CN111529966A - Removable human radiotherapy location gold mark implantation device - Google Patents

Removable human radiotherapy location gold mark implantation device Download PDF

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Publication number
CN111529966A
CN111529966A CN202010412486.5A CN202010412486A CN111529966A CN 111529966 A CN111529966 A CN 111529966A CN 202010412486 A CN202010412486 A CN 202010412486A CN 111529966 A CN111529966 A CN 111529966A
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CN
China
Prior art keywords
needle
gold mark
gold
needle cylinder
cylinder
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Pending
Application number
CN202010412486.5A
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Chinese (zh)
Inventor
李小波
徐本华
董芳芬
江柳青
郑芬
郭岚晏
林庆良
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Tsinghua University
Union Medical College Hospital of Fujian Medical University
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Tsinghua University
Union Medical College Hospital of Fujian Medical University
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Publication date
Application filed by Tsinghua University, Union Medical College Hospital of Fujian Medical University filed Critical Tsinghua University
Priority to CN202010412486.5A priority Critical patent/CN111529966A/en
Publication of CN111529966A publication Critical patent/CN111529966A/en
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • 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
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1051—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an active marker
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092—Details
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092—Details
    • A61N2005/1096—Elements inserted into the radiation path placed on the patient, e.g. bags, bolus, compensators

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

Abstract

The invention discloses a removable human body radiotherapy positioning gold mark implanting device, which comprises a gold mark and a puncture needle; the gold mark is arranged in a needle cylinder of the puncture needle when in use, and comprises a gold mark head part and a gold mark tail part connected with the gold mark head part; the gold mark tail part is a flexible medical fine line; the puncture needle comprises a needle cylinder and a needle core; the front end of the needle core is a needle point, and the front end of the needle core is slightly smaller than the inner diameter of the needle cylinder; the tail of the needle cylinder is connected with a handle; the tail part of the needle cylinder is a funnel-shaped cavity; the side of the funnel-shaped cavity is provided with a gold mark filling hole. The gold mark tail part made of medical fine lines is connected to the head part of the gold mark, so that after the gold mark is implanted, the gold mark is externally pasted on the body surface by using a medical adhesive tape, and the gold mark fixing effect is better. The flat-top syringe can reduce the influence on the wound as small as possible, the best puncture effect is achieved by matching with the solid needle point, and the head of the gold mark is taken out by pulling the tail of the gold mark after the radiotherapy of a patient is finished, so that foreign matters are prevented from remaining in the body.

Description

Removable human radiotherapy location gold mark implantation device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a removable human body radiotherapy positioning gold mark implanting device.
Background
The wave-shooting knife, also known as a stereotactic wave-shooting operation platform, also known as a network knife or a computer knife, is the latest global whole body stereotactic radiosurgery treatment equipment. The radiation therapy device can treat tumors of all parts of the whole body, can kill tumor tissues by only 3-5 times of irradiation, is a unique whole body radiation operation mode integrating the advantages of no wound, no pain, no bleeding, no anesthesia, short recovery period and the like, and can be used for returning home after operation of a patient.
Before the treatment of the wave-jet knife, a gold mark is implanted near the tumor (namely a target area) under the guidance of an image so as to facilitate the tracking of the position of the tumor during the treatment of the wave-jet knife and realize accurate treatment, wherein the gold mark is a pure gold particle, the length of the gold mark is 3-5 mm, and the diameter of the gold mark is 0.70-0.80 mm. The tumor position is obtained in real time through digital images, and the treatment rays are guided to carry out automatic correction. There are many modes for radiation therapy tracking and image registration, but for a specific radiation therapy device such as a respiratory tracking mode and a gold mark tracking mode of a radiowave knife, a gold mark needs to be implanted in a human body, and existing gold marks are smooth cylinders or compact and smooth hollow thread designs. Meanwhile, after treatment, the gold mark cannot be taken out, and the gold mark can cause certain influence on the human body after being left in the body.
Disclosure of Invention
The invention aims to overcome the defects in the prior art and provide a removable human body radiotherapy positioning gold mark implanting device which is convenient to implant, has a gold mark which is not easy to shift and can be used for removing the gold mark.
The invention is realized by the following modes: a removable human body radiotherapy positioning gold mark implantation device comprises a gold mark and a puncture needle; the gold mark is arranged in the needle cylinder of the puncture needle when in use, and is characterized in that: the gold mark comprises a gold mark head part and a gold mark tail part connected with the gold mark head part; the gold mark tail part is a flexible medical fine line; the puncture needle comprises a needle cylinder and a needle core; the front end of the needle core is a needle point, and the front end of the needle core is slightly smaller than the inner diameter of the needle cylinder; the tail of the needle cylinder is connected with a handle; the tail part of the needle cylinder is a funnel-shaped cavity; the side of the funnel-shaped cavity is provided with a gold mark filling hole.
Furthermore, the head part of the gold mark is a cylinder, and the head part of the gold mark is provided with a connecting hole for connecting the tail part of the gold mark conveniently.
Further, the gold-labeled tail is preferably a non-absorbable surgical suture.
Furthermore, a guide hole communicated with the needle cylinder is arranged in the handle; and a limiting plate is arranged at the top of the guide hole.
Furthermore, the tail part of the needle core is provided with a push-pull part.
Further, the needle cylinder is flat-top type.
Furthermore, the needle point of the needle core is in a burr shape.
Further, when the needle core is pushed to the bottom, the needle tip part of the needle core slightly exceeds the bottom end of the needle cylinder.
Furthermore, the length of the tail part of the gold mark is equal to that of the needle cylinder.
Further, a use method of the removable human body radiotherapy positioning gold-labeled implant device is characterized in that: comprises the following steps:
firstly, the stylet is pushed to the bottom, so that the top of the stylet slightly exceeds the top of the needle cylinder;
secondly, implanting the puncture needle into a target area through the body surface;
thirdly, slowly withdrawing the needle core to empty a channel in the needle cylinder;
fourthly, pushing the gold mark head into the gold mark filling hole, wherein the gold mark head enters the needle cylinder through the funnel-shaped cavity;
fifthly, slowly pushing the stylet again until the stylet is pushed to the bottom; the needle core drives the head of the gold mark to reach the top end of the needle cylinder;
sixthly, slowly drawing the needle core out of the needle cylinder, and integrally drawing out the puncture needle;
seventhly, the tail part of the gold mark reserved outside the body surface is stuck and fixed on the body surface by using a medical adhesive tape;
eighthly, implanting the other gold marks again in the mode of the steps from one step to seven to complete the implantation and fixation of a plurality of gold marks;
and ninthly, tearing off the medical adhesive plaster adhered to the body surface after the whole treatment is finished, and removing the head part of the gold mark out of the human body by pulling the tail part of the gold mark.
The invention has the beneficial effects that: through the gold mark afterbody of connecting by the preparation of medical treatment fine rule on the gold mark head for the back is implanted to the gold mark, and the outside medical sticky tape that uses is pasted at the body surface, and the fixed effect of gold mark will be better, and the gold mark afterbody leads to the gold mark position by the simultaneous movement with stomach wall or chest wall tractive when can preventing to breathe, avoids the gold mark to remove during the treatment, improves the accuracy nature of treatment. The device can conveniently implant the gold mark into the body, the flat-top syringe can reduce the influence on the wound as little as possible, and the best puncture effect can be achieved by matching with the solid needle point. The head of the gold mark is taken out by pulling the tail of the gold mark after the radiotherapy of the patient is finished, so that the foreign body is prevented from remaining in the body.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are required to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a state diagram of the present invention architecture in use;
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings of the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention. Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "front", "rear", "both ends", "one end", "the other end", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "provided," "connected," and the like are to be construed broadly, such as "connected," which may be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Example 1:
as shown in fig. 1-2, a removable human body radiotherapy positioning gold mark implanting device comprises a gold mark 1 and a puncture needle 2; the gold mark 1 is arranged in the needle cylinder 21 of the puncture needle 2 when in use, and is characterized in that: the gold mark 1 comprises a gold mark head part 11 and a gold mark tail part 12 connected with the gold mark head part 11; the gold-labeled tail part 12 is a flexible medical fine wire; the puncture needle 2 comprises a needle cylinder 21 and a needle core 22; the front end of the needle core 22 is a needle point 221, and the front end of the needle core 22 is slightly smaller than the inner diameter of the needle cylinder 21; the tail part of the needle cylinder 21 is connected with a handle 23; the tail part of the needle cylinder 21 is a funnel-shaped cavity 211; the side of the funnel-shaped cavity 211 is provided with a gold mark filling hole 212.
Furthermore, the gold mark head 11 is a cylinder, and the gold mark head 11 is provided with a connecting hole for connecting the gold mark tail 12 conveniently.
Further, the gold-labeled tail 12 is preferably a non-absorbable surgical suture.
Further, a guide hole 24 communicated with the needle cylinder 21 is arranged in the handle 23; and a limiting plate 25 is arranged at the top of the guide hole 24.
Further, the rear portion of the stylet 22 is provided with a push-pull portion 26.
Further, the cylinder 21 is of a flat top type.
Further, the needle tip 221 of the needle core 22 is shaped like a burr.
Further, when the needle core 22 is pushed to the bottom, the needle point 221 of the needle core 22 slightly exceeds the bottom end of the needle cylinder 21.
Further, the length of the gold mark tail 12 is equal to the length of the needle cylinder 21.
Further, a use method of the removable human body radiotherapy positioning gold-labeled implant device is characterized in that: comprises the following steps:
firstly, the needle core 22 is pushed to the bottom, so that the top of the needle core 22 slightly exceeds the top of the needle cylinder 21;
secondly, implanting the puncture needle 2 into a target area through the body surface;
thirdly, slowly withdrawing the needle core 22 to empty a channel in the needle cylinder 21;
fourthly, the gold mark head part 11 is pushed in from the gold mark filling hole 212, and the gold mark head part 11 enters the needle cylinder 21 through the funnel-shaped cavity 211;
fifthly, slowly pushing the stylet 22 again until the stylet is pushed to the bottom; the needle core 22 drives the gold mark head 11 to reach the top end of the needle cylinder 21;
sixthly, slowly drawing the needle core 22 out of the needle cylinder 21, and then integrally drawing out the puncture needle 2;
seventhly, the gold mark tail part 12 reserved outside the body surface is stuck and fixed on the body surface by using a medical adhesive tape;
eighthly, implanting the other gold labels 1 again in a manner from the first step to the seventh step to complete the implantation and fixation of the plurality of gold labels 1;
and ninthly, tearing off the medical adhesive plaster adhered on the body surface after the whole treatment is finished, and removing the head part 11 of the gold label out of the human body by pulling the tail part 12 of the gold label.
The working principle is as follows: the needle core 22 is pushed to the bottom, so that the top of the needle core 22 slightly exceeds the top of the needle cylinder 21; then the puncture needle 2 is implanted into a target area through the body surface; slowly withdrawing the needle core 22 to empty a passage in the needle cylinder 21; the gold mark head part 11 is pushed into the gold mark filling hole 212, and the gold mark head part 11 enters the needle cylinder 21 through the funnel-shaped cavity 211; slowly pushing in the stylet 22 again until the end; the needle core 22 drives the gold mark head 11 to reach the top end of the needle cylinder 21; slowly extracting the needle core 22 out of the needle cylinder 21, and then integrally extracting the puncture needle 2; the gold mark tail part 12 reserved outside the body surface is stuck and fixed on the body surface by using a medical adhesive plaster; implanting the rest of the gold labels 1 again in the above manner to complete the implantation and fixation of a plurality of gold labels 1; after the whole treatment is finished, the medical adhesive plaster stuck on the body surface is torn off, and the head part 11 of the gold label is moved out of the human body by pulling the tail part 12 of the gold label.
Through connecting the gold mark afterbody 12 by the preparation of medical treatment fine rule on gold mark head 11 for behind the gold mark 1 implantation, the outside medical tape that uses is pasted at the body surface, and the fixed effect of gold mark 1 will be better, and gold mark afterbody 12 and abdominal wall or chest wall tractive lead to the gold mark position by the simultaneous movement when can preventing to breathe, avoid the gold mark 1 to remove during the treatment, improve the accuracy nature of treatment. The device can conveniently implant the gold mark 1 into the body, and the gold mark head part 11 can conveniently slide into the needle cylinder 21 smoothly under the guidance of the funnel-shaped cavity 211, so that the operation difficulty is reduced, and meanwhile, the gold mark head part 11 is kept in a vertical state in the needle cylinder 21; the retainer plate 25 can prevent the needle core 22 from being pulled out of the guide hole 24 when retracting; the flat-top syringe 21 can reduce the influence on the wound as small as possible, can ensure that the puncture needle can not damage surrounding tissues and organs after being introduced into a human body, and avoids potential risks; the needle point 221 of the needle core 22 is in a lance-shaped structure, so that the smoothness of the needle core 22 penetrating into a target area can be ensured, and the best puncture effect can be achieved by matching with a solid needle point. The head of the gold mark is taken out by pulling the tail of the gold mark after the radiotherapy of the patient is finished, so that the foreign body is prevented from remaining in the body.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. A removable human body radiotherapy positioning gold mark implanting device comprises a gold mark (1) and a puncture needle (2); the gold mark (1) is arranged in a needle cylinder (21) of the puncture needle (2) when in use, and is characterized in that: the gold mark (1) comprises a gold mark head part (11) and a gold mark tail part (12) connected with the gold mark head part (11); the gold mark tail part (12) is a flexible medical fine line; the puncture needle (2) comprises a needle cylinder (21) and a needle core (22); the front end of the needle core (22) is a needle point (221), and the front end of the needle core (22) is slightly smaller than the inner diameter of the needle cylinder (21); the tail part of the needle cylinder (21) is connected with a handle (23); the tail part of the needle cylinder (21) is a funnel-shaped cavity (211); the side surface of the funnel-shaped cavity (211) is provided with a gold mark filling hole (212).
2. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the gold mark head part (11) is a cylinder, and a connecting hole for connecting the gold mark tail part (12) is formed in the gold mark head part (11).
3. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the gold-labeled tail (12) is preferably a non-absorbable surgical suture.
4. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: a guide hole (24) communicated with the needle cylinder (21) is arranged in the handle (23); and a limiting plate (25) is arranged at the top of the guide hole (24).
5. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the tail part of the needle core (22) is provided with a push-pull part (26).
6. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the needle cylinder (21) is flat-top type.
7. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the needle point (221) of the needle core (22) is in a burr shape.
8. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: when the needle core (22) is pushed to the bottom, the needle point (221) part of the needle core (22) slightly exceeds the bottom end of the needle cylinder (21).
9. The removable positioning gold-labeled human body radiotherapy implantation device according to claim 1, wherein: the length of the gold mark tail part (12) is equal to that of the needle cylinder (21).
10. The use of the removable body radiotherapy positioning gold-labeled implant device according to any one of claims 1 to 9, characterized in that: comprises the following steps:
firstly, the needle core (22) is pushed to the bottom, so that the top of the needle core (22) slightly exceeds the top of the needle cylinder (21);
secondly, the puncture needle (2) is implanted into a target area through the body surface;
thirdly, slowly drawing out the needle core (22) to empty a channel in the needle cylinder (21);
fourthly, the gold mark head part (11) is pushed into the gold mark filling hole (212), and the gold mark head part (11) enters the needle cylinder (21) through the funnel-shaped cavity (211);
fifthly, slowly pushing the stylet (22) again until the stylet is pushed to the bottom; the needle core (22) drives the gold mark head (11) to reach the top end of the needle cylinder (21);
sixthly, the needle core (22) is slowly drawn out of the needle cylinder (21), and the puncture needle (2) is integrally drawn out;
seventhly, the gold mark tail part (12) reserved outside the body surface is stuck and fixed on the body surface by using a medical adhesive tape;
eighthly, implanting the other gold marks (1) again in a mode of steps one to seven to complete the implantation and fixation of the gold marks (1);
and ninthly, after the whole treatment is finished, tearing off the medical adhesive plaster adhered to the body surface, and removing the head part (11) of the gold label out of the human body by pulling the tail part (12) of the gold label.
CN202010412486.5A 2020-05-15 2020-05-15 Removable human radiotherapy location gold mark implantation device Pending CN111529966A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010412486.5A CN111529966A (en) 2020-05-15 2020-05-15 Removable human radiotherapy location gold mark implantation device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010412486.5A CN111529966A (en) 2020-05-15 2020-05-15 Removable human radiotherapy location gold mark implantation device

Publications (1)

Publication Number Publication Date
CN111529966A true CN111529966A (en) 2020-08-14

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11730514B2 (en) 2020-07-14 2023-08-22 Fujian Medical University Union Hospital Removable dual gold marker implantation device with minor damage and using method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11730514B2 (en) 2020-07-14 2023-08-22 Fujian Medical University Union Hospital Removable dual gold marker implantation device with minor damage and using method thereof

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