CN111000594A - Real-time ultrasonic percutaneous aspiration biopsy injection device - Google Patents
Real-time ultrasonic percutaneous aspiration biopsy injection device Download PDFInfo
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- CN111000594A CN111000594A CN201911170196.8A CN201911170196A CN111000594A CN 111000594 A CN111000594 A CN 111000594A CN 201911170196 A CN201911170196 A CN 201911170196A CN 111000594 A CN111000594 A CN 111000594A
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- puncture
- ultrasonic probe
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- needle
- cannula
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- 238000001574 biopsy Methods 0.000 title claims abstract description 18
- 238000002347 injection Methods 0.000 title claims abstract description 16
- 239000007924 injection Substances 0.000 title claims abstract description 16
- 239000000523 sample Substances 0.000 claims abstract description 35
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 4
- 238000002604 ultrasonography Methods 0.000 claims description 6
- 210000005036 nerve Anatomy 0.000 abstract description 9
- 210000004204 blood vessel Anatomy 0.000 abstract description 7
- 210000001835 viscera Anatomy 0.000 abstract description 6
- 210000003238 esophagus Anatomy 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- 230000003902 lesion Effects 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 210000003437 trachea Anatomy 0.000 description 3
- 230000002792 vascular Effects 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 2
- 210000001715 carotid artery Anatomy 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000007918 intramuscular administration Methods 0.000 description 2
- 210000004731 jugular vein Anatomy 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 230000001133 acceleration Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000004889 cervical nerve Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000012258 culturing Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 210000001595 mastoid Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 231100000435 percutaneous penetration Toxicity 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other 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
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other 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
- A61B10/0045—Devices for taking samples of body liquids
-
- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (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)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
The invention provides a real-time ultrasonic percutaneous puncture aspiration biopsy injection device, wherein an improved ultrasonic probe is an ultrasonic guide percutaneous puncture bone positioning device, a puncture needle is of a needle core structure with a triangular-pyramid-shaped head, a puncture cannula is sleeved on a main body of the puncture needle, the tail end of the puncture cannula is provided with a grab handle, the outer surface of the puncture cannula is provided with external threads, the handle is of a sleeve structure with internal threads matched with the external threads of the puncture cannula, the handle is screwed on the puncture cannula through threads, the other end of the puncture cannula is led in through an ultrasonic probe tunnel inlet of the improved ultrasonic probe and led out from an ultrasonic probe tunnel outlet, and one end of the handle is clamped at the ultrasonic probe tunnel inlet of the improved ultrasonic probe. When adjacent important nerves, blood vessels or visceral organs around the focus, the percutaneous puncture of the focus easily damages adjacent important structures and causes serious complications; meanwhile, the puncture depth and the accurate position are difficult to grasp. Belongs to the field of medical operation instruments.
Description
Technical Field
The invention relates to a real-time ultrasonic percutaneous aspiration biopsy injection device, and belongs to the field of medical operation instruments.
Background
When different tissues or organs of a human body are diseased, because the nature of the disease is unknown, in order to accurately find out the cause of the disease, focus biopsy is required to be carried out to make a definite diagnosis, and inquiry medical evidence is provided for further effective treatment. The conventional operation has the defects of large trauma, much bleeding, acceleration of focus diffusion, increase of risk of radical operation and the like, the conventional common instrument is a bullet gun type biopsy needle, the device is used for performing biopsy by empirical percutaneous blind penetration in the focus, and when important nerves, blood vessels or visceral organs are adjacent to the periphery of the focus, the adjacent important structures are easily damaged by the percutaneous penetration, so that serious complications are generated; meanwhile, the puncture depth and the accurate position are difficult to grasp.
Disclosure of Invention
The invention provides a real-time ultrasonic percutaneous puncture aspiration biopsy injection device, which aims to solve the problems that when important nerves, blood vessels or visceral organs are adjacent to the periphery of a focus, the adjacent important structures are easily damaged by percutaneous puncture of the device, and serious complications are generated; meanwhile, the puncture depth and the accurate position are difficult to grasp.
In order to solve the problems, the real-time ultrasonic percutaneous puncture aspiration biopsy injection device comprises a puncture needle, a puncture cannula, a handle and an improved ultrasonic probe, wherein the improved ultrasonic probe is an ultrasonic guide percutaneous puncture bone positioning device, the specific structure is described in the prior application of 'CN201811320313. X', the puncture needle is a needle core structure with a triangular conical head part, the puncture cannula is sleeved on a main body of the puncture needle, the tail end of the puncture sleeve is provided with a grab handle, the outer surface of the puncture sleeve is provided with external threads, the handle is of a sleeve type structure with internal threads matched with the external threads of the puncture sleeve, the handle is screwed on the puncture cannula through threads, the other end of the puncture cannula is led in through an ultrasonic probe tunnel inlet of the improved ultrasonic probe, and is led out from the exit of the ultrasonic probe tunnel, and one end of the handle is clamped at the entrance of the ultrasonic probe tunnel of the improved ultrasonic probe.
In the injection device, scales are marked on the puncture sleeve along the length direction and used for indicating the puncture depth;
in the injection device, the side wall of the tail part of the puncture needle is provided with the limiting protrusion, the tail end of the puncture needle is provided with the limiting grab handle, the tail part of the puncture sleeve corresponds to the limiting protrusion and is provided with the convex groove matched with the limiting protrusion and protruding towards the outside, and during use, the limiting protrusion is clamped in the convex groove to prevent the puncture needle from rotating relative to the puncture sleeve.
Compared with the prior art, the invention realizes safe puncture, suction and biopsy, avoids damaging puncture paths and important structures around focuses, realizes the minimally invasive advantages of small trauma, accurate and effective puncture, safety, low cost and the like, when the focuses are positioned at the parts with complex anatomical structures such as cervical vertebra, lumbar vertebra, pelvis, joints of four limbs and the like, the risk of damaging important structures such as trachea, esophagus, jugular artery and vein, nerve, abdominal viscera, abdominal vascular nerve, pelvic vascular nerve and viscera and the like exists in conventional operation, and the invention is safer if the puncture is conducted under the guidance of ultrasonic waves; the device can safely realize the safe puncture of the complex parts by combining the conversion application of the prior patent CN 109223133A, and can judge the position of the ultrasonic guide puncture needle in the tissue in real time and safely and effectively complete the puncture, suction, biopsy and medicine injection of the focus by combining the improvement of the patent on the ultrasonic probe and a puncture suction biopsy injection instrument.
Drawings
FIG. 1 is a schematic view of the present invention in use;
FIG. 2 is a schematic structural diagram of a modified ultrasonic probe;
FIG. 3 is a schematic view of the puncture cannula;
FIG. 4 is a schematic view of the arrangement of the needle, cannula and handle assembly;
fig. 5 is a schematic view of the structure of the puncture needle.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention will be further described in detail with reference to the accompanying drawings.
Example (b):
referring to fig. 1 to 5, the embodiment provides a real-time ultrasound percutaneous aspiration biopsy injection device, which comprises a puncture needle 1, a puncture cannula 2, a handle 3 and an improved ultrasound probe 4, wherein the improved ultrasound probe is an ultrasound-guided percutaneous bone puncture positioning device, the specific structure is described in the prior application of "cn201811320313. x", the puncture needle 1 is a needle core structure with a triangular conical head, the diameter of the needle core structure is 6mm, the needle core structure is matched with the inner diameter of the puncture cannula 2, so as to facilitate smooth puncture into a focus 5 in a vertebral body, the puncture cannula 2 is sleeved on a main body of the puncture needle 1, the outer diameter of the puncture cannula 2 is 8mm, the needle core structure can be successfully probed through an ultrasound tunnel, the inner diameter of the puncture cannula 2 is 6mm, so as to facilitate effective taking out tissue biopsy and processing of effusion focus, and matching with drug injection when necessary, a handle 21 is arranged at the tail end of the puncture cannula, the puncture depth indicator is used for indicating the puncture depth, the outer surface of the puncture sleeve 2 is provided with an external thread, the handle 3 is of a sleeve type structure with an internal thread matched with the external thread of the puncture sleeve 2, the handle 3 is arranged on the puncture sleeve 2 in a rotating mode through the thread, the other end of the puncture sleeve 2 is led in through the ultrasonic probe tunnel inlet 41 of the improved ultrasonic probe 4 and led out through the ultrasonic probe tunnel outlet 42, one end of the handle 3 is clamped at the ultrasonic probe tunnel inlet 41 of the improved ultrasonic probe 4, and the puncture depth of the puncture sleeve 2 and the puncture needle 1 is controlled by adjusting the position of the handle 3 on the puncture sleeve 2.
Have spacing arch 11 on the lateral wall of pjncture needle 1 afterbody, the tail end of pjncture needle 1 has spacing grab handle 12, the 2 afterbody of puncture sleeve pipe corresponds spacing arch 11 department and has with spacing protruding 11 assorted to the bellied tongue 22 of outside, during the use, spacing protruding 11 card is located in the tongue 22 to avoid pjncture needle 1 to rotate for puncture sleeve pipe 2.
Referring to fig. 1, the cervical intravertebral lesion is taken as an example for illustration, the lower part of the figure is a cross-sectional view of the cervical transverse position, the interior of the figure is provided with a trachea, an esophagus, a left carotid artery, a left internal jugular vein, a left cervical nerve root, a right carotid artery, a right internal jugular vein, a cervical vertebral body, an intravertebral lesion 5, a cervical spinal cord and other parts respectively, when a patient needs anterior percutaneous positioning, firstly, a lesion segment and a specific puncture position are determined according to CT or MRI data, a specific puncture position of the lesion segment is positioned by a C arm in an operation and a body surface mark is made, an improved ultrasonic probe 4 is held by the right hand, the improved ultrasonic probe 4 is properly pushed to the front edge of the vertebral body along the intramuscular lateral edge of a breast-locked mastoid gland through the gap between an esophageal visceral sheath and a vascular sheath, and the ultrasonic positioning probe is tongue-shaped arc, when the percutaneous is pressed along the intramuscular lateral edge of, the esophagus and viscera sheath moves inwards, the blood vessel nerve sheath moves outwards, blood vessels, esophagus, trachea and nerves can be seen at two sides of the ultrasonic probe, and when important blood vessels, nerves and organs are not shown in the front, a safe puncture position is defined, and a puncture aspiration biopsy syringe is inserted along the central tunnel of the ultrasonic probe. The ultrasonic can clearly display the esophagus or blood vessels positioned at the two sides of the probe in real time, and the puncture depth of the puncture needle 1 and the puncture sleeve 2 is adjusted by using the handle 3, the puncture sleeve is safely driven into the focus 5 in the vertebral body for fixation, the puncture needle 1 is taken out, and focus tissues are taken out through negative pressure suction; if the focus is a liquid tissue, sucking liquid by using an injector for testing and culturing, and then replacing a negative pressure interface to connect with central negative pressure to fully suck accumulated liquid in the focus; the injection of the medicine in the focus can be completed according to the disease condition.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.
Claims (3)
1. Real-time supersound percutaneous aspiration biopsy injection device which characterized in that: comprises a puncture needle (1), a puncture sleeve (2), a handle (3) and an improved ultrasonic probe (4), the improved ultrasonic probe is an ultrasonic guide percutaneous puncture bone positioning device, the puncture needle (1) is a needle core structure with a triangular pyramidal head, the puncture sleeve (2) is sleeved on the main body of the puncture needle (1), and the tail end of the puncture cannula (2) is provided with a grab handle (21), the outer surface of the puncture cannula (2) is provided with external threads, the handle (3) is of a sleeve type structure with an internal thread matched with the external thread of the puncture cannula (2), the handle (3) is screwed on the puncture cannula (2) through threads, the other end of the puncture cannula (2) is led in through an ultrasonic probe tunnel inlet (41) of the improved ultrasonic probe (4), and is led out from an ultrasonic probe tunnel outlet (42), and one end of the handle (3) is clamped at an ultrasonic probe tunnel inlet (41) of the improved ultrasonic probe (4).
2. The real-time ultrasound percutaneous aspiration biopsy injection device of claim 1, wherein: scales are marked on the puncture cannula (2) along the length direction and used for indicating the puncture depth.
3. The real-time ultrasound percutaneous aspiration biopsy injection device of claim 1, wherein: have spacing arch (11) on the lateral wall of pjncture needle (1) afterbody, the tail end of pjncture needle (1) has spacing grab handle (12), puncture sleeve pipe (2) afterbody corresponds spacing arch (11) department and has with spacing protruding (11) assorted tongue (22) to the outside bellied, during the use, spacing protruding (11) card is located in tongue (22) to avoid pjncture needle (1) to rotate for puncture sleeve pipe (2).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911170196.8A CN111000594A (en) | 2019-11-26 | 2019-11-26 | Real-time ultrasonic percutaneous aspiration biopsy injection device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911170196.8A CN111000594A (en) | 2019-11-26 | 2019-11-26 | Real-time ultrasonic percutaneous aspiration biopsy injection device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN111000594A true CN111000594A (en) | 2020-04-14 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911170196.8A Pending CN111000594A (en) | 2019-11-26 | 2019-11-26 | Real-time ultrasonic percutaneous aspiration biopsy injection device |
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| Country | Link |
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| CN (1) | CN111000594A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111588422A (en) * | 2020-06-01 | 2020-08-28 | 谭菲 | Nephrology department biopsy puncture device |
| CN114305615A (en) * | 2022-01-05 | 2022-04-12 | 中国医学科学院北京协和医院 | Single-channel electronic neuroendoscopy system for subdural lesion in vertebral canal |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH07265329A (en) * | 1994-03-31 | 1995-10-17 | Fuji Photo Optical Co Ltd | Puncture high frequency treatment device |
| CN109223133A (en) * | 2018-11-07 | 2019-01-18 | 遵义医学院附属医院 | Ultrasonically guided percutaneous puncture bone positioning device |
| CN211325211U (en) * | 2019-11-26 | 2020-08-25 | 遵义医科大学第二附属医院 | Real-time ultrasonic percutaneous aspiration biopsy injection device |
-
2019
- 2019-11-26 CN CN201911170196.8A patent/CN111000594A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH07265329A (en) * | 1994-03-31 | 1995-10-17 | Fuji Photo Optical Co Ltd | Puncture high frequency treatment device |
| CN109223133A (en) * | 2018-11-07 | 2019-01-18 | 遵义医学院附属医院 | Ultrasonically guided percutaneous puncture bone positioning device |
| CN211325211U (en) * | 2019-11-26 | 2020-08-25 | 遵义医科大学第二附属医院 | Real-time ultrasonic percutaneous aspiration biopsy injection device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111588422A (en) * | 2020-06-01 | 2020-08-28 | 谭菲 | Nephrology department biopsy puncture device |
| CN114305615A (en) * | 2022-01-05 | 2022-04-12 | 中国医学科学院北京协和医院 | Single-channel electronic neuroendoscopy system for subdural lesion in vertebral canal |
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