CN110755698A - Abdominocentesis drainage device - Google Patents
Abdominocentesis drainage device Download PDFInfo
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- CN110755698A CN110755698A CN201910758696.7A CN201910758696A CN110755698A CN 110755698 A CN110755698 A CN 110755698A CN 201910758696 A CN201910758696 A CN 201910758696A CN 110755698 A CN110755698 A CN 110755698A
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- 238000002347 injection Methods 0.000 claims abstract description 18
- 239000007924 injection Substances 0.000 claims abstract description 18
- 229960002897 heparin Drugs 0.000 claims abstract description 13
- 229920000669 heparin Polymers 0.000 claims abstract description 13
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 claims abstract description 12
- 229920000742 Cotton Polymers 0.000 claims abstract description 5
- 210000003437 trachea Anatomy 0.000 claims abstract description 4
- 241001391944 Commicarpus scandens Species 0.000 claims 1
- 230000001105 regulatory effect Effects 0.000 claims 1
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 6
- 208000035965 Postoperative Complications Diseases 0.000 abstract description 4
- 206010003445 Ascites Diseases 0.000 description 7
- 230000003902 lesion Effects 0.000 description 5
- 239000003814 drug Substances 0.000 description 4
- 229940079593 drug Drugs 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 208000003322 Coinfection Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 210000002216 heart Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000002636 symptomatic treatment Methods 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
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- Molecular Biology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Anesthesiology (AREA)
- Hematology (AREA)
- External Artificial Organs (AREA)
Abstract
本发明涉及医疗设备领域,具体涉及一种腹腔穿刺引流装置,包括引流主管及设于引流主管内部的穿刺针所述引流主管为中空结构,所述引流主管上依次设有注射支管、流量计、调速开关、引流支管,所述注射支管通过单向阀连接有注射器,所述引流支管通过单向阀连接有引流袋,所述引流袋通过气管连接有负压球,所述负压球上设有排气阀;所述穿刺针的尾部设有肝素帽,所述肝素帽通过棉线连接有定位板,所述定位板上设有按压板,所述按压板通过伸缩杆连接有定位圈;所述穿刺针利用所述定位板完成穿刺后,拔出所述穿刺针并在所述引流主管的尾部盖上肝素帽。本发明具有操作简单、穿刺成功率高,术后并发症少等特点。
The invention relates to the field of medical equipment, in particular to an abdominal cavity puncture and drainage device, comprising a drainage main pipe and a puncture needle arranged inside the drainage main pipe. The drainage main pipe is a hollow structure, and an injection branch pipe, a flowmeter, a A speed control switch and a drainage branch pipe, the injection branch pipe is connected with a syringe through a one-way valve, the drainage branch pipe is connected with a drainage bag through a one-way valve, and the drainage bag is connected with a negative pressure ball through the trachea, and the negative pressure ball is connected to the an exhaust valve is provided; the tail of the puncture needle is provided with a heparin cap, the heparin cap is connected with a positioning plate through cotton threads, a pressing plate is arranged on the positioning plate, and a positioning ring is connected with the pressing plate through a telescopic rod; After the puncture needle is punctured by the positioning plate, the puncture needle is pulled out and a heparin cap is placed on the tail of the drainage main pipe. The invention has the characteristics of simple operation, high success rate of puncture, less postoperative complications and the like.
Description
技术领域technical field
本发明涉及医疗设备领域,特别涉及一种腹腔穿刺引流装置。The invention relates to the field of medical equipment, in particular to an abdominal cavity puncture and drainage device.
背景技术Background technique
目前,临床上心脏、肝脏、肾脏等发生病变时均能产生腹水,当腹腔内液体增加超过200ml 即可作为一种病征,临床在查找病因对症治疗的同时,还需要对腹水进行引流。医生通常对 腹腔积液的病人实行腹腔穿刺引流,为病人将腹水引流出来以减轻病人的痛苦。常规B超引 导下腹腔穿刺引流术,定位不准确,无法对位置较深的病灶以及穿刺间隙较窄或较小的病灶 进行穿刺,并且手术成功率低,导致术后并发症多,操作中比较困难;穿刺完成后,引流速 度不易掌握和控制,容易给病人造成不适;引流完成后,如果需要注射药物,还得进行二次 穿刺,这样不仅给医务人员带来极大的工作难度,而且增大了病人的治疗风险和痛苦,容易 造成医疗纠纷。At present, clinically, ascites can be produced when the heart, liver, kidney, etc. have pathological changes. When the intra-abdominal fluid increases by more than 200ml, it can be regarded as a symptom. In clinical practice, while searching for the cause and symptomatic treatment, it is also necessary to drain the ascites. Doctors usually perform paracentesis on patients with ascites and drain the ascites to relieve the patient's pain. Conventional B-ultrasound-guided peritoneal puncture and drainage is inaccurate in positioning, unable to puncture deep lesions and lesions with narrow or small puncture gaps, and the success rate of the operation is low, resulting in many postoperative complications. Difficulty; after the puncture is completed, the drainage speed is not easy to grasp and control, and it is easy to cause discomfort to the patient; after the drainage is completed, if a drug needs to be injected, a second puncture has to be performed, which not only brings great difficulty to the medical staff, but also increases the difficulty of the operation. It increases the risk and pain of the patient's treatment, and it is easy to cause medical disputes.
发明内容SUMMARY OF THE INVENTION
针对现有技术中的上述不足,本发明提供了一种腹腔穿刺引流装置,其操作简便,穿刺 成功率高,术后并发症少。In view of the above deficiencies in the prior art, the present invention provides an abdominal cavity puncture and drainage device, which is easy to operate, has a high puncture success rate, and has few postoperative complications.
一种腹腔穿刺引流装置,包括引流主管及设于引流主管内部的穿刺针,所述引流主管为 中空结构,所述引流主管上依次设有注射支管、流量计、调速开关、引流支管,所述注射支 管通过单向阀连接有注射器,所述引流支管通过单向阀连接有引流袋,所述引流袋通过气管 连接有负压球,所述负压球上设有排气阀;An abdominal cavity puncture and drainage device, comprising a drainage main pipe and a puncture needle arranged inside the drainage main pipe, wherein the drainage main pipe is a hollow structure, and an injection branch pipe, a flow meter, a speed control switch and a drainage branch pipe are arranged on the drainage main pipe in sequence. The injection branch pipe is connected with a syringe through a one-way valve, the drainage branch pipe is connected with a drainage bag through the one-way valve, the drainage bag is connected with a negative pressure ball through the trachea, and an exhaust valve is arranged on the negative pressure ball;
所述穿刺针的尾部设有肝素帽,所述肝素帽通过棉线连接有定位板,所述定位板上设有 按压板,所述按压板通过伸缩杆连接有定位圈;The tail of the puncture needle is provided with a heparin cap, and the heparin cap is connected with a positioning plate by cotton thread, and the positioning plate is provided with a pressing plate, and the pressing plate is connected with a positioning ring by a telescopic rod;
所述穿刺针利用所述定位板完成穿刺后,拔出所述穿刺针并在所述引流主管的尾部盖上 肝素帽。After the puncture needle is punctured with the positioning plate, the puncture needle is pulled out and a heparin cap is placed on the tail of the drainage main pipe.
作为优选的,所述引流主管的侧壁上设有刻度线。Preferably, a scale line is provided on the side wall of the drainage main pipe.
作为优选的,所述注射支管上的单向阀的流向为自所述注射支管至所述引流主管,所述 引流支管上的单向阀的流向为自所述引流主管至所述引流支管。Preferably, the flow direction of the one-way valve on the injection branch pipe is from the injection branch pipe to the drainage main pipe, and the flow direction of the one-way valve on the drainage branch pipe is from the drainage main pipe to the drainage branch pipe.
作为优选的,所述穿刺针富有弹性且不易折断。Preferably, the puncture needle is elastic and not easily broken.
作为优选的,所述引流主管的内径稍大于所述穿刺针的直径,所述穿刺针的直径为 18G-23G。Preferably, the inner diameter of the drainage main pipe is slightly larger than the diameter of the puncture needle, and the diameter of the puncture needle is 18G-23G.
作为优选的,所述穿刺针在超声波下显影清晰。Preferably, the puncture needle is clearly visualized under ultrasonic waves.
本发明的有益效果为:The beneficial effects of the present invention are:
本发明利用穿刺针直径较细在超声波下显影清晰的特点,对组织损伤小、准确率高,可 以穿刺路径过程中间隙较窄及位置较深的病灶,通过穿刺针的引导作用,可准确置入引流管; 通过引流管上的引流支管和调速开关可以控制流速,引流完成后可以通过注射支管进行药物 注射,防止二次穿刺,减轻了病人痛苦。The invention takes advantage of the characteristics of the puncture needle that the diameter of the puncture needle is relatively small and can be clearly visualized under ultrasonic waves, so that the tissue damage is small and the accuracy rate is high. Into the drainage tube; the flow rate can be controlled by the drainage branch tube and the speed control switch on the drainage tube, after the drainage is completed, the drug can be injected through the injection branch tube to prevent the second puncture and relieve the pain of the patient.
附图说明Description of drawings
为了更清楚地说明本发明实施例的技术方案,下面将对实施例中所需要使用的附图作简 单地介绍,应当理解,以下附图仅示出了本发明的某些实施例,因为不应该被看作是对范围 的限定,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附 图获得其他相关的附图。In order to illustrate the technical solutions of the embodiments of the present invention more clearly, the accompanying drawings required in the embodiments will be briefly introduced below. It should be understood that the following drawings only show some embodiments of the present invention, because they do not It should be regarded as a limitation of the scope. For those of ordinary skill in the art, other related drawings can also be obtained according to these drawings without any creative effort.
图1为腹腔穿刺引流针的结构示意图;Figure 1 is a schematic structural diagram of a peritoneal puncture and drainage needle;
图2为腹腔穿刺引流针与导丝搭配使用示意图;Figure 2 is a schematic diagram of the collocation of a peritoneal puncture and drainage needle with a guide wire;
1-穿刺针、101-肝素帽、2-引流主管、201-刻度线、3-定位板、301-按压板、302-伸缩 杆、303-定位圈、304-棉线、4-注射支管、5-引流支管、6-单向阀、7流量计、8-调速开关、9-引流袋、10-气管、1001-阀门、11-负压球、1101-排气阀。1- puncture needle, 101- heparin cap, 2- drainage main pipe, 201- scale line, 3- positioning plate, 301- pressing plate, 302- telescopic rod, 303- positioning ring, 304- cotton thread, 4- injection branch tube, 5 -Drainage branch, 6-check valve, 7-flow meter, 8-speed switch, 9-drainage bag, 10-trachea, 1001-valve, 11-negative pressure ball, 1101-exhaust valve.
具体实施方式Detailed ways
为了使本发明的目的、技术方案和优点更容易被清楚地理解,下面将结合本发明实施例 中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是 本发明一部分实施例,而不是全部的实施例。通常在此处附图中描述和示出的本发明实施例 的组件可以以各种不同的配置来布置和设计。In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described The embodiments are some, but not all, embodiments of the present invention. The components of the embodiments of the invention generally described and illustrated in the drawings herein may be arranged and designed in a variety of different configurations.
如图1所示,一种腹腔穿刺引流装置,包括引流主管2及设于引流主管2内部的穿刺针 1,引流主管2为中空结构,引流主管2的内径稍大于穿刺针1的直径,穿刺针1的直径为18G-23G,直径较细则对组织的损伤较小,穿刺针1在超声下显影清晰,医护人员能够在超声波直视下穿刺病灶;As shown in FIG. 1, an abdominal cavity puncture and drainage device includes a drainage
引流主管2上依次设有注射支管4、流量计7、调速开关8、引流支管5,引流支管5通过单向阀6连接有引流袋9,引流支管5上的单向阀6的流向为自引流主管2至引流支管5, 这样可以防止倒流发生二次感染,引流袋9通过气管10连接有负压球11,负压球11上设有 排气阀1101,负压球11可以加速腹水流出;流量计7选用型号DK800,可以用来观察腹水的 流速,以控制调速开关8,防止流速太快病人产生不适,或者流速太小,时间耗费太多;The drainage
注射支管4通过单向阀6连接有注射器,注射支管4上的单向阀6的流向为自注射支管 4至引流主管2,这样可以方便药物注射,单向阀6采用常见的医用单向阀;The injection branch pipe 4 is connected with a syringe through the one-
穿刺针1的尾部设有肝素帽101,肝素帽101通过棉线304连接有定位板3,定位板3上 设有按压板301,按压板301通过伸缩杆302连接有定位圈303,这样可以在穿刺的时候按住 定位板3上的按压板301,通过定位圈303固定皮肤,防止因皮肤松弛产生穿刺偏差。The tail of the puncture needle 1 is provided with a
穿刺针1利用定位板3完成穿刺后,拔出穿刺针1并在引流主管2的尾部盖上肝素帽101, 防止细菌进入和腹水外流。After the puncture needle 1 is punctured with the positioning plate 3, the puncture needle 1 is pulled out and a
工作原理:working principle:
本发明利用腹腔穿刺引流针直径较细及对组织损伤小的特点,可以穿刺路径过程中间隙 较窄及位置较深的病灶,避免了由于引流管较粗无法使用超声波定位架盲穿及容易损伤病灶 周围脏器的缺点;同时本发明集穿刺、引流、用药注射于一体,减少了医护人员工作量和病 人的痛苦。本发明具有操作简单、穿刺成功率高,术后并发症少等特点。The invention takes advantage of the characteristics of a small diameter of the abdominal cavity puncture and drainage needle and less damage to the tissue, which can puncture the lesions with narrow gaps and deep positions in the process of puncturing, and avoids blind piercing and easy damage due to the thick drainage tube that cannot be used with an ultrasonic positioning frame. The shortcomings of the organs around the lesion; at the same time, the invention integrates puncture, drainage and drug injection, which reduces the workload of medical staff and the pain of patients. The invention has the characteristics of simple operation, high success rate of puncture, less postoperative complications and the like.
以上所述仅为本发明专利的较佳实施例而已,并不用以限制本发明专利,凡在本发明专 利的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明专利的保护范 围之内。The above are only preferred embodiments of the patent of the present invention, and are not intended to limit the patent of the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the patent of the present invention shall be included in the present invention. within the scope of protection of the invention patent.
Claims (6)
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CN113243980A (en) * | 2021-06-26 | 2021-08-13 | 三二O一医院 | Puncture outfit for cardiothoracic surgery |
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