CN110897688A - Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand - Google Patents

Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand Download PDF

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Publication number
CN110897688A
CN110897688A CN201911378669.3A CN201911378669A CN110897688A CN 110897688 A CN110897688 A CN 110897688A CN 201911378669 A CN201911378669 A CN 201911378669A CN 110897688 A CN110897688 A CN 110897688A
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CN
China
Prior art keywords
guide wire
puncture
needle
puncture device
guidewire
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
Application number
CN201911378669.3A
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Chinese (zh)
Inventor
吴鉴今
曲乐丰
高昊辰
柏骏
刘炎东
蒋庆君
金杰
蔡家伟
孟子丰
张凇睿
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai Changzheng Hospital
Original Assignee
Shanghai Changzheng Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shanghai Changzheng Hospital filed Critical Shanghai Changzheng Hospital
Priority to CN201911378669.3A priority Critical patent/CN110897688A/en
Publication of CN110897688A publication Critical patent/CN110897688A/en
Pending legal-status Critical Current

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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
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters

Abstract

The invention provides a guide wire-needle head integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: comprises a puncture device body; the puncture equipment body consists of a puncture part and a guide wire part; the puncture part is a hollow needle tube structure; the hollow needle tube structure comprises a needle head for puncture; a guide wire channel is arranged in the length direction of the guide wire part; a guide wire is detachably arranged in the guide wire channel; the guide wire channel is communicated with the puncture part, and a one-way mechanism is arranged at the joint position of the guide wire channel; the guide wire part is also provided with a propelling part. The puncture part is also provided with a bleeding observation unit for observing bleeding during the puncture process. The equipment does not need the traditional frequent plugging process, can reduce the operation complexity, relieves the pain of patients and reduces the infection risk.

Description

Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand
Technical Field
The invention relates to a puncture tool, in particular to a guide wire-needle head integrated arteriovenous puncture device capable of being operated by one hand.
Background
The blood vessel puncture sheath is a necessary appliance in interventional operation and is used for completing arteriovenous puncture, establishing a passage by a guide wire and introducing a sheath tube. However, in the current puncture method, a hollow puncture needle is used to puncture a target blood vessel, after bleeding is observed, a puncture needle core is removed, a guide wire is placed, the puncture needle is removed, a sheath tube is introduced along the guide wire, and sheath placement is completed.
However, during operation, since the (one) guide wire is separated from the puncture needle: 1. a lot of blood can flow out to cause unnecessary blood loss of the human body; 2. if the patient moves or the operator does not control the puncture needle well, the puncture needle is easy to shift, and when the guide wire is introduced, the needle point is already separated from the target blood vessel, so that the puncture is failed. And (II) the operation can not be carried out by one hand, the operation of halfway hand changing or assistant cooperation is needed, the operation is complicated, and the time is delayed.
Disclosure of Invention
The invention aims to overcome the defects, does not need frequent plugging and unplugging processes, can reduce the operation complexity and provides the guide wire-needle head integrated arteriovenous puncture equipment operated by one hand.
The invention provides a guide wire-needle head integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: comprises a puncture device body;
the puncture equipment body consists of a puncture part and a guide wire part;
the puncture part is a hollow needle tube structure;
the hollow needle tube structure comprises a needle head for puncture;
a guide wire channel is arranged in the length direction of the guide wire part;
a guide wire is detachably arranged in the guide wire channel;
the guide wire channel is communicated with the puncture part, and a one-way mechanism is arranged at the joint position of the guide wire channel;
the guide wire part is also provided with a propelling part.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the propelling part is a groove;
the operator's finger contacts and advances the guidewire through the groove.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the one-way mechanism is an elastic gasket;
the center of the elastic pad is provided with at least one notch.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the guide wire is provided with scales.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the puncture part is also provided with a bleeding observation unit for observing bleeding during the puncture process.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the bleeding observation unit is a transparent window;
the transparent window is positioned on the hollow needle tube structure and the structure at the position other than the needle head.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the bleeding observation unit is a fluid branch pipe;
the fluid branch pipe is communicated with the puncture part and is provided with a sealing end mechanism.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the guide wire part is also provided with a propelling mechanism;
the guide wire moves in the puncture equipment body under the action of the propelling mechanism.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the propelling mechanism is a gear;
part of the gear protrudes out of the surface of the guide wire part;
the gear contacts the guide wire.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the contact position of the guide wire and the gear is in an arc bending shape in a pressed shape.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the contact position of the gear and the guide wire is provided with a protective cushion layer.
Further, the invention provides a guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand, which is characterized in that: the outer surface of the guide wire part is provided with an anti-skid piece.
The invention has the following functions and effects:
according to the guide wire-needle head integrated arteriovenous puncture device provided by the invention, the puncture confirms that the guide wire enters the target blood vessel and the guide wire is pushed to enter, the original two operation steps are simplified into one step, and the whole operation can be completed by only one-hand operation, so that the operation is simplified, the learning curve of an operator is reduced, the puncture success rate is improved, complications are avoided, and the pain of a patient is relieved.
Drawings
Fig. 1 is a schematic structural diagram of a guide wire-needle integrated arteriovenous puncture device according to a first embodiment;
FIG. 2 is a schematic structural diagram of a one-way valve of the guide wire-needle integrated arteriovenous puncture device of the embodiment;
fig. 3 is a schematic structural diagram of a guidewire-needle integrated arteriovenous puncture device according to a modification of the first embodiment;
fig. 4 is a schematic structural diagram of the guide wire-needle integrated arteriovenous puncture device of the second embodiment;
fig. 5 is a schematic view of the installation structure of the gear structure of the guide wire-needle integrated arteriovenous puncture device of the second embodiment;
fig. 6 is a schematic structural view of a guidewire-needle integrated arteriovenous puncture device according to a modification of the second embodiment.
Detailed Description
The first embodiment,
As shown in fig. 1, the present embodiment provides a guidewire-needle integrated arteriovenous puncture device operable by one hand, comprising a cylindrical puncture device body;
the puncture device body consists of a puncture part 100 and a guide wire part 200;
the puncturing part 100 is a needle tube structure;
the tip of the needle tube structure is a puncture needle head 110;
the puncture needle 110 is a conventional medical needle structure, and a hollow inner tube thereof can accommodate the guide wire 400 to pass through;
the guide wire part 200 has a guide wire channel 210 in the length direction, and is a cylindrical body, the inner diameter of which can be the same as or different from the diameter of the needle inner tube;
a guide wire 400 is detachably arranged in the guide wire channel 210;
the guide wire channel 210 is communicated with the puncture needle 110 of the puncture part, so that the guide wire 400 sequentially passes through the guide wire channel 210 and the puncture needle 110 to enter a target blood vessel;
in the using process, the target blood vessel position is firstly penetrated through the river puncturing needle 110, namely a large amount of blood gushes out, so that in order to avoid the problem that the blood reversely flows into the guide wire channel 210 through the needle 110 and further causes massive bleeding and runaway, the joint position of the puncturing needle 110 and the guide wire channel 210 is provided with the one-way valve 300;
as shown in fig. 2, the check valve 300 is a structure of an elastic gasket, which blocks the entire passage;
the center of the elastic gasket is provided with a cross scratch, and the guide wire can enter the needle head through the cross scratch under the action of external force; meanwhile, the gasket is made of elastic silicon rubber or medical silicon rubber and the like, so that the gasket has an elastic retraction function, and after the guide wire enters, the channel can be closed due to the elastic retraction characteristic, so that liquid such as blood and the like cannot enter the guide wire channel through the channel;
as shown in fig. 1, in order to realize the purpose of slowly advancing the guide wire into the blood vessel through the needle under the action of non-second manual assistance or other external force, the guide wire part is provided with a groove structure.
In order to realize the purpose of smoothly pushing the guide wire, the groove is just right above the guide wire and can be directly contacted with the guide wire, the lower part of the guide wire is tightly attached to or slightly suspended on the inner surface of the guide wire channel, in the using process, fingers are contacted with the guide wire through the groove, the thumb pushes forwards, and the guide wire is pushed forwards step by step.
In addition, in order to realize the purpose that whether bleeding occurs or not is observed when the needle is punctured in place, the shell 120 of the puncturing part of the outer shell of the device is made of transparent material.
Further, in order to observe the bleeding state, the flow rate, etc., as shown in fig. 3, the end of the needle has a branch tube 111, which extends out of the outer surface of the housing, and the open end of the branch tube has a structure such as a collapsible bulkhead.
Example II,
As shown in fig. 4, the present embodiment provides a guidewire-needle integrated arteriovenous puncture device operable by one hand, comprising a cylindrical puncture device body;
the puncture device body consists of a puncture part 100 and a guide wire part 200;
the puncturing part 100 is a needle tube structure;
the tip of the needle tube structure is a puncture needle head 110;
the puncture needle 110 is a conventional medical needle structure, and a hollow inner tube thereof can accommodate the guide wire 400 to pass through;
the guide wire part 200 has a guide wire channel 210 in the length direction, and is a cylindrical body, the inner diameter of which can be the same as or different from the diameter of the needle inner tube;
a guide wire 400 is detachably arranged in the guide wire channel 210;
the guide wire channel 210 is communicated with the puncture needle 110 of the puncture part, so that the guide wire 400 sequentially passes through the guide wire channel 210 and the puncture needle 110 to enter a target blood vessel;
in the using process, the target blood vessel position is firstly penetrated through the river puncturing needle 110, namely a large amount of blood gushes out, so that in order to avoid the problem that the blood reversely flows into the guide wire channel 210 through the needle 110 and further causes massive bleeding and runaway, the joint position of the puncturing needle 110 and the guide wire channel 210 is provided with the one-way valve 300;
as shown in fig. 2, the check valve 300 is a structure of an elastic gasket, which blocks the entire passage;
the center of the elastic gasket is provided with a cross scratch, and the guide wire can enter the needle head through the cross scratch under the action of external force; meanwhile, the gasket is made of elastic silicon rubber or medical silicon rubber and the like, so that the gasket has an elastic retraction function, and after the guide wire enters, the channel can be closed due to the elastic retraction characteristic, so that liquid such as blood and the like cannot enter the guide wire channel through the channel;
as shown in fig. 3, in order to achieve the purpose of slowly advancing the guide wire into the blood vessel through the needle without the assistance of a second human power or other external force, a pushing mechanism is embedded on the guide wire portion, in this embodiment, the pushing mechanism is a gear 230, and by rolling of the gear 230, the guide wire can move forward or backward in the puncture device body (i.e., in the tube body where the guide wire channel and the needle are communicated).
In order to realize the purpose of smoothly pushing the guide wire, the installation position of the gear 220 is just right above the guide wire, the guide wire is pressed into the guide wire channel, so that the guide wire is bent to a certain radian, and meanwhile, in order to improve the smoothness of advancing of the guide wire, the guide wire channel and the gear are in clearance fit.
In addition, based on the above structure, it is found that when the resistance between the guide wire and the gear is increased, the advancement of the guide wire can be facilitated, and therefore, the gear teeth can be made of an elastic material or plastic.
As shown in fig. 5, the gear is rotatably fixed to the housing 200 by a roller 232, and a spacer 231 is provided between the gear and the inner wall of the housing to prevent the gear from being displaced on the roller.
As shown in figure 4, one end of the gear is tangent to the guide wire, and the other end of the gear protrudes out of the outer surface of the shell, so that the effect of directly stirring by fingers is achieved.
In addition, in order to realize the purpose of preventing the device from slipping off randomly in the holding state, the surface of the outer casing of the device is provided with an uneven hand-shaped holding structure 220.
In addition, in order to realize the purpose that whether bleeding occurs or not is observed when the needle is punctured in place, the shell 120 of the puncturing part of the outer shell of the device is made of transparent material.
Further, in order to observe the bleeding state, the flow rate, etc., as shown in fig. 6, the needle has a branch tube 111 at the end, which extends out of the outer surface of the housing, and the open end of the branch tube has a structure such as a collapsible bulkhead.

Claims (10)

1. A guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand is characterized in that: comprises a puncture device body;
the puncture device body consists of a puncture part and a wire guide part;
the puncture part is of a hollow needle tube structure;
the hollow needle tube structure comprises a puncture needle head;
a guide wire channel is arranged in the length direction of the guide wire part;
a guide wire is detachably arranged in the guide wire channel;
the guide wire channel is communicated with the puncture part, and a one-way mechanism is arranged at the joint position of the guide wire channel;
the guide wire part is also provided with a propelling part.
2. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
the propelling part is a groove;
the operator's finger contacts and advances the guidewire through the groove.
3. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
the outer surface of the guide wire part is provided with an anti-skid piece.
4. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
the one-way mechanism is an elastic gasket;
the elastic gasket is provided with at least one notch at the center.
5. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
the guide wire is provided with scales.
6. A single-handed guidewire-needle integrated arteriovenous puncture device as in any one of claims 1 to 5 wherein:
the puncture portion is also provided with a hemorrhage observation unit.
7. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 6 wherein:
the bleeding observation unit is a transparent window;
the transparent window is positioned on the hollow needle tube structure and the structure at the position other than the needle head.
Or
The bleeding observation unit is a fluid branch pipe;
the fluid branch pipe is communicated with the puncturing part and is provided with a sealing end mechanism.
8. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
a propelling mechanism is arranged in the propelling part;
the guide wire moves in the puncture equipment body under the action of the propelling part.
9. The single-handed guidewire-needle integrated arteriovenous puncture device of claim 1 wherein:
the propelling mechanism is a gear;
a part of the gear protrudes out of the surface of the guide wire part;
the gear is in contact with the guide wire;
the contact position of the guide wire and the gear is in an arc bending shape of being pressed.
10. A single-handed guidewire-needle integrated arteriovenous puncture device as in claim 9 wherein:
and a protective cushion layer is arranged at the contact position of the gear and the guide wire.
CN201911378669.3A 2019-12-27 2019-12-27 Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand Pending CN110897688A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201911378669.3A CN110897688A (en) 2019-12-27 2019-12-27 Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201911378669.3A CN110897688A (en) 2019-12-27 2019-12-27 Guide wire-needle integrated arteriovenous puncture device capable of being operated by one hand

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CN110897688A true CN110897688A (en) 2020-03-24

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2891986Y (en) * 2006-04-11 2007-04-25 杜亮 Interventional puncture needle
US20090163942A1 (en) * 2007-12-20 2009-06-25 Cuevas Brian J Tracheostomy punch dilator
US20120283640A1 (en) * 2007-04-18 2012-11-08 Access Scientific, Inc. Access device
CN203280461U (en) * 2013-05-27 2013-11-13 程云涛 Puncture needle for interventional therapy of cardiology
CN205548643U (en) * 2016-01-25 2016-09-07 浙江省中医院 Percutaneous lung puncture positioning tool
CN106063957A (en) * 2015-04-24 2016-11-02 北京万生人和科技有限公司 A kind of venipuncture needle
EP2704782B1 (en) * 2011-05-06 2017-01-18 Romano Guerra Dilatation system for a medical device
CN106823106A (en) * 2017-02-09 2017-06-13 大连科万维医疗科技有限公司 Guide wire conveying device
CN109675145A (en) * 2019-01-24 2019-04-26 广州市冠流生物医学科技有限公司 Novel puncture trochar and its application method

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2891986Y (en) * 2006-04-11 2007-04-25 杜亮 Interventional puncture needle
US20120283640A1 (en) * 2007-04-18 2012-11-08 Access Scientific, Inc. Access device
US20090163942A1 (en) * 2007-12-20 2009-06-25 Cuevas Brian J Tracheostomy punch dilator
EP2704782B1 (en) * 2011-05-06 2017-01-18 Romano Guerra Dilatation system for a medical device
CN203280461U (en) * 2013-05-27 2013-11-13 程云涛 Puncture needle for interventional therapy of cardiology
CN106063957A (en) * 2015-04-24 2016-11-02 北京万生人和科技有限公司 A kind of venipuncture needle
CN205548643U (en) * 2016-01-25 2016-09-07 浙江省中医院 Percutaneous lung puncture positioning tool
CN106823106A (en) * 2017-02-09 2017-06-13 大连科万维医疗科技有限公司 Guide wire conveying device
CN109675145A (en) * 2019-01-24 2019-04-26 广州市冠流生物医学科技有限公司 Novel puncture trochar and its application method

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Application publication date: 20200324