CN107320204B - S, S 3 Sacral nerve cross positioning device and positioning method - Google Patents
S, S 3 Sacral nerve cross positioning device and positioning method Download PDFInfo
- Publication number
- CN107320204B CN107320204B CN201710520171.0A CN201710520171A CN107320204B CN 107320204 B CN107320204 B CN 107320204B CN 201710520171 A CN201710520171 A CN 201710520171A CN 107320204 B CN107320204 B CN 107320204B
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- arm
- transverse arm
- xarm
- positioning
- screw
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- 210000005036 nerve Anatomy 0.000 title claims abstract description 25
- 238000000034 method Methods 0.000 title claims abstract description 14
- 210000003131 sacroiliac joint Anatomy 0.000 claims abstract description 8
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 210000001217 buttock Anatomy 0.000 description 3
- 230000001105 regulatory effect Effects 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 210000003903 pelvic floor Anatomy 0.000 description 2
- 230000011514 reflex Effects 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 238000003745 diagnosis Methods 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
- 238000011065 in-situ storage Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000004007 neuromodulation Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
Classifications
-
- 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)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Neurosurgery (AREA)
- Radiology & Medical Imaging (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Gastroenterology & Hepatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Radiation-Therapy Devices (AREA)
- Electrotherapy Devices (AREA)
Abstract
The invention provides a S 3 Sacral nerve cross positioning devicePut, including trailing arm and xarm, the trailing arm is riveted through the screw with the xarm and is connected, the xarm is about 1.5cm department from the screw rivets central point and has a semicircle shape's xarm locating rack respectively, xarm locating rack diameter is 1cm, and centre of a circle is 2cm from the screw riveting central point distance, trailing arm and xarm interface department is equipped with draw-in groove A and draw-in groove B, draw-in groove degree of depth is 0.5mm, trailing arm and xarm thickness are 1mm, trailing arm head end is 2cm from the screw riveting central distance, and tail end is 9cm from the screw riveting central distance, and the positioning method is: determining the lower edge of the sacroiliac joint and the position of the sacrum by using hand touch or X-ray equipment, placing a transverse arm of a positioning device and a longitudinal arm of a sacrum midline positioning device along the connecting line of the lower edge of the sacroiliac joint at two sides, wherein the circle centers of two transverse arm positioning frames at two sides of the transverse arm are S to be determined 3 The invention has simple structure and convenient operation.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to an S 3 A sacral nerve cross positioning device and a positioning method.
Background
The disease of disfunction of pelvic floor organ is a disease which seriously affects the health of people and has wider diseased population, the disease is complicated and difficult to treat, a new treatment means is urgently needed to solve, and the sacral nerve regulation therapy becomes an effective treatment method recommended by the diagnosis and treatment guidelines of various countries after the traditional conservation therapy or operation therapy fails in recent years in the treatment of the disease.
Sacral neuromodulation is the continuous application of low frequency electrical impulses to specific sacral nerves (S) 2-4 ) The central nerve regulating technology is used for exciting or inhibiting nerve paths, regulating abnormal sacral nerve reflex arcs, balancing abnormal nerve reflex again, affecting and regulating the functions of sacral nerve innervating target organs such as bladder, urethra/anal sphincter, pelvic floor, genital organs and the like, so that the therapeutic effect is achieved. Sacral nerve localization is a vital link in sacral nerve modulation treatment Stage1,the position of the sacral foramen is marked by means of X or CT equipment in combination with hand touch, which brings inconvenience and a large amount of X-ray exposure to medical staff and patients.
Disclosure of Invention
In order to solve the technical problems, the invention provides a S 3 The sacral nerve cross positioning device and the positioning method have the advantages of simple structure and convenient operation.
The technical scheme of the invention is as follows: s, S 3 The sacral nerve cross positioning device comprises a longitudinal arm and a transverse arm, wherein the longitudinal arm is connected with the transverse arm through screw riveting, a semicircular transverse arm positioning frame is arranged at the position, which is 1.5cm away from the screw riveting center point, of the transverse arm, the distance between the center of the transverse arm positioning frame and the screw riveting center point is 2cm, the diameter of the transverse arm positioning frame is 1cm, a clamping groove A and a clamping groove B are formed in the joint of the longitudinal arm and the transverse arm, the depth of the clamping groove is 0.5mm, the thicknesses of the longitudinal arm and the transverse arm are 1mm, the distance between the head end of the longitudinal arm and the screw riveting center point is 2cm, and the distance between the tail end of the longitudinal arm and the screw riveting center point is 9cm.
S, S 3 The positioning method of the sacral nerve cross positioning device comprises the following steps: determining the lower edge of the sacroiliac joint and the position of the sacrum by using a hand touch method or X-ray equipment, placing a transverse arm of a positioning device and a longitudinal arm of a sacrum midline positioning device along the connecting line of the lower edge of the sacroiliac joint at two sides, wherein the circle center positions of two semicircle at two sides of the transverse arm positioning frame are S to be determined 3 Location of the sacral foramen.
The invention has the advantages that: the invention has simple structure and convenient operation, and greatly saves S in the operation treatment process of the sacral nerve therapy Stage1 3 The time for sacral nerve positioning effectively reduces the X-ray exposure of medical staff and patients.
Drawings
Fig. 1 is a top view of the structure of the present invention.
Fig. 2 is a schematic view of a front view direction cross arm structure of the present invention.
Fig. 3 is a schematic view of a longitudinal arm structure in a bottom view direction.
Wherein: 1. the transverse arm is 2, the screw rivets, 3, the transverse arm locating rack, 4, the longitudinal arm, 5, the clamping groove A,6 and the clamping groove B.
Detailed Description
The present invention will be described more fully hereinafter with reference to the accompanying drawings, in order to enable those skilled in the art to practice the invention fully without the need for inventive faculty.
The specific embodiments of the invention are: s, S 3 The sacral nerve cross positioning device comprises a longitudinal arm 4 and a transverse arm 1, wherein the longitudinal arm 4 is connected with the transverse arm 1 through a screw rivet 2, a semicircular transverse arm positioning frame 3 is arranged at the position, which is about 1.5cm away from the center point of the screw rivet 2, of the transverse arm 1, the distance between the center of the transverse arm positioning frame 3 and the center point of the screw rivet is 2cm, the diameter of the transverse arm positioning frame 3 is 1cm, the distance between the head end of the longitudinal arm 4 and the center point of the screw rivet 2 is 2cm, and the distance between the tail end of the longitudinal arm and the center point of the screw rivet 2 is 9cm.
As shown in fig. 2 and 3, a clamping groove A5 and a clamping groove B6 are formed at the interface of the longitudinal arm 4 and the transverse arm 1, the depth of the clamping groove is 0.5mm, the thicknesses of the longitudinal arm and the transverse arm are 1mm, and the clamping groove A5 and the clamping groove B6 are just fit and buckled into a plane.
The specific implementation steps of the positioning method in this embodiment are: the lower edge of the sacroiliac joint and the position of the sacrum are determined by using a hand touch method or X-ray equipment, a transverse arm 1 of the positioning device and a longitudinal arm 3 of the sacrum midline positioning device are placed along the connecting line of the lower edge of the sacroiliac joint at two sides, and the circle center positions of the two transverse arm positioning frames 3 at two sides of the transverse arm 1 are S to be determined 3 Location of the sacral foramen.
In this embodiment, after the device and positioning method of the present invention are applied, the patient is treated, and the patient treatment step is divided into two steps, the first step: in the in vitro experience treatment stage, after the correct position of the puncture needle is determined, the needle core is pulled out, the depth indicator needle is inserted, a 0.5cm incision is made at the puncture skin, the puncture needle is pulled out, only the depth indicator needle is reserved, and the expander and the introducer sheath are placed into S along the depth indicator needle 3 In the sacral nerve hole, the tip mark of the introducer sheath is determined to be positioned slightly below the midline of the thickness of the sacrum by combining B ultrasonic or X-ray assistance with scale marks, the dilator and the depth indicator needle are removed, and only the introducer sheath is left. The barb-like permanent electrode is placed in the introducer sheath, so that the front 4 electrode contacts are close to S as much as possible 3 Sacral nerve, electrode depth adjustment by intra-operative testingThe contacts 2 and 3 are usually crossed on the inner side and the outer side of the ventral surface of the sacrum foramen respectively, the temporary external stimulator tests the motion response and the feel response of each contact, the more the number of the contacts obtaining the response is, the better the electrode position is, after the test is correct, the barbed electrode is kept in situ and is still, and the introducer sleeve is pulled out, so that the barbs release the fixed electrode. Selecting a part of the electrode on the same side, which is outside and above the buttocks and is to be implanted with a permanent stimulator, taking a incision of about 3cm, leading out the tail end of the barbed electrode by a tunneler, and connecting a percutaneous extension lead, and further leading the percutaneous extension lead to the outside of the skin of the contralateral buttocks through a subcutaneous tunnel; and a second step of: permanent implantation phase: the method comprises the steps of taking a prone position of a patient, sterilizing a conventional operation field, spreading a towel, carrying out local anesthesia on an incision of the original buttocks, taking a long incision of 5cm, searching an electrode and a percutaneous extension lead, separating the two by using a torque wrench, withdrawing the percutaneous extension lead, freeing a gap suitable for the volume of a sacral nerve stimulator under the whole skin, connecting the electrode to the sacral nerve stimulator through the extension lead, placing the electrode into the free subcutaneous gap, carrying out impedance and other related tests by using a medical program-controlled instrument before closing the incision to ensure that all parts are connected normally, closing the incision, and using antibiotics to prevent infection after operation.
While the preferred embodiments of the present invention have been described above, it should be noted that the present invention is not limited to the above-described specific embodiments, wherein the apparatus and structures not described in detail should be understood as being implemented in a common manner in the art; any simple modification, equivalent variation and modification of the above embodiments according to the technical substance of the present invention will fall within the scope of the technical solution of the present invention, without departing from the scope of the technical solution of the present invention.
Claims (1)
1. The S3 sacral nerve cross positioning device is characterized by comprising a longitudinal arm and a transverse arm, wherein the longitudinal arm is connected with the transverse arm through screw riveting, a semicircular transverse arm positioning frame is arranged at the position, which is about 1.5cm away from the screw riveting center point, of the transverse arm, the distance between the center of the transverse arm positioning frame and the screw riveting center point is 2cm, the diameter of the transverse arm positioning frame is 1cm, a clamping groove A and a clamping groove B are arranged at the joint of the longitudinal arm and the transverse arm, the depth of the clamping groove is 0.5mm, the thickness of the longitudinal arm and the transverse arm is 1mm, the distance between the head end of the longitudinal arm and the screw riveting center point is 2cm, and the distance between the tail end of the longitudinal arm and the screw riveting center point is 9cm;
when the positioning device is used, the lower edge of the sacroiliac joint and the position of the sacrum are determined by using a hand touch method or X-ray equipment, a transverse arm of the positioning device and a longitudinal arm of the sacrum midline positioning device are placed along the connecting line of the lower edge of the sacroiliac joint at two sides, and the center positions of two semicircles of the transverse arm positioning frames at two sides are the positions of the S3 sacral nerve holes to be determined.
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 CN107320204A (en) | 2017-11-07 |
| CN107320204B true 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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| CN (1) | CN107320204B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| 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 (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8204575B2 (en) * | 2006-08-11 | 2012-06-19 | Medtronic, Inc. | Locating guide |
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- 2017-06-30 CN CN201710520171.0A patent/CN107320204B/en active Active
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
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| Publication number | Publication date |
|---|---|
| CN107320204A (en) | 2017-11-07 |
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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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