CN215129700U - Novel ventricular and hematoma directional puncture auxiliary device - Google Patents
Novel ventricular and hematoma directional puncture auxiliary device Download PDFInfo
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- CN215129700U CN215129700U CN202120162576.3U CN202120162576U CN215129700U CN 215129700 U CN215129700 U CN 215129700U CN 202120162576 U CN202120162576 U CN 202120162576U CN 215129700 U CN215129700 U CN 215129700U
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- support frame
- hematoma
- puncture
- bracket
- bracket device
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- 206010018852 Haematoma Diseases 0.000 title claims abstract description 24
- 230000002861 ventricular Effects 0.000 title claims description 16
- 238000005520 cutting process Methods 0.000 claims description 8
- 229910001220 stainless steel Inorganic materials 0.000 claims description 4
- 238000003754 machining Methods 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 238000001125 extrusion Methods 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 7
- 210000004556 brain Anatomy 0.000 abstract description 5
- 208000029028 brain injury Diseases 0.000 abstract description 2
- 230000005855 radiation Effects 0.000 abstract description 2
- 210000003140 lateral ventricle Anatomy 0.000 description 5
- 210000000613 ear canal Anatomy 0.000 description 3
- 210000004709 eyebrow Anatomy 0.000 description 3
- 206010053942 Cerebral haematoma Diseases 0.000 description 2
- 206010008111 Cerebral haemorrhage Diseases 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000000386 Hypertensive Intracranial Hemorrhage Diseases 0.000 description 1
- 206010059491 Intracranial haematoma Diseases 0.000 description 1
- 210000004959 anterior horn of lateral ventricle Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000004289 cerebral ventricle Anatomy 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 208000003906 hydrocephalus Diseases 0.000 description 1
- 230000003447 ipsilateral effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 210000001103 thalamus Anatomy 0.000 description 1
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Abstract
The utility model discloses a novel ventricle, hematoma directional puncture auxiliary device, including support frame, bracket device, the cover is equipped with a plurality of bracket devices on the support frame, bracket device is for support frame sliding connection, bracket device includes outer lantern ring, connecting plate, opening ring, fastening screw, bracket device locates on the support frame through outer lantern ring cover, outer lantern ring one end is connected and is equipped with the connecting plate, the connecting plate other end is connected and is equipped with the opening ring, outer lantern ring other end threaded connection is equipped with fastening screw, be equipped with the scale on the support frame, screw fastening screw extrudees the relative position of fixed bracket device and support frame. The utility model has simple operation, does not need to perform operation under the guidance of CT, thereby avoiding the radiation brought by CT, having accurate puncture, and solving the brain injury or puncture failure brought by repeated puncture of ventricles of brain and hematoma; the technique is convenient to operate and easy to be familiar and mastered, and the cost of the technique and treatment is reduced.
Description
Technical Field
The utility model relates to the field of medical equipment for neurosurgery, in particular to a novel directional puncture auxiliary device for ventricles of brain and hematoma.
Background
Hydrocephalus and cerebral hemorrhage are one of the common diseases in neurosurgery, and ventricular puncture and cerebral hematoma puncture are widely applied in neurosurgery. The ventricular catheter is implanted through the frontal horn, the trigone and the occipital horn. The lateral ventricle occipital horn puncture process is as follows: the patient takes the supine position, the head is deviated to one side, the puncture point is 6cm above the inion, the side is 3cm, the patient is punctured by aiming at 1cm above the eyebrow arch on the same side or the eyebrow center, the puncture depth is 7-9 cm, and the patient enters the lateral ventricle body part. The anterior horn of the lateral ventricle is punctured by positioning 2.5cm in front of the ipsilateral coronary seam and opening 2.5cm aside to form a puncture point, aiming at a connecting line of double external auditory canals, puncturing in parallel with a midline, and measuring the depth before an operation according to requirements. In the above-mentioned conventional puncturing process, all techniques are quantized, and the only technology that cannot be quantized is the puncturing direction: when puncturing, a needle point points to an eyebrow center or an external auditory canal connecting line, an operator cannot directly view the connecting line in the direction and can only imagine that the precision is difficult to ensure, if the direction is wrong, puncturing failure can be caused, the position of a drainage tube is inaccurate, or an important deep brain structure is accidentally injured, even bleeding is caused, serious complications are generated, similarly, in order to ensure that the puncturing is directly pointed to a preset position, a long learning curve is needed, the puncturing direction is easy to deviate, and finally, the puncturing cannot reach a ventricle or even injure a thalamus structure. The intracranial hematoma puncture is also the same, most of the common puncture points used as the puncture points of the hypertensive cerebral hemorrhage can be well punctured and placed into a hematoma cavity according to the puncture angle and depth, but if the bleeding part is not the common cerebral hemorrhage position or the experience of an operator is not sufficient, the CT positioning before the operation is adopted, a simple auxiliary positioning puncture device which can be utilized is provided, and the success rate of first puncture and tube placement can be ensured to a greater extent. At present, a stereotactic frame is adopted to assist puncture or preoperative CT scanning and backward 3D printing puncture catheter to ensure the stability of puncture direction, but the equipment requirement is high, and the individual difference also needs extra 3D editing and printing requirements and consumable material requirements, so that the puncture catheter cannot be popularized in a large range. At present, a simple, easy-to-learn and stable directional puncture auxiliary instrument needs to be developed.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is to overcome above technical defect, provide a simple structure, the practicality is strong, excellent in use effect's novel ventricle, hematoma directional puncture auxiliary device.
In order to solve the technical problem, the utility model provides a technical scheme does: novel ventricular, hematoma directional puncture auxiliary device, including support frame, bracket device, the cover is equipped with a plurality of bracket devices on the support frame, bracket device is for support frame sliding connection, bracket device includes outer lantern ring, connecting plate, opening ring, fastening screw, bracket device locates on the support frame through outer lantern ring cover, outer lantern ring one end is connected and is equipped with the connecting plate, the connecting plate other end is connected and is equipped with the opening ring, outer lantern ring other end threaded connection is equipped with fastening screw, be equipped with the scale on the support frame, screw fastening screw extrudees the relative position of fixed bracket device and support frame.
Furthermore, the bracket device is provided with three brackets, and the three brackets have the same specification and size.
Furthermore, the scales are arranged on the front surface and the back surface of the support frame, and the starting points of the scales on the two surfaces are arranged on the same side.
Further, the length of the scale is 300mm, and the precision of the scale is 1 mm.
Further, the length, the width and the thickness of the support frame are respectively 300mm, 10mm and 2 mm.
Furthermore, the outer collar is provided with a square through hole, the specification of the through hole is 12mm in length, 10mm in width and 2mm in thickness, and the specification of the outer collar is 12mm in length, 13mm in width and 5mm in thickness; the connecting plate is 140mm long, 5mm wide and 1mm thick.
Further, the outer diameter of the opening ring is 6mm, the inner diameter of the opening ring is 4mm, and the opening angle of the opening ring is 110 °.
Furthermore, the support frame, the bracket device and the fastening screws are all manufactured by a linear cutting process and are made of stainless steel, and the machining error of the linear cutting process is 1 wire.
Compared with the prior art, the utility model the advantage lie in: the utility model has simple operation, does not need to perform operation under the guidance of CT, thereby avoiding the radiation brought by CT and being easily accepted by patients and family members; the puncture is accurate, the brain injury or puncture failure caused by repeated puncture of ventricles of brain and hematoma is solved, and the blood can be seen through one needle; the technology is convenient to operate and easy to be familiar and mastered, avoids longer learning time and proficiency process, can be widely popularized in national primary hospitals, and reduces the technical and treatment cost.
Drawings
Fig. 1 is a schematic view of a placement structure of a lateral ventricle posterior angle and a cerebral hematoma puncture bracket of the cerebral ventricle and hematoma directional puncture auxiliary device.
Fig. 2 is a schematic view of a placement structure of a lateral ventriculo-ventricular anterior horn puncture bracket of the ventricular and hematoma directional puncture auxiliary device.
Fig. 3 is a structural schematic diagram of a bracket device of the ventricular and hematoma directional puncture auxiliary device.
As shown in the figure: 1. support frame, 2, bracket device, 3, outer collar, 4, connecting plate, 5, opening ring, 6, fastening screw, 7, scale, 8, perforating hole.
Detailed Description
The following describes the present invention with reference to the accompanying drawings. In which like parts are designated by like reference numerals.
In the description of the present invention, it is to be understood that the terms "center", "lateral", "up", "down", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, should not be construed as limiting the present invention. Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless otherwise specified. Furthermore, the term "comprises" and any variations thereof is intended to cover non-exclusive inclusions.
Novel ventricular, hematoma directional puncture auxiliary device, including support frame 1, bracket device 2, the cover is equipped with a plurality of bracket devices 2 on the support frame 1, bracket device 2 is for 1 sliding connection of support frame, bracket device 2 includes outer lantern ring 3, connecting plate 4, opening ring 5, fastening screw 6, bracket device 2 locates on support frame 1 through 3 covers of outer lantern ring, 3 one end connections of outer lantern ring are equipped with connecting plate 4, 4 other end connections of connecting plate are equipped with opening ring 5, 3 other end threaded connection of outer lantern ring are equipped with fastening screw 6, be equipped with scale 7 on the support frame 1, screw fastening screw 6 extrudees the relative position of fixed bracket device 2 and support frame 1.
The bracket device 2 is provided with three brackets, and the three brackets 2 have the same specification and size.
The scales 7 are arranged on the front surface and the back surface of the support frame 1, and the starting points of the scales 7 on the two surfaces are arranged on the same side.
The length of scale 7 is 300mm, the precision of scale 7 is 1 mm.
The length, the width and the thickness of the support frame 1 are respectively 300mm, 10mm and 2 mm.
The outer collar 3 is provided with a square through hole 8, the through hole 8 is 12mm long, 10mm wide and 2mm thick, and the outer collar 3 is 12mm long, 13mm wide and 5mm thick; the connecting plate 4 is 140mm long, 5mm wide and 1mm thick.
The outer diameter of the opening ring 5 is 6mm, the inner diameter of the opening ring 5 is 4mm, and the opening angle of the opening ring 5 is 110 degrees.
The support frame 1, the bracket device 2 and the fastening screws 6 are all manufactured by a linear cutting process and are made of stainless steel, and the machining error of the linear cutting process is 1 wire.
The working principle is as follows: in order to realize the technical purpose, the utility model provides a following ventricle, hematoma puncture stereotactic device, including rectangular shape area support frame 1, three piece of fastening screw 6, three of bracket device 2, three bracket devices of telling overlap respectively on support frame 1 according to the puncture demand, after adjusting suitable distance, fix respectively with three piece of fastening screw 6, 2 ends of three bracket device are and have open-ended opening ring 5, opening ring 5 is circular platelike structure, and three bracket device 2 shapes are identical completely. The length of the strip-shaped support frame 1 is 30cm, and corresponding scales 7 are arranged (the minimum scale 7 is 1mm, and reference is provided for the puncture depth). The three bracket devices 2 are completely consistent in length, size and shape, and scales 7 are arranged on the edge of the second bracket device 2. The top of the bracket device 2 is provided with a matching outer sleeve ring 3 (the accuracy is ensured to meet) of the support frame 1, so that the bracket device 2 can be sleeved on the support frame 1 conveniently, and the bracket device can only horizontally slide along the front and back of the support frame 1 without left and right arc swinging. The specification of the outer collar 3 is 0.5cm x 1.2cm x 1.3cm, and the inner through hole 8 has the caliber of 1cm x 0.2cm and is completely matched with the size of the support frame 1. Threaded holes (No. 4 standard threaded holes) are formed in the tops of the bracket devices 2 and used for installing fastening screws 6, and the fastening screws 6 are used for fixing the bracket on the support frame 1 conveniently and fixing the distance between the three bracket devices 2. The length of the connecting plate 4 is 14cm, the thickness is 0.1cm, and the width is 0.5 cm. The diameter of the excircle of the 5-shaped structure of the circular ring with the opening at the tail end of the connecting plate 4 is 0.6cm, and the angle of the arc-shaped notch is 110 degrees. The support frame 1, the bracket device 2 and the fastening screws 6 are all prepared by a stainless steel wire cutting process, and the cutting error is guaranteed to be within 1 wire.
Example one, ventriculo-posterior horn puncture:
step 1, sleeving three bracket devices 2 on a support frame 1 in the same direction, sequentially arranging a first bracket, a second bracket and a third bracket according to the front and back positions of the three bracket devices 2 on scales 7 of the support frame 1, and checking that the centers of circles of the three brackets slide randomly before an operation are positioned on a straight line.
Step 2, puncture the corresponding point (the center of the eyebrow or the midpoint of the eyebrow arch on the same side) before the operation, paste the electrode slice, conveniently sterilize and lay the towel, and then feel the positioning point (point A). The puncture drilling point is marked as B point, and the circle center of the third bracket is marked as C point.
And 3, fixing the edge of the first bracket sleeve at the position of a scale 7 of the support frame 10, placing the circle center at a puncture corresponding point (point A), fixing the circle center of the second bracket at a puncture point B by a screw, and fixing the third bracket according to the puncture depth to enable the length of BC to be the puncture depth.
And 4, placing the puncture needle in an opening circular ring 5 on the second third bracket, holding the puncture tube passing through the point C by hand to puncture to the position of the puncture tube to the point B, taking out the puncture auxiliary device, pulling out the puncture needle core, and fixing the drainage tube.
Example two, anterior ventricular puncture:
step 1, sleeving the three brackets on the support frame 1 as shown in figure 2, wherein the circle center connecting line of the opening ring 5 of the first bracket and the circle center connecting line of the opening ring 5 of the third bracket can be ensured to be intersected with the extension line of the hook of the second bracket as shown in the figure. A conventional lateral ventriculo-ventricular anterior puncture point (2.5 cm lateral to the anterior midline of the coronary suture) was drilled.
And 2, placing the centers of the opening circular rings 5 of the first bracket and the third bracket on a connecting line of double external auditory canals and rotating the fastening screw 6 for fixation, and aligning the edge of the rod of the second bracket with the puncture hole and rotating the fastening screw 6 for fixation.
And step 3: the opening ring 5 of the second bracket is used as a puncture support, the drainage tube with a puncture needle is attached to the opening ring 5 to puncture downwards, and the puncture depth is referenced by the scale 7 on the bracket device 2.
And 4, step 4: taking down the puncture auxiliary frame, pulling out the puncture needle, and reserving and fixing the drainage tube.
Example three, hematoma puncture:
the puncture procedure of the lateral ventricles posterior horn is basically the same as that of the first embodiment.
Step 1: the CT before the operation positions the hematoma layer and ensures that the puncture path avoids important blood vessels and functional areas to determine AB two points and puncture depth. In the operation, the electrode plate is attached to the point A, and the point B is used as a puncture point.
Step 2: puncturing by using a point B, puncturing by using a BC connecting line, puncturing by using the length of the BC (measuring the puncturing depth before CT), and puncturing the ventricles of the brain on the same side.
The present invention and the embodiments thereof have been described above, but the description is not limited thereto, and the embodiment shown in the drawings is only one of the embodiments of the present invention, and the actual structure is not limited thereto. In summary, those skilled in the art should understand that they should not be limited to the embodiments described above, and that they can design the similar structure and embodiments without departing from the spirit of the invention.
Claims (8)
1. Novel directional puncture of ventricle, hematoma is supplementary device, its characterized in that: including support frame (1), bracket device (2), the cover is equipped with a plurality of bracket device (2) on support frame (1), bracket device (2) are for support frame (1) sliding connection, bracket device (2) include outer lantern ring (3), connecting plate (4), opening ring (5), fastening screw (6), bracket device (2) are located on support frame (1) through outer lantern ring (3) cover, outer lantern ring (3) one end is connected and is equipped with connecting plate (4), connecting plate (4) other end is connected and is equipped with opening ring (5), outer lantern ring (3) other end threaded connection is equipped with fastening screw (6), be equipped with scale (7) on support frame (1), screw fastening screw (6) extrusion fixed bracket device (2) and the relative position of support frame (1).
2. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the bracket device (2) is provided with three brackets, and the three brackets (2) have the same specification and size.
3. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the scales (7) are arranged on the front face and the back face of the support frame (1), and the starting points of the scales (7) are arranged on the same side.
4. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the length of the scale (7) is 300mm, and the precision of the scale (7) is 1 mm.
5. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the length, the width and the thickness of the support frame (1) are respectively 300mm, 10mm and 2 mm.
6. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the outer collar (3) is provided with a square through hole (8), the specification of the through hole (8) is 12mm in length, 10mm in width and 2mm in thickness, and the specification of the outer collar (3) is 12mm in length, 13mm in width and 5mm in thickness; the connecting plate (4) is 140mm long, 5mm wide and 1mm thick.
7. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the outer diameter of the opening circular ring (5) is 6mm, the inner diameter of the opening circular ring is 4mm, and the opening angle of the opening circular ring (5) is 110 degrees.
8. The novel ventricular, hematoma directional puncture auxiliary device according to claim 1, characterized in that: the support frame (1), the bracket device (2) and the fastening screws (6) are all manufactured by a linear cutting process and are made of stainless steel, and the machining error of the linear cutting process is 1 wire.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202120162576.3U CN215129700U (en) | 2021-01-21 | 2021-01-21 | Novel ventricular and hematoma directional puncture auxiliary device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202120162576.3U CN215129700U (en) | 2021-01-21 | 2021-01-21 | Novel ventricular and hematoma directional puncture auxiliary device |
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Publication Number | Publication Date |
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CN215129700U true CN215129700U (en) | 2021-12-14 |
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CN202120162576.3U Expired - Fee Related CN215129700U (en) | 2021-01-21 | 2021-01-21 | Novel ventricular and hematoma directional puncture auxiliary device |
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Country | Link |
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CN (1) | CN215129700U (en) |
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2021
- 2021-01-21 CN CN202120162576.3U patent/CN215129700U/en not_active Expired - Fee Related
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GR01 | Patent grant | ||
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CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20211214 |
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CF01 | Termination of patent right due to non-payment of annual fee |