CN115253041B - Subcutaneous diving device of multicavity drainage tube - Google Patents

Subcutaneous diving device of multicavity drainage tube Download PDF

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Publication number
CN115253041B
CN115253041B CN202210859308.6A CN202210859308A CN115253041B CN 115253041 B CN115253041 B CN 115253041B CN 202210859308 A CN202210859308 A CN 202210859308A CN 115253041 B CN115253041 B CN 115253041B
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Prior art keywords
drainage tube
subcutaneous
drainage
cavity
fixing device
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CN115253041A (en
Inventor
卢娜
张文勇
李永亮
王峰
刘健
马凯
马力原
孙鑫
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Changsha Kezhong Medical Technology Co ltd
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Changsha Kezhong Medical Technology Co ltd
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    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • External Artificial Organs (AREA)

Abstract

Compared with a Shan Qiang drainage tube, the continuous flushing drainage and medicine injection drainage functions can be developed after operation, the drainage efficiency is greatly improved, the rehabilitation process of a patient is shortened, meanwhile, the multi-cavity drainage tube is arranged in a straight shape in the fixing device by arranging a plurality of connectors in a staggered manner front and back, and compared with parallel arrangement, the diameter of the whole of a special subcutaneous tunnel puncture needle and the whole of the fixing device is reduced, and the device is simple to operate, convenient, practical and convenient to popularize. Likewise, the tail of the special subcutaneous tunnel puncture needle is provided with the connectors with different lengths, so that the connectors can be arranged in a straight shape when connected with the drainage tube body, and the diameter of the drainage tube body is greatly reduced.

Description

Subcutaneous diving device of multicavity drainage tube
Technical Field
The invention belongs to the field of neurosurgery surgical instruments, and particularly relates to a multi-cavity drainage tube subcutaneous diving device.
Background
The drainage tube is needed to conduct craniocerebral external drainage after operation of patients with cerebral hemorrhage, cerebral tumor, hydrocephalus and cerebrospinal fluid tumor, which is the most important and common operation mode of neurosurgery, and the biggest complication of the operation is intracranial infection due to the involvement of brain tissues and central nervous system, once intracranial infection can greatly increase medical cost, the life of the patients is endangered, and the most effective measure for avoiding intracranial infection is subcutaneous diving technique of the drainage tube. However, the current multicavity drainage tube (more than or equal to 2 cavities), (cavity multi- > joint multi- > large-volume subcutaneous tunnel is difficult to establish and is large in wound) is limited by the current subcutaneous diving technology, and the operation type cannot be developed at present.
Disclosure of Invention
Aiming at the defects existing in the prior art, the invention aims to provide a multi-cavity drainage tube subcutaneous diving device.
In order to achieve the above object, the present invention is realized by the following technical scheme:
in a first aspect, an embodiment of the present invention provides a multi-lumen drainage tube subcutaneous submerging device, which is composed of a multi-lumen drainage tube, a multi-joint fixing device, and a subcutaneous tunnel puncture needle;
the multicavity drainage tube include two at least drainage tube bodies, the afterbody of every drainage tube body is connected one and is connected, a plurality of joints around staggered arrangement can arrange into a straight line, fixing device constitute by last casing and inferior valve, inferior valve tail end be connected with subcutaneous tunnel puncture syringe needle end, be provided with the draw-in groove equal with drainage tube body number in the inferior valve down, the draw-in groove is arranged in proper order along inferior valve length direction for the joint of clamping difference.
Furthermore, the fixing device is small in front end diameter and large in rear end diameter, and has conical transition.
Further, the lower shell and the upper shell are clamped together or hinged together.
In a second aspect, embodiments of the present invention provide a multi-lumen drainage tube subcutaneous submerging device, comprising a multi-lumen drainage tube, a subcutaneous tunnel puncture needle, and a fixation device; the multicavity drainage tube include two at least drainage tube bodies, the afterbody of every drainage tube body is connected one and is connected, and a plurality of joints around the staggered arrangement can arrange into a straight line, fixing device in be equipped with the draw-in groove that equals with drainage tube chamber number, a plurality of draw-in grooves arrange in proper order along the length direction of the needle body for the different joints of cartridge, fixing device's upper and lower shell cooperation realize sealedly.
In a third aspect, the embodiment of the invention also provides a multi-cavity drainage tube subcutaneous submerging device, which consists of a drainage tube body, a subcutaneous tunnel puncture needle and an external connecting device; at least two drainage cavities are arranged in the drainage tube body, and the drainage cavities are arranged along the length direction of the drainage tube body;
the head end of the subcutaneous tunnel needle is provided with protruding columns which are equal to the drainage cavities in number, the thickness of each protruding column is set according to the inner diameter of each drainage cavity, and the protruding columns are unequal in length;
the head end of the external connecting device is provided with stainless steel pipes which are matched with the quantity and the diameter of the drainage tube cavities, the lengths of the stainless steel pipes are different, and the stainless steel pipes are used for being inserted into the drainage tube cavities.
Furthermore, the cylinder protruding from the end of the subcutaneous tunnel needle is also provided with a conical annular barb structure for firmly connecting the drainage tube.
Further, the tail end of the external connecting device is provided with a luer connector for connecting the external drainage device.
Further, the luer connector is provided with different colors.
Further, the inner diameters of the drainage cavities are equal or unequal.
The beneficial effects of the embodiment of the invention are as follows:
compared with the Shan Qiang drainage tube, the multi-cavity drainage tube provided by the invention has the advantages that the continuous flushing drainage and medicine injection drainage functions can be developed after operation, the drainage efficiency is greatly improved, the rehabilitation process of a patient is shortened, meanwhile, the multi-cavity drainage tube realizes the in-line arrangement and installation in the fixing device by arranging the connectors in a staggered manner front and back, compared with the parallel arrangement, the diameter of the subcutaneous tunnel puncture needle and the whole diameter of the fixing device are reduced, the wound is small, the operation is simple, the convenience and the practicability are realized, and the popularization is convenient. Likewise, the tail of the subcutaneous tunnel puncture needle is provided with connectors with different lengths and is connected with the tube body of the drainage tube, so that the establishment of the subcutaneous tunnel is realized, and the tail end of the drainage tube is externally connected with an external connecting device, so that the external flushing drainage function is realized. The subcutaneous tunnel can be established under the conditions of smaller diameter and small wound.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the invention.
FIG. 1 is an exploded schematic view of a multi-lumen drainage tube subcutaneous sneak device disclosed in example 1 of the present invention;
FIG. 2 is a schematic view showing a semi-assembled state of the subcutaneous diving device of the multi-cavity drainage tube disclosed in the embodiment 1 of the present invention;
FIGS. 3 and 4 are schematic views of a subcutaneous tunnel piercing needle with a multi-connector catheter securement device in the multi-lumen catheter subcutaneous submergence device disclosed in example 1 of the present invention;
FIG. 5 is a schematic view showing an assembled state of a subcutaneous tunnel puncture needle with a drainage tube multi-joint fixing device and a drainage tube body in the multi-cavity drainage tube subcutaneous submergence device disclosed in embodiment 2 of the present invention;
FIG. 6 is a schematic view showing the split state of a subcutaneous tunnel puncture needle with a multi-joint fixing device for a drainage tube and a drainage tube body in the multi-cavity drainage tube subcutaneous submergence device disclosed in embodiment 2 of the present invention;
FIG. 7 is an enlarged schematic view of a portion of the structure of FIG. 6;
FIG. 8 is a cross-sectional view of a catheter tube in the multi-lumen catheter tube subcutaneous submergence device disclosed in example 2 of the present invention in connection with a subcutaneous tunnel piercing needle;
FIG. 9 is a schematic view showing an assembled state of a drainage tube and an extracorporeal connection device in a multi-cavity drainage tube subcutaneous submergence device disclosed in embodiment 2 of the present invention;
FIG. 10 is a schematic view showing the split state of a drainage tube and an extracorporeal connection device in the multi-cavity drainage tube subcutaneous submergence device disclosed in embodiment 2 of the present invention;
FIG. 11 is a cross-sectional view of a catheter tube and extracorporeal connection device in a multi-lumen catheter tube subcutaneous submergence device disclosed in example 2 of the present invention;
in the figure: 1-1 multicavity drainage tube, 1-2 drainage tube multi-joint fixing device, 1-3 subcutaneous tunnel puncture needle; 1-1-1 linker; 1-2-1 lower shell, 1-2-2 upper shell;
2-1 drainage tube body, 2-1-1 drainage cavity, 2-2 subcutaneous tunnel puncture needle, 2-2-1 protruding column body; 2-3 external connecting device, 2-3-1 stainless steel tube, 2-3-2 luer connector.
Detailed Description
It should be noted that the following detailed description is illustrative and is intended to provide further explanation of the invention. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of exemplary embodiments according to the present invention. As used herein, the singular forms also are intended to include the plural forms unless the present invention clearly dictates otherwise, and furthermore, it should be understood that when the terms "comprise" and/or "include" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof;
noun interpretation: in this embodiment, the craniocerebral (cardiac) end is the cephalad (proximal) end and the caudal (distal) end is the craniocerebral (cardiac) end.
Example 1
The embodiment discloses a multi-cavity drainage tube subcutaneous diving device, as shown in fig. 1-4, which consists of a multi-cavity drainage tube 1-1, a fixing device 1-2 and a subcutaneous tunnel puncture needle 1-3, wherein the multi-cavity drainage tube 1-1 comprises a plurality of tube bodies, the tail end part of each tube body is provided with a joint 1-1-1, the length of each tube body is different, so that the joints 1-1-1 can be staggered in front and back at the tail part of the multi-cavity drainage tube 1-1, namely, the joints 1-1-1 can be arranged in a straight line;
the drainage tube multi-joint fixing device comprises an upper shell 1-2-2 and a lower shell 1-2-1, wherein the upper shell 1-2-2 and the lower shell 1-2-1 are combined together to form an installation space of a joint 1-1-1, the lower shell 1-2-1 is connected with the head of a subcutaneous tunnel puncture needle 1-3, a plurality of front-back arranged installation grooves are formed in the lower shell 1-2-1, namely, the installation grooves are formed along the longitudinal direction of the lower shell, the number of the installation grooves is equal to that of the joints 1-1, short joints are clamped in the installation grooves close to the multi-cavity drainage tube 1-1, and long joints are clamped in the installation grooves far away from the multi-cavity drainage tube 1-1.
Through the design, the diameter of the fixing device 1-2 for connecting the multi-cavity drainage tube 1-1 and the subcutaneous tunnel puncture needle 1-3 is greatly reduced, if the lengths of the plurality of joints 1-1-1 are equal and are arranged side by side, the diameter of the fixing device 1-2 can be very large, and particularly when the multi-cavity drainage tube 1-1 comprises 4 or more tube bodies, the multi-cavity drainage tube subcutaneous submergence device can not be used, so that the embodiment proposes that the joints 1-1-1 are arranged in a staggered manner in front of and behind the tail part of the multi-cavity drainage tube 1-1, and the mounting grooves matched with the joints are also arranged in front of and behind the tail part, so that the diameter of the fixing device 1-2 is greatly reduced, and the multi-cavity drainage tube subcutaneous submergence device can be applied.
Further, the upper casing 1-2-2 and the lower casing 1-2-1 may be hinged together, or the upper casing 1-2-2 and the lower casing 1-2-1 may be designed into a split fastening structure, i.e. a fastener is arranged on the lower casing 1-2-1, a fastening hole is arranged on the upper casing 1-2-2, and after the connector is installed in the installation slot, the upper casing 1-2-2 is fastened on the lower casing 1-2-1. The specific design form of the fixing device is designed according to actual needs.
Furthermore, the lower shell 1-2-1 can be integrally formed with the subcutaneous tunnel puncture needle, namely, the needle body of the subcutaneous tunnel puncture needle is directly provided with an installation groove for installing a joint, and the upper shell 1-2-2 can be designed to be hinged with the needle body of the subcutaneous tunnel puncture needle; and can also be designed to be buckled with the needle body of the subcutaneous tunnel puncture needle.
Further, the above-mentioned fixing device has a small diameter at the front end and a large diameter at the rear end, and has a tapered transition, because the rear end is used for placing a joint with a small outer diameter and the proximal end is used for placing a joint with a large outer diameter.
The application method of the multi-cavity drainage tube subcutaneous diving device provided by the embodiment is as follows:
after the tube is successfully placed, the rear end joint of the drainage tube is clamped at the corresponding position in the longitudinal mounting groove of the lower shell of the fixing device in a staggered mode, then the upper shell is buckled, subcutaneous tunnel puncture from the operation end to the far end can be performed by adopting a subcutaneous tunnel puncture needle, scalp tissues are penetrated, the subcutaneous tunnel puncture needle carries the fixing device, the multi-cavity drainage tube is carried out from the skin at the far end, the fixing device 1-2, the subcutaneous tunnel puncture needle 1-3 and the multi-cavity drainage tube joint are taken down, and the functions of flushing drainage or medicine injection drainage after the operation can be opened by connecting other devices.
Example 2
The embodiment discloses a multi-cavity drainage tube subcutaneous diving device, which is composed of a drainage tube body 2-1, a special subcutaneous tunnel puncture needle 2-2 and an external connecting device 2-3 as shown in fig. 5-11;
a drainage cavity 2-1-1 which is more than or equal to 2 is arranged in the drainage tube body 2-1, the drainage cavity 2-1-1 is arranged along the length direction of the drainage tube body 2-1, and the inner diameters of the drainage cavities 2-1-1 are equal or unequal;
the head end of the special subcutaneous tunnel needle 2-2 is provided with the protruding columns 2-2-1 which are equal to the drainage cavities 2-1 in number, the thickness of the protruding columns 2-2-1 is set according to the inner diameter of the drainage cavities 2-1-1, the protruding columns 2-2-1 are different in length, the length of the protruding columns 2-2-1 is generally required to be larger than that of the protruding columns, and the multi-cavity tunnel needle is convenient for multi-cavity grafting.
Through the design, the drainage tube does not need to be provided with a joint, so that the diameter of the joint between the drainage tube body 2-1 and the special subcutaneous tunnel puncture needle 2-2 is greatly reduced, the wound is small, the subcutaneous tunnel is easy to establish, the embodiment provides a structure with unequal lengths by designing the column body 2-2-1, the thickness of the column body 2-2-1 is set according to the inner diameter of the drainage cavity 2-1-1, and the diameter of the joint between the drainage tube body 2-1 and the special subcutaneous tunnel puncture needle 2-2 is greatly reduced, so that the multi-cavity drainage tube subcutaneous diving device can be applied.
Furthermore, the cylinder 2-2-1 protruding from the end of the subcutaneous tunnel needle is also provided with a cone-shaped annular barb structure for firmly connecting the drainage tube.
Further, as shown in fig. 9-11, the head end of the extracorporeal connection device 2-3 in this embodiment is provided with stainless steel pipes 2-3-1 corresponding to the number and diameter of the drainage tube cavities, the protruding stainless steel pipes 2-3-1 have different lengths, and the lengths with thicker diameters are sequentially larger than those with thinner diameters.
Furthermore, the tail end of the external connection device 2-3 is provided with a luer connector 2-3-2 for connecting an external drainage device, and the luer connector 2-3-2 can be set into different colors and also can identify the corresponding cavity functions.
The specific use process of the multi-cavity drainage tube subcutaneous diving device provided by the embodiment is as follows:
after the tube is successfully placed on the drainage tube, the tail end of the drainage tube is spliced with the head end of a special subcutaneous tunnel puncture needle, the subcutaneous tunnel puncture needle can be used for carrying out subcutaneous tunnel puncture from an operation end to a distal end, penetrating scalp tissues, taking out a multi-cavity drainage tube from the skin of the distal end, the tail end of the drainage tube is spliced with a stainless steel tube connected with an external connecting device, a luer connector of the external connecting device is connected with an external drainage kit, and after the external connecting device is fixed, the external connecting device is used for continuous flushing drainage or dosing drainage after operation.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (1)

1. The subcutaneous diving device of the multicavity drainage tube is characterized by comprising a multicavity drainage tube, a fixing device and a subcutaneous tunnel puncture needle;
the multi-cavity drainage tube comprises a plurality of drainage tube bodies, the tail part of each drainage tube body is connected with a joint, and the joints are arranged in a staggered manner front and back and can be arranged into a straight line;
the fixing device consists of an upper shell and a lower shell, the tail end of the lower shell is connected with the end of a puncture needle head of a subcutaneous tunnel, clamping grooves with the same number as that of the drainage tube bodies are arranged in the lower shell, a plurality of clamping grooves which are arranged front and back are formed in the lower shell, and the clamping grooves are sequentially arranged along the length direction of the lower shell and are used for clamping different connectors; the short connector is clamped in a clamping groove close to the multi-cavity drainage tube, and the long connector is clamped in a clamping groove far away from the multi-cavity drainage tube;
the fixing device is small in tail end diameter and large in head end diameter, and has conical transition; the tail end is used for placing a joint with small outer diameter, and the head end is used for placing a joint with large outer diameter;
the outer diameters of the plurality of joints are different;
the lower shell and the upper shell are clamped together or hinged together.
CN202210859308.6A 2022-07-21 2022-07-21 Subcutaneous diving device of multicavity drainage tube Active CN115253041B (en)

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CN215505067U (en) * 2021-06-30 2022-01-14 山东大正医疗器械股份有限公司 Double-cavity drainage catheter capable of being submerged under skin

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US6197004B1 (en) * 1999-06-24 2001-03-06 Adele Nicolosi Device for fixing subcutaneous catheters
WO2006111056A1 (en) * 2005-04-16 2006-10-26 Mingli He An invasive assembly for draining cerebro-spinal fluid
CN106535778A (en) * 2014-05-22 2017-03-22 药物混合系统股份公司 Laparoscopic spray applicator and adapter
CN104274899A (en) * 2014-10-22 2015-01-14 山东大正医疗器械股份有限公司 Multicavity drainage apparatus capable of moving under skin
CN105031802A (en) * 2015-08-28 2015-11-11 威海威创医疗器械有限公司 Subcutaneous sneaking type multi-cavity drainage catheter
CN108392719A (en) * 2018-04-20 2018-08-14 朱世新 A kind of drainage device that neurology department can subcutaneously move under water
CN209104693U (en) * 2018-09-20 2019-07-12 深圳市建装业集团股份有限公司 A kind of flexible and efficient poling wiring tool
JP2020049034A (en) * 2018-09-28 2020-04-02 国立大学法人東北大学 Blood circulation apparatus and blood circulation apparatus assembling method
CN110368075A (en) * 2019-08-16 2019-10-25 山东省千佛山医院 A kind of lumbar cistern drainage pipe moves under water indwelling guide device
CN211561266U (en) * 2019-12-25 2020-09-25 连云港市中医院 Ventricular external drainage device
CN213606745U (en) * 2020-10-26 2021-07-06 上海长征医院 Multi-cavity puncture needle based on ultrasonic guidance
CN215134109U (en) * 2020-12-22 2021-12-14 右江民族医学院附属医院 Multicavity drainage device that neurology branch of academic or vocational study can sneak in subcutaneous way
CN214387589U (en) * 2020-12-24 2021-10-15 中国人民解放军空军军医大学 Bending degree regulation and control type thrombus aspiration catheter
CN215505067U (en) * 2021-06-30 2022-01-14 山东大正医疗器械股份有限公司 Double-cavity drainage catheter capable of being submerged under skin

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