CN2889194Y - A puncture positioning guide for vertebroplasty - Google Patents

A puncture positioning guide for vertebroplasty Download PDF

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Publication number
CN2889194Y
CN2889194Y CN 200620024102 CN200620024102U CN2889194Y CN 2889194 Y CN2889194 Y CN 2889194Y CN 200620024102 CN200620024102 CN 200620024102 CN 200620024102 U CN200620024102 U CN 200620024102U CN 2889194 Y CN2889194 Y CN 2889194Y
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China
Prior art keywords
puncture
main scale
guide plate
vertebroplasty
gathering sill
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Expired - Fee Related
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CN 200620024102
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Chinese (zh)
Inventor
宓士军
高景春
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Individual
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Individual
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Priority to CN 200620024102 priority Critical patent/CN2889194Y/en
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Abstract

A puncture location guider for vertebroplasty belongs to the technical field of medical instrument, and solves the difficulties in puncture location during vertebroplasty. The utility model comprises a main gauge and a guide plate. The guide plate is in fan shape and is provided fixedly with a puncture guide slot. The main gauge is provided with arc angle markers at its top and horizontal length markers at its bottom. The upper end of puncture guide slot faces to the arc angle markers. Said main gauge and guide plate are in hinge joint, with a fastening screw disposed therebetween. The utility model helps to rapidly locate the puncture needle, reduce the time of X-ray fluoroscopy, increase the accuracy in angle of needle insertion, and prevent nerve damages and complications. The utility model is easy to operate and is clinically used to increase the success rate of operation and reduce the migration of puncture needle.

Description

A kind of vertebroplasty puncture positioning guider
Technical field
This utility model relates to a kind of medical operation auxiliary implement, especially for the guiding instrument in the vertebral plasty paracentesis, belongs to field of medical article technology.
Background technology
The clinical treatment method of diseases such as osteoporotic fracture, vertebral body hemangioma, myeloma, molten bone metastatic tumor comprises traditional expectant treatment, surgical resection+internal fixation, radiotherapy etc.These methods all have some problems, though part patient pain symptom is eased as expectant treatment, but patient's pain symptom is alleviated slowly, needs long-term bed, can cause the osteoporosis degree to increase the weight of and complication such as pulmonary infection, decubital ulcer, cardiovascular and cerebrovascular disease occur because of long-term bed again; The operative treatment wound is big, and the patient in poor condition of health is difficult to tolerate surgery, postoperative complication incidence rate height; It is slow that radiotherapy also has pain relief, generally could display effect after 2 weeks, and stability and the function of nervous system for spinal column is difficult to improve simultaneously.French scholar was that bone cement has successfully carried out the percutaneous vertebroplasty to vertebral body hemangioma patient with polymethyl methacrylate first in 1984, had obtained beyond thought analgesic effect, can prevent that simultaneously the vertebral body compression from subsiding.They are generalized to this technology in the treatment of compression fracture of vertabral body that osteoporosis causes, vertebral body metastatic tumo(u)r subsequently.In clinical practice and constantly perfect, obtain the curative effect of expection through further, and do not had the severe complication appearance.This technology reached the U.S. and China in 1999, and domestic scholars has been made Related Experimental Study and has been applied to this technology clinical in recent years.Adopt vertebroplasty to treat above-mentioned disease, the little instant effect of wound, complication is less, and treatment back pain is alleviated immediately, and can increase stress and the steadiness of vertebral body, and a few hours get final product out-of-bed activity.Above-mentioned vertebroplasty is to use special puncture needle to enter the damage vertebral body by narrow pedicle of vertebral arch, injects bone cement then.The pedicle of vertebral arch inboard is important spinal nerves, in case deflection promptly can cause serious nerve injury, consequence is serious.Therefore general operation will be carried out under tight fluoroscopic monitoring, operator and operation receiveing person will absorb a large amount of lonizing radiation, health is caused serious injury, even so, perspective also is limited to the monitoring of puncture angle, the deviation that punctures might occur, and it is not in place to cause puncturing, perhaps puncture is accidentally injured, and these are carried out this technology to the doctor and have brought difficulty and risk.
Summary of the invention
This utility model is used to solve the defective of above-mentioned prior art and provides a kind of and can make things convenient for, guide accurately the vertebroplasty puncture positioning guider that puncture needle accurately punctures.
The alleged problem of this utility model is solved by following technical scheme:
A kind of vertebroplasty puncture positioning guider, its special feature is: comprise main scale 3 and guide plate 1 in the formation, it is fan-shaped that guide plate is, fixing puncture gathering sill 2 on it, main scale top is provided with arc angle labelling 3-1; The bottom is provided with horizontal length labelling 3-2, described puncture gathering sill upper end corresponding circle arc angle labelling, and described main scale, guide plate are hinged, are provided with trip bolt 5 between main scale, guide plate.
Above-mentioned vertebroplasty puncture positioning guider, institute described main scale bottom is provided with location-plate 6, and location-plate is connected with the main scale quadrature.
Above-mentioned vertebroplasty puncture positioning guider, described puncture gathering sill upper end is sharp shape, 2~7 millimeters of gathering sill groove widths, 4~6 millimeters of groove depths.
Above-mentioned vertebroplasty puncture positioning guider, described main scale is provided with arc chute 4, and guide plate is provided with screw hole, and described trip bolt is arranged in arc chute and screw hole.
Above-mentioned vertebroplasty puncture positioning guider, arc angle labelling on the described main scale and ruler length mark are provided with by middle mind-set lateral symmetry.
This utility model is at the problem of vertebroplasty puncture location difficulty and custom-designed a kind of positioning and guiding instrument, this instrument has solved the blindness in the vertebroplasty piercing process, for improving success rate of operation, avoid or reduce the puncture deflection to have original benefit, its characteristics are as follows: 1, can locate the inserting needle puncture rapidly, reduce and use the X line perspective time, reduced the dosage that operator and operation receiveing person absorb lonizing radiation.2, the puncture needle needle angle is accurate, avoids puncture needle to enter canalis spinalis and causes nerve injury, has reduced the generation of complication.3, the operating difficulty that can reduce vertebroplasty behind this instrument is adopted in this instrument grasp easy to use, simple to operate, easy.Based on These characteristics, this utility model practical value is higher, is fit to clinical expansion.
Description of drawings
Fig. 1 is a structural representation of the present utility model;
Fig. 2 is the A-A cutaway view of Fig. 1;
Fig. 3 is that the K of Fig. 1 is to view;
Fig. 4 is a use sketch map of the present utility model.
Number in the figure is expressed as follows: 1. guide plate; 2. puncture gathering sill; 3. main scale; 3-1. arc angle labelling; 3-2. horizontal length labelling; 4. arc chute; 5. trip bolt; 6. location-plate, 7. puncture needle; 8. rivet.
The specific embodiment
Referring to Fig. 1, comprise main scale 3 and guide plate 1 in the formation of the present utility model, it is fan-shaped that guide plate is, fixing puncture gathering sill 2 on the guide plate.Rivet 8 is hinged with the position, the fan-shaped center of circle of the lateral symmetry center of main scale and guide plate, and smooth for guaranteeing inserting needle, the rivet medicated cap must not be higher than the groove bottom of gathering sill.Main scale is provided with arc chute 4, and guide plate is provided with screw hole, and trip bolt 5 is arranged in arc chute and screw hole.Unclamp trip bolt, guide plate can be relatively and main scale be rocked to a certain angle, the position of tightening trip bolt main scale guide plate promptly is fixed.Main scale top is provided with arc angle labelling 3-1, sharp shape position, puncture gathering sill upper end corresponding circle arc angle labelling, the main scale bottom is provided with horizontal length labelling 3-2, reading when puncturing for convenient operation bilateral, arc angle labelling on the main scale and horizontal length labelling all are by the setting of middle mind-set lateral symmetry.In addition, for ease of the main scale fixed-site, be provided with location-plate 6 in the main scale bottom, location-plate is connected with the main scale quadrature, as shown in Figure 2.
Referring to Fig. 3, consider the puncture gathering sill inserting needle that should accurately lead, 2~7 millimeters of gathering sill groove widths, 4~6 millimeters of groove depths.
Referring to Fig. 4, when using this utility model to carry out the vertebroplasty puncture, measure according to CT earlier and determine point of puncture and angle.CT measures angle ∠ BAC between line segment AB and the AC, and records spinous process C point to B point distance, makes B point, C point labelling on skin, and the B point is the body surface point of puncture, and the C point is a spinous process, and it can touch at body surface.Main scale center O point with this localizer is placed on point of puncture B place then, adjusts the gathering sill angle according to angle ∠ BAC, screws trip bolt, and the fixed guide plate is punctured to appointed part with puncture needle along puncture gathering sill inserting needle, can finish puncture.For the undesirable person of one-sided bone cement injection molding process, can select the bilateral puncture injection again, its method is the same.

Claims (5)

1. vertebroplasty puncture positioning guider, it is characterized in that: comprise main scale (3) and guide plate (1) in the formation, it is fan-shaped that guide plate is, fixing puncture gathering sill (2) on it, main scale top is provided with arc angle labelling (3-1); The bottom is provided with horizontal length labelling (3-2), described puncture gathering sill upper end corresponding circle arc angle labelling, and described main scale, guide plate are hinged, are provided with trip bolt (5) between main scale, guide plate.
2. vertebroplasty puncture positioning guider according to claim 1 is characterized in that: institute described main scale bottom is provided with location-plate (6), and location-plate is connected with the main scale quadrature.
3. vertebroplasty puncture positioning guider according to claim 2 is characterized in that: described gathering sill upper end is sharp shape, 2~7 millimeters of gathering sill groove widths, 4~6 millimeters of groove depths.
4. according to claim 1 or 2 or 3 described vertebroplasty puncture positioning guiders, it is characterized in that: described main scale is provided with arc chute (4), and guide plate is provided with screw hole, and described trip bolt is arranged in arc chute and screw hole.
5. vertebroplasty puncture positioning guider according to claim 4 is characterized in that: arc angle labelling on the described main scale and ruler length mark are provided with by middle mind-set lateral symmetry.
CN 200620024102 2006-04-14 2006-04-14 A puncture positioning guide for vertebroplasty Expired - Fee Related CN2889194Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 200620024102 CN2889194Y (en) 2006-04-14 2006-04-14 A puncture positioning guide for vertebroplasty

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 200620024102 CN2889194Y (en) 2006-04-14 2006-04-14 A puncture positioning guide for vertebroplasty

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CN2889194Y true CN2889194Y (en) 2007-04-18

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN104398300A (en) * 2014-12-15 2015-03-11 赵继军 Vertebral pedicle guider for minimally invasive surgery
CN106037892A (en) * 2016-05-11 2016-10-26 首都医科大学附属北京友谊医院 Percutaneous universal-angle vertebral pedicle puncture guide apparatus
CN106618721A (en) * 2016-11-07 2017-05-10 中国人民解放军第四军医大学 Sacroiliac nail positioning device with distance and angle adjusting function
CN107184268A (en) * 2017-07-03 2017-09-22 宁波市第六医院 Wrist scaphoid Kirschner wire guider and its application method
CN108542475A (en) * 2018-04-09 2018-09-18 贾志强 Portable percutaneous puncture positioning device and the localization method realized using the device

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083092A (en) * 2013-03-01 2013-05-08 张忠荣 Three-dimensional positioning and guiding device for penetrating vertebral pedicle through skin
CN104398300A (en) * 2014-12-15 2015-03-11 赵继军 Vertebral pedicle guider for minimally invasive surgery
CN106037892A (en) * 2016-05-11 2016-10-26 首都医科大学附属北京友谊医院 Percutaneous universal-angle vertebral pedicle puncture guide apparatus
CN106618721A (en) * 2016-11-07 2017-05-10 中国人民解放军第四军医大学 Sacroiliac nail positioning device with distance and angle adjusting function
CN106618721B (en) * 2016-11-07 2019-03-15 中国人民解放军第四军医大学 A kind of sacrum ilium screw positioning device of Adjustable Range and angle
CN107184268A (en) * 2017-07-03 2017-09-22 宁波市第六医院 Wrist scaphoid Kirschner wire guider and its application method
CN108542475A (en) * 2018-04-09 2018-09-18 贾志强 Portable percutaneous puncture positioning device and the localization method realized using the device
CN108542475B (en) * 2018-04-09 2023-12-26 贾志强 Portable percutaneous puncture positioning device and positioning method realized by using same

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Granted publication date: 20070418