CN202665704U - Epidural puncture positioning indicator - Google Patents
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Abstract
Description
技术领域 technical field
本实用新型涉及硬膜外穿刺技术领域,特别是指一种配合穿刺针使用的硬膜外腔穿刺定位指示器。 The utility model relates to the technical field of epidural puncture, in particular to an epidural cavity puncture positioning indicator used in conjunction with a puncture needle.
背景技术 Background technique
现如今,硬膜外神经阻滞麻醉是经常使用的麻醉方法,在该麻醉方法中非常重要的一个步骤是将硬膜外穿刺针准确的穿刺到硬膜外腔。如果穿刺针进针太浅,则导致麻醉失败,如进针过深,则有可能损伤脊髓对病患者造成危害。而为了使进针更加准确,近年来麻醉医疗工作者根据大量临床研究提出了空气囊泡指示法,测压报警法等定位指示方法,但这些方法存在明显缺陷,实际操作比较困难。 Nowadays, epidural nerve block anesthesia is a frequently used anesthesia method, and a very important step in this anesthesia method is to accurately puncture the epidural puncture needle into the epidural space. If the puncture needle is inserted too shallowly, anesthesia will fail, and if the needle is inserted too deeply, the spinal cord may be damaged and the patient may be harmed. In order to make needle insertion more accurate, in recent years, anesthesia medical workers have proposed positioning indication methods such as air vesicle indication method and pressure measurement and alarm method based on a large number of clinical studies. However, these methods have obvious defects and are difficult to operate in practice.
中国专利公开号为CN2244917Y,名为“硬膜外穿刺针”的专利文件公开了一种硬膜外穿刺针,包括有针体和用于防止针管堵塞的实心针芯,在实际操作过程中,为了实现准确定位,穿刺操作中,穿刺针推进一定距离后抽出针芯,再接上波管或注射器进行定位测试,如未到达,则需要再置入针芯继续推进一段距离后再重复以上操作。该方法虽然可以实现判断穿刺针是否已经到达硬膜外腔,但由于需要反复抽出针芯再接上波管或注射器反复测试定位,操作过程繁琐,容易造成失误。同时由于未能在进针过程中同步判断穿刺针是否已经到达硬膜外腔,所以有可能在最后一次进针过程中进针过深,缺陷明显。 The Chinese patent publication number is CN2244917Y, and the patent document entitled "Epidural Puncture Needle" discloses a kind of epidural puncture needle, which includes a needle body and a solid needle core for preventing the needle tube from clogging. In the actual operation process, In order to achieve accurate positioning, during the puncture operation, the puncture needle is advanced for a certain distance, then the needle core is drawn out, and then connected to the wave tube or syringe for positioning testing. If it does not reach, it is necessary to insert the needle core and continue to advance for a certain distance before repeating the above operation . Although this method can be used to determine whether the puncture needle has reached the epidural space, it is cumbersome to operate because it needs to repeatedly pull out the needle core and then connect it to the wave tube or syringe to repeatedly test the positioning. At the same time, because it is not possible to judge whether the puncture needle has reached the epidural space synchronously during the needle insertion process, the needle may be inserted too deep during the last needle insertion process, and the defect is obvious.
发明内容 Contents of the invention
本实用新型要解决的技术问题是提供硬膜外腔穿刺定位指示器,使得穿刺过程中无需反复抽出针芯再接上波管或注射器反复测试定位,同时可实现在进针过程中同步判断穿刺针是否已经到达硬膜外腔。 The technical problem to be solved by the utility model is to provide an epidural puncture positioning indicator, so that it is not necessary to repeatedly pull out the needle core and then connect the wave tube or syringe to repeatedly test the positioning during the puncture process, and at the same time, it can realize the synchronous judgment of the puncture during the needle insertion process Whether the needle has reached the epidural space.
为解决上述技术问题,本实用新型采用如下技术方案:硬膜外腔穿刺定位指示器,包括有针芯以及针芯蒂,所述针芯为设置有贯通针芯的管腔的空心管,所述针芯上端部与开设有空腔的针芯蒂连接,所述针芯蒂的上端连接有由透明材料制成的观察管,所述观察管开设有贯通观察管的观察腔,所述针芯的管腔、针芯蒂的空腔以及观察管的观察腔依次连通。 In order to solve the above-mentioned technical problems, the utility model adopts the following technical scheme: the epidural space puncture positioning indicator includes a needle core and a needle core pedicle, and the needle core is a hollow tube provided with a lumen passing through the needle core. The upper end of the needle core is connected with the needle core pedicle with a cavity, the upper end of the needle core pedicle is connected with an observation tube made of transparent material, and the observation tube is provided with an observation cavity passing through the observation tube. The lumen of the core, the cavity of the needle core pedicle and the observation cavity of the observation tube are connected in sequence.
优选的,所述针芯蒂与观察管一体成型。 Preferably, the needle core pedicle is integrally formed with the observation tube.
其中,所述观察管的外壁设置有防滑纹。 Wherein, the outer wall of the observation tube is provided with anti-skid lines.
其中,所述观察管的观察腔的腔壁设置有防止液体自行流动的防流纹。 Wherein, the cavity wall of the observation cavity of the observation tube is provided with anti-flow lines to prevent the liquid from flowing by itself.
其中,所述针芯蒂的下端部设置有与穿刺针针管蒂匹配的环槽。 Wherein, the lower end of the needle core pedicle is provided with an annular groove matching with the needle tube pedicle of the puncture needle.
其中,所述观察管的长度为2cm~5cm。 Wherein, the length of the observation tube is 2cm-5cm.
其中,所述观察管上端部侧壁开设有通气孔,所述通气孔与观察腔连通。 Wherein, a ventilation hole is opened on the side wall of the upper end of the observation tube, and the ventilation hole communicates with the observation cavity.
其中,所述观察管的上端部的内径与注射器连接头的外径相匹配。 Wherein, the inner diameter of the upper end of the observation tube matches the outer diameter of the syringe connector.
其中,所述针芯的下端开设有两个或者两个以上的通孔。 Wherein, the lower end of the needle core is provided with two or more through holes.
本实用新型的有益效果在于:本实用新型提供了一种配合穿刺针使用的硬膜外腔穿刺定位指示器,包括有针芯以及针芯蒂,所述针芯为设置有贯通针芯的管腔的空心管,所述针芯上端部与开设有空腔的针芯蒂连接,所述针芯蒂的上端连接有由透明材料制成的观察管,所述观察管开设有贯通观察管的观察腔,所述针芯的管腔、针芯蒂的空腔以及观察管的观察腔依次连通。使用时先向观察管的观察腔注入适量液体,如生理盐水,液体由于表面张力的作用在观察腔中形成一段可供观察的液柱,同时将针芯插入穿刺针针管中,将穿刺针刺入人体皮下缓慢推进,当穿刺针到达硬膜外腔时,由于硬膜外腔存在负压,同时由于针芯为空心,针芯的管腔、针芯蒂的空腔以及观察管的观察腔依次连通,所以液柱会在压力差的作用下移动,在观察管上可明显的观察到液柱的移动,此时便可获知穿刺针已经到达硬膜外腔,操作人员随即停止进针。因此该定位指示器在穿刺过程中无需反复抽出针芯再接上波管或注射器反复测试定位,减低操作的复杂度,提高穿刺效率并减少失误,对初学者来说作用更显著。同时可实现在进针过程中同步判断穿刺针是否已经到达硬膜外腔,提高穿刺的准确程度。 The beneficial effect of the utility model is that the utility model provides an epidural cavity puncture positioning indicator for use with a puncture needle, including a needle core and a needle core pedicle, and the needle core is a tube provided with a needle core The hollow tube of the cavity, the upper end of the needle core is connected with the needle core pedicle with a cavity, the upper end of the needle core pedicle is connected with an observation tube made of transparent material, and the observation tube is provided with a hole through the observation tube The observation cavity, the tube cavity of the needle core, the cavity of the needle core pedicle and the observation cavity of the observation tube are connected in sequence. When using, first inject an appropriate amount of liquid into the observation cavity of the observation tube, such as physiological saline, the liquid forms a liquid column in the observation cavity due to the effect of surface tension, and at the same time insert the needle core into the needle tube of the puncture needle When the puncture needle reaches the epidural space, due to the negative pressure in the epidural space and the hollow core, the lumen of the core, the cavity of the pedicle of the core and the observation cavity of the observation tube They are connected sequentially, so the liquid column will move under the action of the pressure difference. The movement of the liquid column can be clearly observed on the observation tube. At this time, it can be known that the puncture needle has reached the epidural space, and the operator stops inserting the needle immediately. Therefore, during the puncture process, the positioning indicator does not need to repeatedly pull out the needle core and then connect the wave tube or syringe to repeatedly test the positioning, which reduces the complexity of the operation, improves the puncture efficiency and reduces mistakes, and is more effective for beginners. At the same time, it can be realized that whether the puncture needle has reached the epidural space can be synchronously judged during the needle insertion process, and the accuracy of puncture can be improved.
附图说明 Description of drawings
图1 为本实用新型实施例一的剖面结构示意图。 Fig. 1 is the sectional structure schematic diagram of the utility model embodiment one. the
图2为本实用新型实施例一结合注射器使用时的剖面结构示意图。
Fig. 2 is a schematic cross-sectional structure diagram of
图3为本实用新型实施例二结合注射器使用时的剖面结构示意图。
Fig. 3 is a schematic cross-sectional structure diagram of
图4为本实用新型实施例二配合穿刺针使用时的剖面结构示意图。
Fig. 4 is a schematic cross-sectional structure diagram of
图5为本实用新型实施例三配合穿刺针使用时的剖面结构示意图。
Fig. 5 is a schematic cross-sectional structure diagram of
图6为本实用新型实施例四配合穿刺针使用时的剖面结构示意图。
Fig. 6 is a schematic cross-sectional structure diagram of
图7为本实用新型实施例五配合穿刺针使用时的剖面结构示意图。
Fig. 7 is a schematic cross-sectional structure diagram of
具体实施方式 Detailed ways
为了便于本领域技术人员的理解,下面结合实施例与附图对本实用新型作进一步的说明,实施方式提及的内容并非对本实用新型的限定。 In order to facilitate the understanding of those skilled in the art, the utility model will be further described below in conjunction with the embodiments and accompanying drawings, and the contents mentioned in the implementation modes are not limitations of the utility model.
如图1和图2所示为本实用新型所述硬膜外腔穿刺定位指示器的实施例一,包括有针芯1以及针芯蒂2,所述针芯1为设置有贯通针芯1的管腔3的空心管,所述针芯1上端部与开设有空腔4的针芯蒂2连接,所述针芯蒂2的下端连接有由透明材料制成的观察管5,所述观察管5开设有贯通观察管5的观察腔6,所述针芯1的管腔3、针芯蒂2的空腔4以及观察管5的观察腔6依次连通。
As shown in Figures 1 and 2,
使用时先检测该定位指示器是否通畅良好及密闭良好,可以采用以下方法,如用注射器注气或注液检测,注气时用手指或堵头堵住观察腔6的其它气孔,通过按压注射器来检测定位指示器是否通畅及密闭。检测良好之后,先向观察管5的观察腔6注入适量液体,如生理盐水,液体由于表面张力的作用在观察腔6中形成一段可供观察的液柱;接着将定位指示器插入穿刺针针管中,然后将穿刺针刺入人体皮下缓慢推进,当穿刺针到达硬膜外腔时,由于硬膜外腔存在负压,同时由于针芯1为空心,针芯1的管腔3、针芯蒂2的空腔4以及观察管5的观察腔6依次连通,所以液柱会在压力差的作用下移动,在观察管5上可明显的观察到液柱的移动,此时便可获知穿刺针已经到达硬膜外腔,操作人员随即停止进针。因此该定位指示器在穿刺过程中无需反复抽出针芯再接上波管或注射器反复测试定位,减低操作的复杂度,提高穿刺效率并减少失误,对初学者来说作用更显著。同时可实现在进针过程中同步判断穿刺针是否已经到达硬膜外腔,提高穿刺的准确程度。
When in use, first check whether the positioning indicator is unobstructed and well-sealed. The following methods can be used, such as injecting gas or liquid with a syringe for detection. When injecting gas, block other air holes in the
本实施例中,所述针芯蒂2的下端部设置有与穿刺针针管蒂11匹配的环槽10,如图1所示。在将针芯1插入到针管时,穿刺针针管蒂11恰好能嵌入针芯蒂2中,使得在穿刺针和定位指示器保持良好的密封性能,提高定位的可靠性。同时也有利于该定位指示器与穿刺针的相互结合,便于操作与观察。当然也可设置为方槽或者其他形状的凹槽,只要与穿刺针针管蒂11匹配便可。
In this embodiment, the lower end of the
本实施例中,优选的实施方式是所述观察管5的长度为2cm。该长度适中,可达到良好的观察效果,同时也不至于太长影响推针操作。另外,观察管5的长度也可为3cm、5cm或者2cm~5cm之间的其它任一数值,只要观察管的长度能满足观察需求即可。
In this embodiment, a preferred implementation manner is that the length of the
本实施例中,所述观察管5的上端部的内径与注射器连接头9的外径相匹配。由于在进行穿刺操作前一般需先使用注射器测试该定位指示器的性能,因此,将观察管5的上端部的内径与注射器连接头9的外径相匹配的尺寸。
In this embodiment, the inner diameter of the upper end of the
本实施例中,所述针芯1的下端开设有两个通孔8。通过在针芯1前段开设更多的通孔8,避免在进针过程中有个别通孔8被堵塞而造成穿刺针到达硬膜外腔时无法产生压力差,致使液柱不移动而造成定位指示器失效,本实施例的实用性更强。当然为了获得更好的效果,还可以开设三个甚至更多的通孔8。
In this embodiment, two through
如图3和图4所示为本实用新型硬膜外腔穿刺定位指示器的实施例二,与上述实施例一的不同之处在于:所述观察管5的上端部侧壁开设有通气孔7,所述通气孔7与观察腔6连通。由于通气孔7的设置,即使观察管5上端被堵上,观察腔6依然可与大气连通,从而当穿刺针到达硬膜外腔时液柱可以正确移动,所以在进针过程中可将手按压在观察管5上端,使推针操作更方便,也避免操作者由于以往的操作习惯而导致观察腔6未能与大气相通进而使得该定位指示器不能达到定位指示的效果,提高了该定位指示器的可操作性与实用性。观察管5的上端部侧壁和上端均可以通气,从而适用于不同操作手法的握持者,实用性更强。
As shown in Figure 3 and Figure 4,
如图5所示为本实用新型硬膜外腔穿刺定位指示器的实施例三,与上述实施例二的不同之处在于:所述观察管5的观察腔6的腔壁设置有防止液体自行流动的防流纹。本实施例中防流纹为波浪状,利用液体的表面张力避免液柱在观察腔6里自由流动,进而避免因此导致的误判,提高定位指示的准确性。
As shown in Figure 5, it is the third embodiment of the epidural cavity puncture positioning indicator of the present invention. Flowy anti-rye lines. In this embodiment, the anti-flow pattern is wavy, and the surface tension of the liquid is used to prevent the liquid column from flowing freely in the
如图6所示为本实用新型硬膜外腔穿刺定位指示器的实施例四,与上述实施例三的不同之处在于:所述观察管5的外壁设置有防滑纹。通过该防滑纹增加手指与观察管5之间的摩擦力,方便推针时使力,使得推针操作更加容易。本实施例中该防滑纹为波浪状防滑纹,在方便推针同时也不影响对液柱的观察,当然,该防滑纹也可以为条状防滑纹或者其它防滑纹。
As shown in FIG. 6 , the fourth embodiment of the epidural puncture positioning indicator of the present invention is different from the third embodiment above in that: the outer wall of the
本实施例中所示防流纹为方波状,在避免液体自由流动的同时也更加便于观察。 The anti-flow pattern shown in this embodiment is in the shape of a square wave, which is more convenient for observation while avoiding the free flow of liquid.
如图7所示为本实用新型硬膜外腔穿刺定位指示器的最优选实施例五,与上述实施例四的不同之处在于:所述针芯蒂2与观察管5一体成型,在加工过程中无需再将观察管5与针芯蒂2进行组装连接,进一步简化加工工序,降低了定位指示器生产成本,提高其生产效率;同时也避免了组装过程中由于观察管5与针芯蒂2之间连接不紧密而造成定位不准确的问题,使该定位指示器的定位指示功能更加可靠。
As shown in Figure 7, it is the most preferred embodiment five of the epidural cavity puncture positioning indicator of the present invention, which is different from the above embodiment four in that: the
上述实施例为本实用新型较佳的实现方案,除此之外,本实用新型还可以其它方式实现,在不脱离本发明构思的前提下任何显而易见的替换均在本实用新型的保护范围之内。 The above-mentioned embodiment is the preferred realization scheme of the utility model, besides, the utility model can also be realized in other ways, and any obvious replacement is within the scope of protection of the utility model without departing from the concept of the present invention .
Claims (9)
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102715937A (en) * | 2012-07-03 | 2012-10-10 | 罗永温 | Epidural space puncture location indicator |
| US9144436B2 (en) | 2013-06-24 | 2015-09-29 | Thomas A. Senatore | Apparatus for hanging drop detection of epidural space penetration |
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2012
- 2012-07-03 CN CN2012203180407U patent/CN202665704U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102715937A (en) * | 2012-07-03 | 2012-10-10 | 罗永温 | Epidural space puncture location indicator |
| CN102715937B (en) * | 2012-07-03 | 2015-01-07 | 罗永温 | Epidural space puncture location indicator |
| US9144436B2 (en) | 2013-06-24 | 2015-09-29 | Thomas A. Senatore | Apparatus for hanging drop detection of epidural space penetration |
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