CN101912292B - In-vivo puncture and intubation device - Google Patents
In-vivo puncture and intubation device Download PDFInfo
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- CN101912292B CN101912292B CN2010102510903A CN201010251090A CN101912292B CN 101912292 B CN101912292 B CN 101912292B CN 2010102510903 A CN2010102510903 A CN 2010102510903A CN 201010251090 A CN201010251090 A CN 201010251090A CN 101912292 B CN101912292 B CN 101912292B
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Abstract
The invention provides an abdominal cavity puncture and intubation device, which is suitable for intubation in a pleuroperitoneal cavity and used for in-vivo drainage, for example, guiding the abdominal-cavity end of a shunt used in the ventriculoperitoneal shunt into an abdominal cavity in a ventriculoperitoneal shunt process. The device comprises a puncture needle, a guide thread and a lacerable catheter sheath and also comprises a puncture protector, wherein the puncture protector comprises an inner core, a nut and a spring. The in-vivo puncture and intubation device has the advantages that: the thoracic and abdominal wall is not required to be cut; damage is small; surgery sequelae are few; operation is simple and safe; surgery cost is low; and the like.
Description
Technical field
The invention belongs to medical instruments field, particularly, relate to a kind of in-vivo puncture and intubation device.
Background technology
The doctor need put pipe sometimes in vivo in the process of treatment sufferer, thereby with intravital hydrops derivation or with medicine, importings such as nutriment.At present, common operation method is the pipe importing of will performing the operation after operating on, and as being example with the ventriculoperitoneal shunt, traditional ventriculoperitoneal shunt abdominal part is put pipe and needed open abdomen; Operating time is long, and damage is big, and the risk of intestinal adhesion, intestinal obstruction, abdominal hernia is arranged; The patient need lie in bed simultaneously, recovers slow; Abdominal part is left over the paralysed trace of operation.
In recent years going deep into along with surgery Wicresoft theory; There is report to put pipe and imports abdominal cavity ventricles of the brain end through abdominal paracentesis; Insert ventricles of the brain peritoneal shunt pipe through abdominal part puncture at present, mainly contain following several method: (1) has the scholar to repay pilot production to insert the peritoneal shunt pipe with the method for anti-mcBurney point abdominal paracentesis, to avoid the complication of abdominal; But all be the self-control peritoneo-puncture needle or use the neurosurgery large size to attract head to grind into peritoneo-puncture needle and carry out abdominal paracentesis, or steel pipe and the Kirschner wire abdominal cavity of puncturing; (2) report that uses peritoneoscope and the auxiliary underlying pipe of pneumoperitoneum apparatus is also arranged.
Self-control peritoneo-puncture needle or use the neurosurgery large size to attract head to grind into peritoneo-puncture needle and carry out abdominal paracentesis, or steel pipe and Kirschner wire its shortcoming of abdominal cavity that punctures is that penetration damage is big, can't buy on the market in addition, is difficult to apply.Peritoneoscope and pneumoperitoneum apparatus are assisted the underlying pipe, and reliability is high, and shortcoming is to need two cover forces, and the same batch of people's row is holed, beaten tunnel, and another set of forces need grasp the abdominal cavity.Thereby it is necessary to develop the interior puncture and intubation of a body.
Summary of the invention
The objective of the invention is to overcome the deficiency of prior art; A kind of in-vivo puncture and intubation device is provided; Be suitable for the splanchnocoel built-in pipe, be used for drain in the body, it is applicable in the ventriculoperitoneal shunt puts pipe in the abdominal cavity; Operations such as tubing, the shunting of abdominal cavity pus, drain pleural effusion in tubing, the stomach fistulation in the cystostomy, and need not cut that breast, stomach wall, damage are little, the operation sequela is few, simple to operate, safety, Wicresoft, surgery cost is lower and do not leave over advantage such as the tired trace of operation.
Embodiment of the present invention is: a kind of in-vivo puncture and intubation device comprises:
Puncture needle, said puncture needle have puncture needle head, the puncture needle afterbody of taper and the puncture needle inner chamber that runs through said puncture needle head and afterbody;
Seal wire;
Can tear catheter sheath, the said catheter sheath of tearing comprises that epitheca and the interior sheath that is arranged in this epitheca and has a dilating effect form, said in sheath inner chamber hollow, said seal wire can pass said in the sheath inner chamber;
Said in-vivo puncture and intubation device also comprises the puncture protector, and said puncture protector comprises:
The inner core inner chamber that inner core, said inner core have interior core head, inner core afterbody and run through said interior core head and said inner core afterbody;
Nut, said nut has the nut intracavity that runs through said nut;
Spring, said ring spring are around said inner core, and one of which end and said nut butt, and the other end and said inner core are affixed;
Said interior core head passes said puncture needle inner chamber and is exposed to outside the said puncture needle head, and said inner core afterbody is positioned at said nut intracavity;
Said seal wire and said inner core inner chamber are complementary and can pass said inner core inner chamber.
Said puncture protector also has a sheath; Said sheath has the sheath lumen that runs through said sheath; Said sheath lumen has first, second and the 3rd accommodation section, and said nut portion fixedly is placed in said first accommodation section, said spring be placed in second accommodation section also can be in second accommodation section stretching motion; Said puncture needle afterbody is placed in said the 3rd accommodation section, and affixed with said the 3rd accommodation section.
Said nut has first, second connecting portion; Said nut intracavity runs through said first, second connecting portion; Said second connecting portion is placed in said first accommodation section; Said inner core afterbody is positioned at the nut intracavity at said second connecting portion place, and said first connecting portion offers interface along said nut intracavity direction, and said interface can be connected with a syringe.
The length of the nut intracavity at said first connecting portion place is equal to or less than the length of said interior core head; The length of core head is less than or equal to the compressible length of said spring in said.
Core head offers a recess in said, and said recess is communicated with the inner chamber of said inner core.
Said inner core also has an inner core plug, and said inner core plug one end is a circular arc type, and the other end can insert said inner core inner chamber from said interior core head, thereby seals said inner core inner chamber.
Said seal wire is a J type head seal wire.
Beneficial effect of the present invention is: in-vivo puncture and intubation device according to the invention, avoided open abdomen in the v p shunt process, and damage little, few, simple to operate, the safety of operation sequela, surgery cost is lower, be suitable for applying; Especially in-vivo puncture and intubation device according to the invention is convenient to observe puncture needle position in vivo after introducing the puncture protector, avoids the spike pierces internal organs, for operation brings great convenience.
Description of drawings
Fig. 1 a-1i has showed the seal wire 20 of in-vivo puncture and intubation device of the present invention, the epitheca 31 that can tear catheter sheath and interior sheath 32 respectively, can tear the structural representation of catheter sheath 30, syringe 40, reaches the structural representation of first embodiment of inner core 50 in puncture needle 10 and the puncture protector 100, second embodiment of inner core 50, round line style spring 60 and nut 70.
Fig. 2 a has showed the structural representation of first embodiment that said puncture needle 10 and said puncture protector 100 are used, and it comprises puncture needle 10, interconnective inner core 50, elastomeric element 60 and nut 70.
Fig. 2 b has showed another structural representation that said puncture needle 10 and said puncture protector 100 are used, and wherein, said puncture needle 10, inner core 50, elastomeric element 60 and nut 70 are used with said sheath 90.
After Fig. 3 a-3e has showed said puncture needle 10 and said puncture protector 100 insertion abdominal cavities; Said seal wire 20 1 ends pass said inner core inner chamber 51 entering abdominal cavities; And extract said puncture needle 10 and said puncture protector 100 along said seal wire 20 other ends, and said seal wire 20 1 ends are kept somewhere the process in the abdominal cavity.
Fig. 4 a-4f has showed that said seal wire 20 other ends pass the said sheath 32 within the catheter sheath 30 of tearing; The said catheter sheath 30 of tearing is inserted the abdominal cavity along said seal wire 20; Take out seal wire 20 and interior sheath 30; With said isocon abdominal end 82 insertion abdominal cavities, tear epitheca 31, the process in the abdominal cavity is kept somewhere in isocon abdominal end 82 insertion abdominal cavities.
The specific embodiment
Below will combine accompanying drawing that abdominal paracentesis tube-placing device according to the invention is further specified.
With reference to Fig. 1 a, 1b, 1c, 1d, 1e, 1f, 1g, 1h and 1i.A kind of in-vivo puncture and intubation device, it comprises seal wire 20, said seal wire 20 is a J type head seal wire, is a kind of soft silk; Can tear catheter sheath 30, the said catheter sheath 30 of tearing comprises that epitheca 31 and the interior sheath 32 that is arranged in this epitheca 31 and has a dilating effect form, said in sheath 32 inner chamber hollows, and be complementary with said seal wire 20; Syringe 40; Puncture needle 10, said puncture needle 10 have puncture needle head 12, the puncture needle afterbody 13 of taper and run through the puncture needle inner chamber 11 of said puncture needle 10 heads 12 and afterbody 13; Said in-vivo puncture and intubation device; Also comprise a puncture protector 100; Said puncture protector 100 comprises inner core 50; The inner core inner chamber 51 that said inner core 50 comprises interior core head 53, inner core afterbody 52 and runs through said interior core head 53 and afterbody 52 offers recess 56 on the said interior core head 53, and said recess 56 is communicated with said inner core chamber 51; Spring 60; Nut 70, said nut 70 has the nut intracavity 71 of the hollow that runs through said nut 70.
With reference to figure f, said interior core head 53 is a circular arc.
Preferably, with reference to figure g, said inner core 50 also has an inner core plug 55, and said inner core plug 55 1 ends are circular arc type, and the other end passes said interior core head 53 and inserts said inner core inner chamber 51, thereby seals said inner core inner chamber 51.
With reference to Fig. 2 a, said interior core head 53 passes said puncture needle inner chamber 11 and is exposed to said puncture needle head 12, and said inner core afterbody 52 is positioned at said nut intracavity 71; Said spring 60 is around said inner core 50, and an end of said round line style spring 60 and said nut 70 butts, and the other end and said inner core 50 are affixed, and said inner core 50 can be at puncture needle inner chamber 11 and said nut intracavity 71 intrinsic displacements.
Said seal wire 20 matees with said inner core inner chamber 51 each other; And said seal wire 20 can get into inner core inner chamber 51 from said inner core afterbody 52; And pass, thereby guide said puncture needle 10 to derive from said seal wire 20 other ends with said puncture protector 100 from said recess 56.
In ventriculoperitoneal shunt, the pipe operation of putting of isocon abdominal end is example, when said puncture needle 10 and said protector 100 entering abdominal cavities; The operation technique person controls said nut 70, and said interior core head 53 receives the resistance opposite with direction of advance and the displacement opposite with direction of advance takes place in said inner core inner chamber 51 and said nut intracavity 71, at this moment; Because said spring 60 1 ends are fixed in said inner core 50; The other end is fixed in said nut 70, and that the operation technique person controls said nut is fixed, therefore; Said spring 60 will compress, thereby controls the distance of said inner core 50 at said inner core inner chamber 51 and said nut intracavity 71 intrinsic displacements.Said inner core afterbody 52 also is subjected to displacement in said nut intracavity 71 along with the displacement of said inner core 50.Observe for the ease of the operation technique person, on said nut 70, in said inner core afterbody 52 places transparency window is set, or the length of said nut intracavity 71 is set, make said round line style spring 60 1 compressions, said inner core afterbody 52 just stretches out said nut intracavity 71.Behind said puncture needle 10 entering abdominal cavities; The resistance that core head 53 receives in said disappears, and said round line style spring 60 does not recompress and replys the original length, at this moment; Core head 53 stretches out said puncture needle head 12 again in said, and said inner core afterbody 52 is homing again.Like this, the operation technique person just can judge the displacement situation of said inner core 50 through the displacement of observing inner core afterbody 52, thereby knows the position of said puncture needle 10 in the abdominal cavity.
With reference to Fig. 2 b; Fig. 2 b has showed another embodiment of said puncture protector, and among this figure, said puncture protector also has a sheath 90; Said sheath 90 has the sheath lumen 91 that runs through; Said sheath lumen has first, second and the 3rd accommodation section 92,93 and 94, and said nut 70 partial fixings are placed in said first accommodation section 92, said spring 60 be placed in second accommodation section 93 and can be in second accommodation section 93 stretching motion; Said puncture needle 10 parts are placed in said the 3rd accommodation section 94, and affixed with said the 3rd accommodation section 94.Said nut 70 has first, second connecting portion 72 and 73; Said nut intracavity 71 runs through said first, second connecting portion 72 and 73; Said second connecting portion 73 is ccontaining and be fixed in said first accommodation section 92; Said inner core afterbody 52 is positioned at the nut intracavity 71 at said second connecting portion 73 places.
In ventriculoperitoneal shunt, the pipe operation of putting of isocon abdominal end is example, when said puncture needle 10 and said puncture protector 100 entering abdominal cavities; Core head 53 receives the resistance opposite with direction of advance and the displacement opposite with direction of advance takes place in said inner core inner chamber 51 and said nut intracavity 71 in said; At this moment, because said spring 60 1 ends are fixed in said inner core 50, the other end is connected to said nut 70; And said nut 70 is fixed in first accommodation section 92 of said sheath 90 through second connecting portion 73; Therefore, said spring 60 will compress, thereby controls the distance of said inner core 50 at said inner core inner chamber 51 and said nut intracavity 71 intrinsic displacements.Observe the displacement of said inner core 50 in said inner core inner chamber 51 and said nut intracavity 71 for the ease of the operation technique person; The length of core head 53 is set to be less than or equal to the compressible length of said spring 60 in said; The length of the nut intracavity 71 at said first connecting portion 72 places is set to be equal to or less than the length of said interior core head 53; This just makes said inner core 50 when displacement, and said inner core afterbody 52 can stretch out the nut intracavity of said nut 70, thereby is convenient to observe.Preferably, for the displacement of the said inner core afterbody 52 of convenient observation, said nut 70 with shown in sheath 90 all adopt transparent material.Behind said puncture needle 10 entering abdominal cavities, the resistance that said interior core head 53 receives disappears, and said spring 60 does not recompress and replys the original length, and at this moment, said interior core head 53 stretches out said puncture needle head 12 again.Said inner core afterbody 52 is got back to the nut intracavity 71 that is positioned at said second connecting portion 73 places again.
Preferably, said first connecting portion 72 offers interface 74 along said nut intracavity 71 directions, and said interface 74 can be connected with a syringe 40.After said puncture needle inserted the abdominal cavity, interface connected the syringe of irritating normal saline, observed normal saline and whether flowed under the influence of gravity into the abdominal cavity, whether was positioned at intraperitoneal to detect said puncture needle 10.
With reference to Fig. 3 a, 3b, 3c, 3d and 3e, these a few pair figure are still with in the ventriculoperitoneal shunt, and the pipe operation of putting of isocon abdominal end is example, has showed in the use of said in-vivo puncture and intubation device, the process in the said abdominal cavity of said seal wire 20 entering.With reference to Fig. 3 a; During the puncture needle 10 insertion abdominal cavities of said sting device; The interior core head 53 of said inner core 50 receives the resistance opposite with direction of advance and along the direction displacement opposite with direction of advance; Said spring 60 will compress and control the displacement of said inner core 50, in said nut intracavity 71, stretches out said nut intracavity 71 along the direction displacement opposite with said puncture needle direction of advance thereby the operator can be observed said inner core afterbody 52.With reference to Fig. 3 b; Behind said puncture needle 10 insertion abdominal cavities; The resistance that core head 53 receives in said disappears, and said spring 60 does not recompress, and said interior core head 53 stretches out said puncture needle head 12; Said inner core afterbody 52 in said nut intracavity 71 along with the identical direction displacement of said puncture needle 10 directions of advance, thereby stretch into said nut intracavity 71.At this moment, with reference to Fig. 3 c, behind the said puncture needle 10 insertion abdominal cavities; Through laparoscopic visualization, to abdominal viscera and blood vessel not damaged, pumpback no liquid; Connect no bolt syringe 40 through puncture needle 10; Normal saline is put into syringe, see that normal saline flows under the influence of gravity into intraperitoneal, the puncture needle correct position then is described.
With reference to Fig. 3 d and Fig. 3 e; Behind said puncture needle and said puncture protector entering abdominal cavity; Said seal wire 20 1 ends pass said inner core inner chamber 51; And through said recess 56 entering abdominal cavities, and said seal wire 20 other ends of tailing edge are extracted said puncture needle 10 and puncture protector 100, and said seal wire 20 1 ends are kept somewhere the process in the abdominal cavity.
Fig. 4 a, 4b, 4c, 4d, 4e and 4f have showed that said seal wire 20 other ends pass the said sheath 32 within the catheter sheath 30 of tearing, and the said catheter sheath 30 of tearing is inserted the abdominal cavity along said seal wire 20, take out the process of seal wire 20 and interior sheath 32.Said inner chamber and the said seal wire 20 of tearing sheath 32 within the conduit 30 is complementary; Said seal wire 20 passes the said sheath 32 within the catheter sheath 30 of tearing; The said catheter sheath 30 of tearing is inserted the abdominal cavity along said seal wire 20, take out seal wire 20 and interior sheath 32 successively, the isocon abdominal end 82 of v p shunt is inserted the abdominal cavity along said epitheca 31 mouths of pipe; Then tear said epitheca 31, said isocon abdominal end 82 is kept somewhere in the abdominal cavity.
In operation process, said isocon abdominal end 82 is connected with isocon encephalocoele end, thereby under the effect of pressure, hydrocephalus is imported the abdominal cavity.。
Said conduit 30 epithecas 31 of tearing are for the tetrafluoroethene material, said in sheath 32 be propylene material.
It should be noted that; Above-mentioned specific embodiment is with in the ventriculoperitoneal shunt; The pipe operation of putting of isocon abdominal end is example, the use of clear said in-vivo puncture and intubation device specifically, but in-vivo puncture and intubation device according to the invention obviously is not limited to the abdominal cavity; Need put in vivo in the operation of pipe at other, as also using in-vivo puncture and intubation device according to the invention in the operations such as tubing, the shunting of abdominal cavity pus, drain pleural effusion in tubing, the stomach fistulation in the cystostomy.
The foregoing description is preferred embodiment of the present invention, is not to be used for limiting practical range of the present invention, so all equivalences of being done with the described structure of claim of the present invention, characteristic and principle change or modify, all should be included within the claim scope of the present invention.
Claims (7)
1. an in-vivo puncture and intubation device is characterized in that, comprising:
Puncture needle, said puncture needle have puncture needle head, the puncture needle afterbody of taper and the puncture needle inner chamber that runs through said puncture needle head and afterbody;
Seal wire;
Can tear catheter sheath, the said catheter sheath of tearing is made up of epitheca and the interior sheath that is arranged in this epitheca and has a dilating effect, said in sheath inner chamber hollow, said seal wire can pass said interior sheath inner chamber;
Said in-vivo puncture and intubation device also comprises the puncture protector, and said puncture protector comprises:
The inner core inner chamber that inner core, said inner core have interior core head, inner core afterbody and run through said interior core head and said inner core afterbody;
Nut, said nut has the nut intracavity that runs through said nut;
Spring, said ring spring are around said inner core, and one of which end and said nut butt, and the other end and said inner core are affixed;
Said interior core head passes said puncture needle inner chamber and is exposed to outside the said puncture needle head, and said inner core afterbody is positioned at said nut intracavity;
Said seal wire and said inner core inner chamber are complementary and can pass said inner core inner chamber.
2. in-vivo puncture and intubation device as claimed in claim 1 is characterized in that, said puncture protector also has a sheath; Said sheath has the sheath lumen that runs through said sheath; Said sheath lumen has first, second and the 3rd accommodation section, and said nut portion fixedly is placed in said first accommodation section, said spring be placed in second accommodation section also can be in second accommodation section stretching motion; Said puncture needle afterbody is placed in said the 3rd accommodation section, and affixed with said the 3rd accommodation section.
3. in-vivo puncture and intubation device as claimed in claim 2 is characterized in that said nut has first, second connecting portion; Said nut intracavity runs through said first, second connecting portion; Said second connecting portion is placed in said first accommodation section; Said inner core afterbody is positioned at the nut intracavity at said second connecting portion place, and said first connecting portion offers interface along said nut intracavity direction, and said interface can be connected with a syringe.
4. in-vivo puncture and intubation device as claimed in claim 3 is characterized in that, the length of the nut intracavity at said first connecting portion place is equal to or less than the length of said interior core head; The length of core head is less than or equal to the compressible length of said spring in said.
5. in-vivo puncture and intubation device as claimed in claim 1 is characterized in that, said interior core head offers a recess, and said recess is communicated with the inner chamber of said inner core.
6. in-vivo puncture and intubation device as claimed in claim 1 is characterized in that, said inner core also has an inner core plug, and said inner core plug one end is a circular arc type, and the other end can insert said inner core inner chamber from said interior core head, thereby seals said inner core inner chamber.
7. in-vivo puncture and intubation device as claimed in claim 1 is characterized in that, said seal wire is a J type head seal wire.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102510903A CN101912292B (en) | 2010-08-11 | 2010-08-11 | In-vivo puncture and intubation device |
| US13/519,656 US8870892B2 (en) | 2009-12-31 | 2010-09-01 | Device for puncturing body and introducing catheter |
| PCT/CN2010/076530 WO2011079620A1 (en) | 2009-12-31 | 2010-09-01 | Device for puncturing body and introducing catheter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102510903A CN101912292B (en) | 2010-08-11 | 2010-08-11 | In-vivo puncture and intubation device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101912292A CN101912292A (en) | 2010-12-15 |
| CN101912292B true CN101912292B (en) | 2012-03-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010102510903A Expired - Fee Related CN101912292B (en) | 2009-12-31 | 2010-08-11 | In-vivo puncture and intubation device |
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| Country | Link |
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| CN (1) | CN101912292B (en) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102068298A (en) * | 2011-02-17 | 2011-05-25 | 浙江省立同德医院 | Diversion tube insertion device |
| CN102499724B (en) * | 2011-09-30 | 2014-08-27 | 东莞麦可龙医疗科技有限公司 | Disposable veress needle manufacturing method and veress needle manufactured by same |
| CN102698326B (en) * | 2012-05-31 | 2015-06-10 | 冯清亮 | Lumbar cistern drainage device |
| CN104783919A (en) * | 2015-04-29 | 2015-07-22 | 桂林医学院 | Brain tissue damage experimental facility |
| CN105011988A (en) * | 2015-07-13 | 2015-11-04 | 陈镇洲 | Split abdominal cavity puncture device for ventricle-peritoneal shunting operation |
| CN105999514B (en) * | 2016-06-24 | 2019-05-17 | 伦鹏 | A kind of guiding sleeve suitable for ventriculo-peritoneal shunt operation |
| CN105943165A (en) * | 2016-06-27 | 2016-09-21 | 浙江省人民医院 | Special catheterization kit package for laparoscopic peritoneal dialysis catheterization |
| CN106691748B (en) * | 2016-12-07 | 2022-05-10 | 深圳市擎源医疗器械有限公司 | Multifunctional drainage fixing device |
| CN108514442A (en) * | 2018-04-23 | 2018-09-11 | 丽水市人民医院 | A kind of visualization Ventriculo peritoneal shunt pipe embedded device and its application method |
| CN110090046B (en) * | 2019-04-10 | 2021-06-22 | 江苏省人民医院（南京医科大学第一附属医院） | Improved thyroid puncture device |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU782618B2 (en) * | 2000-04-12 | 2005-08-11 | Covidien Ag | Thoracentesis device with hyper-sensitive detection mechanism |
| CN201744055U (en) * | 2010-08-11 | 2011-02-16 | 冯清亮 | In-vivo puncture tube-implanting device |
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2010
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