CN100448413C - 轨道式腰椎联合穿刺针 - Google Patents

轨道式腰椎联合穿刺针 Download PDF

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CN100448413C
CN100448413C CNB2007100983811A CN200710098381A CN100448413C CN 100448413 C CN100448413 C CN 100448413C CN B2007100983811 A CNB2007100983811 A CN B2007100983811A CN 200710098381 A CN200710098381 A CN 200710098381A CN 100448413 C CN100448413 C CN 100448413C
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puncture needle
epidural
needle
lumbar
lumbar vertebra
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CN101032421A (zh
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温一辉
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Beijing PetroChina Jingcheng Petrochemical Co.,Ltd.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia

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Abstract

本发明公开了一种应用于硬脊膜外腔和蛛网膜下腔联合麻醉的轨道式腰椎联合穿刺针，在硬脊膜外穿刺针针栓上设置引导小管道(3)，针梗的外壁开设一条槽D，腰穿针针尖设置成鸟嘴状(4)。当实施麻醉时，先用硬脊膜外穿刺针穿到硬脊膜外腔，置入硬膜外导管，再用腰穿针经硬脊膜外穿刺针针栓上的小管道(3)引导进入硬膜外穿刺针针梗上的槽D并滑行到硬脊膜外腔，再往前深入进入蛛网膜下腔，注药后，依次退出腰穿针和硬膜外穿刺针，同时留下脊膜外导管。本发明优点：①可以先置硬脊膜外导管再在蛛网膜下腔注药；②可以避免硬脊膜外导管经硬脊膜上的针眼进入蛛网膜下腔的可能；③可以使硬脊膜外导管更易置入硬脊膜外腔。

Description

轨道式腰椎联合穿刺针
技术领域
本发明是一种应用于硬脊膜外腔和蛛网膜下腔联合麻醉的轨道式腰椎联合穿刺针。
背景技术
传统的技术方法是先将硬脊膜外穿刺针穿到硬脊膜外腔，然后将腰穿针经由硬脊膜外穿刺针内腔送抵硬脊膜外腔后再深入刺穿硬脊膜和蛛网膜后抵达蛛网膜下腔注药后，退出腰穿针，然后经由硬脊膜外穿刺针置入硬膜外导管后再退出硬脊膜外穿刺针，完成麻醉穿刺操作。
发明内容
本发明的目的是克服现有的技术的缺点，提供一种操作实用强的，科学合理的腰椎联合穿刺针。在硬脊膜外穿刺针针栓上设置引导小管道(3)，硬脊膜外穿刺针针梗的外壁设置一条槽D作为轨道，腰穿针的针尖设置成鸟嘴状(4)，其腹侧适宜贴伏在轨道内滑行，不易偏离轨道。
附图说明
图1为硬脊膜外穿刺针二维剖图，A处为引导小管(3)入口，B处为出口，
C为引导小管(3)的延长线与针梗上的槽D相交处；
图2为腰穿针二维剖图(4)处为腰穿针鸟嘴状针尖
具体实施方式
按常规方法先将硬脊膜外穿刺针穿到硬脊膜外腔后，经硬脊膜外穿刺针置入硬脊膜外导管，取腰穿针(2)让其针尖(4)经硬脊膜外穿刺针针栓上的引导小管道(3)入口A处进入，由B处出口，再前送与硬脊膜外穿刺针针梗上的槽D(即轨道)，相交于C处，继续推进使其沿槽D滑行进入到硬脊膜外腔(注意：必须让腰穿针鸟嘴状针尖部的腹侧紧贴轨道底部滑行，这样，腰穿针才不易偏离轨道)，再推进少许，感到落空感后拨出腰穿针针芯，见脑脊液流出，证实针尖部在蛛网膜下腔后，经此针往蛛网腊下腔注入局麻药后拨出腰穿针，再拨出硬脊膜外穿刺针，留下硬膜外导管，完成穿刺过程。
本发明与现有技术相比有下列优点：
1、本发明可以先置硬膜外导管，再往蛛网膜下腔注药，避免了传统方法中蛛网膜下腔注药后，硬脊膜外腔置管困难带来的尴尬；
2、避免了硬膜外导管经腰穿针在硬脊膜上留下的针眼误入蛛网膜下腔的可能；
3、适当改变了硬脊膜外穿刺针针尖部出口平面与针梗纵轴夹角的角度，使其更易引导硬膜外导管进入硬脊膜外腔。

Claims (4)

1.一种轨道式腰椎联合穿刺针，由硬脊膜外穿刺针(1)、腰穿针(2)构成，其特征是，硬脊膜外穿刺针针栓上设置引导小管道(3)，硬脊膜外穿刺针针梗的外壁设置一条槽D作为轨道，腰穿针的针尖设置成鸟嘴状(4)。
2.根据权利要求1所述的轨道式腰椎联合穿刺针，其特征是所述的硬脊膜外穿刺针针栓上的引导小管道(3)，能引导腰穿针进入硬脊膜外穿刺针针梗上的所述槽D。
3.根据权利要求1所述的轨道式腰椎联合穿刺针，其特征是硬脊膜外穿刺针上的所述槽，能使腰穿针顺着其滑行。
4.根据权利要求1所述的轨道式腰椎联合穿刺针，其特征是腰穿针的针尖采用鸟嘴状(4)，其腹侧适宜紧贴在硬脊膜外穿刺针针梗上的槽D底部滑行。
CNB2007100983811A 2007-04-24 2007-04-24 轨道式腰椎联合穿刺针 Active CN100448413C (zh)

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Publication number Priority date Publication date Assignee Title
CN107736924A (zh) * 2017-11-17 2018-02-27 戴志福 一款快捷安全精准的联合穿刺针
CN112842408B (zh) * 2021-02-04 2022-11-01 中国人民解放军陆军军医大学第一附属医院 一种腰穿针辅助推进装置

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5378241A (en) * 1992-06-24 1995-01-03 Haindl; Hans Anesthesia instrument
CN1116552A (zh) * 1994-08-09 1996-02-14 贝克顿迪金森公司 调节组合式脊椎硬膜外针头的长度的方法和装置
CN2582639Y (zh) * 2002-08-13 2003-10-29 上海埃斯埃医械塑料制品有限公司 无损伤的腰椎和硬膜外联合麻醉套针
CN2618569Y (zh) * 2002-12-17 2004-06-02 柳州市肿瘤医院 硬－腰穿刺套针
CN2688238Y (zh) * 2003-10-17 2005-03-30 宋汉宇 双腔硬脊膜外、蛛网膜下腔穿刺针
US20050203465A1 (en) * 2004-02-17 2005-09-15 Llurba Edmundo-Angel M. Needle for combined epidural intradural anesthesia
CN2891987Y (zh) * 2006-05-12 2007-04-25 温一辉 轨道式腰椎联合穿刺针

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5378241A (en) * 1992-06-24 1995-01-03 Haindl; Hans Anesthesia instrument
CN1116552A (zh) * 1994-08-09 1996-02-14 贝克顿迪金森公司 调节组合式脊椎硬膜外针头的长度的方法和装置
CN2582639Y (zh) * 2002-08-13 2003-10-29 上海埃斯埃医械塑料制品有限公司 无损伤的腰椎和硬膜外联合麻醉套针
CN2618569Y (zh) * 2002-12-17 2004-06-02 柳州市肿瘤医院 硬－腰穿刺套针
CN2688238Y (zh) * 2003-10-17 2005-03-30 宋汉宇 双腔硬脊膜外、蛛网膜下腔穿刺针
US20050203465A1 (en) * 2004-02-17 2005-09-15 Llurba Edmundo-Angel M. Needle for combined epidural intradural anesthesia
CN2891987Y (zh) * 2006-05-12 2007-04-25 温一辉 轨道式腰椎联合穿刺针

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Denomination of invention: Orbital lumbar puncture needle

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