CN107802329A - Spinal puncture positioning auxiliary device - Google Patents

Spinal puncture positioning auxiliary device Download PDF

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Publication number
CN107802329A
CN107802329A CN201711167212.9A CN201711167212A CN107802329A CN 107802329 A CN107802329 A CN 107802329A CN 201711167212 A CN201711167212 A CN 201711167212A CN 107802329 A CN107802329 A CN 107802329A
Authority
CN
China
Prior art keywords
channel
passage
auxiliary device
positioning table
positioning auxiliary
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.)
Granted
Application number
CN201711167212.9A
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Chinese (zh)
Other versions
CN107802329B (en
Inventor
许天明
张明河
高晓翔
段俊
马千里
左琴琴
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No455 Hospital Pla
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No455 Hospital Pla
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Publication date
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Priority to CN201711167212.9A priority Critical patent/CN107802329B/en
Publication of CN107802329A publication Critical patent/CN107802329A/en
Application granted granted Critical
Publication of CN107802329B publication Critical patent/CN107802329B/en
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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
    • A61B17/3472Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • 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
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body
    • 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
    • A61B2017/3411Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement

Abstract

The present invention provides a kind of spinal puncture positioning auxiliary device, for aiding in doctor that puncture needle is positioned at into target spot in spinal puncture operation, it is characterised in that including:Positioning table, it is hemispherical, there is upper surface and cambered surface;And channel part, it is arranged in positioning table, include the first passage passed through for first puncture needle and at least one set of second channel passed through for second puncture needle, wherein, first passage is arranged on the central axis of positioning table, and second channel extends from upper end to lower end to the direction away from first passage, so as to form predetermined angle between first passage, every group of second channel includes multiple second channels, and the preset distance between the upper port of multiple second channels and the upper port of first passage is different.

Description

Spinal puncture positioning auxiliary device
Technical field
The present invention relates to technical field of medical instruments, and in particular to a kind of spinal puncture positioning auxiliary device.
Background technology
Minimally invasive spine surgical at present extensively carry out, compared to traditional spinal operation have operative incision it is small, organize The small bleeding of wound is few, postoperative function recovers the advantage such as fast.But in spinal puncture position fixing process, patient often can not one It is secondary to navigate to target position, even skilled patient, puncture error also only occurs with feel and experience, therefore, often needs Repeatedly to make film, according to the guidance of X-ray, most piercing needle inserts target position at last.Consequently, it is possible to perform the operation, time-consuming, increase The X ray radiological dose of patient and patient, and the pain of patient and the pressure of patient has also been significantly greatly increased in this, so as to add Operation risk, or even influence surgical effect.
The content of the invention
The present invention is, and it is an object of the present invention to provide a kind of spinal puncture positioning auxiliary dress in order to solving the above problems and carry out Put.
The invention provides a kind of spinal puncture positioning auxiliary device, for aiding in doctor to be worn in spinal puncture operation Pricker is positioned at target spot, has the feature that, including:Positioning table, it is hemispherical, there is upper surface and cambered surface;And passage Portion, it is arranged in positioning table, includes the first passage passed through for first puncture needle and passed through for second puncture needle at least one Group second channel, wherein, first passage is arranged on the central axis of positioning table, and second channel is from upper end to lower end to away from the The direction extension of one passage, so as to form predetermined angle between first passage, every group of second channel is logical comprising multiple second Road, the preset distance between the upper port of multiple second channels and the upper port of first passage are different.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, channel part With 6 groups of second channels, 6 groups of second channel circular arrays are distributed in positioning table, form 6 kinds between first passage respectively Predetermined angle, the angle of 6 kinds of predetermined angles is 0 °, 2 °, 4 °, 6 °, 8 ° and 10 ° respectively.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, every group Two passages are located at collinear second channel, the upper port of 3 second channels and the upper port of first passage comprising 3 Between preset distance be respectively 0.2mm, 0.4mm and 0.6mm.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, positioning table Comprising Part I, Part II and coupling part, Part I and Part II are flexibly connected by connecting portion.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, connecting portion Comprising:First axle component, fix over the first portion, there is first through hole, second hinge component, be fixed on Part II On, there is the second through hole;And pin, through first through hole and the second through hole, Part I and Part II pass through connecting portion Form hinge connection.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, connecting portion Comprising:First fastened component, fix over the first portion, there is raised brim, and the second fastened component, be fixed on second On point, there is the recess edge to be fastened with raised brim, Part I and Part II to be made up of connecting portion and be connected together.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, positioning table Radius be 9~10mm.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, first is logical The internal diameter of road and second channel is 1.5mm.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, positioning table It is made up of transparent material.
In spinal puncture positioning auxiliary device provided by the invention, it can also have the feature that:Wherein, positioning table Cambered surface on be provided with sign for illustrating predetermined angle.
The effect of invention and effect
Spinal puncture positioning auxiliary device involved in the present invention, because including positioning table and channel part, in channel part Comprising confession first passage and second channel, so when the pin puncture of patient first offset by the target position of patient, can be by ridge Post Needle localization servicing unit is set on the first pin so that first puncture needle passes through first passage, is then carried out to patient The positioning of second puncture needle, by selecting suitable second channel to insert second puncture needle, due to prolonging for each second channel Stretch direction and be to determine with the preset distance of first passage, so as to learn that the second pin is inserted in patient's body distance first The relative position of pin is to realize the fine setting of positioning.So, patient can be by the way that at most contact pin positions target spot twice, and then contract Short operating time, reduce the pain of patient.
In addition, positioning table is hemispherical, cambered surface is smooth below, small to patient skin pressure, makes the patient feels more comfortable. And hemispherical can see the part exposed of pin from below, so as to more can be visually seen the trend of puncture needle.
Brief description of the drawings
Fig. 1 is the structural representation of backbone Needle localization servicing unit in embodiments of the invention one;
Fig. 2 is the top view of backbone Needle localization servicing unit in embodiments of the invention one;
Fig. 3 is sectional views of the Fig. 2 in A-A ' sections;
Fig. 4 is sectional views of the Fig. 2 in B-B ' sections;
Fig. 5 is sectional views of the Fig. 2 in C-C ' sections;
Fig. 6 is backbone Needle localization servicing unit use state diagram in embodiments of the invention one;
Fig. 7 is backbone Needle localization assistant apparatus structure schematic diagram in embodiments of the invention two;And
Fig. 8 is the top view of backbone Needle localization servicing unit in embodiments of the invention two.
Embodiment
In order that the technical means, the inventive features, the objects and the advantages of the present invention are easy to understand, it is real below Example combination accompanying drawing is applied to be specifically addressed spinal puncture positioning auxiliary device of the present invention.
<Embodiment one>
Fig. 1 is the structural representation of backbone Needle localization servicing unit in embodiments of the invention one;Fig. 2 is of the invention The top view of backbone Needle localization servicing unit in embodiment one.
Spinal puncture positioning auxiliary device 100 is used to aid in doctor that puncture needle is positioned at into target in spinal puncture operation Point.As shown in Fig. 1~2, in the present embodiment, spinal puncture positioning auxiliary device 100 includes positioning table 10 and channel part 20.
Positioning table 10 is hemispherical, has upper surface and cambered surface.The radius of positioning table is 9~10mm.In the present embodiment In, positioning table 10 uses the radius of positioning table as 10mm.Positioning table 10 is made of clear material, and transparent material is from quartzy, transparent Chosen in plastics, such as:Positioning table 10 can be made of polymethyl methacrylate.Positioning table 10 includes Part I 11, the Two parts 12 and coupling part 13.Part I 11 and Part II 12 are spherical in 1/4.Part I 11 and Part II 12 are flexibly connected by connecting portion 13.
Connecting portion 13 includes first axle component 13a, second hinge component 13b and pin 13c.
First axle component 13a is hemispherical, and first through hole is provided with axial centerline.First axle component 13a It is fixed on Part I 11, is integrally formed with Part I 11.
Second hinge component 13a is hemispherical, and the second through hole is provided with axial centerline.Second hinge component 13a It is fixed on Part II 11, is integrally formed with Part II 12.
Pin 13c runs through first through hole and the second through hole, so that Part I 11 and Part II 12 pass through connection Portion 13 forms hinge connection.
Channel part 20 is arranged in positioning table 10, includes first passage 21 and multigroup second channel 22.
First passage 21 is passed through for first puncture needle, and first passage 21 is arranged on the central axis of positioning table.Due to ridge Post puncture needle generally use 18G (No. 12) puncture needle, a diameter of 1.2mm of puncture needle of this type, therefore to be adapted with it, The internal diameter of first passage 21 is arranged to 1.5mm in the present embodiment.
Second channel 22 passes through for second puncture needle.In the present embodiment, channel part 20 includes 6 groups of second channels 22.Institute The internal diameter for having second channel 22 is 1.5mm.
Second channel 22 extends from the upper end of positioning table 10 to lower end to the direction away from first passage 21, so as to first Predetermined angle α is formed between passage 21.
Fig. 3 is sectional views of the Fig. 2 in A-A ' sections;Fig. 4 is sectional views of the Fig. 2 in B-B ' sections;And Fig. 5 is that Fig. 2 exists The sectional view in C-C ' sections.
As seen in figures 3-5,6 groups of second channels 22 are respectively:
As shown in right part in Fig. 5, the predetermined angle between first group of second channel 22 and first passage 21 is 0 °.
As shown in right part in Fig. 3, the predetermined angle between second group of second channel 22 and first passage 21 is 2 °.
As shown in right part in Fig. 4, the 3rd group of predetermined angle between second channel 22 and first passage 21 is 4 °.
As shown in left part in Fig. 5, the 4th group of predetermined angle between second channel 22 and first passage 21 is 6 °.
As shown in left part in Fig. 4, the 5th group of predetermined angle between second channel 22 and first passage 21 is 8 °.
As shown in left part in Fig. 3, the 6th group of predetermined angle between second channel 22 and first passage 21 is 10 °.
Above-mentioned every group of second channel 22 includes 3 second channels 22.As shown in Fig. 23 second channels 22 are positioned at fixed On the same straight line of position platform 10.As shown in Fig. 2 the spacing between the second channel adjacent with group second channel 22 is 2mm, such as Shown in Fig. 3, it is respectively with the preset distance between the upper port of 3 second channels 22 and the upper port of first passage 21 of group 2mm, 4mm and 6mm.
As shown in figure 1, the sign for illustrating the predetermined angle in corresponding position is provided with the cambered surface of positioning table 10 10a。
Fig. 6 is backbone Needle localization servicing unit use state diagram in embodiments of the invention one.
As shown in fig. 6, first puncture needle 200 is inserted in first passage 21, second puncture needle 300 inserts second channel 22 It is interior.On patient skin, first puncture needle 200 and distance of the second puncture needle 300 on patient skin are x.As shown in table 1, It is possible 18 kinds of distance x of 18 first puncture needles 200 and second puncture needle 300 in table 1, its unit is mm.Such as:Table The numerical value 2.35 of the third line secondary series represents in 1:Insert the pre- clamp that the second channel 22 of puncture needle is formed with first passage 21 Angle α is 2 °, and the second channel 22 is 2mm with the preset distance of first passage 21 on the upper surface of positioning table 10.Now first Puncture needle 200 and distance 2.35mm of the second puncture needle 300 on patient skin.
The distance x of table 1 value
The subcutaneous depth that general spinal puncture pin need to insert patient is 10cm~15cm.In the present embodiment by taking 13cm as an example Calculated, draw the distance y of first puncture needle 200 and second puncture needle 300 between subcutaneous two end.As shown in table 2, Possible 18 kinds of distance y in table 2 between the end of second puncture needle 300 and the end of first puncture needle 200, its unit are equal For mm.Such as:The numerical value 4.89 of the third line secondary series represents in table 2:Second channel 22 and that second puncture needle 300 is inserted The predetermined angle α that one passage 21 is formed is 2 ° and the second channel 22 is pre- with first passage 21 on the upper surface of positioning table 10 Set a distance is 2mm, and now the distance y of second puncture needle 300 and first puncture needle 200 between subcutaneous two end is 4.89mm。
The distance y of table 2 value
From the data in table 1, it can be seen that first puncture needle 200 is to be up in the distance of skin surface with second puncture needle 300 7.76mm, i.e., the distance of two wounds are no more than 1cm, and distance is very near, and this scope is in the fiber crops of local anesthetic In liquor-saturated scope.
From the data in table 2, it can be seen that subcutaneous, the distance y of the end of first puncture needle 200 and the end of second puncture needle 300 is most It can be 28.69mm to be worth greatly, namely the fine setting orientation range of spinal puncture positioning auxiliary device 100 is covered using 28.69mm as radius Circle.In addition, as shown in Table 2, there are 18 kinds apart from available, therefore, the fine setting positioning of patient can be accomplished very accurate.
<Embodiment two>
Fig. 7 is backbone Needle localization assistant apparatus structure schematic diagram in embodiments of the invention two;Fig. 8 is the reality of the present invention Apply the top view of backbone Needle localization servicing unit in example two.
In embodiment two, for identical structure in embodiment one, give identical symbol, and omit identical and say It is bright.
As Figure 7-8, the connecting portion 13 ' of backbone Needle localization servicing unit 100 ' includes in embodiment two:First Fastened component 13a ', the second fastened component 13b '.
First fastened component 13a ' has raised brim.First fastened component 13a ' is fixed on Part I 11, with A part 11 is integrally formed.
Second fastened component 13b ' has the recess edge to be fastened with raised brim.Second fastened component 13b ' is fixed on On Part II 12, it is integrally formed with Part II 11.
Part I 11 and Part II 12 are made up of connecting portion 13 ' to be connected together
The effect of embodiment and effect
Spinal puncture positioning auxiliary device involved by the present embodiment, because including positioning table and channel part, channel part In comprising supply first passage and second channel, can general so when the pin puncture of patient first offset by the target position of patient Spinal puncture positioning auxiliary device is set on the first pin so that first puncture needle passes through first passage, then enters to patient The positioning of row second puncture needle, by selecting suitable second channel to insert second puncture needle, due to each second channel Bearing of trend and it is to determine with the preset distance of first passage, so as to learn that the second pin is inserted in patient's body distance The relative position of one pin is to realize the fine setting of positioning.So, patient can enter by the way that at most contact pin is positioned at target spot twice And operating time is shortened, reduce the pain of patient.
In addition, positioning table is hemispherical, cambered surface is smooth below, small to patient skin pressure, makes the patient feels more comfortable. And hemispherical positioning table made of transparent material can see the part exposed of pin from below, it can also can be visually seen first and wear Pricker and second puncture needle are moved towards inside positioning table.
Further, positioning table is divided into dismountable two parts, and the two parts can be connected by being connected together or by hinge Connect.Before second puncture needle is inserted, because first puncture needle is already inserted into patient's body, therefore it is directly sleeved in first puncture needle Inconvenience, using so dismountable mode so that first passage is also demountable, so as to easily quickly wear backbone Thorn positioning auxiliary device is set in first puncture needle, facilitates doctor to operate, and then has saved operating time, improves operation effect Rate.
Further, the cambered surface of positioning table is provided with predetermined angle corresponding to sign signal, so as to facilitate doctor to be quickly found out institute The second channel that need to be operated.
Above-mentioned embodiment is the preferred case of the present invention, is not intended to limit protection scope of the present invention.

Claims (10)

  1. A kind of 1. spinal puncture positioning auxiliary device, for aiding in doctor that puncture needle is positioned at into target in spinal puncture operation Point, it is characterised in that including:
    Positioning table, it is hemispherical, there is upper surface and cambered surface;And
    Channel part, it is arranged in the positioning table, comprising the first passage passed through for first puncture needle and for second puncture needle At least one set of second channel passed through,
    Wherein, the first passage is arranged on the central axis of the positioning table,
    The second channel from upper end to lower end to away from the first passage direction extend, so as to the first passage it Between form predetermined angle,
    Second channel described in every group includes multiple second channels, upper port and the first passage of multiple second channels Upper port between preset distance it is different.
  2. 2. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the channel part has second channel described in 6 groups,
    Second channel circular array is distributed in the positioning table described in 6 groups, forms 6 kinds between the first passage respectively Predetermined angle,
    The angle of 6 kinds of predetermined angles is 0 °, 2 °, 4 °, 6 °, 8 ° and 10 ° respectively.
  3. 3. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, second channel described in every group is located at collinear second channel comprising 3,
    The preset distance between the upper port of 3 second channels and the upper port of the first passage is respectively 0.2mm, 0.4mm and 0.6mm.
  4. 4. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the positioning table includes Part I, Part II and coupling part,
    The Part I and the Part II are flexibly connected by the connecting portion.
  5. 5. spinal puncture positioning auxiliary device according to claim 4, it is characterised in that:
    Wherein, the connecting portion includes:
    First axle component, it is fixed on the Part I, there is first through hole,
    Second hinge component, it is fixed on the Part II, there is the second through hole;And
    Pin, through the first through hole and second through hole,
    The Part I and the Part II form hinge connection by the connecting portion.
  6. 6. spinal puncture positioning auxiliary device according to claim 4, it is characterised in that:
    Wherein, the connecting portion includes:
    First fastened component, it is fixed on the Part I, there is raised brim, and
    Second fastened component, it is fixed on the Part II, there is the recess edge to be fastened with the raised brim,
    The Part I and the Part II are made up of the connecting portion to be connected together.
  7. 7. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the radius of the positioning table is 9~10mm.
  8. 8. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the internal diameter of the first passage and the second channel is 1.5mm.
  9. 9. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the positioning table is made up of transparent material.
  10. 10. spinal puncture positioning auxiliary device according to claim 1, it is characterised in that:
    Wherein, the sign for illustrating the predetermined angle is provided with the cambered surface of the positioning table.
CN201711167212.9A 2017-11-21 2017-11-21 Spinal puncture positioning auxiliary device Active CN107802329B (en)

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Application Number Priority Date Filing Date Title
CN201711167212.9A CN107802329B (en) 2017-11-21 2017-11-21 Spinal puncture positioning auxiliary device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711167212.9A CN107802329B (en) 2017-11-21 2017-11-21 Spinal puncture positioning auxiliary device

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CN107802329A true CN107802329A (en) 2018-03-16
CN107802329B CN107802329B (en) 2024-02-13

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4589178A (en) * 1981-10-08 1986-05-20 Staffeld Stanley E Insertion tool
CN201375570Y (en) * 2009-04-13 2010-01-06 河南中医学院 Lumbar vertebral disc puncture locator
CN203468701U (en) * 2013-07-29 2014-03-12 李彩丽 Intracranial lesion puncture aid
CN203564338U (en) * 2013-10-18 2014-04-30 童立苗 Lumbar intervertebral disc puncturing and locating device
CN204600687U (en) * 2015-02-11 2015-09-02 中国人民解放军第三〇七医院 Thoracolumbar disk vertebroplasty Unipedicular approach positioning and guiding sting device
US20150366549A1 (en) * 2013-01-30 2015-12-24 The First Affiliated Hospital Of Nanjing Medical University Exposure apparatus for posterior spinal minimally invasive screw placement surgery
CN105816222A (en) * 2016-04-18 2016-08-03 赵敏 Spinal puncture positioning method and device
CN206214159U (en) * 2016-08-30 2017-06-06 上海市肺科医院 A kind of CT guided percutaneous transthoracic biopsies guider
CN106937878A (en) * 2017-04-21 2017-07-11 北京希艾姆医疗器械有限公司 Conformal puncture guide and preparation method thereof
CN206473383U (en) * 2016-10-28 2017-09-08 刘寰 The quick servicing unit for determining puncture path in a kind of operation for spinal puncture
CN209059369U (en) * 2017-11-21 2019-07-05 中国人民解放军第四五五医院 Spinal puncture positioning auxiliary device

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4589178A (en) * 1981-10-08 1986-05-20 Staffeld Stanley E Insertion tool
CN201375570Y (en) * 2009-04-13 2010-01-06 河南中医学院 Lumbar vertebral disc puncture locator
US20150366549A1 (en) * 2013-01-30 2015-12-24 The First Affiliated Hospital Of Nanjing Medical University Exposure apparatus for posterior spinal minimally invasive screw placement surgery
CN203468701U (en) * 2013-07-29 2014-03-12 李彩丽 Intracranial lesion puncture aid
CN203564338U (en) * 2013-10-18 2014-04-30 童立苗 Lumbar intervertebral disc puncturing and locating device
CN204600687U (en) * 2015-02-11 2015-09-02 中国人民解放军第三〇七医院 Thoracolumbar disk vertebroplasty Unipedicular approach positioning and guiding sting device
CN105816222A (en) * 2016-04-18 2016-08-03 赵敏 Spinal puncture positioning method and device
CN206214159U (en) * 2016-08-30 2017-06-06 上海市肺科医院 A kind of CT guided percutaneous transthoracic biopsies guider
CN206473383U (en) * 2016-10-28 2017-09-08 刘寰 The quick servicing unit for determining puncture path in a kind of operation for spinal puncture
CN106937878A (en) * 2017-04-21 2017-07-11 北京希艾姆医疗器械有限公司 Conformal puncture guide and preparation method thereof
CN209059369U (en) * 2017-11-21 2019-07-05 中国人民解放军第四五五医院 Spinal puncture positioning auxiliary device

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