Internal organs lesser tubercle puncture locator
Technical field
The present invention relates to a kind of locator, especially a kind of internal organs lesser tubercle puncture locator belongs to the skill of medicine equipment
Art field.
Background technology
With widely using for advanced measuring means, many diseases are able to early detection and early treatment, some lesion knots
Section can be just found in less early stage by corresponding detection methods, such as:Lung, thyroid gland, kidney, liver, ovary, prostatitis
Gland and intramuscular lesser tubercle can be by rabats or CT by early detection, thyroid gland, kidney, liver, ovary, prostate and muscle
Interior brief summary energy-conservation is by ultrasound diagnosis by early detection.Lesser tubercle need to do alignment processing after being checked out according to clinical experience, such as
Strong suspicion is pernicious to be cut off as early as possible;If strong suspicion is not pernicious, it can inspect periodically, then be further processed.
But clinical predicament is:Although when checking, lesser tubercle finds to position by clear, departing from inspection when being performed the operation
Instrument and machine are looked into, its positioning difficulty is very big, it is difficult to accomplish accurate positioning and cut off, although its result is lesser tubercle quilt mostly
Excision, but normal surrounding tissue is also extended excision, and exceeding well over normal therapeutic needs excision extension;Even meeting in some cases
The normal structure that generation lesser tubercle closes on is removed, but lesser tubercle is surprisingly retained, and causes operative failure.
At present, it is clinical to have invented the puncture needle positioned for lesser tubercle, but have various defects.What is had uses metal system
Into, it is covered with burr and not only brings uncomfortable and painful and harder puncture needle when running into external force even clothing friction to patient,
Puncture needle head end can be shifted, and error is brought to positioning result, and in excision, the depth of lesser tubercle can not also judge;And some
Although puncture needle smooth pliable, patient suffering is small, easily displacement, location of operation effect is poor.
Some locators are only capable of being looked for according to the locator hardness inserted in lesser tubercle in operation, frequent in operation
Difficulty is looked for, it is time-consuming longer, or even occur Wrong localization because lung also has harder lesser tubercle in itself.
Meanwhile, all puncture needles are exposed shank, and needle body is not processed, easily because puncturing hole road is led after puncture
Cause risk.Such as:Point of puncture bleeding, pneumothorax after lung puncture;The blood streamed down after liver kidney etc. is punctured, and causes emergency operation.
Clinic needs a kind of outstanding lesser tubercle puncture locator:Accurate positioning, fast searching, energy during excision when being easy to perform the operation
Quickly judge excision extension;Safety is punctured, puncturing hole can be closed after puncture immediately, it is to avoid thus caused various complication.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art there is provided a kind of internal organs lesser tubercle puncture locator,
Its compact conformation, can effectively realize the Needle localization of lesser tubercle, improve lesser tubercle reliability of positioning and stability;And can reduce and wear
Various complication caused by thorn.
The technical scheme provided according to the present invention, the internal organs lesser tubercle puncture locator, including the puncture for puncture
Pin, sets needle body water-swellable layer on the outer wall of the puncture needle.
A kind of similar technical scheme, the internal organs lesser tubercle puncture locator, including the puncture with pipe puncture tip
Pipe and the light positioning body positioned for light, the puncture tube can be using the pipe puncture tips of head end to where lesser tubercle
Internal organs region is punctured, when being punctured using pipe puncture tip, and light positioning physical efficiency is tracked into lesser tubercle;Extract and puncture
During rear puncture tube, light positions physical efficiency indwelling in lesser tubercle, and can be produced in lesser tubercle or conduct the light for positioning
Line;Light positioning body water-swellable layer is provided with light positioning body.
The light positioning body includes being used to produce positioning light and indwelling is in the illuminator in lesser tubercle and for carrying
For the luminous power for the power supply needed for body running that lights, luminous power is electrically connected by luminous connector with illuminator, and illuminator is solid
Due to the one end of luminous connector, the other end of luminous power and luminous connector, which is used, to be detachably connected.
The luminous connector includes luminous connecting rod, and illuminator is placed in puncture tube by luminous connecting rod, and light is fixed
Position body water-swellable layer includes the connecting rod water-swellable layer being coated on luminous connecting rod outer wall.
The luminous connector includes luminous connecting wire, and illuminator is placed in puncture tube by luminous connecting wire, the light
Line positioning body water-swellable layer includes the line water-swellable layer being arranged on luminous connecting wire outer wall.
The light positioning body includes being used for indwelling in the light conductor in lesser tubercle and the light source body for producing light,
The light source body is connected by guide-lighting connector with light conductor, and light source body is located at outside lesser tubercle, and leaded light connects physical efficiency by light source body
On the light conduction of generation to light conductor, and by the positioning light needed for light conductor export;The light positioning body water-swellable
Layer includes the guide-lighting water-swellable layer being arranged on guide-lighting connector.
Technical scheme as second species, the internal organs lesser tubercle puncture locator, including lesser tubercle position can be carried out
The puncture tube of puncture, provided with retaining spring and for the retaining spring to be released out of puncture tube in the puncture tube
Spring pushes away body;The retaining spring is provided with spring and positions wire body, and the spring, which is positioned, sets positioning wire body chance water swollen in wire body
Swollen layer;
When in puncture tube, retaining spring is in length direction and the length side of puncture tube of elongation state and retaining spring
To consistent, body is pushed away by spring and retaining spring is released into puncture tube and when entering in the lesser tubercle after puncturing, retaining spring energy
Rolled up in lesser tubercle, and retaining spring in lesser tubercle when rolling up, the tail end of spring positioning wire body is located at outside lesser tubercle.
The third similar technical scheme, the internal organs lesser tubercle puncture locator, including the puncture with needle tip
Action bars, is cased with retaining spring and the spring ejector sleeve for promoting retaining spring on the puncture procedure bar;The positioning
Spring positions provided with spring and sets positioning wire body water-swellable layer in wire body, the spring positioning wire body;
After being punctured using the needle tip of puncture procedure bar to lesser tubercle, retaining spring is pushed into by brief summary by spring ejector sleeve
In section, retaining spring enter in lesser tubercle after in rolling up state, and retaining spring in lesser tubercle when rolling up, spring position line
The tail end of body is located at outside lesser tubercle.
The needle tip is located at the head end of puncture procedure bar, and the tail end of puncture procedure bar is provided with puncture procedure handle, spring
It is in coaxial distribution that ejector sleeve, which is enclosed on puncture procedure bar with the puncture procedure bar,.
The puncture procedure bar is provided with the ejector sleeve detent mechanism for being used for being positioned to spring ejector sleeve, and spring ejector sleeve is located at
Between retaining spring and ejector sleeve detent mechanism;
The ejector sleeve detent mechanism includes the locating slot that is arranged on puncture procedure bar and is adapted to the locating slot
Ejector sleeve fixture block, one end and the puncture procedure bar of the ejector sleeve fixture block are hinged.
Advantages of the present invention:Needle body is set to meet water respectively in puncture needle, light positioning body and spring positioning wire body swollen
Swollen layer, light positioning body water-swellable layer and positioning wire body water-swellable layer, can be positioned using needle body water-swellable layer, light
Body water-swellable layer and the expansion for positioning wire body water-swellable layer, effectively reduce caused various complication when puncturing, can have
Effect realizes the Needle localization of lesser tubercle, improves lesser tubercle reliability of positioning and stability.
Brief description of the drawings
Fig. 1~Fig. 6 is the structural representation of the 2nd embodiment of the invention, wherein,
Fig. 1 is the first implementation structural representation in the 2nd embodiment of the invention.
Fig. 2 is the structural representation of puncture tube of the present invention.
Fig. 3 state diagrams that the first implements to carry out light positioning in structure for the 2nd embodiment of the invention.
Fig. 4 is second of implementation structural representation in the 2nd embodiment of the invention.
Fig. 5 is the schematic diagram of light positioning body in second of implementation structure of the 2nd embodiment of the invention.
Fig. 6 is the third implementation structural representation of the 2nd embodiment of the invention.
Fig. 7 is the structural representation of the 3rd embodiment of the invention.
Fig. 8~Figure 10 is the structural representation of the 4th embodiment of the invention, wherein
Fig. 8 is the structural representation that the 4th embodiment first of the invention implements structure.
Fig. 9 is the structural representation that the 4th embodiment second of the invention implements structure.
Figure 10 is the structural representation that the 4th embodiment second of the invention implements puncture procedure bar in structure.
Figure 11 is schematic diagram of the retaining spring in elongation state in the 3rd embodiment of the invention, the 4th embodiment.
Figure 12 is schematic diagram of the positioning retaining spring in state of rolling up in the 3rd embodiment of the invention, the 4th embodiment.
Description of reference numerals:1- puncture tubes, 2- connecting rods inner sleeve, 3- puncture tubes end ring, 4- pipes puncture tip, 5- connecting rods
Inner sleeve lever, 6- light connecting rod, 7- luminous powers, 8- illuminators, 9- lines hangnail, 10- luminous connecting wires joint,
The guide-lighting inner sleeve of 11- lines inner sleeve, 12- luminous connecting wires, 13- line inner sleeves lever, 14- light conductors, 15-, 16-
The guide-lighting connector of guide-lighting inner sleeve lever, 17-, the guide-lighting connector hangnails of 18-, 19- illuminators, 20- retaining springs, 21- bullets
Spring, which pushes away body, 22- springs, to be pushed away body lever, 23- springs positioning wire body, 24- puncture procedures bar, 25- needle tips, 26- springs and pushes away
Pipe, 27- puncture procedures handle, 28- ejector sleeves fixture block, 29- jointed shafts and 30- locating slots.
Embodiment
With reference to specific drawings and examples, the invention will be further described.
In order to be able to effectively realize the Needle localization of lesser tubercle, lesser tubercle reliability of positioning and stability are improved, reduces and punctures
Caused complication, the present invention is specifically described below by specific embodiment.
Embodiment 1
In the present embodiment, the puncture needle for puncture is specifically included, sets needle body to meet water on the outer wall of the puncture needle
Expanding layer.
Specifically, puncture needle be able to can be realized to areas such as lesser tubercles using conventional puncture instrument form using puncture needle
The puncture in domain, scribbles needle body water-swellable layer on the outer wall of puncture needle, and needle body water-swellable layer selects medical material, and it can inhale
Attached water part, volume significantly becomes big after water suction.Such as:Medical cotton, chitosan styptic sponge, fibroin albumen, amnion, collagen, varicosity gather
Tetrafluoroethene, bacteria cellulose, water-absorbing resin, medical grade gelatin etc.;Needle body water-swellable layer can draw moisture content expansion after puncturing,
Puncturing hole road can be blocked after expansion, it is to avoid the complication caused by puncture wound, such as:Pneumothorax is avoided in lung puncture and is gone out
The bleeding after puncturing hole injures the bleeding after thin vessels, thyroid gland neck is punctured is avoided to cause hematoma compression when blood, liver renal fibroblast
Deng.
Needle body water-swellable layer can be specifically arranged on the outer wall of puncture needle using modes such as coatings, specific setting up procedure
Can be related according to the material of needle body water-swellable layer, needle body water-swellable layer is obtained on the outer wall of puncture needle as long as can realize
.
Embodiment 2
As shown in Fig. 1~Fig. 6, including the puncture tube 1 with pipe pipe puncture tip 4 and the light for light positioning are determined
Position body, the puncture tube 1 can be punctured using the pipe pipe puncture tip 4 of head end to the internal organs region where lesser tubercle, in profit
When being punctured with pipe pipe puncture tip 4, light positioning physical efficiency is tracked into lesser tubercle;When extracting the puncture tube 1 after puncturing, light
Physical efficiency indwelling is positioned in lesser tubercle, and can be produced in lesser tubercle or conduct the light for positioning;Set on light positioning body
It is equipped with light positioning body water-swellable layer.
Specifically, in a tubular form, the use of puncture tube 1 meets medical material and is made puncture tube 1, and pipe puncture tip 4 can lead to
The head end crossed in puncture tube 1 sets angular cut to be formed, and the region of internal organs where lesser tubercle can be worn using pipe puncture tip 4
Thorn, when being punctured using pipe puncture tip 4, the head end of puncture tube 1 can enter in the lesser tubercle of internal organs.
When the head end of puncture tube 1 enters in lesser tubercle, light positioning body can be placed in lesser tubercle.In order to be able to realize pair
The positioning of lesser tubercle, can be quickly true by the positioning light of light positioning body, it is necessary to by the indwelling of light positioning body in lesser tubercle
Determine the position of internal organs lesser tubercle, realize the Needle localization efficiency and reliability of lesser tubercle.In the embodiment of the present invention, lesser tubercle is specific
Can be including the lesser tubercle in breast, muscle, thyroid gland, lung, kidney.
When specifically used, lesser tubercle is positioned under CT, it is determined that behind lesser tubercle position, utilizing the pipe of puncture tube 1
Puncture tip 4 is punctured, and the head end of puncture tube 1 enters in lesser tubercle, and light positioning body follows the head end of puncture tube 1 to enter small
In tubercle.Hereafter, puncture tube 1 is exited out of puncture lesser tubercle, and light positioning body is retained in lesser tubercle, wait into
Enter follow-up operation technique.When carrying out follow-up operation, the positioning light for being produced or being conducted according to light positioning body can be quick
Determine position and the depth of lesser tubercle.When lesser tubercle is cut off, light positioning body can be followed to the lesser tubercle of excision together
Remove, improve the reliability in lesser tubercle operation, it is to avoid the wound that the normal structure of excision is excessively caused expands.
In the specific implementation, light positioning body can also can partly enter and puncture completely into the lesser tubercle of puncture
Lesser tubercle in, can specifically be selected as needed, as long as the light positioning needed for realizing.
The specific implementation structure to light positioning body is illustrated respectively below.
As shown in Figure 1, Figure 2 and Figure 3, the light positioning body includes being used to produce positioning light and indwelling is in lesser tubercle
Illuminator 8 and luminous power 7 for providing the working power of illuminator 8, luminous power 7 passes through luminous connector and hair
Body of light 8 is electrically connected, and illuminator 8 is fixed on the one end of luminous connector, and the other end of luminous power 7 and luminous connector is adopted
With being detachably connected.
In the embodiment of the present invention, illuminator 8 can use cold light source, such as LED forms, using the illuminator 8 of cold light source
The produced heat that lighted in lesser tubercle can be reduced, it is to avoid illuminator 8 emits light and heat brings detrimental effect to internal organs.It is luminous
Body 8 can be in spherical or other shapes, and luminous power 7 provides the working power of illuminator 8, luminous power 7 and luminous connector
Using being detachably connected, now, luminous power 7 is located at outside lesser tubercle, and illuminator 8 is located in lesser tubercle to be cut;When luminous
When power supply 7 is electrically connected with luminous connector and is in 8 power supply state of illuminator, illuminator 8 can be in luminance, pass through hair
The light that body of light 8 is sent, can quickly realize the positioning to internal organs lesser tubercle.
When it is implemented, illuminator 8 is fixed on the end of luminous connector, illuminator 8 is placed in by luminous connector
In puncture tube 1, and by the indwelling of illuminator 8 after in lesser tubercle, it is necessary to puncture tube 1 is removed from the internal organs of puncture, therefore, send out
Being detachably connected between photoelectric source 7 and luminous connector, does not interfere with puncture tube 1 and is removed from the internal organs of puncture, also ensured that
During operation, pass through the luminous positioning realized to lesser tubercle of illuminator 8.It is specific detachable between luminous power 7 and luminous connector
Type of attachment can be selected as needed, be detachably connected, specifically repeated no more as long as can realize.
Further, the luminous connector includes luminous connecting rod 6, and illuminator 8 is placed in by luminous connecting rod 6 and worn
Pierce in pipe 1;When fit form of the light positioning body using illuminator 8, luminous connecting rod 6 and luminous level 7, the light
Light positioning body water-swellable layer on positioning body includes the connecting rod water-swellable being arranged on the outer wall of luminous connecting rod 6
Layer.
In the present embodiment, luminous connecting rod 6 can be made of the material of hard, and luminous power 7 can pass through luminous company
Extension bar 6 is realized with illuminator 8 and electrically connected, or is electrically connected by the connection cables being placed in luminous connecting rod 6 with illuminator 8.
When luminous power 7 is electrically connected by luminous connecting rod 6 with illuminator 8, luminous connecting rod 6 needs to be made of conductive material,
And it is coated with insulating materials on the luminous outer wall of connecting rod 6.Usually, the length for the connecting rod 6 that lights is more than the length of puncture tube 1
Degree, the connecting rod 6 that lights can be in parallel distribution with puncture tube 1 in puncture tube 1.Because the external diameter of puncture tube 1 is more than luminous company
The external diameter of junctor 6 and illuminator 8,, can in order to prevent situations such as the position generation pneumothorax of puncture after puncture tube 1 is removed
To set connecting rod water-swellable layer in luminous connecting rod 6, the connecting rod water-swellable layer runs into the blood or water of site of puncture
Deng liquid when, the effect of expansion can be produced, and upon inflation, puncture tube 1 can be effectively blocked and puncture the puncturing hole produced;Connecting rod is met
Water expanding layer selects medical material, and it can adsorb volume after moisture content, water suction and significantly become big.Such as:Medical cotton, chitosan hemostasis sea
Silk floss, fibroin albumen, amnion, collagen, expanded PTFE, bacteria cellulose, water-absorbing resin, medical grade gelatin etc.;Connecting rod is met
Water expanding layer can draw moisture content expansion after puncturing, puncturing hole road can be blocked after expansion, it is to avoid the complication caused by puncture wound,
Such as:Bleeding, the thyroid gland neck for avoiding puncturing hole to injure after thin vessels when pneumothorax and bleeding, liver renal fibroblast are avoided in lung puncture
Bleeding after portion is punctured causes hematoma compression etc..
Further, it is also possible to set connecting rod hangnail in luminous connecting rod 6, the connecting rod hangnail is in luminous connecting rod 6
Tilt distribution, the connecting rod hangnail can along luminous link rod 6 distribution of lengths, can also be only arranged in luminous connecting rod 6
Portion region.When the indwelling of illuminator 8 is after in the lesser tubercle of puncture, using connecting rod hangnail can reduce luminous connecting rod 6 further to
Moved in lesser tubercle, and be avoided that illuminator 8 is run out of out of puncture lesser tubercle.
In addition, also including connecting rod inner sleeve 2, the connecting rod inner sleeve 2 is located in puncture tube 1, and the connecting rod 6 that lights is through company
Bar inner sleeve 2, illuminator 8 be located at connecting rod inner sleeve 2 outside, connecting rod inner sleeve 2 can in puncture tube 1 can along puncture tube 1 length
Direction is moved, and luminous connecting rod 6 can be moved in connecting rod inner sleeve 2 along the length direction of connecting rod inner sleeve 2.
In the present embodiment, the caliber of connecting rod inner sleeve 2 is more than the external diameter of luminous connecting rod 6 and is less than the interior of puncture tube 1
Footpath, to enable connecting rod inner sleeve 2 to be placed in puncture tube 1.The length of connecting rod inner sleeve 2 can be more than the length of puncture tube 1, even
The length of bar inner sleeve 2 is less than the length of luminous connecting rod 6, and when connecting rod inner sleeve 2 is located in puncture tube 1, light connecting rod 6
Passed through connecting rod inner sleeve 2, and out of connecting rod inner sleeve 2, luminous connecting rod 6 is improved in puncture tube using connecting rod inner sleeve 2
The stability of motion in 1.When puncture tube 1 is removed from the internal organs of puncture, connecting rod inner sleeve 2 is also required to remove, and only retains hair
Light connects bar 6 and illuminator 8.
When it is implemented, the end of connection inner sleeve 2 is provided with connecting rod inner sleeve lever 5, set in the tail end of puncture tube 1
Puncture tube end ring 3, the external diameter of puncture tube end ring 3 is more than the external diameter of puncture tube 1, when connection inner sleeve 2 is placed in puncture tube 1, even
Bar inner sleeve lever 5 is located at the outside of puncture tube end ring 3, convenient to connecting rod inner sleeve 2 using connecting rod inner sleeve lever 5
Operation, the operation to puncture tube 1 can be facilitated using puncture tube end ring 3.The external diameter of illuminator 8 is more than the internal diameter of connecting rod inner sleeve 2, and hair
Body of light 8 is located at outside the head end opening of connecting rod inner sleeve 2, during puncture, when pipe puncture tip 4 reaches lesser tubercle center or bottom position,
In fixed connecting rod inner sleeve 2, abjection puncture tube 1, being organized under elastic reaction around pipe puncture tip 4 can be to larger external diameter
Illuminator 8 forms annular encirclement, plays fixation, so as to avoid illuminator 8 from occurring when exiting connecting rod inner sleeve 2
Passage is so as to ensure the accuracy of locating effect.
As shown in Figure 4 and Figure 5, the luminous connector includes luminous connecting wire 12, and illuminator 8 passes through luminous connecting wire 12
It is placed in puncture tube 1;When luminous connector uses luminous connecting wire 12, the light positioning body water-swellable layer includes setting
Line water-swellable layer on the outer wall of luminous connecting wire 12.
In the present embodiment, when producing positioning light using illuminator 8, the luminous connector can also be using luminous company
Wiring 12, luminous connecting wire 12 can be made with flex etc., had in luminous connecting wire 12 and realized luminous power 7 and the electricity of illuminator 8
The cable of connection, the end of luminous connecting wire 12 sets luminous connecting wire joint 10, can be realized using luminous connecting wire joint 10
With being detachably connected for luminous power 7.Using luminous connecting wire 12 except that can be electrically connected with illuminator 8, when the indwelling of illuminator 8 in
When in lesser tubercle, moreover it is possible to realize the quick positioning to lesser tubercle.The specific material of line water-swellable layer and effect are with connecting
Bar water-swellable layer is consistent, specifically may be referred to the explanation of connecting rod water-swellable layer, here is omitted.
In addition, the luminous connector includes luminous connecting wire 12, the illuminator 8 is placed in by luminous connecting wire 12
In puncture tube 1, some line hangnails 9 are provided with the outer wall of the luminous connecting wire 12.Also include line inner sleeve 11, it is described
Luminous connecting wire 12 can run through line inner sleeve 11, and illuminator 8 is located at outside line inner sleeve 11.
In the embodiment of the present invention, there is identical to act on for luminous connecting wire 12 and luminous connecting rod 6, luminous connecting wire 12 and
The difference of luminous connecting rod 6 is to be made of different materials, can realize being electrically connected between luminous power 7 and illuminator 8
Connect, the effect of line hangnail 9 and line water-swellable layer is also identical, specifically may be referred to above-mentioned explanation.When also including connecting
During line inner sleeve 11, the end of line inner sleeve 11 is provided with line inner sleeve lever 13, passes through line inner sleeve lever 13
The operation to line inner sleeve 11 can conveniently be realized.Line inner sleeve 11 is matched somebody with somebody with luminous connecting wire 12 and the specific of puncture tube 1
Conjunction may be referred to described above, and here is omitted.
As shown in fig. 6, the light positioning body includes being used for indwelling in the light conductor 14 in lesser tubercle and for producing
The light source body 19 of light, the light source body 19 is connected by guide-lighting connector 17 with light conductor 14, and light source body 19 is located at lesser tubercle
Outside, on light conduction to the light conductor 14 that guide-lighting connector 17 can produce light source body 19, and by light conductor 14 export needed for
Position light.
In the present embodiment, light conductor 14 is unable to self-luminous, but the light that can send light source body 19 is exported to external diffusion,
Light conductor 14 can be made of glass fibre, and guide-lighting connector 17 can be made of existing conventional optical material, specifically
Known to those skilled in the art, here is omitted.Light source body 19 can use existing conventional ray structure, light source
The light that body 19 is produced is guide-lighting by guide-lighting connector 17 and light conductor 14, to cause indwelling in the light conductor 14 in lesser tubercle
Send required positioning light.
When it is implemented, light source body 19 can be easy to put light conductor 14 with guide-lighting connector 17 using being detachably connected
In the removal in lesser tubercle, being also convenient for puncture tube 1;It specifically may be referred to the cooperation between above-mentioned luminous power 7 and illuminator 8
Procedure declaration, here is omitted.When using light conductor 14 and the cooperation of light source body 19, energy self-luminous is distinguished as with above-mentioned
Light source body 19 be located at when in use outside lesser tubercle, light conductor 14 is located in lesser tubercle, and remaining process used and effect are equal
It is identical.
When light positioning body is using guide-lighting connector 17 and light source body 19, the light positioning body water-swellable layer bag
The guide-lighting water-swellable layer being arranged on the guide-lighting connector 17 is included, in addition, leaded light can also be set on guide-lighting connector 17
Connector hangnail 18.Guide-lighting water-swellable layer selects medical material, it is desirable to which the material can adsorb volume after moisture content, water suction and significantly become
Greatly.Such as:Medical cotton, chitosan styptic sponge, fibroin albumen, amnion, collagen, expanded PTFE, bacteria cellulose, water suction
Resin, medical grade gelatin etc..Guide-lighting water-swellable layer can draw moisture content expansion after puncturing, puncturing hole road can be blocked after expansion, is kept away
Exempt from the complication caused by puncture wound.Such as:Avoid avoiding puncturing hole from hindering when pneumothorax and bleeding, liver renal fibroblast in lung puncture
The bleeding after bleeding, the puncture of thyroid gland neck after evil thin vessels causes hematoma compression etc..
It is avoided that guide-lighting connector 17 is fully entered in the lesser tubercle of puncture using guide-lighting connector hangnail 18, is also avoided that
Light conductor 14 is run out of out of puncture lesser tubercle, and specific cooperation may be referred to described above, and here is omitted.Specific implementation
When, guide-lighting inner sleeve 15 can also be set in puncture tube 1, run through guide-lighting inner sleeve 15 to guide-lighting connector 17, utilize leaded light
Inner sleeve 15 can improve the stability of the motion in puncture tube 1 of conduit connector 17.The end of guide-lighting inner sleeve 15 sets guide-lighting
Inner sleeve lever 16, the specific matching relationship of guide-lighting inner sleeve 15 and puncture tube 1 and guide-lighting connector 17 can join
Examine described above.
Embodiment 3
As shown in fig. 7, the present embodiment includes the puncture tube 1 that can be punctured to lesser tubercle position, in the puncture tube 1
Body 21 is pushed away provided with retaining spring 20 and for the spring for releasing the retaining spring 20 out of puncture tube 1;The positioning bullet
Spring 20 positions provided with spring and sets positioning wire body water-swellable layer in wire body 23, the spring positioning wire body 23;
When in puncture tube 1, retaining spring 20 is in elongation state and the length direction and puncture tube 1 of retaining spring 20
Length direction is consistent, by spring push away body 21 by retaining spring 20 release puncture tube 1 and enter puncture after lesser tubercle in when,
Retaining spring 20 can roll up in lesser tubercle, and retaining spring 20 in lesser tubercle when rolling up, and spring positions the tail end of wire body 23
Outside lesser tubercle.
Specifically, in a tubular form, puncture tube 1 is made puncture tube 1 of the material for meeting medical standard, the puncture tube 1
Head end has the pipe puncture tip 4 for puncturing, and the pipe puncture tip 4 can be chamfer by being set in the head end of puncture tube 1
Mouth is formed, and the position where lesser tubercle can be punctured using pipe puncture tip 4, when it is implemented, the lesser tubercle is general
For Small pulmonary nodule, it is of course also possible to be liver lesser tubercle or kidney lesser tubercle.It is provided with the tail end of puncture tube 1 and punctures pipe end
Ring 3, can be easy to grip or operate puncture tube 1, the external diameter of puncture tube end ring 3 is more than using the puncture tube end ring 3 of the end of puncture tube 1
The caliber of puncture tube 1, puncture tube end ring 3 is convexly equipped on puncture tube 1.
Front portion of the retaining spring 20 in puncture tube 1, when retaining spring 20 is in puncture tube 1, retaining spring 20 is in straight
Wire, the i.e. length direction of retaining spring 20 are consistent with the length direction of puncture tube 1, but retaining spring 20 length be less than wear
The length of pipe 1 is pierced, the diameter of retaining spring 20 is generally no greater than 5mm.Spring pushes away the positioning that body 21 can be placed in puncture tube 1
Spring 20 is released, and spring pushes away the general tail end from puncture tube 1 of body 21 and entered in puncture tube 1, and by retaining spring 20 from puncture tube 1
Head end release.After retaining spring 20 departs from out of puncture tube 1, retaining spring 20 can become to roll up shape, and retaining spring 20 is curled up
Contract disc-shaped or bulk, using the hardness of retaining spring 20, by touching retaining spring 20, quickly to determine lesser tubercle
Position;The technological means that retaining spring 20 can be commonly used using the art realizes that specially those skilled in the art institute is ripe
Know, here is omitted.
In addition, after retaining spring 20 is located in lesser tubercle, required marking operation can be carried out using retaining spring 20, specifically
The process of operation is marked known to those skilled in the art, here is omitted.
When specifically used, the region of lesser tubercle is positioned under CT, after positioning, punctured using the pipe of puncture tube 1
4 pairs of tip positioning lesser tubercle position is punctured, and to cause the head end of puncture tube 1 to be located in lesser tubercle, body 21 is pushed away using spring
Retaining spring 20 in puncture tube 1 is pushed into lesser tubercle, retaining spring 20 is rolled up in lesser tubercle.When retaining spring 20 enters
After in lesser tubercle, puncture tube 1 is exited out of puncture lesser tubercle, during subsequent procedures, according to the position for determining retaining spring 20
It is determined that the position of lesser tubercle to be cut off, and it is determined that behind position, lesser tubercle is cut off, retaining spring 20 follows the lesser tubercle of excision
Take out together.
When it is implemented, the spring pushes away body 21 in shaft-like, spring pushes away the end of body 21 provided with pushing away body handle 4.Spring is pushed away
The external diameter of body 21 is less than the internal diameter of puncture tube 1, and the head end that spring pushes away body 21 stretched into puncture tube 1, spring push away the head end of body 21 with
Retaining spring 20 coordinates, and retaining spring 20 is released outside puncture tube 1.Using body handle 4 is pushed away operation spring can be easy to push away body 21.
When puncture tube 1 is released from the lesser tubercle of puncture, spring pushes away body 21 and follows the simultaneous ejection of puncture tube 1, i.e. only retaining spring 20
In lesser tubercle.
The retaining spring 20 positions wire body 23 provided with spring, and when retaining spring 20 is rolled up in lesser tubercle, spring is fixed
The tail end of bit line body 23 is located at outside lesser tubercle.
In the present embodiment, spring is set to position wire body 23 in retaining spring 20, the head end of spring positioning wire body 23 is general
The tail end in retaining spring 20 is fastened, so that when retaining spring 20 is rolled up in lesser tubercle, because spring positions wire body 23 small
Outside tubercle, the location status of wire body 23 is positioned according to spring, the position of lesser tubercle can be quickly determined.
Usually, spring positioning wire body 23 is made of the material for meeting medical standard, and spring positions the length of wire body 23
It is determined as needed, as long as so that after in the push-in lesser tubercle of retaining spring 20, the tail end of spring positioning wire body 23 is positioned at small
Outside tubercle, it is easy to the position of quick positioning lesser tubercle.
Further, since the external diameter of puncture tube 1 is more than the external diameter that spring positions wire body 23, punctured using puncture tube 1
And by puncture tube 1 from the regional location of puncture remove when, situations such as in order to avoid pneumothorax, it is fixed to have in spring positioning wire body 23
Bit line body water-swellable layer.I.e. when the regional location that spring positions wire body 23 with puncturing is contacted, oozed out using penetrating area
The liquid such as blood can cause spring to position the positioning wire body water-swellable layer expansion on the surface of wire body 23, when spring positioning wire body 23 is swollen
After swollen, the puncturing hole produced when puncture tube 1 is punctured can be effectively blocked.Positioning wire body water-swellable layer selects medical material, its energy
Moisture content is adsorbed, volume significantly becomes big after water suction, and specific material is such as:Medical cotton, chitosan styptic sponge, fibroin albumen, amnion, glue
Original, expanded PTFE, bacteria cellulose, water-absorbing resin, medical grade gelatin etc.;Water-swellable layer can draw moisture content after puncturing
Expansion, can block puncturing hole road, it is to avoid the complication caused by puncture wound, such as after expansion:Pneumothorax is avoided in lung puncture
And bleeding etc., the specific type of water-swellable layer can carry out selection determination, specially those skilled in the art institute as needed
Know, here is omitted.
When setting spring to position wire body 23 in retaining spring 20, the spring pushes away body 21 in a tubular form, spring positioning wire body
23 head end is connected with retaining spring 20, and spring positioning wire body 23 penetrates spring and pushed away in body 21, and spring positions the tail of wire body 23
End penetrates spring and pushed away in body 21.Usually, the tail end that the tail end of spring positioning wire body 23 pushes away body 21 from spring is passed, that is, positions bullet
When spring 20 is located in puncture tube 1, spring positioning wire body 23 is also in the linear state of elongation, as shown in figure 11;When by retaining spring
When in 20 push-in lesser tubercles and puncture tube 1 is removed, the tail end that spring is positioned into wire body 23 can be facilitated to stay in outside lesser tubercle, such as schemed
Shown in 12.When setting spring to position wire body 23 in retaining spring 20, do not interfere with and required mark is carried out using retaining spring 20
Note operation.
In addition, setting some hangnails for being used to prevent spring from positioning the movement of wire body 23, institute in the spring positioning wire body 23
State hangnail inclined distribution in spring positioning wire body 23.In the embodiment of the present invention, the incline direction of hangnail will ensure not influence
The head portion of spring positioning wire body 23 follows retaining spring 20 to enter in lesser tubercle, and the end section outside lesser tubercle is not
When can be due to movement, fully enter in lesser tubercle, and the positioning wire body entered in lesser tubercle will not be due to motion, then exit brief summary
Section is outer.When it is implemented, hangnail is made of soft material, will not bring should not damage.
Embodiment 4
As shown in Fig. 8, Fig. 9 and Figure 10, the present embodiment includes the puncture procedure bar 24 with needle tip 25, is worn described
Retaining spring 20 and the spring ejector sleeve 26 for promoting retaining spring 20 are cased with thorn action bars 24;In the retaining spring 20
Positioned provided with spring and positioning wire body water-swellable layer is set in wire body 23, the spring positioning wire body 23;
After being punctured using the needle tip 25 of puncture procedure bar 24 to lesser tubercle, by spring ejector sleeve 26 by retaining spring 20
It is pushed into lesser tubercle, retaining spring 20 is in after entering in lesser tubercle rolls up state, and retaining spring 20 is rolled up in lesser tubercle
When, the tail end of spring positioning wire body 23 is located at outside lesser tubercle.
Specifically, the main body of puncture procedure bar 24 is in shaft-like, head of the needle tip 25 positioned at puncture procedure bar 24
End, the tail end of puncture procedure bar 24 is provided with puncture procedure handle 27, and spring ejector sleeve 26 is enclosed on puncture procedure bar 24 to be punctured with described
Action bars 24 is in coaxial distribution.Retaining spring 20 can be enclosed on puncture procedure bar 24, and retaining spring 20 is located at puncture procedure
The front portion of bar 24, retaining spring 20 is enclosed on puncture procedure bar 24, and retaining spring 20 is in elongation state, now, retaining spring
20 length direction is consistent with the length direction of puncture procedure bar 24, and the length of retaining spring 20 is less than puncture procedure bar 24
Length, the internal diameter of retaining spring 20 is adapted to the external diameter of puncture procedure bar 24, i.e., the internal diameter of retaining spring 20 is grasped slightly larger than puncture
Make the external diameter of bar 24, when retaining spring 20 is enclosed on puncture procedure bar 24, will not be moved easily on puncture procedure bar 24
Or come off from puncture procedure bar 24.
In a tubular form, when spring ejector sleeve 26 is enclosed on puncture procedure bar 24, spring ejector sleeve 26 is located at positioning to spring ejector sleeve 26
Between spring 20 and puncture procedure handle 27, spring ejector sleeve 26 can be moved on puncture procedure bar 24, the caliber of spring ejector sleeve 26 with
Retaining spring 20 is adapted to, to be pushed away retaining spring 20 from puncture procedure bar 24 by spring ejector sleeve 26.When positioning bullet
When spring 20 is pushed away from puncture procedure bar 24, retaining spring 20, which is in, rolls up state, and retaining spring 20 rolls up disc-shaped or bulk,
To store in lesser tubercle after piercing, the diameter of retaining spring 20 is generally no greater than 5mm.Pushed away when by retaining spring 20
Enter in the lesser tubercle of puncture, puncture procedure bar 24 needs the lesser tubercle removal from puncture, and now, spring ejector sleeve 26 follows puncture
Together, i.e., only retaining spring 20 is in the lesser tubercle of puncture for action bars 24.
Because the indwelling of retaining spring 20 is in lesser tubercle, when carrying out follow-up operation, positioning bullet can be pressed or touched
Spring 20, determines the position of lesser tubercle, realizes the quick puncture positioning of lesser tubercle.Retaining spring 20 can be normal using the art
Technological means realizes that specially known to those skilled in the art, here is omitted.When it is implemented, the brief summary
Section can also be liver region lesser tubercle or kidney lesser tubercle in addition to Small pulmonary nodule.
When specifically used, the region of lesser tubercle is positioned under CT, it is determined that behind lesser tubercle position, being grasped using puncturing
25 pairs of needle tip for making bar 24 determines that lesser tubercle is punctured, and now, needle tip 25 enters in lesser tubercle.Pushed away using spring
Retaining spring 20 on puncture procedure bar 24 is pushed into lesser tubercle by pipe 26, is all divided in retaining spring 20 and puncture procedure bar 24
From when, retaining spring 20 is rolled up in lesser tubercle to be accommodated in lesser tubercle., can be according to exploration in the case of follow-up no CT
The position of retaining spring 20 determines the position of lesser tubercle, and it is determined that behind the position of lesser tubercle, lesser tubercle is cut off, retaining spring
20 follow the lesser tubercle of excision to take out together.Can be according to the hardness of retaining spring 20 to exploring for retaining spring in lesser tubercle 20
To determine the position of lesser tubercle.
When it is implemented, when the indwelling of retaining spring 20 is when in lesser tubercle, it is possible to use retaining spring 20 carries out required
Marking operation, is specifically marked the process of operation known to those skilled in the art, here is omitted.
In the embodiment of the present invention, the head end of positioning wire body 23 typically fastens the tail end in retaining spring 20, so that in positioning bullet
When spring 20 is rolled up in lesser tubercle, because positioning wire body 23 is connected outside lesser tubercle and with retaining spring 20, by positioning wire body
23 can quickly determine the position of lesser tubercle.
Usually, positioning wire body 23 is made of the material for meeting medical standard, and the length for positioning wire body 23 is as needed
It is determined, as long as so that after in the push-in lesser tubercle of retaining spring 20, the tail end of positioning wire body 23 is located at outside lesser tubercle, is easy to soon
The position of speed positioning lesser tubercle.Further, since the external diameter of puncture procedure bar 24 is more than the external diameter of positioning wire body 23, in profit
Punctured with puncture procedure bar 24 and by puncture procedure bar 24 from during the regional location removal of puncture, in order to avoid feelings such as pneumothoraxs
Condition, water-swellable layer is set in positioning wire body 23.I.e. when the regional location for positioning wire body 23 with puncturing is contacted, puncture is utilized
The liquid such as the blood that region is oozed out can cause the water-swellable layer expansion for positioning the surface of wire body 23, after the expansion of wire body 23 is positioned,
The puncturing hole produced when puncture procedure bar 24 is punctured can effectively be blocked.Positioning wire body water-swellable layer selects medical material, its energy
Moisture content is adsorbed, volume significantly becomes big after water suction, and specific material is such as:Medical cotton, chitosan styptic sponge, fibroin albumen, amnion, glue
Original, expanded PTFE, bacteria cellulose, water-absorbing resin, medical grade gelatin etc.;Water-swellable layer can draw moisture content after puncturing
Expansion, can block puncturing hole road, it is to avoid the complication caused by puncture wound, such as after expansion:Pneumothorax is avoided in lung puncture
And bleeding etc., the specific type of water-swellable layer can carry out selection determination, specially those skilled in the art institute as needed
Know, here is omitted.
When setting positioning wire body 23 in retaining spring 20, positioning wire body 23 is penetrated in spring ejector sleeve 26, and is pushed away from spring
The end of pipe 26 is passed, that is, positions wire body 23 in spring ejector sleeve 26 and positioned between spring ejector sleeve 26 and puncture procedure bar 24.When
Spring ejector sleeve 26 is moved on puncture procedure bar 24 so that when retaining spring 20 is entered in the lesser tubercle after puncturing, in elongation
The meeting of positioning wire body 23 part for state is tracked into lesser tubercle, and the tail end of positioning wire body 23 is stayed in outside lesser tubercle, will not be produced
Situations such as giving birth to unnecessary winding.
In addition, setting some hangnails for being used to prevent from positioning the movement of wire body 23 in the positioning wire body 23, the hangnail exists
Position inclined distribution in wire body 23.In the embodiment of the present invention, the incline direction of hangnail will ensure not influence to position wire body 23
Head portion follows retaining spring 20 to enter in lesser tubercle, and the end section outside the lesser tubercle will not due to it is mobile when, entirely
Portion enters in lesser tubercle;Meanwhile, it will not be exited into the positioning wire body 23 in lesser tubercle due to movement out of lesser tubercle.It is specific real
Shi Shi, hangnail is made of soft material, with avoid bringing should not damage.
The puncture procedure bar 24 is provided with the ejector sleeve detent mechanism for being used for being positioned to spring ejector sleeve 26, spring ejector sleeve
26 are located between retaining spring 20 and ejector sleeve detent mechanism;
The ejector sleeve detent mechanism include being arranged at locating slot 30 on puncture procedure bar 24 and with the locating slot 30
The ejector sleeve fixture block 28 of adaptation, one end and the puncture procedure bar 24 of the ejector sleeve fixture block 28 are hinged.
The length of retaining spring 20 and spring ejector sleeve 26 on puncture procedure bar 24 is close but less than puncture procedure bar 24
Length, now, the positioning to spring ejector sleeve 26 can be realized using the puncture procedure handle 27 of the tail end of puncture procedure bar 24, it is to avoid
When being punctured using the needle tip 25 of puncture procedure bar 24, retaining spring 20 and spring ejector sleeve 26 are in puncture procedure bar 24
Upper motion influence is punctured;When the use of puncture procedure handle 27 is detachably connected, it can also incited somebody to action after the puncture of puncture procedure bar 24
Retaining spring 20 and spring ejector sleeve 26 are sequentially sleeved on puncture procedure bar 24, can specifically be selected as needed, herein
Repeat no more.
In the embodiment of the present invention, when spring ejector sleeve 26 and retaining spring 20 are enclosed on puncture procedure bar 24, and wear in advance
, it is necessary on puncture procedure bar 24 when piercing the length of action bars 24 more than retaining spring 20 and the length sum of spring ejector sleeve 26
Ejector sleeve detent mechanism is set.Locating slot 30 on puncture procedure bar 24 is consistent with the shape of ejector sleeve fixture block 28, ejector sleeve fixture block 28
It can be embedded in locating slot 30, when ejector sleeve fixture block 28 is embedded in locating slot 30, the height of ejector sleeve fixture block 28 is not higher than puncture
The height of the main body remainder of action bars 24, when it is implemented, ejector sleeve fixture block 28 can be separated from puncture procedure bar 24
A part, when ejector sleeve fixture block 28 is embedded in locating slot 30, can form a complete puncture procedure bar 24.Ejector sleeve fixture block 28
It is hinged by jointed shaft 29 with puncture procedure bar 24.
When retaining spring 20 and spring ejector sleeve 26 are enclosed on puncture procedure bar 24, retaining spring 20, spring ejector sleeve 26
Between needle tip 25 and ejector sleeve fixture block 28, and spring ejector sleeve 26 is located between retaining spring 20 and ejector sleeve fixture block 28;And it is fixed
Position spring 20, the length sum of spring ejector sleeve 26 are approached but less than the distance between ejector sleeve fixture block 28 and needle tip 25.Work as ejector sleeve
When fixture block 28 is lifted up, the end of spring ejector sleeve 26 can be propped up, so as to when being punctured using needle tip 25, utilize
Ejector sleeve fixture block 28 props up spring ejector sleeve 26 so that spring ejector sleeve 26 will not be moved to the direction of puncture procedure handle 27, utilize spring
Ejector sleeve 26 and the active force of retaining spring 20, can cause the head end of retaining spring 20 to follow needle tip 25 to enter in lesser tubercle.