CN107802327A - A kind of guiding puncture template - Google Patents

A kind of guiding puncture template Download PDF

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Publication number
CN107802327A
CN107802327A CN201711136413.2A CN201711136413A CN107802327A CN 107802327 A CN107802327 A CN 107802327A CN 201711136413 A CN201711136413 A CN 201711136413A CN 107802327 A CN107802327 A CN 107802327A
Authority
CN
China
Prior art keywords
puncturing hole
guiding
guiding puncture
template
puncture
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201711136413.2A
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Chinese (zh)
Inventor
周丁华
王国经
孔显娟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Rocket Army General Hospital Of Pla
Original Assignee
Rocket Army General Hospital Of Pla
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Rocket Army General Hospital Of Pla filed Critical Rocket Army General Hospital Of Pla
Priority to CN201711136413.2A priority Critical patent/CN107802327A/en
Publication of CN107802327A publication Critical patent/CN107802327A/en
Priority to PCT/CN2018/080639 priority patent/WO2019095603A1/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3476Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The present invention relates to a kind of guiding puncture template, the guiding puncture template includes guide template body, at least one puncturing hole group is provided with the guide template body, each puncturing hole group includes at least three puncturing holes for running through the guide template body, puncturing hole in the same puncturing hole group is parallel to each other and is equally spaced on the same line, it is not provided with being provided with hollow out window in the region of puncturing hole in the guide template body, one-to-one corresponding is put in the position of the puncturing hole with the default puncture hole position of tumor mass to be punctured.Puncture needle is fixed and guided by puncturing hole in the guiding puncture template of the present invention, puncture needle is inserted lesion according to default angle and depth, lesion is treated.The present invention guiding puncture template have it is simple in construction, be applicable a variety of tumours, can accurately control puncture needle insert lesion angle and depth the advantages of.

Description

A kind of guiding puncture template
Technical field
The present invention relates to technical field of medical instruments, and in particular to a kind of guiding puncture template.
Background technology
Cancer is to threaten one of human health and the principal disease of life, one issued according to world's Union Against Cancer (UICC) Item data shows:In 2008, worldwide cancer patient's number was 12,700,000, and wherein death toll is up to 7,600,000.Separately Display is reported according to the investigation statisticses of ministry of Health of China:Between past 30 years, cancer mortality increases more than eighty per cant, at present cancer Disease has become the number one killer of the important disease for causing urban and rural residents dead and health.The report of the World Health Organization (WHO) Announcement also indicates that:In the world, increase newly cases of cancer and cancer death lead also will with annual 1% speed increase, And the increasing velocity in developing countries such as China, Russia, India can be faster, it is contemplated that to the year two thousand thirty, the whole world will increase 2700 newly Ten thousand cases of cancers, the number for dying from cancer are up to 17,000,000 people.
The treatment method of cancer mainly has operative treatment, radiation treatment and chemotherapy etc. at present, but these traditional are controlled Treatment means by factors such as its indication, contraindication and side effects due to being limited, so therapeutic effect is still not ideal enough, because This, seeks the important topic that new cancer treatment method is always medical field and biomedical engineering field.
Research in recent years finds that cell is after occurring electroporation effect, with the rise and impulse action of pulse strength The increase of time, the irreversible electrical breakdown of cell membrane will occur, cause membranolysis until cell death.It is special using this Property, researcher proposes irreversible electroparacentesis therapy, irreversible as a kind of tumour ablation means of new non-thermal effect Electroporation therapy is that electric pulse is acted on into cancerous tissue, makes cancer cell that irreversible electrical breakdown occur, thus destroys cancer The life condition of disease cell, the purpose of killing cancer cell is reached.But due to lacking fixation in irreversible electroparacentesis therapy The device of puncture needle, the insertion angle and depth accuracy of puncture needle are poor, and then therapeutic effect is had a greatly reduced quality.
The content of the invention
It is an object of the invention to provide a kind of guiding puncture template, exists to solve existing electroparacentesis treatment technology The problem of insertion angle and poor depth accuracy of puncture needle.
To achieve the above object, the present invention provides a kind of guiding puncture template, be provided with the guide template body to A few puncturing hole group, each puncturing hole group includes at least three puncturing holes for running through the guide template body, same Puncturing hole in the puncturing hole group is parallel to each other and is equally spaced on the same line, is not provided with the guide template body Hollow out window is provided with the region of puncturing hole, the position of the puncturing hole puts one with the default puncture hole position of tumor mass to be punctured One correspondence.
Preferably, the guide template body is transparent or semitransparent medical macromolecular materials.
Preferably, the thickness of the guide template body is 1-5mm.
Preferably, the aperture of the puncturing hole is 0.1-2.5mm.
Preferably, the edge of each puncturing hole is printed with unique number designation.
Preferably, the surface angle of the axis of the puncturing hole and the guide template body is 30 ° -150 °.
Preferably, the distance between two neighboring described puncturing hole is 1cm.
Preferably, the surface of the guide template body is provided with a plurality of and tumor mass medium vessels tendency identical to be punctured Impression.
Preferably, the guide template body is in tabular.
Preferably, the guide template body matches with therapentic part body surface curve.
The invention has the advantages that:The present invention guiding puncture template on puncture needle is fixed by puncturing hole and Guiding, puncture needle is inserted lesion according to default angle and depth, lesion is treated. The guiding puncture template of the present invention has simple in construction, applicable a variety of tumours, can accurately control puncture needle to insert tumour The advantages of angle and depth of diseased region.
Brief description of the drawings
Fig. 1 is the structural representation of guiding puncture template in the embodiment of the present invention 1.
Fig. 2 is the guiding puncture template tangentially cross-sectional view at a in Fig. 1.
Fig. 3 is the structural representation after the partial enlargement in Fig. 1 at guiding puncture template b.
Fig. 4 is the structural representation of guiding puncture template in the embodiment of the present invention 2.
Embodiment
Following examples are used to illustrate the present invention, but are not limited to the scope of the present invention.
Embodiment 1
As shown in Figure 1, 2, 3, the guiding puncture template includes guide template body 1, and guide template body 1 is in the present embodiment In be in irregular shape platy structure, guide template body 1 can have 3D printer to use transparent or semitransparent medical high score Sub- file printing forms, and the thickness of guide template body 1 is 1-5mm, and the specific thickness of guide template body 1 can be according to experiment As a result optimum thickness value is determined.At least one puncturing hole group is provided with guide template body 1, each puncturing hole group includes three Through the puncturing hole 2 of guide template body 1, the quantity of the puncturing hole 2 of certainly each puncturing hole group can also be four, five or More, in order that being parallel to each other through the puncture needle in same group of puncturing hole 2 and apart from equal, three in same puncturing hole group Puncturing hole 2 is parallel to each other and is equally spaced on the same line, and the aperture of puncturing hole 2 is 0.1-2.5mm, the diameter of puncturing hole 2 Match with the diameter of puncture needle, after ensureing that puncture needle passes through puncturing hole 2, puncture needle can be fixed for puncturing hole 2, ensure three Root puncture pin is parallel and equidistantly inserts lesion, prevents that puncture needle is rectified during treatment, influences tumour Therapeutic effect.In the present embodiment, the distance between two neighboring puncturing hole 2 is preferably 1cm, naturally it is also possible to is other chis It is very little, the position of puncturing hole 2 and the one-to-one corresponding of putting of the default puncturing hole of tumor mass to be punctured 2, and the default puncture of tumor mass Putting for 2, hole, has the doctor in charge to be determined according to the concrete condition of different tumor mass.The axis and guide template of puncturing hole 2 The surface angle of body 1 is 30 ° -150 °, and angle is inserted when the angle value of puncturing hole 2 is with specific reference to different tumor punctures and is carried out really It is fixed.While guide template body 1 is printed, the position of puncture and angle are entered according to the position and angle of default puncturing hole 2 Row printing, therefore, when using guide template body 1, as long as the position of guide template body 1 is fixed accurately, puncturing hole 2 One-to-one corresponding is put in position with the default puncturing hole of tumor mass to be punctured 2, after puncture needle is passed through into puncturing hole 2, in puncturing hole 2 Accurate guiding under insert lesion, the position and angle during puncture needle insertion lesion with default puncture The position in hole 2 is identical with angle.
Further, by being not provided with being provided with hollow out window 3 in the region of puncturing hole 2 in guide template body 1, hollow out window 3 be circular hollow out window, naturally it is also possible to it is other shapes, organ or danger zone in the position and therapentic part of hollow out window 3 Position correspondence, over the course for the treatment of the doctor in charge organ and danger zone can easily be avoided according to hollow out window 3.In addition, pass through Hollow out window 3 is set, the medical macromolecular materials of manufacture guide template body 1 can be also saved, reduce the manufacture of guide template body 1 Cost, reduce the medical expense of patient.
Further, the edge of each puncturing hole 2 is printed with unique number designation 4, in use, doctor in charge Ke Gen Puncture needle is passed through into accurate puncturing hole 2 according to number designation 4, prevented because the quantity of puncturing hole 2 on guide template body 1 is too many And puncture needle is passed through in the puncturing hole 2 of mistake.
Further, the surface of guide template body 1 is provided with a plurality of and tumor mass medium vessels tendency identical to be punctured Impression 5, after the position of guide template body 1 is fixed accurately, impression 5 is identical with the tendency of tumor mass medium vessels to be punctured, and controls During treatment, the doctor in charge easily can avoid blood vessel according to impression 5, prevent from puncturing pricking wound blood vessel.
The manufacturing process and application method of guiding puncture template:
When manufacturing guiding puncture template, therapentic part is scanned by nuclear-magnetism or CT machines first, according to the money of scanning Material can obtain the data such as the tumor mass distribution of therapentic part, organ site, vascular distribution, by by above-mentioned data input control end End, using 3D modeling technology, doctor can determine the shapes and sizes of guide template body 1 according to 3D modeling model, puncture The parameters such as quantity, position and the angle in hole 2, guiding puncture mould is printed according to above-mentioned parameter by control terminal control 3D printer Plate.
During using guiding puncture template, guide template body 1 is accurately fixed on therapentic part by fixing device, true In the case of 1 fixed position of guarantor's guide template body is accurate, lesion is inserted after puncture needle is passed through into puncturing hole 2, by The position of position and angle with default puncturing hole 2 when the accurate guiding of puncturing hole 2, puncture needle insertion lesion It is identical with angle, after reaffirming that the position of puncture needle insertion lesion and angle are accurate, it can be powered to puncture needle Treated.
Embodiment 2
As shown in figure 4, the present embodiment and the difference of embodiment 1 are, the guide template body 1 in the present embodiment with The curve of therapentic part body surface matches, by the way that guide template body 1 to be printed as matching with the curve of therapentic part body surface Shape, can more preferably control puncture needle insertion lesion position and angle, improve therapeutic effect.
Although above with general explanation and specific embodiment, the present invention is described in detail, at this On the basis of invention, it can be modified or improved, this will be apparent to those skilled in the art.Therefore, These modifications or improvements without departing from theon the basis of the spirit of the present invention, belong to the scope of protection of present invention.

Claims (10)

1. a kind of guiding puncture template, the guiding puncture template includes guide template body, it is characterised in that the guiding mould At least one puncturing hole group is provided with plate body, each puncturing hole group runs through the guide template sheet including at least three The puncturing hole of body, the puncturing hole in the same puncturing hole group is parallel to each other and is equally spaced on the same line, draws described Lead stencil body to be not provided with being provided with hollow out window in the region of puncturing hole, the position of the puncturing hole is preset with tumor mass to be punctured Puncture hole position put one-to-one corresponding.
2. guiding puncture template according to claim 1, it is characterised in that the guide template body is transparent or semi-transparent Bright medical macromolecular materials.
3. guiding puncture template according to claim 1, it is characterised in that the thickness of the guide template body is 1- 5mm。
4. guiding puncture template according to claim 3, it is characterised in that the aperture of the puncturing hole is 0.1-2.5mm.
5. guiding puncture template according to claim 3, it is characterised in that the edge of each puncturing hole is printed with Unique number designation.
6. guiding puncture template according to claim 5, it is characterised in that the axis of the puncturing hole and the guiding mould The surface angle of plate body is 30 ° -150 °.
7. guiding puncture template according to claim 5, it is characterised in that the distance between two neighboring described puncturing hole For 1cm.
8. guiding puncture template according to claim 5, it is characterised in that the surface of the guide template body is provided with A plurality of and tumor mass medium vessels tendency identical impression to be punctured.
9. guiding puncture template according to claim 8, it is characterised in that the guide template body is in tabular.
10. guiding puncture template according to claim 8, it is characterised in that the guide template body and therapentic part Body surface curve matches.
CN201711136413.2A 2017-11-16 2017-11-16 A kind of guiding puncture template Pending CN107802327A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201711136413.2A CN107802327A (en) 2017-11-16 2017-11-16 A kind of guiding puncture template
PCT/CN2018/080639 WO2019095603A1 (en) 2017-11-16 2018-03-27 Puncture guide template

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711136413.2A CN107802327A (en) 2017-11-16 2017-11-16 A kind of guiding puncture template

Publications (1)

Publication Number Publication Date
CN107802327A true CN107802327A (en) 2018-03-16

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CN201711136413.2A Pending CN107802327A (en) 2017-11-16 2017-11-16 A kind of guiding puncture template

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CN (1) CN107802327A (en)
WO (1) WO2019095603A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108379729A (en) * 2018-03-27 2018-08-10 四川荷斐斯科技发展有限公司 A kind of surgical template
WO2019095603A1 (en) * 2017-11-16 2019-05-23 中国人民解放军火箭军总医院 Puncture guide template

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105664380A (en) * 2016-03-04 2016-06-15 湖北嘉一三维高科股份有限公司 Radiotherapy guide plate of intracranial tumors
CN206324838U (en) * 2016-10-21 2017-07-14 北京启麟科技有限公司 A kind of 3D printing guide plate for Minimally Invasive Surgery

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6579262B1 (en) * 2000-01-25 2003-06-17 Mick Radio-Nuclear Instruments, Inc. Brachytherapy needle implantation template
CN107802327A (en) * 2017-11-16 2018-03-16 中国人民解放军火箭军总医院 A kind of guiding puncture template

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105664380A (en) * 2016-03-04 2016-06-15 湖北嘉一三维高科股份有限公司 Radiotherapy guide plate of intracranial tumors
CN206324838U (en) * 2016-10-21 2017-07-14 北京启麟科技有限公司 A kind of 3D printing guide plate for Minimally Invasive Surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019095603A1 (en) * 2017-11-16 2019-05-23 中国人民解放军火箭军总医院 Puncture guide template
CN108379729A (en) * 2018-03-27 2018-08-10 四川荷斐斯科技发展有限公司 A kind of surgical template

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Application publication date: 20180316

RJ01 Rejection of invention patent application after publication