CN211381646U - A low-invasive lumbar puncture needle - Google Patents

A low-invasive lumbar puncture needle Download PDF

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CN211381646U
CN211381646U CN201921059803.9U CN201921059803U CN211381646U CN 211381646 U CN211381646 U CN 211381646U CN 201921059803 U CN201921059803 U CN 201921059803U CN 211381646 U CN211381646 U CN 211381646U
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needle
puncture needle
core
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puncture
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沈树红
李静
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Shanghai Childrens Medical Center Affiliated to Shanghai Jiaotong University School of Medicine
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Abstract

本申请涉及医疗器械技术领域,具体讲,涉及一种低创型腰椎穿刺针。本申请的腰椎穿刺针包括穿刺针管和穿刺针芯,穿刺针管包括针管体和针管座,穿刺针芯包括针芯体和针芯座;针芯体的头部为圆锥体状,针管体的头部为空心圆台状,当穿刺针芯全插入于穿刺针管中时,针芯体的头部全部露出于针管体。本申请的低创型腰椎穿刺针先锐性刺入后钝性撑开穿刺组织,不仅可以减小腰椎穿刺针取出后硬脊膜遗留裂隙的面积,还能最大程度保留硬脊膜组织纤维自身挛缩特性,加快裂隙闭合的进程,最终达到减少腰椎穿刺并发症的目的。

Figure 201921059803

The present application relates to the technical field of medical devices, and in particular, to a low-invasive lumbar puncture needle. The lumbar puncture needle of the present application includes a puncture needle tube and a puncture needle core, the puncture needle tube includes a needle tube body and a needle tube seat, and the puncture needle core includes a needle core body and a needle core seat; the head of the needle core body is cone-shaped, and the head of the needle tube body The head of the needle core body is completely exposed to the needle tube body when the puncture needle core is fully inserted into the puncture needle tube. The low-invasive lumbar puncture needle of the present application first penetrates sharply and then bluntly spreads the punctured tissue, which can not only reduce the area of the dura left crack after the lumbar puncture needle is taken out, but also preserve the dural tissue fiber itself to the greatest extent. Contracture characteristics, accelerate the process of fissure closure, and ultimately achieve the purpose of reducing complications of lumbar puncture.

Figure 201921059803

Description

一种低创型腰椎穿刺针A low-invasive lumbar puncture needle

技术领域technical field

本申请涉及医疗器械技术领域,具体讲,涉及一种低创型腰椎穿刺针。The present application relates to the technical field of medical devices, in particular, to a low-invasive lumbar puncture needle.

背景技术Background technique

腰椎穿刺是临床工作中广泛应用的一项操作,而腰椎穿刺后头痛(又称低颅压头痛)是腰椎穿刺后常见的并发症,其发生率约为20%-30%。腰椎穿刺针损伤硬脊膜导致脑脊液渗漏增加是腰椎穿刺后头痛的主要原因。腰椎穿刺后头痛不仅影响患者生活质量,而且将增加额外的治疗费用,甚至有继发中枢神经系统感染的风险。Lumbar puncture is a widely used operation in clinical work, and post-lumbar puncture headache (also known as low intracranial pressure headache) is a common complication after lumbar puncture, and its incidence is about 20%-30%. Increased cerebrospinal fluid leakage due to lumbar puncture needle injury to the dura mater is a major cause of post-lumbar puncture headaches. Headache after lumbar puncture not only affects the quality of life of patients, but also increases the cost of additional treatment, and even has the risk of secondary central nervous system infection.

我国现广泛使用的一次性腰椎穿刺针(即创伤型腰椎穿刺针),针头端呈斜切面,用于引流脑脊液或注射药物的针心开口在斜切面上,斜切面与针管侧面形成锐利的切割棱,进针时此棱锐性切断硬脊膜组织纤维,不可逆的破坏硬脊膜完整性,穿刺针取出后硬脊膜上可出现边缘不整的裂隙,造成脑脊液异常外渗,这是低颅压头痛产生的独立危险因素。而且,脑脊液外渗还可引起伤口感染、水肿、愈合延迟的并发症。The disposable lumbar puncture needle (ie traumatic lumbar puncture needle) that is widely used in my country has an oblique section at the tip of the needle, and the opening of the needle for cerebrospinal fluid drainage or drug injection is on the oblique section, and the oblique section forms a sharp cut with the side of the needle tube. When the needle is inserted, this edge sharply cuts the dura mater tissue fibers, irreversibly destroying the integrity of the dura mater. After the puncture needle is taken out, there may be cracks with uneven edges on the dura mater, resulting in abnormal extravasation of cerebrospinal fluid. Independent risk factors for pressure headaches. Furthermore, CSF extravasation can cause complications such as wound infection, edema, and delayed healing.

此外,现有一次性腰椎穿刺针的针尖锋利,进针时阻力低,能快速切割皮肤、韧带及硬脊膜等各层组织,医生操作时难以感受到针尖部达到硬脊膜时的突破感,不利于腰椎穿刺针穿刺层次的评估,从而导致穿刺失败,穿刺次数的增加造成医疗资源的浪费,更增加了患者的痛苦体验。In addition, the existing disposable lumbar puncture needles have sharp needle tips, low resistance during needle insertion, and can quickly cut various layers of tissue such as the skin, ligaments, and dura mater, and it is difficult for doctors to feel the breakthrough when the needle tip reaches the dura mater. , which is not conducive to the evaluation of lumbar puncture needle puncture levels, resulting in puncture failure, the increase of puncture times, the waste of medical resources, and the more painful experience of patients.

鉴于此,特提出本申请。In view of this, this application is hereby made.

实用新型内容Utility model content

本申请的发明目的在于提供一种低创型腰椎穿刺针。The purpose of the invention of the present application is to provide a low-invasive lumbar puncture needle.

为了实现本申请的发明目的,本申请的技术方案为:In order to realize the invention purpose of the present application, the technical solution of the present application is:

本申请提出一种低创型腰椎穿刺针,所述低创型腰椎穿刺针包括穿刺针管和穿刺针芯,所述穿刺针管包括针管体和针管座,所述穿刺针芯包括针芯体和针芯座;所述针管体的尾部与所述针管座固定连接,所述针芯体的尾部与所述针芯座固定连接,所述穿刺针芯插入于所述穿刺针管中;The present application provides a low-invasive lumbar puncture needle, the low-invasive lumbar puncture needle includes a puncture needle tube and a puncture needle core, the puncture needle tube includes a needle tube body and a needle tube seat, and the puncture needle core includes a needle core body and a needle a core seat; the tail of the needle tube body is fixedly connected to the needle tube seat, the tail of the needle core body is fixedly connected to the needle core seat, and the puncture needle core is inserted into the puncture needle tube;

所述针芯体的头部为圆锥体状,所述针管体的头部为空心圆台状,当所述穿刺针芯全插入于所述穿刺针管中时,所述针芯体的头部全部露出于所述针管体。The head of the needle core body is in the shape of a cone, and the head of the needle tube body is in the shape of a hollow truncated cone. When the puncture needle core is fully inserted into the puncture needle tube, all the heads of the needle core body are in the shape of a hollow truncated cone. exposed to the needle body.

可选的,当所述穿刺针芯全插入于所述穿刺针管中时,所述针芯体的头部的圆锥体的底边与所述针管体的头部的圆台的上底边接合。Optionally, when the puncture needle core is completely inserted into the puncture needle tube, the bottom edge of the cone of the head of the needle core body is engaged with the upper bottom edge of the circular frustum of the head of the needle tube body.

可选的,所述针管体的体部为空心圆管状。Optionally, the body of the needle body is in the shape of a hollow circular tube.

可选的,所述针管体的头部与所述针管体的体部为平滑连接。Optionally, the head of the needle body and the body of the needle body are smoothly connected.

可选的,所述针管体的内外表面均为光滑表面。Optionally, the inner and outer surfaces of the needle body are smooth surfaces.

可选的,所述穿刺针芯为外表光滑实心管状。Optionally, the puncture needle core is a solid tubular shape with a smooth exterior.

可选的,所述圆锥体的母线与底面的夹角为a,所述圆台的母线与下底面的夹角为b,且b=a。Optionally, the included angle between the generatrix of the cone and the bottom surface is a, and the included angle between the generatrix of the truncated cone and the lower bottom surface is b, and b=a.

可选的,30≤a≤60。Optionally, 30≤a≤60.

可选的,30≤b≤60。Optionally, 30≤b≤60.

本申请至少具有以下有益的效果:This application has at least the following beneficial effects:

本申请提出一种先锐性刺入后钝性撑开穿刺组织为特性的低创型腰椎穿刺针,一方面可以减小腰椎穿刺针取出后硬脊膜遗留裂隙的面积,另一方面能最大程度保留硬脊膜组织纤维自身挛缩特性,加快裂隙闭合的进程,最终达到减少腰椎穿刺并发症的目的。本申请的腰椎穿刺针均衡穿刺针钝锐特性,在保证穿刺成功基础上减少穿刺并发症的发生。The present application proposes a low-invasive lumbar puncture needle characterized by penetrating the puncture tissue first and then bluntly opening the punctured tissue. To a certain extent, the contracture properties of the fibers of the dura mater can be preserved, and the process of fissure closure can be accelerated, and finally the purpose of reducing the complications of lumbar puncture can be achieved. The lumbar puncture needle of the present application balances the blunt and sharp characteristics of the puncture needle, and reduces the occurrence of puncture complications on the basis of ensuring the successful puncture.

本申请的腰椎穿刺针由穿刺针芯和穿刺针管组成,结构简单,易于制作。The lumbar puncture needle of the present application is composed of a puncture needle core and a puncture needle tube, and has a simple structure and is easy to manufacture.

本申请的腰椎穿刺针与目前临床常用腰椎穿刺针相比,外观相近,使用方法类似,方便临床医生使用。Compared with the lumbar puncture needle commonly used in clinical practice, the lumbar puncture needle of the present application has similar appearance and similar usage method, which is convenient for clinicians to use.

附图说明Description of drawings

图1为本申请实施例的低创型腰椎穿刺针的具体实施方式中穿刺针管的结构示意图;1 is a schematic structural diagram of a puncture needle tube in a specific embodiment of a low-invasive lumbar puncture needle according to an embodiment of the application;

图2为图1的局部放大示意图;Fig. 2 is the partial enlarged schematic diagram of Fig. 1;

图3为本申请实施例的低创型腰椎穿刺针的具体实施方式中穿刺针芯的结构示意图;3 is a schematic structural diagram of the puncture needle core in the specific implementation of the low-invasive lumbar puncture needle according to the embodiment of the present application;

图4为图3的局部放大示意图;Fig. 4 is the partial enlarged schematic diagram of Fig. 3;

图5为本申请实施例的低创型腰椎穿刺针的具体实施方式中穿刺针芯全插入穿刺针管时的结构示意图;5 is a schematic structural diagram of the puncture needle core when the puncture needle core is fully inserted into the puncture needle tube in the specific implementation of the low-invasive lumbar puncture needle according to the embodiment of the application;

图6为图5的局部放大示意图;Fig. 6 is the partial enlarged schematic diagram of Fig. 5;

图7为本申请实施例的低创型腰椎穿刺针的具体实施方式中穿刺针芯半插入穿刺针管时的结构示意图;7 is a schematic structural diagram of the puncture needle core when the puncture needle core is half inserted into the puncture needle tube in the specific implementation of the low-invasive lumbar puncture needle according to the embodiment of the application;

图8为本申请实施例的低创型腰椎穿刺针的具体实施方式中夹角a和夹角b的示意图。FIG. 8 is a schematic diagram of the included angle a and the included angle b in the specific implementation of the low-invasive lumbar puncture needle according to the embodiment of the present application.

附图中涉及的附图标记如下所示:The reference numbers involved in the drawings are as follows:

1-穿刺针管;1- puncture needle;

11-针管体;11- needle body;

12-针管座;12-Needle tube holder;

2-穿刺针芯;2-Puncture needle core;

21-针芯体;21-needle core body;

22-针芯座。22-pin holder.

下面结合具体实施例,进一步阐述本申请。应理解,这些实施例仅用于说明本申请而不用于限制本申请的范围。The present application will be further described below with reference to specific embodiments. It should be understood that these examples are only used to illustrate the present application and not to limit the scope of the present application.

具体实施方式Detailed ways

本申请实施例提出一种低创型腰椎穿刺针,包括穿刺针管和穿刺针芯。具体的,穿刺针管的结构示意图如图1所示,由图1可知,穿刺针管1包括针管体11和针管座12,针管体11的尾部与针管座12固定连接。穿刺针管的局部放大示意图如图2所示,由图2可知,针管体11的头部为空心圆台状。穿刺针芯的结构示意图如图3所示,由图3可知,穿刺针芯2包括针芯体21和针芯座22。穿刺针芯的局部放大示意图如图4所示,由图4可知,针芯体21的头部为圆锥体状。穿刺针管和穿刺针芯的配合示意图如图5和图7所示,其中,图5为穿刺针芯全插入穿刺针管时的结构示意图,图7为穿刺针芯半插入穿刺针管时的结构示意图。图5的局部放大示意图如图6所示,由图6可知,针芯体21的头部全部露出于针管体11。The embodiments of the present application provide a low-invasive lumbar puncture needle, which includes a puncture needle tube and a puncture needle core. Specifically, the schematic structural diagram of the puncture needle tube is shown in FIG. 1 . From FIG. 1 , the puncture needle tube 1 includes a needle tube body 11 and a needle tube seat 12 , and the tail of the needle tube body 11 is fixedly connected to the needle tube seat 12 . A partially enlarged schematic diagram of the puncture needle tube is shown in FIG. 2 , and it can be seen from FIG. 2 that the head of the needle tube body 11 is in the shape of a hollow truncated cone. A schematic diagram of the structure of the puncture needle core is shown in FIG. 3 . It can be seen from FIG. 3 that the puncture needle core 2 includes a needle core body 21 and a needle core seat 22 . A partial enlarged schematic view of the puncture needle core is shown in FIG. 4 , and it can be seen from FIG. 4 that the head of the needle core body 21 is in the shape of a cone. Fig. 5 and Fig. 7 are schematic diagrams of cooperation between the puncture needle tube and the puncture needle core, wherein Fig. 5 is a schematic structural diagram when the puncture needle core is fully inserted into the puncture needle tube, and Fig. 7 is a structural schematic diagram when the puncture needle core is half inserted into the puncture needle tube. The partially enlarged schematic diagram of FIG. 5 is shown in FIG. 6 . It can be seen from FIG. 6 that the head of the needle core body 21 is completely exposed to the needle tube body 11 .

本申请实施例的低创型腰椎穿刺针的头部整体构成一个类似于铅笔头的结构,穿刺针芯相当于铅笔的铅芯,穿刺针管相当于铅笔的木制笔杆。本申请实施例的腰椎穿刺针整体仅顶部为圆锥形,形成一个较为锋利的顶端,保证顺利刺入皮肤、皮下组织、韧带等穿刺组织,其他部分均无可形成切口的部分,采用钝性撑开穿刺组织,减少对穿刺各层组织所产生的锐性切割伤,从而减少腰椎穿刺并发症。The head of the low-invasive lumbar puncture needle according to the embodiment of the present application has a structure similar to the head of a pencil. Only the top of the lumbar puncture needle in the embodiment of the present application has a conical top, forming a relatively sharp top to ensure smooth penetration into the skin, subcutaneous tissue, ligaments and other puncture tissues. The puncture tissue is opened to reduce the sharp incision caused by the puncture of each layer of tissue, thereby reducing the complications of lumbar puncture.

可选的,当穿刺针芯全插入于穿刺针管中时,圆锥体的底边与圆台的上底边接合。Optionally, when the puncture needle core is completely inserted into the puncture needle tube, the bottom edge of the cone is engaged with the upper bottom edge of the circular frustum.

可选的,针管体的体部为空心圆管状,用于引流脑脊液或注射药物。Optionally, the body of the needle body is a hollow circular tube, which is used for draining cerebrospinal fluid or injecting drugs.

可选的,针管体的头部与针管体的体部为平滑连接,以进一步减少穿刺各层组织时所产生的锐性切割伤。Optionally, the head of the needle tube body and the body part of the needle tube body are smoothly connected, so as to further reduce the sharp incision wound when puncturing each layer of tissue.

可选的,针管体的内外表面均为光滑表面,光滑的内表面可减少与穿刺针芯外表面的摩擦,便于进针操作。Optionally, the inner and outer surfaces of the needle tube body are both smooth surfaces, and the smooth inner surface can reduce friction with the outer surface of the puncture needle core and facilitate the needle insertion operation.

可选的,穿刺针芯为外表光滑实心管状,光滑的外表面可减少与针管体内表面之间的摩擦,利用操作。Optionally, the puncture needle core is a solid tubular shape with a smooth outer surface, and the smooth outer surface can reduce the friction between the inner surface of the needle tube and the inner surface of the needle tube, which can be used for operation.

可选的,圆锥体的母线与底面的夹角为a,圆台的母线与下底面的夹角为b,且b=a,具体结构示意图如图8所示。Optionally, the included angle between the generatrix of the cone and the bottom surface is a, the included angle between the generatrix of the cone and the bottom surface is b, and b=a, and a schematic diagram of the specific structure is shown in FIG. 8 .

可选的,30≤a≤60,30≤b≤60。如果角度过大,则腰椎穿刺针的头部过于锋利,会造成进针时阻力偏低;如果角度过小,则腰椎穿刺针的头部过钝,会造成进针时阻力偏大,均不便于操作。Optionally, 30≤a≤60, 30≤b≤60. If the angle is too large, the head of the lumbar puncture needle will be too sharp, which will cause low resistance when the needle is inserted; if the angle is too small, the head of the lumbar puncture needle will be too blunt, which will cause the resistance to be too large when the needle is inserted. Easy to operate.

具体的,本申请实施例低创型腰椎穿刺针的使用过程及方法为:Specifically, the use process and method of the low-invasive lumbar puncture needle in the embodiment of the present application are as follows:

在使用时,首先患者侧卧于硬板床,脊柱尽量靠近床边,背部和床面垂直,头颈向前胸屈曲,两手抱膝紧贴腹部,尽量使腰椎后凸,拉大椎间隙,以利进针;接着进行穿刺点定位;当定位完成后用碘伏在穿刺点部位,自内向外进行皮肤消毒,消毒范围直径约15cm。解开穿刺包,术者戴无菌手套,检查穿刺包内器械,注意穿刺针是否通畅,并铺消毒孔巾;接着对穿刺部位局部麻醉。When using, firstly, the patient lies on the side of the hard bed, the spine is as close to the bedside as possible, the back and the bed surface are vertical, the head and neck are flexed forward and the chest is flexed, the hands are hugging the knees close to the abdomen, the lumbar kyphosis is made as much as possible, and the intervertebral space is enlarged to facilitate the advancement of the lumbar spine. Needle; then locate the puncture point; when the positioning is completed, use iodophor on the puncture point to disinfect the skin from the inside to the outside, and the diameter of the disinfection range is about 15cm. Untie the puncture bag, the operator wears sterile gloves, checks the instruments in the puncture bag, pays attention to whether the puncture needle is unobstructed, and lays a sterile towel; then the puncture site is locally anesthetized.

穿刺:术者用左手拇指和示指绷紧并固定穿刺部位皮肤,避免穿刺点移位,右手持低创型腰椎穿刺针垂直于脊背平面,针尖朝向头部刺入皮下后,要从正面及侧面察看进针方向是否正确,这是穿刺成功的关键。针头稍斜向头部,缓慢刺入。腰椎穿刺针的头部穿过韧带时有一定的阻力感,当阻力突然降低时,提示腰椎穿刺针已穿过硬脊膜进入蛛网膜下腔。将穿刺针芯慢慢拨出,可见脑脊液流出。Puncture: The surgeon tightens and fixes the skin at the puncture site with the thumb and index finger of the left hand to avoid displacement of the puncture point. The right hand holds the low-invasive lumbar puncture needle perpendicular to the dorsal plane. Check whether the needle is inserted in the correct direction, which is the key to a successful puncture. The needle is slightly inclined towards the head and pierces slowly. When the head of the lumbar puncture needle passes through the ligament, there is a certain sense of resistance. When the resistance suddenly decreases, it indicates that the lumbar puncture needle has passed through the dura and entered the subarachnoid space. The core of the puncture needle was slowly pulled out, and the cerebrospinal fluid was seen to flow out.

当穿刺结束后,再将穿刺针芯插入穿刺针管中,拔出低创型腰椎穿刺针;局部按压1-2分钟,消毒穿刺点,覆盖无菌纱布,胶布固定。When the puncture is over, insert the puncture needle core into the puncture needle tube, and pull out the low-invasive lumbar puncture needle; press locally for 1-2 minutes, sterilize the puncture point, cover it with sterile gauze, and fix it with tape.

本申请虽然以较佳实施例公开如上,但并不是用来限定权利要求,任何本领域技术人员在不脱离本申请构思的前提下,都可以做出若干可能的变动和修改,因此本申请的保护范围应当以本申请权利要求所界定的范围为准。Although the present application is disclosed above with preferred embodiments, it is not used to limit the claims. Any person skilled in the art can make some possible changes and modifications without departing from the concept of the present application. The scope of protection shall be subject to the scope defined by the claims of this application.

Claims (9)

1. A low-wound lumbar puncture needle comprises a puncture needle tube and a puncture needle core, wherein the puncture needle tube comprises a needle tube body and a needle tube seat, and the puncture needle core comprises a needle core body and a needle core seat; the tail part of the needle tube body is fixedly connected with the needle tube seat, the tail part of the needle core body is fixedly connected with the needle core seat, and the puncture needle core is inserted into the puncture needle tube; it is characterized in that the preparation method is characterized in that,
the head of the needle core body is in a conical shape, the head of the needle tube body is in a hollow circular truncated cone shape, and when the puncture needle core is fully inserted into the puncture needle tube, the head of the needle core body is completely exposed out of the needle tube body.
2. The low-trauma lumbar puncture needle according to claim 1, wherein when the puncture needle core is fully inserted into the puncture needle tube, the bottom edge of the cone of the head of the needle core body is engaged with the upper bottom edge of the circular truncated cone of the head of the needle tube body.
3. The low-trauma lumbar puncture needle according to claim 1, wherein the body of the needle body is hollow and tubular.
4. The low-trauma lumbar puncture needle of claim 1, wherein the head of the needle body is smoothly connected with the body of the needle body.
5. The low-trauma lumbar puncture needle of claim 1 wherein the inner and outer surfaces of the needle body are smooth surfaces.
6. The low-trauma lumbar puncture needle of claim 1, wherein the puncture needle core is in the shape of a smooth solid tube.
7. The low-trauma lumbar puncture needle according to claim 1, wherein the included angle between the generatrix of the cone and the bottom surface is a, the included angle between the generatrix of the circular truncated cone and the lower bottom surface is b, and b ═ a.
8. The low-trauma lumbar puncture needle according to claim 7, wherein a is 30 to 60.
9. The low-trauma lumbar puncture needle according to claim 7, wherein b is 30 to 60.
CN201921059803.9U 2019-07-09 2019-07-09 A low-invasive lumbar puncture needle Expired - Fee Related CN211381646U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113171177A (en) * 2021-04-07 2021-07-27 上海交通大学 Human-computer interaction control method and system capable of capturing the sense of tissue layer breakthrough in lumbar puncture

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113171177A (en) * 2021-04-07 2021-07-27 上海交通大学 Human-computer interaction control method and system capable of capturing the sense of tissue layer breakthrough in lumbar puncture
CN113171177B (en) * 2021-04-07 2023-02-17 上海交通大学 Human-computer interaction control method and system capable of capturing the sense of tissue layer breakthrough in lumbar puncture

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