CN201409922Y - Epidural space puncture detection device - Google Patents

Epidural space puncture detection device Download PDF

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Publication number
CN201409922Y
CN201409922Y CN2009201066265U CN200920106626U CN201409922Y CN 201409922 Y CN201409922 Y CN 201409922Y CN 2009201066265 U CN2009201066265 U CN 2009201066265U CN 200920106626 U CN200920106626 U CN 200920106626U CN 201409922 Y CN201409922 Y CN 201409922Y
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CN
China
Prior art keywords
indicating device
push rod
syringe body
puncture
epidural puncture
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CN2009201066265U
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Chinese (zh)
Inventor
孙东
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Individual
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Individual
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Priority to CN2009201066265U priority Critical patent/CN201409922Y/en
Priority to PCT/CN2009/071562 priority patent/WO2010108337A1/en
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Publication of CN201409922Y publication Critical patent/CN201409922Y/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • A61B5/032Spinal fluid pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3401Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means

Abstract

An epidural space puncture detection device comprises an injector body, a push rod, an epidural puncture needle and an indicating device, wherein the resistance between the injector body and the pushrod is smaller than 0.5 N; the indicating device is mounted on the injector body, a base of the epidural puncture needle or a middle body; an elastic body is arranged on the indicating device and is fixed at the far end part thereof; and clamping components matched with each other are mounted on the push rod and the injector body, so as to accurately position the push rod and maintain the pressurein a low-resistance injector for the operation of the indicating device. The utility model has the advantages that the structure is simple; the low-resistance injector is used to achieve low resistance and convenient use for the operation of a doctor in repeatedly pushing and pulling the push rod for use; a puncture result can be further verified by the doctor through the combination of the indication of the indicating device and traditional methods; the induction of the indicating device on pressure changes is sensitive, so that the indication is accurate and reliable; and the physical objective indication and the traditional doctor verification, i.e. innovation and tradition, are combined, thereby achieving high puncture success rate, double functions and good application value.

Description

The cavum epidural puncture sniffer
Technical field
This utility model relates to the sniffer that a kind of band is detected deictic function, be specifically a kind of reliable, can accurately detect and indicate and judge that puncture needle arrives the cavum epidural puncture sniffer of epidural space.
Background technology
The medical worker is in the cavum epidural puncture operation, determine that whether puncture needle has arrived epidural space is very crucial problem, have only accurate localised puncture pin to arrive epidural space and just can put the pipe administration, if cause easily that in the errors present administration anesthesia failure even operative failure cause death etc.At present, the doctor judges by experience and feel whether puncture needle enters epidural space mostly, the main injection with low resistance of using is confirmed, injection with low resistance refers in particular to the syringe of push rod resistance less than 0.5N, with conventional syringe essential distinction is arranged, in medical practice, rely on epidural space lower negative pressure characteristics, be used to judge the cavum epidural puncture position.But injection with low resistance is not directly perceived in use entirely with doctor's feel.When syringe needle punctures that into subcutaneous tissue reaches fine and close ligament tissue, syringe needle is plugged, pressure is bigger, pressure discharges when puncturing into spinal epidural cavity, and the doctor relies on sensation preliminary judgement puncture needle to enter epidural space at this moment, but can't full confirmation, need the pull injector push-rod, as push rod push-pull effort no change explanation correct position, prove that then puncture needle has entered subarachnoid space if there is cerebrospinal fluid to extract out, need puncture again.But this operation is higher to doctor's specification requirement, and randomness is strong, can't guarantee that each puncture position is all accurate, and the method efficient is lower, easily causes anesthesia failure or post-operative complication etc.
At present, there is the technical staff to propose to place water droplet at the ordinary syringe tail end at the problems referred to above, pressure reduces after puncture needle enters spinal dura mater, and water droplet can slightly rock under the situation that ambient pressure changes, and the doctor borrows rocking of water droplet of observation further to determine the puncture needle position.But this kind method is inconvenient to observe, and water droplet rocks under the faint situation and do not observe probably.
At the problems referred to above, those skilled in the art propose a kind of syringe with deictic function, but this syringe is an ordinary syringe, relying on pressure to change when using judges the influence of indicating device, the doctor sees when indicating device changes, and also needs the indication syringe unloaded to change injection with low resistance and reaffirm that operating procedure is complicated, if control is bad, the puncture needle position changes probably and causes puncture failure when changing syringe.
In sum, at present for indicating the apparatus of puncture position to have very big demand in the cavum epidural puncture operation accurately and reliably.
The utility model content
In order to improve and remedy the defective of prior art, the purpose of this utility model is to provide reliably cavum epidural puncture sniffer accurately of a kind of result of detection.
To achieve these goals, this utility model adopts following technical scheme:
A kind of cavum epidural puncture sniffer, it comprises syringe body, push rod and anesthesia spinal needle, wherein, the resistance between syringe body and the push rod is less than 0.5N; Also comprise an indicating device, this indicating device is arranged on this syringe body or on the base of anesthesia spinal needle, and the two communicates with this; This indicating device is provided with elastomer, and elastomer is fixed in the indicating device distal portion; Be equipped with the blocking parts of mutual coupling on push rod and the syringe body.Indicating device is arranged at the anterior sidewall of syringe body, is structure as a whole with syringe body.
Another kind of cavum epidural puncture sniffer, it comprises syringe body, push rod and anesthesia spinal needle, wherein, the resistance between syringe and the push rod is less than 0.5N; Also comprise an indicating device, this indicating device is arranged on the base of anesthesia spinal needle, and communicates with it; This indicating device is provided with elastomer, and elastomer is fixed in the indicating device distal portion; Be equipped with the blocking parts of mutual coupling on push rod and the syringe body.The base of above-mentioned indicating device and anesthesia spinal needle is structure as a whole.
Another cavum epidural puncture sniffer, it comprises syringe body, push rod and anesthesia spinal needle, wherein, the resistance between syringe and the push rod is less than 0.5N; Also comprise an intermediate, indicating device is located on this intermediate and with this intermediate and is communicated; This indicating device is provided with elastomer, and elastomer is fixed in the indicating device distal portion; Be equipped with the blocking parts of mutual coupling on push rod and the syringe body; Described indicating device and intermediate are structure as a whole.
In above-mentioned three kinds of indication syringes, the blocking parts of coupling are location snap ring and draw-in groove mutually; Described locator card ring set is located at the syringe body rear portion; Described draw-in groove is arranged on the push rod.Mutually the blocking parts of coupling can also be fixing snap ring, this fixedly snap ring be arranged at the syringe body afterbody and be sheathed on the push rod, when this kind blocking parts are particularly useful for syringe body and push rod and are glass material.Elastomer can produce deformation with atmospheric pressure, as band indicating device of spring or elasticity vesicle etc.Described syringe body leading section is direct insertion structure or screws structure that direct insertion structure is 6: 100 with the tapering of screwing structure.
Advantage of the present utility model and benefit:
This utility model indicating device and syringe body or puncture needle base or intermediate communicate, good airproof performance, and elastomer changes with the variation of atmospheric pressure, changes obviously, is easy to observe.Because this utility model adopts injection with low resistance, the doctor in use repeatedly in the operating process of push-and-pull push rod resistance little, easy to use, the use of injection with low resistance makes the doctor can be after the indicating device indication, further checking puncture result.The holder design is the localization handspike position accurately, and push rod is not replied, and keeps the injection with low resistance internal pressure, makes indicating device work.This utility model is with indicating device and injection with low resistance combination, and new method and traditional method merge to be used, and kills two birds with one stone, and has save the unnecessary trouble of changing syringe, has saved the anesthesia surgery time.The design of the snap ring of the draw-in groove of push rod and indicator body can accurate in locating push rod position, and push rod is not replied in the use, keep-ups pressure.This utility model is simple in structure, and is easy to operate, and the elastomer of indicating device is indicated accurately and reliably the puncture success rate height to pressure variation sensing sensitivity.
Description of drawings
Fig. 1 is this utility model embodiment 1 main TV structure sketch map;
Fig. 2 is this utility model embodiment 1 syringe and pusher structure sketch map;
Fig. 3 is the right TV structure sketch map of this utility model embodiment 1 syringe and push rod;
Fig. 4 is this utility model embodiment 2 main TV structure sketch maps;
Fig. 5 is this utility model embodiment 2 anesthesia spinal needle structural representations;
Fig. 6 is this utility model embodiment 3 main TV structure sketch maps;
Fig. 7 is this utility model embodiment 4 main TV structure sketch maps;
Fig. 8 is this utility model embodiment 4 intermediate structure sketch maps;
Fig. 9 is this utility model embodiment 5 structural representations;
Figure 10 is this utility model embodiment 6 structural representations;
Figure 11 is a fixedly snap ring structural representation of this utility model embodiment 6.
The specific embodiment
Embodiment 1
As Fig. 1, Fig. 2 and shown in Figure 3, a kind of cavum epidural puncture sniffer, it comprises syringe body 1, push rod 2 and anesthesia spinal needle 3, syringe is the injection with low resistance of push rod 2 resistances less than 0.5N; Syringe body 1 front portion communicates with an indicating device 4, and indicating device 4 is provided with elastomer 41, and elastomer 41 is fixed in indicating device 4 inwall distal portion.
Above-mentioned indicating device 4 is positioned at syringe body 1 anterior sidewall, and is structure as a whole with syringe body 1.Syringe body 1 rear portion is provided with location snap ring 11.Push rod 2 is provided with the draw-in groove 21 that is complementary with described location snap ring 11, and the draw-in groove 21 that is provided with on the push rod 2 can stragglyly be arranged, in order at the fixing push rod 2. of multiple diverse location
Elastomer 41 can produce deformation with atmospheric pressure, is spring in the present embodiment.
Syringe body 1 leading section is direct insertion structure 12; The tapering of direct insertion structure 12 is 6: 100.
This utility model in use, at first, the doctor goes into lancet puncture to continue to be pushed into behind the subcutaneous tissue and reaches fine and close ligament tissue, and syringe needle is blocked by ligament tissue, is closed state in the syringe, touch push rod 2 this moment, syringe body 1 internal pressure increases, and this moment, indicating device 4 was started working, because indicating device 4 and syringe body 1 communicate, elastomer 41 natural deformation (spring compression during form of springs, vesicle expands during form of vesicles).With push rod 2 rotations, draw-in groove 21 is aimed at location snap ring 11 blockings and is lived then, and push rod 2 maintains static, this moment is localization handspike 2 positions accurately, push rod 2 is not replied, keep the pressure of the intracavity that forms by anesthesia spinal needle 3, injection with low resistance and indicating device 4, indicating device 4 is worked.When puncture needle after slowly inserting needle passes spinal dura mater and enters epidural space, because epidural space is a lower negative pressure, the normal pressure that indicating device 4 will just have been possessed discharges suddenly, elastomer 41 instantaneous answers, the doctor sees elastomer 41 change in volume, distinguishes that accurately needle point has arrived epidural space.The doctor observes and also can reaffirm that puncture needle does not enter subarachnoid space in conjunction with traditional method after elastomer 41 changes.The doctor rotates push rod 2 makes it be in not blocking state, and light pulling-pushing rod 2 sees if there is cerebrospinal fluid and is drawn out of, as do not see, then anesthesia spinal needle 3 is in the epidural space.Touch push rod 2 affirmation resistances then and do not see increase,, can not confirm as needle point in epidural space so resistance is seen increase owing to be negative pressure in the epidural space.Elastomer 41 is observed more convenient, the doctor by observing elastomers 41 in the indicating device 4 variation and 2, two kinds of methods of pull injection with low resistance push rod in conjunction with judging the puncture needle position.This utility model is simple in structure, and is easy to operate, and the indication result combines the method for tradition with innovation accurately and reliably, has increased puncture success rate, has good using value and market prospect.
Embodiment 2
As shown in Figure 4 and Figure 5, indicating device 4 is located on the base 31 of puncture needle 3, and communicates with it, and other structures are with embodiment 1.
Using method and principle are with embodiment 1.
Embodiment 3
As shown in Figure 6, described indicating device 4 is located on the base 31 of puncture needle 3, and communicates with it, and other structures are with embodiment 1; Indicating device 4 is provided with elastomer 41, and elastomer 41 is fixed in indicating device 4 inwall distal portion; Elastomer 41 can produce deformation with atmospheric pressure, is vesicle in the present embodiment.
Syringe body 1 leading section is that screw-on structure 13 taperings are 6: 100.
Using method and principle are with embodiment 1.
Embodiment 4
As shown in Figure 7 and Figure 8, a kind of cavum epidural puncture sniffer, it comprises syringe body 1, push rod 2 and anesthesia spinal needle 3, wherein, syringe is the injection with low resistance of push rod resistance less than 0.5N; Also comprise intermediate 5, indicating device 4 is located on this intermediate 5 and with this intermediate 5 and is communicated; This indicating device 4 is provided with elastomer 41, and elastomer 41 is fixed in indicating device 4 distal portion; Be equipped with the blocking parts of mutual coupling on push rod 2 and the syringe body 1; Syringe body 1 rear portion is provided with location snap ring 11.Described push rod 2 is provided with and locatees the draw-in groove 21 that snap ring 11 is complementary.Indicating device 4 is structure as a whole with intermediate 5.
Elastomer 41 can produce deformation with atmospheric pressure, is spring structure in the present embodiment.
Syringe body 1 leading section is that screw-on structure 13 taperings are 6: 100.
Using method and principle are with embodiment 1.
Embodiment 5
As shown in Figure 9, indicating device 4 is arranged on the intermediate 5, and this indicating device 4 is provided with elastomer 41, and elastomer 41 is fixed in indicating device 4 inwall distal portion; Elastomer 41 can produce deformation with atmospheric pressure, is vesicle in the present embodiment.Other structures are with embodiment 4.
Using method and principle are with embodiment 1.
Embodiment 6
As shown in Figure 10 and Figure 11, the syringe body 1 of sniffer and push rod 2 are made by glass material in this embodiment.Indicating device 4 is located on the base 31 of puncture needle 3, and communicate with it, the blocking parts are fixing snap ring 6 in the present embodiment, fixedly snap ring 6 is arranged at syringe body 1 afterbody and is sheathed on the push rod 2, fixedly snap ring 6 is provided with the screw 61 that can screw, control fixedly snap ring 6 degrees of tightness by screwing of this screw 61, and then fixing push rod position.This kind fixedly snap ring structure is applicable to the syringe body and the push rod of glass material especially.

Claims (13)

1, a kind of cavum epidural puncture sniffer, it comprises syringe body, push rod and anesthesia spinal needle, it is characterized in that, the resistance between described syringe body and the push rod is less than 0.5N; Also comprise an indicating device, this indicating device is arranged on this syringe body or on the base of described anesthesia spinal needle, and the two communicates with this; This indicating device is provided with elastomer, and described elastomer is fixed in the indicating device distal portion; Be equipped with the blocking parts of mutual coupling on described push rod and the syringe body.
2, cavum epidural puncture sniffer according to claim 1 is characterized in that, described indicating device is arranged at the anterior sidewall of syringe body.
3, cavum epidural puncture sniffer according to claim 2 is characterized in that, described indicating device and syringe body are structure as a whole.
4, cavum epidural puncture sniffer according to claim 1 is characterized in that, the base of described indicating device and anesthesia spinal needle is structure as a whole.
5, cavum epidural puncture sniffer according to claim 1 is characterized in that, the blocking parts of described mutual coupling are location snap ring and draw-in groove; Described location snap ring is located on the syringe body rear portion; Described draw-in groove is arranged on the push rod.
6, cavum epidural puncture sniffer according to claim 1 is characterized in that, the blocking parts of described mutual coupling are fixing snap ring, this fixedly snap ring be arranged at the syringe body afterbody and be sheathed on the push rod.
7, according to any described cavum epidural puncture sniffer in the claim 1 to 6, it is characterized in that described elastomer can produce deformation with atmospheric pressure.
8, cavum epidural puncture sniffer according to claim 7 is characterized in that, described syringe body leading section is direct insertion structure or screws structure.
9, a kind of cavum epidural puncture sniffer, it comprises syringe body, push rod and anesthesia spinal needle, it is characterized in that, the resistance between described syringe and the push rod is less than 0.5N; Also comprise an intermediate, these intermediate two ends can connect syringe body and anesthesia spinal needle; Indicating device is located on this intermediate and with this intermediate and is communicated; This indicating device is provided with elastomer, and described elastomer is fixed in the indicating device distal portion; Be equipped with the blocking parts of mutual coupling on described push rod and the syringe body.
10, according to claim 9 or 10 described cavum epidural puncture sniffers, it is characterized in that described indicating device and intermediate are structure as a whole.
According to claim 9 or 10 described cavum epidural puncture sniffers, it is characterized in that 11, the blocking parts of described mutual coupling are location snap ring and draw-in groove; Described locator card ring set is located at the syringe body rear portion; Described draw-in groove is arranged on the push rod.
According to claim 9 or 10 described cavum epidural puncture sniffers, it is characterized in that 12, the blocking parts of described mutual coupling are fixing snap ring, this fixedly snap ring be arranged at the syringe body afterbody and be sheathed on the push rod.
13, according to claim 9 or 10 described cavum epidural puncture sniffers, it is characterized in that described elastomer can produce deformation with atmospheric pressure.
CN2009201066265U 2009-03-27 2009-03-27 Epidural space puncture detection device Expired - Lifetime CN201409922Y (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN2009201066265U CN201409922Y (en) 2009-03-27 2009-03-27 Epidural space puncture detection device
PCT/CN2009/071562 WO2010108337A1 (en) 2009-03-27 2009-04-29 Device for epidural space puncturing

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Application Number Priority Date Filing Date Title
CN2009201066265U CN201409922Y (en) 2009-03-27 2009-03-27 Epidural space puncture detection device

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WO (1) WO2010108337A1 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102357269A (en) * 2011-11-09 2012-02-22 北京天助畅运医疗技术股份有限公司 Epidural space indicator with filter membrane
CN102614563A (en) * 2012-03-12 2012-08-01 闫清 High-resistance push rod sac bubble indicating injector for epidural space puncture
EP2893887A1 (en) * 2014-01-10 2015-07-15 University College Cork An indication device for locating a natural cavity in a body
WO2017049990A1 (en) * 2015-09-21 2017-03-30 河南驼人医疗器械集团有限公司 Pressure-indicating syringe
WO2018166281A1 (en) * 2017-03-16 2018-09-20 于怀庆 Fluid injection pressure control syringe
CN114674482A (en) * 2022-03-25 2022-06-28 中国科学院合肥物质科学研究院 Multidimensional force detection device for puncture surgery

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Publication number Priority date Publication date Assignee Title
ES1222489Y (en) * 2018-10-10 2019-03-22 Perez Juan Carlos Garcia SYRINGE WITH VISUAL WITNESS AND RETENTION ELEMENTS

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US4623335A (en) * 1985-10-09 1986-11-18 Anthony Jackson Apparatus and methods for detecting probe penetration of human internal target tissue having predetermined internal pressure
CN2137941Y (en) * 1992-09-29 1993-07-14 洪锡奎 Monitor for peridural pucture
CN2254334Y (en) * 1995-11-23 1997-05-21 山东省滨州地区人民医院 Spring bolt type positive pressure epidural puncture monitor
US5902273A (en) * 1997-10-15 1999-05-11 Yang; Ian Y. Pressurizable epidural space identification syringe
CN1301527A (en) * 1999-12-27 2001-07-04 房茂峰 Hard film external anesthetic puncture pressure measuring alarm needle
CN2571331Y (en) * 2002-09-30 2003-09-10 朱东亚 Cyst display pressure-preserving syringe for epidural space puncture
WO2007022599A1 (en) * 2005-08-26 2007-03-01 Novodural Pty Ltd Improvements relating to epidural administration systems
CN201328862Y (en) * 2009-01-14 2009-10-21 孙东 Low resistance indication injector for epidural space puncture

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102357269A (en) * 2011-11-09 2012-02-22 北京天助畅运医疗技术股份有限公司 Epidural space indicator with filter membrane
CN102614563A (en) * 2012-03-12 2012-08-01 闫清 High-resistance push rod sac bubble indicating injector for epidural space puncture
CN102614563B (en) * 2012-03-12 2016-02-17 河南驼人医疗器械集团有限公司 Cavum epidural puncture high-drag push rod vesicle indication injector
EP2893887A1 (en) * 2014-01-10 2015-07-15 University College Cork An indication device for locating a natural cavity in a body
WO2017049990A1 (en) * 2015-09-21 2017-03-30 河南驼人医疗器械集团有限公司 Pressure-indicating syringe
WO2018166281A1 (en) * 2017-03-16 2018-09-20 于怀庆 Fluid injection pressure control syringe
CN114674482A (en) * 2022-03-25 2022-06-28 中国科学院合肥物质科学研究院 Multidimensional force detection device for puncture surgery
CN114674482B (en) * 2022-03-25 2023-07-25 中国科学院合肥物质科学研究院 Multidimensional force detection device for puncture operation

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