CN114795511B - CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture - Google Patents

CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture Download PDF

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Publication number
CN114795511B
CN114795511B CN202210416028.8A CN202210416028A CN114795511B CN 114795511 B CN114795511 B CN 114795511B CN 202210416028 A CN202210416028 A CN 202210416028A CN 114795511 B CN114795511 B CN 114795511B
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developing
application
strips
blocks
penetrating
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CN114795511A (en
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张严
李金东
滑佩言
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Jilin University
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Jilin University
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    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • A61B6/032Transmission computed tomography [CT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12Arrangements for detecting or locating foreign bodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983Reference marker arrangements for use with image guided surgery
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3991Markers, e.g. radio-opaque or breast lesions markers having specific anchoring means to fixate the marker to the tissue, e.g. hooks

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pulmonology (AREA)
  • Theoretical Computer Science (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

The invention relates to an application, in particular to a CT next sterile application for determining the locating point of a puncture body surface of a nodule in a lung. The device comprises an application device, wherein a positioning device is arranged on the outer side of the application device, the application device comprises a square-frame-shaped application body, a plurality of development strips are arranged in parallel at the middle position of one side of the application body, a plurality of development blocks are arranged between the development strips in parallel along the length of the development strips, a plurality of pinholes penetrating through the application body are formed between the development blocks and the development strips, and the positioning device comprises a plurality of slide ways. According to the invention, through the transverse and longitudinal distribution of the developing strips and the developing blocks, when a patient takes CT, the position of a focus on the plane of an application body can be marked through the position relationship of the developing strips and the developing blocks, meanwhile, a doctor can know the distance between the focus and the marking point through CT imaging, and accurate positioning of the focus can be realized.

Description

CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture
Technical Field
The invention relates to an application, in particular to a CT next sterile application for determining the locating point of a puncture body surface of a nodule in a lung.
Background
The incidence rate and mortality rate of lung cancer are always high at the beginning of malignant tumors in the world, and the main means for treating the diseases is to use CT imaging guided surgery, in actual clinical practice, focus positioning is a clinical difficulty and pain point, the nodules are required to be pre-positioned on the body surface through a puncture technology under CT guidance before surgery, the current common positioning method has a plurality of problems, errors can be generated due to slight movement of patients, the clinical experience of operators is extremely depended, and the operation is inconvenient to carry out.
Disclosure of Invention
The invention aims to provide a CT next sterile application for determining a body surface locating point of a nodule puncture in a lung so as to solve the problems in the prior art.
In order to achieve the above purpose, the invention provides a CT next sterile application for determining the positioning point of a nodule puncture body surface in a lung, which comprises an application device, wherein the outer side of the application device is provided with a positioning device, the application device comprises a square frame-shaped application body, a plurality of developing strips are arranged in parallel at the middle position of one side of the application body, a plurality of developing blocks are arranged between the developing strips in parallel along the length of the developing strips, a plurality of pinholes penetrating the application body are arranged between the developing blocks and the developing strips, the positioning device comprises a plurality of slide ways, and the slide ways are distributed around the application body and are fixedly connected with the application body.
As a further improvement of the technical scheme, the surface of the slideway is provided with a plurality of sliding devices, and the sliding devices comprise sliding blocks.
As a further improvement of the technical scheme, the sliding block is internally connected with two rotating gear sets in a rotating way, the two rotating gear sets consist of two gears meshed with each other, and one ends of the rotating gear sets are respectively fixedly connected with idler wheels through connecting rods penetrating through the sliding block.
As a further improvement of the technical scheme, one side of each rotating gear set is clamped and matched with a clamping block, one end of each clamping block is fixedly connected with a pressing rod penetrating through the sliding block, and the outer wall of each pressing rod is sleeved with a pressing rod spring.
As a further improvement of the technical scheme, one end of the sliding block is fixedly connected with a fixing device through a connecting rod, the fixing device comprises a fixing shell, and a pressing block is slidably connected inside the fixing shell.
As a further improvement of the technical scheme, one end of the sliding block is fixedly connected with a fixing device through a connecting rod, the fixing device comprises a fixing shell, and a pressing block is slidably connected inside the fixing shell.
Compared with the prior art, the invention has the beneficial effects that:
in the next CT sterile application for determining the locating point of the intra-pulmonary nodule puncture body surface, the focus can be marked at the position of the application body plane through the position relation of the developing strip and the developing block when a patient beats CT through the transverse and longitudinal distribution of the developing strip and the developing block, and meanwhile, a doctor is assisted in knowing the focus and the distance of the marking point through CT filming, so that accurate positioning of the focus can be realized.
Drawings
FIG. 1 is a schematic diagram of the overall structure of the present invention;
FIG. 2 is a schematic view of the structure of the inventive applicator device;
FIG. 3 is a schematic view of the structure of the positioning device of the invention;
FIG. 4 is a schematic cross-sectional view of a slider of the present invention;
FIG. 5 is a schematic cross-sectional view of the stationary housing of the invention;
fig. 6 is a schematic representation of a cross-section of an inventive applicator body.
The meaning of each reference sign in the figure is:
100. an application device;
110. an application body; 120. developing strips; 130. a developing block; 140. a pinhole;
200. a positioning device;
210. a slideway; 220. a sliding device; 221. a sliding block; 222. a rotating gear set; 223. a roller; 224. a clamping block; 225. a compression bar spring; 226. a compression bar; 230. a fixing device; 231. a fixed housing; 232. a pull rod; 233. a pull rod spring; 234. and (5) briquetting.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the apparatus or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
Example 1
Referring to fig. 1-6, the present embodiment provides a next-time sterile application for determining a positioning point of a nodule penetrating a body surface in a lung, which includes an application device 100, a positioning device 200 is disposed on an outer side of the application device 100, the application device 100 includes a square-frame-shaped application body 110, a plurality of developing strips 120 are disposed in parallel at a middle position of one side of the application body 110, a plurality of developing blocks 130 are disposed in parallel along a length of the developing strips 120 between the developing strips 120 to position a focus in a transverse direction, a plurality of pinholes 140 penetrating the application body 110 are disposed between the developing blocks 130 and the developing strips 120 to facilitate insertion of a positioning needle, the positioning device 200 includes a plurality of slide ways 210, the slide ways 210 are distributed around the application body 110 and are fixedly connected with the application body 110, so that a position of the focus is determined on the application body 110, and a position of the focus is thoroughly fixed by cooperation with a CT patch.
The sliding device 220 comprises a sliding block 221, the sliding block 221 slides on the sliding block 210, two rotating gear sets 222 are rotatably connected in the sliding block 221, each rotating gear set 222 consists of two gears meshed with each other, one end of each rotating gear set 222 is fixedly connected with a roller 223 through a connecting rod penetrating through the sliding block 221, and the rotating gear sets 222 are driven to rotate so that the sliding block 221 slides on the sliding block 210.
Further, one side joint of two rotation gear sets 222 is cooperated with fixture block 224, blocks rotation gear set 222, and the one end fixedly connected with of fixture block 224 runs through the depression bar 226 of sliding block 221, drives fixture block 224, and the outer wall of depression bar 226 has cup jointed depression bar spring 225, is convenient for fix the position of location line at the doctor.
In addition, one end of the sliding block 221 is fixedly connected with a fixing device 230 through a connecting rod, the fixing device 230 comprises a fixing housing 231, a pressing block 234 is slidably connected in the fixing housing 231, a positioning wire is fixed, one end of the pressing block 234 is fixedly connected with a pull rod 232 penetrating through the fixing housing 231, the pressing block 234 is driven, and the outer wall of the pull rod 232 is sleeved with a pull rod spring 233, so that the positioning wire is fixed, and a positioning needle is further fixed.
The developing strip 120 and the developing block 130 use medical polyurethane as raw materials, the cost is low, the plasticity and the productivity are very good, 3D printing can be directly carried out by the arranged developing strip 120 and developing block as printing raw materials, the die design is convenient, the CT direct developing polyurethane coordinate developing strip scientifically designed by improvement and mass production is convenient, the optimal puncture point reading can be directly and intuitively obtained on a CT image according to the characteristic design of the horizontal cross section of the CT image, the approximate imaging principle of CT is that a human body is sliced in the horizontal direction, each layer of CT image is sliced, the developing strip 120 is in a strip shape, a plurality of developing blocks 130 are orderly arranged in parallel, the transverse coordinates of puncture points are determined on the CT image through the numbers on the tangent plane of the developing strip 120, and then the longitudinal coordinates are determined according to the numbers on the tangent plane of the longitudinal developing block 130 in the upper and lower layers, so that the accurate position of the puncture points on the body surface can be intuitively obtained, and the focus is conveniently positioned.
When the CT next sterile application of the positioning point of the nodule puncture body surface in the lung is determined in specific use, the application body 110 is fixed on the body of a patient, CT shooting is carried out, a focus is found below a row of developing blocks 130 and between the last row of developing blocks 130 with the focus seen, the size of the focus can be determined, the specific size and the projection position on the application body 110 are determined through the developing strip 120, the specific position of the focus is finally determined through CT sheeting, accurate positioning of the focus is realized, meanwhile, the positioning needle is heavier due to design reasons, the tail part is possibly drooping away from the positioning position due to gravity after insertion, the sliding block 221 slides on the slide way 210, the position of the sliding block 221 is fixed through the clamping fit of the clamping block 224 and the rotating gear set 222, and the positioning wire is firmly fixed through the pressing block 234 in the fixing shell 231, so that the tail part of the positioning needle is fixed, and the accurate positioning of the focus of the patient is realized.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the above-described embodiments, and that the above-described embodiments and descriptions are only preferred embodiments of the present invention, and are not intended to limit the invention, and that various changes and modifications may be made therein without departing from the spirit and scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (1)

1. A CT next-time sterile application for determining the location points of a nodule penetrating a body surface in a lung, comprising an application device (100), characterized in that: the external side of the applying device (100) is provided with a positioning device (200), the applying device (100) comprises a square frame-shaped applying body (110), a plurality of developing strips (120) are arranged in parallel at one side middle position of the applying body (110), a plurality of developing blocks (130) are arranged between the developing strips (120) in parallel along the length of the developing strips (120), a plurality of pinholes (140) penetrating the applying body (110) are formed between the developing blocks (130) and the developing strips (120), the positioning device (200) comprises a plurality of slide ways (210), and the slide ways (210) are distributed around the applying body (110) and are fixedly connected with the applying body (110);
the surfaces of the sliding ways (210) are provided with sliding devices (220), and the sliding devices (220) comprise sliding blocks (221);
two rotating gear sets (222) are rotatably connected inside the sliding block (221), each rotating gear set (222) consists of two gears meshed with each other, and one end of each rotating gear set (222) is fixedly connected with a roller (223) through a connecting rod penetrating through the sliding block (221);
one side of each rotating gear set (222) is clamped and matched with a clamping block (224), one end of each clamping block (224) is fixedly connected with a pressing rod (226) penetrating through the corresponding sliding block (221), and the outer wall of each pressing rod (226) is sleeved with a pressing rod spring (225);
one end of the sliding block (221) is fixedly connected with a fixing device (230) through a connecting rod, the fixing device (230) comprises a fixing shell (231), and a pressing block (234) is slidably connected inside the fixing shell (231);
one end of the pressing block (234) is fixedly connected with a pull rod (232) penetrating through the fixed shell (231), and the outer wall of the pull rod (232) is sleeved with a pull rod spring (233).
CN202210416028.8A 2022-04-20 2022-04-20 CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture Active CN114795511B (en)

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CN202210416028.8A CN114795511B (en) 2022-04-20 2022-04-20 CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture

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CN202210416028.8A CN114795511B (en) 2022-04-20 2022-04-20 CT next-time sterile application for determining body surface positioning points of intra-pulmonary nodule puncture

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CN114795511B true CN114795511B (en) 2024-04-02

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1383784A (en) * 2001-05-09 2002-12-11 陈兆秋 Body surface labeling CT and MRT locating clothes
JP2014108110A (en) * 2012-11-30 2014-06-12 Hitachi Medical Corp Puncture guide implement and treatment support device
CN204708867U (en) * 2015-05-29 2015-10-21 周树花 A kind of image film coordinate setting frame
CN106618692A (en) * 2017-01-17 2017-05-10 蓝孝全 CT coplanar puncture template provided with identifier guiding devices and making method of CT coplanar puncture template
CN107913094A (en) * 2017-12-15 2018-04-17 泗洪县正心医疗技术有限公司 A kind of combined type localised puncture device and its localised puncture method
CN112220536A (en) * 2020-10-27 2021-01-15 青岛大学附属医院 CT puncture positioning instrument
CN213787387U (en) * 2020-11-23 2021-07-27 上海中医药大学附属曙光医院 Magnetic resonance body surface positioning device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1383784A (en) * 2001-05-09 2002-12-11 陈兆秋 Body surface labeling CT and MRT locating clothes
JP2014108110A (en) * 2012-11-30 2014-06-12 Hitachi Medical Corp Puncture guide implement and treatment support device
CN204708867U (en) * 2015-05-29 2015-10-21 周树花 A kind of image film coordinate setting frame
CN106618692A (en) * 2017-01-17 2017-05-10 蓝孝全 CT coplanar puncture template provided with identifier guiding devices and making method of CT coplanar puncture template
CN107913094A (en) * 2017-12-15 2018-04-17 泗洪县正心医疗技术有限公司 A kind of combined type localised puncture device and its localised puncture method
CN112220536A (en) * 2020-10-27 2021-01-15 青岛大学附属医院 CT puncture positioning instrument
CN213787387U (en) * 2020-11-23 2021-07-27 上海中医药大学附属曙光医院 Magnetic resonance body surface positioning device

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