CN114569215A - Puncture needle with laser positioning lamp for treating trigeminal neuralgia through puncture of oval hole - Google Patents
Puncture needle with laser positioning lamp for treating trigeminal neuralgia through puncture of oval hole Download PDFInfo
- Publication number
- CN114569215A CN114569215A CN202210368768.9A CN202210368768A CN114569215A CN 114569215 A CN114569215 A CN 114569215A CN 202210368768 A CN202210368768 A CN 202210368768A CN 114569215 A CN114569215 A CN 114569215A
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- Prior art keywords
- puncture
- needle
- laser positioning
- positioning lamp
- trigeminal neuralgia
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- 206010044652 trigeminal neuralgia Diseases 0.000 title claims abstract description 20
- 210000004491 foramen ovale Anatomy 0.000 claims abstract description 19
- 238000003825 pressing Methods 0.000 claims description 14
- 210000004373 mandible Anatomy 0.000 claims description 6
- 210000001738 temporomandibular joint Anatomy 0.000 claims description 4
- 210000001747 pupil Anatomy 0.000 abstract description 5
- 210000000214 mouth Anatomy 0.000 description 6
- 230000000694 effects Effects 0.000 description 3
- 208000002193 Pain Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 206010016059 Facial pain Diseases 0.000 description 1
- 206010019233 Headaches Diseases 0.000 description 1
- 206010066902 Surgical failure Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000007428 craniotomy Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 210000002050 maxilla Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 210000000427 trigeminal ganglion Anatomy 0.000 description 1
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B90/11—Instruments, 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
- A61B90/13—Instruments, 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 guided by light, e.g. laser pointers
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Laser Surgery Devices (AREA)
Abstract
The invention discloses a puncture needle with a laser positioning lamp for treating trigeminal neuralgia by puncture of a foramen ovale, which comprises a needle tube and a needle seat, wherein the top end of the needle tube is detachably connected with the needle seat through a connecting block, the bottom end of the connecting block is provided with a dismounting structure, and the top end of the connecting block is fixedly connected with the needle seat; marking lines and oval hole marks for assisting operators in puncturing are carved on the top end of the needle base, and limiting blocks are uniformly arranged on the periphery of the top of the needle base; the laser positioning lamp main body is installed to the inside of stopper to the both ends of stopper all are provided with limit structure. The laser positioning lamp main bodies are arranged, the laser positioning lamps emit light rays, one line faces towards pupils, the other line faces towards the upper edge of auricles, and therefore the purpose of positioning and guiding puncture of the laser lamps can be achieved.
Description
Technical Field
The invention relates to the field of trigeminal neuralgia treatment instruments, in particular to a puncture needle with a laser positioning lamp for treating trigeminal neuralgia by puncture of a foramen ovale.
Background
With the continuous development of economic level, a tool for treating trigeminal neuralgia is also greatly improved, the trigeminal neuralgia is a common head and face pain disease, the life quality of a patient is seriously affected by the 'first pain in the world', a trigeminal nerve semilunar ganglion radio frequency or balloon compression operation is performed through foramen ovale puncture, and the trigeminal neuralgia is more and more applied to clinic as a safe non-craniotomy minimally invasive operation, but the foramen ovale puncture technology is a key difficulty of the operation.
At present, in a classical foramen ovale puncture path, a 2cm lateral opening of a mouth corner is usually selected as a needle insertion point, then, a needle is inserted towards the direction of the pupil on the same side and the upper edge of the auricle on the same side, and the puncture needs to be realized accurately in two dimensions at the same time. If the puncture direction is deviated to the outer side of the pupil, the puncture is possibly mistakenly inserted into the acanthopore; if the puncture direction is deviated to the inner side of the pupil, the puncture may be mistakenly carried into the oral cavity; if the puncture direction is biased below the superior edge of the auricle, the puncture may be mistakenly made into the jugular vein hole. In fact, achieving precise puncture in two dimensions simultaneously is the first difficulty facing clinicians. Often, the need to adjust the direction of the puncture or repeat the puncture causes pain, bleeding, and even surgical failure in the patient. Therefore, accurate puncture of the foramen ovale is not only the basic condition for ensuring smooth operation, but also the precondition for avoiding serious complications.
In conclusion, the prior art has the following disadvantages: the puncture needle is poor in positioning effect, and when the puncture operation is performed, the puncture needle is not convenient to accurately position, the puncture position is inaccurate easily to a certain extent, and the safety performance of the operation is reduced.
Disclosure of Invention
Technical problem to be solved
The invention aims to provide a puncture needle with a laser positioning lamp for treating trigeminal neuralgia, which is used for solving the defect of poor positioning effect of the existing puncture needle.
Disclosure of the invention
In order to solve the technical problems, the invention provides the following technical scheme: a puncture needle with a laser positioning lamp for treating trigeminal neuralgia by puncture of a foramen ovale comprises a needle tube and a needle seat, wherein the top end of the needle tube is detachably connected with the needle seat through a connecting block, the bottom end of the connecting block is provided with a dismounting structure, and the top end of the connecting block is fixedly connected with the needle seat; marking lines and oval hole marks for assisting operators in puncturing are carved on the top end of the needle base, and limiting blocks are uniformly arranged on the periphery of the top of the needle base; the laser positioning lamp main body is installed to the inside of stopper to the both ends of stopper all are provided with limit structure.
As a further preferred option of this scheme, the laser positioning lamp main parts are all in the same horizontal plane to laser positioning lamp main part sets up four altogether, is equidistant range distribution respectively at the top of the needle file outside.
As a further preferred option of this scheme, dismouting structure includes preforming, bell mouth and cutting ferrule, the preforming sets up the bottom at the connecting block, installs the cutting ferrule in the outside of preforming, and forms the bell mouth between cutting ferrule and the preforming.
As a further preferred aspect of the present invention, the outer wall of the pressing plate is provided with an external thread, the inner wall of the sleeve is provided with an internal thread, and the top end of the needle tube is embedded in the pressing plate and is locked by the sleeve through a downward thread.
As a further preferred option of this scheme, limit structure is including pull rod, spacing groove, expanding spring, fixture block and draw-in groove, the spacing groove sets up in the inside both ends of stopper the fixture block is all installed to the inside of spacing groove, install the pull rod on the outside end of fixture block to install expanding spring in the spacing inslot at the fixture block outside end.
As a further preferred option of this scheme, be provided with the draw-in groove on the laser positioning lamp main part, the draw-in groove constitutes the block structure with the fixture block.
In a further preferred embodiment of the present invention, the marking line is composed of two perpendicular lines and one horizontal line, and the composed marking line is disposed in an "H" shape.
As a further preferred aspect of the present invention, an arc-shaped broken line indicating a temporomandibular joint and an arc-shaped curve indicating a sigmoid notch of the mandible are drawn on one side of the lateral perpendicular line of the marking line.
(III) advantageous effects
The invention provides a puncture needle with a laser positioning lamp for treating trigeminal neuralgia, which has the advantages that:
(1) the four laser positioning lamp main bodies can also meet the requirement of positioning the laser lamp to realize two-dimensional accurate guiding puncture when the needle point tangent plane needs to be rotated;
(2) the draw bar is pulled through the draw bars arranged at the two ends of the limiting block, the telescopic spring is stressed and contracted, so that the clamping block and the clamping groove are loosened, the fixing limit on the laser positioning lamp body is removed, the laser positioning lamp body can be taken out from the limiting block, and the purpose of replacing the laser positioning lamp body is achieved;
(3) the clamping sleeve is rotated through the clamping sleeve arranged at the bottom end of the connecting block, the clamping sleeve moves upwards along the direction of the pressing sheet, the fixing limitation of the pressing sheet on the needle tube is removed, and the purpose of separating the needle tube from the needle seat can be achieved, so that the needle seat can be repeatedly utilized, and the utilization efficiency of the needle seat is improved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
FIG. 1 is a schematic front view of the present invention;
FIG. 2 is a schematic top view of the present invention;
FIG. 3 is a schematic view of a partial structure of the limiting structure of the present invention;
FIG. 4 is a partial structural view of the detachable structure of the present invention;
fig. 5 is a schematic three-dimensional structure of the tie rod of the present invention.
The reference numerals in the figures illustrate: 1. a laser positioning lamp body; 2. a disassembly and assembly structure; 201. tabletting; 202. a tapered hole; 203. a ferrule; 3. a needle tube; 4. connecting blocks; 5. a needle seat; 6. a limiting block; 7. a limiting structure; 701. a pull rod; 702. a limiting groove; 703. a tension spring; 704. a clamping block; 705. a card slot; 8. marking a line; 9. and marking the oval hole.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in 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 derived by a person skilled in the art from the embodiments given herein without any inventive step, are within the scope of the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; 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 a specific case to those of ordinary skill in the art.
Example one
Referring to fig. 1-5, the puncture needle with laser positioning lamp for puncture of foramen ovale to treat trigeminal neuralgia provided by the invention comprises a needle tube 3 and a needle base 5, and is characterized in that: the top end of the needle tube 3 is detachably connected with the needle seat 5 through a connecting block 4, the bottom end of the connecting block 4 is provided with a dismounting structure 2, and the top end of the connecting block 4 is fixedly connected with the needle seat 5; a marking line 8 and an oval hole mark 9 for assisting an operator in puncturing are marked on the top end of the needle seat 5, and the periphery of the top of the needle seat 5 is uniformly provided with limiting blocks 6; laser positioning lamp main part 1 is all installed to the inside of stopper 6 to the both ends of stopper 6 all are provided with limit structure 7.
The laser positioning lamp bodies 1 are all located in the same horizontal plane, and the laser positioning lamp bodies 1 are totally four and are respectively distributed on the top end of the outer side of the needle base 5 at equal intervals.
The limiting structure 7 comprises a pull rod 701, a limiting groove 702, a telescopic spring 703, a clamping block 704 and a clamping groove 705, wherein the limiting groove 702 is arranged at two ends inside the limiting block 6, the clamping block 704 is arranged inside the limiting groove 702, the pull rod 701 is arranged at the outer side end of the clamping block 704, and the telescopic spring 703 is arranged in the limiting groove 702 at the outer side end of the clamping block 704. The laser positioning lamp body 1 is provided with a clamping groove 705, and the clamping groove 705 and the clamping block 704 form a clamping structure.
In the embodiment, the laser positioning lamp body 1 is arranged at the top end of the outer side of the needle seat 5, when in puncture, the laser positioning lamp body 1 emits light rays, one line faces towards the pupil, and the other line faces towards the upper edge of the auricle, so that the cervical vertebra puncture can be realized; and the design of four laser positioning lamps is for when the needle point section is rotated to needs, can satisfy the laser lamp location equally and realize the accurate guide puncture of two dimensions, when laser positioning lamp main part 1 need be changed, pulling pull rod 701, expanding spring 703 atress shrink for fixture block 704 and draw-in groove 705 loosen each other and take off, remove the fixed restriction to laser positioning lamp main part 1, alright take out laser positioning lamp main part 1 from stopper 6, change laser positioning lamp main part 1.
Example two
This embodiment still includes: the bottom of connecting block 4 is provided with dismouting structure 2, dismouting structure 2 is including preforming 201, bell mouth 202 and cutting ferrule 203, preforming 201 sets up in the bottom of connecting block 4, and cutting ferrule 203 is installed in the outside of preforming 201, and forms the bell mouth between cutting ferrule 203 and the preforming 201. The outer wall of the pressing plate 201 is provided with an external thread, the inner wall of the clamping sleeve 203 is provided with an internal thread, and the top end of the needle tube is embedded in the pressing plate 201 and is locked by the downward thread of the clamping sleeve 203.
In this embodiment, after the puncture is completed, by rotating the cutting ferrule 203, the cutting ferrule 203 moves upward along the direction of the pressing sheet 201, the fixing limit of the pressing sheet 201 to the needle tube 3 is removed, the needle tube 3 and the needle seat 5 can be separated, the needle seat 5 is taken down, and the needle seat 5 is sterilized and disinfected, so that the needle seat 5 can be reused, and resources are saved.
EXAMPLE III
This embodiment still includes: the mark line 8 and the oval hole mark 9 of supplementary operator's puncture, mark line 8 comprises two perpendicular lines and a horizontal line, and the mark line 8 of constitution is "H" font setting. And an arc-shaped curve in which an arc-shaped dotted line representing a temporomandibular joint and a sigmoid notch representing the mandible are drawn on one side of the lateral perpendicular line of the mark line, and the medial projecting end of the arc-shaped curve represents a coronal process of the mandible and the lateral projecting end represents an condylar process of the mandible.
In this embodiment, the "H-line" is composed of two perpendicular lines and one parallel line, the outer perpendicular line represents the inner side edge of the mandible, the inner perpendicular line represents the outer side edge of the maxilla, and the parallel line is the upper edge of the temporal petrography. The oval foramen mark is positioned on the upper edge of the horizontal line, the middle of the two vertical lines, when the inner side endpoint of the temporomandibular joint is positioned at the valley bottom of the valley, the oval foramen is positioned in the middle of the two vertical lines, and when the oval foramen is shielded by the outer vertical line, the X-ray tubal globe is rotated inwards; when the foramen ovale is shielded by the inner vertical line, the X-ray tube ball is rotated outwards; when the oval hole is narrow or linear, the X-ray tube ball is rotated to the foot side, the horizontal line moves to the foot side, and the oval hole is enlarged.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, and not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.
Claims (8)
1. The utility model provides a pjncture needle of taking laser positioning lamp for oval hole puncture treatment trigeminal neuralgia, includes needle tubing (3) and needle file (5), its characterized in that: the top end of the needle tube (3) is detachably connected with the needle seat (5) through a connecting block (4), the bottom end of the connecting block (4) is provided with a dismounting structure (2), and the top end of the connecting block (4) is fixedly connected with the needle seat (5);
a marking line (8) for assisting an operator to puncture and an oval hole mark (9) are carved on the top end of the needle seat (5), and limiting blocks (6) are uniformly arranged on the periphery of the top of the needle seat (5); the laser positioning lamp body (1) is installed inside the limiting block (6), and limiting structures (7) are arranged at two ends of the limiting block (6).
2. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 1, which is characterized in that: the laser positioning lamp main bodies (1) are all located in the same horizontal plane, and the laser positioning lamp main bodies (1) are totally four and are distributed on the top of the outer side of the needle base (5) at equal intervals.
3. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 1, which is characterized in that: the disassembly and assembly structure (2) comprises a pressing sheet (201), a tapered hole (202) and a clamping sleeve (203), the pressing sheet (201) is arranged at the bottom end of the connecting block (4), the clamping sleeve (203) is installed on the outer side of the pressing sheet (201), and the tapered hole is formed between the clamping sleeve (203) and the pressing sheet (201).
4. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 3, which is characterized in that: the outer wall of the pressing plate (201) is provided with an external thread, the inner wall of the clamping sleeve (203) is provided with an internal thread, and the top end of the needle tube is embedded in the pressing plate (201) and is locked by the clamping sleeve (203) through a downward thread.
5. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 1, which is characterized in that: limiting structure (7) are including pull rod (701), spacing groove (702), expanding spring (703), fixture block (704) and draw-in groove (705), spacing groove (702) set up in the inside both ends of stopper (6) fixture block (704) are all installed to the inside of spacing groove (702), install pull rod (701) on the outside end of fixture block (704) to install expanding spring (703) in spacing groove (702) of fixture block (704) outside end.
6. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 5, which is characterized in that: a clamping groove (705) is formed in the laser positioning lamp body (1), and the clamping groove (705) and the clamping block (704) form a clamping structure.
7. The puncture needle with the laser positioning lamp for the puncture of the oval hole to treat the trigeminal neuralgia according to the claim 1, which is characterized in that: the marking line (8) is composed of two vertical lines and a horizontal line, and the formed marking line (8) is arranged in an H shape.
8. The puncture needle with the laser positioning lamp for the puncture of the foramen ovale to treat the trigeminal neuralgia according to the claim 7, which is characterized in that: an arc-shaped dotted line representing a temporomandibular joint and an arc-shaped curve representing a sigmoid notch of the mandible are drawn on one side of the lateral perpendicular of the marking line (8).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202210368768.9A CN114569215A (en) | 2022-04-08 | 2022-04-08 | Puncture needle with laser positioning lamp for treating trigeminal neuralgia through puncture of oval hole |
Applications Claiming Priority (1)
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CN202210368768.9A CN114569215A (en) | 2022-04-08 | 2022-04-08 | Puncture needle with laser positioning lamp for treating trigeminal neuralgia through puncture of oval hole |
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CN216148162U (en) * | 2021-09-02 | 2022-04-01 | 首都医科大学附属北京佑安医院 | Puncture needle with laser positioning function |
CN217611305U (en) * | 2022-04-08 | 2022-10-21 | 首都医科大学宣武医院 | Puncture needle with positioning lamp for treating trigeminal neuralgia by puncture of foramen ovale |
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2022
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JP2005095521A (en) * | 2003-09-26 | 2005-04-14 | Terumo Corp | Puncture instrument, blood sugar level measuring instrument, and light irradiation device for puncture instrument |
TW201023812A (en) * | 2008-09-18 | 2010-07-01 | Implicitcare Llc | Surgical threading device and method for using same |
CN104758034A (en) * | 2015-01-23 | 2015-07-08 | 倪家骧 | Puncture needle provided with laser positioning lamp on needle body |
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