CN113576622A - Intracranial hematoma puncture direction finder - Google Patents
Intracranial hematoma puncture direction finder Download PDFInfo
- Publication number
- CN113576622A CN113576622A CN202110929430.1A CN202110929430A CN113576622A CN 113576622 A CN113576622 A CN 113576622A CN 202110929430 A CN202110929430 A CN 202110929430A CN 113576622 A CN113576622 A CN 113576622A
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- blade
- puncture
- hollow tube
- extension
- tube
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- 206010059491 Intracranial haematoma Diseases 0.000 title claims abstract description 16
- 210000004761 scalp Anatomy 0.000 claims description 14
- 239000002184 metal Substances 0.000 claims description 10
- 238000000034 method Methods 0.000 claims description 7
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 5
- 210000003128 head Anatomy 0.000 claims description 5
- 239000000741 silica gel Substances 0.000 claims description 5
- 229910002027 silica gel Inorganic materials 0.000 claims description 5
- 230000008859 change Effects 0.000 claims description 3
- 230000008569 process Effects 0.000 claims description 3
- 230000006978 adaptation Effects 0.000 claims 1
- 210000003625 skull Anatomy 0.000 description 6
- 206010018852 Haematoma Diseases 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 206010073230 Brain stem haematoma Diseases 0.000 description 2
- 206010008111 Cerebral haemorrhage Diseases 0.000 description 2
- 210000005013 brain tissue Anatomy 0.000 description 2
- 210000001638 cerebellum Anatomy 0.000 description 2
- 238000002591 computed tomography Methods 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 210000001951 dura mater Anatomy 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 230000002123 temporal effect Effects 0.000 description 2
- 210000004959 anterior horn of lateral ventricle Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000004709 eyebrow Anatomy 0.000 description 1
- 210000003140 lateral ventricle Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
Images
Classifications
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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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses an intracranial hematoma puncture direction finder, which comprises: one side of the hollow tube is provided with an S-shaped gap, the inside and the outside of the hollow tube are coaxial, the length of the hollow tube is 6cm, the wall thickness of the hollow tube is 2mm, the inner diameter of the hollow tube is made into a model matched with the puncture drainage tube according to the model of the puncture drainage tube, and the width of the S-shaped gap is the same as the inner diameter of the hollow tube; mutually perpendicular' S the blade A that is right trapezoid, blade B and blade C, blade A, blade B, blade C is respectively at the three different side fixed connection of hollow tube H, the blade A that the left and right sides corresponds, blade B is on same face, and this face passes through the hollow tube axle center, equidirectional fixed connection is in the both sides of hollow tube H, the same side of direction fixed connection in S-shaped gap of another blade C, and blade C place face and blade A, the face at blade B place is perpendicular, and the hollow tube axle center is passed through to blade C place face, the planar intersect of two mutually perpendicular is in the axle center of hollow tube H.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an intracranial hematoma puncture direction finder.
Background
The existing craniocerebral puncture orientation technology is mainly head-mounted three-dimensional orientation, although the orientation is accurate, the operation is complex, the cost is high, the clinical application is complicated, special matched software is required, and special technical training is required. Part of the simple orientators still need to complete the fixation of the skull and the orientator and carry out a plurality of times of imaging examination and adjustment. The method has the characteristics of accuracy, complex operation, large time consumption, high price and complex application. The direction finder is mainly used for minimally invasive puncture of intracranial hematoma, has the characteristics of simple and convenient use, can be used by being sleeved with a puncture tube, can save rescue time for patients with cerebral hemorrhage emergency, and avoids the risk caused by repeated imaging examination and moving. The puncture precision is within 5mm, and the requirement on the puncture precision of intracranial hematoma can be completely met. Its advantages are high speed, convenience, accuracy and low cost.
Disclosure of Invention
In order to solve the problems, the invention provides an intracranial hematoma puncture direction finder.
In order to achieve the purpose, the invention adopts the technical scheme that:
an intracranial hematoma puncture direction finder, comprising:
the puncture drainage tube is characterized by comprising a hollow tube with an S-shaped gap on one side, wherein the inside and the outside of the hollow tube are coaxial, the length of the hollow tube is 6cm, the inner diameter of the hollow tube is made into a model matched with that of the puncture drainage tube according to the model of the puncture drainage tube, the width of the S-shaped gap is the same as the inner diameter of the hollow tube, the S-shaped gap ensures that the puncture drainage tube with the metal guide pin cannot be separated from the hollow tube in the puncture process, and simultaneously ensures that the puncture drainage tube made of silica gel with certain elasticity can be pulled out from the S-shaped gap laterally after the metal guide pin is pulled out after puncture is finished, so that the puncture drainage tube is separated from the orientator (because the puncture drainage tube needs to be left in the cranium after puncture is finished);
the blade A, the blade B and the blade C are mutually perpendicular and in a right trapezoid shape, the blade A, the blade B and the blade C are respectively fixedly connected with three different side surfaces of the hollow pipe H, the blade A and the blade B which correspond to the left side and the right side are on the same surface, the surface is fixedly connected with two sides of the hollow pipe H in the same direction through the axis of the hollow pipe, the other blade C is fixedly connected with the opposite side of the S-shaped gap in the same direction, the surface where the blade C is located is perpendicular to the surfaces where the blade A and the blade B are located, the surface where the blade C is located passes through the axis of the hollow pipe, and the intersection line of two mutually perpendicular planes is in the axis of the hollow pipe H; when the puncture needle is used for puncture in an operation, the silica gel puncture drainage tube penetrates into the hollow tube H, and the puncture drainage tube is guaranteed to puncture along the axis direction of the hollow tube H during puncture, namely, the puncture direction is guaranteed to be in the direction of the vertical intersection line of the surface where the blade A/B is located and the surface where the blade C is located, the A/B surface and the C surface are used as reference surfaces, and the angle is adjusted to be overlapped with the corresponding surface where the scalp line is drawn, so that directional puncture is realized.
Further, still include: the extension blade A ', the extension blade B ' and the extension blade C ' are used for respectively extending the blade A, the blade B and the blade C so as to increase the reference surface and improve the puncture precision.
Further, the extension blade A ', the extension blade B ' and the extension blade C ' are connected with the blade A, the blade B and the blade C in an inserting connection mode.
Furthermore, the far ends of the extension blades A ', the extension blades B ' and the extension blades C ' are trapezoidal tips and contact with the scalp to play a role in fixing the direction finder, so that the puncture accuracy and stability are improved.
Furthermore, one end of each of the extension blades A ', the extension blades B' and the extension blades C 'is provided with a gap with the width of 1mm, and the gap is used for being connected with the blades A, the blades B and the blades C respectively, so that the three extension blades A', the extension blades B 'and the extension blades C' can be inserted and connected with the blades A, the blades B and the blades C respectively, the corresponding planes are extended, and the extension blades B 'and the extension blades C' can move on the same plane to adapt to the change of the head shape of a patient and the structure of an operation space.
The invention has the following beneficial effects:
1) the application is simple, convenient and quick, the operator can perform directional puncture only by sleeving the director with the puncture tube, and the rescue time is very important for heavy patients in cerebral hemorrhage operation.
2) Orientation and cranial fixation are not required, and additional invasive and invasive procedures are not required.
3) The operator can directly use the product structure simply without special training.
4) The cost is low, the product is of a mechanical structure, the cost is low, and the popularization is easy.
Drawings
Fig. 1 is a schematic structural diagram of an intracranial hematoma puncture direction finder main body according to an embodiment of the present invention.
Fig. 2 is a schematic view of the overall structure of an intracranial hematoma puncture direction finder according to an embodiment of the present invention.
Fig. 3 is a schematic structural view of an extended blade a ', an extended blade B ', and an extended blade C ' in an embodiment of the present invention.
Fig. 4 is a schematic view of a lateral ventriculo-anterior horn puncture.
Fig. 5 is a schematic diagram of a transtemporal hematoma puncture.
Fig. 6 is a schematic diagram of puncture of cerebellum and brain stem hematoma.
Detailed Description
The present invention will be described in detail with reference to specific examples. The following examples will assist those skilled in the art in further understanding the invention, but are not intended to limit the invention in any way. It should be noted that variations and modifications can be made by persons skilled in the art without departing from the spirit of the invention. All falling within the scope of the present invention.
As shown in fig. 1-3, an embodiment of the present invention provides an intracranial hematoma puncturing direction finder, which includes a hollow tube with an S-shaped slit on one side, a perpendicular blade a, a blade B and a blade C in a right trapezoid, and an extension blade a ', an extension blade B ' and an extension blade C ' for respectively extending the blade a, the blade B and the blade C to increase a reference surface and improve puncturing accuracy, wherein the thicknesses of the blade a, the blade B and the blade C are all 1 mm; the inside and the outside of a hollow tube with an S-shaped gap on one side are coaxial, the length is 6cm, the wall thickness of the tube is 2mm, the tube is made of metal or hard plastic, the inner diameter is made into a model matched with the puncture drainage tube according to the model of the puncture drainage tube, the width of the S-shaped gap is the same as the inner diameter of the hollow tube, the S-shaped gap ensures that the puncture drainage tube with a metal guide pin cannot be separated from the hollow tube in the puncture process, and simultaneously, after the metal guide pin is pulled out after puncture is finished, the puncture drainage tube made of silica gel with certain elasticity can be pulled out from the S-shaped gap in a lateral direction, so that the puncture drainage tube is separated from a direction finder (because the puncture drainage tube needs to be left in the skull after puncture is finished); the width of each of the blade A, the blade B and the blade C is 4cm, the blade A, the blade B and the blade C are fixedly connected with three different side surfaces of the hollow pipe H respectively, the blade A and the blade B are fixed on two corresponding sides of the hollow pipe H, the blade A and the blade B are cut on the same surface, the surface passes through the axis of the hollow pipe H, the surface where the blade C is located is vertical to the surfaces where the blade A and the blade B are located, the surface where the blade C is located passes through the axis of the hollow pipe, and the intersection line of two mutually vertical planes is located at the axis of the hollow pipe H; when the puncture needle is used for puncture in an operation, the silica gel puncture drainage tube penetrates into the hollow tube H, and the puncture drainage tube is guaranteed to puncture along the axis direction of the hollow tube H during puncture, namely, the puncture direction is guaranteed to be in the treatment intersecting line direction of the surface where the blades A/B are located and the surface where the blades C are located, and directional puncture is realized.
In this embodiment, the extension blade a ', the extension blade B ', and the extension blade C ' are connected to the blade a, the blade B, and the blade C by means of an inserting connection.
In this embodiment, the distal ends of the extended blade a ', the extended blade B ', and the extended blade C ' present a trapezoidal tip, and contact the scalp to play a role in fixing the director, thereby improving the accuracy and stability of the puncture.
In this embodiment, extension blade A ', extension blade B' and extension blade C 'one end are equipped with and are used for respectively with blade A, the width that blade B and blade C are connected is 1 mm's gap, the width and blade A of this gap, blade B, blade C's thickness is the same, so that can fully fix when inlaying the plug-in connection, the precision is improved, be convenient for three extension blade A', extension blade B 'and extension blade C' can respectively with blade A, blade B and blade C inlay the plug-in connection, prolong corresponding plane, and can move about on the coplanar, in order to adapt to patient's head form and operation space structure's change.
As shown in fig. 4, when the present invention is applied to the anterior ventricular puncture: the conventional puncture point is 8cm above the eyebrow, the midline is 2cm, the puncture direction is that the left and right sides are aligned with the nose tip, and the front and back sides are on the imaginary plane of the connecting line of the puncture point and the external auditory hilum or the imaginary connecting line of the two external auditory hilums. Selecting puncture point O at anterior horn OF lateral ventricle, drawing lines OE and OF at both sides OF external auditory meatus by O point to form a plane OEF, drawing line OK at tip OF nose by O point, drilling bone hole by O point during operation, puncturing dura mater, sleeving puncture drainage tube into hollow tube OF orientator, connecting three extension blades, inserting tip OF puncture tube into bone hole for about 1cm (ensuring that puncture tube does not contact brain tissue in bone hole), adjusting angle OF orientator to make reference surface OF blade A '/B ' align with lines OE and OF at both sides, i.e. reference surface OF blade A '/B ' and OEF surface are overlapped, under the premise OF ensuring that reference surface OF blade A '/B ' and OEF surface are overlapped, adjusting direction OF C ' surface OF blade left and right to make reference surface OF tip OF nose connect line OK, puncturing to 6.5cm according to the direction, removing metal, pulling out puncture drainage tube from gap OF S shape, the parallel drainage tube is fixed with the scalp in a sewing way, and accurate puncture can be realized.
The lateral ventricle posterior horn puncture and the anterior horn puncture are the same, and can be used for marking on the scalp after the measurement according to the skull CT film, and the accurate puncture is realized by using the positioner as reference aiming.
As shown in fig. 5, the present invention is applied to transtemporal hematoma puncture: the method for puncturing the hematoma of the temporal part comprises the following steps: during operation puncture, combining with the skull CT numerical measurement, determining a projection point of the surface center point of the largest hematoma layer (namely a puncture plane) on the temporal part or the frontal part as a puncture point O, then drawing a projection line L (actually drawing an arc on the scalp and determining one surface) of a skull CT scanning plane passing through the puncture point on the scalp, drawing another line J (actually drawing an arc on the scalp and determining one surface) perpendicular to the projection line of the CT scanning plane through the puncture point, during operation puncture, drilling a bone hole on the puncture point and puncturing a dura mater, sleeving a puncture drainage tube of a corresponding model with a metal guide pin, penetrating the puncture tube into a hollow tube of an orientator, exposing the head of the puncture tube by 1cm, inserting the exposed 1cm into the bone hole with proper depth without damaging brain tissues, adjusting the angle to align the surface where the blades A/B are positioned with the projection line L of the hematoma puncture plane on the scalp, namely, the A/B of the leaves of the reference surface of the surface and the puncture plane are in the same plane, the perpendicular J of the reference surface of the leaves C is aligned with the perpendicular J of the scalp, the puncture depth is measured in advance according to the direction, the metal guide pin is pulled out, the puncture drainage tube is laterally pulled out and separated from the S-shaped gap, and the parallel drainage tube is fixed with the scalp in a sewing way, so that accurate puncture can be completed.
As shown in fig. 6, the present invention is applied to puncture of cerebellum and brain stem hematoma: the clinical skull CT measurement is carried out, the puncture point is determined, the reference line is drawn, the three extension blades are connected with the three blades according to actual needs during puncture, the angle is adjusted to be fixed, the surfaces where the two groups of blades are located are overlapped with the two scalp reference lines, and accurate puncture is achieved. The three extending pieces mainly have the functions of increasing the range of the reference surface and improving the accuracy, and the angles of the three extending blades can be adjusted according to the head shape and the operation space, so that the tail ends of the extending pieces are contacted with the scalp to play a role in fixing the supporting points.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes or modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention. The embodiments and features of the embodiments of the present application may be combined with each other arbitrarily without conflict.
Claims (5)
1. Intracranial hematoma puncture director, its characterized in that: the method comprises the following steps:
the puncture drainage tube is characterized by comprising a hollow tube with an S-shaped gap on one side, wherein the inside and the outside of the hollow tube are coaxial and have a length of 6cm, the inner diameter of the hollow tube is made into a model matched with that of the puncture drainage tube according to the model of the puncture drainage tube, the width of the S-shaped gap is the same as the inner diameter of the hollow tube, the S-shaped gap ensures that the puncture drainage tube with the metal guide pin cannot be separated from the hollow tube in the puncture process, and simultaneously ensures that the puncture drainage tube made of silica gel with certain elasticity can be laterally pulled out from the S-shaped gap after the metal guide pin is pulled out after puncture is finished, so that the puncture drainage tube is separated from the orientator;
mutually perpendicular' S the blade A that is right trapezoid, blade B and blade C, blade A, blade B, blade C is respectively at the three different side fixed connection of hollow tube H, the blade A that the left and right sides corresponds, blade B is on same face, and this face passes through the hollow tube axle center, equidirectional fixed connection is in the both sides of hollow tube H, the same side of direction fixed connection in S-shaped gap of another blade C, and blade C place face and blade A, the face at blade B place is perpendicular, and the hollow tube axle center is passed through to blade C place face, the planar intersect of two mutually perpendicular is in the axle center of hollow tube H.
2. The intracranial hematoma puncture direction finder as recited in claim 1, wherein: further comprising: the extension blade A ', the extension blade B ' and the extension blade C ' are used for respectively extending the blade A, the blade B and the blade C so as to increase the reference surface and improve the puncture precision.
3. The intracranial hematoma puncture direction finder as recited in claim 2, wherein: the extension blade A ', the extension blade B ' and the extension blade C ' are connected with the blade A, the blade B and the blade C in an inserting connection mode.
4. The intracranial hematoma puncture direction finder as recited in claim 2, wherein: the far ends of the extension blades A ', B ' and C ' present a trapezoidal tip, and contact with the scalp to play a role of fixing the orientator.
5. The intracranial hematoma puncture direction finder as recited in claim 2, wherein: extension blade A ', extension blade B' and extension blade C 'one end are equipped with and are used for respectively with blade A, blade B and blade C be connected the width be 1 mm's gap, be convenient for three extension blade A ', extension blade B' and extension blade C 'respectively can inlay the plug with blade A, blade B and blade C and be connected, the corresponding plane of extension to can move about on the coplanar, with the change of adaptation patient's head form and operation space structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110929430.1A CN113576622A (en) | 2021-08-13 | 2021-08-13 | Intracranial hematoma puncture direction finder |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110929430.1A CN113576622A (en) | 2021-08-13 | 2021-08-13 | Intracranial hematoma puncture direction finder |
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| Publication Number | Publication Date |
|---|---|
| CN113576622A true CN113576622A (en) | 2021-11-02 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202110929430.1A Pending CN113576622A (en) | 2021-08-13 | 2021-08-13 | Intracranial hematoma puncture direction finder |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2014039695A (en) * | 2012-08-23 | 2014-03-06 | Misuzu Kogyo:Kk | Puncture needle |
| CN104188714A (en) * | 2014-09-24 | 2014-12-10 | 刘宇清 | Guiding device assisting with puncture of frontal horn of lateral ventricle and application method thereof |
| CN110623713A (en) * | 2019-11-04 | 2019-12-31 | 刘章峰 | Puncture direction finder |
| CN215688308U (en) * | 2021-08-13 | 2022-02-01 | 商洛职业技术学院 | Intracranial hematoma puncture direction finder |
-
2021
- 2021-08-13 CN CN202110929430.1A patent/CN113576622A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2014039695A (en) * | 2012-08-23 | 2014-03-06 | Misuzu Kogyo:Kk | Puncture needle |
| CN104188714A (en) * | 2014-09-24 | 2014-12-10 | 刘宇清 | Guiding device assisting with puncture of frontal horn of lateral ventricle and application method thereof |
| CN110623713A (en) * | 2019-11-04 | 2019-12-31 | 刘章峰 | Puncture direction finder |
| CN215688308U (en) * | 2021-08-13 | 2022-02-01 | 商洛职业技术学院 | Intracranial hematoma puncture direction finder |
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