CN202802454U - Minimal invasion spinal anaesthesia puncture component - Google Patents
Minimal invasion spinal anaesthesia puncture component Download PDFInfo
- Publication number
- CN202802454U CN202802454U CN 201220483713 CN201220483713U CN202802454U CN 202802454 U CN202802454 U CN 202802454U CN 201220483713 CN201220483713 CN 201220483713 CN 201220483713 U CN201220483713 U CN 201220483713U CN 202802454 U CN202802454 U CN 202802454U
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- puncture
- puncture needle
- point
- anesthesia
- wicresoft
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Abstract
The utility model discloses a minimal invasion spinal anaesthesia puncture component which comprises a locating device and a puncture needle. The locating device comprises an operating handle and a locating disc. A puncture reference point is arranged on the operating handle. The locating disc is provided with a puncture needle locating point and a plurality of puncture needle locating threads which regard the puncture needle locating point as a starting point. The minimal invasion spinal anaesthesia puncture component can well located a puncture position according to a locating reference point and the puncture needle locating threads of the locating device and is accurate in location. The puncture angle is easy to handle, larger error caused by subjective factors is avoided, blind operation is reduced, and successful rate of the puncture is high. Rate of puncturing nerve is very low. A patient is free of an abnormal sensation of electrical shock of the lower limbs. Postoperation neurological complications are rare. The patient is free of lumbago after operation. Postoperation intracranial hypotension headache is rare. De-pillow and lying on the back are not needed after the operation.
Description
Technical field
This utility model belongs to the anesthesia outfit technical field, relates to a kind of Wicresoft spinal anesthesia piercing assembly.
Background technology
Intravertebral anesthesia takies sizable ratio in China, although anaesthesia technology and anesthesia equipment are constantly perfect in recent years, but discomfort or the complication brought of anesthesia is still more common, and a lot of Anesthetists are not to the indication of epidural anesthesia, hard ridge combined anesthesia or spinal anesthesia and contraindication not on top of.
Described discomfort or complication comprise:
1, lumbago behind the epidural puncture: the investigation of lumbago and backache after the intravertebral anesthesia of doing recently, follow up a case by regular visits to more than 2000 examples and be epidural anesthesia or the patient 70-80% of combined spinal-epidural anesthesia after 1 year in various degree site of puncture lumbago and backache or point of puncture tenderness are arranged.Increase the weight of when bending over, may be relevant with the damage of ligament and adhesion or aseptic inflammation.
2, have a headache after the spinal anesthesia: investigation shows, because cerebrospinal fluid is had a headache incidence rate up to 20-30% through the point of puncture low intracranial pressure that produces that leaks outside, summer, incidence rate was higher after the lumbar puncture needle retardance of 22G(0.7 commonly used * 90mm).
3, other neural complications: the nerve damage phenomenons such as paralysis, lower-limb muscular strength decline and numb limbs and tense tendons occur such as patient after implementing combined spinal-epidural anesthesia or spinal anesthesia.
The generation of hard ridge combined anesthesia is in order to solve over the incidence rate height of ridge fiber crops postoperative patient headache, to bring into play simultaneously the advantage that the epidural surgery time is controlled, the numb nerve block of ridge is perfect.But often hard ridge combined anesthesia is made simple ridge fiber crops in clinical position, because a lot of patient is in single ridge anaesthetic amount or can finishes operation under single ridge anaesthetic amount fully, this is in itself to the misunderstanding of hard ridge combined anesthesia clinical practice.
The utility model content
The technical problem that this utility model solves is to provide a kind of Wicresoft spinal anesthesia piercing assembly, and this piercing assembly puncture wound is minimum, accurate positioning, puncture angle is easily grasped, and can reduce blindly operation, and puncture success rate is high, the postoperative intracranial hypotension headache seldom occurs without lumbago in postoperative.
This utility model is to be achieved through the following technical solutions:
A kind of Wicresoft spinal anesthesia piercing assembly, comprise localizer and puncture needle, localizer comprises lever and positioning disk, and lever is provided with the puncture reference point, and positioning disk is provided with the puncture needle anchor point and with many puncture needle position lines of puncture needle anchor point as starting point.
Described puncture reference point and puncture needle anchor point are arranged on the same straight line, and distance between the two is 1.2～1.6cm.
Distance between described puncture reference point and the puncture needle anchor point is 1.5cm.
Fan-shaped for take the puncture needle anchor point as the center of circle of described positioning disk.
The point take the puncture needle anchor point as O, fan-shaped one side OG is 0 °; OA, OB, OC, OD, OE, OF are the puncture needle position line, wherein ∠ AOG=60 °, ∠ BOG=65 °, ∠ COG=70 °, ∠ DOG=75 °, ∠ EOG=80 °, ∠ FOG=90 °; The end points H of fan-shaped another side is positioned at and passes on puncture reference point O ' and the straight line perpendicular to OG.
The reverse extending line of described OA, OB, OC, OD, OE with pass puncture reference point O ' and intersect at respectively A ', B ', C ', D ', E ' point perpendicular to the straight line of OG; Skin to spinal dural distance was respectively the distance of O ' A ', O ' B ', O ' C ', O ' D ' and O ' E ' when puncture needle punctured from OA, OB, OC, OD and OE.
The length of described OO ' is 1.5cm; The length of O ' A ' is 2.0cm, and the length of O ' B ' is 3.1cm, and the length of O ' C ' is 4.1cm, and the length of O ' D ' is 5.6cm, and the length of O ' E ' is 8.0cm.
Described puncture needle is the fine needle of 25GII type.
Compared with prior art, the utlity model has following useful technique effect:
Wicresoft's spinal anesthesia piercing assembly that this utility model provides, according to the location reference point on the localizer and puncture needle position line localised puncture orientation preferably just, accurate positioning, puncture angle is easily grasped, the larger error of avoiding subjective factors to cause, reduced blindly operation, puncture success rate is high.Thorn and nerve root probability are minimum, and the patient is without lower limb electric shock sample susceptible, and the postoperative neural complication is rare: postoperative without lumbago the postoperative intracranial hypotension headache occurs seldom, and postoperative needn't go pillow flat sleeping.
Wicresoft's spinal anesthesia piercing assembly that this utility model provides, owing to be suitable for adopting side to enter the method puncture, avoid on the sour jujube fully, interspinal ligaments, the soft tissue mobility of dypass puncture is large, the inserting needle direction can adjusted on a large scale, even some puncture can reach adjacent two ligamenta flava, and is particularly favourable for the patient that body surface symbol is unclear; And dypass puncture path soft tissue all, resistance is little, and stereovision is clear, and each level feel is all obvious.Ligament, sclerotin, soft tissue pin sense difference are obvious, are easy to differentiate, and break through sense obviously, do not have " folder pin " phenomenon.
Owing to enter canalis spinalis in the vertebral plate gap, can not closed this gap even patient's spinal column is not crooked, by narrow interspinal interstice, so less demanding to pricking body position, being applicable to spinal column can not curved patient out.
Wicresoft's spinal anesthesia piercing assembly that this utility model provides has been simplified anesthesia step and anesthesia medication, and puncture needle is near localizer, the pin straight line is thrust, not flexible, do not need guide needle, do not need lignocaine to do the point of puncture local infiltration anesthesia, the patient suffering is little, and anesthesia procedure is simple, quick.
Wicresoft's spinal anesthesia piercing assembly that this utility model provides, puncture needle is the fine needle of 25GII type, 0.5 * 10mm, and with pin in the used pin of general combined spinal-epidural anesthesia, its needle body is shorter, and long is 10mm, is easy to control, and Material Strength is large, and is not flexible; So damage minimumly, twinge is far smaller than the pain of local infiltration anesthesia, and postoperative without lumbago the postoperative intracranial hypotension headache occurs seldom, and postoperative also needn't go pillow flat sleeping.
Wicresoft's spinal anesthesia piercing assembly that this utility model provides, localizer is transparent, and the operator of convenient different customs punctures from the patient both sides; And with low cost, simplicity of design, clear is easy to grasp.Because of simple to operate rapid, be particularly suitable for the anesthesia of emergency caesarean section operation.
Wicresoft's spinal anesthesia piercing assembly that this utility model provides adopts side to enter the method puncture, and compare with simple epidural anesthesia, hard ridge combined anesthesia, the spinal anesthesia of 22G puncture needle: wound is minimum, complication of anesthesia is rare, anesthesia cost is cheap, and simple to operate rapid, patient satisfaction is high.
Description of drawings
Fig. 1 is the sketch map of localizer of the present utility model.
The specific embodiment
Below in conjunction with accompanying drawing this utility model is done to describe in further detail, described is to explanation of the present utility model rather than restriction.
Referring to Fig. 1, a kind of Wicresoft spinal anesthesia piercing assembly comprises localizer and puncture needle, and localizer comprises lever 2 and positioning disk 1,2 are provided with puncture reference point 5 on the lever, and positioning disk 1 is provided with puncture needle anchor point 3 and with many puncture needle position lines 4 of puncture needle anchor point 3 as starting point.
Concrete, described puncture reference point 5 and puncture needle anchor point 3 are arranged on the same straight line, and distance between the two is 1.2～1.6cm.Distance between preferred puncture reference point 5 and the puncture needle anchor point 3 is 1.5cm.
Concrete, fan-shaped for take puncture needle anchor point 3 as the center of circle of described positioning disk 1.The point take puncture needle anchor point 3 as O, fan-shaped one side OG is 0 °; OA, OB, OC, OD, OE, OF are puncture needle position line 4, wherein ∠ AOG=60 °, ∠ BOG=65 °, ∠ COG=70 °, ∠ DOG=75 °, ∠ EOG=80 °, ∠ FOG=90 °; The end points H of fan-shaped another side is positioned at and passes puncture reference point 5(O ' point) and the straight line perpendicular to OG on.
The reverse extending line of described OA, OB, OC, OD, OE with pass puncture reference point O ' and intersect at respectively A ', B ', C ', D ', E ' point perpendicular to the straight line of OG; Skin to spinal dural distance was respectively the distance of O ' A ', O ' B ', O ' C ', O ' D ' and O ' E ' when puncture needle punctured from OA, OB, OC, OD and OE.
When the length of OO ' was 1.5cm, the length of O ' A ' was 2.0cm, and the length of O ' B ' is 3.1cm, and the length of O ' C ' is 4.1cm, and the length of O ' D ' is 5.6cm, and the length of O ' E ' is 8.0cm.
Described localizer is transparent when concrete the use, and such as transparent plastics, the operator of convenient different customs punctures from the patient both sides;
Puncture needle is the fine needle of 25GII type, and be different from the interior pin of pin that general combined spinal analgesia is used: its length is shorter, and its specification is 0.5 * 10mm; Material Strength is large, and is not flexible, overcomes the softer shortcoming of puncture needle.
Puncture needle is tiny like this, and its wound is minimum, and postoperative without lumbago the postoperative intracranial hypotension headache occurs seldom, and postoperative needn't go pillow flat sleeping; And puncture needle is long is 10mm, is easy to control, and can satisfy the demand of most patient's spinal anesthesias.
The operation of described Wicresoft spinal anesthesia piercing assembly is as follows:
1, patient body position: get lateral position or seat (anesthesia of saddle district).The head bolster, back needs vertical with bed surface, and is as far as possible crooked backward waist with the edge of bed snap, so that puncture.
2, site of puncture: select L
3-4Or L
4-5Interspinal interstice is marked, sterile drape.
3, do not do local anesthesia, directly puncture.Operator's left hand is held localizer, places perpendicular to rear axis, makes make marks overlapping with institute at localizer O '.The right hand is held puncture needle, and needle placement is in the O point, and near patient skin.
Point of puncture is opened the 1.5cm place on the interspinal interstice side, and (be the distance of OO ', O ' is the L of institute's labelling
3-4Or L
4-5Interspinal interstice, the position that the O point penetrates for puncture needle), so just avoid supraspinal ligament and interspinal ligaments fully, penetration Resistance is little, punctures ligamenta flava and spinal dural breakthrough sense is obvious.
The prediction patient skin is different to spinal dural distance, and the needle body that will puncture places the different scales of localizer place, if estimate that skin to spinal dural distance is 4cm, can make needle tip be positioned at the O point, and the needle body overlaps puncture and gets final product with localizer OC line.Be generally between OC line and the OD line.Guided by localizer like this, accurate positioning, puncture angle is easily grasped, and the larger error of avoiding subjective factors to cause has reduced blindly operation, and puncture success rate is high.
Puncture needle is near localizer, and left index finger is satisfied with the about 3cm of needle point place, makes the needle body near localizer, and the right hand is held behind the puncture needle 1/3(and cutd open that patient's hand thumb is produced in the palace and forefinger can be clamped needle handle, breaks through sense in order to realize puncture), the pin straight line is thrust.
General inserting needle 3-5cm namely punctures ligamenta flava and spinal dural breakthrough sense, extracts nook closing member, and seeing has cerebrospinal fluid to flow out, and then injects local anaesthetics.Such as sclerotin, can not puncture by force, withdraw of the needle point is in subcutaneous, again thrusts after slightly adjusting puncture angle.
After the side of above-mentioned Wicresoft spinal anesthesia piercing assembly enters the method puncture, change the method for traditional waist section intravertebral anesthesia, simple because puncturing, complication is rare, can replace most of waist section epidural anesthesias, hard ridge combined anesthesia and traditional spinal anesthesia.
And Wicresoft's spinal anesthesia piercing assembly equipment is simple, is easy to grasp, and has simplified anesthesia step and anesthesia medication, has saved the puncture time, makes the Anesthetist have more energy to be used for anesthesia management.Closing and treating the super expense of Medical Insurance Patients is the problem that present situation of all-level hospitals generally faces, and this Wicresoft spinal anesthesia piercing assembly is compared with legacy equipment, and expense is cheap, can satisfy present policy demand.
Compare with simple epidural anesthesia, hard ridge combined anesthesia, traditional spinal anesthesia: wound is minimum, belong to microtrauma puncture truly, Lumbar pain after operation, intracranial hypotension headache and other neural complication are rare, have greatly improved the anesthesia quality, ensured medical safety, patient satisfaction is high.
And simple to operate rapid, be particularly suitable for the anesthesia that emergency caesarean section is performed the operation; The operator is easy to grasp, and especially makes things convenient for the abecedarian, and the anesthesia success rate is high.
Claims (8)
1. Wicresoft's spinal anesthesia piercing assembly, it is characterized in that, comprise localizer and puncture needle, localizer comprises lever (2) and positioning disk (1), (2) are provided with puncture reference point (5) on the lever, and positioning disk (1) is provided with puncture needle anchor point (3) and with many puncture needle position lines (4) of puncture needle anchor point (3) as starting point.
2. Wicresoft as claimed in claim 1 spinal anesthesia piercing assembly is characterized in that described puncture reference point (5) and puncture needle anchor point (3) are arranged on the same straight line, and distance between the two is 1.2～1.6cm.
3. Wicresoft as claimed in claim 2 spinal anesthesia piercing assembly is characterized in that the distance between described puncture reference point (5) and the puncture needle anchor point (3) is 1.5cm.
4. Wicresoft as claimed in claim 1 spinal anesthesia piercing assembly is characterized in that, described positioning disk (1) is fan-shaped take puncture needle anchor point (3) as the center of circle.
5. Wicresoft as claimed in claim 4 spinal anesthesia piercing assembly is characterized in that take puncture needle anchor point (3) as the O point, fan-shaped one side OG is 0 °; OA, OB, OC, OD, OE, OF are puncture needle position line (4), wherein ∠ AOG=60 °, ∠ BOG=65 °, ∠ COG=70 °, ∠ DOG=75 °, ∠ EOG=80 °, ∠ FOG=90 °; The end points H of fan-shaped another side is positioned at and passes on puncture reference point (5) O ' and the straight line perpendicular to OG.
6. Wicresoft as claimed in claim 5 spinal anesthesia piercing assembly, it is characterized in that, the reverse extending line of described OA, OB, OC, OD, OE with pass puncture reference point (5) O ' and intersect at respectively A ', B ', C ', D ', E ' point perpendicular to the straight line of OG; Skin to spinal dural distance was respectively the distance of O ' A ', O ' B ', O ' C ', O ' D ' and O ' E ' when puncture needle punctured from OA, OB, OC, OD and OE.
7. Wicresoft as claimed in claim 6 spinal anesthesia piercing assembly is characterized in that the length of OO ' is 1.5cm; The length of O ' A ' is 2.0cm, and the length of O ' B ' is 3.1cm, and the length of O ' C ' is 4.1cm, and the length of O ' D ' is 5.6cm, and the length of O ' E ' is 8.0cm.
8. Wicresoft as claimed in claim 1 spinal anesthesia piercing assembly is characterized in that described localizer is transparent, and puncture needle is the fine needle of 25GII type.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220483713 CN202802454U (en) | 2012-09-20 | 2012-09-20 | Minimal invasion spinal anaesthesia puncture component |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220483713 CN202802454U (en) | 2012-09-20 | 2012-09-20 | Minimal invasion spinal anaesthesia puncture component |
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| Publication Number | Publication Date |
|---|---|
| CN202802454U true CN202802454U (en) | 2013-03-20 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201220483713 Expired - Fee Related CN202802454U (en) | 2012-09-20 | 2012-09-20 | Minimal invasion spinal anaesthesia puncture component |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN202802454U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107802330A (en) * | 2017-11-21 | 2018-03-16 | 中国人民解放军第四五五医院 | Spinal puncture positioning auxiliary device |
-
2012
- 2012-09-20 CN CN 201220483713 patent/CN202802454U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107802330A (en) * | 2017-11-21 | 2018-03-16 | 中国人民解放军第四五五医院 | Spinal puncture positioning auxiliary device |
| CN107802330B (en) * | 2017-11-21 | 2023-09-05 | 中国人民解放军第四五五医院 | Spinal puncture positioning auxiliary device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| ASS | Succession or assignment of patent right |
Owner name: SANITARY INST, WEAPON IND Free format text: FORMER OWNER: ZHOU YING Effective date: 20131204 |
|
| C41 | Transfer of patent application or patent right or utility model | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20131204 Address after: 710065, No. eight, No. 12 East Road, Yanta District, Shaanxi, Xi'an Patentee after: ORDNANCE INSTITUTE OF HEALTH Address before: 710065, No. eight, No. 12 East Road, Yanta District, Shaanxi, Xi'an Patentee before: Zhou Ying |
|
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20130320 Termination date: 20150920 |
|
| EXPY | Termination of patent right or utility model |