技术领域technical field
本发明属于医疗器械领域,尤其涉及一种静脉留置通路采血器。The invention belongs to the field of medical devices, in particular to a blood sampling device for indwelling veins.
背景技术Background technique
临床上,对病人血标本进行检验是一项重要的诊断及病情判断依据,尤其是重症病人,为准确掌握病人病情变化,适时调整治疗措施,往往需定时采血检查。目前临床多采用重新对病人末梢静脉穿刺采血的办法获得血标本,对于重症病人、有静脉留置通路病人和末梢循环欠佳,不具备外周末梢采血条件的病人往往采用已有的静脉留置通路,使用多个注射器采血。具体方法为:使用三个注射器。对静脉留置通路接头进行消毒后,用第一个注射器抽出大于两倍静脉留置通路容积的液体,弃去(因此段液体可能含有封管用的肝素等其他药物,及细菌污染的风险,不宜重新注入静脉留置通路);接上第二个注射器,抽取5-10ml液体置于一旁(为了使静脉留置通路中残留的少量封管溶液尽可能的被抽出,以免影响血标本的检验结果);接上第三个注射器,抽取所需要的血液标本,注入采血管内;再重新接上第二个注射器,将刚刚抽出的5-10ml液体注入静脉留置通路中。最后接上输液器继续输液治疗。有时为了简化操作,将第一个注射器抽取5-10ml液体弃去,再用一个注射器直接抽取血标本,如此会对病人体内血液造成医源性流失,影响病人预后。Clinically, the examination of blood samples of patients is an important basis for diagnosis and condition judgment, especially for critically ill patients. In order to accurately grasp the changes in the patient's condition and adjust treatment measures in a timely manner, regular blood sampling is often required. At present, blood samples are mostly obtained by puncture of the patient's peripheral vein again in clinical practice. For critically ill patients, patients with indwelling venous access, and patients with poor peripheral circulation who do not have peripheral peripheral blood collection conditions, the existing indwelling venous access is often used. Multiple syringes for blood collection. The specific method is: use three syringes. After sterilizing the venous indwelling access connector, use the first syringe to draw out the liquid that is more than twice the volume of the venous indwelling access, and discard it (therefore, the liquid may contain other drugs such as heparin for locking the tube, and the risk of bacterial contamination, so it is not suitable to re-inject intravenous indwelling access); connect the second syringe, draw 5-10ml of liquid and put it aside (in order to draw out a small amount of locking solution remaining in the intravenous indwelling access as much as possible, so as not to affect the test results of blood samples); connect The third syringe draws the required blood sample and injects it into the blood collection tube; then reconnects the second syringe and injects the 5-10ml of liquid just drawn into the intravenous indwelling access. Finally connect the infusion set and continue the infusion therapy. Sometimes in order to simplify the operation, 5-10ml of liquid is extracted from the first syringe and discarded, and then a blood sample is directly drawn with a syringe, which will cause iatrogenic loss of blood in the patient's body and affect the prognosis of the patient.
有研究证明,方法得当时通过静脉留置通路采集的血标本与外周末梢血标本检查结果一致,因此可以通过静脉留置通路采集血标本。而目前所采取的措施存在以下不足:多次更换静脉留置通路与注射器的接头,造成污染风险增加,增加整个操作过程中整个装置开放污染的几率。如减少一个步骤,将会造成病人体内血液的医源性流失,有失伦理道德和病人疗效。过程复杂,耗时较长,影响护士其他工作。过程复杂,消耗较多的医疗用品。基于以上,有必要发明一种专门针对静脉留置通路采血的采血器,使操作简化、科学、安全。Studies have shown that when the method is appropriate, blood samples collected through an indwelling venous access are consistent with peripheral blood samples, so blood samples can be collected through an indwelling venous access. However, the measures currently taken have the following disadvantages: multiple replacements of the joints between the intravenous indwelling access and the syringe, resulting in an increased risk of contamination, and increasing the probability of open contamination of the entire device during the entire operation. If one step is reduced, it will cause iatrogenic loss of blood in the patient's body, which will lose ethics and morality and curative effect of the patient. The process is complicated and time-consuming, which affects other work of nurses. The process is complicated and consumes more medical supplies. Based on the above, it is necessary to invent a blood collection device specially for blood collection through venous indwelling access, so that the operation is simplified, scientific and safe.
发明内容Contents of the invention
针对现有技术存在的上述不足,本发明解决的问题是:提供一种可简化操作步骤、减少血液浪费的静脉留置通路采血。Aiming at the above-mentioned deficiencies in the prior art, the problem to be solved by the present invention is to provide a venous indwelling channel for blood collection that can simplify operation steps and reduce blood waste.
一种静脉留置通路采血器,包括并列而设的第一注射器和第二注射器,所述第一注射器和第二注射器通过一个三通开关与采血针和接头相连。A venous indwelling access blood collection device comprises a first syringe and a second syringe arranged side by side, and the first syringe and the second syringe are connected with a blood collection needle and a joint through a three-way switch.
优选地,所述三通开关包括外壳以及一个设置在外壳内的转换阀,所述转换阀内设有一个第一通道和一个第二通道,所述第一通道和第二通道的轴线构成90°。Preferably, the three-way switch includes a casing and a switching valve arranged in the casing, a first channel and a second channel are arranged in the switching valve, the axes of the first channel and the second channel form a 90 °.
优选地,所述三通开关的外壳上设有四个出口,其中第一出口输出端与所述第一注射器相连,第二出口的输出端与所述第二注射器相连,第三出口的输出端与所述采血针相连,第四出口的输出端与所述接头相连,第四出口的输入端与所述转换阀内的第一通道相连。Preferably, the housing of the three-way switch is provided with four outlets, wherein the output end of the first outlet is connected with the first syringe, the output end of the second outlet is connected with the second syringe, and the output end of the third outlet is The end is connected with the blood collection needle, the output end of the fourth outlet is connected with the joint, and the input end of the fourth outlet is connected with the first channel in the switching valve.
优选地,所述三通开关上设有一个开关手柄,所述开关手柄和所述第二通道平行而设且其一端设置在所述转换阀内,另一端延伸至所述三通开关的外壳之外。Preferably, a switch handle is provided on the three-way switch, the switch handle is provided in parallel with the second channel, and one end of the switch handle is arranged in the switching valve, and the other end extends to the shell of the three-way switch outside.
优选地,所述三通开关上的外壳上开设有一道槽孔,所述槽孔的位置和长度与所述开关手柄的运动轨迹吻合。Preferably, a slot is opened on the shell of the three-way switch, and the position and length of the slot coincide with the movement track of the switch handle.
优选地,当所述开关手柄方向向上时,所述接头与所述第一注射器连通;当所述开关手柄方向向右时,所述接头与所述第二注射器连通;所述开关手柄方向向下时,所述接头与采血针连通。Preferably, when the direction of the switch handle is upward, the joint is in communication with the first syringe; when the direction of the switch handle is in the right direction, the joint is in communication with the second syringe; When it is down, the connector communicates with the blood collection needle.
优选地,所述接头的内部尺寸与所述第一、第二注射器的针乳头尺寸吻合,所述接头的外部为无针接头的内螺旋设计。Preferably, the inner size of the connector matches the size of the needle nipples of the first and second syringes, and the outer part of the connector is an internal spiral design of a needleless connector.
优选地,所述采血针的外部设有具有弹性的保护装置。Preferably, an elastic protection device is provided on the outside of the blood collection needle.
与现有技术相比,本发明具有以下优点:Compared with the prior art, the present invention has the following advantages:
(1)一种装置集合传统方法中多个装置的功能,同时完成封管操作,简化操作步骤,节省操作时间和护士人力成本;(1) One device integrates the functions of multiple devices in the traditional method, and completes the tube sealing operation at the same time, simplifies the operation steps, and saves operation time and labor costs for nurses;
(2)整个装置在封闭的环境内操作,将开放污染的次数降到最少,增加病人的安全性,预防感染;(2) The entire device is operated in a closed environment to minimize the number of open contamination, increase patient safety, and prevent infection;
(3)最大程度的减少病人在采血过程中的血液浪费;(3) Minimize the waste of blood in the process of blood collection;
(4)减少医疗用品的使用,降低费用;(4) Reduce the use of medical supplies and reduce costs;
(5)避免重复穿刺,减少病人痛苦。(5) Avoid repeated punctures and reduce patient pain.
附图说明Description of drawings
为了更清晰地说明本发明实施例中的技术方案,下面将对实施例中所需要使用的附图简单地介绍,显而易见地,下面描述中的附图仅仅是本发明中记载的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the following will briefly introduce the drawings that need to be used in the embodiments. Obviously, the drawings in the following description are only some embodiments recorded in the present invention. For those skilled in the art, other drawings can also be obtained based on these drawings without creative effort.
图1为本发明静脉留置通路采血器的整体结构示意图;1 is a schematic diagram of the overall structure of the blood collection device with intravenous indwelling access of the present invention;
图2为本发明静脉留置通路采血器中三通开关的结构示意图;Fig. 2 is a structural schematic diagram of the three-way switch in the blood collection device for intravenous indwelling access of the present invention;
图3为本发明三通开关中转换阀的结构示意图。Fig. 3 is a structural schematic diagram of the switching valve in the three-way switch of the present invention.
其中:in:
1、第一注射器; 2、第二注射器; 3、采血针;1. The first syringe; 2. The second syringe; 3. Blood collection needle;
4、三通开关; 41、开关手柄; 42、转换阀;4. Three-way switch; 41. Switch handle; 42. Conversion valve;
421、第一通道; 422、第二通道; 43、外壳;421. First channel; 422. Second channel; 43. Shell;
431、第一出口; 432、第二出口; 433、第三出口;431. The first exit; 432. The second exit; 433. The third exit;
434、第四出口; 5、接头。434. The fourth exit; 5. Connector.
具体实施方式detailed description
下面将通过具体实施方式对本发明的技术方案进行清楚、完整地描述。显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions of the present invention will be clearly and completely described below through specific embodiments. Apparently, the described embodiments are only some of the embodiments of the present invention, but not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.
一种静脉留置通路采血器,包括并列而设的第一注射器1和第二注射器2,所述第一注射器1和第二注射器2通过一个三通开关4与采血针3和接头5相连。A venous indwelling access blood collection device includes a first syringe 1 and a second syringe 2 arranged side by side, and the first syringe 1 and the second syringe 2 are connected to a blood collection needle 3 and a joint 5 through a three-way switch 4 .
其中三通开关4包括外壳43以及一个设置在外壳43内的转换阀42,该转换阀42内设有一个第一通道421和一个第二通道422,第一通道421和第二通道422的轴线构成90°夹角且第一通道421与第二通道422连通。优选该转换阀42为球形。Wherein the three-way switch 4 comprises a casing 43 and a switching valve 42 arranged in the casing 43, a first passage 421 and a second passage 422 are arranged in the switching valve 42, the axes of the first passage 421 and the second passage 422 An included angle of 90° is formed and the first channel 421 communicates with the second channel 422 . Preferably, the switching valve 42 is spherical.
三通开关4的外壳43上设有四个出口,其中第一出口431的输出端与上述第一注射器1相连,第二出口432的输出端与第二注射器2相连,第三出口433的输出端与上述采血针3相连,第四出口434的输出端与上述接头5相连。优选地,第四出口434的输入端始终上述转换阀42内的第一通道421连接,从而使得第二通道422能够以第一通道421为轴做360°旋转。The shell 43 of the three-way switch 4 is provided with four outlets, wherein the output end of the first outlet 431 is connected with the above-mentioned first syringe 1, the output end of the second outlet 432 is connected with the second syringe 2, and the output of the third outlet 433 The end is connected with the above-mentioned blood collection needle 3, and the output end of the fourth outlet 434 is connected with the above-mentioned joint 5. Preferably, the input end of the fourth outlet 434 is always connected to the first passage 421 in the switching valve 42 , so that the second passage 422 can rotate 360° around the first passage 421 .
三通开关4上设有一个开关手柄41,该开关手柄41和上述第二通道422平行而设且其一端设置在所述转换阀42内,另一端延伸至所述三通开关4的外壳43之外。相应的,上述三通开关4的外壳43上开设有一道槽孔,该槽孔的位置和长度与上述开关手柄41的运动轨迹相吻合。The three-way switch 4 is provided with a switch handle 41, the switch handle 41 is parallel to the above-mentioned second channel 422 and one end thereof is arranged in the conversion valve 42, and the other end extends to the shell 43 of the three-way switch 4 outside. Correspondingly, a slot hole is opened on the shell 43 of the three-way switch 4 , and the position and length of the slot coincide with the movement track of the switch handle 41 .
当上述开关手柄41旋转至方向向上时,上述接头将通过转换阀内的第一通道421和第二通道422与第一注射器1连通;当上述开关手柄41旋转至方向向右时,上述接头将通过转换阀42内的第一通道421和第二通道422与第二注射器2连通;当上述开关手柄41旋转至方向向下时,上述接头5将通过转换阀42内的第一通道421和第二通道422与采血针3连通。因此上述槽孔的跨度至少为270°。When the above-mentioned switch handle 41 is rotated to the direction upward, the above-mentioned joint will communicate with the first syringe 1 through the first channel 421 and the second channel 422 in the switch valve; when the above-mentioned switch handle 41 is rotated to the right direction, the above-mentioned joint will be The first channel 421 and the second channel 422 in the switching valve 42 communicate with the second syringe 2; The second channel 422 communicates with the blood collection needle 3 . The above-mentioned slots therefore have a span of at least 270°.
优选地,接头5的内部尺寸与所述第一、第二注射器的针乳头尺寸吻合,该接头5的外部为无针接头的内螺旋设计。Preferably, the inner size of the connector 5 matches the size of the needle nipples of the first and second syringes, and the outer part of the connector 5 is an internal spiral design of a needleless connector.
优选地,采血针3的外部为具有弹性回缩功能的保护装置,可防止采血针在使用前后被污染。Preferably, the outside of the blood collection needle 3 is a protective device with elastic retraction function, which can prevent the blood collection needle from being polluted before and after use.
在输液过程中采血,采血后继续输液:使用时可将本发明装置的接头5直接连接于消毒后的静脉留置通路接头上,将采血管与采血针3相连,将三通开关手柄41方向调节为向上,接头5与第一注射器1相通,抽吸第一注射器1至静脉留置通路容积两倍;将三通开关手柄41方向调节为向右,接头5与第二注射器2相通,抽吸第二注射器2至5~10ml,将三通开关手柄41方向调节为向下,接头5与采血针3相通,因与采血针3相连的采血管内有负压,血标本自动进入到采血管内,至适当量时,将三通开关手柄41方向调节到与上述四个出口均不连通的位置,更换采血管,再将三通开关手柄41方向调节向下,如此反复至抽完最后一管血后将三通开关手柄41方向调节至向右,将第二注射器2中的血液注回静脉留置通路中,分离静脉留置通路采血器与静脉留置通路接头,将静脉留置通路接头连接上输液器输液,完成采血操作。Blood collection during infusion, and continued infusion after blood collection: when in use, the joint 5 of the device of the present invention can be directly connected to the sterilized vein indwelling access joint, the blood collection tube is connected with the blood collection needle 3, and the direction of the three-way switch handle 41 is adjusted For upward, the joint 5 is communicated with the first syringe 1, and the first syringe 1 is sucked to twice the volume of the intravenous indwelling channel; the direction of the three-way switch handle 41 is adjusted to the right, the joint 5 is communicated with the second syringe 2, and the second syringe is sucked. 2. Syringe 2 to 5-10ml, adjust the direction of the three-way switch handle 41 to downward, and the joint 5 communicates with the blood collection needle 3. Because there is negative pressure in the blood collection tube connected to the blood collection needle 3, the blood sample automatically enters into the blood collection tube until When the amount is appropriate, adjust the direction of the three-way switch handle 41 to a position that is not connected to the above four outlets, replace the blood collection tube, and then adjust the direction of the three-way switch handle 41 downward, and repeat this until the last tube of blood is drawn Adjust the direction of the three-way switch handle 41 to the right, inject the blood in the second syringe 2 back into the venous indwelling access, separate the venous indwelling access blood sampler and the venous indwelling access connector, connect the venous indwelling access connector to the infusion set for infusion, Complete the blood collection operation.
本发明还可以有如下使用方法:在输液间歇采血,采血后不输液:将第一注射器1预充有冲管液(一般使用生理盐水适量)。使用时可将接头5连接于消毒后的静脉留置通路接头上,将采血管与采血针3相连,将三通开关手柄41方向调节为向右,接头5与第二注射器2相通,抽吸第二注射器2至5~10ml,将三通开关手柄41方向调节为向下,接头5与采血针3相通,因与采血针3相连的采血管内有负压,血标本自动进入到采血管内,至适当量时,将三通开关手柄41方向调节到向左,更换采血管,再将三通开关手柄41方向调节向下,如此反复至抽完最后一管血后将三通开关手柄41方向调节至向上,将第一注射器1中预充的冲管液脉冲式推回静脉留置通路中,起到冲管封管效果。分离静脉留置通路采血器与静脉留置通路接头,完成采血操作。The present invention can also be used as follows: blood is collected intermittently during infusion, and no infusion is performed after blood collection: the first syringe 1 is pre-filled with flushing fluid (generally an appropriate amount of physiological saline is used). When in use, the joint 5 can be connected to the sterilized intravenous indwelling access joint, the blood collection tube is connected to the blood collection needle 3, the direction of the three-way switch handle 41 is adjusted to the right, the joint 5 is connected to the second syringe 2, and the second suction 2. Syringe 2 to 5-10ml, adjust the direction of the three-way switch handle 41 to downward, and the joint 5 communicates with the blood collection needle 3. Because there is negative pressure in the blood collection tube connected to the blood collection needle 3, the blood sample automatically enters into the blood collection tube until When the amount is appropriate, adjust the direction of the three-way switch handle 41 to the left, replace the blood collection tube, and then adjust the direction of the three-way switch handle 41 downward, and repeat this until the last tube of blood is drawn, then adjust the direction of the three-way switch handle 41 To the upward direction, the flushing fluid prefilled in the first syringe 1 is pushed back into the intravenous indwelling access in a pulsed manner, so as to achieve the effect of flushing and sealing the tube. Separate the venous indwelling access blood collection device from the venous indwelling access connector to complete the blood collection operation.
本发明公开了一种静脉留置通路采血器,与现有技术相比,本发明具有以下优点:The invention discloses a venous indwelling access blood sampling device. Compared with the prior art, the invention has the following advantages:
(1)一种装置集合传统方法中多个装置的功能,同时完成封管操作,简化操作步骤,节省操作时间和护士人力成本;(1) One device integrates the functions of multiple devices in the traditional method, and completes the tube sealing operation at the same time, simplifies the operation steps, and saves operation time and labor costs for nurses;
(2)整个装置在封闭的环境内操作,将开放污染的次数降到最少,增加病人的安全性,预防感染;(2) The entire device is operated in a closed environment to minimize the number of open contamination, increase patient safety, and prevent infection;
(3)最大程度的减少病人在采血过程中的血液浪费;(3) Minimize the waste of blood in the process of blood collection;
(4)减少医疗用品的使用,降低费用;(4) Reduce the use of medical supplies and reduce costs;
(5)避免重复穿刺,减少病人痛苦。(5) Avoid repeated punctures and reduce patient pain.
对于本领域技术人员而言,显然本发明不限于上述示范性实施例的细节,而且在不背离本发明的精神或基本特征的情况下,能够以其他的具体形式实现本发明。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本发明的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在本发明内。不应将权利要求中的任何附图标记视为限制所涉及的权利要求。It will be apparent to those skilled in the art that the invention is not limited to the details of the above-described exemplary embodiments, but that the invention can be embodied in other specific forms without departing from the spirit or essential characteristics of the invention. Accordingly, the embodiments should be regarded in all points of view as exemplary and not restrictive, the scope of the invention being defined by the appended claims rather than the foregoing description, and it is therefore intended that the scope of the invention be defined by the appended claims rather than by the foregoing description. All changes within the meaning and range of equivalents of the elements are embraced in the present invention. Any reference sign in a claim should not be construed as limiting the claim concerned.
此外,应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式仅包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施例中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。In addition, it should be understood that although this specification is described according to implementation modes, not each implementation mode only contains an independent technical solution, and this description in the specification is only for clarity, and those skilled in the art should take the specification as a whole , the technical solutions in the various embodiments can also be properly combined to form other implementations that can be understood by those skilled in the art.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410140668.6ACN103876752B (en) | 2014-04-09 | 2014-04-09 | Venous indwelling channel hemostix |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410140668.6ACN103876752B (en) | 2014-04-09 | 2014-04-09 | Venous indwelling channel hemostix |
| Publication Number | Publication Date |
|---|---|
| CN103876752A CN103876752A (en) | 2014-06-25 |
| CN103876752Btrue CN103876752B (en) | 2017-03-22 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410140668.6AExpired - Fee RelatedCN103876752B (en) | 2014-04-09 | 2014-04-09 | Venous indwelling channel hemostix |
| Country | Link |
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| CN (1) | CN103876752B (en) |
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