Disclosure of Invention
The invention mainly aims to provide a puncture trocar component and a puncture device, and aims to solve the technical problems that in the related art, the head end of a coaxial trocar puncture needle is too sharp to facilitate puncture and suction of tissue fluid, surrounding tissues are easy to puncture, and the head end of the coaxial trocar puncture needle is too flush to protect the surrounding tissues, so that the puncture extraction efficiency cannot be improved.
To achieve the foregoing objective, in a first aspect, the present invention provides an introducer needle assembly.
The penetrating trocar assembly comprises: the needle comprises a needle core and a coaxial sleeve sleeved on the needle core, wherein the needle core is connected with the coaxial sleeve in a sliding manner; the head end of the coaxial sleeve comprises an axial contact surface which is used for puncture contact with a focus along the axial direction of the coaxial sleeve and a lateral contact surface which encloses to form the axial contact surface; the axial contact surface comprises a first contact surface and a second contact surface, and a plurality of the first contact surfaces and a plurality of the second contact surfaces are arranged at intervals to form a height difference gap which enables interstitial fluid flowing out of the lesion to enter the coaxial sleeve; the tail end of the coaxial sleeve is used for being connected with an injector; the first contact surface is a convex surface extending outward in the axial direction of the stylet.
The puncture trocar component provided by the invention utilizes the axial contact surfaces of the first contact surface and the second contact surface which are contacted with the focus to contact the tissue at the focus of a patient, adopts the contact surfaces to contact the tissue at the focus of the patient instead of the contact surfaces, thereby avoiding further puncture damage of the coaxial cannula to the tissue in the subsequent tissue fluid suction process, simultaneously utilizes the interval arrangement of the first contact surfaces and the second contact surfaces to form a height difference gap which can lead the tissue fluid flowing out of the focus to enter the coaxial cannula, effectively avoiding that the head end of the coaxial cannula is propped against the tissue at the focus of the patient to form a nearly vacuum state in the tissue fluid suction process by utilizing the coaxial cannula, thereby influencing the tissue fluid suction, further solving the problem that the head end of the coaxial cannula is provided with a sharp puncture needle to facilitate the puncture to suck the tissue fluid, meanwhile, the peripheral tissue is easy to puncture, and the head end of the coaxial cannula puncture needle is too flush and can protect the peripheral tissue, so that the puncture extraction efficiency cannot be improved.
Preferably, the lateral contact surface is provided with a through hole at a position close to the axial contact surface, and the tissue fluid can enter the coaxial sleeve.
Preferably, the through hole is provided on a lateral contact surface between the first contact surface and the second contact surface.
Preferably, the axial contact surface is an arc surface in a wave shape.
Preferably, the convex surface is an arc-shaped surface; and/or the head end of the coaxial sleeve is gradually reduced along the axial outward cross-sectional area of the needle core.
Preferably, the first contact surface and the second contact surface are planar; and/or the length of the first contact surface in the circumferential direction of the coaxial sleeve is not less than that of the second contact surface in the circumferential direction of the coaxial sleeve.
Preferably, the core comprises a piercing end, a holding end and a needle hole for extracting the tissue fluid, and the holding end can be used for connecting with a syringe.
Preferably, a sealing structure is arranged between the holding end of the needle core and the tail end of the coaxial sleeve.
Preferably, the sealing means is a septum arranged between the gripping end of the stylet and the trailing end of the coaxial sleeve, such that the stylet and the coaxial sleeve remain connected hermetically in the sliding connection.
In a second aspect, the present invention also provides a puncturing device;
the puncture device comprises an injector and the puncture trocar assembly of any one of the above, wherein the holding end of the needle core of the puncture trocar assembly and/or the tail end of the coaxial sleeve are connected with the injector.
Detailed Description
In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious 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.
It should be noted that the terms "first," "second," and the like in the description and claims of the present invention and in the drawings described above are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used may be interchanged under appropriate circumstances in order to facilitate the description of the embodiments of the invention herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
In the present invention, the terms "upper", "inner", "outer", "center", "axial" and "circumferential" and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings. These terms are used primarily to better describe the invention and its embodiments and are not intended to limit the indicated devices, elements or components to a particular orientation or to be constructed and operated in a particular orientation.
Moreover, some of the above terms may be used to indicate other meanings besides the orientation or positional relationship, for example, the term "on" may also be used to indicate some kind of attachment or connection relationship in some cases. The specific meanings of these terms in the present invention can be understood by those skilled in the art as appropriate.
In addition, the term "plurality" shall mean two as well as more than two.
It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict. The present invention will be described in detail below with reference to the embodiments with reference to the attached drawings.
As shown in fig. 1 to 4, the present invention provides a puncture trocar assembly, which comprises atrocar core 1 and acoaxial cannula 2 sleeved on thetrocar core 1, wherein thetrocar core 1 is slidably connected with thecoaxial cannula 2, and the head end of thecoaxial cannula 2 comprises anaxial contact surface 3 along the axial direction of thecoaxial cannula 2 for making puncture contact with the lesion and alateral contact surface 4 enclosing to form theaxial contact surface 3. Theaxial contact surface 3 comprises afirst contact surface 301 and asecond contact surface 302, the plurality offirst contact surfaces 301 and the plurality ofsecond contact surfaces 302 are arranged at intervals to form a height difference gap which enables interstitial fluid flowing out of a lesion to enter thecoaxial sleeve 2, and the tail end of thecoaxial sleeve 2 is used for being connected with an injector; thefirst contact surface 301 is a convex surface extending outward in the axial direction of thecore 1. The area of the convex surface of thefirst contact surface 301 is larger than the area of thesecond contact surface 302, and further preferably, the area of the concave surface of thesecond contact surface 302 extends inward in the axial direction of thehub 1. Wherein the contact area of the first contact surface and the second contact surface with the lesion of the patient is related by the sleeve wall thickness and the radial circumference of thecoaxial sleeve 2. Wherein the thickness of the coaxial trocar can refer to the thickness of the current conventional puncture needle cannula, and the distance between thefirst contact surface 301 and thesecond contact surface 302 can be 1-2 mm.
The puncture trocar component provided by the invention utilizes the axial contact surfaces of the first contact surface and the second contact surface which are contacted with the focus to contact the tissue at the focus of a patient, adopts the contact surfaces to contact the tissue at the focus of the patient instead of the contact surfaces, thereby avoiding further puncture damage of the coaxial cannula to the tissue in the subsequent tissue fluid suction process, simultaneously utilizes the interval arrangement of the first contact surfaces and the second contact surfaces to form a height difference gap which can lead the tissue fluid flowing out of the focus to enter the coaxial cannula, effectively avoiding that the head end of the coaxial cannula is propped against the tissue at the focus of the patient to form a nearly vacuum state in the tissue fluid suction process by utilizing the coaxial cannula, thereby influencing the tissue fluid suction, further solving the problem that the head end of the coaxial cannula is provided with a sharp puncture needle to facilitate the puncture to suck the tissue fluid, meanwhile, the peripheral tissue is easy to puncture, and the head end of the coaxial cannula puncture needle is too flush and can protect the peripheral tissue, so that the puncture extraction efficiency cannot be improved.
In an alternative embodiment of the invention, thelateral contact surface 4 is provided with a through-hole 401 near theaxial contact surface 3, through which tissue fluid can enter thecoaxial sleeve 2. The arrangement of the throughhole 401 increases the flow of the tissue fluid to thecoaxial sleeve 2 in unit time, and avoids the situation that the head end of thecoaxial sleeve 2 is abutted to the focus to cause the tissue fluid not to be sucked out easily. In a further alternative embodiment of the present invention, the throughhole 401 is disposed on thelateral contact surface 4 between thefirst contact surface 301 and thesecond contact surface 302, which is beneficial for tissue fluid to flow into the coaxial sleeve from the height difference gap, and prevents the tissue at the lesion from being adsorbed in the height difference gap and forming vacuum with the tissue at the lesion during the suction process, so that the tissue fluid at the lesion is not easy to separate out and the suction condition occurs. In a further alternative embodiment of the invention, there are a plurality of throughholes 401, and a plurality of throughholes 401 are evenly distributed on thelateral contact surface 4 of the head end of thecoax sleeve 2 in the radial direction of thecoax sleeve 2. The diameter of the throughhole 401 is about 1.0mm, and can be specifically adjusted according to the aperture of the puncture needle.
In an alternative embodiment of the present invention, the convex surface of thefirst contact surface 301 may be a wall-shaped convex surface, or may be an arc surface, and further preferably, thefirst contact surface 301 and the arc surface extending to the outside of the axial direction of thecoaxial sleeve 2 are provided in an arc surface, so as to avoid the situation that theaxial contact surface 3 is too sharp to puncture the tissue at the lesion during the suction process, and at the same time, thecoaxial sleeve 2 is not affected to be attached to the tissue at the lesion of the patient, so as to facilitate the suction of the tissue fluid. At this time, thesecond contact surface 302 may be a straight surface, or may be an arc surface protruding inward or outward in the axial direction. Thesecond contact surface 302 may be small enough that thesecond contact surface 302 does not contact the tissue at the lesion during aspiration of the trocar assembly. In a further alternative embodiment of the invention, thesecond contact surface 302 is an arc-shaped surface protruding inwards in the axial direction, and thesecond contact surface 302 and thefirst contact surface 301 together enclose theaxial contact surface 3 which is an arc-shaped surface in a wave shape. Therefore, the height difference gap for enabling tissue fluid to enter thecoaxial sleeve 2 is formed in the situation that theaxial contact surface 3 is in contact with and sucks tissue at a focus, and the situation that secondary damage to the tissue is caused due to the fact that theaxial contact surface 3 is in contact with the tissue at the focus can be guaranteed. In an alternative embodiment of the present invention, thefirst contact surface 301 and thesecond contact surface 302 form a wave-shaped structure with 3-5 groups, and the height difference between thefirst contact surface 301 and thesecond contact surface 302 is 1-2 mm.
In another alternative embodiment of the present invention, thefirst contact surface 301 and thesecond contact surface 302 are both flat surfaces, thefirst contact surface 301 and thesecond contact surface 302 are connected by a vertical connecting line parallel to the axial direction to form a "city wall" shaped recess and protrusion, and the size of the height difference gap formed by thefirst contact surface 301 and thesecond contact surface 302 can be adjusted according to actual needs to form different specifications for different operation requirements. In other embodiments of the present invention, thefirst contact surface 301 and thesecond contact surface 302, which are arranged in a plane, may be connected through an arc surface and an inclined surface, so as to ensure that a height difference gap is formed to satisfy the time effect of tissue fluid aspiration, and at the same time, to improve the contact area between the head end of thecoaxial cannula 2 of the puncture cannula needle assembly and the tissue at the lesion site, so that when the coaxial cannula needs to adjust the angle and depth, it is not easy to puncture the surrounding tissue, and to avoid secondary puncture and damage during aspiration. In a further alternative embodiment of the present invention, the length of thefirst contact surface 301 in the circumferential direction of the coaxial sleeve is not smaller than the length of thesecond contact surface 302 in the circumferential direction of the coaxial sleeve, so that the contact area of the tip end of thecoaxial sleeve 2 of the puncture needle with the tissue at the lesion can be further increased.
In an alternative embodiment of the present invention, the cross-sectional area of thecoaxial sleeve 2 along the axial direction of theneedle core 1 is gradually reduced, i.e. the end port of thecoaxial sleeve 2 is in an inward-shrinking shape, so as to facilitate the contact of thecoaxial sleeve 2 to the lesion of the patient to be more gradual.
In an alternative embodiment of the present invention, thecore 1 is provided in a solid structure, and thecore 1 includes a piercing end and a holdingend 101. In the actual operation process, the puncture end sleeved on thesolid needle core 1 in thecoaxial sleeve 2 punctures the tissue at the focus of a patient, the puncture sleeve needle assembly enters a preset position, the visible tissue fluid is sucked into the injector at the tail end, theneedle core 1 is fixed at the moment, thecoaxial sleeve 2 is pushed inwards to exceed theneedle core 1, the head end of thecoaxial sleeve 2 is designed to prevent the puncture of the wall of a focus and the surrounding tissue, and the fluid circulation can also be ensured. Thesolid needle core 1 is drawn out of the focus by pulling the holdingend 101, and is pressed against the punctured tissue by thecoaxial sleeve 2 retained at the focus of the patient to suck the tissue fluid.
In another alternative embodiment of the present invention, thecore 1 comprises a piercing end, a holdingend 101 and a needle hole for extracting tissue fluid, and the holdingend 101 can be used for connecting with a syringe. In the actual operation process, the puncture needle enters a preset position, the puncture end of theneedle core 1 sleeved on thecoaxial sleeve 2 punctures the focus of a patient, so that tissue fluid is seen to be sucked into the injector at thetail end 201, theneedle core 1 is fixed at the moment, thecoaxial sleeve 2 is pushed inwards to exceed theneedle core 1, the puncture end of theneedle core 1 is positioned in thecoaxial sleeve 2, thecoaxial sleeve 2 is pressed against the tissue of the punctured focus, meanwhile, the holding part of theneedle core 1 is connected with the injector and slight negative pressure suction is maintained, and therefore when the puncture end of theneedle core 1 enters the focus, the tissue fluid is easy to be sucked out. In other embodiments of the present invention, thetail end 201 of thecoaxial sleeve 2 and the grip portion of thestylet 1 are connected to the injector at the same time, specifically, thetail end 201 of thecoaxial sleeve 2 is connected to the injector, and the grip portion of thestylet 1 is wrapped in the connection structure of thetail end 201 of thecoaxial sleeve 2 and the injector. If a drainage catheter needs to be placed, a multifunctional puncture trocar component with a thicker model can be selected, thetrocar core 1 is completely pulled out after puncture is completed, and the drainage catheter is inserted along the cavity gap of thecoaxial cannula 2.
In order to facilitate the operation of the holding part of thestylet 1 and ensure the tightness and stability of the structural connection of the holding part of thestylet 1, thetail end 201 of thecoaxial sleeve 2 and the injector, in an alternative embodiment of the invention, the holding part of thestylet 1 is connected with the connection port of the injector, and a sealing structure is arranged between the holdingend 101 of thestylet 1 and thetail end 201 of thecoaxial sleeve 2, in a further alternative embodiment of the invention, the sealing structure is adiaphragm 5 arranged at thetail end 201 of thecoaxial sleeve 2 to prevent liquid from flowing out through the gap between thestylet 1 and thecoaxial sleeve 2 after thecoaxial sleeve 2 is pushed forward and air leakage when the injector extracts the liquid. In another further alternative embodiment of the invention, the sealing structure may be a grip and an elastic sleeve enclosing thecore 1, so that thecore 1 and thecoaxial sleeve 2 remain connected hermetically in the sliding connection.
The invention provides a puncture device comprising a syringe and a puncture cannula assembly as described in any of the above, wherein the holdingend 101 of theneedle hub 1 and/or thetail end 201 of thecoaxial cannula 2 of the puncture cannula assembly is connected to the syringe.
The above description is only a preferred or alternative embodiment of the present invention and is not intended to limit the present invention, and various modifications and variations of the present invention may occur to those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.