CN111481272B - Ultrasonic guided puncture positioning guide line and manufacturing method thereof - Google Patents
Ultrasonic guided puncture positioning guide line and manufacturing method thereof Download PDFInfo
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- CN111481272B CN111481272B CN202010408668.5A CN202010408668A CN111481272B CN 111481272 B CN111481272 B CN 111481272B CN 202010408668 A CN202010408668 A CN 202010408668A CN 111481272 B CN111481272 B CN 111481272B
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- 238000004519 manufacturing process Methods 0.000 title claims abstract description 11
- 239000010410 layer Substances 0.000 claims abstract description 31
- 239000012790 adhesive layer Substances 0.000 claims abstract description 30
- 238000002955 isolation Methods 0.000 claims abstract description 27
- 238000000034 method Methods 0.000 claims abstract description 19
- 239000012780 transparent material Substances 0.000 claims abstract description 4
- 239000000523 sample Substances 0.000 claims description 12
- 238000009941 weaving Methods 0.000 claims description 11
- 239000000853 adhesive Substances 0.000 claims description 7
- 230000001070 adhesive effect Effects 0.000 claims description 7
- 210000004204 blood vessel Anatomy 0.000 claims description 4
- 210000005036 nerve Anatomy 0.000 claims description 4
- 239000012528 membrane Substances 0.000 claims description 3
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 239000002313 adhesive film Substances 0.000 abstract description 3
- 238000002604 ultrasonography Methods 0.000 description 8
- 238000011161 development Methods 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 238000003384 imaging method Methods 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000013332 literature search Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000002321 radial artery Anatomy 0.000 description 1
- 238000012285 ultrasound imaging Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/00051—Accessories for dressings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive bandages or dressings
-
- 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
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00365—Plasters use
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
The invention relates to an ultrasonic-guided puncture positioning guide line and a manufacturing method thereof, and the guide line comprises an X developing line and a disposable sterile dressing adhesive film, wherein the disposable sterile dressing adhesive film comprises a dressing adhesive layer and a paper isolation layer, and the dressing adhesive layer comprises a sticky surface and a non-sticky surface; the X developing line is attached to the sticky surface of the dressing film adhesive layer; the paper isolation layer covers the dressing film adhesive layer and clamps the X developing line between the dressing film adhesive layer and the paper isolation layer; the part of the dressing film adhesive layer, which is contacted with the X developing line, is made of transparent material; the X-ray developing line is a single line which is woven by adopting a knotting method of surgical square knots.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an ultrasonic-guided puncture positioning guide wire and a manufacturing method thereof.
Background
With the popularization of the puncture technology under the guidance of ultrasound, the method of performing nerve block and blood vessel puncture by using ultrasound is widely applied, and the puncture success rate is also greatly improved. However, for the patients with difficulty in puncturing (such as the patients with small radial artery or arm and poor central vein position), the ultrasound probe cannot completely stick to the skin of the patient, and thus the middle point of the image displayed by the ultrasound image is not the true middle point of the part to be punctured. However, the operation process is difficult to notice, and the actual contact position is difficult to judge, so that the operation technology which should be simplified becomes a main hindering factor influencing the operation success due to the change of the contact area between the probe and the skin.
In order to solve the problems, if the probe can be marked with a mark which can be developed in the ultrasonic imaging process, the operator can judge the puncture target position, determine a needle inserting point and improve the puncture success rate. Through literature search, it has been reported that by applying a developing line that is opaque to X-rays, an acoustic shadow can be generated at the site of ultrasound imaging to help locate. However, in practical operation, the applicant finds that although the developing line is opaque to x-ray, but the thickness of the developing line is not more than 1mm, in the ultrasonic imaging process, the ultrasonic wave can directly pass through the developing line without influencing the image of the tissue below the developing line, so that the image effect is not ideal; meanwhile, the requirements on ultrasonic performance such as resolution are high, and the ultrasonic imaging system is not easy to realize in many hospitals. In addition, the film is easy to twist when fixing the developing line, and bubbles are easy to generate when the gel is used for attaching, so that the using effect is influenced, and the success rate of self-made X developing lines is limited.
Disclosure of Invention
The invention aims to provide a puncture positioning guide line under ultrasonic guidance and a manufacturing method thereof, and aims to solve the technical problem of how to improve the developing effect of a developing line so that the developing line can be easily identified in ultrasonic tissue imaging.
In order to achieve the aim, the invention provides an ultrasonic-guided puncture positioning guide line, which comprises an X developing line and a disposable sterile dressing film, wherein the disposable sterile dressing film comprises a dressing film adhesive layer and a paper isolation layer, and the dressing film adhesive layer comprises an adhesive side and a non-adhesive side; the X developing line is attached to the sticky surface of the dressing film adhesive layer; the paper isolation layer covers the dressing film adhesive layer and clamps the X developing line between the dressing film adhesive layer and the paper isolation layer; at least the part of the dressing film adhesive layer, which is in contact with the X developing line, is made of transparent material; the X-ray developing line is a single line which is woven by adopting a knotting method of surgical square knots.
Preferably, the braided length of the X-ray lines is about 3-5 cm.
Alternatively, the X developing lines can be bonded by a plurality of developing lines.
Alternatively, the X developing lines can also be woven by a plurality of developing lines.
Further, as an alternative preferable scheme, other ultrasound easily-imageable materials can also be used instead of the developing lines.
The manufacturing method of the puncture positioning guide line under the ultrasonic guidance comprises the following steps:
firstly, weaving a single line as an X-ray developing line by adopting a knotting method of surgical square knots;
secondly, tearing off a paper isolation layer of the disposable sterile dressing film, and attaching the woven X developing line to the sticky surface of the sticky layer of the dressing film;
and thirdly, restoring the paper isolation layer to enable the paper isolation layer to cover the dressing film adhesive layer and clamp the X developing line between the dressing film adhesive layer and the paper isolation layer.
Preferably, the braided length of the X-ray lines is about 3-5 cm.
Alternatively, in the first step, the X developing lines may be bonded by a plurality of developing lines.
Alternatively, in the first step, the X developing lines may be woven by a plurality of developing lines.
Further, as an alternative preferable scheme, in the first step, other ultrasound easily-imageable materials may be used instead of the development lines.
Advantageous effects
Compared with the prior art, the invention has the beneficial effects that: the invention modifies the developing line to change the double-line mode into the single-line mode after weaving. Weaving and modifying the developing line by adopting a knotting method of surgical square knots, repeatedly carrying out double-knot operation, wherein the weaving length is about 3-5cm, and then attaching the developing line to a sterile film to cover an ultrasonic probe. The puncture positioning guide line under the ultrasonic guidance provides a guiding direction for the needle insertion of the puncture needle, and the target blood vessel/nerve can be hit by closely sticking the guide line for puncture. The method combining the developing line and the sterile membrane can greatly improve the puncture efficiency and accuracy of the target blood vessel/nerve under the ultrasonic guidance.
Drawings
The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention.
Fig. 1 is a schematic structural diagram of a disposable sterile dressing film according to the present invention.
Fig. 2 is a schematic structural view of a disposable sterile dressing film with a paper isolation layer removed and X-ray developed lines attached.
Figure 3 is a schematic structural view of the puncture positioning guide wire under ultrasonic guidance according to the invention.
Detailed Description
The present invention is described in more detail below to facilitate an understanding of the present invention.
As shown in fig. 1 to 3, the ultrasound-guided lower puncture positioning guide line of the invention comprises an X-ray development line 1 and a disposable sterile dressing film, wherein the disposable sterile dressing film comprises a dressing film adhesive layer 2 and a paper isolation layer 3, and the dressing film adhesive layer 2 comprises an adhesive side and a non-adhesive side; the X developing line 1 is attached to the sticky surface of the dressing film sticking sticky layer 2; the paper isolation layer 3 covers the dressing film adhesive layer 2 and clamps the X developing line 1 between the dressing film adhesive layer 2 and the paper isolation layer 3; at least the part of the dressing film adhesive layer 2, which is in contact with the X developing line 1, is made of transparent material; the X-ray developing line 1 is a single line which is woven by adopting a knotting method of surgical square knots. Wherein the X-ray development line 1 is opaque to X-rays.
Preferably, the braided length of the X-ray image lines 1 is about 3-5 cm.
Alternatively, the X-ray 1 may be bonded by a plurality of lines.
Alternatively, the X-shaped development lines 1 may be woven alternately by a plurality of development lines.
Further, as an alternative preferable scheme, other ultrasound easily-imageable materials can also be used instead of the developing lines.
The manufacturing method of the puncture positioning guide line under the ultrasonic guidance comprises the following steps:
firstly, weaving a single wire as an X developing wire 1 by adopting a knotting method of surgical square knots;
secondly, tearing off a paper isolation layer 3 of the disposable sterile dressing film, and attaching the woven X-ray developed line 1 to the sticky surface of the adhesive layer 2 of the dressing film;
thirdly, the paper isolation layer 3 is restored, so that the paper isolation layer 3 covers the dressing film adhesive layer 2 and the X developing line 1 is clamped between the dressing film adhesive layer 2 and the paper isolation layer 3.
Preferably, the braided length of the X-ray image lines 1 is about 3-5 cm.
Alternatively, in the first step, the X-lines 1 may be bonded by a plurality of lines.
Alternatively, in the first step, the X-lines 1 may be woven alternately by a plurality of lines.
Further, as an alternative preferable scheme, in the first step, other ultrasound easily-imageable materials may be used instead of the development lines.
When the puncture positioning guide line under the ultrasonic guidance is used, the paper isolation layer 3 of the disposable sterile dressing film is torn off, the X developing line 1 covers the ultrasonic probe, the length direction of the X developing line 1 is vertical to the length direction of the ultrasonic probe, and the X developing line 1 and the adhesive surface of the adhesive film 2 which are attached to the dressing film are adhered to the ultrasonic probe together to be fixed properly. Care should be taken that the portion that contacts the patient's skin remains sterile.
The invention innovatively solves the problem of how to accurately position a target under the condition that an ultrasonic probe cannot be attached to the skin, creatively solves the problem that a single-strand developing wire cannot be well imaged by a method of weaving the developing wire with the minimum cost, creatively applies a weaving method of a surgical knot, can achieve a satisfactory imaging effect under ultrasonic, and creatively combines the developing wire with a sterile film, so that the puncture speed and the puncture success rate under ultrasonic guidance can be greatly improved.
The ultrasonic-guided lower puncture positioning guide line has the advantages of simple material taking, simple manufacture and low cost, the knotting method of the surgical square knots is a key for determining whether the operation can be successfully carried out, and the combination of the developing line and the sterile film is an effective method for improving the puncture efficiency and the puncture success rate.
The foregoing describes preferred embodiments of the present invention, but is not intended to limit the invention thereto. Modifications and variations of the embodiments disclosed herein may be made by those skilled in the art without departing from the scope and spirit of the invention.
Claims (1)
1. The method for manufacturing the puncture positioning guide line under the ultrasonic guidance is characterized in that the puncture positioning guide line under the ultrasonic guidance comprises an X developing line and a disposable sterile dressing film, the disposable sterile dressing film comprises a dressing film adhesive layer and a paper isolation layer, and the dressing film adhesive layer comprises an adhesive side and a non-adhesive side; the X developing line is attached to the sticky surface of the dressing film adhesive layer; the paper isolation layer covers the dressing film adhesive layer and clamps the X developing line between the dressing film adhesive layer and the paper isolation layer; at least the part of the dressing film adhesive layer, which is in contact with the X developing line, is made of transparent material; the X-ray developing line is a single line which is woven by adopting a knotting method of surgical square knots; wherein said X-ray lines are opaque to X-rays; the part of the puncture positioning guide line contacting the skin of the patient under the ultrasonic guidance is kept sterile;
the weaving length of the X developing line is 3-5 cm; the manufacturing method comprises the following steps:
firstly, weaving a single line as an X-ray developing line by adopting a knotting method of surgical square knots;
secondly, tearing off a paper isolation layer of the disposable sterile dressing film, and attaching the woven X developing line to the sticky surface of the sticky layer of the dressing film;
thirdly, restoring the paper isolation layer to enable the paper isolation layer to cover the dressing film adhesive layer and clamp the X developing line between the dressing film adhesive layer and the paper isolation layer;
when the puncture positioning guide line under the ultrasonic guidance is used, the paper isolation layer of the disposable sterile dressing film is torn off, the X developing line covers the ultrasonic probe, the length direction of the X developing line is perpendicular to the length direction of the ultrasonic probe, and the X developing line which is attached to the dressing film and the sticky surface of the dressing film sticky layer are stuck to the ultrasonic probe together and fixed properly;
the manufacturing method comprises the steps of modifying the developing line, weaving and modifying the developing line by adopting a knotting method of surgical square knots, and repeatedly carrying out double-knot operation, wherein the weaving length is 3-5 cm; then attaching the membrane to a sterile membrane, and covering an ultrasonic probe; the puncture positioning guide line under the ultrasonic guidance provides a guiding direction for the needle insertion of the puncture needle, and the puncture positioning guide line can hit a target blood vessel or nerve by being tightly attached to the guide line for puncture.
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| CN202010408668.5A CN111481272B (en) | 2020-05-14 | 2020-05-14 | Ultrasonic guided puncture positioning guide line and manufacturing method thereof |
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| CN202010408668.5A CN111481272B (en) | 2020-05-14 | 2020-05-14 | Ultrasonic guided puncture positioning guide line and manufacturing method thereof |
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| CN111481272B true CN111481272B (en) | 2022-04-12 |
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| CN116115309B (en) * | 2023-02-22 | 2023-12-19 | 南方医科大学南方医院 | Be applicable to control skin muscle tension development line under CT guide |
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