CN108542474A - X-ray guides Minimally Interventional Therapy localised puncture holder - Google Patents

X-ray guides Minimally Interventional Therapy localised puncture holder Download PDF

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Publication number
CN108542474A
CN108542474A CN201810309614.6A CN201810309614A CN108542474A CN 108542474 A CN108542474 A CN 108542474A CN 201810309614 A CN201810309614 A CN 201810309614A CN 108542474 A CN108542474 A CN 108542474A
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CN
China
Prior art keywords
puncture
puncture needle
sliding slot
holder
ray
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Granted
Application number
CN201810309614.6A
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Chinese (zh)
Other versions
CN108542474B (en
Inventor
冯春
张德仁
卢振和
熊东林
夏辉
艾伟
裴开虎
鱼雷
许亮
武庆平
冯丹
罗裕辉
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Medical Children Yi Zhihui Medical Service (hubei) Co Ltd
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Medical Children Yi Zhihui Medical Service (hubei) Co Ltd
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Priority to CN201810309614.6A priority Critical patent/CN108542474B/en
Publication of CN108542474A publication Critical patent/CN108542474A/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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors

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

Abstract

The present invention provides a kind of x-rays to guide Minimally Interventional Therapy localised puncture holder, it includes the firm banking for being connected to x-ray image intensifier lower end, the firm banking lower end is provided with locating support, the puncture needle sliding slot for placing puncture needle is provided on the locating support, after the puncture needle is placed into puncture needle sliding slot, puncture needle is overlapped with puncture needle sliding slot axle center, the locating support end is provided with puncture channel, the puncture cradle top is provided with metal scaling point, the axle center coincidence of the metal scaling point, puncture needle sliding slot, puncture channel three.Using the localised puncture holder accurate positioning, easy to operate, simple in structure, it can realize that target quickly positions, venipuncture, reduces injury of the x-ray to hospitalized patients.

Description

X-ray guides Minimally Interventional Therapy localised puncture holder
Technical field
The present invention relates to the field of medical instrument technology, in particular to a kind of x-ray to guide Minimally Interventional Therapy localised puncture branch Frame.
Background technology
Currently, the lower minimally invasive Surgery of human body of x-ray (DSA or C arms-X-ray machine) guiding is increasingly popularized.Often now The localised puncture method of rule is to use x-ray image intensifier, is guided down by x-ray and finds surgical target position, and by being arranged in X The puncture needle of line image amplifier lower end carries out projective iteration in patient body-surface, then carries out puncturing arrival mesh under x-ray guiding Interventional treatment is carried out after mark.In operating process, due to need medical worker iterate through x-ray constantly regulate inserting needle direction until Target position is reached, patient and medical worker is made to be exposed under x-ray for a long time, the body for affecting patient and medical worker is strong Health;Moreover, after x-ray finds illness source location positioning, the puncture supporter that operation doctor will be fixed with puncture needle on the other hand keeps its direction Constant, another hand is along puncturing direction inserting needle, and when operation, puncture supporter direction is manually controlled by medical worker, is inevitably existed Slight movement is had in piercing process, so as to cause the different degrees of deviation of puncture, influences to treat.
Before making the present invention, the Chinese utility model patent of Patent No. 201020116838.4 discloses a kind of x-ray and draws The quick localised puncture system of human body Minimally Interventional Therapy is led, the system by puncture needle by being placed in x-ray image intensifier lower end In fixator, fixator is connected and fixed to operation bedrest etc. by lockable flexible connection bulb and mobile machine arm Place, constitutes a support construction taken down the exhibits freely, and the cross during x-ray pastes x-ray image intensifier cross metal calibration single side is golden Belong to and being needed on the target point punctured in line projection to human body, needle tip is fixed on cross metal wire and is projected on human skin Point, and the infrared ray reversely projected is focused on by x-ray image intensifier cross metal by infrared locator and calibrates single side patch On right-angled intersection point on, puncture needle faces the target point in human body at this time, locks mobile machine arm and puncture needle fixer Afterwards by paracentesis depth pilot pin emplacement depth, hand-held needle inserter, which changes puncture needle, shifts target position onto to complete to puncture. The localised puncture system is realized using mechanical arm biopsy needle guide localised puncture, can realize that accurate positionin punctures to a certain extent It is exposed to for a long time under x-ray with reduction medical worker and patient, but since it is using flexible connection bulb and work The holder for the puncture needle that dynamic mechanical arm is formed, long-time service cause connecting ball head and mechanical arm to wear, junction are caused to be easy pine It is dynamic, and entire mechanical arm is caused to deform, lead to position inaccurate, influences medical effect.
Invention content
It is worn in view of the above-mentioned deficiencies in the prior art, it is an object of the present invention to provide a kind of guiding Minimally Interventional Therapy positioning of x-ray Holder is pierced, using the localised puncture holder accurate positioning, easy to operate, simple in structure, can realize that target is quickly positioned, accurately worn Thorn reduces injury of the x-ray to hospitalized patients.
To achieve the above object, x-ray of the invention guides Minimally Interventional Therapy localised puncture holder, including is connected to x-ray The firm banking of image amplifier lower end, is characterized in that:The firm banking lower end is provided with locating support, described fixed The puncture needle sliding slot for placing puncture needle, after the puncture needle is placed into puncture needle sliding slot, puncture needle are provided on the holder of position It is overlapped with puncture needle sliding slot axle center, the locating support end is provided with puncture channel, and the puncture cradle top is provided with gold Belong to scaling point, the axle center coincidence of the metal scaling point, puncture needle sliding slot, puncture channel three.
Preferably, locating support arm is set on the locating support, and the locating support arm is lived by fixing bracket arm and L-type Dynamic support arm is constituted, and the end of the L-type movable support arm is provided with puncture needle end fixator, and the puncture channel is arranged in institute It states on puncture needle end fixator.So design support arm after, medical worker can hand steered support arm positioning is adjusted to puncture needle, It is easy to operate.
It is further preferred that the puncture needle sliding slot outer wall is provided with graduated scale.By the graduated scale, can accurately indicate Go out the depth that puncture needle enters patient's body.
After being provided with paracentesis depth positioning card on the puncture needle sliding slot, before medical worker pushes puncture needle, it will puncture Depth localization card is fixed positioned on a certain scale on puncture needle sliding slot, when puncture needle advances to paracentesis depth positioning Ka Chu i.e. It cannot promote, be positioned convenient for medical worker's paracentesis depth still further below.
The L-type movable support arm is mutually clamped with the puncture needle fixer.
The fixing bracket arm is mutually clamped with L-type movable support arm by being clamped bolt.
The operation principle of the present invention is that:In use, then puncture needle is placed in puncture needle sliding slot, x-ray Imaging enhanced After device booting, metal scaling point is projected by x-ray and needs to wear in human body by adjustment x-ray image intensifier lower end firm banking On the therapeutic purpose position of thorn, puncture needle needle point positions subpoint on human skin by puncture channel, since metal is calibrated Point, puncture needle, puncture channel three parts axle center overlap, the target point in direction, that is, face human body of puncture needle, positioning is completed. Medical worker can take advantage of a situation and puncture needle is gently pushed to patient's body target position.
The x-ray of the present invention guides Minimally Interventional Therapy localised puncture holder, x-ray image intensifier can be connected by x-ray The metal scaling point of the puncture cradle top connect projects to patient's body, you can is rapidly and accurately positioned to target point.It wears When thorn, puncture needle movement is slowly pushed manually, you can puncture needle is accurately sent to target position.
Description of the drawings
Fig. 1 is a kind of structural schematic diagram of x-ray guiding Minimally Interventional Therapy localised puncture holder of the present invention.
Fig. 2 is A-A profile structure diagram in Fig. 1.
Specific implementation mode
In the following with reference to the drawings and specific embodiments, the x-ray guiding Minimally Interventional Therapy localised puncture holder of the present invention is made It is described in further detail.
As shown in Figure 1 and Figure 2, a kind of x-ray guides Minimally Interventional Therapy localised puncture holder, including is connected to the increasing of x-ray image The firm banking 1 of strong device lower end, 1 lower end of firm banking are provided with locating support 2, are provided on locating support 2 and are worn for placing The puncture needle sliding slot 4 of pricker 3, and after puncture needle 3 is placed into puncture needle sliding slot 4, puncture needle 3 is overlapped with 4 axle center of puncture needle sliding slot, 2 end of locating support is provided with puncture channel 5, punctures 2 top of holder and is provided with metal scaling point 6, metal scaling point 6 punctures The axle center coincidence of needle sliding slot 4,5 three of puncture channel.Locating support arm 7 is set on locating support 2, and locating support arm 7 is by fixing Support arm 8 and L-type movable support arm 9 are constituted, and the end of L-type movable support arm 9 is provided with puncture needle end fixator 10, are punctured logical Road 5 is arranged on the puncture needle end fixator 10.4 outer wall of puncture needle sliding slot indicates graduated scale 11.It is arranged on puncture needle sliding slot 4 There is paracentesis depth positioning card 12.L-type movable support arm 9 is clamped with 10 phase of the puncture needle fixer.Fixing bracket arm 8 and L-type Movable support arm 9 is by being clamped the clamping of 13 phase of bolt.
When working using the x-ray guiding Minimally Interventional Therapy localised puncture holder of the present invention, puncture needle 3 is placed in puncture In needle sliding slot, metal scaling point is projected the therapeutic purpose for needing to puncture in human body by x-ray image intensifier booting by x-ray On position, then, puncture needle needle point positions subpoint on human skin by puncture channel.It adjusts under x-ray image intensifier Firm banking is held, the target point in the direction face human body of puncture needle, positioning is made to complete.Medical worker can take advantage of a situation gently Puncture needle is pushed to patient's body target position.
The x-ray of the present invention guides Minimally Interventional Therapy localised puncture holder, x-ray image intensifier can be connected by x-ray The metal scaling point of the puncture cradle top connect projects to patient's body, you can is rapidly and accurately positioned to target point.And By the axle center coincidence that metal scaling point, puncture needle, puncture channel is arranged, it is ensured that puncture needle is accurately sent to target when puncture Position.

Claims (6)

1. a kind of x-ray guides Minimally Interventional Therapy localised puncture holder, including is connected to the fixation bottom of x-ray image intensifier lower end Seat (1), it is characterised in that:Firm banking (1) lower end is provided with locating support (2), is provided on the locating support (2) Puncture needle sliding slot (4) for placing puncture needle (3), after the puncture needle (3) is placed into puncture needle sliding slot (4), puncture needle (3) It is overlapped with puncture needle sliding slot (4) axle center, locating support (2) end is provided with puncture channel (5), the puncture holder (2) Top is provided with metal scaling point (6), the metal scaling point (6), puncture needle sliding slot (4), puncture channel (5) three axle center It overlaps.
2. x-ray according to claim 1 guides Minimally Interventional Therapy localised puncture holder, it is characterised in that:The positioning Locating support arm (7) is provided on holder (2), the locating support arm (7) is by fixing bracket arm (8) and L-type movable support arm (9) it constitutes, the end of the L-type movable support arm (9) is provided with puncture needle end fixator (10), and the puncture channel (5) sets It sets on the puncture needle end fixator (10).
3. x-ray according to claim 1 guides Minimally Interventional Therapy localised puncture holder, it is characterised in that:The puncture Needle sliding slot (4) outer wall is provided with graduated scale (11).
4. x-ray according to claim 1 guides Minimally Interventional Therapy localised puncture holder, it is characterised in that:The puncture Paracentesis depth positioning card (12) is provided on needle sliding slot (4).
5. x-ray according to claim 2 guides Minimally Interventional Therapy localised puncture holder, it is characterised in that:The L-type is lived Dynamic support arm (9) is mutually clamped with the puncture needle fixer (10).
6. x-ray according to claim 1 guides Minimally Interventional Therapy localised puncture holder, it is characterised in that:The fixation Support arm (8) is mutually clamped with L-type movable support arm (9).
CN201810309614.6A 2018-04-09 2018-04-09 Positioning puncture support for X-ray guided minimally invasive interventional therapy Active CN108542474B (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004267654A (en) * 2003-03-11 2004-09-30 Terumo Corp Puncture implement
WO2008014670A1 (en) * 2006-07-25 2008-02-07 Xiangshen Ni Micro-invasive surgery x-ray puncturing and locating device and method
CN201798795U (en) * 2010-02-09 2011-04-20 张德仁 X-ray-guided rapid positioning and puncturing system used in human body minimally invasive interventional treatment
CN202859934U (en) * 2012-10-09 2013-04-10 重庆同康骨科医院有限公司 C-arm X-ray machine
CN204708865U (en) * 2015-04-24 2015-10-21 赵少成 C-arm X-ray production apparatus calculus localised puncture guide bracket
CN105662548A (en) * 2016-03-02 2016-06-15 郑哲龙 Craniocerebral minimally-invasive puncture device with laser positioning function
CN209186880U (en) * 2018-04-09 2019-08-02 医儿易智慧医疗服务(湖北)有限公司 X-ray guides Minimally Interventional Therapy localised puncture bracket

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004267654A (en) * 2003-03-11 2004-09-30 Terumo Corp Puncture implement
WO2008014670A1 (en) * 2006-07-25 2008-02-07 Xiangshen Ni Micro-invasive surgery x-ray puncturing and locating device and method
CN201798795U (en) * 2010-02-09 2011-04-20 张德仁 X-ray-guided rapid positioning and puncturing system used in human body minimally invasive interventional treatment
CN202859934U (en) * 2012-10-09 2013-04-10 重庆同康骨科医院有限公司 C-arm X-ray machine
CN204708865U (en) * 2015-04-24 2015-10-21 赵少成 C-arm X-ray production apparatus calculus localised puncture guide bracket
CN105662548A (en) * 2016-03-02 2016-06-15 郑哲龙 Craniocerebral minimally-invasive puncture device with laser positioning function
CN209186880U (en) * 2018-04-09 2019-08-02 医儿易智慧医疗服务(湖北)有限公司 X-ray guides Minimally Interventional Therapy localised puncture bracket

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