CN107320204A - A kind of S3Sacral nerve cross positioning device and localization method - Google Patents
A kind of S3Sacral nerve cross positioning device and localization method Download PDFInfo
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- CN107320204A CN107320204A CN201710520171.0A CN201710520171A CN107320204A CN 107320204 A CN107320204 A CN 107320204A CN 201710520171 A CN201710520171 A CN 201710520171A CN 107320204 A CN107320204 A CN 107320204A
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- trailing arm
- positioning device
- locating rack
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- 210000005036 nerve Anatomy 0.000 title claims abstract description 30
- 238000000034 method Methods 0.000 title claims abstract description 14
- 230000004807 localization Effects 0.000 title claims abstract description 8
- 230000002146 bilateral effect Effects 0.000 claims abstract description 4
- 238000010276 construction Methods 0.000 abstract description 2
- 238000011282 treatment Methods 0.000 description 8
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
- 201000010099 disease Diseases 0.000 description 4
- 210000001217 buttock Anatomy 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000004007 neuromodulation Effects 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 206010058109 Hangnail Diseases 0.000 description 2
- 230000033228 biological regulation Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000003692 ilium Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000011514 reflex Effects 0.000 description 2
- 230000000638 stimulation Effects 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010066901 Treatment failure Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000008482 dysregulation Effects 0.000 description 1
- 238000004070 electrodeposition Methods 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000027939 micturition Effects 0.000 description 1
- 230000007433 nerve pathway Effects 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 230000004768 organ dysfunction Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000011321 prophylaxis Methods 0.000 description 1
- 230000001568 sexual effect Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36103—Neuro-rehabilitation; Repair or reorganisation of neural tissue, e.g. after stroke
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Gastroenterology & Hepatology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Rehabilitation Therapy (AREA)
- Electrotherapy Devices (AREA)
- Radiation-Therapy Devices (AREA)
Abstract
The present invention provides a kind of S3Sacral nerve cross positioning device, including trailing arm and transverse arm, the trailing arm is connected with transverse arm by screw riveting, the transverse arm respectively has the transverse arm locating rack of a semi-circular shape away from left and right at screw riveting central point 1.5cm, the a diameter of 1cm of transverse arm locating rack, distance of center circle screw riveting central point distance is 2cm, the trailing arm is provided with neck A and neck B with transverse arm interface, the neck depth is 0.5mm, the trailing arm and transverse arm thickness are 1mm, the trailing arm head end is 2cm away from screw riveting centre distance, and tail end is 9cm away from screw riveting centre distance, and localization method is：Touched using hand or x-ray equipment determines articulatio sacroiliaca lower edge and rumpbone position, along bilateral articulatio sacroiliaca lower edge line placement positioning device transverse arm, the trailing arm of sacral midline placement positioning device, the transverse arm locating rack center of circle of transverse arm both sides two is S to be determined3The position in sacral nerve hole, the present invention is simple in construction, easy to operate.
Description
Technical field
The present invention relates to technical field of medical equipment, and in particular to a kind of S3Sacral nerve cross positioning device and positioning side
Method.
Background technology
Basin bottom organ dysfunction disease be it is a kind of have a strong impact on health of people and the wider disease of patient groups, its disease
Disease is numerous and diverse, treatment is intractable, is badly in need of a kind of new treatment means to solve, sacral nerve neuromodulation therapy in such disease treatment, into
For traditional conservative therapy in recent years or operative treatment failure latter is effective and treatment that recommended by various countries' practice guidelines
Method.
Sacral nerve neuromodulation art is that low-frequency electric pulse is continuously put on to specific sacral nerve using interventional technique（S2-4）, with this
Excited or suppression nerve pathway, dysregulation sacral nerve reflex arc, make abnormal neural reflex reach balance again, and then influence
And bladder, urethra/anal sphincter, basin bottom and genitals official rank sacral nerve domination target organ function are adjusted, controlled so as to reach
A kind of nervous centralis regulation technology of therapeutic effect, Medtronic Sacral nerve electrical stimulation system is that current international unique authentication treatment is set
Standby, by implantable nerve stimulator and electrode, two-way stimulation regulation sacral nerve reflects and controls urine, the storage of excrement and release
Put and men and women's sexual organ partial function, effectively improve urination, defecation and sex dysfunction safely.Sacral nerve positions conduct
Vital link in sacral nerve neuromodulation treatment Stage1, must touch mark sacrum hole site, for doctor by X or CT equipment combinations hand
Shield personnel and patient make troubles and the exposure of larger amount of x-ray.
The content of the invention
In order to solve the above-mentioned technical problem the present invention provides a kind of S3Sacral nerve cross positioning device and localization method, structure
Simply, it is easy to operate.
The technical scheme is that：A kind of S3Sacral nerve cross positioning device, including trailing arm and transverse arm, the trailing arm with
Transverse arm is connected by screw riveting, and the transverse arm is determined away from the transverse arm that respectively there is a semi-circular shape left and right at screw riveting central point 1.5cm
Position frame, transverse arm locating rack distance of center circle screw riveting central point distance is 2cm, a diameter of 1cm of the transverse arm locating rack, described
Trailing arm is provided with neck A and neck B with transverse arm interface, and the neck depth is 0.5mm, and the trailing arm is with transverse arm thickness
1mm, the trailing arm head end is 2cm away from screw riveting centre distance, and tail end is 9cm away from screw riveting centre distance.
A kind of S3The localization method of sacral nerve cross positioning device is：Method is touched using hand or x-ray equipment determines that sacrum ilium is closed
Lower edge and rumpbone position are saved, is filled along bilateral articulatio sacroiliaca lower edge line placement positioning device transverse arm, sacral midline placement positioning
The trailing arm put, the semicircle home position of transverse arm locating rack both sides two is S to be determined3The position in sacral nerve hole.
It is an advantage of the invention that：The present invention is simple in construction, easy to operate, greatlys save sacral nerve therapy Stage1 operations and controls
S during treatment3The time of sacral nerve positioning, effectively reduce the x-ray exposure of medical personnel and patient.
Figure of description
Fig. 1 is the structure top view of the present invention.
Fig. 2 is front view direction cross arm structure schematic diagram of the present invention.
Fig. 3 is upward view direction trailing arm schematic diagram of the present invention.
Wherein：1st, transverse arm, 2, screw riveting, 3, transverse arm locating rack, 4, trailing arm, 5, neck A, 6, neck B.
Embodiment
Clearly complete description is done to the present invention below in conjunction with the accompanying drawings, so that those skilled in the art need not make
Under conditions of creative work, it can fully implement the present invention.
The present invention embodiment be：A kind of S3Sacral nerve cross positioning device, including trailing arm 4 and transverse arm 1, it is described
Trailing arm 4 is connected with transverse arm 1 by screw riveting 2, and the transverse arm 1 respectively has a semicircle away from left and right at the central point 1.5cm of screw riveting 2
The transverse arm locating rack 3 of shape, the distance of center circle screw riveting central point of transverse arm locating rack 3 distance is 2cm, and the transverse arm locating rack 3 is straight
Footpath is 1cm, and the head end of trailing arm 4 is 2cm away from the centre distance of screw riveting 2, and tail end is 9cm away from the centre distance of screw riveting 2.
As shown in Figure 2,3, the trailing arm 4 is provided with neck A5 and neck B6 with the interface of transverse arm 1, and the neck depth is
0.5mm, the trailing arm, which is that 1mm, neck A5 and neck B6 are just identical with transverse arm thickness, snaps into plane.
The specific implementation step of localization method is in the present embodiment：Method is touched using hand or x-ray equipment determines that sacrum ilium is closed
Lower edge and rumpbone position are saved, is filled along bilateral articulatio sacroiliaca lower edge line placement positioning device transverse arm 1, sacral midline placement positioning
The trailing arm 3 put, two home positions of transverse arm locating rack 3 of the both sides of transverse arm 1 are S to be determined3The position in sacral nerve hole.
In the present embodiment, patient is treated after the device and localization method in the application present invention, patient
Therapeutic progresses in two steps, the first step：Out treatment stage, after determining that puncture needle position is correct, pulls out nook closing member, insertion depth
Indicator, punctures and does 0.5cm otch at skin, puncture needle is pulled out, only indwelling depth indicator, by expander together with inducting device set
S is inserted along depth indicator3In sacral nerve hole, inducting device set tip mark is determined by B ultrasound or x-ray secondary combined scale mark
Positioned at the slightly biased lower place of the center line of rumpbone thickness, expander and depth indicator, only indwelling inducting device set are pulled out.Hangnail sample is permanent
Electrode is inserted in inducting device set, 4 electrode contacts in front is pressed close to S as far as possible3Sacral nerve, it is deep by testing and debugging electrode in art
Degree, typically contact 2 are across the inner side and outer side of rumpbone sacrum hole ventral surface with contact 3 respectively, and interim stimulated in vitro device is surveyed
Try the motion response of each contact and feel response, obtain response number of contacts is more, electrode position is better, test errorless
Afterwards, keep tined-lead electrode motionless in original position, pull out inducting device set, hangnail is discharged fixed electrode.Choose outside electrode homonymy buttocks
Top intends the permanent stimulator position of implantation and takes 3cm or so otch, is drawn tined-lead electrode tail end with tunneler, and connection is percutaneously prolonged
Wire is stretched, further percutaneous extension wire subcutaneous tunnel is led to outside offside skin of buttock；Second step：Permanent implanted rank
Section：Patient takes prone position, and conventional visual area sterilization, drape, former buttocks otch local anaesthesia take the long otch of 5cm, finds electrode and warp
Skin extension wire, is separated both with torque spanner, and percutaneous extension wire is removed, and in the suitable sacral nerve that subcutaneously dissociates entirely
The gap of stimulator volume, sacral nerve stimulator is connected to by electrode by extension wire, is placed into the subcutaneous space dissociated
In, need to carry out the dependence tests such as impedance using Medical program-controlled instrument before otch is closed, to ensure that each several part connection is normal, closing is cut
Mouthful, postoperative use antibiotic prophylaxis infects.
Presently preferred embodiments of the present invention is described above, it should be pointed out that the invention is not limited in above-mentioned
Particular implementation, wherein the equipment and structure be not described in detail to the greatest extent are construed as giving reality with the common mode in this area
Apply；Any those skilled in the art, without departing from the scope of the technical proposal of the invention, the technology according to the present invention
Essence still falls within technical solution of the present invention protection to any simple modifications, equivalents, and modifications made for any of the above embodiments
In the range of.
Claims (2)
1. a kind of S3Sacral nerve cross positioning device, it is characterised in that including trailing arm and transverse arm, the trailing arm passes through spiral shell with transverse arm
Silk riveting connection, the transverse arm respectively has the transverse arm locating rack of a semi-circular shape, the horizontal stroke away from left and right at screw riveting central point 1.5cm
Arm locating rack distance of center circle screw riveting central point distance is 2cm, a diameter of 1cm of the transverse arm locating rack, the trailing arm and transverse arm
Interface is provided with neck A and neck B, and the neck depth is 0.5mm, and the trailing arm and transverse arm thickness are 1mm, the trailing arm
Head end is 2cm away from screw riveting centre distance, and tail end is 9cm away from screw riveting centre distance.
2. a kind of S described in a kind of claim 13The localization method of sacral nerve cross positioning device, it is characterised in that utilize hand
The method of touching or x-ray equipment determine articulatio sacroiliaca lower edge and rumpbone position, are filled along bilateral articulatio sacroiliaca lower edge line placement positioning
Transverse arm, the trailing arm of sacral midline placement positioning device are put, the semicircle home position of transverse arm locating rack both sides two is to be determined
S3The position in sacral nerve hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710520171.0A CN107320204B (en) | 2017-06-30 | 2017-06-30 | S, S 3 Sacral nerve cross positioning device and positioning method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710520171.0A CN107320204B (en) | 2017-06-30 | 2017-06-30 | S, S 3 Sacral nerve cross positioning device and positioning method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107320204A true CN107320204A (en) | 2017-11-07 |
| CN107320204B CN107320204B (en) | 2024-04-16 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710520171.0A Active CN107320204B (en) | 2017-06-30 | 2017-06-30 | S, S 3 Sacral nerve cross positioning device and positioning method |
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| Country | Link |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109998645A (en) * | 2019-04-09 | 2019-07-12 | 广州星顿医疗科技有限公司 | A kind of sacral nerve S3Cross positioning device and localization method |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080039866A1 (en) * | 2006-08-11 | 2008-02-14 | Medtronic, Inc. | Locating guide |
| CN203138679U (en) * | 2012-12-04 | 2013-08-21 | 杨双石 | Three-dimensional body-surface positioner for spine |
| CN208659581U (en) * | 2017-06-30 | 2019-03-29 | 陈琦 | A kind of S3 sacral nerve cross positioning device |
-
2017
- 2017-06-30 CN CN201710520171.0A patent/CN107320204B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080039866A1 (en) * | 2006-08-11 | 2008-02-14 | Medtronic, Inc. | Locating guide |
| CN203138679U (en) * | 2012-12-04 | 2013-08-21 | 杨双石 | Three-dimensional body-surface positioner for spine |
| CN208659581U (en) * | 2017-06-30 | 2019-03-29 | 陈琦 | A kind of S3 sacral nerve cross positioning device |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109998645A (en) * | 2019-04-09 | 2019-07-12 | 广州星顿医疗科技有限公司 | A kind of sacral nerve S3Cross positioning device and localization method |
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| Publication number | Publication date |
|---|---|
| CN107320204B (en) | 2024-04-16 |
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Effective date of registration: 20240312 Address after: 710004 No. 157, five West Road, Shaanxi, Xi'an Applicant after: THE SECOND AFFILIATED HOSPITAL OF COLLEGE OF MEDICINE OF XI'AN JIAOTONG University Country or region after: China Address before: Room 1361, Lanjian Community, 123 Zhuhong Road, Weiyang District, Xi'an City, Shaanxi Province, 710000 Applicant before: Chen Qi Country or region before: China |
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