CN114343802A - Puncture positioning method and positioning assembly - Google Patents
Puncture positioning method and positioning assembly Download PDFInfo
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- CN114343802A CN114343802A CN202210117652.8A CN202210117652A CN114343802A CN 114343802 A CN114343802 A CN 114343802A CN 202210117652 A CN202210117652 A CN 202210117652A CN 114343802 A CN114343802 A CN 114343802A
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- positioning
- guide rod
- puncture
- rod sleeve
- positioning guide
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Abstract
The invention discloses a puncture positioning method and a positioning assembly, wherein a positioning guide wire penetrates through a positioning needle tube to reach a positioning point of a bony tissue area, a guide rod sleeve with an expansion part at one end is sleeved outside the positioning guide wire, one end of the expansion part enters the bony tissue area along the positioning guide wire, one end of a positioning guide rod penetrates through the guide rod sleeve to reach the positioning point, and a positioning guide hole is formed at the positioning point of the bony tissue area by knocking the positioning guide rod through a bone hammer. The puncture positioning method with the optimized design has the advantages that the structural design is reasonable, the guide rod sleeve enters the bony tissue region along the positioning guide wire, the expansion is realized while the guide rod sleeve is inserted, and the positioning guide rod reaches the positioning point through the guide rod sleeve, so that the expansion and the guide rod sleeve are prevented from being inserted twice, the time of the step of the perforation operation is shortened, and the secondary damage to human tissues is avoided.
Description
Technical Field
The invention relates to the technical field of puncture positioning, in particular to a puncture positioning method and a positioning assembly.
Background
In the orthopedic minimally invasive surgery, a doctor needs to locate the position of a focus by using an X-ray perspective image so as to estimate a needle inserting site. In the puncture positioning process, a positioning guide wire is usually required to be arranged, then the expansion tube is used for expanding holes, and the locating guide rod is used for knocking and perforating osseous tissues needing to be polished and perforated after the expansion. To facilitate insertion of the guide rod and to provide guidance for the guide rod when it is struck, it is often necessary to provide it with a guide rod bushing. However, the guide rod sleeve needs to be inserted twice along the guide wire, and due to the size difference of the guide rod sleeve and the guide rod sleeve, the insertion precision of the guide rod sleeve is influenced, and further, secondary damage is caused to human tissues.
Disclosure of Invention
In order to solve the technical problems in the background technology, the invention provides a puncture positioning method and a positioning assembly.
The invention provides a puncture positioning method, which comprises the following steps:
s1, firstly, puncturing to a bone tissue area needing to be polished and perforated through a positioning needle tube;
s2, positioning by passing a positioning guide wire through a positioning needle tube to reach a positioning point of the osseous tissue area;
s3, sleeving a guide rod sleeve with an expansion part at one end outside the positioning guide wire, enabling one end of the expansion part to enter the osseous tissue area along the positioning guide wire, and then withdrawing the positioning guide wire;
s4, enabling one end of the positioning guide rod to penetrate through the guide rod sleeve to reach the positioning point, and knocking the positioning guide rod through the bone hammer to form a positioning guide hole at the positioning point of the bony tissue area.
Preferably, in S1, an anesthetic is injected into the bony tissue region by positioning the needle cannula.
Preferably, in S4, the pilot bar is fixed with the guide bar sleeve before the pilot bar is struck.
Preferably, in S4, the guide rod with a sharp tip is first inserted along the guide sleeve, the guide rod is hammered by a bone hammer to form a groove in the bone, the guide rod with a blunt tip is replaced with a blunt tip at the groove, and the guide rod is hammered by a bone hammer again to continue to the spinal canal.
The invention also provides a puncture positioning assembly which is characterized by being used for the puncture positioning method.
Preferably, the method comprises the following steps: the positioning needle tube, the positioning guide wire, the positioning guide rod and the guide rod sleeve are arranged in the guide rod sleeve;
the two ends of the guide rod sleeve are respectively provided with an expansion part and an installation part, and the outer diameter of the expansion part is gradually reduced in the direction away from the installation part;
positioning guide rod both ends are equipped with portion of strikeing and drill bit portion respectively, drill bit portion one end is followed installation department one end is passed dual-purpose guide rod sleeve pipe, just strike the position in the installation department is kept away from expansion portion one side.
Preferably, the outer diameter of the mounting portion is larger than the outer diameter of the dual purpose guide rod bushing.
Preferably, the outer wall of installation department is equipped with the external screw thread, the portion of strikeing is in the installation department periphery forms set body structure, set body structure inner wall be equipped with installation department screw-thread fit's internal thread.
Preferably, the positioning guide rod comprises a rod body and a working drill bit, and the working drill bit is detachably arranged at one end of the rod body.
Preferably, the bit portion has a triangular prism-shaped tip structure.
According to the puncture positioning method and the positioning assembly, the positioning guide wire penetrates through the positioning needle tube to reach the positioning point of the osseous tissue area, the guide rod sleeve with the expansion part at one end is sleeved outside the positioning guide wire, one end of the expansion part enters the osseous tissue area along the positioning guide wire, one end of the positioning guide rod penetrates through the guide rod sleeve to reach the positioning point, and the positioning guide rod is knocked by the bone hammer to form the positioning guide hole at the positioning point of the osseous tissue area. Through the optimally designed puncture positioning method and positioning assembly, the guide rod sleeve enters the bony tissue region along the positioning guide wire, expansion is realized while insertion is carried out, and the positioning guide rod reaches the positioning point through the guide rod sleeve, so that the expansion and the guide rod sleeve are prevented from being inserted twice, the time of the step of the perforation operation is reduced, and the secondary damage of human tissues is avoided.
Drawings
Fig. 1 is a schematic structural view of a guide rod sleeve of a puncture positioning assembly according to the present invention.
Fig. 2 is a schematic structural view of a positioning guide rod of a puncture positioning assembly according to the present invention.
Fig. 3 is a schematic structural diagram of the positioning needle tube and the positioning guide wire inserted into the bony tissue region in S2 of the puncture positioning method according to the invention.
Fig. 4 is a schematic structural diagram of the guide rod sleeve inserted into the bony tissue region along the positioning guide wire in S3 of the puncture positioning method according to the invention.
Fig. 5 is a schematic structural view illustrating that the guide rod and the guide rod sleeve are inserted into the bony tissue region in S4 according to the puncture positioning method of the present invention.
Detailed Description
Fig. 1 to 5 show a schematic structural view of a guide rod sleeve of a puncture positioning assembly according to the present invention, fig. 2 shows a schematic structural view of a positioning guide rod of a puncture positioning assembly according to the present invention, fig. 3 shows a schematic structural view of a positioning needle tube and a positioning guide wire inserted into a bony tissue region in S2 of a puncture positioning method according to the present invention, fig. 4 shows a schematic structural view of a guide rod sleeve inserted into a bony tissue region along a positioning guide wire in S3 of a puncture positioning method according to the present invention, and fig. 5 shows a schematic structural view of a positioning guide rod and a guide rod sleeve inserted into a bony tissue region in S4 of a puncture positioning method according to the present invention. .
Referring to fig. 1 to 5, the present invention further provides a puncture positioning assembly, including: a positioning needle tube 3, a positioning guide wire 4, a positioning guide rod 2 and a guide rod sleeve 1;
the two ends of the guide rod sleeve 1 are respectively provided with an expansion part 11 and a mounting part 12, and the outer diameter of the expansion part 11 is gradually reduced in the direction away from the mounting part 12;
2 both ends of positioning guide rod are equipped with knocking portion 21 and drill bit portion respectively, drill bit portion one end is followed installation department 12 one end is passed dual-purpose guide rod sleeve 1, just knocking portion 21 is located installation department 12 is kept away from 11 one side of expansion portion.
Wherein the bit portion has a triangular-shaped pointed structure.
The invention provides a puncture positioning method, which comprises the following steps:
s1, firstly, puncturing the bone tissue area needing to be polished and perforated through the positioning needle tube 3;
specifically, anesthetic can be injected into the bony tissue area through the positioning needle tube 3 in advance, and after the injector is removed, the positioning needle tube is used as a guide for the subsequent positioning guide wire.
S2, positioning by passing the positioning guide wire 4 through the positioning needle tube 3 to reach the positioning point of the osseous tissue area; as shown in fig. 3;
s3, sleeving the guide rod sleeve 1 with the expansion part 11 at one end outside the positioning guide wire 4, enabling one end of the expansion part 11 to enter the osseous tissue area along the positioning guide wire 4, and then withdrawing the positioning guide wire 4; as shown in fig. 4;
specifically, in the embodiment of the guide rod bushing, the outer diameter of the mounting portion 12 is larger than the outer diameter of the guide rod bushing 1. When knocking, the drill bit portion one end of positioning guide rod passes through the guide rod sleeve, the installation portion supports with the knocking portion of guide rod, and at the in-process of knocking drilling, for the guide rod provides the direction, guarantees that the drilling position is accurate, and when the guide rod got into along with knocking, the expansion portion of sleeve pipe front end was protected drilling position tissue on every side, avoided secondary damage.
In the concrete matching mode of the installation part of the guide rod sleeve and the knocking part of the positioning guide rod, the knocking part 21 is detachably connected with the installation part 12. Specifically, the outer wall of the mounting part 12 is provided with an external thread, correspondingly, the knocking part 21 forms a sleeve structure on the periphery of the mounting part 12, and the inner wall of the sleeve structure is provided with an internal thread in threaded fit with the mounting part 12; the two are connected into a whole through thread matching.
S4, enabling one end of the positioning guide rod 2 to penetrate through the guide rod sleeve 1 to reach the positioning point, and knocking the positioning guide rod 2 through a bone hammer to form a positioning guide hole at the positioning point of the osseous tissue area; as shown in fig. 5.
Specifically, the pilot rod 2 is fixed to the rod bushing 1 before the pilot rod 2 is struck.
In order to ensure that the formed locating hole is matched with the subsequent working sleeve, further reaming can be carried out through locating guide rods with different drill bit parts after drilling. Therefore, in the specific design of the positioning guide, the positioning guide 2 comprises a rod body and a working bit 22, and the working bit 22 is detachably mounted at one end of the rod body.
In the specific drilling process, firstly, the positioning guide rod 2 with a sharp head enters along the guide rod sleeve 1, a bone hammer is used for knocking the positioning guide rod 2 to form a groove on a bone, then the positioning guide rod 2 with a blunt head is replaced, the blunt head of the positioning guide rod 2 is positioned at the groove, and the knocking positioning guide rod 2 of the bone hammer is used again to enable the positioning guide rod 2 to continue to enter the vertebral canal.
In the embodiment, the puncture positioning method and the positioning assembly provided by the invention have the advantages that the positioning guide wire penetrates through the positioning needle tube to reach the positioning point of the osseous tissue area, the guide rod sleeve with the expansion part at one end is sleeved outside the positioning guide wire, one end of the expansion part enters the osseous tissue area along the positioning guide wire, one end of the positioning guide rod penetrates through the guide rod sleeve to reach the positioning point, and the positioning guide rod is knocked by the bone hammer to form the positioning guide hole at the positioning point of the osseous tissue area. The puncture positioning method with the optimized design has the advantages that the structural design is reasonable, the guide rod sleeve enters the bony tissue region along the positioning guide wire, the expansion is realized while the guide rod sleeve is inserted, and the positioning guide rod reaches the positioning point through the guide rod sleeve, so that the expansion and the guide rod sleeve are prevented from being inserted twice, the time of the step of the perforation operation is shortened, and the secondary damage to human tissues is avoided.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.
Claims (10)
1. A puncture positioning method is characterized by comprising the following steps:
s1, firstly, puncturing the bone tissue area needing to be polished and perforated through the positioning needle tube (3);
s2, positioning by passing a positioning guide wire (4) through a positioning needle tube (3) to reach a positioning point of the osseous tissue area;
s3, sleeving a guide rod sleeve (1) with an expansion part (11) at one end outside a positioning guide wire (4), enabling one end of the expansion part (11) to enter the bony tissue region along the positioning guide wire (4), and then withdrawing the positioning guide wire (4);
s4, enabling one end of the positioning guide rod (2) to penetrate through the guide rod sleeve (1) to reach the positioning point, and knocking the positioning guide rod (2) through a bone hammer to form a positioning guide hole at the positioning point of the bony tissue area.
2. A puncture positioning method according to claim 1, wherein in S1, anesthetic is injected into the bony tissue region through the positioning needle tube (3).
3. The puncture positioning method according to claim 1, wherein in S4, the guide bar (2) is fixed to the guide bar sleeve (1) before the guide bar (2) is struck.
4. The puncture positioning method according to claim 1, wherein in S4, the positioning guide rod (2) having a sharp tip is first entered along the guide rod sleeve (1), the positioning guide rod (2) is hit with a bone hammer to form a groove in the bone, then the positioning guide rod (2) having a blunt tip is replaced with a blunt tip at the groove, and the positioning guide rod (2) is hit again with a bone hammer to continue its entry into the spinal canal.
5. Puncture positioning assembly for carrying out the puncture positioning method according to claims 1-4.
6. The puncture positioning assembly of claim 5, comprising: a positioning needle tube (3), a positioning guide wire (4), a positioning guide rod (2) and a guide rod sleeve (1);
an expansion part (11) and an installation part (12) are respectively arranged at two ends of the guide rod sleeve (1), and the outer diameter of the expansion part (11) is gradually reduced in the direction away from the installation part (12);
positioning guide pole (2) both ends are equipped with knocking portion (21) and drill bit portion respectively, drill bit portion one end is followed installation department (12) one end is passed dual-purpose guide rod sleeve pipe (1), just knocking portion (21) is located installation department (12) is kept away from expansion portion (11) one side.
7. The puncture positioning assembly according to claim 6, wherein the outer diameter of the mounting portion (12) is larger than the outer diameter of the dual-purpose guide rod cannula (1).
8. The puncture positioning assembly according to claim 6, wherein the outer wall of the mounting portion (12) is provided with an external thread, the knocking portion (21) forms a sheath structure at the outer periphery of the mounting portion (12), and the inner wall of the sheath structure is provided with an internal thread which is in threaded fit with the mounting portion (12).
9. The lancing positioning assembly of claim 6, wherein the positioning guide (2) comprises a shaft and a working bit (22), the working bit (22) being removably mounted at one end of the shaft.
10. The lancing positioning assembly of claim 6, wherein the drill head portion has a triangular prism tip configuration.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210117652.8A CN114343802A (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210117652.8A CN114343802A (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN114343802A true CN114343802A (en) | 2022-04-15 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210117652.8A Pending CN114343802A (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
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| CN (1) | CN114343802A (en) |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5423824A (en) * | 1992-03-23 | 1995-06-13 | Radi Medical Systems Ab | Method of accessing hard tissue |
| US20070093841A1 (en) * | 2005-09-23 | 2007-04-26 | Thomas Hoogland | Surgical drill, a set of surgical drills, a system for cutting bone and a method for removing bone |
| US20080154304A1 (en) * | 2006-12-21 | 2008-06-26 | Arthrocare Corporation | System and method for accessing a tissue structure |
| WO2016101521A1 (en) * | 2014-12-22 | 2016-06-30 | 萧慕东 | Transcutaneous lumbar intervertebral foramen enlargement and shaping instrument with nerve monitoring function |
| CN108289688A (en) * | 2015-11-17 | 2018-07-17 | 伦克巴尔有限责任公司 | Operation path instrument with expansible section |
| CN108606822A (en) * | 2018-07-06 | 2018-10-02 | 燕飞 | A kind of foramen intervertebrale lens puncture locator and its application method |
| CN208958246U (en) * | 2018-07-05 | 2019-06-11 | 王艳波 | Trepan guider |
| CN219661842U (en) * | 2022-02-08 | 2023-09-12 | 宋国俊 | Puncture positioning dual-purpose guide rod sleeve and puncture positioning assembly |
-
2022
- 2022-02-08 CN CN202210117652.8A patent/CN114343802A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5423824A (en) * | 1992-03-23 | 1995-06-13 | Radi Medical Systems Ab | Method of accessing hard tissue |
| US20070093841A1 (en) * | 2005-09-23 | 2007-04-26 | Thomas Hoogland | Surgical drill, a set of surgical drills, a system for cutting bone and a method for removing bone |
| US20080154304A1 (en) * | 2006-12-21 | 2008-06-26 | Arthrocare Corporation | System and method for accessing a tissue structure |
| WO2016101521A1 (en) * | 2014-12-22 | 2016-06-30 | 萧慕东 | Transcutaneous lumbar intervertebral foramen enlargement and shaping instrument with nerve monitoring function |
| CN108289688A (en) * | 2015-11-17 | 2018-07-17 | 伦克巴尔有限责任公司 | Operation path instrument with expansible section |
| CN208958246U (en) * | 2018-07-05 | 2019-06-11 | 王艳波 | Trepan guider |
| CN108606822A (en) * | 2018-07-06 | 2018-10-02 | 燕飞 | A kind of foramen intervertebrale lens puncture locator and its application method |
| CN219661842U (en) * | 2022-02-08 | 2023-09-12 | 宋国俊 | Puncture positioning dual-purpose guide rod sleeve and puncture positioning assembly |
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