CN206324838U - A kind of 3D printing guide plate for Minimally Invasive Surgery - Google Patents
A kind of 3D printing guide plate for Minimally Invasive Surgery Download PDFInfo
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- CN206324838U CN206324838U CN201621147090.8U CN201621147090U CN206324838U CN 206324838 U CN206324838 U CN 206324838U CN 201621147090 U CN201621147090 U CN 201621147090U CN 206324838 U CN206324838 U CN 206324838U
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- guide plate
- printing guide
- minimally invasive
- invasive surgery
- decompression
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Abstract
The utility model technical field of medical treatment mechanical, specifically related to a kind of 3D printing guide plate for Minimally Invasive Surgery, including the guiding substrate mutually agreed with people's external surface, the guiding substrate is provided with decompression peep hole and multiple lead columns, the lead column and is provided with puncturing hole.Immense value of the 3D printing guide plate of the present utility model for raising seeds implanted operation accuracy, it simplifies the flow of tumour seeds implanted, reduces operating time, operation risk is reduced again, directly ensure that the uniformity of accurate particle localization and preoperative and postoperative dosimeter comparing result.When being performed the operation using the utility model 3D printing guide plate, medical personnel are facilitated to be wiped for bleeding position, and be easy in art apply medicine, anesthetic etc. to affected part, reduce the area coverage in body surface simultaneously, further reduce pressure of the 3D printing guide plate to human body, the weight of 3D printing guide plate is reduced, cost of material is saved.
Description
Technical field
A kind of the utility model technical field of medical treatment mechanical, and in particular to 3D printing guide plate for Minimally Invasive Surgery.
Background technology
Radiotherapy (radiotherapy) is for one of critical treatment method of tumour.It is secondary anti-in order to reduce radiotherapy to greatest extent
Should and radiotherapy normal tissue damage, develop seeds implantation technology i.e. seeds implanted.Seeds implanted is
One kind allows it with the treatment means of destroyed tumor by inside radioactive source implantation tumour.Seeds implanted treatment technology is related to radioactive source,
Its core is radion.Seeds implanted relies primarily on orientation system by radioactive prospecting instrument knurl body, passes through miniature radiation
Source sends lasting, short-range radioactive ray, tumor tissues is killed to greatest extent, and normal structure is not damaged or only micro-
Small loss.
Current seeds implanted operation is typically clinically to be carried out by rule of thumb by doctor, this Couple herbs just to doctor and
Skill proposes very high requirement.Traditional Inner irradiation in the image-guided lower progress of CT is performed the operation, due to exist tens so that on
In hundred points of puncture, art substantially " blind to wear ".In addition, the current tumour seeds implanted planning system that oneself has be all based on it is one-dimensional
Or bidimensional image data are pre-planned into needle passageway progress to puncturing, and can not calculate the prescribed dose of particle, this just usually makes
(dosage is too small to be caused for inside tumor appearance " hot-zone " (dosage is excessive to cause side effect) and/or " cold-zone " after into seeds implanted
Adverse consequences to no effect).In order to solve the above-mentioned technical problem, in the prior art based on 3D printing technique produce it is coplanar,
The 3D printing guide plate for being used to puncture of non-co-planar, different needle angles is gradually applied to clinic.
But existing 3D printing guide plate is when carrying out in Minimally Invasive Surgery, and 3D printing guide plate is needed by after iodophor disinfection
Dyeing, causes doctor to be difficult to observe puncture situation, simultaneously because oozing of blood is had at the progress of Minimally Invasive Surgery, puncture, for 3D
The oozing of blood of printing guide plate bottom can not be wiped in time;Simultaneously in surgical procedure is carried out, if puncture needle has been inserted, with regard to nothing
Method inputs medicine or anesthetic again for affected part.
As can be seen here, can not enough there is provided a kind of improved 3D for Minimally Invasive Surgery of structure based on of the prior art
Guide plate is printed, in the base for not influenceing 3D printing guide board structure stability and satisfaction to agree with condition completely with body operation position
On plinth, medical personnel can be easy to wipe the oozing of blood at puncture in art, and convenient use person's observation is punctured through
Journey, and oozing of blood can be wiped in time, medicine is anaesthetized etc., as those skilled in the art's technical barrier urgently to be resolved hurrily.
Utility model content
In order to solve the above-mentioned technical problem there is provided a kind of 3D printing guide plate for Minimally Invasive Surgery for the utility model.Its
The design of middle decompression peep hole, can solve 3D printing guide plate by iodophor disinfection poststaining, be difficult to observe puncture situation
Problem, and oozing of blood can be wiped in time, and be easy in art apply medicine, anesthetic etc. to affected part.3D of the present utility model
Printing guide plate reduces the area coverage in body surface, further reduces 3D printing guide plate to the pressure of human body, reduces 3D
Print the weight of guide plate.
In order to reach above-mentioned technique effect, the utility model includes following technical scheme:
A kind of 3D printing guide plate for Minimally Invasive Surgery, including the guiding substrate mutually agreed with people's external surface, it is described
Guiding substrate, which is provided with decompression peep hole and multiple lead columns, the lead column, is provided with puncturing hole.
Decompression peep hole is rationally set being oriented on substrate, oozing of blood can be wiped in time, and be easy to apply affected part in art
With medicine, anesthetic etc..The area coverage in body surface is reduced simultaneously, pressure of the 3D printing guide plate to human body is further reduced
Power, reduces the weight of 3D printing guide plate, saves cost of material.
Further, the area of each decompression peep hole is not less than 3cm2。
Further, the center of the decompression peep hole to the centre distance of puncturing hole is not less than 2mm.
The utility model passes through a large amount of clinical tests, carries out Effective selection to the decompression peep hole of diverse location size, most
Rationally design obtains above-mentioned decompression peep hole size characteristic and position feature eventually, makes it that 3D printing guide board structure is effectively ensured steady
It is qualitative and meet it and agree with completely with body operation position, progress and the accuracy rate of puncturing operation are not influenceed.
Further, the decompression observation hole number is two or more.
Due to 3D printing guide board structure particularity, and it is not plane regular shape, sets more than two decompressions to see
Examining hole can be wiped comprehensively, and for different parts demand, carry out dispenser.
Further, for being provided with connecting line between the lead column of ultrasonic puncture to same CT scan layer.
When being performed the operation in order to avoid the blood vessel and bone of human body, the setting of lead column often at an angle so that
Puncture needle is punctured to relevant position by the guide effect of lead column, while the depth that the lead column of diverse location is punctured is not
Together, i.e., in the use of CT scan different layers, when medical worker is performed the operation, the design based on said structure, will
Connecting line is provided between the lead column of same depth for ultrasonic puncture pin puncture in 3D printing guide plate, namely for
Ultrasonic puncture is provided with connecting line between the lead column of same CT scan layer, enables medical personnel to directly obtain positioned at same
The lead column position of CT scan layer, and corresponding puncturing operation is carried out, facilitate medical worker to be performed the operation, when saving operation
Between.
Further, it is in mesh-like that multiple decompression peep holes, which are evenly distributed on guiding substrate and are oriented to substrate,.
Equally distributed decompression peep hole makes guiding substrate be in mesh-like, and its mesh-like structure has can be in maximum area
On the basis of setting decompression peep hole, it is ensured that 3D printing guide board structure stability simultaneously meets itself and the complete contract in body operation position
Close, progress and the characteristic of accuracy rate of puncturing operation are not influenceed.
Further, multiple auxiliary are provided with around each lead column on the guiding substrate and puncture needle track.
Auxiliary is rationally set to puncture needle track so that in operation, drift condition still is able to be continuing with reply sufferer position
Original 3D printing guide plate, and send radion for accurate puncture of sufferer position progress.Avoid because sufferer position is inclined
The situation moved and make original 3D printing guide plate not use, and when causing the unnecessary wasting of resources and extending operation preparation
Between.
Further, the auxiliary punctures a diameter of 1.00mm~2.50mm of needle track.The utility model rationally sets auxiliary
The position for puncturing needle track and size are helped, 3D printing guide board structure and original lead column guide function are not influenceed, while working as sufferer
Still there is guide function to puncturing operation when position shifts.
Further, the quantity that the auxiliary punctures needle track is two or more, and linearly arrangement.
Or it is further, puncture needle tracks around 2~20 auxiliary of setting around each lead column.
Further, the guiding substrate is provided with adhesive-layer towards the edge of human body side.
It can realize that 3D printing guide plate is fixed on human body relevant position by adhesive-layer, so that operation is smoothed out.
Using above-mentioned technical proposal, including following beneficial effect:A kind of structure of the utility model offer is improved to be used for
The 3D printing guide plate of Minimally Invasive Surgery, the immense value for improving seeds implanted operation accuracy, it simplifies tumour particle
The flow of implantation, reduction operating time, reduce operation risk, directly ensure that accurate particle localization and preoperative and postoperative dosage again
Learn the uniformity of comparing result.The probability using medullo-puncture needle is reduced to greatest extent, obtains optimal particles spatial cloth source.When adopting
When being performed the operation with the utility model 3D printing guide plate, medical personnel are facilitated to be wiped for bleeding position, and be easy in art
In medicine, anesthetic etc. are applied to affected part, while reducing the area coverage in body surface, further reduce 3D printing guide plate pair
The pressure of human body, reduces the weight of 3D printing guide plate, saves cost of material.
Brief description of the drawings
Fig. 1 is that the utility model embodiment is used for a kind of embodiment structural representation of 3D printing guide plate of Minimally Invasive Surgery
Figure;
Fig. 2 is that the utility model embodiment is used for the 3D printing guide plate another embodiment structural representation of Minimally Invasive Surgery
Figure;
In figure,
1st, it is oriented to substrate;2nd, peep hole is depressurized;3rd, lead column;4th, connecting line;5th, auxiliary punctures needle track.
Embodiment
To make the purpose of this utility model, technical scheme and advantage clearer, implement below in conjunction with the utility model
Accompanying drawing in example, the technical scheme in the utility model embodiment is clearly and completely described, it is clear that described reality
It is a part of embodiment of the utility model to apply example, rather than whole embodiments.Based on the embodiment in the utility model, ability
The every other embodiment that domain those of ordinary skill is obtained under the premise of creative work is not made, belongs to this practicality new
The scope of type protection.
In the utility model, term " on ", " under ", "left", "right", "front", "rear", " top ", " bottom ", " interior ", " outer ",
" in ", " vertical ", " level ", " transverse direction ", the orientation of the instruction such as " longitudinal direction " or position relationship be based on orientation shown in the drawings or
Position relationship.These terms are not intended to limit indicated primarily to preferably describe the utility model and embodiment
Device, element or part must have particular orientation, or constructed and operated with particular orientation.
Also, above-mentioned part term is in addition to it can be used to indicate that orientation or position relationship, it is also possible to for representing it
His implication, such as term " on " also be likely used for representing certain relations of dependence or annexation in some cases.For ability
For the those of ordinary skill of domain, concrete meaning of these terms in the utility model can be understood as the case may be.
In addition, term " installation ", " setting ", " being provided with ", " connection ", " connected " " socket " should be interpreted broadly.For example, can
To be to be fixedly connected, it is detachably connected, or monolithic construction;Can mechanically connect, or electrical connection;Can be joined directly together,
Either it is indirectly connected to by intermediary, or is connection internal between two devices, element or parts.For
For those of ordinary skill in the art, concrete meaning of the above-mentioned term in the utility model can be understood as the case may be.
Unless otherwise indicated, the implication of " multiple " is two or more.
The utility model is described in further detail below by specific embodiment and with reference to accompanying drawing.
Embodiment:
A kind of 3D printing guide plate for Minimally Invasive Surgery, as shown in figure 1, including the guiding mutually agreed with people's external surface
Substrate 1, the guiding substrate, which is provided with decompression peep hole 2 and multiple lead columns 3, the lead column, is provided with puncturing hole.
In progress in use, doctor first passes through the preoperative plan of CT scan row, inserting needle path is designed, according to formula dosage
The number of particles of every pin implantation is calculated, submission plan after the dosage distribution of radical cure tumour is reached.Print and apply art position appearance
The 3D printing guide plate that face is mutually agreed with.Art the previous day carries out disinfection to 3D printing guide plate, measures each sub- activity of particle, binning
Sterilization.In operation, 3D printing guide plate and human body are applied into art position and are mutually combined, scanning computed tomography confirms to pass through after template position is errorless
Lead column is punctured, and when occurring oozing of blood in operation, doctor is wiped by depressurizing peep hole for blood, while to suffering from
When person needs to add medicine, by depressurizing peep hole rational position can be selected to carry out dispenser.
Wherein decompression observation hole number, in blank space, does not influence well-set according to guide plate in addition to lead column
Under the premise of reserve come hole, the size in hole, shape and quantity can not be limited.
In the present embodiment, further preferably, the area of each decompression peep hole is not less than 3cm2。
In the present embodiment, further preferably, it is described decompression peep hole center to be oriented to substrate edge away from
From not less than 2mm.
In the range of above-mentioned size, concrete shape structure of the those skilled in the art based on 3D printing guide plate, and hand
Art position and range of operation, above-mentioned size can be rationally determined based on routine techniques.
In the present embodiment, further, the decompression observation hole number is two or more.
Those skilled in the art can based on decompression peep hole area, decompression peep hole be oriented to substrate edge away from
From be oriented to size of substrate come judge depressurize peep hole quantity.Those skilled in the art are based in prior art and this practicality is new
Content is directly acquired described in type.
In the present embodiment, further, for the company of being provided between the lead column of ultrasonic puncture to same CT scan layer
Wiring 4.
When being performed the operation in order to avoid the blood vessel and bone of human body, the setting of lead column often at an angle so that
Puncture needle is punctured to relevant position by the guide effect of lead column, while the depth that the lead column of diverse location is punctured is not
Together, i.e., in the use of CT scan different layers, when medical worker is performed the operation, the design based on said structure, will
Connecting line is provided between the lead column of same depth for ultrasonic puncture pin puncture in 3D printing guide plate, namely for
Ultrasonic puncture is provided with connecting line between the lead column of same CT scan layer, enables medical personnel to directly obtain positioned at same
The lead column position of CT scan layer, and corresponding puncturing operation is carried out, facilitate medical worker to be performed the operation, when saving operation
Between.
In the present embodiment, further, as shown in Fig. 2 multiple decompression peep holes are evenly distributed on guiding substrate
Upper and guiding substrate is in mesh-like.
Equally distributed decompression peep hole makes guiding substrate be in mesh-like, increases the gross area of decompression peep hole, simultaneously
It ensure that 3D printing guide board structure stability and meet it and agree with completely with body operation position.
In the present embodiment, further, multiple auxiliary are provided with around each lead column on the guiding substrate to puncture
Needle track 5.
In progress in use, doctor first passes through the preoperative plan of CT scan row, inserting needle path is designed, according to formula dosage
The number of particles of every pin implantation is calculated, submission plan after the dosage distribution of radical cure tumour is reached.Print and apply art position appearance
The 3D printing guide plate that face is mutually agreed with.Art the previous day carries out disinfection to 3D printing guide plate, measures each sub- activity of particle, binning
Sterilization.In operations, 3D printing guide plate and human body are applied into art position and are mutually combined, scanning computed tomography confirms whether template position is errorless,
Directly punctured Ru errorless by lead column;As wrong, the corresponding auxiliary puncture needle road of selection is punctured, progress particle plant
Enter.
When Design assistant punctures needle track on 3D printing guide plate, auxiliary punctures needle track and is distributed in around lead column or line
Property be distributed on guiding substrate, solve template and reset accurate but sufferer position and cause because patient body position changes or tumour is scalable
Deviation, serve real-time correcting action.In the present embodiment, further, around setting 2~20 around each lead column
Auxiliary punctures needle track.
In the present embodiment, further, the guiding substrate is provided with adhesive-layer towards the edge of human body side.
The viscosity of adhesive-layer is identical with the viscosity of medical proof fabric, realizes that 3D printing guide plate is fixed on human body relevant position,
And sense of discomfort will not be caused to human body skin when tearing because of viscosity is too high simultaneously.
Preferred embodiment of the present utility model is the foregoing is only, the utility model is not limited to, for this
For the technical staff in field, the utility model can have various modifications and variations.It is all it is of the present utility model spirit and principle
Within, any modifications, equivalent substitutions and improvements made etc. should be included within protection domain of the present utility model.
Claims (10)
1. a kind of 3D printing guide plate for Minimally Invasive Surgery, it is characterised in that including the guiding mutually agreed with people's external surface
Substrate (1), the guiding substrate, which is provided with decompression peep hole (2) and multiple lead columns (3), the lead column, is provided with puncture
Hole.
2. the 3D printing guide plate according to claim 1 for Minimally Invasive Surgery, it is characterised in that each decompression is seen
The area for examining hole is not less than 3cm2。
3. the 3D printing guide plate according to claim 1 for Minimally Invasive Surgery, it is characterised in that the decompression peep hole
Center to be oriented to substrate edge distance be not less than 2mm.
4. the 3D printing guide plate for Minimally Invasive Surgery according to any one of claims 1 to 3, it is characterised in that described
Decompression observation hole number is two or more;Connecting line is provided between lead column for ultrasonic puncture to same CT scan layer
(4)。
5. the 3D printing guide plate according to claim 4 for Minimally Invasive Surgery, it is characterised in that multiple decompressions are seen
It is in mesh-like to examine hole and be evenly distributed on guiding substrate and be oriented to substrate.
6. the 3D printing guide plate according to claim 1 for Minimally Invasive Surgery, it is characterised in that on the guiding substrate
Multiple auxiliary are provided with around each lead column and puncture needle track (5).
7. the 3D printing guide plate according to claim 6 for Minimally Invasive Surgery, it is characterised in that the auxiliary puncture needle
A diameter of 1.00mm~2.50mm in road.
8. the 3D printing guide plate according to claim 6 for Minimally Invasive Surgery, it is characterised in that the auxiliary puncture needle
The quantity in road is two or more, and linearly arrangement.
9. the 3D printing guide plate according to claim 6 for Minimally Invasive Surgery, it is characterised in that around each lead column
Needle track is punctured around 2~20 auxiliary are set.
10. the 3D printing guide plate according to claim 1 for Minimally Invasive Surgery, it is characterised in that the guiding substrate
The edge of human body side is provided with adhesive-layer.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107802327A (en) * | 2017-11-16 | 2018-03-16 | 中国人民解放军火箭军总医院 | A kind of guiding puncture template |
CN108245789A (en) * | 2018-03-28 | 2018-07-06 | 北京启麟科技有限公司 | The transplanting guider of cervical carcinoma close-range treatment Minimally Invasive Surgery |
CN109199551A (en) * | 2018-10-15 | 2019-01-15 | 赵华 | Stereotaxic technique between individuation Naokong |
CN110151273A (en) * | 2019-06-14 | 2019-08-23 | 广州医科大学附属肿瘤医院 | A kind of medical crooked needle piercing method based on 3D printing navigation template |
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2016
- 2016-10-21 CN CN201621147090.8U patent/CN206324838U/en active Active
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107802327A (en) * | 2017-11-16 | 2018-03-16 | 中国人民解放军火箭军总医院 | A kind of guiding puncture template |
WO2019095603A1 (en) * | 2017-11-16 | 2019-05-23 | 中国人民解放军火箭军总医院 | Puncture guide template |
CN108245789A (en) * | 2018-03-28 | 2018-07-06 | 北京启麟科技有限公司 | The transplanting guider of cervical carcinoma close-range treatment Minimally Invasive Surgery |
CN109199551A (en) * | 2018-10-15 | 2019-01-15 | 赵华 | Stereotaxic technique between individuation Naokong |
CN109199551B (en) * | 2018-10-15 | 2021-04-13 | 赵华 | Individualized brain space stereo positioning technology |
CN110151273A (en) * | 2019-06-14 | 2019-08-23 | 广州医科大学附属肿瘤医院 | A kind of medical crooked needle piercing method based on 3D printing navigation template |
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