DE8815712U1 - 30 Gauge Spinal Needle - Google Patents
30 Gauge Spinal NeedleInfo
- Publication number
- DE8815712U1 DE8815712U1 DE8815712U DE8815712U DE8815712U1 DE 8815712 U1 DE8815712 U1 DE 8815712U1 DE 8815712 U DE8815712 U DE 8815712U DE 8815712 U DE8815712 U DE 8815712U DE 8815712 U1 DE8815712 U1 DE 8815712U1
- Authority
- DE
- Germany
- Prior art keywords
- needle
- spinal
- gauge
- spinal needle
- anesthesia
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 239000002184 metal Substances 0.000 claims description 2
- 238000002693 spinal anesthesia Methods 0.000 description 6
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 241001269524 Dura Species 0.000 description 2
- 206010019233 Headaches Diseases 0.000 description 2
- 206010028813 Nausea Diseases 0.000 description 2
- 208000007542 Paresis Diseases 0.000 description 2
- 208000004550 Postoperative Pain Diseases 0.000 description 2
- 206010047700 Vomiting Diseases 0.000 description 2
- 210000003792 cranial nerve Anatomy 0.000 description 2
- 238000002692 epidural anesthesia Methods 0.000 description 2
- 231100000869 headache Toxicity 0.000 description 2
- 208000016354 hearing loss disease Diseases 0.000 description 2
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 2
- 230000008693 nausea Effects 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 230000008673 vomiting Effects 0.000 description 2
- 102000004877 Insulin Human genes 0.000 description 1
- 108090001061 Insulin Proteins 0.000 description 1
- 206010060854 Post lumbar puncture syndrome Diseases 0.000 description 1
- 244000171726 Scotch broom Species 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 230000000202 analgesic effect Effects 0.000 description 1
- 239000000411 inducer Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 229940125396 insulin Drugs 0.000 description 1
- 239000003589 local anesthetic agent Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
Dr.med.Timm Ahlhelm und Prof.Dr.med.Volker HempelDr.med.Timm Ahlhelm and Prof.Dr.med.Volker Hempel
BesenreibungBroom friction
Oberlange 3U Gauge SpinalnadelLong 3U Gauge Spinal Needle
Die Erfindung bezieht sich auf eine überlange Feinspinalnadel.The invention relates to an extra-long fine spinal needle.
Spinalnadeln,zur Spinalanästhesie,werden schon seit ca.90 Jahren verwendet.Aufgrund des postspinalen KopfSchmerzes,Übelkeit, Erbrechen,Hörstörungen und Paresen der Hirnnerven, verursacht durch eine nadelbedingte Liquordrainage ,war die Spinalanästhesie auf eine bestimmte Altersgruppe von Patienten beschränkt.Der Kopfschmerz ist abhängig von der Größe des Außendurchmessers der Nadel.Im Handel sind Spinalnadeln in den Größen 20 bis 29 Gauge erhältlich.Spinal needles have been used for spinal anesthesia for around 90 years. Due to the post-spinal headache, nausea, vomiting, hearing impairment and paresis of the cranial nerves caused by needle-related CSF drainage, spinal anesthesia was limited to a certain age group of patients. The headache depends on the size of the outer diameter of the needle. Spinal needles are commercially available in sizes 20 to 29 gauge.
Hit diesen Nadeln kam, je nach Außendurchmesser,ohne und mit Indroducer (Einführungsnadel) eine Spinalanästhesie als Honoanästhesie durchgeführt werden.Die postoperative Schwarztherapie hingegen muß mit systemischen Mitteln fortgeführt . werden und belastet somit, je nach Anaigetikum, den Organismus Sah" Patienten.Außerdem ist eine ausreichende,nur den postoperativen. .". Schmerz betreffende Therapie nicht hinlänglich gesichert. '.!..'With these needles, depending on the outer diameter, spinal anesthesia can be performed with or without an inducer (introducer needle) as a form of anaesthesia. Postoperative analgesia, on the other hand, must be continued with systemic means and thus, depending on the analgesic, places a strain on the patient's organism. In addition, adequate therapy for postoperative pain alone is not sufficiently guaranteed. '.!..'
Der Erfindung liegt die Aufgabe zugrunde,die oben beschriebenen;""; Nachteile bei einer Spinalauästhesie zu beseitigen. ""The invention is based on the object of eliminating the above-described disadvantages of spinal anesthesia.
Unter Verwendung einer 112 mm langen Spinalnadel,die eine Oberlänge von 24 mm gegenüber der herkömmlichen Spinalnadel auf- ,, . weist,und einen Außendurchmesser von 0,3 mm (30 Gauge) hat kann litt,! Kombination mit einer 16 - 18 Gauge TUOHY - Nadel eine Spinalanäs]-.# thesie und im gleichen "Arbeitsgang" eine Periduralanästhesie ·,·,.· durchgeführt werden.Das Verfahren wird "Transdurale Anästhesie" genannt.Using a 112 mm long spinal needle, which has an upper length of 24 mm compared to the conventional spinal needle, and an outer diameter of 0.3 mm (30 gauge), in combination with a 16 - 18 gauge TUOHY needle, a spinal anesthesia and an epidural anesthesia can be performed in the same "operation". The procedure is called "transdural anesthesia".
In der Zeichnung ist der Erfindergegenstand in einer Ansicht, 20°Nadelschliff,Außen- und Innendurchmesser dargestellt. Die Nadel weist eine Länge von 112 nun (1) <ohne Luer - Konus> euf.Sis hat einen 20° Nadelschliff (4).Der Außendurchmesser beträgt 0,3 nun = 30 Gauge (2),der Innendurchmesser beträgt 0,1 - 0,2 mm (3).Ein handelsüblicher,metallner Luer - Konus (5) befindet sich am Ende der Nadel.Diese ist aus medizinischem Edelstahlrohr gezogen.Sie weist gegenüber den üblichen Spinalnadeln eine "Oberlänge" von 24 mm auf.Die Nadel ist zum einmaligen Gebrauch bestimmt. The drawing shows the invention's object in one view, 20° needle cut, outer and inner diameter. The needle has a length of 112 mm (1) <without Luer cone> euf.Sis has a 20° needle cut (4).The outer diameter is 0.3 mm = 30 gauge (2), the inner diameter is 0.1 - 0.2 mm (3).A commercially available metal Luer cone (5) is located at the end of the needle. This is drawn from medical stainless steel tubing. Compared to the usual spinal needles, it has an "upper length" of 24 mm.The needle is intended for single use.
Die 13 Gauge Periduralnadel mit TUOHYschliff wird mit üblicher Technik durch Loss-of-Resistance in den Epiduralraum eingebracht.Der Schliff der TUOHY-Nadel wird nach caudal gerichtet, damit Spinalnadel und später der Periduralkatheter andere Richtungen gegen die Dura aufweisen.The 13 gauge epidural needle with TUOHY cut is inserted into the epidural space using the usual technique by loss of resistance. The cut of the TUOHY needle is directed caudally so that the spinal needle and later the epidural catheter have different directions against the dura.
Danach Einbringen der 30 Gauge Spinalnadel durch die 18 <~,auge TUÖHY - Nadel in den Epiduralraum und Perforation der Duua mit der Spinalnadel unter Registrierung des Perforationsclicks.Die Spinalnadel wird der TUOHY - Nadel festaufgesetzt.Then insert the 30 gauge spinal needle through the 18 <~, eye TUÖHY needle into the epidural space and perforate the dura with the spinal needle while recording the perforation click. The spinal needle is firmly attached to the TUOHY needle.
Wegen der ultradünnen Spinalnadel ist eiii spontaner Liquorrückfluß meist nur in sitzender Position vorhanden/und dann auch erst nach eiiiiger «&igr;·»*? te*-** t-Au« diesem Grund wird eine Liauoraspiration,zur Lagekontrülle,mittels einer Insulinspritze durchgeführt. Die Injektion des Lokälanäöthetikums erfolgt mit einer 2 ml oder kleineren Spritze,Um den erhebliehen Injektionswiderstand besser zu überwinden.Because of the ultra-thin spinal needle, spontaneous cerebrospinal fluid reflux usually only occurs in the sitting position and then only after a long period of time. For this reason, cerebrospinal fluid aspiration is carried out using an insulin syringe to check the position. The local anesthetic is injected using a 2 ml or smaller syringe to better overcome the considerable injection resistance.
Die 30 Gauge gpinalnadel wird danach herausäesäögen. Södanri wircl die TÜÖHY « Made! Um 18ÖÖ mit dem Schliff riadh cranial gedreht Und detf Peridüralkathetef wie üblich eingeführt und zur1 späteren pöstöperätiVen Söhmerztherapie fixiert, Der Vorteil dieser" Methode Qegenühet der Periduralänästhesie ist eine absolut dichte*prompt einsetzende Anästhesie.Gegenüber def herkömmlichen SpinalenÄetheeie mit dickeren Nadeln ist das Vermeiden des Liqüordrainageeyndroms mit Kopfschmerzen, Übelkeit ,Erbrechen,Hörstörungen Und Paresen der Hirnnervön zu nennen.The 30 gauge epidural needle is then removed. The catheter is then turned cranially by 18 ° with the bevel facing away from the lumen and the epidural catheter is inserted as usual and fixed in place for later postoperative pain therapy. The advantage of this method compared to epidural anesthesia is that the anesthesia is completely dense and starts immediately. Compared to conventional spinal anesthesia with thicker needles, it avoids cerebrospinal fluid drainage syndrome with headaches, nausea, vomiting, hearing impairment and paresis of the cranial nerves.
(1) Lähöe den Nadel ohne Konus
< 112 mm >
Außehdurchmessel* <
0*3 rrirn = 30 SAUGE >
IhnehdUnchmesser i Öly - 0^2 nim >(1) Length of needle without cone < 112 mm >
External diameter* < 0*3 rrirn = 30 SAUGE >
IhnehdUnchmesser i Öly - 0^2 nim >
(4.) 20"Nadelschliff(4.) 20"Needle grind
(5) Luer - Konus < handelsüblich >(5) Luer cone < commercially available >
I I II I I
Claims (1)
dadurch gekennzeichnet,30 gauge spinal needle without stylet,
characterized,
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE8815712U DE8815712U1 (en) | 1988-12-19 | 1988-12-19 | 30 Gauge Spinal Needle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE8815712U DE8815712U1 (en) | 1988-12-19 | 1988-12-19 | 30 Gauge Spinal Needle |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE8815712U1 true DE8815712U1 (en) | 1989-02-23 |
Family
ID=6830898
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE8815712U Expired DE8815712U1 (en) | 1988-12-19 | 1988-12-19 | 30 Gauge Spinal Needle |
Country Status (1)
| Country | Link |
|---|---|
| DE (1) | DE8815712U1 (en) |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB1122681A (en) * | 1964-11-24 | 1968-08-07 | Abbott Lab | Catheter assembly |
| US4186750A (en) * | 1978-04-19 | 1980-02-05 | The Kendall Company | Position testing device |
| DE3020926A1 (en) * | 1980-06-03 | 1981-12-10 | Heinrich 7716 Geisingen Pajunk | Syringe for lumbar puncture - has conical closed needle tip with lateral aperture |
| DE8422556U1 (en) * | 1984-07-28 | 1984-10-25 | Krebs, Peter, 7730 Villingen-Schwenningen | COMBINATION NEEDLE FOR THE AXILLAERE PLEXUS-BRACHIALIS-ANESTHESIA |
| DE3218242C2 (en) * | 1982-05-14 | 1987-01-15 | Horst Pajunk | |
| DE3508013C2 (en) * | 1984-07-28 | 1988-02-04 | Peter Dr. 7730 Villingen-Schwenningen De Krebs | |
| DE3710262A1 (en) * | 1986-06-16 | 1988-04-14 | Karl Marx Stadt Krankenhaus | Device for peridural anaesthesia |
| DE8801048U1 (en) * | 1988-01-29 | 1988-06-16 | Candidus, Wolfram Armin, 68782 Brühl | Cannula for spinal anesthesia |
-
1988
- 1988-12-19 DE DE8815712U patent/DE8815712U1/en not_active Expired
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB1122681A (en) * | 1964-11-24 | 1968-08-07 | Abbott Lab | Catheter assembly |
| US4186750A (en) * | 1978-04-19 | 1980-02-05 | The Kendall Company | Position testing device |
| DE3020926A1 (en) * | 1980-06-03 | 1981-12-10 | Heinrich 7716 Geisingen Pajunk | Syringe for lumbar puncture - has conical closed needle tip with lateral aperture |
| DE3218242C2 (en) * | 1982-05-14 | 1987-01-15 | Horst Pajunk | |
| DE8422556U1 (en) * | 1984-07-28 | 1984-10-25 | Krebs, Peter, 7730 Villingen-Schwenningen | COMBINATION NEEDLE FOR THE AXILLAERE PLEXUS-BRACHIALIS-ANESTHESIA |
| DE3508013C2 (en) * | 1984-07-28 | 1988-02-04 | Peter Dr. 7730 Villingen-Schwenningen De Krebs | |
| DE3710262A1 (en) * | 1986-06-16 | 1988-04-14 | Karl Marx Stadt Krankenhaus | Device for peridural anaesthesia |
| DE8801048U1 (en) * | 1988-01-29 | 1988-06-16 | Candidus, Wolfram Armin, 68782 Brühl | Cannula for spinal anesthesia |
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