CN107028646A - Combined type intervention operation guiding die plate - Google Patents
Combined type intervention operation guiding die plate Download PDFInfo
- Publication number
- CN107028646A CN107028646A CN201710379906.2A CN201710379906A CN107028646A CN 107028646 A CN107028646 A CN 107028646A CN 201710379906 A CN201710379906 A CN 201710379906A CN 107028646 A CN107028646 A CN 107028646A
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- CN
- China
- Prior art keywords
- combined type
- die plate
- hanger
- guiding die
- intervention operation
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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
-
- 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
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
-
- 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
- A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention discloses a kind of combined type intervention operation guiding die plate, including the one or more ways being connected with hanger, ways includes the member bodies and the member connecting structure located at its side of rectangular shape, member bodies are provided with interventional operation equipment pilot hole, member connecting structure includes the slot and the plate located at other side located at member bodies side, and member bodies are formed by two monomer grafting make-ups.The single hole or porous combination template for being a kind of needed according to operation and designing, the need for operation can be met to different surgical planes, template action is played in the requirement of angles different to operating theater instruments, and the angle of these operating theater instruments can be implemented separately, and realize many planes, multi-angle template function；Combination flexibly, can meet the guiding needs of a variety of intervention operations；Particularly in art, when organ is subjected to displacement, timely CT scan checking needs the angle of inclination of adjustment operating theater instruments in time according to operation, meets operation and require.
Description
Technical field
The present invention relates to medical instruments field, specifically, it is related to a kind of combined type intervention operation guiding die plate, it is adaptable to
Various percutaneous interventional minimally-invasive operations, are operating theater instruments positioning and guiding.
Background technology
Intervention operation is one of common method of clinical tumor Clinics and Practices, while the foundation of puncture channel is to complete to be situated between
Enter to perform the operation a very important step, implements to puncture in the body surface position corresponding with focus using puncture needle, from focus materials or
Person injects chemotherapeutics, implantation radiation particle etc. to focus and carries out Clinics and Practices, and band is usually required during puncture and is oriented to casement
Plate is puncture needle guide.Current guiding die plate mainly has two types, and one kind is coplanar template, and another is 3D printing non-co-
Face die plate.
The clinical practice the strengths and weaknesses of coplanar template：Coplanar template be exactly in one plane stamp it is countless parallel
Pin hole, can make puncture needle be evenly distributed, and remain parallel to each other, and so be conducive to radioactive particle planting uniform, but preceding topic is
Blocked around tumor focus without other organs, and clinical actual conditions are that most tumor focus and peripheral organs are mutual
Block, so coplanar template just has the disadvantage that, i.e.,：The puncture angle in a plane can only be provided, when bone to be avoided hides
Gear, vitals etc., when need to be punctured from different directions to tumor focus, coplanar template can not then meet multi-angle puncture
It is required that.
The clinical practice the strengths and weaknesses of 3D printing non-co- face die plate：Although 3D printing non-co- face die plate can be according to preoperative meter
Draw and multiple Plane Angles are provided, the requirement of multi-angle puncture can be met in theory, but during actual operation, due to production
Angry chest, intracranial pressure change etc. when causing organ drift, and puncture path changes, preoperative according to predetermined puncture angle
The 3D printing non-co- face die plate made can not be used, and because that can not change original scheduled mode in art, cause preoperative plan
Failure.
The content of the invention
In view of this, the technical problems to be solved by the invention are：A kind of combined type intervention operation guiding die plate, root are provided
According to preoperative plan, required in art, form assembly is carried out in time, the various combination in Different Plane can be achieved, can be according to hand in art
Art needs the operation angle of adjustment operating theater instruments in real time, meets operation needs, realizes many planes, the multi-angle cloth of operating theater instruments
Put；And combination is flexible, easy.
In order to solve the above technical problems, the technical scheme is that：Combined type intervention operation guiding die plate, the combination
Formula intervention operation guiding die plate includes ways, and the ways includes the member bodies of cuboid or square shape,
With the member connecting structure located at the member bodies side；
Interventional operation equipment pilot hole of the member bodies provided with its top surface of insertion and bottom surface；
The member connecting structure includes the slot extended up and down located at described one side of member bodies, and located at institute
The plate of another side of member bodies is stated, the plate is adapted with the slot.
The combined type intervention operation guiding die plate of the present invention, because the member bodies of ways are provided with interventional operation equipment
Pilot hole, can be oriented to during operation for operating theater instruments；Because the side of member bodies is provided with member connecting structure, pass through component
Attachment structure, can be with used aloned, the company between can also realizing two and more than two member bodies in the same plane
Connect, meet a focus same plane in multiple operating theater instruments guiding needs, operating theater instruments in place after, be directed to component and take
Under；When blocking due to other organs, a surgical plane can not meet operation and require, it is necessary to when changing surgical plane angle,
Then carry out the Component composition in another surgical plane in time as needed；Particularly in art, be subjected to displacement when organ, it is necessary to
,, can be with the Rapid Combination plane using ways in the surgical plane after corresponding to change angle when changing operation angle
Interior guiding die plate, have adjusted operating theater instruments angle in time, meet operation needs.
The following is the further optimization design in many places of the combined type intervention operation guiding die plate to the present invention：
Wherein, two sides of the member bodies are all provided with the slot, and the another two side of the member bodies is all
Provided with described plate.The connection between the member bodies of multiple lines and multiple rows can be met.
Wherein, the member connecting structure is additionally provided with anti-drop structure, and the anti-drop structure is provided at the plate upper end
Suspension part, or the anti-drop structure is provided at the baffle portion of the slot bottom.Anti-drop structure can avoid ways
Drop situation during connection, it is ensured that the ways after connection is in same plane.
Wherein, the slot is surrounded by two l-shaped members being oppositely arranged, and the plate includes two L being disposed opposite to each other
Shape component.Using l-shaped member, it is possible to achieve the connection of slot and plate is spacing, connection is reliable；And it is simple in construction, it is easy to pacify
Dress and dismounting.
Wherein, the member bodies include two monomers of make-up, and each monomer is provided with semicircle groove, two institutes
Semicircle groove is stated to deducting the interventional operation equipment pilot hole.Member bodies use modular construction, including two make-ups
Monomer, operating theater instruments in place after, easily can be directed to component from the both sides of operating theater instruments and remove；If organ is subjected to displacement,
Need to change operation angle, it is possible to use the combination flexibility of ways, in surgical plane in the fast assembling plane
Guiding die plate, meets operation direction adjustment needs.
Further, monomer attachment structure is additionally provided with the monomer, the monomer attachment structure includes being arranged at it
In monomer it is raised to the grafting on buckle side and on the outside of its semicircle groove, and be arranged at another list
Body to the grafting groove being adapted with the grafting projection on buckle side and on the outside of its semicircle groove.
Further, the grafting is raised, the grafting groove is all provided with gradient.
Wherein, the combined type intervention operation guiding die plate also includes hanger, and the side of the hanger is provided with connection handle, institute
The opposite side for stating hanger is provided with hanger attachment structure, and the member connecting structure is connected with the hanger attachment structure.By hanging
The connection handle of frame, easily can connect combined type intervention operation guiding die plate with existing digitlization intervention surgical navigator
Connect, the need for meeting a variety of intervention operation guiding.
Wherein, the hanger attachment structure is disposed on the hanger slot on the hanger, or hanger connection knot
Structure is disposed on the hanger plate on the hanger.
Wherein, the ways be provided with one, two or more, the adjacent ways passes through described
Slot, plate connection.According to operation needs, select different ways quantity, it is possible to achieve single hole, foraminous die plate with
And variety classes intervention surgical template function.
In summary, the list that combined type of the invention intervention operation guiding die plate is a kind of needed according to operation and is designed
Hole or porous combination template, the need for intervention operation can be met to different parts, different focuses, different operation angles, to having
The operating theater instruments of different angle requirements plays template direction effect, and the different angles of these operating theater instruments can separate to implement,
Realize many planes, multi-angle template function；And combination is flexibly, particularly in art, when organ is subjected to displacement, timely CT
Scanning validation, can need to adjust the angle of inclination of some or multiple operating theater instruments in time, make the radiation for the treatment of tumour according to operation
Property particle it is conformal be uniformly distributed, RF therapy distribution of electrodes is uniform, facture fixation device keeping parallelism；Procedure efficiency is improved, is improved
Therapeutic effect, reduces complication, improves patients ' life quality, extends the survival of patients time.
Brief description of the drawings
Fig. 1 is the ways structural representation of the combined type intervention operation guiding die plate of the present invention；
Fig. 2 is a monomer structure schematic diagram for constituting member bodies；
Fig. 3 is another monomer structure schematic diagram for constituting member bodies；
Fig. 4 is the schematic diagram that anti-drop structure is located at plate upper end；
Fig. 5 is the schematic diagram that anti-drop structure is located at slot bottom；
Fig. 6 is the ways and hanger connection diagram of the present invention；
Fig. 7 is two ways and hanger connection diagram of the present invention；
Fig. 8 is three ways and hanger connection diagram of the present invention；
Fig. 9 is the multiple ways and hanger connection diagram of the present invention；
Figure 10 is the combined type intervention operation guiding die plate application schematic diagram of the present invention；
In figure：1- ways；10- member bodies；11- interventional operation equipment pilot holes；12- slots；121- baffle portions；
13- plates；131- suspension parts；101- monomers；102- monomers；103- grafting is raised；104- grafting grooves；111- semicircles are logical
Groove；112- semicircle grooves；2- hangers；21- hanger attachment structures；22- connection handles；3- puncture needles；4- focuses；5- blood vessels；6-
Bone；A- planes；B- planes.
Embodiment
Make further details of non-limitative illustration to the present invention with reference to the accompanying drawings and examples.
As shown in figure 1, the combined type intervention operation guiding die plate of the present invention includes ways 1, ways 1 includes structure
Part body 10 and the member connecting structure located at the side of member bodies 10, wherein, member bodies 10 are cuboid or the square bodily form
Shape, interventional operation equipment pilot hole 11 of the member bodies 10 provided with its top surface of insertion and bottom surface；Member connecting structure includes being located at
The slot 12 extended up and down and the plate 13 located at another side of member bodies 10 of described 10 1 sides of member bodies, are inserted
Plate 13 is adapted with slot 12, and when ways is combined, the plate 13 of a ways inserts the slot of another ways
12。
As shown in Figure 6 and Figure 7, using single ways 1, or single file, single-row multiple ways 1 can be met
When operation guiding is required, member connecting structure only can be set on two sides of member bodies 10.
As shown in Fig. 1, Fig. 8 and Fig. 9, it is preferable that, all it is provided with slot 12, component in two sides of member bodies 10
The another two side of body 10, which is all provided with plate 13, i.e. the four of member bodies 10 side, all sets member connecting structure, this
Sample can meet the connection needs between the member bodies of multiple lines and multiple rows.
As shown in Figure 4 and Figure 5, to avoid ways from being dropped when connecting situation, member connecting structure is additionally provided with
Anti-drop structure, anti-drop structure can be one kind in following two modes：Suspension part 131, Huo Zheshe located at the upper end of plate 13
Baffle portion 121 in the bottom of slot 12.So both it had been avoided that ways dropped, had also ensured that at the ways after connection
In same plane.
As shown in figure 1, wherein, slot 12 is surrounded by two l-shaped members being oppositely arranged, plate 13 is set opposite to each other including two
The l-shaped member put.Using l-shaped member, it is possible to achieve the connection of slot 12 and plate 13 is spacing, connection is reliable, and structure letter
It is single, it is easy to make.
As shown in Figures 2 and 3, wherein, member bodies 10 are formed by monomer 101, the make-up of monomer 102, and monomer 101 is provided with half
Circular groove 111, monomer 102 is provided with semicircle groove 112, and semicircle groove 111 deducts Jie with semicircle 112 pairs of groove
Enter operating theater instruments pilot hole 11.Monomer attachment structure is additionally provided with monomer, monomer attachment structure includes being disposed therein one
Monomer to the grafting projection 103 on buckle side and on the outside of its semicircle groove, and be arranged at another monomer to buckle side
The grafting groove 104 gone up and be located on the outside of its semicircle groove；During make-up, grafting projection 103 connects with the grafting of grafting groove 104
Connect.Grafting projection 103, grafting groove 104 are all provided with gradient, are easy to the grafting of two monomers with separating；Above-mentioned monomer connection knot
Structure optimization design has everywhere.Member bodies 10 use modular construction, are formed by two monomer make-ups, operating theater instruments in place after, can
Removed with being easily directed to component 1 from the both sides of operating theater instruments.
As shown in Fig. 6, Fig. 7, Fig. 8 and Fig. 9, wherein, combined type intervention operation guiding die plate of the invention also includes hanger
2, hanger attachment structure 21 is provided with the side of hanger 2, hanger attachment structure can be disposed on the hanger slot on hanger, also
The hanger plate on hanger can be disposed on, the member connecting structure of ways 1 is connected with hanger attachment structure 21, so that
Realize the connection of ways 1 and hanger 2.Connection handle 22 is provided with the opposite side of hanger 2, by connection handle 22, can be facilitated
The digitlization intervention surgical navigator connection of the combined type intervention operation guiding die plate of the present invention and prior art is passed through number by ground
The laser sight of wordization intervention surgical navigator coordinates, and finds accurately and guides the ground percutaneous access point of operating theater instruments, is situated between by digitizing
Enter the different angle requirements that surgical navigator realizes different combinations template, the need for meeting a variety of intervention operation guiding.Root
According to needs, during 1 negligible amounts of ways of mounting, it is shorter that the length of hanger 2 can be designed；The ways 1 of mounting is counted
When measuring more, the length that the length of hanger 2 can be designed is a little.
As shown in Fig. 6, Fig. 7, Fig. 8 and Fig. 9, according to operation needs, hole die plate, holes template, three casements can be set up
Plate or more foraminous die plate.Adjacent ways 1 is connected by slot 12, plate 13, size, the shape of multiple ways
Identical, ways mutual centre point spacing is equal.
When making the combined type intervention operation guiding die plate of the present invention, it is preferred to use medical plastic.
As shown in Figure 10, by taking puncturing operation as an example, the application of combined type intervention operation guiding die plate of the invention is as follows：Profit
When implementing puncturing operation to focus 4 with the combined type intervention operation guiding die plate of the present invention, guiding die plate is set up at plane A,
Multiple ways 1 link together in plane A, and puncture needle 3 is along interventional operation equipment pilot hole, with logical arbitrarily into angular direction
Cross plane A and be pierced into focus 4, to its implantation radiation particle；Blocked when there are blood vessel 5, bone 6 or vitals etc., it is impossible to press
When unified orientation angle is implemented to puncture, the plane of a proper angle can be selected at any time, form assembly is carried out, and reach that operation is needed
Will；In art, when organ is subjected to displacement, it CT scan can verify in time, be needed to adjust the angle of inclination of puncture needle according to operation, such as
Shown in Figure 10, guiding die plate can be easily and quickly set up at plane B, puncture needle 3 is pierced into by plane B at an angle
Focus 4, to its implantation radiation particle.
It the above is only by taking puncturing operation as an example, the application to the combined type intervention operation guiding die plate of the present invention is situated between
Continue.Certainly, it is puncture needle guiding that combined type of the invention intervention operation guiding die plate, which is not limited to puncturing operation, can also be answered extensively
It is oriented to for other intervention operations for other kinds of operating theater instruments, for example, radio-frequency electrode, facture fixation device, bone drill etc. are led
To.
It can implement the surgical planning of operation consent Different Plane using the combined type intervention operation guiding die plate of the present invention, also may be used
In art in time adjustment operating theater instruments angle, make the radioactive particle for the treatment of tumour it is conformal be uniformly distributed, radio-frequency electrode is symmetrical,
The parallel distribution of facture fixation device.The therapeutic effect to disease is improved, complication is reduced, patients ' life quality is improved, prolonged
Life span is grown, with important clinical application value and realistic meaning.
The combined type intervention operation guiding die plate scope of application of the present invention：Suitable for the aspiration biopsy operation of partes corporis humani position,
The RF therapy of tumour, the Microwave Coagulation Therapy of tumour, the local chemotherapy of tumour, radioactive particle treatment tumour, cephalophyma is micro-
Aspiration operation is created, the minimally invasive internal fixation operation of fracture of neck of femur, compression fracture of vertabral body minimally-invasive treatment, Vertebral Metastases etc. intervene micro-
Create diagnosis and treatment operation.
Claims (10)
1. combined type intervention operation guiding die plate, it is characterised in that the combined type intervention operation guiding die plate includes：
Ways, the ways includes the member bodies of cuboid or square shape, and located at the member bodies
The member connecting structure of side；
Interventional operation equipment pilot hole of the member bodies provided with its top surface of insertion and bottom surface；
The member connecting structure includes the slot extended up and down located at described one side of member bodies, and located at the structure
The plate of another side of part body, the plate is adapted with the slot.
2. combined type intervention operation guiding die plate as claimed in claim 1, it is characterised in that two sides of the member bodies
Face is all provided with the slot, and the another two side of the member bodies is all provided with described plate.
3. combined type intervention operation guiding die plate as claimed in claim 1, it is characterised in that the member connecting structure is also set
Anti-drop structure is equipped with, the anti-drop structure is provided at the suspension part of the plate upper end, or the anti-drop structure is provided at institute
State the baffle portion of slot bottom.
4. combined type intervention operation guiding die plate as claimed in claim 1, it is characterised in that the slot is set relatively by two
The l-shaped member put is surrounded, and the plate includes two l-shaped members being disposed opposite to each other.
5. combined type intervention operation guiding die plate as claimed in claim 1, it is characterised in that the member bodies include make-up
Two monomers, each monomer is provided with semicircle groove, and two semicircle grooves are to deducting the intervention surgical device
Tool pilot hole.
6. combined type intervention operation guiding die plate as claimed in claim 5, it is characterised in that be additionally provided with list on the monomer
Attachment structure, the monomer attachment structure include being disposed therein monomer on buckle side and semicircle positioned at its
Grafting on the outside of groove is raised, and be arranged at another monomer on buckle side and on the outside of its semicircle groove with
The grafting groove that the grafting projection is adapted.
7. combined type intervention operation guiding die plate as claimed in claim 6, it is characterised in that the grafting is raised, described slotting
Connect groove and be all provided with gradient.
8. the combined type intervention operation guiding die plate as described in any one of claim 1 to 7, it is characterised in that the combined type
Intervention operation guiding die plate also includes hanger, and the side of the hanger is provided with connection handle, and the opposite side of the hanger is provided with hanger
Attachment structure, the member connecting structure is connected with the hanger attachment structure.
9. combined type intervention operation guiding die plate as claimed in claim 8, it is characterised in that the hanger attachment structure is to set
The hanger slot being placed on the hanger, or the hanger attachment structure are disposed on the hanger plate on the hanger.
10. combined type intervention operation guiding die plate as claimed in claim 8, it is characterised in that the ways is provided with
One, two or more, the adjacent ways passes through the slot, the plate and connected.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710379906.2A CN107028646B (en) | 2017-05-25 | 2017-05-25 | Combined type guiding template for interventional operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710379906.2A CN107028646B (en) | 2017-05-25 | 2017-05-25 | Combined type guiding template for interventional operation |
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| Publication Number | Publication Date |
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| CN107028646A true CN107028646A (en) | 2017-08-11 |
| CN107028646B CN107028646B (en) | 2023-03-14 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201710379906.2A Active CN107028646B (en) | 2017-05-25 | 2017-05-25 | Combined type guiding template for interventional operation |
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Cited By (4)
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| CN109223138A (en) * | 2018-11-21 | 2019-01-18 | 深圳悟恫三维科技有限公司 | Multi-functional controllable depth fossa sphenopalatina guiding device for interventional therapy |
| CN109223137A (en) * | 2018-11-21 | 2019-01-18 | 深圳悟恫三维科技有限公司 | Multi-functional controllable depth oval foramen guiding device for interventional therapy |
| CN111282167A (en) * | 2020-03-31 | 2020-06-16 | 张宏涛 | Puncture guide splicing unit |
| CN111588999A (en) * | 2020-05-25 | 2020-08-28 | 李硕 | Operation guide model, head-wearing wearable device-assisted operation navigation system and method |
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| CN109223138A (en) * | 2018-11-21 | 2019-01-18 | 深圳悟恫三维科技有限公司 | Multi-functional controllable depth fossa sphenopalatina guiding device for interventional therapy |
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| CN111282167A (en) * | 2020-03-31 | 2020-06-16 | 张宏涛 | Puncture guide splicing unit |
| CN111588999A (en) * | 2020-05-25 | 2020-08-28 | 李硕 | Operation guide model, head-wearing wearable device-assisted operation navigation system and method |
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| Publication number | Publication date |
|---|---|
| CN107028646B (en) | 2023-03-14 |
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