CN210301161U - Puncture positioning device - Google Patents

Puncture positioning device Download PDF

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Publication number
CN210301161U
CN210301161U CN201920632883.6U CN201920632883U CN210301161U CN 210301161 U CN210301161 U CN 210301161U CN 201920632883 U CN201920632883 U CN 201920632883U CN 210301161 U CN210301161 U CN 210301161U
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China
Prior art keywords
puncture
positioning
vertical
ruler
brain
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Expired - Fee Related
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CN201920632883.6U
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Chinese (zh)
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杨俊�
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Individual
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Individual
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Abstract

The utility model provides a puncture positioner for brain focus target point puncture location, include: the vertical positioning ruler is provided with a first scale in the vertical direction; the first sliding seat is vertically and slidably arranged on the vertical positioning ruler; the horizontal positioning ruler is arc-shaped and is arranged on the first sliding seat, and the first sliding seat drives the horizontal positioning ruler to move along the vertical direction of the vertical positioning ruler. The utility model discloses in, vertical positioning chi is installed on patient's brain central line vector position, and horizontal positioning chi passes through first slide vertical sliding on vertical positioning chi, and medical staff adjusts the puncture position according to the data acquisition of simulation in-process, and the device simple structure, light and handy, convenient operation occupy less place among the operation process, do not influence the operation of operation.

Description

Puncture positioning device
Technical Field
The utility model relates to the field of medical technology, especially, relate to a puncture positioner.
Background
Cerebral hemorrhage, brain abscess, and brain cystic tumor are common clinical diseases in neurology department. In the prior art, the operation method for treating intracranial diseases mainly comprises a craniotomy and a puncture drainage operation, wherein the craniotomy is difficult, high in risk and high in treatment cost, and the puncture drainage operation is a minimally invasive intracranial hemorrhage or hematoma removing technology, and is small in wound, safe, effective and low in price, so that the minimally invasive intracranial hemorrhage or hematoma removing technology is clinically applied, but the quality and the speed of the operation are influenced to a certain extent due to the fact that a puncture point cannot be objectively and accurately mastered and the influence of human factors. However, the various stereotaxic apparatuses used in clinical practice for puncturing the skull increase the pain of patients due to complex structure, high price, difficult operation and long operation time, and the popularization and application of the stereotaxic apparatuses are limited.
SUMMERY OF THE UTILITY MODEL
In order to overcome at least one defect in the prior art, the utility model provides a puncture positioning device.
The utility model discloses a solve the technical scheme that its problem adopted and be:
a puncture positioning device is used for the puncture positioning of a target point of a brain focus and comprises:
the vertical positioning ruler is provided with a first scale in the vertical direction;
the first sliding seat is vertically and slidably arranged on the vertical positioning ruler;
the horizontal positioning ruler is arranged on the first sliding seat, and the first sliding seat drives the horizontal positioning ruler to move along the vertical direction of the vertical positioning ruler.
The utility model discloses a puncture positioner, vertical positioning chi are installed on patient's brain central line arrow position location strip, and horizontal positioning chi slides perpendicularly on vertical positioning chi through first slide, and medical staff adjusts the puncture position according to the data acquisition in the simulation process, and the device simple structure, light and handy, convenient operation occupy less place in the operation process, do not influence the operation of operation.
Furthermore, the puncture needle device also comprises a second sliding seat and a puncture needle guide sleeve arranged on the second sliding seat, wherein the second sliding seat is arranged on the horizontal positioning ruler in a sliding manner.
Therefore, the puncture positioning of the puncture needle is realized by adjusting the relative position of the puncture needle guide sleeve and the horizontal positioning ruler.
Furthermore, the horizontal positioning ruler is arc ruler-shaped and provided with an arc groove, or the horizontal positioning ruler is linear ruler-shaped and provided with a horizontal straight groove, and the second sliding seat slides and rotates to be arranged on the arc groove or the horizontal straight groove.
Further, the puncture needle guide sleeve is rotatably arranged on the second sliding seat.
Therefore, the puncture needle guide sleeve can rotate, and the puncture direction of the puncture needle can be conveniently adjusted.
Furthermore, a second scale which is in arc-shaped or linear arrangement is arranged on the horizontal positioning ruler.
Therefore, accurate puncture positioning and fine adjustment of the puncture needle can be realized through the second scales.
Further, be provided with vertical chute on the vertical positioning chi, first slide slidable and rotatable set up in on the vertical chute.
Further, the horizontal positioning ruler is rotatably arranged on the first sliding seat.
Therefore, the horizontal positioning ruler can rotate, and the puncture direction of the puncture needle can be conveniently adjusted.
Further, still include the base, it is connected with the location strip cooperation of patient's brain, perpendicular location chi sets up in on the base.
Therefore, the puncture positioning device which is well positioned when the puncture positioning device is installed on a model or three-dimensional modeling can be moved to the brain of a patient by using the base, so that the steps of setting relevant position parameters during operation in real time are reduced.
Further, the base is provided with a rib plate for increasing the contact area with the brain of the patient.
Therefore, the stability of the puncture positioning device is enhanced and the oppression on the brain of the patient is reduced through the rib plates.
To sum up, compare with prior art, the beneficial technical effect of the utility model:
1) the puncture device has the advantages that the puncture parameters are set according to the simulation result through the vertical positioning ruler and the horizontal positioning ruler which are vertically arranged, the puncture accuracy is improved, the device is simple and light in structure and convenient to operate, small space is occupied in the operation process, and the operation of the operation is not influenced;
2) through the scales on the vertical positioning ruler and the horizontal positioning ruler, the relevant parameters during the simulated puncture can be conveniently read, and the setting and fine adjustment of the relevant parameters in the operation process are also convenient;
3) the horizontal positioning rule can rotate relative to the vertical positioning rule, the puncture needle guide sleeve can rotate relative to the horizontal positioning rule, the puncture direction of the puncture needle can be conveniently adjusted, and the shortest puncture stroke is selected or important brain parts are avoided.
Drawings
Fig. 1 is a schematic structural diagram of embodiment 1 of the present invention;
FIG. 2 is a schematic view of the exploded configuration of the puncture positioning device shown in FIG. 1;
FIG. 3 is a schematic view of a simulated lancing positioning device of the lancing positioning device of FIG. 1 in a simulated lancing model;
FIG. 4 is a schematic view of the puncture positioning device shown in FIG. 1 actually puncturing the brain of a patient.
Wherein the reference numerals have the following meanings:
1. a vertical positioning ruler; 11. a first scale; 12. a vertical chute; 13. a locking member; 14. a card slot; 2. a first slider; 21. a first screw; 22. a first nut; 3. a horizontal positioning ruler; 31. an arc-shaped slot; 32. a second scale; 4. a second slide carriage; 41. a second screw; 42. a second nut; 5. a puncture needle guide sleeve; 6. puncturing needle; 7. a base; 71. a rib plate; 72. a slider; 8. x-ray opaque positioning strips; 9. and simulating a positioning frame.
Detailed Description
For better understanding and implementation, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
It should be noted that all the directional indicators (such as upper, lower, left, right, front, back, outer and inner … …) in the embodiments of the present invention are only used to explain the relative position relationship between the components, the motion situation, etc. in a specific posture (as shown in the drawings), and if the specific posture is changed, the directional indicator is changed accordingly.
Referring to fig. 1 to 4, the utility model provides a puncture positioner for brain focus target puncture location, include: perpendicular location chi 1, first slide 2, horizontal location chi 3, second slide 4, pjncture needle uide bushing 5 and base 7, perpendicular location chi 1 set up in on the base 7, horizontal location chi 3 sets up on perpendicular location chi 1 through 2 vertical sliding of first slide, pjncture needle uide bushing 5 slides through 4 arcs of second slide and sets up on horizontal location chi 3, be provided with pjncture needle 6 on the pjncture needle uide bushing 5. Specifically, the base 7 is used for connecting with an X-ray opaque positioning strip 8 adhered to the brain of a patient; the base 7 is provided with a rib plate 71 for increasing the contact area with the brain of the patient or the X-ray opaque positioning strip 8, so as to enhance the stability of the puncture positioning device and reduce the pressure on the brain of the patient.
Referring to fig. 1 and 2, the vertical positioning ruler 1 is substantially rectangular, a first scale 11 and a vertical sliding chute 12 are arranged in the vertical direction, the vertical sliding chute 12 is substantially in a waist-shaped through hole shape, and the first scale 11 is located on the side edge of the vertical sliding chute 12 in the length direction, so that the relative position of the first sliding seat 2 when sliding on the vertical positioning ruler 1 can be conveniently determined; the vertical positioning ruler 1 is further provided with a locking piece 13 and a clamping groove 14, the base 7 is provided with a sliding block 72 in clamping fit with the clamping groove 14, and the locking piece 13 is inserted into the sliding block 72 so that the vertical positioning ruler 1 can be fixed on the base 7.
The horizontal positioning rule 3 is approximately in an arc rule shape, the arc center of the horizontal positioning rule approximately points to the center of the brain of a patient, a second scale 32 and a through arc-shaped groove 31 are arranged on the upper surface of the horizontal positioning rule 3, the arc direction of the arc-shaped groove 31 is consistent with the arc direction of the horizontal positioning rule 3, the second scale 32 is arranged in an arc shape along the inner side and the outer side of the arc-shaped groove 31, and the second sliding seat 4 is arranged on the arc-shaped groove 31 so as to determine the relative position of the second sliding seat 4 on the vertical positioning rule 1.
Indeed, in other embodiments, the horizontal positioning rule 3 may also be substantially in the shape of a straight rule, a through horizontal straight slot and second scales 32 arranged along two sides of the length direction of the horizontal straight slot are provided on the upper surface of the horizontal positioning rule 3, and the second slide 4 is provided on the horizontal straight slot.
In order to realize convenient adjustment of the puncture direction of the puncture needle 6, in the embodiment, the following schemes are provided:
(1) the first sliding seat 2 is provided with a first screw 21 and a first nut 22, the first screw 21 penetrates through the vertical sliding groove 12 and is in threaded connection with the first nut 22, so that the first sliding seat 2 can be slidably and rotatably arranged on the vertical sliding groove 12;
(2) the horizontal positioning ruler 3 is rotatably arranged on the first sliding seat 2;
(3) a second screw rod 41 and a second nut 42 are arranged on the second sliding seat 4, the second screw rod 41 penetrates through the arc-shaped groove 31 and is in threaded connection with the second nut 42, and therefore the second sliding seat 4 can be slidably and rotatably arranged on the arc-shaped groove 31;
(4) the puncture needle guide sleeve 5 is rotatably arranged on the second sliding seat 4.
The above-mentioned schemes 1 and 2 can be freely combined with the schemes 3 and 4 respectively to realize the adjustment of the puncture inclination angle direction of the puncture needle 6.
Referring to fig. 3 and 4, in combination with the puncture positioning device, the utility model discloses a method for positioning the puncture of a target spot of a brain lesion, which comprises the following steps:
1) positioning the sagittal level of the brain of the patient by using the positioning strip;
in the embodiment, when the sagittal plane of the brain of the patient is confirmed, the X-ray-proof positioning strip 8 is positioned on the brain of the patient along the upper part of the nasal wing of the patient through the position of the frontal midline so as to realize the positioning of the sagittal plane of the brain; preferably, the X-ray opaque positioning strip 8 is pasted on the brain of the patient;
2) taking the midline sagittal plane as a reference, carrying out CT scanning on the brain of the patient to obtain scanning data of a midline sagittal image and a transverse plane image of the brain of the patient;
in the embodiment, before the brain CT scanning is carried out, the built-in laser collimator of the CT machine is opened, and the projection line of the laser collimator on the surface of the skull is adjusted to be positioned at the central line of the X-ray opaque positioning strip 8, so that the central line of the X-ray opaque positioning strip 8 is superposed with the CT laser central line;
3) analyzing the scanning data and determining a target point crosscut layer image of the brain focus of the patient;
4) modeling the midline sagittal image and the target point transverse cutting plane image according to a ratio of 1:1, specifically, vertically arranging the midline sagittal image and the target point transverse cutting plane image on a simulation positioning frame 9 or on computer software for realization;
5) according to the acquired sagittal image map of the middle line of the brain of the patient and the target point transverse level image of the position of the focus of the brain, taking the middle line vector level as a positioning basis, arranging the puncture positioning device (without the base 7) at one side of the simulation positioning frame 9, taking the middle line vector level as the positioning basis, adjusting the position of the first sliding seat 2 along the vertical sliding groove 12, adjusting the position of the second sliding seat 4 along the arc-shaped groove 31, aligning the axial direction of the puncture needle with the focus target point in the model, and pushing the puncture needle to reach the position of the focus target point;
recording the finally determined numerical value of the first scale 11, the numerical value of the second scale 32 and the puncture depth of the puncture needle;
an X-ray opaque positioning strip 8 aligned with the brain of the patient is provided with a base 7, wherein the relative position of the base 7 and the brain of the patient corresponds to the mounting position of the puncture positioning device (without the base 7) in the model;
6) and moving the puncture positioning device (without the base 7) which is arranged on the simulation positioning frame 9 and positioned to the base 7 of the brain of the patient, and performing actual puncture operation according to the recorded puncture depth to complete target puncture.
In the process, the related position parameters do not need to be reset in the operation process, and the operation is performed according to the puncture depth, so that the steps of setting the related position parameters in the operation are reduced, and the operation time is reduced. Admittedly, in other embodiments, the complete puncture positioning device can be installed on the brain of the patient, and the puncture position and puncture depth can be set according to the parameters recorded in step (5).
Indeed, the simulated puncturing process can be completed on a computer device, the parameters of the relevant puncturing position and puncturing depth are read and recorded, and then the actual puncturing operation is performed on the brain of the patient according to the recorded puncturing position and puncturing depth to complete the target point puncturing.
In summary, the puncture positioning device disclosed by the utility model sets puncture parameters according to the simulation result through the vertical positioning ruler 1 and the horizontal positioning ruler 3 which are vertically arranged, so that the puncture accuracy is improved, and the device has simple and light structure and convenient operation, occupies a small space in the operation process, and does not influence the operation of the operation; the scale on the vertical positioning ruler 1 and the scale on the horizontal positioning ruler 2 are used for conveniently reading the relevant parameters during the simulation of puncture and also facilitating the setting and fine adjustment of the relevant parameters in the operation process; the horizontal positioning rule 3 can rotate relative to the vertical positioning rule 1, and the puncture needle guide sleeve 5 can rotate relative to the horizontal positioning rule 3, so that the puncture direction of the puncture needle 6 can be conveniently adjusted, and the shortest puncture stroke is selected or important brain parts are avoided.
The utility model discloses a brain focus target point puncture positioning method and quick positioner thereof, through paste the X line location strip of opacity in order to confirm brain central line sagittal position aspect at patient's brain when CT scans, and establish simulation puncture process, confirm the position of puncture and the degree of depth of puncture, carry out actual puncture operation again according to the data that the simulation result gained in order to accomplish the target point puncture, adopt this puncture positioning method, medical staff's operation when can simplifying the operation, get rid of the human factor influence, improve the puncture accuracy of focus target point and the success rate of operation, reduce the operation degree of difficulty, reduce operation operating time and patient's misery, have extensive popularization and application meaning.
The technical means disclosed by the scheme of the present invention is not limited to the technical means disclosed by the above embodiments, but also includes the technical scheme formed by the arbitrary combination of the above technical features. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, several improvements and modifications can be made, and these improvements and modifications are also considered as the protection scope of the present invention.

Claims (5)

1. The utility model provides a puncture positioner for brain focus target point puncture location, its characterized in that includes:
the vertical positioning ruler is provided with a first scale in the vertical direction;
the first sliding seat is vertically and slidably arranged on the vertical positioning ruler;
the horizontal positioning ruler is arranged on the first sliding seat, and the first sliding seat drives the horizontal positioning ruler to move along the vertical direction of the vertical positioning ruler;
the base is connected with a positioning strip of the brain of a patient in a matching mode, and the vertical positioning ruler is arranged on the base.
2. The puncture positioning device of claim 1, wherein: still include the second slide with set up in pjncture needle uide bushing on the second slide, the second slide set up in on the horizontal positioning chi.
3. The puncture positioning device of claim 2, wherein: the horizontal positioning ruler is arc ruler-shaped and provided with an arc groove, or the horizontal positioning ruler is linear ruler-shaped and provided with a horizontal straight groove, and the second sliding seat slides and rotates to be arranged on the arc groove or the horizontal straight groove.
4. The puncture positioning device of claim 1, wherein: the vertical positioning ruler is provided with a vertical sliding groove, and the first sliding seat slides and rotates on the vertical sliding groove.
5. The puncture positioning device of claim 1, wherein: the base is provided with a ribbed plate used for increasing the contact area with the brain of a patient.
CN201920632883.6U 2019-05-05 2019-05-05 Puncture positioning device Expired - Fee Related CN210301161U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920632883.6U CN210301161U (en) 2019-05-05 2019-05-05 Puncture positioning device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920632883.6U CN210301161U (en) 2019-05-05 2019-05-05 Puncture positioning device

Publications (1)

Publication Number Publication Date
CN210301161U true CN210301161U (en) 2020-04-14

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Application Number Title Priority Date Filing Date
CN201920632883.6U Expired - Fee Related CN210301161U (en) 2019-05-05 2019-05-05 Puncture positioning device

Country Status (1)

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CN (1) CN210301161U (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109998648A (en) * 2019-05-05 2019-07-12 杨俊� Brain lesion target spot Needle localization method and its puncture positioning device
CN111991082A (en) * 2020-08-20 2020-11-27 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109998648A (en) * 2019-05-05 2019-07-12 杨俊� Brain lesion target spot Needle localization method and its puncture positioning device
CN111991082A (en) * 2020-08-20 2020-11-27 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof
CN111991082B (en) * 2020-08-20 2021-07-06 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof

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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: 20200414

Termination date: 20210505