CN104274229A - 光导引穿刺针组合 - Google Patents
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Abstract
本发明公开了一种光导引穿刺针组合,其包含一光源总成、一光纤总成、一弹射总成、以及一穿刺针总成。其中该光源总成具有一配置着一光源的光源套筒;该光纤总成具有一配置着一光纤束的光纤套筒;该弹射总成具有一配置着一射发弹簧的射发套筒,以及该穿刺针总成具有一套合着一静脉留置管的穿刺钢针。因此该光源可经由该光纤束的引导而投射到该穿刺钢针外部的病患穿刺部位,使患者穿刺部位上呈现投影光点,以得知正确的穿刺位置,接着以该发射总成将该穿刺钢针弹射至病患穿刺部位上的该正确穿刺位置,并沿穿刺钢针推送该静脉留置管进入病患的空腔器官内。
Description
要求优先权
本申请主张中国台湾专利申请案第102123671号(申请日:2013年7月2日)的优先权,兹将上述申请案的全部内容作为参考资料。
技术领域
本发明涉及一种光导引穿刺针组合,尤指一种利用光纤束导引光束定位病患穿刺部位正确位置,使一穿刺钢针沿着该光束而进行精准穿刺的光导引穿刺针组合。另外,本发明亦涉及一种使用该光导引穿刺针组合的方法。
背景技术
气管切开术(Tracheostomy)一直是重症病患或是需长期仰赖呼吸器病患赖以维生的呼吸管路;更甚者,气管切开术可以较有效维持呼吸道卫生,并减低无效呼吸道管腔(Dead Space),在重症照护或长期照护占了举足轻重的角色。在欧美国家,建议使用呼吸器一周以上,或是预期无法脱离呼吸器、无法有效维持呼吸道病患,须早期进行建立气管切开术。
传统气管切开术皆是于手术室接受全身麻醉下完成,手术医师进行低位颈部横切后,在气管(Trachea)第二或三节于目视下进行气管切开,随后置入气切管(Tracheostomy tube)。病患必须由加护中心或病房转送至手术室,并于手术结束后再转送回原属加护中心或恢复室。转送过程耗费人力,亦增加许多风险;且部分病患需持续特殊药物治疗或是即时侵入性监测,更增加作业风险及困难度。
经皮气管切开术(PDT-Percutaneous Dilatational Tracheostomy)的原理在于利用表皮定位后,先行切开1.5–2公分的横切伤口,随后将支气管镜(Bronchoscope)置入病患已先前置放的气管内管(Endotrachealtube),并将支气管镜置于气管内管的前端,同时将气管内管及支气管镜慢慢移出,在经过横切伤口下方支气管时,手术医师会于横切伤口处看见支气管镜发出的光源,随后在支气管镜的观看及镜检医师的指引之下,手术医师将钢针穿刺进入气管,并置入导引钢丝(GuidingWire),并循序以特殊器械进行皮下、皮下组织及气管前壁的扩张,最后于支气管镜监视下完成气切管置放。
在加护中心完成床边经皮气管切开术的情况下,病患接受静脉式全身麻醉,由麻醉部主治医师与胸腔外科医师共同进行此侵入性手术;亦即由麻醉医师进行支气管镜检查及导引,胸腔外科医师进行穿刺及置放。减少病患转送的风险,增加病患安全,更能有效增加医疗资源应用及手术室的运作。
进行此技术时,最重要及最危险的步骤在于正确穿刺钢针进入气管的步骤,平常乃是利用器械轻压气管,并由支气管镜观看气管前壁压迫位置进行定位。若是钢针穿刺部位偏差,可能造成邻近组织伤害,如穿刺甲状腺或是血管等。而钢针进入气管角度或方向不佳时亦会导致导引钢丝置入困难,或是无法由支气管镜观察到钢针穿刺过程,甚至穿刺支气管镜造成支气管镜的损坏。这些状况都可能引起手术时间延长、增加穿刺次数或是气管内管脱落等危急状况。发生此类技术困难操作或是并发症的机会则与病患解剖结构位置、气管内管已留置时间、施行者技术及经验、镜检者与外科医师沟通等有关。故此种方式较易造成上述的并发症。据此,本发明针对上述现有技艺的缺点,创新研发出一种更明确、更精准的、穿刺误差更小的定位穿刺装置。
发明内容
针对现有技术的不足,本发明的目的在于:提供一种光导引穿刺针组合,是一种更明确、更精准的、穿刺误差更小的定位穿刺装置。
为实现上述目的,本发明采用的技术方案包括:
一种光导引穿刺针组合,其特征在于,包含:
一光源总成,包括一配置着一光源的光源套筒;
一光纤总成,包括一配置着一光纤束的光纤套筒;
一弹射总成,包括一配置着一射发弹簧的射发套筒;以及
一穿刺针总成,包括一套合着一静脉留置管的穿刺针。
为实现上述目的,本发明采用的技术方案还包括:
一种光导引穿刺针组合,其特征在于,包含:
一光源总成,包括一光源开关部、一光源套筒以及一套接部,该光源开关部后端结合于该光源套筒前端,而该套接部结合于该光源套筒的后端,并且该光源开关部的前端设有一开关按钮,用来开启或关闭电源,该套接部内固定着一能够发射出光束的光源二极体套件;
一光纤总成,包括一光纤套筒以及一光纤束,该光纤束轴向延伸设置于该光纤套筒内的轴线上,且其前端固定于该光纤套筒上,而其后端延伸进入并稍微凸出一穿刺针外,而该光纤套筒的前端能够与设于该光源总成的套接部后端结合,而使得该光源总成与该光纤总成结合成一单元体;
一弹射总成,包括一射发套筒、一射发弹簧以及一射发钮模组,其中该射发套筒的后端设有一穿刺针接合部,且该射发套筒能够在该光纤套筒内滑移,而该射发弹簧置于该射发套筒内,另外,该射发钮模组与该光纤套筒配合,使该射发套筒能够固定在该光纤套筒内,并能够在触发后释放该射发弹簧而弹射该射发套筒;以及
一穿刺针总成,包括一静脉留置管、一穿刺针以及一穿刺针接头,其中,该穿刺针接头套接于该弹射总成的穿刺针接合部,并固定着该穿刺针,而该静脉留置管套合着该穿刺针,且该穿刺针稍微凸出于该静脉留置管之外。
在较佳的技术方案中:
该射发钮模组包括:至少一射发钮,以及设于该射发套筒周围对称位置的至少一定位孔。
该光纤套筒上配合设有至少一定位槽,其呈L形,具有一纵长方向的导引部以及一横向的定位部,其中,该至少一射发钮能够穿过该至少一定位槽而螺锁固定至该至少一定位孔。
该光源总成的套接部固定一抵紧弹簧,能够将该光源套筒内的一电池抵紧成一电流回路。
一光纤定位塞紧密结合于该光纤套筒前端内,以便固定该光纤束。
该光纤套筒上设有对称位置的两个定位槽,且该射发套筒周围对称位置设有两个定位孔。
与现有技术相比较,本发明具有的有益效果是:更明确、更精准的、穿刺误差更小。
附图说明
图1为本发明光导引穿刺针组合的分解图;
图2为本发明光导引穿刺针组合的组合立体图;
图3为本发明光导引穿刺针组合的组合剖视图;
图4为本发明光导引穿刺针组合于进行穿刺前投影光点于病患穿刺部位的校准动作示意图;
图5为本发明光导引穿刺针组合于进行穿刺前投影光点于病患正确穿刺部位位置示意图;
图5a为图5的部分放大图,显示本发明光导引穿刺针组合于进行穿刺前弹射总成的射发弹簧于压缩状态,而射发钮于定位部位置的示意图;
图6为本发明光导引穿刺针组合穿刺进入病患穿刺部位的初始动作示意图;
图6a为图6的部分放大图,显示本发明光导引穿刺针组合穿刺初始时,弹射总成的射发弹簧于释放状态,而射发钮于导引部位置的示意图;
图7为本发明光导引穿刺针组合的穿刺钢针连同静脉留置管进入病患空腔器官内的示意图;
图8为本发明光导引穿刺针组合的穿刺钢针被移出病患穿刺部位而将该静脉留置管留置于病患空腔器官内的示意图;以及
图9为本发明光导引穿刺针组合的一导引钢丝自该静脉留置管插入病患空腔器官内的示意图。
附图标记说明:10光源总成;11光源开关部;111开关按钮;112外螺纹;12光源套筒;121内螺纹;13光源二极体套件;14电池;15套接部;151内螺纹;152外螺纹;16抵紧弹簧;20光纤总成;21光纤定位塞;22光纤束;23定位槽;231导引部;232定位部;24外螺纹;25光纤套筒;30弹射总成;31穿刺针接合部;32射发套筒;33定位孔;331螺纹;34射发弹簧;35射发钮;351螺纹;36射发钮;361螺纹;40穿刺针总成;41静脉留置管;411凸缘;42穿刺钢针;421针头;43穿刺针接头;431卡止部;50病患穿刺部位;51正确位置;52非正确位置;53非正确位置;60导引钢丝。
具体实施方式
除非另有定义,所有本文所用的技术性及科学性术语,对于属于本发明领域的具有通常知识者而言,皆具有与其所习知者相同意义。
于本文中所使用的单数形式“一(a)”、“一(an)”、及“该(the)”包括复数形式,除非文中有清楚指明者。因此,例如,当提及“一样本”时,包括复数个该样本及本领域技术人员所知的同等物。
如图1、2、3所示,一种光导引穿刺针组合,包含一光源总成10、一光纤总成20、一弹射总成30、以及一穿刺针总成40。其中该光源总成10包括一筒状光源开关部11、一筒状光源套筒12、以及一筒状套接部15,三者的筒状外径皆相同,通过该光源开关部11后端的外螺纹112与该光源套筒12前端的内螺纹122锁合,使得该光源开关部11结合于该光源套筒12的前端;另外,通过该光源套筒12后端的内螺纹121与该套接部15前端的外螺纹152的锁合,而使得该套接部15结合于该光源套筒12的后端。此外,于该光源开关部11的前端设有一开关按钮111,通过按压动作以开启或关闭电源;于该光源套筒12内置入一电池14(例如一锂电池);以及于该套接部15内固定一光源二极体套件13,其与该电池14邻接侧固定着一抵紧弹簧16,可将该电池14抵紧于该光源套筒12内而成一电流回路,以便由光源二极体套件13的另一侧发射出光束。
根据本发明,该光源二极体套件13所发射出的光束优选地为能穿透气管上方组织及气管,其能量又可确保在操作期间不会导致组织的伤害,并于支气管镜镜检中能清晰可见气管前后壁的光点。再者,须确认光源二极体套件13的稳定性、电性安全及电磁相容性。
其次,根据本发明,该光纤总成20包括一光纤套筒25;一紧密结合于该光纤套筒25前端内的光纤定位塞21;以及一光纤束22,其轴向延伸设置于该光纤套筒25内的轴线上,且其前端固定于该光纤定位塞21,而其后端延伸进入并稍微凸出该穿刺针总成40的穿刺钢针外者。
根据本发明,该光纤束22的外径必须为能平顺穿过穿刺钢针,穿刺钢针通常为16Ga.-18Ga.,并能传送所需的光源,且具有一定的刚度以减少扭曲,并可进行消毒的无菌原则或以抛弃式单次使用模式。
此外,该光纤套筒25的前端设有外螺纹24,其可与设于该光源总成10的套接部15后端的内螺纹151结合,而使得该光源总成10与该光纤总成20,借着螺锁结合方式而成一单元体。另外;该光纤套筒25上设有对称位置的二大致呈L形的定位槽23,每一定位槽23具有一纵长方向的导引部231以及一横向的定位部232。
再者,该弹射总成30包括一射发套筒32、一射发弹簧34、以及二射发钮35、36,其中该射发套筒32的后端设有一穿刺针接合部31、以及在该射发套筒32周围对称位置设有二定位孔33,而各定位孔33内设有螺纹331。该弹射总成30以可滑移但不脱离该光纤套筒25内的方式安装,亦即首先将射发套筒32内置入该射发弹簧34,然后将射发套筒32移入光纤套筒25内,使射发套筒32的二对称定位孔33分别对准光纤套筒25的二对称L形定位槽23的纵长方向导引部231,然后以射发钮35、36的螺纹351、361分别锁入射发套筒32的二定位孔33的内螺纹331,即可使得射发套筒32滑移于该光纤套筒25内而不致脱离。
该弹射总成30是一个透过射发钮35、36可以让射发弹簧34发射完成自动穿刺的装置。由于考虑到每个人手持物体的稳定度不同,有可能因为穿刺时手的不稳定晃动而导致原先光纤导引定位点和后来的实际完成的穿刺点有误差,所以设计了此一弹射装置,透过射发钮35、36而自动弹射穿刺钢针,可减少穿刺过程因人为手持不稳晃动而造成的穿刺误差。
根据本发明,该穿刺针总成40包括一塑胶制造的静脉留置管41、一钢制造的穿刺针42、以及一穿刺针接头43。其中,该穿刺针接头43的前端套接于该弹射总成30的穿刺针接合部31,而后端固定着该钢穿刺针42,该静脉留置管41即套合着该穿刺钢针42,并使该静脉留置管41的一凸缘411受到该穿刺针接头43的一卡止部431的箝制,且该钢穿刺针42的针头421稍微凸出于该静脉留置管41之外,因此该弹射总成30与该穿刺针总成40结合成一单元体。该穿刺针总为可透过商业渠道获取者。
此外,该穿刺针总成40的穿刺钢针42,可采用一般临床上用来放置静脉留置管41的针具,而一般传统的经皮气切手术一般是用16Ga.-18Ga.(gauge)的穿刺钢针来穿刺并放置静脉留置管41。换言之,该穿刺钢针42为一中空的不锈钢内针,其套合外层则是塑胶静脉留置管41。根据本发明,将该光纤束22放入这个穿刺钢针中,并在光纤束22完成导引在病患穿刺部位正确定位后,让穿刺钢针42沿着光纤束22进行穿刺,接着再把塑胶静脉留置管41沿穿刺钢针42推送入病患空腔器官内。
根据本发明,在操作上,如图4、5、5a、6、6a所示,该射发套筒32以可滑移方式容置于该光纤套筒25内,而螺锁入射发套筒32的二对称定位孔33的二射发钮35、36恰可滑行于该光纤套筒25的纵向导引部231内。在图2、3、6、6a所示的射发钮35、36皆位置于导引部231的底部,此时射发弹簧34处于释放状态;而若二射发钮35、36皆位置于定位部232时,则射发弹簧34处于压缩状态(参图5、5a)。
如图4所示,当本发明光导引穿刺针组合于进行穿刺前,光纤束22投影光点于病患穿刺部位50的正确位置51上;然而在校准过程中,光纤束22亦可能投影光点于病患穿刺部位50的非正确位置52、53上,此时投影光点呈现扩散状态的椭圆形,而不若投影光点于病患穿刺部位正确位置51时的集中状态的近正圆形。
其次,当穿刺针总成40从图5、5a所示的射发前状态,至图6、6a所示的穿刺针总成40射发后状态,其射发钮35、36从定位部232被拨动,而滑移至导引部231底端,此即为穿刺钢针42穿刺入病患穿刺部位的行程距离,而塑胶静脉留置管41亦被沿穿刺钢针42推送入病患空腔器官内(如图7所示)。
图8显示本发明光导引穿刺针组合的穿刺钢针42被移出病患穿刺部位50,而将该塑胶静脉留置管41留置于病患空腔器官内。其次,如图9所显示者,本发明光导引穿刺针组合的一导引钢丝60,自该静脉留置管41被插入病患空腔器官内,以便随后之以内附支撑开器械(Dilator)进行皮下、皮下组织及前气管壁的扩张,并于支气管镜监视下完成气切管置放,使用支气管镜进行气管内抽吸,与固定气切管而将病患复位等动作。因而本发明有助于广泛使用于重症病患,且有气管切开手术需求的病人。
另外,本发明亦提供一种使用该光导引穿刺针组合的方法,包含下列步骤:(A)选择病患适当的穿刺部位;(B)于该穿刺部位进行一适当宽度的切开,并做适当的撑开;(C)将一光纤总成20的一光纤束22穿入一穿刺针总成40的一穿刺钢针42中;(D)连接该穿刺钢针42与一光源总成10的一光源二极体的套件13;(E)开启该光源总成10的一光源开关按钮111,然后观察该光纤束22在一穿刺部位51的投影光点,首先观察穿刺部位51上缘的投影光点,该光点必须位于穿刺部位51的正中间,若有偏移的非正确位置52、53,则须调整光纤束22的位置,以确定光纤束22正确位于该穿刺部位51的中点,而完成定位;(F)随后,观察光线进行路线,最佳的光线行进方向为由穿刺部位51正上方行进至穿刺部位51的正下方,观察者经由即时回馈,调整光纤束22方向,以完成光束的定向;(G)将先前套于光纤束22外侧的穿刺钢针42沿光束穿刺进入穿刺部位51内的目标部位后,随即停止穿刺动作,并将穿刺钢针42外层套合的塑胶静脉留置管41推入穿刺部位51,随后移除该光纤束22以及该穿刺钢针42,而留下该外层塑胶静脉留置管41;以及(H)将一导引钢丝60由该塑胶静脉留置管41插入该穿刺部位51内。
以上说明对本发明而言只是说明性的,而非限制性的,本领域普通技术人员理解,在不脱离权利要求所限定的精神和范围的情况下,可作出许多修改、变化或等效,但都将落入本发明的保护范围之内。
Claims (7)
1.一种光导引穿刺针组合,其特征在于,包含:
一光源总成,包括一配置着一光源的光源套筒;
一光纤总成,包括一配置着一光纤束的光纤套筒;
一弹射总成,包括一配置着一射发弹簧的射发套筒;以及
一穿刺针总成,包括一套合着一静脉留置管的穿刺针。
2.一种光导引穿刺针组合,其特征在于,包含:
一光源总成,包括一光源开关部、一光源套筒以及一套接部,该光源开关部后端结合于该光源套筒前端,而该套接部结合于该光源套筒的后端,并且该光源开关部的前端设有一开关按钮,用来开启或关闭电源,该套接部内固定着一能够发射出光束的光源二极体套件;
一光纤总成,包括一光纤套筒以及一光纤束,该光纤束轴向延伸设置于该光纤套筒内的轴线上,且其前端固定于该光纤套筒上,而其后端延伸进入并稍微凸出一穿刺针外,而该光纤套筒的前端能够与设于该光源总成的套接部后端结合,而使得该光源总成与该光纤总成结合成一单元体;
一弹射总成,包括一射发套筒、一射发弹簧以及一射发钮模组,其中该射发套筒的后端设有一穿刺针接合部,且该射发套筒能够在该光纤套筒内滑移,而该射发弹簧置于该射发套筒内,另外,该射发钮模组与该光纤套筒配合,使该射发套筒能够固定在该光纤套筒内,并能够在触发后释放该射发弹簧而弹射该射发套筒;以及
一穿刺针总成,包括一静脉留置管、一穿刺针以及一穿刺针接头,其中,该穿刺针接头套接于该弹射总成的穿刺针接合部,并固定着该穿刺针,而该静脉留置管套合着该穿刺针,且该穿刺针稍微凸出于该静脉留置管之外。
3.根据权利要求2所述的光导引穿刺针组合,其特征在于:该射发钮模组包括:至少一射发钮,以及设于该射发套筒周围对称位置的至少一定位孔。
4.根据权利要求3所述的光导引穿刺针组合,其特征在于:该光纤套筒上配合设有至少一定位槽,其呈L形,具有一纵长方向的导引部以及一横向的定位部,其中,该至少一射发钮能够穿过该至少一定位槽而螺锁固定至该至少一定位孔。
5.根据权利要求2所述的光导引穿刺针组合,其特征在于:该光源总成的套接部固定一抵紧弹簧,能够将该光源套筒内的一电池抵紧成一电流回路。
6.根据权利要求2所述的光导引穿刺针组合,其特征在于:一光纤定位塞紧密结合于该光纤套筒前端内,以便固定该光纤束。
7.根据权利要求3所述的光导引穿刺针组合,其特征在于:该光纤套筒上设有对称位置的两个定位槽,且该射发套筒周围对称位置设有两个定位孔。
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US8715233B2 (en) * | 2011-12-21 | 2014-05-06 | The Board Of Trustees Of The Leland Stanford Junior University | Assistive method and visual-aid device for vascular needle insertion |
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- 2013-07-02 TW TW102123671A patent/TWI514988B/zh not_active IP Right Cessation
- 2013-08-01 CN CN201310332099.0A patent/CN104274229B/zh not_active Expired - Fee Related
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US4311138A (en) * | 1980-03-10 | 1982-01-19 | Sugarman Edward D | Illuminated hypodermic needle |
US5312361A (en) * | 1991-09-13 | 1994-05-17 | Zadini Filiberto P | Automatic cannulation device |
CN201977895U (zh) * | 2011-01-30 | 2011-09-21 | 张清月 | 光导穿刺腺体注射器 |
CN102846308A (zh) * | 2011-06-28 | 2013-01-02 | 克里斯蒂数字系统美国有限公司 | 用于静脉通道的导管位置检测方法和设备 |
CN102908180A (zh) * | 2012-09-05 | 2013-02-06 | 重庆医科大学 | 一种新型微型可视化穿刺系统 |
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CN108245740A (zh) * | 2016-12-29 | 2018-07-06 | 江佳贞 | 光纤注射及抽吸装置 |
CN109173085A (zh) * | 2018-09-20 | 2019-01-11 | 成都真实维度科技有限公司 | 一种用于提高粒子植入针轴向精度的限位装置 |
CN112353464A (zh) * | 2020-11-06 | 2021-02-12 | 中国人民解放军空军军医大学 | 一种创伤急救导流自动穿刺装置 |
Also Published As
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US9033952B2 (en) | 2015-05-19 |
US20150011972A1 (en) | 2015-01-08 |
CN104274229B (zh) | 2017-04-26 |
TWI514988B (zh) | 2016-01-01 |
TW201501684A (zh) | 2015-01-16 |
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