CN106361416B - The minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment - Google Patents

The minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment Download PDF

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Publication number
CN106361416B
CN106361416B CN201610851340.4A CN201610851340A CN106361416B CN 106361416 B CN106361416 B CN 106361416B CN 201610851340 A CN201610851340 A CN 201610851340A CN 106361416 B CN106361416 B CN 106361416B
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intracerebral
needle
minimally invasive
target point
multiple target
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CN106361416A (en
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张广柱
张洪钿
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3472Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • A61B2017/3456Details of tips blunt

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a kind of minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment, including needle core and the housing needle tubing being sheathed on needle core, the front end of the housing needle tubing is provided with injection needle head end sheath, the rear end of housing needle tubing is inserted with connector, the connector rear end is connected with metal connecting piece, the front end of the needle core and the part of housing needle tubing joint are rounded blunt nosed, the rear end of needle core is connected with handpiece, rotatable transparent carrier liquid pipe connections are equipped in the metal connecting piece, the rear end of the transparent carrier liquid pipe connections is connected with the connector being connect with micro-injection pump by transparent carrier liquid pipe.Beneficial effects of the present invention:Has the advantages that minimally invasive, micro, visual controllable, multiple target point stereotactic injection.

Description

The minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment
Technical field
The present invention relates to technical field of medical equipment more particularly to a kind of intracerebral for stereotaxis navigation equipment are minimally invasive Micro multiple target point injecting systems.
Background technology
Drug injection to intracerebral local lesion directly can be treated into brain diseases, clinically common usage is using common Intracerebral puncture needle(Diameter 2-3mm, length 19cm)Radionuclide list target spot is injected to intracerebral with stereotaxis navigation equipment In cystoma venereal disease becomes, to achieve the purpose that local radiation is treated.Above-mentioned puncture needle pusher is connected using ordinary syringe Injection product, the volume for injecting drug is often greater than 500ul, and the medicine of this volume is unable in direct injection to brain parenchym, because Slight occupation time process will be generated for larger volume injected, the Accessory injury except therapeutic effect is caused to brain parenchym, and only The drug release of single puncture path list target spot can be carried out in brain tissue.
Existing puncture needle can not achieve the minimally invasive, micro of medicine in brain parenchym, multiple target point injection.In addition, patent is examined Suo Faxian " a kind of visual minimal removed of intracranial drug delivery device "(104225772 A of application publication number CN)Core apparatus be a kind of use In toy(Rats and mice)The capillary quartz ampoule of experiment(Internal diameter is 0.35mm, outer diameter 0.5mm).This device cannot match vertical Body directed navigation equipment, and long quartz ampoule has the risk to fracture in intracerebral, be unsuitable for being applied to the mankind, primate and its It injects in the brain deep of his larger animal.
Invention content
The object of the present invention is to provide a kind of minimally invasive micro multiple target point injection systems of intracerebral for stereotaxis navigation equipment System, to overcome the shortcomings of in currently available technology.
To realize the above-mentioned technical purpose, the technical proposal of the invention is realized in this way:
A kind of minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment, including needle core and be arranged The front end of housing needle tubing on needle core, the housing needle tubing is provided with injection needle head end sheath, the rear end of housing needle tubing is inserted into There are connector, the connector rear end to be connected with metal connecting piece, the part of the front end and housing needle tubing joint of the needle core Rounded blunt nosed, the rear end of needle core is connected with handpiece, and rotatable transparent carrier liquid Guan Lian is equipped in the metal connecting piece The rear end of fitting, the transparent carrier liquid pipe connections is connected with the connector being connect with micro-injection pump by transparent carrier liquid pipe.
Further, the length of the housing needle tubing is 50-300mm, and the pipe thickness of outer diameter 1mm, housing needle tubing are 0.25mm。
Further, the length of the housing needle tubing is 198mm.
Further, the length of the needle core is 62-312mm, a diameter of 0.4mm.
Further, the length of the needle core is 210mm.
Further, the metal connecting piece includes front end, the rear end being connect with front end and connects with rear end The length of the block plate connect, the front end is 7mm, external screw thread is provided on front end, the length of the rear end is 9mm, institute The thickness for stating block plate is 2mm.
Further, the injection needle head end sheath includes the head in cone and the tail portion that is connect with head, institute The length for stating head is 10mm, and the length of the tail portion is 8mm.
Further, graduation mark is provided on the transparent carrier liquid pipe, the length of transparent carrier liquid pipe is 1000-3000mm.
Further, the internal thread to match with external screw thread is provided on the connector, the length of connector is 15mm.
Beneficial effects of the present invention:Directly reduce the contact area of injection needle and brain tissue, and with high rigidity and straight Reduce or eliminate rotation inserting needle when caused by brain tissue cutting damage.In piercing process, the injection needle head end of round blunt can have Effect pushes cerebral blood vessel open, reduces the generation for even avoiding intracerebral hematoma, and minimum injection injection volume can reach 5ul, very well The intracerebral occupation time process for controlling medicine, pass through the transparent graduated PVC carrier fluids pipe of mark, it is ensured that injection process Visuality and controllability.Minimally invasive design so that it is same enter cranium point multi-angle puncture be known as may, more targets can be carried out Point stereotactic injection.To sum up the present invention has the advantages that minimally invasive, micro, visual controllable, multiple target point stereotactic injection.
Description of the drawings
It in order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, below will be to institute in embodiment Attached drawing to be used is needed to be briefly described, it should be apparent that, the accompanying drawings in the following description is only some implementations of the present invention Example, for those of ordinary skill in the art, without creative efforts, can also obtain according to these attached drawings Obtain other attached drawings.
Fig. 1 is the minimally invasive micro multiple target point note of the intracerebral for stereotaxis navigation equipment described according to embodiments of the present invention Penetrate the structural schematic diagram of system;
Fig. 2 is the overall structure diagram of the housing needle tubing described according to embodiments of the present invention;
Fig. 3 is the partial enlarged view at A in Fig. 2;
Fig. 4 is the structural schematic diagram of the needle core described according to embodiments of the present invention;
Fig. 5 is the structural schematic diagram of the metal connecting piece described according to embodiments of the present invention;
Fig. 6 is the structural schematic diagram of the stereotaxis navigation equipment fixing piece described according to embodiments of the present invention;
Fig. 7 is Fig. 6 vertical views;
Fig. 8 is the sectional view of Fig. 7.
In figure:
1, housing needle tubing;2, needle core;3, metal connecting piece;4, injection needle head end sheath;5, connector;6, transparent carrier liquid pipe Connector;7, transparent carrier liquid pipe;8, stereotaxis navigation equipment fixing piece;9, handpiece;10, connector;31, front end;32、 Rear end;33, block plate;81, centre bore.
Specific implementation mode
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation describes, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, all other embodiment that those of ordinary skill in the art are obtained belong to what the present invention protected Range.
As shown in figures 1-8, a kind of intracerebral for stereotaxis navigation equipment according to embodiments of the present invention is minimally invasive Micro multiple target point injecting systems, including needle core 2 and the housing needle tubing 1 that is sheathed on needle core 2, the front end of the housing needle tubing 1 It is provided with injection needle head end sheath 4, inserted with connector 10,10 rear end of the connector is connected with gold for the rear end of housing needle tubing 1 Belong to connector 3, the part of the front end and 1 joint of housing needle tubing of the needle core 2 is rounded blunt nosed, and the rear end of needle core 2 is connected with Handpiece 9 is equipped with rotatable transparent carrier liquid pipe connections 6 in the metal connecting piece 3, is harder rubber product, It is inserted in metal connecting piece 3, by 3 foward dome of metal connecting piece and rear baffle, by metal connecting piece 3 and transparent carrier liquid pipe Connector 6 links together, and metal connecting piece 3 can rotate, and cannot be detached on the two position, the transparent carrier liquid pipe connections 6 rear end is connected with the connector 5 being connect with micro-injection pump by transparent carrier liquid pipe 7.
The length of the housing needle tubing 1 is 50-300mm, and the pipe thickness of outer diameter 1mm, housing needle tubing 1 are 0.25mm. Preferably, the length of the housing needle tubing 1 is 198mm.
The length of the needle core 2 is 62-312mm, a diameter of 0.4mm.Preferably, the length of the needle core 2 is 210mm.
The metal connecting piece 3 includes front end 31, the rear end 32 being connect with front end 31 and connects with rear end 32 The length of the block plate 33 connect, the front end 31 is 7mm, and external screw thread, the length of the rear end 32 are provided on front end 31 Thickness for 9mm, the block plate 33 is 2mm.
The injection needle head end sheath 4 includes the head and the tail portion that is connect with head in cone, the head Length is 10mm, and tip is sharp, can puncture endocranium, the length of the tail portion is 8mm.
Graduation mark is provided on the transparent carrier liquid pipe 7, the length of transparent carrier liquid pipe 7 is 1000-3000mm.
The internal thread to match with external screw thread is provided on the connector 10, the length of connector is 15mm.
In order to facilitate understand the present invention above-mentioned technical proposal, below by way of in specifically used mode to the present invention it is above-mentioned Technical solution is described in detail.
It using the present apparatus, is needing in advance using the common disposable sterilized injection for having extracted 3-5ml physiological saline in advance Device is rinsed, and keeps being full of physiological saline in tube chamber, after connector 5 is connected to micro-injection pump;
After the integral device pumpback 5ul air that will be filled with physiological saline, the drug or cell suspension of requirement can be carried out Loading, the equipment for loading drug or cell suspension is stablized transparent carrier liquid pipe connections 6 by metal connecting piece 3, watertight The tail end for being fixed on housing needle tubing 1 of envelope.
Operation consent carries out 3DMR scannings to big animal or human central nervous system, and application software carries out preoperative plan target The setting of point, and it is designed into the bore position of cranium point or the target position of spinal cord;
Conventional big animal or human body, anesthesia, position support, after stereotaxis navigation equipment is installed, according to it is preoperative plan into Row sphenotresia or spinal lamina are opened;
By the safety of stereotaxis navigation equipment fixing piece 8 it is firm be installed to stereotaxis navigation equipment after, needle core 2 is inserted Enter in housing needle tubing 1, after 2 stable connection of housing needle tubing 1 and needle core, checks that the head end that the two combines should be seamless round blunt Housing needle tubing 1 and 2 combination of needle core are slow transitted through stereotaxis navigation equipment fixing piece 8 by state;
Wherein, injection needle is inserted into single or upper and lower 2 fixing pieces and is consolidated by stereotaxis navigation equipment fixing piece 8 Fixed, 81 internal diameter of centre bore of stereotaxis navigation equipment fixing piece 8 is 1+(0.1 mm -0.2mm), it is fixed to meet Leksell solids To the fixing piece of frame, designed in ladder sample, each ladder height is 10mm, and the 1st ladder designs for rectangle, facilitates determining base Line, the 2nd ladder outer diameter meet orientation folder clamping internal diameter;
Before touching endocranium and endorchis, by the knot of the installation of injection needle head end sheath 4 to housing needle tubing 1 and needle core 2 Fit front end, continuation slowly wear out endocranium or endorchis using the sharpening forward ends of injection needle head end sheath 4 forward;
After penetrating endocranium or endorchis, appropriate rollback housing needle tubing 1, needle core 2 and injection needle head end sheath 4 combine Body removes injection needle head end sheath 4, continues 2 combination of slow rotary sleeve needle tubing 1 and needle core, across the endocranium perforated Or endorchis, it is inserted into brain tissue or spinal cord, entire inserting needle process, which should be, to be stablized, without vibrating state.
Wherein, metal connecting piece 3, injection needle head end sheath 4, connector 5, transparent carrier liquid pipe connections 6 and transparent carrier liquid 7 five parts of pipe are mounted entirety, and forward metal connector 3 is placed on outside transparent carrier liquid pipe connections 6, and the two opposite can turn It is dynamic, transparent carrier liquid pipe connections 6 can be stablized by metal connecting piece 3, the tail end for being fixed on housing needle tubing 1 of water-stop;Thoroughly 6 rear water-stop connection transparent carrier liquid pipe 7 of bright carrier fluid pipe connections, 7 rear end of transparent carrier liquid pipe is connected with connector 5, connector 5 Continue to connect micro-injection pump.
According to the demand of injection, the micro-injection of each target spot > 5ul is carried out, recommends the injection ranging from 5- of each target spot 40ul;After the completion of injecting target spot at one, it can realize that the straight line in single needle road is more by changing housing needle tubing 1 in the depth of intracerebral Target spot is injected;And realize the injection of 3-D Multi-Target point by changing needle track, the needle track quantity of recommendation is 1-5.
The present invention in order to achieve the purpose that it is minimally invasive, reduce puncture path Accessory injury:1)It is required that the diameter of injection needle is smaller, Diameter range is 1-2 millimeters, this designs the contact area that can reduce injection needle and brain tissue;2)It is higher stainless using hardness Steel material ensures that the rigidity of injection needle with straight, when being rotated into needle in brain parenchym in this way, can be reduced or eliminated because of note as far as possible Penetrate brain tissue incised injury caused by the bending of needle;3)The head end of injection needle needs round blunt, can push head end in piercing process open and contact Cerebral blood vessel.In order to reduce the occupation time process in the brain parenchym that injection volume is brought, the smaller needle internal diameter of design, range Liquid is promoted at 0.2-0.8 millimeter, and using micro-injection pump, the fixing fabric structure injected every time is in 5-50ul.Because above-mentioned Expedients, operation will greatly control the Accessory injury of brain tissue, it is same enter cranium point, carry out multi-angle brain deep and wear Thorn, and the depth for combining adjustment to puncture, realize the injection of 3-D Multi-Target point.Injection needle rear end connects transparent PVC pipeline, pipeline subscript Scale and number are remembered, in the process real time drug liquid mobility status of injection.
Common drug and biological agent can be achieved in the present invention(Including neural stem cell etc.)In lesion in brain parenchym or Perilesional direct injection.It relies on existing a variety of stereotaxis and navigates frame apparatus, it can be achieved that accurately in brain parenchym Target spot is injected.For injection therapeutic medicine in brain parenchym, need to ensure that the surgical procedure of injection therapeutic medicine generates brain parenchym Minimum Accessory injury.These Accessory injuries include:1)Puncture path damages(Include being said to the Direct perforantes damage and puncture of brain parenchym Blood)With 2)The occupation time process in brain parenchym that the injection volume of injection point is brought.Drug is injected in multiple target point brain parenchym, it can be direct Increase the region of drug covering, and under the premise of drug concentration is certain, increases drug dose.Compared with single target spot injection, Its medication effect significantly will have more Clinical practicability.Medicine needs to lead in the bolus infusion processes into brain parenchym Visual access is crossed to determine the unobstructed of injection needle.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention With within principle, any modification, equivalent replacement, improvement and so on should all be included in the protection scope of the present invention god.

Claims (9)

1. a kind of minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment, including needle core(2)And set Set on needle core(2)On housing needle tubing(1), it is characterised in that:The housing needle tubing(1)Front end be provided with injection needle head end shield Set(4), housing needle tubing(1)Rear end inserted with connector(10), the connector(10)Rear end is connected with metal connecting piece (3), the needle core(2)Front end and housing needle tubing(1)The part of joint is rounded blunt nosed, needle core(2)Rear end be connected with Handpiece(9), the metal connecting piece(3)Inside it is equipped with rotatable transparent carrier liquid pipe connections(6), the transparent carrier liquid pipe Connector(6)Rear end pass through transparent carrier liquid pipe(7)It is connected with the connector being connect with micro-injection pump(5).
2. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The housing needle tubing(1)Length be 50-300mm, outer diameter 1mm, housing needle tubing(1)Pipe thickness be 0.25mm。
3. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 2 for stereotaxis navigation equipment, It is characterized in that:The housing needle tubing(1)Length be 198mm.
4. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The needle core(2)Length be 62-312mm, a diameter of 0.4mm.
5. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 4 for stereotaxis navigation equipment, It is characterized in that:The needle core(2)Length be 210mm.
6. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The metal connecting piece(3)Including front end(31)With front end(31)The rear end of connection(32)And with it is rear End(32)The block plate of connection(33), the front end(31)Length be 7mm, front end(31)On be provided with external screw thread, institute State rear end(32)Length be 9mm, the block plate(33)Thickness be 2mm.
7. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The injection needle head end sheath(4)The tail portion for including the head in cone and being connect with head, the head Length be 10mm, the length of the tail portion is 8mm.
8. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The transparent carrier liquid pipe(7)On be provided with graduation mark, transparent carrier liquid pipe(7)Length be 1000-3000mm.
9. the minimally invasive micro multiple target point injecting systems of the intracerebral according to claim 1 for stereotaxis navigation equipment, It is characterized in that:The connector(10)On be provided with the internal thread to match with external screw thread, connector(10)Length be 15mm.
CN201610851340.4A 2016-09-26 2016-09-26 The minimally invasive micro multiple target point injecting systems of intracerebral for stereotaxis navigation equipment Active CN106361416B (en)

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