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CN203507279U - Single-cavity central venous catheter - Google Patents

Single-cavity central venous catheter Download PDF

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Publication number
CN203507279U
CN203507279U CN201320630566.3U CN201320630566U CN203507279U CN 203507279 U CN203507279 U CN 203507279U CN 201320630566 U CN201320630566 U CN 201320630566U CN 203507279 U CN203507279 U CN 203507279U
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catheter
central venous
puncture
sleeve
venous catheter
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赵胜军
任莹
徐学文
刘正亚
方勇
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Wuhan Polytechnic University
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Wuhan Polytechnic University
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Abstract

本实用新型公开了一种单腔中心静脉导管,解决了现有利用单腔中心静脉导管通过手术方式进行体内血管造瘘时,存在穿刺率不高、容易在体内发生导管弯折,导致血管瘘堵塞的问题。技术方案包括导管,所述导管前段套有前硬质套管,后段套有后硬质套管。本实用新型结构简单、操作简便、提高穿刺成功率、能保持导管长期通畅。

Figure 201320630566

The utility model discloses a single-lumen central venous catheter, which solves the problems of low puncture rate and easy occurrence of catheter bending in the body when the existing single-lumen central venous catheter is used for intracorporeal angiostomy through surgery, resulting in vascular fistula. clogging problem. The technical solution includes a catheter, the front section of the catheter is covered with a front hard sleeve, and the rear section is covered with a rear hard sleeve. The utility model has the advantages of simple structure, convenient operation, high puncture success rate, and long-term unobstructed catheter.

Figure 201320630566

Description

单腔中心静脉导管single lumen central venous catheter

技术领域technical field

本实用新型涉及一种医疗设备,具体的说是一种用于人或动物体内血管造瘘的单腔中心静脉导管。The utility model relates to a medical device, in particular to a single-cavity central venous catheter for angiostomy in human or animal body.

背景技术Background technique

中心静脉导管是一种血管内管,可放置于动脉和静脉内用于体内血管造瘘。为了减少对血管内膜的损伤,目前的医用中心静脉导管大多采用了在体温条件下可以变软的聚氨酯材料。这类导管用途广泛,主要用于测定中心静脉压、采集血液样本以及注入药物或溶液等在血管内留滞时间较短的血管介入操作。目前市面上的单腔中心静脉导管种类繁多,大都能够满足医学上的治疗和研究的需求。A central venous catheter is an endovascular tube that can be placed in arteries and veins for internal vascular access. In order to reduce damage to the intima of blood vessels, most of the current medical central venous catheters use polyurethane materials that can soften under body temperature conditions. These catheters are widely used and are mainly used for vascular intervention procedures such as measuring central venous pressure, collecting blood samples, and injecting drugs or solutions that have a short residence time in the blood vessel. There are various types of single-lumen central venous catheters currently on the market, most of which can meet the needs of medical treatment and research.

单腔中心静脉导管用于人或动物体内血管造瘘(如进行肝静脉、肝静脉或肠系膜静脉的血管造瘘)时,由于导管在体内穿刺行程长、且需要保持瘘管长期留滞体内,并保持畅通。而目前单腔中心静脉导管所用聚氨酯材料的导管穿入血管后在体温条件下变软,容易造成导管在体内固定或穿出皮肤的位置形成锐角形弯折,使导管发生堵塞,从而导致血液无法抽取,血管瘘失效。When the single-lumen central venous catheter is used for angiostomy in humans or animals (such as hepatic vein, hepatic vein or mesenteric vein), due to the long puncture journey of the catheter in the body and the need to keep the fistula in the body for a long time, and Keep it flowing. At present, the catheter made of polyurethane material used in single-lumen central venous catheters becomes soft under body temperature conditions after being penetrated into blood vessels, which may easily cause sharp-angle bends at the position where the catheter is fixed in the body or passes through the skin, causing the catheter to be blocked, resulting in blood flow. Withdrawal, the vascular fistula fails.

发明内容Contents of the invention

本实用新型的目的是为了解决上述技术问题,提供一种结构简单、操作简便、提高穿刺成功率、能保持导管长期留滞并通畅的单腔中心静脉导管。The purpose of the utility model is to solve the above-mentioned technical problems, and provide a single-lumen central venous catheter with simple structure, easy operation, improved puncture success rate, and long-term stagnation of the catheter.

技术方案包括导管,所述导管前段套有前硬质套管,后段套有后硬质套管。The technical solution includes a catheter, the front section of the catheter is covered with a front hard sleeve, and the rear section is covered with a rear hard sleeve.

所述前硬质套管在导管上的位置对应为:穿刺完成后,前硬质套管正好位于紧贴体内穿刺处血管外壁的位置;所述后硬质套管在导管上的位置对应为:穿刺完后成后,后硬质套管正好位于体表皮肤穿刺处。The position of the front hard sleeve on the catheter corresponds to: after the puncture is completed, the front hard sleeve is just at the position close to the outer wall of the blood vessel at the puncture site in the body; the position of the rear hard sleeve on the catheter corresponds to : After the puncture is completed, the rear hard sleeve is just at the puncture site of the body surface.

所述前硬质套管的长度为25-35mm,所述后硬质套管的长度为45-50mm。The length of the front hard casing is 25-35mm, and the length of the rear hard casing is 45-50mm.

所述前硬质套管及后硬质套管的壁厚为0.8-1.2mm。The wall thickness of the front rigid casing and the rear rigid casing is 0.8-1.2mm.

发明人对穿刺失败的原因进行分析和研究,发现这类导管在穿成穿刺操作后极易在两处发生锐角形弯折,一是在体内穿刺部位紧贴血管外壁的位置,二是在体表皮肤穿刺处。也就是说在上述两处提高导管的强度就可以解决上述问题。本实用新型在现有通用的单腔中心静脉导管的基础上进行了简单改进,即在现有导管上加设了两段硬质套管,从而解决上述技术问题,所述硬质套管可以采用PVC或硅胶材料,可采用粘贴的方法将硬质套管粘接在导管上固定。采用局部套装硬质套管的方法不会大幅强高整个导管的硬度,影响穿刺的正常进行,同时满足了导管折弯处提高强度的要求,便于导管在体内的固定和打结,保证导管的通畅。本实用新型结构简单、操作简便、大大提高穿刺成功率、能保持导管长期通畅,特别适用于人或动物体内血管造瘘。The inventor analyzed and studied the reasons for the puncture failure, and found that this type of catheter is prone to acute-angle bending at two places after the puncture operation. One is the position where the puncture site is close to the outer wall of the blood vessel in the body, and the other is that Superficial skin puncture site. That is to say, improving the strength of the conduit at the above two places just can solve the above problems. The utility model is simply improved on the basis of the existing universal single-lumen central venous catheter, that is, two sections of hard sleeves are added to the existing catheter, so as to solve the above-mentioned technical problems, and the hard sleeves can be Using PVC or silicone material, the hard casing can be bonded to the catheter by pasting. The method of partially fitting the hard sleeve will not greatly increase the hardness of the entire catheter, which will affect the normal puncture, and at the same time meet the requirements of increasing the strength of the catheter bend, facilitate the fixation and knotting of the catheter in the body, and ensure the safety of the catheter. unobstructed. The utility model has the advantages of simple structure, convenient operation, greatly improved puncture success rate, long-term unobstructed catheter, and is especially suitable for angiostomy in human or animal body.

附图说明Description of drawings

图1为本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.

图2为本实用新型穿刺后的状态图。Fig. 2 is a state diagram of the utility model after puncturing.

其中,1-导管、2-前硬质套管、3-后硬质套管、4-血管、5-皮肤开创处。Among them, 1-catheter, 2-anterior hard cannula, 3-posterior hard cannula, 4-vessel, 5-skin opening.

具体实施方式Detailed ways

下面结合附图对本实用新型作进一步解释说明:Below in conjunction with accompanying drawing, the utility model is further explained:

参照图1,本新型单腔中心静脉导管包括导管1,所述导管1的前段套装有前硬质套管2,后段套装有后硬质套管2,所述导管和前、后硬质套管2、3间采用医用粘合剂进行粘合。所述前硬质套管2的长度为25-35mm,所述后硬质套管3的长度为45-50mm;所述前硬质套管2及后硬质套管3的壁厚均为0.8-1.2mm。Referring to Fig. 1, the novel single-lumen central venous catheter comprises a catheter 1, the front section of the catheter 1 is covered with a front rigid sleeve 2, and the rear section is covered with a rear rigid sleeve 2, and the catheter and the front and rear rigid sleeves The sleeves 2 and 3 are bonded with medical adhesive. The length of the front rigid sleeve 2 is 25-35mm, and the length of the rear rigid sleeve 3 is 45-50mm; the wall thickness of the front rigid sleeve 2 and the rear rigid sleeve 3 is 0.8-1.2mm.

操作过程:Operation process:

单腔中心静脉导管的穿刺方法同现有穿刺方法,以门静脉穿刺为例,具体为:先现在腹壁做一创口,将穿刺针通过皮肤开创处5穿入体内(人体或动物体)再插入门静脉,确认穿刺针在静脉的血管4内后,从穿刺针体外一端将插入穿刺针内的导丝推送入门静脉的血管4,保持导丝在血管4内的同时退出穿刺针,再将导管1套在导丝位于皮肤外的另一端,沿导丝将导管1的前端推送到至门静脉的血管4内,此时,导管1上的前硬质套管2正好位于紧贴体内穿刺处静脉的血管4外壁的位置;后硬质套管3正好位于体表皮肤开创处5处(具体状态参见图2);最后将第一个固定结打在前硬质套管2上,在体内固定导管1;然后封闭创口,将第二个固定结打在后硬质套管3上,在体外固定导管1,具体打结方法同现有技术。The puncture method of the single-lumen central venous catheter is the same as the existing puncture method. Taking the portal vein puncture as an example, the specific steps are as follows: first, make an incision on the abdominal wall, and then insert the puncture needle into the body (human or animal body) through the skin opening 5 and then insert it into the portal vein , after confirming that the puncture needle is in the blood vessel 4 of the vein, push the guide wire inserted into the puncture needle into the blood vessel 4 of the portal vein from the outer end of the puncture needle, withdraw the puncture needle while keeping the guide wire in the blood vessel 4, and then insert a set of catheter At the other end of the guide wire outside the skin, push the front end of the catheter 1 into the blood vessel 4 of the portal vein along the guide wire. 4. The position of the outer wall; the rear hard sleeve 3 is located at the 5 places where the skin is opened on the body surface (see Figure 2 for the specific state); finally, the first fixed knot is tied on the front hard sleeve 2 to fix the catheter 1 in the body Then close the wound, the second fixed knot is tied on the rear hard casing 3, and the catheter 1 is fixed in vitro, and the specific knotting method is the same as that of the prior art.

Claims (4)

1.一种单腔中心静脉导管,包括导管,其特征在于,所述导管前段套有前硬质套管,后段套有后硬质套管。1. A single-lumen central venous catheter, comprising a catheter, characterized in that, the front section of the catheter is covered with a front rigid sleeve, and the rear section is covered with a rear rigid sleeve. 2.如权利要求1所述的单腔中心静脉导管,其特征在于,所述前硬质套管在导管上的位置对应为:穿刺完成后,前硬质套管正好位于紧贴体内穿刺处血管外壁的位置;所述后硬质套管在导管上的位置对应为:穿刺完成后,后硬质套管正好位于体表皮肤穿刺处。2. The single-lumen central venous catheter according to claim 1, wherein the position of the front hard sleeve on the catheter corresponds to: after the puncture is completed, the front hard sleeve is just located close to the puncture site in the body The position of the outer wall of the blood vessel; the position of the rear rigid sleeve on the catheter corresponds to: after the puncture is completed, the rear rigid sleeve is just located at the puncture site of the body surface. 3.如权利要求1或2所述的单腔中心静脉导管,其特征在于,所述前硬质套管的长度为25-35mm,所述后硬质套管的长度为45-50mm。3. The single-lumen central venous catheter according to claim 1 or 2, wherein the length of the front rigid sleeve is 25-35 mm, and the length of the rear rigid sleeve is 45-50 mm. 4.如权利要求1或2所述的单腔中心静脉导管,其特征在于,所述前硬质套管及后硬质套管的壁厚为0.8-1.2mm。4. The single-lumen central venous catheter according to claim 1 or 2, characterized in that, the wall thickness of the front rigid sleeve and the rear rigid sleeve is 0.8-1.2 mm.
CN201320630566.3U 2013-10-12 2013-10-12 Single-cavity central venous catheter Expired - Fee Related CN203507279U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109200441A (en) * 2018-11-01 2019-01-15 郑州大学第附属医院 A kind of thrombolysis catheter device through jugular vein treatment thrombus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109200441A (en) * 2018-11-01 2019-01-15 郑州大学第附属医院 A kind of thrombolysis catheter device through jugular vein treatment thrombus

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Granted publication date: 20140402

Termination date: 20141012

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