CN107361830A - The brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance - Google Patents
The brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance Download PDFInfo
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- CN107361830A CN107361830A CN201710825566.1A CN201710825566A CN107361830A CN 107361830 A CN107361830 A CN 107361830A CN 201710825566 A CN201710825566 A CN 201710825566A CN 107361830 A CN107361830 A CN 107361830A
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- epitheca
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- pipe
- interior core
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- 210000003461 brachial plexus Anatomy 0.000 title claims abstract description 33
- 238000002604 ultrasonography Methods 0.000 title claims abstract description 22
- 238000000034 method Methods 0.000 title claims abstract description 15
- 241000463219 Epitheca Species 0.000 claims abstract description 125
- 210000005036 nerve Anatomy 0.000 claims abstract description 25
- 229960005015 local anesthetics Drugs 0.000 claims abstract description 5
- 238000003780 insertion Methods 0.000 claims abstract description 3
- 230000037431 insertion Effects 0.000 claims abstract description 3
- 239000000284 extract Substances 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 4
- 210000004191 axillary artery Anatomy 0.000 claims description 3
- 210000002048 axillary vein Anatomy 0.000 claims description 3
- 238000012790 confirmation Methods 0.000 claims description 3
- 229920001971 elastomer Polymers 0.000 claims description 3
- 239000000806 elastomer Substances 0.000 claims description 3
- 238000000605 extraction Methods 0.000 claims description 3
- 238000002347 injection Methods 0.000 claims description 3
- 239000007924 injection Substances 0.000 claims description 3
- 230000003387 muscular Effects 0.000 claims description 3
- 210000003516 pericardium Anatomy 0.000 claims description 2
- 230000004936 stimulating effect Effects 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 4
- 210000004204 blood vessel Anatomy 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 230000007383 nerve stimulation Effects 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 208000010428 Muscle Weakness Diseases 0.000 description 1
- 206010028372 Muscular weakness Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 239000002023 wood Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Anesthesiology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The present invention discloses the brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance, external member includes epitheca pin, the epitheca pin pin heart, interior core needle, puts to stay pipe and put and stay tube connector, the epitheca pin pin heart matches with epitheca pin, when epitheca pin pin heart plug-in card is in epitheca pin, epitheca pin pin mind portion is concordant with epitheca pin syringe needle, put and stay pipe sleeve to be located on interior core needle needle body, interior core needle side opening exposes to put to needle point position stays pipe, when be arranged with put the interior core needle plug-in card for staying pipe in epitheca pin when, put and stay pipe tail end to stretch out epitheca pin syringe needle, put and stay tube connector to stay pipe to match with putting.The application method is inserted the good epitheca pin pin heart of grafting and the combination of epitheca pin outside brachial plexus nerve sheath；The heart pin insertion epitheca pin for being cased with putting flow tube is secured to grafting；Puncture to target nerve and inject local anaesthetics after confirming, if necessary to more nerve blocks, the repeatable operation of this step；Flow tube is put in indwelling.The present invention significantly reduces the puncture pain of patient, and it is accurate that it puts pipe, can realize continuous block effect.
Description
Technical field
The present invention relates to the brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance.
Background technology
Currently used nerve stimulation retardance pin is broadly divided into two kinds：
First, external target pin is inclined-plane pin (needle point is the acute angle less than 20 degree), its shortcoming easily causes neural blood vessel cutting damage
Wound, when external target pin is walked in tissue, more unnecessary damages, such as the cutting organized are easily caused, punctures blood vessel (artery
Easily there is hemotoncus, extravasated blood easily occurs in vein), puncturing or cut nerve can cause light then nerve is corresponding to dominate area's skin fiber crops
Wood, weight then accordingly dominate muscle weakness；
Second, interior core needle is that side-hole needle (needle point is circle thorn type needle point) its shortcoming is cumbersome in skin penetrating process, puncture
Power is big, and patient pain's sense is big, meanwhile, during puncture, in order to avoid causing possible damage to nerve and blood vessel, as far as possible
From comparing the less needle tubing of external diameter.Because needle body is thinner, when deep face puncture is carried out, needle body is easily with muscle et al.
The movement of body tissue and deform, cause needle point to shift so that needle point and nerve distance produce deviation.
During operation due to epitheca pin not really reach target nerve annex, when inserted by epitheca pin stay pipe when, put
Pipe position is inaccurate, it is impossible to ensures continuous block effect.
The content of the invention
In order to solve the above-mentioned technical problem the invention provides a kind of brachial plexus nerve block needle guard part of ultrasound guidance and
Its application method, it significantly reduces the puncture pain of patient, and it is accurate that it puts pipe, can realize continuous block effect.
To achieve the above object, the present invention uses following technical scheme：
A kind of brachial plexus nerve block needle guard part of ultrasound guidance, it includes epitheca pin, the epitheca pin pin heart, interior core needle, put
Stay pipe and put and stay tube connector, the epitheca pin pin heart matches with the epitheca pin, when the epitheca pin pin heart plug-in card is in the epitheca
During pin, the head of the epitheca pin pin heart is concordant with the syringe needle of the epitheca pin, described to put the needle body for staying pipe sleeve to be located at the interior core needle
On, side opening to the needle point position of the interior core needle, which exposes to this, is put and stays pipe, and the interior core needle plug-in card for staying pipe is put in the epitheca when being arranged with
During pin, this puts the syringe needle for staying the tail end of pipe to stretch out the epitheca pin, and described put stays tube connector to stay pipe to match with described put.
The epitheca pin is inclined-plane bodkin, and the epitheca pin includes bodkin body, and the tail end of the bodkin body is inserted admittedly in handle portion, should
Handle portion offers the duct connected with the through hole of the bodkin body, and the handle portion of the epitheca pin separately opens up one and is used to press described put
Stay the press section of pipe tail end or open up an opening in the handle portion of the epitheca pin, the opening puts the afterbody pair for staying pipe with described
Should.
The press section is a transparent elastomer for being arranged on the epitheca pin handle portion.
The interior core needle is side opening fine needle, and the interior core needle includes fine needle body, and the fine needle body is inserted solid in handle portion, the handle portion
Offer the duct connected with the vestibule of the fine needle body.
The handle portion of the handle portion of the epitheca pin and the interior core needle is connected structure.
The handle portion of the epitheca pin is provided with a slot, is matched in the handle portion of the interior core needle provided with one with the slot
It is raised.
The epitheca pin pin pericardium includes body and grip part, body head end closing, and the aft end of the body is inserted to exist admittedly
The grip part, the head of the body block the syringe needle of the epitheca pin, and both are in concordant shape, the gripping of the epitheca pin pin heart
Portion is provided with the inserted sheet matched with the slot of the epitheca pin.
Described put stays pipe also to match a fixator.
A kind of application method of the brachial plexus nerve block needle guard part of ultrasound guidance, the epitheca pin pin heart is inserted first
In the epitheca pin, skin, hypodermis are punctured through together, is rested on outside brachial plexus nerve sheath, the epitheca pin pin heart are extracted, at this
Inserted in epitheca pin and put the interior core needle for staying pipe described in being cased with, make the handle portion of heart pin and the handle portion card of the epitheca pin
Match somebody with somebody, interior core needle is fixed with epitheca pin, now, the needle point of heart pin stretches out the syringe needle hole of epitheca pin, holds interior core needle handle portion
Puncture angle is adjusted, avoids axillary artery and axillary vein, is pierced into brachial plexus nerve sheath, after then reaching target nerve, opens neuroelectricity
Stimulation instrument, after confirmation has the muscular movement that corresponding brachial plexus nerve is dominated, after injection local anaesthetics terminates, it need to such as carry out more god
Through retardance, then epitheca pin handle is held, interior core needle needle point is fallen back on outside brachial plexus nerve sheath, then adjustment angle, carried out next time
Nerve positioning, after the completion of, press section or the opening of epitheca pin are pressed with hand, presses to put and stays pipe, core needle in extraction, Ran Houyong
The head of the epitheca pin pin heart, which is withstood, puts the tail end mouth of pipe for staying pipe, and push, which is put, downwards stays pipe while extract epitheca pin, stays pipe to stop by putting
Stay on body, then stay pipe tail end to connect to put and stay tube connector, carry out next step dosing techniques, puncture terminates putting..
Beneficial effects of the present invention：First with being punctured after external target pin and the combination of the external target pin pin heart, by ultrasound observation,
Needle point is rested on into neural 2 centimeters of distance, due to being beveled point, puncture force is small, and patient's pain is small, can establish puncture rapidly
Passage, and because distant apart from nerve, injured nerve and blood vessel can be prevented.The external target pin pin heart is extracted, then with interior core needle
Penetrated out of external target pin needle tubing, because interior core needle leading portion designs with ultrasonic development, pin that can substantially with outer pin under ultrasound
Body distinguishes, and then proceedes to deeply, carry out nerve stimulation retardance operation.Under the cooperation of ultrasound, the close nerve of core needle in guiding,
And needle point is moved in target area, the side opening needle point designs of interior core needle can effectively prevent from cutting nerve and blood vessel
Damage；Pipe is stayed in the set setting of interior core needle, after administration is punctured, can directly and accurately put and stay near target nerve, ensure follow-up
Lasting blockage effect；Compared with tradition is put and stays pipe, the present invention put than tradition stay pipe outside the skin it is short a lot, will not
There is situation about giving a discount, so that be not in re-replace to put the problem of staying pipe, stay pipe to stay pipe to be connected with putting skin is external
Device putting so far stays pipe outer wall to set a fixator, is fixed on the holder with medical proof fabric on skin, prevents indwelling tube from moving
Position.
Brief description of the drawings
Fig. 1 is combining structure schematic diagram of the epitheca pin with the epitheca pin pin heart of the present invention.
Figure 1A is the structural representation of epitheca pin in Fig. 1.
Figure 1B is the structural representation of the epitheca pin pin heart in Fig. 1.
Fig. 1 C are the structural representation of another embodiment of epitheca pin.
Fig. 2A is to put the structural representation for staying pipe.
Fig. 2 B are the structural representation of interior core needle.
Fig. 2 puts the structural representation for staying pipe sleeve to be located at interior core needle for the present invention's.
The epitheca pin of Fig. 3 present invention, interior core needle and put the assembling schematic diagram for staying pipe.
Fig. 4 is that putting for the present invention stays pipe and fixator and put the combining structure schematic diagram for staying tube connector.
1：Epitheca pin, 11：Bodkin body, 111：Syringe needle, 12：Handle portion, 121：Press section, 122：Duct, 123：Opening,
124：Slot, 2：The epitheca pin pin heart, 21：Body, 211：Head, 22：Grip part, 221：Inserted sheet, 3：Interior core needle, 31：Fine needle body,
32：Handle portion, 321：Projection, 322：Duct, 311：Side opening, 4：Put flow tube, 41：Fixator, 5：Put flow tube connector.
Embodiment
As shown in Figures 1 to 4, the brachial plexus nerve block needle guard part of a kind of ultrasound guidance, it includes epitheca pin 1, epitheca
The pin pin heart 2, interior core needle 3, put to stay pipe 4 and put and stay tube connector 5, the epitheca pin pin heart 2 matches with epitheca pin 1, when the epitheca pin pin heart 2
When inserting epitheca pin 1, the head 211 of the epitheca pin pin heart 2 is concordant with the syringe needle 111 of epitheca pin 1, puts and stays pipe 4 to be set in interior core needle 3
Fine needle body 31 on, side opening 311 to the needle point position of interior core needle 3, which exposes to put, stays pipe 4, and the interior core needle 3 for staying pipe 4 is put when being arranged with
When plug-in card enters epitheca pin 1, the syringe needle 111 for staying the tail end of pipe 4 to stretch out epitheca pin 1 is put, puts and stays tube connector 5 to stay pipe 4 to match with putting.
As shown in Figure 1A, epitheca pin 1 is inclined-plane bodkin, and epitheca pin 1 includes a bodkin body 11, and the afterbody of bodkin body 11 is inserted to exist admittedly
Handle portion 12, handle portion 12 offer the duct 122 connected with the vestibule of bodkin body 11, and the handle portion 12 of epitheca pin 1 is additionally provided with
One is used to be stayed the press section 121 of the tail end of pipe 4 as pressed or opened up an opening 123 (such as Fig. 1 C institutes in the handle portion 12 of epitheca pin 1
Show), gone with hand to be directly provided with slot 124 by the pressed afterbody for staying pipe 4, the handle portion 12 of epitheca pin 1 by opening 123.
Press section 121 is a transparent elastomer of the handle portion 12 for being arranged on epitheca pin 1.
Epitheca pin 1 matches an epitheca pin pin heart 2, in order to prevents injury tissue in puncture process；
As shown in Figure 1B, the epitheca pin pin heart 2 includes body 21 and grip part 22, the grip part 21 of the epitheca pin pin heart 2 with it is outer
The handle portion 12 of sheath pin 1 is connected structure, and body 21 is solid body, and the afterbody of body 21 is inserted admittedly in grip part 22, body 21
Head 211 block the syringe needle 111 of epitheca pin 1, both are in concordant shape, and the external diameter of body 21 is equal to the needle body 11 of epitheca pin 1
Internal diameter；The grip part 22 of the epitheca pin pin heart 2 is provided with the inserted sheet 221 matched with slot 124.
The handle portion 32 of the handle portion 12 of epitheca pin 1 and interior core needle 3 is connected structure.
As shown in Figure 2 B, interior core needle 3 is side opening fine needle, and interior core needle 3 includes fine needle body 31, and the one end of fine needle body 31 is inserted solid in hand
Shank 32, handle portion 32 open up the duct 322 connected with the cavity of fine needle body 31, and handle portion 32 is additionally provided with to be matched with slot 124
Projection 321；The tail end of the fine needle body 31 of interior core needle 3 connects a wire, and the other end of the wire is connected with nerve electric stimulation instrument,
(not shown).
As shown in Figure 2 A, to put the structural representation of flow tube 4.
As shown in Fig. 2 the length direction for putting fine needle body 31 of the flow tube 4 along interior core needle 3 is set in thereon, fine needle body 31
Side opening 311 is exposed to needle point position.
As shown in figure 3, it is arranged with the bodkin body that epitheca pin 1 is inserted in duct 122 of the interior core needle 3 for putting flow tube 4 through epitheca pin 1
11 cavity and the syringe needle 111 for stretching out epitheca pin 1, the projection 321 of the handle portion 32 of interior core needle 3 and the handle portion 12 of epitheca pin 1
The grafting of slot 124.
The needle point of interior core needle 3 stretches out the syringe needle 111 of epitheca pin 1, and its extension elongation is 1cm or so.
As shown in figure 4, shifted to prevent from putting flow tube 4, it is extracutaneous put to stay a fixator 41 is also matched on pipe 4, Gu
Determine device 41 to be fixed on skin by medical proof fabric, then screwed in the tail end for putting flow tube 4 and put flow tube connector 5, put flow tube company
Connect device 5 and reconnect conduit, carry out the administration processing of next step.
A kind of use process of the brachial plexus nerve block needle guard part of ultrasound guidance of the present invention is substantially summarised as four steps；
The first step：The good epitheca pin pin heart of grafting and the combination of epitheca pin are inserted outside brachial plexus nerve sheath；
Second step：The heart pin insertion epitheca pin for being cased with putting flow tube is secured to grafting；
3rd step：Puncture to target nerve and inject local anaesthetics after confirming, if necessary to more nerve blocks, this step can weigh
Multiple operation；
4th：Flow tube is put in indwelling.
The following detailed description of the application method of the brachial plexus nerve block needle guard part of the ultrasound guidance：First by the epitheca
The pin pin heart is inserted in the epitheca pin, is punctured through skin, hypodermis together, is rested on outside brachial plexus nerve sheath, extracts the epitheca
The pin pin heart, inserted in the epitheca pin and be cased with the handle portion and the epitheca pin put the interior core needle for staying pipe, make heart pin
Handle portion card match somebody with somebody, interior core needle is fixed with epitheca pin, now, the needle point of heart pin stretches out the syringe needle hole of epitheca pin, hold in
Core needle handle portion adjusts puncture angle, avoids axillary artery and axillary vein, is pierced into brachial plexus nerve sheath, after then reaching target nerve,
Nerve electric stimulation instrument is opened, after confirmation has the muscular movement that corresponding brachial plexus nerve is dominated, after injection local anaesthetics terminates, is such as needed
More nerve blocks are carried out, then hold epitheca pin handle, interior core needle needle point are fallen back on outside brachial plexus nerve sheath, then adjustment angle,
Nerve positioning next time is carried out, after the completion of, press section or the opening of epitheca pin are pressed with hand, presses to put and stays pipe, in extraction
Core needle, then to be withstood with the head of the epitheca pin pin heart and put the tail end mouth of pipe for staying pipe, push downwards, which is put, to be stayed pipe while extracts epitheca pin,
To put stays pipe to rest on body, then stays pipe tail end to connect to put and stay tube connector, carry out next step dosing techniques, wear putting
Thorn terminates.
Claims (9)
- A kind of 1. brachial plexus nerve block needle guard part of ultrasound guidance, it is characterised in that：It include epitheca pin, the epitheca pin pin heart, Interior core needle, put to stay pipe and put and stay tube connector, the epitheca pin pin heart matches with the epitheca pin, when the epitheca pin pin heart plug-in card is at this During epitheca pin, the head of the epitheca pin pin heart is concordant with the syringe needle of the epitheca pin, and this puts the needle body for staying pipe sleeve to be located at the interior core needle On, side opening to the needle point position of the interior core needle, which exposes to this, is put and stays pipe, and the interior core needle plug-in card of pipe is stayed at this when being arranged with this and putting During epitheca pin, this puts the syringe needle for staying the tail end of pipe to stretch out the epitheca pin, and this, which is put, stays tube connector to put with this to stay pipe to match.
- A kind of 2. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 1, it is characterised in that：It is described outer Sheath pin is inclined-plane bodkin, and the epitheca pin includes bodkin body, the tail end of the bodkin body insert it is solid in handle portion, the handle portion offer with The duct of the through hole connection of the bodkin body, the handle portion of the epitheca pin, which separately opens up one and is used to pressing, described puts the pressing for staying pipe tail end Portion opens up an opening in the handle portion of the epitheca pin, and the opening stays the afterbody of pipe corresponding with described put.
- A kind of 3. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 2, it is characterised in that：It is described to press Splenium is a transparent elastomer for being arranged on the epitheca pin handle portion.
- A kind of 4. brachial plexus nerve block needle guard part of ultrasound guidance according to Claims 2 or 3, it is characterised in that：Institute It is side opening fine needle to state interior core needle, and the interior core needle includes fine needle body, and the fine needle body is inserted admittedly in handle portion, and the handle portion is offered with being somebody's turn to do The duct of the vestibule connection of fine needle body.
- A kind of 5. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 4, it is characterised in that：It is described outer The handle portion of the handle portion of sheath pin and the interior core needle is connected structure.
- A kind of 6. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 5, it is characterised in that：It is described outer The handle portion of sheath pin is provided with a slot, and a projection matched with the slot is provided with the handle portion of the interior core needle.
- A kind of 7. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 6, it is characterised in that：It is described outer Sheath pin pin pericardium includes body and grip part, and body head end closing, the aft end of the body is inserted admittedly in the grip part, the body Head block the syringe needle of the epitheca pin, both are in concordant shape, the grip part of the epitheca pin pin heart be provided with it is described outer The inserted sheet of the slot matching of sheath pin.
- A kind of 8. brachial plexus nerve block needle guard part of ultrasound guidance according to claim 7, it is characterised in that：It is described to put Pipe is stayed also to match a fixator.
- A kind of 9. application method of the brachial plexus nerve block needle guard part of ultrasound guidance, it is characterised in that：First by epitheca pin pin In heart insertion epitheca pin, skin, hypodermis are punctured through together, is rested on outside brachial plexus nerve sheath, the epitheca pin pin heart is extracted, at this Inserted in epitheca pin and be cased with putting the interior core needle for staying pipe, the handle portion of the interior core needle is matched somebody with somebody with the handle portion card of the epitheca pin, make this Interior core needle is fixed with the epitheca pin, and now, the needle point of the interior core needle stretches out the syringe needle hole of the epitheca pin, holds the interior core needle handle Portion adjusts puncture angle, avoids axillary artery and axillary vein, is pierced into brachial plexus nerve sheath, after then reaching target nerve, opens nerve Electric stimulating instrument, after confirmation has the muscular movement that corresponding brachial plexus nerve is dominated, after injection local anaesthetics terminates, it need to such as carry out more Nerve block, then epitheca pin handle is held, interior core needle needle point is fallen back on outside brachial plexus nerve sheath, then adjustment angle, carried out next Secondary nerve positioning, after the completion of, press section or the opening of epitheca pin are pressed with hand, presses to put and stays pipe, core needle in extraction, then Withstood with the head of the epitheca pin pin heart and put the tail end mouth of pipe for staying pipe, push, which is put, downwards stays pipe while extract epitheca pin, and pipe is stayed by putting Rest on body, then stay pipe tail end to connect to put and stay tube connector, carry out next step dosing techniques, puncture terminates putting.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710825566.1A CN107361830B (en) | 2017-09-14 | 2017-09-14 | Brachial plexus blocking needle sleeve under ultrasonic guidance and using method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710825566.1A CN107361830B (en) | 2017-09-14 | 2017-09-14 | Brachial plexus blocking needle sleeve under ultrasonic guidance and using method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107361830A true CN107361830A (en) | 2017-11-21 |
| CN107361830B CN107361830B (en) | 2020-02-14 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201710825566.1A Active CN107361830B (en) | 2017-09-14 | 2017-09-14 | Brachial plexus blocking needle sleeve under ultrasonic guidance and using method thereof |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109662761A (en) * | 2019-02-20 | 2019-04-23 | 上海市肺科医院 | Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane |
| CN111773523A (en) * | 2020-08-10 | 2020-10-16 | 华中科技大学同济医学院附属协和医院 | Multifunctional drainage tube and use method thereof |
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| US5232442A (en) * | 1989-12-11 | 1993-08-03 | Brigham And Women's Hospital | Method and apparatus for inducing anesthesia |
| CN2832183Y (en) * | 2005-11-15 | 2006-11-01 | 徐旭仲 | Ultrasonic guided brachial plexus block trocar |
| CN204428123U (en) * | 2015-01-04 | 2015-07-01 | 青岛市市立医院 | A kind of new type nerve blockage puncture pin |
| CN208551957U (en) * | 2017-09-14 | 2019-03-01 | 北京积水潭医院 | A kind of brachial plexus nerve block needle guard part of ultrasound guidance |
-
2017
- 2017-09-14 CN CN201710825566.1A patent/CN107361830B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5232442A (en) * | 1989-12-11 | 1993-08-03 | Brigham And Women's Hospital | Method and apparatus for inducing anesthesia |
| CN2832183Y (en) * | 2005-11-15 | 2006-11-01 | 徐旭仲 | Ultrasonic guided brachial plexus block trocar |
| CN204428123U (en) * | 2015-01-04 | 2015-07-01 | 青岛市市立医院 | A kind of new type nerve blockage puncture pin |
| CN208551957U (en) * | 2017-09-14 | 2019-03-01 | 北京积水潭医院 | A kind of brachial plexus nerve block needle guard part of ultrasound guidance |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109662761A (en) * | 2019-02-20 | 2019-04-23 | 上海市肺科医院 | Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane |
| CN111773523A (en) * | 2020-08-10 | 2020-10-16 | 华中科技大学同济医学院附属协和医院 | Multifunctional drainage tube and use method thereof |
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