CN106473794A - Micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming - Google Patents
Micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming Download PDFInfo
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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
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
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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
- A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
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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
- A61B17/3478—Endoscopic needles, e.g. for infusion
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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
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/02—Operational features
- A61B2560/0266—Operational features for monitoring or limiting apparatus function
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Abstract
The present invention provides a kind of micro-wound percutaneous vertebral pedicle puncture channel ultrasound to point to real-time monitoring and alarming, wherein puncture needle be located in sleeve and two ends respectively exposed outside sleeve, ultrasonic emitting receiving part be arranged in one end of puncture needle and exposed outside the surface at this end, ultrasonic emitting receiving part circuit connects power control module, ultrasonic emitting receiving part passes through to calculate processing module connection warning piece and/or image display part, and puncture needle and operation handle are all detachably connected sleeve.The present invention can real-time monitoring vertebral pedicle puncture Path Setup process, once Path Setup is wrong, you can remind medical personnel be adjusted, thus ensureing the correct foundation of passage, it is easy to put the operation technique of nail or bone cement, it is to avoid screw and bone cement are put by mistake, reduce and additional injuries are produced to patient, ensure operation safety, save operating time, and design ingenious, simple for structure, easy and simple to handle, manufacture and maintenance cost is low, be suitable to large-scale promotion application.
Description
Technical field
The present invention relates to technical field of medical instruments, particularly to vertebral column minimally invasive percutaneous cervical arc root puncture technique field, have
Body refers to that a kind of micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming.
Background technology
In minimally invasive spinal surgery operation, during the operation technique that especially pedicle is carried out, body put due to patient
The angle of position, spinal column physiologic radian and pedicle of vertebral arch itself tilts, and operative approach has certain difficulty.Percutaneous cervical arc root punctures handss
Art difficulty bigger compared with the difficulty of open surgery so that needing the increased frequency having an X-rayed in art, lead to medical worker and patient
Ray exposed amount increases.
At present, the aid system related to pedicle screw implantation, grinds including navigation system or computer aided system
Study carefully exploitation more, but percutaneous cervical arc root punctured less with the research of the guided positioning system such as balloon kyphoplasty,
Typically mostly is feel and experience according to surgical doctor, and the X-ray examination referring again to repeatedly confirms, frequently results in anisotropy, anti-
The problems such as multiple perspective ray amount is big and time-consuming longer.And, pedicle of vertebral arch and vertebral body surrounding anatomical structures are complicated, and neighbour spinal cord,
Nerve, blood vessel etc., this damage can lead to patient's paralysis or dysfunction, once damaging important blood vessels, threat to life also can occur
Situation.Therefore how to ensure that percutaneous cervical arc root punctures the key of guide-localization, need with a kind of operation of scientific method design
Simply, safety, and there is the puncture channel of real time monitoring function set up device so as to be easy to operation technique it is ensured that operation safety,
Save operating time again, there is particularly significant and practical value.
Accordingly, it is desirable to provide a kind of micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its energy
Enough real-time monitoring vertebral pedicle puncture Path Setup processes, once Path Setup is wrong, you can remind medical personnel to be adjusted, from
And ensure the correct foundation of passage, it is easy to put the operation technique of nail or bone cement, it is to avoid screw and bone cement are put by mistake, it is right to reduce
Patient produces additional injuries it is ensured that operation safety, saves operating time.
Content of the invention
In order to overcome above-mentioned shortcoming of the prior art, it is an object of the present invention to provide a kind of micro-wound percutaneous vertebral arch
Root puncture channel ultrasound point to real-time monitoring and alarming, its can real-time monitoring vertebral pedicle puncture Path Setup process, once
Path Setup is wrong, you can remind medical personnel to be adjusted, thus ensureing the correct foundation of passage, is easy to put nail or bone water
The operation technique of mud, it is to avoid screw and bone cement are put by mistake, reduces and produces additional injuries to patient it is ensured that operation safety, save handss
The art time, it is suitable to large-scale promotion application.
Another object of the present invention is to providing a kind of micro-wound percutaneous vertebral pedicle puncture channel ultrasound to point to real-time monitoring report
Alarm device, its design is ingenious, simple for structure, easy and simple to handle, manufactures and maintenance cost is low, be suitable to large-scale promotion application.
For reaching object above, the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to real-time monitoring alarming dress
Put, be characterized in, process including sleeve, puncture needle, operation handle, ultrasonic emitting receiving part, power control module, calculating
Module and warning piece and/or image display part, described sleeve has first end and the second end, described puncture needle
There is first end and second end, described puncture needle is located in described sleeve, described first end and described second end
Respectively exposed outside described first end and described the second end, described ultrasonic emitting receiving part be arranged on described first end
In end and outside the exposed surface in described first end of ultrasonic emitting receiving terminal of described ultrasonic emitting receiving part, described
Ultrasonic emitting receiving part circuit connects described power control module and constitutes testing circuit, described ultrasonic emitting receiving part
Connect described calculating processing module to be used for the ultrasonic signal receiving being sent to described calculating processing module, at described calculating
Reason module connects the actuation of an alarm that described warning piece is used for the power described warning piece of control according to described ultrasonic signal,
Described calculating processing module connects described image display unit and is used for for described ultrasonic signal being converted into picture signal and by institute
State picture signal and be sent to described image display unit, described image display unit shows corresponding figure according to described image signal
Picture；
Wherein, described puncture needle is detachably connected described sleeve, and described operation handle is detachably connected described the second end；
Or, described puncture needle is detachably connected described sleeve or described operation handle is detachably connected described the second end, and described
Two ends connect described operation handle.
It is preferred that described ultrasonic emitting receiving part is ultrasound probe.
It is preferred that described first end is Beveled ends or centripetal end.
It is preferred that described second end and described the second end are detachably connected.
It is preferred that described operation handle is connected with described the second end clamping.
It is preferred that described the second end is T-shaped end, described T-shaped end has the first radial lugs and the second radial convex
Towards oppositely arranged, described operation handle is respectively with described first for portion, described first radial lugs and described second radial lugs
Radial lugs and described second radial lugs are detachably connected.
It is preferred that described operation handle is T-shaped operation handle, described T-shaped operation handle has the first cross bar portion and second
Towards oppositely arranged, described the second end is respectively with described first for cross bar portion, described first cross bar portion and described second cross bar portion
Cross bar portion and described second cross bar portion are detachably connected.
It is preferred that described power control module is arranged in described puncture needle or described operation handle, described calculating is processed
Module is arranged in described puncture needle or described operation handle, and described image display unit is arranged on the side of described second end
Or in described operation handle, or the side of described second end or described operation handle are provided with described warning piece.
It is preferred that described image display unit is computer monitor.
It is preferred that described warning piece includes at least one of audible alarm part and visual alarm part.
Beneficial effects of the present invention essentially consist in：
1st, the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to the first of the sleeve of real-time monitoring and alarming
, respectively outside the exposed first end in puncture needle and the second end, ultrasonic emitting receiving part is arranged on for end and second end
In first end and its ultrasonic emitting receiving terminal exposed outside the surface of first end, ultrasonic emitting receiving part circuit is even
Connect power control module and constitute testing circuit, ultrasonic emitting receiving part connects calculating processing module and is used for surpassing of receiving
Acoustic signals are sent to calculating processing module, calculate processing module and connect warning piece for the power control according to ultrasonic signal
The actuation of an alarm of warning piece processed, calculates processing module and connects image display part for ultrasonic signal is converted into image letter
Number and picture signal is sent to image display part, image display part shows corresponding image according to picture signal, wherein,
Puncture needle is detachably connected sleeve, and operation handle is detachably connected the second end；Or, puncture needle is detachably connected sleeve or behaviour
It is detachably connected the second end as handle, second end attended operation handle, therefore, it is possible to real-time monitoring vertebral pedicle puncture passage
Set up process, once Path Setup is wrong, you can remind medical personnel to be adjusted, thus ensureing the correct foundation of passage, just
In the operation technique putting nail or bone cement, it is to avoid screw and bone cement are put by mistake, reduce and additional injuries are produced it is ensured that handss to patient
Art safety, saves operating time, is suitable to large-scale promotion application.
2nd, the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to the first of the sleeve of real-time monitoring and alarming
, respectively outside the exposed first end in puncture needle and the second end, ultrasonic emitting receiving part is arranged on for end and second end
In first end and its ultrasonic emitting receiving terminal exposed outside the surface of first end, ultrasonic emitting receiving part circuit is even
Connect power control module and constitute testing circuit, ultrasonic emitting receiving part connects calculating processing module and is used for surpassing of receiving
Acoustic signals are sent to calculating processing module, calculate processing module and connect warning piece for the power control according to ultrasonic signal
The actuation of an alarm of warning piece processed, calculates processing module and connects image display part for ultrasonic signal is converted into image letter
Number and picture signal is sent to image display part, image display part shows corresponding image according to picture signal, wherein,
Puncture needle is detachably connected sleeve, and operation handle is detachably connected the second end；Or, puncture needle is detachably connected sleeve or behaviour
It is detachably connected the second end, second end attended operation handle as handle, therefore, design is ingenious, simple for structure, operation letter
Just, manufacture and maintenance cost is low, be suitable to large-scale promotion application.
The these and other objects of the present invention, feature and advantage, by following detailed descriptions, drawings and claims obtain
To fully demonstrate, and can be achieved by means, device and the combinations thereof specially pointed out in claims.
Brief description
Fig. 1 is a concrete reality of the micro-wound percutaneous vertebral pedicle puncture channel ultrasound sensing real-time monitoring and alarming of the present invention
Apply the schematic front view of example.
Fig. 2 is the decomposing schematic representation of the specific embodiment shown in Fig. 1.
Fig. 3 is the close-up schematic view of the specific embodiment shown in Fig. 1.
Fig. 4 is that the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to the another concrete of real-time monitoring and alarming
The schematic front view of the puncture needle of embodiment.
(symbol description)
1 sleeve；2 puncture needles；3 operation handles；4 ultrasonic emitting receiving parts；5 image display part；6 power supply control moulds
Block；7 calculating processing modules；8 warning pieces；9 first ends；10 the second ends；11 first ends；12 second ends；13 first
Radial lugs；14 second radial lugs；15 first cross bar portions；16 second cross bar portions；17 graduation marks.
Specific embodiment
In order to be more clearly understood that the technology contents of the present invention, describe in detail especially exemplified by following examples.
Refer to shown in Fig. 1-Fig. 3, the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to real-time monitoring alarming
Device includes sleeve 1, puncture needle 2, operation handle 3, ultrasonic emitting receiving part 4, power control module 6, calculates process mould
Block 7 and warning piece 8 and/or image display part 5, described sleeve 1 has first end 9 and a second end 10, described wears
Pricker 2 has first end 11 and second end 12, and described puncture needle 2 is located in described sleeve 1 and is detachably connected described
Sleeve 1, described first end 11 and described second end 12 respectively exposed in described first end 9 and described the second end 10
Outward, described operation handle 3 is detachably connected described the second end 10, and described ultrasonic emitting receiving part 4 is arranged on described
In one end 11 and described ultrasonic emitting receiving part 4 the exposed table in described first end 11 of ultrasonic emitting receiving terminal
Outside face, described ultrasonic emitting receiving part 4 circuit connects described power control module 6 and constitutes testing circuit, described ultrasound wave
Transmitting receiving part 4 connects described calculating processing module 7 and is used for for the ultrasonic signal receiving being sent to described calculating process
Module 7, the described processing module 7 that calculates connects described warning piece 8 for described in the strong and weak control according to described ultrasonic signal
The actuation of an alarm of warning piece 8, described calculating processing module 7 connects described image display unit 5 and is used for believing described ultrasound wave
Number it is converted into picture signal and described image signal is sent to described image display unit 5, described image display unit 5 basis
Described image signal shows corresponding image.
Described " warning piece 8 and/or image display part 5 " refers to there are three kinds of situations：Only warning piece 8, only scheme
Both picture display unit 5 or warning piece 8 and image display part 5.
Thus when using, surrounding biological tissue is detected by described ultrasonic emitting receiving part 4, different biological groups
Knit, the intensity of the ultrasonic signal of reflection is different, if the intensity of described ultrasonic signal is more than preset value, at described calculating
Reason module 7 controls described warning piece 8 to report to the police, if the intensity of described ultrasonic signal is not more than preset value, described calculating
Processing module 7 controls described warning piece 8 not report to the police, and medical personnel can do outgoing direction in time according to the warning of warning piece and adjust
Whole, it is to avoid Path Setup occurs deviation.Here, described calculating processing module 7 is endowed the control work(of described warning piece 8
Can, if this control function is integrated in described warning piece 8, described warning piece 8 can be directly connected to described ultrasound wave
Transmitting receiving part 4, according to described ultrasonic emitting receiving part 4 send ultrasonic signal intensity can voluntarily judge be
No warning.Calculate processing module 7 ultrasonic signal can also be converted into picture signal and picture signal is sent to image show
Show part 5, corresponding image is shown by image display part 5.Medical personnel can be according to the image of image display part 5 display
Do outgoing direction adjustment in time, it is to avoid Path Setup occurs deviation.
According to structure and the relative position of described second end 12 and described operation handle 3, described second end 12 is permissible
It is also possible to not be located in described operation handle 3 in described operation handle 3, shown in Figure 1, in a tool of the present invention
In body embodiment, described second end 12 is located in described operation handle 3.
In other selectable specific embodiments, described puncture needle 2 and described operation handle 3 can pass through indirect arrangements
It is detachably connected described sleeve 1, for example, described puncture needle 2 is detachably connected described sleeve 1, and described second end 12 connects institute
State operation handle 3, then described operation handle 3 is detachably connected described sleeve 1 by described puncture needle 2；Or it is also possible to, institute
State operation handle 3 and be detachably connected described the second end 10, described second end 12 connects described operation handle 3, then described wear
Pricker 2 is detachably connected described sleeve 1 by described operation handle 3.
Because in Path Setup, the surface of described first end 11 can enter patient body, and therefore ultrasonic emitting connects
Receive part 4 ultrasonic emitting receiving terminal can the exposed surface in described first end 11 any suitable position.
Described ultrasonic emitting receiving part 4 can be any ultrasonic emitting receiving part, shown in Figure 1,
In a specific embodiment of the present invention, described ultrasonic emitting receiving part 4 is ultrasound probe.Ultrasound probe can be
Such as A-mode ultrasonic probe or Type B ultrasonic probe.In the case of A-mode ultrasonic probe, because it is linear that A surpasses, do not have visuality,
Therefore do not include image display part 5, only include warning piece 8, only warning function；And in the case of Type B ultrasonic probe, tool
There is visuality, therefore can include warning piece 8 and image display part 5, there is warning function and image display function, when
So it is also possible to only include image display part 5.
Described ultrasonic emitting receiving part 4 can have any suitable shape, shown in Figure 3, in the present invention
A specific embodiment in, described ultrasonic emitting receiving part 4 be ring-type ultrasonic emitting receiving part.
Described first end 11 can have any suitable shape, it is preferred that described first end 11 is Beveled ends
Or centripetal end.Refer to shown in Fig. 1 and Fig. 3, in a specific embodiment of the present invention, described first end 11 is centripetal end
End, the direction that the middle part of described first end 11 is directed away from described second end 12 compared with surrounding projects.It is shown in Figure 4,
In the another specific embodiment of the present invention, described first end 11 is Beveled ends, and that is, end face is inclined plane.
Described puncture needle 2 be detachably connected described sleeve 1 can be described puncture needle 2 any suitable position detachable
Connect described sleeve 1, refer to shown in Fig. 1-Fig. 2, in a specific embodiment of the present invention, described second end 12 and described
The second end 10 is detachably connected.
Described second end 12 and described the second end 10 are detachably connected and can adopt any suitable structure, refer to
Shown in Fig. 1-Fig. 2, in a specific embodiment of the present invention, described second end 12 and described the second end 10 are threaded.
For example, described the second end 10 has pin thread, and described second end 12 has female thread, and female thread is engaged on pin thread.
Described operation handle 3 is detachably connected described the second end 10 and can adopt any suitable structure, refers to figure
Shown in 1- Fig. 2, in a specific embodiment of the present invention, described operation handle 3 is connected with the clamping of described the second end 10.
Described the second end 10 can have any suitable shape, it is preferred that described the second end 10 is T-shaped end,
Described T-shaped end has the first radial lugs 13 and the second radial lugs 14, described first radial lugs 13 and described second footpath
To protuberance 14 towards oppositely arranged, described operation handle 3 respectively with described first radial lugs 13 and described second radial lugs
14 are detachably connected, and refer to shown in Fig. 1-Fig. 2, in a specific embodiment of the present invention, described operation handle 3 with described
The second end 10 clamping connect in the case of, described operation handle 3 respectively with described first radial lugs 13 and described second footpath
Connect to protuberance 14 clamping.
Described operation handle 3 can have any suitable shape, it is preferred that described operation handle 3 is T-shaped manipulator
Handle, described T-shaped operation handle has the first cross bar portion 15 and the second cross bar portion 16, described first cross bar portion 15 and described second horizontal stroke
Towards oppositely arranged, described the second end 10 is removable with described first cross bar portion 15 and described second cross bar portion 16 respectively for bar portion 16
Unload connection, refer to shown in Fig. 1-Fig. 2, in a specific embodiment of the present invention, at described operation handle 3 and described second end
For T-shaped end and described T-shaped end has the first radial lugs 13 and second for portion 10 clamping connection and described the second end 10
In the case of radial lugs 14, described first cross bar portion 15 and described second cross bar portion 16 respectively with described first radial lugs 13
Connect with described second radial lugs 14 clamping.
Described puncturing lever 2 can be any suitable puncturing lever, in a specific embodiment of the present invention, described puncture needle
2 is conductive puncture needle, then described ultrasonic emitting receiving part 4 can directly pass through conductive puncture needle conduction, need not in addition set
Put wire and carry out conduction.
Understand that sleeve 1 enters depth in order to quick, refer to shown in Fig. 1-Fig. 2, in the present invention one is embodied as
In example, axially disposed on the lateral surface of described sleeve 1 have graduation mark 17.
Described operation handle 3 can be transparent operation handle or translucent or opaque operation handle, refers to
Shown in Fig. 1-Fig. 2, in a specific embodiment of the present invention, described operation handle 3 is transparent operation handle.
Described power control module 6 can be arranged on any suitable position, for example can be arranged on described puncture needle 2 or
It is also possible to exist independent of described puncture needle 2 and described operation handle 3 in described operation handle 3, it is preferred that described power supply
Control module 6 is arranged in described puncture needle 2 or described operation handle 3.Refer to shown in Fig. 1 and Fig. 2, in a tool of the present invention
In body embodiment, described power control module 6 is arranged in described operation handle 3.In this case, ultrasonic emitting receives
Part 4 is connected the conductive wire connection that can pass through between second end 12 and operation handle 3 with described power control module 6 leads
Electricity is it is also possible to making the wire in second end 12 against operation handle 3 by second end 12 (is to lead in described puncture needle 2
In the case of electroparacentesis pin, then it is second end 12) directly abut with the power control module 6 of operation handle 3 and contact conduction.
Described ultrasonic emitting receiving part 4 connects described calculating processing module 7 can be using wired connection it is also possible to adopt
Connected with wireless, refer to shown in Fig. 1 and Fig. 2, in a specific embodiment of the present invention, described ultrasonic emitting receiving part
4 wired connections (in figure solid line represents) are described to calculate processing module 7.
Described calculating processing module 7 can be any suitable calculating processing module, in a specific embodiment of the present invention
In, described calculating processing module 7 is central processor CPU.
Described calculating processing module 7 can be arranged on any suitable position, for example can be arranged on described puncture needle 2 or
It is also possible to exist independent of described puncture needle 2 and described operation handle 3 in described operation handle 3, it is preferred that described calculating
Processing module 7 is arranged in described puncture needle 2 or described operation handle 3.Refer to shown in Fig. 1 and Fig. 2, in a tool of the present invention
In body embodiment, described calculating processing module 7 is arranged in described operation handle 3.
Described calculating processing module 7 connects described image display unit 5 and can adopt wired connection, it would however also be possible to employ wireless
Connect, refer to shown in Fig. 1 and Fig. 2, in a specific embodiment of the present invention, described calculating processing module 7 wirelessly connects (figure
Middle dotted line represents) described image display unit 5.
Described image display unit 5 can be any suitable image display part, in a specific embodiment of the present invention
In, described image display unit 5 is computer monitor.Obviously, described image display unit 5 can also be that for example mobile phone shows
Screen, television set etc..
Described image display unit 5 can be arranged on any suitable position, for example, can be arranged on described second end
On 12 side or described operation handle 3 it is also possible to side and described operation handle 3 independent of described second end 12 and deposit
Referring to shown in Fig. 1 and Fig. 2, in a specific embodiment of the present invention, described image display unit 5 is independent of described
The side of two ends 12 and described operation handle 3 and exist.
Described calculating processing module 7 connects described warning piece 8 and can adopt wired connection, it would however also be possible to employ wirelessly connect
Connect, refer to shown in Fig. 1 and Fig. 2, in a specific embodiment of the present invention, described calculating processing module 7 wired connection (in figure
Solid line represents) described warning piece 8.
Described warning piece 8 can be any suitable warning piece, it is preferred that described warning piece 8 includes sound report
Alert at least one of part and visual alarm part.In a specific embodiment of the present invention, described warning piece 8 includes sound
Sound warning piece and visual alarm part, pass through sound and visual alarm simultaneously.
Described audible alarm part can be any suitable part, such as speaker.Described audible alarm part is permissible
It is monophone warning piece or many acoustic alarms part, the sound that many acoustic alarms part sends can be the same or different.
Described visual alarm part can be any suitable part, such as display unit or indicating lamp, described display
Part can be LED display unit, and described indicating lamp can be color indicating lamp, symbol indicating lamp tool or graphic indicator lamps
Tool.Described color indicating lamp can be single color indicating lamp or many colors indicating lamp, can be from static luminous instruction
Lamp or dynamic flashing indicator light.
Described warning piece 8 may be mounted at any suitable position, for example, may be mounted at described second end 12
On side or described operation handle 3 it is also possible to side and described operation handle 3 independent of described second end 12 and exist.
It is preferred that the side of described second end 12 or described operation handle 3 are provided with described warning piece 8.It is shown in Figure 1,
In a specific embodiment of the present invention, in the case that described operation handle 3 is transparent operation handle, described warning piece 8
It is arranged in described operation handle 3.
Because described warning piece 8 needs to be arranged on the visible or audible place of medical personnel, and in Path Setup
When, the side of described second end 12 and described operation handle 3 will not enter patient body, and therefore described warning piece 8 is permissible
It is arranged on the side of described second end 12 and any suitable position of described operation handle 3.
Above embodiment described the situation being provided with a ultrasonic emitting receiving part 4, and in order to more detailed
Ground understands the biological tissue's situation around multiple diverse locations on surface of described first end 11, can arrange multiple ultrasound wave
Transmitting receiving part 4, it will therefore be appreciated that the biological tissue's situation of change around multiple ultrasonic emitting receiving part 4, helps
In more accurately adjusting Path Setup direction, more accurately, more accurately enter the foundation of row of channels.
When the present invention uses, medical personnel's hand-held handle 3, by the first end of puncture needle 2 taking vertebral body operation as a example
11 and sleeve 1 first end 9 according to pedicle of vertebral arch direction of travel, insert in patient's pedicle of vertebral arch, ultrasonic emitting receiving part 4
Ultrasonic emitting receiving terminal is launched ultrasonic signal and is received the ultrasonic signal of surrounding tissue reflection, ultrasonic by receive
Ripple signal sends to calculating processing module 7, if strong signal (, ultrasound wave strong reflection nearer apart from cortical bone), then at calculating
Reason module 7 controls warning piece 8 to send chimes of doom, LED change chromatic flicker, and medical personnel can point out according to concrete, do outgoing direction
Adjustment.Calculate processing module 7 ultrasonic signal receiving can also be converted into picture signal and send to image displaying part
Part 5, image display part 5 assumes ultrasonoscopy.Doctor can judge to puncture inserting needle direction and make outgoing direction in time according to image
Adjustment remakes outgoing direction adjustment it is also possible to check after puncturing.Graduation mark 17 on lateral surface according to sleeve 1 judges, when sleeve 1
After entering appropriate depth, operation handle 3 and puncture needle 2 are pulled down, subsequent operation can be carried out by the sleeve 1 of indwelling, for example, put
Nail or bone cement.
Pointed to it is ensured that the screw placement passage of fixing apparatus or bone cement during clinical operation by the passage of apparatus of the present invention
The accuracy that perfusion channel is set up.Can ensure that spinal operation pedicle of vertebral arch screw nail channel or the safety of bone cement Path Setup are wanted
Ask.
Therefore, the present invention passes through ultrasound detection ultrasonic emitting receiving part surrounding biological tissue situation, according to biological group
The strong and weak control knitting the ultrasonic signal of reflection is reported to the police, and ultrasonic signal is converted to picture signal and is shown, thus curing
Shield personnel can be adjusted in time according to warning and image, thus ensureing that Path Setup is correct, without departing from, it is to avoid patient is caused
Additional injuries, or even jeopardize patient vitals.
Thus, present inventive concept is novel, and structure is simple, easy to use, and operator can adjust according to alarm signal and image
Operation device enters the direction of sclerotin, sets up screw placement passage or the bone cement perfusion channel of fixing apparatus, and obtains scientific research
Data.The security requirement of clinical operation can preferably be ensured, have larger using value.
To sum up, the micro-wound percutaneous vertebral pedicle puncture channel ultrasound of the present invention points to real-time monitoring and alarming and can supervise in real time
Survey vertebral pedicle puncture Path Setup process, once Path Setup is wrong, you can remind medical personnel to be adjusted, thus ensureing logical
The correct foundation in road, is easy to put the operation technique of nail or bone cement, it is to avoid screw and bone cement are put by mistake, reduces and patient is produced
Additional injuries, it is ensured that operation safety, save operating time, and design ingenious, simple for structure, easy and simple to handle, manufacture and safeguard into
This is low, is suitable to large-scale promotion application.
As can be seen here, the purpose of the present invention completely and is effectively achieved.The function of the present invention and structural principle
Shown in an embodiment and illustrated, without departing substantially under described principle, embodiment can arbitrarily be changed.So, this
The bright all variant embodiment including based on claim spirit and right.
Claims (10)
1. a kind of micro-wound percutaneous vertebral pedicle puncture channel ultrasound point to real-time monitoring and alarming it is characterised in that include sleeve,
Puncture needle, operation handle, ultrasonic emitting receiving part, power control module, calculate processing module and warning piece and/
Or image display part, described sleeve has first end and the second end, and described puncture needle has first end and the second end
End, described puncture needle is located in described sleeve, described first end and described second end respectively exposed in described first end
Outside portion and described the second end, described ultrasonic emitting receiving part is arranged in described first end and described ultrasonic emitting
Outside the exposed surface in described first end of ultrasonic emitting receiving terminal of receiving part, described ultrasonic emitting receiving part electricity
Road connects described power control module and constitutes testing circuit, and described ultrasonic emitting receiving part connects described calculating processing module
For the ultrasonic signal receiving is sent to described calculating processing module, described calculating processing module connects described warning portion
The power that part is used for according to described ultrasonic signal controls the actuation of an alarm of described warning piece, and described calculating processing module connects
Described image display unit is used for described ultrasonic signal being converted into picture signal and being sent to described image signal described
Image display part, described image display unit shows corresponding image according to described image signal；
Wherein, described puncture needle is detachably connected described sleeve, and described operation handle is detachably connected described the second end；Or
Person, described puncture needle is detachably connected described sleeve or described operation handle is detachably connected described the second end, and described second
End connects described operation handle.
2. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described ultrasonic emitting receiving part is ultrasound probe.
3. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described first end is Beveled ends or centripetal end.
4. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described second end and described the second end are detachably connected.
5. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described operation handle is connected with described the second end clamping.
6. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described the second end is T-shaped end, described T-shaped end has the first radial lugs and the second radial lugs, described first
Radial lugs and described second radial lugs towards oppositely arranged, described operation handle respectively with described first radial lugs and institute
State the second radial lugs to be detachably connected.
7. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described operation handle is T-shaped operation handle, and described T-shaped operation handle has the first cross bar portion and the second cross bar portion, described
First cross bar portion and described second cross bar portion towards oppositely arranged, described the second end respectively with described first cross bar portion and described
Second cross bar portion is detachably connected.
8. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described power control module is arranged in described puncture needle or described operation handle, described calculating processing module is arranged on
In described puncture needle or described operation handle, described image display unit is arranged on the side of described second end or described operation
On handle, or the side of described second end or described operation handle are provided with described warning piece.
9. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described image display unit is computer monitor.
10. micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming, its feature as claimed in claim 1
It is, described warning piece includes at least one of audible alarm part and visual alarm part.
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| CN201611096852.0A CN106473794A (en) | 2016-12-02 | 2016-12-02 | Micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming |
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| CN201611096852.0A CN106473794A (en) | 2016-12-02 | 2016-12-02 | Micro-wound percutaneous vertebral pedicle puncture channel ultrasound points to real-time monitoring and alarming |
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| CN108309409A (en) * | 2018-02-07 | 2018-07-24 | 南京大学 | A kind of CT guiding punctures handle, puncture needle external member and system |
| CN108309410A (en) * | 2018-02-07 | 2018-07-24 | 南京大学 | A kind of CT guiding punctures handle and system based on mobile terminal |
| CN109464179A (en) * | 2019-01-11 | 2019-03-15 | 福建骏格科技有限公司 | Bone marrow aspiration infusion device |
| CN117853990A (en) * | 2023-02-18 | 2024-04-09 | 李伯彬 | Efficient real-time monitoring system for minimally invasive surgery based on image processing and algorithm |
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Application publication date: 20170308 |