A kind of Novel puncture needle and puncture outfit and sting device comprising the puncture needle
Technical field
The utility model belongs to medical instruments field, and in particular to a kind of pricking device.
Background technique
When minimally invasive laparoscopic medical performs the operation beginning, elder generation is near patient affected part or navel menisectomy knife does a small notch,
Then lift stomach wall, hold after puncture outfit first tilts and be vertically slowly pierced into abdominal cavity, move down and wear while wherein carrying out back rotation
Cross patient abdomen cortex.Wherein puncture needle shape is related with the fascia tissue defect degree caused by puncturing, existing puncture needle tip
For taper or class taper, and two sharp blade surfaces are equipped with generally on the acting surface of puncture needle, when at tip, straight cutting enters stomach wall,
It is intraperitoneal that sharp sword is rotated back and forth into insertion;At this time abdominal cavity is caused to damage for the first time, breaks through abdominal cavity in a flash, may pierce
Internal is killed, internal haemorrhage is caused, it is serious to cause death;Second of damage is caused, is worn in addition, completing to extract in operation
When pricker, extraction causes third time to damage, and such reciprocating operation scratches, cuts off abdominal wall muscle cell tissue.
CN201610257975.1 discloses a kind of puncture outfit, and above-mentioned sharp edge is replaced with separated structure, punctures
Tip causes direct damage to intraperitoneal muscle, and can still scratch muscle when extraction puncture needle.
CN201120221263.7 discloses a kind of abdominal cavity puncture outfit, using cell texture, will puncture acting surface and is set using helicon
Meter, passivity separate musculature along muscle direction out of shape, reduce the damage to stomach wall or wall of the chest muscle.However it is still deposited
In following defect: firstly, the sharp top of puncture outfit still enters abdominal cavity using direct-insert mode, it is difficult to avoid to stomach wall chamber
Indoor damage, secondly, the helicon design that puncture effect uses eliminates the segmental defect of the sharp blade of tradition, however
Helical design power is larger, big with the frictional force of muscle, and when extraction carrys out back rotation and scratches muscle cell, as patent document discloses
It is described, damage is only reduced, the damage to human body can not be avoided completely.
Summary of the invention
The purpose of the utility model is to provide a kind of novel lossless to hurt puncture needle, which includes interconnecting piece and effect
Portion, the interconnecting piece are axially connect with service portion, and the service portion includes top, middle part and lower part, the transverse direction of the service portion
Size is gradually increased from top to bottom;The top is in flat duckbill;The service portion passes through from top to bottom around service portion longitudinal axis
Extend after turn-back twice, so that two side surrounding surfaces of service portion form the curved surface distorted in opposite direction.
Preferably, the torsion twice extends to following form: the top is counterclockwise or torsion clockwise extends to
Middle part and windup-degree incrementally increases from top to bottom, when reaching middle part, windup-degree is 65 °~45 °;Middle part connects turn-back
It extends to lower part and windup-degree is gradually gradually increased from top to bottom, when reaching lower part, windup-degree reaches 5 °~40 °.
Preferably, the top surface on the top is designed in designed arc-shaped appearance or rounded corner, the arc surface or Chamfering fillet surface with
Two side surrounding surface intersection arc transitions of service portion.
Preferably, torsion extends to middle part counterclockwise or clockwise on the top, the windup-degree at middle part is 40 °~
50 °, the middle part turn-back extends to lower part, and lower part windup-degree is 15 °~25 °, and/or, the top, middle part is under
Portion is integrally formed.
Preferably, the effect cross section incrementally increases from top to bottom, the cross section of middle and lower part is circle, described
The cross section at middle part is class ellipse, and the cross section on the top is in quadrangle, the circle of the cross section of the service portion from lower part
The gradual change of shape face and connects the quadrilateral surface of gradual change to top to the class ellipse face at middle part.
Preferably, the rounded corner angle of the top surface is 118 °~120 °.
Another purpose of the utility model is to provide a kind of novel puncture device, which includes described above novel
Puncture needle and handle.The handle includes Paracentesis needle holder, and the Paracentesis needle holder is connect with interconnecting piece and internal connection.
Preferably, the handle includes Paracentesis needle holder and lever, the middle part of the lever is equipped with arc convex, the arc
Inner concave is formed between shape protrusion and Paracentesis needle holder;The length of the lever is 35~55cm;And/or the Paracentesis needle holder with
Lever is integrally formed.
Another purpose of the utility model is to provide a kind of novel puncture device, which includes described above novel
Puncture outfit and sheath assembly, described sleeve pipe component are used in combination for Minimally Invasive Surgery with novel puncture device.
Compared with prior art, the utility model has the following beneficial effects:
As shown in Figure 1, myocyte's is structurally characterized in that into the cell containing a large amount of myofilament, the characteristic with contractile motion,
Each muscle cell general appearance is fusiform or even threadiness, it can is softened, and can automatic attaching after strutting.
Present inventor has creatively used duckbill top, takes full advantage of biosimulation, in use, sharp
Musculature cell is pushed aside with top.When pushing musculature aside, the lateral dimension being gradually expanded in axial direction and two are utilized
The side surrounding surface of distortion struts muscle cell.After the completion of operation, puncture needle can be easily extracted, musculature can be closed voluntarily at this time
Close, no bleeding or almost without bleeding occur.
Lateral dimension from top to lower part gradually expands, and gradually slowly struts muscle cell, reduces patient suffering.
The top surface on top is that circular arc or rounded corner design, and is integrally in flat duckbill design using top, while pushing aside, keeps away
The damage to organ is exempted from, when the angle of rounded corner is 118 °~120 °, the dynamics for pushing muscle aside is maximum, while not causing to machine
The damage of body.
Using the lever for being equipped with arc convex, the power thrusts of doctor are consistent with direction is punctured, and eliminate in existing handle
It punctures direction and power thrusts is inconsistent, rubber sleeve or puncture outfit enter the defect of abdominal cavity inconvenience.
According to whether being used cooperatively with endoscope, the utility model provides two different application methods, convenient
Operation.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of muscle cell;
Fig. 2 is that embodiment 1 provides the structural schematic diagram of the puncture needle with arc-shaped top surface;
Fig. 3 is the main view of puncture needle shown in Fig. 2;
Fig. 4 is the side view of puncture needle shown in Fig. 2;
Fig. 5 is the bottom view of puncture needle shown in Fig. 2;
Fig. 6 provides the structural schematic diagram of the puncture needle with rounded corner top surface for the utility model;
Fig. 7 is the bottom view of puncture needle shown in fig. 6;
The partial enlarged view of the rounded corner top surface of puncture needle shown in Fig. 8 bitmap 6;
Fig. 9 is the cross-sectional view of puncture needle shown in FIG. 1;
Figure 10 is the structural schematic diagram of handle provided by the utility model;
Figure 11 is the main view of non-blind threading method hold;
Figure 12 is 45 ° of multi-angled views of non-blind threading method hold;
Figure 13 is the schematic diagram of blind threading method hold;
Figure 14 is the use state diagram of the utility model puncture needle and traditional puncture needle.
Specific embodiment
Referred to herein as " duckbill " refers to duckbill or class duckbill.
Cited such as "upper" in the utility model, "lower", "left", "right", " in " term, be merely convenient to describe
Be illustrated, and do not have limit the scope of the utility model effect.
Embodiment 1
As shown in Fig. 2, a kind of abdominal puncture needle, including interconnecting piece 1 and service portion 2, the service portion include front arc, after
Two side surrounding surfaces 24,25 of cambered surface and left and right, as shown in figure 3, dividing service portion 2 for top 23, middle part 22 and lower part 21, top 23
Lower part 21 is extended to by middle part 22, and is gradually expanded on lateral dimension;As shown in Figures 4 and 5, top 23 is around service portion axis
Torsion extends to middle part 22, and middle part 22 extends to lower part 21 around the torsion of service portion axis, and top 23 to middle part and middle part 22 to
The torsional direction of lower part 21 on the contrary, to spatially realize service portion during top extends to middle part, frontal arc towards
Rear arc torsion;And when middle part extends to lower part, backarc forward reverse by cambered surface, and two side surrounding surfaces of service portion are formed along phase
The curved surface 24,25 (as shown in the drawing) of opposite direction distortion;The top 23 is in flat duckbill, makes full use of imitative biology, gently
Pine pushes muscle cell aside;And pass through turn-back extension twice so that the acting surface of service portion contacted with body is integrally in distortion
Shape.
As shown in figure 3, the top 23 is counterclockwise or clockwise reverse extends to middle part 22,22 from top 23 to middle part
Windup-degree incrementally increases, and the torsion of middle part 22 extends to lower part 21, and the windup-degree from middle part 22 to lower part 21 is gradually increased, with
The angle for reversing two side surrounding surfaces 24,25 of service portion at middle part is maximum, in this way, the front and back cambered surface of service portion is spatially
Form uneven concave surface;Successively, from top 23 to middle part, 21 windup-degree is become larger, and reaches 60 ° when reaching middle part 22
~15 °, the windup-degree of middle part 22 to lower part 21 is gradually increased, and reaches 5 °~40 ° when reaching lower part 21, as shown in figure 4, described
4 total length of service portion is 20.25cm;Along service portion longitudinal axis, gradually torsion extends to middle part 22 counterclockwise on the top 23, turns round
Gyration is gradually increased, and when apart from 23 10.25cm of top, windup-degree reaches 45 °;The middle part 22 is connected along service portion
Longitudinal axis gradually extends to lower part 21 clockwise, and windup-degree incrementally increases, and windup-degree reaches 20 ° when reaching lower part 21.
Further, the top 23, middle part 22 and lower part 21 are integrally formed.
The top surface on the top 23 and two side surrounding surfaces, 24, the 25 intersection arc transition of service portion, the top surface design
Existing pointed tip is given up, using flexible to the undamaged structure of body, for example, as shown in figure 5, top surface sets for circular arc
Meter 26, or for example, as shown in Figures 6 and 7, the top surface on top 23 is rounded corner 27, the top surface designed in circular arc or rounded corner is blunt
Property pushes musculature aside, will not cause to damage to muscle cell.As shown in figure 8, being pushed aside when the top surface on top is rounded corner
Dynamics increases, and especially when the angle of rounded corner is 118 ° -120 °, doctor is easier to push muscle cell aside, and can be avoided
It is damaged caused by muscle cell.
In order to further illustrate the utility model, as shown in figure 9, the cross of middle part 22 to lower part 21 is passed through on the top 23
Sectional dimension is in the formation incrementally increased, and the cross section of the lower part 21 is circle, and the cross section at the middle part 22 is that class is oval
Shape, the cross section substantially quadrangle on the top 23, the circular cross section gradual change to class elliptic cross-section, the class are oval
Tee section gradual change is to quadrangular section.In this way, when pushing muscle cell aside using top arc surface or Chamfering fillet surface, it is gradually widened
Middle part and lower part strut muscle cell.
Wherein, interconnecting piece is column type bar 1, and the cylindrical rod 1 and the lower part of service portion 2 are axially connected together, or one
Molding.
The puncture needle can be used for stomach wall or wall of the chest Minimally Invasive Surgery.
Cooperate for convenience with imaging devices such as endoscopes, the interconnecting piece 1 is hollow structure, and the service portion 2 of front end is
Transparent material is made.
Embodiment 2
A kind of abdominal cavity puncture outfit, the puncture outfit include abdominal puncture needle and handle described in embodiment 1, and the handle can be with
For the handle that the prior art provides, handle includes Paracentesis needle holder;Puncture needle is plugged in Paracentesis needle holder, it is preferable that this is practical new
Type provides a kind of novel handle, and the handle includes Paracentesis needle holder 4 and lever 3, and the Paracentesis needle holder 4 and interconnecting piece 1 are axial
Connection, interconnecting piece 1 are hollow tube, and the Paracentesis needle holder is equipped with axial imaging instrument channel 41, and the interconnecting piece 1 is hollow knot
Structure, i.e. Paracentesis needle holder 4 are connected to interconnecting piece 1, micro- convenient for users to that can grasp at any time for the plant of the imaging devices such as endoscope
The puncture situation of invasive procedures.
The lever 3 is connect with 4 side of Paracentesis needle holder, and the length of the lever 3 is 35~45cm;3 middle part of lever
Region is equipped with arc convex 31, inner concave is formed between the arc convex 31 and Paracentesis needle holder 4, the arc convex 31 is backward
Bending extends, and entire lever is adapted at airflow design with the hand physiology of people, through the multiple PRACTICE OF DESIGN of utility model people, hair
Now when the length of the lever is 35~55cm, facilitates application and control to puncture needle, meet setting for ergonomics
Meter, the left and right side of the lever 3 are in the curved surface 32 slightly to concave, facilitate fingerhold, it is preferable that the Paracentesis needle holder 4 with
Lever 3 is integrally formed.
The bottom surface of the lever 3 is hollow structure, and structure is simple, light weight.
Embodiment 3
A kind of abdominal paracentesis device, the device include abdominal cavity puncture outfit and sheath assembly as described in example 2, the puncture
Needle is plugged in casing.
The application method of the sting device is divided into two kinds:
Non-blind threading method: being inserted into endoscope in Paracentesis needle holder, at this time doctor puncture when, can be observed by display in
Scene before sight glass, whether doctor is to completing to be punctured with and get information about.Specific operating method are as follows: as shown in figure 11, by hand
Palm center is against the arc convex of lever, the edge of Paracentesis needle holder through-hole is headed on as shown in figure 12, at tiger's jaw, by wrist
Outer rotation pushes musculature aside using the top of puncture needle, then struts musculature by the middle part being gradually expanded;It is such
Hold to puncture more laborsaving.
Blind threading method: puncture outfit mismatches endoscope use;As shown in figure 13, lever and puncture needle will be pressed at the tiger's jaw of hand
On the curved surface being recessed between seat, doctor firmly completes to puncture by the centre of the palm.Musculature is pushed aside using the top of puncture needle, is then led to
It crosses the middle part become larger and top and struts musculature, power thrusts are consistent with direction is punctured.
Comparative example
By traditional puncture needle compared with the puncture process for the puncture needle that the embodiments of the present invention 1 provide:
Traditional puncture needle more smoothly punctures, traditional disposable puncture as shown in the right Figure 14 in order to realize
Device head end is sharp and is provided with two sharp blades on both sides.Sharp blade directly scratches, cuts off abdomen in puncture process
Wall muscle cell tissue, and sharp head end may assassinate internal in puncture needle breakthrough stomach wall in an instant, can cause
Internal haemorrhage, it is serious to cause death.
The puncture needle that embodiment 1 provides, as shown in the left side Figure 14, the top surface arc surface of upper part is by the interior of doctor's wrist
Muscle cell is opened in the outward turning transfer, and with going deep into for puncture, service portion integrally reverses the curved surface of the distortion of formation and is gradually rounded
Middle part and lower part replace traditional puncture outfit blade a little strut cell tissue, rather than cut open tissue.Breaking through stomach wall
In a flash, it can be effectively prevented without the top of wedge angle and stab organ.After the completion of operation, due to use push cell aside rather than
The mode of cell is cut, musculature can be voluntarily closed, and without bleeding.In this course, doctor needs along the side of puncture
To firmly, wrist also needs ceaselessly inside and outside rotation, until breaking through stomach wall.After the completion of surgical procedure, puncture needle is extracted, due to making
It is in the curved surface of a distortion with the surface of portion's entirety, that is, while strutting muscle cell, the contact surface of service portion and muscle is small, with
The conical surface of simple circular conical surface or spiral that the prior art provides is compared, and frictional force is small, small to the frictionally damage of muscle and organ,
It is easy to extract, mitigates patient suffering.It is completely into --- 2. puncture needles extract half --- 3. puncture needles referring to 1. puncture needles
By the state of muscle cell when complete extract, the results showed that when the service portion of puncture needle is completely into abdominal cavity muscle cell, not
Bleeding;And when puncture outfit extracts half, muscle cell has begun automatic attaching together, until puncture outfit will
When extracting completely, bleeding is still had not seen, and automatic attaching has been together substantially for muscle.
Other designs: the flat duckbill of lower part is replaced with cylindrical or class cylinder by the applicant of the utility model,
Or middle part and top are replaced with into cone type or cone platform shape with spiral alveolar;The result shows that: 1. using cylindrical or
The top of class cylinder is needed using biggish active force, and it is not easy to control to puncture direction.2. using cone type middle part and
Lower part is not easily accessible stomach wall, and contact area is big, is not drawn out easily.3. being rubbed using conical helix bench-type although drilling force is larger
It is big to wipe power, is easy that the myocyte of contact is caused to damage, and be not drawn out easily.
Therefore provided by the utility model that there is flat duckbill, and the curved surface integrally distorted is formed in service portion, side
Just it while pushing aside and strut muscle, is also easy to extract, the muscle cell area for almost or without bleeding occurring, while contacting
It reduces, automatic healing quickly, is effectively reduced the pain of patient.
The most preferred embodiment of the utility model has illustrated, and the various change or remodeling made by those skilled in the art are not
The scope of the utility model can be detached from.