CN106963458A - A kind of positioning remaining needle and its anesthesia for continuous peripheral blockade - Google Patents
A kind of positioning remaining needle and its anesthesia for continuous peripheral blockade Download PDFInfo
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- CN106963458A CN106963458A CN201710297372.9A CN201710297372A CN106963458A CN 106963458 A CN106963458 A CN 106963458A CN 201710297372 A CN201710297372 A CN 201710297372A CN 106963458 A CN106963458 A CN 106963458A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M19/00—Local anaesthesia; Hypothermia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
- A61M31/002—Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0468—Liquids non-physiological
- A61M2202/048—Anaesthetics
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
The invention discloses a kind of positioning remaining needle for continuous peripheral blockade, it is made up of two components of Y types remaining needle and nerve positioning pin;Y types remaining needle includes needle stand and the indwelling flexible pipe and injection catheter drawn respectively along needle stand bottom surface and side;Nerve positioning pin includes the needle body for being inserted into indwelling flexible pipe inner chamber, and needle body is arranged on the needle handle that can be fastened with needle stand, and needle handle tail end draws the wire for connecting needle body and nerve stimulation instrument;Needle body is made of conductive material, and indwelling flexible pipe, which is adopted, to be made from an insulative material, and the tip extension of needle body is exposed to the outside of indwelling flexible pipe.The positive pole electrode slice of nerve stimulation instrument is connected with patient's Ipsilateral limb when using, nerve stimulation instrument output end connects the needle body of nerve positioning pin by wire, the anatomical position of retardance peripheral nerve determines to puncture entry point as needed.The present invention is cheap, anaesthetizes accurate positioning, and Postoperative Analgesia After is convenient and reliable, few intercurrent disease, hence it is evident that improve quality of anesthesia and security.
Description
Technical field
The invention belongs to the field of anaesthetizing, and in particular to a kind of positioning remaining needle and its fiber crops for continuous peripheral blockade
Liquor-saturated method.
Background technology
The anesthesia of peripheral blockade has perfect simple to operate, topical pain relief effect, patient's Consciousness, to complete
The advantages of figure rings smaller, so being widely applied among upper and lower extremities operation.But traditional peripheral blockade
Operation uses blind spy puncture method, and this method does not have objective indicator, can only positioned by finding paresthesia repeatedly, easily damage
, there are certain anesthetic risks, it usually needs could be completed by veteran anesthetist in the blood vessel and nerve of surrounding.
Recently as the fast development of medical device, peripheral nerve stimulation instrument obtains universal answer in clinical anesthesia
With its operation principle is to trigger contraction of muscle as objective indicator so that electrical stimulation is dry, can not only increase nerve block puncture
Accuracy, improve the success rate and security punctured, and can avoid causing the blood vessel of surrounding damage, be greatly enhanced
The security of anesthesia.But used nerve stimulation pin can only implement single retardance, once daily at present, and it can not use
In Postoperative Analgesia After, this anesthesia cannot be applied for time longer operation, it is restricted using scope.
The content of the invention
It is an object of the invention to be used for continuous peripheral blockade there is provided one kind for above-mentioned the problems of the prior art
Positioning remaining needle and its anesthesia, can be applied among prolonged operation, and postoperative analgesia is substantially, expands
The application of periphery neural blocking anesthesia method, reduces the adverse reaction caused by systemic vein is eased pain, improves patient's
Comfort level.
To achieve these goals, the present invention is used for the positioning remaining needle of continuous peripheral blockade, by Y types remaining needle and
Two components of nerve positioning pin are constituted;Described Y types remaining needle includes needle stand and respectively along needle stand bottom surface and side extraction
Indwelling flexible pipe and injection catheter;Described nerve positioning pin includes the needle body for being inserted into indwelling flexible pipe inner chamber, and needle body is arranged on
On the needle handle that can be fastened with needle stand, needle handle tail end draws the wire for connecting needle body and nerve stimulation instrument;Described needle body
It is made of conductive material, indwelling flexible pipe, which is adopted, to be made from an insulative material, and the tip extension of needle body is exposed to outside indwelling flexible pipe
Portion.
Length mark is carved with the needle body of the nerve positioning pin.
Described indwelling flexible pipe is made of polyethylene insulation material, and needle body is made of conductive metal material.
Closing cock is provided with the needle stand of the Y types remaining needle, needle body inserts the inner chamber of indwelling flexible pipe through closing cock.
Fluid injection switch folder is installed on described injection catheter.
Described injection catheter end has been provided with the calparine cap of sealing process.
The end of the wire is provided with the input plug for connecting nerve stimulation instrument delivery outlet.
The length of the indwelling flexible pipe is equal with needle body, and the length of the two is 40cm~50cm.
Expose 2mm in the outside that the tip of the needle body extends to indwelling flexible pipe.
The present invention positions the anesthesia of remaining needle for continuous peripheral blockade, comprises the following steps:
Step 1: the positive pole electrode slice of nerve stimulation instrument is connected with patient's Ipsilateral limb, by the negative of nerve stimulation instrument
The input plug connection of pole and wire end, the as needed anatomical position determination of retardance peripheral nerve punctures entry point;
Step 2: the stimulating current for starting setting up nerve stimulation instrument is 1.5mA, when needle point is close to nerve cord, if causing
The muscle Rythmic contractions characteristic dominated, when stimulating current is reduced to 0.5mA, still has contraction of muscle, illustrates that Needle localization is accurate;
Step 3: the needle stand of Y type remaining needles is fixed, needle body is extracted, and makes to be connected to the indwelling flexible pipe of needle stand front end still
So around nerve cord, local anesthetic injection is entered by injection catheter, so far a nerve block is completed
Anesthesia;According to the difference of operating time length, carry out repeatedly or continuous injection is operated;
Step 4: after operation terminates, Postoperative Analgesia After pump to be connected to the end of injection catheter, Postoperative Analgesia After is carried out.
Compared with prior art, the present invention has following beneficial effect:By the positive pole electricity consumption of nerve stimulation instrument when using
Pole piece is connected with patient's Ipsilateral limb, and nerve stimulation instrument output end connects the needle body of nerve positioning pin by wire, as needed
The anatomical position for blocking peripheral nerve determines to puncture entry point, starts setting up stimulating current for 1.5mA, when needle point is close to nerve cord
When, cause dominated muscle Rythmic contractions characteristic, when stimulating current is reduced to 0.5mA, still there is contraction of muscle, illustrate to puncture and determine
Level is true.The needle stand of Y type remaining needles is now fixed, the needle body of nerve positioning pin is extracted, and is connected to the indwelling of needle stand front end
Flexible pipe is still within around nerve cord, and local anesthetic is simultaneously injected into by the needle stand of fixed Y type remaining needles by injection catheter
Go, this completes a nerve block anesthesia., can repeatedly or continuous infusion according to operating time length in anaesthesia process
Local anesthetic, meets operation and requires, it is ensured that anaesthesia process safety, definite effect is reliable.Perform the operation Postoperative Analgesia After after terminating
Pump is connected to injection catheter end, and effective Postoperative Analgesia After, this analgesia mould can be carried out by setting the various parameters of analgesia pump
Formula is not only able to reduce the dosage of opioid drug, reduces the incidence of the systemic adverse reactions such as nausea and vomiting, additionally it is possible to
By blocking sympathetic nerve, prevent from, because pain triggers vasopasm, increasing the CBF of extremity vascular, particularly to the replantation of a severed limb
Operation and row extremity vascular anastomosis operation, can significantly improve the success rate of operation.The present invention's is cheap, anesthesia positioning
Accurately, Postoperative Analgesia After is convenient and reliable, and complication is less, hence it is evident that improve quality of anesthesia and security, improves patients undergoing
Comfort level, the present invention is simple to operate, it is easy to grasp, easy to use, with very high practical value and promotional value.
Further, length mark is carved with the needle body of nerve positioning pin of the present invention, for being seen when nerve block is punctured
Examine and fluid injection switch folder be installed on the depth of inserting needle, injection catheter, injection catheter end has been provided with the calparine cap of sealing process,
Closing fluid injection switch folder during fluid injection, opens fluid injection and switchs to press from both sides again after removing calparine cap, the end connection syringe of injection catheter
Medicine is injected, injection turns off fluid injection switch folder, removes syringe, then screw on calparine cap in the end of injection catheter after finishing.
Brief description of the drawings
Fig. 1 Y types containing needle structure schematic diagrames of the present invention;
Fig. 2 nerve positioning needle construction schematic diagrames of the present invention;
Fig. 3 overall structure diagrams of the present invention;
In accompanying drawing:1- needle stands;2- closing cocks;3- indwelling flexible pipes;4- injection catheters;5- fluid injections switch folder;6- calparine caps;7-
Needle body;8- needle handles;9- wires;10- input plugs.
Embodiment
The present invention is described in further detail below in conjunction with the accompanying drawings.
Referring to Fig. 1-3, the present invention is made up of two components of Y types remaining needle and nerve positioning pin.Y types remaining needle includes needle stand
1 and the indwelling flexible pipe 3 and injection catheter 4 drawn respectively along the bottom surface of needle stand 1 and side, fluid injection is installed on injection catheter 4 and opened
Folder 5 is closed, the end of injection catheter 4 has been provided with the calparine cap 6 of sealing process.Nerve positioning pin includes being inserted into indwelling flexible pipe 3
Closing cock 2 is provided with the needle body 7 of inner chamber, the needle stand 1 of Y type remaining needles, needle body 7 inserts the interior of indwelling flexible pipe 3 through closing cock 2
Chamber.Length mark is carved with needle body 7.Needle body 7 is arranged on the needle handle 8 that can be fastened with needle stand 1, and the tail end of needle handle 8, which is drawn, to be used for
The wire 9 of needle body 7 and nerve stimulation instrument is connected, the end of wire 9 is provided with the input for connecting nerve stimulation instrument delivery outlet
Plug 10.Indwelling flexible pipe 3 is made of polyethylene insulation material, and needle body 7 is made of conductive metal material.Indwelling flexible pipe 3 is adopted
It is made from an insulative material, and the tip extension of needle body 7 is exposed to the outside of indwelling flexible pipe 3.
The length of indwelling flexible pipe 3 is equal with needle body 7, and the length of the two is 40cm~50cm.By adjusting neurodine
The length of position needle body 7 and indwelling flexible pipe 3, designs the peripheral blockade positioning remaining needle of different model.
In the use of the present invention, nerve stimulation instrument positive pole electrode slice is connected with patient's Ipsilateral limb, negative pole is (namely
Nerve stimulation instrument output end) it is connected with the end output plug of wire 9 of periphery retardance positioning remaining needle, periphery is blocked as needed
The anatomical position of nerve determines to puncture entry point, starts setting up stimulating current for 1.5mA, when needle point is close to nerve cord, can draw
Act dominated muscle Rythmic contractions characteristic;When stimulating current is reduced to 0.5mA, still there is contraction of muscle, illustrate that Needle localization is accurate
Really.The needle stand 1 of Y type remaining needles is now fixed, the needle body 7 of nerve positioning pin is extracted by the closing cock 2 of elastomeric flexible, and is connected
The indwelling flexible pipe 3 for being connected on the front end of needle stand 1 is still placed in around nerve cord, and the needle stand of Y type remaining needles is properly fixed with transfusion pad pasting
1, local anesthetic injection is entered by injection catheter, this completes a nerve block anesthesia.In anaesthesia process
According to operating time length, repeatedly or continuous infusion local anesthetic it can meet operation completely and require, it is ensured that anesthesia
Process safety, definite effect is reliable.Postoperative Analgesia After pump can be connected to the end of injection catheter 4 by operation after terminating, and set
The various parameters of analgesia pump, it is possible to carry out effective Postoperative Analgesia After, this Mode of analgesia can not only reduce opioid drug
Dosage, the incidence of the reduction systemic adverse reactions such as nausea and vomiting can also be prevented because of pain by blocking sympathetic nerve
Pain triggers vasopasm, increases the CBF of extremity vascular, particularly replantation of a severed limb operation and row extremity vascular are coincide
Operation, can significantly improve the success rate of operation.The present invention's is cheap, anaesthetizes accurate positioning, works well, Postoperative Analgesia After
Convenient and reliable, complication is less, can significantly improve quality of anesthesia and security, improves patients undergoing comfort level.
The present invention is continuously given on the premise of nerve block accuracy is not influenceed using low dose of, low concentration and gradation
The method of medicine, it is to avoid the drug-induced toxic reaction of the single heavy dose of local anaesthesia of retardance injection, can solve the problem that operating time length
Problem;Peripheral nerve Postoperative Analgesia After can be carried out by indwelling flexible pipe 3 simultaneously, and this nerve stimulation positions the price of remaining needle
It is cheap, accurate positioning is anaesthetized, analgesic effect is reliable, and few intercurrent disease is simple to operate, easy to use, it is easy to popularization and application.
Claims (10)
1. a kind of positioning remaining needle for continuous peripheral blockade, it is characterised in that:By Y types remaining needle and nerve positioning pin
Two components are constituted;Described Y types remaining needle includes needle stand (1) and the indwelling drawn respectively along needle stand (1) bottom surface and side
Flexible pipe (3) and injection catheter (4);Described nerve positioning pin includes the needle body (7) for being inserted into indwelling flexible pipe (3) inner chamber, pin
Body (7) is arranged on the needle handle (8) that can be fastened with needle stand (1), and needle handle (8) tail end is drawn for connecting needle body (7) and nerve
The wire (9) of stimulation instrument;Described needle body (7) is made of conductive material, and indwelling flexible pipe (3), which is adopted, to be made from an insulative material, and
The tip extension of needle body (7) is exposed to the outside of indwelling flexible pipe (3).
2. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:The neurodine
Length mark is carved with the needle body (7) of position pin.
3. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:Described indwelling
Flexible pipe (3) is made of polyethylene insulation material, and needle body (7) is made of conductive metal material.
4. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:The Y types are stayed
Put and closing cock (2) is provided with the needle stand (1) of pin, needle body (7) inserts the inner chamber of indwelling flexible pipe (3) through closing cock (2).
5. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:Described fluid injection
Fluid injection switch folder (5) is installed on conduit (4).
6. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:Described fluid injection
Conduit (4) end has been provided with the calparine cap (6) of sealing process.
7. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:The wire
(9) end is provided with the input plug (10) for connecting nerve stimulation instrument delivery outlet.
8. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:The indwelling is soft
The length for managing (3) is equal with needle body (7), and the length of the two is 40cm~50cm.
9. it is used for the positioning remaining needle of continuous peripheral blockade according to claim 1, it is characterised in that:The needle body
(7) 2mm is exposed in the outside that tip extends to indwelling flexible pipe (3).
10. a kind of using the anesthesia for positioning remaining needle as claimed in claim 1 for continuous peripheral blockade, it is special
Levy and be, comprise the following steps:
Step 1: the positive pole electrode slice of nerve stimulation instrument is connected with patient's Ipsilateral limb, by the negative pole of nerve stimulation instrument with
Input plug (10) connection of wire (9) end, the as needed anatomical position determination of retardance peripheral nerve punctures entry point;
Step 2: the stimulating current for starting setting up nerve stimulation instrument is 1.5mA, when needle point is close to nerve cord, propped up if causing
The muscle Rythmic contractions characteristic matched somebody with somebody, when stimulating current is reduced to 0.5mA, still has contraction of muscle, illustrates that Needle localization is accurate;
Step 3: the needle stand (1) of Y type remaining needles is fixed, needle body (7) is extracted, and make the indwelling for being connected to needle stand (1) front end soft
Pipe (3) is still within around nerve cord, and local anesthetic injection is entered by injection catheter (4), so far one is completed
Secondary nerve block anesthesia;According to the difference of operating time length, carry out repeatedly or continuous injection is operated;
Step 4: after operation terminates, Postoperative Analgesia After pump to be connected to the end of injection catheter (4), Postoperative Analgesia After is carried out.
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CN201710297372.9A CN106963458A (en) | 2017-04-28 | 2017-04-28 | A kind of positioning remaining needle and its anesthesia for continuous peripheral blockade |
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CN201710297372.9A CN106963458A (en) | 2017-04-28 | 2017-04-28 | A kind of positioning remaining needle and its anesthesia for continuous peripheral blockade |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2019037154A1 (en) * | 2017-08-24 | 2019-02-28 | 郭强 | Multi-functional nerve monitoring and probe system and method for implementing same |
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CN105107058A (en) * | 2015-09-22 | 2015-12-02 | 四川省人民医院 | Oval diversion safe indwelling needle |
CN205849916U (en) * | 2016-06-24 | 2017-01-04 | 河南驼人贝斯特医疗器械有限公司 | A kind of high pressure-resistant remaining needle |
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2017
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Patent Citations (7)
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US20040073159A1 (en) * | 2002-08-08 | 2004-04-15 | Nelson David A. | Catheter system and method for administering regional anesthesia to a patient |
CN201612673U (en) * | 2009-07-20 | 2010-10-27 | 余斌 | Improved peripheral nerve block retaining trocar |
US20140309595A1 (en) * | 2012-07-23 | 2014-10-16 | Shanghai tongji hospital | Nerve blocking indwelling catheter needle with resistance measurement device |
CN203724533U (en) * | 2013-11-19 | 2014-07-23 | 苏州林华医疗器械有限公司 | Long catheter of vein indwelling needle |
CN104043162A (en) * | 2014-07-17 | 2014-09-17 | 谢世庚 | Thrombus preventing venous indwelling needle and thrombus preventing method thereof |
CN105107058A (en) * | 2015-09-22 | 2015-12-02 | 四川省人民医院 | Oval diversion safe indwelling needle |
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WO2019037154A1 (en) * | 2017-08-24 | 2019-02-28 | 郭强 | Multi-functional nerve monitoring and probe system and method for implementing same |
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