CN209122371U - A vascular puncture device - Google Patents
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- CN209122371U CN209122371U CN201820479624.XU CN201820479624U CN209122371U CN 209122371 U CN209122371 U CN 209122371U CN 201820479624 U CN201820479624 U CN 201820479624U CN 209122371 U CN209122371 U CN 209122371U
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- 230000002792 vascular Effects 0.000 title claims description 8
- 230000002093 peripheral effect Effects 0.000 claims abstract description 58
- 239000008280 blood Substances 0.000 abstract description 34
- 210000004369 blood Anatomy 0.000 abstract description 34
- 210000001105 femoral artery Anatomy 0.000 abstract description 19
- 210000004204 blood vessel Anatomy 0.000 abstract description 9
- 230000000694 effects Effects 0.000 abstract description 3
- 210000003191 femoral vein Anatomy 0.000 description 14
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000011796 hollow space material Substances 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
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- Media Introduction/Drainage Providing Device (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
本实用新型公开了医疗器械领域的一种血管穿刺装置,包括穿刺针针管、外周导管、导管座和针管座,所述穿刺针针管的前端形成穿刺针,所述针管座的前端同轴连接导管座,所述导管座的前端同轴连接所述外周导管的尾端,所述穿刺针针管依次同轴贯穿所述针管座、导管座和所述外周导管;所述穿刺针穿出所述外周导管的前端;所述外周导管前端的外周壁上设有若干贯穿所述外周导管的外周壁的槽口;所述导管座与所述穿刺针管的径向之间形成空腔。其技术效果是:其可以将动脉血和静脉血分流,帮助操作者及时有效地判断穿刺针是否到达了或刺穿了股动脉,防止医疗事故的发生。
The utility model discloses a blood vessel puncturing device in the field of medical instruments, comprising a puncture needle needle tube, a peripheral catheter, a catheter seat and a needle tube seat, the front end of the puncture needle needle tube forms a puncture needle, and the front end of the needle tube seat is coaxially connected to a catheter The front end of the catheter seat is coaxially connected to the tail end of the peripheral catheter, the puncture needle needle tube coaxially penetrates the needle tube seat, the catheter seat and the peripheral catheter in sequence; the puncture needle passes through the outer periphery The front end of the catheter; the outer peripheral wall of the front end of the outer peripheral catheter is provided with a number of notches passing through the outer peripheral wall of the outer peripheral catheter; a cavity is formed between the catheter seat and the radial direction of the puncture needle tube. The technical effect is that it can divert arterial blood and venous blood, help the operator to timely and effectively judge whether the puncture needle has reached or punctured the femoral artery, and prevent the occurrence of medical accidents.
Description
技术领域technical field
本实用新型涉及医疗器械领域的一种血管穿刺装置。The utility model relates to a blood vessel puncturing device in the field of medical instruments.
背景技术Background technique
血管穿刺装置主要用于股静脉穿刺手术中,适用于外周浅静脉穿刺困难,但需要进行采血标本或静脉输液的患者,是临床较为常用的深静脉置管器具。The vascular puncture device is mainly used in the femoral vein puncture operation. It is suitable for patients who are difficult to puncture the peripheral superficial vein but need blood samples or intravenous infusion. It is a commonly used deep vein catheter in clinical practice.
人体股穿刺部位的血管密布,股静脉隐藏在股动脉的后侧,因此在进行股静脉穿刺的时候,穿刺装置中的穿刺针到达股静脉前,容易到达乃至刺穿人体股动脉,造成人体大出血,从而给患者带来生命隐患。The femoral puncture site is densely covered with blood vessels, and the femoral vein is hidden behind the femoral artery. Therefore, when the femoral vein puncture is performed, the puncture needle in the puncture device can easily reach or even pierce the human femoral artery before reaching the femoral vein, causing massive hemorrhage. , resulting in a life-threatening risk to the patient.
一般而言医生通过观察穿刺针管内的血液颜色判断穿刺针是否到达股静脉,但若穿刺针已经穿透了股动脉到达了股静脉,此时穿刺针针管内流出的血液只有静脉血,若医生未及时地判断出此种情况的出现,继续进行治疗,可能会产生严重的后果。这是因为在穿刺针到达股静脉时,若未穿透股动脉则只有静脉血回流;若穿透了股动脉则股动脉的血液也会回流,此时回流的血液会出现静脉血和动脉血同时存在的现象,让操作者难以分辨。Generally speaking, the doctor judges whether the puncture needle has reached the femoral vein by observing the color of the blood in the puncture needle, but if the puncture needle has penetrated the femoral artery and reached the femoral vein, the blood flowing out of the puncture needle is only venous blood. Failure to identify the occurrence of such a situation in a timely manner and continue treatment may have serious consequences. This is because when the puncture needle reaches the femoral vein, if it does not penetrate the femoral artery, only venous blood will flow back; if it penetrates the femoral artery, the blood in the femoral artery will also flow back, and the backflowing blood will appear venous blood and arterial blood. The phenomenon that exists at the same time makes it difficult for the operator to distinguish.
实用新型内容Utility model content
本实用新型的目的是为了克服现有技术的不足,提供一种血管穿刺装置,其可以帮助操作者及时有效地判断穿刺针是否到达了或刺穿了股动脉。The purpose of the present utility model is to overcome the deficiencies of the prior art and provide a blood vessel puncturing device, which can help the operator to timely and effectively judge whether the puncture needle has reached or punctured the femoral artery.
实现上述目的的一种技术方案是:一种血管穿刺装置,包括穿刺针针管、外周导管、导管座和针管座,所述穿刺针针管的前端形成穿刺针,A technical solution to achieve the above purpose is: a blood vessel puncturing device, comprising a puncture needle needle tube, a peripheral catheter, a catheter holder and a needle tube holder, the front end of the puncture needle needle tube forms a puncture needle,
所述针管座的前端同轴连接导管座,所述导管座的前端同轴连接所述外周导管的尾端,所述穿刺针针管依次同轴贯穿所述针管座、导管座和所述外周导管;所述穿刺针穿出所述外周导管的前端;The front end of the needle tube seat is coaxially connected to the catheter seat, the front end of the catheter seat is coaxially connected to the tail end of the peripheral catheter, and the puncture needle needle tube coaxially penetrates the needle tube seat, the catheter seat and the peripheral catheter in turn. ; The puncture needle passes through the front end of the peripheral catheter;
所述外周导管前端的外周壁上设有若干贯穿所述外周导管的外周壁的槽口;The outer peripheral wall of the front end of the outer peripheral conduit is provided with a plurality of notches passing through the outer peripheral wall of the outer peripheral conduit;
所述导管座与所述穿刺针管的径向之间形成空腔。A cavity is formed between the catheter holder and the radial direction of the puncture needle tube.
进一步的,所述导管座的前端的径向内侧设有与所述导管座同轴的,连接所述导管座的内周壁的环形的压套,所述压套与所述导管座的内周壁之间形成用于固定所述外周导管尾端的环形槽。Further, the radial inner side of the front end of the catheter holder is provided with an annular pressure sleeve that is coaxial with the catheter holder and is connected to the inner peripheral wall of the catheter holder. The pressure sleeve is connected to the inner peripheral wall of the catheter holder. An annular groove for fixing the tail end of the outer peripheral conduit is formed therebetween.
再进一步的,所述导管座的前端和所述压套的形状均为漏斗形,所述环形槽的形状也为漏斗形。Still further, the shape of the front end of the catheter holder and the pressure sleeve are both funnel-shaped, and the shape of the annular groove is also funnel-shaped.
进一步的,所述导管座是透明的,或设有透明的观察窗口。Further, the catheter hub is transparent, or is provided with a transparent observation window.
进一步的,所述导管座与所述针管座之间是可拆卸的。Further, the catheter hub and the needle hub are detachable.
进一步的,所述槽口的数量为三个。Further, the number of the slots is three.
采用了本实用新型的一种血管穿刺装置的技术方案,包括穿刺针针管、外周导管、导管座和针管座,所述穿刺针针管的前端形成穿刺针,所述针管座的前端同轴连接导管座,所述导管座的前端同轴连接所述外周导管的尾端,所述穿刺针针管依次同轴贯穿所述针管座、导管座和所述外周导管;所述穿刺针穿出所述外周导管的前端;所述外周导管前端的外周壁上设有若干贯穿所述外周导管的外周壁的槽口;所述导管座与所述穿刺针管的径向之间形成空腔。其技术效果是:其可以帮助操作者及时有效地判断穿刺针是否到达了或刺穿了股动脉。The technical scheme of a blood vessel puncturing device of the present invention is adopted, which includes a puncture needle needle tube, a peripheral catheter, a catheter holder and a needle tube holder, the front end of the puncture needle needle tube forms a puncture needle, and the front end of the needle tube holder is coaxially connected to the catheter The front end of the catheter holder is coaxially connected to the tail end of the peripheral catheter, and the puncture needle needle tube coaxially penetrates the needle tube holder, the catheter holder and the peripheral catheter in sequence; the puncture needle passes through the outer periphery. The front end of the catheter; the outer peripheral wall of the front end of the outer peripheral catheter is provided with a number of notches passing through the outer peripheral wall of the outer peripheral catheter; a cavity is formed between the catheter seat and the radial direction of the puncture needle tube. The technical effect is that it can help the operator to timely and effectively judge whether the puncture needle has reached or punctured the femoral artery.
附图说明Description of drawings
图1为本实用新型的一种血管穿刺装置的结构示意图。FIG. 1 is a schematic structural diagram of a blood vessel puncturing device according to the present invention.
图2为图1的A部分的放大示意图。FIG. 2 is an enlarged schematic view of part A of FIG. 1 .
具体实施方式Detailed ways
请参阅图1,本实用新型的发明人为了能更好地对本实用新型的技术方案进行理解,下面通过具体地实施例,并结合附图进行详细地说明:Please refer to Fig. 1, in order to better understand the technical solution of the present utility model, the inventor of the present utility model will describe in detail below through specific embodiments and in conjunction with the accompanying drawings:
请参阅图1,本实用新型的一种血管穿刺装置,主要用于对股静脉进行穿刺采血或静脉注射的操作,包括穿刺针针管1、外周导管2、导管座4和针管座5。穿刺针管1的前端形成穿刺针11。Referring to FIG. 1 , a blood vessel puncturing device of the present invention is mainly used for puncturing the femoral vein for blood collection or intravenous injection. The front end of the puncture needle tube 1 forms a puncture needle 11 .
其中,针管座5的前端可拆卸地同轴连接导管座4的尾端。导管座4的前端同轴连接外周导管2的尾端。穿刺针针管1依次同轴贯穿针管座5、导管座4和外周导管2,穿刺针针管1前端的穿刺针11从外周导管2的前端穿出。外周导管2前端的外周壁上设有若干贯穿所述外周导管2的外周壁的槽口21,当操作者对人体股静脉进行穿刺的过程中,可以通过槽口21,及时观察穿刺针针管1内血液的颜色,判断穿刺针11是否已经错误地到达了股动脉。The front end of the needle hub 5 is detachably connected to the tail end of the catheter hub 4 coaxially. The front end of the catheter holder 4 is coaxially connected to the rear end of the peripheral catheter 2 . The puncture needle tube 1 coaxially passes through the needle tube seat 5 , the catheter seat 4 and the peripheral catheter 2 in sequence. The peripheral wall of the front end of the peripheral catheter 2 is provided with a number of notches 21 that penetrate the outer peripheral wall of the peripheral catheter 2. When the operator punctures the human femoral vein, he can pass the notches 21 to observe the puncture needle tube 1 in time. The color of the blood inside determines whether the puncture needle 11 has reached the femoral artery by mistake.
导管座4的前端的径向内侧设有与导管座4同轴的,连接导管座4的内周壁的环形的压套3,压套3的外周壁与导管座4的内周壁之间形成用于固定外周导管2尾端的环形槽41。压套3的作用在于将外周导管2的尾端与导管座4压紧。外周导管2的尾端的外周壁,紧贴导管座4的内周壁,外周导管2的尾端的内周壁,紧贴压套3的外周壁。导管座4与穿刺针针管1的径向之间形成空腔42。若穿刺针11已经贯穿股动脉到达了股静脉,则由于槽口21还留于股动脉内,则动脉血可以从槽口21进入穿刺针针管1和外周导管2径向之间,进而进入空腔42,而静脉血还是流入穿刺针针管1,因此静脉血和动脉血的流道是不同的,槽口21还起到了分流动脉血和静脉血的作用。The radial inner side of the front end of the catheter holder 4 is provided with an annular pressure sleeve 3 coaxial with the catheter holder 4 and connected to the inner peripheral wall of the catheter holder 4. The outer peripheral wall of the pressure sleeve 3 and the inner peripheral wall of the catheter holder 4 are formed for The annular groove 41 at the end of the fixed peripheral conduit 2 is fixed. The function of the compression sleeve 3 is to compress the tail end of the peripheral catheter 2 and the catheter holder 4 . The outer peripheral wall of the rear end of the outer peripheral conduit 2 is in close contact with the inner peripheral wall of the catheter holder 4 , and the inner peripheral wall of the rear end of the peripheral conduit 2 is in close contact with the outer peripheral wall of the pressure sleeve 3 . A cavity 42 is formed between the catheter hub 4 and the radial direction of the puncture needle needle tube 1 . If the puncture needle 11 has penetrated the femoral artery and reached the femoral vein, since the notch 21 remains in the femoral artery, arterial blood can enter the radial direction between the puncture needle needle tube 1 and the peripheral catheter 2 from the notch 21, and then enter the hollow space. The cavity 42 is formed, and the venous blood still flows into the puncture needle needle tube 1, so the flow channels of the venous blood and the arterial blood are different, and the notch 21 also plays the role of shunting the arterial blood and the venous blood.
本实施例中,导管座4的前端和压套3均设计成漏斗形,对应地,压套3和导管座4之间的用于固定外周导管2尾端的环形槽41也设计成漏斗形,这样设计的目的在于:可以避免穿刺针11插入时刺破外周导管2的尾端,并可增加导管座4与外周导管2之间连接的连接强度。In this embodiment, both the front end of the catheter holder 4 and the pressure sleeve 3 are designed to be funnel-shaped. Correspondingly, the annular groove 41 between the pressure sleeve 3 and the catheter holder 4 for fixing the tail end of the outer peripheral catheter 2 is also designed to be funnel-shaped. The purpose of this design is to avoid puncturing the tail end of the peripheral catheter 2 when the puncture needle 11 is inserted, and to increase the connection strength of the connection between the catheter hub 4 and the peripheral catheter 2 .
本实施例中,导管座4是透明的,或开有透明的观察窗口,便于操作者观察导管座4与穿刺针针管1之间空腔42内血液的颜色,以判断穿刺针针管1前端的穿刺针11是否已经穿透了股动脉。In this embodiment, the catheter holder 4 is transparent, or has a transparent observation window, so that the operator can observe the color of the blood in the cavity 42 between the catheter holder 4 and the puncture needle tube 1, so as to judge the size of the front end of the puncture needle tube 1. Whether the puncture needle 11 has penetrated the femoral artery.
本血管穿刺装置在外周导管2前端的外周壁上开了三个贯穿外周导管的外周壁2的槽口21,以达到让操作者能更快地观察穿刺针11是否在穿刺时错误地到达了股动脉,以防止对患者的股动脉造成穿孔。若穿刺针到达股动脉,则穿刺针针管1处流出的血液应为鲜红色的动脉血;若穿刺针正常到达股静脉,穿刺针针管1处流出的血液只有暗红色的静脉血;若穿刺针11已穿透股动脉到达股静脉,由于槽口21的分流作用,此时穿刺针针管1内为暗红色的静脉血,而在导管座4与穿刺针针管1之间的空腔42内出现鲜红色的动脉血。The vessel puncturing device has three notches 21 penetrating the peripheral wall 2 of the peripheral catheter 2 on the peripheral wall of the front end of the peripheral catheter 2, so as to allow the operator to observe more quickly whether the puncture needle 11 has reached by mistake during puncturing femoral artery to prevent perforation of the patient's femoral artery. If the puncture needle reaches the femoral artery, the blood flowing out from the puncture needle tube 1 should be bright red arterial blood; if the puncture needle reaches the femoral vein normally, the blood flowing out from the puncture needle tube 1 is only dark red venous blood; 11 has penetrated the femoral artery and reached the femoral vein. Due to the shunting effect of the notch 21, the venous blood in the puncture needle cannula 1 is dark red, and appears in the cavity 42 between the catheter holder 4 and the puncture needle cannula 1. Bright red arterial blood.
本实施例中的血管穿刺装置的工作过程为:The working process of the blood vessel puncturing device in this embodiment is:
步骤1:患者取仰卧位,在腹股沟韧带中点稍下方摸到搏动的股动脉,其内侧即为股静脉,以左手固定好股静脉后,穿刺针11垂直刺入或与皮肤角度呈30~40°刺入。Step 1: The patient is placed in a supine position, and the pulsating femoral artery is felt just below the midpoint of the inguinal ligament, and its inner side is the femoral vein. After fixing the femoral vein with the left hand, the puncture needle 11 is inserted vertically or at an angle of 30-30 to the skin. 40° penetration.
步骤2:观察穿刺针针管1内是否出现回血,若无回血,可慢慢回退穿刺针11,改变进针方向和角度。Step 2: Observe whether there is blood returning in the needle tube 1 of the puncture needle. If there is no blood returning, slowly withdraw the puncture needle 11 and change the direction and angle of the needle insertion.
步骤3:若穿刺针针管1内出现回血,观察血液颜色,若全为暗红色的静脉血即穿刺成功;若穿刺针针管1内流出的血液为鲜红色的动脉血则穿刺针11到达了股动脉,此时应拔出穿刺针11,紧压穿刺点数分钟至无出血为止;若穿刺针针管1内流出的血液为静脉血而导管座4与穿刺针针管1之间的空腔42内出现鲜红色的动脉血,则显示穿刺针11已穿透了股动脉,此时应及时拔出穿刺针11并进行处理。Step 3: If there is blood returning in the puncture needle tube 1, observe the color of the blood. If it is all dark red venous blood, the puncture is successful; if the blood flowing out of the puncture needle tube 1 is bright red arterial blood, the puncture needle 11 has reached the thigh. At this time, the puncture needle 11 should be pulled out, and the puncture point should be pressed for a few minutes until there is no bleeding; Bright red arterial blood indicates that the puncture needle 11 has penetrated the femoral artery. At this time, the puncture needle 11 should be pulled out and treated in time.
本技术领域中的普通技术人员应当认识到,以上的实施例仅是用来说明本实用新型,而并非用作为对本实用新型的限定,只要在本实用新型的实质精神范围内,对以上所述实施例的变化、变型都将落在本实用新型的权利要求书范围内。Those of ordinary skill in the art should realize that the above embodiments are only used to illustrate the present invention, but not to limit the present invention. Changes and modifications of the embodiments will fall within the scope of the claims of the present invention.
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