CN208551957U - A kind of brachial plexus nerve block needle guard part of ultrasound guidance - Google Patents

A kind of brachial plexus nerve block needle guard part of ultrasound guidance Download PDF

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Publication number
CN208551957U
CN208551957U CN201721182052.0U CN201721182052U CN208551957U CN 208551957 U CN208551957 U CN 208551957U CN 201721182052 U CN201721182052 U CN 201721182052U CN 208551957 U CN208551957 U CN 208551957U
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CN
China
Prior art keywords
needle
epitheca
pipe
handle portion
interior core
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201721182052.0U
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Chinese (zh)
Inventor
周雁
种皓
王庚
田伟
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Beijing Jishuitan Hospital
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Beijing Jishuitan Hospital
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Priority to CN201721182052.0U priority Critical patent/CN208551957U/en
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Publication of CN208551957U publication Critical patent/CN208551957U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of brachial plexus nerve block needle guard parts of ultrasound guidance, it includes epitheca needle, the epitheca needle needle heart, interior core needle, it sets to stay pipe and set and stays tube connector, the epitheca needle needle heart is matched with the epitheca needle, when the epitheca needle needle heart plug-in card is in the epitheca needle, the head of the epitheca needle needle heart is concordant with the syringe needle of the epitheca needle, it is described to set on the needle body for staying pipe sleeve to be located at the interior core needle, the side opening of the interior core needle to needle point position, which exposes to this, sets and stays pipe, the interior core needle plug-in card for staying pipe is set in the epitheca needle when being arranged with, this sets the syringe needle for staying the tail end of pipe to stretch out the epitheca needle, described set stays tube connector to stay pipe to match with described set.The utility model significantly reduces the puncture pain of patient, and it is accurate to set pipe, is able to achieve continuous block effect.

Description

A kind of brachial plexus nerve block needle guard part of ultrasound guidance
Technical field
The utility model relates to a kind of brachial plexus nerve block needle guard parts of ultrasound guidance.
Background technique
Currently used nerve stimulation retardance needle is broadly divided into two kinds:
First is that external target needle, that is, inclined-plane needle (needle point is the acute angle less than 20 degree), disadvantage easily cause neural blood vessel cutting damage Wound when external target needle is walked within the organization, be easy to cause more unnecessary damages, such as the cutting organized, punctures blood vessel (artery It is easy to appear hemotoncus, vein is easy to appear extravasated blood), puncturing or cut nerve will lead to the corresponding domination area's skin fiber crops of light then nerve It is powerless that wood, weight then accordingly dominate muscle;
Second is that interior its disadvantage of core needle, that is, side-hole needle (needle point is circle thorn type needle point) is more troublesome in skin penetrating process, puncture Power is big, and patient pain is big, meanwhile, during puncture, in order to avoid causing possible damage to nerve and blood vessel, as far as possible The lesser needle tubing of outer diameter is compared in selection.Since needle body is thinner, when carrying out deep face puncture, needle body is easy with muscle et al. The movement of body tissue and deform, cause needle point to shift so that needle point and nerve distance generate deviation.
When operation due to epitheca needle not really reach target nerve attachment, when by epitheca needle set stay pipe when, set Pipe position inaccuracy, it cannot be guaranteed that continuous block effect.
Utility model content
In order to solve the above-mentioned technical problem the utility model provides a kind of brachial plexus nerve block needle guard of ultrasound guidance Part significantly reduces the puncture pain of patient, and it is accurate to set pipe, is able to achieve continuous block effect.
To achieve the above object, the utility model uses following technical scheme:
A kind of brachial plexus nerve block needle guard part of ultrasound guidance, it includes epitheca needle, the epitheca needle needle heart, interior core needle, sets It stays pipe and sets and stay tube connector, which matches with the epitheca needle, when the epitheca needle needle heart plug-in card is in the epitheca needle, The head of the epitheca needle needle heart is concordant with the syringe needle of the epitheca needle, this is set on the needle body for staying pipe sleeve to be located at the interior core needle, the inner core The side opening of needle to needle point position, which exposes to this, sets and stays pipe, stays the interior core needle plug-in card of pipe in the epitheca needle when being arranged with this and setting, This sets the syringe needle for staying the tail end of pipe to stretch out the epitheca needle, this, which is set, stays tube connector to set with this pipe is stayed to match.
The epitheca needle is inclined-plane bodkin, which includes bodkin body, and the tail end of the bodkin body is inserted admittedly in handle portion, should Handle portion offers the duct being connected to the through-hole of the bodkin body, and the handle portion of the epitheca needle separately opens up one for pressing described set It stays the press section of pipe tail end or opens up an opening in the handle portion of the epitheca needle, which sets the tail portion pair for staying pipe with described It answers.
The press section is the transparent elastomer that the epitheca needle handle portion is arranged in.
The interior core needle is side opening fine needle, which includes fine needle body, which inserts solid in handle portion, the handle portion Offer the duct being connected to the vestibule of the fine needle body.
The handle portion of the handle portion of the epitheca needle and the interior core needle is connected structure.
The handle portion of the epitheca needle is equipped with a slot, and it is matched with the slot to be equipped with one in the handle portion of the interior core needle Protrusion.
The epitheca needle needle pericardium includes tube body and grip part, tube body head end closing, and the aft end of the tube body is inserted to exist admittedly The grip part, the head of the tube body block the syringe needle of the epitheca needle, and the two is in concordant shape, the gripping of the epitheca needle needle heart Portion is equipped with the matched inserted sheet of the slot with the epitheca needle.
Described set stays pipe also to match a fixator.
The utility model has the beneficial effects that passing through ultrasound with being punctured after external target needle and the combination of the external target needle needle heart first Needle point is rested on neural 2 centimeters of distance by observation, and due to being beveled point, puncture force is small, and patient's pain is small, can build rapidly Vertical puncture channel, and because farther out apart from nerve distance, injuring nerve and blood vessel can be prevented.The external target needle needle heart is extracted, then is used Interior core needle is penetrated out of external target needle needle tubing, can obviously and outside under ultrasound since interior core needle leading portion is designed with ultrasonic development The needle body of needle distinguishes, and then proceedes to deeply, carry out nerve stimulation retardance operation.Under the cooperation of ultrasound, interior core needle is guided to connect Nearly nerve, and needle point is moved in target area, the side opening needle point designs of interior core needle can be effectively prevented to nerve and blood vessel Carry out cutting damage;Pipe is stayed in the set setting of interior core needle, after puncturing administration, can directly and accurately set and stay near target nerve, Guarantee subsequent lasting blockage effect;Compared with tradition sets and stays pipe, the utility model is set than tradition stays pipe to be exposed to outside skin It is short very much, the case where being not in discounting, stays pipe skin is external so that be not in re-replace to set the problem of staying pipe It stays tube connector setting so far to stay pipe outer wall that one fixator is set with setting, is fixed on the skin with medical proof fabric on the holder, Prevent indwelling tube from shifting.
Detailed description of the invention
Fig. 1 is the epitheca needle of the utility model and the combining structure schematic diagram of the epitheca needle needle heart.
Figure 1A is the structural schematic diagram of epitheca needle in Fig. 1.
Figure 1B is the structural schematic diagram of the epitheca needle needle heart in Fig. 1.
Fig. 1 C is the structural schematic diagram of another embodiment of epitheca needle.
Fig. 2 sets the structural schematic diagram for staying pipe sleeve to be located at interior core needle for the utility model.
Fig. 2A is to set the structural schematic diagram for staying pipe;
Fig. 2 B is the structural schematic diagram of interior core needle,
The epitheca needle of Fig. 3 the utility model, interior core needle and set the assembling schematic diagram for staying pipe.
Fig. 4 is that setting for the utility model stays pipe and fixator and set the combining structure schematic diagram for staying tube connector.
1: epitheca needle, 11: bodkin body, 111: syringe needle, 12: handle portion, 121: press section, 122: duct, 123: opening, 124: slot, 2: the epitheca needle needle heart, 21: tube body, 211: head, 22: grip part, 221: inserted sheet, 3: interior core needle, 31: fine needle body, 32: handle portion, 321: protrusion, 322: duct, 311: side opening, 4: set flow tube, 41: fixator, 5: setting flow tube connector.
Specific embodiment
As shown in Figures 1 to 4, the brachial plexus nerve block needle guard part of a kind of ultrasound guidance, it includes epitheca needle 1, epitheca The needle needle heart 2, interior core needle 3 set to stay pipe 4 and set and stay tube connector 5, and the epitheca needle needle heart 2 is matched with epitheca needle 1, when the epitheca needle needle heart 2 When being inserted into epitheca needle 1, the head 211 of the epitheca needle needle heart 2 is concordant with the syringe needle 111 of epitheca needle 1, sets and pipe 4 is stayed to be set in interior core needle 3 Fine needle body 31 on, side opening 311 to the needle point position of interior core needle 3, which exposes to set, stays pipe 4, sets the interior core needle 3 for staying pipe 4 when being arranged with When plug-in card enters epitheca needle 1, the syringe needle 111 for staying the tail end of pipe 4 to stretch out epitheca needle 1 is set, sets and tube connector 5 is stayed to stay pipe 4 to match with setting.
As shown in Figure 1A, epitheca needle 1 is inclined-plane bodkin, and epitheca needle 1 includes a bodkin body 11, and 11 tail portion of bodkin body is inserted to exist admittedly Handle portion 12, handle portion 12 offer the duct 122 being connected to the vestibule of bodkin body 11, and the handle portion 12 of epitheca needle 1 is additionally provided with One for opening up an opening 123 (such as Fig. 1 C institute by the pressed press section 121 for staying 4 tail end of pipe or in the handle portion 12 of epitheca needle 1 Show), it is gone with hand directly by the pressed tail portion for staying pipe 4 by opening 123, the handle portion 12 of epitheca needle 1 is equipped with slot 124.
Press section 121 is the transparent elastomer that the handle portion 12 of epitheca needle 1 is arranged in.
Epitheca needle 1 matches an epitheca needle needle heart 2, in order to prevent injury tissue in puncture process;
As shown in Figure 1B, the epitheca needle needle heart 2 includes tube body 21 and grip part 22, the grip part 21 of the epitheca needle needle heart 2 and outer The handle portion 12 of sheath needle 1 is connected structure, and tube body 21 is solid tube body, and the tail portion of tube body 21 is inserted solid in grip part 22, tube body 21 Head 211 block the syringe needle 111 of epitheca needle 1, the two is in concordant shape, and the outer diameter of tube body 21 is equal to 1 needle body 11 of epitheca needle Internal diameter;The grip part 22 of the epitheca needle needle heart 2 is equipped with and the matched inserted sheet 221 of slot 124.
The handle portion 32 of the handle portion 12 of epitheca needle 1 and interior core needle 3 is connected structure.
As shown in Figure 2 B, interior core needle 3 is side opening fine needle, and interior core needle 3 includes fine needle body 31, and 31 one end of fine needle body is inserted solid in hand Shank 32, handle portion 32 open up the duct 322 being connected to the cavity of fine needle body 31, and handle portion 32 is additionally provided with to be matched with slot 124 Protrusion 321;The tail end of the fine needle body 31 of interior core needle 3 connects a conducting wire, and the other end of the conducting wire is connect with nerve electric stimulation instrument, (not shown).
As shown in Figure 2 A, the structural schematic diagram to set flow tube 4.
It is arranged on it as shown in Fig. 2, setting flow tube 4 along the length direction of the fine needle body 31 of interior core needle 3, fine needle body 31 Side opening 311 is exposed to needle point position.
As shown in figure 3, being arranged with the interior core needle 3 for setting flow tube 4 through the bodkin body of the duct 122 of epitheca needle 1 insertion epitheca needle 1 11 cavity and the syringe needle 111 for stretching out epitheca needle 1, the protrusion 321 of the handle portion 32 of interior core needle 3 and the handle portion 12 of epitheca needle 1 124 grafting of slot.
The needle point of interior core needle 3 stretches out the syringe needle 111 of epitheca needle 1, and extension elongation is 1cm or so.
As shown in figure 4, set in order to prevent flow tube 4 displacement, it is extracutaneous set to stay a fixator 41 is also matched on pipe 4, Gu Determine device 41 then to screw in the tail end for setting flow tube 4 on the skin by the way that medical proof fabric is fixed and set flow tube connector 5, sets flow tube company It connects device 5 and reconnects conduit, carry out the drug treatment of next step.
The following detailed description of the application method of the brachial plexus nerve block needle guard part of the ultrasound guidance: first by the epitheca The needle needle heart is inserted into the epitheca needle, is punctured through skin, subcutaneous tissue together, is rested on outside brachial plexus nerve sheath, extracts the epitheca The needle needle heart is placed in described in being cased in the epitheca needle and sets the interior core needle for staying pipe, makes the handle portion and the epitheca needle of heart needle Handle portion card match, fix interior core needle with epitheca needle, at this point, heart needle needle point stretch out epitheca needle syringe needle hole, hold in Core needle handle portion adjusts puncture angle, avoids axillary artery and axillary vein, is pierced into brachial plexus nerve sheath, after then reaching target nerve, Nerve electric stimulation instrument is opened, after confirming the muscular movement for thering is corresponding brachial plexus nerve to be dominated, after injecting local anaesthetics, if you need to More nerve blocks are carried out, then hold epitheca needle handle, interior core needle needle point is fallen back on outside brachial plexus nerve sheath, is then adjusted the angle, It carries out nerve positioning next time and presses press section or the opening of epitheca needle with hand after the completion, press to set and stay pipe, in extraction Then core needle is withstood with the head of the epitheca needle needle heart and sets the tail end nozzle for staying pipe, push downwards, which is set, to be stayed pipe while extracting epitheca needle, It will set and pipe is stayed to stop physically, and then stay pipe tail end to connect to set and stay tube connector, carry out next step dosing techniques, wear setting Thorn terminates.

Claims (8)

1. a kind of brachial plexus nerve block needle guard part of ultrasound guidance, it is characterised in that: it include epitheca needle, the epitheca needle needle heart, Interior core needle sets to stay pipe and set and stays tube connector, which matches with the epitheca needle, when the epitheca needle needle heart plug-in card is at this When epitheca needle, the head of the epitheca needle needle heart is concordant with the syringe needle of the epitheca needle, this sets the needle body for staying pipe sleeve to be located at the interior core needle On, side opening to the needle point position of the interior core needle, which exposes to this, sets and stays pipe, stays the interior core needle plug-in card of pipe at this when being arranged with this and setting When epitheca needle, this sets the syringe needle for staying the tail end of pipe to stretch out the epitheca needle, this, which is set, stays tube connector to set with this pipe is stayed to match.
2. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 1, it is characterised in that: described outer Sheath needle is inclined-plane bodkin, which includes bodkin body, the tail end of the bodkin body insert it is solid in handle portion, the handle portion offer with The duct of the through-hole connection of the bodkin body, the handle portion of the epitheca needle separately open up one and described set the pressing for staying pipe tail end for pressing Portion opens up an opening in the handle portion of the epitheca needle, which stays the tail portion of pipe corresponding with described set.
3. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 2, it is characterised in that: described to press Splenium is the transparent elastomer that the epitheca needle handle portion is arranged in.
4. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 2 or 3, it is characterised in that: institute Stating interior core needle is side opening fine needle, which includes fine needle body, which inserts admittedly in handle portion, which offers and be somebody's turn to do The duct of the vestibule connection of fine needle body.
5. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 4, it is characterised in that: described outer The handle portion of the handle portion of sheath needle and the interior core needle is connected structure.
6. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 5, it is characterised in that: described outer The handle portion of sheath needle is equipped with a slot, is equipped with one and the matched protrusion of the slot in the handle portion of the interior core needle.
7. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 6, it is characterised in that: described outer Sheath needle needle pericardium includes tube body and grip part, and tube body head end closing, the aft end of the tube body is inserted solid in the grip part, the tube body Head block the syringe needle of the epitheca needle, the two is in concordant shape, the grip part of the epitheca needle needle heart be equipped with it is described outer The matched inserted sheet of the slot of sheath needle.
8. a kind of brachial plexus nerve block needle guard part of ultrasound guidance according to claim 7, it is characterised in that: described to set Pipe is stayed also to match a fixator.
CN201721182052.0U 2017-09-14 2017-09-14 A kind of brachial plexus nerve block needle guard part of ultrasound guidance Expired - Fee Related CN208551957U (en)

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Application Number Priority Date Filing Date Title
CN201721182052.0U CN208551957U (en) 2017-09-14 2017-09-14 A kind of brachial plexus nerve block needle guard part of ultrasound guidance

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Application Number Priority Date Filing Date Title
CN201721182052.0U CN208551957U (en) 2017-09-14 2017-09-14 A kind of brachial plexus nerve block needle guard part of ultrasound guidance

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107361830A (en) * 2017-09-14 2017-11-21 北京积水潭医院 The brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107361830A (en) * 2017-09-14 2017-11-21 北京积水潭医院 The brachial plexus nerve block needle guard part and its application method of a kind of ultrasound guidance

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190301

Termination date: 20200914

CF01 Termination of patent right due to non-payment of annual fee