CN211131294U - A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes - Google Patents
A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes Download PDFInfo
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- 210000001175 cerebrospinal fluid Anatomy 0.000 title claims abstract description 65
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 title claims abstract description 35
- 229910052760 oxygen Inorganic materials 0.000 title claims abstract description 35
- 239000001301 oxygen Substances 0.000 title claims abstract description 35
- 238000009593 lumbar puncture Methods 0.000 title claims abstract description 33
- 239000007788 liquid Substances 0.000 claims description 7
- 239000012780 transparent material Substances 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 2
- 239000004575 stone Substances 0.000 claims description 2
- 239000003814 drug Substances 0.000 abstract description 10
- 229940079593 drug Drugs 0.000 abstract description 10
- 238000002347 injection Methods 0.000 abstract description 7
- 239000007924 injection Substances 0.000 abstract description 7
- 238000005259 measurement Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- UBAZGMLMVVQSCD-UHFFFAOYSA-N carbon dioxide;molecular oxygen Chemical compound O=O.O=C=O UBAZGMLMVVQSCD-UHFFFAOYSA-N 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 210000002330 subarachnoid space Anatomy 0.000 description 3
- 206010008164 Cerebrospinal fluid leakage Diseases 0.000 description 2
- 239000002390 adhesive tape Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000002381 Brain Hypoxia Diseases 0.000 description 1
- 206010011985 Decubitus ulcer Diseases 0.000 description 1
- 241001269524 Dura Species 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 210000001951 dura mater Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 239000013049 sediment Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
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Abstract
本实用新型属于医疗器具领域,具体涉及一种可测脑脊液氧分压及生化指标的腰椎穿刺针,包括针头1、针筒2、推动部件3和导丝4。针头1为中空腔体,针头1上设有刻度101,推动部件3包括推杆301和活塞302,活塞302设置于针筒2内,针头1与针筒2前端连接,针筒2前端设有活盖202。本实用新型公开的腰椎穿刺针能够在隔绝空气的条件下采集脑脊液,操作简便、使用安全,能够达到准确测量氧分压及生化指标的目的,而且兼具药物注射功能。
The utility model belongs to the field of medical appliances, in particular to a lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes, comprising a needle 1 , a needle cylinder 2 , a pushing part 3 and a guide wire 4 . The needle 1 is a hollow cavity, the needle 1 is provided with a scale 101, the pushing member 3 includes a push rod 301 and a piston 302, the piston 302 is arranged in the syringe 2, the needle 1 is connected with the front end of the syringe 2, and the front end of the syringe 2 is provided with Live cover 202 . The lumbar puncture needle disclosed by the utility model can collect cerebrospinal fluid under the condition of isolating air, is easy to operate, safe to use, can achieve the purpose of accurately measuring oxygen partial pressure and biochemical indexes, and has the function of drug injection.
Description
技术领域technical field
本实用新型属于医疗器具领域,具体涉及一种可测脑脊液氧分压及生化指标的腰椎穿刺针。The utility model belongs to the field of medical appliances, in particular to a lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes.
背景技术Background technique
腰椎穿刺是神经内科常用的操作之一,主要用于提取脑脊液测定压力,向蛛网膜下腔注入药物,脑脊液造影、留取脑脊液标本等,临床上采取脑脊液的方式通常为:患者通常为弯腰侧卧位,自腰2至骶 1(以腰3-4为主)椎间隙实施穿刺。局部常规消毒及麻醉后,戴橡皮手套,穿刺针沿棘突方向并垂直于背部平面缓慢刺入,进针过程中针尖遇到骨质时,应将针退至皮下待纠正角度后再进行穿刺。成人进针约4-6cm(小儿约3-4cm)时,即可穿破硬脊膜而达蛛膜网下腔,抽出部分导丝,观察脑脊液是否流出,缓慢放液(不超过2-3ml)。术毕,将本实用新型的腰椎穿刺针拔出,覆盖消毒纱布,用胶布固定,患者去枕平卧4-6小时,之后将采集的脑脊液用于测量各类生化指标。Lumbar puncture is one of the commonly used operations in neurology. It is mainly used to extract cerebrospinal fluid to measure pressure, inject drugs into the subarachnoid space, perform cerebrospinal fluid angiography, and collect cerebrospinal fluid samples. In the lateral decubitus position, puncture is performed from the lumbar 2 to the sacral 1 (mainly lumbar 3-4) intervertebral space. After routine local disinfection and anesthesia, wear rubber gloves, and puncture the needle slowly along the spinous process direction and perpendicular to the back plane. When the needle tip encounters bone during needle insertion, the needle should be withdrawn to the subcutaneous surface and the angle should be corrected before puncturing. . When the needle is inserted about 4-6cm for adults (about 3-4cm for children), the dura can be penetrated to reach the subarachnoid space. ). After the operation, the lumbar puncture needle of the present invention is pulled out, covered with sterile gauze, and fixed with adhesive tape. The patient lies supine for 4-6 hours without the pillow, and then the collected cerebrospinal fluid is used to measure various biochemical indicators.
脑脊液氧分压是指脑脊液中物理溶解氧的强力,其反映大脑缺氧的程度,同样也是脑脊液的重要检测指数之一。但是目前使用的脑脊液采液器或集液器的结构设计存在很多缺陷:1.脑脊液长时间暴露在环境中,容易受到外源物质的污染;2.由于空气大气压大于脑脊液压力,所以在接触空气的同时,大气压会将空气中的氧气、二氧化碳等压入脑脊液,使得脑脊液氧分压的测量数值不准确,导致医生得出错误的诊断结果,从而影响后续的治疗。因此,采用传统的腰椎穿刺针收集的脑脊液并不适用于测定脑脊液氧分压。Cerebrospinal fluid oxygen partial pressure refers to the strength of physical dissolved oxygen in cerebrospinal fluid, which reflects the degree of brain hypoxia, and is also one of the important detection indexes of cerebrospinal fluid. However, there are many defects in the structural design of the currently used cerebrospinal fluid sampling device or collector: 1. The cerebrospinal fluid is exposed to the environment for a long time and is easily contaminated by foreign substances; At the same time, atmospheric pressure will press oxygen, carbon dioxide, etc. in the air into the cerebrospinal fluid, making the measurement of the partial pressure of oxygen in the cerebrospinal fluid inaccurate, causing doctors to draw erroneous diagnosis results, thereby affecting subsequent treatment. Therefore, the cerebrospinal fluid collected by the traditional lumbar puncture needle is not suitable for measuring the partial pressure of oxygen in the cerebrospinal fluid.
此外,研究人员尝试改良腰椎穿刺针的结构,但是仍然存在一些其他缺陷:In addition, researchers have tried to improve the structure of the lumbar puncture needle, but there are still some other shortcomings:
例如,发明专利《一种腰椎穿刺针》(专利号 CN201210568499.7),可用于测定脑脊液压力及注射药物,该装置将针头固定在手柄上,通过透明手柄或手柄官腔位置设置观察窗来观察脑脊液是否流出;针头进入人体后,通过阀柄螺纹杆相对于手柄螺纹通孔的旋转,实现引流,精确控制脑脊液的流出量。该装置并没有解决传统穿刺针所具有的以下缺陷:①不便掌握插入的深度,通常医生靠经验来采集脑脊液;②没有隔绝空气装置,很大程度上会混入大量的氧气,二氧化碳等空气成分,使得测得的氧分压及其他生化指标相关数据存在很大的误差;③测压装置与脑脊液直接接触,反复使用会造成污染且测量结果不准。For example, the invention patent "a lumbar puncture needle" (patent number CN201210568499.7) can be used to measure the pressure of cerebrospinal fluid and inject drugs. The device fixes the needle on the handle, and observes the cerebrospinal fluid through a transparent handle or an observation window at the position of the handle's cavity. Whether it flows out; after the needle enters the human body, the valve handle threaded rod rotates relative to the handle threaded through hole to achieve drainage and accurately control the outflow of cerebrospinal fluid. The device does not solve the following defects of traditional puncture needles: ① It is inconvenient to grasp the depth of insertion, and doctors usually collect cerebrospinal fluid by experience; ② There is no air isolation device, and a large amount of oxygen, carbon dioxide and other air components will be mixed to a large extent. This makes the measured oxygen partial pressure and other biochemical indicators related data have large errors; ③ The pressure measuring device is in direct contact with the cerebrospinal fluid, and repeated use will cause pollution and inaccurate measurement results.
而实用新型专利《新型腰穿针》(专利号CN201220508634.4),能够用于测定脑脊液压力,该装置包括穿刺针管以及设在穿刺针管后端的针座,穿刺针管上的刻度可以精确判断穿刺的深度;该装置并没有解决传统穿刺针所具有的以下缺陷:①缺乏观察脑脊液是否流出的直观可视性;②没有隔绝空气装置,很大程度上会混入大量的氧气,二氧化碳等空气成分,使得测得的氧分压及其他生化指标的相关数据存在很大的误差;③测压装置与脑脊液直接接触,反复使用会造成污染且测量结果不准;④用途单一,不具有既可采集脑脊液又可以用于换液或注射药物的功能。The utility model patent "New Lumbar Puncture Needle" (Patent No. CN201220508634.4) can be used to measure the pressure of cerebrospinal fluid. The device includes a puncture needle tube and a needle seat located at the back end of the puncture needle tube. The scale on the puncture needle tube can accurately determine the puncture The device does not solve the following defects of the traditional puncture needle: ① lack of intuitive visibility to observe whether the cerebrospinal fluid flows out; ② there is no air isolation device, and a large amount of oxygen, carbon dioxide and other air components will be mixed to a large extent, making the There are large errors in the measured oxygen partial pressure and other relevant data of biochemical indicators; (3) the pressure measuring device is in direct contact with the cerebrospinal fluid, and repeated use will cause pollution and inaccurate measurement results; It can be used for the function of changing fluids or injecting drugs.
然而,目前市面上没有专用于收集脑脊液,使收集到的脑脊液保持初始状态的腰椎穿刺针,保证各项生理生化指标测定结果的准确性,难以满足医疗诊疗和市场的需求,因此,迫切需要一种新的装置,以满足上述要求。However, there is currently no lumbar puncture needle on the market that is specially used to collect cerebrospinal fluid and keep the collected cerebrospinal fluid in the initial state, so as to ensure the accuracy of the measurement results of various physiological and biochemical indicators, and it is difficult to meet the needs of medical treatment and the market. Therefore, an urgent need for a A new device to meet the above requirements.
实用新型内容Utility model content
本实用新型提供一种可解决上述问题的腰椎穿刺针,即本实用新型所涉及的腰椎穿刺针可直接观察脑脊液是否流出,能精确掌握穿刺深度,能够在密闭的环境中收集脑脊液。该腰椎穿刺针操作简单、使用方便,主要用于在保证安全的情况下,采集不被空气污染的脑脊液,使采集到的脑脊液保持初始状态;也可用于药物注射。The utility model provides a lumbar puncture needle that can solve the above problems, that is, the lumbar puncture needle involved in the utility model can directly observe whether the cerebrospinal fluid flows out, can accurately grasp the puncture depth, and can collect cerebrospinal fluid in a closed environment. The lumbar puncture needle is simple to operate and convenient to use, and is mainly used for collecting cerebrospinal fluid that is not polluted by air under the condition of ensuring safety, so that the collected cerebrospinal fluid maintains the initial state; it can also be used for drug injection.
本实用新型解决技术问题的技术方案是:The technical scheme for solving the technical problem of the present utility model is:
一种可测脑脊液氧分压及生化指标的腰椎穿刺针,包括针头1、针筒2、推动部件3、导丝4;针头1为中空腔体,方便插入、抽取导丝4;针筒2采用透明材料制得,针筒2前端设有接头201,接头201与针头1连接,接头201开口可与氧分压测定仪入液口相匹配,防止脑脊液漏出、空气进入;推动部件3设置于针筒2内,推动部件3包括推杆301和活塞302,推杆301一端与活塞302相连,推杆301一端外露在针筒2后端,达到隔绝空气、预留储液空间、测量时便于液体流出的效果;穿刺前,导丝4穿过推动部件3贯穿针头1腔体,导丝4与推动部件3、针头1形成一体,使腰椎穿刺针内部与空气隔绝,保证后续收集的脑脊液保持初始状态。A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes, comprising a needle head 1, a needle cylinder 2, a pushing
进一步地,针筒2上设有刻度,方便计量采集的脑脊液量及给药量。Further, the syringe 2 is provided with a scale, which is convenient for measuring the amount of cerebrospinal fluid collected and the amount of administration.
进一步地,针头1的内径为0.184mm-1.283mm,相对于普通的腰椎穿刺针,本实用新型公开的针头1的内径更大,避免脑脊液中的沉淀物堵塞针头。Further, the inner diameter of the needle 1 is 0.184mm-1.283mm. Compared with the common lumbar puncture needle, the inner diameter of the needle 1 disclosed in the present invention is larger to avoid the sediment in the cerebrospinal fluid from blocking the needle.
进一步地,导丝4的外径大小与针头1腔体内径吻合,在避免针头1腔体内存留空气污染脑脊液的同时,方便导丝4的抽取。Further, the outer diameter of the guide wire 4 is consistent with the inner diameter of the cavity of the needle 1 , which facilitates the extraction of the guide wire 4 while avoiding air contamination of the cerebrospinal fluid in the cavity of the needle 1 .
进一步地,接头201开口处设有活盖202,方便采集结束后,可通过活盖202盖住接头201,将针筒2内部脑脊液与外界隔离,避免外界环境对脑脊液生化指标和氧分压测量结果的影响。Further, the opening of the
进一步地,接头201与氧分压测定仪入液口相匹配,防止脑脊液漏出、空气进入,进一步保证脑脊液生化指标和氧分压测量结果的准确性。Further, the
进一步地,活塞302由孔石材料制得,当脑脊液进入针筒2内部与活塞302接触后,微孔会被脑脊液堵塞,使针筒2内部形成封闭的空间,确保脑脊液保持初始状态。Further, the
进一步地,针头1与针筒2前端设置的接头201可拆卸连接,在采集脑脊液后,可将针头1从接头201上移除,通过接头开口2连接测量装置,方便脑脊液的氧分压及生化指标的测量。Further, the needle 1 is detachably connected to the
进一步地,针头1上设置有刻度101,医护人员能够精确掌握穿刺深度。Further, the needle 1 is provided with a
医护人员还可将针头1更换为普通注射针头,实施药物注射。The medical staff can also replace the needle 1 with a common injection needle to perform drug injection.
本实用新型的有益效果:本实用新型公开的可测脑脊液氧分压及生化指标的腰椎穿刺针,结构简单、便于操作,可直接观察脑脊液是否流出,能精确掌握穿刺深度,在保证患者安全的情况下,确保采集到的脑脊液保持初始状态,不被空气污染;该装置还兼有注射药物的功能。The beneficial effects of the utility model: the lumbar puncture needle disclosed by the utility model, which can measure the oxygen partial pressure of cerebrospinal fluid and biochemical indexes, has a simple structure and is easy to operate. Under the circumstance, it is ensured that the collected cerebrospinal fluid maintains the initial state and is not polluted by the air; the device also has the function of injecting drugs.
附图说明Description of drawings
图1为本实用新型的主视图。Fig. 1 is the front view of the utility model.
1-针头,2-针筒,202-活盖,3-推动部件,301-推杆,302-活塞,4-导丝1- Needle, 2- Syringe, 202- Live Cap, 3- Push Part, 301- Push Rod, 302- Piston, 4- Guide Wire
图2为本实用新型针头1的主视图。FIG. 2 is a front view of the needle 1 of the present invention.
101-刻度101-scale
图3为本实用新型术毕的主视图。Fig. 3 is the front view of the utility model after the operation.
201-接头,202-活盖,301-推杆,302-活塞201-joint, 202-live cap, 301-push rod, 302-piston
具体实施方式Detailed ways
下面结合附图和具体实施方式对本实用新型做进一步地描述。The present utility model will be further described below with reference to the accompanying drawings and specific embodiments.
实施例1一种可测脑脊液氧分压及生化指标的腰椎穿刺针Embodiment 1 A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes
一种可测脑脊液氧分压及生化指标的腰椎穿刺针,包括针头1、针筒2、推动部件3、导丝4;针头1为中空腔体,针头1上设置有刻度101;针头1的内径为0.184mm-1.283mm;针筒2用透明材料制得,针筒2设置有刻度,针筒2前端设有接头201,接头201与针头1连接,接头201开口与氧分压测定仪入液口相匹配;针头1与针筒2前端设置的接头201可拆卸连接,接头201开口处设有活盖202。推动部件3设置于针筒2内,推动部件3包括推杆301和活塞302,推杆 301一端与活塞302一端相连,推杆301一端外露在针筒2后端,活塞302由孔石材料制得;A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes, comprising a needle head 1, a needle cylinder 2, a pushing
导丝4穿过推动部件3贯穿针头1腔体,导丝4的外径大小与针头1腔体内径一致,穿刺前导丝4与推动部件3、针头1形成一体。The guide wire 4 passes through the pushing
实施例2一种可测脑脊液氧分压及生化指标的腰椎穿刺针的使用方法Embodiment 2 A kind of using method of lumbar puncture needle that can measure cerebrospinal fluid oxygen partial pressure and biochemical index
穿刺针沿棘突方向缓慢刺入,进针过程中针头1进行穿刺时,成人进针约4-6cm(小儿约3-4cm),根据针头1上设置的刻度101来确定进针的深度,即可穿破硬脊膜而达蛛膜网下腔,抽出部分导丝4,观察脑脊液是否流出,抽出导丝4,缓缓移动推杆301,调整储液空间,控制脑脊液采集速度,缓慢放液,通过针筒2上设置的刻度观察脑脊液的体积,达到2-3ml后,停止移动推杆301。The puncture needle is slowly inserted in the direction of the spinous process. During the needle insertion process, when needle 1 is punctured, the needle is inserted about 4-6cm for adults (about 3-4cm for children). The depth of the needle is determined according to the
脑脊液采集结束后,将本实用新型的腰椎穿刺针拔出,覆盖消毒纱布,用胶布固定,患者去枕平卧4-6小时。拆卸针头1与针筒2前端连接处,及时扣下活盖202,密封针筒2。将密封好的针筒2拿去测量脑脊液氧分压,打开活盖202,将与氧分压测定仪入液口相匹配的接头201安装到氧分压测定仪上,测量脑脊液的氧分压。After the cerebrospinal fluid collection is completed, the lumbar puncture needle of the utility model is pulled out, covered with a sterile gauze, fixed with adhesive tape, and the patient lies supine with the pillow removed for 4-6 hours. Disassemble the connection between the needle head 1 and the front end of the syringe barrel 2, and buckle the
本实用新型所保护的技术方案也可用于药物注射,在需要给患者通过腰椎穿刺注射药物的情况下,医护人员还可打开活盖202,将针头1更换为普通注射针头,实施药物注射。The technical scheme protected by the present invention can also be used for drug injection. When the patient needs to inject drugs through lumbar puncture, the medical staff can also open the
Claims (9)
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| CN201820140193.4U CN211131294U (en) | 2018-01-29 | 2018-01-29 | A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109276295A (en) * | 2018-01-29 | 2019-01-29 | 兰州大学 | A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109276295A (en) * | 2018-01-29 | 2019-01-29 | 兰州大学 | A lumbar puncture needle capable of measuring cerebrospinal fluid oxygen partial pressure and biochemical indexes |
| CN109276295B (en) * | 2018-01-29 | 2024-02-20 | 兰州大学 | Lumbar puncture needle capable of measuring oxygen partial pressure and biochemical index of cerebrospinal fluid |
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