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CN117224207A - Visual tympanostomy needle and application method thereof - Google Patents

Visual tympanostomy needle and application method thereof Download PDF

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Publication number
CN117224207A
CN117224207A CN202311145682.0A CN202311145682A CN117224207A CN 117224207 A CN117224207 A CN 117224207A CN 202311145682 A CN202311145682 A CN 202311145682A CN 117224207 A CN117224207 A CN 117224207A
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China
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ear
sleeve
puncture needle
effusion
tympanic membrane
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张阳
宁菲
申卫东
刘芳
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First Medical Center of PLA General Hospital
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First Medical Center of PLA General Hospital
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Priority to CN202311145682.0A priority Critical patent/CN117224207A/en
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Abstract

本发明公开了一种可视性鼓膜穿刺针及其使用方法,属于医疗设备技术领域,包括套筒、耳夹、固定筒、连接筒、穿刺针头和积液抽吸管,通过本发明这种抽取积液的方式能够最大化的将鼓室内部积液抽取,能够便于患者得到更好的治疗效果,以及为医护人员提供较为便捷的操作治疗,不会现有技术中因为穿刺针头穿刺过程中笔直进入鼓膜很容易造成针头处堵塞影响抽吸作业,而在穿刺针头穿刺位于鼓室内部准备吸取积液时,穿刺针头是笔直进入的,进入时具有一定风险,而当鼓室内部的积液水平低于穿刺针头的吸取口时,需要的吸取力度会变大,因此来造成患者疼痛感和二次伤害的风险。The invention discloses a visible tympanic membrane puncture needle and a method of using it. It belongs to the technical field of medical equipment and includes a sleeve, an ear clip, a fixed barrel, a connecting barrel, a puncture needle and an effusion suction tube. The method of extracting the effusion can maximize the extraction of the effusion inside the tympanic cavity, which can facilitate patients to obtain better therapeutic effects and provide more convenient operation and treatment for medical staff. It will not cause the puncture needle to be straight during the puncture process in the existing technology. Entering the tympanic membrane can easily cause blockage at the needle and affect the suction operation. When the puncture needle is inserted into the tympanic cavity to aspirate the accumulated fluid, the puncture needle enters straight and there is a certain risk when entering. When the fluid accumulation level inside the tympanic cavity is lower than When puncturing the suction port of the needle, the suction force required will increase, thus causing pain to the patient and the risk of secondary injury.

Description

一种可视性鼓膜穿刺针及其使用方法A kind of visible tympanic membrane puncture needle and its use method

技术领域Technical field

本发明属于医疗设备技术领域,尤其涉及一种可视性鼓膜穿刺针及其使用方法。The invention belongs to the technical field of medical equipment, and in particular relates to a visible tympanic membrane puncture needle and a method of using the same.

背景技术Background technique

耳鼻咽喉科是诊断治疗耳、鼻、咽、喉及其相关头颈区域的外科学科,随着科技的进步与发展,医学各科相互渗透和促进,拓展了耳鼻咽喉科的范畴,耳显微外科,耳神经外科,侧颅底外科,听力学及平衡科学,鼻内镜外科,鼻神经外科(鼻颅底外科),头颈外科,喉显微外科,嗓音与言语疾病科,小儿耳鼻咽喉科等的出现,大大丰富了耳鼻咽喉科的内容。Otolaryngology is a surgical discipline that diagnoses and treats the ears, nose, pharynx, larynx and related head and neck areas. With the advancement and development of science and technology, various medical disciplines penetrate and promote each other, expanding the scope of otolaryngology, and ear microsurgery. , Otological neurosurgery, lateral skull base surgery, audiology and balance science, endoscopic sinus surgery, nasal neurosurgery (nasal skull base surgery), head and neck surgery, laryngeal microsurgery, voice and speech disease department, pediatric otolaryngology department, etc. The emergence of otolaryngology has greatly enriched the content of otolaryngology.

鼓膜穿刺是临床中常用的对于中耳疾病进行诊断和治疗的一项操作,可用于分泌性中耳炎、中耳积液的穿刺抽吸,还有咽鼓管功能障碍造成的中耳严重负压,还有可以通过鼓膜穿刺进行中耳的注药,来治疗一些中耳以及内耳的疾病,鼓膜穿刺作为一种常规的操作,通常在门诊就可以进行具体操作的过程。Tympanic membrane puncture is a commonly used clinical operation for the diagnosis and treatment of middle ear diseases. It can be used for puncture and aspiration of secretory otitis media, middle ear effusion, and severe negative pressure in the middle ear caused by Eustachian tube dysfunction. It is also possible to inject medicine into the middle ear through tympanic membrane puncture to treat some middle ear and inner ear diseases. Tympanic membrane puncture is a routine operation, and the specific operation can usually be performed in an outpatient clinic.

目前传统的治疗方式是采用类似于注射器的设备,将针头穿刺作业完成后,通过注射器抽取的方式进行吸出,而这种方式若所需积液较多一次抽取无法满足积液的抽取,就会操作多次,因此会对患者产生较大的治疗恐惧感且也会影响治疗质量和造成患者二次伤害,因此穿刺多次不可能穿刺于同一孔位,那么也就意味着需要穿刺多个孔位,且由于穿刺针头为笔直穿刺过鼓膜后,位于鼓室内进行抽取液体时,而鼓室为弧形,穿刺针头处于笔直状态,则无法抽取低于穿刺针头的液体,且医护人员在笔直将针头在穿刺过程中,很容易因为手抖造成针头晃动对患者耳内伤害,会直接影响治疗过程,在鼓膜穿刺抽取液体过程中如果污垢过多,不易去除、穿刺针头穿刺过程中笔直进入鼓膜很容易造成针头处堵塞影响抽吸作业,而在穿刺针头穿刺位于鼓室内部准备吸取积液时,穿刺针头是笔直进入的,而当鼓室内部的积液水平低于穿刺针头的吸取口时,需要的吸取力度会变大,因此会造成疼痛感和二次伤害的风险,从而本装置提供了一种可视性鼓膜穿刺针及其使用方法。The current traditional treatment method is to use a device similar to a syringe. After the needle puncture operation is completed, the syringe is used to aspirate out the fluid. However, if the amount of fluid required in this method is too large and cannot be extracted at one time, the patient will be If the operation is performed multiple times, it will create a greater fear of treatment in the patient, and it will also affect the quality of treatment and cause secondary harm to the patient. Therefore, it is impossible to puncture the same hole multiple times, which means that multiple holes need to be punctured. position, and because the puncture needle pierces the tympanic membrane straightly, it is located in the tympanum when extracting liquid, and the tympanum is arc-shaped and the puncture needle is in a straight state, it is impossible to extract liquid lower than the puncture needle, and the medical staff inserts the needle straight During the puncture process, it is easy for the needle to shake due to shaking hands and cause damage to the patient's ear, which will directly affect the treatment process. During the tympanic membrane puncture to extract the liquid, if there is too much dirt, it is difficult to remove. It is easy for the puncture needle to penetrate straight into the tympanic membrane during the puncture process. Causes blockage at the needle and affects the suction operation. When the puncture needle is inserted into the tympanic cavity to absorb the fluid accumulation, the puncture needle enters straight. When the fluid accumulation level inside the tympanic cavity is lower than the suction port of the puncture needle, more suction is required. The force will become greater, thus causing pain and the risk of secondary injury, so this device provides a visual tympanic membrane puncture needle and its use method.

发明内容Contents of the invention

本发明实施例提供一种可视性鼓膜穿刺针及其使用方法,以解决现有技术中的问题。Embodiments of the present invention provide a visual tympanic membrane puncture needle and a method of using the same to solve the problems in the prior art.

本发明实施例采用下述技术方案:包括套筒、耳夹、固定筒、连接筒、穿刺针头和积液抽吸管,所述套筒的首端与连接筒的首端均为锥形设置,所述连接筒末端设置在套筒的首端为且卡接设置,所述连接筒上设有用于耳内固定的支撑机构,所述耳夹一端伸入套筒的内部,所述固定筒穿过耳夹、套筒和连接筒,所述穿刺针头穿过固定筒、耳夹、套筒和连接筒,所述积液抽吸管在穿刺针头没有穿过固定筒、耳夹、套筒和连接筒的情况下,可穿过固定筒、耳夹、套筒和连接筒,所述套筒的首端以及连接筒的首端均设有摄像探头。The embodiment of the present invention adopts the following technical solution: including a sleeve, an ear clip, a fixed barrel, a connecting barrel, a puncture needle and an effusion suction tube. The first end of the sleeve and the first end of the connecting barrel are both tapered. , the end of the connecting tube is set at the first end of the sleeve and is snap-fitted. The connecting tube is provided with a support mechanism for in-ear fixation. One end of the ear clip extends into the inside of the sleeve, and the fixed tube Pass through the ear clip, sleeve and connecting barrel, the puncture needle passes through the fixed barrel, ear clip, sleeve and connecting barrel, the effusion suction tube does not pass through the fixed barrel, ear clip and sleeve when the puncture needle In the case of a connecting tube, the fixed tube, ear clip, sleeve and connecting tube can be passed through. The first end of the sleeve and the first end of the connecting tube are equipped with camera probes.

进一步的,所述套筒上对称设有两个推送槽,所述套筒上还设有两个滑动槽且为对称设置。Furthermore, two push grooves are symmetrically provided on the sleeve, and two sliding grooves are also provided on the sleeve and are arranged symmetrically.

进一步的,所述耳夹包括耳镊、滑动块和推送块,所述耳镊为传统的镊子形状与镊子具有一样的功能,所述耳镊的首端为椭圆形设置,所述滑动块设有两个,两个所述滑动块分别设置在耳镊的两侧上且分别穿过对应的滑动槽与对应的滑动槽均为滑动配合,所述推送块的上下两侧分别位于对应的推送槽上,所述推送块上下两侧与对应的推送槽的连接方式与传统的手电筒上推动档位位于卡槽内原理结构相同。Further, the ear clip includes ear tweezers, a sliding block and a push block. The ear tweezers are in the shape of traditional tweezers and have the same function as tweezers. The head end of the ear tweezers is arranged in an oval shape, and the sliding block is arranged in an oval shape. There are two, and the two sliding blocks are respectively arranged on both sides of the ear tweezers and pass through the corresponding sliding grooves and are in sliding fit with the corresponding sliding grooves. The upper and lower sides of the push block are respectively located on the corresponding pushing blocks. On the slot, the connection method of the upper and lower sides of the push block and the corresponding push slot is the same as the principle and structure of the push gear of a traditional flashlight located in the slot.

进一步的,两个所述滑动块的上端均为倾斜设置且靠近推送块的一端为最低点。Further, the upper ends of the two sliding blocks are both inclined and the end close to the pushing block is the lowest point.

进一步的,所述耳镊的末端设有固定孔位,所述固定孔位内径尺寸与固定筒外径相适配可便于固定筒穿过。Furthermore, the end of the ear forceps is provided with a fixed hole, and the inner diameter of the fixed hole matches the outer diameter of the fixed cylinder to facilitate the passage of the fixed cylinder.

进一步的,所述支撑机构包括支撑板、支撑块和支撑弧形件,所述连接筒上对称设有两个活动槽,所述支撑块设有两个,两个所述支撑块分别设置在对应的活动槽内且均为上下滑动配合,所述支撑板设有两个,两个所述支撑板分别设置在对应的支撑块的下端且位于连接筒的内部,所述支撑弧形件设有两个,两个所述支撑弧形件分别设置在支撑块的上端且位于连接筒的外部,两个所述支撑弧形件均为橡胶材质。Further, the support mechanism includes a support plate, a support block and a support arc. Two movable grooves are symmetrically provided on the connecting tube, and there are two support blocks. The two support blocks are respectively provided on The corresponding movable grooves are all slidingly matched up and down. There are two support plates. The two support plates are respectively provided at the lower end of the corresponding support block and located inside the connecting tube. The support arc-shaped member is provided with There are two, and the two support arc-shaped parts are respectively arranged at the upper end of the support block and located outside the connecting tube. The two support arc-shaped parts are both made of rubber material.

进一步的,两个所述支撑板朝向内侧的一面均为倾斜设置且接近耳镊方向的均为最低点。Furthermore, the inner side of the two support plates is inclined and the lowest point is close to the direction of the ear forceps.

进一步的,所述积液抽吸管的首端为椭圆形设置,所述积液抽吸管为韧性材质且积液抽吸管的首端具有一点弯曲度,所述穿刺针头的穿刺端为尖锐形状设置,所述穿刺针头的外径与积液抽吸管的外径相同。Further, the head end of the effusion suction tube is arranged in an oval shape, the effusion suction tube is made of tough material and the head end of the effusion suction tube has a slight curvature, and the puncture end of the puncture needle is The puncture needle is configured in a sharp shape, and the outer diameter of the puncture needle is the same as the outer diameter of the effusion suction tube.

进一步的,还包括耳朵外部套,所述耳朵外部套可套设耳部后端外部处且与耳部处于相适配状态,所述耳朵外部套上设有连接套,所述连接套与套筒为卡接式设置。Further, it also includes an external ear cover, which can be placed around the rear end of the ear and is in a matching state with the ear. The external ear cover is provided with a connecting sleeve, and the connecting sleeve is connected to the sleeve. The barrel is snap-on.

一种可视性鼓膜穿刺针的使用方法,包括以下步骤:A method for using a visual tympanic membrane puncture needle includes the following steps:

S1:首先在穿刺治疗之前根据患者耳部污垢情况,对患者耳朵内部污垢进行去除;S1: First, before puncture treatment, remove the dirt inside the patient’s ears according to the dirt condition of the patient’s ears;

S2:再将耳部外部固定件套设于耳部外部,以及耳夹安装到套筒,套筒与耳部外部固定件连接,并伸入耳部内部;S2: Then set the ear external fixing piece on the outside of the ear, and install the ear clip to the sleeve. The sleeve is connected to the ear external fixing piece and extends into the ear;

S3:再将固定筒穿过耳夹、套筒位于耳朵内部鼓膜侧端,将穿刺针头穿过固定筒、耳夹、套筒位于耳朵内部鼓膜侧端;S3: Then pass the fixed tube through the ear clip, and the sleeve is located at the side of the tympanic membrane inside the ear. Pass the puncture needle through the fixed tube, the ear clip, and the sleeve is located at the side of the tympanic membrane inside the ear;

S4:接着推动耳夹到连接筒的内部,将两个支撑弧形件展开对耳朵内部形成支撑固定,通过外部和内部的固定能够起到良好工作环境,并持续推动耳夹,固定筒受到挤压形成夹死限位状态;S4: Then push the ear clip to the inside of the connecting tube, unfold the two supporting arc-shaped parts to form a support and fixation inside the ear, which can provide a good working environment through external and internal fixation. Continue to push the ear clip, and the fixed tube will be squeezed. Pressed to form a clamped limit state;

S5:这时穿刺针头在固定筒内慢慢向鼓膜方向运动,并穿刺过鼓膜,穿刺完成后穿刺针头原路返回,将穿刺针头取出;S5: At this time, the puncture needle slowly moves toward the tympanic membrane in the fixed barrel and punctures the tympanic membrane. After the puncture is completed, the puncture needle returns to the original route and the puncture needle is taken out;

S6:接着将所需积液抽吸管以穿刺针头运动方式通过穿过固定筒、耳夹、套筒位于耳朵内部鼓膜侧端,并伸入鼓室内,从而可抽取液体;S6: Then pass the required effusion suction tube through the fixed tube, ear clip, and sleeve at the side end of the tympanic membrane inside the ear in a puncture needle movement, and extend into the tympanum, so that the liquid can be extracted;

S7:积液抽吸管伸入后,积液抽吸管的首端位于鼓室内部的积液处,通过积液抽吸管的首端具有一点弯曲度是处于接近鼓室内部积液的最底部处,这时,只需将积液抽吸管的末端连接所需抽取设备即可实现积液的最大化抽取。S7: After the effusion suction tube is extended, the head end of the effusion suction tube is located at the effusion inside the tympanic cavity. The head end of the effusion suction tube has a slight bend and is close to the bottom of the effusion inside the tympanic cavity. At this time, you only need to connect the end of the effusion suction tube to the required extraction equipment to achieve maximum extraction of the effusion.

本发明实施例采用的上述至少一个技术方案能够达到以下有益效果:At least one of the above technical solutions adopted in the embodiments of the present invention can achieve the following beneficial effects:

其一,本装置在固定筒被夹死限位后,医护人员将穿刺针头首先穿过固定筒,通过固定筒的路线轨迹使得穿刺针头运动到鼓膜旁侧,并将鼓膜戳破,当通过穿刺针头将鼓膜戳破后,再将穿刺针头原路返回,并从固定筒内抽出,接着,将所需抽取积液的积液抽吸管的首端按照穿刺针头的方式穿过固定筒并直至到鼓室内部的积液处,而积液抽吸管的首端具有一点弯曲度,因此当积液抽吸管的首端位于鼓室内部的积液处时,是处于接近鼓室内部积液的最底部处,这时,只需将积液抽吸管的末端连接所需抽取设备即可实现积液的最大化抽取,抽取设备在启动后即可将鼓室内部积液抽取出,通过本发明这种抽取积液的方式能够最大化的将鼓室内部积液抽取,能够便于患者得到更好的治疗效果,以及为医护人员提供较为便捷的操作治疗,不会现有技术中因为穿刺针头穿刺过程中笔直进入鼓膜很容易造成针头处堵塞影响抽吸作业,而在穿刺针头穿刺位于鼓室内部准备吸取积液时,穿刺针头是笔直进入的,进入时具有一定风险,容易造成患者耳朵内部受伤,而当鼓室内部的积液水平低于穿刺针头的吸取口时,需要的吸取力度会变大,因此来造成患者疼痛感和二次伤害的风险。First, in this device, after the fixed cylinder is clamped to the limit, the medical staff will first pass the puncture needle through the fixed cylinder. Through the route of the fixed cylinder, the puncture needle will move to the side of the tympanic membrane and puncture the tympanic membrane. When the puncture needle passes through the After the needle punctures the tympanic membrane, return the puncture needle to the original route and withdraw it from the fixed cylinder. Then, pass the first end of the effusion suction tube to be used to extract the fluid through the fixed cylinder in the same way as the puncture needle and until to the effusion inside the tympanic cavity, and the head end of the effusion suction tube has a slight bend. Therefore, when the head end of the effusion suction tube is located at the effusion inside the tympanic cavity, it is at the closest point to the effusion inside the tympanic cavity. At the bottom, at this time, you only need to connect the end of the effusion suction tube to the required extraction equipment to achieve maximum extraction of effusion. After the extraction equipment is started, the effusion inside the tympanic cavity can be extracted. Through this method of the present invention, This method of extracting effusion can maximize the extraction of effusion inside the tympanic cavity, facilitate patients to obtain better treatment effects, and provide medical staff with more convenient operation and treatment. It will not cause the puncture needle to puncture in the existing technology. Directly entering the tympanic membrane can easily cause blockage at the needle and affect the suction operation. When the puncture needle is inserted inside the tympanic cavity to absorb the accumulated fluid, the puncture needle enters straight, which carries certain risks and can easily cause internal injuries to the patient's ear. When the level of fluid accumulation inside the tympanic cavity is lower than the suction port of the puncture needle, the suction force required will become larger, thus causing pain to the patient and the risk of secondary injury.

其二,本装置在对所需患者进行鼓膜穿刺治疗过程中,首先将耳朵外部套套设在患者所需治疗的耳朵外部,接着,将套筒伸入耳朵内部后,套筒伸入的过程中本发明上处于拼接完成后的一个整体且通过套筒和连接体上的两个摄像探头,使得套筒和连接筒达到耳朵内部的指定位置,并通过耳朵外部套上的连接套与套筒的外侧进行卡接连接,形成一个支撑点,而此时固定筒、穿刺针头和积液抽吸管并没有穿过耳镊、套筒以及连接筒,这时,再将固定筒的首端依次穿过耳镊末端的固定孔位、套筒以及连接筒,医护人员并通过摄像探头准确的查看将固定筒的首端运动到患者耳朵内部鼓膜的旁侧且处于几乎接触状态,再推动耳镊的末端使得耳镊的首端穿过套筒的首端向连接筒内部运动,在耳镊的首端位于连接筒内部与两个支撑板接触后,持续推动耳镊的末端运动,而两个支撑板会因为斜面的因素,将耳镊运动横向的力改变为竖向的力,来将两个支撑板对称向往运动,两个支撑块位于滑动槽内处于滑动配合状态,从而带动两个支撑弧形件向往对称展开实现在耳朵内部形成一个支撑点,本发明在耳朵外部以及耳朵内部均有一个支撑点,因此在穿刺治疗过程中,不会因为医护人员的手抖操作失误情况发生时,造成穿刺治疗失败以及对患者造成二次伤害的风险。Secondly, when this device performs tympanic membrane puncture treatment on the patient, it first sets the external ear sleeve on the outside of the patient's ear to be treated, and then extends the sleeve into the ear. The present invention is a whole after the splicing is completed, and through the two camera probes on the sleeve and the connecting body, the sleeve and the connecting sleeve reach the designated position inside the ear, and the connecting sleeve on the outside of the ear is connected to the sleeve. The outside is snap-connected to form a support point. At this time, the fixed barrel, puncture needle and effusion suction tube do not pass through the ear forceps, sleeve and connecting barrel. At this time, the first end of the fixed barrel is threaded through in turn. After passing through the fixed hole, sleeve and connecting tube at the end of the ear forceps, the medical staff accurately viewed through the camera probe and moved the head end of the fixed tube to the side of the tympanic membrane inside the patient's ear so that it was almost in contact, and then pushed the ear forceps. The end makes the head end of the ear tweezers pass through the head end of the sleeve and move toward the inside of the connecting tube. After the head end of the ear tweezers is located inside the connecting tube and comes into contact with the two support plates, it continues to push the end of the ear tweezers to move, while the two supports Due to the slope, the plate will change the lateral force of the ear tweezers into a vertical force to move the two support plates symmetrically. The two support blocks are located in the sliding groove and are in a sliding fit state, thus driving the two support arcs. The shaped parts are expected to be symmetrically deployed to form a support point inside the ear. The present invention has a support point both outside the ear and inside the ear. Therefore, during the puncture treatment process, no injuries will be caused due to operator errors caused by trembling hands of medical staff. Risk of puncture treatment failure and secondary injury to the patient.

其三,本装置在耳镊的首端位于连接筒内部后,根据连接筒和套筒的内径不同,耳镊的首端在连接筒内部运动过程中会向内靠拢,且在两个支撑弧形件抵触到耳朵内部形成支撑状态时,耳镊的首端也正好处于将固定筒紧密夹死状态,从而确保了在后续穿刺针头和积液抽吸管穿过固定筒过程中不受影响且操作方便,同时医护人员不会因为操作失误造成穿刺治疗失败以及对患者造成二次伤害的风险,而夹死的固定筒就在患者耳朵内部形成了一个稳定的穿刺路线轨迹,从而提高了穿刺治疗的质量,以及为医护人员提供较为便捷的操作治疗方式。Third, after the head end of the ear tweezers is located inside the connecting tube, according to the different inner diameters of the connecting tube and the sleeve, the head ends of the ear tweezers will move inward during the movement inside the connecting tube, and will move inward between the two support arcs. When the shaped piece collides with the inside of the ear to form a supporting state, the head end of the ear forceps is also in a state of tightly clamping the fixed barrel, thereby ensuring that the subsequent puncture needle and effusion suction tube are not affected when passing through the fixed barrel. It is easy to operate. At the same time, medical staff will not risk puncture treatment failure or secondary injury to the patient due to operational errors. The clamped fixed barrel forms a stable puncture route inside the patient's ear, thereby improving puncture treatment. quality, and provide more convenient operation and treatment methods for medical staff.

其四,由于耳朵内部污垢过多会影响穿刺治疗,因此在穿刺治疗之前需要对患者耳朵内部污垢进行去除,当对患者耳朵内部污垢进行去除作业时,医护人员首先将套筒伸入患者耳朵内部,此时连接筒处于不与套筒连接状态,再将套筒内部的耳镊推动穿过套筒首端锥形位置,此时耳镊首端合拢的一些,并通过套筒上的摄像探头能够查看耳朵内部的污垢具体分布情况,通过医护人员,可视的观察到所需去除的污垢位置后,医护人员将套筒移动来的耳镊首端运动到所需去除污垢位置处,这时,只需推动推送块在两个推送槽上向耳镊首端的方向运动,使得推送块与两个滑动块接触后,并且在两个滑动块的倾斜面受到推送块横向的挤压过程中,两个滑动块会对称向各自的方向靠拢,而由于耳镊具有一定韧性加弹性,耳镊的首端两端也会对称向各自的方向靠拢实现一个夹紧的效果,从而在将耳镊首端运动的去除污垢位置处,能够将污垢夹紧,并且通过将套筒取出后会即可将污垢去除,通过上述的这种方式将污垢逐个取出后且达到能够不影响穿刺治疗即可。Fourth, because excessive dirt inside the ear will affect puncture treatment, the dirt inside the patient's ear needs to be removed before puncture treatment. When removing dirt inside the patient's ear, the medical staff first inserts the sleeve into the patient's ear. , at this time, the connecting sleeve is not connected to the sleeve, and then push the ear tweezers inside the sleeve through the tapered position of the first end of the sleeve. At this time, the first ends of the ear tweezers are closed and pass through the camera probe on the sleeve. It can check the specific distribution of dirt inside the ear. After the medical staff can visually observe the location of the dirt that needs to be removed, the medical staff will move the head end of the ear tweezers from the sleeve to the location where the dirt needs to be removed. , just push the push block to move toward the head end of the ear tweezers on the two push grooves, so that the push block contacts the two sliding blocks, and while the inclined surfaces of the two sliding blocks are squeezed transversely by the push block, The two sliding blocks will symmetrically move closer to their respective directions, and since the ear tweezers have a certain degree of toughness and elasticity, the two ends of the ear tweezers will also symmetrically move closer to their respective directions to achieve a clamping effect. The dirt can be clamped at the dirt removal position of the end movement, and the dirt can be removed by taking out the sleeve. In this way, the dirt can be taken out one by one without affecting the puncture treatment.

附图说明Description of drawings

此处所说明的附图用来提供对本发明的进一步理解,构成本发明的一部分,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The drawings described here are used to provide a further understanding of the present invention and constitute a part of the present invention. The illustrative embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the attached picture:

图1为本发明的立体结构示意图一;Figure 1 is a schematic diagram of the three-dimensional structure of the present invention;

图2为本发明的立体结构示意图二;Figure 2 is a schematic diagram two of the three-dimensional structure of the present invention;

图3为本发明的立体结构示意图三;Figure 3 is a schematic diagram three of the three-dimensional structure of the present invention;

图4为本发明中套筒和连接筒的立体结构示意图;Figure 4 is a schematic three-dimensional structural diagram of the sleeve and connecting tube in the present invention;

图5图4中A处放大图;Figure 5: Enlarged view of A in Figure 4;

图6为本发明中耳夹的立体结构示意图;Figure 6 is a schematic three-dimensional structural diagram of the middle ear clip of the present invention;

图7为本发明中套筒剖开和耳夹的立体结构示意图;Figure 7 is a schematic three-dimensional structural diagram of the sleeve cut open and the ear clip in the present invention;

图8为本发明中套筒、耳夹、支撑机构和连接筒的爆炸结构示意图;Figure 8 is a schematic exploded structural view of the sleeve, ear clip, support mechanism and connecting barrel in the present invention;

图9为本发明中耳夹、支撑机构和连接筒的立体结构示意图;Figure 9 is a schematic three-dimensional structural diagram of the middle ear clip, support mechanism and connecting tube of the present invention;

图10为本发明的局部立体结构示意图一;Figure 10 is a partial three-dimensional structural diagram of the present invention;

图11为本发明中支撑机构和连接筒的立体结构示意图;Figure 11 is a schematic three-dimensional structural diagram of the support mechanism and connecting tube in the present invention;

图12为本发明中支撑机构和连接筒的爆炸结构示意图;Figure 12 is a schematic diagram of the exploded structure of the support mechanism and connecting tube in the present invention;

图13为本发明的局部立体结构示意图二。Figure 13 is a partial three-dimensional structural diagram of the present invention.

附图标记Reference signs

套筒1、摄像探头11、推送槽12、滑动槽13、耳夹2、耳镊21、固定孔位211、滑动块22、推送块23、固定筒3、连接筒4、活动槽41、穿刺针头5、积液抽吸管6、支撑机构7、支撑板71、支撑块72、支撑弧形件73、耳朵外部套8、连接套81。Sleeve 1, camera probe 11, push groove 12, sliding groove 13, ear clip 2, ear tweezers 21, fixed hole 211, sliding block 22, push block 23, fixed barrel 3, connecting barrel 4, movable groove 41, puncture Needle 5, effusion suction tube 6, support mechanism 7, support plate 71, support block 72, support arc member 73, ear outer sleeve 8, connecting sleeve 81.

具体实施方式Detailed ways

为使本发明的目的、技术方案和优点更加清楚,下面将结合本发明具体实施例及相应的附图对本发明技术方案进行清楚、完整地描述。显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make the purpose, technical solutions and advantages of the present invention more clear, the technical solutions of the present invention will be clearly and completely described below with reference to specific embodiments of the present invention and corresponding drawings. Obviously, the described embodiments are only some of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.

以下结合附图,详细说明本发明各实施例提供的技术方案。The technical solutions provided by various embodiments of the present invention will be described in detail below with reference to the accompanying drawings.

参照图1至图13所示,本发明实施例提供一种可视性鼓膜穿刺针,包括套筒1、耳夹2、固定筒3、连接筒4、穿刺针头5和积液抽吸管6,所述套筒1的首端与连接筒4的首端均为锥形设置,所述连接筒4末端设置在套筒1的首端为且卡接设置,所述连接筒4上设有用于耳内固定的支撑机构7,所述耳夹2一端伸入套筒1的内部,所述固定筒3穿过耳夹2、套筒1和连接筒4,所述穿刺针头5穿过固定筒3、耳夹2、套筒1和连接筒4,所述积液抽吸管6在穿刺针头5没有穿过固定筒3、耳夹2、套筒1和连接筒4的情况下,可穿过固定筒3、耳夹2、套筒1和连接筒4,所述套筒1的首端以及连接筒4的首端均设有摄像探头11,通过本发明这种抽取积液的方式能够最大化的将鼓室内部积液抽取,能够便于患者得到更好的治疗效果,以及为医护人员提供较为便捷的操作治疗,不会现有技术中因为穿刺针头5穿刺过程中笔直进入鼓膜很容易造成针头处堵塞影响抽吸作业,而在穿刺针头5穿刺位于鼓室内部准备吸取积液时,穿刺针头5是笔直进入的,进入时具有一定风险,容易造成患者耳朵内部受伤,而当鼓室内部的积液水平低于穿刺针头5的吸取口时,需要的吸取力度会变大,因此来造成患者疼痛感和二次伤害的风险;Referring to Figures 1 to 13, an embodiment of the present invention provides a visual tympanic membrane puncture needle, which includes a sleeve 1, an ear clip 2, a fixed barrel 3, a connecting barrel 4, a puncture needle 5 and an effusion suction tube 6 , the first end of the sleeve 1 and the first end of the connecting sleeve 4 are both tapered, the end of the connecting sleeve 4 is set at the first end of the sleeve 1 and is snap-fitted, the connecting sleeve 4 is provided with a The supporting mechanism 7 is fixed in the ear. One end of the ear clip 2 extends into the interior of the sleeve 1. The fixed barrel 3 passes through the ear clip 2, the sleeve 1 and the connecting barrel 4. The puncture needle 5 passes through the fixed Barrel 3, ear clip 2, sleeve 1 and connecting barrel 4. The effusion suction tube 6 can be used when the puncture needle 5 does not pass through the fixed barrel 3, ear clip 2, sleeve 1 and connecting barrel 4. Through the fixed sleeve 3, the ear clip 2, the sleeve 1 and the connecting sleeve 4, the head ends of the sleeve 1 and the connecting sleeve 4 are both equipped with camera probes 11. Through this method of the present invention, the effusion can be extracted. It can maximize the extraction of fluid inside the tympanic cavity, facilitate patients to obtain better therapeutic effects, and provide more convenient operation and treatment for medical staff. It is different from the existing technology because it is easy for the puncture needle 5 to penetrate straight into the tympanic membrane during puncture. Causes blockage at the needle and affects the suction operation. When the puncture needle 5 is positioned inside the tympanic cavity to absorb the accumulated fluid, the puncture needle 5 enters straightly. There is a certain risk when entering, and it is easy to cause internal injuries to the patient's ears. When the inside of the tympanic cavity is When the level of fluid accumulation is lower than the suction port of the puncture needle 5, the required suction force will become larger, thus causing pain to the patient and the risk of secondary injury;

本发明中的套筒1、耳夹2、固定筒3、连接筒4、穿刺针头5和积液抽吸管6均为拼接式组合在一起且每个部件均可单独拆卸下来,每个部件在本身必备的功能基础上拼接完成后可实现另一种效果,而每个部件拼接的方式较为便捷,本发明在使用完成后,可将部件逐个拆卸下来便于后续的消毒清洗作业,为下一次的穿刺治疗做准备,避免了患者与患者之间治疗使用过程中造成交叉感染,套筒1本身可通过套筒1的伸入耳朵内部且通过摄像套筒1观察患者耳部内部具体情况,耳夹2本身可用于夹取去除污垢且与套筒1可配合使用,穿刺针头5本身就可用于穿刺作业,但医护人员手持穿刺针治疗作业时就会存在一定的安全隐患。In the present invention, the sleeve 1, ear clip 2, fixed barrel 3, connecting barrel 4, puncture needle 5 and effusion suction tube 6 are all spliced together and each component can be disassembled separately. On the basis of the necessary functions, another effect can be achieved after the splicing is completed, and the splicing method of each component is relatively convenient. After the use of the present invention is completed, the components can be disassembled one by one to facilitate subsequent disinfection and cleaning operations. One-time preparation for puncture treatment avoids cross-infection during treatment and use between patients. The sleeve 1 itself can be extended into the ear through the sleeve 1 and the specific conditions inside the patient's ear can be observed through the camera sleeve 1. The ear clip 2 itself can be used to remove dirt and can be used in conjunction with the sleeve 1. The puncture needle 5 itself can be used for puncture operations, but there will be certain safety risks when medical staff hold the puncture needle for treatment operations.

具体的,所述套筒1上对称设有两个推送槽12,所述套筒1上还设有两个滑动槽13且为对称设置,所述耳夹2包括耳镊21、滑动块22和推送块23,所述耳镊21为传统的镊子形状与镊子具有一样的功能,所述耳镊21的首端为椭圆形设置,所述滑动块22设有两个,两个所述滑动块22分别设置在耳镊21的两侧上且分别穿过对应的滑动槽13与对应的滑动槽13均为滑动配合,所述推送块23的上下两侧分别位于对应的推送槽12上,所述推送块23上下两侧与对应的推送槽12的连接方式与传统的手电筒上推动档位位于卡槽内原理结构相同,两个所述滑动块22的上端均为倾斜设置且靠近推送块23的一端为最低点,所述耳镊21的末端设有固定孔位211,所述固定孔位211内径尺寸与固定筒3外径相适配可便于固定筒3穿过;Specifically, the sleeve 1 is symmetrically provided with two push grooves 12, and the sleeve 1 is also provided with two sliding grooves 13 which are symmetrically arranged. The ear clip 2 includes ear tweezers 21 and a sliding block 22. and push block 23. The ear tweezers 21 are in the shape of traditional tweezers and have the same function as tweezers. The head ends of the ear tweezers 21 are arranged in an oval shape. There are two sliding blocks 22, and two sliding blocks 22 are provided. The blocks 22 are respectively arranged on both sides of the ear tweezers 21 and pass through the corresponding sliding grooves 13 to be in sliding fit with the corresponding sliding grooves 13. The upper and lower sides of the push block 23 are respectively located on the corresponding pushing grooves 12. The upper and lower sides of the push block 23 are connected to the corresponding push slot 12 in the same principle and structure as a traditional flashlight with the push gear located in the slot. The upper ends of the two sliding blocks 22 are both inclined and close to the push block. One end of 23 is the lowest point, and the end of the ear tweezers 21 is provided with a fixing hole 211. The inner diameter of the fixing hole 211 matches the outer diameter of the fixing cylinder 3 to facilitate the passage of the fixing cylinder 3;

由于耳朵内部污垢过多会影响穿刺治疗,因此在穿刺治疗之前需要对患者耳朵内部污垢进行去除,当对患者耳朵内部污垢进行去除作业时,医护人员首先将套筒1伸入患者耳朵内部,此时连接筒4处于不与套筒1连接状态,再将套筒1内部的耳镊21推动穿过套筒1首端锥形位置,参照图7所示,此时耳镊21首端合拢的一些,并通过套筒1上的摄像探头11能够查看耳朵内部的污垢具体分布情况,通过医护人员,可视的观察到所需去除的污垢位置后,医护人员将套筒1移动来的耳镊21首端运动到所需去除污垢位置处,这时,只需推动推送块23在两个推送槽12上向耳镊21首端的方向运动,使得推送块23与两个滑动块22接触后,并且在两个滑动块22的倾斜面受到推送块23横向的挤压过程中,两个滑动块22会对称向各自的方向靠拢,而由于耳镊21具有一定韧性加弹性,耳镊21的首端两端也会对称向各自的方向靠拢实现一个夹紧的效果,从而在将耳镊21首端运动的去除污垢位置处,能够将污垢夹紧,并且通过将套筒1取出后会即可将污垢去除,通过上述的这种方式将污垢逐个取出后且达到能够不影响穿刺治疗即可;Since excessive dirt inside the ear will affect puncture treatment, the dirt inside the patient's ear needs to be removed before puncture treatment. When removing dirt inside the patient's ear, the medical staff first inserts the sleeve 1 into the patient's ear. When the connecting tube 4 is not connected to the sleeve 1, push the ear tweezers 21 inside the sleeve 1 through the tapered position of the first end of the sleeve 1. Refer to Figure 7. At this time, the first ends of the ear tweezers 21 are closed. Some, and the specific distribution of dirt inside the ear can be viewed through the camera probe 11 on the sleeve 1. After the medical staff visually observes the location of the dirt to be removed, the medical staff moves the sleeve 1 to the ear tweezers. The head end of 21 moves to the position where dirt needs to be removed. At this time, it is only necessary to push the push block 23 on the two push grooves 12 to move in the direction of the head end of the ear tweezers 21, so that after the push block 23 contacts the two sliding blocks 22, And when the inclined surfaces of the two sliding blocks 22 are squeezed laterally by the push block 23, the two sliding blocks 22 will symmetrically move closer to their respective directions. Since the ear forceps 21 have a certain toughness and elasticity, the head of the ear forceps 21 will The two ends will also symmetrically move closer to their respective directions to achieve a clamping effect, so that when the head end of the ear tweezers 21 is moved to the dirt removal position, the dirt can be clamped, and the sleeve 1 can be removed Remove the dirt and remove the dirt one by one through the above method to the extent that it does not affect the puncture treatment;

由于耳镊21在套筒1内伸入到耳朵内部后,通过无法对耳镊21自身挤压进行夹紧且力度可能会受限,因此在设有两个滑动块22和推送块23,以及在套筒1上设有两个推送槽12和两个滑动槽13来配合实现耳镊21首端对夹紧作业;Since the ear forceps 21 cannot be clamped by squeezing the ear forceps 21 after they are inserted into the ear in the sleeve 1 and the strength may be limited, two sliding blocks 22 and a push block 23 are provided, and The sleeve 1 is provided with two push grooves 12 and two sliding grooves 13 to cooperate to realize the head-end clamping operation of the ear tweezers 21;

当耳镊21在与套筒1需要分离时,可按压两个滑动块22,使得两个滑动块22脱离对应的滑动槽13,而脱离对应的滑动槽13后,两个滑动块22此时位于套筒1内部,这时捏住耳镊21的末端取出套筒1即可,而安装原理则按照上述步骤反过来即可,耳镊21首端伸入套筒1内部后,两个滑动块22与两个滑动槽13对应,耳镊21本身的弹性就会松动两个滑动块22穿过对应的滑动槽13。When the ear tweezers 21 need to be separated from the sleeve 1, the two sliding blocks 22 can be pressed so that the two sliding blocks 22 are separated from the corresponding sliding grooves 13. After being separated from the corresponding sliding grooves 13, the two sliding blocks 22 are now It is located inside the sleeve 1. At this time, pinch the end of the ear tweezers 21 and take out the sleeve 1. The installation principle is to reverse the above steps. After the first end of the ear tweezers 21 is inserted into the inside of the sleeve 1, the two sliding The block 22 corresponds to the two sliding grooves 13, and the elasticity of the ear tweezers 21 itself will loosen the two sliding blocks 22 to pass through the corresponding sliding grooves 13.

具体的,所述支撑机构7包括支撑板71、支撑块72和支撑弧形件73,所述连接筒4上对称设有两个活动槽41,所述支撑块72设有两个,两个所述支撑块72分别设置在对应的活动槽41内且均为上下滑动配合,所述支撑板71设有两个,两个所述支撑板71分别设置在对应的支撑块72的下端且位于连接筒4的内部,所述支撑弧形件73设有两个,两个所述支撑弧形件73分别设置在支撑块72的上端且位于连接筒4的外部,两个所述支撑弧形件73均为橡胶材质,通过两个所述支撑弧形件73均为橡胶材质可在支撑展开过程中减少缓冲力也会在支撑过程中不会造成耳朵内部太大的疼痛感以及伤害,两个所述支撑板71朝向内侧的一面均为倾斜设置且接近耳镊21方向的均为最低点,所述积液抽吸管6的首端为椭圆形设置,所述积液抽吸管6为韧性材质且积液抽吸管6的首端具有一点弯曲度,所述穿刺针头5的穿刺端为尖锐形状设置,所述穿刺针头5的外径与积液抽吸管6的外径相同,还包括耳朵外部套8,所述耳朵外部套8可套设耳部后端外部处且与耳部处于相适配状态,所述耳朵外部套8上设有连接套81,所述连接套81与套筒1为卡接式设置;Specifically, the support mechanism 7 includes a support plate 71, a support block 72 and a support arc member 73. The connecting tube 4 is symmetrically provided with two movable grooves 41, and the support block 72 is provided with two. The support blocks 72 are respectively arranged in the corresponding movable grooves 41 and are slidingly matched up and down. There are two support plates 71 , and the two support plates 71 are respectively arranged at the lower ends of the corresponding support blocks 72 and located at Inside the connecting barrel 4, there are two supporting arc-shaped members 73. The two supporting arc-shaped members 73 are respectively provided at the upper end of the supporting block 72 and located outside the connecting barrel 4. The two supporting arc-shaped members 73 The parts 73 are all made of rubber material. The two supporting arc-shaped parts 73 are all made of rubber material, which can reduce the buffering force during the support expansion process and will not cause too much pain and damage to the inside of the ear during the support process. The two support arc members 73 are all made of rubber. The inner side of the support plate 71 is inclined and the lowest point is close to the direction of the ear forceps 21. The head end of the effusion suction tube 6 is elliptical, and the effusion suction tube 6 is The head end of the effusion suction tube 6 is made of tough material and has a slight curvature. The puncture end of the puncture needle 5 is set in a sharp shape. The outer diameter of the puncture needle 5 is the same as the outer diameter of the effusion suction tube 6. It also includes an external ear cover 8. The external ear cover 8 can be placed around the rear end of the ear and is in a matching state with the ear. The external ear cover 8 is provided with a connecting sleeve 81. The connecting sleeve 81 It is snap-fitted with sleeve 1;

在对所需患者进行鼓膜穿刺治疗过程中,首先将耳朵外部套8套设在患者所需治疗的耳朵外部,接着,将套筒1伸入耳朵内部后,套筒1伸入的过程中,通过套筒1和连接体上的两个摄像探头11,使得套筒1和连接筒4达到耳朵内部的指定位置,并通过耳朵外部套8上的连接套81与套筒1的外侧进行卡接连接,形成一个支撑点,参照图2所示,而此时固定筒3、穿刺针头5和积液抽吸管6并没有穿过耳镊21、套筒1以及连接筒4,这时,再将固定筒3的首端依次穿过耳镊21末端的固定孔位211、套筒1以及连接筒4,医护人员并通过摄像探头11准确地查看将固定筒3的首端运动到患者耳朵内部鼓膜的旁侧且处于几乎接触状态,再推动耳镊21的末端使得耳镊21的首端穿过套筒1的首端向连接筒4内部运动,在耳镊21的首端位于连接筒4内部与两个支撑板71接触后,持续推动耳镊21的末端运动,而两个支撑板71会因为斜面的因素,将耳镊21运动横向的力改变为竖向的力,来将两个支撑板71对称向往运动,两个支撑块72位于滑动槽13内处于滑动配合状态,从而带动两个支撑弧形件73向往对称展开实现在耳朵内部形成一个支撑点,本发明在耳朵外部以及耳朵内部均有一个支撑点,因此在穿刺治疗过程中,不会因为医护人员的手抖操作失误情况发生时,造成穿刺治疗失败以及对患者造成二次伤害的风险;During the tympanic membrane puncture treatment of a patient, first the outer ear sleeve 8 is placed on the outside of the patient's ear to be treated, and then the sleeve 1 is inserted into the ear. During the insertion of the sleeve 1, Through the two camera probes 11 on the sleeve 1 and the connecting body, the sleeve 1 and the connecting sleeve 4 reach the designated position inside the ear, and are connected to the outside of the sleeve 1 through the connecting sleeve 81 on the outer sleeve 8 of the ear. Connect to form a support point, as shown in Figure 2. At this time, the fixed barrel 3, the puncture needle 5 and the effusion suction tube 6 do not pass through the ear forceps 21, the sleeve 1 and the connecting barrel 4. At this time, again Pass the first end of the fixed tube 3 through the fixed hole 211 at the end of the ear forceps 21, the sleeve 1 and the connecting tube 4 in sequence. The medical staff can accurately see through the camera probe 11 and move the first end of the fixed tube 3 to the inside of the patient's ear. Next to the eardrum and in a state of almost contact, push the end of the ear forceps 21 so that the head end of the ear forceps 21 passes through the head end of the sleeve 1 and moves toward the inside of the connecting tube 4. The head end of the ear forceps 21 is located in the connecting tube 4 After the interior is in contact with the two support plates 71, it continues to push the end of the ear forceps 21 to move, and the two support plates 71 will change the lateral force of the movement of the ear forceps 21 into a vertical force due to the slope factor, so as to move the two The support plate 71 moves forward symmetrically, and the two support blocks 72 are located in the sliding groove 13 in a sliding fit state, thereby driving the two support arc members 73 to expand symmetrically to form a support point inside the ear. There is a support point inside, so during the puncture treatment process, there will be no risk of puncture treatment failure or secondary injury to the patient due to medical staff's hand shaking and errors.

在耳镊21的首端位于连接筒4内部后,根据连接筒4和套筒1的内径不同,耳镊21的首端在连接筒4内部运动过程中会向内靠拢,且在两个支撑弧形件73抵触到耳朵内部形成支撑状态时,耳镊21的首端也正好处于将固定筒3紧密夹死状态,参照图8至图9所示,从而确保了在后续穿刺针头5和积液抽吸管6穿过固定筒3过程中不受影响且操作方便,同时医护人员不会因为操作失误造成穿刺治疗失败以及对患者造成二次伤害的风险,而夹死的固定筒3就在患者耳朵内部形成了一个稳定的穿刺路线轨迹,从而提高了穿刺治疗的质量,以及为医护人员提供较为便捷的操作治疗方式;After the head end of the ear tweezers 21 is located inside the connecting tube 4, according to the different inner diameters of the connecting tube 4 and the sleeve 1, the head ends of the ear tweezers 21 will move inward during the internal movement of the connecting tube 4, and will move inward between the two supports. When the arc-shaped member 73 hits the inside of the ear to form a supporting state, the head end of the ear forceps 21 is also in a state of tightly clamping the fixed cylinder 3, as shown in Figures 8 to 9, thus ensuring that the subsequent puncture needle 5 and the area are securely connected. The liquid suction tube 6 is not affected when passing through the fixed cylinder 3 and is easy to operate. At the same time, medical staff will not risk puncture treatment failure or secondary injury to the patient due to operational errors, and the clamped fixed cylinder 3 is in A stable puncture route is formed inside the patient's ear, thereby improving the quality of puncture treatment and providing medical staff with a more convenient operation and treatment method;

在固定筒3被夹死限位后,医护人员将穿刺针头5首先穿过固定筒3,通过固定筒3的路线轨迹使得穿刺针头5运动到鼓膜旁侧,并将鼓膜戳破,当通过穿刺针头5将鼓膜戳破后,再将穿刺针头5原路返回,从而固定筒3内抽出,接着,将所需抽取积液的积液抽吸管6的首端按照穿刺针头5的方式穿过固定筒3并直至到鼓室内部的积液处,而积液抽吸管6的首端具有一点弯曲度,因此当积液抽吸管6的首端位于鼓室内部的积液处时,是处于接近鼓室内部积液的最底部处,这时,只需将积液抽吸管6的末端连接所需抽取设备即可实现积液的最大化抽取,抽取设备在启动后即可将鼓室内部积液抽取出,通过本发明这种抽取积液的方式能够最大化的将鼓室内部积液抽取出,来便于患者得到更好的治疗效果,不会现有技术中因为穿刺针头5穿刺过程中笔直进入鼓膜很容易造成针头处堵塞影响抽吸作业,而在穿刺针头5穿刺位于鼓室内部准备吸取积液时,穿刺针头5是笔直进入的,而当鼓室内部的积液水平低于穿刺针头5的吸取口时,需要的吸取力度会变大,因此来造成患者疼痛感和二次伤害的风险。After the fixed cylinder 3 is clamped and limited, the medical staff first passes the puncture needle 5 through the fixed cylinder 3. The path of the fixed cylinder 3 causes the puncture needle 5 to move to the side of the tympanic membrane and puncture the tympanic membrane. After the needle 5 punctures the tympanic membrane, the puncture needle 5 is returned to the original path to extract it from the fixed cylinder 3. Then, the head end of the effusion suction tube 6 to be used to extract the fluid is passed through the puncture needle 5 in the same manner as the puncture needle 5. The fixed cylinder 3 reaches the effusion inside the tympanic cavity, and the head end of the effusion suction tube 6 has a slight curvature. Therefore, when the head end of the effusion suction tube 6 is located at the effusion inside the tympanic cavity, it is in Close to the bottom of the tympanic cavity, at this time, you only need to connect the end of the effusion suction tube 6 to the required extraction equipment to achieve maximum extraction of the effusion. After the extraction equipment is started, the effusion inside the tympanic cavity can be removed. The liquid is extracted. Through the method of extracting the accumulated liquid of the present invention, the accumulated liquid inside the tympanic cavity can be extracted to the maximum extent, so as to facilitate the patient to obtain a better therapeutic effect. In the prior art, the puncture needle 5 is not straight during the puncture process. Entering the tympanic membrane can easily cause blockage at the needle and affect the suction operation. When the puncture needle 5 is positioned inside the tympanic cavity to absorb the fluid, the puncture needle 5 enters straight, and when the fluid accumulation level inside the tympanic cavity is lower than the level of the puncture needle 5 When suctioning the mouth, the required suction force will become larger, thus causing pain to the patient and the risk of secondary injury.

一种可视性鼓膜穿刺针的使用方法,包括以下步骤:A method for using a visual tympanic membrane puncture needle includes the following steps:

S1:首先在穿刺治疗之前根据患者耳部污垢情况,对患者耳朵内部污垢进行去除;S1: First, before puncture treatment, remove the dirt inside the patient’s ears according to the dirt condition of the patient’s ears;

S2:再将耳部外部固定件套设于耳部外部,以及耳夹2安装到套筒1,套筒1与耳部外部固定件连接,并伸入耳部内部;S2: Then set the ear external fixing piece on the outside of the ear, and install the ear clip 2 to the sleeve 1. The sleeve 1 is connected to the ear external fixing piece and extends into the ear;

S3:再将固定筒3穿过耳夹2、套筒1位于耳朵内部鼓膜侧端,将穿刺针头5穿过固定筒3、耳夹2、套筒1位于耳朵内部鼓膜侧端;S3: Then pass the fixed cylinder 3 through the ear clip 2, and the sleeve 1 is located at the side of the tympanic membrane inside the ear, and pass the puncture needle 5 through the fixed cylinder 3, the ear clip 2, and the sleeve 1 is located at the side of the tympanic membrane inside the ear;

S4:接着推动耳夹2到连接筒4的内部,将两个支撑弧形件73展开对耳朵内部形成支撑固定,通过外部和内部的固定能够起到良好工作环境,并持续推动耳夹2,固定筒3受到挤压形成夹死限位状态;S4: Then push the ear clip 2 to the inside of the connecting tube 4, unfold the two support arc members 73 to form a support and fixation inside the ear, which can provide a good working environment through external and internal fixation, and continue to push the ear clip 2. The fixed cylinder 3 is squeezed to form a clamped limit state;

S5:这时穿刺针头5在固定筒3内慢慢向鼓膜方向运动,并穿刺过鼓膜,穿刺完成后穿刺针头5原路返回,将穿刺针头5取出;S5: At this time, the puncture needle 5 slowly moves toward the tympanic membrane in the fixed cylinder 3 and punctures the tympanic membrane. After the puncture is completed, the puncture needle 5 returns to the original route and takes out the puncture needle 5;

S6:接着将所需积液抽吸管6以穿刺针头5运动方式通过穿过固定筒3、耳夹2、套筒1位于耳朵内部鼓膜侧端,并伸入鼓室内,从而可抽取液体;S6: Then, the required effusion suction tube 6 is passed through the fixed cylinder 3, ear clip 2, and sleeve 1 in the movement of the puncture needle 5, and is located at the side end of the tympanic membrane inside the ear, and extends into the tympanum, so that the liquid can be extracted;

S7:积液抽吸管6伸入后,积液抽吸管6的首端位于鼓室内部的积液处,通过积液抽吸管6的首端具有一点弯曲度是处于接近鼓室内部积液的最底部处,这时,只需将积液抽吸管6的末端连接所需抽取设备即可实现积液的最大化抽取。S7: After the effusion suction tube 6 is extended, the head end of the effusion suction tube 6 is located at the effusion inside the tympanic cavity. The head end of the effusion suction tube 6 has a slight curvature and is close to the effusion inside the tympanic cavity. At the bottom, at this time, you only need to connect the end of the effusion suction tube 6 to the required extraction equipment to achieve maximum extraction of the effusion.

以上所述仅为本发明的实施例而已,并不用于限制本发明。对于本领域技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原理之内所作的任何修改、等同替换、改进等,均应包含在本发明的权利要求范围之内。The above descriptions are only examples of the present invention and are not intended to limit the present invention. Various modifications and variations will occur to the present invention to those skilled in the art. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the claims of the present invention.

Claims (10)

1.一种可视性鼓膜穿刺针,其特征在于,包括套筒(1)、耳夹(2)、固定筒(3)、连接筒(4)、穿刺针头(5)和积液抽吸管(6),所述套筒(1)的首端与连接筒(4)的首端均为锥形设置,所述连接筒(4)末端设置在套筒(1)的首端为且卡接设置,所述连接筒(4)上设有用于耳内固定的支撑机构(7),所述耳夹(2)一端伸入套筒(1)的内部,所述固定筒(3)穿过耳夹(2)、套筒(1)和连接筒(4),所述穿刺针头(5)穿过固定筒(3)、耳夹(2)、套筒(1)和连接筒(4),所述积液抽吸管(6)在穿刺针头(5)没有穿过固定筒(3)、耳夹(2)、套筒(1)和连接筒(4)的情况下,可穿过固定筒(3)、耳夹(2)、套筒(1)和连接筒(4),所述套筒(1)的首端以及连接筒(4)的首端均设有摄像探头(11)。1. A visual tympanic membrane puncture needle, characterized by comprising a sleeve (1), an ear clip (2), a fixed barrel (3), a connecting barrel (4), a puncture needle (5) and a suction of effusion Pipe (6), the head end of the sleeve (1) and the head end of the connecting barrel (4) are both tapered, and the end of the connecting barrel (4) is set at the head end of the sleeve (1). The connecting tube (4) is provided with a support mechanism (7) for in-ear fixation, one end of the ear clip (2) extends into the inside of the sleeve (1), and the fixing tube (3) Passing through the ear clip (2), sleeve (1) and connecting barrel (4), the puncture needle (5) passes through the fixed barrel (3), ear clip (2), sleeve (1) and connecting barrel ( 4). The effusion suction tube (6) can be used when the puncture needle (5) does not pass through the fixed barrel (3), ear clip (2), sleeve (1) and connecting barrel (4). Passing through the fixed barrel (3), ear clip (2), sleeve (1) and connecting barrel (4), the head end of the sleeve (1) and the head end of the connecting barrel (4) are equipped with camera probes (11). 2.根据权利要求1所述的一种可视性鼓膜穿刺针,其特征在于,所述套筒(1)上对称设有两个推送槽(12),所述套筒(1)上还设有两个滑动槽(13)且为对称设置。2. A visual tympanic membrane puncture needle according to claim 1, characterized in that two push grooves (12) are symmetrically provided on the sleeve (1), and there are also two pushing grooves (12) on the sleeve (1). Two sliding grooves (13) are provided and arranged symmetrically. 3.根据权利要求2所述的一种可视性鼓膜穿刺针,其特征在于,所述耳夹(2)包括耳镊(21)、滑动块(22)和推送块(23),所述耳镊(21)为传统的镊子形状与镊子具有一样的功能,所述耳镊(21)的首端为椭圆形设置,所述滑动块(22)设有两个,两个所述滑动块(22)分别设置在耳镊(21)的两侧上且分别穿过对应的滑动槽(13)与对应的滑动槽(13)均为滑动配合,所述推送块(23)的上下两侧分别位于对应的推送槽(12)上,所述推送块(23)上下两侧与对应的推送槽(12)的连接方式与传统的手电筒上推动档位位于卡槽内原理结构相同。3. A visual tympanic membrane puncture needle according to claim 2, characterized in that the ear clip (2) includes ear forceps (21), a sliding block (22) and a pushing block (23). The ear tweezers (21) are in the shape of traditional tweezers and have the same function as tweezers. The head ends of the ear tweezers (21) are arranged in an oval shape. There are two sliding blocks (22). Two sliding blocks are provided. (22) are respectively arranged on both sides of the ear tweezers (21) and pass through the corresponding sliding grooves (13). They are all in sliding fit with the corresponding sliding grooves (13). The upper and lower sides of the push block (23) They are respectively located on the corresponding push grooves (12). The connection method of the upper and lower sides of the push block (23) with the corresponding push grooves (12) is the same as the principle and structure of the push gear of a traditional flashlight located in the card groove. 4.根据权利要求3所述的一种可视性鼓膜穿刺针,其特征在于,两个所述滑动块(22)的上端均为倾斜设置且靠近推送块(23)的一端为最低点。4. A visible tympanic membrane puncture needle according to claim 3, characterized in that the upper ends of the two sliding blocks (22) are inclined and the end close to the pushing block (23) is the lowest point. 5.根据权利要求3所述的一种可视性鼓膜穿刺针,其特征在于,所述耳镊(21)的末端设有固定孔位(211),所述固定孔位(211)内径尺寸与固定筒(3)外径相适配可便于固定筒(3)穿过。5. A visible tympanic membrane puncture needle according to claim 3, characterized in that the end of the ear forceps (21) is provided with a fixed hole (211), and the inner diameter of the fixed hole (211) is Matching the outer diameter of the fixed cylinder (3) can facilitate the passage of the fixed cylinder (3). 6.根据权利要求1所述的一种可视性鼓膜穿刺针,其特征在于,所述支撑机构(7)包括支撑板(71)、支撑块(72)和支撑弧形件(73),所述连接筒(4)上对称设有两个活动槽(41),所述支撑块(72)设有两个,两个所述支撑块(72)分别设置在对应的活动槽(41)内且均为上下滑动配合,所述支撑板(71)设有两个,两个所述支撑板(71)分别设置在对应的支撑块(72)的下端且位于连接筒(4)的内部,所述支撑弧形件(73)设有两个,两个所述支撑弧形件(73)分别设置在支撑块(72)的上端且位于连接筒(4)的外部,两个所述支撑弧形件(73)均为橡胶材质。6. A visual tympanic membrane puncture needle according to claim 1, characterized in that the support mechanism (7) includes a support plate (71), a support block (72) and a support arc member (73), The connecting tube (4) is symmetrically provided with two movable grooves (41), and the two support blocks (72) are provided with two support blocks (72) respectively arranged in corresponding movable grooves (41). The two support plates (71) are provided with up and down sliding fits, and the two support plates (71) are respectively provided at the lower ends of the corresponding support blocks (72) and located inside the connecting tube (4). , there are two support arc-shaped members (73), and the two support arc-shaped members (73) are respectively provided at the upper end of the support block (72) and located outside the connecting tube (4). The supporting arc parts (73) are all made of rubber. 7.根据权利要求6所述的一种可视性鼓膜穿刺针,其特征在于,两个所述支撑板(71)朝向内侧的一面均为倾斜设置且接近耳镊(21)方向的均为最低点。7. A visible tympanic membrane puncture needle according to claim 6, characterized in that the inner surfaces of the two support plates (71) are inclined and are close to the direction of the ear forceps (21). lowest point. 8.根据权利要求1所述的一种可视性鼓膜穿刺针,其特征在于,所述积液抽吸管(6)的首端为椭圆形设置,所述积液抽吸管(6)为韧性材质且积液抽吸管(6)的首端具有一点弯曲度,所述穿刺针头(5)的穿刺端为尖锐形状设置,所述穿刺针头(5)的外径与积液抽吸管(6)的外径相同。8. A visual tympanic membrane puncture needle according to claim 1, characterized in that the head end of the effusion suction tube (6) is arranged in an oval shape, and the effusion suction tube (6) It is made of tough material and the head end of the effusion suction tube (6) has a slight curvature. The puncture end of the puncture needle (5) is set in a sharp shape. The outer diameter of the puncture needle (5) is consistent with the effusion suction tube. The outer diameters of the tubes (6) are the same. 9.根据权利要求1所述的一种可视性鼓膜穿刺针,其特征在于,还包括耳朵外部套(8),所述耳朵外部套(8)可套设耳部后端外部处且与耳部处于相适配状态,所述耳朵外部套(8)上设有连接套(81),所述连接套(81)与套筒(1)为卡接式设置。9. A visible tympanic membrane puncture needle according to claim 1, characterized in that it also includes an ear external sleeve (8), which can be sleeved on the outside of the rear end of the ear and connected with the ear external sleeve (8). The ears are in a matching state, and the outer sleeve (8) of the ear is provided with a connecting sleeve (81), and the connecting sleeve (81) and the sleeve (1) are snap-fitted. 10.根据权利要求1-9中任意一项所述的一种可视性鼓膜穿刺针,其特征在于,所述使用方法包括以下步骤:10. A visual tympanic membrane puncture needle according to any one of claims 1-9, characterized in that the method of use includes the following steps: S1:首先在穿刺治疗之前根据患者耳部污垢情况,对患者耳朵内部污垢进行去除;S1: First, before puncture treatment, remove the dirt inside the patient’s ears according to the dirt condition of the patient’s ears; S2:再将耳部外部固定件套设于耳部外部,以及耳夹(2)安装到套筒(1),套筒(1)与耳部外部固定件连接,并伸入耳部内部;S2: Then set the ear external fixing piece on the outside of the ear, and install the ear clip (2) to the sleeve (1). The sleeve (1) is connected to the ear external fixing piece and extends into the ear; S3:再将固定筒(3)穿过耳夹(2)、套筒(1)位于耳朵内部鼓膜侧端,将穿刺针头(5)穿过固定筒(3)、耳夹(2)、套筒(1)位于耳朵内部鼓膜侧端;S3: Then pass the fixed cylinder (3) through the ear clip (2), and the sleeve (1) is located on the side of the tympanic membrane inside the ear. Pass the puncture needle (5) through the fixed cylinder (3), ear clip (2), and sleeve. The tube (1) is located at the lateral end of the eardrum inside the ear; S4:接着推动耳夹(2)到连接筒(4)的内部,将两个支撑弧形件(73)展开对耳朵内部形成支撑固定,通过外部和内部的固定能够起到良好工作环境,并持续推动耳夹(2),固定筒(3)受到挤压形成夹死限位状态;S4: Then push the ear clip (2) to the inside of the connecting tube (4), unfold the two support arc members (73) to form a support and fixation inside the ear. Through the external and internal fixation, a good working environment can be achieved, and Continuously push the ear clip (2), and the fixed tube (3) is squeezed to form a clamped limit state; S5:这时穿刺针头(5)在固定筒(3)内慢慢向鼓膜方向运动,并穿刺过鼓膜,穿刺完成后穿刺针头(5)原路返回,将穿刺针头(5)取出;S5: At this time, the puncture needle (5) slowly moves toward the tympanic membrane in the fixed tube (3) and punctures the tympanic membrane. After the puncture is completed, the puncture needle (5) returns to the original route and takes out the puncture needle (5); S6:接着将所需积液抽吸管(6)以穿刺针头(5)运动方式通过穿过固定筒(3)、耳夹(2)、套筒(1)位于耳朵内部鼓膜侧端,并伸入鼓室内,从而可抽取液体;S6: Then pass the required effusion suction tube (6) through the fixed tube (3), ear clip (2), and sleeve (1) in the movement of the puncture needle (5) and locate it at the side of the tympanic membrane inside the ear, and Reach into the tympanum so that fluid can be extracted; S7:积液抽吸管(6)伸入后,积液抽吸管(6)的首端位于鼓室内部的积液处,通过积液抽吸管(6)的首端具有一点弯曲度是处于接近鼓室内部积液的最底部处,这时,只需将积液抽吸管(6)的末端连接所需抽取设备即可实现积液的最大化抽取。S7: After the effusion suction tube (6) is extended in, the head end of the effusion suction tube (6) is located at the effusion inside the tympanic cavity. The head end of the effusion suction tube (6) has a slight curvature. It is close to the bottom of the effusion inside the tympanic cavity. At this time, it is only necessary to connect the end of the effusion suction tube (6) to the required extraction equipment to achieve maximum extraction of the effusion.
CN202311145682.0A 2023-09-06 2023-09-06 Visual tympanostomy needle and application method thereof Pending CN117224207A (en)

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