CN109998645A - A kind of sacral nerve S3Cross positioning device and localization method - Google Patents
A kind of sacral nerve S3Cross positioning device and localization method Download PDFInfo
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- CN109998645A CN109998645A CN201910279876.7A CN201910279876A CN109998645A CN 109998645 A CN109998645 A CN 109998645A CN 201910279876 A CN201910279876 A CN 201910279876A CN 109998645 A CN109998645 A CN 109998645A
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- transverse arm
- arm
- locating rack
- riveting
- trailing arm
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- 210000005036 nerve Anatomy 0.000 title claims abstract description 22
- 238000000034 method Methods 0.000 title claims description 13
- 230000004807 localization Effects 0.000 title claims description 7
- 230000002146 bilateral effect Effects 0.000 claims description 6
- 238000011282 treatment Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 238000012360 testing method Methods 0.000 description 4
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000004007 neuromodulation Effects 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 206010058109 Hangnail Diseases 0.000 description 2
- 210000001217 buttock Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000011514 reflex Effects 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010066901 Treatment failure Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000008482 dysregulation Effects 0.000 description 1
- 238000004070 electrodeposition Methods 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000003692 ilium Anatomy 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003447 ipsilateral effect Effects 0.000 description 1
- 230000007433 nerve pathway Effects 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 230000004768 organ dysfunction Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011321 prophylaxis Methods 0.000 description 1
- 230000001568 sexual effect Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- 230000000007 visual 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
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B2090/101—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis for stereotaxic radiosurgery
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Electrotherapy Devices (AREA)
Abstract
The present invention discloses a kind of sacral nerve S3Cross positioning device, including trailing arm (3), transverse arm (1) and graduated scale (5), the trailing arm (3) is connect with transverse arm (1) by screw riveting (2), the transverse arm (1) respectively has transverse arm (1) locating rack of a semi-circular shape away from left and right at screw riveting (2) central point 1.5cm, transverse arm (1) the locating rack diameter of the semi-circular shape is 1cm, transverse arm (1) locating rack distance of center circle screw riveting (2) central point of the semi-circular shape is 2cm, the trailing arm (3) and transverse arm (1) interface are equipped with card slot 1 and card slot 2, the card slot depth is 0.5mm, the trailing arm (3) and transverse arm (1) thickness are 1mm, head end is 2cm away from screw riveting (2) centre distance, trailing arm (3) tail end is 9cm away from screw riveting (2) centre distance, graduated scale (5) radius is 1cm.
Description
Technical field
The present invention relates to technical field of medical equipment, and in particular to a kind of sacral nerve S3Cross positioning device and positioning side
Method.
Technical background
Basin bottom organ dysfunction disease be it is a kind of seriously affect health of people and the wider disease of patient groups,
Illness is many and diverse, treatment is intractable, is badly in need of a kind of new treatment means to solve, sacral nerve neuromodulation therapy in such disease treatment,
It is effective and controlled by what various countries' practice guidelines were recommended as traditional conservative therapy in recent years or operative treatment failure latter
Treatment method.
Sacral nerve neuromodulation art is to be continuously applied low-frequency electric pulse in specific sacral nerve (S using interventional technique2-4), with this
Excited or inhibition nerve pathway, dysregulation sacral nerve reflex arc make abnormal neural reflex reach balance, Jin Erying again
It rings and adjusts bladder, urethra/anal sphincter, basin bottom and genitals official rank sacral nerve and dominate target organ function, to reach
A kind of nervous centralis regulation technology of therapeutic effect, by implantable nerve stimulator and electrode, two-way stimulation adjusts sacrum mind
Urine, the storage of excrement and release and men and women's sexual organ partial function are controlled through reflection, safely the row of effectively improving
Urine, defecation and sex dysfunction.Sacral nerve positioning must be borrowed as vital link in sacral nerve neuromodulation treatment Stage1
X or CT equipment combination hand is helped to touch label sacrum hole site, for medical staff and patient makes troubles and larger amount of X line is sudden and violent
Dew.
Summary of the invention
In order to solve the above-mentioned technical problem the present invention provides a kind of sacral nerve S3Cross positioning device and localization method, knot
Structure is simple, easy to operate.
The technical scheme is that a kind of sacral nerve S3Cross positioning device, including trailing arm (3), transverse arm (1) and quarter
It spends ruler (5), the trailing arm (3) is connect with transverse arm (1) by screw riveting, and the transverse arm (1) is away from screw riveting (2) central point 1.5cm
Respectively there are transverse arm (1) locating rack of a semi-circular shape, transverse arm (1) locating rack distance of center circle screw of the semi-circular shape in place left and right
Riveting (2) central point is 2cm, and transverse arm (1) the locating rack diameter of the semi-circular shape is 1cm, and the trailing arm (3) connects with transverse arm (1)
Card slot 1 and card slot 2 are equipped at mouthful, the card slot depth is 0.5mm, and the trailing arm (3) and transverse arm (1) thickness are 1mm, institute
It is 2cm that trailing arm (3) head end, which is stated, away from screw riveting (2) centre distance, and tail end is 9cm, graduated scale (5) away from screw riveting (2) centre distance
Radius is 1cm.
A kind of sacral nerve S3The localization method of cross positioning device is: touching method using hand or X line equipment determines that sacrum ilium closes
Lower edge and rumpbone position are saved, it is fixed to place along bilateral articulatio sacroiliaca lower edge line placement positioning device transverse arm (1), sacral midline
The trailing arm (3) of position device, transverse arm (1) locating rack two sides two semicircle center location is S to be determined3The position in sacrum hole,
With the angle of graduated scale (5) assessment bilateral articulatio sacroiliaca lower edge line and the rumpbone longitudinal axis.
The invention has the advantages that the configuration of the present invention is simple, easy to operate, sacral nerve therapy Stage1 operation is greatlyd save
S in therapeutic process3The time of positioning, debugging have evaluated the angle of bilateral articulatio sacroiliaca lower edge line and the rumpbone longitudinal axis, effectively mention
The high accuracy of uncle, while reducing the x-ray exposure of medical staff and patient.
Specific embodiment
Clear and complete description is done to the present invention with reference to the accompanying drawing, so that those skilled in the art is not needing to make
Out under conditions of creative work, it can sufficiently implement the present invention.
A specific embodiment of the invention is: as shown in Figure 1, a kind of sacral nerve S3Cross positioning device, including trailing arm
(3) it is connect with transverse arm (1) by screw riveting with transverse arm (1), the trailing arm (3), the transverse arm (1) is away from screw riveting (2) central point
Respectively there are transverse arm (1) locating rack of a semi-circular shape, transverse arm (1) locating rack center of circle of the semi-circular shape in left and right at 1.5cm
It is 2cm away from screw riveting (2) central point, transverse arm (1) the locating rack diameter of the semi-circular shape is 1cm, and head end is away from screw riveting (2)
Centre distance is 2cm, and trailing arm (3) tail end is 9cm away from screw riveting (2) centre distance.
As shown in Figure 2,3, the trailing arm (3) and transverse arm (1) interface are equipped with card slot 1 and card slot 2, the card slot depth
For 0.5mm, the trailing arm (3) and transverse arm (1) thickness are 1mm, and card slot 1 and card slot 2, which just coincide, snaps into plane.
Localization method in the present embodiment is: touching method using hand or x-ray equipment determines articulatio sacroiliaca lower edge and the sacrum position of bone
It sets, along bilateral articulatio sacroiliaca lower edge line placement positioning device transverse arm (1), the trailing arm of sacral midline placement positioning device
(3), transverse arm (1) locating rack two sides two semicircle center location is S to be determined3The position in sacrum hole.
In the present embodiment, patient is treated after the device and localization method in the application present invention, patient
In two steps, step 1: out treatment stage pulls out needle core after determining that puncture pin position is correct, insertion is deep for therapeutic progresses
Indicator is spent, punctures and does 0.5cm notch at skin, puncture needle is pulled out, only indwelling depth indicator, by expander together with importing
Device set is placed in S along depth indicator3In sacrum hole, determine that inducting device covers tip mark by B ultrasound or x-ray secondary combined scale mark
Will is located at the slightly biased lower place of middle line of rumpbone thickness, pulls out expander and depth indicator, only indwelling inducting device set.By hangnail sample
Permanent electrode is placed in inducting device set, makes 4 electrode contacts in front close to S as far as possible3Nerve passes through testing and debugging electrode in art
Depth, usually contact 2 and contact 3 are across the inner side and outer side of rumpbone sacrum hole ventral surface, interim stimulated in vitro respectively
Device tests the movement response of each contact and feels response, and the number of contacts for obtaining response is more, electrode position is better, test
It after errorless, keep tined-lead electrode motionless in original position, pulls out inducting device set, hangnail is made to discharge fixed electrode.Choose the ipsilateral stern of electrode
The quasi- permanent stimulator position of implantation in top takes 3cm or so notch outside portion, is drawn tined-lead electrode tail end with tunneler, and connect
Percutaneous extension wire further leads to percutaneous extension wire subcutaneous tunnel outside the skin of buttock of opposite side；Step 2: permanent
Implantation stage: patient takes prone position, conventional visual area disinfection, drape, and former buttocks notch local anaesthesia takes 5cm long notch, finds
The two is separated with torque spanner, percutaneous extension wire is removed by electrode and percutaneous extension wire, and is subcutaneously dissociated out in complete
It is suitble to the gap of sacral nerve stimulator volume, electrode is connected to sacral nerve stimulator by extension wire, is placed into free
It in good subcutaneous space, needs to carry out the dependence tests such as impedance using Medical program-controlled instrument before closing notch, to ensure that each section connects
Normal, closing notch is connect, it is postoperative to be infected using antibiotic prophylaxis.
Presently preferred embodiments of the present invention is described above, it should be pointed out that the invention is not limited to above-mentioned
Particular implementation, devices and structures not described in detail herein should be understood as is given with the common mode in this field
Implement；Anyone skilled in the art, without departing from the scope of the technical proposal of the invention, according to the present invention
Technical spirit any simple modifications, equivalents, and modifications made to the above embodiment, still fall within the technology of the present invention side
In the range of case protection.
Detailed description of the invention
Fig. 1 is structural front view of the invention.
Fig. 2 is main view direction cross arm structure schematic diagram of the present invention.
Fig. 3 is top view direction cross arm structure schematic diagram of the present invention.
Fig. 4 is main view direction trailing arm schematic diagram of the present invention.
Fig. 5 is main view direction trailing arm schematic diagram of the present invention.
1, transverse arm, 2, screw riveting, 3, trailing arm, 4, transverse arm locating rack (4), 5, graduated scale (5), 6, calibration indicator sign, 11,
Card slot 1,31, card slot 2.
Claims (3)
1. a kind of sacral nerve S3Cross positioning device, which is characterized in that described including trailing arm (3), transverse arm (1) and graduated scale (5)
Trailing arm (3) is connect with transverse arm (1) by screw riveting, and the transverse arm (1) respectively has one away from left and right at screw riveting (2) central point 1.5cm
Transverse arm (1) locating rack the riveting of distance of center circle screw (2) central point of transverse arm (1) locating rack of a semi-circular shape, the semi-circular shape is
2cm, the trailing arm (3) and transverse arm (1) interface are equipped with card slot 1 and card slot 2, and the card slot depth is 0.5mm, the trailing arm
It (3) is 1mm with transverse arm (1) thickness, trailing arm (3) head end is 2cm away from screw riveting (2) centre distance, and tail end is away from screw riveting
(2) centre distance is 9cm, and graduated scale (5) radius is 1cm.
2. a kind of sacral nerve S according to claim 13Cross positioning device, which is characterized in that the cross of the semi-circular shape
Half circular diameter of arm (1) locating rack two sides is 1cm, transverse arm (1) locating rack the riveting of distance of center circle screw (2) central point of the semi-circular shape
For 2cm, graduated scale (5) radius is 1cm.
3. a kind of a kind of sacral nerve S as claimed in claim 23The localization method of cross positioning device, which is characterized in that utilize hand
Touching method or x-ray equipment determine articulatio sacroiliaca lower edge and rumpbone position, fill along bilateral articulatio sacroiliaca lower edge line placement positioning
The trailing arm (3) of transverse arm (1), sacral midline placement positioning device is set, transverse arm (1) locating rack two sides two semicircle center location is
S to be determined3The position in sacrum hole, with the angle of graduated scale (5) assessment bilateral articulatio sacroiliaca lower edge line and the rumpbone longitudinal axis.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910279876.7A CN109998645A (en) | 2019-04-09 | 2019-04-09 | A kind of sacral nerve S3Cross positioning device and localization method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910279876.7A CN109998645A (en) | 2019-04-09 | 2019-04-09 | A kind of sacral nerve S3Cross positioning device and localization method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109998645A true CN109998645A (en) | 2019-07-12 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910279876.7A Pending CN109998645A (en) | 2019-04-09 | 2019-04-09 | A kind of sacral nerve S3Cross positioning device and localization method |
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| Country | Link |
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| CN (1) | CN109998645A (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5334205A (en) * | 1993-06-30 | 1994-08-02 | The United States Of America As Represented By The Secretary Of The Air Force | Sacroiliac joint fixation guide |
| CN107320204A (en) * | 2017-06-30 | 2017-11-07 | 陈琦 | A kind of S3Sacral nerve cross positioning device and localization method |
| CN107361838A (en) * | 2017-08-07 | 2017-11-21 | 杭州市余杭区第人民医院 | The fixing means that rumpbone is longitudinally fractured |
| CN208659581U (en) * | 2017-06-30 | 2019-03-29 | 陈琦 | A kind of S3 sacral nerve cross positioning device |
-
2019
- 2019-04-09 CN CN201910279876.7A patent/CN109998645A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5334205A (en) * | 1993-06-30 | 1994-08-02 | The United States Of America As Represented By The Secretary Of The Air Force | Sacroiliac joint fixation guide |
| CN107320204A (en) * | 2017-06-30 | 2017-11-07 | 陈琦 | A kind of S3Sacral nerve cross positioning device and localization method |
| CN208659581U (en) * | 2017-06-30 | 2019-03-29 | 陈琦 | A kind of S3 sacral nerve cross positioning device |
| CN107361838A (en) * | 2017-08-07 | 2017-11-21 | 杭州市余杭区第人民医院 | The fixing means that rumpbone is longitudinally fractured |
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