CN208524983U - A kind of Percutaneous lung puncture three-dimensional laser guide device - Google Patents

A kind of Percutaneous lung puncture three-dimensional laser guide device Download PDF

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Publication number
CN208524983U
CN208524983U CN201721106768.2U CN201721106768U CN208524983U CN 208524983 U CN208524983 U CN 208524983U CN 201721106768 U CN201721106768 U CN 201721106768U CN 208524983 U CN208524983 U CN 208524983U
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China
Prior art keywords
laser
guide support
mounting
puncture
guide
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Expired - Fee Related
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CN201721106768.2U
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Chinese (zh)
Inventor
杨清杰
郭明
胡蒙
包传恩
孙晓雁
解百宜
黄晓媚
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Individual
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Individual
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Priority to CN201721106768.2U priority Critical patent/CN208524983U/en
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Expired - Fee Related legal-status Critical Current
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Abstract

A kind of Percutaneous lung puncture three-dimensional laser guide device, is related to the medical instrument of puncturing operation.Percutaneous lung puncture three-dimensional laser guide device is equipped with mounting, sliding block, guide support and Laser Goniometer;Mounting is equipped with arch slideway, sliding block and arch slideway packaged type cooperate, sliding block and arch slideway are locked by fastener, guide support is fixedly connected with a slide block by fastener, Laser Goniometer is fixed on guide support top, laser beam guide hole direction set by the beam direction face guide support lower part that Laser Goniometer is emitted.It can be accurately positioned, realize and precisely puncture.And structure very simple, it is easy to operate.Through practice examining, excellent.

Description

A kind of Percutaneous lung puncture three-dimensional laser guide device
Technical field
The utility model relates to the medical instruments of puncturing operation, draw more particularly, to a kind of Percutaneous lung puncture three-dimensional laser Lead device.
Background technique
CT positions lower percutaneous pneumoncentesis (hereinafter referred to as lung is worn) and is widely used in clinical multiple subjects.Including percutaneous lung The preoperative Needle localization of percutaneous biopsy, small pulmonary artery, lung neoplasm interventional therapy (ablation, seeds implanted) etc..It is thoracic surgery, breathing Internal medicine and most frequent one of the operation of Internal Medicine-Oncology are the important methods for obtaining Lung neoplasm Pathologic specimen and clarifying a diagnosis, especially To the case of bronchoscopic biopsies and the premise of lung neoplasm interventional therapy cannot be passed through.In recent years, with high-resolution spiral CT's is universal, and the recall rate of Small pulmonary nodule is higher and higher.To can be suspected of the Small pulmonary nodule of the early stage of lung cancer, under row CT guidance Drug eluting stent art is the important method of clear pathological diagnosis.Some clinical patient is examined according to CT images performance Break as the early stage of lung cancer and undergos surgery.In the patient to undergo surgery in this section, the Lung neoplasm for having 10-30% operation to cut is through disease Reason, which checks, to be confirmed not to be lung cancer.If operation consent can do the aspiration biopsy of Lung neoplasm, first clear pathological diagnosis re-treatm ent, this 10- 30% patient can be to avoid unnecessary operation wound.But clinically Lung neoplasm (such as diameter 1cm or less lesser to diameter Tubercle) carry out percutaneous transthoracic needle biopsy be very difficult.It is not only difficult to lesser small pulmonary artery aspiration biopsy, it is same right In the puncture ablation for the malign lung nodules patient for not being resistant to operation, and the seeds implanted of the small metastatic tumor of lung in early detection All exist in equal operating process because Lung neoplasm is smaller, puncture needle cannot be accurately through Lung neoplasm and the case where influence diagnosis and treatment.
Difficult lung is worn, needed in operating process repeatedly CT scan determine puncture needle position and repeatedly withdraw of the needle inserting needle, Adjust puncture angle.On the one hand repeatedly CT scan increases patient by the dosage radiated, and on the other hand withdraw of the needle inserting needle increases repeatedly Add the wound of patient.Therefore, clinically there is urgent demand to accurately Percutaneous lung puncture technology at present.
The guiding device clinically used at present improves the accuracy that lung is worn to a certain extent, but for lesser lung knot It is relatively dissatisfied to save effect, one of the main reasons is that these guiding devices need operator to maintain a position by hand to wear to guide Thorn, is easy to appear displacement, the channeling direction of guiding device is made small deviation occur.Utility model device is fixed on CT bed, is led to The accurate puncture of Lung neoplasm is realized in the three-dimensional guidance for crossing laser beam.Overcome the deviation that fixed guiding device occurs by hand.
Summary of the invention
The purpose of the utility model is to provide one kind to be accurately positioned, and realizes the Percutaneous lung puncture three-dimensional laser precisely punctured Guide device.
To achieve the above objectives, the present invention adopts the following technical solutions:
Percutaneous lung puncture three-dimensional laser guide device is equipped with mounting, sliding block, guide support and Laser Goniometer;
Mounting is equipped with arch slideway, and sliding block and arch slideway packaged type cooperate, and sliding block and arch slideway pass through fastener Locking, guide support are fixedly connected with a slide block by fastener, and Laser Goniometer is fixed on guide support top, Laser Goniometer Laser beam guide hole direction set by the beam direction face guide support lower part emitted.
Further,
The mounting is arch mounting, and the arch slideway is the arcuate apertures on arch mounting center line.
The guide support is rod-shaped guide support, and the lower part of rod-shaped guide support is equipped with hollow laser beam guide hole.
The fastener is fastening screw.
Compared with the prior art, the beneficial effects of the utility model are as follows:
Sliding block can be moved along the arch slideway of mounting, and be fixed on any position of mounting.Laser Goniometer and guidance branch Frame is fixed on sliding block, and Laser Goniometer is rotatable, is converted angle (angle between level), and project accordingly in front end The cross laser of angle, i.e. angle between the light and ground of cross laser focus are equal to the angle shown on inclinometer.Make Used time: the utility model is placed on CT lathe.It marks, and cooks up path, the angle, depth of puncture on CT image Degree.The position of sliding block and the angle of Laser Goniometer are adjusted, the angle on Laser Goniometer is made to plan the angle of inserting needle, angle The cross laser focus projected on instrument is on entry point, and the light of cross laser focus is the route of puncture needle inserting needle at this time. When inserting needle, entry point inserting needle of the puncture needle from label is held, adjusts backshank direction, laser beam guiding puncture direction makes inserting needle mistake The focus of cross laser is hit exactly in backshank always in journey, after inserting needle to predetermined depth, stops inserting needle, check CT understands puncture needle position It sets.
It can be seen that the utility model can be accurately positioned, realizes and precisely puncture.And structure very simple, it is easy to operate. Through practice examining, excellent.
Detailed description of the invention
Fig. 1 is the utility model embodiment structural schematic diagram.
Specific embodiment
Referring to Fig. 1, Percutaneous lung puncture three-dimensional laser guide device is equipped with mounting 1, sliding block 3, guide support 7 and laser angular Spend instrument 6.
Mounting 1 is equipped with arch slideway, and sliding block 3 and arch slideway packaged type cooperate.Sliding block 3 and arch slideway pass through fastening Part 2 (being equipped with several) locking, guide support 7 are fixedly connected by fastener 4 with sliding block 3.Laser Goniometer 6 passes through connector 5 and 7 top of guide support, the direction face guide support for the laser beam 8 that Laser Goniometer 6 is emitted are fixed on through fastening screw The guide hole direction of laser beam 8 set by 7 lower parts, Laser Goniometer 6 are equipped with display screen.
The mounting 1 is arch mounting, and the arch slideway is the arcuate apertures on 1 center line of arch mounting.It is described to draw Leading bracket 7 is rod-shaped guide support, and the lower part of rod-shaped guide support 7 is equipped with hollow laser beam guide hole.The fastener 2 and 4 For fastening screw.
Application examples is given below.
Sharing 97 patients tries out the guide device at present.As the result is shown: Lung neoplasm >=1cm, (inserting needle is deep for paracentesis depth Degree) < 10cm case, one-time puncture up to predetermined position rate be 95.5%;Lung neoplasm >=1cm, paracentesis depth >=10cm disease Example, it is 83.6% that one-time puncture, which reaches predetermined position rate,;Lung neoplasm < 1cm case, one-time puncture are up to predetermined position rate 40.5%.It is analyzed for being unable to one-time puncture up to the case in predetermined position.Lung neoplasm < 1cm case, the master of puncture failure It wants the reason is that the relative position of Lung neoplasm and wall of the chest point of puncture changes patient's flesh when leading to puncture failure, i.e. inserting needle when inserting needle Meat is shunk, the increase of thorax Breathing movement causes the relative position between small pulmonary artery and the wall of the chest to change.Clinical application result No matter display: from which angle being punctured in which point inserting needle of the wall of the chest using the guide device of above-mentioned bow-shaped support structure, can It is accurately guided with laser beam, improves the accuracy that lung is worn, reduce complication.

Claims (4)

1. a kind of Percutaneous lung puncture three-dimensional laser guide device, which is characterized in that be equipped with mounting, sliding block, guide support and laser Inclinometer;
Mounting is equipped with arch slideway, and sliding block and arch slideway packaged type cooperate, and sliding block and arch slideway are locked by fastener, Guide support is fixedly connected with a slide block by fastener, and Laser Goniometer is fixed on guide support top, and Laser Goniometer is sent out Laser beam guide hole direction set by the beam direction face guide support lower part penetrated.
2. a kind of Percutaneous lung puncture three-dimensional laser guide device as described in claim 1, which is characterized in that the mounting is arch Mounting, the arch slideway are the arcuate apertures on arch mounting center line.
3. a kind of Percutaneous lung puncture three-dimensional laser guide device as described in claim 1, which is characterized in that the guide support is The lower part of rod-shaped guide support, rod-shaped guide support is equipped with hollow laser beam guide hole.
4. a kind of Percutaneous lung puncture three-dimensional laser guide device as described in claim 1, which is characterized in that the fastener is tight Gu screw.
CN201721106768.2U 2017-08-31 2017-08-31 A kind of Percutaneous lung puncture three-dimensional laser guide device Expired - Fee Related CN208524983U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721106768.2U CN208524983U (en) 2017-08-31 2017-08-31 A kind of Percutaneous lung puncture three-dimensional laser guide device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721106768.2U CN208524983U (en) 2017-08-31 2017-08-31 A kind of Percutaneous lung puncture three-dimensional laser guide device

Publications (1)

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CN208524983U true CN208524983U (en) 2019-02-22

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893222A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 A kind of puncture guide of the implantable treatment laser positioning for intervention ablation
CN110123273A (en) * 2019-04-26 2019-08-16 上海市肺科医院 A kind of the tubercle body surface positioning device and tubercle body surface localization method of combination CT image
CN110811779A (en) * 2019-11-12 2020-02-21 西安交通大学医学院第一附属医院 Medical puncture needle fixing device for tumor intervention
WO2022199123A1 (en) * 2021-03-24 2022-09-29 真实维度科技控股(珠海)有限公司 Auxiliary guiding and positioning apparatus for ct-guided puncture

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893222A (en) * 2019-02-28 2019-06-18 成都真实维度科技有限公司 A kind of puncture guide of the implantable treatment laser positioning for intervention ablation
CN109893222B (en) * 2019-02-28 2024-02-13 成都真实维度科技有限公司 Puncture guide for interventional ablation implantation treatment laser positioning
CN110123273A (en) * 2019-04-26 2019-08-16 上海市肺科医院 A kind of the tubercle body surface positioning device and tubercle body surface localization method of combination CT image
CN110811779A (en) * 2019-11-12 2020-02-21 西安交通大学医学院第一附属医院 Medical puncture needle fixing device for tumor intervention
WO2022199123A1 (en) * 2021-03-24 2022-09-29 真实维度科技控股(珠海)有限公司 Auxiliary guiding and positioning apparatus for ct-guided puncture

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Granted publication date: 20190222

Termination date: 20190831