Kidney puncture biopsy auxiliary device
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a kidney puncture biopsy auxiliary device.
Background
Kidney aspiration biopsy, also known as nephroaspiration biopsy, is typically performed under real-time ultrasound guidance. Clinically, the patient adopts a prone position on the examination table, the two arms extend forwards, the abdomen is padded with the pillow, and the waist is exposed. Then sterilizing back skin, spreading sterile towel, and injecting small amount of local anesthetic. The puncture needle is vertically penetrated into the kidney sac, the upper and lower stages of the kidney are observed to move along with respiration, when the lower stage of the kidney moves to the optimal puncture position, the patient is enabled to get rid of qi, the puncture needle is immediately and rapidly penetrated into the kidney for 2-3cm, and the tiny partial tissue strips of the kidney are accurately and safely taken. Finally, the puncture needle is pulled out to order the patient to breathe normally, thus completing the puncture biopsy under the real-time ultrasonic guidance.
However, due to the softness of the abdomen of the human body, the movement degree of the waist and the abdomen is increased due to tension or pain when the patient performs puncture biopsy, and the kidneys move along with the movement degree, so that the operation of doctors is influenced, the operation time and the risk of complications are increased, and the puncture accuracy is further influenced.
Disclosure of utility model
The utility model provides a kidney puncture biopsy auxiliary device for solving the technical problems.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
The utility model provides a kidney puncture biopsy auxiliary device, includes the backup pad of placing on the inspection bench, the top both sides of backup pad correspond and are provided with the locating plate, the locating plate runs through along the horizontal direction screw thread and has the limit adjustment pole, soft backing plate is installed to the opposite side of limit adjustment pole, the both sides of backup pad still are provided with the riser, vertical being provided with the guide way on the riser, the guide way runs through the face of riser, two install the operation panel through first jack bolt between the riser, run through the face on the axis of operation panel and be provided with the puncture groove, there is the puncture board through second jack bolt slidable mounting on the operation panel, be provided with the puncture section of thick bamboo that passes the puncture groove downwards on the puncture board, be provided with the fixed part that is used for the lock joint inspection bench in the backup pad.
Further, the locating plate comprises two groups of locating components which are correspondingly arranged, and the two groups of locating components are arranged in parallel along the long side of the supporting plate. The two groups of positioning components can act on the waist side and the chest side of the patient respectively, compared with a single positioning component, the fixing effect is better, and the fixing discomfort brought to the patient is reduced.
Further, the vertical plate is arranged at the middle section of the supporting plate, and the two groups of positioning assemblies are all positioned at the same side of the supporting plate. The riser is located in the kidney region of an adult patient when the patient is lying on the support plate.
Further, the soft cushion plate is rotatably arranged at the end part of the limit adjusting rod through the rotating shaft, and the soft cushion plate is of an arc-shaped structure. The limit adjusting rod is connected with the positioning plate through threads, and the soft base plate can still adjust the fixed tightness when being contacted with a patient in the process of adjusting the limit adjusting rod through rotation, so that the soft base plate can not rotate along with the rotation. The concave surfaces of the two cushion plates are arranged in opposite directions, and the cambered surface is more fit with the body curve of the patient in the process of fixing the waist and the chest of the patient, so that the fixing effect can be improved, and the comfort level can be increased.
Further, the center of the puncture plate is vertically provided with a mounting hole, the top of the puncture cylinder is provided with a limiting part along the outer wall, and the puncture cylinder can be movably inserted into the mounting hole. The puncture tube which is extended downwards can guide and fix the inserted puncture needle, so that the stability and the accuracy of medical staff in operation are improved, and the influence of arm shaking or body movement of a patient on the angle and the azimuth of the puncture needle in grasping operation is avoided.
Further, the two ends of the puncture plate are vertically extended downwards to form an extension part, and screw holes matched with the second jacking bolts are formed in the extension part. In the puncture operation process, the inclination angle of the puncture plate can be adjusted and fixed by adjusting and sending the second tightening bolt, so that medical staff can conveniently adjust the inclination angle according to the operation condition, and the suitability of the scheme and the operation is further improved.
Further, the fixing part comprises mounting seats arranged at the bottoms of four corners of the supporting plate, and third jacking bolts are arranged on the mounting seats. The supporting plate is placed on the inspection table, four corners of the inspection table are wrapped and surrounded through the mounting seat, and the supporting plate and the inspection table form an integrally fixed operation table top through the third jacking bolts.
Further, the operation plate and the puncture plate are both made of transparent acrylic plates. The transparent acrylic plate has excellent transparency, and in the scheme of the application, medical staff can conveniently observe the position and the angle of the puncture needle on a patient through the plate body, so that the operation convenience and the accuracy are further improved.
Compared with the prior art, the utility model has the following beneficial effects:
1. According to the utility model, the waist can be in conflict limit according to the body shape of the patient and the comfort level of the patient, so that the influence of the body swing of the patient on the operation is reduced;
2. The utility model can stably control the puncture angle and the puncture azimuth, avoid the interference of patients during the operation of doctors, and improve the accuracy and the safety of the operation;
3. The utility model is convenient for medical staff to operate, reduces uncomfortable feeling of patients and improves the working efficiency of biopsy puncture.
Drawings
FIG. 1 is a schematic three-dimensional structure of the present utility model;
FIG. 2 is a schematic view of the structure of the operation plate and the puncture plate;
FIG. 3 is a schematic view of the disassembled structure of the puncture plate;
the drawing mark comprises a 1-supporting plate, a 2-positioning plate, a 3-limit adjusting rod, a 4-soft base plate, a 5-vertical plate, a 6-guide groove, a 7-first jacking bolt, an 8-operating plate, a 9-puncture groove, a 10-second jacking bolt, a 11-puncture plate, a 12-puncture cylinder, a 13-mounting hole, a 14-limit part, a 15-extension part, a 16-screw hole, a 17-mounting seat and a 18-third jacking bolt.
Detailed Description
For the purpose of making apparent the objects, technical solutions and advantages of the present utility model, the present utility model will be further described in detail with reference to the following examples and the accompanying drawings, wherein the exemplary embodiments of the present utility model and the descriptions thereof are for illustrating the present utility model only and are not to be construed as limiting the present utility model.
Example 1
As shown in fig. 1, 2 and 3, the kidney puncture biopsy auxiliary device disclosed by the utility model comprises a support plate 1 placed on an inspection table, wherein positioning plates 2 are correspondingly arranged on two sides of the top of the support plate 1, a limit adjusting rod 3 is arranged on the positioning plates 2 in a threaded manner along the horizontal direction, soft base plates 4 are arranged on opposite sides of the limit adjusting rod 3, vertical plates 5 are further arranged on two sides of the support plate 1, guide grooves 6 are vertically arranged on the vertical plates 5, an operation plate 8 is arranged between the two vertical plates 5 through a first jacking bolt 7, a puncture groove 9 is arranged on the axis of the operation plate 8 through the plate surface, a puncture plate 11 is slidably arranged on the operation plate 8 through a second jacking bolt 10, a puncture cylinder 12 penetrating downwards through the puncture groove 9 is arranged on the puncture plate 11, and a fixing part for fastening the inspection table is arranged on the support plate 1.
The positioning plate 2 comprises two groups of positioning components which are correspondingly arranged, and the two groups of positioning components are arranged in parallel along the long side of the supporting plate 1. Specifically, the two sets of positioning components can act on the waist side and the chest side of the patient respectively, and compared with a single positioning component, the fixing effect is better, and the discomfort of fixing brought to the patient is reduced.
The vertical plate 5 is arranged at the middle section of the supporting plate 1, and the two groups of positioning components are all positioned at the same side of the supporting plate 1. Specifically, the riser 5 is located in the kidney area of an adult patient when the patient is lying on the support plate 1. The patient is precisely positioned near the kidney by fine adjustment longitudinally in the prone position.
The cushion plate 4 is rotatably arranged at the end part of the limit adjusting rod 3 through a rotating shaft, and the cushion plate 4 is of an arc-shaped structure. Specifically, the limit adjusting rod 3 is connected with the positioning plate 2 through threads, and in the process of adjusting the limit adjusting rod 3 through rotation, as the soft cushion plate 4 needs to be attached and fixed with the waist and abdomen of a patient, the soft cushion plate 4 is not connected with the patient through a rotating shaft structure in order to enable the soft cushion plate 4 to be in contact with the patient, and the fixed tightness can still be adjusted without following the rotation. The concave surfaces of the two cushion plates 4 are arranged in opposite directions, and the cambered surfaces are more fit with the body curve of the patient in the process of fixing the waist and the chest of the patient, so that the fixing effect can be improved, and the comfort level can be increased.
The center of the puncture plate 11 is vertically provided with a mounting hole 13, the top of the puncture tube 12 is provided with a limiting part 14 along the outer wall, and the puncture tube 12 can be movably inserted into the mounting hole 13. In particular, the cartridge 12 may be removable and replaceable for ensuring the medical and hygienic conditions of use. The downward extending puncture tube 12 can guide and fix the inserted puncture needle, so that the stability and accuracy of the operation of medical staff are improved, and the influence of the arm shaking or the body movement of a patient on the angle and the azimuth of the puncture needle grasping during the operation is avoided.
The two ends of the puncture plate 11 are vertically extended downwards to form an extension part 15, and screw holes 16 matched with the second jacking bolts 10 are formed in the extension part 15. Specifically, in the puncture operation process, the inclination angle of the puncture plate 11 can be adjusted and fixed by adjusting and delivering the second jacking bolt 10, so that medical staff can conveniently adjust the inclination angle according to the operation condition, and the suitability of the scheme and the operation is further improved. Preferably, the second tightening bolt 10 is provided with a hand tightening part convenient for hand operation, and is convenient for rapid tightening and loosening during use.
The fixing part comprises mounting seats 17 arranged at the bottoms of four corners of the supporting plate 1, and third jacking bolts 18 are arranged on the mounting seats 17. Specifically, the support plate 1 is placed on the inspection table, four corners of the inspection table are wrapped and surrounded through the mounting seat 17, and the fixing is completed through the third tightening bolts 18, so that an integrally fixed operation table top is formed between the support plate 1 and the inspection table.
The operation plate 8 and the puncture plate 11 are both made of transparent acrylic plates. Specifically, the acrylic plate is more impact-resistant and not easy to break, and the safety in the use process can be ensured. And the acrylic plate is lighter, is easy to cut, form and drill, and is easier to process and install. The transparent acrylic plate has excellent transparency, and in the scheme of the application, medical staff can conveniently observe the position and the angle of the puncture needle on a patient through the plate body, so that the operation convenience and the accuracy are further improved.
Example two
On the basis of the first embodiment, the embodiment provides a specific implementation procedure of the kidney puncture biopsy auxiliary device.
The specific implementation principle flow is as follows:
The supporting plate 1 is fixed on the examination table through the cooperation of the mounting seat 17 and the third jacking bolt 18, a pillow or a soft cushion is taken and placed on the supporting plate 1, a patient is prone on the supporting plate 1, and the kidney area is located at the pillow or the soft cushion. Then, the operation plate 8 which can be detachably installed is erected between the two vertical plates 5, and after the proper height is adjusted, the first jacking bolts 7 are screwed on to fix the operation plate. Then the chest side and the waist side of the patient are fixed by operating the limit adjusting rod 3, and a new puncture tube 12 is taken and placed on the puncture plate 11. After the basic fixing operation is completed, the medical staff needs to find a proper puncture angle and inclination according to the body type and operation requirement of the patient, and at the moment, the inclination of the operation plate 8 can be adjusted through the first tightening bolt 7. The inclination angle of the puncture plate 11 is adjusted by the second jack bolt 10. After the position and the angle are completely determined, the puncture biopsy is performed on the patient by means of ultrasonic guidance, and the operation is completed.
There are, of course, many other embodiments of the utility model that can be made by those skilled in the art in light of the above teachings without departing from the spirit or essential scope thereof, but that such modifications and variations are to be considered within the scope of the appended claims.