Utility model content
For the above-mentioned technical problem in correlation technique, given the utility model proposes a kind of cavum subarachnoidale Epidural cavity canalis spinalis
Medicine device, it is possible to increase medicine is to the curative effect of application point, the pain for mitigating patient, the big toxic side effect to human body of mitigation dosage
With damage, the life-span of extension patient and the quality of life for improving pain-suffered patient.
To realize above-mentioned technical purpose, what the technical solution of the utility model was realized in:
On a kind of cavum subarachnoidale Epidural cavity canalis spinalis doser, including the polysulfone material pump housing, the polysulfone material pump housing
Punctured provided with medical silica-gel and be connected with swagelok, the polysulfone material pump on the right side of barrier film, the polysulfone material pump housing
Cavity is provided with vivo, and the right side of the cavity is provided with the locking inner sleeve being engaged with the polysulfone material pump housing and swagelok,
The locking inner sleeve is arranged with draw point, and the draw point is provided with through hole vertically, and one end of the draw point is connected with the cavity, institute
The other end for stating draw point is connected with polyurethane material conduit, the through hole and the cavity and polyurethane through the swagelok
Material conduit is connected.
Further, the medical silica-gel is punctured between barrier film and the polysulfone material pump housing by the way of hot melt riveting
It is tightly connected.
Further, the right side of the polysulfone material pump housing is provided with groove, and the inwall of the groove is provided with internal thread, institute
State swagelok and be provided with the external screw thread being engaged with the internal thread, the swagelok passes through the internal thread and external screw thread
It is connected with the polysulfone material pump housing.
The beneficial effects of the utility model:
The analgesic of plug-in medicine bag can be directly entered through the pump housing and conduit it is intrathecal, only with the dose of oral Morphine 1/300
(Or the dose of intravenous morphine 1/100), you can reach with oral or intravenous morphine identical analgesic effect, and analgesia
Action time is longer, improves curative effect of the medicine to application point, significantly reduces the pain of patient, alleviates dosage big to people
The toxic side effect of body and damage, in the relative life-span for extending patient, improve the quality of life of pain-suffered patient.
Medical silica-gel punctures barrier film and uses silica gel, can allow not damaged pin puncture 2000 times, improves the administration time of device
Number and service life;The polysulfone material pump housing and polyurethane material conduit are made of medical polysulfones and polyurethane material, and performance is steady
It is fixed, it can for a long time put and stay in human body;The present apparatus is easily installed, reasonable in design, and sound construction is stable, good sealing effect;Hand
Device element is integrally packed needed for art, facilitates doctor to insert operation.
Brief description of the drawings
, below will be to embodiment in order to illustrate more clearly of the utility model embodiment or technical scheme of the prior art
In required for the accompanying drawing that uses be briefly described, it should be apparent that, drawings in the following description are only of the present utility model
Some embodiments, for those of ordinary skill in the art, on the premise of not paying creative work, can also be according to this
A little accompanying drawings obtain other accompanying drawings.
Fig. 1 is the sectional view of the cavum subarachnoidale Epidural cavity canalis spinalis doser according to the utility model embodiment;
Fig. 2 is the explosive view of the cavum subarachnoidale Epidural cavity canalis spinalis doser according to the utility model embodiment;
Fig. 3 is the installation method of the cavum subarachnoidale Epidural cavity canalis spinalis doser according to the utility model embodiment
FB(flow block);
Fig. 4 is the mounting structure figure according to the puncture process of the utility model embodiment;
Fig. 5 is the mounting structure figure according to the puncture process of the utility model embodiment;
Fig. 6 is the mounting structure figure according to the puncture process of the utility model embodiment;
Fig. 7 is the mounting structure figure of the plant pipe process according to the utility model embodiment;
Fig. 8 is the mounting structure figure of the plant pipe process according to the utility model embodiment;
Fig. 9 is the mounting structure figure for leading pipe process according to the utility model embodiment;
Figure 10 is the mounting structure figure for leading pipe process according to the utility model embodiment;
Figure 11 is the mounting structure figure of the solid pump process according to the utility model embodiment;
Figure 12 is the mounting structure figure that journey is passed by according to the test tube of the utility model embodiment.
In figure:
1st, the polysulfone material pump housing;2nd, medical silica-gel punctures barrier film;4th, swagelok;5th, draw point;6th, polyurethane material conduit;
7th, puncture needle;8th, integumentary musculature tissue;9th, point of puncture;10th, injection with low resistance;11st, cerebrospinal fluid flow-stop valve;12nd, seal wire;13、
Seal wire handle;14th, syringe;15th, pull needle;16th, subcutaneous pouch;17th, wiring;18th, polyurethane material conduit fixes anchor;19、
Spanner;20th, the embedding mouth suture of the polysulfone material pump housing;21st, dedicated transfusion pin;22nd, flow-stopping clip.
Embodiment
Below in conjunction with the accompanying drawing in the utility model embodiment, the technical scheme in the utility model embodiment is carried out
Clearly and completely describe, it is clear that described embodiment is only a part of embodiment of the utility model, rather than whole
Embodiment.Based on the embodiment in the utility model, the every other embodiment that those of ordinary skill in the art are obtained all belongs to
The scope protected in the utility model.
As shown in Figure 1-2, a kind of cavum subarachnoidale Epidural cavity canalis spinalis administration dress according to the utility model embodiment
Put, including the polysulfone material pump housing 1, the polysulfone material pump housing 1 is provided with medical silica-gel puncture barrier film 2, the polysulfone material pump
The right side of body 1 is connected with swagelok 4, is provided with cavity in the polysulfone material pump housing 1, the right side of the cavity be provided with
The locking inner sleeve 3 that the polysulfone material pump housing 1 and swagelok 4 are engaged, the locking inner sleeve 3 is arranged with draw point 5, the steel
Through hole is provided with pin 5 vertically, one end of the draw point 5 is connected with the cavity, the other end of the draw point 5 connects through described
Head casing tube 4 is connected with polyurethane material conduit 6, and the through hole is connected with the cavity and polyurethane material conduit 6.
Wherein, the medical silica-gel punctures close by the way of hot melt riveting between barrier film 2 and the polysulfone material pump housing 1
Envelope connection.
Wherein, the right side of the polysulfone material pump housing 1 is provided with groove, and the inwall of the groove is provided with internal thread, described
Swagelok is provided with the external screw thread being engaged with the internal thread, and the swagelok 4 passes through the internal thread and external screw thread
It is connected with the polysulfone material pump housing 1.
As shown in Fig. 3-12, the installation method of cavum subarachnoidale Epidural cavity canalis spinalis doser described in the utility model,
Comprise the following steps:
S1 makes patient lie on one's side, and localised puncture point 9 and is marked, is led according to polyurethane material with patient by fluoroscopic apparatus
Length of tube is selected to plant pump position and marked with patient(Polysulfone material pump housing riding position, which is preferably selected bottom, bone or flesh
The position of meat support, recommends at left and right pleural muscle rib);
T1 at point of puncture 9 and plant pump position to carrying out disinfection and/or local anaesthesia;Local anaesthesia is carried out after sterilization, is disappeared
After poison is finished, operation towel, exposure point of puncture 9 and plant pump position are completed, is entered using local anaesthesia for operative site injecting anesthetic medicine
Row local anaesthesia;
S2 is punctured using the alignment point of puncture 9 of puncture needle 7, puncture needle 7 is entered predetermined administering position, by cerebrospinal fluid
Flow-stop valve 11 is connected to the end of puncture needle 7, the front end of polyurethane material conduit 6 is monitored by fluoroscopic apparatus, by polyurethane material
The front end of conduit 6 is implanted to predetermined administering position by cerebrospinal fluid flow-stop valve 11 and puncture needle 7, withdraws cerebrospinal fluid flow-stop valve 11 and wears
Pricker 7;In the present embodiment, puncture needle 7 is disposable needle for anaesthesia;
S3 cuts at plant pump position and puts otch, forms subcutaneous pouch 16;Punctured with the alignment point of puncture 9 of pull needle 15, make to lead
The front end of draw pin 15 is through subcutaneously passing subcutaneous pouch 16;The end of pull needle 15 is set to be connected with the end of polyurethane material conduit 6,
The end of polyurethane material conduit 6 is drawn through subcutaneously passing subcutaneous pouch 16, pull needle 15 is withdrawn;
T2 puts about 2cm otch being cut near the track of polyurethane material conduit 6 of point of puncture 9, exposes one section of poly- ammonia
Ester material conduit 6, anchor 18 is fixed with polyurethane material conduit and clamps polyurethane material conduit 6, and hitches poly- ammonia with wiring 17
Ester material conduit 6 and polyurethane material conduit fix anchor 18, make polyurethane material conduit 6 will not be easily in polyurethane material conduit
Slided in fixed anchor 18, skin suture fixes anchor 18 with polyurethane material conduit;
S4 trims the polyurethane material conduit 6 of additional length, makes the end of polyurethane material conduit 6 and the polysulfone material pump housing 1
It is connected, the polysulfone material pump housing 1 is placed in subcutaneous pouch 16, the suture polysulfone material pump housing 1 and otch;
The medical silica-gel that S5 is punctured with dedicated transfusion pin 21 on skin and the polysulfone material pump housing punctures barrier film, pumpback brain ridge
Liquid, confirms that pipeline is unobstructed, installation.
Wherein, step S2 further comprises:
S21 is punctured using the alignment point of puncture 9 of puncture needle 7, is punctured after certain distance, is withdrawn puncture needle lining core, will be low
Resistance syringe 10 is connected to the end of puncture needle 7, and examination pushes away injection with low resistance 10, when the resistance of injecting of injection with low resistance 10 disappears
Lose, then puncture needle 7 has enter into epidural space;
S22 continues slow inserting needle, and until there is transparent cerebrospinal fluid to be back in injection with low resistance 10, then puncture needle 7 has entered
Enter to cavum subarachnoidale;
S23 withdraws injection with low resistance 10, and cerebrospinal fluid flow-stop valve 11 is connected to the end of puncture needle 7;
S24 monitors the front end of polyurethane material conduit 6 by fluoroscopic apparatus, by polyurethane material conduit 6 together with seal wire by
Cerebrospinal fluid flow-stop valve 11 and puncture needle 7 are sent into forward, the front end of polyurethane material conduit 6 is implanted to predetermined administering position;Take out
Seal wire 12 is walked, syringe 14 is connected to the end of polyurethane material conduit 6, pumpback cerebrospinal fluid is to determine polyurethane material conduit
6 enter predetermined administering position;
S25 withdraws syringe 14, cerebrospinal fluid flow-stop valve 11 and puncture needle 7.
Wherein, step S3 further comprises:
S31 is cut at selected plant pump position using scalpel and puts about 3cm otch, separates integumentary musculature tissue 8, is formed
Subcutaneous pouch 16;
The alignment point of puncture 9 of S32 pull needles 7 is punctured, and is subcutaneously being taken the needle, and is sent into, is made before pull needle 15 at pump position to planting
End passes the subcutaneous about 2 ~ 3cm of pouch 16;
S33 makes the end of pull needle 15 be connected with the end of polyurethane material conduit 6, and traction is extracted at subcutaneous pouch 16
Pull needle 15 is withdrawn through subcutaneously passing subcutaneous pouch 16 in pin 15, the end of traction polyurethane material conduit 6.
Wherein, step S4 further comprises:
S41 trimming additional length polyurethane materials conduit 6, the end of polyurethane material conduit 6 is connect through swagelok 4
Swagelok 4 and the polysulfone material pump housing are locked 1 onto the draw point 5 of the polysulfone material pump housing 1, and with spanner 19;
The polysulfone material pump housing 1 is placed in subcutaneous pouch 16 by S42, the suture polysulfone material pump housing 1 and wound, forms poly-
The embedding mouth suture 20 of the sulfone material pump housing.
Wherein, the draw point 5 is tack draw point;The fluoroscopic apparatus is fluoroscopy installation.
Behind the embedding good polysulfone material pump housing 1, with the assistant of the fixed dedicated transfusion pin 21 such as sterile gauze and medical proof fabric
And wound is protected, infection is prevented, then external analgesic pumping installations.
Cavum subarachnoidale Epidural cavity canalis spinalis doser described in the utility model(Analgesia pump)It is a kind of by polysulfone material
The pump housing 1 is embedded in subcutaneously, and polyurethane material conduit 6 inserts the cavum subarachnoidale or epidural space of intraspinal tube, is injecting anesthetic town
Pain medicine provides a kind of device of method of administration.The analgesic of plug-in medicine bag is led through the polysulfone material pump housing 1 and polyurethane material
Pipe 6 can be directly entered it is intrathecal, only with the dose of oral Morphine 1/300(Or the dose of intravenous morphine 1/100), you can reach
With oral or intravenous morphine identical analgesic effect, and Duration of analgesic action is longer, improves treatment of the medicine to application point
Effect, significantly reduces the pain of patient, alleviates the big toxic side effect and damage to human body of dosage, relative to extend patient's
In the life-span, improve the quality of life of pain-suffered patient.
Cavum subarachnoidale Epidural cavity canalis spinalis doser ethane via epoxyethane sterilizing described in the utility model, the term of validity three
Year, product batch number and Expiration Date see mark on single packing or work certificate.This doser should be stored in relative humidity not
More than 80%, non-corrosiveness gas pickling, lucifuge and draughty interior.
It should be noted that:
(1)This doser only limits disposable.Package integrity properties and product failure date please be check before use, if single
Packages in damaged condition or product obsolescence, are prohibitted the use of;
(2)This doser using have to comply with medical department associative operation specification and relevant laws and regulations requirement, be only limitted to through
Special training, the doctor with the related qualification of injecting anesthetic medicine uses;
(3)Using preceding intensive reading operation instructions, in Preoperative Method, art, postoperative administration in strict accordance with sterile procedure and should say
Bright book instructs operation;
(4)Plant before pump, patient should do overall physical inspection.Severe hypertension patient, arteriosclerosis and blood platelet are low
Person uses this product with caution;
(5)Forbid the medicament contact for having reactivity with silicon rubber, can not be contacted with acetone;
(6)Possible complication:Implantable drug delivery system may infect, dislocate, blocking, leakage situations such as, such as send out
During raw complication, professional and doctor should be asked to handle immediately;
(7)Note preventing polyurethane material conduit bending during implantation, the bending radius of polyurethane material conduit should during bending
More than 8mm;
(8)The vertical inserting needle of not damaged syringe needle is applied when injecting medicine, prevents needle point thorn from causing bending to pump bottom, causes to extract
Medical silica-gel is damaged during syringe needle and punctures barrier film;
(9)When injecting medicine, it is proposed that use the first use liquid medicine filter auxiliary injection in 0.22 micron of aperture;
(10)Puncture position must be accurate, and confirms that injection needle point is all pierced into polysulfone material pump housing medicine intracavitary;
(11)Choking phenomenon is such as found during injection, is sure not blindly pressurization injection, injection needle or polyurethane material should be checked
Whether conduit system blocks;
(12)The position of the embedding polysulfone material pump housing should usually be avoided by intense impact, if red and swollen pain occurs in the position
Bitterly, hospital therapy should be arrived in time;
(13)If there is polyurethane material catheter blockage, topical skin infections etc. are unexpected, invalid through processing and treatment, can be by
Doctor takes out Teat pipette;
(14)Plant after pump in 24 hours, patient should not take vigorous exercise;
(15)The polyurethane material conduit 6 and the polysulfone material pump housing 1 of this doser can be chronically implanted in human body.
Preferred embodiment of the present utility model is the foregoing is only, it is all at this not to limit the utility model
Within the spirit and principle of utility model, any modification, equivalent substitution and improvements made etc. should be included in the utility model
Protection domain within.