CN208435736U - A kind of percutaneous cervical arc root punctures guidance system and its fine regulation rod - Google Patents
A kind of percutaneous cervical arc root punctures guidance system and its fine regulation rod Download PDFInfo
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- CN208435736U CN208435736U CN201720954242.3U CN201720954242U CN208435736U CN 208435736 U CN208435736 U CN 208435736U CN 201720954242 U CN201720954242 U CN 201720954242U CN 208435736 U CN208435736 U CN 208435736U
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- punctures
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Abstract
The utility model discloses a kind of percutaneous cervical arc root and punctures guidance system and its fine regulation rod, including vertical guide device and puncture needle, level(l)ing device, vertebral pedicle puncture guiding device and puncture needle and vertebral pedicle puncture fine regulation rod；Vertical guide device and level(l)ing device are that a T-shape is whole, and square groove is provided on level(l)ing device, and vertebral pedicle puncture guiding device is one 1/4 cylindrical；The utility model can be convenient, accurately and fast realize the accurate puncture of pedicle of vertebral arch；Vertebral pedicle puncture fine regulation rod can realize point of puncture inwardly outer upper and lower accurate, convenient and fast adjustment；Device uses saturating x-ray, transparent material, facilitates fluoroscopy during operation；Perspective is reduced, the ray exposure of medical staff and sufferer is reduced；The guiding of articular process puncture needle avoids the blindness of puncture, the use of fine regulation rod improves the accuracy and ease for operation that point of puncture is adjusted, reduce nervus vasculairs tissue damage risk, ensure the accuracy and safety punctured, shorten operating time, it is easy to learn, grasps, shortens learning cycle, improve efficiency.
Description
Technical field
The utility model belongs to medical instruments field, and in particular to a kind of percutaneous cervical arc root punctures guidance system and its fine tuning
Stick.
Background technique
With the fast development of Minimally invasive procedure, percutaneous cervical arc root nail using more and more extensive, such as Thoracolumbar disk bone
Folding, MIS-TLIF, Spondylitis even backbone correcting.Percutaneous cervical arc root follows closely technology wound small (notch small, through spatium intermusculare), postoperative
Restore fast advantage, obtains more and more spinal surgeons and the approval of patient.But percutaneous cervical arc root punctures and is mostly at present
Hand operation, it is ideal to puncture the experience and feel for relying on patient, it verified, adjusted by x-ray positive side position perspective repeatedly,
Puncture and adjustment in art repeatedly, patient and patient usually receive more x-ray exposure, increase operating time and difficulty, reduce
Efficiency, it is for beginner even more so.Ideal percutaneous cervical arc root puncture is largely dependent on skin penetrating point and notch
The selection of position, the accurate of pedicle of vertebral arch entry point punctures and the assurance of puncture needle angle.To realize quick, accurate, ideal warp
Skin vertebral pedicle puncture and accurately fine tuning, a kind of percutaneous cervical arc root of our utility models puncture guidance system.
The three-dimensional localization guiding device that a kind of percutaneous cervical arc root punctures is disclosed in patent CN203122610U, goes forward side by side one
Step is disclosed including pedestal, inclination angle measurer, measuring appliance support rod, and longitudinal frame side of pedestal is equipped with guide groove.The device needs
It is fixed on operating bed, joint is more, and loading, unloading are cumbersome；Guidance without vertical articular process puncture needle punctures guiding and is completely dependent on patient
Image data, and patient's condition is difficult to fit like a glove with image in art, easily leads to the error in practical operation；It can often be met in art
It need to be made the appropriate adjustments to less effective is punctured, the device is without fine regulation rod, and it is not flexible, accurate to finely tune, and regulatory function is poor, adjusts again
It need to puncture again；Increase damage and operating time, is not easy to operation and quickly and effectively carries out.
Utility model content
The utility model provides a kind of simple, easy to operate, precise and high efficiency the percutaneous cervical arc root of structure and punctures guidance system；
It is intended to help that simple, quick, ideally merging vertebral pedicle puncture guide pin is obtained by the guiding of the vertical articular process puncture needle of backbone
Ideal vertebral pedicle puncture is obtained, articular process punctures simple, safety, and the guiding of vertical articular process puncture needle avoids the blindness of puncture
Property, fine regulation rod application keep the adjustment of point of puncture more acurrate, easy, reduce neural blood vessel damage risk, be easy to learn, grasp,
Shorten learning cycle, reduce the ray exposure of medical staff and patient, shorten operating time, it is ensured that the accuracy of puncture and
Safety improves and punctures efficiency.
The technical solution adopted in the utility model is as follows:
A kind of percutaneous cervical arc root puncture guidance system, it is characterised in that: vertical guide device and level(l)ing device
It is cuboid, the vertical guide device is vertically arranged with level(l)ing device；
The vertical guide device top is equipped with vertical puncture pilot hole, is equipped in the vertical puncture pilot hole perpendicular
To articular process puncture needle；
Square groove is provided on the level(l)ing device, vertebral pedicle puncture guiding device is 1/4 cylindrical, and the pedicle of vertebral arch is worn
Thorn guiding device is slid laterally on square groove by the square protruding of one side, and can be limited nut locking；The pedicle of vertebral arch
Guide device is equipped with vertebral pedicle puncture pilot hole, is equipped with vertebral pedicle puncture needle in the vertebral pedicle puncture pilot hole.
Further, described 1/4 cylindrical vertebral pedicle puncture guiding device is there are two types of module, and a kind of module is that the center of circle is identical
10 degree, 20 degree, 30 degree, 40 degree, 50 degree of 5 vertebral pedicle puncture pilot holes, another module be the center of circle it is 15 degree identical, 25
Degree, 35 degree, 45 degree, 55 degree of 5 vertebral pedicle puncture pilot holes, vertebral pedicle puncture needle are walked in vertebral pedicle puncture pilot hole.
Further, the adjustable range of the level(l)ing device is 0 ~ 5 cm.
Further, conventional 1.5mm Kirschner wire can be used in vertical articular process puncture needle, and vertebral pedicle puncture needle uses 2mm
Kirschner wire.
Further, the system comprises 2 mirroring apparatus in left and right.
A kind of fine regulation rod puncturing guidance system suitable for percutaneous cervical arc root, it is characterised in that: the fine regulation rod is a circle
Cylindricality metal bar, one end is smooth, an end toper, and there are three parallel pilot holes in stick.
Further, the spacing of the pilot hole in the fine regulation rod is 1mm-3mm, realizes the accurate adjusting of 3mm-10mm,
Realize upper and lower, the inside and outside fine tuning of point of puncture.
The utility model has the following beneficial effects:
(1) the utility model determines the principle of straight line based on two o'clock, by vertical articular process puncture needle guide and
The guiding of vertebral pedicle puncture pilot hole can be convenient, accurately and fast realize that pedicle of vertebral arch accurately punctures；Guiding device principle is
Right angled triangle punctures measurement in spine CT, MRI data and art based on patient, can obtain accurate right angled triangle one
The data on side and the angle of vertebral pedicle puncture needle, in this way, can simple in vitro, accurately assembling, adjusting guide device,
So that puncture needle is accurately reached destination region, and verifying is carried out by X perspective and punctures effect, it is such as undesirable, it can also be by fine regulation rod
Carry out simple, multi-direction, precise vernier adjustment.Reduce the ray exposure of medical staff and sufferer；Vertical articular process punctures simple, peace
Entirely, the guiding of vertical articular process puncture needle avoids the blindness of puncture, reduces neural blood vessel damage risk, is easy to learn, the palm
It holds, shortens learning cycle, shorten operating time, it is ensured that the accuracy and safety of puncture improve efficiency；
(2) guiding device in the present apparatus uses transparent, radiopaque materials, and low cost does not influence to have an X-rayed；
(3) present apparatus structure is simple, and manipulation accuracy is high, easy to spread practical.
Detailed description of the invention
Fig. 1 is the utility model structure diagram.
Fig. 2 is the utility model overlooking structure diagram.
Fig. 3 is the 2 mirroring apparatus structural schematic diagrams in left and right.
Fig. 4 is fine regulation rod perspective view.
Fig. 5 is fine regulation rod cross-section diagram.
Appended drawing reference: the vertical articular process puncture needle of 1-, 2- vertically puncture pilot hole, the vertical guide device of 3-, 4- water
Heibei provincial opera regulating device, 5- square groove, 6- stop nut, 7- vertebral pedicle puncture guiding device, 8- vertebral pedicle puncture pilot hole, 9- pedicle of vertebral arch
Puncture needle, 10- metal bar, 11- taper, 12- pilot hole.
Specific embodiment
The utility model is described further with reference to the accompanying drawing:
As shown in Figs. 1-5, a kind of percutaneous cervical arc root punctures guidance system, it is characterised in that: vertical guide device 3 with
Level(l)ing device 4 is cuboid, and the vertical guide device 3 is vertically arranged with level(l)ing device 4；
3 top of vertical guide device is equipped with vertical puncture pilot hole 2, sets in the vertical puncture pilot hole 2
There is vertical articular process puncture needle 1；
Square groove 5 is provided on the level(l)ing device 4, vertebral pedicle puncture guiding device 7 is 1/4 cylindrical, the vertebral arch
Root puncture guiding device 7 is slid laterally on square groove 5 by the square protruding of one side, and can be limited the locking of nut 6；It is described
Vertebral pedicle puncture guiding device 7 is equipped with vertebral pedicle puncture pilot hole 8, wears in the vertebral pedicle puncture pilot hole 8 equipped with pedicle of vertebral arch
Pricker 9；
Vertebral pedicle puncture fine regulation rod is cased with outside the vertebral pedicle puncture needle, the vertebral pedicle puncture fine regulation rod is one cylindrical
Metal bar, one end is smooth, an end toper, and there are three parallel pilot holes in stick.
The 1/4 cylindrical vertebral pedicle puncture guiding device 7 there are two types of module, a kind of module be the center of circle it is 10 degree identical,
20 degree, 30 degree, 40 degree, 50 degree of 5 vertebral pedicle puncture pilot holes, another module are that the center of circle is 15 degree identical, 25 degree, 35
Degree, 45 degree, 55 degree of 5 vertebral pedicle puncture pilot holes, vertebral pedicle puncture needle 9 are walked in vertebral pedicle puncture pilot hole.
The adjustable range of the level(l)ing device 4 is 0 ~ 5 cm.
Conventional 1.5mm Kirschner wire can be used in vertical articular process puncture needle 1, and vertebral pedicle puncture needle 9 uses 2mm Kirschner wire.
The system comprises 2 mirroring apparatus in left and right.
A kind of fine regulation rod puncturing guidance system suitable for percutaneous cervical arc root, it is characterised in that: the fine regulation rod is a circle
Cylindricality metal bar 10, one end is smooth, an end toper 11, and there are three parallel pilot holes 12 in stick.
The spacing of pilot hole 12 in the fine regulation rod is 1mm-3mm, realizes the accurate adjusting of 3mm-10mm, realizes and punctures
Upper and lower, the inside and outside fine tuning put
Embodiment:
The present embodiment additionally provides above-mentioned percutaneous cervical arc root and punctures application method of the guidance system on clinical treatment, specifically
It is as follows:
(1) in the label two pedicle of vertebral arch line of centres of targeted vertebral body on patient's chest skin of lumbar region under X-ray examination standard normotopia phase
And pedicle area, the angle of splay of vertebral pedicle puncture is determined according to preoperative CT, MRI data of patient, takes the pedicle of vertebral arch outer rim to be
Point of puncture, by the lower end aligned of the vertical puncture pilot hole point of puncture, vertical articular process puncture needle 1 is in vertical guide device
3 guided Percutaneous reach articular process bone face.Whether the position of X-ray examination puncture needle, angle are suitable.It, can if improper
It adjusts；If appropriate, vertical articular process puncture needle 1 is measured in skin length below, it is assumed that is a.As shown in Figure 1.
(2) assume that the angle of splay that the centrum punctures is 30 degree, the depth obtained under vertical puncture needle skin is punctured in art is
a.Another root puncture needle is placed in vertical puncture pilot hole in vitro, makes its lower end length a；In vertebral pedicle puncture guiding device 30
Degree angle pilot hole is built into another vertebral pedicle puncture needle 9, and parallel sliding guiding device intersects two needle points just, locks spiral shell
It is female, it is assumed that the distance slided at this time is b；
(3) vertical articular process puncture needle 1, vertebral pedicle puncture needle 9 are removed；The vertical puncture pilot hole of guiding device is placed on
It has punctured on intracorporal vertical articular process puncture needle 1, vertebral pedicle puncture pilot hole lower end is placed in prolonging for pedicle of vertebral arch line
It on long line, is punctured through pilot hole, vertebral pedicle puncture needle 9 is made to reach Pedicle entrance outer rim.
(4) whether ideal for X-ray examination verifying again if puncturing 9 tip position of vertebral pedicle puncture needle, the angle of needle, if it is ideal after
Continuous hammering guide pin, makes needle point reach centrum.It is long that skin longitudinal cut is done centered on the skin entry point of vertebral pedicle puncture needle 9
1.5cm is successively placed in guide pin, service aisle, tapping, the merging screw of conventional percutaneous cervical arc root nail.Guiding smoothly terminates.
(5) such as 9 tip position of vertebral pedicle puncture needle, angle are still undesirable, need to adjust by a small margin, then with vertebral pedicle puncture needle
The long 1.5cm of skin longitudinal cut is centered on 9 skin entry point, and the needle point deviation size selection not people having the same aspiration and interest is judged according to X perspective
Pitch from fine regulation rod.One pilot hole 12 of fine regulation rod is placed on vertebral pedicle puncture needle 9, with vertebral pedicle puncture needle 9 is
Heart rotary fine adjustment stick makes another pilot hole reach ideal point of puncture, is placed in another piece of identical puncture needle along the pilot hole.X-ray
Whether the needle tip position of the secondary merging of perspective verifying, angle are ideal.Being oriented to if ideal smoothly terminates, if undesirable repetition
Operation.
Above description is only a specific implementation of the present invention, but the protection scope of utility model is not limited to
This, anyone skilled in the art within the technical scope disclosed by the utility model, the variation that can readily occur in or is replaced
It changes, should all cover within the protection scope of utility model.
Claims (7)
1. a kind of percutaneous cervical arc root punctures guidance system, it is characterised in that: vertical guide device (3) and level(l)ing device
It (4) is cuboid, the vertical guide device (3) is vertically arranged with level(l)ing device (4)；
Vertical guide device (3) top is equipped with vertical puncture pilot hole (2), and the vertical puncture pilot hole (2) is interior
Equipped with vertical articular process puncture needle (1)；
It is provided with square groove (5) on the level(l)ing device (4), vertebral pedicle puncture guiding device (7) is 1/4 cylindrical, the vertebra
Nut guide device (7) is slid laterally on square groove (5) by the square protruding of one side, and can be limited nut (6)
Locking；The vertebral pedicle puncture guiding device (7) is equipped with vertebral pedicle puncture pilot hole (8), the vertebral pedicle puncture pilot hole (8)
It is interior to be equipped with vertebral pedicle puncture needle (9).
2. a kind of percutaneous cervical arc root according to claim 1 punctures guidance system, it is characterised in that: described 1/4 is cylindrical
For vertebral pedicle puncture guiding device (7) there are two types of module, a kind of module is that the center of circle is 10 degree, 20 degree, 30 degree, 40 degree, 50 degree identical
5 vertebral pedicle puncture pilot holes, another module is that the center of circle is 15 degree identical, 25 degree, 35 degree, 45 degree, 55 degree of 5 vertebral arch
Root puncture pilot hole, vertebral pedicle puncture needle (9) are walked in vertebral pedicle puncture pilot hole.
3. a kind of percutaneous cervical arc root according to claim 1 punctures guidance system, it is characterised in that: the Level tune dress
The adjustable range for setting (4) is 0 ~ 5 cm.
4. a kind of percutaneous cervical arc root according to claim 1 punctures guidance system, it is characterised in that: vertical articular process punctures
1.5mm Kirschner wire can be used in needle (1), and vertebral pedicle puncture needle (9) uses 2mm Kirschner wire.
5. a kind of percutaneous cervical arc root according to claim 1 punctures guidance system, it is characterised in that: the system comprises a left sides
Right 2 mirroring apparatus.
6. a kind of fine regulation rod for puncturing guidance system suitable for percutaneous cervical arc root, it is characterised in that: the fine regulation rod is a cylinder
Shape metal bar (10), one end is smooth, an end toper (11), and there are three parallel pilot holes (12) in stick.
7. a kind of fine regulation rod for puncturing guidance system suitable for percutaneous cervical arc root according to claim 6, it is characterised in that:
The spacing of pilot hole (12) in the fine regulation rod is 1mm-3mm, realizes the accurate adjusting of 3mm-10mm, realizes the upper of point of puncture
Under, inside and outside fine tuning.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720954242.3U CN208435736U (en) | 2017-08-02 | 2017-08-02 | A kind of percutaneous cervical arc root punctures guidance system and its fine regulation rod |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720954242.3U CN208435736U (en) | 2017-08-02 | 2017-08-02 | A kind of percutaneous cervical arc root punctures guidance system and its fine regulation rod |
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| Publication Number | Publication Date |
|---|---|
| CN208435736U true CN208435736U (en) | 2019-01-29 |
Family
ID=65094960
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720954242.3U Expired - Fee Related CN208435736U (en) | 2017-08-02 | 2017-08-02 | A kind of percutaneous cervical arc root punctures guidance system and its fine regulation rod |
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| Country | Link |
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| CN (1) | CN208435736U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110060532A (en) * | 2019-04-22 | 2019-07-26 | 赵华国 | Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method |
| CN111134800A (en) * | 2020-02-24 | 2020-05-12 | 梧州市红十字会医院 | Intervertebral foramen mirror puncture positioning device |
-
2017
- 2017-08-02 CN CN201720954242.3U patent/CN208435736U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110060532A (en) * | 2019-04-22 | 2019-07-26 | 赵华国 | Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method |
| CN111134800A (en) * | 2020-02-24 | 2020-05-12 | 梧州市红十字会医院 | Intervertebral foramen mirror puncture positioning device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20190129 Termination date: 20190802 |