CN109363750A - A kind of epidural puncture method - Google Patents
A kind of epidural puncture method Download PDFInfo
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- CN109363750A CN109363750A CN201811196865.4A CN201811196865A CN109363750A CN 109363750 A CN109363750 A CN 109363750A CN 201811196865 A CN201811196865 A CN 201811196865A CN 109363750 A CN109363750 A CN 109363750A
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- Prior art keywords
- puncture
- needle
- epidural
- chip microcontroller
- analytical equipment
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- 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
- A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Anesthesiology (AREA)
- Pathology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The present invention relates to a kind of sting device of epidural puncture, which includes that piercing assembly and terminal show analytical equipment；Terminal shows that analytical equipment is connect with mechanical arm in single-chip microcontroller in piercing assembly and puncture navigation instrument respectively by cable；Piercing assembly includes shell, mechanics sampling module, posture analysis module, inserting needle driving motor, Bluetooth transmission module, single-chip microcontroller, power supply and sterile port；Mechanics sampling module, posture analysis module and inserting needle driving motor respectively with monolithic mechatronics, Bluetooth transmission module is solidificated on single-chip microcontroller, and Bluetooth transmission module and monolithic mechatronics, shell are mounted on mechanical arm, sterile port is fixed on the output shaft of inserting needle driving motor.The effect that the present invention solves epidural puncture retardance has the technical issues of being disinclined to Anesthetist's experience, reduces failure rate.
Description
Technical field
The invention belongs to field of medical technology, and in particular to a kind of epidural puncture method.
Background technique
Caudal anaesthesia is a kind of anaesthesia technology for being widely used in clinic, and having influences small, complication to systemic organs
The characteristics of incidence is low, shortens the hospital stays, reduces medical treatment cost.To the knowledge of epidural space in traditional hard film external anesthetic puncture
It Yi Laiyu not disappear when the tip of puncture needle passes through ligamentum flavum to the injection resistance of liquid or air, pass through Anesthetist's hand
Refer to the resistance variation during experiencing epidural puncture to identify and reach supervisor's judgement that epidural space is a kind of operator, and
And the success rate of epidural puncture and the effect of retardance have the experience for being disinclined to Anesthetist.Due to traditional epidural puncture skill
For art there are many uncertain factors, failure rate is relatively high, and the technology difference between Anesthetist is big, lacks accurate objective
Evaluation criterion, it is difficult to meet the form of precisely medical treatment.
Summary of the invention
It is an object of that present invention to provide a kind of epidural puncture method, the effect for solving epidural puncture retardance, which has, is disinclined to
The technical issues of Anesthetist's experience, reduce failure rate.
The technical scheme is that specific step is as follows for a kind of epidural puncture method:
Step 1 prepares before puncturing；
Step 2: installation puncture needle；By the sterile port grafting on puncture needle and piercing assembly, by the shell of piercing assembly
21 end faces and patient contact are overlapped the center of the shell 21 of piercing assembly with plan point of puncture；
Step 3: starting epidural puncture navigation instrument, and adjust needle angle；Show that analytical equipment is shown according to terminal
Posture analysis as a result, i.e. adjusted according to the angle between the axis and operating table plane of puncture needle into puncture needle, make puncture needle
Axis is vertical with operating table plane；
Step 4: implement puncture process；
Step 5: puncture needle is exited.
A kind of punctures of step prepare to refer to, 1) patient's lateral position, head pad pillow, two hands embrace knee joint, lower jaw
It is close to shirtfront, at buckling shape；2) point of puncture is selected, according to operative site select planning point of puncture, according to traditional interbody space
Localization method finds plan and punctures gap, leaves a trace in plan point of puncture；3) sterilize, use disposable epidural puncture packet for
Patient carries out disinfection, and sterilization scope is centered on point of puncture, radius at least 15cm, and sterilizing forceps tail end drug head end prevents from sterilizing
Liquid flows back, and spreads aseptic towel after sanitized.
Needle angle is adjusted in step 3 refers to that the posture analysis module 23 in piercing assembly starts to acquire puncture needle in real time
Attitude data, attitude data is converted to electric signal by posture analysis module 23, and by Bluetooth transmission module 25 by electric signal
It exports to single-chip microcontroller, single-chip microcontroller controls mechanical arm movement, keeps puncture needle axis vertical with operating table plane.
Step 4 body process is that acquisition punctures pressure to the mechanics sampling module 22 in piercing assembly in real time in puncture process
Value, and the data of acquisition are transmitted to terminal by Bluetooth transmission module 25 and show analytical equipment, terminal shows that analytical equipment will
It receives data to be converted into puncture process pressure time curve and show curve, determines pressure value variation tendency, work as puncture
When pressure value moment tends to zero in the process, terminal shows that analytical equipment assigns instruction to single-chip microcontroller automatically, and single-chip microcontroller receives
It instructs and controls inserting needle driving motor 24 and stop inserting needle immediately, complete epidural puncture process.The invention has the advantages that logical
Cross piercing method control mechanical arm adjustment epidural puncture needle angle of the invention and make its by default puncture angle into
Needle, piercing method acquire patient care plan in real time and puncture gap adjacent vertebral attitude data, inserting needle attitude data, hinder in puncture process
Power delta data, acquired data are measured value, avoid as subjective judgement and caused by deviation, obtain in time inserting needle posture and
Inserting needle drag data, thus effective and safe complete epidural puncture, avoid as subjective judgement and caused by deviation, improve hard
The validity punctured outside film, safety.
Detailed description of the invention
Fig. 1 is using a kind of sting device structural schematic diagram of epidural puncture method of the present invention.
Specific embodiment
To make the object, technical solutions and advantages of the present invention clearer, technical solution of the present invention will be carried out below
Detailed description.Obviously, described embodiments are only a part of the embodiments of the present invention, rather than whole embodiments.It is based on
Embodiment in the present invention, those of ordinary skill in the art's obtained all other reality under the premise of no creative work
Mode is applied, the range that the present invention is protected is belonged to.
Specific step is as follows for a kind of epidural puncture method of the present invention:
Step 1: prepare before puncturing.1, patient's lateral position, head pad pillow, two hands embrace knee joint, before lower jaw is close to
Chest, at buckling shape.2, point of puncture is selected, according to operative site select planning point of puncture, point of puncture generally takes domination range of operation
The corresponding interspinal interstice in center.Plan is found according to traditional interbody space localization method and punctures gap, is stayed in plan point of puncture
Lower trace；3, it sterilizing, disposable epidural puncture packet is used to carry out disinfection for patient, sterilization scope is centered on point of puncture, and half
Diameter at least 15cm, sterilizing forceps tail end drug head end, prevents thimerosal from flowing back, aseptic towel is spread after sanitized.
Step 2: installation puncture needle.Puncture needle is taken out, the sterile port grafting on puncture needle and piercing assembly will be worn
21 end face of shell and the patient contact for piercing component are overlapped the center of the shell 21 of piercing assembly with plan point of puncture.
As shown in Figure 1, the sting device includes that piercing assembly and terminal show analytical equipment.Terminal display analysis dress
It sets and is connect respectively with the mechanical arm in single-chip microcontroller 26 in piercing assembly and puncture navigation instrument by cable.Piercing assembly is fixed
On mechanical arm.
Piercing assembly includes shell 21, mechanics sampling module 22, posture analysis module 23, inserting needle driving motor 24, bluetooth
Transmitting module 25, single-chip microcontroller 26, power supply 27 and sterile port 28.Mechanics sampling module 22, posture analysis module 23, inserting needle driving
Motor 24, Bluetooth transmission module 25, power supply 27 and sterile port 28 are fixedly mounted in shell 21, and single-chip microcontroller 26 passes through conducting wire
It is connect with power supply 27, mechanics sampling module 22, posture analysis module 23 and inserting needle driving motor 24 are electrically connected with single-chip microcontroller 26 respectively
It connects, Bluetooth transmission module 25 is solidificated on single-chip microcontroller 26, and Bluetooth transmission module 25 is electrically connected with single-chip microcontroller 26, and shell 2 is installed
On mechanical arm 1.Sterile port 28 is fixed on the output shaft of inserting needle driving motor 24, and puncture needle is plugged on sterile port 28
On.
Piercing assembly is punctured attitude data a little for acquisition patient in real time and acquires inserting needle attitude data, and point of puncture is logical
It is frequently located between adjacent vertebral.Piercing assembly is fixedly mounted on the mechanical arm for puncturing navigation instrument.
Mechanics sampling module 22 uses pressure sensor, and mechanics sampling module 22 is connect with single-chip microcontroller 26.Mechanics samples mould
Block 22 is used to obtain pressure suffered by the puncture needle in inserting needle, and pressure value is converted to electric signal, and mechanics sampling module 22 will
The electric signal is exported to single-chip microcontroller 26.
Posture analysis module 23 uses geomagnetic field sensors, selects the geomagnetic field sensors of 9 axis.Geomagnetic field sensors acquisition
The attitude data of puncture needle.Attitude data refers to the acceleration and rotation angle of puncture needle.Rotation angle refers to the axis of puncture needle
Angle between line and operating table plane.Attitude data is converted to electric signal by posture analysis module 23, and is exported to single-chip microcontroller
26。
Single-chip microcontroller 26 such as is filtered to received electric signal, amplifies at the processing, and will treated that signal is converted into number
Signal is exported by Bluetooth transmission module 25 and shows analytical equipment to terminal.
Bluetooth transmission module 25 uses bluetooth 4.0.The bluetooth 4.0 has the function of data penetration transmission, and the data of transmission are shown
It is shown on analytical equipment in terminal, data show the epidural puncture navigation procedure after terminal shows analytical equipment analysis
Middle many index.
Inserting needle driving motor 24 uses step-by-step motor, and step-by-step motor is the step-by-step motor with 56 step of rail.
Inserting needle driving motor 24 receives the control signal of single-chip microcontroller, and according to control signal driving puncture needle inserting needle and the withdraw of the needle.
Terminal, which is shown, to be carried out data transmission between analytical equipment and the piercing assembly by Bluetooth transmission module 25, described
Terminal shows analytical equipment for showing that analysis Data Concurrent goes out to instruct.Terminal shows analytical equipment using mobile phone or plate electricity
Brain, terminal, which is shown, is equipped with Bluetooth antenna in analytical equipment, terminal shows that analytical equipment receives Bluetooth transmission by Bluetooth antenna
The data that module 25 exports, and display and data analysis are carried out to received data, and it is defeated by Bluetooth antenna to analyze result
Out to single-chip microcontroller 26.Terminal shows that analytical equipment carries out data analysis and refers to, will receive data and is converted into puncture process pressure value
Versus time curve determines the variation tendency of pressure value, when pressure value moment tends to zero in resistance change curve, terminal
Analytical equipment output order is shown to single-chip microcontroller, single-chip microcontroller instructs control inserting needle driving motor 24 to stop working based on the received,
Stop inserting needle immediately, completes epidural puncture process.
Terminal shows that analytical equipment is shown that analytical equipment has and stepped on using android studio as environment, terminal is developed
It records account interface to log in for medical staff, patient ID, scanning patient's bracelet bar code or two dimensional code, RFID can be manually entered after login
Radio frequency reads input patient ID；After having inputted patient ID, terminal shows that analytical equipment reads bluetooth hair by Bluetooth antenna in real time
The attitude data and pressure value of the output of module 25 are penetrated, and the data of reading are stored together with patient ID to terminal display analysis dress
In setting, and terminal shows analytical equipment analysis attitude data and pressure value, assigns puncture instruction, completes epidural puncture.It wears
Thorn instruction is by reaching Bluetooth transmission module 25 in piercing assembly under Bluetooth transmission module 25, while terminal shows that analytical equipment is real
When instruction assigned to the arm for puncturing navigation instrument according to attitude data, adjust the needle angle of arm, it is complete to puncture navigation instrument
At epidural puncture.
Shell 21 is aseptic enclosure, is rectangular parallelepiped structure, is belt track cylindrical body tunnel in shell 21, inside sets track guarantee
Without offset during inserting needle
Step 3: starting epidural puncture navigation instrument, and adjust needle angle.Posture analysis module in piercing assembly
23 start the attitude data of acquisition puncture needle in real time, and attitude data is converted to electric signal by posture analysis module 23, and is exported and given
Single-chip microcontroller 26.Posture analysis module 23 will acquire data and be exported by Bluetooth transmission module 25 to single-chip microcontroller, and single-chip microcontroller controls machine
Tool arm motion keeps puncture needle axis vertical with operating table plane.Posture analysis module 23 will acquire the axis that data are puncture needle
Angle between line and operating table plane.
Step 4: implement puncture process.Mechanics sampling module 22 in piercing assembly in puncture process wear in real time by acquisition
It pierces drag data (pressure value), and the data of acquisition is transmitted to terminal by Bluetooth transmission module 25 and show analytical equipment, eventually
End display analytical equipment analyzes drag data, converts puncture process pressure time curve for data and shows curve,
Pressure value variation tendency is determined, when pressure value moment tends to zero in puncture process, under terminal shows that analytical equipment is automatic
Up to instruction to single-chip microcontroller, single-chip microcontroller receives instruction and controls inserting needle driving motor 24 stops inserting needle immediately, completes epidural puncture
Process.
Step 5: puncture needle is exited.Puncture needle is separated with piercing assembly.
Piercing method of the invention obtains attitude data and drag data (pressure value) during epidural puncture, and completes
Epidural puncture.Patient care plan is acquired in piercing method in real time to puncture gap adjacent vertebral attitude data, inserting needle attitude data, wear
Resistance delta data during thorn, acquired data are measured value, avoid as subjective judgement and caused by deviation, obtain in time
Inserting needle posture and inserting needle drag data.Anesthetist can puncture, thus effective and safe complete epidural puncture.
The above description is merely a specific embodiment, but scope of protection of the present invention is not limited thereto, any
Those familiar with the art in the technical scope disclosed by the present invention, can readily occur in variation or substitution, should all contain
Lid is within protection scope of the present invention.Therefore, protection scope of the present invention should be based on the protection scope of the described claims.
Claims (4)
1. a kind of epidural puncture method, it is characterized in that: specific step is as follows for the piercing method:
Step 1 prepares before puncturing；
Step 2: installation puncture needle；By the sterile port grafting on puncture needle and piercing assembly, by 21 end of shell of piercing assembly
Face and patient contact are overlapped the center of the shell 21 of piercing assembly with plan point of puncture；
Step 3: starting epidural puncture navigation instrument, and adjust needle angle；
Step 4: implement puncture process；
Step 5: puncture needle is exited.
2. a kind of epidural puncture method described in accordance with the claim 1, it is characterised in that: a kind of punctures of step prepare be
Refer to, 1) patient's lateral position, head pad pillow, two hands embrace knee joint, and lower jaw is close to shirtfront, at buckling shape；2) point of puncture is selected,
According to operative site select planning point of puncture, plan is found according to traditional interbody space localization method and punctures gap, is being planned
Point of puncture is left a trace；3) it sterilizes, uses disposable epidural puncture packet to carry out disinfection for patient, sterilization scope is with point of puncture
Center, radius at least 15cm, sterilizing forceps tail end drug head end prevent thimerosal from flowing back, aseptic towel are spread after sanitized.
3. a kind of epidural puncture method described in accordance with the claim 1, it is characterised in that: adjusting needle angle in step 3 is
Refer to, the posture analysis module 23 in piercing assembly starts the attitude data for acquiring puncture needle in real time, and posture analysis module 23 is by appearance
State data are converted to electric signal, and are exported electric signal to single-chip microcontroller by Bluetooth transmission module 25, and single-chip microcontroller controls manipulator
Arm movement keeps puncture needle axis vertical with operating table plane.
4. a kind of epidural puncture method described in accordance with the claim 1, it is characterised in that: step 4 body process is puncture group
Acquisition punctures pressure value to mechanics sampling module 22 in part in real time in puncture process, and the data of acquisition are passed through Bluetooth transmission
Module 25 is transmitted to terminal and shows analytical equipment, and terminal shows that analytical equipment is converted into puncture process pressure at any time for data are received
Between change curve and show curve, determine pressure value variation tendency, when pressure value moment tends to zero in puncture process, eventually
End display analytical equipment assigns instruction to single-chip microcontroller automatically, and single-chip microcontroller receives to instruct and control inserting needle driving motor 24 to be stopped immediately
Inserting needle completes epidural puncture process.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811196865.4A CN109363750A (en) | 2018-10-15 | 2018-10-15 | A kind of epidural puncture method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811196865.4A CN109363750A (en) | 2018-10-15 | 2018-10-15 | A kind of epidural puncture method |
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| Publication Number | Publication Date |
|---|---|
| CN109363750A true CN109363750A (en) | 2019-02-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811196865.4A Pending CN109363750A (en) | 2018-10-15 | 2018-10-15 | A kind of epidural puncture method |
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| CN (1) | CN109363750A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111166437A (en) * | 2020-02-17 | 2020-05-19 | 杭州三坛医疗科技有限公司 | Auxiliary method for epidural anesthesia needle placement |
| CN113143420A (en) * | 2021-05-07 | 2021-07-23 | 陕西省人民医院 | Nerve block anesthesia needle, anesthesia device and use method thereof |
-
2018
- 2018-10-15 CN CN201811196865.4A patent/CN109363750A/en active Pending
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111166437A (en) * | 2020-02-17 | 2020-05-19 | 杭州三坛医疗科技有限公司 | Auxiliary method for epidural anesthesia needle placement |
| CN111166437B (en) * | 2020-02-17 | 2021-11-16 | 杭州三坛医疗科技有限公司 | Auxiliary method for epidural anesthesia needle placement |
| CN113143420A (en) * | 2021-05-07 | 2021-07-23 | 陕西省人民医院 | Nerve block anesthesia needle, anesthesia device and use method thereof |
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Application publication date: 20190222 |