CN106983533A - The puncture needle and first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture - Google Patents

The puncture needle and first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture Download PDF

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Publication number
CN106983533A
CN106983533A CN201710325416.4A CN201710325416A CN106983533A CN 106983533 A CN106983533 A CN 106983533A CN 201710325416 A CN201710325416 A CN 201710325416A CN 106983533 A CN106983533 A CN 106983533A
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China
Prior art keywords
puncture needle
outs
hemostasis
abdominal cavity
axial cut
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CN201710325416.4A
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Chinese (zh)
Inventor
陈永兵
于聪慧
蒋华勇
李斯丹
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture and first-aid system.The puncture needle is hollow tube, and puncture needle toe lateral wall is provided with an axial cut-outs, and puncture needle endoporus front end is rolled over to the axial cut-outs lateral bending and connected with axial cut-outs front end.The first-aid system includes above-mentioned puncture needle, tubular type endoscope and image processing device, seal wire, blocking line and ultrasonic device.Anatomical features of the invention based on abdominal cavity organa parenchymatosum, use for reference the ripe ultrasound guidance technology of Abdominal Paracentesis of medical treatment at present, by designing a kind of brand-new puncture needle, improve existing tubular type endoscope and image processing device and seal wire, simultaneously with the use of blocking line, a set of easy to operate, first-aid system for easily implementing is constituted, goes for the urgent rescue of the abdominal cavity substantial viscera Rupture haemorrhags of occasion such as the geological disasters such as the scene of a traffic accident, earthquake scene, battlefield or basic hospital.

Description

The puncture needle and first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture
Technical field
The present invention relates to first-aid hemostatic technology, specifically a kind of abdominal cavity substantial viscera ruptures wearing for live hemostasis Pricker and first-aid system.
Background technology
With the continuous social and economic development, traffic accident incidence is also increasingly raised, along with recent geological disaster frequency Hair, the wounded's number of Abdominal-trauma increases year by year, wherein mostly organa parenchymatosum's Rupture haemorrhag such as spleen, liver, kidney, and these Internal organs bleeding is also most threat to life.Current processing method only has rapid transport to carry out surgical hemostasis or intervention to large hospital Embolism.So far, for abdominal cavity substantial viscera Rupture haemorrhag, both at home and abroad also without the tourniquet one as being applied to four limbs bleeding The field first aid of sample or the technology that can be used in basic hospital.Therefore, emergency physician or basic unit doctor can only look at helplessly Many the wounded's blood flows are died helpless to the greatest extent.In addition, for the patient of some severe haemorrhages, even if being sent to large hospital, also passing through Hemorrhagic shock of performing the operation just often is not had little time also.If it is possible to transported again after live simple, quick hemostasis, With regard to the wounded's death rate and postoperative complications can be greatly reduced.
The content of the invention
It is an object of the invention to overcome the deficiencies in the prior art, there is provided a kind of abdominal cavity substantial viscera rupture scene The puncture needle and first-aid system of hemostasis, its clever structure are rationally, easy to operate, easily implement.
The technical scheme provided according to the present invention:The puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture, its feature It is:The puncture needle is hollow tube, and puncture needle toe lateral wall is provided with an axial cut-outs, and puncture needle endoporus front end is to described Axial cut-outs lateral bending is rolled over and connected with axial cut-outs front end.
As a further improvement on the present invention, the puncture needle front end is arc point.
As a further improvement on the present invention, the puncture needle endoporus front end bending part is shaped as arcs of recesses.
As a further improvement on the present invention, the width of the axial cut-outs becomes larger to the back-end from front end.
As a further improvement on the present invention, the puncture needle diameter of bore is 2~3mm, the axial cut-outs front end Width is 0.8~1.2mm, and the width of axial cut-outs rear end is 1.2~2mm, and axial cut-outs rear end is into puncture needle front opening The distance of the heart is 25~35mm.
As a further improvement on the present invention, the puncture needle diameter of bore is 3mm, the width of the axial cut-outs front end For 1mm, the width of axial cut-outs rear end is 1.5mm, and the distance of axial cut-outs rear end to puncture needle front opening center is 30mm.
The first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture, it is characterised in that:Including above-mentioned puncture needle, change Tubular type endoscope and image processing device, seal wire, blocking line and the ultrasonic device of good automatic light source, the puncture needle are used in ultrasonic device guiding The lower progress base of a fruit (including pedicle of spleen, hepatic pedicle and kidney base of a fruit) edge is punctured, and is used to penetrate tubular type endoscope and image processing device in the endoporus of puncture needle, described Tubular type endoscope and image processing device front end backward can be bent from the probing of base of a fruit rear and around the base of a fruit under the guiding that puncture needle front end arc is bent, Front end after the anterior axial cut-outs of puncture needle can bend tubular type endoscope and image processing device is housed into the endoporus of puncture needle;It is described to lead Silk is used to penetrate through tubular type endoscope and image processing device, and seal wire front end can be drawn from puncture needle open rearward end, and seal wire front end is provided with threading hole; The blocking line is used to penetrate in the threading hole of seal wire front end, and seal wire, which is withdrawn, to bypass the base of a fruit, the blocking line set with blocking line Tightened up behind hole and can control the base of a fruit, realize hemostasis.
In the first-aid system that above-mentioned abdominal cavity substantial viscera ruptures live hemostasis, the tubular type endoscope and image processing device can be adopted With conventional choledochoscope, it is preferred to use add the choledochoscope of light source.
The present invention compared with prior art, has the following advantages that:
Anatomical features of the invention based on abdominal cavity organa parenchymatosum, uses for reference the ripe ultrasound guidance abdominocentesis of medical treatment at present Technology, by designing a kind of brand-new puncture needle, improves existing tubular type endoscope and image processing device and seal wire, while with the use of blocking Line, constitutes the live hemostasis of abdominal cavity substantial viscera rupture that a set of clever structure is reasonable, easy to operate, easily implement First-aid system, goes for the abdominal cavity of the occasions such as the geological disasters such as the scene of a traffic accident, earthquake scene, battlefield or basic hospital The urgent rescue of substantial viscera Rupture haemorrhag, realizes live quick-acting haemostatic powder, rescues life.
Brief description of the drawings
Fig. 1 is the side structure schematic diagram of the hemostatic needle of the embodiment of the present invention 1.
Fig. 2 is the positive structure schematic of the hemostatic needle of the embodiment of the present invention 1.
Fig. 3 is the Section A-A figure in Fig. 1.
Fig. 4 is one of structural principle and operation chart of the first-aid system of the embodiment of the present invention 2.
Fig. 5 for the first-aid system of the embodiment of the present invention 2 structural principle and operation chart two.
Embodiment
With reference to specific drawings and examples, the invention will be further described.
Embodiment 1
As shown in FIG. 1 to 3:Embodiment 1 discloses a kind of puncture needle 1 of the live hemostasis of abdominal cavity substantial viscera rupture, It is hollow tube, and the toe lateral wall of puncture needle 1 is provided with an axial cut-outs 1a, and the endoporus front end of puncture needle 1 is to the axial cut-outs 1a lateral bendings are rolled over and connected with axial cut-outs 1a front ends.
As shown in FIG. 1 to 3, in the present embodiment 1, the front end of puncture needle 1 is arc point.So it is convenient for puncturing behaviour Make.Puncture needle 1 endoporus front end bending part is shaped as arcs of recesses, so can more successfully guide before tubular type endoscope and image processing device 2 End is bent, convenient operation.
As shown in FIG. 1 to 3, the width of the axial cut-outs 1a becomes larger to the back-end from front end.Before axial cut-outs 1a End sets less purpose more stable more accurate, the axial cut-outs 1a rear ends that are so that the front end of tubular type endoscope and image processing device 2 passes rear position Larger purpose is set to be so that the front end of tubular type endoscope and image processing device 2 is easier and the axial cut-outs on puncture needle 1 after being bent around the base of a fruit 1a back-end aligneds, facilitate subsequent operation.
As shown in FIG. 1 to 3, in the present embodiment 1, the diameter of bore of puncture needle 1 is 3mm, before the axial cut-outs 1a The width at end is 1mm, and the width of axial cut-outs 1a rear ends is 1.5mm, axial cut-outs 1a rear ends to the front opening center of puncture needle 1 Distance be 30mm.In actual design manufacture, the diameter of bore of puncture needle 1 can be configured according to application scenario, and one As for, puncture needle diameter of bore can be 2~3mm.Accordingly, the size of the axial cut-outs 1a can also accordingly change, In general, the width of axial cut-outs front end is 0.8~1.2mm, and the width of axial cut-outs rear end is 1.2~2mm, axial cut-outs The distance at rear end to puncture needle front opening center is 25~35mm.Above-mentioned parameter transformation still should belong to the protection of the application Scope.
Embodiment 2
Embodiment 2 is the first-aid system of a set of live hemostasis of abdominal cavity substantial viscera rupture, and it is mainly in embodiment 1 Puncture needle 1, tubular type endoscope and image processing device 2, seal wire 3, block line 4 and ultrasonic device 5 to constitute, the puncture needle 1 is used to set in ultrasound Standby 5 guiding is lower to carry out the base of a fruit【Including pedicle of spleen 6, hepatic pedicle and the kidney base of a fruit】Edge is punctured, and is used to penetrate in tubular type in the endoporus of puncture needle 1 to peep Device 2, the front end of tubular type endoscope and image processing device 2 from the probing of base of a fruit rear and can enclose under the guiding of the front end arc bending of puncture needle 1 Bent backward around the base of a fruit, the front end after the anterior axial cut-outs 1a of puncture needle 1 can bend tubular type endoscope and image processing device 2 is housed to puncture In the endoporus of pin 1;The seal wire 3 is used to penetrate through tubular type endoscope and image processing device 2, and the front end of seal wire 3 can draw from the open rearward end of puncture needle 1 Go out, the front end of seal wire 3 is provided with threading hole;The blocking line 4 is used to penetrate in the threading hole of the front end of seal wire 3, and seal wire 3 is withdrawn can be with Block line 4 to bypass and the i.e. controllable base of a fruit is tightened up behind the base of a fruit, described 4 sets of holes of blocking line, realize hemostasis.
In the first-aid system that above-mentioned abdominal cavity substantial viscera ruptures live hemostasis, the tubular type endoscope and image processing device 2 can be with Using the existing conventional choledochoscope clinically used, it is preferred to use add the choledochoscope of light source.
Clinically, abdominal cavity organa parenchymatosum, either liver, spleen and double kidneys, there is a common feature:Pass in and out these organs Major Vessels be all to be bundled together to form base of a fruit turnover liver, spleen and double kidneys by connective tissue, therefore, as long as ligation four limbs The base of a fruit of identically controlled liver, spleen and double kidneys can just control bleeding very well, can also be interrupted control【Liver, kidney, spleen need not】, for transhipment Race against time.
The first-aid system of the present invention utilizes this anatomical features, carries out the urgent of the lienal rupture as follows in clinical manipulation Hemostasis【As shown in Figure 4, Figure 5】:
1st, carry out the edge of pedicle of spleen 6 under ultrasound guidance first to puncture, this is mature technology, therefore is not repeated herein;
2nd, the inserting pipe-type endoscope and image processing device 2 in the endoporus of puncture needle 1【Choledochoscope】, the front end of tubular type endoscope and image processing device 2 gradually from The rear probing of pedicle of spleen 6 is simultaneously bent backward around pedicle of spleen 6, is returned to after the bending of the front end of tubular type endoscope and image processing device 2 through the anterior breach of puncture needle 1 In puncture needle 1;
3rd, seal wire 3 is penetrated in tubular type endoscope and image processing device 2, the front end of seal wire 3 is drawn from the open rearward end of puncture needle 1, then hung up Line 4 is blocked, seal wire 3 is withdrawn bypasses pedicle of spleen 6 with blocking line 4;
4th, tubular type endoscope and image processing device 2 is exited, 4 sets of holes of line will be blocked, blocking line 4 is tightened up and can control pedicle of spleen 6, realize promptly only Blood, finally exits puncture needle 1, end of operation.
Hepatic rupture and the hemostasis operating method of nephrorrhagia are identical and more easy to operate.

Claims (9)

1. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture, it is characterised in that:The puncture needle (1) is hollow tube Body, puncture needle (1) toe lateral wall is provided with an axial cut-outs (1a), and puncture needle (1) endoporus front end is to the axial cut-outs (1a) Lateral bending is rolled over and connected with axial cut-outs (1a) front end.
2. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 1, it is characterised in that:It is described to wear Pricker (1) front end is arc point.
3. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 1, it is characterised in that:It is described to wear Pricker (1) endoporus front end bending part is shaped as arcs of recesses.
4. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 1, it is characterised in that:The axle Become larger to the back-end to the width of otch (1a) from front end.
5. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 1, it is characterised in that:It is described to wear Pricker (1) diameter of bore is 2~3mm, after the width of axial cut-outs (1a) front end is 0.8~1.2mm, axial cut-outs (1a) The width at end is 1.2~2mm, and the distance of axial cut-outs (1a) rear end to puncture needle (1) front opening center is 25~35mm.
6. the puncture needle of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 1, it is characterised in that:It is described to wear Pricker (1) diameter of bore is 3mm, and the width of axial cut-outs (1a) front end is 1mm, and the width of axial cut-outs (1a) rear end is 1.5mm, the distance of axial cut-outs (1a) rear end to puncture needle (1) front opening center is 30mm.
7. the first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture, it is characterised in that:It is any including claim 1~6 Puncture needle (1), tubular type endoscope and image processing device (2), seal wire (3), blocking line (4) and ultrasonic device (5) described in, the puncture needle (1) it is used to carry out being used to penetrate in tubular type in base of a fruit edge puncture, the endoporus of puncture needle (1) to peep dress under ultrasonic device (5) guiding Put (2), tubular type endoscope and image processing device (2) front end can be under the guiding that puncture needle (1) front end arc is bent from the probing of base of a fruit rear And bent backward around the base of a fruit, the anterior axial cut-outs (1a) of puncture needle (1) can be by the front end after tubular type endoscope and image processing device (2) bending In the endoporus for housing puncture needle (1);The seal wire (3) is used to penetrate through tubular type endoscope and image processing device (2), and seal wire (3) front end can be with Drawn from puncture needle (1) open rearward end, seal wire (3) front end is provided with threading hole;The blocking line (4) is used to penetrate before seal wire (3) In the threading hole at end, seal wire (3) is withdrawn can be with blocking line (4) to bypass the base of a fruit, and the blocking line (4), which covers to tighten up behind hole, can control The base of a fruit, realizes hemostasis.
8. the first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 7, it is characterised in that:It is described Tubular type endoscope and image processing device (2) uses choledochoscope.
9. the first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture as claimed in claim 7, it is characterised in that:It is described Tubular type endoscope and image processing device (2) is using the choledochoscope for adding light source.
CN201710325416.4A 2017-05-10 2017-05-10 The puncture needle and first-aid system of the live hemostasis of abdominal cavity substantial viscera rupture Pending CN106983533A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114366254A (en) * 2022-03-22 2022-04-19 中南大学 Liver puncture outfit

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2169381Y (en) * 1993-04-01 1994-06-22 田文端 Ligation suture introducing device and suture needle
CN2805693Y (en) * 2005-07-12 2006-08-16 田海 Deep tissue stitching device
JP2010119402A (en) * 2008-11-17 2010-06-03 Masafumi Noda Hemostasis device for internal organ
CN102164548A (en) * 2008-11-06 2011-08-24 奥林巴斯医疗株式会社 Suture device and suture system
CN104000632A (en) * 2014-06-03 2014-08-27 青岛大学医学院附属医院 Child oblique inguinal hernia laparoscopic percutaneous deflecting hernia sac high ligation instrument
CN105813574A (en) * 2013-12-12 2016-07-27 奥林巴斯株式会社 Ultrasonic puncture needle
CN106214200A (en) * 2016-08-17 2016-12-14 蔺卫龙 A kind of it is applicable to the device of child's indirect inguinal hernia high ligation of hernial sac under peritoneoscope
CN205814365U (en) * 2016-05-26 2016-12-21 刘刚 A kind of single-hole laparoscopic indirect inguinal hernia in children hernia ring separation ligature carrier

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2169381Y (en) * 1993-04-01 1994-06-22 田文端 Ligation suture introducing device and suture needle
CN2805693Y (en) * 2005-07-12 2006-08-16 田海 Deep tissue stitching device
CN102164548A (en) * 2008-11-06 2011-08-24 奥林巴斯医疗株式会社 Suture device and suture system
JP2010119402A (en) * 2008-11-17 2010-06-03 Masafumi Noda Hemostasis device for internal organ
CN105813574A (en) * 2013-12-12 2016-07-27 奥林巴斯株式会社 Ultrasonic puncture needle
CN104000632A (en) * 2014-06-03 2014-08-27 青岛大学医学院附属医院 Child oblique inguinal hernia laparoscopic percutaneous deflecting hernia sac high ligation instrument
CN205814365U (en) * 2016-05-26 2016-12-21 刘刚 A kind of single-hole laparoscopic indirect inguinal hernia in children hernia ring separation ligature carrier
CN106214200A (en) * 2016-08-17 2016-12-14 蔺卫龙 A kind of it is applicable to the device of child's indirect inguinal hernia high ligation of hernial sac under peritoneoscope

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114366254A (en) * 2022-03-22 2022-04-19 中南大学 Liver puncture outfit
CN114366254B (en) * 2022-03-22 2022-06-10 中南大学 Liver puncture outfit

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