CN108309409A - A kind of CT guiding punctures handle, puncture needle external member and system - Google Patents

A kind of CT guiding punctures handle, puncture needle external member and system Download PDF

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Publication number
CN108309409A
CN108309409A CN201810122706.3A CN201810122706A CN108309409A CN 108309409 A CN108309409 A CN 108309409A CN 201810122706 A CN201810122706 A CN 201810122706A CN 108309409 A CN108309409 A CN 108309409A
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CN
China
Prior art keywords
handle
puncture needle
axis
main body
guiding
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CN201810122706.3A
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Chinese (zh)
Inventor
张瑾玉
张未波
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NANJING YOUPU INFORMATION TECHNOLOGY Co Ltd
Nanjing University
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NANJING YOUPU INFORMATION TECHNOLOGY Co Ltd
Nanjing University
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Priority to CN201810122706.3A priority Critical patent/CN108309409A/en
Publication of CN108309409A publication Critical patent/CN108309409A/en
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    • 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
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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
    • A61B90/11Instruments, 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
    • 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)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of CT guiding punctures handles, including handle main body.One end of handle main body is provided with puncture needle connector.Puncture needle connector is for installing puncture needle.Handle main body is equipped with the strong magnetic meter of power module, processor, memory, input module, three-axis gyroscope, three axis, 3-axis acceleration sensor and indicating module.The strong magnetic meter of memory, input module, three-axis gyroscope, three axis and indicating module connection processing device.Input module is used to obtain the reference azimuth of puncture needle.Three-axis gyroscope is used to measure the level angle between puncture needle and horizontal plane.The strong magnetic meter of three axis is used to measure the ground magnetic degree between puncture needle and magnetic direction.Processor is used for determined level angle and whether ground magnetic degree matches with reference with azimuth, then matched result is indicated by indicating module, and when detecting that puncture needle has shake by 3-axis acceleration sensor, is indicated by indicating module.

Description

A kind of CT guiding punctures handle, puncture needle external member and system
Technical field
Puncturing operation instrument under being guided the present invention relates to CT.
Background technology
When inside of human body lesion is needed using puncturing to lesion progress biopsy or treatment, it can usually be scanned by means of CT Machine determines the orientation of lesion and skin anchor point and the depth of puncture needle, i.e.,:With CT scanning machines first in the cross section of human body On measure the position of lesion, selected in the level most preferably into pin position and needle angle, using inserting needle level, needle angle and The three-dimensional conformation of depth of needle determines the exact position of lesion and lancet puncture.Although CT scanning machines being capable of whose really determination Three-dimensional needle angle and depth of needle, but the process punctured all carries out patient after the removal of CT scan level, works as disease When people leaves CT scanning machines, doctor can only determine a rough inserting needle direction, punctured, then according to the judgement of oneself CT scan is carried out again to be confirmed.Since artificial factor is more, inserting needle inaccuracy is often resulted in, the accuracy for the treatment of is influenced. It can cause accidentally to wear sometimes for repeatedly inserting needle, when serious, greatly pain and risk are brought to patient.
To solve the above problems, domestic and foreign scholars are in multiple directions such as CT scanning machines, lancing system and pricking devices It is made that exploration.If instantaneous CT has an X-rayed scanning machine, this is a kind of high-grade spiral CT machine, passes through continuous exposure, immediate observation To the conduct direction of puncture needle, but operator can be irradiated by a large amount of x lines, influence operator's health.And CT is scanned When, site of puncture is still located in CT machine frames, therefore operator cannot accurately control and puncture direction.Second of trial is to adopt With Pinpoint systems, it is made of laser positioning, reconstruction 3-D view stereoscopic localized and manipulator, operator is according to monitor Former storage image document, steerable system manipulator, monitor, which can observe, punctures inserting needle track, improve puncture precision and Safety coefficient.But the system cost is expensive, and cost is higher, and in piercing process, and patient posture variation punctures accuracy meeting It changes.In addition to both the above direction, multidigit scholar also makes by oneself, has invented a variety of puncture locators, guider, but not yet Overcome the above problem, it is difficult to be widely popularized.
Invention content
Problem to be solved by this invention is the inserting needle accuracy and convenience when lesion punctures after CT scan.
To solve the above problems, the scheme that the present invention uses is as follows:
A kind of CT guiding punctures handle according to the present invention, including handle main body;One end of the handle main body is provided with puncture Needle connector;The puncture needle connector is for installing puncture needle;The handle main body is equipped with power module, processor, deposits The strong magnetic meter of reservoir, input module, three-axis gyroscope, three axis and indicating module;The memory, input module, three-axis gyroscope, The strong magnetic meter of three axis connects the processor with indicating module;The input module is used to obtain the reference orientation of the puncture needle Angle;The three-axis gyroscope is used to measure the level angle between the puncture needle and horizontal plane;The strong magnetic meter of three axis is used for Measure the ground magnetic degree between the puncture needle and magnetic direction;The processor is for judging the level angle and ground magnetic deviation Whether degree is matched with the reference with azimuth, then matched result is indicated by the indicating module.
Further, CT guiding punctures handle according to the present invention, the handle main body are also equipped with 3-axis acceleration sensing Device;The 3-axis acceleration sensor connects the processor;The 3-axis acceleration sensor is for detecting current puncture needle Exercise data;The processor is additionally operable to judge presently described wear according to 3-axis acceleration sensor acquisition exercise data Whether pricker has shake, when the puncture needle has shake then to be indicated by the indicating module.
Further, CT guiding punctures handle according to the present invention, the power module include rechargeable battery and charging Mouthful.
Further, CT guiding punctures handle according to the present invention, the power module use disposable dry cell.
Further, CT guiding punctures handle according to the present invention, the input module are pressing in handle main body Key or touch screen;The reference azimuth is inputted by the button or touch screen manual operations.
Further, CT guiding punctures handle according to the present invention, the input module are wireless communication module;The reference It is transmitted and is inputted by the wireless communication module with azimuth.
Further, CT guiding punctures handle according to the present invention, the puncture needle connector include nut and axis plug;It is described Handle main body is in cylindrical structure;The nut is mounted on the end of the handle main body, can surround axis rotation;The spiral shell Mother is equipped with internal thread;The axis plug is in cylindrical structure, is set to nut center.
A kind of CT guiding punctures puncture needle external member according to the present invention, including above-mentioned CT guiding punctures handle and puncture Needle;The puncture needle includes needle body and handle connector;The handle connector is connected with the needle body;The handle connector It is matched with the puncture needle connector, the puncture needle is enable to be mounted on the CT guiding punctures handle.
Further, CT guiding punctures puncture needle external member according to the present invention, the puncture needle connector includes nut and axis Plug;The handle main body is in cylindrical structure;The nut is mounted on the end of the handle main body, can turn around axle center It is dynamic;The nut is equipped with internal thread;The axis plug is in cylindrical structure, is set to nut center;The handle connector is equipped with Connector portions;Connector portions are equipped with the external screw thread to match with the nut inner thread;When the puncture needle passes through connector portions external screw thread When being mounted on the CT guiding punctures handle with nut inner thread engagement system, the axis plug fills in the handle connector Tube chamber, and the handle main body and the needle body are coaxial.
A kind of CT guiding punctures system according to the present invention, including above-mentioned CT guiding punctures handle and CT control terminals; The CT guiding punctures handle connects the CT control terminals by the wireless communication module, and is obtained from the CT control terminals Take the reference azimuth.
The technique effect of the present invention is as follows:
1, CT guiding punctures handle of the invention can measure the angle of current puncture needle by three-axis gyroscope and the strong magnetic meter of three axis Degree, when doctor carries out puncture operation, CT guiding punctures handle is scanned according to the angle of the puncture needle measured with CT Scanner To lesions position with enter thorn point between azimuth be compared, wait when the two match, pass through indicating module indicated angle Degree matching, thus it is only necessary to enter thorn point according to indicated information piercing, to facilitate doctor to puncture by doctor Operation.
2, CT guiding puncture handles of the invention carry 3-axis acceleration sensor, can detect doctor and carry out puncturing operation When whether shake and give and prompt, to make doctor avoid carrying out puncturing operation in shake, punctured to improve doctor The accuracy of angle.
3, CT guiding punctures handle and puncture needle of the invention are detachable, are connected with puncture needle by jointing, thus CT guiding punctures handle can match the puncture needle of different size model numbers.
4, in the case of not being located at same computer room the invention avoids CT control terminals and CT Scanner, CT punctures operation not side Just the problem of.
Description of the drawings
Fig. 1 is the fractionation structural representation of CT guiding punctures puncture needle external member embodiment of the present invention.
Fig. 2 is the end construction schematic diagram of CT guiding punctures handpiece embodiment of the present invention.
Fig. 3 is the structural schematic diagram of circuit structure embodiment on CT guiding punctures handle of the present invention.
Specific implementation mode
The present invention is described in further details with reference to the accompanying drawings of the specification.
As shown in Figure 1, a kind of CT guiding punctures puncture needle external member, including CT guiding punctures handle 100 and puncture needle 900. CT guiding punctures handle 100 includes handle main body 11.Handle main body 11 is that length is 10 centimetres ~ 25 centimetres, a diameter of 1cm ~ 2cm Cylinder.Handle main body 11 is connected by the puncture needle of 11 end of shell, the electronic component on shell and handle main body Connector is formed.Shell is made of plastics.Puncture needle connector is for installing puncture needle 900, including nut 121 and axis plug 122. Nut 121 and handle main body 11 are coaxial, are mounted on the end of handle main body 11, can surround axis rotation.Nut 121 is equipped with interior Screw thread.Axis plug 121 is in cylindrical structure, is set to the center of nut 121, coaxial with handle main body 11, and is fixed on handle main body 11 end.Puncture needle 900 includes needle body 91 and handle connector 92.Handle connector 92 is connected with needle body 91.Handle connects First 91 match with puncture needle connector above-mentioned, and puncture needle 900 is enable to be mounted on the end of CT guiding punctures handle 100.Tool For body, handle connector 92 is equipped with connector portions 93.Connector portions 93 are equipped with the external screw thread to match with 121 internal thread of nut. Handle connector 92 is hollow-core construction, has tube chamber 94.Needle body 91 is equally hollow-core construction, is internally provided with needle cavity.Tube chamber 94 with Needle cavity in needle body 91.Puncture needle 900 is the part stayed after puncturing operation physically, and doctor can be by staying physically Needle cavity in the tube chamber 94 and needle body 91 of puncture needle 900 carries out injection liquid medicine or stretches into optical fiber progress biopsy.When puncture needle 900 is logical When crossing connector portions external screw thread and 121 internal thread engagement system of nut and being mounted on CT guiding punctures handle 100, handle main body 11 with Needle body 91 is coaxial, and at this point, axis plug 122 fills in the tube chamber 94 of handle connector 92, thus seals tube chamber 94.
The electronic component that handle main body 11 is installed includes the battery and circuit board mounted on enclosure interior, is mounted on shell LED light 131, LCD display 132, input button 133 on cylinder, detection switch button 134, and peace as shown in Figure 2 Mounted in the power switch button 141 of 11 end of handle main body, mini USB interface 142 and charging indicator light 143.Each electronic component Between connection relation, as shown in Figure 3.Wherein, processor 31, RAM311, ROM312, WiFi module 321, chip-on communication interface 324, the strong magnetic meter 342 of universal input/output interface 323, three-axis gyroscope 341, three axis, 3-axis acceleration sensor 343 and number Word movement processor 344 is respectively mounted on circuit boards.Power module 39 is used to provide electric power for other electronic components, by shell Battery, power switch button 141, mini USB interface 142 and the charging indicator light 143 of installation are formed.In the present embodiment, The battery installed in handle main body 11 is rechargeable battery, and mini USB interface 142 is used to charge for rechargeable battery.Charging Indicator light 143 is LED light, for showing charged state.Power switch button 141 is used to control battery and other electronic components Connection status.It will be appreciated by those skilled in the art that power module can also use disposable dry cell, such as No. 5 dry cells, No. 7 Dry cell even Ag-Zn button cell.
LED light 131 and LCD display 132 pass through 323 connection processing device 31 of universal input/output interface.LED indication Lamp 131 is the indicating module of aforementioned meaning, is used to indicate the angle state of puncture needle.In the present embodiment, LED light 131 It is the annular LED lamp that ring handle main body 11 is arranged, in order to which doctor is from all angles it can be seen that the angle state of puncture needle.Figure In 3, button 322 by Fig. 1 input button 133 and detection switch button 134 formed, connection processing device 31.Wherein, it inputs Button 133, detection switch button 134 and LCD display 132 form human-computer interaction interface.It inputs there are three buttons 133, at least It can be used in inputting reference azimuth, LCD display 132 at least can be used in showing inputted reference azimuth.This In embodiment, LCD display 132 uses Curved screen.Detection switch button 134 is used to switch the shape of puncture needle angle measurement State after clicking, starts puncture needle angle measurement, then terminates puncture needle angle measurement after clicking.
The strong magnetic meter 342 of three-axis gyroscope 341, three axis and 3-axis acceleration sensor 343 pass through digital moving processor 344 Through 324 connection processing device 31 of chip-on communication interface.Three-axis gyroscope 341 is used to measure the horizontal angle between puncture needle and horizontal plane Degree.The strong magnetic meter 342 of three axis is used to measure the ground magnetic degree between puncture needle and magnetic direction.3-axis acceleration sensor 343 is used In the exercise data for detecting current puncture needle.343 institute of the strong magnetic meter 342 of three-axis gyroscope 341, three axis and 3-axis acceleration sensor Level angle that the data of acquisition are formed after digital moving processor 344 after calculation processing, magnetic degree and exercise data It is sent to processor 31 through chip-on communication interface 324.
WiFi module 321 is the signified wireless communication module of the present invention, and connection processing device 31 is used for using WiFi standards CT control terminals are connected by wireless router.RAM311 and ROM312 forms the memory of meaning of the invention.Wherein, ROM312 Using flash memory, data are stored for storing program instruction set and ensured sustained development.Processor 31 leads to for executing program instructions collection It crosses program instruction set and at least realizes following functions or step:
Power switch button 141 carries out system initialization after powering on to hardware and software;
It is interacted with user's operation by inputting button 133 and LCD display 132, to obtain the reference azimuth of input;
CT control terminals are connected by WiFi module 321, and reference azimuth is obtained from CT control terminals;
Receive the instruction of startup angle detection by detection switch button 134;
Angle detection is carried out when receiving startup angle detection instruction and the angle state for the puncture needle that detection obtains is passed through into finger Show that module indicates, includes the following steps:
Exercise data is obtained from 3-axis acceleration sensor 343, level angle is obtained from three-axis gyroscope 341, from the strong magnetic of three axis Meter 342 obtains ground magnetic degree;
Judge whether current puncture needle has shake according to exercise data, shake when puncture needle and then indicated by LED light 131, At this point, LED light 131 is shown in such a way that red is flashed;
When puncture needle is dithering, determined level angle and ground magnetic degree whether with reference to being matched with azimuth, then by matched knot Fruit is indicated by LED light 131;When whether level angle and ground magnetic degree with azimuth with reference to being mismatched, LED indication Lamp 131 is shown in red;When whether level angle and ground magnetic degree with azimuth with reference to being matched, LED light 131 is shown For green.
Signified reference of the invention azimuth includes two angles:One angle is the scanning plane angle of CT scan;Separately One angle, which is lesions position, to be entered to pierce angle relative to entering thorn point.Wherein, scanning plane angle is due to always vertical, The angle can be indicated relative to magnetic direction, it is, scanning plane angle is by between magnetic direction and CT scan face Line face angle indicates.Further, since scanning plane angle is related to the orientation that CT Scanner is put, and the usual position of CT Scanner is solid Fixed, therefore, the orientation that scanning plane angle can be put according to CT Scanner is preset, and ensured sustained development storage is carried out by ROM312. And it is only necessary to input above-mentioned to enter to pierce angle at the reference azimuth inputted required for actual operation.In addition, lesion position Set relative to enter thorn point be respectively positioned on same CT scan face, therefore, it is the angle on CT scan face to enter to pierce angle.In addition, horizontal When angle and ground magnetic degree are with reference to being carried out with azimuth compared with matching, it should allow there are error, when level angle and earth magnetism Angle and when with reference to between azimuth in the error range of permission, for both matching, be otherwise to mismatch.
In addition it should be pointed out that the CT guiding punctures handle 100 of the present embodiment can input reference by two methods Use azimuth.That is, there are two types of operating modes for the CT guiding punctures handle 100 of the present embodiment:The first operating mode is It is completely independent operating mode, is inputted with reference to azimuth by inputting 133 hand push button mode of button.And second of work Pattern is to connect the operating mode of CT control terminals.CT control terminals are the control hosts of CT Scanner.CT Scanner scans institute The screen display that the image of generation passes through CT control terminals.Under the operating mode of connection CT control terminals, CT guiding puncture hands Handle 100 connects CT control terminals by WiF modules, then obtains reference azimuth from CT control terminals.At this point, CT controls are eventually End need the corresponding function module to match with CT guiding puncture handles, specifically, CT control terminals at least include for by With reference to the module for being sent to CT guiding puncture handles with azimuth.Under such operating mode, doctor is passing through CT control terminal controls When making and carrying out CT scan, after finding lesion, it can determine in CT control terminals and pierce a little, lesion is then measured by scribing line Position relative to enter thorn point enter to pierce angle after, directly entering to pierce angle by this is sent to CT guiding punctures handle 100, to remove from The process manually entered.Under such operating mode, CT control terminals and CT guiding punctures handle 100 form meaning of the invention CT guiding puncture systems.
CT guiding punctures 100 application methods of handle of the present embodiment are as follows:Doctor presses by CT control terminals or manually After knob formula inputs reference azimuth to CT guiding punctures handle 100, suitable types are installed on CT guiding punctures handle 100 Puncture needle 900, then by the syringe needle of puncture needle 900 be placed on patient entering thorn point after, fixed needle position is constant, adjust Then the angle of whole CT guiding punctures handle 100 keeps 900 angle side of puncture needle until LED light 131 is shown in green To the through lesions position of constant piercing patient body.

Claims (10)

1. a kind of CT guiding punctures handle, which is characterized in that including handle main body;One end of the handle main body is provided with puncture Needle connector;The puncture needle connector is for installing puncture needle;The handle main body is equipped with power module, processor, deposits The strong magnetic meter of reservoir, input module, three-axis gyroscope, three axis and indicating module;The memory, input module, three-axis gyroscope, The strong magnetic meter of three axis connects the processor with indicating module;The input module is used to obtain the reference orientation of the puncture needle Angle;The three-axis gyroscope is used to measure the level angle between the puncture needle and horizontal plane;The strong magnetic meter of three axis is used for Measure the ground magnetic degree between the puncture needle and magnetic direction;The processor is for judging the level angle and ground magnetic deviation Whether degree is matched with the reference with azimuth, then matched result is indicated by the indicating module.
2. CT guiding punctures handle as described in claim 1, which is characterized in that the handle main body is also equipped with the acceleration of three axis Spend sensor;The 3-axis acceleration sensor connects the processor;The 3-axis acceleration sensor is current for detecting The exercise data of puncture needle;The processor is additionally operable to obtain exercise data judgement currently according to the 3-axis acceleration sensor Whether the puncture needle has shake, when the puncture needle has shake then to be indicated by the indicating module.
3. CT guiding punctures handle as claimed in claim 1 or 2, which is characterized in that the power module includes chargeable electricity Pond and charging interface.
4. CT guiding punctures handle as claimed in claim 1 or 2, which is characterized in that the power module is using disposable dry Battery.
5. CT guiding punctures handle as claimed in claim 1 or 2, which is characterized in that the input module is mounted on handle Button in main body or touch screen;The reference azimuth is inputted by the button or touch screen manual operations.
6. CT guiding punctures handle as claimed in claim 1 or 2, which is characterized in that the input module is radio communication mold Block;It is transmitted and is inputted by the wireless communication module in the reference azimuth.
7. CT guiding punctures handle as claimed in claim 1 or 2, which is characterized in that the puncture needle connector includes nut With axis plug;The handle main body is in cylindrical structure;The nut is mounted on the end of the handle main body, can surround axle center Rotation;The nut is equipped with internal thread;The axis plug is in cylindrical structure, is set to nut center.
8. a kind of CT guiding punctures puncture needle external member, which is characterized in that including CT guiding punctures as claimed in claim 1 or 2 Handle and puncture needle;The puncture needle includes needle body and handle connector;The handle connector is connected with the needle body;It is described Handle connector is matched with the puncture needle connector, and the puncture needle is enable to be mounted on the CT guiding punctures handle.
9. CT guiding punctures puncture needle external member as claimed in claim 8, which is characterized in that the puncture needle connector includes spiral shell Female and axis plug;The handle main body is in cylindrical structure;The nut is mounted on the end of the handle main body, can surround axis The heart rotates;The nut is equipped with internal thread;The axis plug is in cylindrical structure, is set to nut center;On the handle connector Equipped with connector portions;Connector portions are equipped with the external screw thread to match with the nut inner thread;Outside the puncture needle is by connector portions When screw thread and nut inner thread engagement system are mounted on the CT guiding punctures handle, the axis plug fills in the handle connection The tube chamber of head, and the handle main body and the needle body are coaxial.
10. a kind of CT guiding punctures system, which is characterized in that including CT guiding punctures handle as claimed in claim 4 and CT Control terminal;The CT guiding punctures handle connects the CT control terminals by the wireless communication module, and from the CT Control terminal obtains the reference azimuth;The CT control terminals include for the reference to be sent to azimuth The module of CT guiding puncture handles.
CN201810122706.3A 2018-02-07 2018-02-07 A kind of CT guiding punctures handle, puncture needle external member and system Pending CN108309409A (en)

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