CN108597338A - Percutaneous kyplasty puncture angle auxiliary device and application method - Google Patents

Percutaneous kyplasty puncture angle auxiliary device and application method Download PDF

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Publication number
CN108597338A
CN108597338A CN201810537087.4A CN201810537087A CN108597338A CN 108597338 A CN108597338 A CN 108597338A CN 201810537087 A CN201810537087 A CN 201810537087A CN 108597338 A CN108597338 A CN 108597338A
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CN
China
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arc
shaped side
puncture needle
location hole
virtual
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CN201810537087.4A
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Chinese (zh)
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顾勇杰
张吉辉
赵刘军
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Individual
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    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00Simulators for teaching or training purposes

Abstract

The invention discloses Percutaneous kyplasty teaching mode accurate angles to puncture auxiliary device, including the eighth ball body that pedestal, x are in, y, the first arc-shaped side, the second arc-shaped side, three-arc-side surround;Second arc-shaped side and third arc-shaped side are respectively equipped with the angle index using anchor point as the center of circle;Indexing means is equipped between first arc-shaped side, the second arc-shaped side and third arc-shaped side, indexing means is equipped with first positioning hole;Pedestal is equipped with using anchor point as the second location hole in the center of circle;First positioning hole and second location hole are passed through for puncture needle.The invention also discloses the application methods of device:Angle is penetrated by simulating puncture needle in Mimics softwares, to determine the position of virtual first positioning hole, the final first positioning hole position for determining entity apparatus.It is an advantage of the invention that convenient for clinician when carrying out PKP operations accurate angle puncture, reduce repeated puncture number and art in x-ray transmission number and operating time.

Description

Percutaneous kyplasty puncture angle auxiliary device and application method
Technical field
The present invention relates to medical instruments fields, the instrument of puncture angle are especially to determine, specifically after percutaneous vertebral body Convex plasty puncture angle auxiliary device and application method.
Background technology
When carrying out vertebroplasty procedure to teaching mode, the preoperative three-dimensional path for first applying CT to design puncture, both Simulation puncture path is drawn with CT images in the cross-section position of lesion centrum and sagittal plain, drafts modus operandi.It will be related in operation And puncture needle and human body sagittal plane and coronal-plane puncture angle problem, when puncture, are only worn only in accordance with the angle substantially estimated Thorn, has larger deviation, and the correction for needing multiple puncture multiple can find more accurately puncture, however this is right It is not only painful for teaching mode patient, and repeatedly CT scan increases dose of radiation, seriously compromises teaching mode trouble The structure of person.
Invention content
The technical problem to be solved by the present invention is in view of the above-mentioned state of the art, and topology layout is provided rationally and Convenient for clinician when carrying out PKP operations accurate angle puncture, reduce repeated puncture number and art in x-ray transmit number And the Percutaneous kyplasty puncture angle auxiliary device and application method of operating time.
Technical solution is used by the present invention solves above-mentioned technical problem:Percutaneous kyplasty teaching mode essence True angle punctures auxiliary device, including the fan-shaped pedestal being pressed on teaching mode, and pedestal includes the side x and y arranged substantially perpendicular to each other Side and the first arc-shaped side;X while and when y be intersected in anchor point;The surface on the sides x is equipped with using anchor point as the center of circle, the length on the sides x Degree is the second arc-shaped side of radius;The surface on the sides y is equipped with so that using anchor point as the center of circle, the length on the sides y is the third arc of radius Shape side;Second arc-shaped side and third arc-shaped side are respectively equipped with the angle index using anchor point as the center of circle;First arc-shaped side, the second arc Indexing means is equipped between shape side and third arc-shaped side, indexing means is equipped with first positioning hole;It is circle that pedestal, which is equipped with anchor point, The second location hole of the heart;First positioning hole and second location hole are passed through for puncture needle.
The indexing means of embodiment 1 is the spherical surface body between the first arc-shaped side, the second arc-shaped side and third arc-shaped side, The number of first positioning hole is n, and angularly scale is just correspondingly arranged at spherical surface body, n >=18.
2 indexing means of embodiment includes such as lower component,
X guide rails are rotationally connected with x guide rails and are located at the opposite one end of anchor point, and the other end sliding of x guide rails is fitted to the second arc Side;
Y guide rails are rotationally connected with y guide rails and are located at the opposite one end of anchor point, and the other end sliding of y guide rails is fitted to third arc Side;
Connector, sliding are fitted on x guide rails and y guide rails, and first positioning hole is set on connector.
Above-mentioned x guide rails are arc compatible with the outer profile of the second arc-shaped side;Y guide rails are outer with third arc-shaped side The compatible arc of profile.
Embodiment 3 is to roll to be fitted with Universal rotary sphere, Universal rotary in second location hole on the basis of embodiment 1 Sphere is extended radially through equipped with the third location hole being inserted into for puncture needle.
The value range of the radius of above-mentioned first positioning hole and third location hole is 1.25mm to 1.5mm.
The end face edge of above-mentioned first positioning hole and third location hole is equipped with chamfering.
Embodiment 4 is to be equipped with the casing being inserted into for puncture needle, the side of casing in second location hole on the basis of embodiment 1 Wall rotation is equipped with steel ball, and steel ball weldering is equipped with the holder for being connected in pedestal.
Embodiment 5 is that second location hole is covered with the rigid disk for being fixed on pedestal on the basis of embodiment 1, rigid disk it is another It is equipped with elastic component on one side, elastic component is equipped with the 4th location hole for being right against anchor point with rigid disk jointly.
Embodiment 6 is to roll to be fitted with Universal rotary sphere, Universal rotary in second location hole on the basis of embodiment 2 Sphere is extended radially through equipped with the third location hole being inserted into for puncture needle.
The value range of the radius of above-mentioned first positioning hole and third location hole is 1.25mm to 1.5mm.
The end face edge of above-mentioned first positioning hole and third location hole is equipped with chamfering.
Embodiment 7 is to be equipped with the casing being inserted into for puncture needle, the side of casing in second location hole on the basis of embodiment 2 Wall rotation is equipped with steel ball, and steel ball weldering is equipped with the holder for being connected in pedestal.
Embodiment 8 is that second location hole is covered with the rigid disk for being fixed on pedestal on the basis of embodiment 2, rigid disk it is another It is equipped with elastic component on one side, elastic component is equipped with the 4th location hole for being right against anchor point with rigid disk jointly.
A kind of application method puncturing auxiliary device based on Percutaneous kyplasty teaching mode accurate angle,
The first step imports the Thoracolumbar disk CT of teaching mode unenhanced data in Mimics softwares, carries out three-dimensional reconstruction and forms conduct The first model of virtual patient;
Second step, the virtual puncture needle that structure outer diameter is 1.25mm on software;
Third walks, and virtual puncture needle is placed in the first model, the tip of puncture needle is made to be located at 1/3 under sagittal plain anterior margin of vertebral body, Entire virtual puncture needle passes through pedicle of vertebral arch axis, the void of virtual puncture needle and position, that is, virtual puncture needle on virtual patient's skin Quasi- optimum puncturing point;
The STL format model consistent with present apparatus shape is imported in Mimics softwares and forms the second model by the 4th step, will be virtual Then second location hole align virtual optimum puncturing point records position of the virtual puncture needle in virtual indexing means, as The position of a positioning hole;
The present apparatus is pressed by the position relationship between above-mentioned first model and the second model on teaching mode, is made by the 5th step Second location hole is directed at optimum puncturing point, then adjusts the position of first positioning hole on indexing means to virtual first positioning hole Then puncture needle is sequentially inserted into first positioning hole and second location hole by position, until the tip of puncture needle is located at sagittal plain vertebra At 1/3 under body leading edge.
Compared with prior art, Percutaneous kyplasty teaching mode accurate angle of the invention punctures auxiliary dress It sets, including the eighth ball body that pedestal, x are in, y, the first arc-shaped side, the second arc-shaped side, three-arc-side surround;Second arc Side and third arc-shaped side are respectively equipped with the angle index using anchor point as the center of circle;First arc-shaped side, the second arc-shaped side and third arc Indexing means is equipped between shape side, indexing means is equipped with first positioning hole;Pedestal is equipped with the second positioning using anchor point as the center of circle Hole;First positioning hole and second location hole are passed through for puncture needle.The invention also discloses the application methods of device:Pass through Mimics Puncture needle is simulated in software penetrates angle, it is final to determine that the first of entity apparatus determines to determine the position of virtual first positioning hole Position hole site.It is an advantage of the invention that accurate angle punctures when carrying out PKP operations convenient for clinician, repeated puncture is reduced The number and operating time that x-ray transmits in number and art.
Description of the drawings
Fig. 1 is the structural schematic diagram of present invention removal indexing means;
Fig. 2 is that bowing for the structural schematic diagram of embodiment 1 sees figure;
Fig. 3 is Fig. 2 base bottom structural schematic diagrams;
Fig. 4 is the use state diagram of embodiment 1;
Fig. 5 is the structural schematic diagram of embodiment 2;
Fig. 6 is the structural schematic diagram of embodiment 3 and embodiment 6;
Fig. 7 is the structural schematic diagram of embodiment 4 and embodiment 7;
Fig. 8 is the structural schematic diagram of embodiment 5 and embodiment 8;
Fig. 9 is the application method flow chart of the present invention.
Reference numeral therein is:Pedestal 1, x the 3, first arc-shaped side 4, anchor point 1a, second location hole 1b, in 2, y Two arc-shaped sides 4, third arc-shaped side 5, indexing means 6, first positioning hole 6a, spherical surface body 61, x guide rail 62a, y guide rails 62b, connection Device 62c, Universal rotary sphere 7, third location hole 7a, casing 8, steel ball 81, holder 82, rigid disk 9, elastic component the 91, the 4th are fixed Position hole 9a, puncture needle 10.
Specific implementation mode
The embodiment of the present invention is described in further detail below in conjunction with attached drawing.
Fig. 1 to Fig. 8 is the structural schematic diagram of the present invention, as shown, the Percutaneous kyplasty teaching of the present invention Model accurate angle punctures auxiliary device, including the fan-shaped pedestal 1 being pressed on teaching mode, and pedestal 1 includes arranged substantially perpendicular to each other X at 2 and y 3 and first arc-shaped side 4;X 3 is intersected in anchor point 1a at 2 and y;The surface on the sides x 2 is equipped with positioning Point 1a is the center of circle, and the length on the sides x 2 is the second arc-shaped side 4 of radius;The surface on the sides y 3 is equipped with using using anchor point 1a as the center of circle, y The length on side 3 is the third arc-shaped side 5 of radius;Second arc-shaped side 4 and third arc-shaped side 5 are respectively equipped with using anchor point 1a as the center of circle Angle index;Indexing means 6 is equipped between first arc-shaped side 4, the second arc-shaped side 4 and third arc-shaped side 5, indexing means 6 is set There is first positioning hole 6a;Pedestal 1 is equipped with using anchor point 1a as the second location hole 1b in the center of circle;The positioning of first positioning hole 6a and second Hole 1b is passed through for puncture needle 10.Puncture needle 10 passes through first positioning hole 6a and second location hole 1b that can be pierced into trouble with special angle In person's model.It is equipped with support bar between the sides x 2 and the second arc-shaped side 4, support bar also is provided between the sides y 3 and third arc-shaped side 5.
Following 8 embodiments are enumerated based on above-mentioned technical characteristic, wherein embodiment 3 is most preferred embodiment.
The indexing means 6 of embodiment 1 is the ball between the first arc-shaped side 4, the second arc-shaped side 4 and third arc-shaped side 5 Face body 61, the number of first positioning hole 6a are n, and angularly scale is just being correspondingly arranged at spherical surface body 61, n >=18, as Fig. 1,2, Shown in 3.The position of first positioning hole 6a is determined by reference to the angle index on the second arc-shaped side 4 and third arc-shaped side 5 It sets, then puncture needle 10 is inserted into from first positioning hole 6a.
Embodiment 2, as shown in figure 5, indexing means 6 includes such as lower component,
X guide rail 62a are rotationally connected with x guide rails 62a and are located at one end opposite anchor point 1a, and the other end sliding of x guide rails 62a is matched Loaded on the second arc-shaped side 4;
Y guide rail 62b are rotationally connected with y guide rails 62b and are located at one end opposite anchor point 1a, and the other end sliding of y guide rails 62b is matched Loaded on third arc-shaped side 5;
Connector 62c, sliding are fitted on x guide rail 62a and y guide rails 62b, and first positioning hole 6a is set on connector 62c.
Connector 62c is stirred, x guide rails 62a and y guide rail 62b can be made while being slided, finally falls first positioning hole 6a and is closing Suitable position.
Above-mentioned x guide rails 62a is arc compatible with the outer profile of the second arc-shaped side 4;Y guide rails 62b be and third arc The compatible arc of outer profile on shape side 5.
Embodiment 3 is to roll to be fitted with Universal rotary sphere 7 in second location hole 1b on the basis of embodiment 1, such as Fig. 5 Shown, Universal rotary sphere 7 is extended radially through equipped with the third location hole 7a being inserted into for puncture needle 10.Second location hole 1b is made more Small, puncture needle 10 is less susceptible to favour pedestal 1;Pedestal 1 can be favoured to puncture needle 10, then second location hole 1b will be done Enough to big, such second location hole 1b can not limit puncture needle 10 again.Third location hole 7a can be made and puncture needle 10 The same size of outer diameter is made deficiency that is big and can not limiting puncture needle 10 to make up second location hole 1b.7 energy of Universal rotary sphere As puncture needle 10 makees the rotation of each angle, and puncture needle 10 can be made to pass through anchor point 1a always, angle is punctured to improve The precision of degree.
The value range of the radius of above-mentioned first positioning hole 6a and third location hole 7a is 1.25mm to 1.5mm, is punctured The radius of the outer diameter of needle 10 is 1.25mm.
The end face edge of above-mentioned first positioning hole 6a and third location hole 7a is equipped with chamfering, in order to inserting for puncture needle 10 Enter.
Embodiment 4 is to be equipped with the casing 8 being inserted into for puncture needle 10 in second location hole 1b on the basis of embodiment 1, such as Shown in Fig. 7, the side wall rotation of casing 8 is equipped with steel ball 81, and the weldering of steel ball 81 is equipped with the holder 82 for being connected in pedestal 1.Puncture needle 10 is worn Cross first positioning hole 6a and casing 8.Puncture needle 10 can be rotated from all angles plug-in-sleeve 8, casing 8 around steel ball 81, due to Steel ball 81 can be made very small, so the rotation angle range of casing 8 is big.
Embodiment 5 is that second location hole 1b is covered with the rigid disk 9 for being fixed on pedestal 1 on the basis of embodiment 1, such as Fig. 8 Shown, the another side of rigid disk 9 is equipped with elastic component 91, and elastic component 91 is equipped with jointly with rigid disk 9 is right against the of anchor point 1a Four location hole 9a.Puncture needle 10 can be inserted into the 4th location hole 9a from all angles.
Embodiment 6 is to roll to be fitted with Universal rotary sphere 7 in second location hole 1b on the basis of embodiment 2, such as Fig. 5 Shown, Universal rotary sphere 7 is extended radially through equipped with the third location hole 7a being inserted into for puncture needle 10.The Universal rotary of embodiment 6 The structure of sphere 7 is identical as embodiment 3.
The value range of the radius of above-mentioned first positioning hole 6a and third location hole 7a is 1.25mm to 1.5mm.
The end face edge of above-mentioned first positioning hole 6a and third location hole 7a is equipped with chamfering.
Embodiment 7 is to be equipped with the casing 8 being inserted into for puncture needle 10 in second location hole 1b on the basis of embodiment 2, such as Shown in Fig. 7, the side wall rotation of casing 8 is equipped with steel ball 81, and the weldering of steel ball 81 is equipped with the holder 82 for being connected in pedestal 1.Puncture needle 10 is worn Cross first positioning hole 6a and casing 8.Puncture needle 10 can be rotated from all angles plug-in-sleeve 8, casing 8 around steel ball 81, due to Steel ball 81 can be made very small, so the rotation angle range of casing 8 is big.
Embodiment 8 is that second location hole 1b is covered with the rigid disk 9 for being fixed on pedestal 1 on the basis of embodiment 2, such as Fig. 8 Shown, the another side of rigid disk 9 is equipped with elastic component 91, and elastic component 91 is equipped with jointly with rigid disk 9 is right against the of anchor point 1a Four location hole 9a.
A kind of application method being punctured auxiliary device based on Percutaneous kyplasty teaching mode accurate angle, is such as schemed Shown in 9.
The first step imports the Thoracolumbar disk CT of teaching mode unenhanced data in Mimics softwares, carries out three-dimensional reconstruction and is formed The first model as virtual patient;
Second step, the virtual puncture needle 10 ' that structure outer diameter is 1.25mm on software;
Third walks, and virtual puncture needle 10 ' is placed in the first model, before so that the tip of virtual puncture needle 10 ' is located at sagittal plain centrum At 1/3 under edge, entire virtual puncture needle 10 ' passes through pedicle of vertebral arch axis, virtual puncture needle 10 ' and the position on virtual patient's skin That is the virtual optimum puncturing point of virtual puncture needle 10 ';
The STL format model consistent with present apparatus shape is imported in Mimics softwares and forms the second model by the 4th step, will be virtual Second location hole 1b ' align virtual optimum puncturing points, then record position of the virtual puncture needle 10 ' in virtual indexing means 6 ' It sets, the position as first positioning hole 6a;
The present apparatus is pressed by the position relationship between above-mentioned first model and the second model on teaching mode, is made by the 5th step Second location hole 1b is directed at optimum puncturing point, then adjusts the position of first positioning hole 6a on indexing means 6 to virtual first fixed The position of position hole 6a ', is then sequentially inserted into first positioning hole 6a and second location hole 1b by puncture needle 10, until puncture needle 10 Tip is located at 1/3 under sagittal plain anterior margin of vertebral body.
Highly preferred embodiment of the present invention has illustrated, and the various change or remodeling made by those of ordinary skill in the art are not It can depart from the scope of the present invention.

Claims (10)

1. Percutaneous kyplasty teaching mode accurate angle punctures auxiliary device, it is characterized in that:Including being pressed on teaching mould Fan-shaped pedestal (1) in type, the pedestal (1) include x arranged substantially perpendicular to each other (3) and the first arc at (2) and y Side (4);The x (3) at (2) and y is intersected in anchor point (1a);The surface on the sides x (2) is equipped with anchor point (1a) is the center of circle, and the length of the sides x (2) is the second arc-shaped side (4) of radius;The surface on the sides y (3) is equipped with with positioning Point (1a) is the center of circle, and the length of the sides y (3) is the third arc-shaped side (5) of radius;Second arc-shaped side (4) and third arc Side (5) is respectively equipped with the angle index for the center of circle with anchor point (1a);First arc-shaped side (4), the second arc-shaped side (4) and Indexing means (6) is equipped between third arc-shaped side (5), the indexing means (6) is equipped with first positioning hole (6a);The base Seat (1) is equipped with the second location hole (1b) for the center of circle with anchor point (1a);The first positioning hole (6a) and described second Location hole (1b) is passed through for puncture needle (10).
2. Percutaneous kyplasty teaching mode accurate angle according to claim 1 punctures auxiliary device, special Sign is:The indexing means (6) is set on first arc-shaped side (4), the second arc-shaped side (4) and third arc-shaped side (5) Between spherical surface body (61), the number of the first positioning hole (6a) is n, and is set by the angle index just correspondence In spherical surface body (61), n >=18.
3. Percutaneous kyplasty teaching mode accurate angle according to claim 1 punctures auxiliary device, special Sign is:The indexing means (6) includes such as lower component,
X guide rails (62a) are rotationally connected with x guide rails (62a) and are located at the opposite one end of anchor point (1a), x guide rails (62a) it is another End sliding is fitted to the second arc-shaped side (4);
Y guide rails (62b) are rotationally connected with y guide rails (62b) and are located at the opposite one end of anchor point (1a), y guide rails (62b) it is another End sliding is fitted to third arc-shaped side (5);
Connector (62c), sliding are fitted on x guide rails (62a) and y guide rails (62b), and first positioning hole (6a) is set to connector On (62c).
4. Percutaneous kyplasty teaching mode accurate angle according to claim 3 punctures auxiliary device, special Sign is:The x guide rails (62a) are arc compatible with the outer profile of the second arc-shaped side (4);The y guide rails (62b) is arc compatible with the outer profile of third arc-shaped side (5).
5. Percutaneous kyplasty teaching mode accurate angle according to claim 2 or 4 punctures auxiliary device, It is characterized in:It is rolled in the second location hole (1b) and is fitted with Universal rotary sphere (7), the Universal rotary sphere (7) It extends radially through equipped with the third location hole (7a) being inserted into for puncture needle (10).
6. Percutaneous kyplasty teaching mode accurate angle according to claim 5 punctures auxiliary device, special Sign is:The value range of the radius of the first positioning hole (6a) and the third location hole (7a) be 1.25mm extremely 1.5mm。
7. Percutaneous kyplasty teaching mode accurate angle according to claim 6 punctures auxiliary device, special Sign is:The end face edge of the first positioning hole (6a) and the third location hole (7a) is equipped with chamfering.
8. Percutaneous kyplasty teaching mode accurate angle according to claim 2 or 4 punctures auxiliary device, It is characterized in:The casing (8) being inserted into for puncture needle (10), the side of the casing (8) are equipped in the second location hole (1b) Wall rotation is equipped with steel ball (81), and the steel ball (81) weldering is equipped with the holder (82) for being connected in pedestal (1).
9. Percutaneous kyplasty teaching mode accurate angle according to claim 2 or 4 punctures auxiliary device, It is characterized in:The second location hole (1b) is covered with the rigid disk (9) for being fixed on pedestal (1), the rigid disk (9) it is another Face is equipped with elastic component (91), and the elastic component (91) is equipped with the rigid disk (9) and is right against the anchor point jointly 4th location hole (9a) of (1a).
10. a kind of application method puncturing auxiliary device based on Percutaneous kyplasty teaching mode accurate angle, special Sign is:
The first step imports the Thoracolumbar disk CT of teaching mode unenhanced data in Mimics softwares, carries out three-dimensional reconstruction and forms conduct The first model of virtual patient;
Second step, the virtual puncture needle (10 ') that structure outer diameter is 1.25mm on software;
Third walks, and virtual puncture needle (10 ') is placed in the first model, the tip of virtual puncture needle (10 ') is made to be located at sagittal plain vertebra At 1/3 under body leading edge, entire virtual puncture needle (10 ') passes through pedicle of vertebral arch axis, virtual puncture needle (10 ') and virtual patient's skin On position, that is, virtual puncture needle (10 ') virtual optimum puncturing point;
The STL format model consistent with present apparatus shape is imported in Mimics softwares and forms the second model by the 4th step, will be virtual Then second location hole (1b ') align virtual optimum puncturing point records virtual puncture needle (10 ') in virtual indexing means (6 ') Position, the position as first positioning hole (6a);
The present apparatus is pressed by the position relationship between above-mentioned first model and the second model on teaching mode, is made by the 5th step Second location hole (1b) is directed at optimum puncturing point, then adjusts the position of first positioning hole (6a) on indexing means (6) to virtual Puncture needle (10) is then sequentially inserted into first positioning hole (6a) and second location hole (1b) by the position of first positioning hole (6a '), Until the tip of puncture needle (10) is located at 1/3 under sagittal plain anterior margin of vertebral body.
CN201810537087.4A 2018-05-30 2018-05-30 Percutaneous kyplasty puncture angle auxiliary device and application method Pending CN108597338A (en)

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