CN208404768U - Percutaneous kidney is minimally invasive to take the external position indicator of stone operation - Google Patents

Percutaneous kidney is minimally invasive to take the external position indicator of stone operation Download PDF

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Publication number
CN208404768U
CN208404768U CN201720773218.XU CN201720773218U CN208404768U CN 208404768 U CN208404768 U CN 208404768U CN 201720773218 U CN201720773218 U CN 201720773218U CN 208404768 U CN208404768 U CN 208404768U
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China
Prior art keywords
shell
horizontal location
cpu microprocessor
location sensor
puncture needle
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Expired - Fee Related
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CN201720773218.XU
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Chinese (zh)
Inventor
于永刚
廖松柏
刘为池
武英杰
于洋
曾志玮
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181ST HOSPITAL OF CHINESE PEOPLE'S LIBERATION ARMY
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181ST HOSPITAL OF CHINESE PEOPLE'S LIBERATION ARMY
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Priority to CN201720773218.XU priority Critical patent/CN208404768U/en
Application granted granted Critical
Publication of CN208404768U publication Critical patent/CN208404768U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

It takes stone to perform the operation external position indicator, including puncture needle the utility model relates to percutaneous kidney is minimally invasive, is equipped on the puncture needle and is used to indicate its positioning device for puncturing direction.The positioning device includes shell, acceleration transducer, horizontal location sensor and CPU microprocessor;The acceleration transducer, the horizontal location sensor and the CPU microprocessor are in the shell, and the acceleration transducer passes through A/D conversion circuit with the horizontal location sensor respectively and connects the CPU microprocessor;The beneficial effects of the utility model are: guarantee the smooth foundation of puncture channel, to improve calculus clearance rate, reduce and surrounding organ avoided to damage and the generation of the complication such as bleeding.

Description

Percutaneous kidney is minimally invasive to take the external position indicator of stone operation
Technical field
The utility model relates to medical instruments fields to take the external position indicator of stone operation more particularly to a kind of percutaneous kidney is minimally invasive.
Background technique
The foundation in percutaneous renal puncture and channel is that percutaneous nephrolithy takes stone successfully crucial, and knot can be improved in correct puncture channel Stone clearance rate, bleeding can be reduced and peripheral organs is avoided to damage by fast and accurately establishing puncture channel;The selection of puncture channel is wanted Conducive to wider swing ureteroscope so that single service aisle handles calculus more as far as possible, it is conducive to direct motion and places double J pipe simultaneously Channel is reduced as far as in the length of kidney essence, is finally reached the purpose for reducing wound and remnant gallstone rate.
Currently, the positioning of percutaneous renal puncture is mainly ultrasound and x-ray.It is localization by ultrasonic economy, radiationless, but positioning accuracy It is related to doctor's technology and experience, and for puncture needle into people position, be placed in seal wire situation and residual stone feelings The understanding of condition is inaccurate and intuitive;X-ray can clearly illustrate that puncture needle enters the position of kidney collection system, direction and leads Situation of the silk in kidney collection system, and will appreciate that whether there is or not residual stone, have the characteristics that it is intuitive, but x-ray position under puncture angle Degree is not easy to hold.
How to more accurately determine angle and depth, shorten the hot spot that learning curve is research, but most of at present faces Bed scholar is punctured and expands according to oneself clinical experience and hobby, and preoperative CT inspection can determine that calculus in renal plevis Position, number in kidney calices system, size, and the angle between the direction and each kidney calices branch of each kidney calices branch, CT tri- are provided Tie up reconstruction technique can Arbitrary Rotation, the space structure of calculus is analyzed, helps to formulate optimal rubble, take the cubic meter of stone Case improves puncture success rate.
CT can clearly show that the relationship of kidney and surrounding organ, formulated by CT and puncture pathway, to reduce adjacent organ Damage.This research is quasi- pass through preoperative simulation operation position and pastes designation strip progress spiral CT scan, with Accurate Calibration point of puncture with The angle and depth punctured is calculated, our early-stage studies guarantee to puncture the angle of expansion by orientation angle indicator.But its Level meter sensibility on orientation angle indicator is not good enough, and can not show real-time angular.
Utility model content
In conclusion to overcome the shortcomings of existing technologies, the technical problem to be solved by the utility model is to provide one kind Percutaneous kidney is minimally invasive to take the external position indicator of stone operation.
The technical solution that the utility model solves above-mentioned technical problem is as follows: percutaneous kidney is minimally invasive to take the external positioning of stone operation Instrument, including puncture needle are equipped on the puncture needle and are used to indicate its positioning device for puncturing direction.
The beneficial effects of the utility model are: guarantee puncture channel smooth foundation, with improve calculus clearance rate, reduce and Avoid the generation of the complication such as surrounding organ damage and bleeding.
Based on the above technical solution, the utility model can also do following improvement:
Further, the positioning device includes shell, acceleration transducer, horizontal location sensor and CPU micro process Device;The acceleration transducer, the horizontal location sensor and the CPU microprocessor are in the shell, and And the acceleration transducer passes through A/D conversion circuit with the horizontal location sensor respectively and connects the CPU micro process Device;
The lateral surface of the shell is equipped with the display screen for showing the CPU microprocessor calculated result;The shell It is interior to be equipped with as the acceleration transducer, the horizontal location sensor, the CPU microprocessor and A/D conversion electricity The power supply of road offer electric energy.
Further, the power supply is lithium battery.
Further, the lateral surface of the shell be equipped with the initiation button that patient body position is calibrated for operation consent and For indicating the operation button in the puncture direction of the puncture needle in performing the operation.
Beneficial effect using above-mentioned further scheme is: by high-precision, self-correcting, can show, holds, low-power consumption electricity The angle of sub- display screen real-time display puncture needle or expander, thus guarantee the smooth foundation of puncture channel, it is clear to improve calculus Except rate, reduces and surrounding organ is avoided to damage and the generation of the complication such as bleeding.
Detailed description of the invention
Fig. 1 is the utility model main view;
Fig. 2 is the principles of the present invention block diagram;
Fig. 3 is the calibration mode schematic diagram of the utility model.
In attached drawing, parts list represented by the reference numerals are as follows:
1, puncture needle, 2, shell, 3, display screen, 4, initiation button, 5, operation button.
Specific embodiment
The principles of the present invention and feature are described below in conjunction with attached drawing, example is served only for explaining that this is practical It is novel, it is not intended to limit the scope of the utility model.
As illustrated in fig. 1 and 2, percutaneous kidney is minimally invasive takes the external position indicator of stone operation, including puncture needle 1, on the puncture needle 1 Equipped with the positioning device for being used to indicate its puncture direction.The positioning device includes shell 2, acceleration transducer, horizontal location Sensor and CPU microprocessor;The acceleration transducer, the horizontal location sensor and the CPU microprocessor are equal In the shell 2, and the acceleration transducer and the horizontal location sensor pass through A/D conversion circuit respectively and connect Connect the CPU microprocessor.The lateral surface of the shell 2 is equipped with the display for showing the CPU microprocessor calculated result Screen;It is equipped in the shell 2 as the acceleration transducer, the horizontal location sensor, the CPU microprocessor and institute The power supply for stating A/D conversion circuit offer electric energy is preferred: the power supply is lithium battery.
The lateral surface of the shell 2 is additionally provided with the initiation button 4 calibrated for operation consent to patient body position and uses The operation button 5 in the puncture direction of the puncture needle 1 is indicated in operation.By electronics " acceleration transducer ", " horizontal location passes The electric analoging signal in direction and angle of the sensor " output compared with horizontal, is sent to A/D conversion circuit and becomes digital quantity, then through CPU The program of microprocessor is analyzed, is calculated, and shows real-time angle, 0 bit correction of level etc. in liquid crystal display.
Determine that percutaneous nephrolithy takes stone operation position, the row CT scan inspection after Ipsilateral pastes designation strip, according to rib cage and mark Item selects point of puncture on CT picture and controls direction and the angle of puncture needle 1 or expander by external position indicator.It is described below One specific course of work:
System can work in two modes: calibration mode and operational mode.
Since the sagittal plane of patient is not necessarily vertical with the earth, and since from factor, we may take horizontally-inclined to patient Position, so external position indicator should work first after powering on presses initiation button 4 in the calibration mode, as shown in figure 3, will puncture Needle 1 is obtained by being shelved on the intersection of operating table b and vertical puncturing face d using acceleration transducer and horizontal location sensor The angle theta of current procedure platform b and the earth horizontal reference1
After calibration, enter operational mode after external position indicator pressing operation button 5.At this point, by the needle point of puncture needle 1 It is placed on point of puncture e, using point of puncture as the tail portion of the mobile puncture needle 1 in the center of circle in vertical puncturing face, is passed by horizontal location Sensor obtains self calibration direction a, then the folder of current puncture needle 1 and geodetic datum horizontal plane can be measured by acceleration transducer Angle θ2, calculated by CPU microprocessor, the angle theta between puncture needle 1 and operating table can be being shown in liquid crystal display 32- θ1, practical puncture direction a can be indicated by the angle.
Utilize acceleration transducer measurement angle principle: acceleration transducer has a sensitive axes, when the sensitive axes with When angle is presented in gravity direction, acceleration transducer will export the voltage of certain amplitude, also, voltage value and angle at than Example.The sensitive axes of acceleration transducer are consistent with the direction of puncture needle 1, after powering under self-calibration mode, acceleration sensing Device exports an initial voltage, and CPU microprocessor can calculate initial angle after converting by A/D.In operation, system is in Operational mode, each posture of puncture needle 1 can generate a new angle, and CPU microprocessor is by the angle and initial angle Degree makes the difference, and can calculate the angle of current puncture needle and operation table surface, and the angle is shown by liquid crystal display 3 Come, doctor can be instructed to guarantee operation precision.Its angle precision can be controlled in ± 0.1 °, display refresher rate: 5 times/second.
The above is only the preferred embodiment of the present invention, is not intended to limit the utility model, all practical at this Within novel spirit and principle, any modification, equivalent replacement, improvement and so on should be included in the guarantor of the utility model Within the scope of shield.

Claims (3)

1. percutaneous kidney is minimally invasive to take the external position indicator of stone operation, including puncture needle (1), which is characterized in that on the puncture needle (1) Equipped with the positioning device for being used to indicate its puncture direction;
The positioning device includes shell (2), acceleration transducer, horizontal location sensor and CPU microprocessor;The acceleration Degree sensor, the horizontal location sensor and the CPU microprocessor are in the shell (2), and it is described plus Velocity sensor passes through A/D conversion circuit with the horizontal location sensor respectively and connects the CPU microprocessor;
The lateral surface of the shell (2) is equipped with the display screen for showing the CPU microprocessor calculated result;The shell (2) it is equipped in as the acceleration transducer, the horizontal location sensor, the CPU microprocessor and A/D conversion The power supply of circuit offer electric energy.
2. external position indicator according to claim 1, which is characterized in that the power supply is lithium battery.
3. percutaneous kidney according to claim 1 or 2 is minimally invasive to take the external position indicator of stone operation, which is characterized in that the shell (2) lateral surface is equipped with the initiation button (4) calibrated for operation consent to patient body position and for indicating institute in performing the operation State the operation button (5) in the puncture direction of puncture needle (1).
CN201720773218.XU 2017-06-29 2017-06-29 Percutaneous kidney is minimally invasive to take the external position indicator of stone operation Expired - Fee Related CN208404768U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720773218.XU CN208404768U (en) 2017-06-29 2017-06-29 Percutaneous kidney is minimally invasive to take the external position indicator of stone operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720773218.XU CN208404768U (en) 2017-06-29 2017-06-29 Percutaneous kidney is minimally invasive to take the external position indicator of stone operation

Publications (1)

Publication Number Publication Date
CN208404768U true CN208404768U (en) 2019-01-22

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111436937A (en) * 2020-03-16 2020-07-24 北京东软医疗设备有限公司 Catheter/guide wire tracking method and device and scanning equipment
CN111904595A (en) * 2019-05-10 2020-11-10 西门子医疗有限公司 Positioning unit, positioning system and method

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111904595A (en) * 2019-05-10 2020-11-10 西门子医疗有限公司 Positioning unit, positioning system and method
US11298150B2 (en) 2019-05-10 2022-04-12 Siemens Healthcare Gmbh Positioning unit with a plurality of indicators for guiding a needle
CN111904595B (en) * 2019-05-10 2022-09-02 西门子医疗有限公司 Positioning unit, positioning system and method
CN111436937A (en) * 2020-03-16 2020-07-24 北京东软医疗设备有限公司 Catheter/guide wire tracking method and device and scanning equipment

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190122

Termination date: 20190629

CF01 Termination of patent right due to non-payment of annual fee