583 A CN101152583 A CN 101152583A
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tube
blood
diversion tube
balloon
blood diversion
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郭明金
陆清声
景在平
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Abstract

本发明涉及医疗器械技术领域,是一种用于肢体血管战、创伤急救的带固定结构的动脉血液转流管,由血液转流管(1)和固定结构组成,血液转流管两端管口呈斜面状,血液转流管(1)的管壁纵向可设一彩条并标有刻度。血液转流管的中间段管壁外可覆有自粘止血膜;所说的固定结构为两个球囊(2)或两个固定环(3),球囊(2)则由球囊体(2.1)、球囊管(2.2)和输气阀(2.3)组成,两个球囊体分别包裹于血液转流管两端管外;固定环(3)则为分别固定于血液转流管两端管外的管壁环状凸起。本发明结构简单,使用方便,通过在血管断端建立临时性通路,起到了快速止血保证肢体血供的作用,降低了截肢风险,满足转移或后送治疗的时间需求。

Figure 200710047330

The invention relates to the technical field of medical devices, and is an arterial blood diversion tube with a fixed structure used for limb vascular warfare and first aid for wounds. It consists of a blood diversion tube (1) and a fixed structure. The two ends of the blood diversion tube are The mouth is in the shape of an inclined plane, and a color bar can be arranged longitudinally on the wall of the blood diversion tube (1) and marked with a scale. The middle part of the blood diversion tube can be covered with a self-adhesive hemostatic film; the fixed structure is two balloons (2) or two fixed rings (3), and the balloon (2) consists of a balloon body. (2.1), balloon tube (2.2) and air delivery valve (2.3), the two balloon bodies are respectively wrapped outside the two ends of the blood diversion tube; the fixing ring (3) is respectively fixed on the blood diversion tube There are ring-shaped protrusions on the pipe wall outside the two ends of the pipe. The invention is simple in structure and easy to use. By establishing a temporary passage at the broken end of the blood vessel, it can quickly stop bleeding and ensure the blood supply of the limbs, reduce the risk of amputation, and meet the time requirement for transfer or evacuation treatment.

Figure 200710047330

Description

一种带固定结构的动脉血液转流管 An arterial blood diversion tube with a fixed structure

技术领域 technical field

本发明涉及医疗器械技术领域,是一种用于肢体血管战、创伤急救的带固定结构的动脉血液转流管。The invention relates to the technical field of medical devices, and relates to an arterial blood diversion tube with a fixed structure used for limb vascular warfare and trauma first aid.

背景技术 Background technique

肢体血管创伤是战时常见的创伤,平时在车祸、工伤等突发性事件中也不少见,若不能得到及时救治,例如在战时,往往会出现截肢率高、并发症多、污染严重、容易引起休克及肢体的功能障碍等情况,严重威胁伤员生命和健康。这是因为目前国内外对血管创伤处理的主要方法为止血、结扎和血管吻合。其中止血、结扎等在战地救护中应用,需要争分夺秒,其目的为控制出血,抢救生命。但对于颈动脉、髂动脉、股动脉等一些重要血管的损伤,如果给予结扎而不能及时进行血管吻合恢复其供血,则会导致截肢、脑梗甚至死亡的严重的后果。Limb vascular trauma is a common trauma in wartime, and it is not uncommon in accidents such as car accidents and industrial injuries. If timely treatment cannot be obtained, such as in wartime, there will often be high amputation rates, many complications, serious pollution, It is easy to cause shock and limb dysfunction, which seriously threatens the life and health of the wounded. This is because the main methods of vascular trauma treatment at home and abroad are hemostasis, ligation and vascular anastomosis. Among them, hemostasis, ligation, etc. are used in field rescue, and it is necessary to race against time. The purpose is to control bleeding and save lives. However, for some important blood vessels such as the carotid artery, iliac artery, and femoral artery, if they are ligated and cannot be anastomosed in time to restore their blood supply, serious consequences such as amputation, cerebral infarction or even death will result.

血管吻合手术是血管损伤后首选的治疗方案,但必须要有充足的时间、良好的麻醉、完善的器械、较高的手术技术等条件。因此,在战时血管吻合只能将伤员后送到远离战场的后方医院进行。此类伤员的后送需要时间,一般来说组织可耐受的缺血时间是6-8h,如果超过这个时间,则即使恢复血供,其肢体功能恢复也不理想,甚至仍需截肢。DeBakey报告(DeBakey ME,Simeone FA.Battle injuries ofthe arteries in World War II.An analysis of 2471 cases.Ann.Surg.1946,123:534-579)伤后10h、10~20h及20h以后得到治疗的肢体血管伤截肢率分别为36.7%,48.8%及68%。在一般装备条件下难以达到理想的救治要求。Vascular anastomosis is the preferred treatment option after vascular injury, but it must have sufficient time, good anesthesia, perfect instruments, and high surgical techniques. Therefore, in wartime, vascular anastomosis can only be carried out by sending the wounded to a rear hospital far away from the battlefield. It takes time to evacuate such wounded. Generally speaking, the ischemic time that can be tolerated by tissues is 6-8 hours. If this time is exceeded, even if the blood supply is restored, the recovery of limb function is not satisfactory, and even amputation is still required. DeBakey report (DeBakey ME, Simeone FA. Battle injuries of the arteries in World War II. An analysis of 2471 cases. Ann. Surg. 1946, 123: 534-579) limbs treated after 10h, 10~20h and 20h after injury Amputation rates of vascular injury were 36.7%, 48.8% and 68%. It is difficult to achieve ideal treatment requirements under general equipment conditions.

能否寻求一种简便快速的方法,既能满足快速结扎止血迅速恢复血流,又能维持足够长时间以满足转移或后送伤员的时间需求,这对于提高血管创伤的救治水平具有十分重要的意义。It is very important to improve the level of treatment of vascular trauma whether to find a simple and fast method that can not only meet the requirements of rapid ligation and hemostasis and quickly restore blood flow, but also maintain it for a long enough time to meet the time requirements for transferring or evacuating the wounded. significance.

发明内容 Contents of the invention

本发明的目的是提供一种既能满足快速结扎止血迅速恢复血流,又能维持足够长时间以满足转移或后送伤员的时间需求的带固定结构的动脉血液转流管。The purpose of the present invention is to provide an arterial blood diversion tube with a fixed structure which can satisfy rapid ligation and hemostasis and quickly restore blood flow, and can maintain for a long enough time to meet the time requirement of transferring or evacuating the wounded.

本发明带固定结构的动脉血液转流管由血液转流管和固定结构组成,血液转流管为一组织相容性好、富有弹性和韧性的空心管,如硅胶管,起临时性血管通路的作用,两端管口呈斜面状,以便于插入断裂血管的管口,为插入时便于辨别血液转流管的方位和掌握插入的长度,管壁纵向可设一彩条并标有刻度,血液转流管的中间段管壁外还可覆有自粘止血膜,以便在此抽血或注射药物后管壁上的针眼能自动闭合;所说的固定结构为两个球囊或两个固定环,球囊则由球囊体、球囊管和单向阀门组成,两个球囊体分别包裹于血液转流管两末端管外,与球囊管相连相通,球囊管较细,一侧与血液转流管合壁为一体,球囊管尾部略粗,游离于血液转流管外,尾端与单向阀门相接,单向阀门与注射器的接头匹配,用注射器通过单向阀门向球囊体充气或注水后,阀门可防止气体或水泄漏,一般以注入生理盐水为好,以避免万一球囊破损酿成不良后果;固定环则为分别固定于血液转流管两末端管外的转流管外壁的环状凸起。救治伤员使用该转流管时,血管损伤处近心端以止血带压迫止血,将创面彻底清创处理后,拆封消毒包装,将血液转流管的两端分别插入血管两断端至球囊或固定环进入管口内适当长度,当为球囊时,用注射器向球囊体注水,球囊体充盈后固定于血管壁而不会脱出,当为固定环时,需用丝线结扎固定。这样就可达到快速止血、迅速恢复血流的目的,并可维持足够长的时间供伤病员转移或抢救,直至进行血管吻合等手术时再将其取下。带球囊的动脉血液转流管特别适用于血管暴露很短不便结扎的情况。The arterial blood diversion tube with a fixed structure of the present invention is composed of a blood diversion tube and a fixed structure. The blood diversion tube is a hollow tube with good tissue compatibility, high elasticity and toughness, such as a silicone tube, which acts as a temporary vascular access In order to facilitate the identification of the position of the blood diversion tube and the length of insertion, a color bar can be set in the vertical direction of the tube wall and marked with a scale. The middle part of the blood diversion tube can also be covered with a self-adhesive hemostatic film, so that the needle holes on the tube wall can be automatically closed after blood drawing or drug injection; the fixed structure is two balloons or two The fixed ring and the balloon are composed of a balloon body, a balloon tube and a one-way valve. The two balloon bodies are respectively wrapped outside the two ends of the blood diversion tube and connected with the balloon tube. The balloon tube is thinner. One side is integrated with the wall of the blood diversion tube, the tail of the balloon tube is slightly thicker, free from the blood diversion tube, the tail end is connected with the one-way valve, the one-way valve matches the connector of the syringe, and the syringe passes through the one-way valve. After the valve inflates or injects water into the balloon, the valve can prevent gas or water from leaking. It is generally better to inject normal saline to avoid adverse consequences in case the balloon is damaged; the fixing rings are respectively fixed on the two sides of the blood transfer tube An annular protrusion on the outer wall of the diverter tube outside the end tube. When the diversion tube is used to treat the wounded, the proximal end of the blood vessel injury is compressed with a tourniquet to stop the bleeding. After the wound is thoroughly debrided, the package is unpacked and sterilized, and the two ends of the blood diversion tube are respectively inserted into the two ends of the blood vessel to the bulb. The balloon or fixing ring should be inserted into the mouth of the tube for an appropriate length. When it is a balloon, inject water into the balloon body with a syringe. After the balloon is inflated, it will be fixed on the blood vessel wall without prolapse. When it is a fixing ring, it needs to be ligated and fixed with silk thread. In this way, the purpose of rapid hemostasis and rapid recovery of blood flow can be achieved, and it can be maintained for a long enough time for the transfer or rescue of the wounded and sick, until it is removed when operations such as vascular anastomosis are performed. Arterial blood bypass catheters with balloons are especially suitable for situations where the vessel exposure is short and inconvenient to ligate.

本发明结构简单,使用方便,通过动脉转流管直接在血管断端建立临时性通路,首先起到了快速止血固定的作用,其次中间覆有自粘止血膜部分,可用于反复穿刺,便于血液指标检测及局部用药,再者可快速建立临时性血管通路,保证肢体血供,降低截肢风险,满足转移或后送的时间需求,以便在后方医院良好的条件下重新实施血管吻合等精细的、要求较高的手术,从而提高血管战、创伤的救治水平。本发明动脉转流管可采用组织相容性好、表面光滑、不易形成血栓、具有良好的弹性和强度且造价低廉的硅胶制作。The present invention is simple in structure and easy to use. A temporary passage is directly established at the broken end of the blood vessel through the arterial bypass tube. Firstly, it plays the role of rapid hemostasis and fixation. Secondly, it is covered with a self-adhesive hemostatic film part in the middle, which can be used for repeated puncture and is convenient for blood indicators. In addition, temporary vascular access can be quickly established to ensure the blood supply of limbs, reduce the risk of amputation, and meet the time requirements for transfer or evacuation, so that delicate and demanding procedures such as vascular anastomosis can be re-implemented under good conditions in the rear hospital. Higher surgery, thereby improving the treatment level of vascular warfare and trauma. The arterial bypass tube of the present invention can be made of silica gel with good tissue compatibility, smooth surface, not easy to form thrombus, good elasticity and strength, and low cost.

附图说明 Description of drawings

图1为本发明的固定结构为球囊的整体结构示意图。Fig. 1 is a schematic view of the overall structure of the balloon as the fixing structure of the present invention.

图2为本发明的固定结构为固定环的俯视整体结构示意图Fig. 2 is a schematic diagram of the top view of the overall structure of the fixed structure of the present invention as a fixed ring

具体实施方式 Detailed ways

现结合附图和实施例对本发明作详细描述。The present invention will be described in detail in conjunction with the accompanying drawings and embodiments.

本发明由血液转流管1和固定结构组成,血液转流管为一组织相容性好、富有弹性和韧性的空心管,两端管口呈斜面状,管壁纵向可设一彩条并标有刻度,血液转流管的中间段管壁外还可覆有自粘止血膜;所说的固定结构为两个球囊2或两个固定环3,球囊2则由球囊体2.1、球囊管2.2和单向阀门2.3组成,两个球囊体分别包裹于血液转流管两端管外,与球囊管相连相通,球囊管较细,一侧与血液转流管合壁为一体,球囊管尾部略粗,游离于血液转流管外,尾端与单向阀门相接,单向阀门与注射器的接头匹配,用注射器通过单向阀门向球囊充气或注水后,阀门可防止气体或水泄漏;固定环3则为分别固定于血液转流管两端管外的转流管外壁的环状凸起。The present invention consists of a blood diversion tube 1 and a fixed structure. The blood diversion tube is a hollow tube with good tissue compatibility, elasticity and toughness. Marked with a scale, the middle section of the blood transfer tube can also be covered with a self-adhesive hemostatic film; the fixed structure is two balloons 2 or two fixed rings 3, and the balloon 2 is composed of a balloon body 2.1 , a balloon tube 2.2 and a one-way valve 2.3. The two balloon bodies are respectively wrapped outside the tubes at both ends of the blood diversion tube and communicate with the balloon tube. The balloon tube is thinner, and one side is combined with the blood diversion tube. The wall is integrated, the tail of the balloon tube is slightly thicker, free from the blood transfer tube, the tail end is connected with the one-way valve, the one-way valve matches the connector of the syringe, and the balloon is inflated or filled with water through the one-way valve with the syringe , the valve can prevent gas or water from leaking; the fixing ring 3 is an annular protrusion fixed on the outer wall of the diversion tube at both ends of the blood diversion tube respectively.

实施例1.一种固定结构为球囊的动脉血液转流管Example 1. A kind of arterial blood bypass tube whose fixed structure is a balloon

本发明用硅胶制成,血液转流管1外径为4mm,壁厚0.5mm,长度为60mm。球囊2由球囊体2.1、球囊管2.2和单向阀门2.3组成,两个球囊体分别包裹于血液转流管两端管外,球囊体充盈后外径为6mm,球囊管与血液转流管合壁部分长20mm,球囊管内径2mm,尾部游离段长20mm,外径4mm。The present invention is made of silica gel, and the blood diversion tube 1 has an outer diameter of 4mm, a wall thickness of 0.5mm, and a length of 60mm. The balloon 2 is composed of a balloon body 2.1, a balloon tube 2.2 and a one-way valve 2.3. The two balloon bodies are respectively wrapped outside the two ends of the blood diversion tube. The wall part of the blood diversion tube is 20 mm long, the inner diameter of the balloon tube is 2 mm, the free part of the tail is 20 mm long, and the outer diameter is 4 mm.

实施例2.Example 2.

本发明的血液转流管1外径为5mm,长度为80mm。球囊体充盈后外径为7mm,球囊管与血液转流管合壁部分长25mm,管壁纵向设一彩条并标有刻度,血液转流管的中间段管壁外覆有自粘止血膜,其余同实施例1。The blood diversion tube 1 of the present invention has an outer diameter of 5mm and a length of 80mm. The outer diameter of the balloon body after filling is 7mm. The wall part of the balloon tube and the blood diversion tube is 25mm long. Hemostatic film, all the other are with embodiment 1.

实施例3.Example 3.

本发明的血液转流管1外径为7mm,长度为150mm。球囊体充盈后外径为9mm,管壁纵向设一彩条并标有刻度,中间段管壁外覆有50mm长的自粘止血膜,球囊管与血液转流管合壁部分长30mm,其余同实施例1。The blood diversion tube 1 of the present invention has an outer diameter of 7mm and a length of 150mm. After the balloon is inflated, the outer diameter is 9mm, and a color bar is set longitudinally on the tube wall and marked with a scale. The middle part of the tube wall is covered with a 50mm long self-adhesive hemostatic film, and the wall part of the balloon tube and the blood diversion tube is 30mm long. , all the other are with embodiment 1.

实施例4.一种固定结构为固定环的动脉血液转流管Embodiment 4. An arterial blood bypass tube whose fixing structure is a fixing ring

本发明用硅胶制成,血液转流管1外径为6mm,长度为60mm。2个固定环的外径8mm,宽度为2mm。The present invention is made of silica gel, and the blood diversion tube 1 has an outer diameter of 6mm and a length of 60mm. The 2 fixing rings have an outer diameter of 8mm and a width of 2mm.

实施例5.Example 5.

本发明的血液转流管1直径为8mm,长度为80mm,2个固定环的外径8mm,管壁纵向设一彩条并标有刻度,其余同实施例4。The blood diversion tube 1 of the present invention has a diameter of 8 mm and a length of 80 mm. The outer diameters of the two fixing rings are 8 mm. A color bar is arranged longitudinally on the tube wall and marked with scales. The rest are the same as in Embodiment 4.

实施例6.Example 6.

本发明的血液转流管1直径为8mm,长度为120mm,2个固定环的外径10mm,管壁纵向设一彩条并标有刻度,血液转流管的中间段覆有50mm长的管壁外自粘止血膜,其余同实施例4。The blood diversion tube 1 of the present invention has a diameter of 8 mm and a length of 120 mm. The outer diameters of the two fixing rings are 10 mm. Self-adhesive hemostatic film outside the wall, and the rest are the same as in Example 4.

本发明可根据动脉内径的不同制成不同的规格型号。The present invention can be made into different specifications and models according to the difference of the inner diameter of the artery.

Claims (4)

1.一种带固定结构的动脉血液转流管,其特征在于由血液转流管(1)和固定结构组成,血液转流管为一空心管,两端管口呈斜面状;所说的固定结构为两个球囊(2)或两个固定环(3),球囊(2)则由球囊体(2.1)、球囊管(2.2)和单向阀门(2.3)组成,两个球囊体分别包裹于血液转流管两末端管外,与球囊管相连相通,球囊管较细,一侧与血液转流管合壁为一体,球囊管尾部略粗,游离于血液转流管外,尾端与单向阀门(2.3)相接,单向阀门与注射器的接头匹配;固定环(3)则为分别固定于血液转流管两端管外的血液转流管外壁的环状凸起。1. An arterial blood diversion tube with a fixed structure is characterized in that it is made up of a blood diversion tube (1) and a fixed structure, the blood diversion tube is a hollow tube, and the nozzles at both ends are inclined-plane-shaped; said The fixing structure is two balloons (2) or two fixing rings (3), and the balloon (2) is composed of a balloon body (2.1), a balloon tube (2.2) and a one-way valve (2.3). The balloon body is respectively wrapped outside the two ends of the blood diversion tube and connected with the balloon tube. The balloon tube is thinner, and one side is integrated with the wall of the blood diversion tube. The tail of the balloon tube is slightly thicker and free from the blood. Outside the diversion tube, the tail end is connected to the one-way valve (2.3), and the one-way valve matches the connector of the syringe; the fixing ring (3) is the outer wall of the blood diversion tube fixed on the two ends of the blood diversion tube respectively ring-shaped protrusion. 2.按权利要求1所述的带固定结构的动脉血液转流管,其特征在于所说的血液转流管(1)的管壁纵向设一彩条并标有刻度。2. The arterial blood shunt tube with fixed structure according to claim 1, characterized in that a color bar is longitudinally arranged on the wall of said blood shunt tube (1) and marked with a scale. 3.按权利要求1或2所述的带固定结构的动脉血液转流管,其特征在于所说的血液转流管的中间段管壁外覆有自粘止血膜。3. The arterial blood diversion tube with a fixed structure according to claim 1 or 2, characterized in that the middle section of the blood diversion tube is covered with a self-adhesive hemostatic film. 4.按权利要求1或2或3所述的带固定结构的动脉血液转流管,其特征在于是用医用硅胶材料制成的。4. The arterial blood diversion tube with fixed structure according to claim 1, 2 or 3, characterized in that it is made of medical silicone material.
CNA2007100473306A 2007-10-23 2007-10-23 An arterial blood diversion tube with a fixed structure Pending CN101152583A (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107981969A (en) * 2017-12-29 2018-05-04 温州医科大学附属眼视光医院 Drainage substitutes biomimetic scaffolds in a kind of glaucoma
CN108525109A (en) * 2018-05-04 2018-09-14 林若骐 A kind of conduit device being implanted into through cutaneous artery
CN108969870A (en) * 2018-07-28 2018-12-11 中国人民解放军第四军医大学 A kind of internal carotid endarterectomy drainage device
CN111067663A (en) * 2019-12-31 2020-04-28 北京大学深圳医院 thoracoabdominal aortic branch blood supply circuit
CN111772709A (en) * 2020-05-25 2020-10-16 中国人民解放军陆军军医大学第一附属医院 Self-inflating arterial bypass tube
CN115501463A (en) * 2022-10-18 2022-12-23 复旦大学附属中山医院 A kind of superior vena cava shunt

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107981969A (en) * 2017-12-29 2018-05-04 温州医科大学附属眼视光医院 Drainage substitutes biomimetic scaffolds in a kind of glaucoma
CN108525109A (en) * 2018-05-04 2018-09-14 林若骐 A kind of conduit device being implanted into through cutaneous artery
CN108969870A (en) * 2018-07-28 2018-12-11 中国人民解放军第四军医大学 A kind of internal carotid endarterectomy drainage device
CN111067663A (en) * 2019-12-31 2020-04-28 北京大学深圳医院 thoracoabdominal aortic branch blood supply circuit
CN111772709A (en) * 2020-05-25 2020-10-16 中国人民解放军陆军军医大学第一附属医院 Self-inflating arterial bypass tube
CN115501463A (en) * 2022-10-18 2022-12-23 复旦大学附属中山医院 A kind of superior vena cava shunt

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