CN213667558U - Device for implanting temporary cardiac pacemaker through elbow and middle vein - Google Patents
Device for implanting temporary cardiac pacemaker through elbow and middle vein Download PDFInfo
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- CN213667558U CN213667558U CN202022354600.1U CN202022354600U CN213667558U CN 213667558 U CN213667558 U CN 213667558U CN 202022354600 U CN202022354600 U CN 202022354600U CN 213667558 U CN213667558 U CN 213667558U
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- needle
- cardiac pacemaker
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- clamp body
- vein
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- 238000002513 implantation Methods 0.000 claims description 8
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- 238000002347 injection Methods 0.000 claims description 4
- 239000007924 injection Substances 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 3
- 230000037431 insertion Effects 0.000 claims description 3
- 238000005238 degreasing Methods 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000002745 absorbent Effects 0.000 description 4
- 239000002250 absorbent Substances 0.000 description 4
- 239000000243 solution Substances 0.000 description 3
- 210000001321 subclavian vein Anatomy 0.000 description 3
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- 239000008280 blood Substances 0.000 description 2
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- 229960002897 heparin Drugs 0.000 description 2
- 229920000669 heparin Polymers 0.000 description 2
- 210000004731 jugular vein Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
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- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 description 1
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
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- 229960004194 lidocaine Drugs 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
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- 206010033675 panniculitis Diseases 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
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- 238000004659 sterilization and disinfection Methods 0.000 description 1
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Abstract
The utility model relates to a temporary cardiac pacemaker implanting device of a transelbow median vein, which comprises an indwelling needle, a guide wire, a sheath tube, a pacing electrode lead, a movable clamp and a suture needle with a thread; medical personnel can place interim cardiac pacing electrode from patient's elbow median vein through this device of inserting, reduces medical personnel to the degree of difficulty of placing into of interim cardiac pacemaker to reduce the patient because of the complication risk that brings of placing into interim cardiac pacemaker, and reduce the inconvenience that the patient brought because of placing into interim cardiac pacemaker.
Description
Technical Field
The utility model relates to the technical field of medical supplies, concretely relates to device is put into to interim cardiac pacemaker of median vein through the elbow.
Background
The temporary cardiac pacing is a pacing mode of non-permanent implantation of a pacing electrode, the placement time of the pacing electrode is generally 1-2 weeks, the longest time is not more than 1 month, pulse generators are all placed outside the body, and the pacing electrode is removed after the diagnosis or treatment purpose is achieved.
The current transvenous temporary cardiac pacemaker implantation devices are adapted for deep venipuncture, such as transfemoral puncture through the femoral vein, subclavian vein and internal jugular vein, and for implantation of temporary cardiac pacing electrodes. However, there are various problems associated with placing temporary cardiac pacing electrodes from these locations. For example, the puncture difficulty of placing the temporary cardiac pacing electrode through femoral vein is large, femoral artery is easy to puncture, arteriovenous fistula and pseudoaneurysm risk are formed, lower limb venous thrombosis is easy to cause after operation, waist soreness and bedsore are easy to occur after operation, and the like. The difficulty of inserting the temporary cardiac pacing electrode into the subclavian vein is high, and complications such as hemothorax, pneumothorax or mistaken puncture of subclavian artery are easily caused. The temporary cardiac pacing electrode is placed in the internal jugular vein, so that the technical difficulty is high, the risk is high, and the nerve or the carotid artery is easy to be accidentally injured.
The median elbow vein belongs to the superficial vein, and the current temporary cardiac pacemaker implantation device through the deep vein is not suitable for median elbow vein puncture. The difficulty of median elbow venipuncture is low, and basically no complication is generated after operation. Therefore, there is a need to develop a temporary pacemaker insertion device that can be adapted to the transelbow median vein.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a device is put into to vein interim cardiac pacemaker in the elbow is just right, it can be used for the vein puncture and put into interim cardiac pacemaker electrode in the elbow is just right to reduce and put into the degree of difficulty, reduce the complication.
In order to achieve the above object, the utility model adopts the following technical scheme:
a temporary cardiac pacemaker implanting device of a transelbow median vein comprises an indwelling needle, a guide wire, a sheath tube, a pacing electrode lead, a movable clamp and a suture needle with a thread;
the indwelling needle comprises a needle seat and a needle core, wherein the needle core is provided with a needle wing piece, the needle seat is provided with a clamping groove matched with the needle wing piece and a needle inlet, and the needle core is arranged in the needle seat in a penetrating mode.
The sheath tube comprises an inner sheath and an outer sheath, the inner sheath penetrates through the outer sheath, and the front end of the inner sheath extends out of the outer sheath; the diameter of the guide wire is smaller than the inner diameter of the inner sheath; the diameter of the pacing electrode lead is smaller than the inner diameter of the outer sheath.
The movable clamp comprises a first clamp body and a second clamp body, the first clamp body and the second clamp body are matched with each other to form a through hole, and the aperture of the through hole is not smaller than the diameter of the pacing electrode lead; the first clamp body and the second clamp body are respectively provided with a fixing hole, and the fixing holes are used for the suture needle with thread to penetrate.
The indwelling needle is further provided with a safety protection shell, the safety protection shell is detachably connected with the needle seat, and the safety protection shell is provided with an axial receding groove.
The implanting device also comprises a disposable sterile injection needle, a disposable sterile injector, a disinfectant brush, a disposable hole towel, a disposable medical sheet and a medical degreasing gauze block.
The insertion device also comprises a placing box.
After the technical scheme is adopted, the utility model discloses a device of putting into of one set of interim cardiac pacemaker is provided for medical personnel can put into the cardiac pacemaker electrode through this device of putting into from the positive median vein of patient's elbow, reduce medical personnel to the degree of difficulty of putting into of interim cardiac pacemaker, and reduce the patient because of the complication risk of putting into interim cardiac pacemaker and reduce the inconvenience that the patient brought because of putting into interim cardiac pacemaker.
Drawings
FIG. 1 is a schematic structural view of an implanting device of the present invention;
FIG. 2 is a schematic view of the structure of the indwelling needle of the present invention;
fig. 3 is a schematic view of the sheath structure of the present invention;
fig. 4 is a schematic view of the structure of the guide wire of the present invention;
FIG. 5 is a schematic view of the structure of the pacing electrode lead of the present invention;
fig. 6 is a schematic view of the movable clamp of the present invention;
FIG. 7 is a schematic view of the suture needle with thread according to the present invention;
FIG. 8 is a schematic view of the disposable sterile syringe of the present invention;
FIG. 9 is a schematic view of the structure of the disinfecting brush of the present invention;
FIG. 10 is a schematic view of a disposable hole towel according to the present invention;
FIG. 11 is a schematic view of a disposable medical uniset structure of the present invention;
fig. 12 is a schematic structural view of the medical absorbent gauze of the present invention;
fig. 13 is a schematic structural view of the placing box of the present invention.
Description of reference numerals:
a placing box 10; an indwelling needle 20; a needle holder 21; a card slot 211; a needle inlet 212; a needle core 22; a needle wing 221; a safety shield 23; a relief groove 231; a sheath 30; an inner sheath 31; an outer sheath 32; a guide wire 40; a pacing electrode lead 50; a movable clamp 60; a first clip body 61; a second clip body 62; a perforation 63; fixing holes 611, 621; a suture needle 70 with thread; a disposable sterile injection needle 81; a single-use sterile syringe 82; a disinfectant brush 83; a disposable hole towel 84; a disposable medical drape 85; a medical absorbent gauze piece 86.
Detailed Description
As shown in FIG. 1, the present invention discloses a transelbow median vein temporary cardiac pacemaker implanting device, which comprises an indwelling needle 20, a guide wire 40, a sheath 30, a pacing electrode lead 50, a mobile clip 60 and a suture needle 70 with thread.
Specifically, as shown in fig. 2, the indwelling needle 20 includes a needle holder 21 and a needle core 22, wherein the needle core 22 is provided with a needle wing 221, the needle holder 21 is provided with a slot 211 for engaging with the needle wing 221 and a needle inlet 212, and the needle core 22 is inserted into the needle holder 21. In order to prevent the medical staff from being punctured by the withdrawn needle core 22 and from infecting the disease, the indwelling needle 20 is further provided with a safety protection shell 23, the safety protection shell 23 is detachably connected with the needle base 21, and the safety protection shell 23 is provided with an axially arranged receding groove 231. When the stylet 22 of the indwelling needle 20 is taken out, the safety protection shell 23 is rotated to align the yielding groove 231 with the needle wing piece 221, then the needle wing piece 221 is moved towards the yielding groove 231 until the stylet 22 is withdrawn into the safety protection shell 23, and then the safety protection shell is taken down.
As shown in fig. 3, the sheath tube 30 includes an inner sheath 31 and an outer sheath 32, and the inner sheath 31 is inserted into the outer sheath 32 and has a distal end extending outside the outer sheath 32. As shown in fig. 4, the above-mentioned guide wire 40 can be used to be inserted into the inner sheath 31 of the sheath 30, i.e. the diameter of the guide wire 40 is smaller than the inner diameter of the inner sheath 31. As shown in FIG. 5, a pacing electrode lead 50 may be used to be threaded within the outer sheath 32, i.e., the pacing electrode lead 50 has a diameter that is smaller than the inner diameter of the outer sheath 32.
As shown in fig. 6 and 7, the movable clip 60 includes a first clip body 61 and a second clip body 62, the first clip body 61 and the second clip body 62 cooperate with each other to form a through hole 63, and the diameter of the through hole 63 is not smaller than the diameter of the pacing electrode lead 50, so that the pacing electrode lead 50 can pass through the through hole 63 of the movable clip 60. The first clip body 61 and the second clip body 62 are respectively provided with a fixing hole 611, 621, and the fixing hole 611, 621 is used for the suture needle 70 with thread to pass through so as to fix the movable clip 60 on the human body.
In addition to the above, as shown in fig. 8-12, the device for inserting a temporary cardiac pacemaker through the median elbow vein of the present invention further comprises auxiliary devices used in the process of inserting electrodes of the cardiac pacemaker, such as a disposable sterile injection needle 81, a disposable sterile injector 82, a disinfectant brush 83, a disposable hole towel 84, a disposable medical sheet 85, and a medical absorbent gauze 86.
With continued reference to fig. 1 and with reference to fig. 13, in order to facilitate the use of the above-mentioned device, the device further comprises a placing box 10, the above-mentioned devices are all placed in the placing box 10, a placing groove matched with each device is provided in the placing box, and the disposable hole towel 84, the disposable medical sheet 85 and the medical absorbent gauze 86 can be folded and placed in the same placing groove.
The device can be used for placing the temporary cardiac pacing electrode from the median cubital vein of a patient, is simple to operate and is not easy to cause complications. Specifically, the medical staff adopts the device to perform the operation of temporary cardiac pacing electrode implantation as follows:
first, a disposable sterile syringe 81 is attached to a disposable sterile syringe 82, and heparin solution is pumped for use.
Next, the upper limb tourniquet was sterilized locally (area 8X 8 cm) at the median elbow venipuncture site at the elbow fossa, and the indwelling needle 20 was externally connected to a 10ml disposable sterile syringe 82 containing heparin solution. And holding the indwelling needle 20 to slowly insert along the vein at 20 degrees, reducing the angle and then slightly moving in a submerged manner after blood return, fixing the needle wing, sending the needle seat 21 of the indwelling needle 20 into the vein, and drawing out the needle core 22 after venous blood return. And (3) performing routine disinfection again, laying a disposable medical sheet 85 and a disposable hole towel 84, 1ml of 1% lidocaine and 1ml of local anesthesia indwelling needle 20 puncture point local surrounding skin and subcutaneous tissues, cutting off a needle inlet 212 of the indwelling needle 20 by using sterile scissors, and leading the indwelling needle into the guide wire 40. After the introduction of the guide wire 40 is completed, the needle holder 21 of the indwelling needle 20 is withdrawn and the guide wire 40 is retained.
Subsequently, a sheath tube is introduced along the guide wire 40, the guide wire 40 is inserted into the inner sheath 31, and after the outer sheath 32 is inserted into the vein and reaches a predetermined position, the guide wire 40 and the inner sheath 31 are withdrawn.
Finally, the pacing electrode lead is inserted into the sheath 32 and delivered to the apex of the right ventricle through the median cubital vein, the basilic vein, the subclavian vein, the superior vena cava and the right atrium, the pacing electrode is prompted to have moderate tension under X-ray fluoroscopy, the end of the electrode tip is fixed, the electrode lead is externally connected with a pacemaker, and the sheath 30 is withdrawn after the prompt sensing is good. Meanwhile, the electrode lead exposed at the antecubital fossa is fixed by the movable clamp 60, the electrode lead is inserted into the perforation 63 of the movable clamp 60, and the movable clamp 60 is sewed with the skin of the patient by the suture needle 70 with thread at the fixing holes 611 and 621 of the movable clamp 60, so as to fix the electrode lead.
To sum up, the utility model discloses a key lies in providing one set of device of putting into of interim cardiac pacemaker through the vein for medical personnel can put into interim cardiac pacemaker electrode from the positive vein of patient's elbow through this device of putting into, reduce the degree of difficulty of putting into of medical personnel to interim cardiac pacemaker, and reduce the patient because of the complication risk of putting into interim cardiac pacemaker and reduce the inconvenience that the patient brought because of putting into interim cardiac pacemaker.
The above description is only an embodiment of the present invention, and is not intended to limit the technical scope of the present invention, so that any slight modifications, equivalent changes and modifications made by the technical spirit of the present invention to the above embodiments are all within the scope of the technical solution of the present invention.
Claims (4)
1. A device for placement of a temporary cardiac pacemaker through the elbow median vein, comprising: comprises an indwelling needle, a guide wire, a sheath tube, a pacing electrode lead, a movable clamp and a suture needle with a thread;
the indwelling needle comprises a needle seat and a needle core, wherein the needle core is provided with a needle wing piece, the needle seat is provided with a clamping groove matched with the needle wing piece and a needle inlet, and the needle core is arranged in the needle seat in a penetrating manner;
the sheath tube comprises an inner sheath and an outer sheath, the inner sheath penetrates through the outer sheath, and the front end of the inner sheath extends out of the outer sheath; the diameter of the guide wire is smaller than the inner diameter of the inner sheath; the diameter of the pacing electrode lead is smaller than the inner diameter of the outer sheath;
the movable clamp comprises a first clamp body and a second clamp body, the first clamp body and the second clamp body are matched with each other to form a through hole, and the aperture of the through hole is not smaller than the diameter of the pacing electrode lead; the first clamp body and the second clamp body are respectively provided with a fixing hole, and the fixing holes are used for the suture needle with thread to penetrate.
2. The transelbow median vein temporary cardiac pacemaker implantation apparatus of claim 1, wherein: the indwelling needle is further provided with a safety protection shell, the safety protection shell is detachably connected with the needle seat, and the safety protection shell is provided with an axial receding groove.
3. The transelbow median vein temporary cardiac pacemaker implantation apparatus of claim 1, wherein: the implanting device also comprises a disposable sterile injection needle, a disposable sterile injector, a disinfectant brush, a disposable hole towel, a disposable medical sheet and a medical degreasing gauze block.
4. The transfixal median vein temporary cardiac pacemaker implantation apparatus of any one of claims 1-3 wherein: the insertion device also comprises a placing box.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202022354600.1U CN213667558U (en) | 2020-10-21 | 2020-10-21 | Device for implanting temporary cardiac pacemaker through elbow and middle vein |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202022354600.1U CN213667558U (en) | 2020-10-21 | 2020-10-21 | Device for implanting temporary cardiac pacemaker through elbow and middle vein |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN213667558U true CN213667558U (en) | 2021-07-13 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202022354600.1U Active CN213667558U (en) | 2020-10-21 | 2020-10-21 | Device for implanting temporary cardiac pacemaker through elbow and middle vein |
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| CN (1) | CN213667558U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112237686A (en) * | 2020-10-21 | 2021-01-19 | 厦门大学附属第一医院 | Temporary pacemaker implantation via median cubital vein |
-
2020
- 2020-10-21 CN CN202022354600.1U patent/CN213667558U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112237686A (en) * | 2020-10-21 | 2021-01-19 | 厦门大学附属第一医院 | Temporary pacemaker implantation via median cubital vein |
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