CN208259747U - A kind of guider that nerve punctures - Google Patents
A kind of guider that nerve punctures Download PDFInfo
- Publication number
- CN208259747U CN208259747U CN201720904267.2U CN201720904267U CN208259747U CN 208259747 U CN208259747 U CN 208259747U CN 201720904267 U CN201720904267 U CN 201720904267U CN 208259747 U CN208259747 U CN 208259747U
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- pedestal
- knob
- fixing bolt
- fixed
- mortar
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Abstract
The utility model relates to a kind of guiders that nerve punctures, and equipped with pedestal, rotary shaft, fixing bolt, piece and box spanner are auxiliarily fixed;Pedestal is equipped with the fixed ontology of the pedestal of external screw thread and mortar nest and outer-hexagonal structure and sets internal thread pedestal knob, and rotary shaft is equipped with the puncture channel of mortar head, guide rod and inner wall smooth;Fixing bolt is equipped with the fixed ontology of externally threaded fixing bolt and fixing bolt knob, piece is auxiliarily fixed equipped with internal screw thread and three fixation holes, box spanner is equipped with the sleeve of interior hexagonal structure;Under working condition, piece is auxiliarily fixed to cover in the fixed body exterior of pedestal and lock, the fixed ontology of fixing bolt is matched with pedestal knob is locked at mortar head in mortar nest, and the distal end face paste that piece and pedestal knob is auxiliarily fixed is closed, and fixing bolt knob is bonded with the proximal face of pedestal knob.The guider is directly fixed on bone hole, and puncture precision is higher, and figure is small and exquisite, easy for installation, can significantly shorten operating time, reduces infection probability.
Description
Technical field
The utility model relates to the field of medical instrument technology, specifically, being related to a kind of guider that nerve punctures.
Background technique
With the progress of the modern science and technology such as neuroimaging, computer and space orientation technique, Use of Neuronavigation is at present
It is widely used in clinic, which will establish dynamic and join between virtual digitized image data and nervous system anatomical structure
System, has the function of real-time navigation in three dimension location and art, can be used for guided operation in preoperative formulation operation plan and art and grasps
The accurate positioning of work.About still there is 1/3 patient's intracranial lesion property to be difficult to clear or diagnostic error in the preoperative at present, utilizes nerve
Navigating and carrying out aspiration biopsy to the lesion of encephalic uncertain property is one of Use of Neuronavigation most important functions.Currently used auxiliary is worn
Thorn device is frame tridimensional orienting headstock, but there are shortcomings, such as: (1) device is excessively heavy, and (2) a part of head frame is being pacified
It even needs to wear out the through lamina externa cranii of scalp, muscle using head nail when dress, it is easy to cause the blood vessel and mind of scalp and muscle
It is damaged, the patient for not being suitable for children or not being able to cooperate, cannot switch to rapidly routinely open cranium after clear property is (3) punctured in art
Operation.Although manually being punctured under Frameless nueronavigation and avoiding problem above, due to the stabilization of patient's hand in operation
Property is inadequate, is easy to cause in art and actually punctures track and preoperative preset track shifts, seriously possibly even causes to puncture
Operative failure.
Patent document also discloses more auxiliary sting device.For example, patent document CN203591308U, the day for announcing
2014.05.14, a kind of laser assisted tridimensional orienting headstock for intracranial hematoma puncture is disclosed, its main feature is that: it includes two
A first track base, portal frame, mounting base, ray head, portal frame adjust device, height adjuster, the second track base, level
Device and angular adjustment apparatus are adjusted, two of the opposed two sides for being connected in lower connecting plate of the first track base, portal frame are vertical
Coaxial through-hole is respectively set in the lower part of column, and through-hole, the through-hole position of coaxial through-hole and crossbeam center is arranged in the crossbeam center of portal frame
In same plane and the built-in mounting base of difference, three ray heads are connected by mounting base and portal frame respectively;Portal frame adjustment
Device to be placed in the outside of the first track base, one end and be connected with the first track base, the other end and portal frame it is hinged;Height adjustment dress
It sets on the inside of two columns for being connected in portal frame respectively, both ends are connected with height adjuster respectively;Leveling device with
Second track base is connected, and angular adjustment apparatus is connected on the outside of height adjuster.Patent document CN104546078A, publication date
2015.04.29, a kind of clinical puncture guide-localization and fixed device are disclosed comprising: ring suction sucker, by circular top
Portion, circular bottom part, lateral wall, inner sidewall are constituted, and the open suction in a lower end is collectively formed in annular top and lateral wall and inner sidewall
Follower ring slot, the inner hole of circular bottom part are puncturing hole;Support tray, main body in a ring, are fixed on the upside of annular top;Rotating disk,
It is carried in a ring and by Support tray, and the two is coaxial and can relatively rotate, and end face is equipped with an axle bed thereon, is equipped with and is turned in axle bed
Axis;Arched arm, one end are then equipped with the guide sleeve of rotation connection through rotating shaft support, the other end.But it still can be not well
Solve above-mentioned technical problem.
In addition, present inventor pays attention to observing and be summarized in clinical position abundant, feel to need special emphasis
Be: (1) puncturing precision is to measure the Use of Neuronavigation puncturing operation first element, is only punctured in guaranteed art along precise path, ability
Obtain accurate lesion diagnostic result, this is the basic for the treatment of disease;(2) shortening operating time is the universal of current clinical patients
Demand, this advantageously reduces patient suffering, increases the psychological acceptance level to operation, will also decrease the probability of postoperative infection;⑶
It must focus on reducing postoperative infection probability, this is also one of the important indicator for evaluating surgical effect.
To sum up, for Use of Neuronavigation centesis, need a kind of puncture precision higher, figure is small and exquisite, and it is easy for installation, it can be significant
Shorten operating time, reduces the auxiliary device of infection probability.
Summary of the invention
The purpose of this utility model is aiming at the shortcomings in the prior art, to provide a kind of guider that nerve punctures.
To achieve the above object, the technical scheme adopted by the utility model is that:
A kind of guider that nerve punctures, is equipped with navigation arrangement and box spanner;The navigation arrangement includes pedestal, rotation
Shaft, fixing bolt and piece is auxiliarily fixed;The pedestal is equipped with the fixed ontology of pedestal and pedestal knob, institute by distal end to proximal end
The fixed ontology of the pedestal stated is equipped with external screw thread and inside is equipped with mortar nest, and the pedestal knob is outer-hexagonal structure and is equipped with interior spiral shell
Line;The rotary shaft is equipped with mortar head and guide rod by distal end to proximal end, the cavity inside mortar head and guide rod constitute linear,
The equal puncture channel of inner wall smooth and everywhere internal diameter;The fixing bolt is equipped with fixing bolt by distal end to proximal end and fixes this
Body and fixing bolt knob, the fixed ontology of the fixing bolt are equipped with the external screw thread to match with the internal screw thread of pedestal knob;
The piece that is auxiliarily fixed is equipped with the internal screw thread to match with the external screw thread of the fixed ontology of pedestal, is auxiliarily fixed in the disk of piece and sets
There are three fixation holes;The box spanner is equipped with the sleeve of the interior hexagonal structure to match with pedestal knob;Under working condition,
The piece that is auxiliarily fixed is covered in the fixed body exterior of pedestal and is locked, the fixed ontology of the fixing bolt and pedestal knob
With mortar head to be locked in mortar nest, the proximal face that piece is auxiliarily fixed is fitted on the distal end end face of pedestal knob, fixing bolt
The distal end face of knob is fitted in the proximal face of pedestal knob.
Three fixation holes connect composition equilateral triangle.
The overall diameter of the mortar head is equal with the interior diameter of mortar nest proximal end.
The minimum exterior diameter of the pedestal knob is greater than the overall diameter of the fixed ontology of pedestal, the fixing bolt knob
Overall diameter be greater than the overall diameter of the fixed ontology of fixing bolt.
The most thin position of its side wall of pedestal knob with a thickness of 8-15mm, described its side thickness of fixing bolt knob
Degree is 8-15mm.
The disk width is 8-15mm.
Described its side wall of fixing bolt knob is equipped with anti-skid chequer.
The sum of described height of pedestal knob and fixing bolt is less than the radius of mortar head.
The guider of the utility model is directly fixed on skull bone hole, frame tridimensional orienting headstock compared with the prior art
With manually punctured under Frameless nueronavigation, have and puncture that precision is high, figure is small and exquisite, the advantages such as easy for installation, be also equipped with simultaneously
Following advantages:
1, the piece that is auxiliarily fixed can guarantee puncturing hole fixed more firm, pedestal axial direction and puncturing hole on pedestal and skull
It is axial consistent;
2, pedestal knob and box spanner are matched by internal-external hexagon, are directly inserted in and are tightened in art, easy to be fast
Speed, effectively save operating time;
3, pedestal knob is internal screw thread, and the fixed ontology of fixing bolt is external screw thread, and the two can more be clearly viewed in art is
Whether no alignment, especially screw thread are aligned, and avoid twisting partially and twist the generation to the rear done over again, avoid operating time from extending, also ensure that
Mortar head can by stable fixation;
4, after fixed, the distal end end face of fixing bolt knob and the proximal face of pedestal knob have biggish contact surface, benefit
Fixing bolt is demarcated with this plane and is screwed into and fixes mortar head along correct axial direction, further ensures precision;
5, guide rod outer wall is smooth, puncture channel inner wall smooth and internal diameter everywhere is equal, and pedestal knob is outer-hexagonal knot
Structure equally also has smooth outer wall, it is not easy to shelter evil people and countenance evil practices, convenient for disinfection, prevent infection caused by instrument in art;
6, the sum of height of the pedestal knob and fixing bolt is less than the radius of mortar head, has guide rod biggish
Angle adjusting range, the puncture track suitable for more perspective.
Detailed description of the invention
Attached drawing 1 is the navigation arrangement structural schematic diagram of the utility model guider.
Attached drawing 2 is the cross-sectional view of Fig. 1.
Attached drawing 3 is the socket wrench structure schematic diagram of the utility model guider.
Specific embodiment
It elaborates with reference to the accompanying drawing to specific embodiment provided by the utility model.
Appended drawing reference involved in attached drawing and component part are as follows:
1. pedestal, the fixed ontology of 11. pedestals, 111. mortar nests, 12. pedestal knobs
2. rotary shaft, 21. mortar heads, 22. guide rods, 23. puncture channels
3. fixing bolt, the fixed ontology of 31. fixing bolts, 32. fixing bolt knobs, 321. anti-skid chequers
4. piece is auxiliarily fixed, 41. disks, 42. fixation holes
5. box spanner, 51. box spanner rotating handles, 52. sleeves.
Embodiment 1
The guider of the utility model is equipped with navigation arrangement and box spanner.
Referring to Figure 1, Fig. 1 is the navigation arrangement structural schematic diagram of the utility model guider.The navigation arrangement is set
There are pedestal 1, rotary shaft 2, fixing bolt 3 and piece 4 is auxiliarily fixed.
Fig. 2 is referred to, Fig. 2 is the cross-sectional view of Fig. 1.The pedestal 1 is proximally perforation, pedestal 1 to distal internal
Including the fixed ontology 11 of pedestal and the pedestal knob 12 being connected with the fixed ontology 11 of pedestal, the fixed ontology 11 of the pedestal
In distal end, the pedestal knob 12 is located at proximal end.The outside of the fixed ontology 11 of the pedestal is equipped with external screw thread, and inside is equipped with
Semicircular mortar nest 111.The outer wall of the pedestal knob 12 is outer-hexagonal structure, and inner wall is equipped with internal screw thread, pedestal knob
12 minimum exterior diameter is greater than the overall diameter of the fixed ontology 11 of pedestal.The most thin position of 12 side wall of pedestal knob with a thickness of 8-
15mm.The rotary shaft 2 is proximally perforation to distal internal, and rotary shaft 2 is equipped with mortar head 21 and is connected with mortar head 21
Guide rod 22, the mortar head 21 is located at distal end, and the guide rod 22 is located at proximal end.The mortar head 21 is spherical shape, mortar
First 21 overall diameter is equal with the interior diameter of 111 proximal end of mortar nest, and is less than the interior diameter of pedestal knob 12.Described leads
To bar 22 be it is rod-shaped, outer wall is smooth, inner hollow, both ends open.Cavity inside mortar head 21 and guide rod 22 constitutes linear type
Puncture channel 23,23 inner wall smooth of puncture channel, internal diameter everywhere is equal.The fixing bolt 3 is proximally extremely
Distal internal is perforation, equipped with the fixed ontology 31 of fixing bolt and the fixing bolt being connected with the fixed ontology 31 of fixing bolt
Knob 32.The fixed ontology 31 of the fixing bolt is located at distal end, and the fixing bolt knob 32 is located at proximal end.Described
The fixed ontology 31 of fixing bolt is equipped with external screw thread, the external screw thread of the fixed ontology 31 of fixing bolt and the internal screw thread of pedestal knob 12
Match connection, and the interior diameter of the fixed ontology 31 of the fixing bolt is less than the overall diameter of mortar head 21.The fixing bolt
The overall diameter of knob 32 is greater than the overall diameter of the fixed ontology 31 of fixing bolt, and the side wall of fixing bolt knob 32 is equipped with anti-skid chequer
321.32 sidewall thickness of fixing bolt knob is 8-15mm.It is described to be auxiliarily fixed the flaky texture that piece 4 is a circular ring shape, it is interior
Portion is equipped with internal screw thread, and the internal screw thread that piece 4 is auxiliarily fixed matches connection with the external screw thread of the fixed ontology 11 of pedestal, and piece 4 is auxiliarily fixed
Equipped with disk 41, the width of disk 41 is 8-15mm.Fixation hole 42 there are three being set in disk 41, three 42 phases of fixation hole
Connecting constituted triangle is equilateral triangle.
Fig. 3 is referred to, Fig. 3 is the socket wrench structure schematic diagram of the utility model guider.Box spanner 5 is equipped with T-type
Box spanner rotating handle 51, the lower end of the box spanner rotating handle 51 is equipped with sleeve 52, and the sleeve 52 is interior hexagonal knot
Structure matches with the pedestal knob 12.
The assembly method of the guider of the utility model are as follows: when row Use of Neuronavigation puncturing operation, drill and obtain on skull
Puncturing hole will be auxiliarily fixed piece 4 and be placed on skull the through-hole alignment puncturing hole for making to be auxiliarily fixed among piece 4, then be followed closely and led to titanium
It crosses three fixation holes 41 being auxiliarily fixed on piece 4 and is fixed on skull;Pedestal knob 12 is entangled using box spanner 5, by pedestal 1
Pedestal fixation ontology 11 is screwed into puncturing hole, makes pedestal 1 and puncturing hole and the fixation of piece 4 is auxiliarily fixed;3 sets of fixing bolt are being led
To the outside of bar 22, mortar head 21 is put into the mortar nest 111 of the fixed ontology 11 of pedestal, the puncture that puncture tube penetrates rotary shaft 2 is led to
In road 23, after best puncture track is selected under Use of Neuronavigation, fixing bolt knob 32 is turned, makes the fixed ontology of fixing bolt
31 are screwed into inside pedestal knob 12, and the two screw thread matches, until the distal end end face of fixing bolt knob 32 and pedestal knob 12
Proximal face be bonded completely, the distal end end face that the mortar head 21 of rotary shaft 2 is just fixed the fixed ontology 31 of bolt at this time squeezes
It is fixed in mortar nest 111, the track of puncture channel 23 is locked, and real-time control paracentesis depth can be quasi- under Use of Neuronavigation
Really reach lesions position.
It should be understood that herein, " proximal end " refers to the member distance art of instrument in the operating condition or instrument
The closer one end of person, " distal end " refer to the farther away one end of the member distance patient of instrument in the operating condition or instrument.Institute
The pedestal knob 12 stated is designed to outer-hexagonal structure, and the sleeve 52 of the box spanner 5 is designed to interior hexagonal structure, this kind
Design make in surgical procedure, patient directly by 52 sets of the sleeve of box spanner 5 on pedestal knob 12 can turn tighten, no
Need to be aligned etc., it is easy to operate quick, it can effectively save operating time;The pedestal knob 12 is equipped with internal screw thread, described
The fixed ontology 31 of fixing bolt is equipped with external screw thread, and patient is that the fixed ontology 31 of fixing bolt is inserted into pedestal knob 12 when fixed
It is interior, for the visual angle of patient, it is easier to which whether both observations are aligned, especially horizontal right convenient for both observations screw thread
Standard prevents from twisting partially and wasting time, and mortar head 21 can steadily be fixed by having also further ensured that, save the operating time, reduces
Operation difficulty, also improves fixed stability;The most thin position of 12 side wall of pedestal knob with a thickness of 8-15mm,
32 sidewall thickness of fixing bolt knob is 8-15mm, therefore the distal end end face of fixing bolt knob 32 and pedestal knob
12 proximal face has biggish contact surface, and fixing bolt 4 is demarcated using this plane and is screwed into and fixes along correct axial direction
Mortar head 21, further ensures precision;The overall diameter of the mortar head 21 is equal with the interior diameter of 22 proximal end of mortar nest, makes mortar
First 21 half is all embedded in mortar nest 22, it is ensured that the not easy glide in mortar nest 22 of mortar head 21, sliding especially radially.Described
22 outer wall of guide rod is smooth, 23 inner wall smooth of puncture channel and internal diameter everywhere is equal, so that instrument overall construction is succinct, especially
It is to be not easy to shelter evil people and countenance evil practices, convenient for disinfection, prevents infection caused by instrument in art.The pedestal knob 12 is outer-hexagonal knot
Structure equally also has smooth outer wall, it is not easy to shelter evil people and countenance evil practices, convenient for disinfection, prevent infection caused by instrument in art.Described
The overall diameter of fixing bolt knob 32 is designed to be greater than the overall diameter of the fixed ontology 31 of fixing bolt, screw convenient for what is carried out in art
Operation also makes the distal end end face of fixing bolt knob 32 that can form contact surface with the proximal face of pedestal knob 12 to demarcate fixation
Direction.The piece 4 that is auxiliarily fixed can guarantee that puncturing hole fixation is more firm on pedestal 1 and skull.Described is auxiliarily fixed piece 4
41 width design of disk be 8-15mm can be formed with the distal end end face of pedestal knob 12 after pedestal 1 is screwed into puncturing hole
Large contact surface, horizontal plane locating for auxiliary calibration pedestal 1 keep pedestal 1 axial axially consistent with puncturing hole.The fixation hole
42 can significantly improve fixed stability, and three fixation holes 42 for constituting equilateral triangle are then further ensured less
Has highest stability under the conditions of fixed point.It is preferable to use medical stainless steels for the guider of the utility model, convenient for clinical anti-
Multiple cleaning and sterilization processing, do not increase patient economy burden.Generally speaking, the guider of the utility model can be mentioned significantly
Height punctures precision, convenient for operating in art, can significantly shorten operating time, reduces infection probability.It is directly fixed on skull bone hole,
Frame tridimensional orienting headstock in compared with the prior art, figure is small and exquisite, easy for installation, and small, clear disease in art is damaged to patient
It is convenient for switching to conventional operation of opening cranium rapidly after stove property;It manually punctures, wears under middle Frameless nueronavigation compared with the prior art
Thorn precision significantly improves, patient's operation of being also more convenient for.
Other than carrying out aspiration biopsy to unknown lesion, the guider of the utility model can also be used in other aspects, such as
Soft channel can be accurately placed in by the minimally-invasive treatment of hypertensive cerebral hemorrhage using the guider cooperation Use of Neuronavigation of the utility model
In hemotoncus.
Embodiment 2
The guider of the present embodiment and guide structure described in embodiment 1 and shape are essentially identical, and difference only exists
In: the sum of described height of pedestal knob 12 and fixing bolt 3 is less than the radius of mortar head 21.The design is so that guide rod 22 has
Standby biggish angle adjusting range, the puncture track suitable for more perspective.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
Art personnel can also make several improvement and supplement under the premise of not departing from the utility model method, these are improved and supplement
Also it should be regarded as the protection scope of the utility model.
Claims (8)
1. a kind of guider that nerve punctures, which is characterized in that be equipped with navigation arrangement and box spanner;The navigation arrangement packet
It includes pedestal, rotary shaft, fixing bolt and piece is auxiliarily fixed;The pedestal is equipped with the fixed ontology of pedestal and base by distal end to proximal end
Seat knob, the fixed ontology of the pedestal is equipped with external screw thread and inside is equipped with mortar nest, and the pedestal knob is outer-hexagonal structure
And it is equipped with internal screw thread;The rotary shaft is equipped with mortar head and guide rod by distal end to proximal end, the cavity inside mortar head and guide rod
Constitute linear, inner wall smooth and the equal puncture channel of internal diameter everywhere;The fixing bolt is equipped with solid by distal end to proximal end
Determine the fixed ontology of bolt and fixing bolt knob, the fixed ontology of the fixing bolt is equipped with the internal screw thread phase with pedestal knob
The external screw thread matched;The piece that is auxiliarily fixed is equipped with the internal screw thread to match with the external screw thread of the fixed ontology of pedestal, is auxiliarily fixed
Fixation hole there are three being set in the disk of piece;The box spanner is equipped with the set of the interior hexagonal structure to match with pedestal knob
Cylinder;Under working condition, the piece that is auxiliarily fixed is covered in the fixed body exterior of pedestal and is locked, and the fixing bolt is fixed originally
Body matches with pedestal knob and mortar head is locked in mortar nest, and the proximal face that piece is auxiliarily fixed is fitted in the distal end of pedestal knob
On face, the distal end face of fixing bolt knob is fitted in the proximal face of pedestal knob.
2. guider according to claim 1, which is characterized in that three fixation holes connect composition equilateral three
It is angular.
3. guider according to claim 1, which is characterized in that the overall diameter of the mortar head and mortar nest proximal end
Interior diameter is equal.
4. guider according to claim 1, which is characterized in that the minimum exterior diameter of the pedestal knob is greater than pedestal
The overall diameter of fixed ontology, the overall diameter of the fixing bolt knob are greater than the overall diameter of the fixed ontology of fixing bolt.
5. guider according to claim 4, which is characterized in that the thickness at the most thin position of its side wall of pedestal knob
For 8-15mm, described its sidewall thickness of fixing bolt knob is 8-15mm.
6. guider according to claim 5, which is characterized in that the disk width is 8-15mm.
7. guider according to claim 1, which is characterized in that described its side wall of fixing bolt knob is equipped with anti-skidding
Line.
8. guider according to claim 1, which is characterized in that the sum of described pedestal knob and the height of fixing bolt
Less than the radius of mortar head.
Priority Applications (1)
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CN201720904267.2U CN208259747U (en) | 2017-07-25 | 2017-07-25 | A kind of guider that nerve punctures |
Applications Claiming Priority (1)
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CN201720904267.2U CN208259747U (en) | 2017-07-25 | 2017-07-25 | A kind of guider that nerve punctures |
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Publication Number | Publication Date |
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CN208259747U true CN208259747U (en) | 2018-12-21 |
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CN201720904267.2U Expired - Fee Related CN208259747U (en) | 2017-07-25 | 2017-07-25 | A kind of guider that nerve punctures |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107233127A (en) * | 2017-07-25 | 2017-10-10 | 复旦大学附属金山医院 | A kind of servicing unit punctured for Use of Neuronavigation |
-
2017
- 2017-07-25 CN CN201720904267.2U patent/CN208259747U/en not_active Expired - Fee Related
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107233127A (en) * | 2017-07-25 | 2017-10-10 | 复旦大学附属金山医院 | A kind of servicing unit punctured for Use of Neuronavigation |
CN107233127B (en) * | 2017-07-25 | 2023-07-18 | 复旦大学附属金山医院 | Auxiliary device for nerve navigation puncture |
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