CN106618746B - A kind of marrow cavity puncture packet of band guidance telltale mark - Google Patents
A kind of marrow cavity puncture packet of band guidance telltale mark Download PDFInfo
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- CN106618746B CN106618746B CN201710068547.9A CN201710068547A CN106618746B CN 106618746 B CN106618746 B CN 106618746B CN 201710068547 A CN201710068547 A CN 201710068547A CN 106618746 B CN106618746 B CN 106618746B
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Abstract
The marrow cavity puncture packet with guidance telltale mark of the invention, including aseptic package bag, aseptic hole-towel and preoperative sterile gloves offer circular hole on aseptic hole-towel, and circular hole periphery is provided with circular ring plate, and aseptic cotton layer is provided in ring plate；The lower surface of aseptic hole-towel is lower waterproof layer, and the top of ring plate is provided with waterproof layer；Horizontal marking and vertical graticule are provided on aseptic hole-towel, horizontal marking is aligned for being overlapped with Human Patella lower edge, and vertical graticule is aligned for being overlapped with human tibia tuberosity.Marrow cavity puncture packet of the invention, integrate site of puncture positioning, site of puncture disinfection, opening aseptic package bag can be used, greatly improve the chance of success of marrow cavity puncture, shorten the time of marrow cavity puncture, valuable time can be got for the rescue of the clinical acute diseases critical patients such as CPR, shock, big bleeding, make this light, practical technology of intraosseous infusion, safety and operation readiness can be quickly provided for battlefield, disaster assistance, pre hospital care, first aid in hospital, it is established that " life access ".
Description
Technical field
The present invention relates to a kind of marrow cavity puncture packets, more specifically, more particularly to a kind of band guidance telltale mark bone
Pulp cavity punctures packet.
Background technique
Foreign countries find that bone marrow aspiration infusion has more than 90 years time, american heart to today since the twentieth century twenties
Association (AHA), the European Resuscitation committee (ERC), international recovery drafting committee (ILCOR) were recovered in 2000
It points out in guide, in first aid, should consider as early as possible when establishing vascular access using ossis inner gateway.Bone marrow aspiration is used as
Second selection of the urgent patient when peripheral vein cannot be established in time is rescued, this idea has formed domestic and foreign scholars at present
Common recognition.In first aid procedures, the timely medication in venous transfusion channel can be fast and effeciently established, is the pass successfully to give emergency treatment to a patient
Where key.Modern medicine first aid, for principle, gives appropriate emergency treatment according to patient's concrete condition with quick, accurate and effective
And drug therapy, in addition to corresponding emergency treatment, rapidly establishing the timely medication of infusion channel is particularly important.In ossis
Infusion techn can be to give emergency treatment to a patient to win the quality time, be conducive to improve first aid success rate.This light, practical skill of intraosseous infusion
Art can quickly provide infusion for battlefield, disaster assistance, pre hospital care, first aid in hospital.Such as when the vein blood vessel of patient can not be into
Row vein injection, or encounter cardiac arrest or faint Emergency Patients and field rescue (army's rescue) is built without condition
When vertical intravenous injection, the administration of ossis access usually is established using shin bone.Due to being full of spongiform venous sinus in ossis, and
Vein is nourished through center to communicate with blood circulation, entire patient's circulation can be quickly entered after ossis administration, therefore venipuncture is again
Referred to as " vein never to wither ".
Such as in recovery first aid, when multiple venipuncture failure or overlong time (such as 2min), it should be built immediately for patient
Vertical ossis injection passage.Site of puncture according to the literature is more, including shin bone, ilium, breastbone etc., because position limitation and
The convenience of operation, most common position of the proximal ends of tibia (proximal end) as marrow cavity puncture.
Since marrow cavity puncture is of little use, and the status requirement punctured is stringent, and more healthcare givers is caused to encounter marrow
Chamber puncture is just feared: first is that being afraid of that puncture position positioning is inaccurate and leads to puncture failure, and other damages is caused to patient, second is that being afraid of
Asptic technique is lack of standardization, causes to infect to patient；Third is that single takes article (such as sterile gloves, aseptic towel, aseptic cotton when operation
Stick, skin antiseptic, puncture needle, flushing salt water, sharp instrument box etc.) it is more, multi agent cooperation is needed, one man operation is difficult simultaneously to be influenced to puncture
Speed.
Have mature marrow cavity puncture tool now, is made of the puncture outfit of puncture needle and pistol-shaped, puncture outfit is again
It is divided into manual and DYN dynamic.In use, puncture needle to be installed on to the top of puncture outfit, disappear to the tibia sites punctured
After poison, puncture needle is penetrated using puncture outfit, that is, establishes marrow cavity transfusion access.In puncture process, entirely with medical staff's
Experience searches puncture position, is easy to appear erroneous judgement；In case of emergency, need medical staff in extremely short time (usually 10-
30s or so) ossis access is established, it to be gradually completing in a very short period of time and wear sterile gloves, site of puncture disinfection, find
Point of puncture, puncture procedure, only extremely consummate personnel, general medical staff are extremely difficult to standard requirements.
Summary of the invention
The present invention in order to overcome the shortcomings of the above technical problems, provides a kind of marrow cavity puncture of band guidance telltale mark
Packet.
Marrow cavity puncture packet with guidance telltale mark of the invention, including aseptic package bag and is disposed therein sterile
Hole towel and preoperative sterile gloves offer circular hole on aseptic hole-towel；It is characterized by: circular hole periphery is provided with circular ring plate,
Ring plate is fixed on aseptic hole-towel, and the aseptic cotton layer for being impregnated with thimerosal is provided in ring plate；It is glued on the lower surface of aseptic hole-towel
With lower waterproof layer, the sterile gum in many places is provided between aseptic hole-towel and lower waterproof layer, sterile gum is adhered to aseptic hole-towel
On；The top of ring plate is provided with the upper waterproof layer being sealed to aseptic cotton layer, and aseptic cotton layer is fixed on waterproof layer；
Be provided with mutually perpendicular horizontal marking and vertical graticule on aseptic hole-towel, horizontal marking be used for under Human Patella
Edge is overlapped alignment, and vertical graticule is aligned for being overlapped with human tibia tuberosity, and the distance of the circle center distance horizontal marking of circular hole is
3cm, the distance of the vertical graticule of the circle center distance of circular hole are 2cm.
Marrow cavity puncture packet with guidance telltale mark of the invention, the aseptic hole-towel and lower waterproof layer same position
Be respectively fixed on edge convenient for the first pulling-on piece and the second pulling-on piece that are isolated, the edge of waterproof layer be fixed with convenient for by its with
The third pulling-on piece that ring plate mutually separates.
The marrow cavity puncture packet with guidance telltale mark of the invention is fixed in the ring plate and crosses the of the circular hole center of circle
One position line and the second position line, the first position line and the second position line are respectively positioned between aseptic cotton layer and lower waterproof layer.
The marrow cavity puncture packet with guidance telltale mark of the invention, in the aseptic package bag also containing cleaning liquid bottle and
Needle cap is punctured, cleaning liquid bottle is provided with the 20ml flushing liquor being rinsed to ossis, and the front end of flushing liquor is provided with screwed pipe,
The end of screwed pipe is provided with seal cap；The inside for puncturing needle cap is the cavity matched with puncture needle, punctures the front end of needle cap
There are two extension rod, being provided on the inner wall of extension rod multiple prevents what puncture needle from skidding off to set one's teeth on edge for setting.
The beneficial effects of the present invention are: marrow cavity puncture packet of the invention, by the way that horizontal marking is arranged on aseptic hole-towel
With vertical graticule, it is aligned by the way that horizontal line graticule to be overlapped with kneecap lower edge, vertical graticule is overlapped with tuberosity of tibia is aligned, it is quasi-
Really, the positioning that shin bone ossis waits for puncture position is had effectively achieved, the circular hole center on aseptic hole-towel is puncture position.It is logical
It crosses and aseptic cotton layer is set in ring plate, when not in use, lower waterproof layer and upper waterproof layer realize the sealing to aseptic cotton layer, use
When, lower waterproof layer is removed, the disinfection to site of puncture can be realized by pressing upper waterproof layer.Marrow cavity puncture of the invention
Packet integrates site of puncture positioning, site of puncture disinfection, can be used after opening aseptic package bag, greatly improve marrow
The chance of success that chamber punctures, shortens the time of marrow cavity puncture, can get valuable time for the rescue of Emergency Patients, beneficial
Effect is prominent, is suitable for the application of popularization.
Detailed description of the invention
Fig. 1 is the main view of aseptic hole-towel in the present invention；
Fig. 2 is the rearview of aseptic hole-towel in the present invention；
Fig. 3 is the cross-sectional view of Section A-A in Fig. 1；
Fig. 4 is the partial enlarged view of B area in Fig. 3；
Fig. 5 is the partial enlarged view in the region C in Fig. 3；
Fig. 6 is the structural schematic diagram of marrow cavity puncture packet of the invention；
Fig. 7 is the structural schematic diagram of patient's lower limb to be punctured；
Fig. 8 is the aseptic hole-towel structural schematic diagram fixed in patient's lower limb；
Fig. 9 is the structural schematic diagram that aseptic cotton layer is removed and punctured from aseptic hole-towel.
In figure: 1 aseptic hole-towel, 2 lower waterproof layers, waterproof layer on 3,4 aseptic cottons layer, 5 circular holes, 6 ring plates, 7 first position lines,
8 second position lines, 9 horizontal markings, 10 vertical graticules, 11 first pulling-on pieces, 12 second pulling-on pieces, 13 third pulling-on pieces, 14 sterile gums,
15 aseptic package bags, 16 cleaning liquid bottles, 17 screwed pipes, 18 seal caps, 19 puncture needle cap, and 20 extension rods, 21 set one's teeth on edge, 22 shanks,
23 kneecaps, 24 kneecap lower edges, 25 tuberosity of tibias, 26 preoperative sterile gloves.
Specific embodiment
The invention will be further described with embodiment with reference to the accompanying drawing.
As shown in Figure 1, Figure 2 and Figure 3, the main view of aseptic hole-towel, rearview and Section A-A in the present invention is set forth
Cross-sectional view, Fig. 4 gives the partial enlarged view of B area in Fig. 3, and Fig. 5 gives the partial enlarged view in the region C in Fig. 3；It is shown
Aseptic hole-towel 1 on offer circular hole 5, lower waterproof layer 2 is pasted on the lower surface of aseptic hole-towel 1, lower waterproof layer 2 and sterile hole
The sterile gum 14 in many places is provided between towel 1, sterile gum 14 is fixed on the lower surface of aseptic hole-towel 1.In use, sterile back
Glue 14 is used to be adhered to the skin of patient's lower limb, to realize fixation of the aseptic hole-towel 1 on patient's lower limb.
Shown ring plate 6 is circle, and ring plate 6 is located at the periphery of circular hole 5, and fixes with 1 phase of aseptic hole-towel.4, aseptic cotton layer
In ring plate 6, it is impregnated in aseptic cotton layer 4 and thimerosal that site of puncture carries out disinfection is waited for patient.Upper waterproof layer 3 is located at disinfection
The top of surface layer 4, and the upper surface for sterilizing surface layer 4 is fixed on the lower surface of waterproof layer 3, the surrounding adherency of upper waterproof layer 3
In in ring plate 6, in this way, being realized the package of aseptic cotton layer 4 to aseptic cotton layer 4 by lower waterproof layer 2 and upper waterproof layer 3
Sealing, so that the thimerosal in aseptic cotton layer 4 does not leak outside, is non-volatile.
The horizontal marking 9 and vertical graticule 10 being arranged on aseptic hole-towel 1 are orthogonal, horizontal marking 9 be used for wait puncture
The kneecap lower edge 24 of patient is overlapped alignment, and vertical graticule 10 is aligned for being overlapped with the tuberosity of tibia 25 of patient to be punctured.Circular hole 5
The distance of circle center distance horizontal marking 9 be 3cm, distance apart from vertical graticule 10 is 2cm.Due to shin bone marrow cavity puncture position
It is set to: the 2cm on the inside of kneecap lower edge 3cm, tuberosity of tibia, in this way, by horizontal marking 9, vertical graticule 10 on aseptic hole-towel 1
It is overlapped after being aligned with patient's kneecap lower edge, tuberosity of tibia respectively, the center of circular hole 5 is the point of marrow cavity puncture.
In order to further realize the precise positioning to point of puncture, the first position line 7 and second is additionally provided in shown ring plate 6
Position line 8, the first position line 7 and the second position line 8 cross the center of circle of circular hole 5, after aseptic hole-towel 1 positions, the first position line 7
Intersection point with the second position line 8 is point of puncture, and medical staff only need to be by puncture needle from the first position line 7 and the second position line 8
Point of intersection insertion, that is, can guarantee puncture position correctness, effectively increase service speed and puncture chance of success.
Shown in be respectively fixed with the first pulling-on piece 11 and second on aseptic hole-towel 1 and the edge of lower 2 same position of waterproof layer
Pulling-on piece 12, in use, two hands of medical staff pinch the first pulling-on piece 11 and the second pulling-on piece 12 respectively, can by aseptic hole-towel 1 with
Lower waterproof layer 2 separates.Shown in be fixed with third pulling-on piece 13 on upper waterproof layer 3, after aseptic cotton 4 sanitized of layer,
It pulls third pulling-on piece 13 and upper waterproof layer 3 can be torn from ring plate 6, while aseptic cotton layer 4 also follows waterproof layer 3 to move
It removes.
As shown in fig. 6, give the structural schematic diagram of marrow cavity puncture packet of the invention, shown in aseptic package bag 15
Other than equipped with aseptic hole-towel 1, it is also equipped with preoperative sterile gloves 26, cleaning liquid bottle 16 and punctures needle cap 19, preoperative sterile gloves
26 is secondary for two, wears for medical staff.Equipped with the flushing liquor being rinsed to ossis, the volume of flushing liquor in cleaning liquid bottle 16
It can be 20ml；The front end of cleaning liquid bottle 16 is provided with screwed pipe 17, and the front end of the end of thread 17 is provided with seal cap 18, opens sealing
Flushing liquor 16 can be injected the tail portion of the front end insertion puncture needle of screwed pipe 17 in ossis, with reality by cap 18 by squeezing
Now to the flushing of ossis, so as to the drug injection of next step.
Shown in puncture needle cap 19 for being collected to the puncture needle after using, the inside for puncturing needle cap 19 is and puncture
The cavity that needle matches, to store puncture needle；Puncture 19 opening of needle cap is fixed, and there are two extension rod 20, each extension rods 20
On be provided with multiple triangles set one's teeth on edge 21, setting one's teeth on edge 21 can realize effective limit to puncture needle, prevent puncture needle from puncture
It is skidded off in needle cap 19.
As shown in fig. 7, giving the structural schematic diagram of patient's lower limb to be punctured, after the patient wait puncture lies low, shank
Tuberosity of tibia 25 on 22 is high-visible (or clearly being known by touching), and the kneecap lower edge 24 of kneecap 23 is also high-visible.Such as
Shown in Fig. 8, the bacterium hole towel structural schematic diagram fixed in patient's lower limb is given, Fig. 9 gives aseptic cotton layer from aseptic hole-towel
The structural schematic diagram removed and punctured, marrow cavity puncture packet of the invention use process is as follows:
Aseptic package bag 15 is opened first, sterile gloves 26 and is worn before removal surgery, aseptic hole-towel 1 is then unfolded, is led to
Cross both hands and tear the first pulling-on piece 11 and the second pulling-on piece 12, aseptic hole-towel 1 is separated with lower waterproof layer 2, according to " horizontal marking 9 with
The kneecap lower edge 24 of patient is overlapped alignment, vertical graticule 10 is overlapped with tuberosity of tibia 25 and is aligned " mode, utilize sterile gum 14
Aseptic hole-towel 1 is fixed on patient's lower limb；Then, by pressing upper waterproof layer 3, immerse the thimerosal in aseptic cotton layer 4
To site of puncture, disinfection is realized, later removed upper waterproof layer 3 and aseptic cotton layer 4 by tearing third pulling-on piece 13, finally,
The point of intersection of first position line 7 and the second position line 8 punctures.After puncturing successfully, the liquid pair in cleaning liquid bottle 16 is utilized
Ossis is rinsed, i.e. injectable drug.After ossis access is administered, wearing of pulling out holds needle and be put into puncture to carry out in needle cap 19
It saves, avoids abandoning or causing injury from sharp utensil.
Claims (3)
1. a kind of marrow cavity puncture packet of band guidance telltale mark, including aseptic package bag (15) and the sterile hole being disposed therein
Towel (1) and preoperative sterile gloves (26) offer circular hole (5) on aseptic hole-towel；It is characterized by: circular hole periphery is provided with circle
Ring plate (6), ring plate is fixed on aseptic hole-towel, be provided in ring plate be impregnated with thimerosal aseptic cotton layer (4)；Aseptic hole-towel
Lower surface on be stained with lower waterproof layer (2), the sterile gum in many places (14) is provided between aseptic hole-towel and lower waterproof layer, it is sterile
Gum is adhered on aseptic hole-towel；The top of ring plate is provided with the upper waterproof layer (3) being sealed to aseptic cotton layer, aseptic cotton layer
It is fixed on waterproof layer；
Mutually perpendicular horizontal marking (9) and vertical graticule (10) are provided on aseptic hole-towel, horizontal marking is used for and human body kneecap
Bone lower edge is overlapped alignment, and vertical graticule is aligned for being overlapped with human tibia tuberosity, the circle center distance horizontal marking of circular hole away from
It is 2cm from the distance for 3cm, the vertical graticule of the circle center distance of circular hole；
The first position line (7) and the second position line (8) for crossing circular hole (5) center of circle, the first positioning are fixed on the ring plate (6)
Line and the second position line are respectively positioned between aseptic cotton layer (4) and lower waterproof layer (2).
2. the marrow cavity puncture packet of band guidance telltale mark according to claim 1, it is characterised in that: the aseptic hole-towel
(1) and on the edge of lower waterproof layer (2) same position the first pulling-on piece (11) convenient for being isolated and second is respectively fixed with to draw
Piece (12), the third pulling-on piece (13) that the edge of waterproof layer (3) is fixed with convenient for mutually separating it with ring plate (6).
3. the marrow cavity puncture packet of band guidance telltale mark according to claim 1 or 2, it is characterised in that: described sterile
In packaging bag (15) also containing cleaning liquid bottle (16) and puncture needle cap (19), cleaning liquid bottle, which is provided with, is rinsed ossis
20ml flushing liquor, the front end of flushing liquor are provided with screwed pipe (17), and the end of screwed pipe is provided with seal cap (18)；Puncture needle cap
Inside be the cavity matched with puncture needle, puncture the front end setting of needle cap there are two extension rod (20), the inner wall of extension rod
On be provided with and multiple prevent what puncture needle from skidding off to set one's teeth on edge (21).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710068547.9A CN106618746B (en) | 2017-02-08 | 2017-02-08 | A kind of marrow cavity puncture packet of band guidance telltale mark |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710068547.9A CN106618746B (en) | 2017-02-08 | 2017-02-08 | A kind of marrow cavity puncture packet of band guidance telltale mark |
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| CN106618746A CN106618746A (en) | 2017-05-10 |
| CN106618746B true CN106618746B (en) | 2019-01-08 |
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Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108742839A (en) * | 2018-06-01 | 2018-11-06 | 上海交通大学医学院附属第九人民医院 | A kind of proximal tibia puncture guide plate construction method |
| CN113331923B (en) * | 2021-04-21 | 2022-11-11 | 四川大学华西医院 | Bone channel infusion device |
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| US7886742B2 (en) * | 2008-01-14 | 2011-02-15 | Medline Industries, Inc. | Surgical drape and system having a barrier for preventing the start of a surgical procedure and methods for using same |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0714637A2 (en) * | 1994-11-07 | 1996-06-05 | MEWA Textil-Service AG | Surgical drape |
| EP1865874A1 (en) * | 2005-03-18 | 2007-12-19 | Vygon | Method and device for arthroscopy |
| CN201492451U (en) * | 2009-09-09 | 2010-06-02 | 赵士义 | Disposable sterile bone marrow puncture package |
| CN201612676U (en) * | 2010-03-10 | 2010-10-27 | 中国人民武装警察部队总医院 | Marrow cavity puncture driver |
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