CN217040246U - A puncture baffle for PBC operation is supplementary - Google Patents
A puncture baffle for PBC operation is supplementary Download PDFInfo
- Publication number
- CN217040246U CN217040246U CN202122322493.9U CN202122322493U CN217040246U CN 217040246 U CN217040246 U CN 217040246U CN 202122322493 U CN202122322493 U CN 202122322493U CN 217040246 U CN217040246 U CN 217040246U
- Authority
- CN
- China
- Prior art keywords
- face
- patient
- pbc
- hanging hole
- face substrate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000000758 substrate Substances 0.000 claims abstract description 25
- 230000001815 facial effect Effects 0.000 claims description 18
- 238000003780 insertion Methods 0.000 claims description 3
- 230000037431 insertion Effects 0.000 claims description 3
- 238000001356 surgical procedure Methods 0.000 claims 3
- 238000000034 method Methods 0.000 abstract description 7
- 230000008569 process Effects 0.000 abstract description 6
- 206010061213 Iatrogenic injury Diseases 0.000 abstract description 4
- 230000009286 beneficial effect Effects 0.000 abstract description 3
- 210000003205 muscle Anatomy 0.000 abstract 1
- 239000003550 marker Substances 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 210000001097 facial muscle Anatomy 0.000 description 2
- 210000004491 foramen ovale Anatomy 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 210000005077 saccule Anatomy 0.000 description 2
- 229930003779 Vitamin B12 Natural products 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- FDJOLVPMNUYSCM-WZHZPDAFSA-L cobalt(3+);[(2r,3s,4r,5s)-5-(5,6-dimethylbenzimidazol-1-yl)-4-hydroxy-2-(hydroxymethyl)oxolan-3-yl] [(2r)-1-[3-[(1r,2r,3r,4z,7s,9z,12s,13s,14z,17s,18s,19r)-2,13,18-tris(2-amino-2-oxoethyl)-7,12,17-tris(3-amino-3-oxopropyl)-3,5,8,8,13,15,18,19-octamethyl-2 Chemical compound [Co+3].N#[C-].N([C@@H]([C@]1(C)[N-]\C([C@H]([C@@]1(CC(N)=O)C)CCC(N)=O)=C(\C)/C1=N/C([C@H]([C@@]1(CC(N)=O)C)CCC(N)=O)=C\C1=N\C([C@H](C1(C)C)CCC(N)=O)=C/1C)[C@@H]2CC(N)=O)=C\1[C@]2(C)CCC(=O)NC[C@@H](C)OP([O-])(=O)O[C@H]1[C@@H](O)[C@@H](N2C3=CC(C)=C(C)C=C3N=C2)O[C@@H]1CO FDJOLVPMNUYSCM-WZHZPDAFSA-L 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000000887 face Anatomy 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 208000004296 neuralgia Diseases 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 210000000427 trigeminal ganglion Anatomy 0.000 description 1
- 210000003901 trigeminal nerve Anatomy 0.000 description 1
- 206010044652 trigeminal neuralgia Diseases 0.000 description 1
- 239000011715 vitamin B12 Substances 0.000 description 1
- 235000019163 vitamin B12 Nutrition 0.000 description 1
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model provides a puncture guide plate for assisting PBC operation, which comprises a face substrate close to the face outline of a patient, wherein one end of the face substrate is provided with a nose shell part, the other end of the face substrate is provided with an ear hook, the nose shell part is provided with a first hanging hole, the face substrate is provided with a second hanging hole close to the first hanging hole, a dental support extending towards the inner side direction of the face substrate is arranged below the nose shell part, medical personnel can perform operation treatment on the face operation point of the patient through three determined positioning windows arranged on the device, the device is not only utilized to position the muscle of the face of the patient during the operation, but also does not need to scan and position again through X-rays in the operation process, thereby avoiding the medical personnel and the body of the patient from being radiated, being beneficial to improving the operation success rate and the satisfaction degree of the patient, reducing the operation difficulty of doctors and the iatrogenic injury, is beneficial to popularization in primary hospitals.
Description
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a puncture baffle for PBC operation is supplementary.
Background
The PBC (percutaneous transluminal balloon compression) operation is called percutaneous puncture trigeminal semilunar ganglion balloon compression, and is one of the common clinical minimally invasive operations for treating trigeminal neuralgia at present. When PBC puncture is performed, the foramen ovale on the basis of the skull is a necessary path, and the adjacent anatomical structure around the foramen ovale is complex.
The PBC method still belongs to the most original step of positioning, puncturing, positioning, saccule placing, pressing and ending, namely, a doctor punctures a puncture needle into an oval hole step by step under the guidance of a C-shaped arm to perform saccule pressing. In the process of puncture, the puncture direction needs to be adjusted for many times. In addition, during the operation, due to the lack of a reasonable positioning mechanism for positioning and guiding the puncture device arranged in the face area, the operator is easy to damage the surrounding structure when frequently adjusting the needle inserting direction, iatrogenic injury and even death of the patient are caused, before the operation, the navigation X-ray is also needed to assist medical staff in puncture positioning, and the X-ray has great damage to the medical staff and the body health of the patient in the process.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is to provide a puncture baffle for PBC operation is supplementary, the purpose improves success rate and the satisfaction that needs accurate location puncture operation.
The technical scheme of the utility model, a be used for supplementary puncture baffle of PBC operation, including being attached to in the facial base plate of patient face profile, the one end of facial base plate is equipped with nose shell, the other end of facial base plate is equipped with the ear-hang, first hanging hole has been seted up on the nose shell, set up the second hanging hole that is close to in first hanging hole on the facial base plate, the below of nose shell be equipped with to the denture fixing device that the inboard direction of facial base plate is edgewise stretched, first hanging hole and still be connected with the connecting rod between second hanging hole and the denture fixing device, the bottom of facial base plate still is equipped with the puncture pipe.
Preferably, the face substrate is provided with a first hole near the eyes, and the nose housing is provided with a second hole.
Preferably, three positioning windows are arranged on the face substrate and distributed on the face substrate in a triangular positioning manner.
Preferably, the three-dimensional positioning window is used for accurately positioning the needle insertion point and the target point of the operation.
Preferably, the puncture catheter is a flexible tube, and an inner end of the puncture catheter overlaps an inner surface of the face substrate.
Preferably, the inner end of the tie bar overlaps the inner wall surface of the face substrate.
Compared with the prior art, the utility model has the advantages that the device is attached to the human face structure and can be worn by the patient, the device is arranged according to the model shape of the operation point of the affected part detected during the preoperative CT examination of the patient, and the three corresponding positioning windows are arranged on the device according to the operation positioning point, so that the patient does not need to perform the CT examination again during the preoperative preparation, the X-ray is not needed to be utilized for synchronous follow-up during the operation, only the puncture guide plate needs to be worn during the operation of the patient, medical care personnel can perform the operation treatment on the facial operation point of the patient through the three determined positioning windows arranged on the device, the facial muscle of the patient is positioned by the device during the operation, in addition, the rescanning and positioning by the X-ray are not needed during the operation, the radiation on medical care personnel and the body of the patient is avoided, and the improvement of the operation success rate and the satisfaction degree of the patient are facilitated, reduces the operation difficulty and iatrogenic injury of doctors and is beneficial to popularization in primary hospitals.
Drawings
FIG. 1 is a schematic view of the outer side overall structure of the present invention;
FIG. 2 is a schematic view of the inner structure of the present invention, which is drawn from FIG. 1;
fig. 3 is a schematic diagram of the usage of the present invention.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it is obvious that the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by the technical personnel in the field without creative work belong to the protection scope of the present invention.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" should be interpreted broadly, e.g., as being either fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood as a specific case by those skilled in the art.
As shown in fig. 1 to 3, the puncture guide plate for PBC operation assistance provided by the present embodiment includes a facial substrate 1 close to the contour of the face of a patient, one end of the facial substrate 1 is provided with a nose portion 2, the other end of the facial substrate 1 is provided with an ear hook 9, a first hanging hole 3 is provided on the nose portion 2, a second hanging hole 4 close to the first hanging hole 3 is provided on the facial substrate 1, a denture base 6 extending towards the inner side of the facial substrate 1 is provided below the nose portion 2, a connecting rod 5 is further connected between the first hanging hole 3 and the denture base 6 and between the second hanging hole 4 and the denture base 6, and a puncture guide tube 7 is further provided at the bottom of the facial substrate 1.
For the convenience of subsequent description, the manufacture of the puncture guide plate assisted by the PBC operation is explained firstly: during CT examination, more than three positioning points are taken on the face, and three markers which can be developed under CT, such as vitamin B12 tablets, small iron sheets and the like, are fixed by medical adhesive tapes. After the examination is finished, the marker is removed, the marker is marked by a pen under the marker as a marking point, a window is arranged at the corresponding position of the puncture guide plate when the guide plate is designed to be a mold, namely, the upper three-dimensional positioning window 8 is obtained after the puncture guide plate of the structure is manufactured.
Because the three-dimensional positioning window 8 is the needle insertion point and the target point of the precise positioning operation, after the patient wears the puncture guide plate and is going to be put on the operation table, the medical staff only need to observe the operation part of the face from the three-dimensional positioning window 8, and after wearing, the nose shell part 2, the ear hook 9 and the denture fixing device 6 are matched with the relative body position of the head of the patient, when puncturing, only the puncture needle is required to extend to the face of the patient from the puncture catheter 7 and reach the operation positioning point of the three-dimensional positioning window 8 for puncturing operation, especially for trigeminal nerve pain patients, medical care personnel do not need to press the faces of the patients because the sensitive parts are positioned in the operation process, therefore, the discomfort of sensitive parts caused by over-force can not be caused, the device is not only used for positioning the facial muscles of the patient during the operation, moreover, the operation process does not need to be carried out by X-ray rescanning and positioning, and the medical care personnel and the body of the patient are prevented from being radiated.
Specifically, the face substrate 1 is provided with a first digging hole 11 close to the eye part, and the nose shell 2 is provided with a second digging hole 12, so that other equipment can be conveniently introduced in the operation process, for example, an oxygen tube can conveniently extend into the nostril from the second digging hole 12, and the structure is reasonable.
Specifically, the puncture catheter 7 is a flexible tube, the inner end of the puncture catheter 7 coincides with the inner side face of the face substrate 1, and the inner end of the connecting rod 5 coincides with the inner wall face of the face substrate 1, so that the inner ends of the puncture catheter 7 and the connecting rod 5 are prevented from contacting with the face skin of a patient, and the structure is reasonable.
The customized operation guide plate of the utility model can effectively reduce the operation time, the X-ray irradiation times, the puncture needle adjustment times, the postoperative complications and the like. Greatly improving the success rate of the operation and the satisfaction degree of the patient. The operation difficulty of doctors is reduced, iatrogenic injuries are reduced, and the popularization of the operation in primary hospitals is facilitated. The operation time is reduced to 25-35min from the traditional operation time of 40-60min, the X-ray irradiation times and the puncture needle adjustment times are reduced to 0-2 times from 5-7 times, the operation puncture success rate is about 100%, the patient satisfaction is kept above 90%, and the postoperative complications and the annual recurrence rate are controlled within 10%.
The above-mentioned embodiments are further detailed for the purpose, technical solutions and advantageous effects of the present invention. It should be understood that the above description is only exemplary of the present invention, and is not intended to limit the scope of the present invention. It should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (6)
1. A puncture guide plate for PBC surgery assistance, comprising a face substrate (1) that is in close proximity to the contour of a patient's face, characterized in that: the one end of facial base plate (1) is equipped with nose shell portion (2), the other end of facial base plate (1) is equipped with ear-hang (9), first hanging hole (3) have been seted up on nose shell portion (2), set up second hanging hole (4) that are close to in first hanging hole (3) on facial base plate (1), the below of nose shell portion (2) be equipped with to denture fixing device (6) that the inboard direction of facial base plate (1) is followed and is stretched, first hanging hole (3) and still be connected with connecting rod (5) between second hanging hole (4) and denture fixing device (6), the bottom of facial base plate (1) still is equipped with puncture pipe (7).
2. The puncture guide plate for PBC surgical assistance according to claim 1, characterized in that the face substrate (1) is provided with a first cutout hole (11) near the eye portion, and the nose housing portion (2) is provided with a second cutout hole (12).
3. The puncture guide plate for assisting the PBC operation according to claim 1, characterized in that three-dimensional positioning windows (8) are arranged on the face substrate (1), and the three-dimensional positioning windows (8) are distributed on the face substrate (1) in a triangular positioning manner.
4. The puncture guide plate for assisting PBC surgery according to claim 3, characterized in that the three-dimensional positioning window (8) is used for accurately positioning the needle insertion point and the target point of the surgery.
5. A puncture guide plate for PBC surgical assistance according to claim 1, characterized in that the puncture guide (7) is a flexible tube, and the inner end of the puncture guide (7) coincides with the inner side surface of the face substrate (1).
6. A puncture guide for PBC surgical assistance according to claim 1, characterized in that the inner end of the connecting rod (5) coincides with the inner wall surface of the face substrate (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202122322493.9U CN217040246U (en) | 2021-09-25 | 2021-09-25 | A puncture baffle for PBC operation is supplementary |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202122322493.9U CN217040246U (en) | 2021-09-25 | 2021-09-25 | A puncture baffle for PBC operation is supplementary |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN217040246U true CN217040246U (en) | 2022-07-26 |
Family
ID=82464547
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202122322493.9U Expired - Fee Related CN217040246U (en) | 2021-09-25 | 2021-09-25 | A puncture baffle for PBC operation is supplementary |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN217040246U (en) |
-
2021
- 2021-09-25 CN CN202122322493.9U patent/CN217040246U/en not_active Expired - Fee Related
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| 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: 20220726 |