CN112336418A - Positioning fence for percutaneous aspiration biopsy - Google Patents

Positioning fence for percutaneous aspiration biopsy Download PDF

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Publication number
CN112336418A
CN112336418A CN201910868981.4A CN201910868981A CN112336418A CN 112336418 A CN112336418 A CN 112336418A CN 201910868981 A CN201910868981 A CN 201910868981A CN 112336418 A CN112336418 A CN 112336418A
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China
Prior art keywords
positioning
positioning fence
fence
shaft
fence structure
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Pending
Application number
CN201910868981.4A
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Chinese (zh)
Inventor
李升锦
李军
顾小川
马湿洪
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Individual
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Individual
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Priority to CN201910868981.4A priority Critical patent/CN112336418A/en
Publication of CN112336418A publication Critical patent/CN112336418A/en
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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
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • 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

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a positioning auxiliary device which is easy to assist in accurate clinical positioning of percutaneous aspiration biopsy under CT guidance and can be used repeatedly, namely a positioning fence for percutaneous aspiration biopsy under CT guidance, which is called a positioning fence for short. The device mainly comprises a thin cylindrical transverse shaft, a thick cylindrical transverse shaft, side shafts, a hole buckling plate and a buckling nail. The transverse shafts of the positioning fences are arranged at equal intervals; one end of the side shaft is provided with a fastening nail with a boss structure, and a U-shaped groove in the center of the side shaft enables the side shaft to have scalability during connection; the buckling hole plate at the other end can realize the combined connection of a plurality of unit fences by combining with the buckling nails. In order to ensure the reliability of the positioning fence when the operable part of the human body is positioned, the pressure sensitive adhesive tape is adopted to adjust the positioning fence. The polytetrafluoroethylene material adopted by the structure can be disinfected by iodine or alcohol and other conventional disinfection methods so as to be convenient for subsequent reuse. The positioning fence structure for the percutaneous aspiration biopsy disclosed by the invention aims at improving the accuracy of clinical operation and subsequent reutilization, and has the characteristics of good operation accuracy and strong practicability.

Description

Positioning fence for percutaneous aspiration biopsy
Technical Field
The invention relates to the technical field of medical treatment and medical use and the field of part manufacturing technology.
Background
The percutaneous aspiration biopsy and the percutaneous aspiration treatment can be applied to the examination operation and the accurate positioning treatment of each pathological change part of a human body, the positioning fence can realize the accurate positioning under the guidance of CT, and the aspiration biopsy sampling operation or the positioning treatment operation of the pathological change part is realized. From the existing clinical experience, the percutaneous aspiration biopsy and the percutaneous aspiration treatment are more convenient to operate and higher in diagnosis rate if the positioning is accurate. There is a need to further improve the positioning accuracy of percutaneous needle biopsy and needle treatment to ensure high success rate and quality of the procedure.
The locating device for the percutaneous aspiration biopsy in clinic usually adopts two types, namely a simple self-made fence of temporary adhesive plaster and a disposable adhesive plaster (or operation film) fence. The simple self-made fence of the temporary adhesive plaster is obtained by cutting waste catheters or metal wires for interventional therapy into 5-10 fence cross shafts with a certain length and a side by side interval of 0.5cm-1cm and then simply fixing (such as the adhesive plaster) when in clinical need. Although the manufacturing is simple and the cost is low, the manufacturing is rough, the positioning accuracy is poor, the positioning can be only roughly estimated, and the method cannot be used repeatedly. The disposable adhesive plaster (or operation film) fence is made up by sticking the self-made special metal wire (such as barium sulfate wire) on the medical transparent adhesive tape and medical operation film according to the designed spacing. When in use, the medical operation membrane type fence can be directly used only by cutting off a transparent adhesive tape type fence with a proper length or selecting a medical operation membrane type fence with a required specification according to requirements, and the medical operation membrane type fence is convenient and high in positioning precision but cannot be used repeatedly. Therefore, in order to meet the requirements of different specifications of fences required by percutaneous puncture of lesions of different parts and sizes and solve the problems of high precision and repeated use, a novel fence positioning device structure is provided.
Disclosure of Invention
The utility model aims to provide a structure that makes puncture location point location simple, and positioning accuracy is higher relatively, percutaneous aspiration biopsy art location fence that can use repeatedly to effectively solve present location fence and have the technological problem that the preparation is crude, be difficult to accurate location, can not used repeatedly and lead to the cost to increase.
The structure of the positioning fence for the percutaneous aspiration biopsy comprises a thick cylindrical transverse shaft and a side shaft which are used for fixing the total structure; a cramp and a buttonhole plate which are used for positioning the thin cylindrical cross shaft of the puncture needle and realizing the combined connection and fixation of a plurality of positioning fences.
The thin cylindrical cross shaft is made of barium sulfate wires, and the application process is double die casting.
The thin cylindrical transverse shafts are fixed in the side shafts at two ends and are distributed at equal intervals of 10 mm.
The side shaft is made of polytetrafluoroethylene, and the application process is double die casting.
In one step, the length of the side shaft is 50mm, and the side shaft is small in size so as to be convenient for operation within a small target range and meet the requirements of precision and positioning.
The buckling hole plate and the buckling nails are made of polytetrafluoroethylene, and the application process is double die casting.
Step one, the distance between the vertical center line of the cramp and the near end face of the side shaft is 5mm, and a U-shaped groove with the width of 2mm and the depth of 5mm is formed by taking the vertical center line of the cramp as a reference; the horizontal distance from the center line of the round hole of the buckling hole plate of the plate-shaped structure to the near-end plane of the side shaft is 11 mm.
Drawings
In order to more clearly illustrate the embodiments of the present invention, reference will now be made in brief to the accompanying drawings, which are to be used in the description of the embodiments or the prior art. The following figures are some embodiments of the present invention from which other reasonable figures may be derived by other researchers in the field.
FIG. 1 is a schematic view of a positioning fence structure for percutaneous aspiration;
fig. 2 is a schematic diagram of specific structural parameters of the positioning barrier.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, which form a part of the embodiments of the present invention. All other embodiments, which can be obtained by other researchers in the field without making creative designs based on the embodiments of the present invention, belong to the protection scope of the present invention.
In the description of the invention, terms having certain orientations or positional relationships refer to particular positions of the described elements.
As shown in fig. 1 and fig. 2, the present invention provides a positioning fence structure for percutaneous aspiration biopsy, which comprises a side shaft structure at two ends, a thick cylindrical transverse shaft, a thin cylindrical transverse shaft, a fastening nail, and a fastening hole plate.
The distance between every two transverse shafts of the positioning fence is 10 mm; one end of the longitudinal side shaft is provided with a fastening nail with a boss structure, and the other end of the longitudinal side shaft is provided with a fastening hole plate with a plate-shaped structure, and when a plurality of positioning fences are required to be combined and connected, the fastening nails of two unit fences are in clearance fit with the fastening hole plate structure; the distance between the vertical center line of the cramp and the near end face of the side shaft is 5mm, and a U-shaped groove is formed by taking the vertical center line of the cramp as a reference so as to have certain scalability during connection;
remarks explanation: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; the parameters of the above examples can be modified by the researcher as required by the size of the monomers and their arrangement.

Claims (10)

1. In a percutaneous aspiration biopsy or treatment positioning fence structure, characterized in that: comprises a thin cylindrical transverse shaft (3), a thick cylindrical transverse shaft (4), a side shaft (2), a buttonhole plate (5) and a button nail (1).
2. Novel medical pressure-sensitive adhesive tape structure for fixing and compressing positioning fence when operable part of human body is operated
A positioning fence structure according to claim 1 characterized in that the external shape of the thin transverse shaft (3) is cylindrical and can be manufactured using die casting.
3. A positioning fence structure according to claim 1 characterized in that the thin transverse shaft (3) is fixed at both ends in the side shafts (2) and that the side shafts are equally spaced for positioning purposes.
4. A positioning fence structure according to claim 1 characterized in that thick transverse shafts (4) are located at both ends of the general positioning fence, functioning as general fixing structures.
5. The positioning fence structure as claimed in claim 1, wherein the thin horizontal shaft (3) and the thick horizontal shaft (4) are made of barium sulfate wire to ensure good image effect in CT examination for accurate positioning.
6. A positional fence structure as claimed in claim 1 wherein the external shape of the edge axles (2) is cubic and a twin die casting process can be used.
7. A positioning fence structure as claimed in claim 1 wherein the material of the side shaft (2) is selected from polytetrafluoroethylene; in addition, considering the reusability, the polytetrafluoroethylene is not dissolved in all solvents, so the aim of reusing can be fulfilled by simple iodine tincture or alcohol disinfection.
8. A positioning fence structure as defined in claim 1 wherein the pintle (1) is formed with a U-shaped slot of 2mm width and 5mm depth from the vertical centre line for connection with a degree of scalability; considering the clinical use or the need to increase the specification of the positioning fence, a plurality of positioning fences can be fastened into the round holes of the fastening hole plate (5) by means of fasteners, and the positioning fences and the fastening hole plate are in clearance fit.
9. A positioning fence structure as claimed in claim 1 wherein the material selected for the pintle (1) and the orifice plate (5) is polytetrafluoroethylene.
10. The novel medical pressure-sensitive adhesive tape structure as claimed in claim 2, wherein the non-woven fabric in the structure can reduce residues of the pressure-sensitive adhesive tape, thereby reducing the difficulty of cleaning to ensure the recycling of subsequent positioning fences.
CN201910868981.4A 2019-09-16 2019-09-16 Positioning fence for percutaneous aspiration biopsy Pending CN112336418A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910868981.4A CN112336418A (en) 2019-09-16 2019-09-16 Positioning fence for percutaneous aspiration biopsy

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910868981.4A CN112336418A (en) 2019-09-16 2019-09-16 Positioning fence for percutaneous aspiration biopsy

Publications (1)

Publication Number Publication Date
CN112336418A true CN112336418A (en) 2021-02-09

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CN201910868981.4A Pending CN112336418A (en) 2019-09-16 2019-09-16 Positioning fence for percutaneous aspiration biopsy

Country Status (1)

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CN (1) CN112336418A (en)

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101161209A (en) * 2007-11-23 2008-04-16 中国人民解放军第三军医大学第一附属医院 Bullet-nosed detachable adaptive puncturing locating mould plate
EP2283772A1 (en) * 2004-05-21 2011-02-16 Ethicon Endo-Surgery, Inc. MRI Biopsy Device Localization Fixture
CN204072342U (en) * 2014-09-23 2015-01-07 北京大学深圳医院 CT scan tissue positioner
CN204379384U (en) * 2015-01-09 2015-06-10 云南省肿瘤医院 A kind of CT guides lower tumor aspiration biopsy body surface locator
CN205433842U (en) * 2015-12-31 2016-08-10 王恩峰 CT guiding, puncturing and positioning device
WO2018157883A1 (en) * 2017-03-01 2018-09-07 Hubert Noras Biopsy needle guide having a pointer for simplified angulation
CN108969069A (en) * 2018-08-01 2018-12-11 杨会军 A kind of puncture body surface location fence and its application method
CN208942211U (en) * 2018-07-10 2019-06-07 王增献 A kind of body surface location structure of CT guided percutaneous needle biopsy

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2283772A1 (en) * 2004-05-21 2011-02-16 Ethicon Endo-Surgery, Inc. MRI Biopsy Device Localization Fixture
CN101161209A (en) * 2007-11-23 2008-04-16 中国人民解放军第三军医大学第一附属医院 Bullet-nosed detachable adaptive puncturing locating mould plate
CN204072342U (en) * 2014-09-23 2015-01-07 北京大学深圳医院 CT scan tissue positioner
CN204379384U (en) * 2015-01-09 2015-06-10 云南省肿瘤医院 A kind of CT guides lower tumor aspiration biopsy body surface locator
CN205433842U (en) * 2015-12-31 2016-08-10 王恩峰 CT guiding, puncturing and positioning device
WO2018157883A1 (en) * 2017-03-01 2018-09-07 Hubert Noras Biopsy needle guide having a pointer for simplified angulation
CN208942211U (en) * 2018-07-10 2019-06-07 王增献 A kind of body surface location structure of CT guided percutaneous needle biopsy
CN108969069A (en) * 2018-08-01 2018-12-11 杨会军 A kind of puncture body surface location fence and its application method

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