CN105125285A - Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor - Google Patents
Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor Download PDFInfo
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- CN105125285A CN105125285A CN201510378745.6A CN201510378745A CN105125285A CN 105125285 A CN105125285 A CN 105125285A CN 201510378745 A CN201510378745 A CN 201510378745A CN 105125285 A CN105125285 A CN 105125285A
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- rocking bar
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- 238000000034 method Methods 0.000 title claims description 10
- 239000000463 material Substances 0.000 claims abstract description 4
- 239000003550 marker Substances 0.000 claims description 5
- 238000002372 labelling Methods 0.000 claims description 3
- 238000012423 maintenance Methods 0.000 claims 1
- 230000005855 radiation Effects 0.000 abstract description 4
- 206010000269 abscess Diseases 0.000 abstract description 2
- 238000001574 biopsy Methods 0.000 abstract description 2
- 238000002692 epidural anesthesia Methods 0.000 abstract description 2
- 238000004659 sterilization and disinfection Methods 0.000 abstract description 2
- 230000001105 regulatory effect Effects 0.000 abstract 4
- 238000005096 rolling process Methods 0.000 abstract 1
- 208000037959 spinal tumor Diseases 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 4
- 230000006378 damage Effects 0.000 description 2
- FGRBYDKOBBBPOI-UHFFFAOYSA-N 10,10-dioxo-2-[4-(N-phenylanilino)phenyl]thioxanthen-9-one Chemical compound O=C1c2ccccc2S(=O)(=O)c2ccc(cc12)-c1ccc(cc1)N(c1ccccc1)c1ccccc1 FGRBYDKOBBBPOI-UHFFFAOYSA-N 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 210000003692 ilium Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 238000004064 recycling Methods 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
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Abstract
The invention relates to a movable three-dimensional rocker arc-shaped guide spinal puncture assistor, which comprises a ground movable support part, a three-dimensional rocker regulating part and an arc-shaped angle guide puncture part, wherein bottom feet of the ground movable support part are rolling wheels with brakes; a vertical rod which is sleeved by a round tube and is used for maintaining the integral balance is arranged above the ground movable support part; the three-dimensional rocker regulating part is of a three-dimensional regulating structure consisting of three rockers with screw threads and three extension rods, and also comprises a horizontal calibrator and a horizontal locking spanner; the arc-shaped angle guide puncture part comprises a 1/4 circular-arc rail with an angle, a rocker, two infrared fixed point instruments, a guide rod and a needle guide device; the rocker can realize 360-degree vertical rotation through regulating the circular-arc rail; the guide rail slides along the circular-arc rail; and the needle guide device can be dismounted for disinfection. The movable three-dimensional rocker arc-shaped guide spinal puncture assistor has the advantages that the puncture accuracy is high; the perspective time is short; the number of perspective times is small; the quantity of X-ray radiation received by medical care personnel and patients is low; the needle guide device can be disinfected and repeatedly used; and high molecular materials are radiotransparent, and the like. Therefore the movable three-dimensional rocker arc-shaped guide spinal puncture assistor can be widely applied to spinal surgeries such as intervertebral aperture mirror positioning puncture, epidural anesthesia, spinal tumor biopsy and spinal abscess puncture drainage.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly relate to a kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid and using method thereof.
Background technology
Localised puncture is the necessary step of many spinal operations accurately, if locate inaccurate, just certainly will cause the destruction of unnecessary spinal column rear structure, thus increases damage.Especially the localised puncture of waist 5 sacrum 1 sections is because crista iliaca and transverse process stop the particularly difficulty that seems, previously without any positioner, only have by perspective repeatedly could the implantation direction of clear and definite guide pin, the degree of depth.This simple method of sensation that relies on is not accurate enough, often needs the surgical experience enriched, then coordinates repeatedly to have an X-rayed and just can complete; Both operating time was increased, under making again medical personnel and patient repeatedly be exposed to x-ray radiation.
Summary of the invention
The object of the present invention is to provide a kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid and using method thereof, for making the Needle localization of spinal operation more accurate, shorten operating time, reduce the radiation of medical personnel, we devise movable three-dimensional rocking bar arcuate guide spinal column puncture aid and are applied to clinical.
A kind of movable three-dimensional rocking bar arcuate guide spinal column puncture aid that the present invention proposes, comprises the removable support section in ground, three-dimensional rocker adjustment portion, curved angle ultrasonic puncture part, wherein:
The removable support section in ground comprises footing, vertically bar and cylinder, and described vertical bar one end is fixed on footing, and described cylinder is placed on below vertical bar, for maintaining assistor whole machine balancing;
Three-dimensional rocker adjustment portion is made up of three threaded rocking bars, three extension rods, a horizontal alignment instrument and horizontal lock spanners, 3rd extension rod one end vertical connecting bar other end, described 3rd extension rod and vertical bar junction are provided with horizontal lock spanner, the 3rd extension rod other end connects second extension rod one end and first extension rod one end respectively, 3rd extension rod and the second extension rod horizontal positioned, first extension rod is vertically placed, and the 3rd extension rod, second extension rod and the first extension rod are arranged vertically each other, first extension rod connects the 5th rocking bar, it is driven to do oscilaltion campaign by the 5th rocking bar, second extension rod connects the 3rd rocking bar, it is driven to seesaw as horizontal direction by the 3rd rocking bar, 3rd extension rod connects the 4th rocking bar, it is driven to do horizontal direction side-to-side movement by the 4th rocking bar, described horizontal alignment instrument is positioned on the 3rd extension rod, and described horizontal alignment instrument, for adjusting horizontal equilibrium, locks its level by horizontal lock spanner,
Curved angle ultrasonic puncture part comprises arc orbit, first rocking bar, second rocking bar, guide rod and acuductor, described arc orbit is 1/4 circular arc, which is provided with scale, described arc orbit connects the second rocking bar, regulate circular arc to realize 360 degree by the second rocking bar vertically to rotate, circular arc one end is provided with infrared level fixed point apparatus, the other end is provided with the vertical fixed point apparatus of infrared ray, described guide rod is positioned on arc orbit by guide rod slide block, described guide rod slide block connects the first rocking bar, described guide rod can be slided under the first rocking bar drives by guide rod slide block on arc orbit, guide rod is provided with acuductor, the inserting needle mouth of described acuductor can be puncture needle and directly arrives puncture impact point by puncture.
In the present invention, the footing of the removable support section in described ground, and can the brake gear of fixed bottom boundary with can the roller of random movement.
In the present invention, the first described rocking bar, the second rocking bar, the 3rd rocking bar, the 4th rocking bar, the 5th rocking bar, the first extension rod, the second extension rod and the 3rd extension rod are by macromolecular material composition nonvisualized under X-ray examination.
In the present invention, described horizontal alignment instrument can keep the reference of horizontal level as adjustment three-dimensional rocker adjustment portion, utilize horizontal lock spanner to lock horizontal level simultaneously.
The using method of the movable three-dimensional rocking bar arcuate guide spinal column puncture aid that the present invention proposes, concrete steps are as follows:
According to forward and backward position and position, side perspective, determine the projection of impact point in body surface dorsal part and side of puncturing, and with marker labelling, then the infrared level fixed point apparatus and the vertical fixed point apparatus of infrared ray that adjust spinal puncture assistor aim at two skin-markers, to determine that puncture impact point is 1/4 circular arc round dot, vertically rotate to suitable angle according to different operated level adjustment arc orbit, guide rod simultaneously on adjustment arc orbit slides into appropriate location along arc orbit and fixes, and now puncture needle can directly arrive puncture impact point from the inserting needle mouth of acuductor.
Beneficial effect of the present invention is:
The present invention has that puncture accuracy is high, the perspective time is short, few, the medical personnel of perspective number of times and patient low by x-ray radiation amount, acuductor can be sterilized recycling, the advantages such as macromolecular material X-ray examination does not develop, thus foramen intervertebrale lens localised puncture can be widely used in, epidural anesthesia, tumor of spine biopsy, the spinal operations such as spinal abscess puncture drainage.
Accompanying drawing explanation
Fig. 1 is position, the present invention positive side analysis diagram.
Fig. 2 is plan structure of the present invention diagram.
Fig. 3 is Facad structure of the present invention diagram.
Fig. 4 is structure of the present invention diagram.
Number in the figure: 1 is roller, 2 is metallic cylinder, and 3 is vertical bar, 4 is infrared level fixed point apparatus, and 5 is the vertical fixed point apparatus of infrared ray, and 6 is arc orbit, 7 is the first rocking bar, and 8 is acuductor, and 9 is guide rod, 10 is the second rocking bar, and 11 is the 3rd rocking bar, and 12 is the 4th rocking bar, 13 is the 5th rocking bar, and 14 is the first extension rod, and 15 is the second extension rod, 16 is the 3rd extension rod, and 17 is horizontal alignment instrument, 18 horizontal lock spanners.
Detailed description of the invention
The present invention is further illustrated by reference to the accompanying drawings below by embodiment.
Embodiment 1: as Figure 1-Figure 4, the removable support section in ground comprises with the footing of roller 1, cylinder 2 and vertical bar 3, and described vertical bar 3 one end is fixed on footing, and described cylinder 2 is placed on below vertical bar 3, for maintaining assistor whole machine balancing; Three-dimensional rocker adjustment portion is by the 3rd rocking bar the 11, four rocking bar the 12, five rocking bar 13, first extension rod 14, second extension rod the 15, three extension rod 16, and horizontal alignment instrument 17 and horizontal lock spanner 18 form.3rd extension rod 16 one end vertical connecting bar 3 other end, described 3rd extension rod 16 is provided with horizontal lock spanner 18 with vertical bar 3 junction, 3rd extension rod 16 other end connects second extension rod 15 one end and first extension rod 14 one end respectively, 3rd extension rod 16 and the second extension rod 15 horizontal positioned, first extension rod 14 is vertically placed, and the 3rd extension rod 16, second extension rod 15 and the first extension rod 14 are arranged vertically each other, first extension rod 14 connects the 5th rocking bar 13, it is driven to do oscilaltion campaign by the 5th rocking bar 13, second extension rod 15 connects the 3rd rocking bar 11, it is driven to seesaw as horizontal direction by the 3rd rocking bar 11, 3rd extension rod 16 connects the 4th rocking bar 12, it is driven to do horizontal direction side-to-side movement by the 4th rocking bar 12, described horizontal alignment instrument 17 is positioned on the 3rd extension rod 16, curved angle ultrasonic puncture part comprises arc orbit 6, first rocking bar 7, second rocking bar 8, guide rod 9 and acuductor 8, described arc orbit 6 is 1/4 circular arc, which is provided with scale, described arc orbit 6 connects the second rocking bar 8, regulate arc orbit 6 to do 360 degree by the second rocking bar 8 vertically to rotate, arc orbit 6 one end is provided with infrared level fixed point apparatus 4, the other end is provided with the vertical fixed point apparatus 6 of infrared ray, described guide rod 9 one end is positioned on arc orbit 6 by guide rod 9 slide block, described guide rod 9 slide block connects the first rocking bar 7, described guide rod 9 can be slided under the first rocking bar 7 drives by guide rod slide block on arc orbit 6, guide rod 9 other end is provided with acuductor 8, the inserting needle mouth of described acuductor 8 can be puncture needle and directly arrives puncture impact point by puncture.
Said apparatus operation is as follows:
(being applied to the puncture of waist 5 sacrum 1 foramen intervertebrale lens):
(1) enjoin patient's parallel operating-table major axis prostrate, existing epidermis localizer is invested the back side and the side of patient's body surface, then with anteroposterior position and the lateral projection of C arm machine picked-up standard, anteroposterior film and lateral projection are determined the impact point that punctures, then in the body surface dorsal part of patient and side with marker labelling, draw the general shape of puncture impact point homonymy transverse process at patient's body surface simultaneously; In addition, crista iliaca is drawn by touch patient body surface out of shape;
(2) spinal puncture assistor is moved to the appropriate position that operating-table is other, by the brake spinal fixation puncture aid above bottom roller 1; Needed for balance single unit system;
(3) suitably shake the 5th rocking bar 13, the first extension rod 14 oscilaltion can be realized, in like manner, shake the 3rd rocking bar 11 and the 4th rocking bar 12, can realize the 3rd extension rod 16 at left and right directions, the second extension rod 15 moves at fore-and-aft direction, until curved angle ultrasonic puncture part arrives be satisfied with position; If necessary, reference levels prover 17 can adjust horizontal equilibrium, locks level with horizontal lock spanner 18 simultaneously;
(4) step (3) described 3rd rocking bar 11 is shaken, 4th rocking bar 12,5th rocking bar 13 makes infrared level fixed point apparatus 4 accurately aim at patients back skin-marker respectively, the vertical fixed point apparatus 5 of infrared ray aims at the skin-marker of patient side, and the impact point that now punctures is always 1/4 arc orbit round dot of spinal puncture assistor;
(5) acuductor 8 that autoclave sterilization is good is loaded onto on guide rod 9, transverse process position drawn by body surface and ilium ridge out of shape, shake the second rocking bar 10 to make arc orbit 6 entirety vertically rotate to suitable angle to fix, guide rod slide block on sliding guide 9 is fixed to the appropriate location on arc orbit 6, adjusts length simultaneously make acuductor 8 as far as possible near patient body's table position by the first rocking bar 7 on shake guide rod 9;
(6) now puncture needle can arrive puncture impact point by the guide pinhole on acuductor 8.
Claims (5)
1. a movable three-dimensional rocking bar arcuate guide spinal column puncture aid, comprises the removable support section in ground, three-dimensional rocker adjustment portion and curved angle ultrasonic puncture part, it is characterized in that:
The removable support section in ground comprises footing, vertically bar and cylinder, and described vertical bar one end is fixed on footing, and described cylinder is placed on below vertical bar, for maintaining assistor whole machine balancing;
Three-dimensional rocker adjustment portion is by three threaded rocking bars, three extension rods, one horizontal alignment instrument and horizontal lock spanner composition, 3rd extension rod one end vertical connecting bar other end, described 3rd extension rod and vertical bar junction are provided with horizontal lock spanner, the 3rd extension rod other end connects second extension rod one end and first extension rod one end respectively, 3rd extension rod and the second extension rod horizontal positioned, first extension rod is vertically placed, and the 3rd extension rod, second extension rod and the first extension rod are arranged vertically each other, first extension rod connects the 5th rocking bar, it is driven to do oscilaltion campaign by the 5th rocking bar, second extension rod connects the 3rd rocking bar, it is driven to seesaw as horizontal direction by the 3rd rocking bar, 3rd extension rod connects the 4th rocking bar, it is driven to do horizontal direction side-to-side movement by the 4th rocking bar, described horizontal alignment instrument is positioned on the 3rd extension rod, and described horizontal alignment instrument, for adjusting horizontal equilibrium, locks its level by horizontal lock spanner,
Curved angle ultrasonic puncture part comprises arc orbit, first rocking bar, second rocking bar, guide rod and acuductor, described arc orbit is 1/4 circular arc, which is provided with scale, described arc orbit connects the second rocking bar, regulate arc orbit to do 360 degree by the second rocking bar vertically to rotate, arc orbit one end is provided with infrared level fixed point apparatus, the other end is provided with the vertical fixed point apparatus of infrared ray, described guide rod is positioned on arc orbit by guide rod slide block, described guide rod slide block connects the first rocking bar, described guide rod can be slided under the first rocking bar drives by guide rod slide block on arc orbit, the guide rod other end is provided with acuductor, the inserting needle mouth of described acuductor can be puncture needle and directly arrives puncture impact point by puncture.
2. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, is characterized in that the footing of the removable support section in described ground is with can the roller of random movement, and can the brake gear of fixed bottom boundary.
3. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, is characterized in that the first described rocking bar, the second rocking bar, the 3rd rocking bar, the 4th rocking bar, the 5th rocking bar, the first extension rod, the second extension rod and the 3rd extension rod are by macromolecular material composition nonvisualized under X-ray examination.
4. movable three-dimensional rocking bar arcuate guide spinal column puncture aid according to claim 1, it is characterized in that described horizontal alignment instrument can be used as the reference of adjustment three-dimensional rocker adjustment portion maintenance horizontal level, utilize horizontal lock spanner to lock horizontal level simultaneously.
5. a using method for movable three-dimensional rocking bar arcuate guide spinal column puncture aid as claimed in claim 1, is characterized in that concrete steps are as follows:
According to forward and backward position and position, side perspective, determine the projection of impact point in body surface dorsal part and side of puncturing, and with marker labelling, then the infrared level fixed point apparatus and the vertical fixed point apparatus of infrared ray that adjust spinal puncture assistor aim at two skin-markers, to determine that puncture impact point is 1/4 circular arc round dot, vertically rotate to suitable angle according to different operated level adjustment arc orbit, guide rod simultaneously on adjustment arc orbit slides into appropriate location along arc orbit and fixes, and now puncture needle can directly arrive puncture impact point from the inserting needle mouth of acuductor.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510378745.6A CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
| PCT/CN2016/070142 WO2017000538A1 (en) | 2015-07-02 | 2016-01-05 | Arc-shaped precise positioning device capable of being assembled and disassembled |
| CN201680000494.0A CN105916463B (en) | 2015-07-02 | 2016-01-05 | Detachably assemble arc-shaped precise positioning equipment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510378745.6A CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105125285A true CN105125285A (en) | 2015-12-09 |
| CN105125285B CN105125285B (en) | 2017-05-03 |
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| CN201510378745.6A Expired - Fee Related CN105125285B (en) | 2015-07-02 | 2015-07-02 | Movable three-dimensional rocker arc-shaped guide spinal puncture assistor and use method of movable three-dimensional rocker arc-shaped guide spinal puncture assistor |
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| CN (1) | CN105125285B (en) |
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| WO2017000538A1 (en) * | 2015-07-02 | 2017-01-05 | 贺石生 | Arc-shaped precise positioning device capable of being assembled and disassembled |
| CN106937877A (en) * | 2016-12-23 | 2017-07-11 | 任玉娥 | A kind of application method of guide device |
| CN106943182A (en) * | 2017-04-20 | 2017-07-14 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of full-automatic puncture needle positioning apparatus |
| CN107041777A (en) * | 2017-04-20 | 2017-08-15 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of full-automatic puncture needle positioning apparatus |
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