CN106725854B - Guide plate for guiding puncture by matching navigation rod in operation and manufacturing method thereof - Google Patents

Guide plate for guiding puncture by matching navigation rod in operation and manufacturing method thereof Download PDF

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Publication number
CN106725854B
CN106725854B CN201710122449.9A CN201710122449A CN106725854B CN 106725854 B CN106725854 B CN 106725854B CN 201710122449 A CN201710122449 A CN 201710122449A CN 106725854 B CN106725854 B CN 106725854B
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China
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puncture
guide plate
navigation
hole
groove
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CN106725854A (en
Inventor
王奎重
卢培刚
燕鲁滨
郝振强
王天助
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Abstract

The invention discloses a guide plate for guiding puncture by matching with a navigation bar in operation and a manufacturing method thereof. The guide plate enables the puncture instrument to slide forwards along the puncture groove in the puncture process, so that the puncture instrument can accurately reach the puncture part, the navigation rod does not enter a human body, and unnecessary injury to a patient is avoided.

Description

Guide plate for guiding puncture by matching navigation rod in operation and manufacturing method thereof
Technical Field
The invention relates to a guide plate for guiding puncture by matching with a navigation rod in an operation and a manufacturing method thereof, belonging to the technical field of medical appliances.
Background
At present, the precise medical concept is gradually accepted by people and is applied to medical practice. With the application of the intra-operative navigation system, an operator can clearly understand the puncture direction, know the lesion position and boundary in real time, understand the morphology of deep tissues, simulate an operation access, greatly improve the accuracy of operation and reduce the operation risk. At present, the position of the head end and the direction of the navigation rod can be displayed on a computer screen in real time when the operation navigation rod equipped by most operation navigation manufacturers navigates in operation, but some operation operations such as ventricular puncture drainage, intracerebral hematoma puncture or deep vascular puncture can only simulate the puncture direction by using the navigation rod, if the head end of the navigation rod reaches a deep puncture target point, unnecessary damage (such as brain tissue injury, vascular hemorrhage and the like) can be caused to a patient, and the puncture instruments such as a puncture needle, a drainage tube and the like are difficult to display the direction and the head end position by matching with navigation equipment. Although some navigation equipment manufacturers also try to fix the tracking and positioning ball on a new surgical instrument (such as a ventriculoscope), use the registered surgical instrument as a navigation bar by using a new instrument registration method, and try to fix the navigation and tracking ball on a brain puncture needle by using the method and display the position of the head end of the brain puncture needle in operation, the method for re-registering the instrument has complicated steps, has higher requirements on the shape and hardness of the instrument, and is difficult for softer surgical instruments or materials to fix the navigation and tracking ball.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a guide plate for guiding puncture by matching with a navigation bar in operation and a manufacturing method thereof, wherein a puncture instrument slides forwards along a puncture groove in the process of puncture, so that the puncture instrument can accurately reach a puncture part, the navigation bar does not enter a human body, and unnecessary injury to a patient is avoided.
In order to solve the technical problems, the invention adopts the following technical scheme: the utility model provides a baffle for cooperation navigation stick guide puncture in art, includes the baffle body, opens on the baffle body has the navigation hole the same with navigation stick head end shape, size, and the navigation hole is the blind hole of one end closure, has seted up the puncture slot of a plurality of different angles and diameters on the baffle body, and the puncture slot is the semicylindrical, and navigation hole, puncture slot set up along the axial of baffle body.
The guide plate for guiding puncture by matching with the navigation bar in operation is in a trapezoid shape, the navigation hole is in a truncated cone shape, the navigation hole is positioned in the center of the guide plate body, and the upper bottom surface of the guide plate body is overlapped with the upper bottom surface of the navigation hole.
The guide plate for guiding puncture by matching with the navigation bar in operation disclosed by the invention is characterized in that the intersection point of the central axis of the puncture groove and the central axis of the navigation hole is a puncture target point.
The guide plate for guiding puncture by matching with the navigation bar in operation is manufactured by reverse casting or 3D printing.
The guide plate for guiding puncture by matching with the navigation bar in operation has the diameter of the puncture groove of 1-5mm.
The invention also discloses a manufacturing method of the guide plate for guiding puncture by matching with the navigation bar in operation, which comprises the following steps: s01, determining the shape of a navigation hole, measuring the diameter and the length of the head end of a navigation bar, and measuring 5-10cm of the head end of the navigation bar, wherein the shape and the size of the navigation bar in the range of the section are the shape and the size of the navigation hole of the guide plate; s02, determining a target position, sketching a central axis of a navigation rod, determining a puncture target position according to different puncture depths on the central axis of the navigation rod, sketching a puncture groove central line beside the navigation rod from the target position, wherein the distance between the puncture groove central line and the navigation rod is greater than or equal to the outer diameter of a puncture instrument passing through the puncture groove, and sketching a semi-cylinder serving as a puncture groove by taking the puncture groove central line as the center; s03, manufacturing a die according to the designed relevant parameters of the guide plate, or manufacturing a puncture guide plate model in a 3D format through relevant computer drawing software; s04, manufacturing a puncture guide plate according to the die or printing the puncture guide plate through a 3D printer.
The manufacturing method of the guide plate for guiding puncture by matching with the navigation bar in operation repeats the step S02, and a plurality of puncture grooves aiming at puncture instruments with different puncture depths and different diameters are designed.
The invention has the beneficial effects that: 1. the puncture success rate is improved, the navigation bar is combined with preoperative image data to position, the puncture instrument (puncture needle or drainage tube) is aligned to the preset target point direction, the puncture depth is set according to the requirement along the guide plate puncture groove, and the head end of the puncture instrument can accurately reach the puncture target point. 2. The puncture safety is improved, and the head end of the navigation rod does not enter the human body during puncture, so that the damage to a patient caused by the fact that the navigation rod reaches a deep puncture target point is avoided. 3. Grooves with different puncture angles and diameters are designed according to actual lesions of patients, so that individuation treatment is realized. 4. The guide plate is simple and easy to manufacture and low in cost, and can be produced in batches through a die, and navigation bars in different shapes can be quickly classified, designed and manufactured through a 3D printing method.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic view of a longitudinal cross-sectional structure of the present invention;
FIG. 3 is a schematic view of the proximal cross-sectional structure of the present invention;
FIG. 4 is a schematic view of the middle cross-sectional structure of the present invention;
FIG. 5 is a schematic view of the distal cross-sectional structure of the present invention;
in the figure: 1. the guide plate comprises a guide plate body, 2, a navigation hole, 3, a puncture groove, 4, a navigation rod, 5, a central axis of the navigation hole, 6, a central axis of the puncture groove, 7, a puncture target point, 8, a guide plate proximal end, 9, a guide plate middle, 10 and a guide plate distal end.
Detailed Description
The invention will be further described with reference to the drawings and the specific examples.
Example 1
As shown in fig. 1, a guide plate for guiding puncture by matching with a navigation rod in operation comprises a guide plate body 1, wherein a navigation hole 2 with the same shape and size as the head end of the navigation rod is formed in the guide plate body 1, the navigation hole 2 is a blind hole with one closed end, a plurality of puncture grooves 3 with different angles and diameters are formed in the guide plate body 1, the puncture grooves 3 are semi-cylindrical, and the navigation hole 2 and the puncture grooves 3 are arranged along the axial direction of the guide plate body 1.
In this embodiment, as shown in fig. 2, the guide plate body 1 is in a trapezoid shape with a large end and a small end, the navigation hole 2 is in a truncated cone shape with a large end and a small end, the navigation hole 2 is located at the center of the guide plate body 1, and the upper bottom surface of the guide plate body 1 coincides with the upper bottom surface of the navigation hole 2, that is, the end with a large area of the guide plate body 1 faces the same end with a large area of the navigation hole 2, and the end with a small area of the guide plate body 1 faces the same end with a small area of the navigation hole 2. For a better representation of the construction of the guide plate, fig. 3, 4 and 5 are schematic cross-sectional views of the proximal, intermediate and distal ends of the guide plate body, respectively.
As shown in fig. 2, the puncture needle enters the body along the puncture groove 3, and the intersection point of the central axis 6 of the puncture groove and the central axis 5 of the navigation hole is a puncture target point 7.
In order to accommodate different diameters of the puncture needle, the puncture groove 3 has a diameter of 1-5mm. For convenience of processing, the guide plate body 1 is manufactured by 3D printing, or may be manufactured by a mold.
When the guide plate for guiding puncture in cooperation with the navigation rod in operation works, the head end of the navigation rod is inserted into the navigation hole 2, the head end of the navigation rod 4 is flush with the head end of the puncture guide plate body 1, and the navigation rod 4 determines the puncture direction on a computer screen. The guide plate body 1 is provided with a plurality of puncture grooves 3 with different angles and diameters, and the puncture instrument can slide forwards along a selected puncture groove 3 according to the puncture depth and the diameter of the puncture instrument. The intersection position of the central axis of the navigation hole and the central axis of the puncture groove is the target point position, the puncture point is measured before operation, and the distance is the depth of the puncture instrument inserted from the puncture point.
Example 2
The embodiment discloses a manufacturing method of a guide plate for guiding puncture by matching with a navigation bar in operation, and referring to fig. 2, the method comprises the following steps: s01, determining the shape of the navigation hole 2, measuring the diameter and the length of the head end of the navigation rod 4, and measuring 5-10cm of the head end of the navigation rod 4, wherein the shape and the size of the navigation rod in the range of the section are the shape and the size of the navigation hole 2 of the guide plate, and the size of the navigation hole 2 is required to be that the navigation rod 4 can be inserted into the navigation hole 2 without loosening; s02, determining the position of a target point, sketching a central axis 5 of a navigation rod, determining the position of a puncture target point 7 on the central axis 5 of the navigation rod according to different puncture depths, if the distance from a common lateral ventricle anterior angle puncture point to a lateral ventricle anterior angle is about 6cm, the position of the puncture target point 7 is the position of the central axis 5 of the navigation rod, which is 6cm away from the head end of the navigation rod, drawing a puncture groove central line 6 beside the navigation rod through the target point position, wherein the distance between the puncture groove central line 6 and a navigation hole 2 is greater than or equal to the outer diameter of a puncture instrument passing through the puncture groove, and then drawing a semi-cylinder by taking the puncture groove central line 6 as a center as a puncture groove 3; s03, manufacturing a die according to the designed relevant parameters of the guide plate, or manufacturing a puncture guide plate model in a 3D format through relevant computer drawing software; s04, manufacturing a puncture guide plate according to the die or printing the puncture guide plate through a 3D printer.
In order to adapt to different puncture targets and puncture instruments with different diameters, the step S02 can be repeated to process a plurality of puncture grooves.
The foregoing description is only of the basic principles and preferred embodiments of the present invention, and modifications and alternatives thereto will occur to those skilled in the art to which the present invention pertains, as defined by the appended claims.

Claims (5)

1. A baffle that is used for art cooperation navigation bar to guide puncture, its characterized in that: the guide plate comprises a guide plate body, wherein the guide plate body is provided with a navigation hole which has the same shape and size as the head end of a navigation bar, the navigation hole is a blind hole with one end closed, the guide plate body is provided with a plurality of puncture grooves with different angles and diameters, the puncture grooves are semi-cylindrical, and the navigation hole and the puncture groove are arranged along the axial direction of the guide plate body; the guide plate body is in a trapezoid shape, the navigation hole is in a truncated cone shape, the navigation hole is positioned in the center of the guide plate body, and the upper bottom surface of the guide plate body is overlapped with the upper bottom surface of the navigation hole; the intersection point of the central axis of the puncture groove and the central axis of the navigation hole is a puncture target point.
2. The guide plate for guiding a puncture in operative cooperation with a navigation bar according to claim 1, wherein: the guide plate body is manufactured through reverse casting or 3D printing.
3. The guide plate for guiding a puncture in operative cooperation with a navigation bar according to claim 1, wherein: the diameter of the puncture groove is 1-5mm.
4. The method of manufacturing a guide plate for guiding a puncture in cooperation with a navigation bar as set forth in claim 1, wherein: the method comprises the following steps: s01, determining the shape of a navigation hole, measuring the diameter and the length of the head end of a navigation bar, and measuring 5-10cm of the head end of the navigation bar, wherein the shape and the size of the navigation bar in the range of the section are the shape and the size of the navigation hole of the guide plate; s02, determining a target position, sketching a central axis of a navigation rod, determining a puncture target position according to different puncture depths on the central axis of the navigation rod, sketching a puncture groove central line beside the navigation rod from the target position, wherein the distance between the puncture groove central line and the navigation rod is greater than or equal to the outer diameter of a puncture instrument passing through the puncture groove, and sketching a semi-cylinder serving as a puncture groove by taking the puncture groove central line as the center; s03, manufacturing a die according to the designed relevant parameters of the guide plate, or manufacturing a puncture guide plate model in a 3D format through relevant computer drawing software; s04, manufacturing a puncture guide plate according to the die or printing the puncture guide plate through a 3D printer.
5. The method for manufacturing the guide plate for guiding puncture in cooperation with the navigation bar in operation according to claim 4, wherein the method comprises the following steps: repeating the step S02, and designing a plurality of puncture grooves aiming at puncture instruments with different puncture depths and different diameters.
CN201710122449.9A 2017-03-03 2017-03-03 Guide plate for guiding puncture by matching navigation rod in operation and manufacturing method thereof Active CN106725854B (en)

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CN106725854B true CN106725854B (en) 2023-09-12

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012103304A1 (en) * 2011-01-28 2012-08-02 Medtronic Navigation, Inc. Method and apparatus for image-based navigation
WO2013166836A1 (en) * 2012-05-09 2013-11-14 华南理工大学 Medical mechanical arm tail end device
CN105054999A (en) * 2015-08-18 2015-11-18 浙江工业大学 Improved encephalic puncture guiding method and device
CN105662552A (en) * 2016-03-10 2016-06-15 南京鼓楼医院 Maxillofacial-region puncture navigation device based on three-dimensional print technology and preparing method thereof
CN205548645U (en) * 2016-03-10 2016-09-07 南京鼓楼医院 Facial puncture navigation head of jaw based on 3D printing technique

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10828123B2 (en) * 2015-07-02 2020-11-10 Nico Corporation Navigation stylet for a tissue access system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012103304A1 (en) * 2011-01-28 2012-08-02 Medtronic Navigation, Inc. Method and apparatus for image-based navigation
WO2013166836A1 (en) * 2012-05-09 2013-11-14 华南理工大学 Medical mechanical arm tail end device
CN105054999A (en) * 2015-08-18 2015-11-18 浙江工业大学 Improved encephalic puncture guiding method and device
CN105662552A (en) * 2016-03-10 2016-06-15 南京鼓楼医院 Maxillofacial-region puncture navigation device based on three-dimensional print technology and preparing method thereof
CN205548645U (en) * 2016-03-10 2016-09-07 南京鼓楼医院 Facial puncture navigation head of jaw based on 3D printing technique

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