CN105268089B - A kind of intrabone infusion device - Google Patents

A kind of intrabone infusion device Download PDF

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Publication number
CN105268089B
CN105268089B CN201410264175.3A CN201410264175A CN105268089B CN 105268089 B CN105268089 B CN 105268089B CN 201410264175 A CN201410264175 A CN 201410264175A CN 105268089 B CN105268089 B CN 105268089B
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China
Prior art keywords
casing
needle
infusion device
limit
transfusion needle
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CN201410264175.3A
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CN105268089A (en
Inventor
禹宝庆
黄淦
苏佳灿
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SHANGHAI PUDONG HOSPITAL
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SHANGHAI PUDONG HOSPITAL
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Abstract

The present invention relates to the field of medical instrument technology, disclose a kind of intrabone infusion device for quickly establishing liquid resuscitation channel when promptly rescue, a kind of intrabone infusion device, including casing, casing are equipped with hand holding handle, sleeve upper end is pedestal, the inner cavity of casing is accommodated by the combined type transfusion needle of puncture needle core, the socket of hollow transfusion needle, which is characterized in that torsional spring is equipped in casing, pedestal is fixed in torsional spring one end, and the other end is fixed on the limit connector being connected with puncture needle core tail end top;It is equipped with the slideway communicated with cannula cavity in hand holding handle, is clamped locating part on slideway, for torsional spring by after rotary compression, locating part blocks limit connector by slideway.It is rotation ejection mode that the present invention, which changes original impact type inserting needle mode, small to site of puncture impact energy, does not easily cause fracture;Intraosseous infusion needle end presets screw thread simultaneously, reduces needle puncture sites sepage of being infused, generation phenomena such as transfusion needle slips.

Description

A kind of intrabone infusion device
Technical field
It is specifically a kind of logical for quickly establishing liquid resuscitation when promptly rescue the present invention relates to the field of medical instrument technology The intrabone infusion device in road.
Background technology
When clinically promptly being rescued used liquid resuscitation or input drug approach mainly have vein, artery and Three kinds of modes in bone, wherein intraosseous infusion are mainly used for the rescue that the state of emergency is heavy patient, such as respiratoring palpitating suddenly stopping, serious wound Hinder the patients such as haemorrhagic shock, severe dehydration, infant's serious dehydration, this kind of patient leads to vein due to liquid of largely losing blood It collapses and can not quickly and efficiently establish blood vessel first aid channel;In addition, Severe edema, serious burn, life-threatening epilepsy In the case of the operating difficulties such as the ambulance or helicopter, dim light that break out, shake, intraosseous infusion has easy to operate, fast Fast effectively advantage can set up infusion channel in time, and application salvage drug is even transfused blood plasma, concentration haemocyte etc., is It gives emergency treatment to a patient and wins the quality time.
Currently, having applied to clinical portable intrabone infusion device mostly uses impact type inserting needle mode.For example, Chinese patent Publication No. " CN102198298A ", application number " 201110043455.8 ", entitled " infusion survival kit in marrow cavity " A kind of infusion survival kit in marrow cavity of disclosure of the invention, including pedestal, puncture needle, the main cylinder of ejection, catapult-launching gear, mandrel, on Lid and back handle, catapult-launching gear, which is located at, to be launched in main cylinder, and catapult-launching gear includes thrust spring, thrust axis, steel ball lock construction, thrust axis For solid, lower part has a shrinkage pool, built-in magnetic connector, thrust axis to be connect by magnetic connector with puncture needle, thrust axis Top has a pit, the lower part of mandrel that can be placed in the shrinkage pool on thrust axis top.The invention will be in bone by spring mechanical power The method that transfusion needle penetrates in marrow solves the problems, such as quickly to establish infusion channel, easy to use, quick, but this device The problems such as site of puncture severe pain, site of puncture fracture or even transfusion needle fracture are be easy to cause in practice, and be infused Needle is engaged not close phenomena such as causing sepage and transfusion needle slide, deviate from sclerotin interface, and iliacus film can be caused when serious The severe complications such as room syndrome.
China Patent Publication No. is " CN201073504Y ", application No. is " 200720026875.4 ", entitled " in bone defeated The utility model of liquid device " also discloses that a kind of intrabone infusion device, including puncture needle and handle, puncture needle pass through pillow part and hand Interface is connected and fixed on handle, and puncture needle is made of needle tubing and needle core, and needle tubing outer wall is equipped with screw thread.The utility model solves The problem of transfusion needle easily slides, deviates from, but since transfusion needle is still impact mode, site of puncture fracture is more easy to send out It is raw, helicitic texture cannot be made to reach preferably effect.
A kind of intrabone infusion device that can prevent site of puncture from fracturing while preventing transfusion needle sliding, abjection of urgent clinical needs.
Invention content
It is an object of the invention to overcome the deficiencies of the prior art and provide it is a kind of it is simple and practical, puncture portion can not only be prevented Position fracture while the intrabone infusion device for avoiding transfusion needle from slipping.
Technical solution of the present invention is as follows:
A kind of intrabone infusion device, including casing, casing are equipped with hand holding handle, and sleeve upper end is pedestal, and the inner cavity of casing holds Receiving has by the combined type transfusion needle of puncture needle core, the socket of hollow transfusion needle, and intrabone infusion device further includes torsional spring, locking device And catapult-launching gear;
Pedestal is fixed in torsional spring one end, and the other end is fixed on the limit connector being connected with puncture needle core tail end top On;
Locking device includes "convex" shaped locating part, accommodates the slideway and limit connector of locating part sliding, and slideway is set It sets and is communicated with inside pipe casing in hand holding handle inner cavity middle slideway, be with protrusion outside limit connector, locating part is stuck in limit connector In adjacent protrusion, by after rotary compression, locating part is stuck in the adjacent protrusion of limit connector torsional spring;
Catapult-launching gear includes pressing plate, pressing resistance spring, limit resistance spring and plectrum, and pressing resistance spring one end is supported It is pressed on pedestal, the other end is fixed on pressing plate;Plectrum is fixed with pressing plate, and cannula cavity, plectrum hanging one are placed in across pedestal End tilts;Slideway is internally provided with limit resistance spring, compresses locating part.
Torsional spring original state is that compression is reversed, and is limited to torsional spring by locking device, locking device packet Include locating part, limit connector and slideway.Slideway is used to limit the degree of freedom of locating part, and the shape of the slideway is according to locating part Depending on shape, main receiving locating part is movable within.It is cavity in hand holding handle, cavity, which has, accommodates the sliding of "convex" shaped locating part Slideway;It is with protrusion outside the limit connector, for torsional spring by after rotary compression, locating part is stuck in limit connector phase In adjacent protrusion, once detaching locating part, spring can discharge elastic potential energy, and the pop-up of combined type transfusion needle is driven to realize puncture needle rotation Turn the effect punctured, prevents site of puncture from fracturing.After puncturing successfully, pulls open and be sleeved on external puncture needle core, it can be to hollow infusion Needle carries out transfusion operation.
The catapult-launching gear of intrabone infusion device includes pressing plate, pressing resistance spring, limit resistance spring and plectrum, by pressure drag Power spring one end presses on pedestal, and the other end is fixed on pressing plate;Plectrum is fixed with pressing plate, is placed in casing across pedestal Chamber, the hanging one end of plectrum tilt;Slideway is internally provided with limit resistance spring, compresses locating part.This mode, hand holding handle both sides are Closed, "convex" shaped locating part is placed in hand holding handle inner cavity, and locating part compresses limit resistance spring, to increase coupling mechanism force, makes Limit connector is more difficult to move.By being pressed downward pressing plate, plectrum is driven to move down, after sloping portion touches locating part It is dialled outward from limit connector is detached from the ejection of startup torsional spring after the limitation of locating part.Catapult-launching gear is mainly used for controlling Locking device, can it is easier and effectively control torsional spring ejection, avoid causing detaching the shakiness that locating part is brought manually Determine factor.The locating part, slideway, plectrum can be two groups and be distributed relative to casing formed symmetrical, also can be only one group of distribution In side.
The torsional spring is torsional spring, can not only store the elastic potential energy of trimming generation on the whole, but also can be stored The elastic potential energy that torsional deflection generates.Torsional spring is commercially available to be placed in Shanghai China Spring Manufacturing Co., Ltd.
Preferably, further include the deep valve of adjustable limit on the intrabone infusion device, limit deep valve by adjuster, baffle and card Button forms, and has guide groove, baffle plate setting to be clamped across guide groove in inside pipe casing, with external regulator filter, buckle and adjust on sleeve side walls Save device connection, limit regulator position.The deep valve of limit is mainly used for limiting lancet puncture depth in advance, and the structure for limiting deep valve uses The design of similar cutter handle of a knife sliding groove.Adjuster is detachably to dismantle gear after puncturing successfully with baffle clamping Plate is with puncture needle core easy to disassemble.
Preferably, the casing is divided into casing and setting of casing two parts, and upper casing and setting of casing are detachably connected, The hand holding handle is arranged on upper casing, and upper inside pipe casing accommodates combined type transfusion needle and torsional spring;The guide groove is set It sets on setting of casing, setting of casing accommodates the deep valve of limit.After casing is divided into two sections, the deep valve of limit, which can be made, not to be dismantled, more firm, is punctured After succeeding, combined type transfusion needle is dismantled for being detached from upper and lower casing excessively;Meanwhile the setting of casing of disengaging also has auxiliary solid Determine the effect of transfusion needle.
Preferably, the hollow transfusion needle head end has external screw thread.The external screw thread of hollow transfusion needle head end, which may make, to be worn Hollow transfusion needle more consolidates not easily to fall off after piercing successfully.
Preferably, sleeve surface has scale mark for different sites of puncture.
Connection relation between the puncture needle core tail end and transfusion needle tail end can use the common connection type such as screw thread.It is excellent Choosing, the puncture needle core tail end is internal spline structure, and hollow transfusion needle tail end is external splines structure, and the two passes through inside and outside flower Key is connected.Be to avoid helicitic texture in piercing process due to coaxial rotating using the purpose of inside and outside spline structure and It causes to be engaged between transfusion needle and puncture needle too closely, it is difficult so as to cause transfusion needle and puncture needle separation.
Preferably, the more hollow transfusion needle head end of puncture needle core head end grows 3-5mm in the combined type transfusion needle, with profit Skin and subcutaneous tissue are punctured until bone face in puncture needle head end.
Preferably, intrabone infusion device also has protection cap to play the role of preventing pollution.
The puncture needle core of the present invention, which is socketed in hollow transfusion needle, is placed in inside pipe casing, and torsional spring one end is fixed on casing Pedestal, the other end are fixed on the limit connector being connect with combined type transfusion needle.The original state of torsional spring is maximum revolves Turn compression shape, while storing the torsional spring of trimming and distortion generation.Locating part sticks into limit connector by slideway, when detaching When locating part, the compression rotation potential energy of torsional spring release deposit launches transfusion needle in a rotative pattern.The present invention changes original punching Formula inserting needle mode is hit, it is small to site of puncture impact energy, do not easily cause fracture;Locating part is stuck in hand using the sliding block of " convex " shape In the slideway for holding handle inner cavity, not only saves space but also preferably locking effect can be reached;Catapult-launching gear can facilitate control Locking device detaches, and limit valve can preset the pop-up depth of transfusion needle;Casing tube-separating type design be not only advantageous to puncture at The dismounting of work(combined type transfusion needle, while setting of casing also can be as the fixed component for subsequently stablizing hollow transfusion needle;Intraosseous infusion Needle end presets screw thread, reduces needle puncture sites sepage of being infused, generation phenomena such as transfusion needle slips.Due to intrabone infusion device It advances for rotation, hollow transfusion needle is easy to form threaded engagement with sclerotin interface cut during traveling, therefore can reach Threaded engagement is set to play preferable effect while reducing site of puncture impact energy.
The invention has the advantages that preventing site of puncture fracture, infusion needle puncture sites sepage from slipping, make intraosseous infusion It is more safe and reliable, while convenient and simple for operation, effect stability.
Description of the drawings
Fig. 1 is the schematic diagram of hollow transfusion needle;
Fig. 2 is A-A sectional views in hollow transfusion needle;
Fig. 3 is the schematic diagram of puncture needle core;
Fig. 4 is B-B sectional views in puncture needle core;
Fig. 5 is the schematic diagram of combined type intraosseous infusion needle;
Fig. 6 is whole sectional view under the non-ejection status of another embodiment of the present invention;
Fig. 7 is whole sectional view under another embodiment of the present invention ejection status;
Fig. 8 is another embodiment of the present invention inside pipe casing structural schematic diagram;
Fig. 9 is the structural schematic diagram of casing of the present invention;
Wherein:
1- protection caps;2- casings;The upper casings of 21-;
22- setting of casings;23- hand holding handles;24- pedestals;
25- guide grooves;3- combined type transfusion needle 31- puncture needle cores;
The hollow transfusion needles of 311- puncture needle core tail end 312- puncture needle core head end 32-;
The hollow transfusion needle head end 4- torsional springs of the hollow transfusion needle tail end 322- of 321-;
51- locating parts;52- slideways;53- limit connectors;
61- pressing plate;62- presses resistance spring;63- limits resistance spring
64- plectrums;The deep valve of 7- limits;71- adjusters
72- baffles;73- is buckled.
Specific implementation mode
With reference to embodiment and attached drawing, invention is further described in detail, but the implementation of the present invention is not limited only to This.
Embodiment 1
A kind of intrabone infusion device as shown in figs. 7-9, by protection cap 1, casing 2, combined type transfusion needle 3, torsional spring 4, Locking device and catapult-launching gear composition.Casing 2 is plastic material, inside there is cavity, is mainly used for accommodating torsional spring 4 and combined type Transfusion needle 3.Casing 2 is opening in transfusion needle outlet side, and the other side is pedestal 24, and opening has protection cap 1, protection cap 1 Effect is to wait for that the used time protects internal structure not contaminated in intrabone infusion device.Casing 2 is equipped with hand holding handle 23, to be clamped.
As shown in Fig. 1~5, combined type transfusion needle 3 is made of puncture needle core 31 and hollow transfusion needle 32, is all made of medical height Strength alloy material is made, and puncture needle core 31 is solid design, and the top of puncture needle core tail end 311 is that groove is used to connect, and is worn Pricker core print end 312 is at cone-shaped;Hollow transfusion needle head end 322 presets screw thread, can cut New bone formation during screw-in Screw thread is closely engaged, and is greatly enhanced resistance to plucking and is gone out performance, and the generation of anti-impervious liquid.The needle core of puncture needle core 31 partially passes through sky The hollow needle tubing of heart transfusion needle 32, and the shell of puncture needle core 31 is socketed in the outside of hollow transfusion needle 32, penetration phase passes through Combined type transfusion needle 3 is pierced into bone by the puncture needle core 31 with needle point, has screw thread knot on the needle tubing tail end of hollow transfusion needle 32 Structure can be connect with woven hose puncture successfully after, pass through and be detached from puncture needle core, complete infusion to hollow transfusion needle 32.
Torsional spring 4 is the critical piece for completing rotation ejection, and the torsional spring 4 belongs to torsionspring, can be simultaneously Trimming and distortion are generated, rotary compression storage elastic potential energy is passed through.Torsional spring 4 is arranged in pairs or groups with locking device, and locking device is by limiting Position part 51, slideway 52 and limit connector 53 form.Slideway 52 in locking device is not through hand holding handle 23,23 outside of hand holding handle For closed state, for slideway 23 within the scope of the cavity of hand holding handle 23, locating part 51 is the sliding block of " convex " shape, and slideway 52 is rectangle Groove, the parallel-segment for accommodating "convex" shaped sliding block moves in slideway 52, and limits 51 vertical direction displacement of locating part.Limit connects Fitting 53 is connect with combined type transfusion needle 3, and the other side is fixed with torsional spring 4.53 periphery of limit connector is around protrusion, limit The vertical section of part 51 is stuck in the adjacent protrusion of limit connector 53, limits the limit connector 53 after being connect with torsional spring 4 It is circumferentially displaced, the horizontal segment of locating part 51 then stops that the limit connector 53 after being connect with torsional spring 4 launches downwards.
Catapult-launching gear is the starter of the present invention, and ejection valve 6 is by pressing plate 61, pressing resistance spring 62, limit resistance Spring 63 and plectrum 64 form.62 one end of pressing resistance spring presses on pedestal 24, and the other end connects pressing plate 61, plectrum 64 1 End is fixed with pressing plate 61, is placed in 2 inner cavity of casing across pedestal 24, the hanging one end of plectrum 64 tilts, and is not pressing pressing plate In the case of 61, plectrum is close to locating part 51, and after pressing, the inclined surface of plectrum 64 is contacted with locating part 51, due to plectrum one end Tilt, will force locating part 51 along slideway 52 dial outward from, make locating part 51 be detached from limit connector 53,4 nothing of torsional spring Potential energy is discharged after resistance has the function that ejection;Slideway 53 be internally provided with limit resistance spring 63, compress locating part 51, to Reach better locking effect under original state.
Embodiment 2
A kind of intrabone infusion device, remaining is tube-separating type with embodiment 1, the casing 2, is divided into casing 21 and setting of casing 22, two casings are connected through a screw thread, and hand holding handle 23, inner containment combined type transfusion needle 3 and rotating missile are provided on upper casing 21 Spring 4.Setting of casing 22 is equipped with guide groove 25, also sets up limited deep valve 7, limits deep valve mainly by adjuster 71, baffle 72 and buckle 73 Composition.For the deep valve of limit mainly according to the operation principle of cutter handle of a knife, external adjuster 71 passes through guide groove with internal baffle 72 25 connections, by the position of 71 controllable register 72 of movement governor, buckle 73 adjusts machine 71 that can freely move in closed state It is dynamic, then secured adjusted device 71 and baffle 72 in the case where pulling open.Setting of casing 22 is also used as stablizing sky after puncturing successfully The fixing piece of heart transfusion needle 32 uses.
Embodiment 3
A kind of intrabone infusion device, remaining has internal spline, hollow woven hose tail with embodiment 1 on puncture needle core tail end 311 End 321 has external splines, the two mutual riveted to fall off with puncture needle core 31 when preventing hollow transfusion needle 32 from piercing sclerotin.2 table of casing It is carved with label in face.When puncture needle core 31 is combined with hollow woven hose 32,312 more hollow transfusion needle head end 322 of puncture needle core head end 4mm is grown, to puncture skin and soft tissue when puncturing up to bone face, and pierces in cancellous bone as drill bit and is built for transfusion needle Vertical bone internal channel, while soft tissue can be prevented to be embedded in transfusion needle, pin hole is caused to block.
Embodiment 4
A kind of intrabone infusion device of the present invention when Clinical practice, first according to the deep valve 7 of different adjustment limit is punctured, unscrews guarantor Intrabone infusion device is adjacent to site of puncture by protecting cover 1, presses pressing plate 61,64 slide downward of plectrum and by locating part 51 along slideway 52 dial to both sides from after locating part 51 is detached from the limit connector 53 being connect with combined type transfusion needle 3, by the rotation of compression rotation Spring 4 and combined type transfusion needle 3 connected to it, limit connector 53 lose resistance, and torsional spring 4 discharges elastic potential energy, Rotation ejection, drives combined type transfusion needle 3 to be pierced into bone, and combined type transfusion needle 3 will enter in ossis in a rotative pattern at this time, Until reaching limit 7 preset limit value of deep valve.Then, upper casing 21 and setting of casing 22 are unscrewed, casing in removal, is punctured Needle core 31 is extracted, and setting of casing 22 is retained in as transfusion needle fixed pedestal at puncture, the connection infusion of hollow thread transfusion needle tail end It can be infused after pipe.Newborn and infant's intraosseous infusion point of puncture are typically chosen in tibial tubercle or less 1-2cm merging bones The positions such as breastbone, clavicle, proximal humerus, proximal tibia, anterior superior spine generally may be selected in transfusion needle, adult's point of puncture, these Position is mostly that cancellous bone is easy to puncture, and position table is shallow, is easy to recognize and touch.
The basic principles, main features and advantages of the present invention have been shown and described above.The technology of the industry For personnel it should be appreciated that the present invention is not limited to the above embodiments, knowledge described in the above embodiment and specification illustrates this The principle of invention, various changes and improvements may be made to the invention without departing from the spirit and scope of the present invention, these changes Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appended claims and its Equivalent defines.

Claims (8)

1. a kind of intrabone infusion device, including casing (2), casing (2) is equipped with hand holding handle (23), and casing (2) upper end is pedestal (24), the inner cavity of casing (2) is accommodated by the combined type transfusion needle (3) of puncture needle core (31), hollow transfusion needle (32) socket, It is characterized in that:Intrabone infusion device further includes torsional spring (4), locking device and catapult-launching gear;
Pedestal (24) is fixed in torsional spring (4) one end, and the other end is fixed on the limit being connected with puncture needle core tail end (311) top On position connector (53);
Locking device includes "convex" shaped locating part (51), accommodates slideway (52) and limit connector that locating part (51) slides (53), slideway (52) setting communicates inside hand holding handle (23) inner cavity middle slideway (52) and casing (2), and limit connector (53) is outside It is with protrusion, locating part (51) is stuck in the adjacent protrusion of limit connector (53), and torsional spring (4) is limited by after rotary compression Position part (51) is stuck in the adjacent protrusion of limit connector (53);
Catapult-launching gear includes pressing plate (61), pressing resistance spring (62), limit resistance spring (63) and plectrum (64), by pressure drag Power spring (62) one end presses on pedestal (24), and the other end is fixed on pressing plate (61);Plectrum (64) is fixed with pressing plate (61), It is placed in casing (2) inner cavity across pedestal (24), the hanging one end of plectrum (64) tilts;Slideway (53) is internally provided with limit resistance spring (63), locating part (51) is compressed.
2. according to the intrabone infusion device described in claim 1, which is characterized in that further include adjustable on the intrabone infusion device The limit depth valve (7) of section limits deep valve (7) and is made of adjuster (71), baffle (72) and buckle (73), led on casing (2) side wall Slot (25), baffle plate setting is internal in casing (2), is clamped across guide groove (25) with external regulator filter (71), buckle (73) and adjusting Device (71) connects, limit regulator position.
3. intrabone infusion device according to claim 2, which is characterized in that the casing (2) be divided into casing (21) and Setting of casing (22) two parts, upper casing (21) and setting of casing (22)
Detachably connected, the hand holding handle (23) is arranged on upper casing (21), upper casing (21) inner containment combined type Transfusion needle (3) and torsional spring (4);The guide groove (25) is arranged on setting of casing (22), and setting of casing (22) accommodates the deep valve of limit (7)。
4. according to any intrabone infusion device of claims 1 to 3, which is characterized in that the hollow transfusion needle head end (322) there is external screw thread.
5. according to any intrabone infusion device of claims 1 to 3, which is characterized in that there is scale mark on casing (2) surface.
6. according to any intrabone infusion device of claims 1 to 3, which is characterized in that the puncture needle core tail end (311) For internal spline structure, hollow transfusion needle tail end (321) is external splines structure, and the two is connected by inside and outside spline fitted.
7. according to any intrabone infusion device of claims 1 to 3, which is characterized in that in the combined type transfusion needle (3) The more hollow transfusion needle head end (322) of puncture needle core head end (312) grows 3-5mm.
8. according to any intrabone infusion device of claims 1 to 3, which is characterized in that intrabone infusion device also has protection cap (1)。
CN201410264175.3A 2014-06-13 2014-06-13 A kind of intrabone infusion device Expired - Fee Related CN105268089B (en)

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