CN108784798A - CT-guided percutaneous lung puncture guiding and pre-positioning device - Google Patents
CT-guided percutaneous lung puncture guiding and pre-positioning device Download PDFInfo
- Publication number
- CN108784798A CN108784798A CN201810732299.8A CN201810732299A CN108784798A CN 108784798 A CN108784798 A CN 108784798A CN 201810732299 A CN201810732299 A CN 201810732299A CN 108784798 A CN108784798 A CN 108784798A
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- China
- Prior art keywords
- positioning
- oriented
- flexible
- guided percutaneous
- flexible positioning
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Links
- 210000004072 lung Anatomy 0.000 title abstract description 10
- 230000005484 gravity Effects 0.000 claims abstract description 4
- 238000001574 biopsy Methods 0.000 claims description 20
- 239000002184 metal Substances 0.000 claims description 9
- 229910052751 metal Inorganic materials 0.000 claims description 9
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 8
- 239000000741 silica gel Substances 0.000 claims description 8
- 229910002027 silica gel Inorganic materials 0.000 claims description 8
- 239000000843 powder Substances 0.000 claims description 7
- 239000002872 contrast media Substances 0.000 claims description 6
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical group [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 3
- 238000004804 winding Methods 0.000 claims 1
- 238000002591 computed tomography Methods 0.000 abstract description 6
- 238000006073 displacement reaction Methods 0.000 abstract description 4
- 230000015572 biosynthetic process Effects 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 7
- 238000003384 imaging method Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 230000003902 lesion Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 2
- 230000007170 pathology Effects 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 238000013170 computed tomography imaging Methods 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000000686 essence Substances 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000000053 physical method Methods 0.000 description 1
- 239000011505 plaster Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/02—Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computerised tomographs
- A61B6/032—Transmission computed tomography [CT]
Abstract
The invention discloses a percutaneous lung puncture guiding and pre-positioning device under the guidance of CT, which comprises flexible positioning parts and connecting parts, wherein a plurality of flexible positioning parts form a rectangular fence shape through the connecting parts, the flexible positioning parts can be freely bent, and the flexible positioning parts can be attached to the skin of a patient to be punctured by means of self gravity. Can make flexible setting element crooked wantonly in transverse direction and longitudinal direction, can laminate and be difficult to produce the displacement on patient's skin, guarantee the accuracy of location, there is not the distance basically between flexible setting element and patient's the skin surface, CT scanning formation of image back, distance and puncture angle surveyability between flexible setting element and the focus of patient lung, there can not be great error when the puncture operation in fact to this accurate location of realizing the puncture.
Description
Technical field
The present invention relates to medical apparatus technical fields more particularly to a kind of CT guided percutaneous transthoracic biopsies to be oriented to pre-determined bit dress
It sets.
Background technology
CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies are one of the important diagnostic methods that peripheral portion of lung block obtains pathology foundation,
It is intended to take out patient lungs' lump for pathology experiment by physical method, the cause of disease of patient is determined with this.Generally use
Method is that the position of lump is determined using CT scan cross section, then relies on the device of pre-determined bit point of puncture is accurately positioned.Example
Such as：Chinese invention patent notification number CN202437351U discloses a kind of percutaneous lung and wears fence locator, and plurality of rods part passes through company
Fitting constitutes rectangle paliform, and the horizontally-parallel arrangement of plurality of rods part connects rectangularity paliform by longitudinal connector,
Two ends of connector are located on the outside of rod piece.The percutaneous lung of the present invention wears fence locator, by thin plastic bar with common adhesive plaster into
Rectangle fence locator is made in row connection, according to the relationship of fence cross section and lump, selects optimum puncturing point.Due to rod piece
It is made of plastic material, since Cheng Ying is relatively fuzzy under the influence of CT for plastic part, is unfavorable for the localised puncture in later stage, in addition, modeling
Materials and parts are hard member, since skin surface of patient itself has certain cambered surface, plastic part are caused not to be bonded patient part's skin
The surface of skin, therefore, as shown in Figure 10, the point after rod piece CT imagings forms a certain distance with patient skin surface, distance
It is inaccurate in the presence of final localised puncture is caused.
Invention content
In view of this, the present invention provides a kind of CT guided percutaneous transthoracic biopsies to be oriented to device for pre-positioning, solve existing
It is punctured in technology and is pre-positioned not accurate enough technical problem.
The technological means that the present invention uses is as follows：A kind of CT guided percutaneous transthoracic biopsies guiding device for pre-positioning, including it is soft
Property locating piece and connector, several flexible positionings constitute rectangle paliform by connector, and the flexible positioning can
In free bend shape, the flexible positioning realizes the skin that flexible positioning is fitted in patient to be punctured by its own gravity
On.
Preferably, the flexible positioning include silica gel hose and the contrast agent being built in the silica gel hose or
Metal powder.
Preferably, the metal powder is iron powder.
Preferably, the flexible positioning is the series arrangement being formed by connecting by several metalworks.
Preferably, the series arrangement is connected with each other between the metalwork by hinged mode.
Preferably, the head and the tail of the metalwork are equipped with latch closure, and the series arrangement passes through ring between the metalwork
Button is mutually fastened and connected.
Preferably, through-hole is equipped in the middle part of the metalwork, the series arrangement is that the metalwork is mutually gone here and there by rope
Downlink connection.
Preferably, the shape of the metalwork is cylindrical either oval spherical or spherical.
Preferably, the flexible positioning is arbitrarily bent in horizontal direction and longitudinal direction.
Using a kind of CT guided percutaneous transthoracic biopsies guiding device for pre-positioning provided by the present invention, flexible positioning can be made
Part is arbitrarily bent in horizontal direction and longitudinal direction, can be fitted on patient skin and not allowed to be also easy to produce displacement, ensures positioning
Be substantially not present distance between the skin surface of accuracy, flexible positioning and patient, after CT scan imaging, flexible positioning with
The distance between patient lungs' lesion and puncture angle are very clear, and practical in puncture procedure, there is no larger mistakes
Difference realizes the precise positioning of puncture with this.
Description of the drawings
Fig. 1 is the structural schematic diagram of the embodiment of the present invention 1；
Fig. 2 is the structural schematic diagram of flexible positioning in the embodiment of the present invention 1；
Fig. 3 is the schematic cross-section of flexible positioning in Fig. 2；
Fig. 4 is the structural schematic diagram of the embodiment of the present invention 2~4；
Fig. 5 is the structural schematic diagram of flexible positioning in the embodiment of the present invention 2；
Fig. 6 is the structural schematic diagram of flexible positioning in the embodiment of the present invention 3；
Fig. 7 is the partial enlarged view in Fig. 6；
Fig. 8 is the structural schematic diagram of flexible positioning in the embodiment of the present invention 4；
Fig. 9 is the partial sectional schematic view of flexible positioning in Fig. 8；
Figure 10 is the image schematic diagram after CT scan.
Specific implementation mode
The principle and features of the present invention will be described below with reference to the accompanying drawings, and the given examples are served only to explain the present invention, and
It is non-to be used to limit the scope of the present invention.
Embodiment 1
As shown in Figure 1, a kind of CT guided percutaneous transthoracic biopsies are oriented to device for pre-positioning, including flexible positioning 1 and connection
Part 2, flexible positioning 1 are eight, and connector 2 is three, and medical proof fabric or rope, eight flexibilities may be used in connector 2
Locating piece 1 constitutes rectangle paliform by three connectors 2, and flexible positioning 1 can be in free bend shape, such as Fig. 2 and Fig. 3 institutes
Show, flexible positioning 1 includes silica gel hose 3 and the contrast agent 4 being built in silica gel hose, and it is soft that contrast agent 4 is filled in silica gel
In pipe 3, contrast agent 4 has more visible imaging under the scanning of CT, and flexible positioning 1 itself has certain weight, flexible
Flexible positioning 1 is fitted in by its own gravity realization on the skin of patient to be punctured by locating piece 1, silica gel hose 3 tool itself
There is certain viscosity, flexible positioning 1 can be made arbitrarily to be bent in horizontal direction and longitudinal direction, patient skin can be fitted in
On do not allow to be also easy to produce displacement, ensure positioning accuracy, be substantially not present between flexible positioning 1 and the skin surface of patient away from
From, referring to Fig.1 0, after CT scan imaging, flexible positioning 1 formed one it is dotted, flexible positioning 1 and patient lungs' lesion it
Between distance and puncture angle it is very clear, then corresponding position is marked with marker pen on patient skin, puncture
When punctured from the mark point, after setting puncture angle, practical in puncture procedure, there is no larger errors, with this
Realize the precise positioning punctured.In the present embodiment, metal powder may be used and replace contrast agent 4, metal powder generally uses iron powder,
Metal powder has more visible imaging equally under the scanning of CT.
Embodiment 2
As shown in figure 4, a kind of CT guided percutaneous transthoracic biopsies are oriented to device for pre-positioning, including flexible positioning 1 and connection
Part 2, flexible positioning 1 are ten, and connector 2 is four, and eight flexible positionings 1 constitute rectangle by three connectors 2
Paliform, flexible positioning 1 can be in free bend shape, as shown in figure 5, flexible positioning 1 be by several metalworks 5 connection and
At series arrangement, 5 quantity of metalwork is determined depending on concrete condition, by taking length is the flexible positioning 1 of 10cm as an example, metalwork 5
Quantity is generally advisable at 8~15.In the present embodiment, the shape of metalwork 5 is cylinder, and series arrangement is between metalwork 5
It is connected with each other by hinged mode.It, can be more preferable due to flexibly can mutually be rotated upwardly and downwardly after being hinged between metalwork 5
Ground is fitted in patient skin surface.
Embodiment 3
As shown in figure 4, a kind of CT guided percutaneous transthoracic biopsies are oriented to device for pre-positioning, including flexible positioning 1 and connection
Part 2, flexible positioning 1 are ten, and connector 2 is four, and eight flexible positionings 1 constitute rectangle by three connectors 2
Paliform, flexible positioning 1 can be in free bend shape, as shown in fig. 6, flexible positioning 1 be by several metalworks 5 connection and
At series arrangement.In the present embodiment, the shape of metalwork 5 is spherical shape, as shown in fig. 7, the head and the tail of metalwork 5 are equipped with latch closure
6, it is mutually fastened and connected by latch closure 6 between series arrangement metalwork 5.Similarly, due between metalwork 5 fasten after can be flexible
Mutually rotate upwardly and downwardly, it might even be possible to left-right rotation, therefore can be preferably bonded in patient skin surface.
Embodiment 4
As shown in figure 4, a kind of CT guided percutaneous transthoracic biopsies are oriented to device for pre-positioning, including flexible positioning 1 and connection
Part 2, flexible positioning 1 are ten, and connector 2 is four, and eight flexible positionings 1 constitute rectangle by three connectors 2
Paliform, flexible positioning 1 can be in free bend shape, as shown in figure 8, flexible positioning 1 be by several metalworks 5 connection and
At series arrangement.In the present embodiment, the shape of metalwork 5 is oval spherical, as shown in figure 9,5 middle part of metalwork is equipped with through-hole
7, series arrangement is that metalwork 5 is mutually connected in series by rope 8.Due between metalwork 5 concatenate after can be in horizontal direction
It is arbitrarily bent, can be preferably bonded on patient skin with longitudinal direction.
It, can be in conclusion be oriented to device for pre-positioning using a kind of CT guided percutaneous transthoracic biopsies provided by the present invention
So that flexible positioning 1 is arbitrarily bent in horizontal direction and longitudinal direction, can be fitted on patient skin and not allow to be also easy to produce displacement,
The accuracy for ensureing positioning is substantially not present distance between flexible positioning 1 and the skin surface of patient, after CT scan imaging,
The distance between flexible positioning 1 and patient lungs' lesion and puncture angle are very clear, and reality will not in puncture procedure
There are larger errors, and the precise positioning of puncture is realized with this.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention
With within principle, any modification, equivalent substitution, improvement and etc. done should be included within the scope of protection of the invention god.
Claims (9)
1. a kind of CT guided percutaneous transthoracic biopsies are oriented to device for pre-positioning, which is characterized in that including flexible positioning and connector,
Several flexible positionings constitute rectangle paliform by connector, and the flexible positioning can be in free bend shape, described
Flexible positioning is fitted in by its own gravity realization on the skin of patient to be punctured by flexible positioning.
2. CT guided percutaneous transthoracic biopsies according to claim 1 are oriented to device for pre-positioning, which is characterized in that the flexibility
Locating piece includes silica gel hose and the contrast agent or metal powder that are built in the silica gel hose.
3. CT guided percutaneous transthoracic biopsies according to claim 2 are oriented to device for pre-positioning, which is characterized in that the metal
Powder is iron powder.
4. CT guided percutaneous transthoracic biopsies according to claim 1 are oriented to device for pre-positioning, which is characterized in that the flexibility
Locating piece is the series arrangement being formed by connecting by several metalworks.
5. CT guided percutaneous transthoracic biopsies according to claim 4 are oriented to device for pre-positioning, which is characterized in that the series winding
Structure is connected with each other between the metalwork by hinged mode.
6. CT guided percutaneous transthoracic biopsies according to claim 4 are oriented to device for pre-positioning, which is characterized in that the metal
The head and the tail of part are equipped with latch closure, and the series arrangement is mutually fastened and connected between the metalwork by latch closure.
7. CT guided percutaneous transthoracic biopsies according to claim 4 are oriented to device for pre-positioning, which is characterized in that the metal
Through-hole is equipped in the middle part of part, the series arrangement is that the metalwork is mutually connected in series by rope.
8. being oriented to device for pre-positioning according to claim 4~7 any one of them CT guided percutaneous transthoracic biopsies, feature exists
In the shape of the metalwork is cylindrical either oval spherical or spherical.
9. CT guided percutaneous transthoracic biopsies according to claim 1 are oriented to device for pre-positioning, which is characterized in that the flexibility
Locating piece is arbitrarily bent in horizontal direction and longitudinal direction.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810732299.8A CN108784798A (en) | 2018-07-05 | 2018-07-05 | CT-guided percutaneous lung puncture guiding and pre-positioning device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810732299.8A CN108784798A (en) | 2018-07-05 | 2018-07-05 | CT-guided percutaneous lung puncture guiding and pre-positioning device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108784798A true CN108784798A (en) | 2018-11-13 |
Family
ID=64075180
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810732299.8A Pending CN108784798A (en) | 2018-07-05 | 2018-07-05 | CT-guided percutaneous lung puncture guiding and pre-positioning device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108784798A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110141370A (en) * | 2019-06-03 | 2019-08-20 | 上海市肺科医院 | A kind of positioning device and its localization method for Lung neoplasm in art |
| CN113229954A (en) * | 2021-06-08 | 2021-08-10 | 玉溪市人民医院 | Positioning device before percutaneous pedicle of vertebral arch puncture |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040267358A1 (en) * | 2001-12-11 | 2004-12-30 | Oyvind Reitan | Implant for treating an insufficiency of a heart valve |
| CN203815590U (en) * | 2014-04-29 | 2014-09-10 | 中国十九冶集团有限公司职工医院 | Ct guiding puncture positioner |
| CN206120337U (en) * | 2016-08-03 | 2017-04-26 | 郑州大学第一附属医院 | A net positioner for CT guide puncture down |
| CN206434420U (en) * | 2016-08-04 | 2017-08-25 | 张天佑 | A kind of noninvasive body surface locator |
| CN209695318U (en) * | 2018-07-05 | 2019-11-29 | 海口市人民医院（中南大学湘雅医学院附属海口医院） | CT-guided percutaneous lung puncture guiding and pre-positioning device |
-
2018
- 2018-07-05 CN CN201810732299.8A patent/CN108784798A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040267358A1 (en) * | 2001-12-11 | 2004-12-30 | Oyvind Reitan | Implant for treating an insufficiency of a heart valve |
| CN203815590U (en) * | 2014-04-29 | 2014-09-10 | 中国十九冶集团有限公司职工医院 | Ct guiding puncture positioner |
| CN206120337U (en) * | 2016-08-03 | 2017-04-26 | 郑州大学第一附属医院 | A net positioner for CT guide puncture down |
| CN206434420U (en) * | 2016-08-04 | 2017-08-25 | 张天佑 | A kind of noninvasive body surface locator |
| CN209695318U (en) * | 2018-07-05 | 2019-11-29 | 海口市人民医院（中南大学湘雅医学院附属海口医院） | CT-guided percutaneous lung puncture guiding and pre-positioning device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110141370A (en) * | 2019-06-03 | 2019-08-20 | 上海市肺科医院 | A kind of positioning device and its localization method for Lung neoplasm in art |
| CN113229954A (en) * | 2021-06-08 | 2021-08-10 | 玉溪市人民医院 | Positioning device before percutaneous pedicle of vertebral arch puncture |
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