CN209661744U - A new type of lumbar puncture needle - Google Patents
A new type of lumbar puncture needle Download PDFInfo
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- CN209661744U CN209661744U CN201821757595.5U CN201821757595U CN209661744U CN 209661744 U CN209661744 U CN 209661744U CN 201821757595 U CN201821757595 U CN 201821757595U CN 209661744 U CN209661744 U CN 209661744U
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- branch pipe
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- lining core
- lumbar puncture
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- 238000009593 lumbar puncture Methods 0.000 title claims abstract description 35
- 210000001175 cerebrospinal fluid Anatomy 0.000 abstract description 22
- 206010011409 Cross infection Diseases 0.000 abstract description 7
- 206010029803 Nosocomial infection Diseases 0.000 abstract description 7
- 238000000034 method Methods 0.000 description 15
- 238000009530 blood pressure measurement Methods 0.000 description 12
- 238000005070 sampling Methods 0.000 description 9
- 230000007812 deficiency Effects 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000001951 dura mater Anatomy 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 210000002330 subarachnoid space Anatomy 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 206010006126 Brain herniation Diseases 0.000 description 1
- 208000025985 Central nervous system inflammatory disease Diseases 0.000 description 1
- 208000015021 Meningeal Neoplasms Diseases 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000032851 Subarachnoid Hemorrhage Diseases 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 230000001427 coherent effect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000006698 induction Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 208000022006 malignant tumor of meninges Diseases 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械领域,具体涉及一种新型腰椎穿刺针。The utility model belongs to the field of medical instruments, in particular to a novel lumbar puncture needle.
背景技术Background technique
腰椎穿刺术是神经科临床常用的检查方法之一,对神经系统疾病的诊断和治疗有重要价值,常用于中枢神经系统炎症性疾病、蛛网膜下腔出血和脑膜癌病的诊断,也可用于颅内压测量及椎管内注射药物。进行腰椎穿刺术的主要器具为腰椎穿刺针。进行腰椎穿刺时,穿刺针沿棘突方向缓慢进入,成人进针约4-6cm(小儿约3-4cm)时,即可穿破硬脊膜达蛛网膜下腔,此时抽出衬芯,脑脊液从针管流出,在针座端接上测压表进行测压操作,测压结束后取下测压表,对脑脊液进行取样,取样结束后将衬芯插入针管,最后拔出穿刺针完成穿刺操作。Lumbar puncture is one of the commonly used clinical examination methods in neurology. It is of great value in the diagnosis and treatment of nervous system diseases. It is often used in the diagnosis of central nervous system inflammatory diseases, subarachnoid hemorrhage and meningeal cancer. Intracranial pressure measurement and intraspinal injection of drugs. The main instrument used for lumbar puncture is the lumbar puncture needle. When performing lumbar puncture, the puncture needle slowly enters along the spinous process. When the needle is inserted about 4-6cm in adults (about 3-4cm in children), the dura mater can be pierced to the subarachnoid space. At this time, the lining core is pulled out and the cerebrospinal fluid Flow out from the needle tube, connect the pressure gauge at the end of the needle seat to measure the pressure, remove the pressure gauge after the pressure measurement, and take a sample of the cerebrospinal fluid, insert the liner into the needle tube after the sampling, and finally pull out the puncture needle to complete the puncture operation .
目前临床常用的腰椎穿刺针主要由针管、针座、衬芯和衬芯座构成。进行测压、取样操作时,通常需要把衬芯从针管内拔出再接上测压表,测压结束后需要取下测压表再进行取样,取样结束后需要将衬芯重新插回针管。根据使用情况来看,当前常用的腰椎穿刺针存在三个不足:一是操作不便。对于医务工作者来说一个操作过程需要拔衬芯、插衬芯、接测压表、拆测压表,步骤繁琐,操作非常不方便;二是难以实现流速调节。对颅内压高的患者进行穿刺时,为防止诱发脑疝需要调节脑脊液流速,目前常用的腰椎穿刺针难以实现流速调节,虽有一些改进的腰椎穿刺针通过增加调节阀门实现了流速的调节,但导致腰椎穿刺针的结构太过复杂,实用性差;三是存在交叉感染风险。穿刺操作结束前需要将拔出的衬芯重新插入针管,容易将外界的细菌带入椎管内造成交叉感染,使用上存在较大的安全隐患。The lumbar puncture needle commonly used clinically is mainly composed of a needle tube, a needle seat, a lining core and a lining core seat. When performing pressure measurement and sampling operations, it is usually necessary to pull out the liner from the needle tube and then connect it to the pressure gauge. After the pressure measurement is completed, the pressure gauge needs to be removed before sampling. After the sampling is completed, the liner needs to be inserted back into the needle tube. . According to the usage situation, there are three deficiencies in the currently commonly used lumbar puncture needles: the one is inconvenient to operate. For medical workers, an operation process needs to pull out the lining core, insert the lining core, connect the pressure gauge, and disassemble the pressure gauge. The steps are cumbersome and the operation is very inconvenient. Second, it is difficult to adjust the flow rate. When performing puncture on patients with high intracranial pressure, the flow rate of cerebrospinal fluid needs to be adjusted in order to prevent the induction of cerebral herniation. Currently, it is difficult to adjust the flow rate with the commonly used lumbar puncture needles. Although some improved lumbar puncture needles can adjust the flow rate by adding an adjustment valve, However, the structure of the lumbar puncture needle is too complicated and the practicability is poor; the third is that there is a risk of cross-infection. Before the puncture operation is completed, the pulled out liner needs to be reinserted into the needle tube, which is easy to bring external bacteria into the spinal canal to cause cross infection, and there is a big safety hazard in use.
实用新型内容Utility model content
本实用新型所要解决的技术问题是提供一种新型腰椎穿刺针。该腰椎穿刺针可以解决目前常用腰椎穿刺针操作不便、难以实现流速调节、存在交叉感染风险等问题,可广泛应用于腰椎穿刺术。The technical problem to be solved by the utility model is to provide a novel lumbar puncture needle. The lumbar puncture needle can solve the problems of currently commonly used lumbar puncture needles such as inconvenient operation, difficulty in adjusting the flow rate, and the risk of cross-infection, and can be widely used in lumbar puncture.
本实用新型解决当前常用腰椎穿刺针使用过程中存在的不足所采用的技术方案是:The technical scheme adopted by the utility model to solve the deficiencies in the use process of the current commonly used lumbar puncture needles is:
一种新型腰椎穿刺针,包括针管、测压支管、引流支管、针座、衬芯、衬芯座和测压表;其中,测压支管和引流支管均与针管连通;衬芯布置在针管内且与针管内壁过盈配合。A new type of lumbar puncture needle, including a needle tube, a pressure measuring branch tube, a drainage branch tube, a needle seat, a lining core, a lining core seat and a pressure measuring gauge; wherein, both the pressure measuring branch tube and the drainage branch tube are connected with the needle tube; the lining core is arranged in the needle tube And it has an interference fit with the inner wall of the needle tube.
前述的新型腰椎穿刺针,所述测压支管和引流支管均以三通结构形式与针管连通,测压支管和引流支管与针管的夹角均为90°。In the aforementioned novel lumbar puncture needle, the pressure-measuring branch tube and the drainage branch tube are connected to the needle tube in the form of a three-way structure, and the included angles between the pressure-measuring branch tube, the drainage branch tube and the needle tube are both 90°.
前述的新型腰椎穿刺针,所述测压支管和引流支管互成180°布置,且沿针管方向距离为8-10mm。In the aforementioned novel lumbar puncture needle, the pressure-measuring branch tube and the drainage branch tube are arranged at 180° to each other, and the distance along the direction of the needle tube is 8-10 mm.
前述的新型腰椎穿刺针,所述测压支管通过透明管与测压表连通。In the aforementioned novel lumbar puncture needle, the pressure measuring branch tube communicates with the pressure measuring gauge through a transparent tube.
前述的新型腰椎穿刺针,衬芯前端为圆锥结合凸台的结构,衬芯直径小于凸台直径,衬芯通过前端的圆锥、凸台结构与针管内壁的过盈配合。In the new lumbar puncture needle mentioned above, the front end of the liner has a structure of a cone combined with a boss, the diameter of the liner is smaller than the diameter of the boss, and the liner has an interference fit with the inner wall of the needle tube through the cone and boss structure at the front end.
一种新型腰椎穿刺针,包括针管、测压支管、引流支管、针座、衬芯、衬芯座和测压表。A novel lumbar puncture needle comprises a needle tube, a pressure measuring branch tube, a drainage branch tube, a needle seat, a lining core, a lining core seat and a pressure measuring gauge.
其中,测压支管和引流支管均与针管连通。Wherein, both the pressure measuring branch pipe and the drainage branch pipe are connected with the needle tube.
较佳地,所述测压支管和引流支管均以三通结构形式与针管连通,测压支管和引流支管与针管的夹角均为90°;所述所述测压支管和引流支管互成180°布置,且沿针管方向距离为10mm。Preferably, both the pressure measuring branch pipe and the drainage branch pipe are connected with the needle tube in the form of a three-way structure, and the included angles between the pressure measuring branch pipe, the drainage branch pipe and the needle tube are both 90°; the pressure measuring branch pipe and the drainage branch pipe are mutually formed. Arranged at 180°, and the distance along the direction of the needle tube is 10mm.
较佳地,所述测压支管通过透明管与测压表连通。Preferably, the pressure measuring branch pipe communicates with the pressure measuring gauge through a transparent tube.
衬芯前端为圆锥结合凸台的结构,衬芯直径略小于凸台直径,衬芯通过前端的圆锥、凸台结构与针管内壁的过盈配合,既能实现穿刺、测压、引流的连贯操作,又能调节测压支管和引流支管中脑脊液的流速和流量。The front end of the liner is a conical structure combined with a boss. The diameter of the liner is slightly smaller than the diameter of the boss. Through the interference fit between the cone and the boss structure at the front end of the liner and the inner wall of the needle tube, the coherent operation of puncture, pressure measurement and drainage can be realized. , and can adjust the flow rate and flow rate of cerebrospinal fluid in the manometric arm and drainage arm.
本实用新型,具有如下特点:The utility model has the following characteristics:
(1)操作方便。腰椎穿刺过程,只需要调节衬芯在针管中的位置即可实现测压、引流操作,不需要将衬芯完全从针管拔出也不需要接、拆测压表,操作更加简便。(1) Easy to operate. In the process of lumbar puncture, only need to adjust the position of the liner in the needle tube to realize the pressure measurement and drainage operation. It is not necessary to pull out the liner completely from the needle tube or connect or disassemble the pressure gauge, and the operation is more convenient.
(2)结构简单且能实现流速调节。操作过程中,衬芯前端锥面与测压支管和引流支管配合时,通过微调衬芯位置,可以调节衬芯前端锥面与测压支管和引流支管配合间隙,从而实现对脑脊液流速的控制,用简单的结构实现了流速的调节,避免穿刺针结构的复杂化。(2) The structure is simple and the flow rate can be adjusted. During the operation, when the front taper of the liner is matched with the pressure measuring branch and the drainage branch, the matching gap between the front taper of the liner and the pressure measuring branch and the drainage branch can be adjusted by fine-tuning the position of the liner, so as to realize the control of the flow rate of the cerebrospinal fluid. The adjustment of the flow rate is realized with a simple structure, and the complexity of the structure of the puncture needle is avoided.
(3)能有效降低交叉感染风险。整个穿刺过程中衬芯都只在针管内移动,不需要将衬芯完全从针管中取出即可完成穿刺操作,避免了出现交叉感染的可能,有效降低了交叉感染的风险。(3) It can effectively reduce the risk of cross-infection. During the whole puncture process, the liner only moves in the needle tube, and the puncture operation can be completed without taking the liner completely out of the needle tube, which avoids the possibility of cross-infection and effectively reduces the risk of cross-infection.
附图说明Description of drawings
图1是一种新型腰椎穿刺针结构示意图。Figure 1 is a structural schematic diagram of a novel lumbar puncture needle.
图中,1、针管,2、圆锥,3、引流支管,4、针座,5、衬芯,6、衬芯座,7、测压支管,8、透明管,9、测压表,10、凸台。In the figure, 1, needle tube, 2, cone, 3, drainage branch pipe, 4, needle seat, 5, lining core, 6, lining core seat, 7, pressure measuring branch pipe, 8, transparent tube, 9, pressure measuring gauge, 10 , Boss.
具体实施方式Detailed ways
下面结合附图对本实用新型作进一步的说明。Below in conjunction with accompanying drawing, the utility model is further described.
图1是一种新型腰椎穿刺针结构示意图,参照图1所示,一种新型腰椎穿刺针,包括针管1、测压支管7、引流支管3、针座4、衬芯5、衬芯座6、透明管8和测压表9。衬芯前端为圆锥2和凸台10结构,衬芯5直径略小于凸台直径,衬芯前端的圆锥2、凸台10结构与针管1内壁为过盈配合。测压支管7和引流支管3均通过三通结构与针管1连通,测压支管7和引流支管3与针管1的夹角均为90°。测压支管7和引流支管3互成180°布置,且沿针管1方向距离为10mm。测压支管7通过透明管8与测压表9连通。Figure 1 is a schematic diagram of the structure of a new type of lumbar puncture needle. Referring to Figure 1, a new type of lumbar puncture needle includes a needle tube 1, a pressure measuring branch tube 7, a drainage branch tube 3, a needle seat 4, a lining core 5, and a lining core seat 6 , transparent tube 8 and pressure gauge 9. The front end of the liner has a cone 2 and a boss 10 structure, the diameter of the liner 5 is slightly smaller than the diameter of the boss, and the structure of the cone 2 and the boss 10 at the front end of the liner is an interference fit with the inner wall of the needle tube 1. Both the pressure measuring branch pipe 7 and the drainage branch pipe 3 communicate with the needle tube 1 through a three-way structure, and the included angles between the pressure measuring branch pipe 7 and the drainage branch pipe 3 and the needle tube 1 are both 90°. The pressure measuring branch tube 7 and the drainage branch tube 3 are arranged at 180° to each other, and the distance along the direction of the needle tube 1 is 10mm. The pressure measuring branch pipe 7 communicates with the pressure measuring gauge 9 through the transparent tube 8 .
使用方式:进行腰椎穿刺前将衬芯5插入针管1,增强针管1的刚度,防止在穿刺过程中针管弯曲弧度过大,不利于穿刺的顺利开展。当针管1缓慢沿棘突方向进入,刺穿硬脊膜到达蛛网膜下腔时,缓慢向外抽取衬芯5,衬芯前端圆锥2、凸台10结构与测压支管7出口配合时,保持衬芯5位置不动,脑脊液通过针管1进入测压支管7和透明管8后进入测压表9,实现压力测定。在此过程中操作人员可以通过透明管8观察脑脊液流动情况。测压结束对脑脊液取样时,继续缓慢向外抽取衬芯5,衬芯5前端圆锥2、凸台10结构与引流支管3出口配合时,脑脊液通过针管1进入引流支管3,进行脑脊液取样。同时测压支管7内的留存脑脊液也会通过针管1进入引流支管3,使抽取的脑脊液得到充分利用,避免了常规腰椎穿刺针测压结束后用于测压的脑脊液无法利用的矛盾。取样结束后将衬芯5沿针管1反向插入到底可取出穿刺针,完成腰椎穿刺操作。Method of use: before lumbar puncture, insert the liner 5 into the needle tube 1 to enhance the rigidity of the needle tube 1 and prevent the needle tube from being too curved during the puncture, which is not conducive to the smooth progress of the puncture. When the needle tube 1 enters slowly along the spinous process, pierces the dura mater and reaches the subarachnoid space, slowly withdraw the liner 5 outward, and when the front end cone 2 of the liner and the structure of the boss 10 cooperate with the outlet of the pressure measuring branch tube 7, keep The position of the liner core 5 remains unchanged, and the cerebrospinal fluid enters the pressure measuring branch tube 7 and the transparent tube 8 through the needle tube 1 and then enters the pressure measuring gauge 9 to realize pressure measurement. During this process, the operator can observe the flow of cerebrospinal fluid through the transparent tube 8 . When the pressure measurement is finished and the cerebrospinal fluid is sampled, continue to slowly extract the lining core 5 outward. When the front cone 2 and the boss 10 of the lining core 5 cooperate with the outlet of the drainage branch tube 3, the cerebrospinal fluid enters the drainage branch tube 3 through the needle tube 1 for sampling of cerebrospinal fluid. At the same time, the remaining cerebrospinal fluid in the manometry branch 7 will also enter the drainage branch 3 through the needle tube 1, so that the extracted cerebrospinal fluid can be fully utilized, avoiding the contradiction that the cerebrospinal fluid used for pressure measurement after the conventional lumbar puncture needle can not be used. After the sampling is finished, insert the lining core 5 along the needle tube 1 to the end and take out the puncture needle to complete the lumbar puncture operation.
测压过程中,由于有衬芯的凸台10与针管1的过盈配合实现密封功能,脑脊液只可沿针管1流向测压支管7。操作人员可通过透明管8观察脑脊液流动情况,根据流速大小,前后微调衬芯5位置,改变衬芯5前端锥面与测压支管7出口配合间隙,从而实现对测压过程中脑脊液流速的调节。During the pressure measurement process, the cerebrospinal fluid can only flow along the needle tube 1 to the pressure measurement branch tube 7 due to the interference fit between the boss 10 with the liner and the needle tube 1 to realize the sealing function. The operator can observe the flow of cerebrospinal fluid through the transparent tube 8, fine-tune the position of the liner 5 forward and backward according to the flow velocity, and change the matching gap between the front taper surface of the liner 5 and the outlet of the pressure measuring branch tube 7, so as to realize the adjustment of the flow rate of the cerebrospinal fluid during the pressure measurement process .
脑脊液取样过程中,由于有衬芯5的凸台10与针管的过盈配合实现密封功能,且接有测压表9的测压支管7为封闭结构,脑脊液只可沿针管1流向引流支管3。操作人员可根据脑脊液压力情况,前后微调衬芯5位置,改变衬芯5前端锥面与引流支管3出口配合间隙,从而实现对取样过程中脑脊液流速的调节,防止取样过程中因为脑脊液流速过大引起患者脑疝发作。During the sampling process of cerebrospinal fluid, due to the interference fit between the boss 10 with the liner 5 and the needle tube to realize the sealing function, and the pressure measuring branch tube 7 connected with the pressure gauge 9 is a closed structure, the cerebrospinal fluid can only flow along the needle tube 1 to the drainage branch tube 3 . According to the cerebrospinal fluid pressure, the operator can fine-tune the position of the lining core 5 back and forth, and change the matching gap between the front taper surface of the lining core 5 and the outlet of the drainage branch tube 3, so as to realize the adjustment of the flow rate of the cerebrospinal fluid during the sampling process and prevent the flow rate of the cerebrospinal fluid from being too large during the sampling process. causing a brain herniation attack in the patient.
上述仅为本实用新型的具体实施方式,但本实用新型的设计构思并不局限于此,凡是利用此构思对本实用新型进行非实质性的改进,均应该属于侵犯本实用新型保护范围的行为。The above is only a specific embodiment of the utility model, but the design concept of the utility model is not limited thereto, and any insubstantial improvement of the utility model by using this concept should be an act of violating the protection scope of the utility model.
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CN111419209A (en) * | 2020-04-22 | 2020-07-17 | 南京脑科医院 | A retractable pressure measuring tube for lumbar puncture |
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