CN207613839U - Three-dimensional centrum puncture angle position indicator - Google Patents

Three-dimensional centrum puncture angle position indicator Download PDF

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Publication number
CN207613839U
CN207613839U CN201720523964.3U CN201720523964U CN207613839U CN 207613839 U CN207613839 U CN 207613839U CN 201720523964 U CN201720523964 U CN 201720523964U CN 207613839 U CN207613839 U CN 207613839U
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China
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angle
puncture
scale
protractor
angle protractor
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CN201720523964.3U
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Chinese (zh)
Inventor
陈曦
麦刚
刘跃洪
周宇
徐巍
周庆
张德盛
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Peoples Hospital of Deyang City
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Peoples Hospital of Deyang City
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Abstract

The utility model discloses a kind of three-dimensional centrum puncture angle position indicators, thorn point position for determining centrum puncture and puncture angle, the centrum puncture locator includes transverse presentation scale, vertical position scale, puncture needle casing and its angle regulator, the transverse presentation scale, vertical position scale square crossing, intersection point arbitrarily can be slided and be locked along transverse presentation scale both ends, the angle regulator of the puncture needle casing is made of Coronal Angle protractor and sagittal plain Angle protractor, the Coronal Angle protractor is arranged in by vernier prostrate on transverse presentation scale, arbitrarily it can be slided and locked along transverse presentation scale both ends by the first vernier, the projection of its center of circle is fallen on the central axes of transverse presentation scale;The sagittal plain Angle protractor is arranged in by hinged shaft setting on Coronal Angle protractor, and center of circle projection is fallen on the central axes of transverse presentation scale, and is overlapped with the projection of the center of circle of Coronal Angle protractor.The utility model can quick puncture positioning, puncture accuracy be high during surgery.

Description

Three-dimensional centrum puncture angle position indicator
Technical field
The utility model is related to Medical Instruments technical field, specifically a kind of three-dimensional centrum puncture angle position indicator.
Background technology
Osteoporosis is a very universal problem in elderly population, it was reported that annual about 1,400,000 people in the whole world because Osteoporotic Vertebral Compression Fractures occur in this(Osteoporotic vertebral compression fractures, OVCFs).Vertebroplasty is current commonly used invasive small, the significant treatment means of pain palliation efficacy of one kind.Vertebral plasty Art includes percutaneous vertbroplasty(Percutaneous vertebro plasty, PVP)And Percutaneous kyplasty (Percutaneous kyphoplasty, PKP).PVP and PKP is that percutaneous puncture injects bone cement into centrum to reach The purpose for preventing collapse of vertebra, relieving pain, improve patients ' life quality.
However, PVP and PKP technologies are required under the monitoring by X-ray line fluoroscopic apparatus, manually punctured from vitro Operation, needs to have an X-rayed lower adjustment point of puncture and angle repeatedly so that venipuncture difficulty is big, and accuracy is not high, and human body needs is caused to connect A large amount of X-ray beta radiation is touched, while puncturing the pain for increasing patient repeatedly, extends operating time, increases unexpected and sense of performing the operation The probability of dye, it is uncertain to be punctured at optimal lesion centrum target spot, cause the therapeutic effect of operation to reduce.
Invention content
The purpose of this utility model is that:In view of the above shortcomings of the prior art, a kind of quick puncture during surgery is provided Positioning punctures the high three-dimensional centrum puncture angle position indicator of accuracy.It can ensure to reduce X-ray line irradiation number, shorten Operating time reduces the accident in operation and the infection in operation, the therapeutic effect for improving operation.
The technical solution adopted in the utility model is a kind of centrum puncture locator, the thorn point punctured for determining centrum Position and puncture angle, the centrum puncture locator include transverse presentation scale, vertical position scale, puncture needle casing and its angular adjustment dress It sets, the transverse presentation scale, vertical position scale square crossing, intersection point arbitrarily can be slided and be locked along transverse presentation scale both ends, the puncture The angle regulator of needle cannula is made of Coronal Angle protractor and sagittal plain Angle protractor, and the Coronal Angle protractor passes through vernier Prostrate is arranged on transverse presentation scale, arbitrarily can be slided and locked along transverse presentation scale both ends by the first vernier, and center of circle projection is fallen On the central axes of transverse presentation scale;The sagittal plain Angle protractor is arranged in by hinged shaft setting on Coronal Angle protractor, the center of circle Projection is fallen on the central axes of transverse presentation scale, and is overlapped with the projection of the center of circle of Coronal Angle protractor;The puncture needle casing passes through Second vernier is arranged on the facade of sagittal plain Angle protractor, and center line is consistent with the radial graduation mark of sagittal plain Angle protractor; The second vernier is adjusted, can adjust setting angle of the puncture needle casing on sagittal plain Angle protractor, that is, puncture needle casing is vertical The pitch angle in direction;Turn sagittal plain Angle protractor can adjust fit angle of the sagittal plain Angle protractor on Coronal Angle protractor, That is, adjustment puncture needle casing deflection angle in the horizontal direction;The first vernier is adjusted, point of puncture and lesion vertebra are can adjust The offset distance of body target spot.
The meter full scale of the Coronal Angle protractor is 0~180 °, and shape is semicircle.
The meter full scale of the sagittal plain Angle protractor is 0~180 °, and shape is semicircle.
The puncture needle casing is open tube, and tube wall has longitudinally through opening.
The utility model has the beneficial effects that:
The utility model can not only quick puncture positioning, to puncture accuracy high, and can ensure to reduce the irradiation of X-ray line Number shortens operating time, reduces the accident in operation and the infection in operation, the therapeutic effect for improving operation.
Description of the drawings
The utility model will be further described below with reference to the accompanying drawings.
Fig. 1 is the operation structural schematic diagram of the utility model.
Fig. 2 is the structural schematic diagram of A-A in Fig. 1.
Fig. 3 is the structural schematic diagram of puncture needle casing in Fig. 1.
Code name meaning in figure:1-transverse presentation scale;11-bar shaped sliding slots;12-the first vernier;13,43-hinged shaft;14-is tight Gu screw;2-vertical position scales;3-Coronal Angle protractors;4-sagittal plain Angle protractors;41-arc chutes;42-the second vernier; 44-nuts;5-puncture needle casings;6-centrums;61-spinous process central points;62-lesion centrum target spots;M-datum mark;N— Point of puncture;L-offset distance;α-pitch angle;β-deflection angle.
Specific implementation mode
Shown in Fig. 1 to Fig. 3:The utility model discloses a kind of centrum puncture locators, for determining that centrum 6 punctures Thorn point position and puncture angle.The utility model can not only quick puncture positioning, to puncture accuracy high, and can ensure X-ray line irradiation number is reduced, shortens operating time, reduce the accident in operation and the infection in operation, the treatment for improving operation Effect.It applies in Medical Instruments technical field, thus it is preferred, and the centrum puncture locator uses Medical polyethylene material system At.
The centrum puncture locator includes transverse presentation scale 1, vertical position scale 2, puncture needle casing 5 and its angular adjustment dress It sets, the transverse presentation scale 1,2 square crossing of vertical position scale, intersection point arbitrarily can be slided and be locked, this implementation along 1 both ends of transverse presentation scale Transverse presentation scale 1, vertical position scale 2 are linked together using hinged shaft 13 in example, the bottom of the hinged shaft 13 is locked by locking member.It is excellent Choosing, the hinged shaft 13 coordinates the radial section of the part of bar shaped sliding slot 11 on transverse presentation scale 1 square-shaped.In order to ensure cross Position scale 1 and vertical 2 square crossing of position scale.
The angle regulator of the puncture needle casing 5 is made of Coronal Angle protractor 3 and sagittal plain Angle protractor 4, described Coronal Angle protractor 3 is arranged in by vernier prostrate on transverse presentation scale 1, can be appointed along 1 both ends of transverse presentation scale by the first vernier 12 Meaning is slided and is locked, and the trip bolt 14 of locking effect has been provided on first vernier 12, and center of circle projection is fallen in transverse presentation mark On the central axes of ruler 1;The sagittal plain Angle protractor 4 is arranged in by the setting of hinged shaft 43 on Coronal Angle protractor 3, the hinged shaft bottom Extend 11 lower face of bar shaped sliding slot on transverse presentation scale 1, and the nut 44 of locking effect locks by, center of circle projection is fallen in cross On the central axes of position scale 1, and overlapped with the projection of the center of circle of Coronal Angle protractor 3.Wherein, sagittal plain Angle protractor 4 is erect into cloth The hollow structure that the hinged shaft 43 on Coronal Angle protractor 3 is axial is set, to ensure that puncture needle is suitable under different adjusting angles Profit is by the hinged shaft 43 of hollow structure and arrives at the point of puncture N above patient's body epidermis.
The puncture needle casing 5 is arranged in the arc chute 41 on the facade of sagittal plain Angle protractor 4 by the second vernier 42 On, center line is consistent with the radial graduation mark of sagittal plain Angle protractor 4, meanwhile, ensure the second vernier 42 in sagittal plain angulation It slides and locks on arc chute 41 on the facade of plate 4, to drive puncture needle casing 5 along the facade of sagittal plain Angle protractor 4 On arc chute 41 on reciprocatingly slide;The second vernier 42 is adjusted, can adjust puncture needle casing 5 on sagittal plain Angle protractor 4 Setting angle, that is, puncture needle casing 5 is in the pitch angle α of vertical direction;Turn sagittal plain Angle protractor 4 can adjust sagittal plain Fit angle of the Angle protractor 4 on Coronal Angle protractor 3, that is, adjust 5 deflection angle in the horizontal direction of puncture needle casing Spend β;The first vernier 12 is adjusted, the offset distance L of point of puncture N and lesion centrum target spot 62 are can adjust.That is, lesion centrum target spot 62 is just Top corresponds to the distance of the point of puncture N above 13 center reference point M to patient's body epidermis of hinged shaft.Wherein, the Coronal amount The meter full scale of gusset 3 is 0~180 °, and shape is semicircle;The meter full scale of the sagittal plain Angle protractor 4 is 0~180 °, Its shape is semicircle.
The puncture needle casing 5 is open tube, and tube wall has longitudinally through opening.To facilitate the shifting of observation and puncture needle It removes.
A kind of operating method of centrum puncture locator of the utility model is as follows:
Operation consent is determined by CT 3 Dimension Image Techniques in the lesion centrum target spot 62 that need to be punctured and lesion centrum spinous process The position of heart point 61, the thorn point position of centrum 6 and puncture angle when being performed the operation by computer measurement, you can adjustment puncture needle casing 5 setting angle on sagittal plain Angle protractor 4, that is, puncture needle casing 5 is in the pitch angle α of vertical direction;Turn sagittal plain Angle protractor 4 can adjust fit angle of the sagittal plain Angle protractor 4 on Coronal Angle protractor 3, that is, adjusts puncture needle casing 5 and exist The deflection angle beta of horizontal direction;Lesion centrum spinous process central point 61 is marked on the stereopsis of CT 3 Dimension Image Techniques Identified datum mark M on the patient's epidermal location of surface is also hinged shaft 13 at transverse presentation scale 1 and vertical 2 crosspoint of position scale Center, and the datum mark M of arrangement is measured at 4 center location of sagittal plain Angle protractor(Practical at center location is exactly patient Point of puncture N above body epidermis)Between need the distance of setting, that is, measure corresponding hinged shaft 13 right over lesion centrum target spot 62 Center, point of puncture N on patient's epidermal location above identified datum mark M to patient's body epidermis distance;
In operation, first, centrum 6 is had an X-rayed by mobile C-arm X-ray machine, the position of patient is adjusted, finds lesion centrum spine The datum mark M of 61 surface patient's epidermis of prominent central point, and the lesion centrum spinous process central point 61 and lesion centrum spinous process center What the line of the datum mark M of 61 surface patient's epidermises of point was constituted perpendicular to bolt angle locater transverse presentation scale 1 and vertical position scale 2 Plane.On this basis, at 61 surface patient's epidermis of lesion centrum spinous process central point on patient's body on find benchmark Point M and the body of the datum mark M longitudinally supracutaneous line of corresponding patient's body above each 61 line of spinous process central point is crossed, it will The crosspoint of the transverse presentation scale 1 of bolt angle locater and vertical position scale 2 is correspondingly placed at right over the lesion centrum spinous process of patient At the positions datum mark M, and to be arranged in the body of datum mark M longitudinally right above each 61 line of spinous process central point for vertical position scale 2 It answers on the supracutaneous line of patient's body.
In operation, the offset distance L and three-dimensional viewpoin of the puncture needle casing 5 of puncture locator are then adjusted and fixed(Pitching Angle [alpha] and deflection angle β).
In operation, finally under the irradiation of centrum X-ray, puncture needle is inserted by lesion centrum target spot by puncture needle casing 5 62 positions, and remove puncture locator after the completion of puncturing.
The above specific technical solution is only to illustrate the utility model, rather than its limitations.Although with reference to above-mentioned specific skill The utility model is described in detail in art scheme, it will be understood by those of ordinary skill in the art that:It still can be right Above-mentioned specific technical solution is modified or equivalent replacement of some of the technical features;And these are changed or replace It changes, the spirit and scope of it does not separate the essence of the corresponding technical solution the utility model.

Claims (5)

1. a kind of three-dimensional centrum puncture angle position indicator, the thorn point position for determining centrum puncture and puncture angle, special Sign is:The centrum puncture locator includes transverse presentation scale, indulges position scale, puncture needle casing and its angle regulator, described Transverse presentation scale, vertical position scale square crossing, intersection point arbitrarily can be slided and be locked along transverse presentation scale both ends, the puncture needle casing Angle regulator is made of Coronal Angle protractor and sagittal plain Angle protractor, and the Coronal Angle protractor is lieed down by vernier and arranged On transverse presentation scale, arbitrarily it can be slided and locked along transverse presentation scale both ends by the first vernier, center of circle projection is fallen in transverse presentation mark On the central axes of ruler;The sagittal plain Angle protractor is arranged in by hinged shaft setting on Coronal Angle protractor, and center of circle projection is fallen On the central axes of transverse presentation scale, and overlapped with the projection of the center of circle of Coronal Angle protractor;The puncture needle casing passes through the second vernier It is arranged on the facade of sagittal plain Angle protractor, center line is consistent with the radial graduation mark of sagittal plain Angle protractor;Adjustment second Vernier can adjust setting angle of the puncture needle casing on sagittal plain Angle protractor, that is, puncture needle casing bowing in vertical direction Elevation angle degree;Turn sagittal plain Angle protractor can adjust fit angle of the sagittal plain Angle protractor on Coronal Angle protractor, that is, adjust Puncture needle casing deflection angle in the horizontal direction;The first vernier is adjusted, point of puncture and lesion centrum target spot are can adjust Offset distance.
2. three-dimensional centrum puncture angle position indicator according to claim 1, it is characterised in that:The Coronal Angle protractor Meter full scale be 0~180 °, shape be semicircle.
3. three-dimensional centrum puncture angle position indicator according to claim 1, it is characterised in that:The sagittal plain Angle protractor Meter full scale be 0~180 °, shape be semicircle.
4. three-dimensional centrum puncture angle position indicator according to claim 1, it is characterised in that:The puncture needle casing is Open tube, tube wall have longitudinally through opening.
5. three-dimensional centrum puncture angle position indicator according to claim 1, it is characterised in that:The sagittal plain Angle protractor Erect the hollow structure that the hinged shaft being arranged on Coronal Angle protractor is axial.
CN201720523964.3U 2017-05-12 2017-05-12 Three-dimensional centrum puncture angle position indicator Active CN207613839U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720523964.3U CN207613839U (en) 2017-05-12 2017-05-12 Three-dimensional centrum puncture angle position indicator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720523964.3U CN207613839U (en) 2017-05-12 2017-05-12 Three-dimensional centrum puncture angle position indicator

Publications (1)

Publication Number Publication Date
CN207613839U true CN207613839U (en) 2018-07-17

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CN201720523964.3U Active CN207613839U (en) 2017-05-12 2017-05-12 Three-dimensional centrum puncture angle position indicator

Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106994035A (en) * 2017-05-12 2017-08-01 德阳市人民医院 Three-dimensional centrum puncture angle position indicator

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106994035A (en) * 2017-05-12 2017-08-01 德阳市人民医院 Three-dimensional centrum puncture angle position indicator
CN106994035B (en) * 2017-05-12 2023-05-12 德阳市人民医院 Three-dimensional centrum puncture angle positioning instrument

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