CN209499853U - Pulmonary module puncture positioning device - Google Patents

Pulmonary module puncture positioning device Download PDF

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Publication number
CN209499853U
CN209499853U CN201821444387.XU CN201821444387U CN209499853U CN 209499853 U CN209499853 U CN 209499853U CN 201821444387 U CN201821444387 U CN 201821444387U CN 209499853 U CN209499853 U CN 209499853U
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needle
puncture
localization needle
localization
positioning
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CN201821444387.XU
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陈应泰
李凤卫
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BEIJING GENERAL HOSPITAL OF ASTRONAUTICS
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BEIJING GENERAL HOSPITAL OF ASTRONAUTICS
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Abstract

The utility model discloses a kind of pulmonary module puncture positioning devices, comprising: its center is equipped with hollow cavity and front end has the puncture localization needle of puncture tip;There is mark scale on puncture localization needle needle body, is pierced into internal depth convenient for intuitive interpretation;It is placed in the interior intracavitary positioning plugging component for positioning pulmonary module position after being pushed out puncture localization needle and blocking Needle localization needle track of puncture localization needle;The interior intracavitary mating needle core to release positioning plugging component from puncture localization needle front end of puncture localization needle can be plugged on;The spring retainer of paracentesis depth for limit puncture localization needle of the holding outside puncture localization needle;Wherein, the positioning plugging component includes the hangnail line for having several hangnails thereon;Wherein, the hangnail line is made of absorbable material.The pulmonary module puncture positioning device of the utility model, simple and easy, high-efficient, complication rate is low, and position success rate is high, meets laws and regulations specification.

Description

Pulmonary module puncture positioning device
Technical field
The utility model relates to the field of medical instrument technology, more particularly to a kind of preoperative CT Conducted Puncture of pulmonary module The device of positioning.
Background technique
The incidence and recall rate of intrapulmonary lesser tubercle are continuously improved in recent years, and part intrapulmonary lesser tubercle needs operative treatment, And intrapulmonary lesser tubercle is because its is small in size, quality is soft, it is low with normal lung tissue's discrimination, thus palpation position success rate is low in art. Therefore to help to find intrapulmonary lesser tubercle in performing the operation, the various preoperative localization methods of intrapulmonary lesser tubercle come into being.
In the world is started to the research of intrapulmonary lesser tubercle Needle localization the 1990s.It is most widely used at present and is Microcoils Needle localization method.
Microcoils Needle localization method thus microcoils be originally used for Endovascular Embolization platinum memory microcoils, It for a kind of radiopaque shape hangnail line, is linearly stored in handling tube before release, spirals after release as spring Shape.
Operating process is under CT guidance: puncture localization needle being 1. pierced into intrapulmonary lesser tubercle according to measured angle and depth 2. needle core is taken out on side from puncture localization needle, embolism microcoils are 3. loaded into puncture localization needle needle body from handling tube transfer It is interior, puncture localization needle needle body is 4. inserted into Needle localization needle core, discharges partial spring circle, the slow withdraw of the needle prior to perilesional respectively Remainder spring ring is discharged again to lungs surface, is 5. moved back puncture localization needle, is completed operation.
The shortcomings that microcoils positioning mode is to be positioned as over adaptation card use for lung there are legal risk, and needs are mating Puncture localization needle uses, and has the shortcomings that operating procedure is complicated, complication is more.Wherein, pneumothorax is that the location technology is most common Complication and interference position successfully main reason, and research both at home and abroad reports that the technology pneumothorax incidence is 13.2-33%.This Outside, microcoils incarceration, microcoils remain, puncture too deep, pectoralgia, thoracic cavity internal haemorrhage, hemoptysis or even serious gas embolism Deng being also the complication that may occur of the location technology.We, which pass through, combs traditional microcoils Needle localization techniqueflow, It was found that pneumothorax mostly occur in by embolism microcoils from handling tube transfer be loaded into puncture localization needle needle body during it is (above-mentioned Step is 3.), and secondary change should occur as operator's mismate can lead to Needle localization pin position in the process, and then occur Microcoils incarceration, punctures the complication such as too deep at microcoils residual.
Summary of the invention
The purpose of this utility model is exactly to solve the above-mentioned problems, to provide a kind of pulmonary module puncture positioning device, letter Single easy, high-efficient, complication rate is low, and position success rate is high, meets laws and regulations specification.
For the above-mentioned purpose for realizing the utility model, the utility model provides a kind of pulmonary module puncture positioning device, It include: the puncture localization needle that its center is equipped with hollow cavity and front end has puncture tip;It is placed in the inner cavity of puncture localization needle The interior positioning plugging component for positioning pulmonary module position after being pushed out puncture localization needle and blocking Needle localization needle track; The interior intracavitary mating needle core to release positioning plugging component from puncture localization needle front end of puncture localization needle can be plugged on;Card Set the spring retainer of the paracentesis depth for limiting puncture localization needle outside puncture localization needle;Wherein, the positioning plugging Component includes the hangnail line for having several hangnails thereon;Wherein, the hangnail line is made of absorbable material.
Further, the positioning plugging component further include: be wrapped in outside hangnail line and be used to close puncture localization needle Inner cavity and the rush blood coagulation fiber for blocking pulmonary module Needle localization needle track.
Wherein, the puncture localization needle includes: needle body;The interconnecting piece being connect with needle body end;Wherein, the needle body and company The hollow cavity is arranged in the center of socket part, and the V-shaped groove being connected to inner cavity is arranged in the interconnecting piece end.
It further, further include the sealing film for being coated on the interconnecting piece end of the puncture localization needle.
Wherein, the end of the mating needle core is arranged the V-arrangement section for being adapted to the V-shaped groove and connects with V-arrangement section end The push holding section connect.
Wherein, the outer wall of the mating needle core is equipped with the scale for identification length.
Preferably, the needle body of the puncture localization needle is equipped with the mark scale that internal depth is pierced into convenient for intuitive interpretation.
Compared with prior art, the pulmonary module puncture positioning device of the utility model embodiment has the advantages that
The pulmonary module puncture positioning device of the present embodiment solves positioning step in prior art microcoils positioning mode It is more, the shortcomings that being also easy to produce the complication such as pneumothorax, hemoptysis, greatly simplify process, improve efficiency, and can block Needle localization needle track, Promote puncture blutpunkte is solidifying to close, reduce the generation of complication, is conducive to Rehabilitation.
The utility model embodiment is described in detail with reference to the accompanying drawing.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model first embodiment pulmonary module puncture positioning device;
Fig. 2 is the structural schematic diagram of the utility model second embodiment pulmonary module puncture positioning device;
Fig. 3 is the structural schematic diagram of the utility model embodiment puncture localization needle;
Fig. 4 is the structural schematic diagram of the mating needle core of the utility model embodiment;
Fig. 5 is the structural schematic diagram that hangnail on the hangnail line of the utility model embodiment is in the state of falling shape;
Fig. 6 is the structural schematic diagram that hangnail on the hangnail line of the utility model embodiment is in release conditions;
Fig. 7 is that a part of the utility model embodiment hangnail line is pushed out the structural schematic diagram after puncture localization needle.
Specific embodiment
As shown in Figure 1 and Figure 2, two kinds of structures of pulmonary module puncture positioning device respectively provided by the utility model are shown It is intended to, as seen from the figure, the pulmonary module puncture positioning device of the utility model includes: that its center is equipped with hollow cavity 12 and front end Puncture localization needle 1 with puncture tip;It is placed in the inner cavity 12 of puncture localization needle 1 and is used to be pushed out puncture localization needle Pulmonary module position is positioned after 1 and blocks the positioning plugging component of Needle localization needle track;The inner cavity of puncture localization needle 1 can be plugged on Mating needle core 5 in 12 to release positioning plugging component from 1 front end of puncture localization needle;Holding is outside puncture localization needle 1 For limiting the spring retainer 3 of the paracentesis depth of puncture localization needle 1.Wherein, positioning plugging component includes thereon with several The hangnail line 2 of hangnail, and hangnail line 2 is made of absorbable material.Hangnail line can automatically open hangnail after being pierced into lung tissue, pass through Hangnail plays the role of preventing its dislocation, deviate from from intrapulmonary, to realize the reliability of positioning indicative function.
Specifically, the pulmonary module puncture positioning device of the utility model includes puncture localization needle 1, spring retainer 3, determines Position blocking component, sealing film 4 and mating needle core 5.
As shown in Figure 1-Figure 3, puncture localization needle 1 includes: needle body 11;The interconnecting piece 13 being connect with 11 end of needle body;Needle body 11 and the center of interconnecting piece 13 hollow cavity 12 is set, and the V-shaped groove 14 that is connected to inner cavity 12 is arranged in 13 end of interconnecting piece.
The inclined-plane puncture tip of 11 front end of needle body of puncture localization needle for the benefit of puncturing tissue, when design, puncture localization needle Needle body 11 it is 12cm long, outer diameter 22G (i.e. outer diameter is about 0.9mm), 11 outer surface of needle body be equipped with the interval 0.5cm mark carve Degree, in order to which intuitive interpretation is pierced into internal depth.V-shaped groove 14 is arranged in 13 distal center of interconnecting piece, and the diameter of V-shaped groove is by connecting Portion end to front end is gradually reduced, until being connected with inner cavity 12, setting V-shaped groove 14 is completely inserted into convenient for mating needle core 5 and wears It piercing in pilot pin 1, it is ensured that the positioning plugging component being placed in inner cavity 12 in advance can be released completely, in addition, when design, V Shape, the size of shape slot 14 can be adapted with the shape and size of standard syringe pintle, so as to the interconnecting piece of puncture localization needle 1 13 can plug into standard syringe, the pumping exhaust after occurring for pneumothorax.
Wherein, positioning plugging component includes: for being placed in advance in the inner cavity 12 of puncture localization needle 1 with elongation state Hangnail line 2, with hangnail line main body 21 and along the axial several hangnails 22 for being successively set on periphery of hangnail line main body 21;It is wrapped in Being used to close the inner cavity 12 of puncture localization needle 1 and blocking the rush blood coagulation of pulmonary module Needle localization needle track outside hangnail line main body 21 Fiber (not shown), promoting blood coagulation fiber can be used the medical rush blood coagulation fiber of the prior art.Wherein, hangnail line 2 is by that can inhale It receives material to be made, there is certain elasticity, can be used that the prior art is medical to be exempted to tear suture material open.
Absorbable hangnail line is filled in advance when the inner cavity of puncture localization needle, the length direction and puncture localization needle of hangnail line Length direction it is consistent, the length of hangnail line can be slightly less than the length of puncture localization needle, such as can be taken as 10cm, on hangnail line The maximum outside diameter of (as shown in Figure 5) is slightly narrower than the intracavity diameter of puncture localization needle when hangnail is in the state of falling shape, and hangnail line falls Thorn along its axial direction by the inclination of front end to end (end refers to be placed in puncture localization needle when, with the interconnecting piece of puncture localization needle end Hold consistent one end), when in puncture localization needle, the hangnail on hangnail is collapsed and is fitted in hangnail line main body, and is worked as and passed through When mating needle core is released outside puncture localization needle and enters around the lesser tubercle after puncturing, the release of hangnail line, hangnail thereon are opened (as shown in Figure 6), hangnail are anchored to hangnail line in lung tissue after opening, and play the role of preventing dislocation, and anchor Hangnail line due to intrapulmonary can also play the role of assisting lifting in art.
Winding promotees blood coagulation fiber outside hangnail line, the inner cavity of puncture localization needle can be closed, so as not to pass through Needle localization Pin inner chamber gas leakage, in addition, promote blood coagulation fiber can also by block intrapulmonary Needle localization pin puncture formed Needle localization needle track with Just the effect of lung gas leakage will not be formed from Needle localization needle track.This above-mentioned two o'clock for promoting blood coagulation fiber plays together reduces pneumothorax simultaneously The effect of disease is sent out, in addition to this, promotees blood coagulation fiber there are also the solidifying effect closed in blutpunkte is promoted, to reduce hemoptysis complication.
Wherein, in order to seal when being placed in hangnail line in advance in the inner cavity 12 of puncture localization needle 1, this is practical new The sealing film 4 for enveloping its end is arranged in 13 end of interconnecting piece of puncture localization needle 1 for type.The sealing film 4 is one transparent, no Ventilative film is covered in 13 end of interconnecting piece, and it is (such as black that position corresponding to Needle localization center of pin is provided with mark point Point), to play the role of positioning when being inserted into puncture localization needle for mating needle core, correspondingly, can also be set in the V-shaped groove area of interconnecting piece Red dot mark is set, in order to which mating needle core fully penetrates.
Mating needle core 5 includes needle body 51, the V-arrangement section 52 and and V-arrangement for being adapted to V-shaped groove 14 that 51 end of needle body is arranged The push holding section 53 of 52 ends of section connection.The length of mating needle core 5 is slightly longer than the length of puncture localization needle, is such as chosen as 12.1cm, the outer diameter of needle core and the intracavity diameter of puncture localization needle exactly match, and are equipped on the surface of mating needle core for marking The scale for knowing length, such as the scale at the interval 0.5cm, " 0 " point is located at the 2cm of front end, and scale extends to needle body end, uses When, the more registration words of scale are the length remaining in puncture localization needle by the hangnail line of its release.
Wherein, spring retainer 3 is stuck in outside the needle body 11 of puncture localization needle 1, and kneading is adjusted it and is stuck on needle body 11 Position-limiting action is played in position, and depth is too deep when avoiding puncture localization needle puncturing tissue.When design, spring retainer 3 can be used Structure as shown in Figure 1 has the spring ring being placed on outside needle body 11 and set on spring ring both ends and a pair of of folder of opposite tilt Gripping arm;Alternatively, spring retainer 3 can also use the structure with spring ring and " ten " font clamping limb as shown in Figure 2, In first pair of clamping limb connect respectively with spring ring both ends and opposite tilt, second pair of clamping limb is set to and first pair of clamping limb Opposite side, for balancing entire spring retainer.By " ten " word-lifting formula, Needle localization can be fixed to the greatest extent Needle avoids puncture localization needle from lodging in use.
Before use, the independent placement of mating needle core 5;And spring retainer 3 may be stuck in outside puncture localization needle 1, it can also be independent It places, when use is stuck in again outside puncture localization needle 1.
The process punctured using the utility model pulmonary module puncture positioning device is described below:
A. the Needle localization that hangnail line is preinstalled in it is needled by the swollen object of intrapulmonary;
B. sealing film is punctured with the mating needle core with puncture localization needle adapted and be inserted into puncture localization needle, to resist down Line end is pierced, pushes and discharge hangnail line forward, makes constraint of the hangnail on the hangnail line being pushed out because being detached from puncture localization needle And the angle increased between hangnail line central axis opens (as shown in Figure 7) outwardly;
C. it after hangnail line is all pushed out puncture localization needle release, is anchored in lung tissue, and because of the work of hangnail With will not dislocate.
In above-mentioned process, the needle track that when Needle localization pin puncture is formed is completely cut off by promoting blood coagulation fiber with atmosphere completely, Du The generation of pneumothorax absolutely.
The tip of puncture localization needle can be pierced into lung under CT guidance by the pulmonary module puncture positioning device of the utility model Perinodal, by being pushed into puncture localization needle, the hangnail that will be placed in advance in puncture localization needle with graduated mating needle core Line releases puncture localization needle, and hangnail line is made to complete release, opening procedure, so that Lung neoplasm position fixing process is completed by hangnail line, And the inner cavity of puncture localization needle can be closed after the hangnail of hangnail line is opened by being wrapped in the rush blood coagulation fiber outside hangnail line, make to puncture The inner cavity of pilot pin will not gas leakage, while blocking intrapulmonary and Needle localization needle track be formed by by Needle localization pin puncture, so that wearing Thorn positioning needle track will not form lung gas leakage, to reduce the generation of pneumothorax complication, in addition to this, promote blood coagulation fiber and also promote Blood point is solidifying to be closed, and the generation of hemoptysis complication is reduced.
Using the pulmonary module puncture positioning device of the utility model, it is fixed in prior art microcoils positioning mode to solve The shortcomings that position step is more, is also easy to produce the complication such as pneumothorax, hemoptysis, greatly simplify process, improve efficiency, and can block Needle localization Needle track promotes puncture blutpunkte is solidifying to close, and reduces the generation of complication, is conducive to Rehabilitation, and meet laws and regulations specification.
Although being explained in detail above to the utility model embodiment, the utility model embodiment is without being limited thereto, this Those skilled in the art can modify according to the principle of the utility model embodiment, therefore, all practical new according to this The various modifications that the principle of type embodiment carries out all should be understood as falling into the protection scope of the utility model embodiment.

Claims (7)

1. a kind of pulmonary module puncture positioning device characterized by comprising
Its center is equipped with hollow cavity and front end has the puncture localization needle of puncture tip;
The interior intracavitary of puncture localization needle is placed in be used to position pulmonary module position after being pushed out puncture localization needle and block The positioning plugging component of Needle localization needle track;
The interior intracavitary so that releases positioning plugging component from puncture localization needle front end matches trocar of puncture localization needle can be plugged on Core;
The spring retainer of paracentesis depth for limit puncture localization needle of the holding outside puncture localization needle;
Wherein, the positioning plugging component includes the hangnail line for having several hangnails thereon;
Wherein, the hangnail line is made of absorbable material.
2. pulmonary module puncture positioning device according to claim 1, which is characterized in that the positioning plugging component also wraps It includes:
The rush for being used to close the inner cavity of puncture localization needle and blocking pulmonary module Needle localization needle track being wrapped in outside hangnail line is solidifying Fibrin.
3. pulmonary module puncture positioning device according to claim 2, which is characterized in that the puncture localization needle includes:
Needle body;
The interconnecting piece being connect with needle body end;
Wherein, the hollow cavity is arranged in the center of the needle body and interconnecting piece, and interconnecting piece end setting connects with inner cavity Logical V-shaped groove.
4. pulmonary module puncture positioning device according to claim 3, which is characterized in that further include being coated on the puncture The sealing film of the interconnecting piece end of pilot pin.
5. pulmonary module puncture positioning device according to claim 3, which is characterized in that the end of the mating needle core is set The push holding section setting the V-arrangement section for being adapted to the V-shaped groove and being connect with V-arrangement section end.
6. pulmonary module puncture positioning device according to claim 1-5, which is characterized in that the mating needle core Outer wall be equipped with for identification length scale.
7. pulmonary module puncture positioning device according to claim 3, which is characterized in that the needle body of the puncture localization needle It is equipped with the mark scale that internal depth is pierced into convenient for intuitive interpretation.
CN201821444387.XU 2018-09-05 2018-09-05 Pulmonary module puncture positioning device Active CN209499853U (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN201821444387.XU CN209499853U (en) 2018-09-05 2018-09-05 Pulmonary module puncture positioning device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113648074A (en) * 2021-07-05 2021-11-16 南京普立蒙医疗科技有限公司 Pulmonary nodule positioning puncture needle

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113648074A (en) * 2021-07-05 2021-11-16 南京普立蒙医疗科技有限公司 Pulmonary nodule positioning puncture needle

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