CN104825232B - A kind of trigeminal neuralgia direction finder based on CT guiding - Google Patents
A kind of trigeminal neuralgia direction finder based on CT guiding Download PDFInfo
- Publication number
- CN104825232B CN104825232B CN201510236453.9A CN201510236453A CN104825232B CN 104825232 B CN104825232 B CN 104825232B CN 201510236453 A CN201510236453 A CN 201510236453A CN 104825232 B CN104825232 B CN 104825232B
- Authority
- CN
- China
- Prior art keywords
- puncture needle
- fixed
- fixed block
- scan plate
- needle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
The invention discloses a kind of trigeminal neuralgia direction finder based on CT guiding；Including substrate, head fixing device, CT skull Scan orientation devices and puncture needle positioning apparatus；Head fixing device includes main body frame and head fixture；Annular notches are provided with the middle part of main body frame, head fixture is adjustable to be fixed at annular notches；CT skull Scan orientations device includes left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate；Puncture needle positioning apparatus includes puncture needle, longitudinal register coordinatometer, front and rear elements of a fix chi, U-shaped frame and located lateral coordinatometer；During implementation, the present invention can carry out precise positioning to the oval foramen in patients head's basion, to aid in doctor's security implementation to puncture Trigeminal Semilunar Ganglion operation, accurate positioning of the present invention, it is safe, overcome caused by traditional free-hand method because of operator's difference, qualification difference etc. and caused by puncture failure and complication.
Description
Technical field
The present invention relates to medical devices equipment technical field, specifically, be related to it is a kind of based on CT guiding from patient face
Portion's inserting needle is implemented to puncture the trigeminal neuralgia direction finder of Trigeminal Semilunar Ganglion operation to foramen of cranial base.
Background technology
Primary trigeminal neuralgia is a kind of common the nervous system disease using the ictal pain of face as principal character,
Common in more than 50 years old the elderly, the incidence of disease is 182.8/10 ten thousand, and related diseases because with mechanism etc., still owing clearly at present.
At this stage, it is to generally acknowledge at present that free-hand method, which punctures oval foramen to Trigeminal Semilunar Ganglion glycerol injection or RF therapy,
More good treatment method, especially for elderly and infirm, but because operator is different, qualification is different, punctures warp
Test different etc., when causing every time to puncture patient's foramen of cranial base, puncture failure easily occur, puncture and owe accurate and trigger other
Syndrome so that while patient's slight illness can not be mitigated, also easily cause malpractice and medical tangle.
Thereby, for present situation, the trigeminal neuralgia direction finder of a registration is designed, to enable precise positioning patient's cranium
Bottom oval hole site, then it is that have very much must to aid in doctor to puncture Trigeminal Semilunar Ganglion operation to patient's head security implementation
Want, it necessarily has application value.
The content of the invention
It is an object of the invention to a kind of trident god based on CT guiding for overcoming the deficiency of above-mentioned prior art and providing
Oriented instrument.
Technical scheme is used by the present invention solves prior art problem：A kind of trigeminal neuralgia orientation based on CT guiding
Instrument, it includes：
Substrate；
Head fixing device, the head fixing device include main body frame and head fixture；
Wherein, the main body frame is perpendicularly fixed on the substrate, and one is provided with the middle part of the main body frame and is being suffered from
So that the annular notches that patients head's level passes through, the head fixture is adjustable to be fixed on the annular groove when person lies low
At mouthful, so that when patients head is in the annular notches, patients head is fixed；
CT skull Scan orientation devices, the CT skulls Scan orientation device, which includes surrounding, to be arranged at outside the annular notches
Left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate；
Wherein, the left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate difference are removable
The formula of unloading is perpendicularly fixed at the front end face of the main body frame, to carry out basis cranii bone scanning to the patients head fixed, so that
Scan the oval foramen in patients head's basion and the oval foramen center in patients head's basion is positioned, really
Longitudinal coordinate value X, front and rear coordinate value Y and the lateral coordinates value Z of its fixed position；
Puncture needle positioning apparatus, the puncture needle positioning apparatus include puncture needle, indicating puncture needle needle point longitudinal direction position
The longitudinal register coordinatometer put, to indicate the front and rear elements of a fix chi of puncture needle needle point front and back position, to fixed puncture needle
U-shaped frame and to indicate the located lateral coordinatometer of puncture needle needle point right position；
Wherein, the longitudinal register coordinatometer has two, and the two longitudinal register coordinatometers are symmetrically fixed on the main body
The left side and right side of framework, and it is correspondingly provided with the quarter being adapted with the longitudinal coordinate value X on the two longitudinal register coordinatometers
Degree；
The front and rear elements of a fix chi has two, the two front and rear elements of a fix chis respectively can longitudinal sliding motion be fixed on two
Outside the longitudinal register coordinatometer, and it is correspondingly provided with the two front and rear elements of a fix chis and is adapted with the front and rear coordinate value Y
Scale；
The U-shaped frame includes symmetrically arranged left travelling arm, right travelling arm and by the left travelling arm and right travelling arm phase
Connection forms U-shaped link, and it is described front and rear fixed that what the left travelling arm and right travelling arm can slide back and forth respectively is fixed on two
Outside the coordinatometer of position；
The located lateral coordinatometer is fixed on the link, and the located lateral coordinatometer be provided with it is described
The scale that lateral coordinates value Z is adapted；
The puncture needle is fixed on the link by what a fixed block can horizontally slip, and the pin of the puncture needle
Point is provided with a sign puncture needle inserting needle towards the annular notches on the fixed block along the length direction of the puncture needle
The scale of depth of depth；
When scale indicated by the scale of depth is " 0 ", the depth of needle of the puncture needle is full-length, and described
When longitudinal coordinate value X, front and rear coordinate value Y and lateral coordinates value Z value are " 0 ", indicated by the longitudinal register coordinatometer
Scale indicated by scale, the front and rear elements of a fix chi, the scale indicated by the located lateral coordinatometer are " 0 ", institute
The needle point position for stating puncture needle be the longitudinal coordinate value X where longitudinal coordinate, where the front and rear coordinate value Y before
The central point for the rectangular coordinate system that coordinate and the lateral coordinates where the lateral coordinates value Z are formed afterwards；
When adjusting the upper-lower position of the front and rear elements of a fix chi, the front and back position of the U-shaped frame and the fixation respectively
The right position of block, so that scale indicated by it reality with the oval foramen center in patients head's basion respectively
When border longitudinal coordinate value X, front and rear coordinate value Y and lateral coordinates value Z corresponding, the needle point position of the puncture needle with it is described
Oval foramen center in patients head's basion coincides.
Above technical scheme is further elaborated below：
Preferably, the fixed block includes the first fixed block and the second fixed block；
Wherein, what first fixed block can horizontally slip is fixed on the link, first fixed block it is upper
End face is provided with arc groove of the arc core towards the annular notches, and the lower end of second fixed block slidably engages provided with one
Sliding block in the arc groove, the puncture needle are fixed on second fixed block；And the radius of the arc groove
Equal to the full-length of the puncture needle, the arc core position of the arc groove and the needle point position of the puncture needle
Coincide；
When relatively described first fixed block of second fixed block slides in the arc groove, the puncture needle
Needle point position is constant.
Preferably, the two longitudinal register coordinatometers be individually fixed in the main body frame left side and right side it is rectangular
The fixture A of body shape structure, each fixture A outer face prolong its length direction and offer a strip groove A respectively；Two
The front and rear elements of a fix chi is the fixture for being individually fixed in the rectangular-shape structure on the outside of the two longitudinal register coordinatometers
Prolong its length direction and offer a strip groove B, and each fixture B respectively in B, each fixture B outer face
Inner face be respectively equipped with a sliding part B being sticked in the strip groove A of correspondence position and be arranged at each cunning
Locking member B on moving part B.
Preferably, in addition to the tumbler that rotates upwardly and downwardly of the two control U-shaped framves and two described turn to fix two respectively
The fixture C of moving part；Two tumblers are fixed and connected with the left travelling arm of correspondence position and the end of right travelling arm respectively
Connect, two fixture C inner face is respectively equipped with a sliding part C being sticked in the two strip groove B and set respectively
Locking member C on the two sliding part C；Each tumbler is rotatably fixed on outside the two fixture C respectively, and
The arc core position of the arc groove is located on the connecting line between the rotating shaft of two tumblers.
Preferably, the main body frame is in quadrilateral structure, the upper left corner of the main body frame of quadrilateral structure, upper right
Angle, the lower left corner and the lower right corner offer a screwed hole for being through to the annular notches respectively, and the head fixture is four
Screw thread is rotatably connected in the threaded post of four screwed holes respectively, and the top of each threaded post forms pyramidal structure respectively.
Preferably, the puncture needle is that the metal material that can not form artifact makes.
Preferably, the main body frame, longitudinal register coordinatometer, front and rear elements of a fix chi, U-shaped frame, located lateral coordinate
Chi and the first fixed block are almag material；The head fixture and the second fixed block are stainless steel；It is described
Left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate are lucite material；The substrate
For plastic material；What the left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate were provided with
Mark line is that barium material makes.
Preferably, in addition to it is arranged at below the rear end of the main body frame and props support to hold up patients head
Frame, the height adjustable for propping bracket.
Preferably, the two locking member D for mutually fixing it with the link are additionally provided with first fixed block.
Preferably, the scale of depth is arranged on second fixed block.
The beneficial effects of the invention are as follows：
One, a kind of trigeminal neuralgia direction finder based on CT guiding provided by the present invention, can be to patients head's basion
The lengthwise position X of interior oval foramen, the position Y of fore-and-aft direction and lateral attitude Z carry out precise positioning, and then so that it can aid in
Doctor punctures Trigeminal Semilunar Ganglion operation in patient facial region direction inserting needle to patient's foramen of cranial base security implementation, in the present invention
Accurate positioning, scientific strong, while safe, operation of the invention is also fairly simple, according to the operating procedure of the present invention
Implement, for unfamiliar doctor, also can be safe and accurate apply the present invention, and then, instant invention overcomes traditional apprentice
Caused by gimmick because of operator's difference, qualification difference etc. and caused by puncture failure and complication.
Secondly, the present invention in the specific implementation, the U can be adjusted flexibly according to patients head and face's actual conditions in doctor
The left-right rotation position for rotating upwardly and downwardly position and second fixed block of type frame, makes the puncture needle more appropriate from patient facial region
Position inserting needle, so as to which the needle point of the puncture needle accurately is delivered into patient's basion ovum along set full-length
Circular hole, and make it possible to further to adjust depth of needle scale and cause puncture needle needle point until Trigeminal Semilunar Ganglion, in this way, even if
Obtain of the invention easy to operate, strong adaptability.
Thirdly, the present invention it is simple in construction, practical, stability is strong, highly reliable, and the present invention it is sturdy and durable, use
Long lifespan, application cost is low, and suitable for all hospitals for having CT machines, also, the present invention is in the improvement of technology, it is not required that increases
Add too many cost so that the present invention necessarily has good market popularization value, and the present invention can be very welcome, can obtain
Effectively popularization.
Brief description of the drawings
Fig. 1 is a kind of trigeminal neuralgia direction finder based on CT guiding of the present invention in no placement front and rear elements of a fix
Overall structure diagram when chi, U-shaped frame and located lateral coordinatometer；
Fig. 2 is that a kind of trigeminal neuralgia direction finder based on CT guiding of the present invention is removing the CT skulls Scan orientation device
When overall structure diagram；
The realization, functional characteristics and advantage of the object of the invention will be described further referring to the drawings in conjunction with the embodiments.
Drawing reference numeral：
Substrate 10；
Head fixing device 20；
Main body frame 201；Annular notches 2011；Screwed hole 2012；Head fixture 202；
CT skull Scan orientations device 30；
Left side CT scan plate 301；Right side CT scan plate 302；Upside CT scan plate 303；Downside CT scan plate 304；
Puncture needle positioning apparatus 40；
Puncture needle 401；Longitudinal register coordinatometer 402；Strip groove A4021；Front and rear elements of a fix chi 403；Strip groove
B4031；Sliding part B4032；Locking member B4033；U-shaped frame 404；Left travelling arm 4041；Right travelling arm 4042；Link 4043；
Located lateral coordinatometer 405；
Fixed block 50；
First fixed block 5011；Arc groove 5011；Locking member D5012；Second fixed block 5022；Scale of depth 5021；
Tumbler 60；
Fixture C70；Sliding part C701；Locking member C702.
Embodiment
Technical scheme is described in detail below with reference to drawings and the specific embodiments, to become apparent from, intuitively
Understand the invention essence of the present invention.
Fig. 1 is a kind of trigeminal neuralgia direction finder based on CT guiding of the present invention in no placement front and rear elements of a fix
Overall structure diagram when chi, U-shaped frame and located lateral coordinatometer；Fig. 2 is a kind of trident god based on CT guiding of the present invention
Overall structure diagram of the oriented instrument when removing the CT skulls Scan orientation device；
With reference to described in Fig. 1 and Fig. 2；
A kind of trigeminal neuralgia direction finder based on CT guiding provided by the present invention, is mainly used in patient through head cranium
Bottom bone oval foramen security implementation punctures the operation of Trigeminal Semilunar Ganglion.
Specifically, the present invention includes：
Substrate 10；
Head fixing device 20, the head fixing device 20 include main body frame 201 and head fixture 202；
Wherein, the main body frame 201 is perpendicularly fixed on the substrate 10, and the middle part of the main body frame 201 is opened
Have one when patient lies low so that the annular notches 2011 that patients head's level passes through, the head fixture 202 are adjustable
It is fixed at the annular notches 2011, so that when patients head is in the annular notches 2011, patients head is carried out
It is fixed；
CT skull Scan orientations device 30, the CT skulls Scan orientation device 30, which includes surrounding, is arranged at the annular groove
Left side CT scan plate 301, right side CT scan plate 302, upside CT scan plate 303 and downside CT scan plate 304 outside mouth 2011；
Wherein, the left side CT scan plate 301, right side CT scan plate 302, upside CT scan plate 303 and downside CT scan
The detachable front end face for being perpendicularly fixed at the main body frame 201 respectively of plate 304, to be carried out to the patients head fixed
Basis cranii bone scanning, so that scanning is to the oval foramen in patients head's basion and to the oval foramen center in patients head's basion
Position is positioned, and determines the longitudinal coordinate value X, front and rear coordinate value Y and lateral coordinates value Z of its position；
Puncture needle positioning apparatus 40, the puncture needle positioning apparatus 40 include puncture needle 401, indicating puncture needle 401
The longitudinal register coordinatometer 402 of needle point lengthwise position, indicating the front and rear elements of a fix chi of the needle point front and back position of puncture needle 401
403rd, the U-shaped frame 404 to fixed puncture needle 401 and to indicate the located lateral coordinate of the needle point right position of puncture needle 401
Chi 405；
Wherein, the longitudinal register coordinatometer 402 has two, and the two longitudinal register coordinatometers 402 are symmetrically fixed on institute
The left side and right side of main body frame 201 are stated, and is correspondingly provided with and the longitudinal coordinate value on the two longitudinal register coordinatometers 402
The scale that X is adapted；
The front and rear elements of a fix chi 403 has two, the two front and rear elements of a fix chis 403 respectively can longitudinal sliding motion consolidate
Due to outside the two longitudinal register coordinatometers 402, and it is correspondingly provided with and the front and rear seat on the two front and rear elements of a fix chis 403
The scale that scale value Y is adapted；
The U-shaped frame 404 includes symmetrically arranged left travelling arm 4041, right travelling arm 4042 and by the left travelling arm
4041 and right travelling arm 4042 be connected to form U-shaped link 4043, the left travelling arm 4041 and right travelling arm 4042 divide
What can be do not slid back and forth is fixed on outside the two front and rear elements of a fix chis 403；
The located lateral coordinatometer 405 is fixed on the link 4043, and on the located lateral coordinatometer 405
Provided with the scale being adapted with the lateral coordinates value Z；
The puncture needle 401 is fixed on the link 4043 by what a fixed block 50 can horizontally slip, and described
The needle point of puncture needle 401 is set on the fixed block 50 along the length direction of the puncture needle 401 towards the annular notches 2011
There is the scale of depth 5021 of the sign depth of needle of puncture needle 401；
When scale indicated by the scale of depth 5021 is " 0 ", the depth of needle of the puncture needle 401 is grown for standard
Degree, and when the longitudinal coordinate value X, front and rear coordinate value Y and lateral coordinates value Z value are " 0 ", the longitudinal register coordinatometer
Scale indicated by 402, the scale indicated by the front and rear elements of a fix chi 403, indicated by the located lateral coordinatometer 405
Scale be " 0 ", the needle point position of the puncture needle 401 be the longitudinal coordinate value X where longitudinal coordinate, described
The rectangular coordinate system that the lateral coordinates where front and rear coordinate and the lateral coordinates value Z where front and rear coordinate value Y are formed
Central point；
When adjusting the upper-lower position of the front and rear elements of a fix chi 403, the front and back position of the U-shaped frame 404 and institute respectively
State the right position of fixed block 50 so that the scale indicated by it respectively with the oval foramen center in patients head's basion
When actual longitudinal coordinate value X, the front and rear coordinate value Y and lateral coordinates value Z corresponding of position, the needle point institute of the puncture needle 401
Coincided to position and the oval foramen center in patients head's basion, in this way, causing the puncture needle 401
Needle point position is the oval foramen center in patients head's basion.
So as to which a kind of trigeminal neuralgia direction finder based on CT guiding provided by the present invention can be to patients head's basion
The lengthwise position X of interior oval foramen, the position Y of fore-and-aft direction and lateral attitude Z carry out precise positioning, and then so that it can aid in
Doctor punctures Trigeminal Semilunar Ganglion operation from patient facial region direction inserting needle to patient's foramen of cranial base security implementation, in the present invention
Accurate positioning, scientific strong, while safe, operation of the invention is also fairly simple, according to the operating procedure of the present invention
Implement, for unfamiliar doctor, also can be safe and accurate apply the present invention, and then, instant invention overcomes traditional apprentice
Caused by gimmick because of operator's difference, qualification difference etc. and caused by puncture failure and complication.
It should be noted that in the embodiment of the present invention, the fixed block 50 includes the first fixed block 501 and the second fixed block
502；
Wherein, what first fixed block 501 can horizontally slip is fixed on the link 4043, and described first fixes
The upper surface of block 501 is provided with arc groove 5011 of the arc core towards the annular notches 2011, second fixed block 502
Lower end is provided with a sliding block being slidably sticked in the arc groove 5011, and it is solid that the puncture needle 401 is fixed on described second
Determine on block 502；And the radius of the arc groove 5011 is equal to the full-length of the puncture needle 401, the arc groove
5011 arc core position and the needle point position of the puncture needle 401 coincide；
When relatively described first fixed block 501 of second fixed block 502 slides in the arc groove 5011, institute
The needle point position for stating puncture needle 401 is constant.
Herein, it is to be understood that after first fixed block 501 is fixed, that is, determine ovum in patient's skull
Behind circular hole position, the needle point position of the puncture needle 401 is to be coincided with the position at the oval foramen center, because described in
The radius of arc groove 5011 is equal to the full-length of the puncture needle 401, the arc core position of the arc groove 5011
Coincided with the needle point position of the puncture needle 401, and then, no matter second fixed block 502 is in the arc groove
How to be slided in 5011, the needle point position of the puncture needle 401 is constant, i.e., described puncture needle 401 passes through described
Two fixed blocks 502 along the arc groove 5011 horizontally slip when, the needle point of the puncture needle 401 all the time with the patients head
Oval foramen center in basion coincides.
Further, in the embodiment of the present invention, the two longitudinal register coordinatometers 402 are to be individually fixed in the body frame
Its length direction is prolonged in the left side of frame 201 and the fixture A of the rectangular-shape structure on right side, each fixture A outer face
A strip groove A4021 is offered respectively；The two front and rear elements of a fix chis 403 are sat to be individually fixed in two longitudinal registers
The fixture B of the rectangular-shape structure in the outside of scale 402, each fixture B outer face are prolonged its length direction and opened respectively
Provided with a strip groove B4031, and each fixture B inner face is respectively equipped with a bar for being sticked in correspondence position
Sliding part B4032 in the connected in star A4021 and locking member B4033 being arranged on each sliding part B4032.
Based on described above, present invention additionally comprises the difference of tumblers 60 and two that the two control U-shaped framves 404 rotate upwardly and downwardly
To fix the fixture C70 of two tumblers 60；The two tumblers 60 left travelling arm with correspondence position respectively
4041 and the end of right travelling arm 4042 be fixedly connected, two fixture C70 inner face is respectively equipped with one and is sticked in two institutes
The locking member C702 for stating the sliding part C701 in strip groove B4031 and being respectively arranged on the two sliding part C701；Each
The tumbler 60 is rotatably fixed on outside the two fixture C70 respectively, and where the arc core of the arc groove 5011
Position is located on the connecting line between the rotating shaft of two tumblers 60.
No matter in this way, any position that second fixed block 502 is on the arc groove 5011, because it is fixed
Puncture needle 401 needle point position it is constant, i.e., the arc core forever with the arc groove 5011 coincides, and works as the U
When type frame 404 is rotated along the vertical direction by two tumblers 60, what the rotary motion trace of the arc groove 5011 was formed
The arc core of the centre of sphere of sphere and the also arc groove 5011 coincides, and then, it is described no matter how the U-shaped frame 404 rotates
The needle point position of puncture needle 401 still coincides with oval foramen center in patient's basion.
So as to which in the specific implementation, the U-shaped frame can be adjusted flexibly according to patients head and face's actual conditions in doctor
The 404 left-right rotation position for rotating upwardly and downwardly position and second fixed block 502, make the puncture needle 401 from patient facial region
More appropriate position inserting needle, so as to the needle point of the puncture needle 401 is accurately delivered into patient's basion oval foramen, and then
Implement Trigeminal Semilunar Ganglion operation.
Further, in the embodiment of the present invention, the main body frame 201 is in quadrilateral structure, the institute of quadrilateral structure
The upper left corner, the upper right corner, the lower left corner and the lower right corner for stating main body frame 201 offer one and are through to the annular notches 2011 respectively
Screwed hole 2012, the head fixture 202 be four respectively screw thread be rotatably connected in the threaded posts of four screwed holes 2012,
The top of each threaded post forms pyramidal structure respectively.
In this way, make patient lie low, and when the head of patient is positioned in the annular notches 2011, pass through four respectively
Movement and adjustment of the threaded post in the upper left corner of the main body frame 201, the upper right corner, the lower left corner and the lower right corner, you can will
The cranium of patients head is fixed, and while good fixing effect, patients head also will not loosen and shake so that the present invention
Implement compared with fruit more preferably.
It should be noted that to cause the puncture needle 401 to implement in follow-up basis cranii bone scanning without artifact, the present invention
In example, the puncture needle 401 is made using the metal material for not forming artifact, such as using titanium matter, silver amalgam material, silver-colored material
Matter etc., specifically, the illustration that differs.
And be emphasized that in the embodiment of the present invention, it is the main body frame 201, longitudinal register coordinatometer 402, front and rear
Elements of a fix chi 403, U-shaped frame 404, the fixed block 501 of located lateral coordinatometer 405 and first are almag material；It is described
The fixed block 502 of head fixture 202 and second is stainless steel；The left side CT scan plate 301, right side CT scan plate
302nd, upside CT scan plate 303 and downside CT scan plate 304 are lucite material；The substrate 10 is plastic material；Institute
State what left side CT scan plate 301, right side CT scan plate 302, upside CT scan plate 303 and downside CT scan plate 304 were provided with
Mark line is that barium material makes.
In this way, make it that overall structure of the present invention is sturdy and durable and do not show heaviness so that be easy to use.
Further, when it is implemented, present invention additionally comprises the use being arranged at below the rear end of the main body frame 201
Bracket (not shown), the height adjustable for propping bracket (not shown) are propped with hold up patients head.
In this way, in original state, patients head can be held up in advance by the picking-up support (not shown) and fixed, entered
And patients head thoroughly can be fixed by the head fixing device 20 again so that while being easy to doctor easy to operate,
Operative speed can be accelerated.
It should be added that in the embodiment of the present invention, be additionally provided with first fixed block 501 two by its with it is described
The locking member D5012 that the phase of link 4043 is fixed.
In this way, the effect by the locking member D5012, you can by first fixed block 501 and the link
4043 phases are fixed.
Also, in the embodiment of the present invention, the scale of depth 5021 is arranged on second fixed block 502.
In this way, doing reference by the scale of depth 5021, when the scale of scale of depth 5021 is adjusted to " 0 ", standard is inserted
The puncture needle 401 of length, you can so that the puncture needle 401 is during puncture, needle point institute to the position of the puncture needle 401
Put and accurately reach oval foramen center in human head.And the full-length of institute's inserting needle is fixed, it can facilitate and unload described wear
After pricker 401 again described in device during puncture needle 401, it is not necessary to the depth of needle of puncture needle 401 described in remeasurement so that this reality
With new easy to use, also, the scale of depth 5021 is also beneficial to the point of puncture needle 401 and reaches foramen of cranial base center simultaneously
Afterwards, further percentage regulation scale 5021, further inserting needle is accurately to the Trigeminal Semilunar Ganglion at oval foramen rear portion.
With reference to described above, below by further in conjunction with accompanying drawing 1 and accompanying drawing 2 to operation principle of the present invention and implementation etc.
Remark additionally；
First, as shown in figure 1, installing CT skull Scan orientations device 30 on the main body frame 201, i.e., described in installation
Left side CT scan plate 301, right side CT scan plate 302, upside CT scan plate 303 and downside CT scan plate 304, then in the main body
Securement head fixing device 20 on framework 201, that is, four threaded posts are installed, and the present invention is positioned on CT lathes.
After preparation so that patient lies low, and the head of patient is stretched into institute from the front end of the main body frame 201
Annular notches 2011 are stated, by the picking-up support picking-up (not shown) to proper height, then pass through the head fixing device
20, that is, adjust the built-in length of four threaded posts so that puncture the scalp of patients head, it is abutted respectively to the cranium of people
Patients head is fixed lid bone.
Follow-up, then the present invention of the patient on CT lathes and fixed patient's head are inserted in CT machines by CT lathes
Row basis cranii bone scanning, so that scanning is to the oval foramen in patients head's basion and in the oval foramen in patients head's basion
Heart position is positioned, and determines the longitudinal coordinate value X, front and rear coordinate value Y and lateral coordinates value Z of its position；
Secondly, after being had good positioning in oval foramen center, the left side CT scan plate 301, right side CT scan plate are dismantled
302nd, upside CT scan plate 303 and downside CT scan plate 304, and then, the front and rear elements of a fix chi 403, U-shaped frame are installed successively
And located lateral coordinatometer 405.
After installing, according to the longitudinal coordinate value X of the oval foramen center, front and rear coordinate value Y and lateral coordinates value Z
Come adjust successively the X-coordinate of the position of longitudinal register coordinatometer 402, the front and rear position of elements of a fix chi 403 Y sit
Mark, on U-shaped frame the position of located lateral coordinatometer 405 Z coordinate so that its respectively with the longitudinal coordinate value X, front and rear seat
Scale value Y and lateral coordinates value Z are consistent.
And then then by second fixed block 502 indicating that the scale of depth of needle is adjusted to as " 0 " so that inserting needle
For full-length, and enter the puncture needle 401 that pin puncture inserts full-length from patient's face direction, its needle point position i.e. with
Oval foramen center in patients head's basion coincides.
Herein, it is necessary to illustrate, in subsequent step, after the needle point position of the puncture needle 401 is determined,
Can also by second fixed block 502 along the slip in the arc groove 5011 and by the rotation of the U-shaped frame 404 come
The inserting needle direction of puncture needle 401 described in flexible modulation, i.e., with the arc core of the arc groove 5011 (oval foramen in patient's skull
Physical location) it is the centre of sphere, to select the needle point of the puncture needle 401 to puncture direction.
In clinical operation, drawn through practice, the entry point puncture position of the puncture needle 401 is outside patient facial region's bicker
At 2.5cm, it is optimal puncture position to carry out puncturing herein, and then, in the preferred embodiments of the invention, it can be worn described
The needle point puncture position point of pricker 401 is appointed as being punctured at 2.5cm outside patient facial region's bicker, specific to implement, and can lead to
The slip of second fixed block 502 and the rotation of the U-shaped frame 404 are crossed to be adjusted, other embodiment etc., here, not
Do and illustrate one by one.
In this way, complete the positioning work of the present invention.
And to ensure positioning in place, follow-up, second of CT scan can be also carried out, to check corresponding puncture needle 401
Needle point whether be accurately in the center of corresponding oval foramen, confirm it is good after, then do corresponding operation, you can so that
Further improve the accuracy and security of operation.
In summary, a kind of trigeminal neuralgia direction finder based on CT guiding provided by the present invention, can be to patients head's cranium
The lengthwise position X of oval foramen in the bone of bottom, the position Y of fore-and-aft direction and lateral attitude Z carry out precise positioning, and then so that energy
Doctor is aided in puncture Trigeminal Semilunar Ganglion operation in patient facial region direction inserting needle to patient's foramen of cranial base security implementation, at this
Invention accurate positioning, scientific strong, while safe, operation of the invention is also fairly simple, according to the operation of the present invention
Step implemented, for unfamiliar doctor, also can be safe and accurate apply the present invention, and then, instant invention overcomes tradition
Free-hand method caused by because of operator's difference, qualification difference etc. and caused by puncture failure and complication.
At the same time, in the specific implementation, doctor can be adjusted flexibly the present invention according to patients head and face's actual conditions
The left-right rotation position for rotating upwardly and downwardly position and second fixed block 502 of the U-shaped frame 404, make the puncture needle 401 from
The more appropriate position inserting needle of patient facial region, so as to accurately grow the needle point of the puncture needle 401 along set standard
Degree delivers to patient's basion oval foramen, and makes it possible to further adjust depth of needle scale 5021 so that the needle point of puncture needle 401 is straight
To Trigeminal Semilunar Ganglion, in this way, causing easy to operate, strong adaptability of the invention, also to significantly facilitate medical personnel couple
Patient safety carries out the implementation for puncturing Trigeminal Semilunar Ganglion operation.
Accordingly, the present invention is simple in construction, and practical, stability is strong, highly reliable, and the present invention is sturdy and durable, makes
With long lifespan, application cost is low, and suitable for all hospitals for having CT machines, also, the present invention is in the improvement of technology, it is not required that
Increase too many cost so that the present invention necessarily has good market popularization value, and the present invention can be very welcome, can obtain
To effective popularization.
The preferred embodiments of the present invention are the foregoing is only, not thereby limit the scope of patent protection of the present invention, it is every
The equivalent structure or equivalent flow conversion made using description of the invention and accompanying drawing content, or directly or indirectly it is used in other
Related technical field, is included within the scope of the present invention.
Claims (8)
1. a kind of trigeminal neuralgia direction finder based on CT guiding, it is characterised in that it includes：
Substrate；
Head fixing device, the head fixing device include main body frame and head fixture；
Wherein, the main body frame is perpendicularly fixed on the substrate, and is provided with one in the middle part of the main body frame and is put down in patient
So that the annular notches that patients head's level passes through, the head fixture is adjustable to be fixed on the annular notches when lying
Place, so that when patients head is in the annular notches, patients head is fixed；
CT skull Scan orientation devices, the CT skulls Scan orientation device are included around the left side being arranged at outside the annular notches
Side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate；
Wherein, the left side CT scan plate, right side CT scan plate, upside CT scan plate and downside CT scan plate difference are detachable
The front end face of the main body frame is perpendicularly fixed at, to carry out basis cranii bone scanning to the patients head fixed, so that scanning
Positioned to the oval foramen in patients head's basion and to the oval foramen center in patients head's basion, determine it
The longitudinal coordinate value X of position, front and rear coordinate value Y and lateral coordinates value Z；
Puncture needle positioning apparatus, the puncture needle positioning apparatus include puncture needle, indicating puncture needle needle point lengthwise position
Longitudinal register coordinatometer, to indicate the front and rear elements of a fix chi of puncture needle needle point front and back position, to the U-shaped of fixed puncture needle
Frame and to indicate the located lateral coordinatometer of puncture needle needle point right position；
Wherein, the longitudinal register coordinatometer has two, and the two longitudinal register coordinatometers are symmetrically fixed on the main body frame
Left side and right side, and be correspondingly provided with the scale being adapted with the longitudinal coordinate value X on the two longitudinal register coordinatometers；
The front and rear elements of a fix chi has two, the two front and rear elements of a fix chis respectively can longitudinal sliding motion be fixed on described in two
Outside longitudinal register coordinatometer, and the quarter being adapted with the front and rear coordinate value Y is correspondingly provided with the two front and rear elements of a fix chis
Degree；
The U-shaped frame includes symmetrically arranged left travelling arm, right travelling arm and the left travelling arm and right travelling arm is connected
U-shaped link is formed, what the left travelling arm and right travelling arm can slide back and forth respectively is fixed on the two front and rear positioning seats
Outside scale；
The located lateral coordinatometer is fixed on the link, and the located lateral coordinatometer is provided with and the transverse direction
The scale that coordinate value Z is adapted；
The puncture needle is fixed on the link by what a fixed block can horizontally slip, and the needle point court of the puncture needle
To the annular notches, a sign puncture needle depth of needle is provided with along the length direction of the puncture needle on the fixed block
Scale of depth；
When scale indicated by the scale of depth is " 0 ", the depth of needle of the puncture needle is full-length, and the longitudinal direction
When coordinate value X, front and rear coordinate value Y and lateral coordinates value Z value are " 0 ", scale indicated by the longitudinal register coordinatometer,
Scale indicated by the front and rear elements of a fix chi, the scale indicated by the located lateral coordinatometer are " 0 ", the puncture
Longitudinal coordinate of the needle point position of pin where the longitudinal coordinate value X, the front and rear coordinate where the front and rear coordinate value Y
And the central point of rectangular coordinate system that the lateral coordinates where the lateral coordinates value Z are formed；
When adjusting the upper-lower position of the front and rear elements of a fix chi, the front and back position of the U-shaped frame and the fixed block respectively
Right position, so that reality of the scale respectively with the oval foramen center in patients head's basion indicated by it is indulged
During to coordinate value X, front and rear coordinate value Y and lateral coordinates value Z corresponding, needle point position and the patient of the puncture needle
Oval foramen center in the basion of head coincides；
Also include be arranged at below the rear end of the main body frame to hold up the bracket of propping of patients head, it is described to prop support
The height adjustable of frame；
The puncture needle is that the metal material that can not form artifact makes.
A kind of 2. trigeminal neuralgia direction finder based on CT guiding according to claim 1, it is characterised in that：The fixed block
Including the first fixed block and the second fixed block；
Wherein, what first fixed block can horizontally slip is fixed on the link, the upper surface of first fixed block
Arc groove provided with an arc core towards the annular notches, the lower end of second fixed block are slidably sticked in institute provided with one
The sliding block in arc groove is stated, the puncture needle is fixed on second fixed block；And the radius of the arc groove is equal to
The full-length of the puncture needle, the arc core position of the arc groove are mutually overlapping with the needle point position of the puncture needle
Close；
When relatively described first fixed block of second fixed block slides in the arc groove, the needle point of the puncture needle
Position is constant.
A kind of 3. trigeminal neuralgia direction finder based on CT guiding according to claim 2, it is characterised in that：Two longitudinal directions
Elements of a fix chi is the fixture A, Mei Gesuo of the rectangular-shape structure in the left side and right side that are individually fixed in the main body frame
Prolong its length direction and offer a strip groove A respectively in the outer face for stating fixture A；The two front and rear elements of a fix chis are difference
The fixture B for the rectangular-shape structure being fixed on the outside of the two longitudinal register coordinatometers, each fixture B outer face
Prolong its length direction and offer a strip groove B respectively, and each fixture B inner face is respectively equipped with one and is sticked in pair
Answer the sliding part B in the strip groove A of the position and locking member B being arranged on each sliding part B.
A kind of 4. trigeminal neuralgia direction finder based on CT guiding according to claim 3, it is characterised in that：Also include two controls
Tumbler that the U-shaped frame rotates upwardly and downwardly and two is made respectively fixing the fixture C of two tumblers；Two tumblers
It is fixedly connected respectively with the left travelling arm of correspondence position and the end of right travelling arm, two fixture C inner face point
She You not a sliding part C that be sticked in the two strip groove B and locking member C that is respectively arranged on the two sliding part C；
Each tumbler is rotatably fixed on outside the two fixture C respectively, and the arc core position of the arc groove
On connecting line between the rotating shaft of two tumblers.
A kind of 5. trigeminal neuralgia direction finder based on CT guiding according to claim any one of 1-4, it is characterised in that：Institute
It is in quadrilateral structure to state main body frame, the upper left corner, the upper right corner, the lower left corner and the lower right corner of the main body frame of quadrilateral structure
Offer a screwed hole for being through to the annular notches respectively, the head fixture be four respectively screw thread be rotatably connected in four
The threaded post of the screwed hole, the top of each threaded post form pyramidal structure respectively.
A kind of 6. trigeminal neuralgia direction finder based on CT guiding according to claim 1, it is characterised in that：The body frame
Frame, longitudinal register coordinatometer, front and rear elements of a fix chi, U-shaped frame, located lateral coordinatometer and the first fixed block are almag
Material；The head fixture and the second fixed block are stainless steel；The left side CT scan plate, right side CT scan plate,
Upside CT scan plate and downside CT scan plate are lucite material；The substrate is plastic material；The left side CT scan
The mark line that plate, right side CT scan plate, upside CT scan plate and downside CT scan plate are provided with is that barium material makes.
A kind of 7. trigeminal neuralgia direction finder based on CT guiding according to claim any one of 2-4, it is characterised in that：Institute
State and the two locking member D for mutually fixing it with the link are additionally provided with the first fixed block.
A kind of 8. trigeminal neuralgia direction finder based on CT guiding according to claim any one of 2-4, it is characterised in that：Institute
Scale of depth is stated to be arranged on second fixed block.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510236453.9A CN104825232B (en) | 2015-05-11 | 2015-05-11 | A kind of trigeminal neuralgia direction finder based on CT guiding |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510236453.9A CN104825232B (en) | 2015-05-11 | 2015-05-11 | A kind of trigeminal neuralgia direction finder based on CT guiding |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104825232A CN104825232A (en) | 2015-08-12 |
| CN104825232B true CN104825232B (en) | 2018-02-13 |
Family
ID=53803712
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510236453.9A Expired - Fee Related CN104825232B (en) | 2015-05-11 | 2015-05-11 | A kind of trigeminal neuralgia direction finder based on CT guiding |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104825232B (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105455833A (en) * | 2015-11-24 | 2016-04-06 | 上海新黄浦医疗器械有限公司 | Novel bulb tube balance adjusting device |
| CN106308896A (en) * | 2016-10-28 | 2017-01-11 | 崔建忠 | Intracerebral hematoma puncture guider |
| CN107019566B (en) * | 2017-04-07 | 2021-01-15 | 中国人民解放军南京军区福州总医院 | Chest tumor positioning device |
| CN110269699A (en) * | 2019-06-12 | 2019-09-24 | 魏大年 | Three-dimensional cranium brain positioning operation tool and its application method |
| CN113017676B (en) * | 2021-03-02 | 2023-09-12 | 四川大学华西医院 | Supplementary headstock of oval hole CT location |
| CN116717091B (en) * | 2023-08-04 | 2023-10-10 | 中铁九局集团有限公司 | BIM-based steel structure universal positioning and connecting device |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0069427A2 (en) * | 1981-07-08 | 1983-01-12 | FABRIQUE NATIONALE HERSTAL en abrégé FN Société Anonyme | Stereotaxic apparatus for the electric coagulation of the Gasserian ganglions |
| CN2367269Y (en) * | 1999-05-06 | 2000-03-08 | 佛山市中医院 | Trigeminal semilunar ganglion space direction-fixing device |
| CN2882557Y (en) * | 2005-08-15 | 2007-03-28 | 张挺杰 | CT induction basis cranii oval foramen puncture guiding system |
| CN202490029U (en) * | 2012-03-01 | 2012-10-17 | 徐州市口腔医院 | Skull base egg round hole position indicator |
| CN204765919U (en) * | 2015-05-11 | 2015-11-18 | 北京大学深圳医院 | Trigeminal nerve direction finder based on CT guide |
-
2015
- 2015-05-11 CN CN201510236453.9A patent/CN104825232B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0069427A2 (en) * | 1981-07-08 | 1983-01-12 | FABRIQUE NATIONALE HERSTAL en abrégé FN Société Anonyme | Stereotaxic apparatus for the electric coagulation of the Gasserian ganglions |
| CN2367269Y (en) * | 1999-05-06 | 2000-03-08 | 佛山市中医院 | Trigeminal semilunar ganglion space direction-fixing device |
| CN2882557Y (en) * | 2005-08-15 | 2007-03-28 | 张挺杰 | CT induction basis cranii oval foramen puncture guiding system |
| CN202490029U (en) * | 2012-03-01 | 2012-10-17 | 徐州市口腔医院 | Skull base egg round hole position indicator |
| CN204765919U (en) * | 2015-05-11 | 2015-11-18 | 北京大学深圳医院 | Trigeminal nerve direction finder based on CT guide |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104825232A (en) | 2015-08-12 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN104825232B (en) | A kind of trigeminal neuralgia direction finder based on CT guiding | |
| US8340743B2 (en) | Methods, systems and computer program products for positioning a guidance apparatus relative to a patient | |
| CN106388949B (en) | A kind of ultrasonic fixed frame of ultrasonic guidance cervical neural retardance and vascular puncture | |
| US20200246101A1 (en) | Trajectory guide with dual arc arrangement | |
| Khan et al. | Deep brain stimulation surgical techniques | |
| CN106937877B (en) | Puncture guiding device using method | |
| CN105662552B (en) | Maxillary region based on 3D printing technique punctures guider and preparation method thereof | |
| US20220192775A1 (en) | Trajectory guide with dual gimbal drive arrangement | |
| CN104842351A (en) | Bedside mechanical arm for auxiliary positioning in stereotactic biopsy | |
| CN112716592A (en) | Computer-aided implanted sacroiliac screw direction adjusting device and adjusting method | |
| CN206630653U (en) | CT guides localised puncture device | |
| CN204765919U (en) | Trigeminal nerve direction finder based on CT guide | |
| CN207627752U (en) | The needle track template of variable-angle | |
| CN105769316B (en) | Area of computer aided intramedullary interlocking nail distal end locking system | |
| CN107088092A (en) | Vertebroplasty body surface location navigator | |
| CN105520769B (en) | A kind of brain visual puncturing drainage system | |
| CN109106454A (en) | RC encephalic minimally-invasive treatment positioning device | |
| CN207286193U (en) | A kind of personalization Shi angles family cervical traction system | |
| CN205913632U (en) | Active particles implants positioner | |
| CN205964186U (en) | Fixing device for bone surgery | |
| CN205947867U (en) | Supersound mount of ultrasonic guidance neck nerve blocking and blood vessel puncture | |
| CN206434596U (en) | A kind of radiotherapy department sucks medicine taking device | |
| CN213430444U (en) | Nerve root puncture positioning device | |
| CN209595855U (en) | A kind of CT, MRI guiding puncture auxiliary directional device | |
| CN206576935U (en) | A kind of vertebral pedicle puncture guiding device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| EXSB | Decision made by sipo to initiate substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180213 Termination date: 20210511 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |