CN110974371A - Efficient lung puncture positioning device used under CT guidance - Google Patents

Efficient lung puncture positioning device used under CT guidance Download PDF

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Publication number
CN110974371A
CN110974371A CN201911408637.3A CN201911408637A CN110974371A CN 110974371 A CN110974371 A CN 110974371A CN 201911408637 A CN201911408637 A CN 201911408637A CN 110974371 A CN110974371 A CN 110974371A
Authority
CN
China
Prior art keywords
puncture
seat
sliding
needle
angle
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.)
Pending
Application number
CN201911408637.3A
Other languages
Chinese (zh)
Inventor
李秋红
张苑
徐金富
周瑛
张素芳
苏奕亮
胡洋
张芬
沈瓅
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.)
Shanghai Pulmonary Hospital
Original Assignee
Shanghai Pulmonary Hospital
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 Shanghai Pulmonary Hospital filed Critical Shanghai Pulmonary Hospital
Priority to CN201911408637.3A priority Critical patent/CN110974371A/en
Publication of CN110974371A publication Critical patent/CN110974371A/en
Pending legal-status Critical Current

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    • 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
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • 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
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body

Abstract

The invention discloses a high-efficiency lung puncture positioning device for CT guidance, which comprises a base, a transverse sliding seat, a semicircular angle adjusting seat and a needle inserting angle adjusting seat, wherein the base is provided with a plurality of positioning holes; the middle part of the transverse sliding seat is provided with a second puncture yielding hole corresponding to the first puncture yielding hole, the upper side and the lower side of the transverse sliding seat, which are positioned in the second puncture yielding hole, are respectively provided with a first sliding foot capable of sliding along the first sliding groove, and the left side and the right side of the transverse sliding seat, which are positioned in the second puncture yielding hole, are respectively provided with a second sliding groove which extends along the longitudinal direction of the transverse sliding seat. The CT puncture needle can accurately puncture to the focus of a patient under the guidance of the CT, can guide the puncture needle to rapidly and accurately puncture, reduces the operation time, the operation risk and complications, reduces the labor intensity of medical staff, and is favorable for early recovery of the patient.

Description

Efficient lung puncture positioning device used under CT guidance
Technical Field
The invention relates to the technical field of medical instruments for treating lung diseases, in particular to a high-efficiency lung puncture positioning device under the guidance of CT.
Background
With the increasing severity of air pollution, the incidence of lung diseases is higher and higher, the lung diseases which are common on average comprise lung cancer, pulmonary fungal infection, tuberculosis, benign tumors in the lung and the like, qualitative diagnosis is difficult sometimes, and a reasonable treatment scheme needs to be selected for determining the pathological type, so that percutaneous lung puncture is generally adopted clinically to assist diagnosis or treatment.
The CT guided percutaneous aspiration lung biopsy diagnosis lung diseases has wide application range and more clinical application. CT transverse tomography has good spatial resolution and density resolution, can accurately display the size, position and internal condition of a focus and the anatomical relation with surrounding structures such as blood vessels, and is particularly suitable for patients with high positioning difficulty and focuses near the lung portal and mediastinum.
At present, when medical staff operates lung puncture biopsy under the guidance of CT, firstly, a metal material is used as a reference object on the body surface of a puncture target, and through the scanning of CT, according to the relation between the focus of the lung and the metal material on a scanned image, a puncture point and a puncture angle are determined, then the medical staff performs puncture by hands.
Disclosure of Invention
In order to solve the problems in the prior art, the invention aims to provide the efficient lung puncture positioning device under the CT guidance, which has the advantages of reasonable design, simple structure and convenient operation, can ensure that the puncture needle can be accurately punctured to the focus of a patient under the CT guidance, can guide the puncture needle to rapidly and accurately puncture, reduces the operation time, reduces the operation risk, reduces complications, reduces the labor intensity of medical staff, and is beneficial to early recovery of the patient.
In order to solve the technical problems, the invention adopts the following technical scheme:
a high-efficiency lung puncture positioning device used under CT guidance is characterized by comprising
The base is used for being stuck on the skin of a patient through a medical adhesive tape, a first puncture abdicating hole is formed in the middle of the base, and first sliding grooves extending along the transverse direction of the base are respectively formed in the base and positioned on two sides of the first puncture abdicating hole;
the transverse sliding seat can transversely slide along the first sliding groove, a second puncture abdicating hole corresponding to the first puncture abdicating hole is formed in the middle of the transverse sliding seat, first sliding feet capable of sliding along the first sliding groove are respectively arranged on the transverse sliding seat and on the upper side and the lower side of the second puncture abdicating hole, and second sliding grooves extending along the longitudinal direction of the transverse sliding seat are respectively arranged on the transverse sliding seat and on the left side and the right side of the second puncture abdicating hole;
the left end and the right end of the semicircular angle adjusting seat are respectively provided with a longitudinal sliding seat which longitudinally slides along a second sliding groove, the left end and the right end of the semicircular angle adjusting seat are respectively rotatably arranged on the longitudinal sliding seat through a rotating shaft, and the semicircular angle adjusting seat is provided with a puncture needle angle adjusting groove along the radian direction of the semicircular angle adjusting seat;
the utility model provides a can carry out the needle inserting angle modulation seat of adjusting to the needle inserting angle of puncture needle, needle inserting angle modulation seat cover is established on semi-circular angle modulation seat, and can slide along its radian direction be equipped with the angle metal reference line of confirming the puncture angle under the CT guide on the outside face of needle inserting angle modulation seat be equipped with on the needle inserting angle modulation seat and carry out gliding second sliding foot along puncture angle adjustment groove the pjncture needle locating hole that is used for penetrating the puncture needle is offered at the middle part of needle inserting angle modulation seat, the pjncture needle locating hole passes needle inserting angle modulation seat and second sliding foot in proper order.
In a preferred embodiment of the present invention, the four fixing legs of the base are respectively provided with tape positioning slots.
In a preferred embodiment of the invention, a pressure-proof pad made of soft material is arranged on the surface of the base, which is in contact with the skin of the patient.
In a preferred embodiment of the present invention, an angle scale is disposed on one side surface of the semicircular angle adjusting base and distributed along the circumferential direction of the semicircular angle adjusting base.
Compared with the prior art, the invention can ensure that the puncture needle can accurately puncture to the focus of a patient under the guidance of CT by adopting the structure, can guide the puncture needle to rapidly and accurately puncture, reduces the operation time, reduces the operation risk, reduces the complication, not only reduces the labor intensity of medical staff, but also is beneficial to the early rehabilitation of the patient, and brings great convenience to the lung puncture work of medical staff.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a top view of fig. 1.
Fig. 3 is a sectional view a-a of fig. 2.
Fig. 4 is a schematic view of the structure of the present invention adhered to the skin of a patient.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further explained below by combining the specific drawings.
Referring to fig. 1-4, a high-efficiency lung puncture positioning device for CT guidance is shown, which comprises a base 100, a transverse sliding seat 200, a semicircular angle adjusting seat 300 and a needle inserting angle adjusting seat 400.
The base 100 is used for being stuck on the skin of a patient through a medical adhesive tape, the middle part of the base 100 is provided with a first puncture abdicating hole 120, and the two sides of the base 100, which are positioned on the first puncture abdicating hole 120, are respectively provided with a first sliding groove 110 extending along the transverse direction of the base 100.
The transverse sliding seat 200 can transversely slide along the first sliding groove 110, a second puncture yielding hole 230 corresponding to the first puncture yielding hole 120 is formed in the middle of the transverse sliding seat 200, first sliding feet 220 capable of sliding along the first sliding groove 110 are respectively arranged on the transverse sliding seat 200 and on the upper side and the lower side of the second puncture yielding hole 230, and second sliding grooves 210 extending along the longitudinal direction of the transverse sliding seat 200 are respectively arranged on the transverse sliding seat 200 and on the left side and the right side of the second puncture yielding hole 230.
The semicircular angle adjusting seat 300 is used for adjusting the puncture angle of the puncture needle 500, the left end and the right end of the semicircular angle adjusting seat 300 are respectively provided with a longitudinal sliding seat 700 which slides longitudinally along the second sliding groove 210, the left end and the right end of the semicircular angle adjusting seat 300 are respectively rotatably arranged on the longitudinal sliding seat 700 through a rotating shaft 800, and the semicircular angle adjusting seat 300 is provided with a puncture needle angle adjusting groove 310 along the radian direction thereof.
The needle insertion angle adjusting seat 400 can adjust the needle insertion angle of the puncture needle 500, the needle insertion angle adjusting seat 400 is sleeved on the semicircular angle adjusting seat 300 and can slide along the radian direction of the semicircular angle adjusting seat, an angle metal reference line 410 for confirming the puncture angle under the guidance of CT is arranged on the outer side surface of the needle insertion angle adjusting seat 400, and the puncture needle can accurately puncture to the focus 900 of a patient under the guidance of CT by adopting the structure.
A second sliding foot capable of sliding along the puncture angle adjusting groove 310 is arranged on the needle insertion angle adjusting seat 400, a puncture needle positioning hole for penetrating the puncture needle is arranged in the middle of the needle insertion angle adjusting seat 400, and the puncture needle positioning hole sequentially penetrates through the needle insertion angle adjusting seat and the second sliding foot.
The adhesive tape positioning grooves 120 are respectively formed in the four fixing feet of the base 100, when the medical adhesive tape 600 is pasted, one end of the medical adhesive tape 600 is pasted on the skin of a patient, the other end of the medical adhesive tape 600 penetrates through the adhesive tape positioning grooves 120 to be pasted on the skin of the patient, the stability of the lung puncture positioning device for being pasted with the skin of the patient is effectively improved by adopting the structure, and the situation that the base is displaced when the puncture position and the angle of the puncture needle are adjusted is avoided.
The pressure pad is arranged on the surface of the base 100, which is in contact with the skin of the patient, and is made of soft materials, so that the pressure pad can effectively prevent the base from pressing the patient, the discomfort of the patient is reduced, and the pressure pad can be made of silica gel materials in the embodiment.
The angle scales 320 distributed along the circumferential direction of the semicircular angle adjusting seat 300 are arranged on one side surface of the semicircular angle adjusting seat, the angle scales 320 can enable medical staff to visually observe the angle adjusted by the puncture needle, the puncture needle can be guided to puncture quickly and accurately, the operation time is shortened, and the operation risk is reduced.
In conclusion, the invention can lead the puncture needle to accurately puncture to the focus of the patient under the guidance of the CT, can lead the puncture needle to rapidly and accurately puncture, reduces the operation time, the operation risk and the complication, not only reduces the labor intensity of medical staff, but also is beneficial to the early rehabilitation of the patient and brings great convenience to the lung puncture work of the medical staff.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are given by way of illustration of the principles of the present invention, and that various changes and modifications may be made without departing from the spirit and scope of the invention as defined by the appended claims. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (4)

1. A high-efficiency lung puncture positioning device used under CT guidance is characterized by comprising
The base is used for being stuck on the skin of a patient through a medical adhesive tape, a first puncture abdicating hole is formed in the middle of the base, and first sliding grooves extending along the transverse direction of the base are respectively formed in the base and positioned on two sides of the first puncture abdicating hole;
the transverse sliding seat can transversely slide along the first sliding groove, a second puncture abdicating hole corresponding to the first puncture abdicating hole is formed in the middle of the transverse sliding seat, first sliding feet capable of sliding along the first sliding groove are respectively arranged on the transverse sliding seat and on the upper side and the lower side of the second puncture abdicating hole, and second sliding grooves extending along the longitudinal direction of the transverse sliding seat are respectively arranged on the transverse sliding seat and on the left side and the right side of the second puncture abdicating hole;
the left end and the right end of the semicircular angle adjusting seat are respectively provided with a longitudinal sliding seat which longitudinally slides along a second sliding groove, the left end and the right end of the semicircular angle adjusting seat are respectively rotatably arranged on the longitudinal sliding seat through a rotating shaft, and the semicircular angle adjusting seat is provided with a puncture needle angle adjusting groove along the radian direction of the semicircular angle adjusting seat;
the utility model provides a can carry out the needle inserting angle modulation seat of adjusting to the needle inserting angle of puncture needle, needle inserting angle modulation seat cover is established on semi-circular angle modulation seat, and can slide along its radian direction be equipped with the angle metal reference line of confirming the puncture angle under the CT guide on the outside face of needle inserting angle modulation seat be equipped with on the needle inserting angle modulation seat and carry out gliding second sliding foot along puncture angle adjustment groove the pjncture needle locating hole that is used for penetrating the puncture needle is offered at the middle part of needle inserting angle modulation seat, the pjncture needle locating hole passes needle inserting angle modulation seat and second sliding foot in proper order.
2. A high efficiency lung puncture positioning device for CT guidance as claimed in claim 1, wherein: the four fixing feet of the base are respectively provided with an adhesive tape positioning groove.
3. A high efficiency lung puncture positioning device for CT guidance as claimed in claim 1, wherein: the surface of the base, which is contacted with the skin of the patient, is provided with an anti-pressure pad made of soft materials.
4. A high efficiency lung puncture positioning device for CT guidance as claimed in claim 1, wherein: and angle scales distributed along the circumferential direction of the semicircular angle adjusting seat are arranged on one side surface of the semicircular angle adjusting seat.
CN201911408637.3A 2019-12-31 2019-12-31 Efficient lung puncture positioning device used under CT guidance Pending CN110974371A (en)

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Application Number Priority Date Filing Date Title
CN201911408637.3A CN110974371A (en) 2019-12-31 2019-12-31 Efficient lung puncture positioning device used under CT guidance

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CN110974371A true CN110974371A (en) 2020-04-10

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113599132A (en) * 2021-08-25 2021-11-05 胡蓉 Anesthesia device for medical pain department
CN113827320A (en) * 2021-09-23 2021-12-24 中南大学湘雅医院 Puncture depth adjustable puncture outfit
CN114159137A (en) * 2021-12-14 2022-03-11 汝州市人民医院 CT location puncture angle guiding device
CN114224450A (en) * 2021-12-31 2022-03-25 厦门大学 Multipurpose adjustable fixing guide plate for percutaneous puncture operation
CN116672052A (en) * 2023-08-03 2023-09-01 浙江伽奈维医疗科技有限公司 Needle distribution positioning device and system for puncture operation

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN109984825A (en) * 2019-04-02 2019-07-09 芜湖市第二人民医院 One kind puncturing intervention guiding mechanism for CT

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN109984825A (en) * 2019-04-02 2019-07-09 芜湖市第二人民医院 One kind puncturing intervention guiding mechanism for CT

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113599132A (en) * 2021-08-25 2021-11-05 胡蓉 Anesthesia device for medical pain department
CN113827320A (en) * 2021-09-23 2021-12-24 中南大学湘雅医院 Puncture depth adjustable puncture outfit
CN113827320B (en) * 2021-09-23 2023-06-09 中南大学湘雅医院 Puncture ware of puncture degree of depth adjustable
CN114159137A (en) * 2021-12-14 2022-03-11 汝州市人民医院 CT location puncture angle guiding device
CN114224450A (en) * 2021-12-31 2022-03-25 厦门大学 Multipurpose adjustable fixing guide plate for percutaneous puncture operation
CN114224450B (en) * 2021-12-31 2023-07-11 厦门大学 Multipurpose adjustable fixing guide plate for percutaneous puncture operation
CN116672052A (en) * 2023-08-03 2023-09-01 浙江伽奈维医疗科技有限公司 Needle distribution positioning device and system for puncture operation

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Application publication date: 20200410