CN107049376A - A kind of navigation puncture device performed the operation for foramen intervertebrale lens - Google Patents
A kind of navigation puncture device performed the operation for foramen intervertebrale lens Download PDFInfo
- Publication number
- CN107049376A CN107049376A CN201710381456.0A CN201710381456A CN107049376A CN 107049376 A CN107049376 A CN 107049376A CN 201710381456 A CN201710381456 A CN 201710381456A CN 107049376 A CN107049376 A CN 107049376A
- Authority
- CN
- China
- Prior art keywords
- navigation
- fixing end
- puncture
- guide rod
- hollow
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
-
- 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
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- 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
Abstract
The invention discloses a kind of navigation puncture device performed the operation for foramen intervertebrale lens, including a hollow elongated guide rod and the L-shaped hollow fixing end for being fixed on guide rod outer surface one end.Navigation puncture device can be combined with Computer navigation surgery.On the one hand, during Needle localization, it is to avoid blindness, the damage of reduction operative region, raising puncture success rate, shortening operating time.On the other hand, repeat to have an X-rayed in no art, reduce the exposure of medical worker and patient to radioactive ray.
Description
Technical field
The present invention relates to a kind of navigation puncture device performed the operation for foramen intervertebrale lens.
Background technology
A kind of Minimally Invasive Surgery technology that percutaneous foramen intervertebrale lens (PELD) technology is clinically commonly used at present.Germany
Joimax TESSYS foramen intervertebrale lens technologies are a kind of " ecto-entads（outside-in）" technology.Using by German Joimax
Foramen intervertebrale lens and corresponding instrument of house journal, unique design, enter from patient body side or side rear
Intervertebral foramen, implements operation in work trigonum, working column is placed on epidural space, the bottom of nerve root, it can thus be avoided damaging
Hinder nerve root.Working column is not placed on intervertenral space, and the complete set of Joimax unique designs is used outside annulus fibrosus disci intervertebralis
Operating theater instruments, endoscope direct-view under extract prominent nucleus pulposus after, using joimax companies unique design, controllable
The Trigger-Flex bipolar technologies that the inductothermy apparatus of length processed and angle of bend is special melt remnant tissue, hemostasis and utilize office
Portion's thermal contraction
Principle, close damaged fibrous ring.During operation, patient can be with wide-awake state, between doctor and patient
Mutual cross streams.Lateral position or prone position can be according to circumstances taken to implement operation.
But percutaneous foramen intervertebrale lens of the prior art have the following disadvantages：1. it is operation to be accurately punctured to preferable position
It is relatively difficult that key, beginner or experience do not enrich person's puncture；2. greatly rely on the experience of patient；3. easy damaged intraspinal tube blood
Pipe, traveling nerve root and dural sac etc.；4. need to carry out X-ray exposure repeatedly, and time-consuming in preoperative, art；5. minimal invasive techniques
Practise curve longer.
The content of the invention
In order to solve the above technical problems, the invention provides a kind of navigation puncture device performed the operation for foramen intervertebrale lens.
Solving the technical scheme of above-mentioned technical problem is：A kind of navigation puncture device performed the operation for foramen intervertebrale lens, this is worn
Thorn device includes a hollow elongated guide rod and is fixed on the hollow fixing end in L shapes of guide rod outer surface one end,
Characterized in that, by installing navigation adapter in the fixing end, sting device is combined with Computer navigation surgery,
Computer navigation guiding is lower to be punctured.
Further, the hollow channel of the guide rod arrangement concentric with the hollow channel of the fixing end.Further,
The fixing end main body is cylinder, there is a fin-shaped projection in the outer end of cylindrical outer surface.
Further, the sting device is made up of Titanium Powder through 3D printings, and hardness is 28-35HRC.
Further, the device comprises the following steps when Computer navigation surgery is combined progress Needle localization：
（1）First, navigational reference frame is installed to the posterior superior iliac spine of fixed strong side, navigate adapter（Clip）It is mounted on navigation
The fixing end of sting device, while carrying out navigation registration；
（2）Afterwards, under computer navigation guiding, sting device carries out corresponding intervertebral foramen puncture；
（3）Finally, after confirming that point of puncture is preferable on navascreen instrument, seal wire is inserted by the hollow channel of sting device, taken
Go out sting device.
The beneficial effects of the invention are as follows：
（1）Navigation puncture device and Computer navigation surgery are combined.On the one hand, during Needle localization, counted by application
Calculation machine airmanship, obtains art area centrum image, quickly lower edge sclerotin position before the accurate processus articular superior for obtaining the next vertebra, it is to avoid
Blindness, the damage of reduction operative region, raising puncture success rate, shortening operating time.
（2）On the other hand, appliance computer airmanship, only need to start operative site anterioposterior and lateral film in operation and imported into meter
Calculation machine navigates, and needs in no art to repeat x-ray fluoroscopy, solves in preoperative, art transmission X-ray repeatedly, reduces medical worker and patient
Exposure to radioactive ray.
（2）The Needle localization time is short：Puncture process angle and side can be adjusted dynamically, in real time using navigation puncture device
To accurate positioning, the used time is few.
（3）Foramen intervertebrale lens learning curve can be shortened.
（4）Navigation puncture device is prepared from titanium alloy through 3D printing, with excellent corrosion resistance and bearing capacity, warp
High-temperature sterilization, be may be reused, and the navigation puncture device of personalized designs can be provided for Minimally Invasive Surgery, meet operation side
The personal needs of case.
Brief description of the drawings
Fig. 1 is the stereogram of navigation puncture device of the present invention.
Fig. 2 is the sectional view of navigation puncture device of the present invention.
Embodiment
The present invention will be described in further detail with reference to the accompanying drawings and detailed description.
As shown in Fig. 1 and Fig. 2, navigation puncture device 1, including：One hollow elongated guide rod 3 and it is fixed on outside guide rod
The hollow fixing end 5 in L shapes of surface one end.Wherein, the hollow channel 4 of guide rod 3 and the hollow channel of the fixing end 5
Concentric arrangement.The main body of fixing end 5 is cylinder, there is a fin-shaped projection 10 in the outer end of cylindrical outer surface.
Navigation puncture device 1 is made up of Titanium Powder through 3D printings, and hardness is 28-35HRC.
The fixing end 5 is used to install navigation adapter, and sting device is combined with Computer navigation surgery, is calculating
Punctured under machine navigation guide.
Navigation puncture device and Computer navigation surgery are combined in clinical practice, first, navigational reference frame pacified
The posterior superior iliac spine of the fixed strong side of dress, navigate adapter（Clip）The fixing end of navigation puncture device is mounted on, is carried out simultaneously
Navigation registration.Afterwards, under computer navigation guiding, application navigation sting device carries out corresponding intervertebral foramen puncture.Finally, leading
After confirming that point of puncture is preferable on boat screen instrument, seal wire is inserted, using intervertebral foramen instrument（One-level, two grades of guide rods, conduit, trepans etc.）
Expander, carries out intervertebral operation step by step.
It is with the advantage that Computer navigation surgery is combined by the navigation puncture device of the present invention：Precisely, safety, amount of radiation
Seldom；The skin incision of foramen intervertebrale lens service aisle is 0.7cm, is come relative to backbone open surgery or conventional channels Minimally Invasive Surgery
Say, damaging surrounding tissue is less, is presently the most Minimally Invasive Surgery mode；And computer navigation is combined with foramen intervertebrale lens technology,
Truly minimally invasive can be more embodied, solves to have an X-rayed repeatedly during lancet puncture, point of puncture deflection situation, it is to avoid blind
Mesh, reduces the exposure of medical worker and patient to radioactive ray, improves success rate of operation, shortens operating time.
Claims (5)
1. a kind of navigation puncture device performed the operation for foramen intervertebrale lens, it is characterised in that the sting device include one it is hollow
Elongated guide rod and the hollow fixing end in L shapes for being fixed on guide rod outer surface one end, the fixing end are led for installation
Navigated adapter, and sting device is combined with computer navigation, is punctured under computer navigation guiding.
2. device according to claim 1, it is characterised in that：The hollow channel of the guide rod is hollow with the fixing end
The arrangement of passage with one heart.
3. device according to claim 1, it is characterised in that：The fixing end main body is cylinder, in cylinder appearance
There is a fin-shaped projection outer end in face.
4. device according to claim 1, it is characterised in that：Described device is made up of Titanium Powder through 3D printings, hardness
For 28-35HRC.
5. the device according to claim 1-4, it is characterised in that：The device is combined progress and punctured with computer navigation to be determined
Comprise the following steps during position：
（1）First, navigational reference frame is installed to the posterior superior iliac spine of fixed strong side, navigate adapter（Clip）It is mounted on navigation
The fixing end of sleeve pipe, while carrying out navigation registration；
（2）Afterwards, under computer navigation guiding, sting device carries out corresponding intervertebral foramen puncture；
（3）Finally, after confirming that point of puncture is preferable on navascreen instrument, seal wire is inserted by the hollow channel of sting device, taken
Go out sting device.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620688885 | 2016-07-04 | ||
| CN2016206888853 | 2016-07-04 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107049376A true CN107049376A (en) | 2017-08-18 |
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ID=59610563
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710381457.5A Pending CN107049377A (en) | 2016-07-04 | 2017-05-25 | A kind of puncture needle performed the operation for foramen intervertebrale lens and its manufacture method |
| CN201710381456.0A Pending CN107049376A (en) | 2016-07-04 | 2017-05-25 | A kind of navigation puncture device performed the operation for foramen intervertebrale lens |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710381457.5A Pending CN107049377A (en) | 2016-07-04 | 2017-05-25 | A kind of puncture needle performed the operation for foramen intervertebrale lens and its manufacture method |
Country Status (1)
| Country | Link |
|---|---|
| CN (2) | CN107049377A (en) |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201389080Y (en) * | 2009-02-25 | 2010-01-27 | 清华大学 | General calibration module of surgical navigation machine |
| CN103976779A (en) * | 2014-05-30 | 2014-08-13 | 上海市东方医院 | Intervertebral foramen mirror puncturing system |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203970506U (en) * | 2014-07-08 | 2014-12-03 | 郑州大学第一附属医院 | Safety anesthesia spinal needle and epidural catheter |
| CN104625049A (en) * | 2015-01-30 | 2015-05-20 | 殷琴 | Method for manufacturing nerve block puncture needle based on 3D printing technology and product |
-
2017
- 2017-05-25 CN CN201710381457.5A patent/CN107049377A/en active Pending
- 2017-05-25 CN CN201710381456.0A patent/CN107049376A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201389080Y (en) * | 2009-02-25 | 2010-01-27 | 清华大学 | General calibration module of surgical navigation machine |
| CN103976779A (en) * | 2014-05-30 | 2014-08-13 | 上海市东方医院 | Intervertebral foramen mirror puncturing system |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107049377A (en) | 2017-08-18 |
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