CN109223133A - Ultrasonically guided percutaneous puncture bone positioning device - Google Patents
Ultrasonically guided percutaneous puncture bone positioning device Download PDFInfo
- Publication number
- CN109223133A CN109223133A CN201811320313.XA CN201811320313A CN109223133A CN 109223133 A CN109223133 A CN 109223133A CN 201811320313 A CN201811320313 A CN 201811320313A CN 109223133 A CN109223133 A CN 109223133A
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- puncture
- pilot pin
- ultrasonic
- ligule
- ultrasonic probe
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 17
- 239000000523 sample Substances 0.000 claims abstract description 37
- 230000004807 localization Effects 0.000 claims abstract description 20
- 239000013078 crystal Substances 0.000 claims description 4
- 210000004204 blood vessel Anatomy 0.000 abstract description 8
- 210000005036 nerve Anatomy 0.000 abstract description 8
- 230000006378 damage Effects 0.000 abstract description 6
- 230000003902 lesion Effects 0.000 description 7
- 238000002604 ultrasonography Methods 0.000 description 7
- 238000000034 method Methods 0.000 description 5
- 210000001835 viscera Anatomy 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000007812 deficiency Effects 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000004731 jugular vein Anatomy 0.000 description 2
- 210000004197 pelvis Anatomy 0.000 description 2
- 210000000278 spinal cord Anatomy 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 210000002385 vertebral artery Anatomy 0.000 description 2
- 208000020084 Bone disease Diseases 0.000 description 1
- 206010041591 Spinal osteoarthritis Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 208000036319 cervical spondylosis Diseases 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229910052602 gypsum Inorganic materials 0.000 description 1
- 239000010440 gypsum Substances 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 210000003540 papillary muscle Anatomy 0.000 description 1
- 201000005671 spondyloarthropathy Diseases 0.000 description 1
- 208000005801 spondylosis Diseases 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000009278 visceral effect Effects 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- 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
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
The invention discloses a kind of ultrasonically guided percutaneous puncture bone positioning device, including puncture localization needle and ultrasonic puncture casing, ultrasonic puncture casing is the cylindrical structure of inner hollow, is internally provided with the pilot pin tunnel passed through for puncture localization needle；Pilot pin tunnel front end is equipped with pilot pin tunnel exit, and rear end is equipped with pilot pin tunnel portal；Ultrasonic puncture casing front end is equipped with ligule arc ultrasonic probe, and pilot pin tunnel exit is located at the head end of ligule arc ultrasonic probe；Ligule arc ultrasonic probe is equipped with electrode, and ligule arc ultrasonic probe is equipped with wire assembly and is used to transfer information to external host.Ultrasonic probe is arranged by the arc head end in puncture cannula in the present invention, when microtrauma puncture bone of being expert at positions, real-time ultrasonic image data can be provided for the direction of puncture needle, puncture needle is set to avoid the structures such as important nerve, blood vessel, avoid damage of the puncture needle to important feature during bone Needle localization, it is not only easy to operate, while positioning more acurrate.
Description
Technical field
The present invention relates to the field of medical instrument technology, especially a kind of ultrasonically guided percutaneous puncture bone positioning device.
Background technique
When cervical vertebra, thoracic vertebrae, lumbar vertebrae, pelvis and four limbs ostosis lesion, because its property is unknown, open surgical biopsy need to be routinely carried out
Lesion is specified, need to be clarified a diagnosis further effectively to treat.That there are wounds is big for routine operation, bleeding is more, accelerate lesion diffusion,
The deficiencies of increasing radical operation risk.In recent years, with the continuous development of percutaneous technique, percutaneous puncture, lower puncture of C arm monitoring are lived
Examine many deficiencies that can avoid open surgery.When perilesional adjoins important nerve, blood vessel or internal organs, percutaneous puncture just holds
Its adjacent important feature of easy damaged generates severe complication.It is had an X-rayed in C arm and combines the clear lesion locations of preoperative image data
Under the premise of, by ultrasonic guidance bone sting device of the present invention, so that it may realize that safety punctures, avoid damage to the weight around puncture path
Want structure, realize wound is small, puncture effectively, the minimally invasive advantage such as safety, expense be low.
Cervical vertebra, thoracic vertebrae, lumbar vertebrae, pelvis and four limbs osteoarticular sites anatomical structures are complicated, when needing to carry out wearing for the position
When thorn positioning, there is damage tracheae, oesophagus, neck arteriovenous, nerve, abdominal viscera, abdominal cavity nervus vasculairs, pelvic cavity blood in routine operation
The vital tissues such as pipe nerve and internal organs, common puncture technique compare blindly, the important feature being easy to damage around puncture path；
It punctures under ultrasound guidance, it is just safer；Ultrasonic probe currently used for guiding puncture is larger, such as Chinese patent
The clamping device of 201310162540.5 (referring to Fig. 1), puncture needle are located at outside ultrasonic detecting probe, are unfavorable for realizing lesion portion
The in due course safety of position punctures, while being difficult to reflect the position of puncture needle in the tissue in time.
Summary of the invention
It is a primary object of the present invention to overcome the risk for damaging important feature tissue existing for current existing puncture technique,
A kind of safe and simple, efficient ultrasonically guided percutaneous puncture bone positioning device is provided, pacifies patient more in operation
Entirely, the important organs tissue such as conveniently, accurately puncture, and avoid damage to blood vessel, nerve.
In order to solve the above technical problems, the present invention is achieved through the following technical solutions:
A kind of ultrasonically guided percutaneous puncture bone positioning device provided by the invention, including matching used puncture localization needle and
Ultrasonic puncture casing, the ultrasonic puncture casing are the cylindrical structure of inner hollow, are internally provided with for puncture localization needle
The pilot pin tunnel passed through；Pilot pin tunnel front end is equipped with pilot pin tunnel exit, and rear end is equipped with pilot pin tunnel portal；
Ultrasonic puncture casing front end is equipped with ligule arc ultrasonic probe, and it is super that the pilot pin tunnel exit is located at the ligule arc
The head end of sonic probe；The ligule arc ultrasonic probe is equipped with electrode, and the ligule arc ultrasonic probe is used equipped with wire assembly
In the host that the information detected is transferred to outside.
Further, the puncture localization needle diameter is 0.5-1.5mm, is longer than puncture cannula 10cm, Needle localization syringe needle
End is sharp, and tail end flat, with mm reference mark.
Further, the wire assembly includes signal wire and power supply line, after the wire assembly is connected with the electrode
Signal wire from the conduit of ultrasonic puncture inside pipe casing across rear external host is connected with power supply line.
Further, the tail portion of the conduit stretches out in ultrasonic puncture casing main body, and the conduit tail portion is arranged
There is the wire outlet being pierced by outward for the wire assembly.
Further, it is upper and lower two in the electrode, is equipped with piezo-electric crystal between two strip electrodes.
Further, the pilot pin tunnel diameter is 1-1.5mm.
Further, the pilot pin tunnel exit is located at the head end centre of the ligule arc ultrasonic probe.
Beneficial effects of the present invention: being hollow tunnel by the way that ultrasonic probe is designed as arc, can after accurate positioning and
When implantation pilot pin complete localised puncture, puncture needle positioning cannot be implanted into after target in time by overcoming conventional ultrasound probes and verifying
Defect.The center for being located at ultrasonic probe due to puncturing tunnel again realizes ultrasonography and determines in the center opening of ultrasonic probe
Position punctures one operation；It avoids ultrasonic probe to separate with puncture needle, manipulates puncture needle respectively and ultrasonic probe is very difficult
Defect.In addition, the center of ultrasonic probe acquired image information is exactly point of puncture place, thus ultrasonic probe can be more quasi-
The real-time position information of true acquisition puncture needle, avoids damage to nerve, blood vessel and anatomical feature that puncture path adjoins.
Detailed description of the invention
Fig. 1 is a kind of schematic diagram of existing ultrasound guided puncture system；
Fig. 2 is the schematic diagram for the ultrasound guided puncture device that the present invention is implemented；
Fig. 3 is the positioning puncture needle schematic diagram that the present invention is implemented；
Fig. 4 is the ultrasonic guidance localised puncture operation schematic diagram that the present invention implements cervical vertebra case.
Description of symbols: 1- conduit, 2- wire assembly, 3- ultrasonic puncture casing, 4- electrode, 5- pilot pin tunnel go out
Mouthful, 6- ligule arc ultrasonic probe, 7- piezo-electric crystal, 8- pilot pin tunnel, 9- gasket material, 10- pilot pin tunnel portal,
11- puncture localization needle, 12- centrum, 13- arteria carotis, 14- jugular vein, 15- vertebral artery, 16- spinal cord, 17- tracheae, 18- oesophagus,
The cross-section position of 19- cervical vertebra.
Specific embodiment
Below in conjunction with attached drawing and preferred embodiment, to a kind of ultrasonically guided percutaneous puncture bone positioning proposed according to the present invention
Specific embodiment, structure, feature and its effect of device are described in detail.The attached drawing being directed to only illustrates the present invention
Certain case study on implementation, should not be looked at is restriction to range, for professional and technical personnel, is combining specific disease
Under the actual conditions of example and self-technique level, other relevant information can also be obtained with reference to the accompanying drawings.
As shown in Figures 2 and 3: the inventive system comprises a ultrasonic puncture casings 3 for localization by ultrasonic guidance, surpass
3 shape of sound puncture cannula is cylindrical structure, and inside is the pilot pin tunnel 8 of hollow diameters 1.0-1.5mm, pilot pin tunnel 8
Head end is pilot pin tunnel exit 5, and tail end is pilot pin tunnel portal 10.Ultrasonic puncture casing 3 is in cylindrical body convenient for operation behaviour
Positioning is held when making.3 front head end of ultrasonic puncture casing is equipped with ligule arc ultrasonic probe 6, and ligule arc ultrasonic probe 6 is micro-
The ultrasonic probe of type is located at around head end pilot pin tunnel exit 5.Ultrasonic puncture casing 3 with puncture localization needle 11 is mating makes
With ultrasonic puncture casing 3 is used for through puncture localization needle 11, and avoids the weight such as blood vessel, nerve under real-time ultrasonic image guidance
Structure is wanted, implantation is punctured and osteopathy stove is positioned.
As shown in figure 3, puncture localization needle 11 is the minute hand of diameter 0.5-1.2mm, head end is sharpened tip, and tail end is flat to pause,
Using mm as unit reference mark.
As shown in Fig. 2, being filled with gasket material 9, gasket material 9 between 3 inside of ultrasonic puncture casing and pilot pin tunnel 8
The multiple materials such as self curing plastic or gypsum can be used.In addition, in the another of the 3 remotely located needle tunnel 8 in inside of ultrasonic puncture casing
Side is additionally provided with conduit 1, and wire assembly 2 is installed in conduit 1, and wire assembly 2 includes power supply line and signal wire.On the other hand,
Ligule arc ultrasonic probe 6 is equipped with electrode 4, and one end of wire assembly 2 is connected on electrode 4, and the other end passes through the conduit 1
After connect ultrasound system mainframe.Its host is consistent with common ultrasonic host, visits for receiving, handling, show, storing the ultrasound
The information of head acquisition.Electrode 4 is upper and lower two, is equipped with piezo-electric crystal 7 between two strip electrodes 4, is used to form positive and negative anodes.
Conduit 1 is amesiality in 3 tail end of ultrasonic puncture casing, and attachment device has can be set in 1 tail portion of conduit, connection
The interface that the power supply line is connected with the signal wire is respectively arranged on device.Transmission can also be arranged in attachment device to connect
The signal detected for being transferred to external host by mouth.
For the present invention when it is implemented, illustrating by taking cervical spondylosis as an example referring to Fig. 4, figure middle and lower part is the cross-section position 19 of cervical vertebra
Sectional view, inside are respectively centrum 12, arteria carotis 13, jugular vein 14, vertebral artery 15, spinal cord 16, tracheae 17,18 grade portions of oesophagus
Position.When patient with cervical Spondylopathy needs the road Hang Qian percutaneously to position, first according to the segment of the clear lesion of CT or MRI data and specific puncture
Position, it is fixed according to its body surface when operating in art with the specific puncture position of C arm positioning lesion segment and after carrying out body surface marking
Position, the right hand hold ultrasonic puncture casing 3 of the invention, by ligule arc ultrasonic probe 6 along the convex intramuscular lateral margin of chest lock cream through oesophagus
Internal organ sheath is suitably pushed with nervus vasculairs intervaginal spaces to 12 leading edge of centrum, because localization by ultrasonic probe is ligule arc, when percutaneous suitable
When lateral margin moderately firmly presses in papillary muscle, it can adaptively find gap and get into forward, esophageal visceral sheath moves inward, blood vessel
Neurolemma moves outward, just clear when not showing important blood vessels, nerve and internal organs before ultrasonic probe (as shown in Figure 4)
The puncture position of safety is inserted into puncture localization needle 11 along center probe channel.The separately installation puncture outside ultrasonic probe is not needed
Device (such as Fig. 1).
Ultrasonic puncture casing can also clearly show the oesophagus 18 for being located at probe two sides or blood vessel and puncture localization needle simultaneously
11 paracentesis depth；It suitably moves up and down after ligule arc ultrasonic probe 6 determines the accurate location for reaching and puncturing, using hollow
Puncture localization needle 11 is placed in tunnel, and resistance can be obviously experienced when needle point reaches centrum 12, according to 11 tail end of puncture localization needle
Scale identification puncture needle depth, both safely needle can be driven into centrum 12 in a certain range it is fixed, to complete neck
The localised puncture of vertebra.
The above described is only a preferred embodiment of the present invention, being not intended to limit the present invention in any form, appoint
What is to the above embodiments according to the technical essence of the invention any simply to repair without departing from technical solution of the present invention content
Change, equivalent variations and modification, all of which are still within the scope of the technical scheme of the invention.
Claims (7)
1. a kind of ultrasonically guided percutaneous puncture bone positioning device, it is characterised in that: including matching used puncture localization needle (11)
With ultrasonic puncture casing (3), the ultrasonic puncture casing (3) is the cylindrical structure of inner hollow, is internally provided with for wearing
The pilot pin tunnel (8) that thorn pilot pin (11) passes through；Pilot pin tunnel (8) front end is equipped with pilot pin tunnel exit (5), after
End is equipped with pilot pin tunnel portal (10)；Ultrasonic puncture casing (3) front end is equipped with ligule arc ultrasonic probe (6), described
Pilot pin tunnel exit (5) is located at the head end of the ligule arc ultrasonic probe (6)；The ligule arc ultrasonic probe (6) sets
Have electrode (4), the ligule arc ultrasonic probe (6) is equipped with wire assembly (2) and is used to the information detected being transferred to outside
Host.
2. ultrasonically guided percutaneous puncture bone positioning device according to claim 1, it is characterised in that: the puncture localization needle
(11) diameter is 0.5-1.5mm, is longer than ultrasonic puncture casing (3) 10cm, and puncture localization needle (11) head end is sharp, tail end flat,
With mm reference mark.
3. ultrasonically guided percutaneous puncture bone positioning device according to claim 1, it is characterised in that: the wire assembly
It (2) include signal wire and power supply line, the wire assembly (2) is internal from ultrasonic puncture casing (3) after being connected with the electrode (4)
Conduit (1) in pass through rear external host signal wire connected with power supply line.
4. ultrasonically guided percutaneous puncture bone positioning device according to claim 3, it is characterised in that: the conduit (1)
Tail portion stretch out in ultrasonic puncture casing (3) main body, and the conduit (1) tail portion is provided with for the wire assembly (2)
The wire outlet being pierced by outward.
5. ultrasonically guided percutaneous puncture bone positioning device according to claim 1, it is characterised in that: in the electrode (4)
It is upper and lower two, is equipped with piezo-electric crystal (7) between two strip electrodes (4).
6. ultrasonically guided percutaneous puncture bone positioning device according to claim 1 or 2, it is characterised in that: the pilot pin
Tunnel (8) diameter is 1.0-1.5mm.
7. ultrasonically guided percutaneous puncture bone positioning device according to claim 1 or 2, it is characterised in that: the pilot pin
Tunnel exit (5) is located at the head end centre of the ligule arc ultrasonic probe (6).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811320313.XA CN109223133A (en) | 2018-11-07 | 2018-11-07 | Ultrasonically guided percutaneous puncture bone positioning device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811320313.XA CN109223133A (en) | 2018-11-07 | 2018-11-07 | Ultrasonically guided percutaneous puncture bone positioning device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109223133A true CN109223133A (en) | 2019-01-18 |
Family
ID=65077340
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811320313.XA Pending CN109223133A (en) | 2018-11-07 | 2018-11-07 | Ultrasonically guided percutaneous puncture bone positioning device |
Country Status (1)
| Country | Link |
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| CN (1) | CN109223133A (en) |
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