CN206063208U - A kind of Thoracolumbar disk percutaneous puncture device - Google Patents
A kind of Thoracolumbar disk percutaneous puncture device Download PDFInfo
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- CN206063208U CN206063208U CN201620750313.3U CN201620750313U CN206063208U CN 206063208 U CN206063208 U CN 206063208U CN 201620750313 U CN201620750313 U CN 201620750313U CN 206063208 U CN206063208 U CN 206063208U
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- puncture needle
- skeleton
- soft tissue
- inner core
- puncture
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Abstract
This utility model embodiment discloses a kind of Thoracolumbar disk percutaneous puncture device, including soft tissue puncture needle, skeleton puncture needle outer sleeve and skeleton puncture needle inner core.Soft tissue is punctured and is needled in pedicle of vertebral arch sclerotin by patient, then with soft tissue puncture needle as guide pin, skeleton puncture needle outer sleeve is penetrated in vertebral arch crusta osteoides radicis.Soft tissue puncture needle is extracted, skeleton puncture needle inner core is penetrated in vertebral arch crusta osteoides radicis along skeleton puncture needle outer sleeve.Direction of the skeleton puncture needle inner core with soft tissue puncture needle in pedicle of vertebral arch is to puncture direction, it can be ensured that the accurate positioning of Thoracolumbar disk percutaneous puncture device, improves operation difficulty action accomplishment.Soft tissue puncture needle is conducive to being accurately positioned for Thoracolumbar disk percutaneous puncture device without handle, it also avoid the multiple Needle localization process after one-time positioning is forbidden, reduces open-assembly time of the patient under transmitted ray.
Description
Technical field
This utility model is related to technical field of medical instruments, more particularly to a kind of Thoracolumbar disk percutaneous puncture device.
Background technology
Lumbar vertebra compression fracture to be referred to and cause the successional destruction of Thoracolumbar disk sclerotin due to external force, is that a kind of common spinal column is damaged
Wound.Clinically more using the lumbar vertebra compression fractures of minimal invasive operation patient.The side of existing minimal invasive operation lumbar vertebra compression fracture
Method mainly includes that Thoracolumbar disk percutaneous radix arcus vertebraetube follows closely art and balloon angioplasty vertebroplasty, and above two operation method is all needed
The using method used by Thoracolumbar disk percutaneous puncture device is placed in the vertebral arch of patient to vertebral pedicle puncture or by pedicle screw nail
In root.
The using method of the Thoracolumbar disk percutaneous puncture device under Minimally Invasive Surgery, operation opening are little compared to open surgery, because
And lack exposed pedicle of vertebral arch bone mark in open surgery.Therefore, in Minimally Invasive Surgery, patient need to be under X-ray examination using saturating
Depending on image analysis techniques, it is accurately positioned and hinders the interval position of vertebra pedicle of vertebral arch, and by above-mentioned position mark on skin.Subsequently, art
Thoracolumbar disk percutaneous puncture device on this position is pierced through soft tissue (skin, subcutaneous tissue, deep fascia) and reaches pedicle of vertebral arch by person
Bony surface.After puncturing through, patient need to be had an X-rayed again to pedicle of vertebral arch, to determine Thoracolumbar disk percutaneous puncture device in pedicle of vertebral arch
Whether the position on surface reaches precalculated position.If Thoracolumbar disk percutaneous puncture device is not up to precalculated position, patient then needs basis
Pivoting results, carry out position adjustment to percutaneous puncture device.After Thoracolumbar disk percutaneous puncture device reaches precalculated position, patient will
Thoracolumbar disk percutaneous puncture device is punctured in vertebral arch crusta osteoides radicis, or pedicle screw nail is inserted in pedicle of vertebral arch again, completes handss
Art.
For convenience of the operation of patient, the tail end of existing Thoracolumbar disk percutaneous puncture device is provided with one handle, in order to patient
In operation, hand steered handle is operated to Thoracolumbar disk percutaneous puncture device.The presence of handle can also aid in patient by pedicle of vertebral arch screw
Nail is fixed in Thoracolumbar disk percutaneous puncture device.However, before Thoracolumbar disk percutaneous puncture device is entered in vertebral arch crusta osteoides radicis, if
Patient's release handle, the position that Thoracolumbar disk percutaneous puncture device can be under the influence of handle own wt, at pedicle surface
Shift, so as to affect Thoracolumbar disk percutaneous puncture device Position location accuracy, cause the patient will be to Thoracolumbar disk percutaneous puncture device
Had an X-rayed repeatedly, punctured and positioned.If the hand steered handle of patient carries out Fluoroscopy location, can increase under patient's radioactive ray again
Open-assembly time, and affect patient it is healthy.
Utility model content
This utility model provides a kind of Thoracolumbar disk percutaneous puncture device, to solve Thoracolumbar disk percutaneous puncture in prior art
Device positioning is inaccurate, needs to have an X-rayed repeatedly patient, puncture and position, and affects the problem of surgical quality.
In order to solve above-mentioned technical problem, the utility model discloses following technical scheme：
A kind of Thoracolumbar disk percutaneous puncture device, including soft tissue puncture needle, skeleton puncture needle outer sleeve and skeleton puncture needle
Inner core, wherein, soft tissue puncture needle is acicular texture, and one end of soft tissue puncture needle is tip；Skeleton puncture needle inner core is pin
Shape structure, one end of skeleton puncture needle inner core is tip；Skeleton puncture needle outer sleeve includes handle and sleeve pipe, and sleeve pipe is tied for tubulose
Structure, handle are fixed on one end of sleeve pipe, and handle is connected with sleeve pipe, and soft tissue puncture needle runs through handle with skeleton puncture needle inner core
With sleeve pipe, soft tissue puncture needle and skeleton puncture needle inner core are sheathed in skeleton puncture needle outer sleeve；Soft tissue puncture needle and
The diameter of skeleton puncture needle inner core is respectively less than the internal diameter of sleeve pipe；Length of the length of skeleton puncture needle inner core more than sleeve pipe.
Preferably, length of the length of soft tissue puncture needle more than sleeve pipe.
Preferably, graduation mark is provided with soft tissue puncture needle, sleeve pipe and skeleton puncture needle inner core.
Preferably, diameter of the soft tissue puncture needle diameter less than or equal to skeleton puncture needle inner core.
Preferably, skeleton puncture needle outer sleeve includes external screw thread, and external screw thread is arranged at one end of sleeve pipe；In skeleton puncture needle
Core includes nut, and nut is arranged at the other end of skeleton puncture needle inner core, and nut is matched with external screw thread；External screw thread and nut are used
In fix bone puncture needle outer sleeve and skeleton puncture needle inner core.
A kind of Thoracolumbar disk percutaneous puncture device provided from above technical scheme, this utility model, including soft tissue
Puncture needle, skeleton puncture needle outer sleeve and skeleton puncture needle inner core.Soft tissue is punctured and is needled in pedicle of vertebral arch sclerotin by patient, then
With soft tissue puncture needle as guide pin, skeleton puncture needle outer sleeve is penetrated in vertebral arch crusta osteoides radicis.Soft tissue puncture needle is extracted, by bone
Bone puncture needle inner core is penetrated in vertebral arch crusta osteoides radicis along skeleton puncture needle outer sleeve.Skeleton puncture needle inner core is existed with soft tissue puncture needle
Direction in pedicle of vertebral arch is puncture direction, it can be ensured that skeleton puncture needle inner core enters vertebral arch with predetermined vertebral pedicle puncture position
In root, it is ensured that operation difficulty action accomplishment.As soft tissue puncture needle diameter is less, soft tissue puncture needle can be worn by patient exactly
The skin of thorn patient's specified location, and the needle point of soft tissue puncture needle is pierced in vertebral arch crusta osteoides radicis with less power, with stable
Position and direction of the soft tissue puncture needle in pedicle of vertebral arch.The leading piercing of soft tissue puncture needle, is conducive to Thoracolumbar disk percutaneous to wear
Being accurately positioned for thorn device, it also avoid the multiple Needle localization process after one-time positioning is forbidden.Soft tissue puncture needle without handle,
When patient unclamps soft tissue puncture needle, which will not occur position skew under gravity, but stable patient of being fixed on pricks
Puncture position during pin.Patient can unclamp soft tissue puncture needle, and away from pedicle area after, then determine soft group by having an X-rayed
The particular location of puncture needle is knitted, so as to reduce open-assembly time of the patient under transmitted ray.
Description of the drawings
In order to be illustrated more clearly that this utility model embodiment or technical scheme of the prior art, below will be to embodiment
Or accompanying drawing to be used is briefly described needed for description of the prior art, it should be apparent that, for ordinary skill people
For member, on the premise of not paying creative work, can be with according to these other accompanying drawings of accompanying drawings acquisition.
A kind of structural representation of Thoracolumbar disk percutaneous puncture device that Fig. 1 is provided for this utility model embodiment；
The soft tissue puncture needle structure schematic diagram that Fig. 2 is provided for this utility model embodiment；
The skeleton puncture needle outer sleeve structure schematic diagram that Fig. 3 is provided for this utility model embodiment；
The skeleton puncture needle core arrangement schematic diagram that Fig. 4 is provided for this utility model embodiment；
A kind of flow process of the using method of Thoracolumbar disk percutaneous puncture device that Fig. 5 is provided for this utility model embodiment is illustrated
Figure；
Fig. 6 is socketed use state with skeleton puncture needle outer sleeve for the soft tissue puncture needle that this utility model embodiment is provided
Schematic diagram；
Fig. 7 uses shape with the socket of skeleton puncture needle inner core for the skeleton puncture needle outer sleeve that this utility model embodiment is provided
State schematic diagram；
Fig. 8 is Thoracolumbar disk percutaneous puncture operation completion statuses schematic diagram in this utility model embodiment；
Illustrate：
1- soft tissue puncture needles, 2- skeleton puncture needle outer sleeves, 3- skeleton puncture needle inner cores, 4- pedicles of vertebral arch are interval, 21- handss
Handle, 22- sleeve pipes, 23- external screw threads, 31- nuts.
Specific embodiment
In order that those skilled in the art more fully understand the technical scheme in this utility model, below in conjunction with this reality
With the accompanying drawing in new embodiment, the technical scheme in this utility model embodiment is clearly and completely described, it is clear that
Described embodiment is only a part of embodiment of this utility model, rather than the embodiment of whole.Based on this utility model
In embodiment, the every other enforcement obtained under the premise of creative work is not made by those of ordinary skill in the art
Example, should all belong to the scope of this utility model protection.
A kind of structural representation of Thoracolumbar disk percutaneous puncture device that Fig. 1 is provided for this utility model embodiment, Fig. 2 are this
The soft tissue puncture needle structure schematic diagram that utility model embodiment is provided, Fig. 3 are worn for the skeleton that this utility model embodiment is provided
Pricker outer sleeve structure schematic diagram, the skeleton puncture needle core arrangement schematic diagram that Fig. 4 is provided for this utility model embodiment.This reality
It is used for completing the using method of Thoracolumbar disk percutaneous puncture device with the Thoracolumbar disk percutaneous puncture device of new offer.By Fig. 1,2,
3 and Fig. 4 is visible, and Thoracolumbar disk percutaneous puncture device includes soft tissue puncture needle 1, skeleton puncture needle outer sleeve 2 and skeleton puncture needle
Inner core 3, soft tissue puncture needle 1 are used to determine vertebral pedicle puncture position that skeleton puncture needle outer sleeve 2 to be worn for being set in soft tissue
Outside pricker 1, skeleton puncture needle inner core 3 is used to be sheathed in skeleton puncture needle outer sleeve 2.
Soft tissue puncture needle 1 is acicular texture, and one end of soft tissue puncture needle 1 is tip；Skeleton puncture needle inner core 3 is pin
Shape structure, one end of skeleton puncture needle inner core 3 is tip；Skeleton puncture needle outer sleeve 2 includes handle 21 and sleeve pipe 22, sleeve pipe 22
For tubular structure, handle 21 is fixed on one end of sleeve pipe 22, and handle 21 is connected with sleeve pipe 22, is contained in the handle 21 in the present embodiment
Cavity in having one, the one end of the opening of handle 21 towards sleeve pipe 22, one end of sleeve pipe 22 are located at the hollow intracavity of handle 21.It is soft
Tissue penetration pin 1 is set in skeleton puncture needle outer sleeve 2, after soft tissue puncture needle 1 is extracted through handle 21 and sleeve pipe 22, bone
Bone puncture needle inner core 3 is set in skeleton puncture needle outer sleeve 2 through handle 21 and sleeve pipe 22.
The diameter of soft tissue puncture needle 1 and skeleton puncture needle inner core 3 is respectively less than the internal diameter of sleeve pipe 22, so that soft tissue is punctured
Pin 1 and skeleton puncture needle inner core 3 can be placed in sleeve pipe 22.Length of the length of skeleton puncture needle inner core 3 more than sleeve pipe 22, with
Skeleton puncture needle inner core 3 is made to enter in vertebral arch crusta osteoides radicis by skeleton puncture needle outer sleeve.
In the present embodiment, soft tissue puncture needle 1, skeleton puncture needle outer sleeve 2 are with skeleton puncture needle inner core 3 by stainless steel
Into stainless steel material quality is hard, is easy to pierce through vertebral arch crusta osteoides radicis.Soft tissue puncture needle 1, skeleton puncture needle outer sleeve 2 and bone
Bone puncture needle inner core 3 can also be made from titanium alloy material, and titanium alloy has higher moment of torsion and torsional rigidity, can be more preferable
Ground adapts to the intensity of vertebral arch crusta osteoides radicis.
The length of soft tissue puncture needle 1 is could be arranged under the length less than or equal to sleeve pipe 22, but this setting, soft tissue
The process that puncture needle 1 is extracted from skeleton puncture needle outer sleeve 2 is accomplished by outer by the traction of line or the magnetic force etc. of magnet
Power, soft tissue puncture needle 1 is extracted, and causes implementation barrier of performing the operation.Therefore, in the present embodiment, the length of soft tissue puncture needle 1 sets
The length more than sleeve pipe 22 is set to, soft tissue puncture needle 1 is extracted from skeleton puncture needle outer sleeve 2 in order to patient.
1 length range of soft tissue puncture needle be 12-14cm, 2 length of skeleton puncture needle outer sleeve be 9-10cm, skeleton puncture
3 length of pin inner core is 10-13cm.When Thoracolumbar disk percutaneous puncture device is applied to vertebroplasty, 1 diameter of soft tissue puncture needle
For 1mm, 2 a diameter of 1.1mm of skeleton puncture needle outer sleeve, 3 a diameter of 1mm of skeleton puncture needle inner core；When Thoracolumbar disk percutaneous puncture
When device is applied to the Needle localization of percutaneous radix arcus vertebraetube nail, 1 a diameter of 2mm of soft tissue puncture needle, skeleton puncture needle outer sleeve 2
A diameter of 2.1mm, 3 a diameter of 2mm of skeleton puncture needle inner core.
Quarter is provided with soft tissue puncture needle 1, the sleeve pipe 22 of skeleton puncture needle outer sleeve 2 and skeleton puncture needle inner core 3
Degree line.The setting of graduation mark, can make patient that the first firm depth is confirmed when soft tissue puncture needle 1 is pierced into pedicle of vertebral arch；Thorn
The second firm depth is confirmed when entering skeleton puncture needle outer sleeve 2；Paracentesis depth is confirmed when being pierced into skeleton puncture needle inner core 3.Scale
The using method of line is：Patient records the scale on graduation mark when soft tissue puncture needle 1 touches pedicle of vertebral arch bony surface,
When rapping soft tissue puncture needle 1, the scale of the first firm depth is knocked in；Pedicle of vertebral arch bone is touched in skeleton puncture needle outer sleeve 2
During matter surface, the scale on graduation mark is recorded, when rapping skeleton puncture needle outer sleeve 2, knock in the scale of the second firm depth；
When skeleton puncture needle inner core 3 touches vertebral arch crusta osteoides radicis, the scale on graduation mark is recorded, skeleton puncture needle inner core 3 is rapped, is knocked in
The scale of the difference of paracentesis depth and the second firm depth.
Diameter of 1 diameter of soft tissue puncture needle less than or equal to skeleton puncture needle inner core 3.The diameter of soft tissue puncture needle 1
It is less, be conducive to patient that soft tissue puncture needle 1 is punctured the skin of specified location exactly, and soft tissue worn with less power
The needle point of pricker 1 is pierced in vertebral arch crusta osteoides radicis, the position and direction with stabilizing soft tissue puncture needle 1 in pedicle of vertebral arch.If soft group
Diameter of the puncture needle 1 with diameter greater than skeleton puncture needle inner core 3 is knitted, between skeleton puncture needle inner core 3 and skeleton puncture needle outer sleeve 2
Can have one compared with big gap, when skeleton puncture needle inner core 3 enters pedicle of vertebral arch by puncture needle outer sleeve 2, skeleton puncture needle inner core 3
Direction into pedicle of vertebral arch occurs certain deviation, causes surgical quality to decline.1 diameter of soft tissue puncture needle is less than or equal to
During the diameter of skeleton puncture needle inner core 3, the internal diameter of skeleton puncture needle outer sleeve 2 is slightly larger than the internal diameter of skeleton puncture needle inner core 3, bone
Bone puncture needle inner core 3 is entered in pedicle of vertebral arch with predetermined vertebral pedicle puncture direction along skeleton puncture needle outer sleeve 2, and puncture is completed
Afterwards, the combination of skeleton puncture needle inner core 3 and skeleton puncture needle outer sleeve 2 is also tight, firm.
Skeleton puncture needle outer sleeve 2 includes external screw thread 23, and external screw thread 23 is arranged at one end of sleeve pipe 22, and external screw thread 23 is located at
Hollow intracavity.Skeleton puncture needle inner core 3 includes nut 31, and nut 31 is arranged at the other end of skeleton puncture needle inner core 3, nut 31
Match with external screw thread 23.As shown in figure 4, nut 31 is hollow cylinder structure, top and the skeleton puncture needle inner core 3 of cylinder
Top is connected, and the bottom of cylinder is not sealed, and the inside of cylinder is the female thread matched with external screw thread 23.External screw thread 23 and nut
31 are used for fix bone puncture needle outer sleeve 2 and skeleton puncture needle inner core 3.The length and paracentesis depth of external screw thread 23 and nut 31
Correlation, specially：The length of external screw thread 23 or nut 31 is that skeleton puncture needle inner core 3 is final in pedicle of vertebral arch with paracentesis depth sum
Interior depth.In the present embodiment, the equal length of external screw thread 23 and nut 31, length range are 0.8-1.2mm.External screw thread 23 with
Nut 31 has been fixed by socket skeleton puncture needle outer sleeve 2 and skeleton puncture needle inner core 3, and consolidates skeleton puncture needle inner core 3
Be fixed in pedicle of vertebral arch.
A kind of flow process of the using method of Thoracolumbar disk percutaneous puncture device that Fig. 5 is provided for this utility model embodiment is illustrated
Figure, as seen from Figure 5, the using method of the Thoracolumbar disk percutaneous puncture device that this utility model is provided is comprised the following steps：
After patient airway's interpolation pipe general anesthesia, in operating-table, abdominal part is hanging for prostrate.
S101：4 positions of pedicle of vertebral arch interval are positioned by transmitted image, and in patient skin surface labelling vertebral pedicle puncture position
Put.
C-arm X-ray machine positioning hinders the pedicle of vertebral arch projection of vertebra and adjacent upper and lower vertebral body, adjusts projection angle to guarantee perspective
Image is the upper and lower soleplate of standard anteroposterior position, i.e. vertebral body in a straight line and spinous process is located at the center of vertebral body.The labelling target on skin
On the left of the outer upper limb of pedicle of vertebral arch (10 o'clock direction, 2 o'clock of right side direction), this position is vertebral pedicle puncture position.
S102：The tip of soft tissue puncture needle 1 is pierced in vertebral arch crusta osteoides radicis along vertebral pedicle puncture position.
Patient's vertebral pedicle puncture position surrounding skin is carried out disinfection, after sterile drape, according to patient back soft tissue
The angle of thickness and target pedicle of vertebral arch, it is other on the outside of the mark point to open the otch that 1.5-4.5cm makees 2cm length, cut skin, subcutaneous group
Knit and fascia thoracolumbaliies.Along vertebral pedicle puncture position, pedicle of vertebral arch tip is made to be located at the outer upper limb of pedicle of vertebral, along soft vertebral pedicle puncture
Position is pierced into soft tissue puncture needle 1.Soft tissue puncture needle 1 passes through skin, subcutaneous tissue and fascia thoracolumbaliies, in pedicle of vertebral arch.
Now, it is ensured that needle point is less than pedicle of vertebral arch inner edge and as makes puncture needle parallel with the upper and lower soleplate of vertebral body as possible.
As 1 diameter of soft tissue puncture needle is less than puncture needle diameter in prior art, i.e., soft tissue puncture needle 1 is relatively thin, art
Soft tissue puncture needle 1 can puncture person the skin of specified location exactly, and with less power by the pin of soft tissue puncture needle 1
Spine enters in vertebral arch crusta osteoides radicis, the position and direction with stabilizing soft tissue puncture needle 1 in pedicle of vertebral arch.Soft tissue puncture needle 1
It is pierced in advance, is conducive to being accurately positioned for Thoracolumbar disk percutaneous puncture device, it also avoid the multiple puncture after one-time positioning is forbidden
Position fixing process.
S103：Skeleton puncture needle outer sleeve 2 is sheathed on outside the soft tissue puncture needle 1, skeleton puncture needle outer sleeve 2 is made
Enter in vertebral arch crusta osteoides radicis along soft tissue puncture needle 1.
Side position is had an X-rayed, to confirm 1 tip of soft tissue puncture needle along vertebral pedicle puncture position, and soft tissue puncture needle 1
Whether enter in vertebral arch crusta osteoides radicis in the vertebral pedicle puncture orientation and angle of setting.Soft tissue puncture needle 1 is without handle 21, Shu Zhesong
When opening soft tissue puncture needle 1, which will not occur position skew under gravity, but stable be fixed on when patient has an acupuncture treatment
Puncture position.Patient can unclamp soft tissue puncture needle, and away from pedicle area after, then determine that soft tissue is punctured by having an X-rayed
The particular location of pin 1, so as to avoid open-assembly time of the patient under transmitted ray.
Patient's hand-held handle 21, skeleton puncture needle outer sleeve 2 is sheathed on outside the soft tissue puncture needle 1, and skeleton is punctured
Pin outer sleeve 2 through skin, subcutaneous tissue and fascia thoracolumbaliies, is advanced into patient's pedicle of vertebral arch slowly, goes forward side by side along soft tissue puncture needle 1
Enter in vertebral arch crusta osteoides radicis, and surmount vertebral body rear wall.Soft tissue puncture needle 1 and skeleton that Fig. 6 is provided for this utility model embodiment
Puncture needle outer sleeve 2 is socketed use state schematic diagram, and skeleton puncture needle outer sleeve 2 enters pedicle of vertebral arch bone along soft tissue puncture needle 1
In matter.The completion statuses of step S103 are as shown in Figure 6.
S104：Extract soft tissue puncture needle 1.
As shown in fig. 6, the completion statuses that skeleton puncture needle outer sleeve 2 is entered in vertebral arch crusta osteoides radicis along soft tissue puncture needle 1
Under, if the length of soft tissue puncture needle 1 surpasses more than the length of skeleton puncture needle outer sleeve 2, and one end of soft tissue puncture needle 1
Go out the handle 21 of skeleton puncture needle outer sleeve 2, patient can pinch the one of soft tissue puncture needle 1 with the thumb of a handss and forefinger
Handle 21 of stopping is held at end, another, extracts soft tissue puncture needle 1, prevents the position of skeleton puncture needle outer sleeve 2 from changing.
As the depth that soft tissue puncture needle 1 is entered in pedicle of vertebral arch is shallower, extract the process of soft tissue puncture needle 1 to skeleton puncture needle outside
Puncture position of the sleeve 2 in pedicle of vertebral arch, puncture position and angle are without impact or affect less.
S105：Skeleton puncture needle inner core 3 is inserted in skeleton puncture needle outer sleeve 2, the tip of skeleton puncture needle inner core 3 is made
Enter in vertebral arch crusta osteoides radicis along skeleton puncture needle outer sleeve 2.
The piercing process of skeleton puncture needle inner core 3 needs patient to hold handle 21, in case 2 position of skeleton puncture needle outer sleeve changes
Become.3 length of skeleton puncture needle inner core is more than 2 length of skeleton puncture needle outer sleeve, and skeleton puncture needle inner core 3 enters vertebral arch crusta osteoides radicis
Afterwards, play a part of fixed pedicle of vertebral arch, operation is completed.
The embodiment that this utility model is provided, by being pierced into soft tissue puncture needle 1 in vertebral pedicle puncture direction in advance, and will
Soft tissue puncture needle 1 is pierced in vertebral arch crusta osteoides radicis, then with soft tissue puncture needle 1 as guide pin, skeleton puncture needle outer sleeve 2 is penetrated
In vertebral arch crusta osteoides radicis, it can be ensured that skeleton puncture needle inner core 3 is entered in pedicle of vertebral arch with predetermined vertebral pedicle puncture position, it is ensured that handss
Art difficulty action accomplishment.As 1 diameter of soft tissue puncture needle is less, soft tissue puncture needle 1 can be punctured specific bit by patient exactly
The skin put, and the needle point of soft tissue puncture needle 1 is pierced in vertebral arch crusta osteoides radicis, with stabilizing soft tissue puncture needle with less power
1 position in the pedicle of vertebral arch and direction.The leading piercing of soft tissue puncture needle 1, is conducive to the standard of Thoracolumbar disk percutaneous puncture device
It is determined that position, it also avoid the multiple Needle localization process after one-time positioning is forbidden, reduces the incidence rate of Incorrect implant.Soft tissue
Without handle 21, when patient unclamps soft tissue puncture needle 1, which position and offset puncture needle 1 under gravity will not occur, but surely
The fixed puncture position being fixed on when patient has an acupuncture treatment.Patient can unclamp soft tissue puncture needle 1, and away from pedicle area after,
Again by having an X-rayed the particular location for determining soft tissue puncture needle 1, so as to avoid open-assembly time of the patient under transmitted ray.
In the using method of the Thoracolumbar disk percutaneous puncture device that this utility model embodiment is provided, by soft tissue puncture needle 1
Along vertebral pedicle puncture position be pierced into vertebral arch crusta osteoides radicis in method be：
The tip of soft tissue puncture needle 1 is pierced through the soft tissue outside 4 positions of pedicle of vertebral arch interval along vertebral pedicle puncture position, extremely
The nib contacts pedicle of vertebral arch bony surface of soft tissue puncture needle 1.Now the tip of soft tissue puncture needle 1 is located at the outer of pedicle of vertebral
Upper limb.
Soft tissue puncture needle 1 is rapped, soft tissue puncture needle 1 is entered in vertebral arch crusta osteoides radicis to the first firm depth.First
Arranging for firm depth should be determined according to the vertebral arch crusta osteoides radicis situation of different patients and pedicle of vertebral arch size.First is firm deep in principle
Length of the degree scope less than the outer upper limb to pedicle of vertebral arch inner edge of pedicle of vertebral arch.To guarantee that soft tissue puncture needle 1 can be firmly fixed
In vertebral arch crusta osteoides radicis, and patient can easily extract soft tissue puncture needle 1, and the preferred scope of the first firm depth is 1.5-
2.5mm。
The using method of the Thoracolumbar disk percutaneous puncture device that this utility model embodiment is provided is further comprising the steps of：
After soft tissue puncture needle 1 is pierced in vertebral arch crusta osteoides radicis along vertebral pedicle puncture position, patient is sentenced by transmitted image
Whether disconnected soft tissue puncture needle 1 is in the vertebral pedicle puncture position.As 1 diameter of soft tissue puncture needle is less and without handle
21, patient can unclamp soft tissue puncture needle 1, and soft tissue puncture needle 1 is stayed in patient's pedicle of vertebral arch.As soft tissue is punctured
The tip of pin 1 is come in vertebral arch crusta osteoides radicis, and soft tissue puncture needle 1 is difficult to be affected by soft tissue outside pedicle of vertebral arch and deviateed
Precalculated position.Patient can carry out transmitted image positioning to pedicle of vertebral arch after away from pedicle of vertebral arch regional transmission, judge then soft group
Puncture needle 1 is knitted whether in the vertebral pedicle puncture position.
If soft tissue puncture needle 1 is located at vertebral pedicle puncture position, by skeleton puncture needle outer sleeve 2 along soft tissue puncture needle
1 is incorporated into tactile pedicle of vertebral arch bony surface；If soft tissue puncture needle 1 is not on vertebral pedicle puncture position, patient is according to throwing
The position of the soft tissue puncture needle 1 under projection picture, adjusts the vertebral pedicle puncture position of soft tissue puncture needle 1 to setting, then by bone
Bone puncture needle outer sleeve 2 is incorporated into tactile pedicle of vertebral arch bony surface along soft tissue puncture needle 1.And Thoracolumbar disk percutaneous of the prior art
In puncture, patient need in operation process hand steered puncture needle all the time.The method that this utility model embodiment is provided can make patient
The time being exposed in operation process under transmitted image shortens, so as to reduce the somatic damage of patient.
In the using method of the Thoracolumbar disk percutaneous puncture device that this utility model embodiment is provided, skeleton puncture needle outer sleeve
2 into the methods in vertebral arch crusta osteoides radicis are：
By transmitted image, patient determines that soft tissue puncture needle 1, behind the vertebral pedicle puncture position, skeleton is punctured
Pin outer sleeve 2 is along soft tissue puncture needle 1 through soft tissue (skin, subcutaneous tissue and the back muscle outside 4 positions of pedicle of vertebral arch interval
Film), be slowly advanced to patient's pedicle of vertebral arch, pedicle of vertebral arch bony surface is contacted to skeleton puncture needle outer sleeve 2.Rap skeleton puncture needle
Outer sleeve 2, makes skeleton puncture needle outer sleeve 2 enter in vertebral arch crusta osteoides radicis along soft tissue puncture needle 1, and surmounts vertebral body rear wall to the
Two firm depth.Arranging for second firm depth should be determined according to the vertebral arch crusta osteoides radicis situation of different patients and pedicle of vertebral arch size.
Second firm depth bounds is less than the length of the outer upper limb to pedicle of vertebral arch inner edge of pedicle of vertebral arch in principle.To guarantee outside skeleton puncture needle
Sleeve 2 can be firmly fixed in vertebral arch crusta osteoides radicis, and the preferred scope of the second firm depth is 1.5-2.5mm.
The using method of the Thoracolumbar disk percutaneous puncture device that this utility model embodiment is provided is further comprising the steps of：
After the tip of skeleton puncture needle inner core 3 is entered in vertebral arch crusta osteoides radicis along skeleton puncture needle outer sleeve 2, puncture skeleton
Pin inner core 3 reaches paracentesis depth in vertebral arch crusta osteoides radicis.The paracentesis depth of skeleton puncture needle inner core 3 is with skeleton puncture needle inner core 3
Final position in the pedicle of vertebral arch does not pass pedicle of vertebral arch and is defined.Because the 3 final depth in pedicle of vertebral arch of skeleton puncture needle inner core is
Paracentesis depth and 31 length sum of nut, in the present embodiment, the preferred scope of paracentesis depth is 2-15mm.Skeleton puncture needle is in vertebra
When entering into paracentesis depth in nut, the nut 31 of external screw thread 23 and skeleton puncture needle inner core 3 on skeleton puncture needle outer sleeve 2
Contact.Fig. 7 uses shape with the socket of skeleton puncture needle inner core for the skeleton puncture needle outer sleeve that this utility model embodiment is provided
State schematic diagram, as seen from Figure 7, after external screw thread 23 is contacted with nut 31, rotates the nut 31 of skeleton puncture needle inner core 3, makes outer
Screw thread 23 is socketed with nut 31.Fig. 8 is Thoracolumbar disk percutaneous puncture operation completion statuses schematic diagram in this utility model embodiment, by
Fig. 8 is visible, and external screw thread 23 has been fixed by socket skeleton puncture needle outer sleeve 2 and skeleton puncture needle inner core 3 with nut 31, and makes bone
Bone puncture needle inner core 3 is firmly secured in pedicle of vertebral arch.
It should be noted that herein, the relational terms of such as " first " and " second " or the like are used merely to one
Individual entity or operation are made a distinction with another entity or operation, and are not necessarily required or implied these entities or operate it
Between there is any this actual relation or order.And, term " including ", "comprising" or its any other variant are intended to
Cover including for nonexcludability, so that a series of process, method, article or equipment including key elements not only includes those
Key element, but also including other key elements being not expressly set out, or also include for this process, method, article or set
Standby intrinsic key element.In the absence of more restrictions, the key element for being limited by sentence "including a ...", it is not excluded that
Also there is other identical element in the process including key element, method, article or equipment.
The above is only specific embodiment of the present utility model, make skilled artisans appreciate that or realizing this practicality
It is new.Various modifications to these embodiments will be apparent to one skilled in the art, defined herein
General Principle can be realized in the case of without departing from spirit or scope of the present utility model in other embodiments.Therefore,
This utility model is not intended to be limited to the embodiments shown herein, and is to fit to and principles disclosed herein and new
The consistent most wide scope of clever feature.
The above is only specific embodiment of the present utility model, it is noted that for the ordinary skill people of the art
For member, on the premise of without departing from this utility model principle, some improvements and modifications can also be made, these improvements and modifications
Also should be regarded as protection domain of the present utility model.
Claims (5)
1. a kind of Thoracolumbar disk percutaneous puncture device, it is characterised in that the Thoracolumbar disk percutaneous puncture device includes that soft tissue is punctured
Pin (1), skeleton puncture needle outer sleeve (2) and skeleton puncture needle inner core (3), wherein,
The soft tissue puncture needle (1) is acicular texture, and one end of the soft tissue puncture needle (1) is tip；
The skeleton puncture needle inner core (3) is acicular texture, and one end of the skeleton puncture needle inner core (3) is tip；
The skeleton puncture needle outer sleeve (2) includes handle (21) and sleeve pipe (22), and described sleeve pipe (22) is tubular structure, described
Handle (21) is fixed on one end of described sleeve pipe (22), and the handle (21) is connected with sleeve pipe (22), the soft tissue puncture needle
(1) with skeleton puncture needle inner core (3) through the handle (21) and sleeve pipe (22), the soft tissue puncture needle (1) and skeleton
Puncture needle inner core (3) is sheathed in the skeleton puncture needle outer sleeve (2)；
The diameter of the soft tissue puncture needle (1) and skeleton puncture needle inner core (3) is respectively less than the internal diameter of described sleeve pipe (22)；
Length of the length of the skeleton puncture needle inner core (3) more than described sleeve pipe (22).
2. Thoracolumbar disk percutaneous puncture device according to claim 1, it is characterised in that the soft tissue puncture needle (1)
Length of the length more than described sleeve pipe (22).
3. Thoracolumbar disk percutaneous puncture device according to claim 1, it is characterised in that the soft tissue puncture needle (1), institute
State graduation mark is provided with sleeve pipe (22) and the skeleton puncture needle inner core (3).
4. Thoracolumbar disk percutaneous puncture device according to claim 1, it is characterised in that the soft tissue puncture needle (1) is straight
Diameter of the footpath less than or equal to the skeleton puncture needle inner core (3).
5. Thoracolumbar disk percutaneous puncture device according to claim 1, it is characterised in that
The skeleton puncture needle outer sleeve (2) includes external screw thread (23), and the external screw thread (23) is arranged at described sleeve pipe (22)
One end；
The skeleton puncture needle inner core (3) includes nut (31), and the nut (31) is arranged at the skeleton puncture needle inner core (3)
The other end, the nut (31) matched with the external screw thread (23)；
The external screw thread (23) and the nut (31) are punctured with the skeleton for fixing the skeleton puncture needle outer sleeve (2)
Pin inner core (3).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620750313.3U CN206063208U (en) | 2016-07-15 | 2016-07-15 | A kind of Thoracolumbar disk percutaneous puncture device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620750313.3U CN206063208U (en) | 2016-07-15 | 2016-07-15 | A kind of Thoracolumbar disk percutaneous puncture device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206063208U true CN206063208U (en) | 2017-04-05 |
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ID=58425194
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620750313.3U Expired - Fee Related CN206063208U (en) | 2016-07-15 | 2016-07-15 | A kind of Thoracolumbar disk percutaneous puncture device |
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| Country | Link |
|---|---|
| CN (1) | CN206063208U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106137335A (en) * | 2016-07-15 | 2016-11-23 | 于海龙 | A kind of Thoracolumbar disk percutaneous puncture device and using method thereof |
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2016
- 2016-07-15 CN CN201620750313.3U patent/CN206063208U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106137335A (en) * | 2016-07-15 | 2016-11-23 | 于海龙 | A kind of Thoracolumbar disk percutaneous puncture device and using method thereof |
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