CN110478032A - CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device - Google Patents

CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device Download PDF

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Publication number
CN110478032A
CN110478032A CN201910722223.1A CN201910722223A CN110478032A CN 110478032 A CN110478032 A CN 110478032A CN 201910722223 A CN201910722223 A CN 201910722223A CN 110478032 A CN110478032 A CN 110478032A
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Prior art keywords
ablation
ablation needle
sliding block
support rod
scan orientation
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Inventor
高杨
陈骏
李潇
李健彬
韩宜璇
周士波
严萍
高若溪
杨红
徐光珍
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Priority to CN201910722223.1A priority Critical patent/CN110478032A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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
    • A61B90/11Instruments, 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The present invention relates to a kind of CT to guide lower tumour ablation Scan orientation and ablation needle fixer in vitro device, it is characterized by comprising transparent stickers and fixator, the transparent sticker is rectangle, and nine evenly distributed x-ray development position lines for being parallel to its longitudinal direction are equipped on transparent sticker;At least one of which long side of the transparent sticker is equipped with fixator, the fixator includes fixing seat and support rod, the fixing seat is strip and is fixedly connected in the long side of transparent sticker, sliding slot is equipped in fixing seat, sliding block is installed in the sliding slot, there is frictional resistance between the sliding block and sliding slot;The support rod lower end is connect with sliding block, and post upper is equipped with the clamp for clasping fixed ablation needle.Structure of the invention is ingenious, design is reasonable, easy to use, the both hands of doctor can be liberated during microwave ablation, and can prevent the displacement of ablation needle, avoid result in severe complication.

Description

CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device
Technical field
The present invention relates to a kind of CT to guide lower tumour ablation Scan orientation and ablation needle fixer in vitro device, belongs to medical treatment Equipment technology field.
Background technique
In addition to surgical resection, medical chemotherapy, fluconazole ear drops etc., currently used one kind is minimally invasive for oncotherapy Interventional therapy is exactly the puncture ablation under percutaneous iconography guidance, commonly uses CT guidance.The advantage of this treatment be wound it is small, Small side effects, post-operative recovery are fast, suitable for can not much be resistant to the tumor patient of surgical operation, often with internal medicine chemotherapy or targeting medicine Object treats combined treatment.
Currently used ablation includes RF ablation, microwave ablation and cryoablation treatment.Mainly in CT scan Under guidance, the needle point percutaneous puncture of ablation needle 4 is sent into 6 position of target lesion (as shown in Figure 1) in human body 5.For many shallow For the tumour of table or the tumour of privileged sites, ablation needle 4 is difficult to fix after entering body, and doctor is needed in ablation procedure Armrest is helped always, so not only waste of manpower, but also needle in ablation procedure is easy to cause to change with body angle, ablation needle 4 Needle point deviate from target lesion 6, affect the treatment, or even if the vital tissues such as neighbouring big blood vessel of surrounding, it is easier to lead to weight Big treatment accident.And at present, there are no special ablation needle fixation devices on the market, therefore, it is necessary to design a collection CT scan Positioning and ablation needle fixer in vitro are in the device of one, to solve problem above.
Summary of the invention
It is an object of the present invention to overcome the shortcomings of the prior art and provide a kind of clever structure, designs rationally, makes Lower tumour ablation Scan orientation and ablation needle fixer in vitro device are guided with convenient CT.
According to technical solution provided by the invention: CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro dress It sets, it is characterised in that: including transparent sticker and fixator, the transparent sticker is rectangle, and nine are equipped on transparent sticker The evenly distributed x-ray development position line for being parallel to its longitudinal direction;It is set in at least one of which long side of the transparent sticker There is fixator, the fixator includes fixing seat and support rod, and the fixing seat is strip and is fixedly connected on transparent sticker Long side on, sliding slot is equipped in fixing seat, sliding block is installed in the sliding slot, there is friction resistance between the sliding block and sliding slot Power;The support rod lower end is connect with sliding block, and post upper is equipped with the clamp for clasping fixed ablation needle.
As a further improvement of the present invention, the x-ray development position line is filament made of being smeared as barium sulfate.
As a further improvement of the present invention, the support rod is Telescopic supporting rod, the bar section of Telescopic supporting rod it Between have damping;The clamp are less than the outer diameter of ablation needle in major arc shape and energy flexible deformation, the internal diameter of clamp.
As a further improvement of the present invention, between the support rod lower end and sliding block, between post upper and clamp It is by the universal joint connection with damping.
As a further improvement of the present invention, between the fixing seat and transparent sticker bonding connection and can avulsion separate.
As a further improvement of the present invention, the sliding slot is T-type sliding slot, and the sliding block is T-type sliding block.
As a further improvement of the present invention, one of inner side edge of the sliding slot is equipped with waveform tooth, the cunning The corresponding side surface of block is equipped with the arc convex being meshed with the waveform tooth.
As a further improvement of the present invention, the fixator is integrally adopted made of plastic.
As a further improvement of the present invention, the clamp are threadedly coupled with post upper.
As a further improvement of the present invention, non-slip mat is preferably provided in the clamp.
Compared with the prior art, the invention has the following advantages:
1), structure of the invention is ingenious, and rationally, several x-rays that rectangular transparent sticker is equipped with, which develop, to be positioned for design Line can play positioning action, and ablation needle is facilitated accurately to be punctured;After ablation needle punctures in place, the support rod in fixator is beaten It opens, the clamp of post upper are stuck on ablation needle, provide support for ablation needle, and doctor can be liberated during microwave ablation Raw both hands, and the displacement of ablation needle can be prevented, avoid result in severe complication.
2), the present invention in fixing seat and transparent sticker between bonding connection and can avulsion separate, in Microwave Coagulation Therapy After, fixator can be torn it down from transparent sticker, and transparent sticker is still attached on patient skin, transparent sticker benefit With the effect of its viscose and hemostatic compositions, it not only can prevent potential bleeding but also the healing of puncture needle eye can be accelerated.
Detailed description of the invention
Fig. 1 is operation application schematic diagram when carrying out ablation at present.
Fig. 2 is the structural front view of the embodiment of the present invention.
Fig. 3 is that the embodiment of the present invention removes the structure top view after support rod.
Fig. 4 is the concrete operations application schematic diagram of the embodiment of the present invention.
Description of symbols: 1- transparent sticker, 2- fixator, 2.1- fixing seat, 2.1a- sliding slot, 2.1b- waveform tooth, 2.2- support rod, 2.3- sliding block, 2.3a- arc convex, 2.4- clamp, 2.5- universal joint 3-X line development position line, 4- ablation Needle, 5- human body, 6- target lesion.
Specific embodiment
Below with reference to specific drawings and examples, the invention will be further described.
As shown in Figure 1, embodiment, which discloses a kind of CT, guides lower tumour ablation Scan orientation and ablation needle fixer in vitro Device, including transparent sticker 1 and fixator 2, the transparent sticker 1 are rectangle, and nine uniformly rows are equipped on transparent sticker 1 The x-ray development position line 3 for being parallel to its longitudinal direction of column;At least one of which long side of the transparent sticker 1 is equipped with solid Determine device 2, the fixator 2 includes fixing seat 2.1 and support rod 2.2, and the fixing seat 2.1 is strip and is fixedly connected on In the long side of gelatin patch 1, it is equipped with sliding slot 2.1a in fixing seat 2.1, sliding block 2.3, the sliding block are installed in the sliding slot 2.1a There is frictional resistance between 2.3 and sliding slot 2.1a;2.2 lower end of support rod is connect with sliding block 2.3,2.2 upper end of support rod peace Equipped with the clamp 2.4 for clasping fixed ablation needle 4.
As shown in figure 4, selecting suitable skin surface to wear according to 6 position of target lesion in patient's human body 5 when specifically used Position is pierced, rectangular transparent sticker 1 is then affixed on skin surface, several x-rays development position line that transparent sticker 1 is equipped with 3 show wire body after scanning CT scan, can play positioning action, ablation needle 4 is facilitated accurately to be punctured.In ablation needle 4 After puncturing in place, first the support rod 2.2 in fixator 2 is opened, is then tightly stuck in the clamp 2.4 of 2.2 upper end of support rod On ablation needle 4, support is provided for ablation needle 4;It can be by the position of adjusting slider 2.3 come to 2.2 lower end of support rod in use Position is adjusted, and due to having frictional resistance between sliding block 2.3 and sliding slot 2.1a, sliding block 2.3 will not be any in sliding slot 2.1a Sliding, it is ensured that support is firm.In this way, the both hands of doctor can be liberated during microwave ablation, and can prevent from melting The displacement of needle 4, avoids result in severe complication.In the present embodiment, the x-ray development position line 3 is smeared by barium sulfate Filament, it makes use of the x-ray development of barium sulfate effects.
As shown in Figure 1, the support rod 2.2 is Telescopic supporting rod 2.2, Telescopic supporting rod 2.2 in the present embodiment There is damping between bar section.So set, the length of support rod 2.2 can be adjusted, according to the different angle of ablation needle 4 to guarantee Optimal support effect.The clamp 2.4 are less than the outer of ablation needle 4 in major arc shape and energy flexible deformation, the internal diameter of clamp 2.4 Diameter, it is easy to operate in this way and fixed reliable.
As shown in Figure 1, in the present embodiment, between 2.2 lower end of support rod and sliding block 2.3,2.2 upper end of support rod and card It is to be connected by the universal joint 2.5 with damping between pincers 2.4.So set, clamp 2.4, support rod 2.2 and sliding block Relative position between 2.3 all has certain amplitude of accommodation, uses more flexible and convenient.
In the present embodiment, between the fixing seat 2.1 and transparent sticker 1 bonding connection and can avulsion separate.So set, After Microwave Coagulation Therapy, fixator 2 can be torn it down from transparent sticker 1, and transparent sticker 1 is still attached to patient On skin, transparent sticker 1 is acted on using its viscose and hemostatic compositions, can not only prevent potential bleeding but also can accelerate puncture needle The healing of eye.
As shown in Figure 1, the sliding slot 2.1a is T-type sliding slot 2.1a in the present embodiment, the sliding block 2.3 is T-type sliding block 2.3.So set, sliding block 2.3 can be made not fall out sliding slot 2.1a in mobile adjustment process, it is highly-safe.
As shown in Fig. 2, one of inner side edge of the sliding slot 2.1a is equipped with waveform tooth 2.1b in the present embodiment, The corresponding side surface of the sliding block 2.3 is equipped with the arc convex 2.3a being meshed with the waveform tooth 2.1b.So set, can It is slided with further avoiding sliding block 2.3 in sliding slot 2.1a, improves the stability that ablation needle 4 supports.
In the present embodiment, the fixator 2 is whole to be adopted made of plastic, can guarantee that fixator 2 has enough knots in this way Structure intensity.In addition, the fixing seat 2.1 in the fixator 2 can also be made of hardboard.
In the present embodiment, the clamp 2.4 are connect with 2.2 threaded upper ends of support rod.So set, clamp 2.4 can root It is arbitrarily replaced according to demand, improves operation ease.
In the present embodiment, it is preferably provided with non-slip mat in the clamp 2.4, to improve holding of the clamp 2.4 to ablation needle 4 Power avoids ablation needle 4 that unexpected slide occurs in clamp 2.4.Non-slip mat can be made of rubber or silica gel material.
Described above is only presently preferred embodiments of the present invention, and above-mentioned specific embodiment is not limitation of the present invention. In technical idea scope of the invention, various modifications and modification can occur, all those skilled in the art according to Upper description done retouching, modification or equivalent replacement, belong to the range that the present invention is protected.

Claims (10)

1.CT guides lower tumour ablation Scan orientation and ablation needle (4) fixer in vitro device, it is characterised in that: including transparent adhesive tape (1) and fixator (2) are pasted, the transparent sticker (1) is rectangle, and nine are equipped on transparent sticker (1) and evenly distributed is put down Row develops position line (3) in the x-ray of its longitudinal direction;At least one of which long side of the transparent sticker (1), which is equipped with, fixes Device (2), the fixator (2) include fixing seat (2.1) and support rod (2.2), and the fixing seat (2.1) is strip and fixation It is connected in the long side of transparent sticker (1), is equipped with sliding slot (2.1a) in fixing seat (2.1), be equipped in the sliding slot (2.1a) Sliding block (2.3) has frictional resistance between the sliding block (2.3) and sliding slot (2.1a);Support rod (2.2) lower end and sliding block (2.3) it connects, support rod (2.2) upper end is equipped with the clamp (2.4) for clasping fixed ablation needle (4).
2. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: x-ray development position line (3) is filament made of being smeared as barium sulfate.
3. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: the support rod (2.2) is Telescopic supporting rod (2.2), has damping between the bar section of Telescopic supporting rod (2.2); The clamp (2.4) are less than the outer diameter of ablation needle (4) in major arc shape and energy flexible deformation, the internal diameter of clamp (2.4).
4. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature It is: between support rod (2.2) lower end and sliding block (2.3), between support rod (2.2) upper end and clamp (2.4) be logical Cross universal joint (2.5) connection with damping.
5. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: between the fixing seat (2.1) and transparent sticker (1) bonding connection and can avulsion separate.
6. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: the sliding slot (2.1a) is T-type sliding slot (2.1a), and the sliding block (2.3) is T-type sliding block (2.3).
7. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: one of inner side edge of the sliding slot (2.1a) is equipped with waveform tooth (2.1b), the respective side of the sliding block (2.3) Face is equipped with the arc convex (2.3a) being meshed with the waveform tooth (2.1b).
8. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: the fixator (2) is integrally adopted made of plastic.
9. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature Be: the clamp (2.4) connect with support rod (2.2) threaded upper ends.
10. CT as described in claim 1 guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device, feature It is: is equipped with non-slip mat in the clamp (2.4).
CN201910722223.1A 2019-08-06 2019-08-06 CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device Pending CN110478032A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910722223.1A CN110478032A (en) 2019-08-06 2019-08-06 CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910722223.1A CN110478032A (en) 2019-08-06 2019-08-06 CT guides lower tumour ablation Scan orientation and ablation needle fixer in vitro device

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Publication Number Publication Date
CN110478032A true CN110478032A (en) 2019-11-22

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2848156Y (en) * 2005-08-23 2006-12-20 崔跃强 Positioning, directional distance apparatus for puncture
WO2013166836A1 (en) * 2012-05-09 2013-11-14 华南理工大学 Medical mechanical arm tail end device
CN105434015A (en) * 2015-12-19 2016-03-30 陈小涛 Positioning device for nerve blocking anesthesia needle
CN107874817A (en) * 2016-09-30 2018-04-06 冯威健 A kind of puncture positioning device and bootstrap technique
CN210990689U (en) * 2019-08-06 2020-07-14 高杨 Tumor ablation scanning positioning and ablation needle body external fixator device under CT guidance

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2848156Y (en) * 2005-08-23 2006-12-20 崔跃强 Positioning, directional distance apparatus for puncture
WO2013166836A1 (en) * 2012-05-09 2013-11-14 华南理工大学 Medical mechanical arm tail end device
CN105434015A (en) * 2015-12-19 2016-03-30 陈小涛 Positioning device for nerve blocking anesthesia needle
CN107874817A (en) * 2016-09-30 2018-04-06 冯威健 A kind of puncture positioning device and bootstrap technique
CN210990689U (en) * 2019-08-06 2020-07-14 高杨 Tumor ablation scanning positioning and ablation needle body external fixator device under CT guidance

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