CN105832385A - Intraoperative sliding positioning support mechanism of puncture needle - Google Patents
Intraoperative sliding positioning support mechanism of puncture needle Download PDFInfo
- Publication number
- CN105832385A CN105832385A CN201610008994.0A CN201610008994A CN105832385A CN 105832385 A CN105832385 A CN 105832385A CN 201610008994 A CN201610008994 A CN 201610008994A CN 105832385 A CN105832385 A CN 105832385A
- Authority
- CN
- China
- Prior art keywords
- puncture needle
- supporting mechanism
- location
- art
- support mechanism
- 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.)
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/101—Clamping means for connecting accessories to the operating table
-
- 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
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
Abstract
The invention provides an intraoperative sliding positioning support mechanism of a puncture needle. The intraoperative sliding positioning support mechanism of the puncture needle comprises a sliding mechanism, a support mechanism and a regulating mechanism, wherein the sliding mechanism is arranged at the side surface of an operation bed and slides in the length direction of the operation bed; the support mechanism and the regulating mechanism are sequentially connected; one end of the support mechanism is in linkage connection with the sliding mechanism; the relative position of the sliding positioning support mechanism and the operation bed is regulated through the sliding mechanism; the direction and the displacement in the X, Y and Z axes of the intraoperative sliding positioning support mechanism are regulated through the regulating mechanism, so that the intraoperative sliding positioning support mechanism achieves the consistent body surface preset position with the puncture needle; the puncture needle is arranged in a through hole of an orientation mechanism in a penetrating manner; and the orientation mechanism forms dismountable connection relationship with one end of the regulating mechanism. The invention provides an intraoperative fixing device of the puncture needle. In the operation process, a biopsy puncture needle can be accurately fixed on the body surface preset position; and convenient and facilitating conditions are provided for operators to observe the position and the angle of the puncture needle, the distance of the puncture needle from a preset sampling target point and the angle of the puncture needle from the preset sample target on imaging equipment.
Description
Technical field
The present invention relates to slip supporting mechanism for location in the art of a kind of puncture needle.
Background technology
Percutaneous biopsy: along with improving constantly of people's living standard, each tumor is the most increasing
Betide human body.During clinic diagnosis, when the swollen physical property matter of some tissues is failed to understand, apply puncture more
Take inspection technology, by obtaining suspect tissue, it is carried out pathology qualitative, and then give to treat further, therefore
Biopsy becomes some tissue tumor best approach qualitatively.
It is very important a kind of invasive Clinics during present clinical diagnosis and treatment that puncture takes inspection, although meeting
Bring wound to patient, but take that to examine the importance to clinic diagnosis unquestionable, thus can at utmost alleviate right
The injury of patient is that one necessarily requires.
During clinic diagnosis, when not can determine that its pathologic feature for suspicious lesions, frequently with medical science shadow
As biopsy needle guide (ultrasonic, x-ray or CT) punctures suspicious lesions tissue, cut a small amount of pathological tissues,
Lesion nature is determined by pathological observation.
Now the clinical confused class of biopsy needle is miscellaneous many, but mostly all exists and take that to examine sump volume little, and one-time puncture takes
Examine low success rate of shortcoming.Puncture needle includes nook closing member, needle guard, the most also needs to be equipped with special puncture rifle.
Take inspection process as follows:
1. it is properly attached to puncture rifle and puncture rifle is set in state to be excited by puncture needle core, needle guard.
2. guide location by medical image, determine that puncture needle enters suspicious lesions tissue target area.
3., after puncture target determines, excite puncture rifle.Puncture needle core initially enters pathological tissues, and part is sick
Change tissue is in and takes in inspection groove, and Puncture needle sleeve subsequently enters.In the process, the disease that needle guard will take in inspection groove
Change tissue cuts and overlaps to be stored in and takes in inspection groove.
4. exit puncture needle, and take the pathological tissues in inspection groove.
Percutaneous puncture in treating art, percutaneous drainage, percutaneous puncture pain nerve retardance art is both needed at CT
And the lower predetermined target spot of venipuncture in PET/CT location, for guaranteeing that safety, percutaneous puncture process are required to take
Monitor method of needle insertion, or successively method of needle insertion inserting needle in real time, owing to CT and PET/CT scanning is respectively provided with radioactivity,
Monitoring method of needle insertion makes surgical doctor, nurse suffer unnecessary radioactive ray dosage in real time, the most cancels.
Currently mainly take successively method of needle insertion inserting needle puncture under CT and PET/CT Scan orientation.Puncture reservations first
Position skin and soft tissue, needling length is shorter, needs CT and PET/CT scanning to confirm tip position, but punctures
Pin cannot be fixed automatically, and after leaving patient's hands, meeting is the most crooked and topples over, and needle tip cannot the most accurately refer to
To focus, due in CT and PET/CT scanning process patient cannot the most hand-held pin, otherwise can suffer
Amount is irradiated.
Summary of the invention
Technical problem underlying to be solved by this invention is to provide in the art of a kind of puncture needle slip location and supports
Mechanism, can accurately be fixed on body surface precalculated position, for patient to shadow in operation process by biopsy needle
As observing puncture needle position and angle on equipment, preset distance sampling target position, angle are provided convenience
Condition.
In order to solve above-mentioned technical problem, the invention provides location of sliding in the art of a kind of puncture needle and support
Mechanism, including:
Slide mechanism, described slide mechanism is arranged on the side of operation table sliding along the length direction of operation table
Dynamic；
The supporting mechanism being sequentially connected with and guiding mechanism, one end of described supporting mechanism is with described slide mechanism even
It is dynamically connected；
The relative position of described slip supporting mechanism for location and operation table is adjusted by described slide mechanism；Pass through
Guiding mechanism regulates its displacement in X, Y, Z axis and direction so that it is with the body surface precalculated position of puncture needle
Unanimously；
Described puncture needle is arranged in the through hole of attitude reference device, described attitude reference device and one end shape of guiding mechanism
Become dismountable annexation.
In a preferred embodiment: described slide mechanism includes the slide rail being arranged at described operation table both sides, with
And one be placed in the slide block on described slide rail；
Described slide block has a positioning block, makes described locating piece at primary importance and second by pressing button
Switching between putting, when locating piece is positioned at primary importance, it positions with described slide rail contact；When locating piece position
When the second position, it separates with described slide rail.
In a preferred embodiment: described supporting mechanism is hard tube；Described guiding mechanism is snakelike bending flexible pipe.
In a preferred embodiment: described guiding mechanism arranges an inserting column, described attitude reference device has one with slotting
The slot that post matches.
In a preferred embodiment: described through hole is elastic through hole, and its aperture is along with the puncture needle diameter passed
And change.
In a preferred embodiment: one end of described supporting mechanism is interlocked with described slide mechanism by a joint
Connect；Described supporting mechanism is made to swing around described joint along the width of operation table.
Compared to prior art, technical scheme possesses following beneficial effect:
1. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, is adjusted by slide mechanism
Whole slip supporting mechanism for location and the relative position of operation table, reach the effect substantially positioned.Then pass through
Guiding mechanism adjusts its position on X, Y, Z axis direction so that it is subscribe with puncture needle body surface in art
Position is consistent.When medical personnel need to leave patient observe CT scan situation time, by attitude reference device and
Guiding mechanism connects, thus is accurately fixed on by puncture needle on body surface current location, therefore, no matter punctures deep
Degree position how, and patient all can let go, and puncture needle will remain desired depth and angle, will not be the most askew
Tiltedly and topple over.For observing puncture needle position and angle on patient's image documentation equipment computer, preset distance sampling target spot
The condition that position, angle are provided convenience.
2. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, attitude reference device has one and leads to
Hole, puncture needle is through described through hole spacing by it such that it is able to puncture needle is accurately fixed on current direction
Without there is deviation.
3. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, the through hole of attitude reference device is
Elastic through hole, its aperture changes according to different puncture needles.Therefore various puncture is gone for
Pin uses, it is ensured that need in various transdermal therapeutic art arts.
4. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, by slide mechanism and CT
And PET/CT is scanning bed fixing, can with in CT and PET/CT scanning process with scanning bed and patient is synchronize moves
Dynamic, displacement will not be produced, it is ensured that accuracy and safety.This fixing apparatus for puncture needle, it is to avoid puncture through
Cheng Zhong, the unnecessary position of puncture needle is moved, and directly reduces CT and PET/CT scanning times in paracentesis,
Can obviously reduce patient in paracentesis and suffer dose radiation.
5. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, it is the most high-strength that it makes material
Degree plastic, will not produce radioactivity artifact, interferogram picture during CT and PET/CT Scan orientation
Observe.
6. slip supporting mechanism for location in the art of a kind of puncture needle that the present invention provides, its simple in construction, produce
Cost is relatively low, possesses disposable condition, it is ensured that the cleaning in operation process.
Accompanying drawing explanation
Schematic diagram when Fig. 1 is that in the preferred embodiment of the present invention, guiding mechanism is not connected with attitude reference device；
Fig. 2 is the schematic diagram after guiding mechanism is connected with attitude reference device in the preferred embodiment of the present invention；
Fig. 3 is the generalized section of slide mechanism in the preferred embodiment of the present invention.
Detailed description of the invention
Below in conjunction with drawings and Examples, the present invention will be further described.
Reference Fig. 1-3, slip supporting mechanism for location in the art of a kind of puncture needle, including:
Slide mechanism 1, described slide mechanism 1 is arranged on the side of operation table 10 and along operation table 10
Length direction slides；
The supporting mechanism 2 being sequentially connected with and guiding mechanism 3, one end of described supporting mechanism 2 and described slip
Mechanism 1 is connected；
The phase para-position of described slip supporting mechanism for location 2 and operation table 10 is adjusted by described slide mechanism 1
Put；Its displacement in X, Y, Z axis and direction is regulated so that it is with puncture needle 4 by guiding mechanism 3
Body surface precalculated position is consistent；
Described puncture needle 4 is arranged in the through hole 51 of attitude reference device 5, described attitude reference device 5 and the machine of adjustment
One end of structure 3 forms dismountable annexation.
Therefore, slip supporting mechanism for location in the art of above-mentioned a kind of puncture needle, adjusted by slide mechanism 1
Whole slip supporting mechanism for location and the relative position of operation table 10, reach the effect substantially positioned.Then
Its position on X, Y, Z axis direction is adjusted so that it is with puncture needle 4 in art by guiding mechanism 3
It is consistent that body surface subscribes position.When medical personnel need to leave patient observe CT scan situation time, by fixed
Connect to mechanism 5 and guiding mechanism 3, thus puncture needle 4 is accurately fixed on body surface current location, because of
This, regardless of paracentesis depth position, patient all can let go, puncture needle 4 will remain desired depth with
Angle, will not be the most crooked and topple over.For observing puncture needle position and angle on patient's image documentation equipment computer,
The condition that preset distance sampling target position, angle are provided convenience.
The concrete structure of the present embodiment is as follows: described slide mechanism 1 includes being arranged at described operation table 10 liang
The slide rail 11 of side, and one be placed in the slide block 12 on described slide rail 11；
Described slide block 12 has a positioning block 13, makes described locating piece 13 first by pressing button 14
Switching between position and the second position, when locating piece 13 is positioned at primary importance, it pushes up with described slide rail 11
Support location；When locating piece 13 is positioned at the second position, it separates with described slide rail 11.By above-mentioned knot
Structure, it is possible to realize slip and the location of slide block 12, makes medical personnel can move freely cunning as required
After block 12, again it is accurately fixed on the position of needs.
Described supporting mechanism 2 is hard tube, and its one end is fixing with described slide block 12 to be connected, the other end and adjustment
Mechanism 3 connects；Described guiding mechanism 3 is snakelike bending flexible pipe.Snakelike curved by rotating, bending or stretch
Folding flexible pipe, it is possible to adjust its position on X, Y, Z axis direction.Adjustment mode is simple, and
Snakelike bending flexible pipe has certain weight capacity, will not just change it after having installed puncture needle 4 additional because of one end
Position.Thus while convenient adjustment position, can be accurately positioned again.
Described guiding mechanism 3 arranges an inserting column 31, and described attitude reference device 5 has one and matches with inserting column 31
Slot.By inserting column and the cooperation of slot, it is possible to attitude reference device 5 to be fixed on the one of guiding mechanism 3
On end.By guiding mechanism 3 and supporting mechanism 2, attitude reference device 5 is fixed on current position and direction.
Medical personnel are when carrying out puncturing operation, as long as being entered through the through hole 51 of attitude reference device 5 by puncture needle 4 again
Row puncture procedure.The carrying out of medical personnel's puncturing operation will not be affected because installing too much device additional.
Until medical personnel need to leave patient, just attitude reference device 5 is connected with guiding mechanism 3.Further, exist
When puncturing operation is carried out, guiding mechanism 3 can also be slid away from puncturing by medical personnel by slide mechanism 1
Region, it is to avoid operation is impacted.
In the present embodiment, one end of described supporting mechanism 2 and joint 13 grafting, described joint 13 and institute
State the fixing connection of slide mechanism 1；Make described supporting mechanism 2 around described joint 13 along operation table 10
Width swings.So arrange that to be because the telescopicing performance of snakelike bending flexible pipe limited, it is impossible to ensure to adjust
Mechanism 3 can be completely covered the width range of whole operation table 10.Therefore, add joint 13, make
Obtain supporting mechanism 2 to swing around described joint 13 along the width of operation table 10, also increase tune
The complete machine structure 3 range of accommodation on operation table 10 width.
Slip supporting mechanism for location in the art of above-mentioned a kind of puncture needle, attitude reference device 5 has a through hole 51,
Puncture needle 4 is through described through hole 51 spacing by it such that it is able to be accurately fixed on currently by puncture needle 4
Without there is deviation in direction.In the present embodiment, described through hole 51 is elastic through hole, and its aperture is along with wearing
Puncture needle 4 diameter crossed and change.Therefore go for various puncture needle to use, it is ensured that various
Transdermal therapeutic art art needs.
Slip supporting mechanism for location in the art of above-mentioned a kind of puncture needle, by slide mechanism and CT and PET/CT
Scanning bed fixing, can with CT and PET/CT scanning process in scanning bed and patient's synchronizing moving, will not produce
Raw displacement, it is ensured that accuracy and safety.This fixing apparatus for puncture needle, it is to avoid in piercing process, punctures
The unnecessary position of pin is moved, and directly reduces CT and PET/CT scanning times in paracentesis, can obviously reduce
In paracentesis, patient suffers dose radiation.And, it is not necessary to make existing CT and PET/CT is scanning bed
Structural change, has good compatibility.
Slip supporting mechanism for location in the art of above-mentioned a kind of puncture needle, it makes material equal highstrenghtpiston system
Product, will not produce radioactivity artifact during CT and PET/CT Scan orientation, disturb image viewing.And
And, its simple in construction, production cost is relatively low, possesses disposable condition, it is ensured that in operation process
Cleaning.
The above, the only present invention preferably detailed description of the invention, but protection scope of the present invention not office
Being limited to this, any those familiar with the art, can be easily in the technical scope that the invention discloses
The change expected or replacement, all should contain within protection scope of the present invention.Therefore, the protection of the present invention
Scope should be as the criterion with scope of the claims.
Claims (6)
1. slip supporting mechanism for location in the art of a puncture needle, it is characterised in that including:
Slide mechanism, described slide mechanism is arranged on the side of operation table and along the length side of operation table
To slip；
The supporting mechanism being sequentially connected with and guiding mechanism, one end of described supporting mechanism and described skate machine
Structure is connected；
The relative position of described slip supporting mechanism for location and operation table is adjusted by described slide mechanism；
Its displacement in X, Y, Z axis and direction is regulated so that it is with the body surface of puncture needle by guiding mechanism
Precalculated position is consistent；
Described puncture needle is arranged in the through hole of attitude reference device, described attitude reference device and the one of guiding mechanism
End forms dismountable annexation.
Slip supporting mechanism for location in the art of a kind of puncture needle the most according to claim 1, it is special
Levy and be: described slide mechanism includes being arranged at the slide rail of described operation table both sides, and one is placed in institute
State the slide block on slide rail；
Described slide block has a positioning block, makes described locating piece in primary importance and the by pressing button
Switching between two positions, when locating piece is positioned at primary importance, it positions with described slide rail contact；When
When locating piece is positioned at the second position, it separates with described slide rail.
Slip supporting mechanism for location in the art of a kind of puncture needle the most according to claim 1, it is special
Levy and be: described supporting mechanism is hard tube；Described guiding mechanism is snakelike bending flexible pipe.
Slip supporting mechanism for location in the art of a kind of puncture needle the most according to claim 1, it is special
Levying and be: described guiding mechanism arranges an inserting column, described attitude reference device has one and matches with inserting column
Slot.
Slip supporting mechanism for location in the art of a kind of puncture needle the most according to claim 1, it is special
Levy and be: described through hole is elastic through hole, and its aperture changes along with the puncture needle diameter passed.
Slip supporting mechanism for location in the art of a kind of puncture needle the most according to claim 1, it is special
Levy and be: one end of described supporting mechanism is connected with described slide mechanism by a joint；Make institute
State supporting mechanism to swing around described joint along the width of operation table.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610008994.0A CN105832385A (en) | 2016-01-07 | 2016-01-07 | Intraoperative sliding positioning support mechanism of puncture needle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610008994.0A CN105832385A (en) | 2016-01-07 | 2016-01-07 | Intraoperative sliding positioning support mechanism of puncture needle |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105832385A true CN105832385A (en) | 2016-08-10 |
Family
ID=56580354
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610008994.0A Pending CN105832385A (en) | 2016-01-07 | 2016-01-07 | Intraoperative sliding positioning support mechanism of puncture needle |
Country Status (1)
| Country | Link |
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| CN (1) | CN105832385A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107951547A (en) * | 2017-12-15 | 2018-04-24 | 李涛 | A kind of spinal surgery puncture aid and its application method |
| CN109771010A (en) * | 2019-03-06 | 2019-05-21 | 青岛市中心医院 | CT lung puncture puncture needle guiding device |
| CN111281495A (en) * | 2019-08-12 | 2020-06-16 | 南京医科大学附属逸夫医院 | Ultrasonic guided puncture and nerve block auxiliary positioning device |
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| DE19809460C1 (en) * | 1998-03-06 | 1999-09-30 | Siemens Ag | Medical target device for breathing-compensated punction |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107951547A (en) * | 2017-12-15 | 2018-04-24 | 李涛 | A kind of spinal surgery puncture aid and its application method |
| CN109771010A (en) * | 2019-03-06 | 2019-05-21 | 青岛市中心医院 | CT lung puncture puncture needle guiding device |
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| CN111281495A (en) * | 2019-08-12 | 2020-06-16 | 南京医科大学附属逸夫医院 | Ultrasonic guided puncture and nerve block auxiliary positioning device |
| CN111281495B (en) * | 2019-08-12 | 2021-06-18 | 南京医科大学附属逸夫医院 | Ultrasonic guided puncture and nerve block auxiliary positioning device |
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Application publication date: 20160810 |
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