CN209221184U - Easy-to-puncture sterile anti-backflow remaining needle - Google Patents
Easy-to-puncture sterile anti-backflow remaining needle Download PDFInfo
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- CN209221184U CN209221184U CN201821253500.6U CN201821253500U CN209221184U CN 209221184 U CN209221184 U CN 209221184U CN 201821253500 U CN201821253500 U CN 201821253500U CN 209221184 U CN209221184 U CN 209221184U
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- 238000001802 infusion Methods 0.000 claims abstract description 22
- 230000007704 transition Effects 0.000 claims abstract description 21
- 230000000151 anti-reflux effect Effects 0.000 claims abstract description 18
- 238000007789 sealing Methods 0.000 claims description 38
- 230000000903 blocking effect Effects 0.000 claims description 21
- 229920001971 elastomer Polymers 0.000 claims description 12
- 239000000463 material Substances 0.000 claims description 9
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- 210000004369 blood Anatomy 0.000 abstract description 20
- 239000008280 blood Substances 0.000 abstract description 20
- 230000023555 blood coagulation Effects 0.000 abstract description 2
- 239000007788 liquid Substances 0.000 description 18
- 238000000034 method Methods 0.000 description 15
- 239000000243 solution Substances 0.000 description 14
- 239000003814 drug Substances 0.000 description 11
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- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- XNOPRXBHLZRZKH-UHFFFAOYSA-N Oxytocin Natural products N1C(=O)C(N)CSSCC(C(=O)N2C(CCC2)C(=O)NC(CC(C)C)C(=O)NCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(CCC(N)=O)NC(=O)C(C(C)CC)NC(=O)C1CC1=CC=C(O)C=C1 XNOPRXBHLZRZKH-UHFFFAOYSA-N 0.000 description 1
- 101800000989 Oxytocin Proteins 0.000 description 1
- 102100031951 Oxytocin-neurophysin 1 Human genes 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
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- 239000012530 fluid Substances 0.000 description 1
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- XNOPRXBHLZRZKH-DSZYJQQASA-N oxytocin Chemical compound C([C@H]1C(=O)N[C@H](C(N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSC[C@H](N)C(=O)N1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(C)C)C(=O)NCC(N)=O)=O)[C@@H](C)CC)C1=CC=C(O)C=C1 XNOPRXBHLZRZKH-DSZYJQQASA-N 0.000 description 1
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- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Description
技术领域technical field
本实用新型涉及医疗设备技术领域,具体涉及一种易于穿刺的无菌抗返流留置针。The utility model relates to the technical field of medical equipment, in particular to an easy-to-puncture sterile anti-reflux indwelling needle.
背景技术Background technique
留置针是临床应用中的一种常见输液装置。其通过单次穿刺,并在随后的治疗时间内多次重复使用进行输液的方式,减轻了病患的痛苦和医护人员的工作量,同时也降低了穿刺事故的发生概率。Indwelling needle is a common infusion device in clinical application. It reduces the suffering of patients and the workload of medical staff, and also reduces the probability of puncture accidents through a single puncture and repeated use for infusion in the subsequent treatment period.
由于其长期留置在病患身体上,且其柔性针管部分与病患的血液直接接触。因此,留置针的柔性针管通常使用特氟龙等具有生物相容性的材料制作。有学者研究表明,在保持穿刺部分相对无菌和周围皮肤清洁的情况下,只要没有发生堵管和渗漏,留置针的留置时间可达7天以上。临床观察记录中最长的留置时间为27天。但事实上,在输液间歇期间,极容易出现血液回流及由回流血液的凝血而造成的堵管现象,从而使留置针丧失留置的意义。Because it stays on the patient's body for a long time, and its flexible needle part is in direct contact with the patient's blood. Therefore, the flexible needle tube of the indwelling needle is usually made of biocompatible materials such as Teflon. Some scholars have shown that in the case of keeping the puncture part relatively sterile and the surrounding skin clean, as long as there is no blockage and leakage, the indwelling time of the indwelling needle can reach more than 7 days. The longest retention time in the clinical observation record is 27 days. But in fact, during the intermission of infusion, blood backflow and tube blockage caused by coagulation of backflow blood are very likely to occur, thereby making the indwelling needle lose the meaning of indwelling.
此外,留置针在使用过程中还广泛存在无法长时间固定的问题。这类问题主要表现在病痛较难忍受,病人大量出汗或需要持续运动的过程中。最典型的例如产科病房中,在分娩同时使用留置针输催产素的辅助分娩过程是目前非常普遍的操作方式之一。产妇在分娩过程中忍受剧烈疼痛,伴随有大量出汗,并且需要持续用力。这种情况下,常规的贴膜固定方式往往只能维持一两个小时,导致医护人员需要频繁的进行重新固定,甚至是更换留置针。In addition, there is also a widespread problem that the indwelling needle cannot be fixed for a long time during use. This type of problem is mainly manifested in the process of unbearable pain, profuse sweating or continuous exercise. The most typical example is in the obstetrics ward, the assisted delivery process of using an indwelling needle to infuse oxytocin while giving birth is one of the very common operation methods at present. The mother endures severe pain during childbirth, accompanied by profuse sweating and constant exertion. In this case, the conventional film fixation method can only last for one or two hours, causing medical staff to frequently re-fix or even replace the indwelling needle.
现有技术中的留置针主要分为A型(开放型)和Y型(封闭型)两种。其中A型留置针在输液间歇时常采用封管液进行封管,其操作方式是将封管液通过注射器注入肝素帽内,边推注封管液边退针,防止退针时对血液造成抽吸作用而回血,推注完封管液后再使用夹子夹住留置针延长管。但边注射边退针的操作方式过于复杂,且极易出现失误而造成回血。The indwelling needles in the prior art are mainly divided into two types: A type (open type) and Y type (closed type). Among them, the type A indwelling needle is often sealed with a locking solution during the infusion interval. The operation method is to inject the locking solution into the heparin cap through a syringe, and withdraw the needle while pushing the sealing solution to prevent the blood from being drawn when the needle is withdrawn. The blood returns due to the suction effect, and after the injection of the sealing solution, use the clip to clamp the extension tube of the indwelling needle. However, the operation method of withdrawing the needle while injecting is too complicated, and it is very easy to make mistakes and cause blood return.
针对Y型留置针的止回和封管研究较多,例如在连接管上设置止流夹或限流器的方式防止回血,但该方法与A型留置针的封管方法类似,均无法解决注射封管液过于复杂的问题。There are many studies on the non-return and tube sealing of Y-type indwelling needles, such as setting stop clips or flow restrictors on the connecting tube to prevent blood return, but this method is similar to the tube sealing method of A-type indwelling needles, and cannot solve the problem. Injection of lock solution is too complicated.
陈达锦等设计了一种带止流开关的留置针(CN105935460A),通过直流开关的螺旋推进(关闭状态)压迫留置软针上游的囊管8,切断留置软管与外部之间的液体通路实现止流。该方案的止流开关本质上仍然是一种止流夹,但其止流点相较于常规止流夹更加靠前,血液无法返流进入留置针针体内。但该方案需要依靠对囊管的压迫来止流,针体外部的螺旋开关需要留出在固定贴膜外部,以便于旋拧,且留置针尺寸更大,导致了更加复杂的固定问题,并且,该方案仍然没有考虑血液回流进入留置软管的问题。Chen Dajin and others designed an indwelling needle with a flow-stopping switch (CN105935460A), which compresses the capsule tube 8 upstream of the indwelling soft needle through the helical advancement (closed state) of the DC switch, and cuts off the liquid passage between the indwelling hose and the outside to achieve stoppage. flow. The anti-flow switch of this solution is still a kind of anti-flow clip in essence, but its anti-flow point is more forward than the conventional anti-flow clip, and the blood cannot flow back into the indwelling needle body. However, this solution needs to rely on the compression of the capsule tube to stop the flow, and the screw switch outside the needle body needs to be left outside the fixed film for easy screwing, and the size of the indwelling needle is larger, which leads to more complicated fixation problems, and, This solution still does not take into account the backflow of blood into the indwelling tubing.
留置针的穿刺原理为通过穿刺钢针刺破血管壁,然后带动留置软管进入静脉血管。但现有留置针出于对留置安全性的考虑,留置软管均为较软的柔性材料,在穿刺时,留置软管与穿刺钢针的直径存在差异,导致钢针的针尖刺入血管后,留置软管仍会受到血管壁的阻力,从而产生留置软管相对于钢针的回缩或退管现象,对血管壁的损伤较大。The puncture principle of the indwelling needle is to pierce the blood vessel wall through the puncture steel needle, and then drive the indwelling hose into the venous blood vessel. However, due to the consideration of the safety of indwelling needles, the existing indwelling needles are all soft flexible materials. When puncturing, the diameters of the indwelling hose and the puncture steel needle are different, resulting in the needle tip of the steel needle piercing the blood vessel. However, the indwelling hose will still be resisted by the wall of the blood vessel, so that the retraction or withdrawal of the indwelling hose relative to the steel needle will occur, and the damage to the blood vessel wall will be greater.
发明内容Contents of the invention
针对现有技术中存在的上述技术问题,本实用新型提供一种易于穿刺的无菌抗返流留置针。通过对留置软管进行改进,使得再穿刺时,留置软管与穿刺钢针之间不会产生滑动位移,杜绝了留置软管回缩和退管的现象,同时所述留置针易于贴合留置位置固定,并能够防止血液返流进入留置软管,从而彻底杜绝凝血、血栓的形成。Aiming at the above-mentioned technical problems in the prior art, the utility model provides an easy-to-puncture sterile anti-reflux indwelling needle. By improving the indwelling hose, there will be no sliding displacement between the indwelling hose and the puncture needle during re-puncture, which prevents the retraction and retraction of the indwelling hose, and at the same time, the indwelling needle is easy to fit and indwell The position is fixed, and it can prevent the blood from flowing back into the indwelling hose, so as to completely prevent the formation of coagulation and thrombus.
本实用新型中使用了“前端”,“末端”,“尾端”,“下游”等限定。其中,以输液时,药液流动的方向为前端和下游。In the present invention, definitions such as "front end", "end end", "tail end" and "downstream" are used. Wherein, during infusion, the direction of flow of medicinal liquid is the front end and downstream.
为实现上述目的,本实用新型提供如下技术方案。In order to achieve the above object, the utility model provides the following technical solutions.
一种易于穿刺的无菌抗返流留置针,包括针体组件1、固定组件2、穿刺组件3和封管组件4。其中针体组件包括主通道11、输液接口12、留置软管13、软胶塞14,留置软管13和软胶塞14分别固定设置在主通道11的两端,输液接口12设置在主通道11的侧壁上与外部连通;固定组件2包括固定设置在主通道11外侧壁上的多个翼片,所述翼片的一侧涂有胶黏剂,涂胶一侧设有覆盖物,使用时撕除覆盖物后可直接贴附固定于留置处;穿刺组件3包括穿刺钢针31、穿刺钢针固定塞32、端帽33、针柄(图中未示出)、钢针套管(图中未示出),钢针31的尾端固定在穿刺钢针固定塞32上,穿刺钢针固定塞32嵌设在端帽33内,端帽33固定设置在钢针套管的尾端,所述钢针套管可滑动的套设在主通道11的外部,并可从主通道11上移除;所述封管组件4包括弹性带42、封堵芯44、封堵芯导管41、密封膜片47,所述弹性带42一端固定设置在主通道11的侧壁上,另一端可自由拉伸,其内部具有一中空槽43,主通道11的侧壁上设置有与中空槽43一端连通的圆孔48,所述封堵芯44为实心柔性材质,其被封闭设置在所述弹性带42的中空槽43内,所述封堵芯44可通过主通道11侧壁上的圆孔48伸入主通道11内,所述圆孔48位于主通道11内的一侧连接封堵芯导管41,所述封堵芯导管41的另一端连接留置软管13的末端,当弹性带42自然收缩时,封堵芯44可依靠回缩弹力穿过封堵芯导管41进入留置软管13内,阻止血液返流,当弹性带42拉伸时,封堵芯44被从留置软管13中抽出,开放输液通道。所述封堵芯导管41靠近留置软管13的一侧设有条形孔45和用于抵靠留置软管13末端的不开孔的环状带,便于药液进入留置软管,封堵芯导管41靠近软胶塞14一侧设置有供穿刺钢针31通过的圆形开口49。An easy-to-puncture sterile anti-reflux indwelling needle includes a needle body component 1, a fixing component 2, a puncture component 3 and a sealing tube component 4. The needle body assembly includes a main channel 11, an infusion interface 12, an indwelling hose 13, and a soft rubber plug 14. The indwelling hose 13 and the soft rubber plug 14 are respectively fixed at both ends of the main channel 11, and the infusion interface 12 is arranged on the main channel. The side wall of 11 communicates with the outside; the fixed assembly 2 includes a plurality of fins fixedly arranged on the outer wall of the main channel 11, one side of the fins is coated with adhesive, and the glued side is provided with a cover, When in use, the cover can be directly attached and fixed on the indwelling place after being torn off; the puncture assembly 3 includes a puncture steel needle 31, a puncture steel needle fixing plug 32, an end cap 33, a needle handle (not shown in the figure), and a steel needle sleeve (not shown in the figure), the tail end of the steel needle 31 is fixed on the puncture steel needle fixing plug 32, the puncture steel needle fixing plug 32 is embedded in the end cap 33, and the end cap 33 is fixedly arranged on the tail of the steel needle sleeve. end, the steel needle cannula is slidably sleeved on the outside of the main channel 11, and can be removed from the main channel 11; the sealing tube assembly 4 includes an elastic band 42, a sealing core 44, a sealing core catheter 41. The sealing diaphragm 47, one end of the elastic band 42 is fixedly arranged on the side wall of the main passage 11, and the other end can be stretched freely, and a hollow groove 43 is provided inside it, and a hollow groove 43 is provided on the side wall of the main passage 11. A round hole 48 connected at one end of the slot 43, the plugging core 44 is a solid flexible material, which is sealed and arranged in the hollow slot 43 of the elastic band 42, and the plugging core 44 can pass through the side wall of the main passage 11. The circular hole 48 extends into the main channel 11, the side of the circular hole 48 located in the main channel 11 is connected to the plugging core conduit 41, and the other end of the plugging core conduit 41 is connected to the end of the indwelling hose 13, when When the elastic band 42 contracts naturally, the plugging core 44 can pass through the plugging core catheter 41 and enter the indwelling hose 13 by virtue of the elastic force of retraction, preventing the blood from flowing back. Extract out in flexible pipe 13, open infusion channel. The side of the blocking core conduit 41 close to the indwelling hose 13 is provided with a strip-shaped hole 45 and a non-perforated annular belt for abutting against the end of the indwelling hose 13, so as to facilitate the liquid medicine to enter the indwelling hose and block the A circular opening 49 for the puncture needle 31 to pass through is provided on the side of the core conduit 41 close to the soft rubber plug 14 .
优选的,所述封堵芯导管41包括直管段411和弧形管段412,其中弧形管段412的一端连接在直管段411的上部(靠近软胶塞的一侧),另一端与主通道11侧壁上的圆孔48相连通;直管段411的下段(即靠近留置软管的一侧)为穿刺钢针31和封堵芯44的共用通道,直管段411的上段为穿刺钢针31的通道,弧形管段412为封堵芯44的通道;所述密封膜片47设在弧形管段412内。Preferably, the plugging core conduit 41 includes a straight pipe section 411 and an arc-shaped pipe section 412, wherein one end of the arc-shaped pipe section 412 is connected to the upper part of the straight pipe section 411 (the side close to the soft rubber plug), and the other end is connected to the main channel 11 The circular holes 48 on the side walls are connected; the lower section of the straight pipe section 411 (that is, the side close to the indwelling hose) is a common channel for the piercing steel needle 31 and the plugging core 44, and the upper section of the straight pipe section 411 is the opening of the piercing steel needle 31. The channel, the arc-shaped pipe section 412 is the channel of the plugging core 44 ; the sealing diaphragm 47 is arranged in the arc-shaped pipe section 412 .
优选的,所述中空槽43的远端(远离主通道的一端)设有固定结构46,从而能够使得封堵芯44随弹性带42的拉伸或回缩而被抽出或推入留置软管13。Preferably, the distal end (the end away from the main channel) of the hollow groove 43 is provided with a fixing structure 46, so that the blocking core 44 can be pulled out or pushed into the indwelling hose as the elastic band 42 is stretched or retracted. 13.
优选的,所述固定结构46为相比于中空槽43的其余部分直径更大的固定槽,所述封堵芯44的尾端具有一截与所述固定槽相匹配的更大直径段,从而使封堵芯44的尾端被卡在固定槽中。Preferably, the fixing structure 46 is a fixing groove with a larger diameter than the rest of the hollow groove 43, and the tail end of the plugging core 44 has a section with a larger diameter matching the fixing groove, Thus, the tail end of the plugging core 44 is stuck in the fixing groove.
优选的,所述封堵芯44被设置为,当所述弹性带42自然回缩时,封堵芯44的前端恰好运动至留置软管13的开口处,从而将整个留置软管13中的血液和药液排出,封堵整个留置软管13;而当所述弹性带42被拉伸至最大长度时,封堵芯44的前端仍保留在封堵芯导管41的弧形管段412内和密封膜片47的下游,从而防止封堵芯44从封堵芯导管41和密封膜片47的开孔中脱出。Preferably, the sealing core 44 is configured such that when the elastic band 42 retracts naturally, the front end of the sealing core 44 just moves to the opening of the indwelling hose 13 , so that the entire indwelling hose 13 Blood and medicinal liquid are discharged, and the entire indwelling hose 13 is blocked; and when the elastic band 42 is stretched to the maximum length, the front end of the blocking core 44 remains in the arc-shaped pipe section 412 of the blocking core catheter 41 and The downstream of the sealing membrane 47 prevents the plugging core 44 from coming out of the opening of the plugging core conduit 41 and the sealing membrane 47 .
优选的,弹性带42与固定组件2的一侧翼片临近且平行设置,弹性带42的远端(远离主通道的一侧)设置有固定部50,与弹性带42临近的一侧翼片上设置有与所述固定部50相匹配的附着部,所述附着部沿该侧翼片的径向延伸,使得所述弹性带42在自然收缩和最大拉伸的整个范围内均可以通过固定部50与附着部之间形成固定。Preferably, the elastic band 42 is adjacent to and parallel to one side flap of the fixing assembly 2, the far end of the elastic band 42 (the side away from the main channel) is provided with a fixing portion 50, and the side flap adjacent to the elastic band 42 is provided with The attachment part matched with the fixing part 50, the attachment part extends along the radial direction of the side flap, so that the elastic band 42 can be attached to the fixing part 50 in the whole range of natural shrinkage and maximum stretching. Fixed between parts.
优选的,所述固定部50为挂钩或不干胶或魔术贴。Preferably, the fixing part 50 is a hook or a self-adhesive or Velcro.
优选的,所述固定组件2的翼片为柔性材质,其涂胶侧的覆盖物为刚性薄板,翼片涂胶一侧粘附在所述刚性薄板上,从而使得在未使用时弹性带42可以保持拉伸状态,使封堵芯44退出封堵芯导管41的直管段411,为穿刺钢针31让出直管段411通道。Preferably, the fins of the fixing assembly 2 are made of a flexible material, and the covering on the glued side thereof is a rigid thin plate, and the glued side of the fins is adhered to the rigid thin plate, so that the elastic band 42 The stretched state can be maintained, so that the plugging core 44 withdraws from the straight pipe section 411 of the plugging core conduit 41 , and the passage of the straight pipe section 411 is made available for the puncture needle 31 .
优选的,所述留置软管13的前端(远离留置针的一端)具有相比于其余部分更薄的过渡环15,其在靠近穿刺钢针31的方向上逐渐向穿刺钢针收缩,从而呈现出弧线形的母线,以便于留置软管随穿刺钢针31进入血管,同时降低穿刺时对血管壁的损伤。Preferably, the front end of the indwelling hose 13 (the end away from the indwelling needle) has a transition ring 15 that is thinner than the rest, which gradually shrinks toward the puncture needle 31 in the direction close to the puncture needle 31, thus presenting a The arc-shaped busbar facilitates the indwelling hose to enter the blood vessel with the puncture needle 31, and at the same time reduces the damage to the blood vessel wall during puncture.
优选的,所述弹性带42为硅橡胶材质或内包弹簧的可折叠材质。Preferably, the elastic band 42 is made of silicon rubber or a foldable material with a spring inside.
优选的,所述留置针采用无菌包装,例如无菌塑封袋等。Preferably, the indwelling needle is packaged in a sterile package, such as a sterile plastic bag.
优选的,所述封堵芯44的直径小于留置软管13的内径,从而防止在封堵后再次拉伸弹性带42的过程中形成对血液的抽吸作用。Preferably, the diameter of the blocking core 44 is smaller than the inner diameter of the indwelling hose 13, so as to prevent the blood from being sucked when the elastic band 42 is stretched again after blocking.
优选的,所述封堵芯导管41的直管段上部设有软胶塞,当穿刺钢针31退出后,药液不能从封堵芯导管41的上部的圆形开口49处进入。Preferably, a soft rubber plug is provided on the upper part of the straight pipe section of the plugging core catheter 41 , and when the puncture needle 31 exits, the liquid medicine cannot enter from the upper circular opening 49 of the plugging core catheter 41 .
优选的,所述封堵芯导管41的整体个直管段上均开设有条形孔45,且所述封堵芯导管41的内壁上固定贴附有滤膜,从而防止血细胞穿过条形孔45进入主通道11内。Preferably, strip holes 45 are provided on the entire straight pipe section of the plugging core catheter 41, and a filter membrane is fixedly attached to the inner wall of the plugging core catheter 41, thereby preventing blood cells from passing through the strip holes. 45 into the main passage 11.
优选的,所述封堵间隙51可以是开设在封堵芯44表面的槽道,从而在抽出所述封堵芯44时,可以采用同步推注封管液或药液的方式,使封管液或药液自所述封堵间隙51进入血管,平衡抽出封堵芯44时产生的负压,防止对血液产生抽吸作用。Preferably, the plugging gap 51 may be a channel opened on the surface of the plugging core 44, so that when the plugging core 44 is pulled out, the tube sealing solution or medicinal solution can be injected synchronously to make the tube sealing Liquid or medicinal liquid enters the blood vessel from the blocking gap 51 to balance the negative pressure generated when the blocking core 44 is drawn out, preventing the blood from being sucked.
本实用新型所述的易于穿刺的无菌抗返流留置针的具体使用方法如下:拆开包装用的无菌塑封袋,取出留置针,此时固定组件2的翼片应完好的粘附在刚性薄板上,弹性带42处于拉伸状态,并通过其远端的固定部50固定在一侧翼片上的附着部,穿刺钢针31插设在留置软管13内部,且所述穿刺钢针31的针尖部分露出在留置软管外;按照常规留置针的穿刺步骤进行穿刺,穿刺完成后抽出钢针;将固定组件2的两侧翼片从两端撕起,使其脱离刚性薄板后取走刚性薄板,将翼片涂胶侧贴附于人体留置处,此时,弹性带42仍然处于拉伸状态;在留置软管13与皮肤的穿刺点处贴附无菌膜;按照常规留置针的操作方式注射药液;药液注射需中断时,分离固定部50与附着部,使弹性带42缓慢回缩,回缩至自然状态后再将固定部50与附着部结合固定,此时可选择性的从输液接口12处注入封管液以进一步改善封管效果。The specific usage method of the easy-to-puncture sterile anti-reflux indwelling needle described in the utility model is as follows: unpack the aseptic plastic bag for packaging, and take out the indwelling needle. On the rigid thin plate, the elastic band 42 is in a stretched state, and is fixed to the attachment portion on one side wing through the fixing portion 50 at the far end, and the puncture steel needle 31 is inserted inside the indwelling hose 13, and the puncture steel needle 31 The needle tip part of the needle is exposed outside the indwelling hose; puncture according to the puncture procedure of the conventional indwelling needle, and pull out the steel needle after the puncture is completed; tear off the wings on both sides of the fixing component 2 from both ends to make it detach from the rigid sheet and remove the rigid Thin plate, attach the glued side of the flap to the indwelling place of the human body, at this time, the elastic band 42 is still in a stretched state; attach a sterile film at the puncture point between the indwelling hose 13 and the skin; operate according to the conventional indwelling needle Inject the liquid medicine in this way; when the liquid medicine injection needs to be interrupted, separate the fixing part 50 and the attachment part, make the elastic band 42 retract slowly, and then combine the fixing part 50 and the attachment part to fix after retracting to the natural state. Inject the tube lock solution from the infusion port 12 to further improve the tube lock effect.
本实用新型通过将封堵芯44直接导入留置软管13,从而防止血液进入留置软管13和主通道11中,阻断血液回流,从而使得无论在留置针的主通道11内或是留置软管13中均不会出现凝血或血栓,同时,通过设置封堵芯导管41实现了对柔性封堵芯44的引导,使其能够顺畅的进出留置软管13,而一体密封设置的弹性带42则将封堵芯44完全封闭在留置针的内部,避免了抽拉封堵芯的过程中带入细菌。此外,在实际使用时,还可以选择性的搭配常规封管液以进一步的填充封堵芯44与留置软管13之间的封堵间隙51,改善封堵效果。本实用新型的留置针自带固定组件,所述固定组件与留置针一体设置,相比于常规无固定组件的留置针而言能够有效改善在留置过程中因患者扭动等因素而造成的留置针错位,进而拔出留置软管13的现象。The utility model directly introduces the plugging core 44 into the indwelling hose 13, thereby preventing blood from entering the indwelling hose 13 and the main channel 11, and blocking the blood backflow, so that no matter in the main channel 11 of the indwelling needle or in the indwelling soft tube No blood coagulation or thrombus will occur in the tube 13. At the same time, the guiding of the flexible plugging core 44 is realized by setting the plugging core catheter 41, so that it can smoothly enter and exit the indwelling tube 13, and the integrally sealed elastic band 42 Then the plugging core 44 is completely sealed in the inside of the indwelling needle, which avoids bringing in bacteria during the process of pulling the plugging core. In addition, in actual use, it is also possible to selectively mix conventional locking fluid to further fill the sealing gap 51 between the sealing core 44 and the indwelling hose 13 to improve the sealing effect. The indwelling needle of the utility model has its own fixing assembly, which is integrated with the indwelling needle, which can effectively improve the indwelling effect caused by factors such as patient twisting during the indwelling process compared with conventional indwelling needles without fixing components. The needle is misplaced, and then the indwelling hose 13 is pulled out.
附图说明Description of drawings
为进一步揭示本实用新型的具体技术内容,以下结合实施例及附图详细说明,其中:In order to further disclose the specific technical content of the present utility model, the following describes in detail in conjunction with the embodiments and accompanying drawings, wherein:
图1是本实用新型所述易于穿刺的无菌抗返流留置针的整体示意图;Fig. 1 is the overall schematic diagram of the sterile anti-reflux indwelling needle that is easy to puncture according to the utility model;
图2是封堵芯导管的示意图;Fig. 2 is the schematic diagram of plugging core catheter;
图3是弹性带的示意图;Fig. 3 is the schematic diagram of elastic belt;
图4是弹性带的剖视图;Fig. 4 is a sectional view of the elastic band;
图5是图1中区域A的局部放大图;Fig. 5 is a partial enlarged view of area A in Fig. 1;
图6是图1中区域B的局部放大图;Fig. 6 is a partial enlarged view of area B in Fig. 1;
图7是留置软管在封堵状态下的示意图;Fig. 7 is a schematic diagram of the indwelling hose in a blocked state;
图8是过渡环15包裹穿刺钢针的示意图。FIG. 8 is a schematic diagram of the transition ring 15 wrapping the puncture needle.
图中:针体组件1、固定组件2、穿刺组件3、封管组件4、主通道11、输液接口12、留置软管13、软胶塞14、过渡环15、穿刺钢针31、穿刺钢针固定塞32、端帽33、封堵芯导管41、直管段411、弧形管段412、弹性带42、中空槽43、封堵芯44、条形孔45、固定结构46、密封膜片47、圆孔48、圆形开口49、固定部50、封堵间隙51。In the figure: needle body component 1, fixing component 2, puncture component 3, tube sealing component 4, main channel 11, infusion interface 12, indwelling hose 13, soft rubber stopper 14, transition ring 15, puncture steel needle 31, puncture steel Needle fixing plug 32, end cap 33, plugging core catheter 41, straight tube section 411, arc tube section 412, elastic band 42, hollow groove 43, plugging core 44, strip hole 45, fixing structure 46, sealing diaphragm 47 , a circular hole 48, a circular opening 49, a fixing portion 50, and a sealing gap 51.
具体实施方式Detailed ways
以下结合实施例对本实用新型的技术方案进行进一步的描述。The technical solutions of the present utility model are further described below in conjunction with the embodiments.
如图1-6所示,一种易于穿刺的无菌抗返流留置针,包括针体组件1、固定组件2、穿刺组件3和封管组件4。其中针体组件包括主通道11、输液接口12、留置软管13、软胶塞14,留置软管13和软胶塞14分别固定设置在主通道11的两端,输液接口12设置在主通道11的侧壁上且与外部连通;固定组件2包括固定设置在主通道11外侧壁上的多个翼片,所述翼片的一侧涂有胶黏剂,涂胶一侧设有覆盖物,使用时撕除覆盖物后可直接贴附固定于留置处;穿刺组件3包括穿刺钢针31、穿刺钢针固定塞32、端帽33、针柄(图中未示出)、钢针套管(图中未示出),钢针31的尾端固定在穿刺钢针固定塞32上,穿刺钢针固定塞32嵌设在端帽33内,端帽33固定设置在钢针套管的尾端,所述钢针套管可滑动的套设在主通道11的外部,并可从主通道11上移除;所述封管组件4包括弹性带42、封堵芯44、封堵芯导管41、密封膜片47,所述弹性带42一端固定设置在主通道11的侧壁上,另一端可自由拉伸,其内部具有一中空槽43,主通道11的侧壁上设置有与中空槽43一端连通的圆孔48,所述封堵芯44为实心柔性材质,其被封闭设置在所述弹性带42的中空槽43内,所述封堵芯44可通过主通道11侧壁上的圆孔48伸入主通道11内,所述圆孔48位于主通道内的一侧连接封堵芯导管41,所述封堵芯导管41的另一端连接留置软管13的末端,当弹性带42自然收缩时,封堵芯44可依靠回缩弹力穿过封堵芯导管41进入留置软管13内,阻止血液返流,当弹性带42拉伸时,封堵芯44被从留置软管13中抽出,开放输液通道。所述封堵芯导管41靠近留置软管13的一侧设有药液通道和用于抵靠留置软管13末端的不开孔的环状带,便于药液进入留置软管,封堵芯导管41靠近软胶塞14一侧设置有供穿刺钢针31通过的圆形开口49。As shown in FIGS. 1-6 , an easy-to-puncture sterile anti-reflux indwelling needle includes a needle body component 1 , a fixing component 2 , a puncture component 3 and a tube sealing component 4 . The needle body assembly includes a main channel 11, an infusion interface 12, an indwelling hose 13, and a soft rubber plug 14. The indwelling hose 13 and the soft rubber plug 14 are respectively fixed at both ends of the main channel 11, and the infusion interface 12 is arranged on the main channel. 11 and communicated with the outside; the fixing assembly 2 includes a plurality of fins fixedly arranged on the outer wall of the main channel 11, one side of the fins is coated with adhesive, and the glued side is provided with a covering , can be directly attached and fixed on the indwelling place after tearing off the cover during use; the puncture assembly 3 includes a puncture steel needle 31, a puncture steel needle fixing plug 32, an end cap 33, a needle handle (not shown in the figure), a steel needle cover tube (not shown in the figure), the tail end of the steel needle 31 is fixed on the puncture steel needle fixed plug 32, the puncture steel needle fixed plug 32 is embedded in the end cap 33, and the end cap 33 is fixedly arranged on the steel needle sleeve Tail end, the steel needle cannula is slidably sleeved on the outside of the main passage 11, and can be removed from the main passage 11; the sealing tube assembly 4 includes an elastic band 42, a plugging core 44, a plugging core Conduit 41, sealing diaphragm 47, one end of said elastic band 42 is fixedly arranged on the side wall of main passage 11, and the other end can be stretched freely, and a hollow groove 43 is arranged inside it, and the side wall of main passage 11 is provided with A round hole 48 connected to one end of the hollow groove 43, the plugging core 44 is a solid flexible material, which is sealed and arranged in the hollow groove 43 of the elastic band 42, and the plugging core 44 can pass through the side wall of the main channel 11 The round hole 48 on the top extends into the main passage 11, and the side of the round hole 48 in the main passage is connected to the plugging core conduit 41, and the other end of the plugging core conduit 41 is connected to the end of the indwelling hose 13. When the elastic band 42 contracts naturally, the plugging core 44 can pass through the plugging core catheter 41 and enter the indwelling hose 13 by virtue of the elastic force of retraction, preventing the blood from flowing back. Extract out in flexible pipe 13, open infusion channel. The side of the plugging core conduit 41 close to the indwelling hose 13 is provided with a liquid medicine channel and a non-perforated ring belt for abutting against the end of the indwelling hose 13, so that the medicinal liquid enters the indwelling hose, and the plugging core A circular opening 49 for the puncture needle 31 to pass through is provided on the side of the catheter 41 close to the soft rubber plug 14 .
优选的,所述封堵芯导管41包括直管段411和弧形管段412,其中弧形管段412的一端连接在直管段411的中上部(靠近软胶塞的一侧),另一端与主通道11侧壁上的圆孔48相连通;直管段411的下段(即靠近留置软管的一侧)为穿刺钢针31和封堵芯44的共用通道,直管段411的上段为穿刺钢针31的通道,弧形管段412为封堵芯44的通道;所述密封膜片47设在弧形管段412内。所述直管段411的下部与主通道11的内侧壁向抵靠,所述药液通道开设在直管段411下部的侧壁上。Preferably, the plugging core conduit 41 includes a straight pipe section 411 and an arc-shaped pipe section 412, wherein one end of the arc-shaped pipe section 412 is connected to the middle and upper part of the straight pipe section 411 (the side close to the soft rubber plug), and the other end is connected to the main channel 11 The round holes 48 on the side wall are connected; the lower part of the straight pipe section 411 (that is, the side close to the indwelling hose) is a common channel for the piercing steel needle 31 and the plugging core 44, and the upper section of the straight pipe section 411 is the piercing steel needle 31 The arc-shaped pipe section 412 is the passage of the plugging core 44; the sealing diaphragm 47 is arranged in the arc-shaped pipe section 412. The lower portion of the straight pipe section 411 abuts against the inner side wall of the main channel 11 , and the liquid medicine channel is opened on the lower side wall of the straight pipe section 411 .
优选的,所述药液通道为条形孔45。Preferably, the liquid medicine channel is a strip hole 45 .
优选的,所述中空槽43的远端(远离主通道的一端)设有固定结构46,从而能够使得封堵芯44随弹性带42的拉伸或回缩而被抽出或推入留置软管13。Preferably, the distal end (the end away from the main channel) of the hollow groove 43 is provided with a fixing structure 46, so that the blocking core 44 can be pulled out or pushed into the indwelling hose as the elastic band 42 is stretched or retracted. 13.
优选的,所述固定结构46为相比于中空槽43的其余部分直径更大的固定槽,所述封堵芯44的尾端具有一截与所述固定槽相匹配的更大直径段,从而使封堵芯44的尾端被卡在固定槽中。Preferably, the fixing structure 46 is a fixing groove with a larger diameter than the rest of the hollow groove 43, and the tail end of the plugging core 44 has a section with a larger diameter matching the fixing groove, Thus, the tail end of the plugging core 44 is stuck in the fixing groove.
优选的,所述封堵芯44被设置为,当所述弹性带42自然回缩时,封堵芯44的前端恰好运动至留置软管13前端的开口处,从而将整个留置软管13中的血液和药液排出,封堵整个留置软管13;而当所述弹性带42被拉伸至最大长度时,封堵芯44的前端仍保留在封堵芯导管41的弧形管段412内且位于密封膜片47的下游,从而防止封堵芯44从封堵芯导管41和密封膜片47的开孔中脱出。Preferably, the sealing core 44 is set so that when the elastic band 42 retracts naturally, the front end of the sealing core 44 just moves to the opening of the front end of the indwelling hose 13, thereby placing the entire indwelling hose 13 The blood and medicinal liquid are discharged, blocking the entire indwelling hose 13; and when the elastic band 42 is stretched to the maximum length, the front end of the blocking core 44 remains in the arc-shaped pipe section 412 of the blocking core catheter 41 And it is located downstream of the sealing diaphragm 47 , so as to prevent the plugging core 44 from coming out of the opening of the plugging core conduit 41 and the sealing diaphragm 47 .
优选的,弹性带42与固定组件2的一侧翼片临近且平行设置,弹性带42的远端(远离主通道的一侧)设置有固定部50,与弹性带42临近的一侧翼片上设置有与所述固定部50相匹配的附着部,所述附着部沿该侧翼片的径向延伸,使得所述弹性带42在自然收缩和最大拉伸的整个范围内均可以通过固定部50与附着部之间形成固定。Preferably, the elastic band 42 is adjacent to and parallel to one side flap of the fixing assembly 2, the far end of the elastic band 42 (the side away from the main channel) is provided with a fixing portion 50, and the side flap adjacent to the elastic band 42 is provided with The attachment part matched with the fixing part 50, the attachment part extends along the radial direction of the side flap, so that the elastic band 42 can be attached to the fixing part 50 in the whole range of natural shrinkage and maximum stretching. Fixed between parts.
优选的,所述固定部50为挂钩或不干胶或魔术贴。Preferably, the fixing part 50 is a hook or a self-adhesive or Velcro.
优选的,所述固定组件2的翼片为柔性材质,其涂胶侧的覆盖物为刚性薄板,翼片涂胶一侧粘附在所述刚性薄板上,从而使得在未使用时弹性带42可以保持拉伸状态,使封堵芯44退出封堵芯导管41的直管段411,为穿刺钢针31让出直管段411通道。Preferably, the fins of the fixing assembly 2 are made of a flexible material, and the covering on the glued side thereof is a rigid thin plate, and the glued side of the fins is adhered to the rigid thin plate, so that the elastic band 42 The stretched state can be maintained, so that the plugging core 44 withdraws from the straight pipe section 411 of the plugging core conduit 41 , and the passage of the straight pipe section 411 is made available for the puncture needle 31 .
优选的,所述位于主通道11两侧的翼片的涂胶侧被同一个刚性薄板覆盖。Preferably, the glued sides of the fins located on both sides of the main channel 11 are covered by the same rigid thin plate.
优选的,所述留置软管13的前端具有在输液方向上逐渐变薄的过渡环15,其外侧壁在输液方向上逐渐向穿刺钢针收缩,从而呈现出弧线形的母线,以便于留置软管随穿刺钢针31进入血管,同时降低穿刺时对血管壁的损伤;所述过渡环15的内侧壁在输液方向上呈渐缩的圆台形,所述穿刺钢针31的针尖为圆锥形。Preferably, the front end of the indwelling hose 13 has a transition ring 15 that gradually becomes thinner in the direction of infusion, and its outer wall gradually shrinks toward the puncture needle in the direction of infusion, thereby presenting an arc-shaped generatrix for easy indwelling The flexible tube enters the blood vessel with the puncture needle 31, and at the same time reduces the damage to the blood vessel wall during puncture; the inner wall of the transition ring 15 is in the shape of a tapered cone in the infusion direction, and the needle tip of the puncture needle 31 is conical .
优选的,所述圆台形的母线倾角等于或大于穿刺钢针31的圆锥形针尖的母线倾角,从而在穿刺时,过渡环15的内侧壁包裹在穿刺钢针31针尖的末端,穿刺钢针31的针尖对所述过渡环15形成支撑,并带动留置软管13向前穿刺,防止穿刺时,由于留置软管13与钢针之间的直径上的差异,而导致血管壁对留置软管13的阻拦,引起留置软管13在穿刺过程中回缩。Preferably, the inclination angle of the generatrix of the truncated cone is equal to or greater than the inclination angle of the generatrix of the conical needle point of the puncture steel needle 31, so that when punctured, the inner sidewall of the transition ring 15 wraps around the end of the needle tip of the puncture steel needle 31, and the puncture steel needle 31 The tip of the needle forms a support for the transition ring 15, and drives the indwelling hose 13 to puncture forward, preventing the vascular wall from indwelling the indwelling hose 13 due to the difference in diameter between the indwelling hose 13 and the steel needle during puncture. The blocking of the indwelling hose 13 causes the retraction of the indwelling hose 13 during the puncture.
由于过渡环15的高度(即圆台的高度)直接影响过渡环15的前端开口口径,也即留置软管13的前端开口口径。若前端开口的口径过小(即过渡环15过高),输液时会形成明显的药液射流,导致被输液者产生不适反应,且过小的开口更容易形成堵塞;若前端开口的口径过大(即过渡15环高度过低),其内壁在针尖表面的附着面积过小,再考虑到所述留置软管13为柔性材料,且过渡环15相较于留置软管13的主体部分更薄,因此,过低的高度容易引起过渡环15的回缩,而达不到易于穿刺的目的。因此,优选的,所述过渡环15的高度为穿刺钢针31针尖高度的0.1-0.6倍,更优选0.2-0.5倍,更优选0.3-0.4倍。Because the height of the transition ring 15 (ie the height of the conical table) directly affects the opening diameter of the front end of the transition ring 15 , that is, the opening diameter of the front end of the indwelling hose 13 . If the caliber of the front opening is too small (that is, the transition ring 15 is too high), an obvious jet of liquid medicine will be formed during infusion, causing an uncomfortable reaction to the infused person, and an opening that is too small is more likely to form a blockage; (that is, the height of the transition ring 15 is too low), the attachment area of its inner wall on the surface of the needle tip is too small, and considering that the indwelling hose 13 is a flexible material, and the transition ring 15 is more dense than the main part of the indwelling hose 13 Therefore, a too low height will easily cause the retraction of the transition ring 15, and the purpose of easy puncture will not be achieved. Therefore, preferably, the height of the transition ring 15 is 0.1-0.6 times, more preferably 0.2-0.5 times, more preferably 0.3-0.4 times the height of the needle tip of the puncture needle 31 .
优选的,所述封堵芯44具有半球状前端,且所述封堵芯44的直径小于所述留置软管主体部分的内径,使得在封堵状态时,所述封堵芯44前端的半球部恰好抵靠住所述过渡环15的内侧壁,并在所述封堵芯44与留置软管13的内壁之间形成封堵间隙51。Preferably, the plugging core 44 has a hemispherical front end, and the diameter of the plugging core 44 is smaller than the inner diameter of the main part of the indwelling hose, so that in the blocked state, the hemispherical front end of the plugging core 44 The portion just abuts against the inner wall of the transition ring 15 and forms a sealing gap 51 between the sealing core 44 and the inner wall of the indwelling hose 13 .
优选的,所述弹性带42为硅橡胶材质或内包弹簧的可折叠材质。Preferably, the elastic band 42 is made of silicon rubber or a foldable material with a spring inside.
优选的,所述封堵芯44的直径小于留置软管13的内径,从而防止在封堵后再次拉伸弹性带42的过程中形成对血液的抽吸作用。Preferably, the diameter of the blocking core 44 is smaller than the inner diameter of the indwelling hose 13, so as to prevent the blood from being sucked when the elastic band 42 is stretched again after blocking.
优选的,所述封堵芯导管41的直管段上部设有软胶塞,当穿刺钢针31退出后,药液不能从封堵芯导管41的上部的圆形开口49处进入。Preferably, a soft rubber plug is provided on the upper part of the straight pipe section of the plugging core catheter 41 , and when the puncture needle 31 exits, the liquid medicine cannot enter from the upper circular opening 49 of the plugging core catheter 41 .
优选的,所述封堵芯导管41的整体个直管段上均开设有条形孔45,且所述封堵芯导管41的内壁上固定贴附有滤膜,从而防止血细胞穿过条形孔45进入主通道11内。Preferably, strip holes 45 are provided on the entire straight pipe section of the plugging core catheter 41, and a filter membrane is fixedly attached to the inner wall of the plugging core catheter 41, thereby preventing blood cells from passing through the strip holes. 45 into the main passage 11.
本实用新型所述的易于穿刺的无菌抗返流留置针的具体使用方法如下:拆开包装用的无菌塑封袋,取出留置针,此时固定组件2的翼片应完好的粘附在刚性薄板上,弹性带42处于拉伸状态,并通过其远端的固定部50固定在一侧翼片上的附着部,穿刺钢针31插设在留置软管13内部,且所述穿刺钢针31的针尖部分露出在留置软管外;按照常规留置针的穿刺步骤进行穿刺,穿刺完成后抽出钢针;将固定组件2的两侧翼片从两端撕起,使其脱离刚性薄板后取走刚性薄板,将翼片涂胶侧贴附于人体留置处,此时,弹性带42仍然处于拉伸状态;在留置软管13与皮肤的穿刺点处贴附无菌膜;按照常规留置针的操作方式注射药液;药液注射需中断时,分离固定部50与附着部,使弹性带42缓慢回缩,回缩至自然状态后再将固定部50与附着部结合固定,此时可选择性的从输液接口12处注入封管液以进一步改善封管效果。The specific usage method of the easy-to-puncture sterile anti-reflux indwelling needle described in the utility model is as follows: unpack the aseptic plastic bag for packaging, and take out the indwelling needle. On the rigid thin plate, the elastic band 42 is in a stretched state, and is fixed to the attachment portion on one side wing through the fixing portion 50 at the far end, and the puncture steel needle 31 is inserted inside the indwelling hose 13, and the puncture steel needle 31 The needle tip part of the needle is exposed outside the indwelling hose; puncture according to the puncture procedure of the conventional indwelling needle, and pull out the steel needle after the puncture is completed; tear off the wings on both sides of the fixing component 2 from both ends to make it detach from the rigid sheet and remove the rigid Thin plate, attach the glued side of the flap to the indwelling place of the human body, at this time, the elastic band 42 is still in a stretched state; attach a sterile film at the puncture point between the indwelling hose 13 and the skin; operate according to the conventional indwelling needle Inject the liquid medicine in this way; when the liquid medicine injection needs to be interrupted, separate the fixing part 50 and the attachment part, make the elastic band 42 retract slowly, and then combine the fixing part 50 and the attachment part to fix after retracting to the natural state. Inject the tube lock solution from the infusion port 12 to further improve the tube lock effect.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109011005A (en) * | 2018-08-06 | 2018-12-18 | 江苏省人民医院(南京医科大学第附属医院) | Easy-to-puncture sterile anti-backflow remaining needle |
| CN113730719A (en) * | 2021-10-08 | 2021-12-03 | 鲁振营 | Sandwich cone |
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| CN109011005A (en) * | 2018-08-06 | 2018-12-18 | 江苏省人民医院(南京医科大学第附属医院) | Easy-to-puncture sterile anti-backflow remaining needle |
| CN113730719A (en) * | 2021-10-08 | 2021-12-03 | 鲁振营 | Sandwich cone |
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