Nerve block anesthesia needle, anesthesia device and use method thereofTechnical Field
The invention relates to the technical field of medical equipment, in particular to a nerve block anesthesia needle, an anesthesia device and a using method thereof.
Background
Nerve block anesthesia is a method in which a local anesthetic is injected near a peripheral nerve trunk to block conduction of nerve impulses, thereby anesthetizing a region innervated by nerves. Local anesthetic is injected around nerve trunk, plexus and node to block its impulse conduction, so that the innervated area produces anesthesia, called nerve block. The nerve block only needs one injection to obtain a larger anesthesia area. However, since there is a possibility of causing serious complications, it is necessary to be familiar with the local anatomy and understand the tissue through which the puncture needle passes, and the blood vessel, organ, body cavity, and the like in the vicinity. The commonly used nerve block is helpful for the blocking of the interorbital, infraorbital, ischiadic and phalangeal nerve trunk, the cervical plexus, brachial plexus, and the stellate ganglion and lumbar sympathetic ganglion for diagnosis and treatment.
When the anesthetic is injected, the anesthetic is pushed backwards, inwards and downwards at a proper position, and when a patient feels strange feeling of radiating to fingers, wrists or forearms, the advance is stopped, and if blood or air is not pumped back, the liquid medicine is injected. Therefore, during the injection of the anesthetic, the withdrawal is important, and the complications caused by improper puncture can be effectively avoided.
Disclosure of Invention
The invention provides a nerve block anesthesia needle, an anesthesia device and a using method thereof.
In order to achieve the purpose, the invention provides the following technical scheme: a nerve block anesthetic needle, comprising: the puncture handle is internally coaxially provided with a cylindrical first cavity, any end of the puncture handle is coaxially provided with a telescopic channel communicated with the first cavity, and one end of the puncture handle, which is far away from the telescopic channel, is provided with a liquid conveying channel communicated with the interior of the first cavity; a transparent observation window is arranged on the outer wall of the puncture handle corresponding to the first cavity region; the resistance indicator is arranged in the first cavity and freely slides along the length direction of the first cavity, and one end of the resistance indicator is provided with a connector extending to the outside of the puncture handle through the telescopic channel; the resistance indicator is provided with a pipeline penetrating along the axis; the elastic unit is arranged in the first cavity, corresponds to two ends of the resistance indicator and is used for applying a group of axial balance forces to the resistance indicator; the puncture needle head is nested and matched on the connecting head; the liquid medicine pipe is arranged flexibly and is communicated with the puncture needle head through the liquid sending channel, the first cavity and the pipeline.
Preferably, a second cavity is arranged in the center of the liquid feeding channel, the liquid medicine tube is flexibly arranged, and the liquid medicine tube is spirally wound in an loose shape in the second cavity.
Preferably, the puncture handle is formed by combining two semicircular shells in a left-right mode.
Preferably, an anaesthetic device comprises: the bottom of the fixed seat is provided with a plurality of stable brackets distributed around, and one end of each stable bracket, which is far away from the clamping mechanism, is provided with a sucker; the fixed end of the universal adjusting lever is fixedly arranged at the top of the fixed seat; the free end of the universal adjusting lever is provided with a clamp; the propelling sliding sleeve is embedded outside the puncture handle and clamped in the clamp, and the puncture handle freely slides in the propelling sliding sleeve along the length direction; the liquid supply system consists of an electronic pump and a medicine bottle which are sequentially communicated with the medicine liquid pipe, and the electronic pump is provided with a foot switch.
Preferably, the nerve block anesthesia needle method comprises the following steps:
step one, guiding a patient to be in a lateral decubitus position, and fully extending a spine and keeping a posture;
fixing the fixing seat with a back lumbar puncture area of a patient through a sucking disc;
thirdly, connecting a liquid medicine tube, an electronic pump and a medicine bottle, and removing air from the puncture needle head by pushing anesthetic;
fixing the pushing sliding sleeve in the clamping clip, ensuring that the puncture handle moves freely, and releasing a restraining knob of the universal adjusting lever;
fifthly, the puncture needle head is punctured into a spinal gap of a patient, and the tissue reached by the needle head is judged according to the motion state of the resistance indicator;
and step six, fastening a constraint knob of the universal adjusting lever, and performing anesthetic injection on the patient by stepping on the foot switch.
The invention has the beneficial effects that: when the anesthesiologist impels the puncture handle and pushes away the puncture needle to patient's backbone gap in, the resistance state that the puncture needle received is gathered to the resistance indicator, and according to the density of different tissues in the human structure, form fixed motion change law, thereby the position that the judgement puncture needle that can be accurate arrived, compare and rely on feeling and experience among the conventional art, the resistance indicator more can audio-visual reaction puncture needle pass through the resistance change on different regional layers at the puncture in-process, thereby guaranteed going on smoothly of anesthesia, avoid the poisoning phenomenon that the narcotic entering blood vessel leads to. After the puncture needle head is in place, the position of the puncture handle is kept by locking the universal adjusting lever, the anesthesia failure problem caused by later operation shaking is avoided, the pushing action of the anesthetic is executed by adopting an electronic pump, the electronic pump performs liquid medicine pumping according to a signal of a foot switch, wherein in order to control the metering of the anesthetic, the electronic pump can perform pulse pumping according to the signal of the foot switch, and the pumping quantity of single pulse is equal.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic view of the internal structure of the nerve block anesthesia needle of the present invention;
fig. 2 is a schematic view of the overall structure of the anesthesia apparatus of the present invention.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it is to be understood that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The first embodiment is as follows:
referring to fig. 1 and 2, a nerve block anesthetic needle includes: thepuncture handle 1 is internally and coaxially provided with a cylindricalfirst cavity 2, any end of thepuncture handle 1 is coaxially provided with atelescopic channel 3 communicated with thefirst cavity 2, and one end of thepuncture handle 1, which is far away from thetelescopic channel 3, is provided with aliquid feeding channel 4 communicated with the inside of thefirst cavity 2; atransparent observation window 5 is arranged on the outer wall of thepuncture handle 1 corresponding to the area of thefirst cavity 2; theresistance indicator 6 is arranged in thefirst cavity 2 and freely slides along the length direction of thefirst cavity 2, and one end of theresistance indicator 6 is provided with aconnector 7 which extends to the outside of thepuncture handle 1 through thetelescopic channel 3; theresistance indicator 6 is provided with apipeline 8 which penetrates along the axis; the elastic units 9 are arranged in thefirst cavity 2, correspond to two ends of theresistance indicator 6, and are used for applying a group of axial balance forces to theresistance indicator 6; thepuncture needle head 10 is nested and matched on theconnector 7; a medicineliquid pipe 11, the medicineliquid pipe 11 is flexibly arranged and is communicated with thepuncture needle head 10 through the liquid sendingchannel 4, thefirst cavity 2 and thepipeline 8.
In a preferred embodiment, asecond cavity 12 is disposed in the center of theliquid feeding channel 4, and theliquid medicine tube 11 is flexibly disposed and spirally wound in an open manner in thesecond cavity 12. Thepuncture handle 1 is formed by two semicircular shells in a left-right combination mode.
In the above arrangement, when the anesthesiologist pushes thepuncture handle 1 to push thepuncture needle 10 into the spinal gap of the patient, theresistance indicator 6 collects the resistance state of thepuncture needle 10, and forms a fixed motion change rule according to the density of different tissues in the human body structure, so that the position where thepuncture needle 10 arrives can be accurately judged, compared with the traditional technology, theresistance indicator 6 can more intuitively reflect the resistance change of thepuncture needle 10 passing through different regional layers in the puncture process by virtue of hand feeling and experience, thereby ensuring the smooth proceeding of anesthesia, and avoiding the poisoning phenomenon caused by the anesthetic entering the blood vessel.
Example two:
an anesthesia apparatus comprising: the bottom of the fixedseat 13 is provided with a plurality ofstable brackets 20 distributed all around, and one end of eachstable bracket 20 far away from the clamping mechanism is provided with asucker 14; the fixed end of the universal adjustinglever 16 is fixedly arranged at the top of the fixedseat 13; the free end of the universal adjustinglever 16 is provided with aclamp 15; the propelling slidingsleeve 17 is embedded outside thepuncture handle 1 and clamped in theclamp 15, and thepuncture handle 1 freely slides in thepropelling sliding sleeve 17 along the length direction; a liquid supply system which is composed of anelectronic pump 18 and amedicine bottle 22 which are sequentially communicated with the medicineliquid pipe 11, and theelectronic pump 18 is provided with afoot switch 19.
In the practical operation process, a nerve block anesthesia needle method is adopted, which comprises the following steps:
step one, guiding a patient to be in a lateral decubitus position, and fully extending a spine and keeping a posture;
step two, fixing the fixedseat 13 with the back waist puncture area of the patient through the suckingdisc 14;
thirdly, connecting theliquid medicine tube 11, theelectronic pump 18 and themedicine bottle 22, and removing air from thepuncture needle head 10 by pushing the anesthetic;
fixing the pushing slidingsleeve 17 in theclamp 15 to ensure that thepuncture handle 1 moves freely and release theconstraint knob 21 of the universal adjustinglever 16;
fifthly, thepuncture needle head 10 is punctured into a spinal gap of a patient, and the tissue reached by the needle head is judged according to the motion state of theresistance indicator 6;
step six, fastening arestraint knob 21 of the universal adjustinglever 16, and performing anesthetic injection on the patient by stepping on thefoot switch 19.
The anesthesia device is operated by the method, after thepuncture needle head 10 is in place, the position of thepuncture handle 1 is kept by locking the universal adjustinglever 16, the anesthesia failure problem caused by later operation shaking is avoided, the pushing action of the anesthetic is executed by adopting theelectronic pump 18, theelectronic pump 18 pumps liquid medicine according to the signal of thefoot switch 19, wherein in order to control the metering of the anesthetic, theelectronic pump 18 can pump in pulses according to the signal of thefoot switch 19, and the pumping amount of single pulse is equal.
The above description is only for the specific embodiments of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art can easily conceive of the changes or substitutions within the technical scope of the present invention, and all the changes or substitutions should be covered within the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.