CN104720872B - Transtemporal intracerebral hematoma puncture orientator - Google Patents

Transtemporal intracerebral hematoma puncture orientator Download PDF

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Publication number
CN104720872B
CN104720872B CN201510016922.6A CN201510016922A CN104720872B CN 104720872 B CN104720872 B CN 104720872B CN 201510016922 A CN201510016922 A CN 201510016922A CN 104720872 B CN104720872 B CN 104720872B
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China
Prior art keywords
plate
arc
fixed plate
support fixed
puncture
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Expired - Fee Related
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CN201510016922.6A
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Chinese (zh)
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CN104720872A (en
Inventor
苏雨行
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Qilu Hospital of Shandong University
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Qilu Hospital of Shandong University
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Priority to CN201510016922.6A priority Critical patent/CN104720872B/en
Publication of CN104720872A publication Critical patent/CN104720872A/en
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Publication of CN104720872B publication Critical patent/CN104720872B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

The invention relates to a transtemporal intracerebral hematoma puncture orientator. The orientator comprises a rotatable inverted-T-shaped structure and a supporting and fixing plate, wherein the inverted-T-shaped structure is rotationally installed on the supporting and fixing plate in a pivoted mode; the inverted-T-shaped structure comprises a horizontal arc-shaped rotating plate and a vertical planar plate which is arranged in the vertical direction and perpendicular to the arc-shaped rotating plate, the vertical planar plate is connected with the arc-shaped rotating plate through a sleeve, the arc-shaped rotating plate is a concave plate with an upward opening, one side of the end of the arc-shaped rotating plate is rotationally connected with the supporting and fixing plate through a pivoting shaft, the other side of the arc-shaped rotating plate can rotate on the supporting and fixing plate, the sleeve structure is a semicircular sleeve structure, and the circle center of the cross section of the end of the sleeve coincides with the upper end of the pivoting shaft. The transtemporal intracerebral hematoma puncture orientator is simple in structure, convenient to use, accurate and fast in positioning, capable of adjusting a puncture angle, easy to manufacture, low in cost and worthy of use and popularization.

Description

Finder is punctured through temporo intracerebral hematoma
Technical field
The present invention relates to a kind of surgical operation assistive device, and in particular to one kind is using CT to patient's intracerebral hematoma through temporo essence The servicing unit of true stereotactic puncture.
Background technology
Hypertensive cerebral hemorrhage is common neurosurgery acute disease, and CT examination is to diagnose this sick Main Means, is swept by CT Retouch size, the position that can clarify a diagnosis and determine hemotoncus.Puncture is often clinically oriented to intracerebral hematoma according to CT scan Operation.Although preoperative temporal lobe point of puncture can be accurately positioned, paracentesis depth can be right in art according to CT scan image measurement Slided between scalp and skull and cause to puncture point drift and puncture direction to be difficult to control to, this just often results in actual puncture tube Position and target differ greatly.Usually need to avoid side when temporal lobe is punctured simultaneously and split big blood vessel diagonal puncture, to keep away Exempt to cause secondary bleeding or the Big Area Cerebral Infarction of injury of blood vessel, this makes puncture more difficult, therefore accurate to puncture direction outstanding For important.By medical worker's effort, have devised the method for various orientations to solve this problem and achieve certain effect, But instrument one side price of the prior art is very expensive, complex structure and cumbersome, positioned using arch in addition Cannot solve the problems, such as that scalp slides the operation position that the puncture point drift that causes and patient lateral position are caused.
The content of the invention
It is an object of the invention to overcome above-mentioned intracerebral hematoma through the shortcoming of temporo stereotactic puncture, there is provided it is a kind of it is more accurate, Reliable, easy to use, adjustable needle insertion direction orienting device.
The object of the present invention is achieved like this:
A kind of to puncture finder through temporo intracerebral hematoma, the finder includes a rotatable inverted T-type structure and one Support fixed plate, the inverted T-type structure is pivotable to be rotatably installed in support fixed plate;The inverted T-type structure includes level The arc shaped rotary flap in direction and vertical direction and the perpendicular plate perpendicular to arc shaped rotary flap, the perpendicular plate with It is connected by sleeve between arc shaped rotary flap, wherein arc shaped rotary flap is the notch plate of upward opening, its end side passes through pivot Rotating shaft is rotated with support fixed plate and is connected, and opposite side can be rotated in support fixed plate, and the tube-in-tube structure covers for semicircle Barrel structure, the center of circle of its end cross-sectional overlaps with the upper end of pivotal axis.
Further, described to support fixed plate for toughness is big and on-deformable rectangle structure, one side end is provided with The circular hole of pivotal axis is installed, the Plane of rotation of arc swivel plate is supported with circular hole as the center of circle, and be marked with the semicircle of the anglec of rotation Scale
Compared with the finder of prior art, simple structure, easy to use, accurate positioning is rapid, can adjust for the present invention Puncture angle, makes simple, low cost, is worthy to be popularized and uses.
Brief description of the drawings:
Fig. 1 is structural representation of the invention.
Wherein:1- supports fixed plate;2- arc shaped rotary flaps;3- perpendicular plates;4- sleeves;5- pivotal axis, 6- semicircles are carved Degree.
Specific embodiment
Embodiments of the invention are elaborated below in conjunction with the accompanying drawings.
It is of the invention to include that a rotatable inverted T-type structure and a support are fixed through temporo intracerebral hematoma puncture finder Plate 1, the inverted T-type structure is pivotable to be rotatably installed in support fixed plate 1, and wherein inverted T-type structure includes horizontal direction Arc shaped rotary flap 2 and vertical direction and the perpendicular plate 3 perpendicular to arc shaped rotary flap 2, perpendicular plate 3 and arc shaped rotary Flap 2 is vertical and is connected by sleeve 4.Wherein arc shaped rotary flap 2 is the notch plate of upward opening, and its end side is by pivoting Axle 5 is rotated with support fixed plate 1 and is connected, and opposite side can be rotated in support fixed plate 1.The tube-in-tube structure covers for semicircle Barrel structure, the center of circle of its end cross-sectional overlaps with the upper end of pivotal axis 5.
Support fixed plate 1 for toughness is big and on-deformable rectangle structure, a side end is provided with the circle for installing pivotal axis Hole, supports the Plane of rotation of arc swivel plate with circular hole as the center of circle, and be marked with half circular scale 6 of the anglec of rotation.
The following detailed description of use principle of the invention, the center of intracerebral hematoma is determined first with original CT scan picture Point, plans this as target is punctured, according to this can hard objectives target spot and surrouding brain tissue dissection neighbouring relationship, by mesh The CT scan plane of target point is puncture plane, in most cases passes through target perpendicular to center line in plane is punctured Straight line is preferable point of puncture with Ipsilateral scalp joining, and the influence of blood vessel and reflux veinses is split due to actual hemotoncus form and side, Preferable point of puncture is often adjusted into the actual point of puncture of selection forward or backward on plane is punctured along scalp.It is determined that puncturing plane With the actual point of puncture of application witness marker substance markers scalp after point of puncture, then check CT and correct actual point of puncture, and in scalp On draw the intersection (i.e. the plane of scanning motion) and the vertical line by the actual point of puncture intersection for puncturing plane and scalp, according to check cranium Brain CT images, the actual point of puncture of connection and target and the distance as paracentesis depth between measuring it on plane is punctured, The straight line perpendicular to brain center line is done by actual point of puncture again, is by the angle between this two lines of actual point of puncture and led To the device anglec of rotation, the determination guider anglec of rotation can be rotated according to this angle and fixed.
When in use, pivotal axis 5 is directed at actual point of puncture on scalp, the scanning of the alignment mark of fixed plate 1 will be supported Plane, will support fixed plate 1 to cover and puncture plane, and by the pivotal axis side plate of perpendicular plate 3, (i.e. pivotal axis is passed through vertically upward The side plate of the perpendicular plate 3 crossed) align by the marked vertical line of actual point of puncture, after alignment determines, can be by existing routine Cranium is bored in operation or drainage tube inserts operation through sleeve 4, is thus punctured and is accurate to up to target by entering surveyed paracentesis depth Target spot.
Although above-mentioned be described with reference to accompanying drawing to specific embodiment of the invention, not to present invention protection model The limitation enclosed, one of ordinary skill in the art should be understood that on the basis of technical scheme those skilled in the art are not Need the various modifications made by paying creative work or deformation still within protection scope of the present invention.

Claims (1)

1. one kind punctures finder through temporo intracerebral hematoma, and the finder includes a rotatable inverted T-type structure and a branch Support fixed plate, the inverted T-type structure is pivotable to be rotatably installed in support fixed plate;Characterized in that, the inverted T-type structure Arc shaped rotary flap and vertical direction and perpendicular to arc shaped rotary flap perpendicular plate including horizontal direction, it is described vertical It is connected by sleeve between surface plate and arc shaped rotary flap, wherein arc shaped rotary flap is the notch plate of upward opening, its end one Side is rotated with support fixed plate by pivotal axis and is connected, and opposite side is rotated in support fixed plate, and the tube-in-tube structure is semicircle Shape tube-in-tube structure, the center of circle of its end cross-sectional overlaps with the upper end of pivotal axis;
Described to support fixed plate for toughness is big and on-deformable rectangle structure, one side end is provided with the circle for installing pivotal axis Hole, supports the Plane of rotation of arc swivel plate with circular hole as the center of circle, half circular scale marked in support fixed plate.
CN201510016922.6A 2015-01-09 2015-01-09 Transtemporal intracerebral hematoma puncture orientator Expired - Fee Related CN104720872B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510016922.6A CN104720872B (en) 2015-01-09 2015-01-09 Transtemporal intracerebral hematoma puncture orientator

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Application Number Priority Date Filing Date Title
CN201510016922.6A CN104720872B (en) 2015-01-09 2015-01-09 Transtemporal intracerebral hematoma puncture orientator

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CN104720872A CN104720872A (en) 2015-06-24
CN104720872B true CN104720872B (en) 2017-05-24

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105342675B (en) * 2015-12-13 2018-01-30 山东大学齐鲁医院 A kind of cerebellar hematomas puncture direction finder

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3639211A1 (en) * 1985-11-20 1987-05-21 Storz Karl Gmbh & Co TARGETING DEVICE
CN201394077Y (en) * 2009-05-08 2010-02-03 张惠玲 Needle body guiding and supporting device
CN201855309U (en) * 2010-11-06 2011-06-08 李晓东 Novel computed tomography (CT) guided puncture localizer
CN204033487U (en) * 2014-05-10 2014-12-24 南阳医学高等专科学校第一附属医院 A kind of CT puncture guide-localization instrument
CN204410936U (en) * 2015-01-09 2015-06-24 苏雨行 Through temporo intracerebral hematoma puncture finder

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3639211A1 (en) * 1985-11-20 1987-05-21 Storz Karl Gmbh & Co TARGETING DEVICE
CN201394077Y (en) * 2009-05-08 2010-02-03 张惠玲 Needle body guiding and supporting device
CN201855309U (en) * 2010-11-06 2011-06-08 李晓东 Novel computed tomography (CT) guided puncture localizer
CN204033487U (en) * 2014-05-10 2014-12-24 南阳医学高等专科学校第一附属医院 A kind of CT puncture guide-localization instrument
CN204410936U (en) * 2015-01-09 2015-06-24 苏雨行 Through temporo intracerebral hematoma puncture finder

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Effective date of registration: 20170308

Address after: 250012 Shandong, Lixia District, Ji'nan Province Cultural Road West, No. 107

Applicant after: Shandong Qilu Hospital

Address before: Emergency surgery, Qilu Hospital, Shandong University, Ji'nan 250012, Shandong, China

Applicant before: Su Yuxing

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