CN109464176A - A kind of ventricular puncture head rest device - Google Patents
A kind of ventricular puncture head rest device Download PDFInfo
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- CN109464176A CN109464176A CN201811389484.8A CN201811389484A CN109464176A CN 109464176 A CN109464176 A CN 109464176A CN 201811389484 A CN201811389484 A CN 201811389484A CN 109464176 A CN109464176 A CN 109464176A
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- 230000002861 ventricular Effects 0.000 title claims abstract description 24
- 230000004807 localization Effects 0.000 claims abstract description 85
- 210000003128 head Anatomy 0.000 claims abstract description 46
- 210000004709 eyebrow Anatomy 0.000 claims abstract description 5
- 230000001105 regulatory effect Effects 0.000 claims description 33
- 230000002146 bilateral effect Effects 0.000 claims description 11
- 238000012913 prioritisation Methods 0.000 claims description 4
- 125000004122 cyclic group Chemical group 0.000 claims description 3
- 210000000883 ear external Anatomy 0.000 claims 1
- 238000005457 optimization Methods 0.000 claims 1
- PCTMTFRHKVHKIS-BMFZQQSSSA-N (1s,3r,4e,6e,8e,10e,12e,14e,16e,18s,19r,20r,21s,25r,27r,30r,31r,33s,35r,37s,38r)-3-[(2r,3s,4s,5s,6r)-4-amino-3,5-dihydroxy-6-methyloxan-2-yl]oxy-19,25,27,30,31,33,35,37-octahydroxy-18,20,21-trimethyl-23-oxo-22,39-dioxabicyclo[33.3.1]nonatriaconta-4,6,8,10 Chemical compound C1C=C2C[C@@H](OS(O)(=O)=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2.O[C@H]1[C@@H](N)[C@H](O)[C@@H](C)O[C@H]1O[C@H]1/C=C/C=C/C=C/C=C/C=C/C=C/C=C/[C@H](C)[C@@H](O)[C@@H](C)[C@H](C)OC(=O)C[C@H](O)C[C@H](O)CC[C@@H](O)[C@H](O)C[C@H](O)C[C@](O)(C[C@H](O)[C@H]2C(O)=O)O[C@H]2C1 PCTMTFRHKVHKIS-BMFZQQSSSA-N 0.000 description 12
- 238000010586 diagram Methods 0.000 description 11
- 210000005013 brain tissue Anatomy 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 210000004556 brain Anatomy 0.000 description 3
- 230000006735 deficit Effects 0.000 description 3
- 210000004761 scalp Anatomy 0.000 description 3
- 238000004659 sterilization and disinfection Methods 0.000 description 3
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 2
- 235000011613 Pinus brutia Nutrition 0.000 description 2
- 241000018646 Pinus brutia Species 0.000 description 2
- 241001469223 Anthocercis littorea Species 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 206010008111 Cerebral haemorrhage Diseases 0.000 description 1
- 208000005873 Hematocele Diseases 0.000 description 1
- 101000766332 Homo sapiens Tribbles homolog 1 Proteins 0.000 description 1
- 102100026387 Tribbles homolog 1 Human genes 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004289 cerebral ventricle Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 210000001652 frontal lobe Anatomy 0.000 description 1
- 208000003906 hydrocephalus Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 238000010998 test method Methods 0.000 description 1
- 230000003827 upregulation Effects 0.000 description 1
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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
- A61B17/3403—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
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention belongs to the field of medical instrument technology, more particularly to a kind of ventricular puncture head rest device, including median sagittal band, frame edge and positioning linkage rod, median sagittal band is arc-shaped, frame edge head and the tail connection lopping, median sagittal band both ends are connected and fixed with frame edge, and junction is equipped with glabella or nasion portion positioning mechanism and rear pillow part positioning mechanism, are bonded respectively with eyebrow central point and the outer knuckle of pillow；Median sagittal band is equipped with rotary positioning mechanism, bindiny mechanism, positioning linkage rod and median sagittal band logical cross interconnection at rotary positioning mechanism, Needle localization channel I, Needle localization channel II, earhole positioning mechanism I and earhole positioning mechanism II are additionally provided on positioning linkage rod, earhole positioning mechanism I and earhole positioning mechanism II are respectively arranged on the both ends of positioning linkage rod.Device is suitable for ventricular puncture in the present invention, and structure is simple, does not need to calculate data, when use is very convenient.
Description
Technical field
The invention belongs to the field of medical instrument technology more particularly to a kind of ventricular puncture head rest devices.
Background technique
When ventricular puncture, due to the requirement of operation, most of position is blocked after the sterile drape of head, and surgical field of view can only
See range little wider around point of puncture, can't see A, D, G1, G2 point, such as the point on Fig. 1.
Method is to be directed toward imaginary G1, G2 on line inserting needle with puncture needle, and flat after determining B point, E1 point in general art
The face row ABCD, with the micro-judgment of operator, experience deficiency person cannot correctly judge imaginary G1, G2 on line, easily cause and wear
Anisotropy is pierced, and punctures again and will cause the increasing of brain tissue wound.And determine that puncturing direction spends more repeatedly in conventional method art
Time, if it is disposable it is unsuccessful if need to exit puncture needle reorientation and come again once, entire operating time generally needs 1 small
When more than.
Usually the navigation that uses, stereotactic instrument are not suitable for there is also the technical problems such as expensive, time-consuming
This majority of paracentesis ventricular is emergency operation, operation it is pressed for time.
Current effective positioning device is required in paracentesis ventricular.
Summary of the invention
In order to solve the above technical problems, the present invention provides a kind of ventricular puncture head frame, easy to use, it is accurate to puncture, section
It makes an appointment.
Solve one of present invention of above technical problem ventricular puncture head rest device, it is characterised in that: including center
Sagittal band, frame edge and locating rod, median sagittal band is arc-shaped, and frame edge head and the tail connection lopping, median sagittal band both ends and frame edge connect
Connect fixation, junction is equipped with glabella or nasion portion positioning mechanism and rear pillow part positioning mechanism, shape and position respectively with eyebrow center
Point and the outer knuckle fitting of pillow；Median sagittal band is equipped with rotary positioning mechanism, telescopic locking mechanism, locating rod and median sagittal band
By interconnection at rotary positioning mechanism, locating rod is equipped with Needle localization channel, and Needle localization channel is divided into Needle localization
Channel I and Needle localization channel II are arranged by center point symmetry of rotary positioning mechanism；It is fixed that locating rod both ends are additionally provided with earhole
Position mechanism I and earhole positioning mechanism II；The Needle localization channel I, Needle localization channel II, earhole positioning mechanism I, earhole are fixed
Position mechanism II and rotary positioning mechanism are in same plane.
Bilateral Symmetry setting, because operation punctures bilateral telocoele sometimes.Locating rod can revolve at rotary positioning mechanism
Conversion is to adjust puncture angle.Rotary positioning mechanism is both anchor point and direction adjusting structure, is adjusted and punctures inserting needle side
To.It the position of telescopic locking mechanism on median sagittal band can slightly before also later, only to adjust pine compared to rotary positioning mechanism
Tightly, but it is not too far from rotary positioning mechanism, it is too far, it is easily blocked (patient is dorsal position in art, and occipitalia can contact bed surface).
The Needle localization channel I and Needle localization channel II are respectively apart from rotary positioning mechanism 2.5-3cm, to puncture
Point.Needle localization channel, effect are the channels of positioning, puncture needle, and puncture needle is by being punctured to telocoele in channel.
The Needle localization channel I and Needle localization channel II are hollow cylindrical structure；The diameter 0.5cm, height
2cm.Direction does not deviate by when making to puncture.
The Needle localization channel I and Needle localization channel II are perpendicular to locating rod, and locating rod is perpendicular to median sagittal band
Face makes Needle localization channel I and Needle localization channel II and median sagittal zone face parallel and perpendicular to earhole positioning mechanism I and ear
Imaginary on line between hole locating device II.
The locating rod is equipped with locating rod regulating mechanism, is located on the outside of Needle localization channel；It is with rotary positioning mechanism
Center point symmetry, which is set, is divided into locating rod regulating mechanism I and locating rod regulating mechanism II.
The locating rod regulating mechanism is equipped with the first adjusting ring, the second adjusting ring and adjusting block, adjusting block both ends and is equipped with
Adjustment hole, first, which adjusts ring and second, adjusts ring equipped with adjusting buckle；The adjusting block is vertical bar block, without radian, adjusting block two
End is each passed through the first adjusting ring and second and adjusts ring, and adjusting buckle clasps adjustment hole and fixes；First adjusts ring distance B point 4cm.It adjusts
For straight line and perpendicular to the face ABCD, placed channel E is required perpendicular to F1-F2, G1-G2, so E is parallel this section of locking nub F1-F2
In the face ABCD.
The position that it is 11cm with glabella or nasion portion positioning mechanism distance on median sagittal band that the rotary positioning mechanism, which is located at,
Point.
The earhole positioning mechanism I and earhole positioning mechanism II are to be located at bilateral porus acusticus externus like earplug/earcap structure, be
Anchor point is located in porus acusticus externus.
The frame edge is equipped with telescopic locking mechanism.
The telescopic locking mechanism is equipped with the first connecting pin, second connection end, lock piece, card hole and buckle, card hole >=2
It is a, it is located in second connection end；First connecting pin port is connect with lock piece, lock piece be ring-type, in be it is hollow, buckle is located at
On lock piece ring, second connection end passes through lock piece when use, clasps card hole to fix the first connecting pin and second and connect
End.
The rotary positioning mechanism is equipped with location hole, screwed rotary screw and cap nut, and location hole is located at center
Sagittal band and locating rod join overlapping, and rotary screw passes through location hole, and screw cap sleeve is tightened center on rotary screw
Sagittal band and locating rod.
The rotary positioning mechanism is cyclic structure, including is equipped with ring and annular distance, and annular distance is located at ring center；Outside ring
Side is fixed with median sagittal band connection, and annular distance is to pass through locating rod；Ring diameter > positioning shank diameter；In prioritization scheme middle ring body
There are certain gap, gap 0.5-1.0mm with locating rod；In prioritization scheme, it is additionally provided with screwed rotary screw (22)
And cap nut, rotary screw one end are protruded into annular distance across ring and contact or connect with locating rod, screw cap sleeve is in rotary screw
It is screwed on the other end with stationary positioned bar.
The frame edge diameter, width 0.5cm, can also be set as " elastic band " shape.
Device is suitable for ventricular puncture in the present invention, and structure is simple, does not need to calculate data, when use is very convenient.
Operation after the placement of head frame is safe in the present invention, Needle localization are taken time few, and it is high to puncture accuracy rate, puncture disposably at
Function, operating time are obviously shortened, and are shared about 30 minutes.The overall surgical time is obviously shortened, and potential brain tissue impairment is small, overall
Expense can be less.
Head frame of the present invention using when head a frame be worn over patient head, several location point cards are fixed well, puncture direction, angle, that is, true
Fixed, easy to use and low manufacture cost is especially suitable for grass-roots unit.
Detailed description of the invention
With reference to the accompanying drawing and specific embodiment does more detailed description to the present invention:
Fig. 1 is the structural schematic diagram of head rest device in the present invention
Fig. 2 is section front schematic view (the coronal bitmap from the front to the back seen) of the head rest device in conjunction with brain in the present invention
Fig. 3 is brain cutaway side schematic diagram of the head rest device in conjunction with brain in the present invention
Fig. 4 is the structural schematic diagram of location hole in the present invention
Fig. 5 is location structure schematic diagram in the present invention
Fig. 6 is the telescopic locking apparatus structure schematic diagram in the present invention
Fig. 7 is locating rod regulating mechanism structural schematic diagram in the present invention
Fig. 8 is one of rotary positioning mechanism structural schematic diagram in the present invention
Fig. 9 is two structural schematic diagrams of rotary positioning mechanism in the present invention
Figure 10 is sectional view of Fig. 9 rotary positioning mechanism in conjunction with median sagittal band
Figure 11 is structural schematic diagram of Fig. 9 rotary positioning mechanism in conjunction with locating rod
Figure 12 is locating rod and Needle localization channel angle schematic diagram in the present invention
Figure 13 is three structural schematic diagrams of rotary positioning mechanism in the present invention
Wherein, it is identified in figure specifically:
1. median sagittal band, 2. frontal lobe brain tissues, 3. telocoeles, 6. porus acusticus externus, 7. frame edge, 8. locating rods, 9. first connections
End, 10. second connection ends, 11. lock pieces, 12. card holes, 13. buckle, 14. glabellas or nasion portion, external occipital protuberance after 15., and 16.
Adjusting block, 18. first adjusting rings, 19. second adjusting rings, 20. adjustment holes, 21. adjusting buckles, 22. rotary screws, 23. location holes,
24. cap nut, 25. rings, 26. annular distances, A. glabella or nasion portion positioning mechanism, B. rotary positioning mechanism, C. telescopic locking dress
It sets, D. rear pillow part positioning mechanism, E. Needle localization channel (E1. Needle localization channel I, E2. Needle localization channel II), F. is fixed
Position bar regulating mechanism (F1. locating rod regulating mechanism I, F2 locating rod regulating mechanism II), (G1. earhole is fixed for G. earhole positioning mechanism
Position mechanism I, G2. earhole positioning mechanism II)
Specific embodiment
Invention is further explained With reference to embodiment:
Embodiment 1
A kind of ventricular puncture head rest device is equipped with median sagittal band, frame edge and locating rod, and median sagittal band is arc-shaped, and frame edge is first
Tail connects lopping, and median sagittal band both ends are connected and fixed with frame edge, and junction is equipped with glabella or nasion portion positioning mechanism and rear pillow
Portion's positioning mechanism, shape and position are bonded with eyebrow central point and the outer knuckle of pillow respectively；Median sagittal band is equipped with rotational positioning machine
Structure, telescopic locking mechanism, locating rod and median sagittal band logical cross interconnection at rotary positioning mechanism, and locating rod, which is equipped with, to be punctured
Placed channel, Needle localization channel are divided into Needle localization channel I and Needle localization channel II, the point centered on rotary positioning mechanism
It is symmetrical arranged；Locating rod both ends are additionally provided with earhole positioning mechanism I and earhole positioning mechanism II；The Needle localization channel I is worn
Thorn placed channel II, earhole positioning mechanism I, earhole positioning mechanism II and rotary positioning mechanism are in same plane, i.e. earhole is fixed
Position I G1 of mechanism, I F1 of locating rod regulating mechanism, I E1 of Needle localization channel, rotary positioning mechanism B, II E2 of Needle localization channel,
The several points of II F2 of locating rod regulating mechanism, II G2 of earhole positioning mechanism are in same plane.
Bilateral Symmetry setting, operation puncture bilateral telocoele sometimes, wear even traditional puncturing operation only does unilateral side
Thorn, and can prepare by bilateral.Locating rod is rotatable to adjust puncture angle at rotary positioning mechanism.Rotational positioning
Mechanism is both anchor point and direction adjusting structure, is adjusted and punctures inserting needle direction.
Needle localization channel I and Needle localization channel II are point of puncture respectively apart from rotary positioning mechanism 2.5cm.It punctures
Placed channel, effect are the channels of positioning, puncture needle, and puncture needle is by being punctured to telocoele to them.B is set when practical puncture
Other 2.5cm, rotation adjust B and determine direction, and the channel position of E just secures, puncture needle from the hollow position Direct perforantes of E just
Row.
Needle localization channel I and Needle localization channel II are hollow cylindrical structure；The diameter 0.4 or 0.6cm, height
1.8 or 2.2cm.Direction does not deviate by when making to puncture.
Locating rod is equipped with locating rod regulating mechanism, is located on the outside of Needle localization channel；Centered on rotary positioning mechanism
Point symmetry, which is set, is divided into locating rod regulating mechanism I and locating rod regulating mechanism II.Locating rod regulating mechanism is equipped with first and adjusts ring, the
Two adjust ring and adjusting block, and adjusting block both ends are equipped with adjustment hole, and first, which adjusts ring and second, adjusts ring equipped with adjusting buckle；Institute
Stating adjusting block is vertical bar block, without radian, and adjusting block both ends are each passed through the first adjusting ring and second and adjust ring, and adjusting buckle clasps tune
Knothole is fixed；First adjusts ring distance B point 4cm.F1, F2 are also the adjusting tightness as C, and distance E1, E2 too closely can be competent
E1, E2 are disturbed, too far then F1-G1, F2-G2 cannot be bonded more preferably with scalp, so the positional distance B thought is 4cm.
Adjusting block side is that straight line is to guarantee Needle localization channel I and Needle localization channel II and median sagittal plane (ABCD
Face) in parallel, it would not be parallel to the median sagittal band face ABCD if there is arc so puncture channel, also make puncture channel vertical
In G1, G2 imagination line.For straight line and perpendicular to the face ABCD, placed channel E is required perpendicular to F1-F2, G1- this section of F1-F2
G2, so E is parallel to the face ABCD.
The site that it is 11cm with glabella or nasion portion positioning mechanism distance on median sagittal band that rotary positioning mechanism, which is located at,.Rotation
Rotating positioning mechanism B is equipped with location hole, screwed rotary screw and cap nut, and location hole is located at median sagittal band and locating rod
Join overlapping, rotary screw passes through location hole, and screw cap sleeve is tightened median sagittal band and locating rod on rotary screw.
Telescopic locking mechanism be equipped with the first connecting pin, second connection end, lock piece, card hole and buckle, card hole >=2, if
In second connection end；First connecting pin port is connect with lock piece, lock piece be ring-type, in be it is hollow, buckle be located at locking
On part ring, second connection end passes through lock piece when use, clasps card hole to fix the first connecting pin and second connection end.
The key point of location of operation is that center arrow should be parallel to again perpendicular to G1, G2 imagination line by puncturing direction
Shape face (face ABCD).This two sections of F1-G1, F2-G2 can be cambered, pastes with scalp tighter in this way, and adjusting F1, F2 elasticity makes
Locating rack is posted with scalp, is unlikely to loosen telescopic locking mechanism in the elasticity of sagittal plane up-regulation section header frame.
The position of telescopic locking mechanism can only be slightly before also later adjusting elasticity compared to rotary positioning mechanism, but not from
Rotary positioning mechanism is too far, too far, is easily blocked (patient is dorsal position in art, and occipitalia can contact bed surface).
Frame edge is equivalent to be enclosed around head one, adjustable elasticity, the flexible lock on adjusting method and median sagittal band
Tight mechanism is similar or the same, and median sagittal band and frame edge form head rest device main body.
The head dummy of each patient not exclusively, needs to adjust certain elasticity, rotary positioning mechanism after wearing a frame
Rotatable locating rod enables G1, G2 to be worn at porus acusticus externus.Rotary positioning mechanism is movable connection method, can be according to the different pines of head dummy
Tightness is in camber line after regulating, and conveniently wears and adjust anchor point.Rotary positioning mechanism is the friendship of median sagittal band and locating rod
Contact is positioning mechanism.Locating rod needs suitable B point when, upon rotating not become, puncture channel is parallel with the face ABCD always, perpendicular to
G1-G2 line is suitable for different patients.
Embodiment 2
A kind of ventricular puncture head rest device is equipped with median sagittal band, frame edge and locating rod, and median sagittal band is arc-shaped, and frame edge is first
Tail connects lopping, and median sagittal band both ends are connected and fixed with frame edge, and junction is equipped with glabella or nasion portion positioning mechanism and rear pillow
Portion's positioning mechanism, shape and position are bonded with eyebrow central point and the outer knuckle of pillow respectively；Median sagittal band is equipped with rotational positioning machine
Structure, telescopic locking mechanism, locating rod and median sagittal band logical cross interconnection at rotary positioning mechanism, and locating rod, which is equipped with, to be punctured
Placed channel, Needle localization channel are divided into Needle localization channel I and Needle localization channel II, the point centered on rotary positioning mechanism
It is symmetrical arranged；Locating rod both ends are additionally provided with earhole positioning mechanism I and earhole positioning mechanism II；The Needle localization channel I is worn
Thorn placed channel II, earhole positioning mechanism I, earhole positioning mechanism II and rotary positioning mechanism are in same plane, i.e. G1, F1,
The several points of E1, B, E2, F2, G2 are in same plane.
Needle localization channel I and Needle localization channel II are point of puncture respectively apart from rotary positioning mechanism 3cm.It is fixed to puncture
Bit port, effect are the channels of positioning, puncture needle, and puncture needle is by being punctured to telocoele to them.It is set by B when practical puncture
3cm, rotation adjust B and determine direction, and the channel position of E just secures, puncture needle from the hollow position Direct perforantes of E just
?.
Needle localization channel I and Needle localization channel II are hollow cylindrical structure；The diameter 0.5cm, height 2cm.
Direction does not deviate by when making to puncture.
I E1 of Needle localization channel and II E2 of Needle localization channel are perpendicular to locating rod, and locating rod is perpendicular to median sagittal
Zone face positions I E1 of Needle localization channel and II E2 of Needle localization channel and median sagittal zone face parallel and perpendicular to earhole
Imaginary on line between II G2 of I G1 of mechanism and earhole positioning mechanism.
Locating rod is equipped with locating rod regulating mechanism, is located on the outside of Needle localization channel；Centered on rotary positioning mechanism
Point symmetry, which is set, is divided into locating rod regulating mechanism I and locating rod regulating mechanism II.Locating rod regulating mechanism is equipped with first and adjusts ring, the
Two adjust ring and adjusting block, and adjusting block both ends are equipped with adjustment hole, and first, which adjusts ring and second, adjusts ring equipped with adjusting buckle；Institute
Stating adjusting block is vertical bar block, without radian, and adjusting block both ends are each passed through the first adjusting ring and second and adjust ring, and adjusting buckle clasps tune
Knothole is fixed；First adjusts ring distance B point 4cm.
The site that it is 11cm with glabella or nasion portion positioning mechanism distance on median sagittal band that rotary positioning mechanism, which is located at,.Ear
Hole locating device I and earhole positioning mechanism II are to be located at bilateral porus acusticus externus like earplug/earcap structure, are anchor point, are located in outer
Earhole.
Frame edge is equipped with telescopic locking mechanism.Frame edge diameter, width 0.5cm can also be set as " elastic band " shape.
Telescopic locking mechanism be equipped with the first connecting pin, second connection end, lock piece, card hole and buckle, card hole >=2, if
In second connection end；First connecting pin port is connect with lock piece, lock piece be ring-type, in be it is hollow, buckle be located at locking
On part ring, second connection end passes through lock piece when use, clasps card hole to fix the first connecting pin and second connection end.
Rotary positioning mechanism B is equipped with location hole, screwed rotary screw and cap nut, location hole and is located at median sagittal
Band and locating rod join overlapping, and rotary screw passes through location hole, and screw cap sleeve is tightened median sagittal on rotary screw
Band and locating rod.
Embodiment 3
A kind of ventricular puncture head rest device is equipped with median sagittal band, frame edge and locating rod, and median sagittal band is arc-shaped, and frame edge is first
Tail connects lopping, and median sagittal band both ends are connected and fixed with frame edge, and junction is equipped with glabella or nasion portion positioning mechanism and rear pillow
Portion's positioning mechanism, shape and position are bonded with eyebrow central point and the outer knuckle of pillow respectively；Median sagittal band is equipped with rotational positioning machine
Structure, telescopic locking mechanism, locating rod and median sagittal band logical cross interconnection at rotary positioning mechanism, and locating rod, which is equipped with, to be punctured
Placed channel, Needle localization channel are divided into Needle localization channel I and Needle localization channel II, the point centered on rotary positioning mechanism
It is symmetrical arranged；Locating rod both ends are additionally provided with earhole positioning mechanism I and earhole positioning mechanism II；The Needle localization channel I is worn
Thorn placed channel II, earhole positioning mechanism I, earhole positioning mechanism II and rotary positioning mechanism are in same plane, i.e. G1, F1,
The several points of E1, B, E2, F2, G2 are in same plane.
Needle localization channel I and Needle localization channel II are point of puncture respectively apart from rotary positioning mechanism 2.5cm.It punctures
Placed channel, effect are the channels of positioning, puncture needle, and puncture needle is by being punctured to telocoele to them.B is set when practical puncture
Other 2.5cm, rotation adjust B and determine direction, and the channel position of E just secures, puncture needle from the hollow position Direct perforantes of E just
Row.
Needle localization channel I and Needle localization channel II are hollow cylindrical structure；The diameter 0.5cm, height 2cm.
Direction does not deviate by when making to puncture.Needle localization channel I and Needle localization channel II are perpendicular to locating rod, and locating rod is perpendicular to just
Middle sagittal zone face positions Needle localization channel I and Needle localization channel II and median sagittal zone face parallel and perpendicular to earhole
Imaginary on line between mechanism I and earhole positioning mechanism II.
I E1 of Needle localization channel and II E2 of Needle localization channel are perpendicular to locating rod, and locating rod is perpendicular to median sagittal
Zone face positions I E1 of Needle localization channel and II E2 of Needle localization channel and median sagittal zone face parallel and perpendicular to earhole
Imaginary on line between II G2 of I G1 of mechanism and earhole positioning mechanism.
Locating rod is equipped with locating rod regulating mechanism, is located on the outside of Needle localization channel；Centered on rotary positioning mechanism
Point symmetry, which is set, is divided into locating rod regulating mechanism I and locating rod regulating mechanism II.Locating rod regulating mechanism is equipped with first and adjusts ring, the
Two adjust ring and adjusting block, and adjusting block both ends are equipped with adjustment hole, and first, which adjusts ring and second, adjusts ring equipped with adjusting buckle；Institute
Stating adjusting block is vertical bar block, without radian, and adjusting block both ends are each passed through the first adjusting ring and second and adjust ring, and adjusting buckle clasps tune
Knothole is fixed；First adjusts ring distance B point 4cm.
The site that it is 11cm with glabella or nasion portion positioning mechanism distance on median sagittal band that rotary positioning mechanism, which is located at,.Ear
Hole locating device I and earhole positioning mechanism II are to be located at bilateral porus acusticus externus like earplug/earcap structure, are anchor point, are located in outer
Earhole.
Frame edge is equipped with telescopic locking mechanism.Frame edge diameter, width 0.5cm can also be set as " elastic band " shape.
Telescopic locking mechanism be equipped with the first connecting pin, second connection end, lock piece, card hole and buckle, card hole >=2, if
In second connection end；First connecting pin port is connect with lock piece, lock piece be ring-type, in be it is hollow, buckle be located at locking
On part ring, second connection end passes through lock piece when use, clasps card hole to fix the first connecting pin and second connection end.
Rotary positioning mechanism is cyclic structure, including is equipped with ring and annular distance, and annular distance is located at ring center；Outside ring with
Median sagittal band connection is fixed, and annular distance is to pass through locating rod；Ring diameter > positioning shank diameter；It is in prioritization scheme middle ring body and fixed
Position bar has certain gap, gap 0.5-1.0mm.It rotates but angle is not too large.The head dummy of every patient is different, punctures angle
Degree is slightly different, and adjusts the angle in this face G1F1E1E2F2G2 and the face ABCD passively mainly to realize.
Embodiment 4
In other contents such as embodiment 3, wherein rotary positioning mechanism is additionally provided with screwed rotary screw 22 and cap nut 24,
22 one end of rotary screw is protruded into annular distance 26 across ring 25 and contacts or connect with locating rod, and 24 sets of cap nut in rotary screw 22
It is screwed on the other end with stationary positioned bar 8.Tightening nuts can fix the locating rod rotated.24
Head rest device is put on after the area Zhong Shu disinfection of the present invention, rotary positioning mechanism B, I G1 of earhole positioning mechanism, earhole are positioned
1 G2 point of mechanism determines, and completes aseptic towel, by I E1 of point of puncture Needle localization channel, II E2 of Needle localization channel directly into
Needle, structure is it is determined that with I G1 of earhole positioning mechanism, II G2 of earhole positioning mechanism, rotary positioning mechanism B in a plane
And it is directed toward I G1 of earhole positioning mechanism, II G2 imagination on line of earhole positioning mechanism, and be parallel to median sagittal plane.
Median sagittal band ABCD and frame edge collectively constitute a frame and wear in head in the present invention, and position everywhere is as follows: glabella
Or nasion portion positioning mechanism A point is located at glabella, rear pillow part positioning mechanism D point is located at occipitalia (the outer knuckle of pillow), glabella or nasion portion
Positioning mechanism A indicates to should be glabella mid-point after this locating rack is worn over head, and rotary positioning mechanism B is that have after wearing away from A
The point (medically known as 11cm on glabella) of 11cm, rear pillow part positioning mechanism D are to put on rear external occipital protuberance this point (back side of head is prominent
The place risen), telescopic locking device C is played regulatory role on median sagittal band this line of ABD, is adjusted distance between AD, is equivalent to
This locating rack size is adjusted to be allowed to match everyone head.I E1 of Needle localization channel, II E2 of Needle localization channel are left
Right symmetrical point of puncture, I G1 of earhole positioning mechanism, earhole positioning mechanism II G2 bilateral symmetry are located at both sides earhole position, and
Anchor point, adjusting I F1 of locating rod regulating mechanism, II F2 of locating rod regulating mechanism make I G1 of earhole positioning mechanism, ear after wearing a frame
II G2 of hole locating device is located at earhole.Glabella or nasion portion positioning mechanism A, rear pillow part positioning mechanism D point are also calculated as positioning
Structure.
Telescopic locking device C, I F1 of locating rod regulating mechanism, II F2 of locating rod regulating mechanism are three adjusting knob knots
Structure, wherein F1, F2 bilateral symmetry, three effects are to adjust the size of head frame, and different people is suitble to wear.
The rotation adjusting of rotary positioning mechanism B is a kind of passive type, everyone capitiform is different, and head frame frame wears conjunction
After suitable, B just and then rotates by a certain angle while G1, G2 are located in earhole, just determines direction is punctured.
Entire locating rod is all rotating when rotation, so just guarantee placed channel in this plane of G1F1E1E2F2G2 and
Perpendicular to GIG2 imagination on line, as shown in Figure 12.
It uses the method for locator in the present invention: putting on a frame after the disinfection of art area, B, G1, G2 point are determined, nothing is completed
Bacterium towel, by the direct inserting needle of point of puncture E1, E2, structure is it is determined that in a plane and be directed toward G1, G2 imagination connection with G1, G2, B
Line, and it is parallel to median sagittal plane, it is accurate to puncture, and saves the time.
Test example
Test is to picture: female, and the age 67 years old, because " spontaneous cerebral hemorrhage " is admitted to hospital, Cranial Computed Tomography prompts ventricular system, and there are hematoceles, with anxious
Property internal hydrocephaly, needs emergency treatment row lateral ventriculopuncture drainage.
Test method: patient's head position of having lain is set in art, and head frame is placed after disinfection, first fixes median sagittal band
ABCD, adjusting tightness determine that rotary positioning mechanism B point, I G1 of earhole positioning mechanism, II G2 of earhole positioning mechanism are worn over ear
Hole, then locating rod angle is adjusted, rotational positioning bar (angle determines after being worn over earhole according to G1G2), then adjusting tightness, entirely
Head frame is completely fixed, it is determined that punctures direction, angle.It is then covered with aseptic towel, only exposing all around is respectively locating rod tune
I F1 of mechanism is saved to the position of II F2 distance of locating rod regulating mechanism, is directly punctured in next step by puncture channel with puncture needle.
Test result: puncturing accuracy rate is 100%, 1 i.e. success of puncture, the time 29 minutes.It is checked on CT after patient's operation
Determine that puncture direction and position are correct, without additional brain tissue impairment and out in addition to puncture needle enters a channel of brain tissue
Blood.Head frame auxiliary is lower in the present invention punctures accuracy rate height, and operating time is obviously shortened, and potential brain tissue impairment is small, overall to take
It is less with meeting.
Basic principles and main features and advantages of the present invention of the invention, above-described embodiment has been shown and described above
It is merely illustrated the principles of the invention with described in specification, without departing from the spirit and scope of the present invention, the present invention
It will also have various changes and improvements, these changes and improvements are fallen in scope of the claimed invention.The present invention claims
The range of protection is defined by the appending claims and its equivalent thereof.
Claims (10)
1. a kind of ventricular puncture head rest device, it is characterised in that: including median sagittal band (1), frame edge (7) and locating rod (8), just
Middle sagittal band (1) is arc-shaped, and frame edge (7) head and the tail connection lopping, median sagittal band (1) both ends are connected and fixed with frame edge (7), connect
Place is equipped with glabella or nasion portion positioning mechanism (A) and rear pillow part positioning mechanism (B), shape and position respectively with eyebrow central point (14)
It is bonded with outer knuckle (15) is rested the head on；Median sagittal band (1) is equipped with rotary positioning mechanism (B), telescopic locking mechanism (C), locating rod
(8) with median sagittal band (1) by interconnection at rotary positioning mechanism (B), locating rod (8) is equipped with Needle localization channel
(E), Needle localization channel (E) is divided into Needle localization channel I (E1) and Needle localization channel II (E2), with rotary positioning mechanism
(B) it is arranged for center point symmetry；Locating rod (8) both ends are additionally provided with earhole positioning mechanism I (G1) and earhole positioning mechanism II
(G2)；The Needle localization channel I, Needle localization channel II, earhole positioning mechanism I, earhole positioning mechanism II and rotational positioning
Mechanism is in same plane.
2. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the Needle localization channel I
(E1) and Needle localization channel II (E2) is respectively apart from rotary positioning mechanism (B) 2.5-3cm, is point of puncture；The Needle localization
Channel I (E1) and Needle localization channel II (E2) are hollow cylindrical structure；The diameter 0.5cm, height 2cm.
3. a kind of ventricular puncture head rest device according to claim 1 or 2, it is characterised in that: the Needle localization channel I
(E1) and Needle localization channel II (E2) is perpendicular to locating rod, and locating rod makes Needle localization channel I perpendicular to median sagittal zone face
(E1) it is positioned with median sagittal zone face parallel and perpendicular to earhole positioning mechanism I (G1) and earhole with Needle localization channel II (E2)
Imaginary on line between mechanism II (G2).
4. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the locating rod (8) is equipped with
Locating rod regulating mechanism (F) is located on the outside of Needle localization channel (E)；It is set and is divided into for center point symmetry with rotary positioning mechanism (B)
Locating rod regulating mechanism I (F1) and locating rod regulating mechanism II (F2).
5. a kind of ventricular puncture head rest device according to claim 4, it is characterised in that: the locating rod regulating mechanism
(F) it is equipped with first and adjusts ring (18), the second adjusting ring (19) and adjusting block (16), adjusting block (16) both ends are equipped with adjustment hole
(20), first ring (18) and the second adjusting ring (19) are adjusted equipped with adjusting buckle (21)；The adjusting block (16) is vertical bar block, nothing
Radian, adjusting block (16) both ends are each passed through the first adjusting ring (18) and second and adjust ring (19), and adjusting buckle (21) clasps adjusting
Hole (20) is fixed；First adjusts ring (18) distance B point 4cm.
6. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the rotary positioning mechanism (B)
It is located at the site for being 11cm with glabella or nasion portion positioning mechanism (A) distance on median sagittal band (1).
7. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the earhole positioning mechanism I
(G1) and earhole positioning mechanism II (G2) is to be located at bilateral porus acusticus externus like earplug/earcap structure, is anchor point, is located in external ear
Hole (6).
8. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the frame edge (7), which is equipped with, stretches
Contracting retaining mechanism (C), the telescopic locking mechanism (C) be equipped with the first connecting pin (9), second connection end (10), lock piece (11),
Card hole (12) and buckle (13), card hole (12) >=2 are located on second connection end (10)；First connecting pin (9) port and locking
Part (11) connection, lock piece (11) are ring-type, in be it is hollow, buckle (13) is located on lock piece (11) ring, and second connects when use
End (10) are connect across lock piece (11), buckle (13) clasps card hole (12) to fix the first connecting pin (9) and second connection end
(10).
9. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the rotary positioning mechanism (B)
Equipped with location hole (23), screwed rotary screw (22) and cap nut (24), location hole (23) is located at median sagittal band (1)
Join overlapping with locating rod (8), rotary screw (22) passes through location hole (23), and cap nut (24) covers on rotary screw (22)
Be tightened median sagittal band (1) and locating rod (8).
10. a kind of ventricular puncture head rest device according to claim 1, it is characterised in that: the rotary positioning mechanism (B)
For cyclic structure, including ring (25) and annular distance (26) are equipped with, annular distance (26) is located at ring (25) center；Outside ring (25) with
Median sagittal band (1) is connected and fixed, and annular distance (26) is to pass through locating rod；Ring (26) diameter > locating rod (8) diameter；Optimization side
There are certain gap, gap 0.5-1.0mm with locating rod in case middle ring body；In prioritization scheme, it is additionally provided with screwed rotation
Turn screw (22) and cap nut (24), rotary screw (22) one end is protruded into annular distance (26) across ring (25) and contacted with locating rod
Or connection, cap nut (24), which is covered, to be screwed on rotary screw (22) other end with stationary positioned bar (8).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811389484.8A CN109464176A (en) | 2018-11-21 | 2018-11-21 | A kind of ventricular puncture head rest device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811389484.8A CN109464176A (en) | 2018-11-21 | 2018-11-21 | A kind of ventricular puncture head rest device |
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| Publication Number | Publication Date |
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| CN109464176A true CN109464176A (en) | 2019-03-15 |
Family
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| Application Number | Title | Priority Date | Filing Date |
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| CN201811389484.8A Pending CN109464176A (en) | 2018-11-21 | 2018-11-21 | A kind of ventricular puncture head rest device |
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| CN110432957A (en) * | 2019-08-13 | 2019-11-12 | 无锡圣诺亚科技有限公司 | Head Needle localization method and device |
| CN110448363A (en) * | 2019-08-30 | 2019-11-15 | 山东大学齐鲁医院 | A kind of chemotherapy puncture positioning device that can adjust orientation distance |
| CN111887958A (en) * | 2020-08-26 | 2020-11-06 | 杭州市第一人民医院 | Adjustable cerebral hemorrhage minimally invasive surgery positioning device |
| CN112315553A (en) * | 2020-11-16 | 2021-02-05 | 周开甲 | Ventricular puncture guiding device |
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