Continuous pumping (point connection) disposable tourniquet
[Current Situation of Tourniquet Use in China and Relevant Policies and Regulations]:
rubber tourniquet (also known as pulse belt) is widely used in hospitals for venous blood collection and intravenous injection. With the increasing severity of hospital infections, the Ministry of Health's "Disinfection Management Measures" and "Hospital Infection Management Measures" clearly stipulate that all medical devices, appliances and articles that contact the skin and mucous membranes must reach the level of disinfection. Today, when other disposable medical consumables are used on a large scale, the traditional rubber tourniquet is still used by many people without any disinfection treatment, and it may not be a separate tourniquet for infectious patients (hepatitis B, typhoid fever, tuberculosis, etc.). The tourniquet is placed in a drawer, treatment tray or work clothes at will, bringing hidden dangers to nosocomial infection.
"Administrative Measures for Medical Infections" (Order No. 48 of the the People's Republic of China Ministry of Health) clearly stipulates that medical devices, appliances and articles that contact skin and mucous membranes must reach the level of disinfection; all kinds of medical equipment used for invasive operations such as injection, puncture, and blood collection must be used and sterilized. The "Hospital Disinfection Health Standard" (GB15982-1995) clearly stipulates that the total number of bacterial colonies in medical supplies contacting skin should be ≤ 200ufu/g or 100 cm2, and pathogenic microorganisms should not be detected. The Letter on Printing and Distributing (No.7, 2008) clearly stipulates that community health and medical institutions must strictly implement aseptic technical operations to prevent cross-infection by one person, one needle, one tube, one towel and one disinfection.
some hospitals have repeatedly used tourniquets and incomplete disinfection, which have exceeded the relevant national regulations.
Product Description
[Product Performance and Main Structure]:
This product is made of medical polymer material natural rubber or special rubber. It is milky white/blue, long and flat, dot-stacked and packed in boxes. It has strong flexibility and can be continuously extracted.
[Scope of application]:
This product is suitable for medical institutions in conventional treatment and treatment of infusion, blood, blood transfusion, hemostasis, one-time use; or limb bleeding, wild snake bite bleeding when emergency hemostasis.
[Contraindications, Precautions, Warnings and Indicative Instructions]:
1. This product is safe and convenient to use and effectively avoids cross-infection;
2. This product is for one-time use and destroyed after use. If the package is damaged, it is strictly prohibited to use it;
3. Please cover the belt window cover after use to avoid dust and bacterial contamination;
4. See the side of the packaging box or the certificate for the date of production;
5. Store in a cool and dry place. Please use it as soon as possible after opening.
[Storage Conditions and Methods]: Store in a cool and dry place.
[Validity Period]: Three years.
industry standard
[Implementation Standards]:GB/T 1.1-2009
[Standard Scope]: This standard specifies the product classification and marking, requirements, experimental methods, inspection rules, marking, packaging, transportation and storage of point-connected disposable tourniquets.
[Classification]: tourniquet is divided into type I single package type and type II continuous pumping type.
[Appearance and Structure]:
1. The disposable tourniquet is milky white/blue, etc. It is long and flat, and can be continuously extracted.
2. The packing box is made of hard paper, and a flip-type drawstring window is installed, with 50 pieces per box.
Technology
tourniquet hemostasis is a simple and effective hemostasis method used in first aid for massive hemorrhage of limbs. It achieves the purpose of hemostasis by compressing blood vessels and blocking blood flow. However, if it is used improperly or for too long, the tourniquet can cause ischemia and necrosis of the distal limbs, resulting in disability. For this reason, the tourniquet can only be applied when the bleeding is violent and other methods cannot stop bleeding.
tourniquet is preferably rubber strips or rubber tubes, and inelastic tapes such as cloth tapes and wires are not suitable. The binding position should be above the wound (near the heart end) and as close as possible to the wound. The upper 1/3 of the upper arm and the upper middle of the thigh are better. The lower leg and forearm cannot be equipped with tourniquet. Because there are two bones, the blood vessels just walk between the two bones, and the upper tourniquet cannot compress the blood vessels. The middle 1/3 part of the upper arm cannot be equipped with a tourniquet, because it may cause nerve damage and cause arm paralysis.
After selecting the tourniquet site, cloth strips should be placed there first, the tourniquet should be tightened, the limbs should be wrapped for two weeks and knotted. The tightness should be appropriate to observe the wound without bleeding. Remember the time when you put on the tourniquet, relax for l/2 minutes every half hour in winter and 1 hour in summer, and then tie it up. When tying again, the parts should be slightly moved up and down. For patients with massive hemorrhage, they should be sent to hospital for treatment as soon as possible while on tourniquet.
should clean the wound with sterile water (boiled water), and gently find the deep artery with clean fingers, and carefully tie the artery with a disinfection line. This is the first time an open wound has been touched.
if the artery breaks completely, the end may shrink and it will be difficult to find. When you are sure that the artery is in a small piece of tissue, you can sew up the entire tissue with a large needle.
check whether the operation is successful, loosen the hemostatic bandage as soon as possible to find out whether the artery causing bleeding is only the blood vessel that has been bandaged. If it is found that bleeding will still occur, the tourniquet should be reinserted immediately and the search for ruptured blood vessels should continue. There are other small blood vessels in the tissues, which provide the blood necessary for the limbs to maintain physiological metabolism and maintain circulation.
don't leave the tourniquet in its place.
application
: the forearm (just under the armpit) and the upper thigh. Select a cloth tape with a width of at least 5cm (2 inches) as a hemostatic tape. If you are forced to use narrower wires (wires or ropes), you must pad and fold multiple layers of cloth to reduce discomfort and avoid damaging nerves or muscles.
, tie the tourniquet 3 times along the limb to form a half knot, put a light short stick on the knot, and then tie it into a double knot. The tourniquet must be tied tightly until the bleeding stops.
stops bleeding, the tourniquet must be tied tightly enough to prevent the blood supply, but it must be loosened once at intervals. The above strapping method can be easily loosened.
blood vessels are ligated, the tourniquet should be completely untied.
warning
1) Tourniquet will block the flow of blood, and too long binding time will seriously damage tissues-even lead to limb necrosis.
2) The tourniquet can only be used to tie the limbs, and never tie the head, neck or torso.
3) Do not cover with other objects, and do not cover the tourniquet tied to the limbs. If you have to leave the patient alone in the camp, write down the binding time and the location of the toolbox on his head with a sign pen or lipstick.
check blood circulation
1) After the bandage is wrapped, you should always check your toes or fingers to see if there are purple spots on the end of the bandage and whether the body temperature there is a drop. If there is such a phenomenon, you should loosen the cloth belt, otherwise it will cause tissue necrosis over time.
2) For the same reason, tourniquet cannot be used to tie the limbs for a long time, unless it is necessary to do so when arterial ligation is performed. In general, when stopping bleeding, you should first try the direct pressure method, and then use the pressure site method until you use the method of maintaining direct pressure at the wound. If the wound is located at the end of the limb, the wound can be raised.
the use of disposable tourniquets in developed countries in the world has become popular,
domestic disposable tourniquet instead of traditional tourniquet has become an inevitable trend.
# Disposable tourniquet
# Disposable Silicone Tourniquet
Keywords: disposable tourniquet; disposable silicone tourniquet; snap-on tourniquet; Silicone tourniquet; Medical consumables
