CN109771004B - Thoracic surgery is with pleural effusion drainage piercing depth - Google Patents
Thoracic surgery is with pleural effusion drainage piercing depth Download PDFInfo
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- CN109771004B CN109771004B CN201910033849.1A CN201910033849A CN109771004B CN 109771004 B CN109771004 B CN 109771004B CN 201910033849 A CN201910033849 A CN 201910033849A CN 109771004 B CN109771004 B CN 109771004B
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Abstract
The invention discloses a pleural effusion drainage puncture device for thoracic surgery, which comprises an equipment tube, wherein the lower end of the equipment tube is communicated with a puncture sleeve, the inner side wall of the equipment tube is provided with an installation seat, a limiting seat is arranged inside the installation seat, the upper surface of the installation seat is symmetrically provided with a plurality of reset springs, the upper ends of the reset springs are jointly provided with a fastening seat, the lower end of the fastening seat penetrates through the limiting seat and extends into the limiting seat, a puncture tube is clamped in the fastening seat, the lower end of the puncture tube is positioned in the puncture sleeve, the upper end of the puncture tube is sleeved with a drainage hose, the upper end of the puncture tube penetrates through the equipment tube and is fixedly sleeved with a locking seat, and the upper surface of the equipment tube is symmetrically provided with a plurality of clamping mechanisms. The puncture device is ingenious in structure, after the puncture device is fixed on a patient through the threads on the puncture sleeve, the puncture tube can be directly contacted with effusion in the thoracic cavity of the patient by directly pressing the fastening seat, and drainage can be directly realized through the drainage hose.
Description
Technical Field
The invention relates to the technical field of medical instruments for thoracic surgery, in particular to a pleural effusion drainage puncture device for thoracic surgery.
Background
Pleural effusion is a common clinical condition characterized by pathological fluid accumulation within the pleural cavity. The pleural cavity is a potential gap between a visceral layer and a parietal pleura, 5-15 ml of liquid is contained in the pleural cavity of a normal person, the pleural cavity has a lubricating effect during respiratory movement, 500-1000 ml of liquid is formed and absorbed in the pleural cavity every day, and the increase or the reduction of the absorption of the liquid in the pleural cavity is caused by any reason, so that pleural effusion can be generated, chest distress and dyspnea are caused, symptoms are not obvious when the effusion is less, but the early effusion of acute pleurisy is small in amount, obvious chest pain can be caused, the pleural cavity is aggravated when inhaling, a patient is fond of suffering from side, when the effusion is increased, the visceral layer and the parietal of the pleura are separated, and the chest pain can be relieved or disappeared. In the middle and large amount of pleural effusion, short breath, chest tightness, palpitation, dyspnea, even sitting up and breathing accompanied by cyanosis may occur.
The operation of puncture drainage need be carried out through piercing depth to patient's pleural effusion when too much, and present piercing depth utilizes the puncture to puncture fixedly to patient's skin when using, through installation conversion cap, installs the drainage tube with this drainage on the plug valve afterwards. The process is complicated, complex operation, and simultaneously, does not have fixing device on the puncture ware, can arouse the motion of puncture ware in the operation process, and then drags patient's wound.
Therefore, we propose a pleural effusion drainage puncture device for thoracic surgery to solve the above problems.
Disclosure of Invention
The invention aims to solve the problems in the prior art, and provides a pleural effusion drainage puncture device for thoracic surgery.
In order to achieve the purpose, the invention adopts the following technical scheme:
the utility model provides a thoracic surgery is with pleural effusion drainage piercing depth, includes the equipment pipe, the lower extreme intercommunication of equipment pipe has the puncture cover, install the mount pad on the inside wall of equipment pipe, the internally mounted of mount pad has spacing seat, the upper surface symmetry of mount pad is equipped with many reset spring, many reset spring's upper end installs fastening seat jointly, the lower extreme of fastening seat runs through spacing seat and extends to spacing in, press from both sides in the fastening seat and be equipped with the puncture pipe, and the lower extreme of puncture pipe is located the puncture cover, the last pot head of puncture pipe is equipped with the drainage hose, the upper end of puncture pipe runs through the equipment pipe and fixed cover has been connected the locking seat, a plurality of clamping mechanism are installed to the upper surface symmetry of equipment pipe.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, locking seat from the top down divide into dog, connecting block and lower dog in proper order, the upper surface of going up dog, connecting block and lower dog is the rectangle, and the length of connecting block is less than the length of going up dog and lower dog, and the both sides wall of dog symmetry all adopts the circular arc setting down.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, every clamping mechanism all includes the fixed plate, fixed plate fixed connection is at the upper surface of equipment pipe, every all insert on the fixed plate and be equipped with to support the piece, support the one end fixedly connected with connecting plate of piece, a plurality of connecting springs are installed to the symmetry between connecting plate and the fixed plate, support the piece and keep away from the terminal surface of connecting plate and support and all adopt smooth and smooth transition between the piece upper and lower terminal surface.
In the above pleural effusion drainage puncture device for thoracic surgery, the height of the abutting block is smaller than the thickness of the connecting block.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, the fastening seat includes slow-release portion, extension, clamping part and supports and establishes the portion, the lower extreme symmetry of slow-release portion is equipped with three clamping part, and the puncture pipe clamp is established between three clamping part, every the lower extreme of clamping part all is equipped with supports and establishes the portion, and supports and establish the position and be located spacing seat, reset spring installs between extension and mount pad.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, spacing seat includes spacing portion, connecting portion and installation department, connecting portion connect between spacing portion and installation department, and support and establish the portion and offset with spacing portion, and installation department fixed connection is in the installation seat.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, the circular slot has been seted up to the upper surface of mount pad, the annular has been seted up on the inside wall of circular slot, and spacing seat is located the circular slot and installs on the inner wall of annular, the round hole has been seted up to the lower surface of mount pad, and round hole and circular slot intercommunication.
In foretell thoracic surgery is with pleural effusion drainage piercing depth, a plurality of wedge grooves, every have been seted up to the symmetry on the inside wall of round hole the upper surface in wedge groove all installs clamping spring, every clamping spring's lower extreme all welds and has pressed from both sides tight ball, and presss from both sides tight ball and supports to establish between the inclined plane in wedge groove and puncture pipe, the angle between the inclined plane in wedge groove and the lower surface is less than 90.
In the pleural effusion drainage puncture device for thoracic surgery, the outer surface of the puncture sleeve is provided with threads.
In the pleural effusion drainage puncture device for thoracic surgery, the puncture sleeve and the lower end surface of the puncture tube are both obliquely arranged, and the included angles between the lower end surface of the puncture sleeve and the horizontal plane as well as the included angles between the lower end surface of the puncture tube and the horizontal plane are both 45-60 degrees.
Compared with the prior art, the invention has the beneficial effects that:
1. the lower terminal surface that the slope of puncture cover set up can be convenient for puncture cover and break through patient's skin top layer at puncture in-process, punctures the screw thread that can utilize on the puncture cover through rotary device's mode, fixes the device on patient's fat layer through the screw thread, avoids the device because reasons such as self gravity, medical instrument's dragging move on patient's skin, cause the unnecessary injury.
2. Realize the motion of puncture tube through the locking seat, and then extend the lower extreme of puncture tube to inside the patient's pleural effusion, the lateral wall extrusion that the lower dog circular arc set up supports the side end face and the part of up end rounding off of piece, the compression of coupling spring, until supporting the piece motion to the connecting block part, coupling spring resumes original length, support the piece and move on the horizontal direction, the lower terminal surface that supports the piece this moment offsets with the up end of lower dog, realize the locking to the locking seat, avoid locking seat to move in vertical direction, with this with puncture tube rigidity.
3. Because puncture tube card is established between a plurality of clamping parts on the fastening seat, then puncture tube downstream in-process drives fastening seat downstream through frictional force and clamp force, and reset spring compresses, through the frictional force of clamping part to puncture tube, gives puncture tube a resistance, avoids medical personnel to drive puncture tube falling speed and arouses the patient discomfort too fast.
4. The clamping ball is abutted between the wedge-shaped groove inclined plane and the puncture tube, due to the action of friction force, the puncture tube is driven to move downwards when moving downwards, the clamping spring is extended until the friction force between the clamping ball and the puncture tube is equal to the elastic force of the clamping spring, after the clamping mechanism limits the locking seat, the clamping spring recovers to be original length, the clamping ball is still clamped between the wedge-shaped groove inclined plane and the puncture tube, at the moment, the puncture tube has the trend of moving upwards due to the fact that liquid flows in the drainage hose, the side wall of the puncture tube drives the clamping ball to move upwards, the distance between the wedge-shaped groove inclined plane and the puncture tube is reduced, the clamping ball stops moving, at the moment, the friction force between the puncture tube and the clamping ball is large, the upward movement of the puncture tube can be inhibited, and the normal operation of a drainage process is guaranteed.
In conclusion, the puncture tube is ingenious in structure, after the puncture device is fixed on a patient body through the threads on the puncture sleeve, the puncture tube can be directly contacted with effusion in the thoracic cavity of the patient by directly pressing the fastening seat, and drainage can be directly realized through the drainage hose.
Drawings
Fig. 1 is a schematic structural view of a pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 2 is an enlarged view of a locking seat of the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 3 is an enlarged view of a clamping mechanism of the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 4 is an enlarged view of a fastening seat of the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 5 is an enlarged schematic structural view of a supporting portion of the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 6 is an enlarged view of a limiting seat in the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
FIG. 7 is an enlarged view of a mounting base of the pleural effusion drainage puncture device for thoracic surgery according to the present invention;
fig. 8 is an enlarged view of a portion a in fig. 1.
In the figure: the device comprises a device pipe 1, a reset spring 2, a puncture sleeve 3, a thread 4, an installation seat 5, a circular groove 51, an annular groove 52, a circular hole 53, a wedge-shaped groove 54, a limiting seat 6, a limiting part 61, a connecting part 62, an installation part 63, a fastening seat 7, a slow release part 71, an extension part 72, a clamping part 73, a butting part 74, a drainage hose 8, a locking seat 9, an upper stop 91, a connecting block 92, a lower stop 93, a clamping mechanism 10, a connecting plate 101, a connecting spring 102, a fixing plate 103, a butting block 104, a puncture pipe 11, a clamping ball 12 and a clamping spring 13.
Detailed Description
The following examples are for illustrative purposes only and are not intended to limit the scope of the present invention.
Examples
Referring to fig. 1-8, a pleural effusion drainage puncture device for thoracic surgery comprises an equipment tube 1, a puncture sleeve 3 is communicated with the lower end of the equipment tube 1, and a thread 4 is arranged on the outer surface of the puncture sleeve 3.
Install mount pad 5 on the inside wall of equipment pipe 1, circular slot 51 has been seted up to the upper surface of mount pad 5, annular 52 has been seted up on circular slot 51's the inside wall, and spacing seat 6 is located circular slot 51 and installs on annular 52's inner wall, round hole 53 has been seted up to mount pad 5's lower surface, and round hole 53 and circular slot 51 intercommunication, a plurality of wedge grooves 54 have been seted up to the symmetry on round hole 53's the inside wall, clamping spring 13 is all installed to the upper surface of every wedge groove 54, clamping ball 12 has all been welded to every clamping spring 13's lower extreme, and clamping ball 12 supports and establishes between wedge groove 54's inclined plane and puncture pipe 11, the angle between wedge groove 54's inclined plane and the lower surface is less than 90.
The internally mounted of mount pad 5 has spacing seat 6, and spacing seat 6 includes spacing portion 61, connecting portion 62 and installation department 63, and connecting portion 62 is connected between spacing portion 61 and installation department 63, and supports and establish portion 74 and spacing portion 61 and offset, and installation department 63 fixed connection is in mount pad 5, and the upper surface symmetry of mount pad 5 is equipped with many reset spring 2.
Fastening seat 7 is installed jointly to many reset spring 2's upper end, fastening seat 7 includes slowly-releasing portion 71, extension 72, clamping part 73 and supports and establish portion 74, the lower extreme symmetry of slowly-releasing portion 71 is equipped with three clamping part 73, and puncture tube 11 presss from both sides and establishes between three clamping part 73, the lower extreme of every clamping part 73 all is equipped with supports and establishes portion 74, and support and establish portion 74 and be located spacing seat 6, reset spring 2 installs between extension 72 and mount pad 5, the lower extreme of fastening seat 7 runs through spacing seat 6 and extends to spacing seat 6 in.
The puncture tube 11 is clamped in the fastening seat 7, the lower end of the puncture tube 11 is positioned in the puncture sleeve 3, the puncture sleeve 3 and the lower end face of the puncture tube 11 are both obliquely arranged, and the included angles between the lower end face of the puncture sleeve 3 and the horizontal plane and the included angles between the lower end face of the puncture tube 11 are 45-60 degrees.
The upper end cover of puncture pipe 11 is equipped with drainage hose 8, puncture pipe 11's upper end runs through equipment pipe 1 and fixed cover has been connect locking seat 9, locking seat 9 from the top down divide into dog 91, connecting block 92 and lower dog 93 in proper order, go up dog 91, connecting block 92 and the upper surface of dog 93 down and be the rectangle, and connecting block 92's length is less than dog 91 and the length of dog 93 down, and the both sides wall of dog 93 symmetry all adopts the circular arc setting down.
A plurality of clamping mechanism 10 are installed to the upper surface symmetry of equipment pipe 1, every clamping mechanism 10 all includes fixed plate 103, fixed plate 103 fixed connection is at the upper surface of equipment pipe 1, it is equipped with to support piece 104 all to insert on every fixed plate 103, support piece 104 highly be less than the thickness of connecting block 92, support piece 104's one end fixedly connected with connecting plate 101, a plurality of connecting spring 102 are installed to the symmetry between connecting plate 101 and the fixed plate 103, support piece 104 and keep away from the terminal surface of connecting plate 101 and support all adopt rounding off between the piece 104 up-and-down terminal surface.
When the puncture outfit is used, firstly, medical staff inserts the puncture outfit 3 on the device into a patient body through the rotating equipment tube 1, the lower end surface of the puncture outfit 3 which is obliquely arranged can facilitate the puncture outfit 3 to break through the skin surface layer of the patient in the puncture process, the puncture outfit can puncture by the mode of the rotating device by utilizing the thread 4 on the puncture outfit 3, and the device is fixed on the fat layer of the patient through the thread 4, so that the unnecessary injury caused by the movement of the device on the skin of the patient due to the self gravity, the dragging of medical appliances and other reasons can be avoided;
then, the puncture tube 11 is further punctured by pressing the locking seat 9, the locking seat 9 drives the puncture tube 11 to move downwards, the lower end of the puncture tube 11 extends out of the puncture sleeve 3 and into the buffer pleural effusion, when the locking seat 9 moves downwards, the side wall arranged in the arc of the lower stop block 93 extrudes the smooth transition part between the side end surface and the upper end surface of the abutting block 104, the connecting spring 102 compresses until the abutting block 104 moves to the part of the connecting block 92, the connecting spring 102 recovers the original length, the abutting block 104 moves in the horizontal direction, and the lower end surface of the abutting block 104 abuts against the upper end surface of the lower stop block 93 at the moment, so that the locking of the locking seat 9 is realized, the locking seat 9 is prevented from moving in the vertical direction, and the puncture tube 11 is fixed;
because the puncture tube 11 is clamped between the clamping parts 73 on the fastening seat 7, the fastening seat 7 is driven to move downwards by friction force and clamping force in the downward movement process of the puncture tube 11, the return spring 2 is compressed, after the fastening seat 7 moves downwards for a certain distance, the clamping force of the clamping parts 73 on the puncture tube 11 is reduced, the elasticity of the return spring 2 is greater than the clamping force at the moment, the return spring 2 recovers the original length, the fastening seat 7 returns to the initial position, and the clamping parts 73 on the fastening seat 7 clamp the puncture tube 11 again; meanwhile, as the clamping ball 12 abuts between the inclined surface of the wedge groove 54 and the puncture tube 11, due to the action of friction force, the puncture tube 11 moves downwards, the clamping ball 12 is driven to move downwards, and the clamping spring 13 extends until the friction force between the clamping ball 12 and the puncture tube 11 is equal to the elastic force of the clamping spring 13.
Finally, the effusion in the chest cavity of the patient is drained to the outside of the body through the drainage hose 8 and the puncture tube 11. Although terms such as the device tube 1, the return spring 2, the puncture sheath 3, the thread 4, the mounting seat 5, the circular groove 51, the annular groove 52, the circular hole 53, the wedge-shaped groove 54, the stopper seat 6, the stopper portion 61, the connecting portion 62, the mounting portion 63, the fastening seat 7, the slow-release portion 71, the extending portion 72, the clamping portion 73, the abutting portion 74, the drainage hose 8, the locking seat 9, the upper stopper 91, the connecting block 92, the lower stopper 93, the clamping mechanism 10, the connecting plate 101, the connecting spring 102, the fixing plate 103, the abutting block 104, the puncture tube 11, the clamping ball 12, and the clamping spring 13 are used more often herein, the possibility of using other terms is not excluded. These terms are used merely to more conveniently describe and explain the nature of the present invention; they are to be construed as being without limitation to any additional limitations that may be imposed by the spirit of the present invention.
Claims (8)
1. The utility model provides a thoracic surgery is with pleural effusion drainage piercing depth, includes equipment pipe (1), its characterized in that: the lower end of the equipment pipe (1) is communicated with a puncture sleeve (3), the inner side wall of the equipment pipe (1) is provided with a mounting seat (5), a limiting seat (6) is arranged inside the mounting seat (5), a plurality of reset springs (2) are symmetrically arranged on the upper surface of the mounting seat (5), a fastening seat (7) is jointly arranged at the upper ends of the reset springs (2), the lower end of the fastening seat (7) penetrates through the limiting seat (6) and extends into the limiting seat (6), a puncture tube (11) is clamped in the fastening seat (7), the lower end of the puncture tube (11) is positioned in the puncture sleeve (3), the upper end of the puncture tube (11) is sleeved with a drainage hose (8), the upper end of the puncture tube (11) penetrates through the equipment tube (1) and is fixedly sleeved with a locking seat (9), a plurality of clamping mechanisms (10) are symmetrically arranged on the upper surface of the equipment pipe (1);
the upper surface of the mounting seat (5) is provided with a circular groove (51), the inner side wall of the circular groove (51) is provided with a circular groove (52), the limiting seat (6) is positioned in the circular groove (51) and mounted on the inner wall of the circular groove (52), the lower surface of the mounting seat (5) is provided with a circular hole (53), and the circular hole (53) is communicated with the circular groove (51);
a plurality of wedge grooves (54) have been seted up to the symmetry on the inside wall of round hole (53), every clamping spring (13) are all installed to the upper surface of wedge groove (54), every clamping spring (13)'s lower extreme all welds and presss from both sides tight ball (12), and presss from both sides tight ball (12) and supports to establish between the inclined plane of wedge groove (54) and puncture pipe (11), the angle between the inclined plane of wedge groove (54) and the lower surface is less than 90.
2. The pleural effusion drainage puncture device for thoracic surgery according to claim 1, characterized in that: locking seat (9) from the top down divide into dog (91), connecting block (92) and lower dog (93) in proper order, the upper surface of going up dog (91), connecting block (92) and lower dog (93) is the rectangle, and the length of connecting block (92) is less than the length of going up dog (91) and lower dog (93), and the both sides wall of dog (93) symmetry all adopts the circular arc setting down.
3. The pleural effusion drainage puncture device for thoracic surgery according to claim 2, characterized in that: each clamping mechanism (10) comprises a fixing plate (103), the fixing plate (103) is fixedly connected to the upper surface of the equipment pipe (1), a supporting block (104) is inserted into each fixing plate (103), one end of each supporting block (104) is fixedly connected with a connecting plate (101), a plurality of connecting springs (102) are symmetrically installed between the connecting plates (101) and the fixing plates (103), and smooth transition is adopted between the end face, far away from the connecting plates (101), of each supporting block (104) and the upper end face and the lower end face of each supporting block (104).
4. The pleural effusion drainage puncture device for thoracic surgery according to claim 3, characterized in that: the height of the abutting block (104) is smaller than the thickness of the connecting block (92).
5. The pleural effusion drainage puncture device for thoracic surgery according to claim 1, characterized in that: fastening seat (7) include slowly-releasing portion (71), extension (72), clamping part (73) and support and establish portion (74), the lower extreme symmetry of slowly-releasing portion (71) is equipped with three clamping part (73), and punctures pipe (11) and press from both sides and establish between three clamping part (73), every the lower extreme of clamping part (73) all is equipped with supports and establishes portion (74), and supports and establish portion (74) and be located spacing seat (6), reset spring (2) are installed between extension (72) and mount pad (5).
6. The pleural effusion drainage puncture device for thoracic surgery according to claim 4, characterized in that: spacing seat (6) are including spacing portion (61), connecting portion (62) and installation department (63), connecting portion (62) are connected between spacing portion (61) and installation department (63), and support and establish portion (74) and spacing portion (61) and offset, and installation department (63) fixed connection is in installation seat (5).
7. The pleural effusion drainage puncture device for thoracic surgery according to claim 1, characterized in that: the outer surface of the puncture sleeve (3) is provided with threads (4).
8. The pleural effusion drainage puncture device for thoracic surgery according to claim 1, characterized in that: the puncture sleeve (3) and the lower end face of the puncture tube (11) are obliquely arranged, and the included angles between the lower end face of the puncture sleeve (3) and the horizontal plane and the included angles between the lower end face of the puncture tube (11) and the horizontal plane are 45-60 degrees.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910033849.1A CN109771004B (en) | 2019-01-15 | 2019-01-15 | Thoracic surgery is with pleural effusion drainage piercing depth |
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| CN201910033849.1A CN109771004B (en) | 2019-01-15 | 2019-01-15 | Thoracic surgery is with pleural effusion drainage piercing depth |
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| CN109771004A CN109771004A (en) | 2019-05-21 |
| CN109771004B true CN109771004B (en) | 2021-08-03 |
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| CN2030072U (en) * | 1988-05-25 | 1989-01-04 | 泸州医学院 | Multifunctional thoracic cavity puncturing device |
| US5171245A (en) * | 1990-09-27 | 1992-12-15 | Stryker Corporation | Surgical apparatus including a spring activated locking device |
| US5300046A (en) * | 1992-03-30 | 1994-04-05 | Symbiosis Corporation | Thoracentesis sheath catheter assembly |
| US5458640A (en) * | 1993-01-29 | 1995-10-17 | Gerrone; Carmen J. | Cannula valve and seal system |
| US5725506A (en) * | 1996-01-05 | 1998-03-10 | Denver Biomaterials, Inc. | Device for paracentesis and thoracentesis |
| CN2474147Y (en) * | 2001-02-22 | 2002-01-30 | 王鲁军 | Body cavity puncture and drainage needle |
| US7785294B2 (en) * | 2003-09-30 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Woven protector for trocar seal assembly |
| CN2669889Y (en) * | 2003-11-25 | 2005-01-12 | 牛甲民 | Self-positioning safety puncture needle |
| CN201750897U (en) * | 2010-07-02 | 2011-02-23 | 魏云海 | Paracentesis tube-setting device |
| US10265100B2 (en) * | 2010-10-27 | 2019-04-23 | Dtherapeutics, Llc | Transradial access devices, systems, and methods |
| US9877786B2 (en) * | 2013-03-06 | 2018-01-30 | Stryker European Holdings I, Llc | Modular navigable probe |
| CN207654214U (en) * | 2017-05-31 | 2018-07-27 | 何林 | A kind of thorax puncture outfit |
| CN207949873U (en) * | 2017-06-12 | 2018-10-12 | 常州艾隆精密机械有限公司 | A kind of abdominal cavity puncture outfit puncture needle and apply its abdominal cavity puncture outfit |
| CN107928770A (en) * | 2018-01-04 | 2018-04-20 | 李桂美 | A kind of sting device for being used in the ponding patient's art of ambition use |
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