CN105011989A - Novel lung tumor locating needle - Google Patents
Novel lung tumor locating needle Download PDFInfo
- Publication number
- CN105011989A CN105011989A CN201510497304.8A CN201510497304A CN105011989A CN 105011989 A CN105011989 A CN 105011989A CN 201510497304 A CN201510497304 A CN 201510497304A CN 105011989 A CN105011989 A CN 105011989A
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- China
- Prior art keywords
- needle
- positioning needle
- grappling
- lung tumor
- puncture needle
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- 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
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- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
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- 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
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
Abstract
The invention relates to a novel lung tumor locating needle. The novel lung tumor locating needle comprises a puncture needle, anchoring locating needles, a locating line and a pushing device, wherein the puncture needle is composed of a puncture needle cannula and a puncture needle handle, the pushing device comprises a pushing tube and a pushing tube handle, the pushing tube is arranged in the puncture needle cannula, the far end of the pushing tube abuts against the near ends of the anchoring locating needles, the width of the near ends of the anchoring locating needles is larger than or equal to the outer diameter of the pushing tube, the far end of the locating line is connected with the near ends of the anchoring locating needles, the locating line extends out of the exterior of the pushing device from the interior of a tube cavity of the pushing tube, the far end of the locating line is provided with multiple colored bands with different colors, and the length of each colored band ranges from 3 mm to 15 mm. According to the novel lung tumor locating needle, the functions of determining lesion localization and measuring the depths of lesions are achieved simultaneously, the lung or parts of the lung can be lifted up, excision of the lesions is convenient for a surgeon, and the depths of the lesions can be measured during an operation.
Description
Technical field
The invention belongs to medical instruments field, be specifically related to a kind of novel lung tumor positioning needle.
Background technology
Along with video diagnostic technology development, the discovery of initial lung pathological changes is become more and more early, more and more easily, and needs the recall rate of the small pulmonary artery of surgical intervention also more and more easier.Current size is greater than the small pulmonary artery of 1cm, can by the position of perusal with the localization method determination small pulmonary artery of finger palpation, but when the size of small pulmonary artery is less than or equal to 1cm, more than 50% is reached by the localization method mortality of perusal and finger palpation, and it is excessive to there is Operative Range, strengthen the risk of patient trauma.
At present, preoperative location generally realizes small pulmonary artery location by CT guided Percutaneous, conventional locator material comprises metal material (buckle tinsel, spiral metal wire, microcoils), conventional product is the tinsel (Hook-wire) of end strips location hook, its location hook can be fixed in lung, but a tinsel (Hook-wire) designed for mastopathy is often used as positioning needle, in small pulmonary artery position fixing process, existing defects: first, tinsel (Hook-wire) end only has barb-like location hook, and tinsel (Hook-wire) fore-end is fixed on thoracic wall, because respiratory movement can cause interlock effect wiry, tinsel (Hook-wire) is combined more firm with thoracic wall, more easily there is location hook and occur displacement, come off risk, the second, there is no nook closing member with the puncture needle that tinsel (Hook-wire) is supporting, the damage of lung tissue can be increased the weight of in piercing process, increase pneumothorax, hemorrhage incidence rate, 3rd, tinsel (Hook-wire) end section indicates without scale, the focus degree of depth cannot be determined, easily cause in operation process that excision extension is excessive to be caused patients ' life quality to decline or cause that tinsel (Hook-wire) is cut-off causes malpractice: the 4th, behind tinsel (Hook-wire) location, patient keeps fixation postures to cause discomfort for a long time, there is numb limbs and tense tendons, pain etc., therefore need patient to be passed on as early as possible operating room to perform the operation, it is nervous that this causes operating room to have enough to meet the need.
Patent publication No. discloses a kind of small pulmonary artery puncture localization needle for the Chinese patent of " CN 204016436 ", decreases the problem of coming off compared with tinsel (Hook-wire), but fails substantively to solve positioning needle displacement, come off.Its nook closing member head is provided with three equally distributed J type hooks, nook closing member afterbody is provided with silk thread, in location of operation process, silk thread is used to be fixed on patient body-surface, can cause the interlock effect of silk thread equally owing to breathing telemechanical, and silk thread is fixing more firmly more easily occurs that nook closing member is shifted, comes off; Especially in operation process, when patient's folder closes bronchus, get rid of IA gas, lung is presented and subsides, very easily cause nook closing member to be shifted, to come off.Its nook closing member indicates without scale, cannot determine the focus degree of depth, easily cause excision lung tissue excessive, cause patient trauma excessive, restore cycle prolongations makes patients ' life quality decline simultaneously, or cause nook closing member be cut off cause malpractice.
So research and development one can solve displacement and comes off, and can determine the focus degree of depth again, facilitate the positioning needle of patient's more precise ablation focus, be the technical problem that this area is badly in need of solving always.
Summary of the invention
In view of the defect that above-mentioned prior art exists, the object of the invention is to propose a kind of novel lung tumor positioning needle, this lung tumor positioning needle possesses simultaneously to be determined lesion localization and measures focus deeper function, the part lift of lung or lung can not only be got up, facilitate patient to excise focus, and the degree of depth of focus can be measured in art.
The object of the invention is to be achieved through the following technical solutions:
A kind of novel lung tumor positioning needle, comprise puncture needle, described puncture needle is made up of puncture needle sleeve pipe and the puncture needle handle that is fixedly connected with the near-end of described puncture needle sleeve pipe, described lung tumor positioning needle also comprises grappling positioning needle, position line and pusher, the ejector sleeve hands handle that described pusher comprises ejector sleeve and is fixedly connected with the near-end of described ejector sleeve, described ejector sleeve is placed in described puncture needle sleeve pipe, the far-end of described ejector sleeve props up the near-end of described grappling positioning needle, the proximal end width of described grappling positioning needle is more than or equal to the external diameter of described ejector sleeve, the far-end of described position line is connected with the near-end of described grappling positioning needle, it is outside that described position line internally extends described pusher from the tube chamber of described ejector sleeve, the distal portions of described position line is provided with the color band of multiple different colours, the length of each described colour band is between 3mm to 15mm.
Object of the present invention can also be realized further by following technical scheme:
In certain embodiments, described position line is flexible material, from the distal-to-proximal direction of described position line, the colour band of described multiple different colours is named as the first colour band, the second colour band and tertiary color band successively, class is established successively, the length of described first colour band is between 8-15mm, and the length of other colour bands is between 5-10mm.
In some preferred embodiments, the distal portions of described position line is provided with 5-8 colour band of different colours, and the length of described first colour band is 10mm, and the length of other colour bands is 5mm.
In some preferred embodiments, described first colour band is the primary colors of line.
In certain embodiments, described grappling positioning needle is provided with one or more location crochet hooks, and described location crochet hook is bending crochet hook, broken line crochet hook or bending crochet hook, and described location hook needle distal is sharp needle point.
In some preferred embodiments, after described grappling positioning needle is released from described puncture needle sleeve pipe, described needle point crosses the axis of described grappling positioning needle, arrives the offside of described grappling positioning needle axis.
In some preferred embodiments, after described grappling positioning needle is released from described puncture needle sleeve pipe, described needle point is L1 to the distance of described ejector sleeve distal handle, and the highest point of described positioning needle distal portions is L2 to the distance of described ejector sleeve distal handle, and described L2 is less than or equal to L1.
In certain embodiments, the proximal band of described grappling positioning needle has string holes, and described position line is connected with described grappling positioning needle through described string holes.
In certain embodiments, the near-end of described puncture needle handle is provided with protector.
In certain embodiments, described puncture needle handle and described ejector sleeve handle are threaded connection.
Compared with the existing technology, the invention has the advantages that:
1. novel lung tumor positioning needle of the present invention is provided with position line, described position line distal portions is provided with the colour band of multiple different colours, the colour band being positioned at described position line far-end is the first colour band, proximally direction colour band different from the color of the first colour band is the second colour band, class is established successively, the width of described first colour band is 8-15mm, and other ribbon width are 5 to 10mm.When patient is when carrying out operation technique, need described position line upwards to lift and stretching, because described position line distal portions is provided with colour band, each colour band represents a depth value, by observing the colour band stayed in lung surface, just can identify the focus degree of depth, allow the more accurate removal of lesions of patient, avoid that excision extension is excessive causes patient trauma large, restore cycle prolongations makes patients ' life quality decline simultaneously, or causes grappling positioning needle in operation be cut off and cause malpractice.First ribbon width of position line of the present invention is wider than other ribbon width, owing to needing folder to close bronchus in the operating process of lung tumor resection operation and getting rid of alveolar gas, lung is made to present deflated condition, increase operation technique space, there is a safety range when excising lung tumor simultaneously, namely lung tissue incisxal edge distance pathological changes edge >=2cm is excised, when lung tumor displacement margo border of the lung, namely from bronchus, pulmonary artery, pulmonary vein is far away, tumor resection is comparatively safe, therefore the first colour band can be wider, tumor resection effectiveness can be ensured, the unclean situation of excision can not be there is.But when lung tumor is away from margo border of the lung, namely from bronchus, pulmonary artery, pulmonary vein about close to, consider safety, avoid because tumor resection time damage from bronchus, pulmonary artery, pulmonary vein etc., cause operative failure even death.At this time require that the second colour band and other ribbon width want narrower, improve tumor-localizing accuracy, reduce because of resection organization too much or do not excise and totally cause operative failure.
2. novel lung tumor positioning needle of the present invention is provided with position line, described position line is flexible material, it can be pushed in thoracic cavity by ejector sleeve, position line is free in thoracic cavity, solve the grappling positioning needle caused due to the breathing telemechanical of patient to be shifted, to depart from, and in operation, folder pipe of holding one's breath causes lung to subside, and causes grappling positioning needle to be shifted, to depart from.
3. novel lung tumor positioning needle of the present invention is provided with grappling positioning needle, the location crochet hook of described grappling positioning needle is bending crochet hook, broken line crochet hook or bending crochet hook, the far-end of described location crochet hook is sharp needle point, after described grappling positioning needle is released from described puncture needle sleeve pipe, the axis that described needle point crosses described grappling positioning needle arrives its offside.After this design ensures that described grappling positioning needle is released, the bond strength of itself and lung tissue strengthens, avoiding causing the problems such as described grappling positioning needle is shifted, unhook because lifting described position line, even lung lift can be got up, facilitating patient to carry out operation technique.
4. novel lung tumor positioning needle of the present invention arranges grappling positioning needle, after described grappling positioning needle is released from described puncture needle sleeve pipe, described needle point is L1 to described ejector sleeve distal handle distance, described positioning needle distal portions highest point is L2 to described ejector sleeve distal handle distance, and described L2 is less than or equal to L1.After this design ensures that described grappling positioning needle is released, the bond strength of itself and lung tissue strengthens, avoiding patient in art to cause the problems such as described grappling positioning needle is shifted, unhook because lifting described position line, lung lift can be got up simultaneously, facilitating patient to carry out operation technique.
5. novel lung tumor positioning needle of the present invention arranges puncture needle handle; described puncture needle handle near-end is provided with protector; when described protector can ensure that described lung tumor positioning needle punctures, described grappling positioning needle can not be pushed out, and ensures patient safety.
6. novel lung tumor positioning needle of the present invention arranges puncture needle handle and ejector sleeve handle, is removably connected between described puncture needle handle and described ejector sleeve handle by screw thread.When lung tumor positioning needle described in this design ensures punctures, described grappling positioning needle can not be pushed out, and ensures patient safety., slowly described grappling positioning needle being discharged from described puncture needle tubing by rotating described ejector sleeve handle meanwhile, reducing release fast and causing described grappling positioning needle to be out of shape, thus affecting the bond strength of described grappling positioning needle and lung tissue.
Accompanying drawing explanation
Fig. 1 a shows the structural representation of Novel lung tumor-localizing pin of the present invention;
Fig. 1 b is the sectional view of Fig. 1 a at AA place;
Fig. 1 c shows the structural representation that Novel lung tumor-localizing pin of the present invention discharges described grappling positioning needle;
Fig. 2 a shows the structural representation of the described pusher of Novel lung tumor-localizing pin of the present invention;
Fig. 2 b shows the right view of the described pusher of Novel lung tumor-localizing pin of the present invention;
Fig. 2 c shows the axonometric chart of the described pusher of Novel lung tumor-localizing pin of the present invention;
Fig. 3 a shows the structural representation of the described puncture needle of Novel lung tumor-localizing pin of the present invention;
Fig. 3 b shows the protector structural representation of the described puncture needle of Novel lung tumor-localizing pin of the present invention;
Fig. 3 c shows the circumferential clasp structural representation of the described puncture needle of Novel lung tumor-localizing pin of the present invention;
Fig. 3 d is the described Novel lung tumor-localizing pin schematic diagram with detachable protector;
Fig. 3 e shows the structural representation of the detachable protector shown in Fig. 3 d;
Fig. 3 f-h shows the puncture needle handle of Novel lung tumor-localizing pin of the present invention and the mode that the removably connects schematic diagram of pusher grip; Fig. 4 shows the structural representation of the position line of described Novel lung tumor-localizing pin;
The grappling positioning needle that Fig. 5 a shows described Novel lung tumor-localizing pin has the structural representation that is located crochet hook;
The grappling positioning needle that Fig. 5 b shows described Novel lung tumor-localizing pin has the structural representation that two are located crochet hooks;
The grappling positioning needle that Fig. 5 c shows described Novel lung tumor-localizing pin has the structural representation that three are located crochet hooks;
Fig. 5 d shows the difformity schematic diagram of the location crochet hook of the grappling positioning needle of described Novel lung tumor-localizing pin;
Fig. 5 e shows the structural representation of needle point lower than the highest point of location hook needle distal part of the grappling positioning needle of described Novel lung tumor-localizing pin;
The grappling positioning needle that Fig. 5 f shows described Novel lung tumor-localizing pin is pushed out the release conditions schematic diagram after puncture needle sleeve pipe;
The grappling positioning needle that Fig. 5 g shows described Novel lung tumor-localizing pin is pushed out the another kind of release conditions schematic diagram after puncture needle sleeve pipe;
Fig. 6 a is the schematic diagram that described Novel lung tumor-localizing pin is punctured to focus;
Fig. 6 b is the schematic diagram of described Novel lung tumor-localizing pin release grappling positioning needle;
Fig. 6 c is the schematic diagram that described pusher extracted out by described Novel lung tumor-localizing pin;
Fig. 6 d is the schematic diagram that thoracic wall edge extracted by described Novel lung tumor-localizing pin from lung;
Fig. 6 e is that described position line is pushed out the schematic diagram of described puncture needle to thoracic cavity by described pusher;
Fig. 6 f is the schematic diagram after extracting described Novel lung tumor-localizing pin.
Concrete embodiment
For making object of the present invention, technical scheme and advantage clearly understand, to develop simultaneously embodiment referring to accompanying drawing, the present invention is described in more detail.
Near-end of the present invention refers to the one end near patient, and described far-end refers to the one end away from patient.
As illustrated by figures 1 a-1 c, Novel lung tumor-localizing pin of the present invention is used for the location to small pulmonary artery, comprise pusher 1, puncture needle 2, position line 3 and grappling positioning needle 4, described puncture needle 2 is made up of puncture needle sleeve pipe 21 and the puncture needle handle 22 that is fixedly connected with the near-end of described puncture needle sleeve pipe 21, the ejector sleeve handle 12 that described pusher 1 comprises ejector sleeve 11 and is fixedly connected with the near-end of described ejector sleeve 11, described ejector sleeve 11 is placed in described puncture needle sleeve pipe 21, the cross section of described ejector sleeve 11 is toroidal, can only axially-movable and rotation in described puncture needle sleeve pipe 21.The far-end of described ejector sleeve 11 props up the near-end of described grappling positioning needle 4, the proximal end width of described grappling positioning needle 4 is more than or equal to the external diameter of described ejector sleeve 11, the far-end of described position line 3 is connected with the near-end of described grappling positioning needle 4, it is outside that described position line 3 internally extends described pusher 1 from the tube chamber of described ejector sleeve, the distal portions of described position line 3 is provided with the colour band of multiple different colours, and the length of each described colour band is between 3mm to 15mm.
Composition and the connected mode of each parts of Novel lung tumor-localizing pin of the present invention is described in detail below in conjunction with accompanying drawing:
2a-c as shown in the figure, described pusher 1 comprises ejector sleeve 11 and ejector sleeve handle 12, and the cross section of described ejector sleeve 11 is toroidal, and its material is metal or macromolecular material, is preferably metal.Described ejector sleeve handle 12 comprises inner core 14, and described inner core 14 is pyramid type or column type.Described ejector sleeve 11 near-end is fixedly connected with described inner core 14, the mode such as its connected mode is integrated injection moulding, is threaded, gluing, buckle.The far-end of described ejector sleeve handle 12 is provided with card convex structure 13, and described card convex 13 quantity is more than or equal to 2, and uniform circular is distributed in described ejector sleeve handle 12 far-end.
As shown in Fig. 3 a-b, the puncture needle handle 22 that described puncture needle 2 comprises puncture needle sleeve pipe 21 and is fixedly connected with the near-end of puncture needle sleeve pipe 21, the mode such as its connected mode is integrated injection moulding, is threaded, gluing, buckle.The material of described puncture needle sleeve pipe 21 is metal, is preferably rustless steel.As shown in Figure 3 a, the far-end of described puncture needle sleeve pipe is provided with needle point 24, and described needle point 24 is less than 90 ° with the angle α of horizontal plane, and preferred α is less than 45 °.Described puncture needle sleeve pipe 21 is marked with graduated scale 25, described graduated scale 25 is that calibration is carried out at interval every 0.5 ~ 1cm, the graduation mark of 5cm and 5cm multiple should obviously be different from other graduation marks, and described graduated scale 25 is fixed on described puncture needle sleeve pipe 21 by modes such as laser marking, ink, coatings.Preferred described graduated scale 25 is color scale line, and the color of all graduation marks is without repetition, and the graduation mark of often kind of different colours represents the different distance of needle point.As shown in Figure 3 b, the near-end of described puncture needle handle 22 is provided with protector 23, described protector 23 is provided with vertical slot 28 and translot 27, and the quantity of described vertical slot 28 equals described card convex 13 quantity.Described vertical slot 28 up/down perforation in described protector 23, described translot 27 and described card convex 13 matched in clearance.Described translot 27 is highly greater than described card convex 13 height, and described translot 27 lower surface and described card convex 13 are fitted.
As shown in Fig. 3 c-e, as a kind of preferred implementation of the present invention, the near-end of described puncture needle 2 is provided with a protector 23, and described protector 23 inside is a U-shaped draw-in groove 232, and described U-shaped draw-in groove 232 can coordinate with described puncture needle handle 22.The near-end of described protector 23 is provided with annular slot 231; the near-end of described puncture needle 2 is fixedly connected with a circumferential clasp 29; described annular slot 231 is interference fit with described circumferential clasp 29; the frictional force that described circumferential clasp 29 coordinates with described annular slot 231 is greater than the deadweight of described protector 23; namely without under External Force Acting, described protector 23 can not get loose from described puncture needle 2.
As shown in Fig. 3 f-h, as a kind of preferred implementation of the present invention, the near-end of described puncture needle handle 22 is provided with external screw thread 26, the far-end of described ejector sleeve handle 12 is provided with female thread 15, and described puncture needle handle 22 is removably connected with described ejector sleeve handle 12 by described external screw thread 26 and described female thread 15.Described ejector sleeve handle 12 is rotated by circumferencial direction to be released described grappling positioning needle 4 from described puncture needle sleeve pipe 21, and ensure that described grappling positioning needle 4 rate of release is even, reduce and cause because speed to introduce is too fast, location inaccuracy, pierces through the problems such as Pulmonary Vascular; The reverse circumference of described ejector sleeve handle 12 rotates and can realize being separated with described puncture needle handle 22 simultaneously.
As shown in Fig. 1 a, 1b and Fig. 4, described Novel lung tumor-localizing pin also comprises position line 3 and grappling positioning needle 4, the near-end of described grappling positioning needle 4 arranges string holes 41, described position line 3 is placed in the tube chamber of described pusher 1, the proximal part of described position line 3 stretches out described ejector sleeve handle 12 outside, and the far-end of described position line 3 is connected with described string holes 41.The material of described position line 3 is flexible material, preferential macromolecule, such as nylon, Teflon, polyethylene terephthalate.Described position line 3 hot strength is greater than right lung weight.The distal portions of described position line 3 is provided with the colour band of multiple different colours, the width of each colour band is between 3mm-15mm, the colour band being positioned at described position line 3 distalmost end is the first colour band, distally arrive near-end, with the first colour band near be the second colour band, with the second colour band near be tertiary color band, the like, described colour band color is not identical, and without repetition color.Simultaneously, it is different from the distance between lung surface that different colour band represents described grappling positioning needle 4, such as the first colour band is between 0 to W1 (the first ribbon width) to described string holes 41 distance, second colour band to described string holes 41 apart from between W1 (the first ribbon width) to W1 (the first ribbon width)+W2 (the second ribbon width), the like, described N colour band to described string holes 41 apart from for W1 (the first ribbon width)+... + W
n-1(N-1 ribbon width) to W1 (the first ribbon width)+... + W
nbetween (N ribbon width).The distal portions of described position line 3 discharges along with described grappling positioning needle 3 and is placed in lung tissue, described position line 3 major part stays lung surface, patient is by the described position line 3 of lift, clearly can observe the colour band color staying lung tissue surface, lesion tissue degree of depth in lung can be judged by colour band, make patient can precise ablation lesion tissue more, reduce patient trauma, avoid cutting off described grappling positioning needle 4.
As a kind of preferred implementation of the present invention, described first ribbon width is larger than other colour bands, and the width W 1 of described first colour band is between 8-15mm, and other ribbon width are between 5-10mm, and except the first colour band, the width of other colour bands is all equal.
As one of the present invention more preferably embodiment, described position line 3 distal portions is provided with 5-9 colour band of different colours, and the color of described first colour band is true qualities, and the width W 1 of described first colour band is 10mm, and the width of other colour bands is 5mm.
As shown in Fig. 5 a-d, the near-end of described grappling positioning needle 4 is provided with string holes 41 and connecting device 42.Described string holes 41 is fixedly connected on the near-end of described connecting device 42.As shown in Figure 1 b, the near-end of described string holes 41 is close to the far-end of described ejector sleeve 11, and the full-size of described string holes 41 is greater than or equals described ejector sleeve 11 external diameter.Described grappling positioning needle 4 distal portions is provided with one or more location crochet hooks 43, and described location crochet hook 43 is bending crochet hook, broken line crochet hook or bending crochet hook.Described location crochet hook 43 is tinsel, and its material is memorial alloy or elastomeric material.As shown in Figure 5 a, when described grappling positioning needle 4 is made up of a described location crochet hook 43, described location crochet hook 43 is fixedly connected on described connecting device 42 far-end, and preferential described connecting device 42 is structure as a whole with described location crochet hook 43.
As shown in Fig. 5 b-d, as a kind of preferred implementation of the present invention, when described grappling positioning needle 4 is made up of multiple described location crochet hook 43, multiple described location crochet hook 43 is fixed together by described connecting device 42 by described grappling positioning needle 4, and fixed form can be sleeve pipe, spiral winding, braiding, welding, the mode such as gluing.By described connecting device 42, described location crochet hook 43 and described string holes 41 are fixed together simultaneously.
As shown in Fig. 5 e-f, as the preferred embodiment of the present invention, described positioning needle 43 far-end is provided with needle point 44, after described grappling positioning needle 4 is released from described puncture needle sleeve pipe 2, described needle point 44 is L1 to the distance of described ejector sleeve handle 12 far-end, described positioning needle 43 distal portions highest point 45 is that L2, L2 are less than or equal to L1 to the distance of described ejector sleeve handle 12 far-end.As shown in fig. 5g, after described grappling positioning needle 4 is released from described puncture needle sleeve pipe 2, described needle point 44 crosses the axis of described grappling positioning needle 4, arrives the offside of the axis of described grappling positioning needle 4.
As shown in Fig. 6 a-6f, the operating procedure of Novel lung tumor-localizing pin of the present invention is as follows:
(1) under CT guides, operator to be punctured thoracic wall 7 by described puncture needle 2, and puncture enters lung 5, and the far-end of described lung tumor positioning needle 2 delivers to focus 6 edge the most at last;
(2) operator removes described protector 23, and described grappling positioning needle 4 released in described puncture needle 2 by described pusher 1, described grappling positioning needle 4 penetrates described focus 6;
(3) described pusher 1 is extracted out by operator in described puncture needle 2;
(4) described puncture needle 2 is extracted thoracic wall 7 edge by operator from lung 5, then inserts in described puncture needle 2 by described pusher 1, is released by described position line 3, push to breast chamber in described puncture needle 2;
(5) described puncture needle 2 is extracted from thoracic wall 7 by operator, and body surface is sterilized, and sends into operating room.
(6) under VATS, operator catches position line near-end by operating theater instruments such as nippers, mentions position line, and observes the colour band color that lung surface stayed by position line, determines the focus degree of depth.Eventually through wedge excision by lesion resection, and focus is taken out together with grappling positioning needle and position line.
Finally should be noted that; the foregoing is only preferred embodiment of the present invention; be not limited to the present invention, all any amendments done within the spirit and principles in the present invention, equivalent replacement and improvement etc., all should be included within protection scope of the present invention.
Claims (9)
1. a novel lung tumor positioning needle, comprise puncture needle, described puncture needle is made up of puncture needle sleeve pipe and the puncture needle handle that is fixedly connected with the near-end of described puncture needle sleeve pipe, it is characterized in that, described lung tumor positioning needle also comprises grappling positioning needle, position line and pusher, the ejector sleeve hands handle that described pusher comprises ejector sleeve and is fixedly connected with the near-end of described ejector sleeve, described ejector sleeve is placed in described puncture needle sleeve pipe, the far-end of described ejector sleeve props up the near-end of described grappling positioning needle, the proximal end width of described grappling positioning needle is more than or equal to the external diameter of described ejector sleeve, the far-end of described position line is connected with the near-end of described grappling positioning needle, it is outside that described position line internally extends described pusher from the tube chamber of described ejector sleeve, the distal portions of described position line is provided with the color band of multiple different colours, the length of each described colour band is between 3mm to 15mm.
2. novel lung tumor positioning needle according to claim 1, it is characterized in that: described position line is flexible material, from the distal-to-proximal direction of described position line, the colour band of described multiple different colours is named as the first colour band, the second colour band and tertiary color band successively, class is established successively, the length of described first colour band is between 8-15mm, and the length of other colour bands is between 5-10mm.
3. novel lung tumor positioning needle according to claim 2, is characterized in that: the distal portions of described position line is provided with 5-8 colour band of different colours, and the length of described first colour band is 10mm, and the length of other colour bands is 5mm.
4. novel lung tumor positioning needle according to claim 1, it is characterized in that: described grappling positioning needle is provided with one or more location crochet hooks, described location crochet hook is bending crochet hook, broken line crochet hook or bending crochet hook, and described location hook needle distal is sharp needle point.
5. novel lung tumor positioning needle according to claim 4, is characterized in that: after described grappling positioning needle is released from described puncture needle sleeve pipe, described needle point crosses the axis of described grappling positioning needle, arrives the offside of described grappling positioning needle axis.
6. novel lung tumor positioning needle according to claim 4, it is characterized in that: after described grappling positioning needle is released from described puncture needle sleeve pipe, described needle point is L1 to the distance of described ejector sleeve distal handle, the highest point of described positioning needle distal portions is L2 to the distance of described ejector sleeve distal handle, and described L2 is less than or equal to L1.
7. novel lung tumor positioning needle according to claim 1, is characterized in that: the proximal band of described grappling positioning needle has string holes, and described position line is connected with described grappling positioning needle through described string holes.
8. novel lung tumor positioning needle according to claim 1, is characterized in that: the near-end of described puncture needle handle is provided with protector.
9. novel lung tumor positioning needle according to claim 1, is characterized in that: described puncture needle handle and described ejector sleeve handle are threaded connection.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510497304.8A CN105011989B (en) | 2015-08-14 | 2015-08-14 | A kind of new lung neoplasm pilot pin |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510497304.8A CN105011989B (en) | 2015-08-14 | 2015-08-14 | A kind of new lung neoplasm pilot pin |
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| CN105011989A true CN105011989A (en) | 2015-11-04 |
| CN105011989B CN105011989B (en) | 2018-02-02 |
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Cited By (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105581846A (en) * | 2015-12-29 | 2016-05-18 | 江苏芸迪医疗科技发展有限公司 | Operation positioning needle |
| CN105662553A (en) * | 2016-03-21 | 2016-06-15 | 厉传艺 | Lung nodule puncturing and positioning device applied to CT (Computed Tomography) guidance |
| CN105877850A (en) * | 2016-05-26 | 2016-08-24 | 王洛 | Tumor mark needle and tumor mark injector |
| CN106420016A (en) * | 2016-11-10 | 2017-02-22 | 矫文捷 | Puncture needle for CT-guided positioning before lung nodule operation |
| CN106539614A (en) * | 2017-01-20 | 2017-03-29 | 蒋华 | Tumor puncture positioning needle |
| CN108209989A (en) * | 2018-04-04 | 2018-06-29 | 杭州康基医疗器械股份有限公司 | Internal organs drawing device |
| CN108289659A (en) * | 2015-11-25 | 2018-07-17 | 爪医疗有限公司 | Tissue engaging device, system and method |
| CN108392267A (en) * | 2018-03-30 | 2018-08-14 | 无锡市人民医院 | Microwave ablation lobe of the liver fixed pin |
| CN108888320A (en) * | 2018-08-13 | 2018-11-27 | 王玉涛 | Needle set for Lung neoplasm Needle localization |
| CN109431618A (en) * | 2018-12-10 | 2019-03-08 | 邱建星 | A kind of telltale mark medical apparatus in operation |
| CN109431619A (en) * | 2018-12-10 | 2019-03-08 | 邱建星 | Marking apparatus in operation |
| CN109528318A (en) * | 2018-12-19 | 2019-03-29 | 四川大学华西医院 | A kind of Intraoperative position device of early gastrointestinal carcinoma disease |
| CN109833102A (en) * | 2017-11-29 | 2019-06-04 | 上海复拓知达医疗科技有限公司 | Position the marker and telltale mark system of the small space occupying lesion of intrapulmonary |
| CN110313985A (en) * | 2018-03-30 | 2019-10-11 | 首都医科大学附属北京世纪坛医院 | Couple is solidifying to close device |
| CN110432995A (en) * | 2019-09-03 | 2019-11-12 | 苏州朗开医疗技术有限公司 | It is anchored the video-assisted thoracic syrgery system of positioning device and electromagnetic navigation guidance |
| CN113133814A (en) * | 2021-04-01 | 2021-07-20 | 上海复拓知达医疗科技有限公司 | Augmented reality-based puncture surgery navigation device and computer-readable storage medium |
| CN113893012A (en) * | 2021-10-12 | 2022-01-07 | 湖南省拓川医疗科技有限公司 | Puncture needle |
| CN114601484A (en) * | 2022-05-13 | 2022-06-10 | 上海导向医疗系统有限公司 | Respiration tracking positioning needle |
| WO2024065874A1 (en) * | 2022-09-30 | 2024-04-04 | 上海契斯特医疗器械有限公司 | Apparatus and method for lung lesion positioning |
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| CN108289659A (en) * | 2015-11-25 | 2018-07-17 | 爪医疗有限公司 | Tissue engaging device, system and method |
| CN105581846A (en) * | 2015-12-29 | 2016-05-18 | 江苏芸迪医疗科技发展有限公司 | Operation positioning needle |
| CN105662553A (en) * | 2016-03-21 | 2016-06-15 | 厉传艺 | Lung nodule puncturing and positioning device applied to CT (Computed Tomography) guidance |
| CN105877850A (en) * | 2016-05-26 | 2016-08-24 | 王洛 | Tumor mark needle and tumor mark injector |
| CN105877850B (en) * | 2016-05-26 | 2019-09-03 | 王洛 | Tumor marker needle and tumor marker syringe |
| CN106420016A (en) * | 2016-11-10 | 2017-02-22 | 矫文捷 | Puncture needle for CT-guided positioning before lung nodule operation |
| CN106539614A (en) * | 2017-01-20 | 2017-03-29 | 蒋华 | Tumor puncture positioning needle |
| CN109833102A (en) * | 2017-11-29 | 2019-06-04 | 上海复拓知达医疗科技有限公司 | Position the marker and telltale mark system of the small space occupying lesion of intrapulmonary |
| CN108392267A (en) * | 2018-03-30 | 2018-08-14 | 无锡市人民医院 | Microwave ablation lobe of the liver fixed pin |
| CN110313985A (en) * | 2018-03-30 | 2019-10-11 | 首都医科大学附属北京世纪坛医院 | Couple is solidifying to close device |
| CN108209989A (en) * | 2018-04-04 | 2018-06-29 | 杭州康基医疗器械股份有限公司 | Internal organs drawing device |
| CN108888320A (en) * | 2018-08-13 | 2018-11-27 | 王玉涛 | Needle set for Lung neoplasm Needle localization |
| CN109431619A (en) * | 2018-12-10 | 2019-03-08 | 邱建星 | Marking apparatus in operation |
| CN109431618A (en) * | 2018-12-10 | 2019-03-08 | 邱建星 | A kind of telltale mark medical apparatus in operation |
| CN109528318A (en) * | 2018-12-19 | 2019-03-29 | 四川大学华西医院 | A kind of Intraoperative position device of early gastrointestinal carcinoma disease |
| CN110432995A (en) * | 2019-09-03 | 2019-11-12 | 苏州朗开医疗技术有限公司 | It is anchored the video-assisted thoracic syrgery system of positioning device and electromagnetic navigation guidance |
| CN113133814A (en) * | 2021-04-01 | 2021-07-20 | 上海复拓知达医疗科技有限公司 | Augmented reality-based puncture surgery navigation device and computer-readable storage medium |
| CN113893012A (en) * | 2021-10-12 | 2022-01-07 | 湖南省拓川医疗科技有限公司 | Puncture needle |
| CN114601484A (en) * | 2022-05-13 | 2022-06-10 | 上海导向医疗系统有限公司 | Respiration tracking positioning needle |
| WO2024065874A1 (en) * | 2022-09-30 | 2024-04-04 | 上海契斯特医疗器械有限公司 | Apparatus and method for lung lesion positioning |
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