CN109171900A - A kind of certainty vascular puncture method of intubation and device - Google Patents
A kind of certainty vascular puncture method of intubation and device Download PDFInfo
- Publication number
- CN109171900A CN109171900A CN201811046964.4A CN201811046964A CN109171900A CN 109171900 A CN109171900 A CN 109171900A CN 201811046964 A CN201811046964 A CN 201811046964A CN 109171900 A CN109171900 A CN 109171900A
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- Prior art keywords
- puncture
- fixed catheter
- vascular
- skin
- blood vessel
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- 230000002792 vascular Effects 0.000 title claims abstract description 46
- 238000000034 method Methods 0.000 title claims abstract description 20
- 238000002627 tracheal intubation Methods 0.000 title claims abstract description 12
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 30
- 238000013461 design Methods 0.000 claims abstract description 8
- 239000012528 membrane Substances 0.000 claims abstract description 8
- 238000002604 ultrasonography Methods 0.000 claims abstract description 3
- 239000000523 sample Substances 0.000 claims description 10
- 239000000853 adhesive Substances 0.000 claims description 7
- 230000001070 adhesive effect Effects 0.000 claims description 7
- 239000000203 mixture Substances 0.000 claims description 3
- 239000011796 hollow space material Substances 0.000 claims description 2
- 210000001774 pressoreceptor Anatomy 0.000 claims description 2
- 239000007822 coupling agent Substances 0.000 claims 1
- 239000007787 solid Substances 0.000 claims 1
- 238000012544 monitoring process Methods 0.000 abstract description 4
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 230000007812 deficiency Effects 0.000 abstract description 2
- 238000005457 optimization Methods 0.000 abstract description 2
- 238000001574 biopsy Methods 0.000 abstract 1
- 238000011017 operating method Methods 0.000 abstract 1
- 238000000926 separation method Methods 0.000 abstract 1
- 210000003462 vein Anatomy 0.000 description 16
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 238000001802 infusion Methods 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- 210000004761 scalp Anatomy 0.000 description 2
- 230000035939 shock Effects 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 206010009192 Circulatory collapse Diseases 0.000 description 1
- 206010041954 Starvation Diseases 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 238000010241 blood sampling Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 239000002985 plastic film Substances 0.000 description 1
- 229920006255 plastic film Polymers 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- 206010040560 shock Diseases 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention belongs to medical instruments fields, and in particular to a kind of operating method and equipment for improving vascular puncture, setting pipe one-time success rate.In order to solve the problems, such as that angioplerosis deficiency causes puncture and intubation one-time success rate low.Puncture process is decomposed into and punctures two puncture process of skin and puncture vessel by the present invention, when puncturing skin using lifting skin sticking membrane separation skin and blood vessel, avoids damaging blood vessel when piercing through skin using short stamp lancet.By ultrasonography monitoring and pressure monitor, using attracting fixed catheter controller and section to be the attraction fixed catheter of " C " shape design by vacuum suction active control vascular wall, optimization punctures radial line.Pipe is set by the channel biopsy needle guide completion vascular puncture of partly encircling for attracting fixed catheter " C " shape.Beneficial effect has been significant increase, and vascular puncture sets the successful certainty of pipe, raising medical safety.
Description
Technical field
The invention belongs to medical instruments fields, and in particular to a kind of operation for improving vascular puncture, setting pipe one-time success rate
Method and apparatus.
Background technique
Vascular puncture be clinical blood acquisition, intravascular approach administration, fluid infusion key operation, at present substantially by medical matters people
Member manually completes, and experienced nurse can be with one-time puncture success in most cases, but infant scalp vein is punctured, greatly
The circulatory failures such as bleeding, shock and the critical patient for leading to vein collapse, manual puncture success rate are greatly lowered, or even need
Cut skin exposure vascular puncture.As a result, reducing medical efficiency, patient risk is increased, influences doctor-patient relationship harmony.
Its main difficulty be angioplerosis deficiency, the tiny atrophy of blood vessel and make puncture be needled into lumen difficulty, even if be pierced into blood vessel
Lumen is also very easy to pierce through blood vessel rear wall and lead to puncture failure.Existing automatic venous blood collection equipment patent passes through to blood vessel
It is positioned with puncture needle, improves the fine degree to puncture needle motion control with mechanical arm to realize mentioning for success rate of venous puncture
It is high.But such equipment is substantially the advanced imitation of opponent's artery and vein puncture, can not still get rid of the vein for puncturing face manually and fill
It is full of insufficient predicament, thus is unable to ensure one-time puncture success.And such equipment is currently only and solves venipuncture blood sampling design,
Do not have Vein Tube function, is unable to satisfy clinical transfusion Treatment need.
Summary of the invention
To solve this problem, the present invention punctures diameter from puncture process, active control vascular wall position, optimization is decomposed
Line promotes vascular puncture and sets pipe certainty and start with, and has invented a kind of certainty vascular puncture method of intubation and device.It is greatly improved
Puncture and intubation one-time success rate promotes medical efficiency, reduces vascular puncture related pins and stabs risk, promotes doctors and patients harmonious.
The technical scheme adopted by the invention is that:
A kind of certainty vascular puncture method of intubation and device, it is characterised in that attract the method for fixed vascular wall by active,
The access of disengaging lumen of vessels is established through determining vascular wall position, realizes that certainty vascular puncture sets pipe.Device is by supersonic sounding
Component, vacuum cavitations component, skin stamp mouth component, vascular wall control assembly and five part of vascular puncture component composition.
The supersonic sounding component includes Ultrasonographic Analysis display system and ultrasonic probe, can be used for detecting blood vessel position
It sets, monitoring vascular wall attracts fixing situation, and display puncture needle is placed in blood vessel situation.
The vacuum cavitations component includes negative pressure generator, pressure controller and the company with the vascular wall control assembly
Road is taken over, can be used for generating and maintaining controlled underbalance, guarantee the vascular wall control assembly pair while not damaging vascular wall
Effective attraction of vascular wall is fixed.
The skin stamp mouth component includes skin drawing device, lifting skin sticking membrane and short stamp lancet, and lifting skin sticking membrane is
Rectangular medical light-passing plastic film, it is preferred that area 10*15cm, wherein extending 5cm model to opposite side since 10cm a side
Enclose, i.e., the region 10*5cm is rectangle adhesive area, for sticking on skin surface, keep the long side of rectangle adhesive area with
Quasi- puncture vessel sticks in parallel.The remaining region 10*10cm is non-adhering region.For covering the ultrasonic probe, dirt is prevented
Contaminate operating area.There is short cylinder anchor point at the lifting skin sticking membrane adhesive area back side, can connect with the skin drawing device,
Skin and the blood vessel spacing in its deep are widened, prevents the short stamp lancet from puncturing skin
When puncture quasi- puncture vessel.Short stamp lancet diameter is identical as aftermentioned attraction fixed catheter, and length is slightly larger than skin thickness.
The vascular wall control assembly includes that fixed catheter controller and section is attracted to lead for the attraction fixation of " C " shape design
Pipe, the conduit are hollow design, and hollow space is communicated by the connecting line of tail end transverse direction with the vacuum cavitations component.The cross
It holds handle as operation simultaneously to connecting line to be gripped by the attraction fixed catheter controller, the attraction fixed catheter
Tail end closing, head end is open.Head end is blunt nosed round and smooth scarf design, when in use scarf face blood vessel upper wall and therewith
In parallel.Subcutaneous tissue can be passed through after aforementioned skin stabs mouth and reach blood vessel surface, adsorb fixed blood vessel after applying vacuum suction
Antetheca.The attraction fixed catheter reduces transverse diameter under the premise of assurance function as far as possible, and " C " shape partly encircles the lucky energy in channel
Accommodate the puncture needle of corresponding model.The attraction fixed catheter controller can control the attraction fixed catheter movement, and have
Standby pressoreceptor can measure the resistance situation of change when promoting the attraction fixed catheter.The attraction fixed catheter control
Device processed after attracting fixed catheter to attract fixed vascular wall appropriate post-tensioning, above mention and attract fixed catheter head end so that blood vessel antetheca
It is sufficiently separated with blood vessel rear wall and makes that fixed catheter axis is attracted to be directed toward blood vessel central axes direction as far as possible.
The vascular puncture component is that puncture needle holds propeller, can hold puncture needle and along the attraction fixed catheter
" C " shape partly encircles channel propulsion.Vascular puncture, remaining needle merging are completed under ultrasonic surveillance.
Compared with the prior art, the invention has the following beneficial effects:
1. having caught the key factor for influencing vascular puncture success rate, ensure that the stationarity of puncture process medium vessels position and having worn
Pierce the safety in direction.Ensure that vascular puncture sets pipe one-time success rate, promotes medical efficiency；
2. ultrasonography monitoring puncture process carries out next step operation, significant increase after the operation target for ensuring to complete each step
Safety；
3. not needing special angioplerosis or even the appropriate inanition of blood vessel also helping the fixed blood vessel antetheca of attraction, it is no longer necessary to
Tourniquet, sagging limbs are tied up before infusion, it is opposite to save the time；
4. needing infant in scalp intravenous infusion, it is difficult to guarantee angioplerosis；Or the blood volumes such as big bleeding, shock are not
Foot, blood vessel are difficult to full critical patient, and the present invention is guaranteeing quickly to establish venous access, and one-time puncture success aspect has
Critical application value；
5. mitigating patient because repeatedly puncturing bring pain, reduces the risk that medical staff's needle is stabbed, alleviate nurse job
Amount promotes doctor-patient relationship harmonious.
Detailed description of the invention
Fig. 1 is to attract fixed catheter structural schematic diagram；
In figure: 1, attracting fixed catheter, 2, head end inclined-plane, 3, connecting line.
Specific embodiment
The invention discloses a kind of certainty vascular puncture method of intubation and devices.The device is by supersonic sounding component, negative
Press control assembly, skin stamp mouth component, vascular wall control assembly and five part of vascular puncture component composition.
By taking hand back vein puncture and intubation as an example, is determined by artificial or assisting ultrasonic probe intend puncturing vein, skin first
Disinfection, determines puncture position along vein direction of travel.Stick the lifting skin sticking membrane, through the skin drawing device lift so that
Skin and the blood vessel spacing in its deep widen, and pierce through skin by the short stamp lancet, avoid damage to quasi- puncture vein.It smears super
Ultrasonic probe is placed in this in the side gap that acoustic couplant is formed in the lifting non-adhering part of skin sticking membrane with skin adhesive edge
Operation will not be polluted from side monitor subsequent operating process by the non-adhering part covering barrier ultrasonic probe of lifting skin sticking membrane
Region.
It is described that fixed catheter 1 is attracted to stab mouth by skin under the manipulation for attracting fixed catheter controller, along blood vessel
Trend is inclined nearly to quasi- puncture vein, and head end inclined-plane 2 is parallel to vascular wall, and whole process carries out under ultrasonic probe monitoring.
Since Endovascular pressure is lower, blood vessel will be crushed after attracting fixed catheter to contact quasi- puncture vessel.Due to contact portion
It is blunt nosed round and smooth scarf, it can't puncturing veins tube wall.It is received according to ultrasonic surveillance image information and pressure sensor
Resistance situation of change stops promoting after reaching setting value.And after vein flattens, appropriateness promotes can be by the open texture on its surface
It pushes open, so that the head end inclined-plane for attracting fixed catheter and the contact of vein tube wall.Applied at this time by connecting line 3 and is closed
Suitable vacuum suction, vein tube wall will be attracted on the inclined-plane for attracting fixed catheter.The attraction fixed catheter controller
Appropriate post-tensioning above mentions attraction fixed catheter head end, and ultrasonic probe can monitor that blood vessel with attracting fixed catheter mobile, adsorbs
The positional relationship of place's vein and conduit is fixed.It then can determine whether to be adsorbed fixation for vein tube wall, wearing for next step can be carried out
Thorn operation.
By the appropriate post-tensioning of the attraction fixed catheter controller, attraction fixed catheter head end is above mentioned, so that blood vessel antetheca
It is sufficiently separated with blood vessel rear wall and fixed catheter axis is attracted to be directed toward blood vessel central axes direction as far as possible.The puncture needle holding pushes away
Puncture needle can be held into device and is promoted along the channel that partly encircles for attracting fixed catheter " C " shape, complete blood under ultrasonic surveillance
Pipe punctures, remaining needle is placed in.Attract fixed catheter negative pressure to release simultaneously, exits outside skin.
The present invention is not limited to above-mentioned preferred forms, anyone can show that other are various under the inspiration of the present invention
The product of form, however, any variation is done in other shapes or structure, it is all with identical or similar to the present application
Technical solution is within the scope of the present invention.
Claims (4)
1. a kind of certainty vascular puncture method of intubation and device, it is characterised in that attract the side of fixed vascular wall by active
Method establishes the access of disengaging lumen of vessels through determining vascular wall position, realizes that certainty vascular puncture sets pipe；Device is visited by ultrasound
Survey component, vacuum cavitations component, skin stamp mouth component, vascular wall control assembly and five part of vascular puncture component composition.
2. a kind of certainty vascular puncture method of intubation according to claim 1 and device, skin stabs to be lifted in mouth component
Skin sticking membrane includes rectangle adhesive area, and adhesive area long side is consistent with blood vessel direction of travel to be sticked；Adhesive area long side one
Side has the non-adhering region of larger area, adhesion section and non-adhering part boundary position for smearing ultrasonic coupling agent, places
Ultrasonic probe, non-adhering region pad pasting can cover ultrasonic probe, prevent couplant and ultrasonic probe from polluting operating area.
3. a kind of certainty vascular puncture method of intubation according to claim 1 and device, the vascular wall control assembly
Middle attraction fixed catheter section is the design of " C " shape, which is hollow design, the connecting line that hollow space passes through tail end transverse direction
It is communicated with the vacuum cavitations component；The lateral connection pipeline holds handle as operation simultaneously and is controlled by the attraction fixed catheter
Device grips, the tail end closing for attracting fixed catheter, and head end is open；Head end is blunt nosed round and smooth scarf design, is made
Used time scarf face blood vessel upper wall and parallel with it.
4. a kind of certainty vascular puncture method of intubation according to claim 1 and device, the vascular wall control assembly
Middle attraction fixed catheter controller can control attraction fixed catheter movement, and has pressoreceptor and can measure and pushing away
Into it is described attraction fixed catheter when resistance situation of change；The attraction fixed catheter controller is attracting fixed catheter attraction solid
Determine appropriate post-tensioning after vascular wall, above mention and attract fixed catheter head end, so that blood vessel antetheca sufficiently separates and makes with blood vessel rear wall
Fixed catheter axis is attracted to be directed toward blood vessel central axes direction as far as possible.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811046964.4A CN109171900A (en) | 2018-09-08 | 2018-09-08 | A kind of certainty vascular puncture method of intubation and device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811046964.4A CN109171900A (en) | 2018-09-08 | 2018-09-08 | A kind of certainty vascular puncture method of intubation and device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109171900A true CN109171900A (en) | 2019-01-11 |
Family
ID=64915311
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811046964.4A Pending CN109171900A (en) | 2018-09-08 | 2018-09-08 | A kind of certainty vascular puncture method of intubation and device |
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| Country | Link |
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| CN (1) | CN109171900A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111840700A (en) * | 2020-07-31 | 2020-10-30 | 中国人民解放军陆军军医大学第一附属医院 | Indwelling needle fixation device for children |
| CN111920495A (en) * | 2020-09-02 | 2020-11-13 | 浙江大学医学院附属邵逸夫医院 | A laparoscopic portal vein negative pressure puncture injection device |
| CN113274055A (en) * | 2021-06-29 | 2021-08-20 | 重庆大学附属肿瘤医院 | Auxiliary adhesive film for vascular catheterization operation |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100016786A1 (en) * | 2008-07-21 | 2010-01-21 | Arstasis, Inc. | Devices, methods, and kits for forming tracts in tissue |
| CN102451041A (en) * | 2011-12-22 | 2012-05-16 | 河南科技大学第一附属医院 | Arteriovenous puncture instrument |
| CN108403191A (en) * | 2018-03-02 | 2018-08-17 | 大连医科大学附属第二医院 | A kind of ultrasound guidance venipuncture auxiliary device |
-
2018
- 2018-09-08 CN CN201811046964.4A patent/CN109171900A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100016786A1 (en) * | 2008-07-21 | 2010-01-21 | Arstasis, Inc. | Devices, methods, and kits for forming tracts in tissue |
| CN102451041A (en) * | 2011-12-22 | 2012-05-16 | 河南科技大学第一附属医院 | Arteriovenous puncture instrument |
| CN108403191A (en) * | 2018-03-02 | 2018-08-17 | 大连医科大学附属第二医院 | A kind of ultrasound guidance venipuncture auxiliary device |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111840700A (en) * | 2020-07-31 | 2020-10-30 | 中国人民解放军陆军军医大学第一附属医院 | Indwelling needle fixation device for children |
| CN111920495A (en) * | 2020-09-02 | 2020-11-13 | 浙江大学医学院附属邵逸夫医院 | A laparoscopic portal vein negative pressure puncture injection device |
| CN113274055A (en) * | 2021-06-29 | 2021-08-20 | 重庆大学附属肿瘤医院 | Auxiliary adhesive film for vascular catheterization operation |
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| PB01 | Publication | ||
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Application publication date: 20190111 |