CN113425388A - Puncture external member suitable for thoracoscope guide paravertebral nerve blocks - Google Patents

Puncture external member suitable for thoracoscope guide paravertebral nerve blocks Download PDF

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Publication number
CN113425388A
CN113425388A CN202110699843.5A CN202110699843A CN113425388A CN 113425388 A CN113425388 A CN 113425388A CN 202110699843 A CN202110699843 A CN 202110699843A CN 113425388 A CN113425388 A CN 113425388A
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China
Prior art keywords
needle tube
catheter
puncture
tube body
needle
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CN202110699843.5A
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Chinese (zh)
Inventor
王强
李勇
郑晖
魏时靖
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Cancer Hospital and Institute of CAMS and PUMC
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Cancer Hospital and Institute of CAMS and PUMC
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Priority to CN202110699843.5A priority Critical patent/CN113425388A/en
Publication of CN113425388A publication Critical patent/CN113425388A/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
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M19/00Local anaesthesia; Hypothermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486Balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/062Measuring instruments not otherwise provided for penetration depth

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

Abstract

The invention discloses a puncture kit suitable for guiding paravertebral nerve block by a thoracoscope, which belongs to the technical field of medical equipment and comprises a puncture kit, wherein the puncture kit comprises a puncture needle and a catheter; the puncture needle comprises a needle tube body, a needle tube injector connector, a flange, needle tube scales and a handheld handle, wherein the tail end of the needle tube body is fixedly connected with the needle tube injector connector, the top end of the needle tube body is fixedly connected with the flange, the needle tube scales are arranged on the surface of the needle tube body, and the surface of the tail end of the needle tube body is fixedly connected with the handheld handle; the invention has the beneficial effects that: the structure through the pjncture needle sets up and is showing security, controllability, the convenience that has improved the other clearance nerve of thoracoscope guide vertebra and has blocked the puncture operation, has showing the advantage, and this a pipe for other clearance nerve of vertebra blocks has simultaneously can fix to prevent effects such as the analgesia liquid medicine refluence of injection, showing and improving the other clearance of vertebra and lasting the steadiness of putting the pipe and lasting analgesia the validity.

Description

Puncture external member suitable for thoracoscope guide paravertebral nerve blocks
Technical Field
The invention relates to the technical field of medical equipment, in particular to a puncture kit suitable for guiding paraspinal nerve block by a thoracoscope.
Background
The thoracoscope is known as one of the major breakthroughs of the thoracic surgery field in the last century, and is a representative operation of the minimally invasive thoracic surgery. The thoracoscopic surgery (television assisted thoracoscopic surgery) uses a modern television camera technology and high-tech surgical instrument equipment to complete a minimally invasive thoracic surgery new technology of complicated operations in the chest under a chest wall sleeve or a micro incision, changes the treatment concept of some thoracic surgical diseases, is considered to be the most important progress of the thoracic surgery at the end of 20 th century, and is the development direction of the thoracic surgery in the future.
Through the retrieval, chinese patent number CN202011279043.X discloses a puncture ware for scalable antifouling type thoracoscope, including push rod and connecting block, the opposite side of push rod is provided with the pjncture needle, and the opposite side of pjncture needle is connected with outer body, the connecting block is installed in the both sides of outer body, and the opposite side of connecting block is connected with the handle, outer tube head is installed to one side of outer body, and the opposite side of outer tube head is connected with negative pressure joint, negative pressure joint's opposite side is connected with the negative pressure body, the opposite side of outer tube head is connected with screwed joint … …
The main technical problem that above-mentioned device solved is that the front of this product casing is installed flexible tube core, and the user can push away the pjncture needle of one side from outer body through promoting the push rod to push away flexible tube core through interior tube core, play the effect of adjusting length, prevent effectively through the lantern ring simultaneously that blood from flowing to the front end along the puncture ware, cause the blurred condition of the sight of thoracoscope. However, the postoperative pain is often strong and the pain of the patient is hard to endure due to the damage of intercostal nerves and the continuous irritation of the pleura caused by the postoperative indwelling thoracic drainage tube during the thoracic operation. Currently, paraspinal nerve block is the most classical and effective means of nerve block analgesia for thoracic surgery. Compared with the nerve blocking technology of indirect guidance such as body surface anatomical landmark positioning, ultrasonic positioning and the like, the paravertebral nerve blocking under the direct vision of thoracoscope guidance is easier to distinguish the structure of paravertebral clearance and is relatively more accurate. However, the problem that the depth of the puncture needle penetrating into the paravertebral gap cannot be accurately determined in the existing thoracoscope-guided descending paravertebral nerve block, the problem that the needle inserting depth of the puncture needle cannot be stably maintained in the process of injecting analgesic liquid medicine, the problem that the liquid medicine runs off through the gap between the puncture needle and the needle hole in the process of injecting the analgesic liquid medicine and the like often cause poor or even failure of the analgesic effect of the paravertebral nerve block. Moreover, when the paraspinal nerve block operation is conducted under thoracoscope guidance at present, a catheter cannot be placed in a paraspinal gap to a proper depth and fixed firmly, so that continuous postoperative analgesia can be achieved by continuously pumping and injecting analgesic liquid through the catheter.
Disclosure of Invention
The invention aims to provide a puncture kit suitable for guiding paraspinal nerve block by a thoracoscope, so as to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a puncture kit suitable for thoracoscopically guided paraspinal nerve block, comprising a puncture needle and a catheter;
the puncture needle comprises a needle tube body, a needle tube injector connector, a flange, needle tube scales and a handheld handle, wherein the tail end of the needle tube body is fixedly connected with the needle tube injector connector, the top end of the needle tube body is fixedly connected with the flange, the needle tube scales are arranged on the surface of the needle tube body, and the surface of the tail end of the needle tube body is fixedly connected with the handheld handle;
the catheter comprises a catheter body, a medical catheter connector I, a connecting pipe, a medical catheter connector II, a water-filled balloon, catheter scales, a clamp and a pressure measuring device, the tail end of the catheter body is fixedly connected with the medical catheter connector I, the inside of the catheter body is fixedly connected with the connecting pipe, the one end of the connecting pipe is fixedly connected with the medical catheter connector II, the other end of the connecting pipe is fixedly connected with the water-filled balloon, the surface of the catheter body is fixedly connected with the catheter scales, the connecting pipe is close to one end of the medical catheter connector II, the clamp is installed on the surface of the connecting pipe, and the pressure measuring device is installed on the surface of the connecting pipe close to one end of the medical catheter connector II.
Preferably, the length of the needle tube body is 35cm, the outer diameter of the needle tube body is 2.2mm, the inner diameter of the needle tube body is 2mm, the front end of the needle tube body is provided with a bend, the bend angle of the front end of the needle tube body is an obtuse angle 165 degrees, the length of the bend part of the front end of the needle tube body is 5cm, and the interior of the needle tube body is hollow;
preferably, the inside diameter of the syringe connector is 4.1 mm.
Preferably, the flange is located 5mm department backward of needle tubing body front end, the flange sets up to circular structure, the material of flange adopts silica gel, the radius of flange is 8 mm.
Preferably, the needle tube scales are distributed on the surface of the needle tube body at equal intervals, and the distance between the needle tube scales is 1 cm.
Preferably, the length of the handheld handle is 6cm, and the handheld handle is made of medical plastics.
Preferably, the outer diameter of the catheter body is 1.8mm, the inner diameter of the catheter body is 0.5mm, the length of the catheter body is 85cm, and holes which are distributed equidistantly are formed in the surface of the top end of the catheter body, which is 5cm backwards.
Preferably, the two ends of the connecting pipe respectively penetrate through the wall shells of the front end and the tail end of the catheter body, the front end of the connecting pipe is connected with the water filling balloon in a hollow mode, the tail end of the connecting pipe is connected with the second medical catheter connector in a hollow mode, the inner diameter of the connecting pipe is 0.5mm, the length of the connecting pipe is 85cm, and the inner diameter of the second medical catheter connector is 4.1 mm.
Preferably, the water-filled balloon is positioned 5cm backward from the front end of the surface of the catheter body, the radius of the water-filled balloon is 5mm, and the thickness of the water-filled balloon is 3 mm.
Preferably, the catheter scales are distributed on the surface of the catheter body at equal intervals, and the distance between the catheter scales is 1 cm.
Compared with the prior art, the invention has the beneficial effects that:
1. the puncture needle with the puncture kit has the advantages that firstly, the needle tube body surface is provided with needle tube scales, so that an operator can accurately identify the puncture depth; meanwhile, the front end of the needle tube body is provided with a flange made of a circular silica gel material, so that the needle tube body is clamped and the depth is fixed when the needle tube body is punctured to the position, the puncture is prevented from being too deep, and the injected liquid medicine is prevented from leaking; the tail of the needle tube body is provided with a handheld handle, so that an operator can conveniently carry out handheld operation; finally, the front end of the needle tube body is provided with a certain radian of bend, so that the expanded lung tissue can be conveniently avoided during operation under the guidance of a thoracoscope; the puncture needle has the characteristics that the safety, controllability and convenience of the thoracoscope guided paravertebral interstitial nerve block puncture operation are obviously improved, and the puncture needle has obvious advantages;
2. the catheter with the puncture kit has the advantages that firstly, the surface of the catheter body is provided with the catheter scale which can be used for identifying the depth of the catheter placed in the paravertebral space; meanwhile, the front end of the catheter body is provided with a water-filled balloon, and after the catheter is placed in the paravertebral gap at a proper depth, the water-filled balloon can be inflated with water and expanded into a spherical shape, so that the effect of fixing and preventing the catheter from falling off is achieved, and the effect of sealing a puncture hole can be achieved when analgesic drugs are continuously injected; therefore, the catheter for the paravertebral space nerve block has the functions of fixing, preventing the backflow of the injected analgesic liquid medicine and the like, and obviously improves the stability of the paravertebral space continuous catheterization and the effectiveness of continuous analgesia.
Drawings
FIG. 1 is a schematic structural view of the present invention;
fig. 2 is a schematic view of the structure of the puncture needle of the present invention;
FIG. 3 is a schematic view of the catheter of the present invention;
fig. 4 is a schematic sectional view of the puncture needle structure of the present invention;
FIG. 5 is a schematic cross-sectional view of a catheter structure according to the present invention;
FIG. 6 is an enlarged view of the structure at A in FIG. 2 according to the present invention.
In the figure: 1. puncturing needle; 101. a needle tube body; 102. a needle tube injector connector; 103. a flange; 104. needle tube graduations; 105. a hand-held handle; 2. a conduit; 201. a catheter body; 202. a first medical catheter connecting head; 203. a connecting pipe; 204. a second medical catheter connector; 205. a water-filled balloon; 206. catheter calibration; 207. and (4) a clamp.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example one
Referring to fig. 1-6, the present invention provides a technical solution:
the utility model provides a puncture external member suitable for thoracoscope guide paravertebral nerve blocks, includes the puncture external member, its characterized in that: the puncture kit comprises a puncture needle 1 and a catheter 2;
the puncture needle 1 comprises a needle tube body 101, a needle tube injector connector 102, a flange 103, needle tube scales 104 and a handheld handle 105, wherein the tail end of the needle tube body 101 is fixedly connected with the needle tube injector connector 102, the tail end of the puncture needle 1 can be connected with an injector to inject medicine through the needle tube injector connector 102, a catheter can be placed from the tail end to be retained in a gap beside a vertebra, the flange 103 is fixedly connected to the top end of the needle tube body 101, the needle tube body 101 can be clamped by the flange 103 when being punctured to the position through the arrangement of the flange 103 to play a role in fixing the puncture depth, the needle tube scales 104 are arranged on the surface of the needle tube body 101, the needle tube scales 104 can be used for identifying the puncture depth of the puncture needle tube 1, the handheld handle 105 is fixedly connected to the surface of the tail end of the needle tube body 101, and the operation of the puncture needle tube 1 by an operator is facilitated through the arrangement of the handheld handle 105;
the catheter 2 comprises a catheter body 201, a first medical catheter connector 202, a connecting pipe 203, a second medical catheter connector 204, a water-filled balloon 205, catheter scales 206, a clamp 207 and a pressure measuring device 208, wherein the first medical catheter connector 202 is fixedly connected to the tail end of the catheter body 201, the first medical catheter connector 202 can be used for being connected with a continuous pumping drug injection device and used for continuously injecting analgesic drugs into a paravertebral gap after surgery for continuous analgesia, the first medical catheter connector 202 can be hermetically connected with the catheter body 201 when being connected with the catheter body 201 and simultaneously prevents the catheter body 201 from falling off, the connecting pipe 203 is fixedly connected inside the catheter body 201 and is connected with the second medical catheter connector 204 and the water-filled balloon 205 through the connecting pipe 203, so that the second medical catheter connector 204 can fill or pump the water to the water-filled balloon 205 outside the catheter 2, one end of the connecting pipe 203 is fixedly connected with the second medical catheter connector 204, the second medical catheter connector 204 is used for filling water or pumping water to the water filling balloon 205 outside the catheter 2, the second medical catheter connector 204 can be connected in a sealing manner when being connected with the connecting pipe 203, and meanwhile, the connecting pipe 203 is prevented from falling off, the water filling balloon 205 is fixedly connected to the other end of the connecting pipe 203, the water filling balloon 205 can be expanded into a sphere after being filled with water, so that the front end of the catheter 2 cannot be pulled out in the gap beside the vertebra, the water filling balloon 205 can be recovered and conveniently taken out after being pumped with water, the surface of the catheter body 201 is fixedly connected with catheter scales 206, the catheter scales 206 can be used for identifying the insertion depth of the catheter, a clamp 207 is arranged on the surface of one end, close to the second medical catheter connector 204, of the connecting pipe 203, the connecting pipe 203 can be clamped through the clamp 207, water leakage after the water filling balloon 205 is filled with water and expanded is prevented, a pressure detector 208 is arranged on the surface of one end, close to the second medical catheter connector 204, of the connecting pipe 203, the pressure gauge 208 can sense the water pressure when the water-filled balloon 205 is filled with water, the first medical catheter connector 202, the second medical catheter connector 204, the clamp 207 and the pressure gauge 208 are detachable parts, when the catheter 2 is inserted into the puncture needle 1, the catheter 2 needs to be detached, after the catheter 2 is inserted into the puncture needle 1, the first medical catheter connector 202 is installed on the catheter body 201, and the second medical catheter connector 204, the clamp 207 and the pressure gauge 208 are installed on the connecting pipe 203, so that the analgesic drug can be injected subsequently or the water can be injected into the water-filled balloon 205.
Example two
On the basis of the first embodiment, the invention provides a technical scheme that:
a puncture kit suitable for thoracoscope-guided paravertebral nerve block comprises a puncture kit, wherein the length of a needle tube body 101 is 35cm, the outer diameter of the needle tube body 101 is 2.2mm, the inner diameter of the needle tube body 101 is 2mm, the front end of the needle tube body 101 is bent, the bending angle of the front end of the needle tube body 101 is an obtuse angle 165, the bending part of the front end of the needle tube body 101 is 5cm, the inside of the needle tube body 101 is hollow, and a puncture needle 1 is suitable for avoiding expanded lung cavity tissues when being operated under thoracoscope guidance through the bending structure arrangement of the front end of the needle tube body 101, so that the puncture needle can conveniently and accurately reach the front wall of paravertebral gaps, the needle is inserted into the most suitable position, the inside of the needle tube body 101 is hollow, and a catheter 2 is conveniently inserted into the paravertebral gaps from the needle tail of the puncture needle 1;
the inner diameter of the needle tube injector connector 102 is 4.1 mm;
the flange 103 is located 5mm backward from the front end of the needle tube body 101, the flange 103 is of a circular structure, the flange 103 is made of silica gel, the radius of the flange 103 is 8mm, the flange 103 can enable the puncture needle 1 to be clamped when the needle tube body 101 reaches the flange 103 in the puncture process, so that the needle tube body 101 cannot be continuously punctured, the puncture needle is prevented from being punctured too deeply, the flange 103 can be tightly attached to the front wall (parietal pleura) of the paravertebral gap to play a sealing role, and therefore when analgesic liquid medicine is injected from the tail of the puncture needle, the analgesic liquid is prevented from leaking out of the paravertebral gap through the gap between the puncture needle and the parietal pleura, the analgesic medicine is prevented from being lost, and the analgesic is prevented from being incompletely released;
the needle tube scales 104 are distributed on the surface of the needle tube body 101 at equal intervals, the distance between the needle tube scales 104 is 1cm, and the needle tube scales 104 can be used for identifying the puncture depth;
the length of the handheld handle 105 is 6cm, the handheld handle 105 is made of medical plastics, and an operator can conveniently hold the puncture needle 1 by the handheld handle 105;
the outer diameter of the catheter body 201 is 1.8mm, the inner diameter of the catheter body 201 is 0.5mm, the length of the catheter body 201 is 85cm, and holes distributed equidistantly are formed in the surface of the top end of the catheter body 201 which is 5cm backwards;
the two ends of the connecting pipe 203 respectively penetrate through the front end wall shell and the tail end wall shell of the catheter body 201, the front end of the connecting pipe 203 is connected with the water filling balloon 205 in a hollow mode, the tail end of the connecting pipe 203 is connected with the second medical catheter connector 204 in a hollow mode, the inner diameter of the connecting pipe 203 is 0.5mm, the length of the connecting pipe 203 is 85cm, the inner diameter of the second medical catheter connector 204 is 4.1mm, the second medical catheter connector 204 can be used for being connected with an injector for injecting water, the water filling balloon 205 is filled with water and expanded into a sphere, the front end of the catheter 2 cannot be pulled out from a gap beside a vertebra, or the second medical catheter connector 204 can be used for recovering the water filling balloon 205 after water is pumped and then is conveniently taken out;
the water-filled balloon 205 is positioned 5cm backward from the front end of the surface of the catheter body 201, the radius of the water-filled balloon 205 is 5mm, the thickness of the water-filled balloon 205 is 3mm, the water-filled balloon 205 can be filled with water and expanded after the catheter 2 is placed in the paravertebral gap at the front end through the arrangement of the water-filled balloon 205, the catheter 2 is clamped and cannot fall out of the paravertebral gap, the catheter 2 is fixed in the paravertebral gap, and meanwhile, when the analgesic liquid medicine is continuously pumped, the water-filled balloon 205 also plays a role in closing a hole gap left by puncture before the puncture needle 1 on the front wall of the paravertebral gap and the catheter;
the catheter scales 206 are distributed on the surface of the catheter body 201 at equal intervals, the distance between the catheter scales 206 is 1cm, and the catheter scales 206 can be used for identifying the insertion depth of the catheter.
The working principle is as follows: the working flow of the invention is as follows, according to the attached figures 1-6:
the first step is as follows: the puncture needle 1 is inserted into the thoracic cavity of a patient under the guidance of a thoracoscope, the puncture needle 1 is inserted into the front wall of a paravertebral gap, the puncture depth is controlled through needle tube scales 104, a needle tube body 101 can only be inserted into a depth of 5mm under the action of a flange 103, then a local anesthetic can be injected into an upper injector through a needle tube injector connector 102 and is used for analgesia in and after an operation, after the local anesthetic is injected, the injector is detached from the puncture needle 1, and then a catheter 2 is inserted from the tail end of the puncture needle 1;
the second step is that: after the catheter 2 is inserted into the puncture needle 1, the insertion depth is controlled through the catheter scale 206, the catheter body 201 extends out from the front end of the needle tube body 101, the front end of the catheter body 201 is further inserted into the paravertebral gap, when the length of the catheter scale 206 extending out from the front end of the needle tube body 101 is larger than 5cm, the puncture needle 1 is withdrawn from the chest cavity of a patient, the catheter 2 needs to be held in the withdrawing process to prevent the catheter 2 from being taken out by the puncture needle 1, the catheter 2 is singly stayed in the paravertebral gap after the puncture needle 1 is withdrawn, water is injected into the water-filled balloon 205 through the medical catheter connector II 204 connected with the connecting tube 203, the water-filled balloon 205 is inflated and expanded into a sphere, the front end of the catheter 2 cannot be pulled out in the paravertebral gap, the connecting tube 203 can be clamped through the clamp 207, and the water-filled balloon 205 is prevented from being inflated and leaking;
the third step: the medical catheter connecting head I202 can be used for being connected with a drug injection device for continuous pump injection and is used for continuously injecting analgesic drugs into the paravertebral space for continuous analgesia after operation.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation. The use of the phrase "comprising one of the elements does not exclude the presence of other like elements in the process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (10)

1. The utility model provides a puncture external member suitable for thoracoscope guide paravertebral nerve blocks, includes the puncture external member, its characterized in that: the puncture kit comprises a puncture needle (1) and a catheter (2);
the puncture needle (1) consists of a needle tube body (101), a needle tube injector connector (102), a flange (103), needle tube scales (104) and a handheld handle (105), wherein the tail end of the needle tube body (101) is fixedly connected with the needle tube injector connector (102), the top end of the needle tube body (101) is fixedly connected with the flange (103), the needle tube scales (104) are arranged on the surface of the needle tube body (101), and the tail end surface of the needle tube body (101) is fixedly connected with the handheld handle (105);
the catheter (2) consists of a catheter body (201), a medical catheter connector I (202), a connecting pipe (203), a medical catheter connector II (204), a water-filled balloon (205), catheter scales (206), a clamp (207) and a pressure gauge (208), the tail end of the catheter body (201) is fixedly connected with a first medical catheter connecting head (202), the interior of the catheter body (201) is fixedly connected with a connecting pipe (203), one end of the connecting pipe (203) is fixedly connected with a second medical catheter connector (204), the other end of the connecting pipe (203) is fixedly connected with a water-filled balloon (205), the surface of the catheter body (201) is fixedly connected with a catheter scale (206), a clip (207) is arranged on the surface of one end of the connecting pipe (203) close to the second medical catheter connector (204), and a pressure gauge (208) is arranged on the surface of one end of the connecting pipe (203) close to the second medical catheter connector (204).
2. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the length of needle tube body (101) is 35cm, the external diameter of needle tube body (101) is 2.2mm, the internal diameter of needle tube body (101) is 2mm, the front end of needle tube body (101) has the bending, the front end bending angle of needle tube body (101) is obtuse angle 165, the front end bending part length of needle tube body (101) is 5cm, the inside of needle tube body (101) sets up to the cavity form.
3. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the inner diameter of the needle tube injector connector (102) is 4.1 mm.
4. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: flange (103) are located needle tubing body (101) 5mm department backward in the front end, flange (103) set up to circular structure, the material of flange (103) adopts silica gel, the radius of flange (103) is 8 mm.
5. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the needle tube scales (104) are distributed on the surface of the needle tube body (101) at equal intervals, and the distance between the needle tube scales (104) is 1 cm.
6. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the length of the handheld handle (105) is 6cm, and the handheld handle (105) is made of medical plastics.
7. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the external diameter of pipe body (201) is 1.8mm, the internal diameter of pipe body (201) is 0.5mm, the length of pipe body (201) is 85cm, the surface of 5cm backward on the top of pipe body (201) is provided with the hole of equidistance distribution.
8. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the two ends of the connecting pipe (203) penetrate through the wall shell of the front end and the tail end of the catheter body (201) respectively, the front end of the connecting pipe (203) is connected with the water filling balloon (205) in a hollow mode, the tail end of the connecting pipe (203) is connected with the second medical catheter connector (204) in a hollow mode, the inner diameter of the connecting pipe (203) is 0.5mm, the length of the connecting pipe (203) is 85cm, and the inner diameter of the second medical catheter connector (204) is 4.1 mm.
9. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the water filling balloon (205) is located 5cm behind the front end of the surface of the catheter body (201), the radius of the water filling balloon (205) is 5mm, and the thickness of the water filling balloon (205) is 3 mm.
10. The puncture kit suitable for thoracoscopically guided paraspinal nerve block of claim 1, wherein: the catheter scales (206) are distributed on the surface of the catheter body (201) at equal intervals, and the distance between the catheter scales (206) is 1 cm.
CN202110699843.5A 2021-06-23 2021-06-23 Puncture external member suitable for thoracoscope guide paravertebral nerve blocks Pending CN113425388A (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201179262Y (en) * 2008-04-28 2009-01-14 徐玉灿 Novel epidural space puncture anaesthesia package
US20120059308A1 (en) * 2010-09-07 2012-03-08 The Washington University Peripheral nerve block catheter
CN206198014U (en) * 2016-06-24 2017-05-31 河南驼人医疗器械集团有限公司 A kind of ultrasonic guidance nerve block pin
CN209474741U (en) * 2018-01-18 2019-10-11 曾毅 Epidural catheter and epidural puncture device comprising it
CN210494198U (en) * 2019-06-27 2020-05-12 俞敏 Novel nerve block puncture needle
CN111375121A (en) * 2020-03-18 2020-07-07 南京鼓楼医院 Novel nerve block sleeve assembly
CN212755836U (en) * 2020-05-21 2021-03-23 上海中医药大学附属岳阳中西医结合医院 Radio frequency puncture needle with scales and positioner

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201179262Y (en) * 2008-04-28 2009-01-14 徐玉灿 Novel epidural space puncture anaesthesia package
US20120059308A1 (en) * 2010-09-07 2012-03-08 The Washington University Peripheral nerve block catheter
CN206198014U (en) * 2016-06-24 2017-05-31 河南驼人医疗器械集团有限公司 A kind of ultrasonic guidance nerve block pin
CN209474741U (en) * 2018-01-18 2019-10-11 曾毅 Epidural catheter and epidural puncture device comprising it
CN210494198U (en) * 2019-06-27 2020-05-12 俞敏 Novel nerve block puncture needle
CN111375121A (en) * 2020-03-18 2020-07-07 南京鼓楼医院 Novel nerve block sleeve assembly
CN212755836U (en) * 2020-05-21 2021-03-23 上海中医药大学附属岳阳中西医结合医院 Radio frequency puncture needle with scales and positioner

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Application publication date: 20210924