CN102631235A - Puncture instrument and use method thereof - Google Patents

Puncture instrument and use method thereof Download PDF

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Publication number
CN102631235A
CN102631235A CN2012101342806A CN201210134280A CN102631235A CN 102631235 A CN102631235 A CN 102631235A CN 2012101342806 A CN2012101342806 A CN 2012101342806A CN 201210134280 A CN201210134280 A CN 201210134280A CN 102631235 A CN102631235 A CN 102631235A
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puncture
seal wire
needle
puncture needle
instrument
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CN102631235B (en
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徐舒
王明磊
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Suichuan Wanli Electronic Technology Co ltd
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Priority to CN201210134280.6A priority Critical patent/CN102631235B/en
Priority to CN201410212643.2A priority patent/CN103948418B/en
Priority to CN201410212779.3A priority patent/CN103948419B/en
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Abstract

The invention relates to a puncture instrument and a use method thereof. The puncture instrument comprises a puncture needle and a guide wire, wherein the puncture needle is used for puncturing a human body and forms a puncture channel in the body; and the guide wire is put into the human body along a needle tube of the puncture needle and is left in the puncture channel to be used as a guide part after the puncture needle is pulled out. The use method of the puncture instrument comprises the following steps: placing a puncture needle core into the puncture needle to form an integrated structure to puncture a patient; pulling out of the puncture needle core after puncturing in place, and draining; placing the front end of the guide wire into the human body along the tail end of the needle tube of the puncture needle after drainage is finished; pulling out of the puncture needle; leading the guide wire to be covered and fixed on the body surface of the human body by utilizing a aseptic dressing; and then puncturing again, so that the puncture needle achieves the puncture part along the guide wire. The puncture instrument is suitable for patients need multiple times of paracentesis; with adoption of the puncture instrument, one-time success of follow-up puncture can be ensured when the puncture instrument is used; body injuries and psychological burdens caused by multiple times of puncturing patients can be avoided; and the occurrences of complications such as headache and backache and the like can be greatly reduced.

Description

Puncture instrument and method for using thereof
Technical field
The present invention relates to a kind of medical thrust apparatus, and the method for using of this apparatus.
Background technology
Puncture is a kind of effective means of clinical diagnosis and clinical treatment, comprises lumbar puncture art, thoracentesis, peritoneocentesis etc.Wherein lumbar puncture art is a neural inside and outside section Clinics and Practices technology commonly used.It is with lumbar puncture needle puncture spinal column marrow subarachnoid space, in the lower back center, thrusts about 5cm with the lumbar puncture needle of belt carcass, punctures spinal dura mater, extracts nook closing member, cerebrospinal fluid just in the hollow puncture needle drain come out.Can be used to measure intracranial pressure, reduce intracranial pressure, drain courage and uprightness or inflammatory cerebrospinal fluid, wash treatment and inject medicine etc.But puncture possibly stabbed nerve or vascular plexus, causes nerve injury or hemorrhage hematoma; Pin hole on the spinal dura mater also possibly cause cerebrospinal leak, causes lumbago or intracranial hypotension headache.In practical operation, owing to the reasons such as technology of executing the patient, the pin probability of successful that just punctures is little.Because individual variation, the still unsuccessful case of repeated multiple times puncture is also of common occurrence.And diseases such as some intracranial hemorrhage or infection from the purpose of diagnosis or treatment, need be carried out repeatedly paracentesis especially.In order to reach better therapeutic effect, carry out paracentesis repeatedly, every day 1 to 2 time in needing surplus a few days or ten day.Each paracentesis all possibly punctured repeatedly could be successfully even not successful, and this has just caused great wound and psychological burden to patient.And the probability of stabbing nerve and blood vessel strengthens, and leaves over the many places pin hole on the spinal dura mater, and the postoperative cerebrospinal leak is heavier, and the probability that complication such as headache and lumbago take place also greatly increases.
It is to adopt spinal column marrow subarachnoid space indwelling system that a kind of method is arranged at present; Its use general lumbar puncture needle thick many belt carcass puncture needles; After puncturing successfully, extract nook closing member, in spinal column marrow subarachnoid space, keeping somewhere a drainage tube under the guiding of puncture needle tubing; Drainage of cerebrospinal fluid is gone into the external drainage bottle that is fixed in certain altitude, continue to flow in the drainage bag again.The advantage of this method is only need carry out one-time puncture, avoided the physiology and the psychological misery that repeatedly puncture and bring to sufferer, and the drainage tube of keeping somewhere can play the effect of CD.But still there is drawback in the method for this indwelling drainage tube: 1, puncture needle is thicker, damages greatly in the art, and the spinal dura mater cut is also big, and the probability that postoperative produces complication such as headache and lumbago is big.Puncture needle slightly is that and drainage tube can not be too thin because must pass through drainage tube in the needle tubing, and too thin easy plugging is obstructed.2, limited patient's activity after the drainage from indwelling system, be unfavorable for treatment, because cranium brain critically ill patient need often stand up, clap the back of the body or carrying inspection.3, drainage tube possibly extracted accidentally, causes the drain failure.Because cranium brain critically ill patient possibility is often restless or the burst epilepsy, and need often stand up, clap and carry on the back or carry and check.4, drainage system is if maintenance is improper, and causing retrograde infection maybe.Especially when wash, injection etc. operated.5, because spinal column marrow subarachnoid space continuous openness when patient's intracranial hypertension breaks out, causes the cerebral hernia possibility.6, if puncture and put when pipe misoperation, drainage tube might be punctured pin and cut off, and the broken ends of fractured bone is left in body.7, cost an arm and a leg.
Summary of the invention
First technical problem that the present invention will solve provides a kind of little to the repeatedly paracentetic sufferer damage of needs, simple operation, and safe and reliable puncture instrument, second technical problem that the present invention will solve provides a kind of method for using of this puncture instrument.
In order to solve above-mentioned first technical problem; The invention provides a kind of puncture instrument comprises: be used for human body puncture and form the puncture needle of puncture channel in vivo, also comprise: be suitable for sending in the human body and after extracting this puncture needle, keeping somewhere the seal wire of conduct guiding puncture spare next time in said puncture channel along the needle tubing of this puncture needle.
Keep somewhere good the fixing of part ability quilt that the seal wire in puncture channel exposes body surface in order to make; And reaching aseptic requirement, a kind of optimized technical scheme is that above-mentioned puncture instrument also comprises: be used for after said puncture needle is extracted human body the part of exposing body surface of seal wire is covered and fixed aseptic dressing.
Another kind of optimized technical scheme is that above-mentioned puncture instrument also is included in said puncture needle and is pulled out the pad between outer body and the body surface that exposes of being located at said seal wire behind the human body, and has gap on the pad; During use; The bottom of exposing outer body of seal wire is clamped and fixed in the said gap because seal wire is fixed on human body surface after placing the outer part of human body to bend; The bending place has slightly micro-protuberance; Between seal wire and human body surface, pad is set, seal wire is stuck in the gap of pad and can makes seal wire obtain better fixed effect.
For making the needle tubing that does not have foreign material to get into puncture needle when puncturing result in blockage; A kind of optimized technical scheme is that above-mentioned puncture instrument also comprises and is used for when human body is punctured, being arranged in the puncture nook closing member in the said puncture needle; Thereby help reducing the difficulty of puncture, improve the success rate of puncture.
For making the use of seal wire convenient, easy fixation again, a kind of optimized technical scheme is that the length of above-mentioned seal wire is 150mm to 250mm, diameter is 0.2mm to 0.9mm; The surface of seal wire is provided with scale mark.
In order to solve above-mentioned second technical problem, the invention provides a kind of method for using of puncture instrument, may further comprise the steps:
1. the nook closing member that will puncture places in the puncture needle and is integrally formed, and sufferer is punctured;
2. after puncture puts in place, extract the puncture nook closing member, carry out drain;
3. after drain finishes, the front end of seal wire is sent in the human body along the needle tubing end of puncture needle, the front end of seal wire passes the needle tubing front end of puncture needle;
4. keep seal wire motionless, extract puncture needle, use aseptic dressing that seal wire is exposed external part and cover and be fixed on body surface;
Figure 2012101342806100002DEST_PATH_IMAGE002
is when puncturing once more; Puncture needle arrives the site of puncture along seal wire; Extract seal wire, carry out drain.
When carrying out lumbar puncture; Stay in the cavitas subarachnoidealis spinalis for guaranteeing the seal wire leading section; Can be when puncturing next time guide the spinal dura mater holes that puncture formed through last time to get into subarachnoid space exactly puncture needle, above-mentioned steps 3. in the front end of seal wire exceed the needle tubing front end 10-50mm of puncture needle.
Step 4. in after extracting puncture needle, earlier pad is placed body surface and makes the bottom of exposing outer body of seal wire be clamped in the gap of pad, use aseptic dressing that seal wire is exposed external part with the pad covering and be fixed on body surface then.To make seal wire obtain better fixed effect.
Step adopts the multilamellar aseptic dressing successively to cover in 4. and fixing seal wire, is polluted to prevent seal wire, the aseptic requirement when also helping loosening dressing before the paracentesis next time.
Technique scheme of the present invention is compared prior art and had the following advantages: this puncture instrument adopts seal wire and without drainage tube, thereby used puncture needle is thinner, and the damage that has alleviated sufferer is with painful; The spinal dura mater acanthopore is less, and the probability of postoperative headache lumbago is also little; The wire guides exterior portions covers fixing, and the sufferer activity is unrestricted fully; Seal wire can be because of restless, burst epilepsy, stand up, clap the back of the body or carrying inspection is extracted accidentally; The comparatively tough and tensile pin that can not be punctured of seal wire cuts off, and part takes place leave in intravital problem; The generation possibility of infection is less; When the cranium pressure increases suddenly, be difficult for taking place cerebral hernia; Simple in structure, price is relatively low.
Description of drawings
For content of the present invention is more clearly understood, below according to specific embodiment and combine accompanying drawing, the present invention is done further detailed explanation, wherein:
Fig. 1 is the structural representation of the puncture needle of puncture instrument of the present invention;
Fig. 2 is the structural representation of the puncture nook closing member of puncture instrument of the present invention;
Fig. 3 is the structural representation of the seal wire of puncture instrument of the present invention;
Fig. 4 is the structural representation of the aseptic dressing of puncture instrument of the present invention;
Fig. 5 is the structural representation of the pad of puncture instrument of the present invention;
Fig. 6 passes the user mode figure of puncture needle for the seal wire of puncture instrument of the present invention;
Fig. 7 is fixed on the user mode figure of body surface for the seal wire of puncture instrument of the present invention.
The labelling of above-mentioned accompanying drawing is following:
Puncture needle 1, puncture nook closing member 2, seal wire 3, aseptic dressing 4, pad 5, gap 51.
The specific embodiment
(embodiment 1)
See Fig. 1 to Fig. 4, the puncture instrument of present embodiment comprise be used for to human body puncture and form in vivo puncture channel puncture needle 1, be used for when human body puncture, being arranged in puncture nook closing member 2 said puncture needle 1 in, be suitable for along the needle tubing of this puncture needle 1 send in the human body and extracting this puncture needle 1 after keep somewhere the seal wire 3 of conduct guiding puncture spare next time in said puncture channel and be used for after said puncture needle 1 is extracted human body the part covering of exposing body surface of seal wire 3 fixed aseptic dressing 4 also.
Puncture needle 1 is No. 9 lumbar puncture needle (the needle tubing external diameter is 0.9mm) commonly used clinically, and the forward tip of the needle tubing of puncture needle 1 is a spoonful shape mouth inclined-plane.The forward tip of nook closing member of puncture nook closing member 2 is a spoonful shape inclined-plane.Seal wire 3 (meets China's medical device industry standard for the slight curving medical guiding wire of leading section; Standard name is: " the aseptic catheter in blood vessel auxiliary of disposable use part 1: guide instrument "; Standard is numbered: YY 0450.1-2003); The length of seal wire 3 is 200mm, and the diameter of seal wire 3 is 0.36mm less than the needle tubing internal diameter of puncture needle 1.The surface of seal wire 3 is provided with scale mark.Aseptic dressing 4 is a medical application.
The scale mark of said seal wire 3 whenever is equipped with two point at a distance from 50mm for being equipped with a point from the every later on separated 10mm of the front end 50mm of seal wire 3.
See Fig. 6, when the puncture instrument of use present embodiment carried out lumbar puncture, sufferer was lain on one's side, and hip in the wrong is gone down on one's knees, and executes the patient partly sterilised is carried out at the position that needs puncture, and covers hole towel, exposes operating area.Use the piercing method of this puncture instrument may further comprise the steps: the nook closing member 2 that 1. will puncture places in the puncture needle 1 and is integrally formed, and sufferer is punctured; 2. after puncture puts in place, extract puncture nook closing member 2, carry out drain.3. after drain finishes, the front end of seal wire 3 is sent in the human body along the needle tubing end of puncture needle 1, passed the needle tubing front end 20-30mm of puncture needle (1) until front end seal wire 3; 4. keep seal wire 3 motionless, extract puncture needle 1, will expose 3 bendings of external seal wire, use medical application 4 that seal wire 3 is covered and be fixed on body surface;
Figure 405758DEST_PATH_IMAGE002
is when puncturing once more; The seal wire 3 that puncture needle 1 is kept somewhere along last time puncture is from the puncture channel of last time (being the passage that puncture needle 1 forms when puncturing last time); Pass the holes that on spinal dura mater, stayed when puncturing last time and get into cavitas subarachnoidealis spinalis; Extract seal wire 3, carry out drain; cycle repeats step is 3. to
Figure 260582DEST_PATH_IMAGE002
, till need not to carry out puncture drainage.
Said step 3. in for making the fixing more safe and reliable of seal wire 3, can use a little medical application 4 fixedly behind the seal wire 3, again at big medical application 4 of its outside covering.
(embodiment 2)
See Fig. 1 to Fig. 5, the remainder of the puncture instrument of present embodiment is identical with embodiment 1, and difference is: puncture needle 1 is No. 7 lumbar puncture needle commonly used clinically (the needle tubing external diameter is 0.7mm, is mainly used in high cranium and presses sufferer or child's sufferer).This puncture instrument also is included in said puncture needle 1 and is pulled out the pad 5 between outer body and the body surface that exposes of being located at said seal wire 3 behind the human body.Pad 5 is medical cotton pad, and pad 5 is provided with gap 51, and during use, the bottom of exposing outer body of seal wire 3 is clamped and fixed in the said gap 51.
See Fig. 6 and Fig. 7; When the puncture instrument of use present embodiment carries out lumbar puncture; All the other steps are identical with embodiment 1, and difference is: 4. step for keeping seal wire 3 motionless, extracts puncture needle 1; Earlier pad 5 is placed body surface and makes the bottom of exposing outer body of seal wire 3 be clamped in the gap 51 of pad 5, use aseptic dressing 4 that seal wire 3 is exposed external part and pad 5 coverings and is fixed on body surface then.Thereby make that the bending place of seal wire 3 can be not unsettled, fixing safer, also more be difficult for losing.
Puncture instrument of the present invention is not limited to above-mentioned each embodiment, such as: aseptic dressing 4 also can be medical aseptic gauze and medical proof fabric.Obviously, the foregoing description only be for clearly the present invention is described and is done for example, and be not to be qualification to embodiment of the present invention.For the those of ordinary skill in affiliated field, on the basis of above-mentioned explanation, can also make other multi-form variation or change.Here need not also can't give exhaustive to all embodiments.And these belong to conspicuous variation or the change that spirit of the present invention extended out and still are among protection scope of the present invention.

Claims (10)

1. puncture instrument; Comprise: be used for human body puncture and form the puncture needle (1) of puncture channel in vivo, it is characterized in that also comprising: be suitable for sending in the human body and after extracting this puncture needle (1), keeping somewhere the seal wire (3) of conduct guiding puncture spare next time in said puncture channel along the needle tubing of this puncture needle (1).
2. according to the described puncture instrument of claim 1, it is characterized in that also comprising: be used for after said puncture needle (1) is extracted human body the part of exposing body surface of seal wire (3) is covered and fixed aseptic dressing (4).
3. according to the described puncture instrument of claim 1, it is characterized in that: the leading section of said seal wire (3) is a bending.
4. according to the described puncture instrument of claim 2; It is characterized in that also comprising: after said puncture needle (1) is pulled out human body, be located at the pad (5) between outer body and the body surface that exposes of said seal wire (3), have gap (51) on the pad (5); During use, the bottom of exposing outer body of seal wire (3) is clamped and fixed in the said gap (51).
5. according to the described puncture instrument of claim 1, it is characterized in that also comprising: be used for when human body is punctured, being arranged in the puncture nook closing member (2) in the said puncture needle (1).
6. according to the described puncture instrument of one of claim 1 to 4, it is characterized in that: the length of said seal wire (3) is 150mm to 250mm, and diameter is 0.2mm to 0.9mm; The surface of seal wire (3) is provided with scale mark.
7. the method for using of an above-mentioned puncture instrument is characterized in that, may further comprise the steps:
1. the nook closing member (2) that will puncture places in the puncture needle (1) and is integrally formed, and sufferer is punctured;
2. after puncture puts in place, extract puncture nook closing member (2), carry out drain;
3. after drain finishes, the front end of seal wire (3) is sent in the human body along the needle tubing end of puncture needle (1), the front end of seal wire (3) passes the needle tubing front end of puncture needle (1);
4. keep seal wire (3) motionless, extract puncture needle (1), use aseptic dressing (4) that seal wire (3) is exposed external part and cover and be fixed on body surface;
Figure 2012101342806100001DEST_PATH_IMAGE002
is when puncturing once more; Puncture needle (1) arrives the site of puncture along seal wire (3); Extract seal wire (3), carry out drain.
8. according to the method for using of the described puncture instrument of claim 7, it is characterized in that: step 3. described in the front end of seal wire (3) exceed the needle tubing front end 10-50mm of puncture needle (1).
9. according to the method for using of the described puncture instrument of claim 8; It is characterized in that: step 4. in after extracting puncture needle (1); Earlier pad (5) is placed body surface and makes the bottom of exposing outer body of seal wire (3) be clamped in the gap (51) of pad (5), use aseptic dressing (4) that seal wire (3) is exposed external part then and pad (5) covers and be fixed on body surface.
10. according to the method for using of the described puncture instrument of claim 9, it is characterized in that: step adopts multilamellar aseptic dressing (4) successively to cover in 4. and fixing seal wire (3).
CN201210134280.6A 2012-05-03 2012-05-03 Puncture instrument and use method thereof Active CN102631235B (en)

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CN201210134280.6A CN102631235B (en) 2012-05-03 2012-05-03 Puncture instrument and use method thereof
CN201410212643.2A CN103948418B (en) 2012-05-03 2012-05-03 Puncture instrument
CN201410212779.3A CN103948419B (en) 2012-05-03 2012-05-03 Puncturing instrument

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CN201410212779.3A Division CN103948419B (en) 2012-05-03 2012-05-03 Puncturing instrument

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662554A (en) * 2016-03-25 2016-06-15 中国人民解放军第四军医大学 Puncture positioning guider, puncture positioning device and using methods thereof
CN106264682A (en) * 2016-07-27 2017-01-04 王宇博 Through cornu occipitale ventricular puncture guider
CN108888320A (en) * 2018-08-13 2018-11-27 王玉涛 Needle set for Lung neoplasm Needle localization

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Publication number Priority date Publication date Assignee Title
US4895564A (en) * 1988-06-08 1990-01-23 Farrell Edward M Percutaneous femoral bypass system
CN2341643Y (en) * 1997-08-25 1999-10-06 肖盛清 Indwelling speed limited drainage abdominal and chest puncture needle
US20040138589A1 (en) * 2003-01-14 2004-07-15 Radi Medical Systems Ab Method for introducer replacement
CN1672649A (en) * 2005-04-16 2005-09-28 何明利 Cerebrospinal fluid puncturing drainer
CN101103932A (en) * 2007-05-21 2008-01-16 刘鸿玉 Multi-purpose percutaneous puncture channel-building ostomy draining device
JP2009254578A (en) * 2008-04-16 2009-11-05 Top:Kk Indwelling catheter
CN201701618U (en) * 2010-07-09 2011-01-12 中国人民解放军第三军医大学第二附属医院 Guide wire for guiding radical artery path intervention
CN201814909U (en) * 2010-09-18 2011-05-04 王秀春 Retention puncture drainage device for massive ascites
CN202568394U (en) * 2012-05-03 2012-12-05 徐舒 Puncture instrument

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4895564A (en) * 1988-06-08 1990-01-23 Farrell Edward M Percutaneous femoral bypass system
CN2341643Y (en) * 1997-08-25 1999-10-06 肖盛清 Indwelling speed limited drainage abdominal and chest puncture needle
US20040138589A1 (en) * 2003-01-14 2004-07-15 Radi Medical Systems Ab Method for introducer replacement
CN1672649A (en) * 2005-04-16 2005-09-28 何明利 Cerebrospinal fluid puncturing drainer
CN101103932A (en) * 2007-05-21 2008-01-16 刘鸿玉 Multi-purpose percutaneous puncture channel-building ostomy draining device
JP2009254578A (en) * 2008-04-16 2009-11-05 Top:Kk Indwelling catheter
CN201701618U (en) * 2010-07-09 2011-01-12 中国人民解放军第三军医大学第二附属医院 Guide wire for guiding radical artery path intervention
CN201814909U (en) * 2010-09-18 2011-05-04 王秀春 Retention puncture drainage device for massive ascites
CN202568394U (en) * 2012-05-03 2012-12-05 徐舒 Puncture instrument

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662554A (en) * 2016-03-25 2016-06-15 中国人民解放军第四军医大学 Puncture positioning guider, puncture positioning device and using methods thereof
CN105662554B (en) * 2016-03-25 2018-06-19 中国人民解放军第四军医大学 Needle localization guiding device, puncture positioning device and its application method
CN106264682A (en) * 2016-07-27 2017-01-04 王宇博 Through cornu occipitale ventricular puncture guider
CN108888320A (en) * 2018-08-13 2018-11-27 王玉涛 Needle set for Lung neoplasm Needle localization

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