CN105286954A - Closed chest drainage puncture outfit and application thereof - Google Patents
Closed chest drainage puncture outfit and application thereof Download PDFInfo
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- CN105286954A CN105286954A CN201410251449.5A CN201410251449A CN105286954A CN 105286954 A CN105286954 A CN 105286954A CN 201410251449 A CN201410251449 A CN 201410251449A CN 105286954 A CN105286954 A CN 105286954A
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Abstract
The invention discloses a closed chest drainage puncture outfit. The closed chest drainage puncture outfit comprises a puncture component and a supporting component, wherein the puncture component is connected with the supporting component and punctures the chest of a patient to form a puncture channel; and the supporting component maintains the puncture channel formed by the puncture component. According to application, the closed chest drainage puncture outfit is matched with a drainage device to form a chest puncture drainage device. Compared with the prior art, the closed chest drainage puncture outfit pierces the chest of the patient through the puncture component, the supporting component maintains the temporary puncture channel, the maximum puncture depth is controlled by a puncture end, a supporting tube length and a hand unit, and accumulated blood and air in the chest of the patient are guided out with the aid of a medical sterilizing drainage tube; and the puncture outfit is light, convenient and easy to use, pierces the chest of the patient at one step in a sealed mode, and is simple and convenient in operation process, short in consumed time, easy to control and controllable in puncture depth, trauma of the patient is relieved, possibility of bacterial infection of the chest is reduced, and therefore, the application prospect is quite wide.
Description
Technical field
The present invention relates to the medical apparatus and instruments of a kind of surgery emergency operation, specifically, relate to a kind of closed thoracic drainage perforator and application thereof of thoracic surgery emergent operation, belong to medical instruments field.
Background technology
Pneumothorax refers to that, only containing gas in thoracic cavity, hemothorax refers to that thoracic cavity inner blood accumulates, and hemopneumothorax is the two and deposits.Hemopneumothorax is divided into spontaneous hemopneumothorax and Traumatic Hemopneumothorax.
The pathogenic factor of spontaneous hemopneumothorax is that intra-pulmonary pressure raises suddenly, and cause rupture of alveoli, gas enters in thoracic cavity by ceasma; When spontaneous pneumothorax causes lung to compress, can tractive adhesive band, cause adhesive band and tear, the small artery Rupture haemorrhag in adhesive band, causes spontaneous hemothorax.Spontaneous hemopneumothorax patient is many due to the congenital developmental defect of lung structure, and part alveolar wall structure is comparatively weak, forms pulmonary belb.Pleural space hematocele, pneumatosis that Traumatic Hemopneumothorax causes after referring to thoracic injury.The outbreak etc. of the hemopneumothorax that thoracic injury causes accounts for thoracic trauma more than 70%, hemopneumothorax also can occur separately, when also can be incorporated in the thoracic injury of other types, as penetrated or closed injury of chest wall, fracture of rib, vertical diaphragm wound, thoraco-abdominal injury, foreign body of chest and wound are suffocated, damaging wet lung, blast injury, so-called closed thoracic injury three great synthesis disease etc. all can merge hemopneumothorax.The mediastinal displacement that Traumatic Hemopneumothorax causes, pendular movement of mediastinum and paradoxical breathing are one of thoracic injury main causes of death, need emergent operation process.
Along with the develop rapidly of current national economy and the universal of automobile, various wound, multiple injury are increasing, and needing to implement urgent closed drainage of thoracic cavity operation is also progressively increasing with the probability obtaining help.Thoracic trauma, particularly very easily there is hemopneumothorax in perforating wound.Bibliographical information, the thoracic trauma of 70%, particularly can there is hemopneumothorax in the thoracic wall perforating wound of 60%.The breathing of serious hemopneumothorax meeting interference body, circulatory function.Closed drainage of thoracic cavity operation is then the most frequently used first aid means of clinical treatment hemopneumothorax.Closed drainage of thoracic cavity operation is previously many to be implemented by cardiothoracic surgery doctor, in the face of the emergency medicine of current develop rapidly, clinicist is needed to comprise emergency physicians undoubtedly, even possesses the ordinary person of basic rescue technical ability, within the shortest time, take corresponding emergency treatment, remove the life saving every patient.Clinical special research has a kind of multiple functional, simple to operate, safe and practical, facilitate Wicresoft's chest drainage puncture instrument that each section doctor is extensively practical, as Wicresoft's thoracic cavity closed drainage device tool (People's Republic of China's State Intellectual property right utility model, the patent No. is 200520115206.5), complete independently closed drainage of pleural cavity within the shortest time, reach and correct breathing, disturbance of circulation, recover the object of normal physiological function.The sub warhead convergent divergent channel that this Wicresoft's thoracic cavity closed drainage device tool has one to be provided with seal wire entrance, on convergent divergent channel, cover has a stay pipe, the outer wall of stay pipe is provided with a pair traction earhole and is referred to as snap ring, traction earhole is combined with a traction steel ring, its work process is: first utilize central vein puncture needle for cutting after position tried vim and vigour on, extract puncture needle, skin is cut with sharp knife, chest wall portions muscle is made an opening through with T-shaped Rhizoma Sparganii bradawl, insert vein seal wire, wire distal pierces into sub warhead convergent divergent channel through entrance, firmly gyrator bullet convergent divergent channel is pushed breast chamber, rapidly the stay pipe on convergent divergent channel is pushed thoracic wall, set up occasional passage, extract convergent divergent channel and seal wire, the rapid shutoff mouth of pipe of left hand thumb, insert three-cavity air bag sterilized catheter immediately.By this three-cavity air bag sterilized catheter, the hematocele in pleural space and pneumatosis are got rid of, correct breath cycle disorder, recover normal physiological function.
But use this Wicresoft's thoracic cavity closed drainage device tool to have following inconvenience: one is the loaded down with trivial details inconvenience of puncture procedure, and puncture procedure instrument is more, waste therapeutic time.First needing first to utilize central vein puncture needle trying on for cutting position, then extracting puncture needle, then cutting skin with sharp knife, then chest wall portions muscle is made an opening through with T-shaped Rhizoma Sparganii bradawl, finally insert Wicresoft's thoracic cavity closed drainage device tool, like this through the thoracic wall that repeatedly punctures, the prime time of waste first aid.Two is in repeated localised puncture thoracic wall, find previous puncture channel difficulty, strengthen wound, repeatedly change in instrument at this, in thoracic cavity, blood can be gushed out outward, cover thoracic cavity opening, thoracic wall muscle contraction, all may cause puncture channel to find difficulty, loses time to find thoracentesis passage, affect therapeutic time adversely, cause simultaneously and can cause wound to increase in puncture.Three is that paracentesis depth is wayward, and repeatedly puncture thoracic wall, can cause Iatrogenic injury, and in thoracic wall piercing process, paracentesis depth is not easily grasped, and crosses shallow cannot effectively puncture, crosses and deeply can cause visceral organ injury in thoracic cavity.Four is in multiple types of tools repeated localised puncture thoracic wall process, and the probability causing thoracic cavity to be contaminated by bacterial increases, and owing to using instrument, complex operation is more, may cause instrument sterilization infection probability that is not tight or various operation initiation and increase.
Summary of the invention
For the problems referred to above that prior art exists, the object of this invention is to provide a kind of closed thoracic drainage perforator of thoracic surgery emergent operation, thoracic wall is pierced through in disposable sealing, simplifies piercing step, shortens the operating time, alleviates patient trauma.
For achieving the above object, the technical solution used in the present invention is as follows:
A kind of closed thoracic drainage perforator, comprising: a lancet and means and a support component, lancet and means is flexibly connected with support component, lancet and means thoracic puncture, and form puncture channel, support component maintains the puncture channel formed by lancet and means.
Preferably, lancet and means comprises a puncture end, a connecting end portion and a puncture tube further, and puncture tube connects puncture end and connecting end portion, and puncture tube comprises a puncture tube wall, and puncture tube wall is formed centrally puncture tube in puncture tube.
More preferably, puncture end is solid.
More preferably, lancet and means is solid.
Preferably, the diameter of puncture end is not more than the diameter of puncture tube.
More preferably, the diameter of connecting end portion is not more than the diameter of puncture tube.
Preferably, support component comprises one first supporting base end portion, one second supporting base end portion and a stay pipe further, stay pipe connects the first supporting base end portion and the second supporting base end portion, stay pipe comprises a support tube chamber and and supports tube wall, support tube wall and be formed centrally stay pipe chamber in stay pipe, support tube chamber vertical communication first supporting base end portion and the second supporting base end portion.
More preferably, the first supporting base end portion and the second supporting base end portion are nonocclusive.
Preferably, the first supporting base end portion comprises a first end hole further, and first end hole is removed material from the first supporting base end portion and formed, and supports tube chamber and is communicated with first end hole.
Preferably, the second supporting base end portion comprises a second end hole further, and the second end hole is removed material from the second supporting base end portion and formed, and supports tube chamber and is communicated with the second end hole.
Preferably, lancet and means is coaxially flexibly connected with support component.
More preferably, lancet and means and support component are coaxially socketed.As a kind of preferred implementation, the diameter in first end hole is not less than the external diameter of puncture end, the diameter in the second end hole is not less than the external diameter of connecting end portion simultaneously, ensure when lancet and means and support component are socketed like this, the connecting end portion of lancet and means does not come off from first end hole, increases extra misery to patient.
More preferably, the diameter in first end hole is between puncturing hole outer end diameter and connecting end portion external diameter, and puncture tube is coaxially inserted in the stay pipe intracavity of stay pipe, and puncture end and the transition of the first supporting base end portion nature become an entirety.
Another object of the present invention is to provide a kind of closed thoracic drainage perforator, thoracic cavity is pierced through in the disposable sealing of this closed thoracic drainage perforator, the probability that thoracic cavity is infected by bacterial can be reduced, avoid puncture procedure instrument more, repeatedly change the loaded down with trivial details inconvenience of the puncture procedure caused in instrument piercing process, and find the phenomenon of previous puncture channel difficulty.
Preferably, one end of puncture end is oblique syringe needle shape, is convenient to thoracic puncture.
Preferably, whole lancet and means is tapered, is of value to thoracic puncture.As a kind of preferred implementation, lancet and means is triangular pyramid.
Preferably, puncture end is fixedly connected with puncture tube or is flexibly connected.As a kind of embodiment, puncture end is with puncture tube clamping or be threaded, and this puncture end can freely be changed like this.
Preferably, for the ease of puncture and increase puncture auxiliary force, puncture tube wall is provided with at least one puncture rib, and puncture rib punctures on tube wall around the center attachment of puncture tube, makes dilated penetration diameter in piercing process, is convenient to support component and enters thoracic cavity.
Preferably, for the ease of puncture, reduce penetration Resistance, whole support component is tapered, and the diameter in this first end hole is less than the diameter in the second end hole.
Preferably, this support tube wall is divided into outer support tube wall and inner support tube wall, and inner support tube wall is formed centrally first end hole, the second end hole and supports tube chamber in stay pipe.
More preferably, for the ease of puncture and supplemental support, outer support tube wall is provided with at least one support rib, and support rib and be attached on outer support tube wall, inner support tube wall is shiny surface, keeps whole support component inside unimpeded.
Another object of the present invention is to provide a kind of closed thoracic drainage perforator, this perforator comprises leader's parts further, grip member is connected with support component and/or lancet and means, is convenient to user and grasps at piercing process, is easy to use this closed thoracic drainage perforator.
Preferably, grip member comprises leader hole and leader, and grip hole is removed material and formed from the center of handle.
Preferably, grip member is fixedly connected with support component, and handle and stay pipe are an entirety naturally continuously.
Preferably, grip member is flexibly connected with support component.As a kind of preferred implementation, this grip member and support component are coordinated by draw-in groove or threaded engagement is connected.
Preferably, grip member is flexibly connected with lancet and means.As a kind of preferred implementation, this grip member and support component are coordinated by draw-in groove or threaded engagement is connected.
Preferably, grip member is fixedly connected with lancet and means.As a kind of preferred implementation, the connecting end portion of this lancet and means is fixedly connected with handle through grip hole.
Another object of the present invention is to provide a kind of closed thoracic drainage perforator, this closed thoracic drainage perforator light structure, is easy to carry, and is easy to have basic medical knowledge human users.
Preferably, closed thoracic drainage perforator adopts rigid plastics to make or metal material is made, and ensures that the hardness of lancet and means alleviates the weight of whole perforator simultaneously.
Preferably, the length of this closed thoracic drainage perforator is 12-18cm, and support component length is 4-10cm, is easy to carry.
More preferably, the puncture wall thickness of lancet and means is 0.5-2mm.
More preferably, the overall diameter scope of lancet and means is 8F-34F, and the overall diameter of lancet and means is preferably 28F.
More preferably, the thickness of the support tube wall of support component is 0.5-2mm.
Another object of the present invention is to provide a kind of closed thoracic drainage perforator, perforator and drainage system supporting become a thoracentesis drainage device, intrathoracic hematocele and pneumatosis are drawn.
Preferably, drainage system includes but not limited to medical drainage tube.
Preferably, this closed thoracic drainage perforator is applied to each lacuna of medical thrust, or puncture and intubation operation beyond medical field.
Compared with prior art, the invention provides a kind of closed thoracic drainage perforator, thoracic cavity is pierced through by lancet and means, support component maintains interim puncture channel, utilize puncture end, stay pipe length and grip member to control maximum paracentesis depth, coordinate the medical drainage tube of sterilization intrathoracic hematocele and pneumatosis to be drawn; Thoracic cavity is pierced through in this disposable sealing of perforator system, can avoid existing instrument problem, the problem includes: following problem: 1, puncture procedure instrument is more, repeatedly uses the loaded down with trivial details inconvenience of puncture procedure that operating apparatus causes instead; 2, previous puncture channel difficulty is found in piercing process; 3, the thoracic wall that repeatedly punctures increases Iatrogenic injury may; Have the following advantages: 1, instrument is light easy-to-use simultaneously, disposable puncture thoracic wall, process is easy, consuming time shorter, is easy to grasp; 2, paracentesis depth is controlled, alleviates patient trauma; 3, the probability that thoracic cavity is infected by bacterial is reduced; Therefore its first aid application prospect is very wide.
Accompanying drawing explanation
Fig. 1 is the axonometric chart of the first preferred implementation of closed thoracic drainage perforator provided by the invention;
Fig. 2 is the explosive view of the first preferred implementation of closed thoracic drainage perforator provided by the invention;
Fig. 3 is the sectional view of the first preferred implementation of closed thoracic drainage perforator provided by the invention;
Fig. 4 is the axonometric chart of closed thoracic drainage perforator the second preferred implementation provided by the invention;
Fig. 5 is the explosive view of closed thoracic drainage perforator the second preferred implementation provided by the invention;
Fig. 6 is the sectional view of closed thoracic drainage perforator the second preferred implementation provided by the invention;
Fig. 7 is the axonometric chart of the third preferred implementation of closed thoracic drainage perforator provided by the invention;
Fig. 8 is the explosive view of the third preferred implementation of closed thoracic drainage perforator provided by the invention;
Fig. 9 is the sectional view of the third preferred implementation of closed thoracic drainage perforator provided by the invention.
Detailed description of the invention
Do to illustrate in detail, intactly further to the present invention below in conjunction with embodiment and accompanying drawing.
Fig. 1 to Fig. 3 is the first preferred implementation of closed thoracic drainage perforator provided by the invention.As shown in Figure 1 to Figure 3, this closed thoracic drainage perforator comprises lancet and means 10 and a support component 20, by lancet and means 10 thoracic puncture, and lancet and means 10 thoracic puncture, form puncture channel, support component 20 maintains the puncture channel formed by lancet and means 10.
Lancet and means 10 comprises puncture end 11, connecting end portion 12 and a puncture tube 13, puncture tube 13 connects puncture end 11 and connecting end portion 12, puncture tube 13 comprises a puncture tube wall 131 further, and puncture tube wall 131 is formed centrally in puncture tube 13 wears puncture tube 13.Whole lancet and means 10 is solid, and puncture end 11 diameter is less than the diameter of puncture tube 13, and the diameter of connecting end portion 12 is consistent with the diameter of puncture tube 13 simultaneously.
Support component 20 is coaxially flexibly connected with lancet and means 10, support component 20 comprises one first supporting base end portion 21,1 second supporting base end portion 22 and a stay pipe 23, stay pipe 23 connects the first supporting base end portion 21 and the second supporting base end portion 22, stay pipe 23 comprises a support tube chamber 231 and and supports tube wall 232, support tube wall 232 and be formed centrally stay pipe chamber 231 in stay pipe 23, support tube chamber 231 vertical communication first supporting base end portion 21 and the second supporting base end portion 22.
First supporting base end portion 21, second supporting base end portion 22 of support component 20 is all nonocclusive, first supporting base end portion 21 of support component 20 comprises first end hole 211 further, first end hole 211 is removed material from the first supporting base end portion 21 and is formed, and supports tube chamber 231 and is communicated with first end hole 211; Second supporting base end portion 22 comprises a second end hole 221 further, and the second end hole 221 is removed material from the second supporting base end portion 22 and formed, and supports tube chamber 231 and is communicated with the second end hole 221.
Lancet and means 10 and support component 20 adopt coaxial socket mode, lancet and means 10 is connected in support component 20 by the first supporting base end portion 21 of support component 20 and the second supporting base end portion 22 coaxial sleeve, the diameter in the first end hole 211 of such support component 20 is not less than the external diameter of the puncture end 11 of lancet and means 10, the diameter in the second end hole 221 is not less than the diameter of the puncture tube 13 of lancet and means 10 simultaneously, whole lancet and means 10 enters support component 20 from the second end hole 221 of support component 20, and the puncture end 11 of lancet and means 10 passes from first end hole 111.
Thoracic cavity is pierced through for the ease of disposable sealing, avoid repeatedly the loaded down with trivial details inconvenience of puncture procedure caused in tool changing piercing process and the probability reducing bacteriological infection, inventor is on above-mentioned arbitrary architecture basics, improvement is made to lancet and means 10 and support component 20: lancet and means 10 and support component 20 adhere to puncture rib 1311 respectively and support rib 23211, is convenient to disposable puncture thoracic cavity.
Puncture tube wall 131 is provided with at least one puncture rib 1311, puncture rib 1311 is around on the center attachment puncture tube wall 131 of puncture tube 10, thus make in puncture end 11 thoracic puncture process, the opening in dilated penetration thoracic cavity and give in piercing process and increase auxiliary force.Puncture rib 1311 can be arranged in polytype, includes but not limited to spiral rib type, straightedge bar rib type and oblique vertical bar rib type.
The one end that it should be noted that puncture end 11 be oblique syringe needle shape, and whole lancet and means 10 is tapered, is convenient to by end 11 thoracic puncture of puncturing like this; Puncture end 11 can be with puncture tube 13 and is fixedly connected with, and also can adopt movable connection method.Puncture end 11 with puncture tube 13 for being flexibly connected time, preferably adopt clamping or be threaded, this puncture end can freely be changed like this, does not affect end 11 thoracic puncture that punctures like this, is convenient to replacement simultaneously and punctures end 11.
Support component 20 can be polygon prism type or column type (straight cylinder type and circular cone column type).Support tube wall 232 and be divided into outer support tube wall 2321 and inner support tube wall 2322, inner support tube wall 2322 is shiny surface, and inner support tube wall 232 is formed centrally stay pipe chamber 231, first end hole 211 and the second end hole 221 in stay pipe 23.For the ease of puncture, outer support tube wall 2321 is provided with at least one support rib 23211, supporting rib 23211 is attached on outer support tube wall 2321, make like this at support component 20 along with after lancet and means 10 part enters thoracic cavity, stay pipe 23 is located and is kept thoracic cavity openings of sizes on thoracic cavity.Support rib 23211 and can be set to polytype, include but not limited to spiral rib type, straightedge bar rib type and oblique vertical bar rib type.
In order to easily grasp at piercing process and use closed thoracic drainage perforator, inventor is on the architecture basics of above-mentioned arbitrary closed thoracic drainage perforator, leader's parts 30 are provided with at closed thoracic drainage perforator, grip member 30 comprises leader 31 and leader hole 32 further, grip hole 32 is through hole, and grip hole 32 is removed material and formed from the center of handle 31.Conveniently grasp, the handle 31 of handle portion 30 is generally streamlined, meets the mode that people holds.
Grip member 30 is fixedly connected with support component 20, it is an entirety that second supporting base end portion 22 of support component 20 is connected with an end of grip member 30, such the second end hole 221 is communicated with grip hole 32, when lancet and means 10 socket enters support component 20, enter support component 20 from the grip hole 32 of grip member 30.The diameter of grip hole 32 is not less than the diameter in the second end hole 221, and the diameter in preferred grip hole 32 is consistent with the diameter in the second end hole 221.
The length that the overall length of lancet and means 10 couples together than handle portion 30 and support component 20 is long, the first end hole 211 of support component 20 is stretched out for thoracic puncture in the puncture end 11 of lancet and means 10, and the connecting end portion 12 of lancet and means 10 is stretched out from the grip hole 32 of grip member 30.
Lancet and means 10 comprises a projection 14 further, projection 14 extends to form from the connecting end portion 12 of lancet and means 10, the diameter of projection 14 is larger than the diameter of the grip hole 32 of grip member 30, when lancet and means 10 enters support component 20 and grip member 30 from the grip hole 32 of grip member 30, projection 14 is outside grip member 30.Projection 14 is spherical or nut type in circular cone, so that turn, when lancet and means 10 enters support component 20 and grip member 30 from the grip hole 32 of grip member 30, one end of projection 14 enters in grip hole 32, and a part for projection 14 is retained in the outside of grip hole 32.
In order to make lancet and means 10 can bear the counteracting force in thoracic cavity and ensure that lancet and means 10 not easily comes off in support component 20, lancet and means 10 and grip member 30 are flexibly connected.Lancet and means 10 and grip member 30 preferably adopt and are threaded, in lancet and means 10 connecting end portion 12 outer wall on be provided with external screw thread, be provided with female thread at the correspondence position of grip hole 32, lancet and means 10 and grip member 30 are flexibly connected by threaded engagement simultaneously.
The work process of the closed thoracic drainage perforator of this type is: to whole chest drainage perforator and the sterilization of the medical drainage tube such as breast skirt or three-cavity air bag sterilized catheter, lancet and means 10 enters support component 20 and grip member 30 from the grip hole 32 of grip member 30, make an accurate selection of thoracic cavity for site of puncture, holding grip member 30 and projection 14 aims at for puncture position by lancet and means 10, to direction, thoracic cavity force, thoracic wall is thrust in puncture end 11, after puncture end 11 enters thoracic wall, continue slowly force also clockwise direction rotating handles parts 30, grip hole 32 on grip member 30 and projection 14 rotate thereupon, make the puncture wall 131 of lancet and means 10 the punctures part for stay pipe 23 of the whole of rib 1311 and support component 20 and the support rib 23211 of outer support wall 2321 enters breast chamber, maximum paracentesis depth is puncture end 11 to handle 31 front distance, then handle 31 is held on the other hand, catch projection 14 projection 14 to be rotated from grip hole 32 on the other hand to extract, thumb temporary enclosed grip hole 32, penetrates grip member 30 and support component 20 by medical drainage tube by grip hole 32, passes from the first end hole 211 of first end 21, enter thoracic cavity, handle 31 is counterclockwise rotated, until exit thoracic wall completely, and shifts out from medical drainage tube afterbody, hematocele in thoracic cavity and pneumatosis are discharged by medical drainage tube, patients in remission.
The reason that the part of stay pipe 23 enters thoracic cavity is located by thoracic cavity opening, and Another reason plays a supportive role to the medical drainage tube inserted afterwards.The wall thickness of stay pipe 23 is 0.5-2mm, and such stay pipe 32, when bearing the power that grip member 30 applies, not easily breakage phenomenon occurs.
It should be noted that this closed thoracic drainage perforator, adopt rigid plastics to make or metal material, its overall length is 12-18cm, and the length of support component 20 is 4-10cm, exquisite small and exquisite, easy to carry, is convenient to take the first aid of thoracentesis in the shortest time.The overall diameter scope of lancet and means 10 is 8F-34F, and the overall diameter of lancet and means 10 is preferably 28F.The overall diameter scope of support component 20 is 10F-36F, and the overall diameter of support component 20 is preferably 30F, and the interior diameter of support component 20 is 8F-34F, preferred 28F.
Fig. 4 to Fig. 6 is the second preferred implementation of closed thoracic drainage perforator provided by the invention.As shown in Figures 4 to 6, this embodiment is roughly the same with the first embodiment, and except support component 20A and grip member 30A, support component 20A is flexibly connected with grip member 30A, and lancet and means 10A is socketed in support component 20A.
Support component 20A is flexibly connected with grip member 30A, and it includes but not limited to support component 20A and grip member 30A draw-in groove connected mode and support component 20A and grip member 30A thread connecting mode.Support component 20A and grip member 30A preferably adopts thread connecting mode.
The grip hole 32A of handle portion 30A is through hole, is provided with female thread in hand hole 32A, and in support component 20A, the outer support wall 2321A of the second end mouth 221A is provided with external screw thread, and the female thread of grip hole 32A coordinates with the external screw thread of the second end mouth 221A.The diameter of grip hole 32A is not less than the external diameter of the second end mouth 221A of support component 20A, and the diameter of preferred grip hole 32A is consistent with the external diameter of the second end mouth 221A.
It should be noted that the length that the total length of the puncture tube 13A of lancet and means 10A couples together than handle portion 30A and support component 20A is long.When support component 20A is flexibly connected with grip member 30A, the puncture end 11A of lancet and means 10A enters in stay pipe chamber 231A from the grip hole 32A of handle portion 30A, pass support component 20A from first end hole 211A, the projection 14A of lancet and means 10A is outside grip hole 32A.
The work process of the closed thoracic drainage perforator of this type is: to whole chest drainage perforator and the sterilization of the medical drainage tube such as breast skirt or three-cavity air bag sterilized catheter, the puncture end 11A of lancet and means 10A enters in stay pipe chamber 231 from the grip hole 32A of handle portion 30A, pass from the first end hole 211A of support component 20A, grip member 30A and support component 20A is connected by the external screw thread of the screw thread in grip hole 32A and the second end mouth 221A, and projection 14A is outside the grip hole 32A of grip member 30A, make an accurate selection of thoracic cavity for site of puncture, hold grip member 30A and projection 14A and will puncture end 11A aligning for puncture position, to direction, thoracic cavity force, puncture end 11A is thrust thoracic wall, after puncture end 11A enters thoracic wall, continue slowly force also clockwise direction rotating handles parts 30A, grip member 30A drives support component 20A to rotate clockwise, a part of stay pipe 23A and the support rib 23211A of outer support wall 2321A in the whole and support component 20A of rib 1311A on the puncture wall 131A of lancet and means 10A is made to enter breast chamber, maximum paracentesis depth is puncture end 11A to handle 31A front distance, then handle 31A is held on the other hand, catch projection 14A to be rotated from grip hole 32A by projection 14A on the other hand to extract, thumb temporary enclosed grip hole 32A, medical drainage tube is penetrated grip member 30A and support component 20A by grip hole 32A, pass from the first end hole 211A of first end 21A, enter thoracic cavity, handle 31A is counterclockwise rotated, until exit thoracic wall completely, and shift out from medical drainage tube afterbody, hematocele in thoracic cavity and pneumatosis are discharged by medical drainage tube, patients in remission.
Fig. 7 to Fig. 9 is the third preferred implementation of closed thoracic drainage perforator provided by the invention.As shown in Figure 7 to 9, this embodiment is roughly the same with the first embodiment, and except this lancet and means 10B is fixedly connected with grip member 30B, support component 20B is flexibly connected with grip member 30B.
Grip member 30B comprises leader 31B and leader hole 32B, grip hole 32B remove material formation on handle 31B, and grip hole 32B is non through hole.The connecting end portion 12B of this lancet and means 10B is connected with the handle 31B of grip member 30B, connecting end portion 12B is fixedly connected with handle 31B through grip hole 32B, in other words, the diameter of connecting end portion 12B is less than the diameter of grip hole 32B, and connecting end portion 12B is arranged in grip hole 32B and is fixedly connected with handle 31B.
Support component 20B is flexibly connected with grip member 30B, and it includes but not limited to support component 20B and grip member 30B draw-in groove connected mode and support component 20B and grip member 30B thread connecting mode.
Support component 20B and grip member 30B adopts thread connecting mode: be provided with female thread in the grip hole 32B of handle portion 30B, in support component 20B, the outer support wall 2321B of the second end hole 221B is provided with external screw thread, the diameter of grip hole 32B is consistent with the external diameter of the second end hole 221B upper outside supporting walls 2321B, and the female thread of grip hole 32B coordinates with the external screw thread on the outer support parts walls 231B of the second end hole 221B.When support component 20B and grip member 30B adopts threaded engagement to link together, the puncture end 11B of lancet and means 10B enters support component 20B in the 221B of the second end hole, and passes from first end hole 211B.
The work process of the closed thoracic drainage perforator of this type is: to whole chest drainage perforator and the sterilization of the medical drainage tube such as breast skirt or three-cavity air bag sterilized catheter, the puncture end 11B of lancet and means 10B enters support component 20B in the 221B of the second end hole, and pass from first end hole 211B, grip member 30B and support component 20B is connected by the external screw thread on the female thread of grip hole 32B and the outer support wall 2321B of the second end hole 221B, make an accurate selection of thoracic cavity for site of puncture, hold grip member 30B and will puncture end 11B aligning for puncture position, to direction, thoracic cavity force, puncture end 11B is thrust thoracic wall, after puncture end 11B enters thoracic wall, continue slowly force also clockwise direction rotating handles parts 30B, grip member 30 drives lancet and means 10B support component 20B to rotate clockwise, a part of stay pipe 23B and the support rib 23211B of outer support wall 2321B in the whole and support component 20B of rib 1311B on the puncture wall 131B of lancet and means 10B is made to enter breast chamber, maximum paracentesis depth is puncture end 11B to handle 31B front distance, then stay pipe 23B is held on the other hand, rotating handles 31B on the other hand, grip member 30B and stay pipe 23B is departed from, lancet and means 10 is extracted along with grip member 30B from the 221B of the second end hole, thumb temporary enclosed the second end hole 221B, medical drainage tube is penetrated in support component 20B by the second end hole 221B, pass from the first end hole 211B of first end 21B, enter breast chamber, support component 20B is counterclockwise rotated, until exit thoracic wall completely, and shift out from medical drainage tube afterbody, hematocele in thoracic cavity and pneumatosis are discharged by medical drainage tube, patients in remission.
Finally be necessary described herein: above embodiment is only for being described in more detail technical scheme of the present invention; can not be interpreted as limiting the scope of the invention, some nonessential improvement that those skilled in the art's foregoing according to the present invention is made and adjustment all belong to protection scope of the present invention.
Claims (10)
1. a closed thoracic drainage perforator, is characterized in that, comprising: a lancet and means and a support component, lancet and means is flexibly connected with support component, lancet and means thoracic puncture, form puncture channel, support component maintains the puncture channel formed by lancet and means.
2. closed thoracic drainage perforator according to claim 1, is characterized in that: lancet and means is coaxially flexibly connected with support component.
3. closed thoracic drainage perforator according to claim 1, is characterized in that: lancet and means and support component are coaxially socketed.
4. closed thoracic drainage perforator according to claim 1, it is characterized in that: lancet and means comprises a puncture end, a connecting end portion and a puncture tube further, puncture tube connects puncture end and connecting end portion, puncture tube comprises a puncture tube wall, and puncture tube wall is formed centrally puncture tube in puncture tube.
5. closed thoracic drainage perforator according to claim 4, is characterized in that: one end of puncture end is oblique syringe needle shape.
6. closed thoracic drainage perforator according to claim 1, it is characterized in that: support component comprises one first supporting base end portion, one second supporting base end portion and a stay pipe further, stay pipe connects the first supporting base end portion and the second supporting base end portion, stay pipe comprises a support tube chamber and and supports tube wall, support tube wall and be formed centrally stay pipe chamber in stay pipe, support tube chamber and be communicated with the first supporting base end portion and the second supporting base end portion.
7. closed thoracic drainage perforator according to claim 6, is characterized in that: the first supporting base end portion comprises a first end hole further, and first end hole is removed material from the first supporting base end portion and formed; Second supporting base end portion comprises a second end hole further, and the second end hole is removed material from the second supporting base end portion and formed, and supports tube chamber and is communicated with first end hole and the second end hole.
8. closed thoracic drainage perforator according to claim 6, is characterized in that: support tube wall and be divided into outer support tube wall and inner support tube wall, and inner support tube wall is formed centrally first end hole, the second end hole and supports tube chamber in stay pipe.
9. closed thoracic drainage perforator according to claim 1, it is characterized in that: closed thoracic drainage perforator comprises leader's parts further, grip member is connected with support component and/or lancet and means.
10., according to the application of the arbitrary described closed thoracic drainage perforator of claim 1 ~ 9, it is characterized in that: described perforator and drainage system supporting become a thoracentesis drainage device.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211391949.XA CN115721390A (en) | 2014-06-07 | 2014-06-07 | Use method of puncture outfit for closed thoracic drainage |
| CN202211390265.8A CN115721389A (en) | 2014-06-07 | 2014-06-07 | Closed thoracic drainage puncture outfit and application thereof |
| CN201410251449.5A CN105286954A (en) | 2014-06-07 | 2014-06-07 | Closed chest drainage puncture outfit and application thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410251449.5A CN105286954A (en) | 2014-06-07 | 2014-06-07 | Closed chest drainage puncture outfit and application thereof |
Related Child Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211391949.XA Division CN115721390A (en) | 2014-06-07 | 2014-06-07 | Use method of puncture outfit for closed thoracic drainage |
| CN202211390265.8A Division CN115721389A (en) | 2014-06-07 | 2014-06-07 | Closed thoracic drainage puncture outfit and application thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105286954A true CN105286954A (en) | 2016-02-03 |
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| CN202211391949.XA Pending CN115721390A (en) | 2014-06-07 | 2014-06-07 | Use method of puncture outfit for closed thoracic drainage |
| CN202211390265.8A Pending CN115721389A (en) | 2014-06-07 | 2014-06-07 | Closed thoracic drainage puncture outfit and application thereof |
| CN201410251449.5A Pending CN105286954A (en) | 2014-06-07 | 2014-06-07 | Closed chest drainage puncture outfit and application thereof |
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| CN202211391949.XA Pending CN115721390A (en) | 2014-06-07 | 2014-06-07 | Use method of puncture outfit for closed thoracic drainage |
| CN202211390265.8A Pending CN115721389A (en) | 2014-06-07 | 2014-06-07 | Closed thoracic drainage puncture outfit and application thereof |
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| CN108309428A (en) * | 2017-12-31 | 2018-07-24 | 重庆迪赛生物工程有限公司 | A kind of wire introducer device of orthopaedics |
| CN109331347A (en) * | 2018-07-27 | 2019-02-15 | 尚华 | A kind of optical fiber punctures needle tubing and its application |
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| CN112353447A (en) * | 2020-11-03 | 2021-02-12 | 宝玛医疗科技(无锡)有限公司 | Handheld type of being convenient for cutting anastomat suitable for minimal access surgery |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN115721389A (en) | 2023-03-03 |
| CN115721390A (en) | 2023-03-03 |
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