CN204033491U - A kind of PICC track display navigates, and localization by ultrasonic is visual puts pipe aid system - Google Patents
A kind of PICC track display navigates, and localization by ultrasonic is visual puts pipe aid system Download PDFInfo
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- CN204033491U CN204033491U CN201420397269.3U CN201420397269U CN204033491U CN 204033491 U CN204033491 U CN 204033491U CN 201420397269 U CN201420397269 U CN 201420397269U CN 204033491 U CN204033491 U CN 204033491U
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- 230000000007 visual effect Effects 0.000 title claims abstract description 16
- 230000004807 localization Effects 0.000 title claims abstract description 14
- 230000006698 induction Effects 0.000 claims abstract description 35
- 238000011161 development Methods 0.000 claims abstract description 26
- 230000018109 developmental process Effects 0.000 claims abstract description 26
- 230000015624 blood vessel development Effects 0.000 claims abstract description 15
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 13
- 238000012544 monitoring process Methods 0.000 claims abstract description 7
- 238000012545 processing Methods 0.000 claims abstract description 6
- 230000009067 heart development Effects 0.000 claims description 10
- 238000000034 method Methods 0.000 abstract description 18
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- 210000003462 vein Anatomy 0.000 description 8
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- 208000037816 tissue injury Diseases 0.000 description 2
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- 206010049418 Sudden Cardiac Death Diseases 0.000 description 1
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- 238000009553 vascular ultrasonography Methods 0.000 description 1
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Abstract
The utility model discloses the navigation of a kind of PICC track display, localization by ultrasonic is visual puts pipe aid system.Native system comprises blood vessel development B ultrasonic subsystem, track development navigation subsystem, development B ultrasonic subsystem; Wherein, track development navigation subsystem comprises PICC conduit and seal wire, wire tips has induction information dispensing device, track development navigation subsystem also comprise have receive this induction information dispensing device send the induction receiving array of induction information, and the date processing be connected with this induction receiving array and display unit; The induction information that date processing and display unit are used for this induction receiving array receives is converted to the track of this seal wire and shows; Blood vessel development B ultrasonic subsystem is for monitoring the blood vessel of being inserted by this seal wire and needing to put pipe; Development B ultrasonic subsystem is for monitoring the final position that this wire tips will arrive.The whole process that PICC puncture and intubation operates is become whole course visible from blind operation and operates by native system, improves puncture success rate.
Description
Technical field
This utility model relates to the navigation of a kind of PICC track display, and localization by ultrasonic is visual puts pipe aid system.This aid system belongs to Novel medical and detecting instrument technical field.
Background technology
PICC conduit is the conduit that a kind of periphery venipuncture before elbow inserts epicoele central vein place, can long period indwelling use.Can indwelling 3 months to a year in vivo according to the difference of conduit quality.Various medicine can be delivered directly to central vein place, rapid diluent substrate concentration, avoid dripping of irritant drugs to the damage of blood vessel.Very extensive in clinical practice.But in clinical manipulation process, there is a lot of risk and unfavorable factor.
Quote the related content display of the article " intravenous electrocardiogram guides the clinical research of location, PICC tip " be published in August, 2011 on " Chinese Journal of Nursing ": be not put Guan Junneng catheter tip to be placed to superior vena cava (SVC) end in PICC conduit piercing process at every turn, much accidental factor all can impel catheter tip dystopy, it is crucial that operate so far clinical carrying out from PICC, be blindmate and put pipe, and there is individual and anatomic differences in patient's blood vessel condition, even because patient's anxiety causes venospasm when putting pipe, inevitably depart from when putting pipe, dystopy enters the less internal jugular vein of caliber, external jugular vein, subclavian vein, venae brachiocephalicae etc.
Foreign literature is reported, when PICC catheter tip dystopy, obviously can increase hematogenous infection, thrombosis, the phlebitic incidence rate of tube chamber blocking and local, in PICC complication of catheter, catheter tip dystopy is very common, incidence rate up to 34.20%, and can increase the generation of various complication after dystopy, reduce conduit service time.As do not corrected in time after catheter tip dystopy, just serious tissue injury can be produced over the course for the treatment of, the even damage of cranial nerve, can not completed treatment just must Lumen catheter, sometimes then need to readjust tip location after fixing, both added infection risk, increased patient suffering again, and even reset conduit and increase patient's economic cost.Whether current clear and definite PICC catheter tip arrives the method for superior vena cava (SVC) end, only have and just roughly can estimate whether catheter tip arrives superior vena cava (SVC) end by actinoscopy X, catheter tip positioning precision is inadequate, and ray is harmful, simultaneously many critical patients require that position keeps completely static due to the state of an illness, inconvenience carries out actinoscopy X to radiology department, or increases risk of conditions of patients deterioration etc. after repeatedly moving patient.
Utility model content
For above-mentioned risk factor and shortcoming, the purpose of this utility model be to provide a kind of PICC track display to navigate localization by ultrasonic is visual puts pipe aid system.Native system is based on magnetic force track display navigation subsystem, Vascular Ultrasonography imaging subsystems, cardiac ultrasonic imaging subsystems, carry out improvement compatibility to three subsystems and be integrated into an operating system, this system will provide the real-time show navigator of point of puncture blood vessel imaging, conduit running orbit and the accurate location of catheter tip location for PICC clinical manipulation.The whole process that PICC puncture and intubation operates is become whole course visible from blind operation operate, improve puncture success rate; Evade completely and put the pipeline occurred in pipe process and depart from; Catheter tip registration, both can make by operator from radiation exposure, can also improve and put pipe precision, effectively avoided occurring threat that catheter tip dystopy causes by all kinds of complication of operator's life security.
This utility model solves the technical scheme that its technical problem adopts:
A kind of PICC track display navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that comprising blood vessel development B ultrasonic subsystem, track development navigation subsystem, development B ultrasonic subsystem; Wherein, described track development navigation subsystem comprises PICC conduit and seal wire, this wire tips has induction information dispensing device, described track development navigation subsystem also comprise have receive this induction information dispensing device send the induction receiving array of induction information, and the date processing be connected with this induction receiving array and display unit; The induction information that described date processing and display unit are used for this induction receiving array receives is converted to the track of this seal wire and shows; Described blood vessel development B ultrasonic subsystem is for monitoring the blood vessel of being inserted by this seal wire and needing to put pipe; Described development B ultrasonic subsystem is for monitoring the final position that this wire tips will arrive.
Further, described track development navigation subsystem is magnetic force track development navigation subsystem; Wherein said induction information dispensing device is magnet head, and described induction receiving array is magnetic induction array.
Further, described magnet head is permanent magnet.
Further, described magnet head is electromagnet.
Further, described blood vessel development B ultrasonic subsystem, development B ultrasonic set of subsystems become same B ultrasonic machine.
Further, described development B ultrasonic subsystem is heart development B ultrasonic subsystem.
Further, described blood vessel development B ultrasonic subsystem, heart development B ultrasonic subsystem, track display navigation subsystem share same display.
Further, described blood vessel development B ultrasonic subsystem, heart development B ultrasonic subsystem, track display navigation subsystem are integrated in same host computer system.
Need position of dealing with problems
Whole PICC is put in the process of pipe operation and need the problem solved to be divided into three parts
Part I: in the piercing process of the PICC trocar, blindly wears failure and causes putting tube failure, adds by the misery of operator.
Part II: PICC seal wire and conduit insert process, seal wire gives a discount at Ink vessel transfusing, illegally occupy, direction is departed from, and enters other Ink vessel transfusing, causes the appearance of a series of tissue injury and complication, crisis patient vitals.
Part III: in the process of PICC seal wire and catheter tip location, traditional method externally carries out rough measure, obtain general numerical value, the determination of catheter tip location, conduit must be waited to put pipe after, move to radiology department to carry out radioscopy and determine, but the determination of perspective is also substantially estimate according to anatomical position, have no idea to reach 100% completely and accurately arrive assigned address (superior vena cava (SVC) end), radiation exposure will be accepted simultaneously, increase diagnosis and treatment item and expense, what part was not suitable for being moved is forced to move by behaviour person, increase by the risk of operator, PICC puts the disposable success of pipe requirement, as perspective finds that pipeline is too short, pipeline can only be extracted, put pipe utter failure, increase by the misery of operator and financial burden, cause the waste of medical resource and affect the state of an illness adversely.Meanwhile be easy in the process PICC catheter tip dystopy occurs, the phlebitic incidence rate of the blocking of obvious increase hematogenous infection, thrombosis, tube chamber and local, is notably putting the complication causing the serious harm life securities such as sudden cardiac arrest in pipe process.
The composition of this utility model system
This utility model system has that three sub-system compatibles are integrated to be formed:
Subsystem is unified: blood vessel development B ultrasonic subsystem.
Subsystem two: track development navigation subsystem:
1.PICC wire tips is the magnetic magnet head of tool (in system, the form of magnet can be 2 kinds of forms: 1. permanent magnet 2. electromagnet).
2. be laid on by the magnetic induction array be made up of magnetic inductor under operator's body.
3. connect the processor of magnetic induction array, processor is connected with a display, the result of the real-time video-stream processor of display, i.e. the track of seal wire in human body.
Subsystem three: heart development B ultrasonic subsystem.
This utility model is disposed accordingly mainly for three parts running through whole PICC and put pipe:
For Part I problem: this aid system, be provided with blood vessel development B ultrasonic, for operator provides blood-vessel image clearly, the blood vessel needing to put pipe can be entered by real time monitoring puncture needle, improve the success rate of puncture.
For Part II problem: this aid system, be provided with magnetic force track toning system, whole catheter guide wire is in endovascular out of shape, trend, be shown to human body coordinate viewing area completely in real time, can process in time like this and give a discount to illegally occupy at Ink vessel transfusing and depart from pipeline putting the pipeline that occurs in pipe process, dystopy enters the generation of the situations such as the less internal jugular vein of caliber, external jugular vein, subclavian vein, venae brachiocephalicae, and operator is known what's what.
Most advanced and sophisticated in the location of caval vein (SVC) end for Part III problem: PICC, the B ultrasonic that developed by heart improves, pareordia can be fixed on, adjustment angle makes B ultrasonic navigate to caval vein (SVC) end, when wire catheter arrives caval vein (SVC) end, stop immediately sending pipe, complete accurate allocation pipe.Eliminate the positioning step of radioscopy, ensure that the length of putting pipe is completely applicable, fundamentally evaded the generation of PICC catheter tip dystopy.
The beneficial effects of the utility model are:
Blind operation is become whole operation overall process visual, wire catheter track is high-visible, position adjustment can be carried out in time to wire catheter, put pipe in-position to locate accurately, the related complication that occurs in traditional operation and harm are well evaded by the various factors of the safety of operator, simultaneously to by operator without any RADI, reduce by the inspection item of operator with by the number of times moved, improve patient comfort degree, degree of safety, decrease the financial burden of patient, whole system is that operator provides real-time reference frame, provide unprecedented help and facility, the technical threshold making PICC put pipe operation reduces greatly, structure is simple, operate simple and easy.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, this utility model is further illustrated.
Fig. 1 is entirety composition structure chart of the present utility model.
Fig. 2 is PICC conduit principle schematic.
Fig. 3 is the operating diagram of blood vessel B ultrasonic navigation.
Wherein, 1. magnetic force track human body coordinate viewing area, 2. blood vessel B ultrasonic viewing area, 3. Heart Brightness Mode viewing area, 4. blood vessel Ultrasonic-B probe, 5. can pop one's head in by fixed pattern Heart Brightness Mode, 6. magnetic induction array blanket, 7. main frame, display, the 8. magnetic PICC seal wire of tip band and conduit, 9. superior vena cava (SVC) end, 10. heart, 11.PICC seal wire, 12.PICC puncture needle, 13. blood vessels.
Detailed description of the invention
Now by reference to the accompanying drawings the present invention is further described in detail:
Entirety of the present utility model forms as shown in Figure 1, by blood vessel development B ultrasonic subsystem, track development navigation subsystem, heart development B ultrasonic subsystem organic combination.
As shown in Figure 2, the periphery venipuncture of PICC conduit before elbow inserts the conduit at epicoele central vein place to the operation principle of PICC conduit, and operating procedure is:
1. by operator, will settle and lain on magnetic induction array blanket 6 by operator, by by the point of puncture of operator, aligned magnetic induction arrays blanket 6 assigned address.Guarantee the limbs (magnetic induction array blanket has obvious markings) in the induction zone of magnetic induction array blanket needing to put pipe.
2. utilize heart development B ultrasonic, navigate to superior vena cava (SVC) end 9, and Ultrasonic-B probe 4 is fixed, reach lasting imaging.
3. under blood vessel B ultrasonic guides, carry out venipuncture as shown in Figure 3.
4. after by seal wire 11 by puncture needle 12 intravasation 13, and continue to proceed to epicoele central vein place; When after seal wire 11 intravasation 13, the particular location of seal wire is reacted to human body coordinate viewing area 1 by magnetic force track development navigation subsystem, and all-the-way tracking monitors the run trace of seal wire 11.
5., when seal wire 11 arrives epicoele central vein place, be positioned at superior vena cava (SVC) end 9 place heart development B ultrasonic subsystem and find that seal wire 11 is most advanced and sophisticated, stop immediately sending seal wire 11.
6. see seal wire 11 end scale, after cutting out PICC conduit according to this scale, conduit is placed to superior vena cava (SVC) end 9 place along seal wire.
7. extract seal wire 11, appropriate A/C, end of operation.
Whole operating process puncture, send seal wire, to arrive superior vena cava (SVC) end whole process completely visual, accurate positioning, controlled.
Claims (8)
1. PICC track display navigates, and localization by ultrasonic is visual puts a pipe aid system, it is characterized in that comprising blood vessel development B ultrasonic subsystem, track development navigation subsystem, development B ultrasonic subsystem; Wherein, described track development navigation subsystem comprises PICC conduit and seal wire, this wire tips has induction information dispensing device, described track development navigation subsystem also comprise have receive this induction information dispensing device send the induction receiving array of induction information, and the date processing be connected with this induction receiving array and display unit; The induction information that described date processing and display unit are used for this induction receiving array receives is converted to the track of this seal wire and shows; Described blood vessel development B ultrasonic subsystem is for monitoring the blood vessel of being inserted by this seal wire and needing to put pipe; Described development B ultrasonic subsystem is for monitoring the final position that this wire tips will arrive.
2. PICC track display as claimed in claim 1 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described track development navigation subsystem is magnetic force track development navigation subsystem; Wherein said induction information dispensing device is magnet head, and described induction receiving array is magnetic induction array.
3. PICC track display as claimed in claim 2 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described magnet head is permanent magnet.
4. PICC track display as claimed in claim 2 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described magnet head is electromagnet.
5. localization by ultrasonic is visual puts pipe aid system in PICC track display navigation as claimed in claim 1, it is characterized in that described blood vessel development B ultrasonic subsystem, development B ultrasonic set of subsystems becomes same B ultrasonic machine.
6. PICC track display as claimed in claim 1 or 2 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described development B ultrasonic subsystem is heart development B ultrasonic subsystem.
7. PICC track display as claimed in claim 6 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described blood vessel development B ultrasonic subsystem, heart development B ultrasonic subsystem, track display navigation subsystem share same display.
8. PICC track display as claimed in claim 6 navigates, and localization by ultrasonic is visual puts pipe aid system, it is characterized in that described blood vessel development B ultrasonic subsystem, heart development B ultrasonic subsystem, track display navigation subsystem are integrated in same host computer system.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201420397269.3U CN204033491U (en) | 2014-07-17 | 2014-07-17 | A kind of PICC track display navigates, and localization by ultrasonic is visual puts pipe aid system |
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| CN201420397269.3U CN204033491U (en) | 2014-07-17 | 2014-07-17 | A kind of PICC track display navigates, and localization by ultrasonic is visual puts pipe aid system |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105476720A (en) * | 2015-12-10 | 2016-04-13 | 中国人民解放军第四军医大学 | A device and method for judging the abnormal position of PICC catheter |
| CN110624169A (en) * | 2018-06-25 | 2019-12-31 | 唐彬秩 | A neonatal PICC catheter positioned by magnetic field |
| CN113559392A (en) * | 2021-07-26 | 2021-10-29 | 中国人民解放军陆军军医大学第一附属医院 | Puncture auxiliary system for central venous catheterization through peripheral venipuncture |
| CN114887193A (en) * | 2022-05-19 | 2022-08-12 | 内蒙古自治区人民医院（内蒙古自治区肿瘤研究所） | Method for carrying out infant PICC (peripherally inserted central catheter) catheterization by applying digital blood vessel subtraction angiography instrument |
| CN117898830A (en) * | 2024-03-01 | 2024-04-19 | 南方医科大学珠江医院 | Auxiliary positioning standard model for PICC under B ultrasonic real-time guidance |
-
2014
- 2014-07-17 CN CN201420397269.3U patent/CN204033491U/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105476720A (en) * | 2015-12-10 | 2016-04-13 | 中国人民解放军第四军医大学 | A device and method for judging the abnormal position of PICC catheter |
| CN105476720B (en) * | 2015-12-10 | 2017-09-22 | 中国人民解放军第四军医大学 | Device and method for judging PICC (peripherally inserted Central catheter) ectopic position |
| CN110624169A (en) * | 2018-06-25 | 2019-12-31 | 唐彬秩 | A neonatal PICC catheter positioned by magnetic field |
| CN113559392A (en) * | 2021-07-26 | 2021-10-29 | 中国人民解放军陆军军医大学第一附属医院 | Puncture auxiliary system for central venous catheterization through peripheral venipuncture |
| CN113559392B (en) * | 2021-07-26 | 2023-08-08 | 中国人民解放军陆军军医大学第一附属医院 | Central venous catheterization puncture auxiliary system for peripheral venipuncture |
| CN114887193A (en) * | 2022-05-19 | 2022-08-12 | 内蒙古自治区人民医院（内蒙古自治区肿瘤研究所） | Method for carrying out infant PICC (peripherally inserted central catheter) catheterization by applying digital blood vessel subtraction angiography instrument |
| CN117898830A (en) * | 2024-03-01 | 2024-04-19 | 南方医科大学珠江医院 | Auxiliary positioning standard model for PICC under B ultrasonic real-time guidance |
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| Date | Code | Title | Description |
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20141224 Termination date: 20190717 |