CN116942210A - Clinical kidney biopsy puncture rifle and supporting device - Google Patents

Clinical kidney biopsy puncture rifle and supporting device Download PDF

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Publication number
CN116942210A
CN116942210A CN202310545880.XA CN202310545880A CN116942210A CN 116942210 A CN116942210 A CN 116942210A CN 202310545880 A CN202310545880 A CN 202310545880A CN 116942210 A CN116942210 A CN 116942210A
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CN
China
Prior art keywords
probe
kidney
couplant
ultrasonic instrument
gun
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Pending
Application number
CN202310545880.XA
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Chinese (zh)
Inventor
张伟东
朱博文
赵栓
陆雨菲
徐辰祺
宋娜娜
李阳
丁小强
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Zhongshan Hospital Fudan University
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Zhongshan Hospital Fudan University
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Priority to CN202310545880.XA priority Critical patent/CN116942210A/en
Publication of CN116942210A publication Critical patent/CN116942210A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The invention relates to a clinical kidney biopsy puncture gun and a matched device, belonging to the technical field of medical appliances. Comprises a kidney puncture gun, an ultrasonic instrument double-signal probe and a couplant supplementing device; a kidney puncture gun and a couplant supplementing device are arranged on one side of the ultrasonic instrument dual-signal probe far away from the skin of the patient; the kidney puncture gun is provided with a cutting trocar; the ultrasonic instrument double-signal probe is provided with a first channel for a cutting trocar to pass through, and the first channel is arranged between the two ultrasonic instrument probe transduction modules; the ultrasonic instrument double-signal probe is provided with a second channel for the couplant to pass through and a second opening close to one side of the skin of the patient. The invention can ensure that the puncture needle is always in the ultrasonic sector visual field range and the visual field of needle insertion is clear; the ultrasonic couplant at the probe can be supplemented without leaving the probe body surface, so that the kidney position of a patient can be more efficiently determined, and the aim of accurately inserting a needle for sampling is fulfilled; the invention has the advantages of convenient operation and clear positioning, and can reduce the operation difficulty of operators.

Description

Clinical kidney biopsy puncture rifle and supporting device
Technical Field
The invention relates to a clinical kidney biopsy puncture gun and a matched device, belonging to the technical field of medical appliances.
Background
Kidney puncture, i.e., kidney biopsy or kidney tissue biopsy, is the most reliable examination method for clinically confirming pathological changes and pathological types of kidney diseases, and has important significance for disease diagnosis, treatment scheme establishment, progress judgment and prognosis. The kidney puncture operation is a minimally invasive operation of penetrating kidney tissues by utilizing a puncture needle to penetrate into a kidney capsule. In order to ensure the safety and efficiency of puncture, an operator needs to determine the entry position of a puncture needle after carrying out local anesthesia on a patient under the guidance of ultrasound, then puncture a small amount of kidney tissue by triggering a puncture gun sampling switch, and then carry out subsequent pathological observation. However, in the prior art, the field of view of the ultrasonic instrument used clinically at present is limited, and the needle of the puncture gun is slender, so that the position of the puncture needle is difficult to track in real time, and therefore, an operator is required to continuously adjust the position and the depth of the needle of the puncture gun in the operation process, thereby increasing the risk of causing serious injury to a patient with renal puncture. In addition, because the position of the probe of the ultrasonic instrument is required to be continuously adjusted to clearly obtain the positions of the kidney and the kidney puncture gun needle of the patient, the ultrasonic instrument probe is required to be separated from the body surface for a plurality of times to supplement an ultrasonic couplant to ensure the definition degree of an ultrasonic image in the normal practical operation; the actual operation is complicated and inconvenient; therefore, in order to solve the above problems, a clinical renal biopsy puncture device is needed in the technical field, which can ensure that the needle of the renal puncture gun is always in the ideal field of view of the ultrasonic instrument, and the probe of the ultrasonic instrument can timely and rapidly supplement the ultrasonic couplant without separating from the body surface.
Disclosure of Invention
The invention aims to solve the technical problem of how to obtain clinical renal biopsy puncture equipment which can ensure that a renal puncture gun needle head is always in an ideal view field of an ultrasonic instrument, and an ultrasonic instrument probe can timely and rapidly supplement an ultrasonic couplant on the premise of not separating from a body surface.
In order to achieve the aim of solving the problems, the technical scheme adopted by the invention is to provide a clinical renal biopsy puncture gun and a matched device, wherein the clinical renal biopsy puncture gun comprises a renal puncture gun, an ultrasonic instrument double-signal probe and a couplant supplementing device; a kidney puncture gun and a couplant supplementing device are arranged on one side of the ultrasonic instrument dual-signal probe far away from the skin of the patient; the kidney puncture gun is provided with a cutting trocar; a first channel for the cutting trocar to pass through is arranged in the ultrasonic instrument double-signal probe, and the first channel is arranged between two ultrasonic instrument probe transduction modules arranged on the ultrasonic instrument double-signal probe; the ultrasonic instrument double-signal probe is internally provided with a second channel for the couplant to pass through, and the second channel is provided with a second opening at one side of the ultrasonic instrument double-signal probe, which is close to the skin of a patient.
Preferably, one side of the ultrasonic instrument double-signal probe, which is close to the skin of the patient, is provided with an opening I of a channel I; the first opening is arranged between the two ultrasonic instrument probe transduction modules.
Preferably, the first opening and the central points of the two ultrasonic probe transduction modules are on the same virtual straight line.
Preferably, the cutting trocar is provided with a hollow syringe, and a kidney puncture needle core is arranged in the hollow syringe in a penetrating way.
Preferably, a pushing slide block for pushing the cutting trocar to advance and retreat is arranged on the kidney puncture gun; the kidney puncture gun is provided with a trigger switch for ejecting the cutting trocar.
Preferably, the second channel is provided with at least 2 second openings on one side of the ultrasonic probe close to the skin of the patient, and the second openings are arranged on the periphery of the ultrasonic probe transduction module.
Preferably, the couplant replenishment device is provided in a hollow box shape; the couplant supplementing device is communicated with the second channel.
Preferably, the couplant replenishment device comprises a squeezable couplant storage cartridge.
Preferably, the double-signal probe of the ultrasonic instrument is provided with a matched sliding rail for installing a kidney puncture gun.
Preferably, the double-signal probe of the ultrasonic instrument is provided with a double-beam signal transduction module, and the double-beam signal transduction module adopts double-beam ultrasonic signals with different frequencies.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention provides a clinical kidney biopsy puncture gun and a matched device, which are combined with an ultrasonic instrument double-signal probe through the clinical kidney biopsy puncture gun and the matched device, so that a puncture needle of the puncture gun is always positioned at an ideal central position of an ultrasonic sector visual field range, and the visual field of a needle insertion is clear.
2. The ultrasonic couplant supplementing device comprises the ultrasonic couplant supplementing device, and an operator can supplement the ultrasonic couplant at the probe without leaving the probe body surface by extruding the couplant box, so that the kidney position of a patient can be more efficiently determined, and the aim of accurately inserting a needle and sampling is fulfilled; the invention has the advantages of convenient operation and clear positioning, and can reduce the operation difficulty of operators and the risk of serious wound of patients.
Drawings
FIG. 1 is a schematic view of the overall structure of a clinical renal biopsy puncture gun and associated device of the present invention;
FIG. 2 is a schematic view of another view of the clinical renal biopsy puncture gun and associated device of the present invention;
FIG. 3 is a schematic diagram of a dual signal probe structure of a clinical renal biopsy puncture gun and a matched device ultrasonic instrument according to the present invention;
fig. 4 is a functional block diagram of the dual signal ultrasonic instrument of the present invention.
Reference numerals: 1. a kidney puncture gun; 2. double signal probes of an ultrasonic instrument; 3. a couplant replenishing device; 11. triggering a switch; 12. a kidney puncture needle core; 13. cutting the trocar; 14. a slide block; 21. a cable; 22. an opening II; 23. an ultrasonic instrument probe transduction module; 24. matching with a sliding rail; 25. a couplant injection port; 26. an opening I; 31. a couplant box output port; 231. a first transduction module; 232. and a second transduction module.
Detailed Description
In order to make the invention more comprehensible, preferred embodiments accompanied with the accompanying drawings are described in detail as follows:
as shown in fig. 1-4, the invention provides a clinical renal biopsy puncture gun and a matched device, comprising a renal puncture gun 1, an ultrasonic instrument double-signal probe 2 and a couplant supplementing device 3; a kidney puncture gun 1 and a couplant supplementing device 3 are arranged on one side of the ultrasonic instrument double-signal probe 2 far away from the skin of a patient; the kidney puncture gun 1 is provided with a cutting trocar 13; the ultrasonic instrument double-signal probe 2 is provided with a first channel for the cutting trocar 13 to pass through, and the first channel is arranged between two ultrasonic instrument probe transduction modules 23 arranged on the ultrasonic instrument double-signal probe 2; the ultrasonic instrument double-signal probe 2 is provided with a second channel for the couplant to pass through, and the second channel is provided with a second opening 22 at one side of the ultrasonic instrument double-signal probe 2 close to the skin of the patient. An opening one 26 of the first channel is arranged on one side, close to the skin of a patient, of the ultrasonic instrument double-signal probe 2; the first opening 26 is arranged between two ultrasonic probe transduction modules (a first transduction module 231 and a second transduction module 232) arranged on the ultrasonic dual-signal probe. The first opening 26 is on the same virtual straight line with the center point of the two ultrasonic probe transduction modules. The cutting trocar 13 is provided with a hollow syringe in which the kidney-puncture needle core 12 is penetrated. The kidney puncture gun 1 is provided with a pushing slide block 14 for pushing the cutting trocar 13 to advance and retreat; the kidney puncture gun 1 is provided with a trigger switch 11 for ejecting a cutting trocar 13. The second channel is provided with at least 2 openings II 22 on one side of the ultrasonic probe double-signal probe 2 close to the skin of the patient, and the openings II 22 are arranged on the periphery of the ultrasonic probe transduction module 23. The couplant replenishing device 3 is provided in a hollow box shape; the couplant supplementing device 3 is communicated with the second channel. The ultrasonic instrument double-signal probe 2 is provided with a matched sliding rail 24 for installing the kidney puncture gun 1. The ultrasonic instrument double-signal probe 2 is provided with a double-beam signal transduction module, and the double-beam signal transduction module adopts double-beam ultrasonic signals with different frequencies.
Examples
In the current kidney puncture biopsy sampling process, one side of a patient is often required to be subjected to ultrasound to determine the kidney position, the other side is used for the operation of needle insertion, anesthetic injection and puncture needle insertion, and the puncture needle is required to be positioned in the same plane with an ultrasound visual field when the puncture needle is inserted, and the position of the kidney puncture needle is often not clearly determined due to the narrow ultrasound visual field range and limited definition; often requiring an experienced clinician to operate, otherwise it is difficult to obtain acceptable lancing results. On the other hand, there are devices such as a kidney puncture stent mounted on an ultrasonic probe, but the puncture needle is located on the side of the ultrasonic range, and since the field of view of the ultrasonic instrument is in a fan-shaped range, the exact position of the puncture needle cannot be clearly determined when the needle is inserted on the side of the ultrasonic probe. Therefore, according to puncture experience and clinical requirements, the puncture gun is arranged at the central position of the ultrasonic sector-shaped visual field range, and double-beam ultrasonic signals with different frequencies are synthesized through the double-beam signal transduction module, so that the image noise can be reduced to a greater extent, and the definition of the ultrasonic visual field is improved.
The invention provides a clinical renal biopsy puncture gun and matched equipment, which can enable a puncture gun needle to be in an ideal visual field range of an ultrasonic instrument in the renal biopsy process, and an ultrasonic instrument probe can timely and rapidly supplement an ultrasonic couplant on the premise of not separating from a body surface. Comprises a kidney puncture gun 1, an ultrasonic instrument double-signal probe 2 and a couplant supplementing device 3; after the kidney position of a patient is determined by the ultrasonic instrument double-signal probe 2, the kidney puncture gun 1 performs operation sampling by adopting a cutting trocar 13 to penetrate through a puncture needle channel between the two probes of the ultrasonic instrument, and the needle position of the kidney puncture gun 1 is in the center of a fan-shaped ultrasonic visual field in the whole biopsy operation process. The couplant supplementing device 3 comprises a squeezable couplant storage box and a couplant box output port 31 connected to the surface of the probe, and can timely and rapidly supplement the ultrasonic couplant on the surface of the probe by squeezing the storage box. According to the invention, the kidney puncture gun 1, the ultrasonic instrument double-signal probe 2 and the couplant supplementing device 3 are combined finely, and the aims of local accurate anesthesia, high-efficiency determination of the kidney position of a patient and accurate needle insertion sampling are realized through cooperation, so that the operation is convenient, the positioning is clear, and the operation difficulty of an operator and the risk of serious wound of the patient can be reduced.
As shown in FIG. 1, the invention is an overall schematic diagram of a clinical renal biopsy puncture gun and a matched device. Comprises a kidney puncture gun 1, an ultrasonic instrument double-signal probe 2 and a couplant supplementing device 3.
As shown in fig. 2 and 3, the present invention is a specific description of a clinical renal biopsy puncture gun and a kit. Comprises a kidney puncture gun trigger switch 11, a kidney puncture needle core 12, a cutting trocar 13 and a slide block 14; the periphery of the kidney puncture needle core 12 is sleeved with a cutting trocar 13 which can move up and down.
When the kidney position is determined, the pushing slide block 14 is pushed from the position A to the position B, at the moment, the cutting trocar 13 is retracted to the highest position, the cutting trocar 13 is staggered with the kidney puncture needle core 12 in the cutting trocar 13, the kidney puncture needle core 12 is exposed, the kidney puncture needle core 12 is penetrated into the target position, then the trigger switch 11 is pressed, the cutting trocar 13 is ejected, the cutting trocar 13 automatically advances, and a required kidney biopsy sample is cut; at this point, the cutting trocar 13 is wrapped around the kidney-puncture needle core 12, the kidney-puncture needle core 12 is positioned within the barrel of the cutting trocar 13, and the slider 14 is also returned from the B position to the a position. The kidney puncture gun 1 is then withdrawn from the ultrasonic dual signal probe 2, the slide block 14 is pushed again, the slide block 14 is pushed from the A position to the B position, the cutting trocar 13 is staggered from the kidney puncture trocar 12, the kidney puncture trocar 12 extends out of the cutting trocar 13, and a required kidney biopsy tissue sample between the cutting trocar 13 and the kidney puncture trocar 12 is exposed.
The kidney puncture gun slide 14 is pushed from the position A to the position B, so that the cutting trocar 13 can be retracted to the highest position, the cutting trocar 13 should have a sharp cutting surface, and the cutting trocar 13 can automatically advance when the trigger switch 11 is pressed. The device has certain ejection force, so that the sharp cutting trocar 13 can smoothly cut kidney tissues, and the integrity of tissue samples is ensured. The surface of the needle should have indicia spaced 1cm apart to determine the depth of penetration of the needle into the patient during operation of the gun.
The ultrasonic instrument double-signal probe 2 is provided with an ultrasonic instrument double-signal probe cable 21, a couplant outflow port (an opening II 22), an ultrasonic instrument probe transduction module 23, a kidney puncture gun matched sliding rail 24, a couplant injection port 25 and an opening I26 of a puncture needle channel; the couplant box of the couplant supplementing device 3 is matched and installed with the couplant injection port 25 on the ultrasonic instrument double-signal probe 2 through the couplant box output port 31, an operator extrudes the couplant box to enable ultrasonic couplant to flow out to cover the skin of a patient through the left couplant outlet and the right couplant outlet (the second opening 22), after the position of the kidney of the patient is determined by ultrasonic and local anesthesia is implemented, the kidney puncture gun 1 is matched and installed with the ultrasonic instrument probe through the matched sliding rail 24, and the puncture probe penetrates into the human body through the first opening 26 of the puncture needle channel, so that kidney biopsy sampling is carried out.
The ultrasonic instrument double-signal probe 2 is provided with a couplant injection port 25 and a couplant outflow port (an opening two 22) on the left and right, and the injection port 25 and the outflow port are communicated in the ultrasonic instrument probe so as to ensure that the couplant can smoothly flow out when the couplant box is extruded; the main body of the ultrasonic instrument double-signal probe 2 is provided with a sliding rail 24 matched with the kidney puncture gun and a passage passing through the puncture needle so as to ensure that the kidney puncture gun is matched with the ultrasonic instrument probe and the puncture needle is positioned in the center of the ultrasonic sector field of view; the two-beam signal transduction module of the ultrasonic instrument double-signal probe is in the same plane with the opening one 26 of the puncture needle channel and is positioned at two sides of the opening one 26.
As shown in fig. 4, which is a working principle of the dual-signal ultrasonic instrument of the present invention, the ultrasonic signal generator 1 and the ultrasonic signal generator 2 are respectively located at the first transducer module 231 and the second transducer module 232 of the probe of the ultrasonic instrument. Ultrasonic signals are excited by ultrasonic signal generators 1 (3.5 MHz) and ultrasonic signal generators 2 (5 MHz) at two sides of the puncture needle and enter a patient, the reflected ultrasonic signals are respectively received by a beam receiver 1 and a beam receiver 2 after passing through a gain amplifier and a low-pass filter and a high-pass filter, and then the two ultrasonic signals are synthesized and processed by a signal processing and displaying module to display ultrasonic images of the patient.
The invention is used as follows:
during operation, an operator installs the couplant box in a matched mode with the couplant injection port 25 on the double-signal probe 2 of the ultrasonic instrument through the couplant box output port 31, extrudes the couplant box, enables ultrasonic couplant to flow out to cover the skin of a patient through the left couplant outlet and the right couplant outlet (the second opening 22), ultrasonically determines the kidney position of the patient and carries out local anesthesia; the slide block 14 of the kidney puncture gun 1 is pushed from the position A to the position B, the cutting trocar 13 is retracted to the highest position, and the cutting trocar 13 is staggered from the kidney puncture needle core 12. The kidney puncture gun 1 is matched with an ultrasonic instrument probe through a matched sliding rail 24, the puncture needle is penetrated into a body through an opening one 26 of a puncture needle channel, the needle head is arranged at kidney tissue of a patient, the trigger switch 11 is pressed, the ejection cutting trocar 13 automatically advances, and a required kidney biopsy sample is cut. The kidney puncture gun 1 is then pulled away from the ultrasonic instrument double-signal probe 2, and the slide block 14 is pushed again, so that the cutting trocar 13 is staggered with the kidney puncture needle core 12, and a kidney biopsy tissue sample is taken out.
While the invention has been described with respect to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims. Equivalent embodiments of the present invention will be apparent to those skilled in the art having the benefit of the teachings disclosed herein, when considered in the light of the foregoing disclosure, and without departing from the spirit and scope of the invention; meanwhile, any equivalent changes, modifications and evolution of the above embodiments according to the essential technology of the present invention still fall within the scope of the technical solution of the present invention.

Claims (10)

1. A clinical kidney biopsy puncture gun and a matched device are characterized by comprising a kidney puncture gun, an ultrasonic instrument double-signal probe and a couplant supplementing device; a kidney puncture gun and a couplant supplementing device are arranged on one side of the ultrasonic instrument dual-signal probe far away from the skin of the patient; the kidney puncture gun is provided with a cutting trocar; a first channel for the cutting trocar to pass through is arranged in the ultrasonic instrument double-signal probe, and the first channel is arranged between two ultrasonic instrument probe transduction modules arranged on the ultrasonic instrument double-signal probe; the ultrasonic instrument double-signal probe is internally provided with a second channel for the couplant to pass through, and the second channel is provided with a second opening at one side of the ultrasonic instrument double-signal probe, which is close to the skin of a patient.
2. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein the ultrasound instrument dual signal probe has a first opening of a first channel on a side thereof adjacent to the skin of the patient; the first opening is arranged between the two ultrasonic instrument probe transduction modules.
3. The clinical renal biopsy puncture needle and associated device of claim 2, wherein the opening one is on the same virtual line as the center point of the two ultrasound probe transduction modules.
4. The clinical renal biopsy punch and associated device of claim 1, wherein the cutting trocar is provided with a hollow barrel having a renal punch needle core disposed therethrough.
5. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein a pushing slide block for pushing the cutting trocar to advance and retract is arranged on the renal puncture gun; the kidney puncture gun is provided with a trigger switch for ejecting the cutting trocar.
6. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein the second channel is provided with at least 2 second openings on a side of the ultrasound probe close to the skin of the patient, and the second openings are arranged on the periphery of the ultrasound probe transduction module.
7. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein the couplant replenishment device is provided in a hollow box shape; the couplant supplementing device is communicated with the second channel.
8. A clinical kidney biopsy puncture gun and kit according to claim 7, wherein said couplant replenishment device comprises a squeezable couplant storage cartridge.
9. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein the ultrasound instrument dual signal probe is provided with an associated slide rail for mounting the renal puncture gun.
10. The clinical renal biopsy puncture gun and associated device according to claim 1, wherein the ultrasound instrument dual signal probe is provided with a dual beam signal transduction module, and the dual beam signal transduction module adopts dual beam ultrasound signals with different frequencies.
CN202310545880.XA 2023-05-15 2023-05-15 Clinical kidney biopsy puncture rifle and supporting device Pending CN116942210A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310545880.XA CN116942210A (en) 2023-05-15 2023-05-15 Clinical kidney biopsy puncture rifle and supporting device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310545880.XA CN116942210A (en) 2023-05-15 2023-05-15 Clinical kidney biopsy puncture rifle and supporting device

Publications (1)

Publication Number Publication Date
CN116942210A true CN116942210A (en) 2023-10-27

Family

ID=88460836

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202310545880.XA Pending CN116942210A (en) 2023-05-15 2023-05-15 Clinical kidney biopsy puncture rifle and supporting device

Country Status (1)

Country Link
CN (1) CN116942210A (en)

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