CN210056180U - Neurosurgery intracranial hematoma puncture guiding device - Google Patents

Neurosurgery intracranial hematoma puncture guiding device Download PDF

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Publication number
CN210056180U
CN210056180U CN201920605476.6U CN201920605476U CN210056180U CN 210056180 U CN210056180 U CN 210056180U CN 201920605476 U CN201920605476 U CN 201920605476U CN 210056180 U CN210056180 U CN 210056180U
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puncture
guiding device
support
rotating
guide rail
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CN201920605476.6U
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甄勇
花彬
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Northern Jiangsu Peoples Hospital
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Yangzhou Hao Lian Electronic Technology Co Ltd
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Abstract

The utility model relates to a neurosurgical intracranial hematoma puncture guiding device in the field of neurosurgery, a puncture guiding device rotating guide rail is also arranged between the neurosurgical intracranial hematoma puncture guiding device and a horizontal support in a matching way, the puncture guiding device rotating guide rail is fixed through a rotating device connecting piece, and a puncture direction guiding device is also arranged on the puncture guiding device rotating guide rail in a matching way; the puncture guiding device rotates the guide rail and takes the rotating device connecting piece as the origin and slides up and down through the arc-shaped supporting track; the direction of the puncture direction guide device faces the target point positioning device; the utility model discloses a combine CT piece positioning method accurate determination scalp point of puncture, planning route and hematoma target point to guide the accurate focus target point that inserts of puncture instrument, have easy operation, preparation time before the art is short, puncture target point precision is high, disposable puncture success rate is high, patient's misery reduces, corresponding operation risk reduces, has low in manufacturing cost, convenient to use is swift simultaneously, salvages patient advantage such as in time.

Description

Neurosurgery intracranial hematoma puncture guiding device
Technical Field
The utility model relates to an intracranial hematoma puncture guiding device for neurosurgery in the neurosurgery field.
Background
The neurosurgery positioning puncture has wide application, such as ventricular puncture drainage, hematoma puncture drainage, and pathological and positioning of deep lesions; the key point of the puncture technology is that the puncture position and angle are accurate, and if the puncture position and angle cannot be accurately positioned, the channel cannot reach a puncture target point; not only can the purpose of removing pathological changes be achieved, but also unnecessary brain injury can be caused; two solutions have been used to solve the above-mentioned puncture problem: 1. for the condition that accurate positioning is not needed, a preoperative CT skull puncture point of a nerve navigation system is mainly adopted for positioning, and blind puncture is carried out according to a preset direction and depth; 2. for situations where precise positioning is required, puncturing is performed primarily with assisted and stereotactic framed or frameless navigation systems.
The first method is a bare-handed visual inspection stage, has no related simple operation auxiliary instrument, particularly has no grasp on the puncture angle, is totally empirical, has high requirement on the experience of an operator, lacks objective accuracy, is not ideal in drainage tube position and low in precision, influences the drainage effect and increases the operation risk.
The second method has high requirements on equipment, needs a special navigation system, is complex in device operation, is difficult to master in a short time, is long in operation time, has high equipment cost which is more than one million and is difficult to popularize.
With the popularization of the establishment of a composite operating room at present, how to accurately complete puncture and positioning based on intraoperative CT or DSA with CT function is a problem for neurosurgeons; a simulation approach in the operation is utilized, a point on the selected skull or the surface of the brain is planned to a target point at the deep part of the brain, the planned angle and depth are extracted, the angle is input by utilizing a device designed by the user and is placed into the depth, and then a target point of a target focus can be reached, and the operation is guided to be accurately completed.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a neurosurgery intracranial hematoma puncture guider, the utility model aims at providing a simple and easy neurosurgery intracranial hematoma puncture guider, have easy operation, preparation time before the art is short, puncture target point precision is high, disposable puncture success rate is high, patient's misery reduces, corresponding operation risk reduces, has low in manufacturing cost, convenient to use is swift simultaneously, salvages advantages such as patient is timely.
The purpose of the utility model is realized like this: a neurosurgical intracranial hematoma puncture guiding device comprises a hard support and a guiding device fixed on the hard support, wherein the guiding device comprises a fixed support; the laser horizontal vertical instrument is further arranged on the upper portion of the arc-shaped supporting track in a matched and fixed mode, a puncture guiding device rotating guide rail is further arranged between the horizontal support and the arc-shaped supporting track in a matched and fixed mode, the puncture guiding device rotating guide rail is fixed through a rotating device connecting piece, and a puncture direction guiding device is further arranged on the puncture guiding device rotating guide rail in a matched and fixed mode; the puncture guiding device rotating guide rail takes the rotating device connecting piece as an original point and slides up and down through the arc-shaped supporting track; the direction of the puncture direction guide device faces the target point positioning device.
When the utility model works, the scalp to-be-punctured part is selected and marked by a metal electrode; horizontally laying the patient on a DSA operation bed, fixing the head, and reconstructing an image in DSA type CT scanning; planning to a target point at the deep part of the brain from a selected point on the skull or the surface of the brain by utilizing an intraoperative simulation access, and extracting a planned angle and depth; specifically, the IGS730 system is used with an ADW4.6 workstation; the patient is on a DSA bed lying on the back under general anesthesia, the head position and the bed position are fixed, and CT scanning is carried out in a mode of 10 degrees/sec; reconstructing an image under the Volume Viewer by using 3D spare Sub, and firstly determining a puncture point, namely a previous metal electrode marking point in a reconstruction interface; then determining a puncture target point in the axial interface; returning to the reconstruction interface again, rotating the head position, and coinciding the puncture point with the puncture target point, wherein the angles displayed in the reconstruction interface, namely the coronal plane and the sagittal plane, are the puncture angles; then, the mouse marker point is placed at the puncture point position in the inclined interface and is spatially rotated, so that the puncture point and a puncture target point appear in the interface at the same time, and the distance between the puncture point and the puncture target point is measured at the moment, namely the puncture depth; fixing the guiding device beside the DSA operation table through a hard support, calibrating through a level meter and a laser horizontal vertical meter, enabling the fixed support and the horizontal support on the guiding device to be parallel to the operation table, and establishing a coordinate system basically the same as that in the DSA; adjusting the hard support, coinciding the positioning point of the target point positioning device with the mark point, and operating the puncture guiding device rotating guide rail to move on the arc-shaped support track according to the angle and the depth extracted in the second step, so that the puncture guiding device rotating guide rail takes the rotating device connecting piece as an original point and slides up and down on the arc-shaped support track to determine a good angle; after the position is moved, the position of the puncture direction guide device is adjusted up, down, left and right, after the adjustment is finished, the puncture needle is inserted into the guide groove, and the puncture needle is inserted into the hematoma cavity along the guide groove according to the set depth.
The beneficial effects of the utility model reside in that, the utility model aims at providing a simple and easy intracranial hematoma puncture guider of neurosurgery, combine CT piece positioning method accurate determination scalp point of puncture, planning route and hematoma target point, and guide the accurate focus target point of inserting of puncture instrument, it is easy to have an operation, preparation time is short before the art, puncture target point precision is high, disposable puncture success rate is high, patient's misery reduces, corresponding operation risk reduces, simultaneously have low in manufacturing cost, high durability and convenient use, salvage patient advantage such as in time.
As a further improvement of the present invention, in order to ensure that the fixed support can stably support and the horizontal support stably supports, and to facilitate the operator to calibrate the parallelism, and to ensure that the direction can be adjusted on the coronal plane in the actual operation, the fixed support includes a fixed support a and a fixed support B which are arranged in a crossed manner, the fixed support a and the fixed support B are arranged vertically, the horizontal support includes a horizontal support a and a horizontal support B which are arranged in a crossed manner, and the length of the horizontal support a is longer than that of the horizontal support B; and the horizontal support A and the horizontal support B are respectively provided with a level gauge.
As a further improvement of the utility model, the rotating guide rail of the puncture guiding device can normally and rapidly slide up and down, so that the relative position can be conveniently adjusted; the puncture guiding device rotating guide rail is arranged in an arc shape and comprises an upper sliding part and a lower sliding part, the upper sliding part is arranged in a manner of being matched with the upper part of the arc-shaped supporting track, the lower sliding part is arranged in a manner of being matched with a rotating device connecting piece, and the rotating device connecting piece is fixed at the head end of the horizontal support A; the puncture guiding device rotating guide rail is matched with the arc-shaped supporting track and is also arranged in an arc shape, and the puncture guiding device rotating guide rail is provided with angle scales and size scales in a matching mode.
As a further improvement of the utility model, the puncture direction guiding device can guide normally, so that a doctor can conveniently perform puncture guiding, and secondary damage to brain tissue caused by inertia effect is prevented; the puncture direction guiding device comprises a guiding device body, the guiding device body comprises two guiding blocks with guiding grooves, the guiding blocks are fixed through buckles, and the guiding blocks can rotate for 360 degrees; the two sides of the guiding device body are also provided with guiding channels in cooperation with the puncture guiding device rotating guide rails, and the guiding device body is made of elastic materials.
As a further improvement of the utility model, the target positioning device is convenient to position; the target point positioning device comprises a reinforcing rib arranged between the intersection point B and the horizontal support B, a longitudinal ruler and a transverse ruler, wherein the longitudinal ruler and the transverse ruler are matched with the reinforcing rib, and the longitudinal ruler and the transverse ruler are vertically arranged to form a target point positioning ruler.
As a further improvement of the utility model, the connecting piece of the rotating device is convenient for the rotating guide rail of the puncture guiding device to rotate and better limit the puncture guiding device; the rotating device connecting piece comprises a ball head rod arranged at the tail end of a rotating guide rail of the puncture guiding device, a rotating shaft direction support for fixing the ball head rod and a limiting and fastening device for limiting; one side of the rotating shaft direction support close to the horizontal support A is provided with an L-shaped notch in a matching mode, the other end of the rotating guide rail of the puncture guiding device is provided with a groove, and the groove is arranged in a sliding mode in cooperation with the arc-shaped support rail.
As a further improvement of the utility model, the utility model aims to ensure accurate positioning of the doctor during the operation; the target point positioning ruler is provided with positioning points at the staggered positions of the longitudinal ruler and the transverse ruler, and the extension line of the puncture direction guiding device is directly arranged towards the positioning points; medical self-adhesive glue is arranged below the fixed support.
Drawings
Fig. 1 shows a first working interface of the present invention.
Fig. 2 shows a second working interface of the present invention.
Fig. 3 shows a third working interface of the present invention.
Fig. 4 shows a fourth working interface of the present invention.
Fig. 5 shows a fifth working interface of the present invention.
Fig. 6 shows a sixth working interface of the present invention.
Fig. 7 shows a seventh working interface of the present invention.
Fig. 8 is a first perspective view of the present invention.
Fig. 9 is a second perspective view of the present invention.
Fig. 10 is a third perspective view of the present invention.
Fig. 11 is a view showing the placement of the guide.
The puncture point measuring device comprises a puncture point 1, a puncture target point 2, an intersection point A3, a horizontal support 4, an arc support rail lower part 5, an arc support rail upper part 6, a laser spirit level instrument 7, a puncture guide device rotating guide rail 8, a puncture direction guide device 9, a rotating device connecting piece 10, a fixed support A11, a fixed support B12, a horizontal support A13, a horizontal support B14, a lower sliding part 15, a level instrument 16, an upper sliding part 17, a guide groove 18, a guide channel 19, a guide device body 20, a reinforcing rib 21, a transverse ruler 22, a longitudinal ruler 23, a ball head rod 24, a limiting fastening device 25, a 26L-shaped notch, a 27 positioning point, an intersection point B28, a fixed support 29, an arc support rail 30 and a hard support 31.
Detailed Description
As shown in fig. 1-11, a neurosurgical intracranial hematoma puncture guiding device comprises a hard support 31 and a guiding device fixed on the hard support 31, wherein the guiding device comprises a fixed support 29, an intersection point A3 is arranged on the fixed support 29, an arc-shaped support rail 30 is further fixed at the position of the intersection point A3, and the arc-shaped support rail 30 is integrally and perpendicularly arranged on the fixed support 29; the cross point A3 is also matched and fixed with a horizontal support 4, the arc-shaped support track 30 and the horizontal support 4 track are integrally and vertically arranged, the arc-shaped support track 30 comprises an arc-shaped support track upper part 6 and an arc-shaped support track lower part 5, the arc-shaped support track lower part 5 is fixed on a cross point A3, the arc-shaped support track upper part 6 is provided with a cross point B28, a target point positioning device is arranged between the cross point B28 and the horizontal support 4, the arc-shaped support track upper part 6 is also matched and provided with a laser horizontal vertical instrument 7, a puncture guide device rotating guide rail 8 is also matched and arranged between the horizontal support 4, the puncture guide device rotating guide rail 8 is fixed through a rotating device connecting piece 10, and a puncture direction guide device 9 is also matched and arranged on the puncture guide device; the puncture guide device rotating guide rail 8 takes the rotating device connecting piece 10 as an origin and slides up and down through the arc-shaped supporting track 30; the puncture direction guide 9 is oriented towards the target point positioning device.
The fixed support 29 comprises a fixed support A11 and a fixed support B12 which are arranged in a crossed mode, a fixed support A11 and a fixed support B12 are arranged vertically, the horizontal support 4 comprises a horizontal support A13 and a horizontal support B14, a horizontal support A13 and a horizontal support B14 are arranged in a crossed mode, and the length of the horizontal support A13 is longer than that of the horizontal support B14; the horizontal supports A13 and B14 are respectively provided with a level gauge 16.
The puncture guiding device rotating guide rail 8 is arranged in an arc shape, the puncture guiding device rotating guide rail 8 comprises an upper sliding part 17 and a lower sliding part 15, the upper sliding part 17 is arranged in a way of being matched with the upper part 6 of the arc-shaped supporting track, the lower sliding part 15 is arranged in a way of being matched with a rotating device connecting piece 10, and the rotating device connecting piece 10 is fixed at the head end of a horizontal support A13; the puncture guiding device rotating guide rail 8 is matched with the arc-shaped supporting track 30 and is also arranged in an arc shape, and the puncture guiding device rotating guide rail 8 is provided with angle scales and size scales in a matching mode.
The puncture direction guide device 9 comprises a guide device body 20, the guide device body 20 comprises two guide blocks with guide grooves 18, the guide blocks are fixed through buckles, and the guide blocks can rotate for 360 degrees; the two sides of the guiding device body 20 are also provided with guiding channels 19 in cooperation with the puncture guiding device rotating guide rails 8, and the guiding device body 20 is made of elastic materials.
The target point positioning device comprises a reinforcing rib 21 arranged between an intersection point B28 and a horizontal support B14, a longitudinal ruler 23 and a transverse ruler 22 which are matched with the reinforcing rib 21, wherein the longitudinal ruler 23 and the transverse ruler 22 are vertically arranged and form a target point positioning ruler.
The rotating device connecting piece 10 comprises a ball head rod 24 arranged at the tail end of the rotating guide rail 8 of the puncture guiding device, a rotating shaft direction support for fixing the ball head rod 24 and a limiting and fastening device 25 for limiting; one side of the rotating shaft direction support close to the horizontal support A13 is provided with an L-shaped notch 26 in a matching way, the other end of the puncture guiding device rotating guide rail 8 is provided with a groove, and the groove is arranged in a sliding way in a matching way with the arc-shaped support rail 30.
The target point positioning ruler is provided with positioning points 27 at the staggered positions of the longitudinal ruler 23 and the transverse ruler 22, and the extension line of the puncture direction guide device 9 is directly arranged towards the positioning points 27; medical self-adhesive glue is arranged below the fixed support 29.
When the utility model works, the scalp to-be-punctured part is selected and marked by a metal electrode; horizontally laying the patient on a DSA operation bed, fixing the head, and reconstructing an image in DSA type CT scanning; planning to a target point at the deep part of the brain from a selected point on the skull or the surface of the brain by utilizing an intraoperative simulation access, and extracting a planned angle and depth; specifically, the method is operated in an IGS730 system of GE company, and an ADW4.6 workstation is used; the patient is on a DSA bed lying on the back under general anesthesia, the head position and the bed position are fixed, and CT scanning is carried out in a mode of 10 degrees/sec; reconstructing an image by 3D spare Sub under the Volume Viewer, firstly determining a puncture point 1, namely a previous metal electrode marking point, in a reconstruction interface chart 1 through an insert + right mouse button; then, a puncture target point 2 is determined in an Axial position interface, namely in FIG. 2 through insert + right mouse button; returning to the reconstruction interface shown in fig. 3 and 4 again, rotating the head, and coinciding the puncture point 1 and the puncture target point 2, wherein the angles displayed in the reconstruction interface are coronal and sagittal, that is, the puncture angle; then, a mouse marker point is placed at the puncture point 1 in an Oblique interface 3, namely, in fig. 5, and is spatially rotated, so that the puncture point 1 and a puncture target point 2 appear in the interface at the same time, as shown in fig. 6, the distance between the puncture point 1 and the puncture target point 2 is measured, and the distance is the puncture depth, as shown in fig. 7; then, the guiding device is fixed beside the DSA operation table through the hard support 31, and is calibrated through a level meter and a laser horizontal vertical instrument, so that the fixed support and the horizontal support on the guiding device are parallel to the operation table, and a coordinate system basically the same as that in the DSA is established; adjusting the hard support 31, superposing the positioning point of the target point positioning device with the metal electrode mark point, and extracting the angle and the depth according to the second step, so that the position of the target point can be determined, the positioning point 27 where the longitudinal ruler 23 and the transverse ruler 22 are staggered is aligned with the puncture point, after the end, the puncture guide device rotating guide rail 8 is operated to move on the arc-shaped support rail 30, the groove of the upper sliding part 17 moves along the upper part 6 of the arc-shaped support rail by taking the ball head rod 24 as a central origin, and due to the limitation of the L-shaped notch 26, the puncture guide device rotating guide rail 8 can only move within the range within 90 degrees at the notch; after moving to the angle position calculated by the CT image system, the position is limited and locked by a limiting and fastening device 25, so that the position of the rotating guide rail 8 of the puncture guiding device is fixed; then the position of the puncture direction guide device body is subjected to up-and-down arc-shaped sliding on the puncture guide device rotating guide rail 8 through a guide channel 19, and the position of a guide groove 18 of a guide device body 20 relative to a puncture point is adjusted; after the adjustment is completed, the puncture needle is inserted into the guide groove 18, and the puncture needle is inserted into the hematoma chamber along the guide groove 18 according to the set depth.
The present invention is not limited to the above embodiments, and based on the technical solutions disclosed in the present invention, those skilled in the art can make some replacements and transformations for some technical features without creative labor according to the disclosed technical contents, and these replacements and transformations are all within the protection scope of the present invention.

Claims (7)

1. A neurosurgical intracranial hematoma puncture guiding device comprises a hard support and a guiding device fixed on the hard support, wherein the guiding device comprises a fixed support; the laser horizontal vertical instrument is further arranged on the upper portion of the arc-shaped supporting track in a matched and fixed mode, a puncture guiding device rotating guide rail is further arranged between the horizontal support and the arc-shaped supporting track in a matched and fixed mode, the puncture guiding device rotating guide rail is fixed through a rotating device connecting piece, and a puncture direction guiding device is further arranged on the puncture guiding device rotating guide rail in a matched and fixed mode; the puncture guiding device rotating guide rail takes the rotating device connecting piece as an original point and slides up and down through the arc-shaped supporting track; the direction of the puncture direction guide device faces the target point positioning device.
2. A neurosurgical intracranial hematoma puncture guide device as claimed in claim 1, wherein: the fixed support comprises a fixed support A and a fixed support B which are arranged in a crossed manner, the fixed support A and the fixed support B are arranged vertically, the horizontal support comprises a horizontal support A and a horizontal support B, the horizontal support A and the horizontal support B are arranged in a crossed manner, and the length of the horizontal support A is longer than that of the horizontal support B; and the horizontal support A and the horizontal support B are respectively provided with a level gauge.
3. A neurosurgical intracranial hematoma puncture guide device as claimed in claim 1, wherein: the puncture guiding device rotating guide rail is arranged in an arc shape and comprises an upper sliding part and a lower sliding part, the upper sliding part is arranged in a manner of being matched with the upper part of the arc-shaped supporting track, the lower sliding part is arranged in a manner of being matched with a rotating device connecting piece, and the rotating device connecting piece is fixed at the head end of the horizontal support A; the puncture guiding device rotating guide rail is matched with the arc-shaped supporting track and is also arranged in an arc shape, and the puncture guiding device rotating guide rail is provided with angle scales and size scales in a matching mode.
4. A neurosurgical intracranial hematoma puncture guide device as claimed in claim 1, wherein: the puncture direction guiding device comprises a guiding device body, the guiding device body comprises two guiding blocks with guiding grooves, the guiding blocks are fixed through buckles, and the guiding blocks can rotate for 360 degrees; the two sides of the guiding device body are also provided with guiding channels in cooperation with the puncture guiding device rotating guide rails, and the guiding device body is made of elastic materials.
5. A neurosurgical intracranial hematoma puncture guide device as claimed in claim 1, wherein: the target point positioning device comprises a reinforcing rib arranged between the intersection point B and the horizontal support B, a longitudinal ruler and a transverse ruler, wherein the longitudinal ruler and the transverse ruler are matched with the reinforcing rib, and the longitudinal ruler and the transverse ruler are vertically arranged to form a target point positioning ruler.
6. A neurosurgical intracranial hematoma puncture guide as claimed in claim 1 or 3, wherein: the rotating device connecting piece comprises a ball head rod arranged at the tail end of a rotating guide rail of the puncture guiding device, a rotating shaft direction support for fixing the ball head rod and a limiting and fastening device for limiting; one side of the rotating shaft direction support close to the horizontal support A is provided with an L-shaped notch in a matching mode, the other end of the rotating guide rail of the puncture guiding device is provided with a groove, and the groove is arranged in a sliding mode in cooperation with the arc-shaped support rail.
7. A neurosurgical intracranial hematoma puncture guide device as claimed in claim 5, wherein: the target point positioning ruler is provided with positioning points at the staggered positions of the longitudinal ruler and the transverse ruler, and the extension line of the puncture direction guiding device is directly arranged towards the positioning points; medical self-adhesive glue is arranged below the fixed support.
CN201920605476.6U 2019-04-29 2019-04-29 Neurosurgery intracranial hematoma puncture guiding device Active CN210056180U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920605476.6U CN210056180U (en) 2019-04-29 2019-04-29 Neurosurgery intracranial hematoma puncture guiding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920605476.6U CN210056180U (en) 2019-04-29 2019-04-29 Neurosurgery intracranial hematoma puncture guiding device

Publications (1)

Publication Number Publication Date
CN210056180U true CN210056180U (en) 2020-02-14

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CN201920605476.6U Active CN210056180U (en) 2019-04-29 2019-04-29 Neurosurgery intracranial hematoma puncture guiding device

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Effective date of registration: 20240417

Address after: No. 98, Nantong West Road, Yangzhou City, Jiangsu Province, 225000

Patentee after: NORTHERN JIANGSU PEOPLE'S Hospital

Country or region after: China

Address before: No.217, Kaifa West Road, high tech Industrial Development Zone, Hanjiang District, Yangzhou City, Jiangsu Province 225000

Patentee before: YANGZHOU HAOLIAN ELECTRONIC TECHNOLOGY Co.,Ltd.

Country or region before: China