CN205494032U - A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art - Google Patents
A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art Download PDFInfo
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- CN205494032U CN205494032U CN201620209472.2U CN201620209472U CN205494032U CN 205494032 U CN205494032 U CN 205494032U CN 201620209472 U CN201620209472 U CN 201620209472U CN 205494032 U CN205494032 U CN 205494032U
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Abstract
The utility model discloses a non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art, including mount, right angle connecting rod, right angle connecting rod fixed axle, high adjusting device, the flexible arm of level, flexible perpendicularly arm, vertical direction laser aligner and horizontal direction laser aligner. The flexible arm distal end of level is equipped with vertical direction laser aligner, and the flexible brachium axle in fan -shaped lasing area of vertical direction that sends and place is perpendicular, the directional below of light source, and the datum line that provides the direction marks, the flexible arm distal end of vertical direction is equipped with horizontal direction laser aligner, and the fan -shaped lasing area accessible rotary regulating mechanism who sends is rotatory along laser optical axis, and right angle shape regulating arm makes this lasing area and vertical direction lasing area remain perpendicular relation throughout. The utility model discloses a cantilever laser alignment direction technique of non - frame, for the pjncture needle lasts accurate direction, the non -contact design has increased the operation field of vision in the art, has avoided the steric hindrance of puncture in -process.
Description
Technical field
This utility model belongs to technical field of medical equipment, is specifically related to a kind of contactless positioning auxiliary device for intracranial hematoma microscopic wound dissection.
Background technology
Cerebral hemorrhage (intracerebral
Hemorrhage, ICH) refer to the hematostaxis in non-traumatic cerebral essence.The overwhelming majority is that the arteriolosclerotic angiorrhexis of hypertension causes.Hypertensive patient there are about the probability of 1/3 and cerebral hemorrhage, the patients with cerebral hemorrhage of about 95% can be occurred to have hypertension.Cerebral hemorrhage is that the acute cerebrovascular disease that middle-aged and elderly people is common, case fatality rate and disability rate are the highest.According to the statistics of European Stroke association, 1 year survival rate of patients with cerebral hemorrhage is only 46% ［ Steiner T, Al-Shahi Salman R, Beer R, Christensen H, Cordonnier
C, Csiba L, et aL. European
Stroke Organisation (ESO) guidelines for the
management of spontaneous intracerebral
Hemorrhage [J]. Int J Stroke, 2014,9:840-855 ］.Chinese society is just stepping into aging, and the sickness rate of cerebral hemorrhage also can rise therewith, and 2014 Annual occurence rates have been up to 100.9/ ten thousand people, brings white elephant to society and family.Hypertensive cerebral hemorrhage site distribution situation is: 70% occurs in the shell core of Basal ganglia and capsula interna district, and bleeding profusely can ventricular extension and subarachnoid space；Cerebral lobe, brain stem and cerebellar hemorrhage respectively account for 10%.The Therapeutic Method of cerebral hemorrhage mainly has internal medicine conservative treatment and surgery to open cranium hematoma clearance.In recent years Microlesion intracranial hematoma dissection because of its expense low, easy and simple to handle, the advantages such as operation wound is little [Li Ge, Shen Ming. bone window craniotomy operation evacuation of hematoma treats the Comparison of therapeutic [J] of hypertensive cerebral hemorrhage with microtrauma puncture evacuation of hematoma. nerve injury and reconstruction, 2014, 9:160, 171.], it is made to have also been obtained relatively broad application in clinic, and achieve good clinical effectiveness [Huang Yuanzhi, Hu Cuizhu, yellow published article. the application [J] in hypertensive cerebral hemorrhage of the microtrauma puncture evacuation of intracranial hematoma. Wicresoft's medical science, 2013, 8:366-367.].
Microlesion intracranial hematoma dissection is divided into hard passage and the main art formula of two kinds of soft passage.The former is represented as " WTF-1 type intracranial hematoma Wicresoft clearance technique ", it is directly to drill through head with a draw point carrying drill bit to arrive hematoma, suction and treatment drain hematoma [Zhang Qingzhong, Wen Chuanzhi, Jiang Ming, Jia Bin. the clinical practice [J] of WTF-1 type intracranial hematoma directional puncture apparatus. apoplexy and sacred disease magazine
2006, 3: 362]；And the latter is first sphenotresia, again by cranium hole flexible pipe puncture hematoma [Sun Guiliang, Bai Chunyan, Sun Zhongbo. soft passage microtrauma puncture evacuation of hematoma treatment acute cerebral hemorrhage Clinical efficacy [J]. contemporary medical science, 2014,20(20): 111-112.].
The clinical technology threshold of Microlesion intracranial hematoma dissection is low, is the medical and health appropriate technology being suitable for and having promoted in basic unit, but hematoma is positioned at intracranial, and naked eyes can not directly be observed, and conventional Head And Face physiology body surface marking cannot meet the requirement of precisely puncture.The softest passage or hard access penetrations art, hematoma location, inserting needle path are often by head CT, square auxiliary positioning, rely primarily on naked eyes and clinical experience completes, occur puncturing error and cause puncturing effect and reduce, even result in the complication such as normal cerebral tissue's major injury.The more method of Clinical practice is to simulate head median sagittal plane with flat board with head front, and naked eyes judge the vertical relation of puncture needle and this face, and puncture needle and CT examination collimation relation of plane, and method is coarse, and shortage is scientific.The intracranial hematoma microtrauma puncture clearance technique specification of 2014 editions describes the technical method using the auxiliary locator of external fixer pattern to increase positioning accurate accuracy, but complex operation step, equipment is complicated, technical threshold is high, and contact position finder exists the risk increasing intracranial infection rate, in actual clinical, utilization rate is the highest.
Utility model content
The technical problems to be solved in the utility model is to provide a kind of contactless positioning auxiliary device for intracranial hematoma microscopic wound dissection, enable a physician to quick, to be accurately positioned hematoma locus, improve the degree of accuracy of external location, reduce and perform the operation the most hemorrhage and reduce cerebral tissue operation Accessory injury.
For solving above-mentioned technical problem, the technical solution adopted in the utility model is: for the contactless positioning auxiliary device of intracranial hematoma microscopic wound dissection, the right angle connecting rod, the right angle connecting rod that including fixed mount, are made up of horizontal strut and vertical struts fix axle, arrangement for adjusting height, horizontal extension arm, vertical telescopic arm, vertical direction laser aligner and horizontal direction laser aligner；
Described fixed mount includes base and the montant being arranged on base；Described right angle connecting rod is fixed axle by right angle connecting rod and is installed on montant, and this right angle connecting rod can rotate in the plane at connecting rod place, right angle；Described right angle connecting rod is fixed and is provided with angle fixer on axle, is used for locking the right angle connecting rod anglec of rotation；It is provided with arrangement for adjusting height, for regulating the height of right angle connecting rod on described montant；
Described horizontal extension arm is arranged at one end of the horizontal strut of right angle connecting rod, Telescopic sliding；Vertical direction laser aligner is arranged at horizontal strut one end away from right angle connecting rod, and the fan laser face that this laser aligner sends is vertical with the major axis of horizontal strut, and light source is downwardly directed；
Described vertical telescopic arm is arranged at one end of the vertical struts of right angle connecting rod, Telescopic sliding；Horizontal direction laser aligner is arranged at vertical struts one end away from right angle connecting rod, and the fan laser face that this laser aligner sends is vertical with the fan laser face that vertical direction laser aligner sends；Also it is provided with in described vertical struts rotating regulation button, enables fan laser face that horizontal direction laser aligner sends to rotate along the optical axis of this laser instrument.
Further, equipped with roller on described base, roller is provided with wheel lock.
Further, described base bottom is provided with counterweight chassis.
The beneficial effects of the utility model: this utility model have employed the cantilever laser alignment guiding technique of non-framework, art the most precisely guides for puncture needle, meet " two-point locating method " in principle, be simultaneously suitable for the intracranial hematoma Wicresoft clearance technique of " hard passage " and " soft passage ".Contactless design adds surgical field of view, it is to avoid sterically hindered in piercing process.This guidance system is packaged type, simple structure, can expand and use to fields such as ventricular puncture drain, internal organs focus target spot aspiration biopsy or local injections, and clinical application is extensive.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Fig. 2 is A direction view.
Fig. 3 is the connection diagram rotating regulation button with vertical telescopic arm.
Fig. 4 is the sectional view rotating regulation button.
Fig. 5 is the connection diagram of horizontal extension arm and vertical telescopic arm and right angle connecting rod.
Fig. 6 is another connection diagram of horizontal extension arm and vertical telescopic arm and right angle connecting rod.
Fig. 7 is divider range finding labelling point of puncture and the schematic diagram puncturing corresponding point；In figure, A-punctures corresponding point；B-point of puncture；C-divider 1；D-divider 2.
Fig. 8 is preoperative CT figure in embodiment 1.
Fig. 9 is the CT figure that embodiment 1 uses that the guidance system of the present invention is checked after puncturing at once.
Figure 10 is the CT figure of embodiment 1 check postoperative next day.
Figure 11 is the CT figure of embodiment 1 check in postoperative 13 days.
Figure 12 is the CT figure of immediate postoperative check in embodiment 2.
Figure 13 is the CT figure of check in postoperative 6 days in embodiment 2.
Detailed description of the invention
Below in conjunction with the accompanying drawings the technical solution of the utility model is elaborated.
As shown in Figure 1-2, for the contactless positioning auxiliary device for intracranial hematoma microscopic wound dissection of the present utility model, the right angle connecting rod 3, the right angle connecting rod that including fixed mount 1, are made up of horizontal strut 3a and vertical struts 3b fix axle 4, arrangement for adjusting height 5, horizontal extension arm 6, vertical telescopic arm 7, vertical direction laser aligner 8 and horizontal direction laser aligner 9；
Fixed mount 1 includes base 1b and the montant 1a being arranged on base 1b；Right angle connecting rod 3 is fixed axle 4 by right angle connecting rod and is installed on montant 1a, and this right angle connecting rod 3 can rotate in the plane at right angle connecting rod 3 place；Right angle connecting rod is fixed and is provided with angle fixer on axle 4, is used for locking right angle connecting rod 3 anglec of rotation；Arrangement for adjusting height 5 it is provided with, for regulating the height of right angle connecting rod 3 on montant 1a；
Horizontal extension arm 6 is arranged at one end of the horizontal strut 3a of right angle connecting rod 3, Telescopic sliding；Vertical direction laser aligner 8 is arranged at horizontal strut 3a one end away from right angle connecting rod 3, and the fan laser face that this laser aligner sends is vertical with the major axis of horizontal strut 3a, and light source is downwardly directed；
Vertical telescopic arm 7 is arranged at one end of vertical struts 3b of right angle connecting rod 3, Telescopic sliding；Horizontal direction laser aligner 9 is arranged at vertical struts 3b one end away from right angle connecting rod 3, and the fan laser face that this laser aligner sends is vertical with the fan laser face that vertical direction laser aligner 8 sends；Also it is provided with in vertical struts 3b rotating regulation button 2, enables fan laser face that horizontal direction laser aligner 9 sends to rotate along the optical axis of this laser instrument.
In the present embodiment, equipped with roller 1c on base 1b, roller 1c is provided with wheel lock.
In the present embodiment, it is provided with counterweight chassis bottom described base 1b.
In the present embodiment, right angle connecting rod is fixed axle 4 and is connected in arrangement for adjusting height 5.
In the present embodiment, angle fixer is locking nut, and right angle connecting rod is fixed one end of axle 4 and threadeded with locking nut through rack rod, fixes right angle connecting rod 3 by screwing tight locking nut.
In present embodiment, rotate regulation button 2 as shown in Figure 3 to be fixedly installed on vertical telescopic arm 7, installing hole 15 it is provided with on vertical telescopic arm 7, this installing hole is provided with limited impression 16, described rotation regulation button 2 is installed in installing hole 15, rotating and be provided with position limiting convex ring 17 on regulation button 2, position limiting convex ring 17 is positioned at limited impression 16, and horizontal direction laser aligner 9 is fixed in rotation regulation button 2.It is additionally provided with locking on vertical telescopic arm 7 and rotates the locking nut 18 of regulation button.
The connected mode that horizontal extension arm 6 in present embodiment and vertical telescopic arm 7 are connected with right angle connecting rod has multiple, such as: one end that horizontal extension arm 6 and vertical telescopic arm 7 are connected with right angle connecting rod 3 is provided with receiving horizontal strut 3a and the cavity volume of vertical struts 3b, horizontal strut 3a and vertical struts 3b be laminating internal with cavity volume in being placed in cavity volume, and can move in cavity volume, it is provided with screw 10 on horizontal extension arm 6 and vertical telescopic arm 7, screw rod 11 one end passes screw 10, when horizontal extension arm 6 and vertical telescopic arm 7 move to correct position, rotary screw 11, the position making horizontal extension arm 6 and vertical telescopic arm 7 is fixed.The most such as: one end that horizontal extension arm 6 and vertical telescopic arm 7 are connected with right angle connecting rod 3 is provided with gathering sill 12, horizontal strut 3a and vertical struts 3b are installed in gathering sill 12, horizontal strut 3a and vertical struts 3b can be slided in gathering sill 12, the bottom of gathering sill is provided with bar hole 13, horizontal strut 3a and vertical struts 3b are provided with screw 10, one end of screw rod 11 is spirally connected with screw 10 after bar hole 13, the other end of screw rod 11 is provided with rotating handles 14, when horizontal extension arm 6 and vertical telescopic arm 7 move to correct position, control rotating handles 14, the position making horizontal extension arm 6 and vertical telescopic arm 7 is fixed.
The method using the positioning auxiliary device location of the present invention is as follows:
(1) size of patient's intracranial hematoma, spatial positional information are known by head CT inspection；
(2) find hematoma puncture target spot place aspect under CT machine, and lock this aspect, labelling puncture target spot；Find the point of distance puncture target spot beeline on scalp, for conventional point of puncture, measure this distance away from forehead median line；With point of puncture as initial point, draw the ray through hematoma puncture target spot, hand over non-hematoma side scalp in puncturing corresponding point, measure this distance away from forehead median line；
(3) open the built-in laser aligner of CT machine, mark the laser aligner projection line on head surface, and labelling anterior midline (in place between the eyebrows, nose, people, the straight line at place is the anterior midline of head) with oiliness marker pen；Divider is used to press the point of puncture of measurement and the distance of forehead median line and puncture the corresponding point distance with forehead median line along projection line stickup metal marker substance markers point of puncture and puncture corresponding point；
Because ruler cannot complete aforesaid operations at the body surface of sphere, measuring and use divider, foot left by divider, and the distance between bipod is step 2) in the distance of the point of puncture measured and forehead median line and puncture the distance of corresponding point and forehead median line, as shown in Figure 7；
(4) this aspect is scanned again, determine that above-mentioned two labelling point line, through hematoma puncture target spot, can adjust marker location if desired repeatedly, it is ensured that labelling point is accurate, and measures the hematoma puncture target spot distance away from scalp surface；
(5) returning in operating room, take off metal marker thing and mark a little with oil pen position of metal marker thing on scalp simultaneously, labeling method is to be done the vertical line line segment of CT collimation plane by metal marker thing, and this vertical line line segment degree is 2cm；
(6) place guidance system in side, the patient crown, place horizontal extension arm above patient on median sagittal plane；
(7) horizontal extension arm lengths and the angle of right angle connecting rod are adjusted, the body surface projection in fan laser face and the projection line of drafting that make vertical direction are completely superposed, vertical lasing area i.e. overlaps with hematoma puncture target spot place CT aspect, locking horizontal extension arm lengths and the right angle connecting rod anglec of rotation；
(8) adjust vertical telescopic arm lengths and the anglec of rotation of horizontal direction laser aligner, make the body surface projection in horizontal direction fan laser face simultaneously by above-mentioned labelling point；
(9) utilize the projection on puncture needle surface of the collimation laser of both direction persistently to indicate puncture direction, the ultrasonic puncture of intracranial hematoma target spot can be realized.
Embodiment 1
Patient Chen, female, 64 years old, because " weak three days of burst left limb " is admitted to hospital.Previously there is hypertension history.Having a medical check-up: drowsiness, left side nasolabial fold is shallow, and loll left avertence, left limb muscular strength 0 grade, and superficial sensibility is gone down, and left side babinski sign is positive.Outer court's head CT shows: right side intracerebral hemorrhage in basal nuclei.Diagnosis: hypertensive cerebral hemorrhage.Plan to implement intracranial hematoma microtrauma puncture after being admitted to hospital and remove art.
It is big that preoperative head CT orients blood volume, and centerline construction slightly shifts, as shown in Figure 8.
After using intracranial hematoma microscopic wound dissection external laser alignment guidance system to puncture, check at once shows that hematoma center i.e. puncture target spot is arrived in accurate positioning, puncture needle, as shown in Figure 9.
Postoperative next day checks hematoma and significantly reduces, as shown in Figure 10.
Postoperative 48 hours patients realize situation and improve, and within 72 hours, pull out puncture needle.
Within postoperative 13 days, check hematoma dissipates, as shown in figure 11 substantially.
Leave hospital smoothly, turn the further rehabilitation of specialty on rehabilitation hospital.
Embodiment 2
Patient Zhang, female, 77 years old, because " weak a day of limbs on the right side of burst " is admitted to hospital.Previously there is hypertension history.Head CT shows: left side volume temporal lobe cerebral hemorrhage.Diagnosis: spontaneous cerebral hemorrhage.After being admitted to hospital, row intracranial hematoma microtrauma puncture removes art.
Plain CT framing, unused intracranial hematoma microscopic wound dissection external laser alignment guidance system.
The postoperative CT that can check schemes as shown in figure 12, and within postoperative 6 days, check CT schemes as shown in figure 13, and prompting point of puncture skew, site of puncture does not reaches target spot, hematoma inadequate drainage, and therapeutic effect is not good enough.
Of the present utility model ultimate principle and principal character and of the present utility model advantage have more than been shown and described.Skilled person will appreciate that of the industry; this utility model is not restricted to the described embodiments; described in above-described embodiment and description, principle of the present utility model is simply described; on the premise of without departing from this utility model spirit and scope; this utility model also has various changes and modifications, in the range of these changes and improvements both fall within claimed this utility model.This utility model claims scope and is defined by appending claims and equivalent thereof.
Claims (3)
1. for the contactless positioning auxiliary device of intracranial hematoma microscopic wound dissection, it is characterised in that: the right angle connecting rod, the right angle connecting rod that include fixed mount, are made up of horizontal strut and vertical struts fix axle, arrangement for adjusting height, horizontal extension arm, vertical telescopic arm, vertical direction laser aligner and horizontal direction laser aligner；
Described fixed mount includes base and the montant being arranged on base；Described right angle connecting rod is fixed axle by right angle connecting rod and is installed on montant, and this right angle connecting rod can rotate in the plane at connecting rod place, right angle；Described right angle connecting rod is fixed and is provided with angle fixer on axle, is used for locking the right angle connecting rod anglec of rotation；It is provided with arrangement for adjusting height, for regulating the height of right angle connecting rod on described montant；
Described horizontal extension arm is arranged at one end of the horizontal strut of right angle connecting rod, Telescopic sliding；Vertical direction laser aligner is arranged at horizontal strut one end away from right angle connecting rod, and the fan laser face that this laser aligner sends is vertical with the major axis of horizontal strut, and light source is downwardly directed；
Described vertical telescopic arm is arranged at one end of the vertical struts of right angle connecting rod, Telescopic sliding；Horizontal direction laser aligner is arranged at vertical struts one end away from right angle connecting rod, and the fan laser face that this laser aligner sends is vertical with the fan laser face that vertical direction laser aligner sends；Also it is provided with in described vertical struts rotating regulation button, enables fan laser face that horizontal direction laser aligner sends to rotate along the optical axis of this laser instrument.
Contactless positioning auxiliary device for intracranial hematoma microscopic wound dissection the most according to claim 1, it is characterised in that: equipped with roller on described base, roller is provided with wheel lock.
Contactless positioning auxiliary device for intracranial hematoma microscopic wound dissection the most according to claim 1 and 2, it is characterised in that: described base bottom is provided with counterweight chassis.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620209472.2U CN205494032U (en) | 2016-03-18 | 2016-03-18 | A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620209472.2U CN205494032U (en) | 2016-03-18 | 2016-03-18 | A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art |
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| CN201620209472.2U Withdrawn - After Issue CN205494032U (en) | 2016-03-18 | 2016-03-18 | A non -contact auxiliary positioning device for intracranial hematoma wicresoft clears away art |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105832427A (en) * | 2016-03-18 | 2016-08-10 | 南京鼓楼医院 | In-vitro laser alignment guidance system for minimally invasive intracranial hematoma cleaning operation and positioning method |
| CN107174320A (en) * | 2017-06-29 | 2017-09-19 | 杨宗德 | A kind of puncture needle direction guider |
| CN110300560A (en) * | 2017-02-28 | 2019-10-01 | 阿曼·吉尔巴赫股份公司 | Scan article carrier |
-
2016
- 2016-03-18 CN CN201620209472.2U patent/CN205494032U/en not_active Withdrawn - After Issue
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105832427A (en) * | 2016-03-18 | 2016-08-10 | 南京鼓楼医院 | In-vitro laser alignment guidance system for minimally invasive intracranial hematoma cleaning operation and positioning method |
| CN105832427B (en) * | 2016-03-18 | 2019-01-18 | 南京鼓楼医院 | The external laser alignment guidance system of intracranial hematoma microscopic wound dissection and localization method |
| CN110300560A (en) * | 2017-02-28 | 2019-10-01 | 阿曼·吉尔巴赫股份公司 | Scan article carrier |
| US11071609B2 (en) | 2017-02-28 | 2021-07-27 | Amann Girrbach Ag | Scanning object carrier |
| CN110300560B (en) * | 2017-02-28 | 2021-08-06 | 阿曼·吉尔巴赫股份公司 | Scanning object carrier |
| CN107174320A (en) * | 2017-06-29 | 2017-09-19 | 杨宗德 | A kind of puncture needle direction guider |
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