CN204147404U - The multi-cavity drainage system that can subcutaneously move under water - Google Patents
The multi-cavity drainage system that can subcutaneously move under water Download PDFInfo
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- CN204147404U CN204147404U CN201420612669.1U CN201420612669U CN204147404U CN 204147404 U CN204147404 U CN 204147404U CN 201420612669 U CN201420612669 U CN 201420612669U CN 204147404 U CN204147404 U CN 204147404U
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Abstract
Description
技术领域 technical field
本实用新型涉及神经科颅脑引流用多腔引流装置,具体讲是一种结构简单、使用方便,植入位置精准、可准确植入治疗靶点,可皮下潜行的多腔引流装置。 The utility model relates to a multi-cavity drainage device for craniocerebral drainage in the department of neurology, specifically a multi-cavity drainage device with simple structure, convenient use, precise implantation position, accurate implantation of treatment targets, and subcutaneous sneaking.
背景技术 Background technique
我们知道,颅脑引流已成为颅脑外伤、脑溢血、颅内感染以及脑积水等疾病的常规治疗手段,引流感染几率随着引流时间的延长而增加,而皮下潜行远离创口处固定引流导管,能能明显降低术后颅内感染的发生率。目前颅脑引流术中只有单腔引流导管才能进行皮下潜行操作,因为单腔引流导管没有分支,且末端较平滑,才能在置管引流成功后可皮下潜行远离创口固定导管。现有的多腔引流管的结构是:设有管体,管体内设有至少两个腔体,管体的患者端管壁上设有与腔体连通的通孔,管体的远离患者端设有与腔体数量相同的支管,每根支管与一个腔体连通,支管上为了引流、取样、注药等操作设有鲁尔接头及护帽或肝素帽等部件。由于多腔引流管的远离患者端上设有至少两根支管,支管上设有鲁尔接头及护帽或肝素帽等部件,远离患者端不能与皮下牵引针平滑连接,不能完成皮下潜行的操作。强行皮下潜行对组织伤害较大,临床感染几率反而增加。目前在医疗领域的颅脑引流术中,还未出现可实现皮下潜行的多腔引流装置。 We know that craniocerebral drainage has become a routine treatment for craniocerebral trauma, cerebral hemorrhage, intracranial infection, and hydrocephalus. Can significantly reduce the incidence of postoperative intracranial infection. At present, only the single-lumen drainage catheter can be subcutaneously operated in craniocerebral drainage. Because the single-lumen drainage catheter has no branch and the end is smooth, it can subcutaneously sneak away from the wound to fix the catheter after the catheter drainage is successful. The structure of the existing multi-chamber drainage tube is: a tube body is provided with at least two cavities in the tube body, a through hole communicating with the cavity is provided on the patient end of the tube body, and the tube body is far away from the patient end. There are branch pipes with the same number as the cavities, and each branch pipe is connected with a cavity. The branch pipes are equipped with Luer connectors, protective caps or heparin caps and other components for drainage, sampling, drug injection and other operations. Since the end of the multi-cavity drainage tube away from the patient is provided with at least two branch pipes, and the branch pipes are equipped with luer connectors, protective caps or heparin caps and other components, the end far away from the patient cannot be smoothly connected with the subcutaneous traction needle, and the subcutaneous sneaking operation cannot be completed. . Forcibly sneaking under the skin will cause greater damage to the tissue, and the chance of clinical infection will increase instead. At present, in the craniocerebral drainage in the medical field, there is no multi-cavity drainage device that can realize subcutaneous sneaking.
发明内容 Contents of the invention
本实用新型的目的在于解决上述现有技术的不足,提供一种结构简单、使用方便,植入位置精准、可准确植入治疗靶点,降低使用多腔引流管进行颅脑引流时感染几率的可皮下潜行的多腔引流装置。 The purpose of this utility model is to solve the above-mentioned deficiencies in the prior art, to provide a device with simple structure, convenient use, precise implantation position, accurate implantation of treatment targets, and reduction of infection probability when using multi-cavity drainage tubes for brain drainage. Subcutaneously submerged multi-lumen drainage device.
本实用新型解决上述现有技术的不足所采用的技术方案是: The technical solution adopted by the utility model to solve the above-mentioned deficiencies in the prior art is:
一种可皮下潜行的多腔引流装置,设有多腔引流管,其特征在于多腔引流管的患者端管壁内(多腔引流管的沿轴向)设有导引针置入腔,导引针置入腔的远离患者端的侧壁上设有导引针抽插口,导引针置入腔内经导引针抽插口插设有导引针;多腔引流管患者端(定义为前端)套设有连接套管,连接套管的内侧壁上(与多腔引流管患者端管壁上的通孔相对处)设有与多腔引流管患者端管壁上的通孔相配合的卡合凸起,连接套管前端设有牵引针(牵引针后端部与连接套管前端部相连)。 A multi-lumen drainage device that can subcutaneously subcutaneously is equipped with a multi-lumen drainage tube, and is characterized in that a guide needle insertion cavity is provided in the wall of the patient end of the multi-lumen drainage tube (along the axial direction of the multi-lumen drainage tube), A guide needle extraction socket is provided on the side wall of the guide needle insertion cavity away from the patient end, and a guide needle is inserted into the guide needle insertion cavity through the guide needle extraction socket; the patient end of the multi-lumen drainage tube (defined as The front end) is covered with a connecting sleeve, and the inner wall of the connecting sleeve (opposite to the through hole on the patient end wall of the multi-lumen drainage tube) is provided with a through hole corresponding to the through hole on the patient end wall of the multi-lumen drainage tube. Cooperating with the engaging protrusion, the front end of the connecting sleeve is provided with a pulling needle (the rear end of the pulling needle is connected with the front end of the connecting sleeve).
本实用新型中所述的牵引针包括前部的穿刺尖部和后部的连接杆,连接杆的后端部与连接套管前端相连,穿刺尖部和连接杆间呈150-170°角,穿刺尖部的前端设有与连接杆轴线平行的穿刺刃部。角度与穿刺刃部相配合 便于医生在皮下潜行时的穿刺,减少对组织伤害,使用方便。 The traction needle described in the utility model includes a puncture tip at the front and a connecting rod at the rear, the rear end of the connecting rod is connected to the front end of the connecting sleeve, and the angle between the puncturing tip and the connecting rod is 150-170°. The front end of the puncture tip is provided with a puncture edge parallel to the axis of the connecting rod. The angle is matched with the puncture blade, which is convenient for doctors to puncture when sneaking under the skin, reducing tissue damage and easy to use.
本实用新型中所述的连接杆的后端部设有多个首尾相连的截面呈楔形的止逆环,连接杆的后端部与连接套管前端部插合连接。可以拆卸消毒后重复使用。连接杆的后端部与连接套管前端部也可以固定连接、制成一次性产品。 The rear end of the connecting rod described in the utility model is provided with a plurality of anti-reverse rings with a wedge-shaped section connected end to end, and the rear end of the connecting rod is inserted and connected with the front end of the connecting sleeve. Can be disassembled and reused after disinfection. The rear end of the connecting rod and the front end of the connecting sleeve can also be fixedly connected to make a disposable product.
本实用新型中所述的导引针的远离患者端的端部设有连接孔,连接孔上设有牵引线。 The end of the guide needle described in the utility model that is far away from the patient end is provided with a connection hole, and a traction wire is provided on the connection hole.
本实用新型中所述的导引针置入腔长12cm-15cm,导引针置入腔前端距多腔引流管患者端的前端面0.2-1cm,距导引针置入腔前端面(即患者端)9-12cm处的导引针置入腔的侧壁上设有导引针抽插口,导引针长10cm-12cm。引流导管长度一般大于20cm,皮下潜行4cm-6cm,在保证符合颅脑引流中对引流导管尺寸要求的同时,便于导引针在导引针置入腔内的抽插,使用更便利,节约手术时间。 The guide needle insertion cavity described in the utility model has a length of 12cm-15cm, and the front end of the guide needle insertion cavity is 0.2-1cm away from the front end of the patient end of the multi-cavity drainage tube, and is 0.2-1cm away from the front end of the guide needle insertion cavity (that is, the patient The side wall of the guide needle insertion cavity at 9-12cm from the end) is provided with a guide needle withdrawal socket, and the guide needle is 10cm-12cm long. The length of the drainage catheter is generally greater than 20cm, subcutaneously 4cm-6cm, while ensuring compliance with the size requirements of the drainage catheter in cranial drainage, it is convenient for the insertion and insertion of the guide needle in the insertion cavity of the guide needle, which is more convenient to use and saves surgery time.
本实用新型在使用时,将多腔引流管的患者端从连接套管的后端部用力插入,使连接套管的内侧壁上的卡合凸起卡嵌在多腔引流管的患者端管壁上的通孔内,然后使用牵引针带动连接套管、带动多腔引流管的患者端进行皮下潜行,皮下潜行后将连接套管用力拔下、与多腔引流管者端分离;皮下潜行后,医护人员手持导引针轻柔缓慢沿导引针抽插口置入多腔引流管患者端的导引针置入腔内,然后进行置管操作,置管引流成功后拔出导引针,固定引流导管,实施引流。本实用新型结构简单、使用方便,植入位置精准、可准确植入治疗靶点,大大降低了使用多腔引流管进行颅脑引流时感染几率,实现了将多腔引流管的患者端皮下潜行后对颅脑进行微创引流的功能。 When the utility model is in use, the patient end of the multi-cavity drainage tube is forcibly inserted from the rear end of the connecting sleeve, so that the engaging protrusion on the inner side wall of the connecting sleeve is snapped into the patient end tube of the multi-cavity drainage tube In the through hole on the wall, use the traction needle to drive the connecting sleeve and the patient end of the multi-lumen drainage tube to sneak subcutaneously. Finally, the medical staff hold the guide needle gently and slowly insert the guide needle at the patient end of the multi-lumen drainage tube into the cavity along the guide needle withdrawal socket, and then perform the catheterization operation. After the catheter drainage is successful, pull out the guide needle. Fix the drainage catheter and implement drainage. The utility model has the advantages of simple structure, convenient use, precise implantation position, accurate implantation of treatment targets, greatly reducing the chance of infection when the multi-cavity drainage tube is used for craniocerebral drainage, and realizing the subcutaneous sneaking of the patient end of the multi-cavity drainage tube The function of minimally invasive drainage of the brain.
附图说明 Description of drawings
图1是本实用新型的一种结构示意图。 Figure 1 is a schematic structural view of the utility model.
图2是图1的A处局部放大图。 FIG. 2 is a partial enlarged view of A in FIG. 1 .
图3是本实用新型中连接套管和牵引针连接后的结构示意图。 Fig. 3 is a schematic diagram of the structure of the utility model after the connecting sleeve and the pulling needle are connected.
图4是图3的俯视图。 FIG. 4 is a top view of FIG. 3 .
图5是图3的仰视图。 FIG. 5 is a bottom view of FIG. 3 .
图6是本实用新型中多腔引流管的结构示意图。 Fig. 6 is a schematic structural view of the multi-cavity drainage tube in the present invention.
图7是图6的A-A剖视图。 Fig. 7 is a cross-sectional view along line A-A of Fig. 6 .
图8是本实用新型的中导引针置入导引针置入腔后、多腔引流管在导引针置入腔处的结构示意图。 Fig. 8 is a structural schematic diagram of the multi-cavity drainage tube at the guide needle insertion cavity after the middle guide needle is inserted into the guide needle insertion cavity of the present invention.
具体实施方式 Detailed ways
如图1-图8所示的可皮下潜行的多腔引流装置,设有多腔引流管,从图6中可以看出,多腔引流管的结构是设有管体3,管体3内设有两个腔体,一个腔体为引流腔,另一个为取样、注药腔,管体3的患者端管壁上设有与腔体连通的通孔8、9,管体3的远离患者端设有两根分别与两个腔体连通的支管,支管末端设有鲁尔接头5或肝素帽、护帽,支管上设有控制其通断的管夹4;多腔引流管管体3内的腔体及支管的数量,以及各腔孔径大小由其功能决定,多腔引流管的结构与现有技术相同,不再赘述。用于引流的引流腔为避免引流阻塞,可根据其他孔径大小做成不同形状,尽量扩大引流孔径。本实用新型的特征在于多腔引流管的患者端管壁内、沿多腔引流管的沿轴向设有导引针置入腔11,导引针置入腔11的后端部(导引针置入腔即远离患者端)的侧壁上设有导引针抽插口10,导引针置入腔11内经导引针抽插口10插设有导引针12;导引针1通常为不锈钢针或高分子材料制成的硬质针;从图8中可以看出,导引针的远离患者端的端部设有连接孔,连接孔上设有牵引线13,便于导引针的取出。多腔引流管患者端(前端)套设有连接套管2,连接套管2的内侧壁上、与多腔引流管患者端管壁上的通孔8、9相对处设有与多腔引流管患者端管壁上的通孔8、9相配合的卡合凸起7,当多腔引流管患者端插入连接套管内时,卡合凸起4可以嵌入其管壁上的通孔内,使多腔引流管患者端与连接套管活动插接。连接套管2前端设有牵引针1,牵引针1后端部与连接套管前端部相连,从图3中可以看出,牵引针1包括前部的穿刺尖部和后部的连接杆,穿刺尖部和连接杆间呈150-170°角;连接杆的后端部与连接套管2前端相连,从图1、图2中可以看出,连接杆的后端部设有多个首尾相连的截面呈楔形的止逆环6,连接套管采用橡胶等具有一定弹性的原料制成,连接杆的后端部与连接套管前端部插合连接,止逆环6与具有弹性的连接套管内壁配合,起到固定作用,活动连接后、可以拆卸消毒后重复使用。连接杆的后端部与连接套管前端部也可以固定连接、制成一次性产品。穿刺尖部的前端设有与连接杆轴线平行的穿刺刃部8,便于医生在皮下潜行时的穿刺,减少对组织伤害,使用方便。本实用新型中所述的导引针置入腔长12cm-15cm,导引针置入腔前端距多腔引流管患者端的前端面0.2-1cm,距导引针置入腔前端面(即患者端)9-12cm处的导引针置入腔的侧壁上设有导引针抽插口,导引针长10cm-12cm。引流导管长度一般大于20cm,皮下潜行4cm-6cm,在保证符合颅脑引流中对引流导管尺寸要求的同时,便于导引针在导引针置入腔内的抽插,使用更便利,节约手术时间。 The multi-chamber drainage device that can sneak under the skin as shown in Figures 1-8 is provided with a multi-chamber drainage tube. As can be seen from Figure 6, the structure of the multi-chamber drainage tube is provided with a tube body 3, and the tube body 3 There are two cavities, one cavity is a drainage cavity, and the other is a sampling and injection cavity. The patient end tube wall of the tube body 3 is provided with through holes 8 and 9 communicating with the cavity. The patient end is provided with two branch pipes respectively connected with the two cavities, the ends of the branch pipes are provided with Luer connectors 5 or heparin caps and protective caps, and the branch pipes are provided with clamps 4 for controlling their on-off; the body of the multi-cavity drainage tube The number of cavities and branch pipes in 3, and the aperture size of each cavity are determined by their functions. The structure of the multi-cavity drainage tube is the same as that of the prior art, and will not be repeated here. The drainage cavity used for drainage can be made into different shapes according to other apertures in order to avoid drainage blockage, and the drainage aperture should be enlarged as much as possible. The utility model is characterized in that in the wall of the patient end of the multi-cavity drainage tube, a guide needle insertion cavity 11 is arranged along the axial direction of the multi-cavity drainage tube, and the guide needle is inserted into the rear end of the cavity 11 (guide A guide needle extraction socket 10 is provided on the side wall of the needle insertion cavity (that is, away from the patient end), and a guide needle 12 is inserted through the guide needle extraction socket 10 in the guide needle insertion cavity 11; the guide needle 1 It is usually a hard needle made of stainless steel needle or polymer material; as can be seen from Figure 8, the end of the guide needle away from the patient end is provided with a connecting hole, and the connecting hole is provided with a traction line 13, which is convenient for guiding the needle take out. The patient end (front end) of the multi-lumen drainage tube is covered with a connecting sleeve 2, and on the inner side wall of the connecting sleeve 2, opposite to the through holes 8 and 9 on the wall of the patient end of the multi-lumen drainage tube, a multi-lumen drainage tube is provided. The through-holes 8 and 9 on the wall of the patient end of the tube match the engagement protrusion 7. When the patient end of the multi-lumen drainage tube is inserted into the connecting sleeve, the engagement protrusion 4 can be embedded in the through-hole on the tube wall. The patient end of the multi-lumen drainage tube is flexibly inserted into the connecting sleeve. The front end of the connecting sleeve 2 is provided with a pulling needle 1, and the rear end of the pulling needle 1 is connected to the front end of the connecting sleeve. As can be seen from Figure 3, the pulling needle 1 includes a puncture tip at the front and a connecting rod at the rear. There is an angle of 150-170° between the puncture tip and the connecting rod; the rear end of the connecting rod is connected with the front end of the connecting sleeve 2, as can be seen from Fig. 1 and Fig. 2, the rear end of the connecting rod is provided with a plurality of head and tail The connected anti-reverse ring 6 with a wedge-shaped cross-section, the connecting sleeve is made of rubber and other materials with certain elasticity, the rear end of the connecting rod is inserted and connected with the front end of the connecting sleeve, and the non-reverse ring 6 is connected with the elastic connection The inner wall of the casing cooperates to play a fixed role. After the flexible connection, it can be disassembled and disinfected for reuse. The rear end of the connecting rod and the front end of the connecting sleeve can also be fixedly connected to make a disposable product. The front end of the puncture point is provided with a puncture blade 8 parallel to the axis of the connecting rod, which is convenient for the doctor to puncture when sneaking under the skin, reduces tissue damage, and is easy to use. The guide needle insertion cavity described in the utility model has a length of 12cm-15cm, and the front end of the guide needle insertion cavity is 0.2-1cm away from the front end of the patient end of the multi-cavity drainage tube, and is 0.2-1cm away from the front end of the guide needle insertion cavity (that is, the patient The side wall of the guide needle insertion cavity at 9-12cm from the end) is provided with a guide needle withdrawal socket, and the guide needle is 10cm-12cm long. The length of the drainage catheter is generally greater than 20cm, subcutaneously 4cm-6cm, while ensuring compliance with the size requirements of the drainage catheter in cranial drainage, it is convenient for the insertion and insertion of the guide needle in the insertion cavity of the guide needle, which is more convenient to use and saves surgery time.
本实用新型在使用时,将多腔引流管的患者端从连接套管的后端部用力插入,使连接套管的内侧壁上的卡合凸起卡嵌在多腔引流管的患者端管壁上的通孔内,然后使用牵引针带动连接套管、带动多腔引流管的患者端进行皮下潜行,皮下潜行后将连接套管用力拔下、与多腔引流管者端分离;皮下潜行后,医护人员手持导引针轻柔缓慢沿导引针抽插口置入多腔引流管患者端的导引针置入腔内,然后进行置管操作,置管引流成功后拔出导引针,固定引流导管,实施引流。本实用新型结构简单、使用方便,植入位置精准、可准确植入治疗靶点,大大降低了使用多腔引流管进行颅脑引流时感染几率,实现了将多腔引流管的患者端皮下潜行后对颅脑进行微创引流的功能。 When the utility model is in use, the patient end of the multi-cavity drainage tube is forcibly inserted from the rear end of the connecting sleeve, so that the engaging protrusion on the inner side wall of the connecting sleeve is snapped into the patient end tube of the multi-cavity drainage tube In the through hole on the wall, use the traction needle to drive the connecting sleeve and the patient end of the multi-lumen drainage tube to sneak subcutaneously. Finally, the medical staff hold the guide needle gently and slowly insert the guide needle at the patient end of the multi-lumen drainage tube into the cavity along the guide needle withdrawal socket, and then perform the catheterization operation. After the catheter drainage is successful, pull out the guide needle. Fix the drainage catheter and implement drainage. The utility model has the advantages of simple structure, convenient use, precise implantation position, accurate implantation of treatment targets, greatly reducing the chance of infection when the multi-cavity drainage tube is used for craniocerebral drainage, and realizing the subcutaneous sneaking of the patient end of the multi-cavity drainage tube The function of minimally invasive drainage of the brain.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104274899A (en) * | 2014-10-22 | 2015-01-14 | 山东大正医疗器械股份有限公司 | Multicavity drainage apparatus capable of moving under skin |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104274899A (en) * | 2014-10-22 | 2015-01-14 | 山东大正医疗器械股份有限公司 | Multicavity drainage apparatus capable of moving under skin |
CN104274899B (en) * | 2014-10-22 | 2018-04-27 | 山东大正医疗器械股份有限公司 | The multi-cavity drainage system that can subcutaneously move under water |
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