CN204394637U - A kind of single chamber dual pathways combined spinal-epidural anesthesia one puncture needle - Google Patents

A kind of single chamber dual pathways combined spinal-epidural anesthesia one puncture needle Download PDF

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CN204394637U
CN204394637U CN201420788514.3U CN201420788514U CN204394637U CN 204394637 U CN204394637 U CN 204394637U CN 201420788514 U CN201420788514 U CN 201420788514U CN 204394637 U CN204394637 U CN 204394637U
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needle
puncture needle
epidural
anesthesia
passage
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张敬首
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Abstract

The utility model proposes a kind of single chamber dual pathways combined spinal-epidural anesthesia one puncture needle, comprise pedestal and needle tubing, described needle tubing is fixed on described pedestal, and described pedestal is provided with the passage with described needle tubing conducting; Empty to form the inner chamber making epidural catheter and/or lumbar puncture needle pass in wherein said needle tubing; Wherein, the external diameter of spinal needle is 0.45-0.55mm, and the external diameter of epidural catheter is 0.55-0.9mm.This utility model can either carry out epidural anesthesia can carry out Spina anesthesia again, can row lumbar anesthesia and insert epidural catheter simultaneously.

Description

一种单腔双通道腰硬联合麻醉一体穿刺针A single-cavity double-channel combined spinal epidural anesthesia integrated puncture needle

技术领域 technical field

本实用新型涉及医疗器械技术领域,尤其是涉及一种单腔双通道腰硬联合麻醉一体穿刺针。The utility model relates to the technical field of medical instruments, in particular to a single-cavity double-channel lumbar epidural combined anesthesia integrated puncture needle.

背景技术 Background technique

椎管内联合麻醉已成为下腹部、下肢各种手术的首选麻醉方法之一。椎管内联合麻醉具有起效快,阻滞效果好,麻醉时间不受限制的优点。现阶段使用的腰硬联合麻醉穿刺针为针中针,在使用经常会出现注入腰麻药后置硬膜外导管受阻或置硬膜外导管不顺利的情况时有发生,导致无法进行椎管内联合麻醉。Combined spinal anesthesia has become one of the preferred anesthesia methods for various operations on the lower abdomen and lower limbs. Combined spinal anesthesia has the advantages of quick onset, good block effect, and unlimited anesthesia time. The combined spinal-epidural anesthesia puncture needle used at this stage is a needle-in-needle, which often occurs when the epidural catheter is blocked after the spinal anesthetic is injected or the epidural catheter is not placed smoothly, resulting in the inability to perform the spinal canal. Combined anesthesia.

具体来说,在使用现有的腰硬联合麻醉穿刺针进行椎管内联合麻醉时,病人取侧卧位,并在椎间隙行硬膜外腔穿刺成功后用5#细针行蛛网膜下腔穿刺,出现典型穿破硬脊膜的落空后拔出针芯,见脑脊液流出后注入局麻药液,拔出细腰麻穿刺针后置入硬膜外导管。但是现有的腰硬联合麻醉穿刺针在使用过程时经常会发生腰麻后置硬膜外导管不能顺利置入,导致给患者造成极大的痛苦。Specifically, when using the existing combined spinal epidural anesthesia puncture needle for intraspinal combined anesthesia, the patient is placed in the lateral position, and after successful epidural puncture in the intervertebral space, a 5# fine needle is used to perform subarachnoid anesthesia. Cavity puncture, the needle core was pulled out after the typical dura mater was lost, and the local anesthetic solution was injected after the cerebrospinal fluid flowed out, and the epidural catheter was inserted after the fine spinal anesthesia puncture needle was pulled out. However, the existing spinal-epidural anesthesia puncture needle often occurs in the process of using the epidural catheter after the spinal anesthesia cannot be inserted smoothly, causing great pain to the patient.

实用新型内容 Utility model content

针对当前现有的椎管内联合麻醉的穿刺针结构不合理导致效果不好的问题,本实用新型主要突破解决了一种能够通过一针穿刺同时进行硬膜外麻醉和蛛网膜下腔麻醉的联合麻醉一体穿刺针。Aiming at the problem that the puncture needle structure of the existing spinal canal combined anesthesia is unreasonable and the effect is not good, the utility model mainly breaks through and solves a kind of needle puncture that can perform epidural anesthesia and subarachnoid anesthesia at the same time. Combined anesthesia integrated puncture needle.

为了实现该目的,本实用新型提供了一种单腔双通道腰硬联合麻醉一体穿刺针,包括基座和针管,所述针管固定在所述基座上,且所述基座上设有与所述针管导通的通道;其中所述针管内空以形成使硬膜外导管和/或腰穿针穿过的内腔;其中,腰麻针的外径为0.45-0.55mm,硬膜外导管的外径为0.55-0.9mm。In order to achieve this purpose, the utility model provides a single-cavity double-channel spinal epidural anesthesia integrated puncture needle, including a base and a needle tube, the needle tube is fixed on the base, and the base is equipped with The channel through which the needle tube leads; wherein the needle tube is hollow to form an inner cavity for the epidural catheter and/or lumbar puncture needle to pass through; wherein, the outer diameter of the spinal anesthesia needle is 0.45-0.55mm, and the epidural The outer diameter of the catheter is 0.55-0.9 mm.

其中,所述基座上设有一条贯穿所述基座的通道,所述通道一端与所述针管导通,另一端在基座上形成用于使所述硬膜外导管和腰穿针伸入所述针管的开口。Wherein, the base is provided with a passage through the base, one end of the passage is connected to the needle tube, and the other end is formed on the base for extending the epidural catheter and the lumbar puncture needle. into the opening of the needle.

其中,所述通道在所述开口端的内径大于所述与针管导通一端的内径。Wherein, the inner diameter of the channel at the open end is larger than the inner diameter of the end leading to the needle tube.

其中,所述基座上设有贯穿所述基座的一条硬膜外导管通道和一条腰穿针通道;其中所述硬膜外导管通道与所述针管导通,且另一端在所述基座上形成用于使硬膜外导管穿过的硬膜外导管开口;且所述腰穿针通道也与所述针管导通,且另一端在所述基座上形成用于使腰穿针穿过的腰穿针开口。Wherein, the base is provided with an epidural catheter channel and a lumbar puncture needle channel through the base; wherein the epidural catheter channel is connected to the needle tube, and the other end is connected to the base An epidural catheter opening for passing the epidural catheter is formed on the seat; and the lumbar puncture needle channel is also connected to the needle tube, and the other end is formed on the base for the lumbar puncture needle Needle opening through the waist.

其中,所述腰穿针通道与所述针管的内腔同轴设置,且所述硬膜外导管通道与所述腰穿针通道成一夹角。Wherein, the lumbar puncture channel is arranged coaxially with the inner cavity of the needle tube, and the epidural catheter channel forms an included angle with the lumbar puncture channel.

其中,所述针管的长度为8-12cm。Wherein, the length of the needle tube is 8-12cm.

其中,所述针管为圆形,外直径为1.6-1.8mm。Wherein, the needle tube is circular with an outer diameter of 1.6-1.8mm.

其中,所述针管为椭圆形,且所述椭圆形的长轴为1.6-1.8mm,且短轴为1.4-1.6mm。Wherein, the needle tube is elliptical, and the long axis of the ellipse is 1.6-1.8 mm, and the short axis is 1.4-1.6 mm.

本实用新型的有益效果是:本实用新型提出了一种单腔双通道腰硬联合麻醉一体穿刺针,既能够进行硬膜外麻醉又能够进行腰麻麻醉,可以同时行腰麻和置入硬膜外导管。其优点在于它能够先置硬膜外导管后行腰麻,避免了以往腰麻后置导管不顺利而影响阻滞平面的情况发生。同时本实用新型实施例还提出了两种。The beneficial effects of the utility model are: the utility model proposes a single-cavity double-channel lumbar epidural combined anesthesia integrated puncture needle, which can perform both epidural anesthesia and spinal anesthesia, and can perform spinal anesthesia and epidural anesthesia at the same time. extramembranous duct. Its advantage is that it can put the epidural catheter first and then perform spinal anesthesia, avoiding the situation that the block plane was affected by the poor catheter placement after spinal anesthesia in the past. Simultaneously, the utility model embodiment also proposes two kinds.

附图说明 Description of drawings

通过下面结合附图对本实用新型的一个优选实施例进行的描述,本实用新型的技术方案及其技术效果将变得更加清楚,且更加易于理解。其中:Through the following description of a preferred embodiment of the utility model in conjunction with the accompanying drawings, the technical solution and technical effects of the utility model will become clearer and easier to understand. in:

图1示出了本实用新型一个实施例的单腔双通道腰硬联合麻醉一体穿刺针的剖视结构示意图;Fig. 1 shows a schematic cross-sectional structural view of a single-cavity double-channel combined spinal-epidural anesthesia integrated puncture needle according to an embodiment of the present invention;

图2示出了本实用新型另一个实施例的单腔双通道腰硬联合麻醉一体穿刺针的剖视结构示意图;Fig. 2 shows a schematic cross-sectional structure diagram of a single-cavity double-channel combined spinal epidural anesthesia integrated puncture needle according to another embodiment of the present invention;

附图标记说明:Explanation of reference signs:

1、针管;1. Needle tube;

2、腰穿针;2. Waist puncture;

3、硬膜外导管;3. Epidural catheter;

4、开口;4. Opening;

41、硬膜外导管开口;41. Epidural catheter opening;

42、腰穿针开口;42. Waist puncture needle opening;

5、针头。5. Needle.

具体实施方式 Detailed ways

以下将结合所附的附图对本实用新型的一个优选实施例进行描述。A preferred embodiment of the present utility model will be described below in conjunction with the accompanying drawings.

本实用新型提供了一种单腔双通道腰硬联合麻醉一体穿刺针, 包括基座和针管1,所述针管1固定在所述基座上,且所述基座上设有与所述针管1导通的通道。如图3所示的,其中所述针管1内空以形成使硬膜外导管和/或腰穿针穿过的内腔。如图1和图3所示的,腰麻针的外径为0.45-0.55mm,硬膜外导管的外径为0.55-0.9mm。The utility model provides a single-cavity double-channel spinal epidural anesthesia integrated puncture needle, comprising a base and a needle tube 1, the needle tube 1 is fixed on the base, and the base is provided with a 1 conduction channel. As shown in FIG. 3 , the needle tube 1 is hollow to form a lumen for the epidural catheter and/or lumbar puncture needle to pass through. As shown in Figure 1 and Figure 3, the outer diameter of the spinal anesthesia needle is 0.45-0.55 mm, and the outer diameter of the epidural catheter is 0.55-0.9 mm.

具体的,如图2所示的,该基座上设有一个通道,该通道一端与针管1的内腔导通,另一端在基座上具有一个开口4。这种结构下的硬膜外导管3和腰穿针2是通过同一开口4伸入到基座内,并分别穿过针管1的内腔内后从针头5处伸出。Specifically, as shown in FIG. 2 , a channel is provided on the base. One end of the channel communicates with the inner cavity of the needle tube 1 , and the other end has an opening 4 on the base. Under this structure, the epidural catheter 3 and the lumbar puncture needle 2 extend into the base through the same opening 4, and protrude from the needle head 5 after passing through the inner cavity of the needle tube 1 respectively.

如图2所示的,在本实用新型另一个实施例中,基座上设有两个通道,分别使硬膜外导管和腰穿针穿过,且基座上设有不同的开口,即硬膜外导管开口41和腰穿针开口42。As shown in Figure 2, in another embodiment of the present invention, two channels are provided on the base, through which the epidural catheter and the lumbar puncture needle pass through respectively, and different openings are provided on the base, namely Epidural catheter opening 41 and lumbar puncture needle opening 42 .

如图2所示的,所述基座上设有贯穿所述基座的一条硬膜外导管通道和一条腰穿针通道;其中所述硬膜外导管通道与所述针管1的硬膜外导管管腔导通,且另一端在所述基座上形成用于使硬膜外导管穿过的硬膜外导管开口41或者42;且所述腰穿针通道与所述针管1的内腔导通,且另一端在所述基座上形成用于使腰穿针穿过的腰穿针开口42或者41。所述腰穿针和硬膜外导管通道与所述针管1的内腔导通,从针头5伸出。As shown in Figure 2, the base is provided with an epidural catheter channel and a lumbar puncture needle channel through the base; wherein the epidural catheter channel and the epidural of the needle tube 1 The catheter lumen is connected, and the other end forms an epidural catheter opening 41 or 42 on the base for passing the epidural catheter; and the lumbar puncture channel and the inner cavity of the needle tube 1 conduction, and the other end forms a lumbar puncture needle opening 42 or 41 on the base for passing the lumbar puncture needle. The channel of the lumbar puncture needle and the epidural catheter communicates with the inner cavity of the needle tube 1 and protrudes from the needle 5 .

如图1、图2所示的,所述针管1的长度为8-12cm。其中所述针管1为圆形,且外直径为1.6-1.8mm。其中,所述针管1还可以为椭圆形,且所述椭圆形的长轴为1.6-1.8mm,且短轴为1.4-1.6mm。As shown in Figure 1 and Figure 2, the length of the needle tube 1 is 8-12 cm. Wherein the needle tube 1 is circular with an outer diameter of 1.6-1.8 mm. Wherein, the needle tube 1 can also be elliptical, and the major axis of the ellipse is 1.6-1.8mm, and the minor axis is 1.4-1.6mm.

在使用旧式腰硬联合穿刺包时,病人取侧卧位,并在椎间隙行硬膜外腔穿刺成功后用5#细针行蛛网膜下腔穿刺,出现典型穿破硬脊膜的落空后拔出针芯,见脑脊液流出后注入局麻药液,拔出穿刺针后置入硬膜外导管。由于腰麻后置导管不顺利时有发生,导致导管不能置入使腰硬联合麻醉失败给患者造成极大的痛苦。When using the old combined lumbar epidural puncture package, the patient takes the lateral position, and after the successful epidural puncture in the intervertebral space, the subarachnoid puncture is performed with a 5# fine needle. Pull out the needle core, inject local anesthetic solution after seeing the cerebrospinal fluid flow out, pull out the puncture needle, and insert the epidural catheter. Due to the failure of catheter placement after spinal anesthesia, it happens from time to time that the catheter cannot be inserted and combined spinal epidural anesthesia fails to cause great pain to the patient.

实用新型人针对上述问题对穿刺针进行了改制,研制了新式的单腔双通道腰硬联合麻醉一体穿刺针,其主要包括0.55到0.9mm硬膜外导管及0.45-0.55mm腰穿针针芯,此穿刺针为单腔双通道,可以同时行腰麻和置入硬膜外导管。其优点在于它能够先置硬膜外导管后行腰麻,避免了以往腰麻后再置导管不顺利而影响麻醉阻滞平面的情况发生。Aiming at the above problems, the utility model reformed the puncture needle, and developed a new single-cavity double-channel spinal-epidural combined anesthesia integrated puncture needle, which mainly includes a 0.55 to 0.9mm epidural catheter and a 0.45-0.55mm lumbar puncture needle core. , the puncture needle is single-lumen and double-channel, which can be used for spinal anesthesia and epidural catheterization at the same time. Its advantage is that it can first place an epidural catheter before performing spinal anesthesia, avoiding the situation that the previous spinal anesthesia followed by catheter placement was not smooth and affected the plane of anesthesia block.

对于所属技术领域的技术人员而言,随着技术的发展,本实用新型构思可以不同方式实现。本实用新型的实施方式并不仅限于以上描述的实施例,而且可在权利要求的范围内进行变化。For those skilled in the art, with the development of technology, the concept of the utility model can be realized in different ways. Embodiments of the invention are not limited to the examples described above but may vary within the scope of the claims.

Claims (8)

1. single chamber dual pathways combined spinal-epidural anesthesia one puncture needle, it is characterized in that, comprise pedestal and needle tubing, described needle tubing is fixed on described pedestal, and described pedestal is provided with the passage with described needle tubing conducting; Empty to form the inner chamber making epidural catheter and/or lumbar puncture needle pass in wherein said needle tubing; Wherein, the external diameter of spinal needle is 0.45-0.55mm, and the external diameter of epidural catheter is 0.55-0.9mm.
2. single chamber according to claim 1 dual pathways combined spinal-epidural anesthesia one puncture needle, it is characterized in that, described pedestal is provided with the passage that runs through described pedestal, described passage end and described needle tubing conducting, the other end forms the opening for making described epidural catheter and lumbar puncture needle stretch into described needle tubing on pedestal.
3. single chamber according to claim 2 dual pathways combined spinal-epidural anesthesia one puncture needle, is characterized in that, described passage is greater than internal diameter that is described and needle tubing conducting one end at the internal diameter of described opening.
4. single chamber according to claim 1 dual pathways combined spinal-epidural anesthesia one puncture needle, it is characterized in that, described pedestal is provided with the epidural catheter passage and a lumbar puncture needle passage that run through described pedestal; Wherein said epidural catheter passage and described needle tubing conducting, and the other end forms the epidural catheter opening for making epidural catheter pass on described pedestal; And described lumbar puncture needle passage also with described needle tubing conducting, and the other end forms the lumbar puncture needle opening for making lumbar puncture needle pass on described pedestal.
5. single chamber according to claim 4 dual pathways combined spinal-epidural anesthesia one puncture needle, it is characterized in that, the coaxial of described lumbar puncture needle passage and described needle tubing is arranged, and described epidural catheter passage and described lumbar puncture needle passage have angle.
6. the single chamber dual pathways combined spinal-epidural anesthesia one puncture needle according to any one of claim 1-5, it is characterized in that, the length of described needle tubing is 8-12cm.
7. the single chamber dual pathways combined spinal-epidural anesthesia one puncture needle according to any one of claim 1-5, it is characterized in that, described needle tubing is circular, and overall diameter is 1.6-1.8mm.
8. the single chamber dual pathways combined spinal-epidural anesthesia one puncture needle according to any one of claim 1-5, it is characterized in that, described needle tubing is oval, and the major axis of described ellipse is 1.6-1.8mm, and minor axis is 1.4-1.6mm.
CN201420788514.3U 2014-12-15 2014-12-15 A kind of single chamber dual pathways combined spinal-epidural anesthesia one puncture needle Expired - Fee Related CN204394637U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586478A (en) * 2014-12-15 2015-05-06 张敬首 Single-cavity two-channel combined spinal-epidural anesthesia integrated puncture needle

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586478A (en) * 2014-12-15 2015-05-06 张敬首 Single-cavity two-channel combined spinal-epidural anesthesia integrated puncture needle

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Granted publication date: 20150617