CN110037775A - A kind of puncture outfit - Google Patents

A kind of puncture outfit Download PDF

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Publication number
CN110037775A
CN110037775A CN201910345112.3A CN201910345112A CN110037775A CN 110037775 A CN110037775 A CN 110037775A CN 201910345112 A CN201910345112 A CN 201910345112A CN 110037775 A CN110037775 A CN 110037775A
Authority
CN
China
Prior art keywords
puncture
accommodating chamber
deflector
ultrasonic probe
optical camera
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201910345112.3A
Other languages
Chinese (zh)
Inventor
魏益平
曾惟标
徐建军
喻东亮
张文雄
彭金华
江涵
熊剑文
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital to Nanchang University
Original Assignee
Second Affiliated Hospital to Nanchang University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Second Affiliated Hospital to Nanchang University filed Critical Second Affiliated Hospital to Nanchang University
Priority to CN201910345112.3A priority Critical patent/CN110037775A/en
Publication of CN110037775A publication Critical patent/CN110037775A/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The present invention discloses a kind of puncture outfit, including being equipped with the puncture tube of front end, the casing being set in outside the puncture tube;It is equipped with accommodating chamber in the puncture tube, is equipped with ultrasonic probe, optical camera, light source in the front end of the accommodating chamber.Pass through setting ultrasonic probe and camera, the case where puncture working face can not only be understood in real time in puncture process by optical camera, it can also observe in real time that the hoc scenario for puncturing deep layer further increases safety to monitor in real time, guiding puncture process by ultrasonic imaging.Furthermore, respectively obtained image can be used to corroborate each other for ultrasonic probe and camera, realize the switching between the imaging of ultrasonic probe deep tissue and the puncture working face imaging of camera, avoid the different increased unnecessary operations of imaging device of replacement, it avoids bring apparatus contamination, gas leakage in art, cause the risks such as pneumothorax, also save the time of replacement imaging device.The present invention is for puncturing.

Description

A kind of puncture outfit
Technical field
The present invention relates to the field of medical instrument technology, in particular to a kind of puncture outfit.
Background technique
In recent years, endoscope-assistant surgery is small with its wound, pain is light, restores the advantages that fast, gradually replace conventional therapy at Headed by select modus operandi, the endoscope-assistant surgery first step all needs to puncture formation operation/peep hole using puncture outfit.Existing puncture outfit is such as Authorization Notice No. is type shown in CN104068921B.Puncture outfit used at present can not judge tip position and In the case where deep tissues, the accident Shi Youfa that the important organs such as big blood vessel, lung, liver are stabbed is accidentally injured in puncture outfit use process It is raw.It is clinically (swollen with various body cavitys (thoracic cavity, abdominal cavity, cavum pericardiale etc.), human internal organ (liver, kidney, lung etc.) and lesion at present Object, cancerous swelling, tumour etc.) be target puncture technique with very extensive, in order to improve, the success rate of these punctures, avoid need not The accidental injury wanted, medical worker upgrade to preoperative imaging localization from traditional simple position by anatomic landmark, however In practical puncture process, since art all clinical experiences are applied in patient body position's variation, the change of human internal organ relative position, puncture when puncturing The reasons such as difference, only lean on Anatomical orientation and imaging localization, not only puncture success rate it is difficult to ensure that, big blood is accidentally injured in puncture process The case where important organs such as pipe, lung, liver, is also commonplace, may cause permanent irreversible injury when serious to patient or even have Life danger also happens occasionally.
In view of the deficiency of the above puncture outfit and piercing method, a kind of sting device of improvement is developed both at home and abroad.Some are worn Thorn device design has retractable blade, some devices are designed as transparent material for observing tip surrounding tissue.But it is this to wear Thorn device still not it is observed that deep tissues with reach avoid accidentally injure important organ purpose, do not have more sting device guide to Puncture the effect that target improves puncture success rate.
Summary of the invention
The technical problem to be solved by the present invention is providing a kind of puncture outfit for being able to observe that deep tissues.
The solution that the present invention solves its technical problem is:
A kind of puncture outfit, including being equipped with the puncture tube of front end, the casing being set in outside the puncture tube;In the puncture tube Equipped with accommodating chamber, ultrasonic probe, optical camera, light source are equipped in the front end of the accommodating chamber.Light source can be taken the photograph for optics As head imaging provides illumination.By setting ultrasonic probe and camera, optical camera can not only be passed through in puncture process The case where understanding puncture working face in real time, can also observe in real time the hoc scenario for puncturing deep layer by ultrasonic imaging, To monitor in real time, guiding puncture process, safety is further increased.In addition, ultrasonic probe and camera are respectively acquired Image can be used to corroborate each other, such as can pass through rotation puncture outfit, realize ultrasonic probe deep tissue imaging and camera The imaging of puncture working face between switching, avoid the different increased unnecessary operations of imaging device of replacement, avoid bring The risks such as gas leakage, initiation pneumothorax, also save the time of replacement imaging device in apparatus contamination, art.
As a further improvement of the above technical scheme, be equipped in the accommodating chamber make the front end of the ultrasonic probe to The deflector of side deflection, the deflector are fixedly connected with the side wall of the accommodating chamber.Ultrasonic probe and optical camera All there is certain imaging angle, when ultrasonic probe and optical camera are all placed in accommodating chamber, the imaging angle of the two There are the parts of overlapping.By the way that deflector is arranged, ultrasonic probe is deflected to side, then the axis of the areas imaging of ultrasonic probe Line deviate optical camera areas imaging axle center, then the overlapping range of imaging angle becomes smaller, thus make ultrasonic probe and Total imaging angle of optical camera becomes larger.
As a further improvement of the above technical scheme, the puncture tube includes tube body, the front end for being covered on the tube body On puncture tip, the puncture tip is made of transparent material;The puncture tip, which is equipped with, to be connected with the lumen of the tube body Cavity, the lumen of the tube body and the cavity are collectively referred to as accommodating chamber.Puncture tip is made of transparent material, thus optical camera Head can be smoothly imaged by puncture tip.Due to being provided with ultrasonic probe and optical camera in accommodating chamber, cover Puncture tip on the front end of tube body can be avoided blood etc. and enter in accommodating chamber, to avoid ultrasonic probe and optics The work of camera is affected or even is damaged.
As a further improvement of the above technical scheme, the deflector is equipped with the left and right sides, the left side of the deflector It is equipped with first between the left side wall of the accommodating chamber and passes through space;The ultrasonic probe protrudes into described first and passes through space, The side of the front end of the ultrasonic probe is abutted with the left side of the deflector.Due to ultrasonic probe front end side with it is described The left side of deflector abuts, therefore the front side of ultrasonic probe is outwardly away from front-rear direction, to realize ultrasonic probe The axis of areas imaging deviates outward, to reduce overlapping with the imaging angle of optical camera.
As a further improvement of the above technical scheme, between the right side of the deflector and the right side wall of the accommodating chamber Pass through space equipped with second;The optical camera protrudes into described second by space, the side of the front end of the optical camera Face is abutted with the right side of the deflector.Since the side of the front end of optical camera is abutted with the right side of the deflector, because This also can be such that simultaneously the axis of the areas imaging of optical camera deviates outward, thus further reduce ultrasonic probe with The overlapping of the imaging angle of optical camera.Since ultrasonic probe and optical camera can be made to deflect simultaneously, adjustment The imaging overlapping range of ultrasonic probe and optical camera faster, it is more efficient.
As a further improvement of the above technical scheme, the deflector includes the guide rail extended along the longitudinal direction, institute Guide rail is stated to be fixedly connected with the side wall of the accommodating chamber;The deflector further includes moving body, and the moving body is equipped with along preceding The sliding slot that rear direction extends, the sliding slot are slidably connected with the guide rail.Since sliding slot and guide rail are slidably connected, move Kinetoplast can be moved forward and backward, to change the contact position with ultrasonic probe, optical camera, to change ultrasonic wave spy The deflection angle of head, optical camera, so as to adjust the coincidence range of ultrasonic probe and the imaging angle of optical camera.
As a further improvement of the above technical scheme, the front end of the guide rail be equipped with stop body, the blockings body and The front end of the moving body abuts.Ultrasonic probe, optical camera when installing from back to front, since ultrasonic wave is visited Head, optical camera are abutted with moving body, therefore moving body has the possibility for falling out guide rail.Stop body that can abut to move The front end of kinetoplast, the risk fallen forward so as to avoid moving body.
As a further improvement of the above technical scheme, puncture outfit further includes the deflection that the rear of the deflector is arranged in Ring, the outer ring surface of the deflection ring are abutted with the side wall of the accommodating chamber, the lateral surface of the rear end of the ultrasonic probe, the light The lateral surface for learning the rear end of camera is abutted with the medial surface of the deflection ring.Due to the lateral surface of the rear end of ultrasonic probe, The lateral surface of the rear end of optical camera is abutted with the medial surface of deflection ring, therefore deflection ring can adjust ultrasonic wave in rear side The deflection angle of probe, optical camera, is deflected outward ultrasonic probe, optical camera, to make ultrasonic probe, light The axis for learning the areas imaging of camera is deflected outward, to reduce the coincidence of ultrasonic probe, optical camera imaging angle Range.
As a further improvement of the above technical scheme, the side wall of the accommodating chamber is equipped with internal screw thread, the deflection ring Outer ring surface be equipped with external screw thread, the side wall of the accommodating chamber is threadedly coupled with the outer ring surface of the deflection ring.Due to accommodating chamber Side wall is threadedly coupled with the outer ring surface of deflection ring, therefore by rotational deflection ring, and deflection ring can be moved forward and backward, thus change with Ultrasonic probe, optical camera abutting position, to change the deflection angle of ultrasonic probe, optical camera, from And reduce the coincidence range of ultrasonic probe, optical camera imaging angle.
As a further improvement of the above technical scheme, the puncture tip and the tube body detachable connection.Due to wearing Puncture tip and tube body detachable connection, therefore first puncture tip can be removed, ultrasonic probe, optical camera are installed again, thus Keep the installation of installation ultrasonic probe, optical camera more convenient.The detachable connection of puncture tip and tube body includes that screw thread connects Connect, buckle-type connection etc. modes.
Detailed description of the invention
To describe the technical solutions in the embodiments of the present invention more clearly, make required in being described below to embodiment Attached drawing is briefly described.Obviously, described attached drawing is a part of the embodiments of the present invention, rather than is all implemented Example, those skilled in the art without creative efforts, can also be obtained according to these attached drawings other designs Scheme and attached drawing.
Fig. 1 is the main view of puncture outfit embodiment of the present invention;
Fig. 2 is the partial enlarged view of position N in Fig. 1;
Fig. 3 is the cross-sectional view of position M-M in Fig. 1.
Specific embodiment
It is carried out below with reference to technical effect of the embodiment and attached drawing to design of the invention, specific structure and generation clear Chu is fully described by, to be completely understood by the purpose of the present invention, feature and effect.Obviously, described embodiment is this hair Bright a part of the embodiment, rather than whole embodiments, based on the embodiment of the present invention, those skilled in the art are not being paid Other embodiments obtained, belong to the scope of protection of the invention under the premise of creative work.In addition, be previously mentioned in text All connection/connection relationships not singly refer to that component directly connects, and referring to can be added deduct according to specific implementation situation by adding Few couple auxiliary, Lai Zucheng more preferably coupling structure.Each technical characteristic in the present invention, in the premise of not conflicting conflict Under can be with combination of interactions.
Referring to figs. 1 to Fig. 3, this is the embodiment of puncture outfit of the present invention, specifically:
A kind of puncture outfit, including being equipped with the puncture tube 100 of front end, the casing 200 being set in outside puncture tube 100;Puncture tube 100 include tube body 120, the puncture tip 130 being covered on the front end of tube body 120, and puncture tip 130 is made of transparent material, can Using the transparent plastic material of hard, such as PVC material;Puncture tip 130 is equipped with the cavity being connected with the lumen of tube body 120, The lumen and cavity of tube body 120 are collectively referred to as accommodating chamber 110.Ultrasonic probe 300 is equipped in the front end of accommodating chamber 110, optics is taken the photograph As head 400, light source 700.In the present embodiment, ultrasonic probe 300 and optical camera 400 are arranged at puncture tip 130 In cavity, belong to the range of accommodating chamber 110.Ultrasonic probe 300 can be using the technology in Publication No. CN1946346A.It is super Sonic probe 300 usually has the function of Doppler, can be used in identify visit and deep liquid be hydrops body or blood vessel The blood of interior flowing.Light source 700 can use LED lamp bead, if user needs to be completely secured the fixation of light source 700, can be used The mode of gluing in advance fixes light source 700 and the shell of optical camera 400.
As shown in Figure 1, the imaging angle of ultrasonic probe 300 is A, the imaging angle of optical camera 400 is B, angle A Overlapping range with angle B is angle C, and the range of usual angle C is more suitable in 0 to 15 degree, it is therefore desirable to visit to ultrasonic wave First 300 and the installation deflection angle of optical camera 400 be adjusted.It is equipped in accommodating chamber 110 before making ultrasonic probe 300 The deflector 500 deflected to side is held, deflector 500 includes the guide rail 510 extended along the longitudinal direction, guide rail 510 and appearance The side wall of chamber 110 received is fixedly connected;Deflector 500 further includes moving body 520, and moving body 520 is equipped with to be extended along the longitudinal direction Sliding slot, sliding slot are slidably connected with guide rail 510.The front end of guide rail 510, which is equipped with, stops body 511, stops body 511 and moving body 520 front end abuts.Guide rail 510 stops body 511, puncture tip 130 that can be integrally formed and realize solid by the way of injection molding Fixed connection or guide rail 510 can be realized using gluing by the way of to be fixedly connected with the side wall of accommodating chamber 110, blocking body 511 The front end of guide rail 510 can also be fixed at by the way of gluing.In the present embodiment, there are two guide rail 510 is set, It is arranged on the side wall of accommodating chamber 110, and is spaced apart in circumferential 180 degree;Moving body 520 is round bar body at this time, be can be reduced Damage to the ultrasonic probe 300, optical camera 400 that abut therewith.The both ends of moving body 520 are equipped with sliding slot, mobile The sliding slot at the both ends of body 520 is slidably connected with two guide rails 510 respectively, so that the sliding of moving body 520 and guide rail 510 connects It connects more stable.
Deflector 500 is equipped with the left and right sides, i.e. moving body 520 is across in accommodating chamber 110, the left and right two of moving body 520 Side be respectively first by space 111, second by space 112;The left side wall of the left side of deflector 500 and accommodating chamber 110 it Between be equipped with first pass through space 111;Ultrasonic probe 300 protrudes into first by space 111, the side of the front end of ultrasonic probe with The left side of deflector 500 abuts.It is equipped with second between the right side of deflector 500 and the right side wall of accommodating chamber 110 and passes through space 112;Optical camera 400 protrudes into second by space 112, the side of the front end of optical camera 400 and the right side of deflector 500 Side abuts.
The side wall of accommodating chamber 110 is equipped with internal screw thread, is the side wall of the cavity of puncture tip 130 in the present embodiment equipped with interior Screw thread, and the end of puncture tip 130 is extended to, the outer wall of the front end of tube body 120 is equipped with external screw thread, to realize puncture tip 130 with 120 detachable connection of tube body.Puncture outfit further includes the deflection ring 600 that the rear of deflector 500 is arranged in, deflection ring 600 outer ring surface is equipped with external screw thread, and the side wall of accommodating chamber 110 is threadedly coupled with the outer ring surface of deflection ring 600.Deflection ring 600 Outer ring surface is abutted with the side wall of accommodating chamber 110, the lateral surface of the rear end of ultrasonic probe, the rear end of optical camera 400 outside Face is abutted with the medial surface of deflection ring 600.
Better embodiment of the invention is illustrated above, but the present invention is not limited to the embodiment, Those skilled in the art can also make various equivalent modifications or replacement on the premise of without prejudice to spirit of the invention, this Equivalent variation or replacement are all included in the scope defined by the claims of the present application a bit.

Claims (10)

1. a kind of puncture outfit, it is characterised in that: including being equipped with the puncture tube (100) of front end, being set in the puncture tube (100) outside Casing (200);Accommodating chamber (110) are equipped in the puncture tube (100), ultrasound is equipped in the front end of the accommodating chamber (110) Wave probe (300), optical camera (400), light source (700).
2. a kind of puncture outfit according to claim 1, it is characterised in that: being equipped in the accommodating chamber (110) makes described surpass The deflector (500) that the front end of sonic probe (300) is deflected to side, the deflector (500) and the accommodating chamber (110) Side wall is fixedly connected.
3. a kind of puncture outfit according to claim 2, it is characterised in that: the puncture tube (100) include tube body (120), The puncture tip (130) being covered on the front end of the tube body (120), the puncture tip (130) are made of transparent material;It is described Puncture tip (130) is equipped with the cavity that is connected with the lumen of the tube body (120), the lumen of the tube body (120) with it is described recessed Chamber is collectively referred to as accommodating chamber (110).
4. a kind of puncture outfit according to claim 2 or 3, it is characterised in that: the deflector (500) is equipped with left and right two Side is equipped with first and passes through space (111) between the left side of the deflector (500) and the left side wall of the accommodating chamber (110);Institute It states ultrasonic probe (300) and protrudes into described first by space (111), the side of the front end of the ultrasonic probe and the deflection The left side in portion (500) abuts.
5. a kind of puncture outfit according to claim 4, it is characterised in that: the right side of the deflector (500) and the appearance It receives and is equipped with second between the right side wall of chamber (110) by space (112);It is logical that the optical camera (400) protrudes into described second It crosses space (112), the side of the front end of the optical camera (400) is abutted with the right side of the deflector (500).
6. a kind of puncture outfit according to claim 5, it is characterised in that: the deflector (500) includes along the longitudinal direction The guide rail (510) of extension, the guide rail (510) are fixedly connected with the side wall of the accommodating chamber (110);The deflector (500) further include moving body (520), the moving body (520) is equipped with the sliding slot that extends along the longitudinal direction, the sliding slot with it is described Guide rail (510) is slidably connected.
7. a kind of puncture outfit according to claim 6, it is characterised in that: the front end of the guide rail (510), which is equipped with, to stop Body (511), blocking body (511) abut with the front end of the moving body (520).
8. a kind of puncture outfit according to claim 5, it is characterised in that: further include being arranged in the deflector (500) The outer ring surface of the deflection ring (600) at rear, the deflection ring (600) is abutted with the side wall of the accommodating chamber (110), the ultrasound Inside of the lateral surface of the rear end of the lateral surface of the rear end of probe, the optical camera (400) with the deflection ring (600) Face abuts.
9. a kind of puncture outfit according to claim 8, it is characterised in that: the side wall of the accommodating chamber (110) is equipped with interior Screw thread, the outer ring surface of the deflection ring (600) are equipped with external screw thread, side wall and the deflection ring (600) of the accommodating chamber (110) Outer ring surface be threadedly coupled.
10. a kind of puncture outfit according to claim 2, it is characterised in that: the puncture tip (130) and the tube body (120) detachable connection.
CN201910345112.3A 2019-04-26 2019-04-26 A kind of puncture outfit Withdrawn CN110037775A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910345112.3A CN110037775A (en) 2019-04-26 2019-04-26 A kind of puncture outfit

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910345112.3A CN110037775A (en) 2019-04-26 2019-04-26 A kind of puncture outfit

Publications (1)

Publication Number Publication Date
CN110037775A true CN110037775A (en) 2019-07-23

Family

ID=67279727

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910345112.3A Withdrawn CN110037775A (en) 2019-04-26 2019-04-26 A kind of puncture outfit

Country Status (1)

Country Link
CN (1) CN110037775A (en)

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Application publication date: 20190723