CN109091202A - A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench - Google Patents
A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench Download PDFInfo
- Publication number
- CN109091202A CN109091202A CN201811119236.1A CN201811119236A CN109091202A CN 109091202 A CN109091202 A CN 109091202A CN 201811119236 A CN201811119236 A CN 201811119236A CN 109091202 A CN109091202 A CN 109091202A
- Authority
- CN
- China
- Prior art keywords
- shaft
- head end
- tube passage
- pipe wrench
- nerve block
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 210000005036 nerve Anatomy 0.000 title claims abstract description 23
- 239000000463 material Substances 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 238000003780 insertion Methods 0.000 abstract description 4
- 230000037431 insertion Effects 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 4
- 238000000605 extraction Methods 0.000 abstract description 3
- 230000003601 intercostal effect Effects 0.000 abstract description 3
- 230000036407 pain Effects 0.000 abstract description 3
- 230000002889 sympathetic effect Effects 0.000 abstract description 3
- 210000004224 pleura Anatomy 0.000 abstract description 2
- 206010002091 Anaesthesia Diseases 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 230000002618 waking effect Effects 0.000 description 2
- 208000010513 Stupor Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 238000002604 ultrasonography Methods 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- 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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Pathology (AREA)
- Ophthalmology & Optometry (AREA)
- Anesthesiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of pipe wrench of setting of Paravertebral Nerve Block for thoracoscopic operation, including vice body and puncture inner core.Vice body includes: head end, shaft, holds end, sets tube passage；The head end, shaft hold end and are fixedly connected sequentially, and the head end, shaft, the middle line for holding end structure be in approximately the same plane, and the tube passage of setting runs through head end and shaft.When Paravertebral Nerve Block in thoracoscopic operation sets pipe operation, inner core insertion will be punctured and set tube passage, separate partial pleura along intercostal space, it reaches by sympathetic nerve knot after 1-2CM, extraction punctures inner core, and tube passage is set in the insertion of Paravertebral Nerve Block pipeline, completes entirely to set pipe process.The present invention can carry out accurately Paravertebral Nerve Block, have the characteristics that accurate operation, patient's no pain, easy to implement.
Description
Technical field
The present invention relates to Paravertebral Nerve Block tube-placing device, in particular to nerve resistance by a kind of vertebra for thoracoscopic operation
Stagnant sets pipe wrench.
Background technique
The Paravertebral Nerve Block of traditional thoracoscopic operation is drawn by department of anesthesia doctor under patient's waking state and in ultrasound
It leads lower completion and sets pipe, the obvious shortcoming of the technology is: under 1. non-direct-view states, there are certain risks of failure；2. at patient
In complete waking state, completion sets pipe operating process patient and is subjected to certain puncture pain.
Summary of the invention
The problem of purpose of the present invention aims to solve the problem that in the presence of traditional Paravertebral Nerve Block sets pipe operating method, provides
A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench, and setting pipe operation is terminated by Cardiac surgeon in operation
Before, it is completed under the direct-view of thoracoscope, therefore be more suitable for operation application, and can save the time, tube efficiency is set in raising；And patient
Always under routine tracheal intubation narcosis, the unnecessary pain of patients' feeling can be avoided completely.
A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench, including vice body and punctures inner core, the pincers
Body includes: head end, shaft, holds end, sets tube passage；The head end, shaft hold end and are fixedly connected sequentially, the head
End, shaft, the middle line for holding end structure be in approximately the same plane, and the tube passage of setting runs through head end and shaft.
The shaft cross section is circle, and one end of shaft is connect with head end in 150 ° ~ 170 °, the other end of shaft and
Hold end connection.
The head end shape is spindle, and spindle head wedge angle is in 30 ° ~ 40 °, and head end mid diameter is shaft diameter
1.3 times, the length of head end is 0.05-0.1 times of shaft length.
The holding end tool is there are two branch, and Liang Ge branch is fixedly connected, and two branches ends are respectively provided with a circle
Ring structure.
The middle line for setting tube passage is parallel with the middle line of head end and shaft not to be overlapped, and is designed using bias, described
Set tube passage cross section as circle, diameter is 0.25 times of shaft diameter.
The puncture inner core includes: pull ring, wire, and pull ring and wire are fixedly connected, and the diameter of wire is institute
That states sets 0.8 times of tube passage.
The vice body and puncture inner core is stainless steel material.
The beneficial effects of the present invention are provide a kind of novel, efficient vertebra side mind for thoracoscopic operation
Pipe wrench is set through what is blocked.The present invention establishes the channel of Paravertebral Nerve Block pipeline by setting pipe wrench, keeps nerve block pipeline logical
Road precisely reaches 1-2CM by sympathetic nerve knot, it is easy to accomplish precisely efficiently places Paravertebral Nerve Block pipeline.
Detailed description of the invention
Fig. 1 is a planar structure schematic diagram of the invention；
Fig. 2 is a schematic perspective view of the invention；
Fig. 3 is the partial structure diagram of a cross section of the invention；
In figure, vice body 1, shaft 3, holds end 4, sets tube passage 5, punctures inner core 6, pull ring 7, wire 8 head end 2.
Specific embodiment
Of the invention is further elaborated below in conjunction with drawings and examples.
As shown in Figure 1, 2, a kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench, including vice body 1 and punctures
Inner core 6, the vice body 1 include: head end 2, shaft 3, hold end 4, set tube passage 5；The head end 2, holds end 4 at shaft 3
Be fixedly connected sequentially, the head end 2, shaft 3, hold 4 structure of end middle line be in approximately the same plane, described sets tube passage
5 run through head end 2 and shaft 3.
3 cross section of shaft is circle, and one end of shaft 3 is in 150 ° ~ 170 ° with head end 2 and connect, shaft 3 it is another
End is connect with end 4 is held.
2 shape of head end is spindle, and spindle head wedge angle is in 30 ° ~ 40 °, and 2 mid diameter of head end is shaft 3
1.3 times of diameter, the length of head end 2 are 0.05-0.1 times of 3 length of shaft.
The tool of holding end 4 is there are two branch, and Liang Ge branch is fixedly connected, and two branches ends are respectively provided with a circle
Ring structure.
As shown in figure 3, the middle line for setting tube passage 5 is parallel with the middle line of head end 2 and shaft 3, but it is not overlapped, i.e.,
It is designed using bias, as deviateed at the one third of center, described sets 5 cross section of tube passage as circle, and diameter is shaft diameter
0.25 times.
The puncture inner core 6 includes: pull ring 7, wire 8, and pull ring 7 and wire 8 are fixedly connected, wire 8 it is straight
Diameter is 0.8 times for setting tube passage 5.
The vice body 1 and puncture inner core 6 is stainless steel material.
A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench, before thoracoscopic operation terminates, disease
People is still under tracheal intubation anesthesia state, completes Paravertebral Nerve Block under the auxiliary direct-view of thoracoscope by Cardiac surgeon
Pipe operation is set, puncture inner core insertion vice body is set into tube passage first, the pipe wrench of setting that will be combined is placed in the intercostal cut in advance
Position holds and holds end, separates partial pleura along intercostal space using head end, head end is reached by sympathetic nerve knot after 1-2CM, kept
Vice body is motionless, and extraction punctures inner core, and tube passage then is set in the insertion of Paravertebral Nerve Block pipeline, keeps block conduit motionless, is delayed
Pipe wrench is set in slow extraction, completes entirely to set pipe process.
Claims (7)
1. a kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench, which is characterized in that including in vice body (1) and puncture
Core (6), the vice body (1) include: head end (2), shaft (3), hold end (4), set tube passage (5)；The head end (2),
Shaft (3), holding end (4) are fixedly connected sequentially, and the head end (2), shaft (3) hold the middle line of end (4) structure in same
One plane, described sets tube passage (5) through head end (2) and shaft (3).
2. setting pipe wrench as described in claim 1, which is characterized in that shaft (3) cross section is circle, shaft (3)
One end is connect with head end (2) in 150 ° ~ 170 °, and the other end of shaft (3) is connect with end (4) are held.
3. setting pipe wrench as described in claim 1, which is characterized in that head end (2) shape is spindle, spindle head
Wedge angle is in 30 ° ~ 40 °, and head end (2) mid diameter is 1.3 times of shaft (3) diameter, and the length of head end (2) is shaft (3) length
0.05-0.1 times.
4. setting pipe wrench as described in claim 1, which is characterized in that there are two branch, Liang Ge branches for holding end (4) tool
It is fixedly connected, two branches ends are respectively provided with a circular ring structure.
5. setting pipe wrench as described in claim 1, which is characterized in that the middle line for setting tube passage (5) and head end (2) and
The middle line of shaft (3) is not overlapped in parallel, is designed using bias, and described sets tube passage (5) cross section as circle, and diameter is shaft
0.25 times of diameter.
6. setting pipe wrench as described in claim 1, which is characterized in that the puncture inner core (6) includes: pull ring (7), wire
(8), pull ring (7) and wire (8) are fixedly connected, and the diameter of wire (8) is 0.8 times for setting tube passage (5).
7. setting pipe wrench as described in claim 1, which is characterized in that the vice body (1) and puncture inner core (6) is stainless steel
Material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811119236.1A CN109091202A (en) | 2018-09-26 | 2018-09-26 | A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811119236.1A CN109091202A (en) | 2018-09-26 | 2018-09-26 | A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109091202A true CN109091202A (en) | 2018-12-28 |
Family
ID=64867552
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811119236.1A Pending CN109091202A (en) | 2018-09-26 | 2018-09-26 | A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109091202A (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2511270Y (en) * | 2001-11-30 | 2002-09-18 | 刘应万 | Middle ear ventilating tube laying device |
| CN105310749A (en) * | 2014-08-04 | 2016-02-10 | 谢言虎 | Parietal extrapleural catheterizing method |
| CN209377678U (en) * | 2018-09-26 | 2019-09-13 | 浙江大学医学院附属第二医院 | Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
-
2018
- 2018-09-26 CN CN201811119236.1A patent/CN109091202A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2511270Y (en) * | 2001-11-30 | 2002-09-18 | 刘应万 | Middle ear ventilating tube laying device |
| CN105310749A (en) * | 2014-08-04 | 2016-02-10 | 谢言虎 | Parietal extrapleural catheterizing method |
| CN209377678U (en) * | 2018-09-26 | 2019-09-13 | 浙江大学医学院附属第二医院 | Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
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