CN109171901B - A multi-functional impaling type medical equipment for gynaecology and obstetrics intervenes treatment - Google Patents

A multi-functional impaling type medical equipment for gynaecology and obstetrics intervenes treatment Download PDF

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CN109171901B
CN109171901B CN201811096804.0A CN201811096804A CN109171901B CN 109171901 B CN109171901 B CN 109171901B CN 201811096804 A CN201811096804 A CN 201811096804A CN 109171901 B CN109171901 B CN 109171901B
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puncture
needle
puncturing
equipment
cabin
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CN109171901A (en
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李云霞
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Li Yunxia
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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
    • A61B90/13Instruments, 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 guided by light, e.g. laser pointers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/04Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/10Type of patient
    • A61G2200/12Women

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

The invention provides a multifunctional puncturing type medical device for gynecological interventional therapy, which can utilize MRI (magnetic resonance imaging) equipment, X-ray imaging equipment and computer tomography equipment as imaging equipment, a computing system plans a puncturing position and a puncturing path according to personal data information of a patient displayed on the human body imaging equipment, meanwhile, a guide device connected with the imaging equipment is adopted for accurate puncturing guide, and in the puncturing process, as a following device and an image device which can display the position in real time are also arranged on a puncturing needle, the real-time position and image feedback can be carried out on the puncturing path, and a doctor can judge whether successful puncturing is realized or not according to the image fed back in real time and the personal data information of the patient displayed on the imaging equipment.

Description

A multi-functional impaling type medical equipment for gynaecology and obstetrics intervenes treatment
Technical Field
The invention belongs to the field of medical equipment, relates to medical equipment in the technical field of interventional therapy, and particularly relates to multifunctional puncture type medical equipment for gynecological interventional therapy.
Background
Interventional therapy is a minimally invasive technique for disease diagnosis and treatment by applying modern high-tech means, and under the guidance of medical imaging equipment (such as CT, MRI, DSA and ultrasound), instruments such as a specially-made puncture needle, a catheter, a guide wire and the like are introduced into a human body to carry out purposeful local diagnosis and treatment on focus in the body. The interventional procedure may be performed intravascularly or directly at the site of the lesion, i.e., the target site. The method does not need to be operated, only needs a small opening less than the size of rice grains (1-2 mm), and introduces a catheter with the thickness of 1-3 mm into a blood vessel to treat a plurality of diseases which cannot be treated in the past or have to be treated by operation or have poor internal treatment effect, such as coronary heart disease, arrhythmia, cerebral apoplexy, tumor, aneurysm, various hemorrhage, cerebrovascular malformation and the like. The interventional therapy method for treating gynecological diseases has been developed into the international hot direction, the interventional therapy methods for gynecological malignant tumors, ovarian varices, postpartum hemorrhage, postpartum venomous thrombosis, uterine usage myopathy, tubal pregnancy and the like and the commonly used non-vascular approach interventional therapy technology commonly used in obstetrics and gynecology become the new development direction of interventional therapy.
The application with the application number of CN200410013838.0 discloses a vascular embolization agent and a storage and release device thereof, which can directly fill gaseous substances into the blood vessels of target tissues through puncture, so that all cavities of local blood vessels are completely filled with gas to form local gas locking areas, thereby effectively cutting off the blood supply to the target tissues and improving embolization effect. However, it does not consider how to locate the puncture position and plan the puncture path in a specific treatment process, so that when the device without the guiding device is actually used for interventional therapy of a patient, high requirements are often put on the level of a physician, and due to the position of the target tissue in the body or the proximity of the target tissue and a key body organ, nerve or other components which are easy to damage, the physician has difficulty in achieving successful puncture in one time under the condition of blind operation.
The application document with the application number of CN201110027106.7 discloses a novel acupuncture operation manipulator mechanism under a nuclear magnetic resonance environment, the manipulator structure is provided with a five-degree-of-freedom structure, can realize up-and-down, left-and-right, inclined and swinging motions in a large range, can assist in completing acupuncture operations in a limited space of a nuclear magnetic instrument, and improves the accuracy of the operations to a great extent.
The function of the existing puncture type medical equipment is single, the equipment which can integrally and mutually solve various problems of positioning, disinfection and the like in the interventional operation process of doctors cannot be provided, the universal interventional treatment equipment is usually used for gynecological interventional treatment, the positioning precision is not high, and the puncture path storage function is not provided, so that great trouble is caused to the doctors in the actual operation process.
Disclosure of Invention
The invention overcomes the defects and provides multifunctional puncturing type medical equipment for gynecological interventional therapy, which can utilize MRI (magnetic resonance imaging) equipment, X-ray imaging equipment and computer tomography equipment as imaging equipment, a computing system plans a puncturing position and a puncturing path according to personal data information of a patient displayed on the human body imaging equipment, meanwhile, a guiding device connected with the imaging equipment is adopted for accurate puncturing guidance, and in the puncturing process, as a following device and an imaging device which can display the position in real time are also arranged on a puncturing needle, the real-time position and image feedback can be carried out on the puncturing path, and a doctor can judge whether successful puncturing is realized according to the image fed back in real time and the personal data information of the patient displayed on the imaging equipment.
Because the blood vessel is too much in the uterus of human body, and the postoperative easily produces the general condition including clinical symptoms such as menorrhagia, irregular menstruation, oppression symptom, in order to avoid postoperative complication, need carry out real-time accurate puncture guide and puncture route record to gynaecology and obstetrics's interventional therapy's equipment, can look over the puncture route at any time when making things convenient for the postoperative to take place the problem and find the clinical etiology of postoperative.
A multifunctional puncture type medical device for gynecological interventional therapy comprises an isolation cabin, a computer, an imaging device, a puncture needle, a guiding device and a medical bed; the computer and the imaging equipment are respectively arranged on the operation table; the puncturing needle is provided with a needle body and a needle seat, one end of the needle body is provided with a sharp puncturing end, the other end of the needle body is fixed on the needle seat, and the needle body is of a hollow stainless steel structure; the guiding device is connected with the computer and the imaging equipment through interfaces, the guiding device is arranged on a U-shaped upright post at the side part of the medical bed, and a laser is further arranged on the guiding device.
The imaging device comprises a CT scanner and a display screen capable of displaying three-dimensional images of the interior and the periphery of a lesion area, the display screen is connected with a computer, a display device of the computer can display the three-dimensional images on the display screen in real time, the display device is a touch screen capable of directly and manually selecting puncture points, three optimal planned puncture paths can be automatically displayed on the display screen through a prefabricated program in the computer after the puncture points are selected, and a laser lamp on the guiding device can guide the puncture points of one optimal planned puncture path according to the selection.
A plurality of turnover cylinders are arranged under the medical bed, the bed body can be turned over according to different treatment positions of a patient, and the turnover angle is minus fifteen degrees to fifteen degrees deviated from the bottom surface of the horizontal isolation cabin.
The isolation cabin comprises a rectangular cabin body, a cabin door is arranged on the cabin body, the cabin door can be closed to seal the cabin body into a sterile environment isolated from the outside, a disinfection cabinet is further arranged in the cabin body, and disposable puncture needles, disinfection cotton and disinfection flushing fluid of different types are respectively placed in the disinfection cabinet in a layered mode;
the laser may generate a visible laser beam to direct the puncture point of the puncture needle at a precise preselected location, thereby minimizing human error and achieving greater medical benefit. The top of the isolation cabin is also provided with a chemical ozone sterilization device. The puncture needles of different models have the same radius at the end matched with the needle seat.
A multi-functional type medical equipment that punctures for gynaecology and obstetrics's interventional therapy, its characterized in that still be provided with in the needle body cavity and follow the equipment, puncture the in-process because still be provided with on the puncture needle can real-time display position follow equipment and image device, so can also carry out real-time position and image feedback to the route of puncturing, the doctor can be according to the image of real-time feedback combines patient's personal data information judgement that shows on the imaging device whether realizes puncturing successfully.
A multi-functional puncture type medical equipment for gynaecology and obstetrics intervenes treatment, puncture needle with the connection between the needle file is for dismantling the connection.
The invention has the beneficial effects that:
the multifunctional puncture type medical equipment for gynecological interventional therapy is provided with imaging equipment capable of displaying three-dimensional data, a computing system plans puncture positions and puncture paths according to personal data information of patients displayed on human body imaging equipment, simulated puncture can be performed under the selection of doctors after planning, so that doctors can know problems possibly encountered in the puncture process more comprehensively, operation suggestions of professional doctors under various problems are input in the computing system in advance, and doctors using the equipment can know the problems in advance; meanwhile, the guide device connected with the imaging device is adopted to carry out accurate puncture guide, and in the puncture process, as the puncture needle is also provided with the following device and the imaging device which can display the position in real time, the real-time position and image feedback can be carried out on the puncture path, and a doctor can judge whether successful puncture is realized or not according to the image fed back in real time and the personal data information of the patient displayed on the imaging device, so that the accurate guide and real-time imaging improve the success rate of primary puncture, and reduce the pain of the patient in the treatment process.
Drawings
FIG. 1 is a schematic view of the overall structure of the apparatus of the present invention;
FIG. 2 is a schematic view of the connection of the apparatus of the present invention.
Detailed Description
The structure and use of the device will be described in detail below with reference to fig. 1-2.
Example 1
The invention provides a multifunctional puncturing type medical device for gynecological interventional therapy, which comprises an isolation cabin 1, a computer 2, an imaging device 3, a puncturing needle 4, a guiding device 5 and a medical bed 6, wherein the isolation cabin is provided with a needle guide device; a disinfection cabinet 102 and an operation table 103 are arranged in the isolation cabin 1, and the computer 2 and the imaging device 3 are respectively arranged on the operation table 103; the puncture needle 4 is provided with a needle body and a needle seat 401, one end of the needle body is provided with a sharp puncture end, the other end of the needle body is fixed on the needle seat 401, and the needle body is of a stainless steel structure with a hollow cavity; the guiding device 5 is connected with the computer 2 and the imaging device 3 through interfaces, the guiding device 5 is arranged on a U-shaped upright 601 at the side of the medical bed 6, and a laser 501 is further arranged on the guiding device 5.
A multi-functional puncture type medical equipment for gynaecology and obstetrics's interventional therapy, imaging device 3 includes CT scanner 301 and can show the inside of focus area and the display screen 302 of the three-dimensional image of entity around, display screen 302 is connected with computer 2, display device 201 of computer 2 can show in real time three-dimensional image on the display screen 302, display device 201 is the touch-sensitive screen that can direct manual selection puncture point, can automatic display three kinds of best planning puncture routes on the display screen through the prefabricated procedure in the computer 2 behind the selection puncture point, and laser lamp 501 on guiding device 5 can be according to selecting to the puncture point of one of them best planning puncture route and guide.
Because set up the following equipment that can get into the human body along with puncturing needle 4 in 4, so be used for gynaecology and obstetrics's interventional therapy's multi-functional puncture type medical equipment still have puncture real-time video-recording function, this is because human intrauterine blood vessel is too much, and the postoperative is very easily produced including the general condition of clinical symptoms such as increased menstruation, irregular menstruation, oppression symptom, need carry out real-time accurate puncture guide and puncture route record to gynaecology and obstetrics interventional therapy's equipment, make things convenient for when the postoperative takes place the problem, can know the puncture route at any time and find the clinical etiology of postoperative.
A multi-functional type medical equipment that pierces for gynaecology and obstetrics's interventional therapy, still be provided with a plurality of upset cylinders 602 under the medical bed 6, can overturn the bed body according to the treatment position that the patient is different, and upset angle is for deviating from horizontal isolation cabin bottom surface minus fifteen degrees to fifteen degrees.
The multifunctional puncture type medical equipment for gynecological interventional therapy comprises a rectangular cabin body 101, wherein a cabin door is arranged on the cabin body 101, the cabin door is closed to seal the cabin body 101 into a sterile environment isolated from the outside, a disinfection cabinet 102 is further arranged in the cabin body, and disposable puncture needles 4, disinfection cotton and disinfection washing liquid of different types are respectively arranged in the disinfection cabinet 102 in a layered mode;
the laser 501 can generate a visible laser beam to limit the piercing point of the piercing needle 4 to a precise preselected location.
A multi-functional type medical equipment that punctures for gynaecology and obstetrics's interventional therapy, still be provided with in the needle body cavity and follow the equipment, puncture the in-process owing to still be provided with on the puncture needle 4 and follow equipment and the image equipment that can show the position in real time, so can also carry out real-time position and image feedback to the route of puncturing, the doctor can combine according to the image of real-time feedback patient personal data information that shows on the imaging device 3 judges whether to realize successfully puncturing. The top of the isolation cabin 1 is also provided with a chemical ozone sterilization device.
The puncture needle 4 is detachably connected with the needle seat 401, and the puncture needles 4 of different types have the same radius at the end matched with the needle seat 401.
The multifunctional puncture type medical equipment for gynecological interventional therapy can utilize MRI (magnetic resonance imaging) equipment, X-ray imaging equipment and computed tomography equipment as imaging equipment, a computing system plans puncture positions and puncture paths according to personal data information of patients displayed on the human body imaging equipment, a computer can provide three optimal planned paths through three-dimensional human body images of the patients, whether puncture simulation is carried out or not can be carried out according to the selection of doctors after planning, the puncture simulation process can be displayed in a three-dimensional mode so that doctors can know the problems possibly encountered in the puncture process more comprehensively, operation suggestions of professional doctors under various gynecological emergent problems can be input in advance in the computing system, and the doctors using the equipment can know the problems in advance; meanwhile, the guide device connected with the imaging device is adopted for accurate puncture guide, and in the puncture process, as the puncture needle is also provided with the following device and the imaging device which can display the position in real time, the real-time position and image feedback can be carried out on the puncture path, and a doctor can judge whether successful puncture is realized according to the image fed back in real time and the personal data information of the patient displayed on the imaging device.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art can easily conceive of the changes or substitutions within the technical scope of the present invention, and the changes or substitutions should be covered within the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the appended claims.

Claims (1)

1. A multifunctional puncture type medical device for gynecological interventional therapy comprises an isolation cabin (1), a computer (2), an imaging device (3), a puncture needle (4), a guiding device (5) and a medical bed (6); the device is characterized in that a disinfection cabinet (102) and an operation table (103) are arranged in the isolation cabin (1), and the computer (2) and the imaging equipment (3) are respectively arranged on the operation table (103); the puncture needle (4) is provided with a needle body and a needle seat (401), one end of the needle body is provided with a sharp puncture end, the other end of the needle body is fixed on the needle seat (401), and the needle body is of a stainless steel structure with a hollow cavity; the guiding device (5) is connected with the computer (2) and the imaging equipment (3) through interfaces, the guiding device (5) is arranged on a U-shaped upright post (601) at the side part of the medical bed (6), and a laser (501) is also arranged on the guiding device (5); the imaging device (3) comprises a CT scanner (301) and a display screen (302) capable of displaying solid three-dimensional images of the interior and the periphery of a lesion area, the display screen (302) is connected with a computer (2), a display device (201) of the computer (2) can display the three-dimensional images on the display screen (302) in real time, the display device (201) is a touch screen capable of directly and manually selecting puncture points, three optimal planned puncture paths can be automatically displayed on the display screen through a pre-prepared program in the computer (2) after the puncture points are selected, and a laser (501) on a guiding device (5) can guide the puncture points of one optimal planned puncture path according to the selection; the multifunctional puncture type medical equipment for gynecological interventional therapy is characterized in that a following device is further arranged in a cavity of a needle body, and in the puncture process, as the following device and an image device which can display the position in real time are further arranged on a puncture needle (4), the real-time position and image feedback can be carried out on a puncture path, and a doctor can judge whether successful puncture is realized according to the image fed back in real time and the personal data information of a patient displayed on the imaging device (3); the isolation cabin (1) comprises a rectangular cabin body (101), a cabin door is arranged on the cabin body (101), the cabin door is closed to seal the cabin body (101) into a sterile environment isolated from the outside, a disinfection cabinet (102) is further arranged in the cabin body, and disposable puncture needles (4) of different types, disinfection cotton and disinfection washing liquid are respectively placed in the disinfection cabinet (102) in a layered mode; a plurality of overturning cylinders (602) are further arranged below the medical bed (6), the bed body can be overturned according to different treatment positions of a patient, and the overturning angle is minus fifteen to fifteen degrees away from the bottom surface of the horizontal isolation cabin; the laser device (501) can generate a visible laser beam to limit the piercing point of the piercing needle (4) at an accurate preselected position, a chemical ozone sterilization device is further arranged at the top of the isolation cabin (1), the piercing needle (4) is detachably connected with the needle seat (401), and the piercing needles (4) of different types have the same radius at the end matched with the needle seat (401).
CN201811096804.0A 2018-09-20 2018-09-20 A multi-functional impaling type medical equipment for gynaecology and obstetrics intervenes treatment Active CN109171901B (en)

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CN109646090A (en) * 2019-01-21 2019-04-19 北京理工大学 Puncture needle control method and device
CN109998592A (en) * 2019-04-28 2019-07-12 张风霞 A kind of Neurology brain dead zone thrombus insertion type diagnostic device
CN113878590B (en) * 2021-04-22 2022-11-25 北京邮电大学 Robot system with automatic planning and liposuction functions

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CN101019765A (en) * 2007-03-29 2007-08-22 新奥博为技术有限公司 Surgical operation system under the guide of magnetic resonant image and the operation navigating method
CN101942908A (en) * 2010-09-21 2011-01-12 中国人民解放军沈阳军区总医院 Rapid minimally invasive interventional therapy field curing shelter of acute and serious injuries and diseases of heart and blood vessel
CN204106436U (en) * 2014-07-09 2015-01-21 中国人民解放军军事医学科学院卫生装备研究所 A kind of operation shelter with vertical laminar flow purification function
CN106073895A (en) * 2016-08-12 2016-11-09 杭州三坛医疗科技有限公司 Noninvasive type real-time surgery location 3D navigator
CN108013934A (en) * 2018-01-19 2018-05-11 上海联影医疗科技有限公司 For intervening the intracavitary interventional systems of object

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