CN109662761A - Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane - Google Patents

Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane Download PDF

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Publication number
CN109662761A
CN109662761A CN201910127148.4A CN201910127148A CN109662761A CN 109662761 A CN109662761 A CN 109662761A CN 201910127148 A CN201910127148 A CN 201910127148A CN 109662761 A CN109662761 A CN 109662761A
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China
Prior art keywords
puncture
injection
needle
angle
plane
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Pending
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CN201910127148.4A
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Chinese (zh)
Inventor
施宏
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Shanghai Pulmonary Hospital
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Shanghai Pulmonary Hospital
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Priority to CN201910127148.4A priority Critical patent/CN109662761A/en
Publication of CN109662761A publication Critical patent/CN109662761A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3401Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses multi-angle puncture and injection of medicine devices in a kind of ultrasonic guidance lower plane, are fixedly connected on multi-angle regulation device in the plane on ultrasonic probe side when carrying out inserting needle in plane including a medical worker;The puncture needle that one medical worker is punctured;One for detecting whether puncture needle punctures to endovascular negative pressure device;One drug delivery device for being administered after puncturing pin puncture to required puncture position.The present invention is using the above structure, it is not only able to enable medical personnel to quickly find target positioning in plane under ultrasound guidance, and it also can ensure that puncture needle planar traveling always, in addition, only need a doctor that can complete whole puncture and injection of medicine work, to improve the working efficiency of medical worker, shortens the ultrasound lower time blocked, reduce complication for patients.Furthermore the present invention can also reach according to actual needs sets pipe injection function.

Description

Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane
Technical field
The present invention relates to the field of medical instrument technology, it is related specifically to multi-angle in a kind of ultrasonic guidance lower plane and punctures note Medicine device.
Background technique
The development of visualization technique provides the chance of rapid development for perioperative Multimodal analgesia, and ultrasonic guidance can make Puncture needle can be accurately and easily positioned at the nerve side for wanting to block or fascial plane by Anesthetist.Ultrasound is drawn at present The inserting needle approach for leading lower nerve or plane retardance is divided into two kinds: one is inserting needle outside plane, another kind is inserting needle in plane.This two Kind inserting needle approach respectively has advantage and disadvantage.The outer inserting needle of plane is fast and convenient, is suitable for experienced Anesthetist, but in the mistake of puncture Cheng Zhong can not observe the traveling situation of puncture needle in real time, the important features such as possible injuring nerve, blood vessel in puncture process, And it is difficult to for puncture needle being accurately located to target.And when Anesthetist is using inserting needle in plane, although can be real-time It observes the path of moving towards of puncture needle, the important feature of puncture needle process can be avoided damage in this way, but puncture needle is begun It is highly difficult for being maintained in the two-dimensional surface of ultrasonic probe eventually, needs the longer operating time, and increase patient suffering.Separately Outside, at least two medical workers are generally required and are operated when carrying out Ultrasound-guided Biopsy injection to patient at present, wherein One Anesthetist needs a hand-held ultrasound probe, and after finding quasi- puncture target, another holds puncture needle, by plane Or the outer approach of plane, it is punctured, after reaching target position, then another medical worker is needed to carry out pumpback injection.Using this Kind of mode carries out that anesthetic puncture injection is comparatively laborious, and reduces the working efficiency of medical worker.
In view of the deficiencies of the prior art, developer is reasonable, simple structure, convenient control super it is necessary to develop a kind of design Sound Conducted Puncture liquid medicine injection system.The system is not only able to that medical worker is made to quickly find target positioning, and also can ensure that Puncture needle planar traveling always.In addition, the system only needs a doctor that can complete whole puncture and injection of medicine work, To improve the working efficiency of medical worker, shorten the time of ultrasound guidance retardance, reduce complication, improves patient satisfaction Degree.
Summary of the invention
In order to solve the problems existing in the prior art, the present invention is intended to provide a kind of design is reasonable, structure is simple, controlling party Just, it is not only able to enable medical personnel to quickly find target positioning, additionally it is possible to ensure puncture needle planar traveling always, and And only need a doctor that can complete whole puncture and injection of medicine work, to improve the working efficiency of medical worker, shorten super The time blocked under sound reduces multi-angle puncture and injection of medicine device in the ultrasonic guidance lower plane of complication for patients.
In order to solve the above technical problems, the present invention is realized using following technical scheme:
Multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane characterized by comprising
One medical worker carries out being fixedly connected on multi-angle regulation in the plane on ultrasonic probe side when inserting needle in plane Device, multi-angle regulation device includes adjusting block in the plane, is equipped with and is used for and ultrasonic probe in the side of the adjusting block The fixed fixation member in side, is equipped with regulating tank in the adjusting block, guides in the inside of the regulating tank equipped with puncture needle Pipe, one end of the puncture needle guide pipe are hinged in regulating tank, and the imaging plane of hinge joint and ultrasonic probe is positioned at same In plane, the other end of the puncture needle guide pipe is the free end that can be rotated in the imaging plane of ultrasonic probe;
The puncture needle that one medical worker is punctured, the puncture needle pass through in the puncture needle guide pipe, and being capable of edge Its axial direction is slided, and three-way connection, the first tip side of the three-way connection and institute are equipped at the handle of the puncture needle State the tail end connection of puncture needle;
One for detecting whether puncture needle punctures to endovascular negative pressure device, and the negative pressure device passes through negative tube and institute The second tip side for stating three-way connection is connected, and is provided with negative pressure opening and closing button on second tip side;
One drug delivery device for being administered after puncturing pin puncture to required puncture position, the drug delivery device Be connected by delivery tube with the third tip side of the three-way connection, be provided on the third tip side administration opening and closing by Button.
In a preferred embodiment of the invention, the puncture needle is medical injection fine needle.
In a preferred embodiment of the invention, the puncture needle is the particle size needle with inner core, the three-way connection On be additionally provided with the 4th tip side of inner core insertion for particle size needle, be provided with unidirectional cutoff elasticity valve on the 4th tip side Piece.
In a preferred embodiment of the invention, the particle size pin puncture in place after, inner core is extracted out, by one with super Tubule one end of sound developer enters at particle size needle front end 2-3cm via after the 4th tip side, to set pipe injection.
In a preferred embodiment of the invention, the particle size needle is the Medical steel needle of 18-20G.
In a preferred embodiment of the invention, the negative pressure device is pressing sacculus.
In a preferred embodiment of the invention, the drug delivery device is injection sacculus, the injection sacculus and administration The junction of pipe is provided with unidirectional cutoff flexible flaps, and the surface of the injection sacculus is additionally provided with a sealing medicine-pouring port, described The inner cavity of injection sacculus forms drug storage chamber.
In a preferred embodiment of the invention, the adjusting block includes the fan-shaped adjusting block that central angle is 90 °, described Angle index is provided on fan-shaped adjusting block.
In a preferred embodiment of the invention, the fixed position is the clamping to be clamped in ultrasonic probe side Arm.
In a preferred embodiment of the invention, the inner surface of the clamp arm is provided with anti-skid chequer.
Compared with prior art, the present invention using the above structure, is not only able to enable medical personnel under ultrasound guidance Target positioning is quickly found in plane, and also can ensure that puncture needle planar traveling always, in addition, it is only necessary to a doctor Life can complete whole puncture and injection of medicine work, to improve the working efficiency of medical worker, shorten ultrasound it is lower block when Between, reduce complication.Furthermore the present invention can also reach according to actual needs sets pipe injection function.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this Some embodiments of invention for those of ordinary skill in the art without creative efforts, can be with It obtains other drawings based on these drawings.
Fig. 1 is the structural schematic diagram of the embodiment of the present invention 1.
Fig. 2 is the structural schematic diagram of multi-angle regulation device in 1 plane of the embodiment of the present invention.
Fig. 3 is multi-angle regulation device top view in 1 plane of the embodiment of the present invention.
Fig. 4 is the A-A cross-sectional view of Fig. 3.
Fig. 5 is the structural schematic diagram of the embodiment of the present invention 2.
Specific embodiment
In order to be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, tie below Conjunction is specifically illustrating, and the present invention is further explained.
Embodiment 1
Providing referring to Fig.1 shown in-Fig. 4, in figure is multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane, packet Include multi-angle regulation device 200 in plane, puncture needle 300, negative pressure device 400 and drug delivery device 500, the puncture in the present embodiment Needle 300 is medical injection fine needle, suitable for being not necessarily to the patient of indwelling medicine-pouring pipe.
Multi-angle regulation device 200 is connected to ultrasonic probe 100 1 when medical worker carries out inserting needle in plane in plane On side, in plane multi-angle regulation device 200 include include fan-shaped adjusting block 210 that central angle is 90 °, in fan-shaped adjusting block 210 side is equipped with the clamp arm 220 for being clamped on 100 side of ultrasonic probe, can be adjusted sector by clamp arm 220 Locking nub is firmly connected on the side of ultrasonic probe 100.The inner surface 221 of clamp arm 220 in the present embodiment is additionally provided with Anti-skid chequer.
Clamp arm 220 is an integral molding structure with fan-shaped adjusting block 210, effectively raises clamp arm 220 and fan-shaped tune Stability between locking nub 210 further improves the practical of multi-angle puncture and injection of medicine device in the ultrasonic guidance lower plane Performance.
It is equipped with regulating tank 211 on fan-shaped adjusting block 210, is equipped with puncture needle guide pipe 230 in the inside of regulating tank 211, One end of puncture needle guide pipe 230 is hinged in regulating tank 211 by articulated shaft 240, and hinge joint and ultrasonic probe 100 at As plane is in the same plane, the other end of puncture needle guide pipe 230 is that can rotate in the imaging plane of ultrasonic probe 100 Free end, puncture needle guide pipe 230 can be made to be rotated around its hinge joint, and puncture needle guide pipe 230 remains at The imaging plane of ultrasonic probe 100 can make medical worker that puncture needle 300 are adjusted to required angle more conveniently On.
It is equipped with angle index 212 on adjusting block 210, observing directly locating for puncture needle 300 for medical worker can be made Angle, convenient for medical worker carry out subsequent operation.
Puncture needle 300 is punctured for medical worker, and puncture needle 300 passes through in puncture needle guide pipe 230, and being capable of edge Its axial direction is slided, at the handle of puncture needle 300 be equipped with three-way connection 310, the first tip side of three-way connection 310 with wear The tail end of pricker 300 connects.
For negative pressure device 400 for detecting whether puncture needle 300 punctures to intravascular, negative pressure device 400 passes through negative tube 600 It is connected with the second tip side of three-way connection 310, negative pressure opening and closing button 311 is provided on the second tip side, vacuum cavitations are pressed Button 311 is for controlling whether negative pressure device 400 is connected with puncture needle 300.Negative pressure device 400 in the present embodiment is by pressure ball Capsule.
Puncture needle 300 is punctured to designated position, and medical worker presses vacuum cavitations button 311, passes through puncture needle 300 Negative tube 600 is connected with negative pressure device 400, by carrying out negative-pressure adsorption at 300 pairs of punctures of puncture needle, squeezes press pressure ball at this time It is discharged after capsule, if extracting out without blood, puncture needle 300 is not punctured to intravascular, if there is blood extraction, puncture needle 300 has been worn Thorn needs medical worker to adjust the positioning of puncture needle, adopting the structure ensures when puncture needle 300 is administered not in blood vessel to blood vessel It is interior.
Drug delivery device 500 is used to after puncture needle 300 is punctured to required puncture position be administered, drug delivery device 500 are connected by delivery tube 700 with the third tip side of three-way connection 310, and administration opening and closing is provided on third tip side 310 Button 312, administration control button 312 is for controlling whether drug delivery device 500 is connected with puncture needle 300.In the present embodiment Drug delivery device 500 is injection sacculus, and injection sacculus and the junction of delivery tube 700 are provided with unidirectional cutoff flexible flaps 520, infuse The surface of medicine ball capsule is additionally provided with a sealing medicine-pouring port 510, and the inner cavity of injection sacculus forms drug storage chamber.
Medical worker's negative pressure confirmation after the completion of, press administration control button 312, make puncture needle 300 by delivery tube 700 with Drug delivery device 500 is connected, and then squeezes injection sacculus, will be previously implanted the intracavitary medical fluid of drug storage by unidirectional cutoff elasticity valve It send after piece 520 and delivery tube 700 to administration.It adopts the structure convenient for medical worker to being administered behaviour at the sufferer of patient Make, and a medical worker is only needed to carry out to complete to anaesthetize dosing work of threading a needle, reduces the labor intensity of medical worker With the working efficiency for improving medical worker.
Embodiment 2
As shown in connection with fig. 5, the structure of the present embodiment is substantially identical with embodiment 1, and difference is, in the present embodiment Puncture needle is that particle size the needle 300a, particle size needle 300a with inner core 300b are the Medical steel needle of 18-20G, and internal diameter compares medical injection The internal diameter for penetrating fine needle is slightly thick, can be placed in injection tubule, and the inner core 300b for particle size needle 300a is additionally provided on three-way connection 310 4th tip side 313 of insertion is provided with unidirectional cutoff flexible flaps 313a on the 4th tip side 313.The present embodiment is suitable for Later period needs the patient of indwelling medicine-pouring pipe.
Particle size needle 300a puncture in place after, extract out inner core 300b, by one with ultrasonic developer tubule one end via Enter at particle size needle 300a front end 2-3cm after 4th tip side 313, to set pipe injection.The present invention has been shown and described above Basic principles and main features and advantages of the present invention.It should be understood by those skilled in the art that the present invention is not by above-mentioned implementation Example limitation, the above embodiments and description only illustrate the principle of the present invention, do not depart from spirit of that invention and Various changes and improvements may be made to the invention under the premise of range, these changes and improvements both fall within claimed invention model In enclosing.The claimed scope of the invention is defined by appended claims and its equivalent.

Claims (10)

1. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane characterized by comprising
One medical worker carries out being fixedly connected on multi-angle regulation device in the plane on ultrasonic probe side when inserting needle in plane, Multi-angle regulation device includes adjusting block in the plane, is equipped in the side of the adjusting block for solid with ultrasonic probe side Fixed fixation member is equipped with regulating tank in the adjusting block, is equipped with puncture needle guiding tube in the inside of the regulating tank, described One end of puncture needle guide pipe is hinged in regulating tank, and the imaging plane of hinge joint and ultrasonic probe is in the same plane, The other end of the puncture needle guide pipe is the free end that can be rotated in the imaging plane of ultrasonic probe;
The puncture needle that one medical worker is punctured, the puncture needle pass through in the puncture needle guide pipe, and can be along its axis To being slided, three-way connection is equipped at the handle of the puncture needle, the first tip side of the three-way connection is worn with described The tail end of pricker connects;
One for detecting whether puncture needle punctures to endovascular negative pressure device, and the negative pressure device passes through negative tube and described three Second tip side of pass joint is connected, and is provided with negative pressure opening and closing button on second tip side;
One drug delivery device for being administered after puncturing pin puncture to required puncture position, the drug delivery device pass through Delivery tube is connected with the third tip side of the three-way connection, is provided with administration opening and closing button on the third tip side.
2. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane as described in claim 1, which is characterized in that described Puncture needle is medical injection fine needle.
3. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane as described in claim 1, which is characterized in that described Puncture needle is the particle size needle with inner core, and the 4th connector of the inner core insertion for particle size needle is additionally provided on the three-way connection It holds, is provided with unidirectional cutoff flexible flaps on the 4th tip side.
4. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane as claimed in claim 3, which is characterized in that in institute After stating particle size pin puncture in place, extract out inner core, by one with ultrasonic developer tubule one end via the 4th tip side after Into at particle size needle front end 2-3cm, to set pipe injection.
5. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane as claimed in claim 3, which is characterized in that described Particle size needle is the Medical steel needle of 18-20G.
6. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane according to any one of claims 1 to 5, It is characterized in that, the negative pressure device is pressing sacculus.
7. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane according to any one of claims 1 to 5, It is characterized in that, the drug delivery device is injection sacculus, the junction of the injection sacculus and delivery tube is provided with unidirectional cutoff Flexible flaps, the surface of the injection sacculus are additionally provided with a sealing medicine-pouring port, and the inner cavity of the injection sacculus forms drug storage chamber.
8. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane according to any one of claims 1 to 5, It is characterized in that, the adjusting block includes the fan-shaped adjusting block that central angle is 90 °, be set on the sector adjusting block angled quarter Degree.
9. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane according to any one of claims 1 to 5, It is characterized in that, the fixed position is the clamp arm to be clamped in ultrasonic probe side.
10. multi-angle puncture and injection of medicine device in a kind of ultrasonic guidance lower plane as claimed in claim 9, which is characterized in that institute The inner surface for stating clamp arm is provided with anti-skid chequer.
CN201910127148.4A 2019-02-20 2019-02-20 Multi-angle puncture and injection of medicine device in ultrasonic guidance lower plane Pending CN109662761A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111419353A (en) * 2020-04-09 2020-07-17 大连医科大学附属第二医院 Nerve blocking device and method capable of being operated by one hand
CN111529009A (en) * 2020-05-22 2020-08-14 中南大学湘雅二医院 Device convenient to operate by one person and used for nerve block medicine injection
CN113951999A (en) * 2021-09-24 2022-01-21 聚融医疗科技(杭州)有限公司 Ultrasonic puncture device

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111419353A (en) * 2020-04-09 2020-07-17 大连医科大学附属第二医院 Nerve blocking device and method capable of being operated by one hand
CN111529009A (en) * 2020-05-22 2020-08-14 中南大学湘雅二医院 Device convenient to operate by one person and used for nerve block medicine injection
CN111529009B (en) * 2020-05-22 2021-08-10 中南大学湘雅二医院 Device convenient to operate by one person and used for nerve block medicine injection
CN113951999A (en) * 2021-09-24 2022-01-21 聚融医疗科技(杭州)有限公司 Ultrasonic puncture device

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