CN206526088U - A kind of lumbar puncture device - Google Patents
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- 238000009593 lumbar puncture Methods 0.000 title claims abstract description 13
- 238000000034 method Methods 0.000 abstract description 13
- 208000015181 infectious disease Diseases 0.000 abstract description 5
- 239000007788 liquid Substances 0.000 abstract description 3
- 206010019909 Hernia Diseases 0.000 abstract description 2
- 210000004556 brain Anatomy 0.000 abstract description 2
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 31
- 238000009530 blood pressure measurement Methods 0.000 description 9
- 238000010586 diagram Methods 0.000 description 5
- 238000012360 testing method Methods 0.000 description 3
- 206010006126 Brain herniation Diseases 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 210000001951 dura mater Anatomy 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 208000002403 Encephalocele Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000000721 bacterilogical effect Effects 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 208000015114 central nervous system disease Diseases 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000002330 subarachnoid space Anatomy 0.000 description 1
- 239000012780 transparent material Substances 0.000 description 1
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Abstract
一种腰椎穿刺装置,涉及医疗器械,解决现有腰椎穿刺针在操作过程中难以固定穿刺针位置、控制液体流速,易于导致感染、脑疝并发症,结构复杂,操作繁琐的技术问题。本实用新型包括中空穿刺针、针芯和针座,针芯与中空穿刺针的内腔配合,中空穿刺针与针座连接,其中:所述中空穿刺针外壁接近针尾处设有外螺纹,所述中空穿刺针的外部设置可调节固定元件,所述中空穿刺针的针尾与针座固定;所述可调节固定元件由环形圆片和转动式套筒组成;所述针座为透明三接口针座;所述针芯由锥形尖端、圆柱形芯杆和芯尾手柄组成,所述圆柱形芯杆可插入所述中空穿刺针的针体及针尾内腔。本实用新型具有结构简单,操作方便,穿刺安全的优点。
A lumbar puncture device, relating to medical equipment, solves the technical problems that the existing lumbar puncture needles are difficult to fix the position of the puncture needle and control the flow rate of the liquid during the operation process, easily lead to infection, brain hernia complications, complex structure, and cumbersome operation. The utility model comprises a hollow puncture needle, a needle core and a needle seat, the needle core cooperates with the inner cavity of the hollow puncture needle, and the hollow puncture needle is connected with the needle seat, wherein: the outer wall of the hollow puncture needle is provided with an external thread near the needle tail, The outside of the hollow puncture needle is provided with an adjustable fixing element, the needle tail of the hollow puncture needle is fixed to the needle holder; the adjustable fixing element is composed of an annular disk and a rotating sleeve; the needle holder is a transparent three Interface needle seat; the needle core is composed of a tapered tip, a cylindrical core rod and a core tail handle, and the cylindrical core rod can be inserted into the needle body and the needle tail inner cavity of the hollow puncture needle. The utility model has the advantages of simple structure, convenient operation and safe puncturing.
Description
技术领域technical field
本实用新型属于医疗器械技术领域,特别涉及对腰椎穿刺针改进的一种腰椎穿刺装置。The utility model belongs to the technical field of medical instruments, in particular to a lumbar puncture device improved on a lumbar puncture needle.
背景技术Background technique
腰椎穿刺是临床上常用的操作技术之一,主要用于诊断、治疗中枢神经系统疾病,如:进行脑脊液压力测定,抽取适量脑脊液进行细胞、生化、细菌学等检测,适当放出脑脊液以降低颅内压,向蛛网膜下腔注入药物进行治疗,或进行脑脊液造影检查等。Lumbar puncture is one of the commonly used clinical techniques, mainly used for the diagnosis and treatment of central nervous system diseases, such as: measuring the pressure of cerebrospinal fluid, extracting an appropriate amount of cerebrospinal fluid for cell, biochemical and bacteriological testing, and releasing cerebrospinal fluid appropriately to reduce intracranial pressure. Pressure, inject drugs into the subarachnoid space for treatment, or perform cerebrospinal fluid contrast examination, etc.
目前临床上常用的腰椎穿刺针为金属材质,包括:中空穿刺针、针芯和针座,针芯与中空穿刺针的内腔配合,中空穿刺针与针座连接。穿刺前先将针芯插入中空穿刺针的空腔,当针头穿过韧带及硬脑膜后,将针芯慢慢抽出,观察有无脑脊液流出,继而进行测压、放液等操作后包扎固定。这种传统的腰椎穿刺针在实际操作过程中存在许多缺点:1、在抽出针芯观察有无脑脊液流出时需将针芯全部抽出后方能看到,且无法及时调控脑脊液流出速度,当颅内压较高时,脑脊液流出量多,影响脑脊液压力测定的精确性,且容易导致一些并发症的产生,当脑脊液压力较低时,脑脊液留取量不够则难以进行进一步检测;2、观察到脑脊液流出后预行测压时,操作人员需一手固定穿刺针,另一手取出测压管并迅速连接至针座,此过程往往会有脑脊液流失,且单手固定时针头的位置容易改变而影响下一步操作或引起副损伤;3、整个操作过程中,需不断插入、拔出针芯,多次连接测压管等,操作较为复杂繁琐,且容易引起脑疝、感染等并发症。The lumbar puncture needle commonly used clinically at present is made of metal, including: a hollow puncture needle, a needle core and a needle seat, the needle core cooperates with the inner cavity of the hollow puncture needle, and the hollow puncture needle is connected with the needle seat. Before the puncture, insert the needle core into the cavity of the hollow puncture needle. After the needle passes through the ligament and dura mater, slowly withdraw the needle core to observe whether there is cerebrospinal fluid outflow, and then perform pressure measurement, discharge and other operations, and then bandage and fix it. This traditional lumbar puncture needle has many disadvantages in the actual operation process: 1. When pulling out the needle core to observe whether there is cerebrospinal fluid outflow, it can be seen after all the needle core is pulled out, and the outflow speed of cerebrospinal fluid cannot be adjusted in time. When the cerebrospinal fluid pressure is high, the outflow of cerebrospinal fluid is large, which will affect the accuracy of cerebrospinal fluid pressure measurement and easily lead to some complications. When predicting the pressure measurement after the outflow, the operator needs to fix the puncture needle with one hand, take out the pressure measurement tube with the other hand and quickly connect it to the needle seat. During this process, cerebrospinal fluid will often be lost, and the position of the needle is easy to change when fixed with one hand, which will affect the One-step operation may cause secondary injury; 3. During the whole operation process, it is necessary to continuously insert and pull out the needle core, connect the pressure measuring tube many times, etc., the operation is more complicated and cumbersome, and it is easy to cause complications such as brain herniation and infection.
发明内容Contents of the invention
本实用新型的目的在于克服现有技术的缺点,提供一种腰椎穿刺装置,解决现有腰椎穿刺针在操作过程中难以固定穿刺针位置、控制液体流速,易于导致感染、脑疝并发症,结构复杂,操作繁琐的技术问题。The purpose of the utility model is to overcome the shortcomings of the prior art, provide a lumbar puncture device, solve the problem that the existing lumbar puncture needle is difficult to fix the position of the puncture needle and control the flow rate of the liquid during the operation process, which is easy to cause infection and brain hernia complications. Complicated and cumbersome technical issues.
本实用新型是通过以下技术方案实现的:The utility model is achieved through the following technical solutions:
一种腰椎穿刺装置,包括:中空穿刺针、针芯和针座,针芯与中空穿刺针的内腔配合,中空穿刺针与针座连接,其中:A lumbar puncture device, comprising: a hollow puncture needle, a needle core and a needle seat, the needle core cooperates with the inner cavity of the hollow puncture needle, and the hollow puncture needle is connected with the needle seat, wherein:
所述中空穿刺针的内腔近针尖处呈锥形,针体及针尾内腔呈圆柱形,中空穿刺针的外壁接近针尾处设有外螺纹,所述中空穿刺针的外部设置可调节固定元件,所述中空穿刺针的针尾与针座固定;The inner cavity of the hollow puncture needle is tapered near the needle tip, the inner cavity of the needle body and the needle tail is cylindrical, the outer wall of the hollow puncture needle is provided with an external thread near the needle tail, and the external setting of the hollow puncture needle can be adjusted A fixing element, the needle tail of the hollow puncture needle is fixed to the needle seat;
所述可调节固定元件由环形圆片和转动式套筒组成,转动式套筒一端与环形圆片垂直固定,转动式套筒另一端内壁设置有与所述外螺纹啮合的内螺纹;The adjustable fixing element is composed of an annular disk and a rotating sleeve, one end of the rotating sleeve is fixed vertically to the annular disk, and the inner wall of the other end of the rotating sleeve is provided with an internal thread engaged with the external thread;
所述针座为透明三接口针座,其由与中空穿刺针固定的连接口、与连接口相对的中央接口和与中央接口垂直设置的上下两个侧接口组成,所述连接口、中央接口、侧接口的内腔相通,所述侧接口上有盖,所述中央接口的内腔圆形孔与针芯滑动配合;The needle base is a transparent three-port needle base, which is composed of a connection port fixed to the hollow puncture needle, a central interface opposite to the connection port, and two upper and lower side interfaces perpendicular to the central interface. 1. The inner cavity of the side interface is connected, the side interface has a cover, and the circular hole in the inner cavity of the central interface is slidably matched with the needle core;
所述针芯由锥形尖端、圆柱形芯杆和芯尾手柄组成,所述锥形尖端与所述中空穿刺针的内腔近针尖处的锥形相配合,所述圆柱形芯杆可插入所述中空穿刺针的针体及针尾内腔,并与所述中央接口的内腔圆形孔滑动配合。The needle core is composed of a tapered tip, a cylindrical core rod and a core tail handle, the tapered tip is matched with the taper at the inner cavity of the hollow puncture needle near the needle tip, and the cylindrical core rod can be inserted into the The needle body and the inner cavity of the needle tail of the hollow puncture needle are slidably matched with the circular hole in the inner cavity of the central interface.
本实用新型与现有技术相比,由于采用了特定形状的穿刺针及配套针芯,在观察是否有脑脊液流出时无需通过中央接口的针芯全部拔出,只需将尖端与穿刺针相接触的针芯部分分离,即可有脑脊液流出;由于采用了透明材质的三接口针座,可及时观察判断穿刺针是否进入指定位置,并可及时将针芯拔出部分再次插入,减少脑脊液在此过程中的流失;由于在连接测压管前,操作者一手将可调节固定元件调至顶端,使环形圆片贴合患者皮肤,另一手取出并连接测压管,可减少由于操作人员单手支撑固定穿刺针引起的穿刺针位置改变;由于全程无需多次抽出或插入针芯,并可通过控制针芯位置来调控脑脊液流出及流速,防止了感染、脑疝等并发症的发生。Compared with the prior art, the utility model adopts a puncture needle of a specific shape and a matching needle core, so it is not necessary to pull out all the needle cores through the central interface when observing whether there is cerebrospinal fluid flowing out, and only needs to touch the tip of the puncture needle When the needle core part is separated, the cerebrospinal fluid can flow out; due to the use of the three-port needle base made of transparent material, it can be observed in time to judge whether the puncture needle enters the designated position, and the pulled out part of the needle core can be reinserted in time to reduce the cerebrospinal fluid flow. The loss during the process; because before connecting the pressure measuring tube, the operator adjusts the adjustable fixing element to the top with one hand, so that the annular disc fits the patient's skin, and takes out and connects the pressure measuring tube with the other hand, which can reduce the loss caused by the operator's single hand. The position of the puncture needle caused by supporting and fixing the puncture needle changes; since there is no need to withdraw or insert the needle core multiple times during the whole process, and the outflow and flow rate of the cerebrospinal fluid can be adjusted by controlling the needle core position, preventing complications such as infection and cerebral hernia.
本实用新型用于诊断、治疗中枢神经系统疾病,能够改善操作繁杂、不易固定、脑脊液流失现象,本实用新型具有结构简单、操作方便、穿刺安全的优点。The utility model is used for diagnosing and treating diseases of the central nervous system, and can improve complicated operation, difficulty in fixation, and loss of cerebrospinal fluid. The utility model has the advantages of simple structure, convenient operation and safe puncture.
附图说明Description of drawings
图1为本实用新型的内部结构示意图;Fig. 1 is the internal structure schematic diagram of the present utility model;
图2为本实用新型的中空穿刺针结构示意图;Fig. 2 is a structural schematic diagram of a hollow puncture needle of the present invention;
图3为本实用新型的可调节固定元件结构示意图;Fig. 3 is a structural schematic diagram of the adjustable fixing element of the present invention;
图4为本实用新型的针座结构示意图;Fig. 4 is a schematic diagram of the needle seat structure of the present utility model;
图5为本实用新型的针芯结构示意图。Fig. 5 is a schematic diagram of the needle core structure of the present invention.
具体实施方式detailed description
下面将结合附图和实施例对本实用新型的技术方案进行清楚、完整地描述。The technical solutions of the present utility model will be clearly and completely described below in conjunction with the accompanying drawings and embodiments.
如图1至图5所示,一种腰椎穿刺装置,包括:中空穿刺针1、针芯4和针座3,针芯4与中空穿刺针1的内腔配合,中空穿刺针1与针座3连接,其中:As shown in Figures 1 to 5, a lumbar puncture device includes: a hollow puncture needle 1, a needle core 4 and a needle seat 3, the needle core 4 cooperates with the inner cavity of the hollow puncture needle 1, and the hollow puncture needle 1 and the needle seat 3 connections, where:
所述中空穿刺针1的内腔近针尖处1-2呈锥形,针体及针尾内腔1-3呈圆柱形,中空穿刺针1的外壁接近针尾处设有外螺纹1-1,所述中空穿刺针1的外部设置可调节固定元件2,所述中空穿刺针1的针尾与针座3固定;The inner cavity 1-2 of the hollow puncture needle 1 is tapered near the needle tip, the inner cavity 1-3 of the needle body and the needle tail is cylindrical, and the outer wall of the hollow puncture needle 1 is provided with an external thread 1-1 near the needle tail. , the outside of the hollow puncture needle 1 is provided with an adjustable fixing element 2, and the needle tail of the hollow puncture needle 1 is fixed to the needle seat 3;
所述可调节固定元件2由环形圆片2-1和转动式套筒2-2组成,转动式套筒2-2一端与环形圆片2-1垂直固定,转动式套筒2-2另一端内壁设置有与所述外螺纹1-1啮合的内螺纹2-2-1,实现可调节固定元件2与中空穿刺针1的固定及位置调节;The adjustable fixed element 2 is composed of an annular disc 2-1 and a rotary sleeve 2-2, one end of the rotary sleeve 2-2 is vertically fixed to the annular disc 2-1, and the other end of the rotary sleeve 2-2 is The inner wall at one end is provided with an internal thread 2-2-1 engaged with the external thread 1-1 to realize the fixation and position adjustment of the adjustable fixing element 2 and the hollow puncture needle 1;
所述针座3为透明三接口针座,其由与中空穿刺针1固定的连接口3-1、与连接口3-1相对的中央接口3-2和与中央接口3-2垂直设置的上下两个侧接口3-3组成,所述连接口3-1、中央接口3-2、侧接口3-3的内腔相通,所述侧接口3-3上有盖3-3-1,所述中央接口3-2的内腔圆形孔3-2-1与针芯4滑动配合;The needle base 3 is a transparent three-interface needle base, which consists of a connection port 3-1 fixed to the hollow puncture needle 1, a central interface 3-2 opposite to the connection port 3-1, and a vertically arranged central interface 3-2. Composed of two upper and lower side interfaces 3-3, the inner cavity of the connection port 3-1, the central interface 3-2, and the side interface 3-3 are connected, and the side interface 3-3 has a cover 3-3-1, The inner cavity circular hole 3-2-1 of the central interface 3-2 is slidingly fitted with the needle core 4;
所述针芯4由锥形尖端4-1、圆柱形芯杆4-2和芯尾手柄4-3组成,所述锥形尖端4-1与所述中空穿刺针1的内腔近针尖处1-2的锥形相配合,所述圆柱形芯杆4-2可插入所述中空穿刺针的针体及针尾内腔1-3,并与所述中央接口3-2的内腔圆形孔3-2-1滑动配合,通过控制针芯与针座的相对位置,达到控制脑脊液流出及流速的目的。The needle core 4 is composed of a conical tip 4-1, a cylindrical core rod 4-2 and a core tail handle 4-3, the conical tip 4-1 is close to the inner cavity of the hollow puncture needle 1 1-2, the cylindrical mandrel 4-2 can be inserted into the needle body and the needle tail inner cavity 1-3 of the hollow puncture needle, and is circular with the inner cavity of the central interface 3-2. The hole 3-2-1 is slidingly fitted, and by controlling the relative position of the needle core and the needle seat, the purpose of controlling the outflow and flow rate of the cerebrospinal fluid is achieved.
本实用新型的工作过程及原理:Working process and principle of the present utility model:
如图1至图5所示,使用时,操作者先将针芯4经针座3的中央接口3-2的内腔圆形孔3-2-1插入中空穿刺针1内,然后进行穿刺,当针尖穿过韧带及硬脑膜后,将针芯4慢慢抽出至锥形尖端4-1离开中空穿刺针1内部近针尖处1-2的锥形空腔,脑脊液经针芯4周围流至针座3内,观察有无脑脊液,若脑脊液迅速充盈针座3,可将针芯4略插入一点,以减慢流速,防止脑疝发生,同时由于此过程并无脑脊液流出,减少了脑脊液压力测定误差。As shown in Figures 1 to 5, when in use, the operator first inserts the needle core 4 into the hollow puncture needle 1 through the inner cavity circular hole 3-2-1 of the central interface 3-2 of the needle holder 3, and then performs the puncture After the needle tip passes through the ligament and dura mater, the needle core 4 is slowly drawn out until the tapered tip 4-1 leaves the hollow puncture needle 1 inside the tapered cavity near the needle tip 1-2, and the cerebrospinal fluid flows around the needle core 4 To the needle seat 3, observe whether there is cerebrospinal fluid. If the cerebrospinal fluid fills the needle seat 3 quickly, insert the needle core 4 a little bit to slow down the flow rate and prevent brain herniation. At the same time, because no cerebrospinal fluid flows out during this process, the cerebrospinal fluid flow is reduced. Pressure measurement error.
当观察到有脑脊液充盈于针座3内,将针芯4插回中空穿刺针1内,转动可调节固定元件2,使其顶端环形圆片2-1紧贴患者皮肤,一手按压该环形圆片2-1,另一手取下针座3任一侧接口3-3上的盖子3-3-1,并连接固定测压管,将针芯4慢慢抽出一定长度,即可测量脑脊液压力。When it is observed that cerebrospinal fluid fills the needle seat 3, insert the needle core 4 back into the hollow puncture needle 1, rotate the adjustable fixing element 2, make the ring disc 2-1 at the top close to the patient's skin, and press the ring disc with one hand. 2-1, take off the cover 3-3-1 on the interface 3-3 on either side of the needle seat 3 with the other hand, and connect the fixed pressure measuring tube, and slowly pull out the needle core 4 to a certain length to measure the pressure of the cerebrospinal fluid .
测压完毕后,将针芯4拔出部分插回中空穿刺针1,拆除测压管,将测压管的脑脊液倒入脑脊液收集试管内,减少脑脊液流失。由于针芯4已插回,此过程中无脑脊液继续流出,可待收集测压管脑脊液后,将脑脊液收集试管连接于侧接口3-3,适当抽出针芯4,留取脑脊液待检。After the pressure measurement is completed, insert the extracted part of the needle core 4 back into the hollow puncture needle 1, remove the pressure measurement tube, and pour the cerebrospinal fluid of the pressure measurement tube into the cerebrospinal fluid collection test tube to reduce the loss of cerebrospinal fluid. Since the needle core 4 has been inserted back, no cerebrospinal fluid continues to flow out during this process. After collecting the cerebrospinal fluid from the pressure measuring tube, connect the cerebrospinal fluid collection test tube to the side port 3-3, properly withdraw the needle core 4, and keep the cerebrospinal fluid for inspection.
再次测压可重复上述过程。若需注入药液,可经另一侧接口注入,降低感染风险。The pressure measurement can repeat the above process again. If liquid medicine needs to be injected, it can be injected through the port on the other side to reduce the risk of infection.
本实用新型能够以多种形式具体实施而不脱离发明的精神或实质,所以应当理解,上述实施例不限于前述的细节,而应在权利要求所限定范围内广泛地解释,因此落入权利要求或其等效范围内的变化和改型都应为权利要求所涵盖。The utility model can be implemented in various forms without departing from the spirit or essence of the invention, so it should be understood that the above-mentioned embodiments are not limited to the foregoing details, but should be interpreted broadly within the scope defined by the claims, and therefore fall into the scope of the claims. Changes and modifications within the equivalent range thereof shall be covered by the claims.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201621207611.4U CN206526088U (en) | 2016-11-09 | 2016-11-09 | A kind of lumbar puncture device |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108338825A (en) * | 2018-04-24 | 2018-07-31 | 苏州诺来宁医疗科技有限公司 | A kind of integral safety lumbar puncture outfit |
CN111388064A (en) * | 2020-03-05 | 2020-07-10 | 张旦 | Medical lumbar puncture outfit |
CN112915292A (en) * | 2021-01-21 | 2021-06-08 | 云南省阜外心血管病医院 | Aortic root perfusion needle for cardiac surgery |
-
2016
- 2016-11-09 CN CN201621207611.4U patent/CN206526088U/en active Active
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108338825A (en) * | 2018-04-24 | 2018-07-31 | 苏州诺来宁医疗科技有限公司 | A kind of integral safety lumbar puncture outfit |
CN111388064A (en) * | 2020-03-05 | 2020-07-10 | 张旦 | Medical lumbar puncture outfit |
CN112915292A (en) * | 2021-01-21 | 2021-06-08 | 云南省阜外心血管病医院 | Aortic root perfusion needle for cardiac surgery |
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