CN110664467A - Cross-section puncture auxiliary assembly - Google Patents
Cross-section puncture auxiliary assembly Download PDFInfo
- Publication number
- CN110664467A CN110664467A CN201910956430.3A CN201910956430A CN110664467A CN 110664467 A CN110664467 A CN 110664467A CN 201910956430 A CN201910956430 A CN 201910956430A CN 110664467 A CN110664467 A CN 110664467A
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- Prior art keywords
- puncture
- needle
- guide
- positioning
- indication rod
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- 238000000034 method Methods 0.000 abstract description 19
- 201000010099 disease Diseases 0.000 abstract description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 5
- 238000002591 computed tomography Methods 0.000 description 13
- 238000003780 insertion Methods 0.000 description 7
- 230000037431 insertion Effects 0.000 description 7
- 238000010586 diagram Methods 0.000 description 6
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 description 4
- 238000009434 installation Methods 0.000 description 3
- 238000001514 detection method Methods 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 238000004088 simulation Methods 0.000 description 2
- 238000002583 angiography Methods 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 230000005923 long-lasting effect Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
- 238000002604 ultrasonography Methods 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention discloses a cross-section puncture auxiliary assembly, which is characterized in that a focus position is positioned through a positioning indication rod on a reference piece, a needle entering path is planned according to the position of the positioning indication rod, the direction of a puncture needle guide channel on the guide piece is adjusted according to the needle entering path, and a puncture needle is inserted along the guide channel during puncture, so that the focus position is accurately punctured; through setting up the location guide bar that advances line location to the focus position, refer to location guide bar position and can plan into the needle route fast, go into the needle through the pjncture needle guide way of guide simultaneously, medical personnel can confirm fast and go into the needle route and accurate puncture smoothly, reduce the puncture process to medical personnel's puncture experience's dependence, need not the puncture in-process and adjust the puncture position repeatedly, the disease that significantly reduces is painful.
Description
Technical Field
The invention relates to the technical field of clinical medical treatment, in particular to a cross-section puncture auxiliary assembly.
Background
In recent years, minimally invasive techniques have rapidly developed and become widespread, with a considerable part of the work being to perform deep tissue target punctures under CT. Ct (computed tomography), that is, electronic computed tomography, uses precisely collimated X-rays, etc. to scan sections of a human body one after another together with a detector with extremely high sensitivity, has the characteristics of fast scanning time, clear image, etc., and can be used for the examination of various diseases. The CT scanning requires that a human body lies down and enters the CT machine to scan the cross section of the human body layer by layer. Therefore, unlike the puncture under B-ultrasound or DSA (digital subtraction angiography), the puncture under CT cannot be performed under real-time dynamic observation, and needs to be performed step by step in the CT scanning plane, and often needs to be adjusted many times during the puncture process, which is time-consuming, long-lasting, and has a large error.
In the prior art, generally, medical staff puncture by hands completely, and after a body surface puncture point is defined, the angle and depth of a puncture needle are estimated by experience and gradually advanced, and the angle and depth are adjusted by repeatedly shooting a CT (computed tomography) in the advancing process of the puncture needle. With the improvement of the puncture precision requirement, the puncture needle is also positioned by a common protractor, and the positioning mode needs an auxiliary staff protractor to aim at the puncture needle to help medical staff to adjust the angle of the puncture needle on the cross section. In addition, the puncture needle is also provided with a plumb line and a protractor, an included angle is formed between the puncture needle and the plumb line after the puncture needle is inclined, and the angle of the puncture needle is adjusted according to the angle value displayed by the protractor. In addition, the laser device emits a laser beam according to a set angle, the laser beam indicates the needle entering position and the needle entering direction on the surface of the human body, and the medical staff inserts the needle along the indicating direction of the laser beam. However, the needle insertion process in the above manner is operated by hands of medical staff, the puncture precision depends heavily on experience and technology of the medical staff, and the error is large and the repeatability is poor.
Meanwhile, the needle insertion direction of the above-mentioned puncture method is usually limited to be performed in a single CT scanning plane, and the needle insertion plane is scanned for a plurality of times during the puncture process, which results in that cross-scanning tomography puncture cannot be performed based on CT images.
Disclosure of Invention
In order to solve the technical problems in the background technology, the invention provides a cross-section puncture auxiliary assembly.
The invention provides a cross-section puncture auxiliary assembly, which comprises: a bracket, a guide;
the support is provided with a positioning indication rod which is vertically arranged, the support is provided with a sliding rail which extends towards the direction of keeping away from the positioning indication rod, the sliding rail is provided with a sliding seat which can be installed in a sliding way, a guide part is installed on the sliding seat, a puncture needle guide channel is arranged in the guide part, and the puncture needle guide channel is located in the vertical plane of the positioning indication rod.
Preferably, still include the pedestal, be equipped with the second pivot of vertical setting on the support, the support passes through the rotatable installation of second pivot on the pedestal.
Preferably, the second rotating shaft is arranged coaxially with the positioning indication rod.
Preferably, the positioning indication rod comprises an indication sleeve, and a reference needle channel extending along the straight line where the second rotating shaft is located is arranged in the middle of the indication sleeve;
preferably, the positioning indication rod further comprises a positioning reference needle, the positioning reference needle is positioned in the indication sleeve, and a target reference part is arranged at the lower end of the positioning reference needle.
Preferably, the guide piece is provided with a first rotating shaft, the first rotating shaft is perpendicular to the plane where the puncture needle guide channel and the positioning indication rod are located, and the guide piece is rotatably arranged on the sliding seat through the first rotating shaft.
Preferably, the slide rail horizontally extends along the radial direction of the positioning indication rod;
preferably, the bracket is further provided with a horizontal or vertical calibration mechanism for detecting the position of the slide rail.
Preferably, the support adopts a vertically arranged mounting plate, the mounting plate is vertically arranged, and the positioning indication rod, the sliding rail and the puncture needle guide channel are positioned in the same plane parallel to the mounting plate.
Preferably, the guide part is provided with a first clamping part and a second clamping part, and the puncture needle guide channel is formed between the first clamping part and the second clamping part.
Preferably, the first clamping piece is hinged with one end of the second clamping piece.
Preferably, a guide needle cylinder is arranged on the guide piece, and the guide needle cylinder is detachably arranged in the puncture needle guide channel.
According to the cross-section puncture auxiliary assembly, the position of a focus is positioned through the positioning indication rod on the reference piece, the position of the reference positioning indication rod is used for planning the needle entering path, the direction of the puncture needle guide channel on the guide piece is adjusted according to the needle entering path, and the puncture needle is punctured along the guide channel during puncture, so that accurate puncture of the position of the focus is realized; carry out the location guide bar of fixing a position to the focus position through the setting, reference location guide bar position is drawn into the needle route fast in the vertical plane at location guide bar place, goes into the needle through the pjncture needle guide way of guide simultaneously, and medical personnel can confirm fast and go into the needle route and accurate puncture smoothly, reduces the puncture process to medical personnel's puncture experience's dependence, need not the puncture in-process and adjust the puncture position repeatedly, and the disease that significantly reduces is painful.
Drawings
Fig. 1 is a schematic structural view of a transsectional puncture assisting assembly according to the present invention.
Fig. 2 is a schematic structural diagram of a transsectional puncture auxiliary assembly according to the present invention during a puncture process.
Fig. 3 is a schematic structural diagram of a transsection puncture auxiliary assembly in a simulation process according to the present invention.
Detailed Description
Fig. 1 to 3 show a schematic structural diagram of a cross-section puncture assisting assembly according to the present invention, fig. 1 shows a schematic structural diagram of a cross-section puncture assisting assembly according to the present invention, fig. 2 shows a schematic structural diagram of a cross-section puncture assisting assembly according to the present invention during a puncture procedure, and fig. 3 shows a schematic structural diagram of a cross-section puncture assisting assembly according to the present invention during a simulation procedure.
Referring to fig. 1, the present invention provides a transsection puncture assisting assembly, comprising: a bracket, guide 2;
be equipped with the location indication pole 3 of vertical setting on the support, be equipped with on the support to keeping away from the slide rail 4 that 3 directions of location indication pole extend, but be equipped with slidable mounting's slide 6 on the slide rail 4, guide 2 installs on slide 6, is equipped with pjncture needle guide way in the guide 2, pjncture needle guide way is located the vertical plane of location indication pole 3 place.
Referring to fig. 2, in a specific working process of the cross-section puncture auxiliary assembly of this embodiment, a focus position is determined by CT scanning in advance, a bracket is firstly placed above a patient to be punctured, so that a positioning indication rod is vertically arranged to point to a focus, then a guide piece slides along a slide rail along with a slide seat, the position of a puncture needle guide channel on the guide piece is adjusted according to the positioning indication rod and the focus position, so that the focus is located on a straight line where the puncture needle guide channel is located, and a needle inserting depth is determined according to the focus position, a medical worker inserts a puncture needle into the puncture needle guide channel and punctures the puncture needle along the puncture needle guide channel to the focus direction, thereby realizing rapid and; through the cross-section puncture auxiliary assembly of this embodiment, through the location of referring to the location pilot lever, medical personnel can puncture by the quick accuracy, and puncture in-process puncture direction is accurate, need not to carry out CT scanning repeatedly and confirms, improves puncture speed and puncture precision greatly, alleviates the disease misery.
In other specific working modes, the support can be placed on one side of a patient according to needs, so that the positioning and indicating rod is arranged horizontally or obliquely, the direction of the positioning and indicating rod only needs to face to a focus, and the needle inserting path can be quickly and accurately determined by referring to the position of the positioning and indicating rod.
In this embodiment, the cross-section puncture auxiliary assembly positions a lesion position through a positioning indication rod on a reference member, plans a needle insertion path with reference to the positioning indication rod position, adjusts the direction of a puncture needle guide channel on a guide member according to the needle insertion path, and punctures a puncture needle along the guide channel during puncturing, so as to realize accurate puncturing of the lesion position; through setting up the location guide bar that advances line location to the focus position, refer to location guide bar position and can plan into the needle route fast, go into the needle through the pjncture needle guide way of guide simultaneously, medical personnel can confirm fast and go into the needle route and accurate puncture smoothly, reduce the puncture process to medical personnel's puncture experience's dependence, need not the puncture in-process and adjust the puncture position repeatedly, the disease that significantly reduces is painful.
In the specific embodiment, a first rotating shaft is arranged on the guide part 2, the first rotating shaft is perpendicular to the plane of the puncture needle guide channel and the positioning indication rod 3, and the guide part 2 is rotatably arranged on the sliding seat 6 through the first rotating shaft; according to the selection of the needle inserting position, the needle inserting position can be adjusted by rotating the guide piece, and meanwhile, the inclination angle of the puncture needle guide channel is adjusted, so that the needle inserting direction is adjusted.
In order to fix a position the back to the focus at the location indicator pole, according to going into the accurate regulation that the needle position consults the location indicator pole and go into the needle route, this embodiment still includes pedestal 5, is equipped with the second pivot of vertical setting on the support, and the support passes through the rotatable installation of second pivot on pedestal 5 for the guide rotates around the second pivot along with the support, realizes selecting around location indicator pole circumference and goes into the needle route, thereby realizes going into crossing the fault selection of needle route.
In a further embodiment, the second rotating shaft is arranged coaxially with the positioning and indicating rod 3, so that the accuracy of the position adjustment of the guide piece relative to the positioning and indicating rod when the bracket rotates is improved.
In the specific embodiment of the positioning indication rod with reference to fig. 2 and 3, the positioning indication rod 3 includes an indication sleeve 31, and a reference needle track extending along a straight line where the second rotating shaft is located is arranged in the middle of the indication sleeve 31; preferably, the positioning indication rod 3 further comprises a positioning reference needle 32, the positioning reference needle 32 is positioned in the indication sleeve 31, and the lower end of the positioning reference needle 32 is provided with a target reference part 33; when the puncture needle is used, the direction of a focus can be positioned in advance through the positioning indication rod, the positioning reference needle extends out along the indication sleeve, the lower end target reference part simulates the position of the focus, so that the distance between the focus and the slide rail in the vertical direction is determined, then the position of the guide piece and the direction of the puncture needle guide channel are adjusted according to the position of the target reference part and the needle inserting position of the epidermis of a patient, one end of the puncture needle extends into the puncture needle guide channel, the end part of the puncture needle extends to the target reference part, and the puncture angle and the puncture depth of the puncture needle are simulated; in the puncture process, the positioning reference needle is withdrawn, the bracket is arranged above the focus, and the rapid and accurate puncture is carried out according to the puncture angle and the puncture direction which are simulated in advance.
In a specific arrangement of the slide rails, the slide rails 4 extend horizontally in the radial direction of the positioning and indicating rod 3, so that the needle insertion depth can be calculated according to the position of the guide piece on the slide rails relative to the positioning and indicating rod.
Furthermore, a horizontal or vertical calibration mechanism for detecting the position of the slide rail 4 is also arranged on the bracket, and when the positioning indication rod is vertically arranged above the patient and the slide rail is horizontally arranged, the calibration of the horizontal slide rail and the vertical direction of the positioning indication rod can be realized through the horizontal calibration mechanism before detection; similarly, when the positioning indication rod is horizontally arranged on one side of a patient and the slide rail is vertically arranged, the slide rail can be arranged and the horizontal direction of the positioning indication rod can be calibrated through the vertical calibration mechanism before detection. In the selection of the horizontal alignment mechanism, a level bubble may be selected; in the selection of the vertical alignment mechanism, a lead weight may be selected.
In the specific design mode of support, the support adopts the mounting panel 1 of vertical setting, and the vertical setting of mounting panel 1, location indicating rod 3, slide rail 4 and pjncture needle guide way are located the coplanar that is on a parallel with mounting panel 1, through setting up the support as the mounting panel structure, when adjusting pjncture needle guide way direction, improve pjncture needle guide way and location indicating rod's relative alignment precision.
In the specific design mode of the guide part, the guide part 2 is provided with a first clamping part 21 and a second clamping part 22, and a puncture needle guide channel is formed between the first clamping part 21 and the second clamping part 22, so that the size of the puncture needle guide channel can be conveniently adjusted according to the outer diameter of the puncture needle; in other specific embodiments, a guide needle cylinder 7 is arranged on the guide piece 2, and the guide needle cylinder 7 is detachably arranged in the puncture needle guide channel; when in use, the proper guide needle cylinder can be selected according to the outer diameter of the puncture needle, thereby further improving the guide precision of the needle insertion.
In the specific installation mode of the first clamping piece and the second clamping piece, the first clamping piece 21 is hinged with one end of the second clamping piece 22.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.
Claims (10)
1. A transfacial puncture assist assembly, comprising: a bracket, a guide (2);
be equipped with location indication rod (3) of vertical setting on the support, be equipped with slide rail (4) that extend to keeping away from location indication rod (3) direction on the support, be equipped with slidable mounting's slide (6) on slide rail (4), install on slide (6) guide (2), be equipped with pjncture needle guide way in guide (2), pjncture needle guide way is located the vertical plane in location indication rod (3).
2. The transregional puncture auxiliary assembly of claim 1, further comprising a base body (5), wherein the bracket is provided with a second rotating shaft which is vertically arranged, and the bracket is rotatably mounted on the base body (5) through the second rotating shaft.
3. A transregional puncture assistance assembly according to claim 2, characterized in that the second rotation axis is arranged coaxially with the positioning indication rod (3).
4. The transregional puncture auxiliary assembly according to claim 2, wherein the positioning indication rod (3) comprises an indication sleeve (31), and a reference needle path extending along the straight line of the second rotating shaft is arranged in the middle of the indication sleeve (31);
preferably, the positioning indication rod (3) further comprises a positioning reference needle (32), the positioning reference needle (32) is positioned in the indication sleeve (31), and the lower end of the positioning reference needle (32) is provided with a target reference part (33).
5. A transregional puncture aid assembly according to claim 1, wherein the guide member (2) is provided with a first rotation axis, the first rotation axis is perpendicular to the plane of the puncture needle guide channel and the positioning indication rod (3), and the guide member (2) is rotatably mounted on the sliding seat (6) through the first rotation axis.
6. The transregional puncture assistance assembly according to claim 1, wherein the slide rail (4) extends horizontally in a radial direction of the positioning indication rod (3);
preferably, the bracket is also provided with a horizontal or vertical calibration mechanism for detecting the position of the slide rail (4).
7. The transregional puncture auxiliary assembly according to claim 1, wherein the bracket adopts a vertically arranged mounting plate (1), the mounting plate (1) is vertically arranged, and the positioning indication rod (3), the sliding rail (4) and the puncture needle guide channel are positioned in the same plane parallel to the mounting plate (1).
8. A transregional puncture aid assembly according to claim 1, wherein the guide member (2) is provided with a first clamping member (21) and a second clamping member (22), and the puncture needle guide channel is formed between the first clamping member (21) and the second clamping member (22).
9. A transregional puncture assistance assembly according to claim 8, wherein the first clamping member (21) is hingedly connected to one end of the second clamping member (22).
10. A transregional puncture aid assembly according to claim 8, wherein the guide member (2) is provided with a guide needle cylinder (7), and the guide needle cylinder (7) is detachably mounted in the puncture needle guide channel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910956430.3A CN110664467B (en) | 2019-10-10 | 2019-10-10 | Cross-section puncture auxiliary assembly |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910956430.3A CN110664467B (en) | 2019-10-10 | 2019-10-10 | Cross-section puncture auxiliary assembly |
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| Publication Number | Publication Date |
|---|---|
| CN110664467A true CN110664467A (en) | 2020-01-10 |
| CN110664467B CN110664467B (en) | 2024-07-05 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201910956430.3A Active CN110664467B (en) | 2019-10-10 | 2019-10-10 | Cross-section puncture auxiliary assembly |
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Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN200942110Y (en) * | 2006-01-24 | 2007-09-05 | 张惠玲 | Guiding puncture needle ware |
| WO2008014671A1 (en) * | 2006-07-25 | 2008-02-07 | Xiangshen Ni | B-mode ultrasonic puncture positioning device for micro-invasive surgery |
| JP3166457U (en) * | 2010-01-07 | 2011-03-03 | ▲馮▼威捷 | Needle support stand |
| CN107874817A (en) * | 2016-09-30 | 2018-04-06 | 冯威健 | A kind of puncture positioning device and bootstrap technique |
| CN209253049U (en) * | 2017-08-19 | 2019-08-16 | 中国科学院合肥肿瘤医院 | A kind of novel thyrocricocentesis device |
| CN209285666U (en) * | 2018-06-28 | 2019-08-23 | 上海联影医疗科技有限公司 | Needle localization structure and puncturing operation system |
| CN211460426U (en) * | 2019-10-10 | 2020-09-11 | 中国科学院合肥肿瘤医院 | Cross-section puncture auxiliary assembly |
-
2019
- 2019-10-10 CN CN201910956430.3A patent/CN110664467B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN200942110Y (en) * | 2006-01-24 | 2007-09-05 | 张惠玲 | Guiding puncture needle ware |
| WO2008014671A1 (en) * | 2006-07-25 | 2008-02-07 | Xiangshen Ni | B-mode ultrasonic puncture positioning device for micro-invasive surgery |
| JP3166457U (en) * | 2010-01-07 | 2011-03-03 | ▲馮▼威捷 | Needle support stand |
| CN107874817A (en) * | 2016-09-30 | 2018-04-06 | 冯威健 | A kind of puncture positioning device and bootstrap technique |
| CN209253049U (en) * | 2017-08-19 | 2019-08-16 | 中国科学院合肥肿瘤医院 | A kind of novel thyrocricocentesis device |
| CN209285666U (en) * | 2018-06-28 | 2019-08-23 | 上海联影医疗科技有限公司 | Needle localization structure and puncturing operation system |
| CN211460426U (en) * | 2019-10-10 | 2020-09-11 | 中国科学院合肥肿瘤医院 | Cross-section puncture auxiliary assembly |
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| CN110664467B (en) | 2024-07-05 |
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