CN217938331U - Prostate cancer transperineal universal puncture rack - Google Patents

Prostate cancer transperineal universal puncture rack Download PDF

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CN217938331U
CN217938331U CN202220249804.5U CN202220249804U CN217938331U CN 217938331 U CN217938331 U CN 217938331U CN 202220249804 U CN202220249804 U CN 202220249804U CN 217938331 U CN217938331 U CN 217938331U
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arc
positioning
puncture
puncture needle
prostate cancer
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贾旭东
郭小皖
黎玮
刘凯隆
王亚轩
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Second Hospital of Hebei Medical University
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Second Hospital of Hebei Medical University
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Abstract

The utility model discloses a transperineal universal puncture rack for prostate cancer, which comprises a puncture needle positioning component arranged on a rectum ultrasonic probe through a base, wherein the puncture needle positioning component comprises a track arc which is horizontally arranged and a moving arc which is assembled on the track arc in a sliding way and is vertically arranged, and a puncture needle positioning mechanism for positioning a puncture needle is arranged on the moving arc in a sliding way; the moving arc and the track arc are concentric, the circle center of the moving arc and the track arc is positioned right above the front end of the rectal ultrasonic probe, and the puncture needle positioning mechanism is arranged on the diameter of the moving arc. The utility model discloses simple structure, regulation convenience for the supplementary pjncture needle carries out the operation of puncturing, has reduced the needle inlet, has further reduced anesthesia region, has bleed and infect the risk, has improved puncture efficiency, has reduced the emergence of complication.

Description

前列腺癌经会阴万向穿刺架Transperineal universal puncture frame for prostate cancer

技术领域technical field

本实用新型涉及医疗器械技术领域,尤其是涉及一种用于前列腺穿刺治疗的辅助装置。The utility model relates to the technical field of medical instruments, in particular to an auxiliary device for prostate puncture treatment.

背景技术Background technique

近年来,我国前列腺癌的发病率和病死率呈增长趋势,多数地区新确诊的患者中晚期比例明显提高,这对前列腺癌患者的治疗效果及长期生存来来说存在着直接影响,因此,早发现、早诊断、早治疗对患者的愈后极为重要。In recent years, the incidence and mortality of prostate cancer in my country have shown an increasing trend, and the proportion of newly diagnosed patients in most areas has increased significantly, which has a direct impact on the treatment effect and long-term survival of prostate cancer patients. Discovery, early diagnosis, and early treatment are extremely important to the prognosis of patients.

目前,前列腺穿刺活检手术是用于诊断前列腺癌的最终标准及最佳确诊方法。临床上,前列腺穿刺活检手术的实施途径一般有两种,一种途径是经会阴,另一种途径是经直肠;但无论采用何种方式,穿刺针在进行穿刺过程中都需要借助直肠超声探头进行穿刺。由于穿刺过程中,不可避免的会出现出血和感染,因此在保证穿刺准确、快速、便捷的基础上,减少创伤面和感染风险是活检手术所追求的目标。而经会阴穿刺活检由于避开了肠道途径,因此具有更高的安全性,更有利于发现早期肿瘤并减轻手术后不良反应,正逐渐被越来越多的医疗机构所使用。At present, prostate biopsy is the ultimate standard and the best method for diagnosing prostate cancer. Clinically, there are generally two ways to perform prostate biopsy surgery, one way is through the perineum, and the other way is through the rectum; but no matter which way is used, the puncture needle needs to use rectal ultrasound probe during the puncture process Perform a puncture. Since bleeding and infection are inevitable during the puncture process, the goal of biopsy surgery is to reduce the trauma surface and the risk of infection while ensuring accurate, fast, and convenient puncture. However, because transperineal biopsy avoids the intestinal route, it has higher safety, is more conducive to early detection of tumors and reduces adverse reactions after surgery, and is gradually being used by more and more medical institutions.

在经会阴前列腺穿刺活检手术过程中,通常需要借助穿刺模板辅助穿刺针进行穿刺作业,穿刺模板通常是由患者两腿中间推至患者会阴部,穿刺针穿过穿刺模板穿刺进入前列腺腺体,获取样本。目前,临床常用到的穿刺模板有两种,一种是弹夹型结构,另一种是板块型结构,这两种穿刺模板只能与探头保持平行入针,由于无法避开模板上的针道结构,因此麻醉范围就会非常大,进针口非常多,这就造成周围器官损伤增加,并发症也将增多。In the process of transperineal prostate biopsy, it is usually necessary to use a puncture template to assist the puncture needle in the puncture operation. The puncture template is usually pushed from the middle of the patient's legs to the patient's perineum, and the puncture needle passes through the puncture template to puncture into the prostate gland. sample. At present, there are two kinds of puncture templates commonly used in clinical practice, one is a clip-type structure, and the other is a plate-type structure. These two puncture templates can only be inserted parallel to the probe. Therefore, the scope of anesthesia will be very large, and there will be many needle ports, which will increase the damage of peripheral organs and increase the number of complications.

中国专利CN201520748911.2公开了一种用于经会阴前列腺穿刺活检的穿刺模板,包括前模板,前模板上开设有若干用于供穿刺针穿过的第一定位小孔;后模板,后模板上开设有若干用于供穿刺针穿过的第二定位小孔;球铰组件,球铰组件的数量至少为三个,且三个球铰组件呈三角形分散布置在前模板与后模板之间,球铰组件包括两个球铰链以及固定连接两个球铰链的连接杆,两个球铰链用于分别连接在前模板和后模板上,以使前模板和后模板可分别相对于连接杆转动。该穿刺模板能够通过球铰组件改变前后模板的相对位置,从而实现多角度穿刺,提高了穿刺活检手术时的操作灵活性。但是由于模板体积较大,使用起来较为不便,且球铰组件的调节也较为复杂,无法准确、快速地调节针道达到想要改变的状态。Chinese patent CN201520748911.2 discloses a puncture template for transperineal puncture biopsy of the prostate, including a front template, which is provided with a number of first positioning holes for the puncture needle to pass through; A number of second positioning holes are opened for passing through the puncture needle; the number of ball hinge assemblies is at least three, and the three ball hinge assemblies are distributed in a triangle between the front template and the rear template, The ball hinge assembly includes two ball hinges and a connecting rod fixedly connecting the two ball hinges. The two ball hinges are used to be respectively connected to the front formwork and the rear formwork so that the front formwork and the rear formwork can rotate relative to the connection rods. The puncture template can change the relative position of the front and rear templates through the ball hinge assembly, thereby realizing multi-angle puncture and improving the operational flexibility during puncture biopsy. However, due to the large size of the template, it is inconvenient to use, and the adjustment of the ball joint assembly is also relatively complicated, and it is impossible to accurately and quickly adjust the needle path to achieve the desired state.

实用新型内容Utility model content

本实用新型需要解决的技术问题是提供一种结构简单、调节方便的前列腺癌经会阴万向穿刺架,用于辅助穿刺针进行穿刺作业,减少进针口,进一步减少麻醉区域、出血以及感染风险,提高穿刺效率,减少并发症的发生。The technical problem to be solved by the utility model is to provide a prostate cancer transperineal universal puncture frame with simple structure and convenient adjustment, which is used to assist the puncture needle in the puncture operation, reduce the needle entrance, and further reduce the anesthesia area, bleeding and infection risk , improve puncture efficiency and reduce complications.

为解决上述技术问题,本实用新型所采取的技术方案如下。In order to solve the problems of the technologies described above, the technical solutions adopted by the utility model are as follows.

前列腺癌经会阴万向穿刺架,包括通过底座安装在直肠超声探头上的穿刺针定位组件,穿刺针定位组件包括水平设置的轨道弧和滑动装配在轨道弧上并竖向设置的移动弧,移动弧上滑动设置有定位穿刺针的穿刺针定位机构;所述移动弧和轨道弧同圆心且圆心位于直肠超声探头前端的正上方,所述穿刺针定位机构设置在移动弧的直径上。The prostate cancer transperineal universal puncture frame includes a puncture needle positioning assembly installed on a rectal ultrasound probe through a base. A puncture needle positioning mechanism for positioning the puncture needle is slidably arranged on the arc; the moving arc and the track arc have the same center and the center of the circle is located directly above the front end of the rectal ultrasound probe, and the puncture needle positioning mechanism is arranged on the diameter of the moving arc.

上述前列腺癌经会阴万向穿刺架,所述底座卡装在直肠超声探头上并通过锁紧机构固定。In the perineal universal puncture frame for prostate cancer, the base is clamped on the rectal ultrasound probe and fixed by a locking mechanism.

上述前列腺癌经会阴万向穿刺架,所述轨道弧通过固定座设置在底座上方,且固定座内设置有调节轨道弧及其上的移动弧和穿刺针定位机构上下高度的升降调节机构。In the perineal universal puncture frame for prostate cancer, the orbital arc is set above the base through a fixed seat, and the fixed seat is provided with a lifting adjustment mechanism for adjusting the vertical height of the orbital arc and its moving arc and the puncture needle positioning mechanism.

上述前列腺癌经会阴万向穿刺架,所述升降调节机构包括穿过固定座侧壁安装在固定座内腔的转轴,伸出固定座的转轴一端设置有调节盘;位于固定座内腔的转轴上固定设置有调节齿轮,固定座的内壁上竖向开设凹槽,凹槽内滑动配装有与调节齿轮相啮合、并能够沿凹槽上下滑动的齿条;所述轨道弧固定安装在齿条伸出固定座的顶端。In the perineum universal puncture frame for prostate cancer, the lifting adjustment mechanism includes a rotating shaft that passes through the side wall of the fixing seat and is installed in the inner cavity of the fixing seat. An adjustment disc is provided at one end of the rotating shaft extending out of the fixing seat; the rotating shaft located in the inner cavity of the fixing seat The upper part is fixed with an adjusting gear, and the inner wall of the fixed seat is vertically provided with a groove, and a tooth rack which meshes with the adjusting gear and can slide up and down along the groove is slidingly fitted in the groove; the track arc is fixedly installed on the gear The bar protrudes from the top of the holder.

上述前列腺癌经会阴万向穿刺架,所述固定座上还设置有固定升降调节机构的升降机构定位组件。In the perineum universal puncture frame for prostate cancer, the fixing seat is also provided with a lifting mechanism positioning component for fixing the lifting adjustment mechanism.

上述前列腺癌经会阴万向穿刺架,所述升降机构定位组件包括通过销轴设置在固定座内腔的扇形块,位于扇形块上方的转轴上固定设置有双锥型推动块,双锥型推动块一侧的转轴上固定设置有定位齿轮,位于定位齿轮下方的双锥型推动块顶沿处水平设置与定位齿轮相啮合的直齿;所述转轴空心设置、并穿设在固定座内腔中光轴上,光轴与转轴滑动配合。In the perineum universal puncture frame for prostate cancer, the positioning assembly of the lifting mechanism includes a fan-shaped block arranged in the inner cavity of the fixed seat through a pin shaft, and a double-cone push block is fixedly arranged on the rotating shaft above the fan-shaped block, and the double-cone push block The shaft on one side of the block is fixed with a positioning gear, and the top edge of the double-cone push block located below the positioning gear is horizontally provided with straight teeth meshing with the positioning gear; On the middle optical axis, the optical axis is slidingly matched with the rotating shaft.

上述前列腺癌经会阴万向穿刺架,所述升降机构定位组件包括与转轴平行且固定设置在固定座外侧壁上的定位杆,调节盘上开设有与定位杆位置相应并能够穿过定位杆的若干定位孔,所有定位孔呈环形布设在调节盘边缘。In the aforementioned perineal universal puncture frame for prostate cancer, the positioning assembly of the lifting mechanism includes a positioning rod parallel to the rotating shaft and fixedly arranged on the outer wall of the fixing seat. A plurality of positioning holes, all of which are circularly arranged on the edge of the adjusting disc.

上述前列腺癌经会阴万向穿刺架,所述轨道弧由两条平行设置的弧形轨道构成,位于升降调节机构上方的两条弧形轨道部分底端通过固定板连接为一体结构;两条弧形轨道的相对面上开设有C型槽,C型槽内滑动配装有滑块,两个滑块通过水平连接板固定连接,且水平连接板固定设置在移动弧的底端。In the perineal universal puncture frame for prostate cancer, the orbital arc is composed of two parallel arc-shaped orbits, and the bottom ends of the two arc-shaped orbits above the lifting adjustment mechanism are connected by a fixed plate to form an integrated structure; the two arcs A C-shaped groove is opened on the opposite surface of the shaped track, and a slider is slidably equipped in the C-shaped groove. The two sliders are fixedly connected through a horizontal connecting plate, and the horizontal connecting plate is fixedly arranged at the bottom end of the moving arc.

上述前列腺癌经会阴万向穿刺架,所述移动弧下部固定设置有跨接在轨道弧上的移动弧固定框,移动弧固定框的侧壁上横向螺纹连接有将移动弧固定框顶紧在轨道弧侧壁上的第三固定螺栓。The above-mentioned prostate cancer transperineal universal puncture frame, the lower part of the moving arc is fixedly provided with a moving arc fixing frame straddling the orbital arc, and the side wall of the moving arc fixing frame is connected with a horizontal thread to fasten the moving arc fixing frame on the Third fixing bolt on the side wall of the track arc.

上述前列腺癌经会阴万向穿刺架,所述穿刺针定位机构通过穿刺针定位机构固定框滑动设置在移动弧上,穿刺针定位机构固定框与移动弧之间通过横向螺纹连接的第二固定螺栓定位;所述穿刺针定位机构包括固定设置在穿刺针定位机构固定框中部并位于移动弧弧形开槽中的套筒和位于套筒两端的定位针环,套筒和两个定位针环共轴线;所述套筒的壁上开设有细长通孔,细长通孔两端的套筒端面上设置有套管,两个定位针环通过穿设在套管和细长通孔内的连接杆连接,连接杆与套管之间通过螺纹连接在套管上的第一固定螺栓定位。The above-mentioned perineal universal puncture frame for prostate cancer, the puncture needle positioning mechanism is slidably arranged on the moving arc through the fixing frame of the puncture needle positioning mechanism, and the second fixing bolt connected between the fixing frame of the puncture needle positioning mechanism and the moving arc is connected by a transverse thread Positioning; the puncture needle positioning mechanism includes a sleeve fixedly arranged in the middle of the fixed frame of the puncture needle positioning mechanism and located in the moving arc-shaped slot, and positioning needle rings located at both ends of the sleeve. The sleeve and the two positioning needle rings share axis; the wall of the sleeve is provided with a slender through hole, and the sleeve end faces at both ends of the slender through hole are provided with sleeves, and the two positioning pin rings pass through the connection between the sleeve and the slender through hole. The rod is connected, and the connecting rod and the casing are positioned through the first fixing bolt threaded on the casing.

由于采用了以上技术方案,本实用新型所取得技术进步如下。Due to the adoption of the above technical solutions, the technical progress achieved by the utility model is as follows.

本实用新型结构简单、调节方便,由于移动弧和轨道弧共圆心且圆心位于探头正上方,因此通过调节移动弧在轨道弧上的位置,可以保证穿刺针无论从什么角度入针,都能够刺入目标病灶区域,提高了穿刺效率;并且本实用新型能够在会阴部上的同一个进针口入针,大大减少了会阴部的进针口,也就减少了麻醉区域以及出血和感染风险,进一步减少了对周围器官的损伤,减少了并发症的发生。The utility model has the advantages of simple structure and convenient adjustment. Since the moving arc and the orbital arc share the same circle center and the center of the circle is located directly above the probe, by adjusting the position of the moving arc on the orbital arc, it can be ensured that the puncture needle can pierce the needle regardless of the angle from which it is inserted. Into the target lesion area, improving the puncture efficiency; and the utility model can insert the needle at the same needle inlet on the perineum, which greatly reduces the needle inlet of the perineum, and also reduces the anesthesia area and the risk of bleeding and infection. The damage to surrounding organs is further reduced, and the occurrence of complications is reduced.

附图说明Description of drawings

图1为本实用新型中实施例1的结构示意图;Fig. 1 is the structural representation of embodiment 1 in the utility model;

图2为本实用新型实施1中穿刺针定位机构与移动弧安装结构示意图;Fig. 2 is a schematic diagram of the installation structure of the puncture needle positioning mechanism and the moving arc in the first implementation of the utility model;

图3为本实用新型实施1中升降调节机构及升降机构定位组件的结构示意图;Fig. 3 is a structural schematic diagram of the lifting adjustment mechanism and the positioning assembly of the lifting mechanism in Implementation 1 of the utility model;

图4为本实用新型实施例2中升降机构定位组件的机构示意图;Fig. 4 is a schematic diagram of the mechanism of the positioning assembly of the lifting mechanism in Embodiment 2 of the present invention;

图5为本实用新型实施例2中升降机构定位组件中设置多根定位杆的结构示意图;Fig. 5 is a structural schematic diagram of setting multiple positioning rods in the positioning assembly of the lifting mechanism in Embodiment 2 of the present utility model;

图6为本实用新型实施例3的结构示意图;Fig. 6 is the structural representation of the utility model embodiment 3;

图7为本实用新型实施例3中升降调节机构、轨道弧和移动弧之间的安装结构示意图;Figure 7 is a schematic diagram of the installation structure between the lifting adjustment mechanism, the track arc and the moving arc in Embodiment 3 of the utility model;

图8为本实用新型实施例3另一角度的结构示意图。Fig. 8 is a structural schematic diagram of another angle of Embodiment 3 of the present utility model.

其中:1.直肠超声探头,2.底座,3.固定座,31.转轴,32.调节盘,321.定位孔,33.调节齿轮,34.齿条,341.导向滑块,35.扇形块,36.直齿,37.定位齿轮,38.双锥型推动块,39.定位杆,4.轨道弧,41.C型槽,5.移动弧,51.水平连接板,52.滑块,6.穿刺针定位机构,61.套筒,62.套管,63.连接杆,64.第一固定螺栓,65.定位针环,7.穿刺针定位机构固定框,71.第二固定螺栓,8.移动弧固定框,81.第三固定螺栓。Among them: 1. Rectal ultrasound probe, 2. Base, 3. Fixing seat, 31. Rotating shaft, 32. Adjusting disc, 321. Positioning hole, 33. Adjusting gear, 34. Rack, 341. Guide slider, 35. Sector Block, 36. straight tooth, 37. positioning gear, 38. biconical push block, 39. positioning rod, 4. track arc, 41. C-shaped groove, 5. moving arc, 51. horizontal connecting plate, 52. slide Block, 6. puncture needle positioning mechanism, 61. sleeve, 62. sleeve pipe, 63. connecting rod, 64. first fixing bolt, 65. positioning needle ring, 7. puncture needle positioning mechanism fixing frame, 71. second Fixing bolt, 8. Mobile arc fixing frame, 81. Third fixing bolt.

具体实施方式Detailed ways

下面将结合附图和具体实施方式对本实用新型进行进一步详细说明。The utility model will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

实施例1Example 1

一种前列腺癌经会阴万向穿刺架,其结构如图1至图3所示,包括底座2和穿刺针定位组件,穿刺针定位组件通过底座2安装在直肠超声探头1上,进行穿刺作业时,通过直肠超声探头1引导,将穿刺针通过穿刺针定位组件经患者会阴部刺入前列腺腺体,获取样本。A prostate cancer transperineal universal puncture frame, the structure of which is shown in Figures 1 to 3, includes a base 2 and a puncture needle positioning assembly, the puncture needle positioning assembly is installed on the rectal ultrasound probe 1 through the base 2, and when performing puncture operations , guided by the rectal ultrasound probe 1, the puncture needle is inserted into the prostate gland through the perineum of the patient through the puncture needle positioning assembly to obtain a sample.

穿刺针定位组件包括轨道弧4、移动弧5和穿刺针定位机构6,轨道弧4水平设置在底座上,移动弧5滑动装配在轨道弧4上,并竖向设置,穿刺针定位机构6滑动设置在移动弧上,用于定位穿刺针。The puncture needle positioning assembly includes a track arc 4, a moving arc 5 and a puncture needle positioning mechanism 6. The track arc 4 is horizontally arranged on the base, the moving arc 5 is slidably assembled on the track arc 4 and arranged vertically, and the puncture needle positioning mechanism 6 slides Set on the moving arc for positioning the puncture needle.

其中移动弧5和轨道弧4同圆心,且圆心位于直肠超声探头前端的正上方,穿刺针定位机构6设置在移动弧的直径上。Wherein the moving arc 5 and the track arc 4 have the same circle center, and the circle center is located directly above the front end of the rectal ultrasound probe, and the puncture needle positioning mechanism 6 is arranged on the diameter of the moving arc.

由移动弧、轨道弧和直肠超声探头构成三维立体坐标,因此穿过穿刺针定位机构6的定位针可经过圆心后准确定位到前列腺腺体病灶位置。The three-dimensional coordinates are formed by the moving arc, orbital arc and rectal ultrasound probe, so the positioning needle passing through the puncture needle positioning mechanism 6 can accurately locate the lesion position of the prostate gland after passing through the center of the circle.

本实用新型中,为保证穿刺的准确度以及操作的方便性,移动弧的弧度设置为45~60°,轨道弧的弧度设置为90°。In the utility model, in order to ensure the accuracy of puncture and the convenience of operation, the arc of the moving arc is set to 45-60°, and the arc of the track arc is set to 90°.

底座2卡装在直肠超声探头1上,并通过锁紧机构固定。本实施例中底座可设置为轴向开口的圆柱形结构,开口处设置定位板;锁紧机构包括相配装的螺栓和螺母,两定位板上开设有通孔;螺栓穿过两定位板的通孔后通过螺母紧固,从而将底座牢固地安装在直肠超声探头1上。The base 2 is clamped on the rectal ultrasound probe 1 and fixed by a locking mechanism. In this embodiment, the base can be set as a cylindrical structure with an axial opening, and a positioning plate is provided at the opening; the locking mechanism includes bolts and nuts that are matched, and through holes are provided on the two positioning plates; The hole is fastened by a nut, so that the base is firmly installed on the rectal ultrasound probe 1 .

轨道弧4通过固定座3设置在底座2上方,固定座为方管形结构,内部中空设置,固定座底端与底座固定连接为一体结构。The track arc 4 is arranged above the base 2 through the fixing seat 3. The fixing seat is a square tubular structure with a hollow interior, and the bottom end of the fixing seat is fixedly connected with the base as an integral structure.

固定座3内设置有升降调节机构,用于调节轨道弧4及其上的移动弧和穿刺针定位机构相对于直肠超声探头1的高度位置。The fixed base 3 is provided with a lifting adjustment mechanism for adjusting the height position of the track arc 4 and the moving arc on it and the puncture needle positioning mechanism relative to the rectal ultrasound probe 1 .

本实施例中,升降调节机构的结构如图3所示,包括转轴31、调节盘32、调节齿轮33和齿条34。转轴31穿过固定座的侧壁安装在固定座3内腔中,调节盘32固定在转轴伸出固定座3的外端;调节齿轮33固定设置在位于固定座3内腔的转轴31上。固定座3的内壁上竖向开设凹槽,齿条34滑动配装在凹槽内,齿条34与调节齿轮33相啮合。轨道弧4固定安装在齿条34伸出固定座3的顶端。当调节齿轮旋转时,齿条能够沿凹槽上下滑动,从推动轨道弧上下移动。In this embodiment, the structure of the lifting adjustment mechanism is shown in FIG. 3 , including a rotating shaft 31 , an adjusting disc 32 , an adjusting gear 33 and a rack 34 . The rotating shaft 31 passes through the side wall of the fixed seat and is installed in the inner cavity of the fixed seat 3, and the adjusting disc 32 is fixed on the outer end of the rotating shaft extending out of the fixed seat 3; A groove is vertically provided on the inner wall of the fixed base 3 , and the rack 34 is slidably fitted in the groove, and the rack 34 is meshed with the adjusting gear 33 . The track arc 4 is fixedly installed on the top of the rack 34 extending out of the fixed seat 3 . When the adjustment gear rotates, the rack can slide up and down along the groove, moving up and down from the push track arc.

固定座3上还设置有升降机构定位组件,用于在升降调节机构将轨道弧、移动弧以及穿刺针定位机构6调整到位置后,固定升降调节机构,防止其发生位移,影响穿刺作业。The fixed base 3 is also provided with a lifting mechanism positioning assembly, which is used to fix the lifting adjustment mechanism after the lifting adjustment mechanism adjusts the track arc, the moving arc and the puncture needle positioning mechanism 6 to the position, so as to prevent its displacement and affect the puncture operation.

本实施例中,升降机构定位组件的结构如图3所示,包括扇形块35、双锥型推动块38和定位齿轮37。扇形块35为大扇形结构,扇形块35通过销轴设置在固定座3内腔中;双锥型推动块38位于扇形块35上方的转轴31上,并与转轴固定设置,双锥型推动块38中部直径大,并位于大扇形结构V型凹槽底部;定位齿轮37固定设置在双锥型推动块38一侧的转轴上,直齿36位于定位齿轮37下方的双锥型推动块38顶沿处,直齿36水平设置并与定位齿轮相啮合;转轴31空心设置,并穿设在固定座3内腔中光轴上,光轴固定设置在固定座内,光轴与转轴同轴并滑动配装。In this embodiment, the structure of the positioning assembly of the lifting mechanism is shown in FIG. 3 , which includes a sector block 35 , a biconical push block 38 and a positioning gear 37 . The fan-shaped block 35 is a large fan-shaped structure, and the fan-shaped block 35 is arranged in the inner cavity of the fixed seat 3 through a pin shaft; the double-cone push block 38 is located on the rotating shaft 31 above the fan-shaped block 35, and is fixedly arranged with the rotating shaft, and the double-cone push block The diameter of the middle part of 38 is large, and is located at the bottom of the V-shaped groove of the large fan-shaped structure; the positioning gear 37 is fixedly arranged on the rotating shaft on one side of the biconical pushing block 38, and the straight teeth 36 are located at the top of the biconical pushing block 38 below the positioning gear 37 Along the edge, the straight teeth 36 are arranged horizontally and meshed with the positioning gear; the rotating shaft 31 is hollowly arranged, and penetrates on the optical axis in the inner cavity of the fixed seat 3, and the optical axis is fixedly arranged in the fixed seat, and the optical axis is coaxial with the rotating shaft. Slide fit.

当向内推动调节盘32时,双锥型推动块38推动扇形块35的右端,使左端绕销轴上移,直齿36卡住定位齿轮37,锁住调节盘32不能转动,实现定位;向外拔动调节盘32,双锥型推动块38推动扇形块35的左端,使左端绕销轴旋转下移,直齿36与定位齿轮37分离,此时可通过旋转调节盘来调整轨道弧、移动弧以及穿刺针定位机构6的高度位置。When the adjustment disc 32 is pushed inward, the double-cone push block 38 pushes the right end of the fan-shaped block 35, so that the left end moves up around the pin shaft, and the straight teeth 36 block the positioning gear 37, locking the adjustment disc 32 so that it cannot rotate, and realize positioning; Pull the adjustment disc 32 outward, the double-cone push block 38 pushes the left end of the fan-shaped block 35, so that the left end rotates around the pin shaft and moves down, and the straight teeth 36 are separated from the positioning gear 37. At this time, the orbital arc can be adjusted by rotating the adjustment disc. , the moving arc and the height position of the puncture needle positioning mechanism 6.

移动弧5下部固定设置有跨接在轨道弧4上的移动弧固定框8,移动弧固定框8的侧壁上横向螺纹连接有第三固定螺栓81,通过调节第三固定螺栓81可将移动弧固定框8顶紧在轨道弧4侧壁上,实现移动弧与轨道弧的定位。The lower part of the moving arc 5 is fixedly provided with a moving arc fixed frame 8 bridged on the track arc 4, and the side wall of the moving arc fixed frame 8 is connected with a third fixing bolt 81 by transverse threads, and the moving arc can be moved by adjusting the third fixing bolt 81. The arc fixed frame 8 is tight on the track arc 4 sidewalls to realize the positioning of the moving arc and the track arc.

本实施例中,轨道弧4为单轨道结构,如图1所示,轨道弧4的内侧端面上开设有C型槽,C型槽内滑动配装有滑块,滑块与移动弧底端通过L型连接板固定连接。其中移动弧固定框8为倒L型结构,且移动弧固定框8竖直端面与轨道弧4的外侧端面弧度配合。In this embodiment, the track arc 4 is a single track structure. As shown in Figure 1, a C-shaped groove is provided on the inner end surface of the track arc 4, and a slide block is installed in the C-shaped groove, and the slide block and the bottom end of the moving arc The connection is fixed through the L-shaped connecting plate. Wherein the moving arc fixing frame 8 is an inverted L-shaped structure, and the vertical end face of the moving arc fixing frame 8 matches the radian of the outer end face of the track arc 4 .

穿刺针定位机构6通过穿刺针定位机构固定框7滑动设置在移动弧5上,穿刺针定位机构固定框7的侧壁上横向螺纹连接有第二固定螺栓71,如图2所示,通过调节第二固定螺栓71可实现穿刺针定位机构固定框7与移动弧5之间的定位,从而实现穿刺针定位机构6的位置固定。The puncture needle positioning mechanism 6 is slidably arranged on the moving arc 5 through the puncture needle positioning mechanism fixing frame 7, and the side wall of the puncture needle positioning mechanism fixing frame 7 is connected with a second fixing bolt 71 with a transverse thread, as shown in FIG. 2 , by adjusting The second fixing bolt 71 can realize the positioning between the fixing frame 7 of the puncture needle positioning mechanism and the moving arc 5 , thereby realizing the position fixation of the puncture needle positioning mechanism 6 .

穿刺针定位机构6的结构如图2所示,包括套筒61和两个定位针环65,套筒61固定设置在穿刺针定位机构固定框7的中部,并位于移动弧5弧形开槽中;两个定位针环65分别位于套筒61的两端,两个定位针环65通过连接杆63连接,套筒61和两个定位针环65共轴线,用于穿过穿刺针。The structure of the puncture needle positioning mechanism 6 is shown in Figure 2, including a sleeve 61 and two positioning needle rings 65, the sleeve 61 is fixedly arranged in the middle of the fixed frame 7 of the puncture needle positioning mechanism, and is located in the arc-shaped slot of the moving arc 5. Middle; two positioning needle rings 65 are respectively located at both ends of the sleeve 61, and the two positioning needle rings 65 are connected by a connecting rod 63. The sleeve 61 and the two positioning needle rings 65 are coaxial for passing through the puncture needle.

套筒61的壁上开设有细长通孔,细长通孔顺应移动弧的直径方向,也即顺应套筒的轴线方向;细长通孔两端的套筒端面上设置有套管62,连接杆63穿设在套管62和细长通孔内,连接杆63与套管62之间通过螺纹连接在套管上的第一固定螺栓64定位。The wall of the sleeve 61 is provided with a slender through hole, and the slender through hole conforms to the diameter direction of the moving arc, that is, the axial direction of the sleeve; the sleeve end faces at both ends of the slender through hole are provided with sleeves 62, connected to The rod 63 is passed through the casing 62 and the elongated through hole, and the connection between the connecting rod 63 and the casing 62 is positioned by a first fixing bolt 64 threaded on the casing.

当需要调节穿刺针的进深时,可通过调节连接杆相对于套筒的位置实现,位置调整好后,旋拧第一固定螺栓定位。When the depth of the puncture needle needs to be adjusted, it can be realized by adjusting the position of the connecting rod relative to the sleeve. After the position is adjusted, the first fixing bolt is screwed for positioning.

本实用新型使用时,根据直肠超声探头1扫描结果,将底座卡装在直肠超声探头1上适当位置,并通过锁紧机构固定;然后根据病灶位置,调节轨道弧的高度并固定;穿刺过程中,根据取样位置,调节移动弧在轨道弧上的左右位置,当需要在水平面下穿刺时,在轨道弧端部将移动弧沿竖直平面旋转到轨道弧下方,实现移动弧相对于轨道弧的上下位置调节;也可调节穿刺针定位机构在移动弧上的上下位置,也可以通过调节连接杆相对于套筒的位置来调节穿刺针的进深。从而可以实现通过会阴部的同一个进针点对体内病灶的不同位置进行取样操作,大大减少了患者创伤面,也就减少了麻醉区域以及出血和感染的风险发生。When the utility model is used, according to the scanning results of the rectal ultrasonic probe 1, the base is clamped on the appropriate position on the rectal ultrasonic probe 1, and fixed by the locking mechanism; then according to the position of the lesion, the height of the orbital arc is adjusted and fixed; during the puncture process , according to the sampling position, adjust the left and right positions of the moving arc on the orbital arc. When it is necessary to puncture under the horizontal plane, rotate the moving arc to the bottom of the orbital arc along the vertical plane at the end of the orbital arc to realize the movement arc relative to the orbital arc. Up and down position adjustment; the up and down position of the puncture needle positioning mechanism on the moving arc can also be adjusted, and the depth of the puncture needle can also be adjusted by adjusting the position of the connecting rod relative to the sleeve. Therefore, it is possible to sample different positions of the lesion in the body through the same needle insertion point in the perineum, which greatly reduces the trauma surface of the patient, and also reduces the risk of anesthesia area and bleeding and infection.

实施例2Example 2

本实施例与实施例1的区别仅在于升降机构定位组件的结构不同。The difference between this embodiment and Embodiment 1 lies in the structure of the positioning assembly of the lifting mechanism.

本实施例中,升降机构定位组件的结构如图4至图5所示,包括与转轴平行设置的定位杆39,定位杆固定设置在固定座外壁上;调节盘32上开设有与定位杆39位置相应的若干定位孔321,定位孔321能够穿过定位杆将转轴定位,所有定位孔呈环形布设在调节盘边缘。In this embodiment, the structure of the positioning assembly of the lifting mechanism is shown in Figures 4 to 5, including a positioning rod 39 arranged parallel to the rotating shaft, and the positioning rod is fixedly arranged on the outer wall of the holder; There are a plurality of positioning holes 321 at corresponding positions, and the positioning holes 321 can pass through the positioning rod to position the rotating shaft, and all the positioning holes are circularly arranged on the edge of the adjusting disc.

当需要调整轨道弧的高度时,向外拔动调节盘,使定位杆与定位孔脱离,便可以通过旋转调节盘来调节轨道弧的高度;当调整到位后,向内推动调节盘,定位杆对准环定位孔插入就可锁死。可以通过调整定位孔的稀疏度来调整高度调节的精确度。When it is necessary to adjust the height of the orbital arc, pull the adjusting dial outward to separate the positioning rod from the positioning hole, then you can adjust the height of the orbital arc by rotating the adjusting dial; when the adjustment is in place, push the adjusting dial inward, and the positioning rod will It can be locked by inserting into the positioning hole of the alignment ring. The accuracy of height adjustment can be adjusted by adjusting the sparseness of the positioning holes.

本实施例中的定位杆39可以是一根,如图4所示;也可以是多根,如图5所示,只要调节到位后定位杆与定位孔位置对应即可。The positioning rod 39 in this embodiment can be one, as shown in FIG. 4 ; it can also be multiple, as shown in FIG. 5 , as long as the positioning rod corresponds to the position of the positioning hole after being adjusted in place.

实施例3Example 3

本实施例与实施例1的区别主要在于轨道弧的结构不同。The difference between this embodiment and Embodiment 1 mainly lies in the structure of the orbital arc.

本实施例中,轨道弧4的结构如图6至图8所示,由两条平行设置的弧形轨道构成,位于升降调节机构上方的两条弧形轨道部分底端通过固定板连接为一体结构;两条弧形轨道的相对面上均开设有C型槽41,C型槽41内滑动配装有滑块52,两个滑块52通过水平连接板51固定连接,且水平连接板51固定设置在移动弧的底端;移动弧固定框8为倒U型结构,如图7所示。In this embodiment, the structure of the track arc 4 is shown in Fig. 6 to Fig. 8. It is composed of two arc-shaped tracks arranged in parallel, and the bottom ends of the two arc-shaped track parts above the lifting adjustment mechanism are connected as a whole by a fixing plate. Structure: C-shaped grooves 41 are opened on the opposite surfaces of the two arc-shaped rails, and a slider 52 is slid in the C-shaped groove 41. The two sliders 52 are fixedly connected by a horizontal connecting plate 51, and the horizontal connecting plate 51 It is fixedly arranged at the bottom of the moving arc; the moving arc fixed frame 8 is an inverted U-shaped structure, as shown in FIG. 7 .

两条弧形轨道的两端设置为弧形闭口设置,可以使移动弧在端部旋转后朝下设置,方便在特殊情况下需要在水平面下大角度进针时使用。The two ends of the two arc-shaped rails are set as arc-shaped closed openings, so that the moving arc can be set downward after the end is rotated, which is convenient for use when the needle needs to be inserted at a large angle under the horizontal plane under special circumstances.

为保证齿条升降过程中的稳定性,本实施例还在与齿条相对的固定座另一侧内壁上同时开设凹槽,凹槽内设置竖条状导向滑块341,导向滑块341和齿条34的顶端均与轨道弧的底端面固定连接。In order to ensure the stability during the rack lifting process, the present embodiment also provides a groove on the other side of the inner wall of the fixed seat opposite to the rack, and a vertical strip-shaped guide slider 341 is arranged in the groove, and the guide slider 341 and The tops of the racks 34 are all fixedly connected to the bottom end faces of the track arcs.

当然,本实用新型在使用时,移动弧还可以采用直立的矩形结构轨道代替,便可恢复成传统穿刺模板的平行进针方式使用。Of course, when the utility model is in use, the moving arc can also be replaced by an upright rectangular structure track, and it can be restored to the parallel needle insertion mode of the traditional puncture template.

Claims (10)

1.前列腺癌经会阴万向穿刺架,其特征在于:包括通过底座(2)安装在直肠超声探头(1)上的穿刺针定位组件,穿刺针定位组件包括水平设置的轨道弧(4)和滑动装配在轨道弧上并竖向设置的移动弧(5),移动弧上滑动设置有定位穿刺针的穿刺针定位机构(6);所述移动弧(5)和轨道弧(4)同圆心且圆心位于直肠超声探头前端的正上方,所述穿刺针定位机构(6)设置在移动弧的直径上。1. The prostate cancer transperineal universal puncture frame is characterized in that: it includes a puncture needle positioning assembly installed on the rectal ultrasound probe (1) through the base (2), and the puncture needle positioning assembly includes a horizontally arranged track arc (4) and The moving arc (5) is slidably assembled on the track arc and arranged vertically, and the puncture needle positioning mechanism (6) for positioning the puncture needle is slidably arranged on the moving arc; the moving arc (5) and the track arc (4) have the same circle center And the center of the circle is located directly above the front end of the rectal ultrasound probe, and the puncture needle positioning mechanism (6) is arranged on the diameter of the moving arc. 2.根据权利要求1所述的前列腺癌经会阴万向穿刺架,其特征在于:所述底座(2)卡装在直肠超声探头(1)上并通过锁紧机构固定。2. The transperineal universal puncture frame for prostate cancer according to claim 1, characterized in that: the base (2) is clamped on the rectal ultrasound probe (1) and fixed by a locking mechanism. 3.根据权利要求1所述的前列腺癌经会阴万向穿刺架,其特征在于:所述轨道弧(4)通过固定座(3)设置在底座(2)上方,且固定座(3)内设置有调节轨道弧(4)及其上的移动弧和穿刺针定位机构上下高度的升降调节机构。3. The transperineal universal puncture frame for prostate cancer according to claim 1, characterized in that: the orbital arc (4) is set above the base (2) through the fixing seat (3), and inside the fixing seat (3) It is provided with a lifting adjustment mechanism for adjusting the track arc (4) and the moving arc thereon and the vertical height of the puncture needle positioning mechanism. 4.根据权利要求3所述的前列腺癌经会阴万向穿刺架,其特征在于:所述升降调节机构包括穿过固定座侧壁安装在固定座(3)内腔的转轴(31),伸出固定座(3)的转轴(31)一端设置有调节盘(32);位于固定座(3)内腔的转轴(31)上固定设置有调节齿轮(33),固定座(3)的内壁上竖向开设凹槽,凹槽内滑动配装有与调节齿轮(33)相啮合、并能够沿凹槽上下滑动的齿条(34);所述轨道弧(4)固定安装在齿条(34)伸出固定座(3)的顶端。4. The transperineal universal puncture frame for prostate cancer according to claim 3, characterized in that: the lifting adjustment mechanism includes a rotating shaft (31) that passes through the side wall of the fixing seat and is installed in the inner cavity of the fixing seat (3). One end of the rotating shaft (31) out of the fixed seat (3) is provided with an adjusting disc (32); the rotating shaft (31) located in the inner cavity of the fixed seat (3) is fixedly provided with an adjusting gear (33), and the inner wall of the fixed seat (3) A groove is provided vertically on the top, and a rack (34) that is engaged with the adjustment gear (33) and can slide up and down along the groove is slidingly equipped in the groove; the track arc (4) is fixedly installed on the rack ( 34) Stretch out the top of the holder (3). 5.根据权利要求4所述的前列腺癌经会阴万向穿刺架,其特征在于:所述固定座(3)上还设置有固定升降调节机构的升降机构定位组件。5. The transperineal universal puncture frame for prostate cancer according to claim 4, characterized in that: the fixing seat (3) is also provided with a lifting mechanism positioning assembly for fixing the lifting adjustment mechanism. 6.根据权利要求5所述的前列腺癌经会阴万向穿刺架,其特征在于:所述升降机构定位组件包括通过销轴设置在固定座(3)内腔的扇形块(35),位于扇形块(35)上方的转轴(31)上固定设置有双锥型推动块(38),双锥型推动块(38)一侧的转轴上固定设置有定位齿轮(37),位于定位齿轮(37)下方的双锥型推动块(38)顶沿处水平设置与定位齿轮相啮合的直齿(36);所述转轴(31)空心设置、并穿设在固定座(3)内腔中光轴上,光轴与转轴滑动配合。6. The transperineal universal puncture frame for prostate cancer according to claim 5, characterized in that: the positioning assembly of the lifting mechanism includes a fan-shaped block (35) arranged in the inner cavity of the fixed seat (3) through a pin shaft, and is located in the fan-shaped On the rotating shaft (31) above the block (35), a biconical push block (38) is fixedly arranged, and a positioning gear (37) is fixedly provided on the rotating shaft of the biconical push block (38) side, which is positioned at the positioning gear (37). ) below the top edge of the double-cone push block (38) is horizontally provided with a straight tooth (36) meshing with the positioning gear; On the shaft, the optical shaft is slidingly matched with the rotating shaft. 7.根据权利要求5所述的前列腺癌经会阴万向穿刺架,其特征在于:所述升降机构定位组件包括与转轴平行且固定设置在固定座外侧壁上的定位杆(39),调节盘(32)上开设有与定位杆(39)位置相应并能够穿过定位杆的若干定位孔(321),所有定位孔呈环形布设在调节盘边缘。7. The prostate cancer transperineal universal puncture frame according to claim 5, characterized in that: the positioning assembly of the lifting mechanism includes a positioning rod (39) parallel to the rotating shaft and fixedly arranged on the outer wall of the fixing seat, and the adjusting disc (32) is provided with some positioning holes (321) corresponding to the location of the positioning rod (39) and can pass through the positioning rod, and all positioning holes are annularly arranged on the adjustment disc edge. 8.根据权利要求3所述的前列腺癌经会阴万向穿刺架,其特征在于:所述轨道弧(4)由两条平行设置的弧形轨道构成,位于升降调节机构上方的两条弧形轨道部分底端通过固定板连接为一体结构;两条弧形轨道的相对面上开设有C型槽(41),C型槽(41)内滑动配装有滑块(52),两个滑块(52)通过水平连接板(51)固定连接,且水平连接板(51)固定设置在移动弧的底端。8. The transperineal universal puncture frame for prostate cancer according to claim 3, characterized in that: the orbital arc (4) is composed of two arc-shaped orbits arranged in parallel, and the two arc-shaped orbits located above the lifting adjustment mechanism The bottom ends of the track parts are connected by a fixed plate into an integrated structure; C-shaped grooves (41) are provided on the opposite surfaces of the two arc-shaped tracks, and a slider (52) is installed in the C-shaped groove (41). The blocks (52) are fixedly connected through a horizontal connecting plate (51), and the horizontal connecting plate (51) is fixedly arranged at the bottom end of the moving arc. 9.根据权利要求1所述的前列腺癌经会阴万向穿刺架,其特征在于:所述移动弧(5)下部固定设置有跨接在轨道弧(4)上的移动弧固定框(8),移动弧固定框(8)的侧壁上横向螺纹连接有将移动弧固定框(8)顶紧在轨道弧(4)侧壁上的第三固定螺栓(81)。9. The transperineal universal puncture frame for prostate cancer according to claim 1, characterized in that: the lower part of the moving arc (5) is fixedly provided with a moving arc fixing frame (8) bridged on the track arc (4) The side wall of the moving arc fixing frame (8) is horizontally threaded and connected with the third fixing bolt (81) that the moving arc fixing frame (8) is tightened on the side wall of the track arc (4). 10.根据权利要求1所述的前列腺癌经会阴万向穿刺架,其特征在于:所述穿刺针定位机构(6)通过穿刺针定位机构固定框(7)滑动设置在移动弧(5)上,穿刺针定位机构固定框(7)与移动弧(5)之间通过横向螺纹连接的第二固定螺栓(71)定位;所述穿刺针定位机构(6)包括固定设置在穿刺针定位机构固定框(7)中部并位于移动弧(5)弧形开槽中的套筒(61)和位于套筒(61)两端的定位针环(65),套筒(61)和两个定位针环(65)共轴线;所述套筒(61)的壁上开设有细长通孔,细长通孔两端的套筒端面上设置有套管(62),两个定位针环(65)通过穿设在套管(62)和细长通孔内的连接杆(63)连接,连接杆(63)与套管(62)之间通过螺纹连接在套管上的第一固定螺栓(64)定位。10. The prostate cancer transperineal universal puncture frame according to claim 1, characterized in that: the puncture needle positioning mechanism (6) is slidably arranged on the moving arc (5) through the puncture needle positioning mechanism fixing frame (7) , the puncture needle positioning mechanism fixing frame (7) and the moving arc (5) are positioned through the second fixing bolt (71) connected by transverse thread; The sleeve (61) in the middle of the frame (7) and located in the arc groove of the moving arc (5) and the positioning pin rings (65) located at both ends of the sleeve (61), the sleeve (61) and two positioning pin rings (65) coaxial; the wall of the sleeve (61) is provided with a slender through hole, the sleeve end faces at both ends of the slender through hole are provided with a sleeve (62), and two positioning needle rings (65) pass through The connecting rod (63) passing through the casing (62) and the elongated through hole is connected, and the connecting rod (63) and the casing (62) are connected by the first fixing bolt (64) threaded on the casing position.
CN202220249804.5U 2022-02-07 2022-02-07 Prostate cancer transperineal universal puncture rack Active CN217938331U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114983530A (en) * 2022-02-07 2022-09-02 河北医科大学第二医院 Prostate cancer transperineal universal puncture rack

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114983530A (en) * 2022-02-07 2022-09-02 河北医科大学第二医院 Prostate cancer transperineal universal puncture rack

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